1590 Clemson Dr •
EFor Office Use �j I f
° Permit#: .,'�
• AGA N CEIVED �r
,64 Permit Fee:
� .. APR 2 8 2018
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginsoectionsacityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 03//( Site Address: / 5 [41v't Unit#:
Name: f/ verz.rte/ LccT Alie Or.w/ve°!K 15�Jrx:: Y�eFhSone:
esi ent!
Owner Address/City/Zip:
Applicant is: Owner Contractor
'
Description of work: f �� "e GAP '
Typecif fO U
Work
Construction Cost ficeCe Multi-Family Building:(Yes ' /No )
Company: [4yr esrrt7a7- C- Contact: Pirlea- in. Ayr
contractor
Address: /57/? '4,r1-01x7--ZI4 City: /� L✓tz'
State:!* Zip: 5-40-1/ Phone:t957' yC° a EmailA?7-4 t/$`r 7 r-Ac-te2f &
;- License#: i-2 -49 - Lead Certificate#:
If the project is exempt from lead certification, please explain why:
//tre-P1 74,141V /r7if
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:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the,information maybe'
classified as non-public if you provide specific reasons that would'permit the Cityto conclude that they are trade-sec etsk,
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 www.citvofeagan.com/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 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.gopherstateonecall.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 wor is not to start without a permit; that the work will be in
accordance with the approve plan in the case of work which requires a review and approv o plans.
x x A/A
Applicant's Printed air Applicant's Signature
DO NOT WRITE BELOW THIS LINE LOO e/ > ( ✓ /7 e-s-,
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration(Multi)
Multi 14 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
P Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation it 3,In • Occupancy :17g C- . MCES System
Plan Review Code Edition m,'12015- SAC Units
(25%_ 100%p) Zoning FD City Water
Census Code Stories Booster Pump
#of Units Square Feet 2-00 PRV
#of Buildings Length 2 a ' Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) /0 Final I 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: 7O✓1 //'/y�•1C lyi9 , Building Inspector
RESIDENTIAL FEESr' T-
c S ;17 I���S�i•/�G� �'o- i 'Zai 5
Base Fee
Surcharge �'�) /5.60 j9 "7‘-
Plan Review lam'
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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 ogres to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
( l Total:
By / (1)041 ` 3 P Date Paid:
Date of Insp.:
Insp.•
CITY OP EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagai'i, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
i agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
By Surcharge:
Y Misc. Charges:
Date of Insp.• Total:
Insp.: Date Paid:
i
i:::)01 1 j
l E.,) , I
1 •
,•
Use BLUE or BLACK ink
I For Office Use I
Permit 11 b~ 53
I
My of EaI Permit Fee: -70.5o
3830 Pilot Knob Road I I
Eagan MN 55122 i Date Received: Phone: (651) 675.5675 1 I
Fax: (651) 675-5694 I Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
d
Date: Site Address: gS~)^5 S~ 159b.) 5~°0'3 81
~ ------Un t` : Z
Name: J -1 bN- ~ / r t! ~t141, &4'sf'1_ OS --Phone: -Z• 72/-I=d-
Resident/
Owner Address / City / Zip:
Applicant is: Owner - Contractor
Description of work: e mg F *
Type; o Work
Construction Cost: _ Jot-7 Multi-Family Building: (Yes No
Company: 2A_L__0_ 41C 7_/ OAI Contact::~~~ 679 5'/3
Co'ntractor' Address: City: Nl/ht?eQ_~ fiS
State: I r l A - Zip: Phone: 612 =L 2-
License t^ - 1 Z 0_6 2- Lead Certificate 2 V?'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 information maybe 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 Cali 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.gopherstatsonecall.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 authorised by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X. 1!1i24'be1CA CnM x T
Applicant's Printed Name Applicanys' Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173901
Date Issued:12/13/2021
Permit Category:ePermit
Site Address: 1590 Clemson Dr A
Lot:48 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-480
Use:
Description:
Sub Type:Residential
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 -
James C & Victoria H Woodcock
1590 Clemson Dr Apt A
Saint Paul MN 55122--481
(651) 228-9200
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature