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1604 Clemson Dr BCity of Eagan PERMIT 41' City of Eaa Permit Type: Permit Number: Date Issued: II Permit Category: Mechanical EA105873 08/01/2012 ePermit Site Address: 1604 Clemson Dr B Lot: 62 Block: 01 Addition: Thomas Lake Heights 2nd PID: 10-75951-01-620 Use: Description: Sub Type: Work Type: Description: e - Furnace New Furnace Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $55.00 $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 - Applicant - Owner: Lula H Kerrsen 1604 Clemson Dr B Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature CITY OE EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO • Eagan, MN 55121 DATE- Zoning: _ No. of Units- Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I ogres to comply with the City of Eagan Surcharge. Ordinances, Misc. Charges: Total: By Date Paid: Date of Insp.: �,�f,� Insp.. CITY Of EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: SEWER SERVICE PERMIT PERMIT NO.: DATE: Owner: No. of Units: Address: Site Address: Plumber: 1 ogre* to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: B Surcharge: Y Misc. Charges: Dote of Insp.: Total: Insp.: Date Paid: Apr 04 2013 11:42AM HP LASERJET FAXBAC CONST 6127223447 page 4 City•••oE a!' 3030 Pilot Knob Road Eagan MN 55122 Phone: (661) 075.5676 Fax: (061) 675.5694 Use BLUE or BLACK Ink For QHioe uor Permit #: __ U Permit Fee: Date Received: __ Staff: �l 3 X013 COMMERCIAL BUILDING PERMIT APPLICATION Date: Site Address:--(� ode C (e ms o r� I> Tenant Name: _ ar► �r1_— (Tenant Is: ___ New I ?_ Existing) Suite 0: Former Tenant: J , :I �;! �i" , s , az ia,,d� g i . • t : , .f 31 Name: Phone: ___2E42% Address / City / Zip: M►Iloent Is: Owner ___ Contractor a, 4 14 a'�� � v Y lu 0y�� �Y"� ; p„e. ���,�'c��� Deaorlptlon of work: C11 C r_1(.1,S tl) E, eche laf�-Lll:_�u 1-c1+ D+'' Construotion Cost: . ;,. i 14 ! _. , 0 r ) .. ,, !i��"' ,'',4 t',,,„,,h, Name: c' o�.,$_L •51=it1(1 License #: lGleD�p. Address; (\ae_ba b21 — City: f \ P: __.39,12--__1±,a' -_4 State: Zip: VCS Phone: Yr' -7.2_ 1- a -so 0 _PAL__ _ Contact: .. Emell: . * S,2(c S. IQ _s► �• _ » a. Name: Registration #: NN `,' i, v., o..�eil+ ., i>, id?� "44 ,NY,1: 4 4 ti Address: City: — State: Zip: Phone; ______ --__ ____ _____ Contact Person: Email: Llceneed plumber Instal in. am sewer/water service:. __, Phone l0!: �, r .. v.. ,.. N,,idw:{'V4yroI»'gmnr^�.rar, ' V . !1 ai �.�r �!.7 ��., .yrA.w7fi J C!5 'iY ki R'�.��� ;•}1�il;:t 115 k �b/" ��BTy. ). 5 ' +4 ell ?Wi Nii (; d C `; '� 1,�i'rw�04:f4 i, �+ i " � J. M'ti!, V'DP t. Y°w )�1Y4dy �14W)��,4p ., r.7,.,,,,,47,77;,4, .... 17,e:07,17 �R ��^io1,,,q y !h \`41t81”1 i" . :p y 4R:1 I� mr $ yy�yy 9 P �,q�� Y' pY l o"+�c ''fi`� _IIS: i. 17+1 ,,:o. P 69) '' '7'i . 'R " 1 A a 1 i 3� * 1 u ,1 I a,..,a, V '. ,! r� .d;,,� ". , 21( 11":77 ��.,.I•,,. r Iii , 1 �ii r5°""}qI' (� �y �y� 'C"�q� f"Yi c I' '14 ` t� ",p a `�� r pr Pt r r4 -:. 'ce a(�$a+'0' 1?i ; b RP!1I:° 7'gio4iA7��rC�.6�+�?e �p� �' i�r n J.' 'W �r i• jqp d ".1.'++07 . ,. = ?f. y 4•\ CALL BEFORE VOy DIG. Cell Gopher State One Call at (691) 454.0002 for protection against underground Ut cell 48 Nouns before you Intend to dig to receive locates of underground utilities. www. aopherstateoneoell.org I hereby acknowledge that this information Is complete and accurate: that the work will be In conformance with the codes of the City of Eagan; that I understand this le not a permit, but only an application for a permit, and work Ia not permit; that the work will be In aboordance with the approved plan In the case of work whlrequires a review end app Ity damage, rdinences and !tart without a sI of plans: Applicant's Printed Name Applicant's SI attire Page 1 of 3 Apr 04 2013 11:44AM HP LASERJET FAXBAC CONST 6127223447 page 6 ,UB TYPE4 Foundation _ Commerolai!Industrial _ Apartment. Miscellaneous L401. /( C(k 3) DO NOT WRITE BELOW THIS LINE _ Public Facility _ Accessory Building Greenhouse / Tent Antennae WORK