1583 Clemson Dr - Unit BN
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CITY OF EAGAN
3830 Plot Knob Road
P. O. -Box 21199
E2gan, MN 55121
Zoning:
Owner:
Address:
Site Address:
Plumber:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances.
Account Deposit: _
Permit Fee:
By Surcharge:
Dote of In Misc. Charges:
�" Total:
Insp.:
Date Paid:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA086435
09/26/2008
ePermit
Site Address: 1583 Clemson Dr B
Lot: 48 Block: 2 Addition: Thomas Lake Heights 2nd
PID:10-75951-480-02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
e-Windows/Doors
Windows/Doors-New/Replacement
House
434 -
Construction Type:
Occupancy:
Comments:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50 0801.4085
$1.50 9001.2195
Total: $90.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Matthew J Bilek
1583 Clemson Dr Unit B
Eagan MN 55122-4809
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Applicant/Permitee: Signature
Issued By: Signature
�City
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: I (W 14 0
Permit Fee: 44 . O 0
Date Received:ei20
Staff: O ,
2013 RESIDENTIAL BUILDING PERMIT APPLICATION #
Date: kb 1 13 15�
Lt:Site Ls3fa
J
Name: -7-64/17h0.1,00,5 __ Phone: ‘(-L 72/- re) el
Address / City / Zip:
Applicant is: Owner Y_, Contractor
Description of work: Re roc P irry aConstruction Cost: _ S '247 i 88 4 Multi -Family Building: (Yes __ / No
Company: 4 (' Coosrg UC T.' Contact: 23:e,"(61C'/3
Address: { 7 0 .Z
M 'ranehetAek — City: Aiturl g //S
State: / r it/ Zip: 5_3-410 4 Phone: ___6/a - '7 Z l - � j j6
License #; S ("- 1' 9z. o‘ 2— Lead Certificate #: f 1 4 r -- 2 7 9' `1l %— 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:
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 State Building Code must be completed within 180
days of permit issuance.
x '/(2&&'j/,
Applicant's Printed Name
x (7
Applica s Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: (/»tJic Site Address: /S 43 B CC!,'s / 7Unit #:
Name:.,. /, 4t136 Tjrz4-a/4-mArt ,,Phone:_
Type of Work
Contractor
Address / City / Zip:
Applicant is: Owner 'Contractor
Description of work: leofore A*' e e be cr. go-ve :rev
Construction Cost: 'too
£ Company: 7 eery jCe7- e -r/ - L
Address: E//‘k.2.‘i EGD LI .
State: AP,. Zip: . W Phone:6 1—o yam/
Multi -Family Building: (Yes ' / No )
Contact: RIttt L wr . /617—
City: /�SF's'NlL�6s A.,r
Email
•
ezige � l Y- + STrAf e
J
License #: g( Z2 'PZL Lead Certificate #:
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:
Phone:
Sewer & Water Contractor: Phone:
Mechanical 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
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.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 1 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 Nai'n��jj e�
x
Ap
icant's Signature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% )(3 )
Census Code
# of Units
# of Buildings
Type of Construction
DO NOT WRITE BELOW THIS LINE ( 1 3
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
U3
REQUIRED INSPECTIONS
Footings (New Building)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: ,Rough In _Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: / 0 vv -k /n ,` /C / y g
_ 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
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
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2of3