1574 Clemson Dr BCITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot KQob Road
P. O. Sox 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 ogres to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
8
LOQ Permit Fee:
Surcharge:
Y Misc. Charges:
Dote of Insp.: Total:
Date Paid:
CITY OF EAGAN WATER Pilot Knob Road SERVICE PERMIT
P. 0. Box 21 i99 PERMIT NO.:
Eagan, MN 55121
DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.:
Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. rx ,. �s Misc. Charges:
B Total:
y Dote Paid:
Dote of Insp.:
Insp.:
Apr 04 2013 11:43AM HP LASERJET FAXBAC CONST
4011111° Cal of
3830 Pilot Knob Road
Eagan MN Bain
norm Mei) 87e.5676
Fax: (651) 075-6654
6127223447
U.. BLU
page 5
or BLACK Ink
For Oflloe Use
Penult x: __
PermN Fat,:
Dale Received:
staff: -
2013 COMMERCIAL BUILDING PERMIT APPLICATION
r Otte Address: / S7.v - 15-'74 C I 'e Il'1 S O Ni___� I
Data: L � w
;etc .t1MkM�l (Torment h: -- New 1 X_ Existing) Suits*: -------
Tenant Nam,.
Name:
Former Tefunt:
Phone:
Address / City I Zip:
leant*:
Owner Contractor
1
'V yl /'..: 4h '� �Iair, III �� ..
', 11911 1,11, P 11 Ilrl^i�8�l811611I191�
Construction Coal:
i I IIIc V hl 1 it I I:�11
lr ir 11 . nd utility damage.
fdbct'aQa►inat.undaau tY
r r 1'1° r 111 0102'07 twelve Iocutes of underpaid Ud11tl1ee
I herebythat *Is :1f'tokrnadorr is complete and =watt,: Met the worts will be in conformance with the otdironcee end
codas' of thr ..I ; that: l und.mtsr%d'file Is' nota perrnit, but only an appliosllon for s permit end work 1a not to start without a
permit that the k WM be in accordance with the approved planIn the baso of work 411, requires a i.aiew and epprovaf of plans,
Prh tad Nam. Applicant's 13 tura
Appiicsnf$
Email:
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Page 1 of 3
Apr 04 2013 11:44AM HP LASERJET FAXBAC CONST 6127223447 page 6
DUB TYPE%
Foundation
Commercial / Industrial
Apartments
Miscellaneous,
WORK TYPI,
New
Addition
Alteration
Replica
Salon Owner Change
c-
-)c -
DO
-Icy
DO NOT WRITE BELOW THIS LINE y �L ( l l
_ Public Facility
_ Accessory Building
Greenhouse / Tont
Antennae
Interior IrnproVsment
Exterior Improvement
Repair
Water Damage
Extortor Alteration -Apartments
Exterior Alteration -Commercial
Exterior Alteration -Public Facility
_ Siding
Reroof
Windows
Fire Repair
RESORPTION
Valuation Occupancy
Pian Review Code edition
100%__) Zoning
Census Code Stories
S of Unita Square Feet
# of Buildings Length
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Dsok)
Footings (Addition)
Foundetion
Drain Tile
Roof: Decking __Insulation __Ice & Water .rFinal
Framing
Fireplace: _Rough In At Test __Final
Insulation
Meter Size:
_ Demolish Building"
Demolish lntoror
Demolish Foundation
Retaining WaII
*Demolition of entire building - give PCA handout to applicant
MOBS Byetem
SAC Unite
City Water
Booster Pump
PRV
Fire Sprinklers
Shaetrock
Final 1 C.O. Required
Final 1 No C.O. Required
Other:
Pool: ._Footings _Air/Gas Tests _Fine'
Siding: __Stucco Lath __Stone Lath _Brick
WlndoWS
Retaining Well
Erosion Control
Final CIO Inspection: Sc ,°dui . Fire Marshal to be present: ___Yea No
Reviewed By:
COMMERCIAL F'EES
Base Fee.
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Suroharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
BuIlding Inspector Reviewed By:
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
SeWer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other: _�_--------
TOTAL
Planning
Page 2 of 3
Apr 04 2013 11:42AM HP LASERJET FAXBAC CONST 6127223447
PSAL
CONSTRUCTION SERVICES
• Banner Roofing • Award EXtarlore • Champion Chimney •
3032 MInnOhaha Ave. S., Minneapolis, MN 56400
Phone 612-721-5500 t=ax 612-7a2-3447 Www.baGns.net
Y� fi--w
page 2
WWW �j��1I��III'���{�' f •""�t9pi1.�1 1 � 1�!
_.•V�.j I �. X 91 : i Y III row, III��N� 1 �fK'�i i n'Ntl' .;,;
Horizon Mills Tow ubotine Association
Various Addresses
Ea an, MN.
404
h:
CO: 'bailey Enterprises
1775 Selby Avenue
St, Paul, MN 55104
REMOVAL OF EXISTING ROOFING & REROOFING OF ENTIRE BUILDINGS * N 1D0044805
CLEMSON DRR,,
#261574.1576.CLEMSON DR, #321342 1544
material down to the roof deck, clean up alt debris, ondb1auawaye. When r from
the
obits.
1. Remove existing roofingand using plywood and tarps as much f the house.
g the
Protect the building and rlandscaping Aster will be put in close proximity
debris from the existing roof a dump
as needed to allow insulation contractors access to the ni . r Note- quare This of
2. Remove roof sheathing rice at a rat• o $ pe
work will be peerformed over end abDve the contract p
3. Install new pre -painted, gutter apron or drip edge on all lower edges.
4. Install GAF W
eatherwatch •` nderiayment 6' up root from all lower edges and 9' at upper Main buildings
only.
' wide strip of GWeatherwatch underiayment 8" up sldewalls and onto roof deck.
5. Install an 1 8' • F
atoh utideriayment 3' wide, up entire length of all valley areas and a 3'section at all
6. Install GAF Weatherw
vent penetrations.
7. Install and cover the remaining roof areas with GAF Shingle -Mate wrinkle resistant underlayment.
8. Install custom -fabricated, 24" wide, prepainted galvanized metal valley, W -sty
le.
-tarter course with self sealing strip at all eaves to ensure the seal of the first course of
9. Install a 7 self s
shingles.
10. Supply and install new GAF Tinmbertine iD Lifetime fiberglass shingles. Color
11, Install shingles with tour (4) galvanized roofing nails per shingle.
Install matching hip and ridge shingles using minimum of two (2) galvanized roofing nails.
12. In work.
13. Remove the existing siding at all sidewall location and reinstall upon completion of roofing side
a metal shingle tins course for course with shingles, at roof to wall transitions (i.e.
14. Install new 28 gau g � � � �
walls and chimneys).
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 1 CD 9, jp o
Permit Fee: oto . 00
Date Received: I(
/4-i 5
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION #
Date: (b - 1 3 Site Address:J7 157 i�B,15 . )s26 B _14�n � c�- $nift`# �__5.�.� _
Name: or 1240._ "74 (l S1 7 i h Phone: 6l-1. 72/- Ss -ad
Address / City / Zip:
Applicant is: Owner _____ Contractor
Description of work: Re roo F Leta
Construction Cost: 4' /2 / 10 0
Multi -Family Building: (Yes /No
Company: 4 t C0 S T•, uc r, dam Contact: 23e,_#8 678 e .)
Address: 3 O.. t -1 innehcl t -t
6 City: r nL ,iit''s
State: %h /V Zip: 55-4/0G Phone: 642 ' J 2.1- 550d
License #: 73 (- l 9 Z C 12-- Lead Certificate #: NAI 1 r 2 12 ?gI7 - /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
J
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:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.00pherstateonecali.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 State Building Code must be completed within 180
days of permit issuance.
x cZ t4/_-/-{, >h5_en
Applicant's Printed Name
x
AppIIca s Signature
Page 1 of 3
APR -30-2014 13:42 FROM:UIKING EXTERIORS 651 256 1061
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675-6894
RECEIVED
APR 3 Q ?J14
TO:6516755694
rOft -
P.2'2
Use aL::F or BLACK Ink
For Office Use
Permit #
Permit Fee: f Q ! (II l
'75
WitDate Received: S l l t
2014 RESIDENTIAL_ BUILDING PERMIT APPLICATION
Date: 0 -' 3Q- 14 Sita Address: ( - 1579 1 /)
to "" 5 7 L l:.l C IV! �Qn DP. �Un.....,,
Resident/
Nemo:
Owner Address / City / Zp:
Type of Work
Contractor
Phone:
Applicant is: Owner Contractor
()ascription of work: 7'�i ' — jt 5044 /4l2EA 5
Constnlction Cost: /DL D00 ,�- Multi -Family Building: (Yes / No )
company- V IKINi ftlwr to itsi -LAC. VLr�,tus EX774/04.1__ Contact; %/Oki
Address: q01 N. dr/lepra/ City: .So. ST Rt
State: AN Zip: S 101 Phone:457 254- /Dasa Email:
h/!