TYUS New _ Interior Improvement w Exterior improvement Repair Water Damage Addition Alteretlon Replace Salon Owner Change DESCRIPTION Valuation Plan Review (25%____ 100 %__) Census Code g of Unita # of Buildings Type of Construction )iEQUIRgp (j1SPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Decking __Insulation ___Ice & Water _Final Framing Fireplace: Rough In _Air Test __Final Insulation Meter Size' Occupancy Code Edition Zoning Stories Square Feet Length Width Exterior Alteration -Apartments Exterior Alteration -Commercial Exterior Alteration -Public Facility _ Siding Reroof Windows Fire Repair _ Demolish Building" Demolish Interior Demolish Foundation Retaining Weil 'Demolition of entire building — give PCA handout to applicant MCES System BAC Unite city Water Booster Pump PRV Fire Sprinklers Sheetrock Final ! G.O. Required Final / No C,O, Required Other: Pool: _Footings _Air/Gas Tests _Fins' Siding: __Stucco Leth __Stone Lath Brick Windows Retaining Well Erosion Control Final CIO Inspection: Sc.Odul. Fire Marshal to be present: ___Yea No Reviewed By:. , Building inti<psct:or Reviewed By: COMMERCIAL EV) Base Fee Surcharge Plan Review MCES SAC City SAC S&W Permit & Surcharge Trrntment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Quality Water Supply & Storage (WAC) Storm Sewer Trunk Sewer Trunk Water Trunk Street Lateral Street Water Lateral Other: TOTAL , Planning Page 2 of 3 Apr 04 2013 11:42AM SAL HP LASERJET FAXBAC CONST 6127223447 ((d-(- I (00-cP C(c page 2 1 Il CONSTRUCTION SERVICES LLC• dbs ion Chimney • • Banner Rooting • Award Exteriors • Champ 3032 Mlnnehah* Ave. S.., Minneapolis, MN 06400 Phone 4312-721-5E500 Fax 612-722-3447 47 0. www.050015.net WAVA ti�rl Horizon Bills Toliirnlaorne Association Various Addresses Bolan, 1ViN rci ... J. �.+ , nl • I1 _11. -IRS BUILDINGS #181804.1606 REMOVAL OF EXISTING ROOFING & REROOFINGNDR, #32 T 1342-1540. CL<:MSON DR: CLEMSON DR, #261574.1576.C1.EMS material down to the roof deck, clean up all debris, and ul away removing tothe lob its 1. Remove existingburoofing in using plywood and tarps as much as possible. Protect the building and landscaping of the house. debris from the existing root a dumpster will be put In close proximity 2. Remove roof sheathing as needed to allow insulation contractors access to the attic, Note- This item of contract price at a rate of $2.04 per square loot. work will be performed over and above the o4 3. Install new pre -painted, gutter apron or drip edge on all lower edges. 4. Install GAF Weatherwatch` nderiayment 6' up roof from all lower edges and 9' at upper Main buildings only. 5. Install an 18" wide strip. of 3F Weatherwatch undertayment 8" up sidewalls and onto roof deck. therwatoh urideriayment 3' wide, up entire length of all valley areas and a 3'section at all 6. Install GAF Wes 's\vent penetrations. 7. Install and cover the remaining roof areas with GAF Shingle -Mate wrinkle resistant underlayment. 8. Install custom -fabricated, 24- wide, prepainted galvanized metal valley, W-styte• 9. Install a 7 self-starter course with self sealing strip at all eaves to ensure the seal of the first course of shingles. 10. Supply and install new GAF Tinmbertine HD Lifetime fiberglass shingles. Color 11, Install shingles with tour (4) galvanized roofing nails per shingle. Install matching hip and ridge shingles using minimum of two (2) galvanized roofing nails. 12.work. 13. Remove the existing siding at all sidewall location and reinstall upon completion of roofing side metal shingle tins course for course with shingles, at roof to wall transitions (i.e. 14. Install new 26 gauge atm � �[ � r-'� walls and chimneys). 'II'�71•u w,.7P I �o. . CO: Bailey Enterprises 1775 Selby Avenue St. Paul, 1V1N 55104 s'!'M,7�a'%o`:,r.., Date: Cep of flftll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use t^_a Perm�iit #: I _ jr Ai Permit Fee: 16 . t 0 Date Received: `' 1141 t2) Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION q -11-13 Site Address: L.6 4.11 ✓7 3�j 6a 68 .K.. tit 1 8 Name:. 