1510 Clemson Ct
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CITY OF EAGAN
• 3795 Pilot Knob Road Eogan, MN 55122
PHONE: 454-8100
BUILDINCs. PERMIT Receipt #
Te 6e uaed fer - Fe* V.,6 m 11.,re
Site Address Erect ? Occuponcy
Lot Block Sec/Sub. Alter p Zoning
Parcei # Repair ? Fire Zorae
Enlarge ? Type of Const.
W Name lvtove ? ?' Stories
3 Addres s Demolish ? Front ft.
0
Ci
Pfione Grade ? Depth ft.
'F Nnme _
Address
Name _
Address
I hereby acknowledge that I have read this npplication und state that
the information is correct and ogree tn comply with all appiicable
Stote of Minnesoto Statutes nnd City of Eogan Ordinances.
N° 6655
Fees
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit
Surchorge
Plon check
SAC
Water Conn.
Wuter Meter
Road Unit
Total
Signature of Permittee I
A Building Permit is issued to: on the express cor?dition thnt
all work shall be done in accordance with oll epplicable 5tnte of Minnesota Statutes ond City of Eagon Qrdinances
Building Officicl ?
Pomit # peh hnad hnaNtee
Plumbing ?2 . E -l! -87 (..jF 0 ..? [ , ?
Mechnnical ,,2..5 •
OSS ,? =
` o(a 3 -7 'c-K
INSPECTIONS DATE IIJSP. Rouph-In Fincl
Footing5
J Date Inap. Date Inap.
Foundntion Pl mbilng
Mechonitol
Final
Remarfcs:
(grr#ifiraft uf (Orrupttrcrg
Citp of Cagatt
Eepttr#menf of Buildmg 3nopprtinn
This Ctrtificutc rs.cued Pur.ruunt to thc requirementa of 5ection 306 of the Uniform Building
Code certifying thrtt at tix time of itsuanct tbis rtructure war in cmnplrance with the varlous
ordinancts o f tht Cit y rtgulatirtg building conttruction or rue. For the f ollouang:
U.,c,,,ific.tim Single Fami1Y Dwg./Carage lMa8.rarrrda No. 6655
o?.P..7 TYP. -+?-TyP. CmswctiaaFirc Zooa blA- 2onipg Dirtrict B„i
O,nerofBufldin6 Sunshine Conet. ,?aare= 1017 E. 157th St., Aurnsvi
DiMing Addm, 1510 Clemson Ct. ,.=,,,,Y Lot 17,Block 1,Thomas I,ske
???G ?? .?`?.vs-?''??_ By
Bu,dinea,rmc,, ? D,,e: August 7, 1981
'pfT IM w CONBlICIIOU9 P?G[
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fae
Fi11 rn numbered spaces S/C
Type or Print legib/y
Tot.
T
1. Date • 2. Installation Cost
3. Job Address Lot !- Blk. Tract -
4. Owner
i
5. Contractor/. , ?, •. f?rC <1x. Phone
. ? ; F.
8. Address
7. City : .',; State / //+'! Zip =~ =? 1/' 1 1
8. Building Type: Residential .13 Commercial ? lnstitutional ?
9. Work Description: New p Add ? Alter O Repair O
1 10. Describe
1 11.
Fuel Type '?? %• ?''? ?
No.
' Eauioment STU - M. Ea.
Forced Air No. Equipment CFM
Ai
Handli
:
Mfg. r
ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg.
Air Cond. Other
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed : for
' Raugh Final
Inspections: Date Insp. Date Insp.
,
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
?
Recaipt PLUMBING PERMIT Permit No.
CITY OF EAGAN ?
Fee
Fill in numbered spaces S/C
Type or Prini /egib/y ToL
1. Date 2. Installation Cost .
3. Job Address Afr Lot_r7 Bik. Tract
4. Owner -
5. Contractor: ' Phone
6. Address
7. City State ? Zip -
8. Building Type: Residential 0 Commercial O Institutional O
9. Work Description: New 0 Add O Alter ? Repair ?
1 10. Describe
1 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.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
' Rough Final
Inspections: Date Insp. Date Insp.
