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1584 Clemson Dr BCity of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA124353 Date Issued: 06/27/2014 Permit Category: ePermit Site Address: 1584 Clemson Dr B Lot: 43 Block: 01 Addition: Thomas Lake Heights 2nd PID: 10-75951-01-430 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 - Applicant - Owner: Nancy Bossenecker 1584 Clemson Dr B Eagan MN 55122 (651) 808-4122 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 Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED DEC 7 9 2015 r Use BLUE or BLACK Ink For Office Use/ Z4./67/ Chk 1 Permit #: Permit Fee: Date Received: Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ,5?) • Resident Owner Name: i,A✓t D Md Address / City / Zip: 15 ' `/ /3 e f rMSbrj Applicant is: k Owner Contractor Phone: Unit #: v • � WW1 ,N bak. re rnod2L Description of work: W 1i�dOW � S / j Construction Cost: Multi -Family Building: (Yes Company: "/iri,t,.e illi✓eSVIVttA+) TA'+ienContact: MARL' (Jr/l, MS Address: '5S C r'cr '' State: MV Zip: 5-512 3 City: 41:4 / rCJLCMf.2 /cCc,' Phone: 657'S 5151 9'f Email: License #: 17JC. Co3 5f k2_ 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: NOTE: Pians ani the information Phone: supporting documents that you submit are considered to be public information. Portions of ay 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) 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 1 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 State Building Code must be completed within 180 days of permit issuance. x NI19%2-e i ;,t Applicant's Printed Name x Applicant's Signature Page 1 of 3 /5gq CEosafrk �dlL_ ati4f DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Single Family Multi 01 of _ Plex WORK TYPES New Addition �( Alteration /` Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code • # of Units # of Buildings Type of Construction Fireplace Garage Deck y Lower Level Porch (3 -Season) _ Porch (4-Seatson) e Porch (ScreeniGaZe 0/'Pergola) Pool Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final X Framing Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Occupancy Code Edition Zoning Stories Square Feet Length Width Final i2 _ 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 -o I( 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 —A Windows ILI) C.kla,„,,,f Retaining all: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector (10A" ow/ �� Q 0 0 V' / Page 2 of 3 1 r E AGAr For Office Use e ; i • f • Permit#: ... •. ..., ..•• ••.0 1#9. Permit Fee: 1 , .f I >>-, Date Received: Q--/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 8 `A i (651)675-56751 TDD:(651)454-8535 I FAX:(651)675- Staff: b u i ld i n a i nsaectionsecitvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L 1 7111 11 Site Address: /6-0 g l.6414cL 7'V D� Unit#: Name: /424,071/- 4,07t 0'/s( h /G 'A1 Phone: t' Address/City/Zip: Applicant is: Owner X Contractor Description of work: N Alitita. 1 cJ4 r� it i!— .- /t//d 6 peobviiiik 0 Ty Construction Cost: Multi-Family Budding: (Yes /No ) x Company: C071,4778liLTTef AM) H ec$. ont ,4 i Z x.� l act: _ A. y Com '',i' Address: l4-11.2. 6f/'L Z# City: I 'Le �'�,�'jf ei �,/ State://PV Zip:4 f Phone:G47-a214—Ygkimail: j'1 .Sfiaez.r-s fuee.1"' e, _ = License#: RZ 2Z 94 Zi Lead Certificate#: If the project is exempt from lead certification, please explain why: }/17)449 iLti Atifilie.4 44.40.41 1/7S7 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: 4 r Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: i NOTT1~ , .N. -,. ;: .r . 'l� k, 6 z 1 �riaybe' 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.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.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 lans. X PALL �, ear Applicant's Printed& Applicant's Signature DO NOT WRITE BELOW THIS LINE / gL/ CloIan ô,2. 8 / .6' SUBTYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi )0 Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 10 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 pReplace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Z/ '��9'r Occupancy G.-- MCES System Plan Review Code Edition m•t i i S SAC Units (25%_ 100% )6) Zoning P h 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) yo 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: 1 JVi 1/t%17i1 , Building Inspector RESIDENTIAL FEES Base Fee 19 4 k/i) ' r s 3 / o y.P7-, Surcharge 6) it /5; 0 0 se• Ay- Plan Review MCES SAC M;/1 , ✓m- "e'p City SAC Utility Connection Charge 41C7 i.r," , /ve , o V S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3