2 '}f ' 7ejAin ±i /S Phone: ‘/.2. 72/- s s-oa Address / City / Zip: Applicant is: Owner Contractor Description of work: Re re r r1 01 Construction Cost+ 2. i 2615 Multi -Family Building: (YesNo Company: ? 4 ( Con T4UC/T/d'J Contact: 3 ch Address: 3 0 3 ...Q.. M i ft./leYIA.�'1 City: Minnea cI S State: ! ► I N Zip: 55 -Yo b Phone: 642 - 7 2.1- 5-506 License #: t3e - 192-04 2- Lead Certificate #: /V.4 %'" 2 V $? - f If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecali.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit. and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 dayss of permit issuance. x Applicant's Printed Name Page 1 of 3 City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA116088 Date Issued: 10/02/2013 Permit Category: ePermit Site Address: 1604 Clemson Dr B Lot: 62 Block: 01 Addition: Thomas Lake Heights 2nd PID: 10-75951-01-620 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: Two or More Windows/Doors Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 - Applicant - Owner: Lula H Kerrsen 1604 Clemson Dr B Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature r For Office Use i • � ::::e:' �� 1 (r6? 7; -1==r4. Date Received: -/9- 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 1 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsi cityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 1 G°7 8 17i 414'07-i i1/W4'l' Unit#: g 7004 ilrynit ai440-‘44414 �q <. Name: /0711 Phone: "Owrief t : ' Address/City/Zip: Applicant is: Owner Contractor Description of work: Awcy+t' aftil latitee Ofea a#Aeliew.4. 67.1 - MA/lo 0444- Til Construction Cost: Multi-Family Building: (Yes /No ) /1J � � �/ , Nsr. Company:/� C O1�577Cl1LTTaVr iAWV) 0, ontact: �U *toff y C Address: 14-//a 66-t YZg l City: Illy State:M 1 Zip: {jam/ Phone:G 24 -W ail://air(;✓xvS7`,4of i:ZW.riv ti'y4' ¢._y License#: • Lead Certificate#: If the project is exempt from lead certification, please explain why: .1 , litAridYI / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: f, Fire Suppression Contractor: Phone: You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pe '; that the work will be in accordance with the approved plan in the case of work which requires a review and approval fans. xPA ILL i thApplicant's Printed&tlr* Applicant's Signature DO NOT WRITE BELOW THIS LINE Ad-I Cinôii U12 . 13 / 6o SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi �0 Deck _ _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 10 01 of, Pies _ Lower Level _ Pool _ Accessory Building WORK TYPES New — Interior Improvement. _ Siding _ Demolish Building* Addition — Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION A,41 _ Valuation Z,a.,04). Occupancy -- MCES System Plan Review Code Edition p7.1 -to i J• SAC Units (25% 100% 2) Zoning Jap City Water , Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan I Other: 1 Reviewed By: cYYi f/�%/ 7d- , Building Inspector RESIDENTIAL FEES 19 , J1/.0 /.0 ' / &a 5y."7-. Base Fee 4'7`PSurcharge & •t /5-: S b 5p• .47-- Plan lan Review MCES SAC In M ;ill ✓ 7". '''r-- City SAC Utility Connection Charge ,eX,'5 p;^, ryc.e,n q - S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166772 Date Issued:02/03/2021 Permit Category:ePermit Site Address: 1604 Clemson Dr B Lot:62 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-620 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Anita Lou Living Trust Kerssen 1604 Clemson Dr Unit B Eagan MN 55122 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169791 Date Issued:06/09/2021 Permit Category:ePermit Site Address: 1604 Clemson Dr B Lot:62 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-620 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Anita Lou Living Trust Kerssen 1604 Clemson Dr Unit B Eagan MN 55122 (651) 905-3976 Total Comfort Heating & Cooling 8818 7th Ave N Golden Valley MN 55427 (763) 383-8383 Applicant/Permitee: Signature Issued By: Signature