. This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
t j
CITY OF EAGAN Remarks
Addition 'r'Remaa T.ak HPlgh'tQ Addition Lot 17 Blk 1 Parcel #10 75950 170 nl
owner a)il ii;;f ?_r • C._ ?_!:;q C0 :• treet 1510 Clemson Court state Eagan, MN 55122
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW tRUNK / 993 alr?
1
* SEWER LATERAL 1981 J/ o $ 1
0-15-81
.
WATERMAIN
* WATERLATERAL 1981
WATER AREA 1 7 /''Q,?,pL
STORM SEW TRK 0_ _8
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC 24677
PARK
V CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
, , . 1; :i' ,,S.t t:l
i t{I:hlil', ( KF.f. iiF f c.,ti ('-;
(I( '.( ,Rii'7 FioM
iifi i I i) r N};
0 3 :, 1 .z r1
Hf?/N! /4-)H
i Ili
A1 1fkF+T (?
k f: `: ! f?C
PERMIT TYPE:
Permit Number:
Date Issued:
T.`.eO"'.l / -?1 'RI 1.
17 til 0r r. : : APPLICANT:
? t?.,l?`l ?s:?i•:??1ceH
PERMIT SUBTYPE: TYPE OF WORK:
.
Permit Nolder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRFIGATION
METER
FLUSH
MAINS
CONDUrTIVfrv
TES7 •
HYpROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
I ?
RHC6IVED
CASH RECEIPT
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
' CITY OF EAGAN
3795 Pilot Knob Raad
Eogon, MN $5122
vv:1' Zoning: -?
DATE t9
AMOUNT $ I
0 CASH ? CHECK
DOLLARS
I oo
FOR
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
LJW f1C1 :
Address:
Site Address:
Plumber:
Meter No.:
Size:
Reader No.:
1 ogroe to eumpy with the Citp of Eagan
Ordinanees.
Sy
Dafe of Insp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surchorge:
Misc. Charges:
Total:
Date Poid:
cin oF. EAGAN SEWER SERVICE PERMIT
8795 Pilot Knob Road PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: No. of Units:
Owner: -
Address:
Site Address: -
Plumber:
N ayree !o eempfp wieh the Citp of Eogon
inanees.
a.,
ffpate af I nsp.:
Thank You Insp.:
BY
White-Payers CopY
Yellow-Poeting CopY
Pink-File CopY
Connection Chorge:
Account Deposit: _
Permit Fee;
Surcharge:
Mist. Charges: -
Totol:
Dote Paid:
0 8 0
K
?
??1,7 ?.
Requesl Date Fire No. Rough-in Inspecyion
Required?
?Vheady Now o wiu Nony mspecta
G Yes Wbe" Ready?
I :1 licensed contractor p owner hereby request inspection of above electrical work at:
Job Adaress (Sheet. Box or Route No.)
Z
1' Ciry
AaL
L
&_ ""'a K r4 • ' /
Searon Na. TownsMp Name or No- Renge No. Counry
OccupantlPRINTI
? 74f.
o"` Phone No.
POwBr Suppher
D. ? qddr955
Elec[ncai Contrattor ICompany Namel
DALE FRANKE ELEC, 1NC Cornrac14r? l,?y?p.
??/1 WRS?iZ
Mading Atloress (Contractor or Owner Making InStaIW[anl
12803 FLORIDA LANE
APPIF VALLEY MN 55124
Aumorized Srtur iCo reclorOwn Making I taliatron) Phone ;??3?
•h7 'W
MINNESOTA ST ETA BOARD OF ELECTRICITY
Griggs-Midwsy Bldg. - Room 5173
1821 Universky Ave., St. Paul. MN 55104
Clwne (812) 642-0800
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTEO BYTHE STATE BflAAD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
/D/j?-:2-- REGIUEST FOR ELECTRICAL INSPECTION TS'°`??a ee-00001 -0e
See insiructions br comple4ng this torm on back oi yellow copy.
K t
?
p
1 O-?DO X" Below Work Covered by This Request
Nevw Add Rep. TypeolBuilding AppliancesWired Equipmentwred
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
I Other (syecify) Contraclprt Remarks: ?
Compute lnspect;on Fee Be/ow:
# Other Fee # ServiceEnt nceSize Fee # CirouitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps A6ove 100 Amps
Signs Inspectort Use Ony: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD ED ONNECTED IF NOT
Other Fee COMPLETED WfTHIN 18 MONTHS.
I, the Electrical Inspector, h9rQby
certify that the above inspection has
been made. Rough-in
F;nB, ,, ?,
' oate
pete ?„ ? y
oFMe use 3NLr ` _ - '-?1•+.
ThiS request voW 18 mOnths kom
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
j} 3830 PILOT KNOB RD - 55122 ?
651-681-4675 70. w
NewConsiruMion Reauirements RemodellReoairReouiremeMs
• 3 regislered s'de surveys showing sq, ft. of lot, sq. R. of fwuse; and all roofed areas • 2 copies of plan 7??7-0I
(200% maximum lot coverage allowed) • 1 set of Eneryy Calculations for healed additions
• 2 copies of plan showing 6eam 8 window sizes; poured found design, etc.) . 1 site survey for rxtenor adddions & decks ?
1 set of Energy Calculations • Indicate if hwne served by septic system for additions
• 3 copies of Tree Preservalion Plan if lot platted after 711/93
• Rim Joist Del2il Optians selechon sheet (bldgs with 3 of less units)
DATE VALUATION
JOB SITE ADDRESS 15(0 C L,19l`iiSa N Ct . r?A6AN r MN 22-
IP MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER Se-c'TT MEr-CACF
TYPE OF WORK MQc1-- I l=eoTtA[Cs 5 FIREPLACE(S) ?0 _ 1_ 2
APPLICANT sCC 1T h/LETrA(IE PHONE#
ADDRESS ISPa C[.E/ti156i4i er lrl4Gl+?; /'?1l ZIPCODE ?2Z
PAGER # I0I2 GdrO 1686 CELL PHONE #tPLL? 4Q2 14% 9169 FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Sut
- Energy Envelope Calculations Submitted
_ MINNESOTA RUI.ES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing 5ystem Includcs:
Mechanical Contractor:
Mechanical3ystem Includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery Syslem
Phone #
Phone #
Fce: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this appiication, state that ?nformation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eag Ordi ces.
Signature of Applica t ?,1??
Certificates of Survey Received _ Tree Preservation Plan ' ed _ Not Required _
Updated 1101
Water Softener
Water Heater
No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Batlis
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 07 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex I)r118 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 6ct. Alt - Multi
? 33' Ext.Alt - SF
? 36 Multi
?D 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindoarslDoors
? 34 Replacement *Oemolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 1,?062 0612 Occupancy X-,3 MC/ES System
Census Code ?,T Zoning '0 City Water
SAC Units /7 / Stories Booster Pump
Nbr. of Units _L Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const ?--? W idth _
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
T Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing-
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding SNcco Stone
_ Windows (new/replacement)
Approved By 1W , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Final/CO.
FinaUNo C.O.
_ Plumbing
HVAC
RESIDENTIAL
BUILDING PERMIT APPLICATION ? 3 ?
CITY OF EAGAN U
3830 PILOT KNOB RD - 55122
? 651-681-4675 Ca I f ecl
New Conslruclion Reouirements RemodellReoair Requirements
• 3 regislered sde surveys showiig sq. ft. of bt, sq. ft of house; and all roofed areas • 2 copies af plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculahons for heated addi6ons
• 2 copies af plan showing beam & window s¢es; poured found design, etc.) • 1 site survey forexterior additions 8 decks
• i set of Energy Calculahons . Iridicate if home served by septic sysfem for additions
• 3 copies of Tree Preservation Plan if lot plalted after 711193
• Rim Joist Detail Options selection sheef (bldgs with 3 or less units)
z?a31o1
' 1 ' Y '
DAiE fl?27D 2Z ' ?DD ( VALUATION (EXCLUDING LAND)?w 1c9c9C7
JOB SITE ADDRESS 1510
?,uYi?j?.5 C1T.
