1547 Clemson Dr CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.:
P. O. fox 21199 DATE:
Eaten, MN 55121 _ No. of Units:
Zoning:
Owner:
Address:
Site Address:
Plumber: Connection Charge:
Meter No.: Account Deposit:
Size: Permit Fee:
Reader No.:
with the City of Eagan Surcharge:
1 ogres to comply with Charges:
Ordinances. Total:
Dote Paid:
By I Insp.:
Date of I nsp.:
CITY OF EAGAN SEWER 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:
4 f oisr ` ti
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
B y Misc. Charges:
Date of Insp.: Total:
Insp.• Date Paid:
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Use BLUE or BLACK Ink
For Office Use
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~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
Use BLUE or BLACK Ink
For Office Use
Permit#: (
City
of Eatan Permit Fee: l 47
3830 Pilot Knob Road /-
�r '°'"' �
Eagan MN 55122 CFA FED Date Received:Road —(AL
(651)675-5675
Fax:(651)675-5694 Staff:
JUL 1 4 2017
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ?//3 />7 Site Address: A ./ -D �Y Unit#:
Name: f CN t7 S / rv/v G' / ' Phone:
Reside
owner Address/City/Zip:
Applicant is: Owner A Contractor
Description of work:
Construction Cost: b� "C A Multi-Family Building:(Yes_/No )
Company: Cry-t z/ 'a er-F. 'n/ . pe- Contact: iPttl- A II
Contractor ,, Address: /6-7/•X• 4 L14-Y2 /4+c City: fly/ye 1/ntie y
State:mif Zip: 5514-(f_ Phone:467-)-511-VP, Email:PL /+v-r neacY'ltsJAIN,
License#: ZZ 9f Z L Lead Certificate#: Ni-r- FI f3 Ot4i l�
If the project is exempt from lead certification, please explain why:
j ItelLakt 4t(44,, /1 7.d.
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:
ars r sl s �t ff f iib a E sx
NOTE:Plant r � ��;� �
H # � � � �, rv
the.. ori � tt ' a (. �3 v � �bN t
t
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.00cherstateonecall.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 . -te Building Code st be completed within 180
days of permit issuance.
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Applicant's Printed Name Ap'icant s Signature
Page 1 of 3
5 41 Qw&-r
DO NOT WRITE BELOW THIS LINE f q Ltx.V.f.
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi 1A Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex 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
f Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 3 atXs• Occupancy ....4712.0—j MCES System
Plan Review Code Edition 0W) Z°1 SAC Units
(25%_ 100% to ) Zoning iPz) City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length et, Fire Suppression Required
Type of Construction iu Width Zr�
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) ZD Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
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 Other:
Reviewed By: AA I`( , Building Inspector
RESIDENTIAL FEES 419
Base Fee C S . ° .59-
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179137
Date Issued:09/20/2022
Permit Category:ePermit
Site Address: 1547 Clemson Dr
Lot:26 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-260
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Gems Properties Llc
2945 Lone Oak Dr Ste 100
Eagan MN 55121
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature