1499 Clemson Ct• CITY OF EAGAN
. 3795 Pilot Knob Rond EAgon, MN 55122
• PHONE: 454-8100
BUILDING PERMIT Receipt #
N° 6728
Site Address Erect ? Occuponcy
Lot Black Sec/Sub. Alter ? Zoning
parcel # Repair ? Fire Zone
Enlurge Q Type of Const.
N?e Move ? #? Staries
W
Z ?I .
Addreu
Demolish
?
Front
• ft.
o
r:.,, '
M,..... .' ,•`7'
Grade
?
Depth
ft.
` Name _
,o
?? Address
1- rt...
Name
Address ,
.-,?- ^?---- + '
Assessment -
Water & $ew.
Police
Fire
Eng.
Planner
Council
Permit
Surcharge
Plan check
SAC
Water Conn.
Woter Meter
Rood Unit
1 hereby acknowledfle that I have reod this application ond stote thot Bldg. Off.
the infortnotion is correct und ogree to comply with all applicable A? Total
State of Minnesoto Statutes ond City of Eagan Ordinances.
Siqnoture of Permittee
A Building Permit is issued to: on the express condition that
oll work sholl be done in occardante with all applicable Stcte of Minnesota Stotutes and City of Eagan Ordinances.
Building Officlal
r«.ir # n?. l....e r«.in..
Plumbing 2 q g" -7 - g s.
Mechanicnl a24 01 A S
€tf T u o(cr Ll 7- t`?( fE2? y?'ck F. «c. ?
r'c-- 5 5 7:2 - 2q - ? ? rL'c c tc c ?
INSPECTIONS I DATE INSF• Raph-In Firwl
Footings -?,? - Dote lnsp. Dote Irop.
Foundation Plumbing ?
Frome/ins. MecFwnirnl
Final
I
Remarks:
(11trttf ir?te uf
Citp of Cagan
Drpttrfmrit# nf Builbing 3nsprrtinn
This Certificatc issued pur.ruant to tht requirementt of Section 306 of the Uni form Building
Cade ccrti fyrng tbat at the time of i.r.usanrc this structure wal in comptiance with ihe various
ordinanu.t o f the City rcgulrtting btulding canttruction or xle. For the f o!louing:
? clau5 SF DWG/GAR. Bldg. Pemdt No 6728
?y?{m .
RZ V NA Rl
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October zb, iyt
p,n Dats:
r?p`
?T IX A CONNIWOW ?CS
?4ocs 4Bl .?T . v _ ?.u.
Recsipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee i?
Flll in numbered spaces S/C
Type or Print legib/y Tot.
1. Date 2. Installation Cost
3. Job Address Lot -" Bik. Tract
4, Owner ?.` /; ? '?' 5. Contractor .1 k' . , i / d //? Phone
6. Address .cK4X
7. CitY State ?`J?? Z i p 8. Building Type: Residential Of Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
/ Bath tubs Septic Tank
= Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
? Floor Drains
Drinking Ftn.
51op Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply wiih all ordinances and codes governing this type of work.
Signed : ?? ?•,, : ? ' i?K ? -?
for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbared and approved.
Approved CITY OF EAGAN 454-8100
i
Receipt MECHANICAL PERMIT Parmit No.
CITY OF EAGAN
Fee
FiII in numbered spsces S/C
Type or Prini /egiWy Tat. ?
?
1. Date 2. Installation Cost
3. Job Address v'?'' "? Lot Blk. Tract ?
4. Owner
.
5. Contractor Phone -
6. Address
7. CitY State i ? ? : ? Zip .
8. Building Type: Residential 6
9. Work Description: New E7
Descr i be
I 11.
Commercial El Institutional ?
Add ? Alter O Repair ?
Fuel Type
No. Epuinment 9TU - M. Ea.
Forced Air No. EQUipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg, Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and t agree to
comply with all ordinances and codes governing this type of work.
Signed : ' for
Rough Final
Inspections: Date Insp. Date Insp.