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERiY OWNER JC!d3'f7 09?( eAl _
TYPE OF WORK ? 54,r-? '?b(l,Cp{- a) 2,1L1g7'(4? 6Jubt}'ft0#REPLACE(S) +i6 _1 _2 _3
APPLICANT JE1VN? KU,--r-FEC1?i4-IJ PHONE# GV' ySZ.-Eq?7
ADDRESS l?OZ C43h^-?'1rt5 C.°.X^, EA(`9A9J 64U . ZIP CODE S-'? / 2-Z-
PAGER # CELL PHONE # Cal?i &3(4 -,5 ZSS- FAX #
NIE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7672
Plumbing Contractor:
Plumbiiig Syslem Includes:
_ MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Cafegory 1 Worksheet Su
- Energy Envelope Calculations Submitled
- New Energy Code Worksheet Submitted
Phone #:
WaLer Softener Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of 13alhs
Mechanical Contractor:
Mechanical System Includes:
Air Conditioning
Heat Rccovery System
Phone #
Sewer/Water Contractor:
Phone #
T IID'
Fee: $90.00
P'ee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the informaTion is correct, and agree to comply with
all applicable State of Minnesota Stotutes and City of Eagan Ordinances.
Certificates of Survey Received
i
Signature of Applicant
Tree Preservation Plan Received _ Not Required _
Updated 1/0Y
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Paal
W 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 E#. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
ti
V
l 1 ?lU(J O MC/ES S
t
a
ua
on ccupancy em
ys
Census Code X!3 y Zoning City Water
SAC Units ? Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const -?-? W idth
_ Footings (new bldg)
Footings(deck)
Arj Footings (addirion)
? Foundation
Drain Tile
Roof _ Ice & Water _ Final
X Framing
Fueplace _ R.I. Air Test Final
? Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
_ HVAC
_ Other
_ Pool Ftgs Au/Gas Tests _ Final
_ Siding Stucco Stone
_ Wuidows (new/replacement)
Approved ByBuilding Inspector
------------------------------- --------------------------------------------- ------------
?
?3,?a?°?
?' r ? 7 I?ITY OF EAG?? ' Include 2 sets of plar;:,
I ? 1 site plan w/elevatiors &
BUILDING PIIZNIIT APPLICATION 1 set of energy calculations.
Zb Be UsPd For .A-, ,,,,s? vaiuation `?6 i?6o D Date ''hkrr- Y i 9,P!
Site Address: 116 t'? -- Ca.-..-.- , i
I,ot l7 slocx j sec./sub.
?i
Parcel #: J// ??,?hd
r
Owner: ,,L-y-
Pddress: /o /7- K--'? ! 5-t
City/Zip Code: (? L?..,,RQc 55337
Phone #: 6 5-3 J"
Contractor: 10-...L c'J
Pddress:
City/Zip Code:
Phone #:
.(
11
. .
Arch./Ehg.: pU? Pla-, jg,w-^-
Address: 71 3v-
City/Zip Cocle:
Phorie #: y3a.-2vvy
OFFICE USE ONLY
srect h oCcUPancy
Alter Zoning
xegair Fire zone NA
Enlaxge _ Type of Const.
Nbve # Stories
Dennlish Front ft.
Grade Depth S? ft.
APPROVALS FEES
5? p-?
?
?
?
Assessrents Pennit (r
0
-?-
Tnlater/Sewer Surcharge Idl
Police Plan check A 3 ?
Fire SAC SaZS Cap
Enq, Wates Conn. '26?
Planner Water Meter (od
Council Road Unit ds
Bldg. Off.
APC - -
TOTAL 75'
?
CITY OF EAGAN
3795 Pilot Knob Road Eagen, MN 55722
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt #
T. 6e umd fe, SF DWG/GAR Fc4. Vnlue 68,000 DMo
$ite Address
Lor 17
Porcel #
Block 1 Sec/Su6. ?cn-as Lake xt''
10 75950 170 01
N4 6655
aP6077
Erect 0 Occupancy R3
Alter ? Zoning Rl
Repair ? Fire Zone NA
Enlarga ? Type of Consf. V
Move ? # Stories
Demolish ? Front 54 fr.
Grode ? Depth 52 ft.
Aporovab Fees
w Name SLll1S1'L7S32 C.'OT15tTl1Ct.1017 C.'O.
3 Address 1017 E. 157t11 $t.
o __ Burnsvi. le 435-6535
p Nome _
??
u Address
? r?...
Name
I hereby ackrrowledge thot I have reod this application and state that
the infortnation is correct and agree to comply with oll applicn6le
State of Minnesofa Statutes and City of Eagan Ordinonces.
Signature of Pertnittee
A Building Permft Is issued to: _
oll work sholl be done in occordance
Building Officiol
Woter & Sew.
