1536 Clemson Dr CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner:
Site Address:
Plumber.
Conn. Chg: Zoning:
Acct. Dep: No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter:
Misc.: By', eZ1L Z
WATER SERVICE PERMIT re -/
•
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road B/P No: Date:
P.O. Box 21199
Eagan, MN 55121
Owner: _
Site Address:
Plumber:
MWCC: Zoning.
City Chg: No. of Units:
Acct. Dep
Permit Fee:
I agree to comply with the City of Eagan
Surcharge: Ordinances.
Misc.: B
SEWER SERVICE PERMIT
Use BLUE or BLACK Ink
r------------------
For Office Use I
Clay of W an I Permit 1
I I Ul ~P. I
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: t
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
I I
/ / 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: `f 0tJ 13 Site Address: lJJY /5-,3 to A
E_.l Unit
Name: -T1A6 Y,-c,.S Cpl l~ yf7 C'U~ l1 YS Phone: 6 lr-~ -'70e - 7 V3(-
Resident/ _
Owner Address/City/Zip: t 5S'd 11S 336 j-
Applicant is: Owner Contractor
Description of work: 4~&+l` 04~ g CL rl~ Y tJ I ~ jC~' I
Type of Work ,
Construction Cost: Multi-Family Building: (Yes No
)
Company: se-10- Clt )►`)G1 lid QPiryrid it-, Lntact: ~ )Pct- vi 1-16--
Contractor Address: Choo ~slUv^ i'Jt~c City: S4, LC)Ljli5 -k-
State: h Zip:~~ Phone:
~c~
License ~1~-y(> tjrC Lead Cert ificate G~ 3
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE. plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.-gopherstateonecall.org
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
days of permit issuance. /
x ~_..JCG,-1 167eL t A G C'C <
Applicant's Printed Name x
Applica V's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex Lower Level Pool _ Miscellaneous
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
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%-100%--) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
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 HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
~C7 , ti5 34'x, 15 3to ►A , 5 3 to 6 Co~1M.c,.-.o n T;yr
Use BLUE or BLACK Ink
For Office Use
I1~8aa
City of Permit Wan I ~G I
Permit Fee: ,
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
- - - - - - - - - - - - - -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
VVI Date: Lr~ r Site Address: C ~ y ~1 ~ Y i V Unit
i c, i< s
i =;t Wto
Name: I C I l/ 1~ ~ 4 f 1 ~ t/~, Phone: I`'
Resident/ - ~a - ~ r~ _
Owner Address/ City/Zip: 4-n Q i y ~ 00 1~1 I i
Applicant is: Owner Contractor f
Type of Work Description of work: 0 yy C4 MW, I_ ( C* I C
Construction Cost:`. vo ~ Multi-Family Building: (Yes X / No )
Company: T1ccc ) r1 v LL- J Q E6? tGtfl'( i' `i< tact: e 1
Contractor Address: CDOD Lx.['.a~s/Ov-- 6J od city: , S4, Lo1_i5 P~ k-
State: h Zip: Phone: aQL- 9 14 - -72"
License ~--1~c7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.goaherstateonecall.oro
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
days of permit issuance.
T-h
S~
X
X
Applicant's Printed Name App ' is ig ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172703
Date Issued:10/12/2021
Permit Category:ePermit
Site Address: 1536 Clemson Dr 1
Lot:17 Block: 02 Addition: Thomas Lake Heights
PID:10-75950-02-170
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Lee Ann Chavie
1536 Clemson Dr
Saint Paul MN 55122--289
(651) 235-3594
Sable Home Improvement & Repair Llc
P.O. Box 31
Webster MN 55088
(612) 760-5874
Applicant/Permitee: Signature Issued By: Signature