I This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks - -
Addition Thomas Lake Heights Addition Lat 24 Blk 1 Percel #10 75950 240 01
p"g, C. '. ??I ff 4I i',?115treet 1499 Clemson Court stete Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Dete
STREET SURF. 5
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL a S
WATERMAIN
*WATER LATERAL
WATER AREA 7
STORM SEW TRK 471.76 A 10729 11-5-81
* STORM 5EW LAT 1981
CURB & GUTTER
SIDEWALK
STREET UGHT
Road Unit ig p 25329
_
WATER CONN. 335.00
AUILDING PER.
sAC 525.00 25329 6-19-81
PARK
INSP
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
.
SITE ADDRESS:
I `', ' I i t1 s,r? +: ?
I IiIJplrl'-i. lYk ift 1 S
PERMIT SUBTYPE:
; , '! 1„
I I , , :t' t 14 T N
TION RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
q APPLICANT:
TYPE OF WORK:
!11 ?.i i•- f.l' 1 J s{t!
F t N A 1..
NF. w `
([iA`i i h3`6 1- N i 1
PermR No. Permit Holder Date 7elephone #
ELECTRIC
PLUMBING '
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEAT!NG
GAS SVC
TEST
INSUL
GYPBOAFD
FIREPLACE
x?
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
85MT FINAL
DECK FTG
DECK FINAL
This reQuest void
?Sn f
? E; 725 aCQ?IS'?
rIFequest {[]J?e I n
` Fire No. RPQghe?,lnspect'on rn??d
Y NoW 04yill Nntity Inspec-
?K
I
[J l?7 ? No
?''f s Q tor When Ready
QOC~censed Electrical Contractor I hereby requast inspection of ahove
? O:aner eiectrical work installed at: -
' MIAINESOTX STATE ROARD OF ELECtR1CITY
'Grigga-Midway Bldg. - Room N-191
7821 University Ave_, St. Paul, MN 56104
• Phone 15121 297_2111
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Street Addr ss 8ox or Ro No.
/ 9 City
ecUpn o. Township Name or No. Range No. County/?„? ,
I
Occupant (PRlNT) ? Phe NSo. + 711 Y
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Power Su plier Address ?
Electrical Cor?a??l ? a ? t 6
li -
?-, T ? r'? Contractor License No.
f//1 /'7 y
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Mailing AdJ.ress (D?LE V1??I?LY+nlt??Ti1G?
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Authorized
1'1 Phnne Number
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THIS INSPECTION REQUEST WILL hIOT
8E ACCEPFED 9Y THE STp7E BOARD
UNLESS PROPER INSPECTIpN FEE IS ENCLOSED.
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Type of Building New Add. Rep. Check Appliances Wired Fot Check Equipmen t Wued For
Home ? ? ? Range ? Temporazy Wuing
Duplex ? ? ? Water Heater ? Lighting Fixtuces ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Cc:nmercial $Idg. ? ? ? Furnace ? Silo Unlaadec ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List List
Other
?
?
? p
Hehets? p
Hehrs
Minnesota State Board of Electricity
Griggs Midway 81dg, - Room N191
"121 University Ave.. St. Paul, Minn. 56104 - Phone 297-2117
REQUEST FOR ELECTRICAL INSPECTION
i.HECK BELOW WORIC COVERED BY TH15 REQUEST
!`0MP1 iTF IAICPF('Ti(l%i FFF RFI C1W
Seivice Entrance Size: # Fee Fceders& Subfeeders: # Fee Circuits: # FeE
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Ampeies 31 to 100 Am res
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Special lns ection Minimum fee 55.00 lo.oo
Remarks " TOTAL FEE
?- J
(Rou r Date
{Fin Date
This request r+oid
18 months from
I, the- tric s4 reby ceztify ?iat the above inspection has been ma e. ?? •? ? S?
- -- -
---- - - - , - _ - ?