License #: Q -.Q& 773 Lead Certificate #: L r .540 /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
E
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has tho City of Eagan Issued a permit for a similar plan torsed on a master plan?
,._.Yes _No If yes, date and address of master plan:
Licensed Plumber.
Phone:
Mechanical Contractor:
Phone:
Sewer & Water Contractor.
NOTE: Plans and su -you submit are coPhone:`-
pport/ng documents that nsidered to be public infonnalon. Portions of
the information may be classified as non-public if you provide SpecMc reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Cao Gop erStets One Call at (661)454.0002 ror protection against underground utility damage. Call 48 hours
before you intend to did to receive locates of underground utilities.
I hereby acknowledge that dee information isete and
Fapen; that I understand this is not a �� acci.rtli�; that the work w111 be in conformance wim the ordmencet; and codes of the City ur
accordance with the permit, put only an application for a permit. and work Is not to start without a permit; that the work will be in
approved plan in the case of work whist, requires a review end approval of plans.
Esfa' worts euthorizod by a building permit Issued in accordance with the Minnesota Soto Building Code must lie completed within 150
dap of permit issuance.w/
Apple '5 Printed Name
x
Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA125704
Date Issued: 07/31/2014
Permit Category: ePermit
Site Address: 1574 Clemson Dr B
Lot: 34 Block: 01 Addition: Thomas Lake Heights 2nd
PID: 10-75951-01-340
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Softener
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.
Jennie Wood
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:
PL - Permit Fee (WS &/or WH) $55.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
- Applicant -
Owner:
Sandra E Edwards
1574 Clemson Dr Unit B
Eagan MN 55122
(651) 454-2457
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA138216
Date Issued: 08/16/2016
Permit Category: ePermit
Site Address: 1574 Clemson Dr B
Lot: 34 Block: 01 Addition: Thomas Lake Heights 2nd
PID: 10-75951-01-340
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
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Sandra E Edwards
1574 Clemson Dr Unit B
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
lor-r• !"-"' lr VEIT) For Office Use
PR 2.02 ; Pt=rtr,t•4 /6 Oq
A 16 0
rerrnit ree
L,t,,tt.0
• • !! "t 4\X :`,
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
E.:ate L/fierA,"!-1± ____Site Address: Ipqg (1,441_,SlatINZ. Unit
#:
/1,/,&6' /1:4111.tX41/74e7 4404-Ceirater Phone
Res./dont:
OWtit?!
Type ot work cc/4 4.1:44eck, zfrigip_14,cfoix 4 a(
j t—ty,
(17' Multi-Family Butldirly (Yes
/7
1 yr ..pcw ie I frtact _ _Ipifie_i_444_1]<cyr
11 '
Contractor ig-ve
4,57- Vt. /1C/ Frtia!I ktyreeeroreP4•44$
k..,cenee Z 1- Lead Certificate iv.
, - --•
-id certification,
#41/4,444-..440411._ AWA.41 4/kaki_ f 7
COMPLETE THIS AREA ONL Y IF CONSTRUCTING A NEW BUILDING
months. has the City of Eagan issued a permit for a similar plan based on a master plan?
and address Ttrt,-taslet.
Licertset.t inner _ Phone:
oritracior' Phone:
,•.cntrector Phone-u cnrosiOr1 :
Ccintractor Phone:
NOTE: 1=lart,.,and suiiperting documents that you submit are considered to be public information. Portions of the information may be
classtfieuau nor:-publt‘if you provide specific reasons that wouhl permit the City to conclude that!ivy are trade secrets.
ic-taiyiri eiectronic notification from the Crr, rtt,proposed ordinances by signing up for an email updatecct-t-,.•
, ivitheitted my a biding permit issued in accoraance with the Minnesota State Building Code must be completed within
titcOrter State One 454-Ci002 , ,iCO! ,St. tiatractEt •
PM"
7,•rited Name At), icant's Signature
DO NOT WRITE BELOW THIS LINE / E �y 1. I ci'/I"�&-'�1 D - C't/i, r E /[l/U 7
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi)
_
_ Multi )( 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
2( Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation U)DOc (m:n,,, ) Occupancy 21 c- I MCES System
Plan Review Code Edition acs i S SAC Units
(25%_100%_) Zoning PCity Water
Census Code l,/34,f Stories Booster Pump
#of Units / Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction �5 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 Other:
.. JJ /SB Building By: �• /moi° 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