1605 Clemson Dr B
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106518
Date Issued: 0812412012
~it~ of 11QR Permit Category: ePermit
Site Address: 1605 Clemson Dr B
Lot: 68 Block: 02 Addition: Thomas Lake Heights 2nd
PID: 10-75951-02-680
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
BAC Construction Services KJG VI LLC
3032 Minnehaha Ave. S 1581 B CLEMSON DR
Minneapolis MN 55406 Eagan MN 55122
(612) 721-5500
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
3830 Pilot Knob Road WATER SERVICE PERMIT
1
P•O.Box2199
Box 2 199 PERMIT NO.:
Pagan,
Z
DATE:
Zoning: onin — No. of Units:
Address: —
Site Address: ________________
Plumber:
Meter No.:
Size: Connection Charge:
Reader No.: Account Deposit:
1 ogre* der to No.: Permit Fee:
comply with the City of Eegen Surcharge:
Ordinenep.
Q f Misc. Charges:
By
Total:
Dote of Insp.: — j _ Dote Paid:
•
Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MMMN' 55121 PERMIT NO.:
Zoning: DATE:
Owner: No. of Units:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee:
By Surcharge:
Dote of In Mix. Charges:
sp.: Total:
Date Paid:
•
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\I 191
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114751
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 1605 Clemson Dr B
Lot:68 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-680
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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.
Window or Door:Replace 1 patio door within existing openings.
Kara Benson
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kjg Vi Llc
1581 B Clemson Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK ink
i For Office Use
Permit
of bian I I
3830 Pilot Knob Road Permit Fee: b • 6
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
1 I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 16-11- 13 _ Site Address: ckq~ J_WE'gom 7
Name: Cr &/a ~l 4Iy inG7rf'1Phone: (1-2. 721-
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Description of work: Re-mg F _A7//No
Type of work -
Construction Cost: - 1 n _I -t-1 • s D _ Multi-Family Building: (Yes
•
Company: R 19 L
c7 O J 7. Ct & ~/7.$~~UG7 Contact: _
Address: City: m[Q a ~nIi
L s
OontmeWi' r-~ ? l
State: /1N Zip: J`~_s Phone:
License j - 1 9 2 0 2- Lead certificate 2 , 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: _
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 permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to rive locates of underground utilities. www.conherstateonecall.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 State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Applicat s Signature
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