F-13-00001-02
355 7 y
T 40614
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CITY OF FAGAN ' Include 2 sets of plans,
1 site plan w/elevatians &
BUILDING PE13?IIT APPLICATION 1 set of energy calculations.
lb Be Used For Valuation Date /a. / 9frl
Site Pddress ly 9 5_ G c,c CM4'ICE USE Y
i,ot ?q siocat sec. /sub. Crect ocoupancy 7i' 3
Paroei #: 1,0 Z?`? ?? 'p qo cD ( r,lter zoning 971
Owner: ? ?.ww....+- (.,a?
P.ddrBSS: j 5 G 1 - Cia-..? I
City/Zip Code: &_,? SSr i t-
rhone #: '(S4 _ -7Y ?r
Contractor: o,,.
PddT'E'SS:
City/Zip Code:
e.
..
Phone #: "
Arch./Etx,. .
Aaaress:
City/Zip Code:
o?/y
Phone #: 1/3? - 2
Repair Fire Zone
Enlan7e _ Type of Const. ?
Nbve # Stories
Damlish Fmnt g g ft.
Grade Depth ft.
APPFbOVAIS FEFS
Assessments PernLit
?dateY/Sewer Surchaxge 30,00
Police Plan Qheck 7 7, 2L?-
Fixe SAC ,5z5_1 00
Eng. Wates Conn. 3135: o 0
Plaruler Water Meter yo, o0
Council Road Unit i8S•00
Bldg. Off.
1
APc
TOTAL ) ? ?O , -rs
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 6728
PNONE: 454-8100
BUILDING PERMIT APPLICATION Receipt .# - ?? •??'
Site Addreu 147-/ V1C?u11 uo. Erect Zj Occupancy R3
Lot 24 Block 1 Sx/Sub. Tho711fls I.Bke FI2lghtqqlter ? Zoning Rl
10 75950 2/
0 Ol Repnir ? Ftre Zone NA
Porcel # t
Enlorge ? Type of Const. V -
w Nume 5unshine Construction Move ? # Stories
z Address 1507 Clemson Bt.
Demolish
?
Front
48 ft.
Cit E? g? 55122 Phone 454-7485 Grade ? Depth 52 st.
o Name Owner Apvravala Feee
Address Assessment _
~ Cit one
Ph Water & Sew.
?w
Name ?113A's Plan Service
Police
-
F
?
145th St
7b? W ire
_ .
.
Address En
APPle Yalley
?+32-204b
aw Planner
Ci
Phone _
Council _
I hereby ockrrowledge thot I hove reud this epplication and state that Bldg. Off. -
the information Is correct and aqr to mply with oll applicable
Smte of Minnewto St^lm•-- ^nd it oflcgan Ordinances.
APC
Signoture of Permittee `?v^
A Building Permit is issued to: -A
oll work shall be done in nccordonce
Permit 174.7V
Surcharge 30.00
Plan check 77.25
snc 525.00
Woter Conn. 335.00
WaterMeter 60•00
Road Unit 185.00
Taai 51366.75
on the express condition tFwt
Statutes and Ciry of Eagan Ordinances.
Building Official
FOR
DUNN & CURRY REAL ESTATE MANAGEMENT INC.
92143 /
szLao
I ?ul $ UTIUeNTS?
1 EAS?°'- ,
24
i LOT ??
? i 91$px,
0? 9y,
'A I 9?q 3 'Ag0
911ze X ?. X oPp5E0
N??PRNQUSE 2?6Z
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CERTIFICATE
?J
1 V
1 , o
??I L- ? 52L2 x ?Q` ,Cez? ao
. s2/.3 O t. ? ?
-7c9%0?? O 35.? a
o A°13 g9 / ?
60?
'-
x920.5? '
CLEMSON
LEGAI. DESCRIPTION
LOT 24, BLOCK I, THOMAS LAKE HEIGHTS,
ACCORDING TO THE RECORDED PLAT
THEREOF, DAKOTA CODNTY, MINNESOTA
I HEREBY CERTIFY THAT THIS SURVEY,
PLAN OR REPORT WAS PREPARED BY ME OR
UNDER MY DIRECT SUPERVISION AND THAT I
AM A DULY REGISTERED LAND SURVEYOR
UNDER THE LAWS OF THE STATE OF
MINNESOTA.
