1613 Clemson DrCITY OF EAGAN WATER SERVICE PERMIT
3830 Pliot.Knob Road
P.O. Box 211'19 PERMIT NO
Eagan, MN 55121 DATE
Zoning. No. of Units.
Owner:
Address.
Site Addess:
Plumber.
Meter No.: Connection Charge.
Size: Account Deposit•
Reader No.: Permit Fee.
I agree to comply with the City of Eagan Surcharge.
Ordinances. Misc. Charges.
C�/
� 1
Date Date Paid
Date of Insp.: Insp •
CITY OF EAGAN SEWER 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
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit
Permit Fee.
Surcharge:
By Misc. Charges.
Date of Insp.: Total•
Insp.: Date Paid.
City of Eagan
PERMIT
Permit Type: Building
Permit Number: EA106586
itDate Issued: 08/29/2012
of jjft
Site Address: 1613 Clemson Dr
Lot: 44 Block: 02 Addition: The Trails Of Thomas Lake
PID: 10-75865-02-440
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
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.
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
Surcharge - Based on Valuation $4K
$103.25
$2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Lisa M Brackman
1613 Clemson Dr
Eagan MN 55121
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: Building
Permit Number: EA106947
Date Issued: 09/18/2012
Permit Category: ePermit
Site Address: 1613 Clemson Dr
Lot: 44 Block: 02 Addition: The Trails Of Thomas Lake
PID: 10-75865-02-440
Use:
Description:
Sub Type: e -Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
- Applicant -
Owner:
Lisa M Brackman
1613 Clemson Dr
Eagan MN 55121
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
''1°
City of Eapll
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: i1 G63
Permit Fee: 1) 61C,
Date Received: 9
IN 113
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
�11�d�1i /b/3
//��► v r
Site Address: ( �j3 l� (� C IPM 4n� l c /" 11�,�/ 3 1613 it Unit #:
Resident/
Owrterr`
Name: ( ( � i ��, i� %� Phone: big ?/(% 7%
Address / City / Zip: / 19O Ire
Applicant is: Owner Contractor
r.
TYp?t4,f
Description of work: fp tit? fisph/4_ 11 1206 t SND 36 p f eye_ J t /�/��
_
Construction Cost: , 49
w�_ _..M.inti-Earaaily-�aatdtrtg:-{Yes—t —/ /tip- )— --
W Y ;
trig Or: -
4k,
`�� U� 5
Com an "'ti� h'
P Y i Contact:
Address: q.3(m Ka .Ct N o (10
City:
'i(lr�in55342 (4,/,Z_7 7_ 7-5-)-1
State: Zip:*` Phone:'
Lead Certificate #:
If the project
/1%o
is exempt from lead certification, please explain why: (see Page 3 for additional information)
oe A.))-- i N j. l 01 A
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:
ur
��.ue..x, . _ . Y ct oa.Jc; !hu11 a• z� y� °,�
ormat o sa -'P
M1 b."� { f
die
�Hi ;a
.}_o �e
areetr„. -r� C
i
.
th
�
„
.(
it
i
�•
.1
i�1
rthat
d
'therin iaaioyy ',
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454.0002 for protection against underground utility damage. Calf 48 hours
before you intend to dig to receive locates of underground utilities. www,ogpherstateonecall.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
days of permit issuance.
xJ-e��W�• es
Applicant's Printed Name
x
/eB
must be completed within 180
App ant's Signature
Page 1 of 3
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Mechanical
Permit Number: EA147156
Date Issued: 12/14/2017
Permit Category: ePermit
Site Address: 1613 Clemson Dr
Lot: 44 Block: 02 Addition: The Trails Of Thomas Lake
PID: 10-75865-02-440
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
- Applicant -
Owner:
Lisa M Brackman
1613 Clemson Dr
Eagan MN 55121
(952) 220-5622
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