Police -
Fire
En9.
Planner _
Council -
Bid9. Off. -
APC
Permit 1VV..JV
Surcharge 34.00
Plan check 83.25
snC 525.00
Worer Conn335.00
Woter Meter 60. 00
Rood Unit 1$5•00
Total 1,388.75
.SLIl751'1].rie COILStY11CtlOR on the express condition thot
qI opplieable/ t e of Minnewta Stotutes and City of Eagan Ordinonces.
This. vo,d 7 a?.?
18 montns from
!?" /I'O1 FueNo. T q0oz+'O
Date of is Request
I, as L7 Licensed Electrical Contrac[or u Owner, do hereby request inspection of the above electri-
cal wiring installed at:
?' cicy=?-
Street Address or Route No.
Rang¢ County?
Section Township
1Vhich is occupied by
Is a roughin inspection requiredAon this job? No ?
Yes f0' Ready Now ? Will Call FY
Power Supplier
Elec[rical
No. -
r:
Mailing Address A*2?b °'R? stallation)
r I a
Authorized Signature ° Phone No.
(Electrical Contractor or Owner Makin9 This Installatlon)
This impection request will not 6e accepted by ihe gIM o Oo 0pG°3D QOo p'V State Board unless proper inspectian fee is endosed.
Minnesota State Board of Electricity
- Ronm N191
Bld Eg_00001-02
g.
Griggs Midway
55104 - PFwne 297-2111 ?
1824University Ave.. St. Paul. Minn.
REQUEST FOR ELECTfiICAL INSPECTION ?
?g 40550
?
HhCK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment W OFoi
? ? ? Range ? Temporary Wiring
IJ'
Hc ne ? ? ? ?
lex Wate? Heate[
D LightingF?xtures ?
up
?? ? Dryer 0
Bld Electric Heating ?
g.
Apt.
Commeccial Bldg. ??? Furnace ? Sdo Unloader
0
Conditioner ?
Industrial Bldg. ? ? ? i? List Bulk Milk Tank
?
Farm ? ? ? pthecs
f Otheis?
Aere
.,...e. rl ? ? Heie
Otoi
31 ro!
Above
Remarks TOTAL FEE
I, the Electrical Inspe'ctor, here cert?fy?he above inspection has been made. g•Q @
? Date
(Rough-in) ? Date
(Final) Off
This request void
18 months from
Minnesota SWte Board of Electricity
Griggs Midway Bldg. - Hoom N191
1821 University Ave., St. Paul, Minn. 65109 - Phone 297-2111
REQUEST FOR ELECTRIGAL INSPECTION
/`L]G!`Y RFT nUI Wl1RY f`l1VFRFTI RV T!-IIC 8FI11iFST
Eg-00001-02
T 40613
Type of Building New Add. Rep. Check Appliances Wired Foi Check Fquipment Wued For
Home
Duplex
Apt. Bldg.
Commexcial Bldg.
Industrial Bldg. EV
?
?
?
?
? ?
?
?
?
?
? ?
?
?
?
?
? Range
Water Neater
Dryei
Fumace
Aix Condi[ioner
)
Lisl ?
?
[V.?
? Temporary Wiring
LightingPixtures
Electric Hea[mg
$ilo Unloadee
Bulk Milk Tank
List ) ?
Q?
?
?
?
Faxm
Othei
?
?
? }
p
HeielSl p
}
Hehel$)
f`nhADIITF IAICPFf TIl1N GFF RFI (1W
Service Entcance Size: x Fee Feedeis& Subfeedera: # Fee Crtcuits: # Fee
0 ta 100 Am s. 0 to 30 Am eres 0 to 30 Am exes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am ces I>A
Above 200 Amps. Above ]00 Amps. Abave 100 Amps.
Transfonners oteControlC?rc. partialorotherf
Signs S e ial ins ec[ion Minimu e$5.00
Remazks - TOT FEE
I, the Electrical Inspector, hereby certify a he is¢ectio has be ? o O
(Rough•in) c . / ate ? .- 2`?
(Final) Date l [ r (O -F/
Vt,
1'his request void
'
18 months from
7r1 Ll7i 1341 `Tti. LakE N4--i
This request void
18 months from 40613
`
Date ?of t?is Request Fire No.