SCALE : 1 INCH = 40 FEET
APPROVED FOR SIENNA CORPORATION
BY:
DATED THIS ? DAY OF _ 19_
REV.ISED TO SHOW PROPOSED HOUSE
JUNE II. 1981.
NOTES
ISIGNED: JAMES R.
INC.
IMINNESOTA REGISTRATION NO. 12294
EXISTING CONTOURS ARE SHOWN
* 100.0 DENOTES EXISTZNG ELEVATION
*(100.0) DENOTES PROPOSED ELEVATION
* PROPOSED GARAGE ELEVATION = 922.9FEET
* PROPOSED TOP OF FOUNDATION
ELEVATION =923.3 FEET
* PROPOSED LOWEST FLOOR ELEVATION= 915.0 FEET
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
80207
8H76 22 / 7 & 8
. Planners / Engineers / Surveyors
FILE NO.
8200 Humboldt Arsnue South
FOLDER Bbomington. Mn. 55431 812-884-3029
I DATED THIS ZISrDAY OF SAM 1981
cl
Weathrrittijq G?:? • Coustructiou No. Ie+nbuon
u`i ? I Doon ? Refereuu ? Out. CVall Int. Wall Ceilwg ftoof Floo, ?Knd 'Now Applied
_
n-. o ? Ycs-Ivo 19-
-
?-?
--
-? Fl.? ?OVa-eQ Room Length g
?_? .., .. . ioh Width ?1(t Fieightg"Q4 I
.. I ? F1'1 /)P.L? RoomjLenqth/j? ^ Width??QhHeightlO'
No WIO[h
o[pam Haleht
"otvane N. o:
?rb!• LlnulY4
a[cra¢k hru
p (?
.D.. 30 j 2
Coef. &a
Inhltration ? a a
Cilaea !"? p
Exp. wall
Net exp. wall
Int. wall
Floor
cea.
,ot„ nw,,._, I
Required sq. Fi. E.D.R. or so 'ins. W.A. Leader arra
Fl.[l.. (Z'%f(f.Rooml Leng[1oS't3o Width'+{+()IHeight (Gl (b°
Wlndowe and Ooors._C.aekane nnd e.-?
Nw? WIA[h
af psne Hclght
a[D??e NO.O[
Ilshb LIneRItA
otcmck An?
q.R
a ,aN rp, 3
Coef. Btu
CJass 02 aDU
Exp. wall ?
Net cxp. wall e 1?
lnt. wall
-
Floor
c°a. 3S0 p o
Total Btu. •? ^
? ?
Required sq. ft. E.D.R. or aq. ins. W.A. Leader area
I F] I DINi1J&-'RoomlLenzthll1f,nWidth
Wi ndows e nd Doors -Cmeka ge and Ar ea
No. wiun
o( p*na 14'<1cxt
e[ pane :vo. oc
IIaM- Llnlkk fL
ot cra k wre.
p. tt.
a ?a'
Coef. Btu
lnfiltration ) ?t.
Glaa -,61
3
Exp. wali r? d
Net exp. wall
Int. wall
F7oor
Ceil.
v/inrlnwa anci rirora--Cracke¢e
WIetE
Nn o} paoe Heleat
o[ p?G No. ot
11/Db l.lo?al t4
of Cf?e4 nre?
e4. ft. '
I ?
- - " C«f. 8tu
InLltration
Glau
Exp. wall
Net tsp. wall
Int. Weu
Floor
?•?? 3S' ?Fb
7dnl Btu. j Q
Required aq. h E.D.R, or sq. ins. W.A. l.eader area
? F7.1 AJ{A9 bFkFHl Room I Length yy2p Width t0° Heieht VQ'
Windows and Donrs-Crackaae and Arta T
No wltlth
ot p?ee HeiYat
n[ yk. Na. o[
Ilthb LIn.U f4
at cnek Are?
q tt.
