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1573 Clemson Dr CITY OF EAGAN WATER SERVICE PERMIT 383 Knob Road P. O. Box 21199 PERMIT NO.• Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: _ Address: /5 - 73 Site Address: ' ------ Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 1 ogre. to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: B t,„; `', -'`� 1, . r - i -- 6, -::‘,.._ - Date Paid: Date of Insp.: -- I r j" Insp.: ti CITY OF EAGAN SEWER SERVICE PERMIT 3830"Pilot Knob Road O. Box 21199 PERMIT NO.: ii. Eagan, MN 55121 DATE: — Zoning: No. of Units: Owner: Address: Site Address: Plumber: ._ 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.• Total: Insp.: Date Paid: i ---, . .C3 /( ■....../......... / •, N t/N , / 7 , t ' 7 /' // \...... / 0 PERMIT City of Eagan Permit Type:Building Permit Number:EA109799 Date Issued:04/04/2013 Permit Category:ePermit Site Address: 1573 Clemson Dr Lot:38 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-380 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Jason Rehm 1573 Clemson Dr Eagan MN 55122--480 New Windows for America 609 W County Rd E Shoreview MN 55126 (651) 203-0149 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140621 Date Issued:01/06/2017 Permit Category:ePermit Site Address: 1573 Clemson Dr Lot:38 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-380 Use: Description: Sub Type:Residential Work Type:Replace Description: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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Linda M Erickson 1573 Clemson Dr Eagan MN 55122 (701) 351-2133 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149549 Date Issued:05/29/2018 Permit Category:ePermit Site Address: 1573 Clemson Dr Lot:38 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-380 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael Hill 1573 Clemson Dr Eagan MN 55122 (612) 232-0054 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature For Office Use , . - , t,----i .„, t ,..d ILIVED Psrmit i Permit Fee APR 16 2020 Date REC.P!,:PC r.1N .454-8535 ; 1: X. -7'...:.: , t7 -t9- 1 Std2tf- - 2020 RESIDENTIAL BUILDING PERMIT APPLICATION D.,, Site Address: /113 (.4-6,-„,/ breipve... Unit ü: //e1A49-ii /1/--it-ita-'7 itlopitc;_k_-44 e:6:00.- 4nPhOne ReSICIOrt2 i r Ownor k,F,Dftw,,, ,,, )w,,e, . _,,,.. i:,:,,, , ,,,-,•t ,,n :,f,p,,y.,,,. b e.,c4 444.4,A7 ,/61.3.cf,es,._' C4-vser ik2.,_‘,11:4,0 427.0,4ci-pkt.e441 Type of Work JP' ao 2COD _ ML -Famity Budding (Ye.s_A,_.., No tdt ,,,toi 1-140c i 1 7.trd, . Al e yr (eil,.. pe a e ir Tvlip,i) /4-me ..10,TI're,tacte:1 p#4 _11/64yr- cit 14-fifi I e VettLey' Carlo-octtoe ''' /C")---- 61774"-'17-A-7 -e /9-Ye ' /)7$,:r 4y/4-y ,Dt.,0,--•:. 4,57_rIVI„, :,%fr."), Ernail. /7fe-Cti--, )Atlyi4”41,40_14.44s,Ci,-,1*-,,,k LicenSe i=:- /?6 2,7 f y Z 1-- Lead Certificate P. _ frond lead certification, pease explain w'rw: hit)44.A.44-Ati Aig44,01 414 ., _/9 17 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ,r... the dast t2 months. has the City of Eagan issued a permit for a similar plan based on a matter Wan'? .,-,y. -: :e arc t 'address ct-master 0:ad L hd..Edivseati Phe it Phone: _ t,.•il-ir*actorPhone: ., SeWu & cAlAt,p;'COntractor. Phone: . i•-irc r:i.i.it..inresun eontractor' , Phone. _ . . „ NOT Plans and Supporting documents that you submit are considered to be public information. Portions of the Information may be classified as, on--publec if you provide specific reasons that would permit the City to conclude Mgt,thgy qre trade secrets. „ ', ''':,,,,'ibc,to ,P eve en electronic notificaton from the City r,.).f proposed ordinances by signing up for an email update on ttvit Ct.y s authotized tyyx hilitding permit issued in accordance with the Minnesota State Building Code must be completed with', f3C, SEt.CRE YOU GIG. 7:::-il,Gopher State One Cali;i (.65-1)454-0002 i,ii idii:dh,:id...,:tigailit nstunaerground Jti .y dm aage C,arl .' : t., ....r.rta,- : a !' ':ion is comn'ete ,r1,.'. accumto. ..c,:.,.: rho ttvutk :id! hd-2 In conformance with the ordinances ancl codes c• ;i,,, c.,-ro r . ,' rl ' , .:ersi,•,,,,'.. r.-r.,,,, H Hrt :.3 perrill;, but c-hir -in ,,:pp!ice:[:,, hd tt ';::,,,,7,1 111C. /VOr ' not ro start without a permit. that the 2r.ryrr- - ' -.•' C' :''''. .' ;.r.;',', ,•‘-'''',!:!,i1' ±,the Ca',.'e c' i,,0,,,,',""1, ett.n.;rids id -td de,.‘, and atty.:pi:al at-its / ki '1 - / _ Appticant s Printed Name App icant's Signature I • y DO NOT WRITE BELOW THIS LINE /673 C (&f) san tie /aD l-s' I SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi x 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 Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation '3,07)Occ (wvn,rnwK') Occupancy 2 Rc- 1 MCES System Plan Review Code Edition Vol c SAC Units (25%_100%_) Zoning pN City Water Census Code 1/34/ Stories Booster Pump #of Units / Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction t-,3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) X 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 JJ Other: Reviewed By: .