I, as L?'Licensed Electrical Contractor L70wner, do hereby request in? tion of the above electri-
cal wiring installed at: 5-10
? City
Street Address or Route No. ?
Section Township Range County
1Vhich is occupied b} ? 01 1 ' )
(Na o occuoanc)
Is a rougliin inspection requued n this job? No ? Yes ? Ready Now ? Will Ca11 C?
;0
7 f
v?
Power Supplier ?re s ..-.
? ,l\
- J4,4021
Electrical Contractor + ?- a;_ ? ').ZEontractor's Lice se No.-
°?' '
4::2-5036
Mailing Address (' A cri `t (Eltttrltdl Contfddof or Owner Making TN51 st Ildtl )
Authorized Signature Phone No.
(ElectNCal Contractor or Owner Making Th1s InsSallaSlon)
„?? D O??D ???? This inspection request will nat be accepted by the
1??1 U Stete Board unless proper inspection fee is enclosed.
??l`il
4;ERTIFICATE OF SURVEY FQR
DUNN & CURRY REAL ESTATE MANAGEMENT* INC.
CL FM
- --?' SO
w 919 9? A,
916.5x91, 463 ,Y
?OOs6 g9 ? CDU
9 0/.. RT
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? ?? \ 920.1 4c?2v 68g 9/9.7
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PUNCH MAFtK IN \ EWALK 9/7¢ n?
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906.6 y
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`? ?•? N j \
Rev. 4-29-81 to show ?`.'?.n
buildin4 aa staked Q\V•
LEGAL DESCRIPTION ,
? SCALE : 1 INCH = 40 FEET
LOT 17, BLOCK I, THOMAS LAKE HEIGHTS, :902-9
ACCORDING TO THE RECORDED PLAT ' APPROVED FOR DUNN & CURRY REAL
THEREOF, DAKOTA COUNTY, MINNESOTA ESTATE MAb1AGEMENT, INC.
I HEREBY CERTIFY THAT THZS SURVEY, 1 BY:
PLAN OR REPORT WAS PREPARED BY AIE OR i DATED THIS ? DAY OF ? 19?
UNDER MY DIRECT SUPERVISION AND THAT I ?
AM A DIILY REGISTERED LAND SURVEYOR W1Sf-- 4DL?' ?? ?* BP04Q
UNDER THE LAWS OF THE STATE OF 'TWM"40L0F'efMK
MINNESOTA. Vmrf 60LcFc-> VVvm LaI?leLa?-I
DATED THZS Z IsrDAY OF ?? 1981 ?,,,aPp- NOTES
. ?`?,TM
SIGNED: JAMES R. HILI? INC. + 100.0 DENOTES EXISTZNG ELEVATION
*(100.0) DENOTES PROPOSED ELEVATION
* PROPOSED GARAGE ELEVATZON = 921.0 FEET
? /???,??C U ,??,.,_I * PROPOSED TOP OF FOUNDATZON
ELEVATION = 921.5 FEET
HAROLD C. PETERSON, LAND SURVEYOR * pROPOSED LOWEST FLOOR ELEVATION=qt4.l FEET
MINNESOTA REGISTRATION NO. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL; INC.
80207
80208 •
22?6 - Planners / Engineers / Surveyors
.
FILE NO.
8200 Humboldt Avenue South
FOLDER Bbomington, Mn. 55431 812-884-3029
, .`
• HAPPINESS
`?? ??w ' • yOf'F SUNSHlNE CONSTRUCTION CO¦
ADDITIONS NEW CONSTRUCTION REMODELING
? DON JOHNSON 435-6535
y BOB FOSS
:April 28, 1981
' ?
*a^
I
Hoberts Architects
4941 France Ave. So.
Minneapolis, Minnesota 55410
`
L()T 17 BIACK 1 THUMAS LAKE HEIGHTS
7510 CLEMSUN COURT
Roof Color - Brown
Soffit and Fascia Color - Brown Alwninum
Sicli.ng Color - Levee
..
?
DJ:ksp'.
1 ,
,
Thank. ou,,
llon J son
SUNSHlivd CONSTRUCTION C0.
.?