Coef. Btu
InLlvation
Glaes
J_
Exp. wall
Net exp. wall
lnt. wall `
Floor
cea. / y
Tota1 Btu,
Wmdowe and
Na WlJtn
a(yane He"h[
oLpane Na.of
tl6hU LmeJlL
ofcrack Aroa
&p.ft. ,
Coef. - $tu
Infiltration ' .
cjav
Esp. kal;
Net exp. wall
Int. wa11
Flaor
ceii. 7 ?
s'
,otai a;w < rotat Btu.
Required sq. {t. E.D.R. or aq. ina QI.A. I.eader area , Reqiircd sq. ft. E.D.R.,or aq. ina. W.A. l.eader ama
" , W?othcntriq AJ.N.V.E. CoU/IRit[IOG N0.
Guide
Wmdowi I Daor? ? Refetence Out. Wall Int. W?N Ceiling Roof Flooi
g•? 15fU Roam Length i r Width I I"yeight Pw3 ° II?? Fl??nt c,
V/indowe an Doora--Crac:cage end Ana ?
No. w'eu.
otDana xeierti
ofDa ne Nu at
Ilrh? Llnul ft
uf<rack An.
W fC
vd" `0? ?
CocE. &a
Infiltratioa 0 7, a
Clase $' /2rU0
Ezp. wall 1
Net exp. wall f ?'j ?
Int. wall,?, ?
FI oor 2 S
Ceil.
otal titu.
equired sq. Ft. E.D.R. or sa. ins. W.A. l.eader aeea
?F7.l&jj Room I Length Width
Windows and Doars--Creclcaae and ArPA T
Nw Wldtp
o! Dare HeIPM1t
ot O.na 130.Ot
II?hte Llna. l fL
af <neX Ar??
q, tt
C«f. Btu
Infilttation
Glau
Fsp. wall
Net cap. wall
Int. wall _
Floor
Ced.
lotat tStu.
Required sq. EL E.D.R. or aq. ina. WA. I.eader aree
?F?•?/Q??. ? Room I LenetUSV ftidth /s
Windows and Deors-Cr.rkAw a..l A..,. ?I
Na. 11171
otpan• K;isni
otDane :vo.-ot
II'Ab Lmnl tL
o(cruk wre?
q[t
Io" 10 • a
46
CW -
2-
o? ' " ? ,31
C«f. Btu
Infiltration ` .2•) 1 Q
Glais i ;?°j " 'LCl1
Esp. wall Q(
rlst exp. waH 6j?„ t 3yc?
lnt. wall ^?C J J 7-? 0
Floo, ?•? ? 3 a
Ccil.
lotal B;U, %'y
Rcquirrd sq. ft. E.D.R. or sq, ine. W.A. i.eader area
_ -- - ,
r ,
Ia+alstion
^ F:,nd
Room I Length o'1 S/'&1V
.ra--Lrackaae aed Area
No wlntG
af 0¢oa HeleDt
of WM No. ot
Iltlb 1.1nw1 ft.
of crack Area
eG. fl.
-4 CoeE. Bfu'
Infiltradon
Cilaar
Exp. xall
Not up. wall
Int. wall
F!onr ? ? ??'%
[
Taei-Bm. ,N,,/,?0 BTKN f/G
.. -----?-_?--?- ?r-i--
Fl.! Room I L.ength Width Height
w moows an a uoors ?racea ge ano rvc a
N. W!d[h
ofn.oe tielEbt
n[y.. No. ot
Ilie?? Lln81 I4
atcrack Area
q ft.
Ccef. Btu
InLltratiun
Glaee
Exp. wall
Net exp. wall
Int. wall
Floor
CC?.
Tota1 Btu. .
Required sq. ft E.D.R. or eq. ins. W.A. Leader aren
F7.1 ' Room I LcnBth , Width
Windowa'and Doore--Cratka¢e and Area
Nu widtn
ot ppnx Hel¢Lt
o(,y.ns No o[
11[hl. Llneal [0.
of tfack Arem.
?V. ft.
