1600B Clemson Dr CITY OF EAGAN WATER SERVICE PERMIT
3830 ?,lot Knob Road PERMIT NO.:
P. O. Box 21199 DATE:
Eagan, MN 55121
Zoning: _ — No. of Units:
Owner.
Address:
Site Address: —
Plumber: Connection Charge:
Meter No.:
Account Deposit:
Size:
Permit No.: ermit Fee:
agree to comply with the City o Eagan Surcharge:
Ordinances.
Misc. Charges:
(/ Total:
By 1 Dote Paid:
Date of Insp.: e, Insp..
CITY OF EAGAN SEWER SERVICE PERMIT
383G Pilot Knob Road PERMI T NO.:
P. O. Box 21199 DATE:
Eagan, MN 55121
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:
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
p.:
Insp.- Date Paid:
.,,. .0
,_
.... .
_.
1 ( 6 11,c_-,,,, ,_,-- —
.. _
...__
it\
1
I I j
I
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107330
Date Issued:10/08/2012
Permit Category:ePermit
Site Address: 1600 Clemson Dr B
Lot:58 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-580
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
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: 3,485.00
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 -
Todd J Christianson
1600 Clemson Dr B
Eagan MN 55122
Window Concepts MN
990 Lone Oak Rd #114
Eagan MN 55121
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
I For Office Use 1 61
M of EaL ~fl ~ Permit _--I ~ _1J~.__~ ~
Permit Fee: 4Aq 9,
0 d _
3830 Pilot Knob Road
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675
1 I
Fax: (651) 675-5694 1 staff.
2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
dq
81
Dam: - - IS
Site Address:16PQ J6eZ
)AQ0 C)~~ r__.._N__Unit`ll:
Name: ~raoms--- Phone: 2. 721- I M2&_
RLSrdetttl
Owner Address / City / Zip:
Applicant is: Owner - Contractor
Type of Work ' Description of work: I-10roQF.-1-a-- _
Construction Cost 0 0Multi-Family Building: (YesZI Na
Company:
f}-_T UG ~I d__,Y Contact:
3 3
Cantracfar Address: 0 .2, city: Mint2~► p~h"S
~
State: MAI_ Zip: 5-5 VO (v Phone: ~ 211__
License - 12"0 2-- Lead Certificate #:-N,41- 2
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: Plane 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 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. Cal 48 hours
before you intend to dig to receive locates of underground utilities. www.gQphwstateonecall.ora
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 l~t/f Z.~~+t?!_~ e =n ) x r
Applicant's Printed Name Applica s Signature
Page 1 of 3
r For Office Use
� ' 616
`,• � � 1,, Permit#:
,, E AGA
, c_.., ,
Permit Fee:
•
�A /s� R Ro' Date Received: / _ l
3830 PILOT KNOB ROAD EAGAN, MN 55122-1811' . , :` '' , *; I
(651)675-5675 I TDD:(651)4548535 I FAX: (651)616694 L Staff:
buildinainsoections@cityofeaaan.com j
. '
2019 RESIDENTIAL BUILDING ERMIT APPLICATION
Date: Site Address:_46 O I ejonf1-d)✓ /ice Unit#:
Name: #0144,111i-
d i t7-il a✓ /03v,tf I/D$t i a di ,414 Phone:
R
Address/City/Zip:
- Applicant is: Owner X( Contractor
.I. 1/1
Description of work: i>� a1�41 /i ac `�,y a d tw. e..k.. re"j/G 0.6.�
Construction Cost: Multi-Family Building: (Yes /No )
es
Company:fDJ1�v4775aGTn WO ! 010.,EonrtGacr"vfr'#ri ;ir. ZJt/r
-
Goner
Address: /Xi//a 6fri z City: I X! L( goly r i
/lair
State: ti Zip: �j�I. Phone:rj5/�yrv' ��/tnail:/lair6n cri../tit'T.�c :�fWeeef C,
License#:171,_22.,31_24.- Lead Certificate#:
If the project is exempt from lead certification, please explain why:
J &a /47
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:
pI
NOTE;PS*'_ t . 4 S3 - - .i :
r
c _ x,-.- ,
- .1.• ': -
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.citvofeaaan.comisubscribe.
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.aooherstateonecall.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 pe '; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval fans.
x ?ALLlit x Via 1
Applicant's Printed enVr
Applicant's Signature
DO NOT WRITE BELOW THIS LINE /.ab Ciino' /A- - Z / -‘ S
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi p Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
Ci 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 Z/ v o9' Occupancy .-- MCES System
Plan Review Code Edition ,12•1 i lc SAC Units
(25%_100% )6) Zoning P b City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) 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:
Reviewed By: -
C)? 1 /Pki .i- , Building Inspector
RESIDENTIAL FEES
Base Fee 19ik/4 ' / D6 39,,y,
Surcharge r1 , ' /5; o b 5p• /47"--
Plan Review (5�
MCES SAC /Y/M ;et) ✓est'. e'r
City SAC
Utility Connection Charge t'X i p",n, ,u77 i n g f
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3