1577B Clemson Dr - Unit B CITY OF EAGAN WATER 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:
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:
By
Date Paid:
Date of I nsp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21198 PERMIT NO.:
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:
B Surcharge:
Y Misc. Charges:
Date of Insp.:
Total:
Insp.: Date Paid:
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108685
Date Issued:01/02/2013
Permit Category:ePermit
Site Address: 1577 Clemson Dr B
Lot:41 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-410
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
952-435-2442
Valuation: 969.00
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Thomas A Plank
1577 Clemson Dr B
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Officets~ --------.I
i ^
of Eagn 1 Permit
~q I
Permit Fee: - C.7
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651)675.5675 1 I
Fax: (651) 675-5694 1 Staff: I
2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
8 jd
Date: 16-11- 13 Site Address:) ~6 B aY ,6- -A
J
Name: 111r i -7"a4rnhelm Phone: -1' 2
21-_.f Z L__
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
P oI V1ICkliIC ' Description of work: emo r- *
Construction Cost: Multi-Family Building: (Yes / No
Company: ~ s_. UC d!✓------ Contact: ~ Contractor
Address: ;3o3 i eh"CL -----City: Lj) rl fr.~3
State:.1t.A- Zip: _ 5 Phone: J61.2__ r Z~=
License 2 C 19 4-04 to 2- Lead Certificate -,dzAl- - 2 J~?#f'7
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 .
the,lnformatlon may be classified as non-publlc If you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 45440002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aonherstateonecall.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 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 worts 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_ Elf 2 able-:m ~ x____ r _
Applicant's Printed Name Applica s Signature 61
Page 1 of 3
APR-30-2014 13:42 FROM:VIKING EXTERIORS 651 256 1061 TO:6516755694 P.1/2
Use 3? ~c or BLACK Ink
I tt For OM= the 1
6 of Eaan ECEIVED P l t1
APR 3 0 ~n 1 Permit F»:
3830 Pgot Knob Road 1 Sici
I
Eagan UN 55122
Phone: (651) 67$4%75 We Received:
1
Fax: (651) 675 894 I
j S'hdfP. 1
1
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: LI VS 77 15-7'7 $
ske Addrrass: I S 9 1 q C l ernso n 1~ R unit
Resident/ Name: phone:
Owner Address / City i rp:
Applicant is= -.-Owner Contractor
Type of Work Description of work: C - t D~
- CatSlnrak>tt Cost`- 2 o o 0 • _ Multi-Family Building: (Yes / No
Company 1~ w , n t a;,~ ~o~t Contact tl G _ r -
Contractor Address: 90/ N. ~n~o~a✓ Cihr ..So. Sr~yL
State; /"L'V Zip; E Phone" ~-/~6~
t_rrtail' Vafi.rM~yerC~y -W.ST~Y
License Lead CoWdleato >R: S'7f 0
If the project is exempt from lead cerCifirWon, please eXpl
why. (see Page 3 for additional Irtfortnatan) _
COMPLETE THIS AREA ONLY IF CONSTRUCTING A N~IV BUILDING
In "M last 12 months, has the CRY of Eagan Issued a pwmit for a similar plan based on a maatter plats?
Yes -140 If Yes. Cate and address of master plan:
Licahtted Pluenberc
Phone:
Mechanical Conbactor.
Phone:
Sewer a Water conbsctor.
NOTE: P/ . " - _ _ Phone:
the ens iMiornrration and roilsupp documents thatyrou submit are considered to be pubfk inrarfnadOn. Poiftifans or
may be c rasslAed as ^On-Pubfk WYOu provide
specMC reasons Mat tvouid plrmft fife C/ty to
Car c/uda_tbat they are trade secraf$,
L FORE YOU _ _ .
• Cal G"*- $taaa one l:all at (161) 6S44M for potaelIon against underground utility dtnWe. Call 48 hours
Delats YOU intend to dig to receive locales or underground wtiOMea.
-
1 ag u; adwedgo drat tIM9 information W t:amplete and accur'asr: that the work will be in M tomWvco with d" ero ngnces am Md. d the City of
acowtlanme I ur w feria is ^a a Pa" k tut or$Y an application for a psrmit, and v"k is not to start wBltout a permit; That d" work will be in
plan in the COM Of Work which rragr kw a rovlew area a~prpval of plans.
Exre work ar suaroc d by a ilgirl0 permit issued in aucprdareQ rsMA
of mit
of p" Is9+tathcta, the MlmmGm State Building Coda must be oomplated woven 180
x
s Prifew N x
Appticanes aiignatlrre
Page 1 ar 3
PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA143529
Eagan, MN 55122Date Issued: 06/19/2017
(651)675-5675 1ty 0 P'II11fl Permit Category: ePermit
www.ci.eagan.mn.us 'bpi
Site Address: 1577 Clemson Dr B
Lot: 41 Block: 02 Addition: Thomas Lake Heights 2nd
PID: 10-75951-02-410
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater&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.
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
Total: $60.00
Contractor: - Applicant - Owner:
Appliance Installers of MN Thomas A Plank
14105 Rutgers St NE 1577 Clemson Dr B
Prior Lake MN 55372 Eagan MN 55122
(952)469-8341
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
Use BLUE or BLACK Ink
For Office Use ( i
• ::::
City of RaQau :
3830 Pilot Knob Road �!{��
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
JUL i 4 ti17
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7A3/i/ Site Address: /5-77 Q 4 Unit#:
Name: D e 7� tT S AG N e. Phone:
Resident/..
Owner Address/City/Zip:
Applicant is: Owner Ar Contractor
Description of work:#x10 444444441 I Fit4C44— 41" 41%r 44-461641, 4444-
T�*f Work
Construction Cost: ? tic G'% Multi-Family Building:(Yes )( /No )
Company: Ayr yr 6 I7' i ld / '— Contact: "'AWL- m r I r
contra; Address: I57/J- Cv i-s4-ie- Ace- City: 4ive //Ott /
State:Nib Zip: 5574X-ifPhone:467 Agt`VICY Email:g e`i1"1cire►''ftw'isc.G
License#: SCS 2Z9f ZZ Lead Certificate#: /�'�T r /�/I�(�f''1 /
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
f
tieInf� b cify C H4
, .. ✓x fn,r , .w.., 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.00pherstateonecall.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 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 st be completed within 180
days of permit issuance.
r/
x G x /..� L
Applicant's Printed Name Ap'icant's Signature
Page 1 of 3
is / I 6 tuivv.s.oev 1Vr/
DO NOT WRITE BELOW THIS LINE f `( `Y
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) _ Exterior Alteration(Multi)
Multi *0 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
to __ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 'Yf 2i Occupancy a-12C-3 MCES System
Plan Review Code Edition v►'1 4 Z�iS SAC Units
(25%_ 100%>0 ) Zoning -17 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length /14‘ Fire Suppression Required
Type of Construction \) 3 Width / 0
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) le) 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: Is 0 W-"- PA: ( --p')< , Building Inspector
RESIDENTIAL FEES dr"
Base Fee 5- 0 S9� J'
Surcharge
' 2
Plan Review 01: ; 4714''x", /�- J c�o+D.
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:Plumbing
Permit Number:EA175657
Date Issued:04/11/2022
Permit Category:ePermit
Site Address: 1577 Clemson Dr B
Lot:41 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-410
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Thomas A Plank
1577 Clemson Dr Unit B
Eagan MN 55122--480
Tony's Appliance Inc.
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature