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1569B Clemson Dr
CITY.Or EAGAN WATER SERVICE PERMIT 3830 RUot 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: No.: posit: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Poid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 Zoning: DATE: Owner; No. of Units: Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: By Surcharge: Dote of Insp.: Misc. Charges: I nsp.: Total: Date Paid: v ( b 604- is For /s6 ' R /1)3 C es°I- C o r n e r a /5 / 3 - 6 `l g -30/ 7 // iz-//‹/// Use BLUE or BLACK Ink For Office Use j Permit #:1~~__ i tty of Eagan I Permit Fee: 1 3830 Pilot Knob Road i Eagan MN 55122 Date Received: t0 3 Phone: (651)675.5675 I I Fax: (651) 675-5694 I Staff: I 1 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # 8 tdq ~ Date: ( - 13 - Site Address. • $ ) I ~ .i$ a 01'r %!5M Unit` s#: Name: l ~ 4i n h orl Lrs_-- Phone: f-~• '7 _S S"(11Z :Resident! Owner" Address / City / Zip: Applicant is: Owner Contractor Type cif VV©rk Description of work: Aetbo~n ~ a - Construction Cost: 1 V 0 _ Multi-Family Building: (Yes VNo Company: L C - ` P) l~ UCH/CI~------ Contact: _&.'qen C,Ontractor Address: Q 1~ c~ lr City Minne_.aAa1ZS State: Zip: Phone: 6ZA2 - 22-1 - 5-506 License S l^ - 94 ©J 2-- Lead certificate Az4 2 419,V7 - f 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: _Y Mechanical Contractor: -Phone: --Y-_--- Sewer & Water Contractor: Phone: NOTE: RlartS'and supporting documents that you submit are considered to be public Informat/on. Portions of the information may be classified as nor:-public if you pfpvide specific reasons that would permit the City to conclude that the aria trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) X454-0002 for protection against underground utility damage. Call 48 fps before you intend to dig to receive locates of underground utilifies. www.sronhomWteomecall.ora 1 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 ~fc2abeA 1-,nr n Applicant's Printed Name Applicanys Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use of E ~ ~ j Permit M. I Permit Fee: •'l 1 3830 Pilot Knob Road t I Eagan MN 55122 Date Received; 0011 13 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 •-----------------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: ~6 -1 t - t 3_ Site Address: ~5~~~151 r ! ~,8 Ua,,,,5rjy~uR Resident Name: -Mr1~~__~ r,lin A come Phone: -2• 72 _r,2a_- - Owner Address / City / Zip: _ Applicant is: Owner Contractor Type of. 1i Description of work: e 'O F' * _ otk /h~ pa; a Construction Cos - ~ v Multi-Family Building: (Yes _ - / No Company: ~-c- I/G T/ c~✓- Contact: ~~2-~--- '3o M_ v7 /r COnir> Gt¢t Address: n ! Gt ----city: Minneia ' State: A A - Zip: 555~~ Phone: 506 License 14 - 1` Z. 0 6 2- Lead certificate (M 2 !Cf 7 - f 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. Plansand supporting documents that you submit are considered to be public Information. Portions of fle 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 Call at (651) 4540002 for protection against underground utility damage. Call 46 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.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 riot 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 160 days of permit issuance. i5n rCr~ x~ Applicant's Printed Name Applica s Signature 9 Page 1 of 3 City of Eakall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use �j I1 1 Permit #: [7 ( Permit Fee: Cfl Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /at% I` Site Address: r 0g Cres f4Unit #: Address / City / Zip: Gt -e hone: Applicant is: OwnerContractor Description of work: tes4tore 4wt3 eye -Ate beep Construction Cost: fe%OD ` Company: /'4r C d1er 7`' Address: / /'/='(O State: /41 ,14,- Zip: S 41 Phone:456C- VP/ Email. . / 4 4 y/ meet- License #: ��` "L2 1/ ZL- Lead Certificate #: �iiR-Ll .:tf��j Multi -Family Building: (Yes ' / No ) Contact: City: i 1. /Ay r - If the project is exempt from lead certification, please explain why: 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: Phone: Sewer & Water Contractor: 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 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.gooherstateonecall.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 to Building Code must be completed within 180 days of permit issuance; x Applicant's Printed Nar'ne x Ap icant's Signature Page 1 of 3 mov SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DO NOT WRITE BELOW THIS LINE 1SL9t Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation /2cx. Plan Review (25%100%io ) Census Code # of Units # of Buildings Type of Construction { Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition 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 Reviewed By: % 0 WI RESIDENTIAL FEES Base Fee Surcharge Pian Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 1 Hour Air Test Final TOTAL 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 -3 x/// 2 0/ S- 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 Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150192 Date Issued:06/25/2018 Permit Category:ePermit Site Address: 1569 Clemson Dr B Lot:35 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-350 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Gabriel W Caddy 1569 Clemson Dr B Eagan MN 55122 Bob Boldt Hvac 7300 Hudson Blvd N Ste 200 Oakdale MN 55128 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159073 Date Issued:11/19/2019 Permit Category:ePermit Site Address: 1569 Clemson Dr B Lot:35 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-350 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Gabriel W Caddy 1569 Clemson Dr B Eagan MN 55122 Hero Plumbing Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160409 Date Issued:03/09/2020 Permit Category:ePermit Site Address: 1569 Clemson Dr B Lot:35 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-350 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 - Gabriel W Caddy 1569 Clemson Dr B Eagan MN 55122 (612) 804-4836 Sandau Construction 9025 Hwy 101 W Savage MN 55378 (952) 403-9100 Applicant/Permitee: Signature Issued By: Signature