Coef. Btu
in6hration
Glasa
Ecp. tsaf.
rlet exp, wall
Int. wall
Floor
Cdl.
ToWI Btu.
I2cy;:ired sq. ft. E.D.R. or w. ins. W.A. Leeder aroa
?
. . _ . , . .. ?--.-.wuw:....._.-.,?..,.--
PERMIT
--'(?CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 030269
(612) 681-4675 Date Issued: d 6 J 1 fl/ 9?
SITE ADDRESS:
1499 CLEP950N 'IT
LOT: 24 $LOCK: 1
TI-IOMAS 4_AhE fiETGHTS
P.I.N.: 10-75950-240-01
DESCRIPTION:
(GAS INSERT)
B,A ldirr€?t-.?errn3L' Typ?- FIREPI_ACF
?uj.14#3ng Wti.Q Type NEW
,C2hsus ?ocle 434 M1LT. ?iE'3IDL"NTIt?L
? ? _
l ?.el
-- ;,
\ k t"l
v J-
'+i??..'. fLtp4Y?.
??.
..:?-
14'
. ?.^y:--.. ? -...
REMARKS:
1?77:7 t. I.:
FEE SUMMARY:
Base Fee $50.00
Surcharge
Total 1=ee $58.50
CONTRACTOR: -- ppplicant - OWNER:
MJSTER GAS FITTER5 INC 17708691 pNCIERSON BRUCE
2240 5HAWNEE DR 1499 CLEP4SON Cl'
N ST PAUL MN 55169 EFlQAN MN 55123
(012) 770-8691 (612)1154-6457
( - • '. _ . ,. . . .. ' ' ,. . ,, , -
I hereby acknowJ.edge Lhat T h'ave read 41ris appliaat:.rrn ind statb th&'? t4he
infor•mstiat5 is aorr?at arrd° sg'r'se Ca aPplicabIe 9tate. af MI.
SCatuiCeS, and C-ity P.f Eagzin Ordinrrrteas.
APPLICANT/PERMITEESIGNATURE D'n Et( 5I ?'ATURE ?--
I
CITY OF EAGAN
30 149 3830 PILOT KNOB RD - 55122
1997 FIItEPLACE PERMIT APPLICATiON
681-4675
DATE:
PERMIT FEE: $50.50
DESCRIPTION OF WORK: _ CONSTRUCT bMW FIREPLACE _ ALTERATIONS TO EXISTING
INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OTI-IER:
STREET ADDRESS: ew '
LOT ? BLOCK SUBD./P.I.D. #:
_- -1
APPLICANT: (circle one only) OWNER O TRACTOR
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.
PROPERTY Name: A+ol2?'r/LSu,? i5kJC ? Phone #:
OWNER
Signature:
Street Address: f y? g CL? ?'? s?^? «•
City: A.? State: Zip:
FIREPLACE Company: Phone #: :7 70 -
INSTALLER J
Signature: .?•v?.- ??' ? Street Address: ?- `} 0 -s '???? ??' ?• License #:
City: N?• S ?- State: Zip: `? ?1 &5
GAS LWE Company: Phone #:
INSTALLER
Name:
Signat
Street.
City:
• RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
NawCOnetructbn NeaulremeMe
• 3 registered sRe suneys showing sq. N. of bt, sq. tt. of house; and all roofed aress
(20% maxlmum lot coverage albwetl)
• 2 copies of plan ahowing beam & window sizes; poured found design, etc.)
• lsetafEnergyCakuletbns
• 3 copies af Tree Preservatbn Plen if bt plettetl efler 711/93
• Rim ,bisl Deteil Optans selection sheet (bldgs wHh 3 or less unHS)
DATE ?r ?0 Oo2
SITE ADC
NPE OF
APPLICANT
4ULTI-FAMILY BLDG _Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
?IGeNSp. #
STREET ADDRESS 71YY NEu.) 7 okfK IrU° CITY Can
TELEPHONE #6S'/-y5*S7116 CELL PHONE #61o2 -6?V-72!20 FAX #
PROPERN
v
BamotlaNleoefrHecuiiements ? ?
