1545B Clemson Dr CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. 0. Box 21199 PERMIT NO.:
Eanan, MN 55121
Zoning: DATE:
Owner:
No. of Units:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size:
Account Deposit:
Reader No.:
Permit Fee:
i agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Chorges:
By r ,� Total
Date Poid:
Date of Insp.:
Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Filot Knob Road
P. O.Box 21199 PERMIT NO.:
Eagan, MN 55121
DATE:
Zoning:
Owner:
No. of Units:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee:
By Surcharge:
y Misc. Charges:
Date of Insp.:
Total:
Insp.:
Dote Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154028
Date Issued:02/12/2019
Permit Category:ePermit
Site Address: 1545 Clemson Dr B
Lot:28 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-280
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Karen E Waldron
1545 Clemson Dr Unit B
Eagan MN 55122--480
(651) 492-0263
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
`S'4 r
3
Use BLUE or BLACK Ink
For Office Use
i I b°I33
~q of Eapn I Permit
3830 Pilot Knob Road Permit Fee: A
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 t I
_
Fax: (651) 675-5694 1 staff.
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1.6-11-IS Site Addrsss:Zq 1.5~.S9 , isy"1. molo ~~~1^ gn~`~•
Resident/ Name: L~n _ 1 t l ~4/n h r#m S Phone: (V-2- 721- 5* YD d
-
Owner Address / City l Zip:
Applicant is: Owner Contractor
Type of Work Description of work: ~,35°IS
Construction Cost_ 1 Mufti-Family Building: (Yes ! No
Company: S._ - ~T Contact: t 670eA
Address: r7 Q 3Z- M ianeYle City: Min wZL'S
Contractor
State: lam! - ~
Zip: d Phone: S6i - L Z- 556c
License 23e - 19 Z Q 2- 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
Me. ihformation may be classified as non-public if you provide spechic reasons that would perm/t the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.gg ftrstateonecall.om
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 wit, 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 whin 180
days of permit issuance. r
X_ E/t'Za ieYA L- X
Applicant's Printed Name Applica s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA129868
Date Issued:03/20/2015
Permit Category:ePermit
Site Address: 1545 Clemson Dr B
Lot:28 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-280
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Applicant: Heather Winn
21210 Eaton Avenue
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Karen E Waldron
1545 Clemson Dr Unit B
Eagan MN 55122--480
(651) 492-0263
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136321
Date Issued:05/06/2016
Permit Category:ePermit
Site Address: 1545 Clemson Dr B
Lot:28 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-280
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Karen E Waldron
1545 Clemson Dr Unit B
Eagan MN 55122--480
(651) 492-0263
Window World Aka Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Piffit Site Address /5— eLeivs 'r Unit #:
Resident/
Owner
Type of Work
Contractor
Name: en, -0";=v .7374-n/14-vtueC1iR.,�+r-.,Phone:
Address / City / Zip:
Applicant is: Owner Contractor
Description of work: A mercy t' ,4wt 40,- ftt e Nee`-
Construction Cost: 62'4'v
Company: /' yr
Address: /It, 2 /';tiem . itve—
Multi -Family Building: (Yes ° / No )
Contact: ?flu - $1. /Ayr -
City: fir, 5-est,110t,t /1/417—
State:
tip
State: Aline" Zip:. W Phone:49 d.Lft" Vim''/ Email
License #: 2 LL Lead Certificate #:
If the project is exempt from lead certification, please explain why:
/moi ` c l% yS, di
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:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
Fire Suppression 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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 a Building Code must be completed within 180
days of permit issuance;
x �I ) 7
Applicant's Printed Na
Aplblicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE 1-39 434
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% is )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
1 5Lj> 11 CLQ.....-tss r0f
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
Jr /Zw. Occupancy
Code Edition
U3
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
1 Hour
Air Test Final
Reviewed By: 7 0 vin yj , fG /y/9
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
J22/' Z °'/.S
%P
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests Final
Drain Tile
Siding: _Stucco Lath _Stone Lath Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
, 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
c (l n o cf c cam -,
e(gAiv4peFor Office Use f.g0
t • •
P
• :::"
E AGA N
• :
CEjV/r;" /
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JAN 2 8 2019
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections( cityofeagan.com L
2019 RESIDENTIAL BUILDING PERMIT�A,n /
APPLICATION
Date: -/ ( Site Address: / C (�(�{i so, 1 i - Unit#:
Name: (yam , l GL( ;J/'2.,t J Phone: f,5/ 4, tJ
Resident!
Owner Address/City/Zip: ;� S 4 cb C ZE <&.7,1 U) !
Applicant is: Owner Contractor
Type Work Description of work: (,�. rr
4 nmv i re,( i �l �C,�-
Construction Cost: 000 Multi-Family Building:(Yes /No )
Company: Ji4Q..V&A 440/ LLC Contact: AA, R
Contractor ot
Address: 2'a' ( i 5 i- A # 4-4W.5 City: All I s ?.M s-� S�/G 3
State: Mi' Zip: S SAO ' Phone: / / L 2 Email: ivt,a-JZ'•< yp6/c-t7
License#: / C 7l 3cT Lead Certificate#: ,
If the project is exempt from lead certification, please explain why: 13 1_1..1'1- Wit- l?
,3'i«,; tAl �c
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:
Fire Suppression 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.
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.citvofeagan.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.000herstateonecall.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.
x �lk�� � )`•
Applicant's Printed Name App icant's Signature
/S/C 1P of s 0/
DO NOT WRITE BELOW THIS LINE /f_. 0 -7D
SUB TYPES
_ Foundation _ Fireplace —
Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Miscellaneous
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola)
01 of Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding — Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
1 Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION ar.
Valuation IOW Occupancy ;Re- 3 MCES System
Plan ReviewCode Edition ozQ/ SAC Units
(25% ✓ )_100% Zoning P )) City Water
Census Code if 3�' Stories _
— Booster Pump
#of Units 1 Square Feet — PRV _
#of Buildings I Length _ Fire Suppression Required
Type of Construction 711 Width
REQUIRED INSPECTIONS
-- Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 14Final/No C.O. Required
Foundation
Foundation Before Backfill eHVAC Gas Service Test Gas Line Air Test
Roof:_Ice Water _Final Pool:_Footings _Air/Ga
s Tests
Final
Xe• Framing
30 Minutes
1 Hour Drain Tile
Fireplace: _Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath Brick_EFIS
ye- Insulation Windows
Sheathing Retaining Wall:—Footings_Backfill_Final
Sheetrock Radon Control
pp
Fire Walls
Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
II Ago Reviewed By: �� , Building Inspector
RESIDENTIAL FEES /
Base Fee 73 7d�'
Surcharge
Plan Review i1 79%
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies /00
TOTAL
Page 2 of 3