• //P/5%,^ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge _ Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 - . . . : • , . .. • r For Office Use # I CC 4 Iti,. t • . , . t, • , rmit tr. -% t 0 „ fii, ,.., .. ...., g s .66 I Permit Fee: I IVDate Received: it/ -7 - .410" D 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 tr Is (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 J1 Staff: ski 4 4, RECEIE: is' AI A.IIIIi- I buildingrnspclio- I i Gil v olosggn,corri V1V 1 U 2020 3' ----J 2020 RESIDENTIAL BUILBiNG-PERMItt PPLICATION Date: 6 - /0 -40?guts Address: IS 7? ei.,,,,,s0„. pit....t.. Unit 0: _rz r......... ____ It I., Name: 11.riee 40// Phone: /stifle. atif tif),mod. irtTi,ii;es'dent/ SI AL:owner I Address/City/Zip: /5 n (../1 offriseiv ,A6lespve -- • V/-A1',. ! Applicant is: Owner "Contractor _ _ ___ _ ,_ ,.,,,,,,,_ _ _ •_1•?;1-,,,, ' -1, of Work Description of work: /0 evr1 0 00eC,4*: )efeoff,r,irekir .4 Construction Cost 5111".'‘ Multi-Family Building:(Yes li•----/NO ) r• Company: A ir e,v,,,,,,,,,,. ..., irdp..- Contact: Alit L. lbw- i Contractor i. Address: /670- 6"fiLy /521,1 City: 4 ..,,t_te 1444-47 f'' State: Thrtolip:537a-4/ Phone:e47.6,44 -VdAlmail: iefealei9 hti eerriovi e5. c•etti License#: RC 2.2.ft 2,g— Lead Certificate#: Ale' - .. If the project is exempt from lead certification, please explain why: Arne ‘4(4.41 .0# ift7- 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: , ,* s'lilechanical Contractor: Phone: . Sewer&Water Contractor: • Phone: Fire Suppression Contractor: Phone: Plans and supportingd:;culimnts-iiiat you submit ire considered to be public Information. Portiois of the information may be as non-publicPPP provide specific ProPP/ItkaYr?ui#PPT1401.City toSwICludigliftt"":"*IL .-—-— ---, 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 teaq_c:Ilirt 3aq,01.c.om,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 Godber State One Call at 051)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. w.,./v29.2,.leisi.y.quilec?Ii.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 wo is not to start without a permit; that the work will be in accordance with the approved Ian in the case of work which requires a review and approv plans.. Ap/9/faZ r x licanes Printed Name p cant's Signature / 7 .2 C (-m so« Oe • / ,/-7 --- --- 1 . DO /7 --- -- DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi /C Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level — Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* X 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 1,ooca Occupancy a-12c-; MCES System Plan Review Code Edition (203.0 SAC Units (25%_100% ) Zoning PO City Water Census Code 413c( Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction S''3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: X Footings(Deck) Final I C.O. Required Footings(Addition) "( Final I 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 Other: Reviewed By: S. 'C A-o-I , Building Inspector RESIDENTIAL FEES A4kt-\ o-- /O' x/0' e x4e"S Base Fee i-G Cc,mzr.a Aec t Surcharge 1(-. Ak;..� deck:.. -t c�, vn5 Plan Review c„-. cs 18 o,. int. o�+Zooms MCES SAC City SAC a Utility Connection Charge 1-=X;5-k,^5 .:Ack = /0 x /b _ /c9 mss. (` S&W Permit&Surcharge d :4.e,.. _ /O h/O z /coo sE I=-I- _--------- Treatment I-Treatment Plant © fe_k = old s2, 4 Radio Meter Read Copies TOTAL Page 2 of 3 44 BUILDING g 24 REVIE_ ZED `": 5.efts-. '.` ,' 7 C i6r l coo elf, (936. 5) i,R.. -//-aoao • ''5i-'435.LE .trISPECTI NS DIVISION i rr `� `r fV to 9 j,- 9_CK 44:14.;..---'• (936.0) O 1,0 Alp• Z,c, • 9 �J - ' 4 ' / 142r/ 7 0 I A„..- , 1, 9 Aa I �\I•P-r\4 0 1-7O a -�'-�_ 2 of 1V�1flh 9 ' qa Iv �,. N� CP r cry • ��� OO tipp "0„ ? , j rI.% f, ..j f- DcbvI rwi �,o N , 1 ,0... 4,,o, 0 �4V / _J 1 q t y7 a 9-*(p� /oma -�- �o0 �2 ` y q /‘ �h �o '...k A a1 9 :74:14 + INJ U 3 o < �` h"�,'„ q 3sg 4, li 072.X 93b.0 Tt.X9 436 4 m CLEMSON X 936.24. g367 0 Denotes Iron Monument o Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 9 38.5 -4- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 939.0 I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lots 37, 38, 39 and 40, Block 2, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota And of the location of alt buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 2nd day of April tg 86 �' eL.r,.rrr_. gre.P/Cf-4-L-44t-.01"W-i Paul A. Johns° Land Surveyor, Minn. Reg. No.I0938 ISLA! f%_ 401 CERTIFICATE OF SURVEY • for r2.). . MCCOMBS-KNUTSON ASSOCIATES, INC. [��=f 4. CCttDifgi E�itMi[ltf LAtO SURVEYORS SITE►LAlIf1IB Fi a M,. NEW HORIZON, HOMES YeMN£AI'O�lt 4041 HUTLIYINSOIV.141141411412TA 7430