. 2coplesMplan aU _
• lsetofEnergyCakulationstorheatetladditions
. 1 site 6urvBy for Oerbr etldili0ns & deCkS
. IndMate Ii home servetl by sepllc system iw addttbns
VALUATION 46?7 00 ?
GtNd
/Y ziP 6 sia?
TELEPHONE #
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIN'NFSOTA RUI.FS 7670 CAT'EGORY 1
(J submissian type) • Rasidential Ventiletion Calegory 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Conhacfor.
Mechanical system includes:
Sewer/Water Conhactor.
_ Water Sofrener
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
MINNF_SOTA RUI.ES 7672
_ Phone #
I,awn Sprinkler
No. of R.I. Baths
Phone #
Phone p
Fee: $70.00
I hereby acknowledge that I have read this application, state that the informatfon is correct, and agree to comply
wiTh all applicable State of Minnesota Statutes and City of Eagan Ordin nc
/ Signature of Applicard ??
Y(
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06plex ? 16 Fireplace [3 21 Porch (&sea.) ? 31 Ext. Alt - Muki
O 03 01 of _ plex O 09 07-plex O 17 Garege ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screened) ? 36 MuIG
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Inl Improvement ? 38 Demolish (Interior) ? 44 Siding
JK32 Addition O 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 WlndowslDoors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuatfon e? Occupancy e3--Af- MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const VAJ W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinaVC.O.
? Footings (deck) ? Final/No C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By ?Z- , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
, c5"L"?
? ?d -
0/??v 2?06-1-0
.,ffi_;,"...;.
..
DUNN & CURRY REAL ESTATE MANAGEMENT 1NC.
.. •- . . . . , ? ? ? '. ?
O ic 9zua
G?•^?
c).)?
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4Cr77n33
;920
1Y15?lw? V
C9..???1`A
LEGAL DESCRIPTION
LOT 24, BLOCK I, THOD'1115 LAKE HEIGHTS,
ACCORDING TO THE RECORDED PLAT
THEREOF, DAKOTA COUNTY, MINNESOTA
I HEREBY CERTIFY THAT THIS SURVEY,
PLAN OR REPORT WAS PREPARED BY ME OR
UNDER MY DIRECT SUPERVISION AND THAT I
AM A DULY REGISTERED LAND SURVEYOR
CINDER THE LAWS OF TfiE STATE OF
MINNESOTA.
DATED THIS ZISTDAY OF S,piq 1981
SCALE : 1 INCH = 90 FEET
APPROVF..D FOR SIENNA CORPORATION
BY:
DATED THIS DAY OF _ 19_
REVISED TO SHOW PROPOSED HOUSE
JUNE II, 1981.
NOTES
SIGNED: JAMES R. HIL INC. EXISTING CONTOURS ARE SHOWN
* 100,0 DENOTES EXISTING ELEVATION
*(100.0) DENOTES PROPQSED ELEVATION
PROPOSED GARAGE ELEVATION = 922.9FEET
" /????G ?????? * PROPOSED TOP OF FOUNDATZON
HAROLD C. PETERSON, LAND SURVEYOR * ELEVATION =923.3 FEET
h1INNESOTA REGISTRATION NO. 12294 PROPOSED LOWEST FLOOR ELEVATION= 915.0 FEET
PROJECT NO. BOOK / PAGE JAMES R. H1LL, ONC.
80207
81176 22/788
. Planners / Engineers / Surveyors
FILE NO. f 8200 Numboidt Avenue South
FOLDER Bbomington, RAn. 55431 812-884-3029
FrS CERTIFICATE
-210
?
Use BLUE or.BLACK Ink
- _ _ - _ _ _ _ _ .
I For Office Use I
City of EPermit#: I a~a J I
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: ' C
I
Phone: (651) 675-5675 ~ I
Fax: (651) 675-5694 j Staff:
I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: / Unit
Name: C ~-~R~C Iv /G 5G~ i~ Phone: IO J I ice, -7
RESIDENT / _
OWNER Address / City / Zip: ( l "(q Cc6 m SON G 1 ,
Applicant is: Owner Contractor
C3
TYPE OF WORK Description of work: P10
Construction Cost: Y Multi-Family Building: (Yes No )
Company: Ay L ~z I c'k- Contact: Ldp ff-C y
CONTRACTOR Address: 1 2 K( l~ D City: I~ N 0 U-c'
State: LM Q Zip: S~ 3~ ( Phone: 11 (a 3 (q U
License Lead Certificate
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 they 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.oopherstateonecall.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.
~
X_ A U J ()E(?2L,:~: x
Applicant's Printed Name Applicant's Si inure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117329
Date Issued:10/17/2013
Permit Category:ePermit
Site Address: 1499 Clemson Ct
Lot:24 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-240
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Bruce C Anderson
1499 Clemson Ct
Eagan MN 55122
Marshall Building & Remodeling Inc
6975 Washington Ave S
Suite 215
Minneapolis MN 55439
(612) 369-0123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128479
Date Issued:11/14/2014
Permit Category:ePermit
Site Address: 1499 Clemson Ct
Lot:24 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-240
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
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 -
Bruce C Anderson Tstes
1499 Clemson Ct
Eagan MN 55122
(651) 454-6467
Window World Aka Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA129212
Date Issued:01/21/2015
Permit Category:ePermit
Site Address: 1499 Clemson Ct
Lot:24 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-240
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.
Applicant: Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Bruce C Anderson Tstes
1499 Clemson Ct
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129213
Date Issued:01/21/2015
Permit Category:ePermit
Site Address: 1499 Clemson Ct
Lot:24 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-240
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Applicant: Renae Frienwald
2200 Hwy 13 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Bruce C Anderson Tstes
1499 Clemson Ct
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141087
Date Issued:02/14/2017
Permit Category:ePermit
Site Address: 1499 Clemson Ct
Lot:24 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-240
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
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 -
Bruce C Anderson Tstes
1499 Clemson Ct
Eagan MN 55122
(651) 454-6467
Window World Twin Cities
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
1
For Office Use S
%��
%% : : : ,� •� � 'ee:
4. 15';"E AG A N
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:
buildinginspectionsacitvofeagan.com L
2019 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: 9-1?- /9 Fee: $65.00
City Sewer City Water Repair Disconnec
Description Of Work: Yv‘e1` .1a_e-e S eA J'u' eY i Gr J►1S A( I O k tS r J€
GfeoknduiS
Street Address for Proposed Work /L)99 G I-€.r SO n c__-f
Name: Z C V G c 11 J.e.r.S0 ►''1 Phone: 65 i'- 416Y -6,“7
Owner Information Address/City/Zip: /'/°A L ( .X4&2)n C-ks / Fi y, miv 5S(/ 2
Applicant is: Owner Contractor
Licensed Pipelayer Master Plumber Property Owner
Name:AS vF� uvkC Phone:(9S I L03 — 3 7 4f 9
l/
SSRoS <<� .N SSY,3
Address/City/Zip: s „� !'V���✓ �V� � � � �
Pipelayer Training Certification Card#: or Master Plumber License#: ?Ai CD Cbl(sig
I acknowledge that the information is complete and accurate and that the work will be in conformance with the ordinances and codes
of the City of Eagan and the State of MN Statutes. I understand this is it a permit, but only an applica ' for a permit, and work is
n o start without_ a permit.c ( 2Le/ -
Applicant(Print Name) Applicant's Signyfe
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.citvofeacian.com/subscribe.
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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161738
Date Issued:06/11/2020
Permit Category:ePermit
Site Address: 1499 Clemson Ct
Lot:24 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-240
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Andrew Brooks
1499 Clemson Ct
Eagan MN 55122
(320) 583-5692
K & S Heating, A/c & Plumbing Llc
4205 West Hwy 14
Rochester MN 55901
(507) 282-4328
Applicant/Permitee: Signature Issued By: Signature