CITY OF EAGAN PERMIT
3$30 Pilbt Knob Road PERAAIT TYPE: s u z LoIN G
Eagan, Minnesota 55122-1897 Permit Number: 032134
(612) 681-4675 Date Issued: 0 6 J 01 J 9 8
SITE ADDRESS:
1510 CLEMSON CT
LOT: 17 BLOCK: 1
7HOMAS LAKE HEIGHTS
P.I.N.: 10--75950-170-01
DESCRIPTION:
RE-SIDE
RuildiMg„Permit Type
rBuilding Work Type
r'Census C o d e SF (MSSC.)
ALTERA7ION
434 ALT. RESIDENTIAL
i: .-??`?-?"'?S. •_ r -°:..i? ..?
;i
REMARKS:
FEE SUMMARY:
VALUA7ION $70000
Base Fee $124.75
Surcharge $3.50,
Total Fee $128.25
CONTRACTOR: - Applicant - sr. LIC OWNER:
GREA7 LRKES WINDOW & SIDE 16913400 2005042 METCALF SC077
6098 , LtlWER 161ST ST 1510 CLEMSON CT
' ROSEMOUNT MN 55068 EAGAN MN 55122
(612) 891-3400 (612)456-9177
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ofi Mn.
Statutes and City of Eagan Ordinanoes.
? '.
?
?1?Bn
?? APPLICANTlPERMITEE SIGNATURE ISSUED eY: SIGNATURE
321 3? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?? 2g 2S
_ CITY OF EAtiAN
" 3830 PII.OT KNOB RD - 66122
681-467b
New ConatruGian Reauirements RemodeUReoair Requiremants
? 3 registered sile surveys
? 2 copies oi plans (InGude heam & window saes; poured fid. design; etc.)
? 1 energy wlalatlons
• 3 copies of tree preservation plan 'rf lot platted after 711193
required: _ Yes _ No
DATE: A/ ? 9 8
DESCRIPTION OF WORK:
? 2 copies of plan
? 2 ske surveys (exlerior addftions 8 decks)
? 1 energy calaleGons for heatad addRions
$ .
CONSTRUCTION COST; ?o ?9 o b /?c
., .
STREET ADDRESS: /S / U CJ?-e-.--?r-- C-?(-
IYOT: 1 ? BLOCK: SUBD./P.I.D. #: ?
Name: V'?.o--x{_ S-- ? Phone #: VS-L-1 I 7 7
PROPERTY Lasc 14 Fim
OWNER ? nn
Street Address: CA-
City ? State: ??- Zip: S S) 2, Z
Company: "j "s'9`r Phone
CONTRACTOR
Street Address: 6n o % -.-7 License # ;?00
City
ARCHITECT/
ENGINEER Company: Phone #:
Registration #:
Street Address:
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip: .$- S-0 (? --?
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree ta comply with all applicab!
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appliqnt:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No _ Not Required
State: A\--
Stafe:
OFFICE USE ONLY
BUILDING PERMIT NPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
O 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New O 33 Alterations
O 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi RepaiNRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee /074,75
Surcharge 3fso
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies _
d?
Total: /,28
Vaiuation: $ ?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
% SAC
SAC Units
j S? S 9 ? ?' S?; 5 ? !? ?
?
?`'{°
. :?' :???;?'?? Ta•?+??tl+nvsE , : .?X,ez.? ?' S Ltc 4ct h N-6T
HEF.T IOSS CALCULqT10NS HEATING&AIR CONDITIONING COA04"" MINNEAPGIIS, MIP1N.
Woatherstrips A.S.M.V.E. CorWtrUetipn No,' ' Insulation
NTinJows Daors Guide
Referance Out. Well Int. Wall Ceiling Rool floor Kird How Applied
Yes-NO Yes-NO ly-
-
Length ';Z, Width 12 Heipht t il. mMY oom Length p -N4dFh .`,ti HBigh4 ?
YJi ndows a nd Doors- Cracka pe and Ar ea Windows a nd Doas- Cracka ge and Are a
No. W, drh
al antl HeiOht
o} ena Na. 01
h hta Lineel fp
al r ck Area
a0• ?t•
,
NO.
ol ane Ho?pht
of ene Nn. of
1. Ms L?neel I1.
of crack Area
sY• 4,
1 Ei 2 1 1 2 21
2 b 1 1
?
Coef Btu Coef ew
Infiitration Infiltration ' 2 1 .? f,, ? --
Glass 2q -sIni Glass
-
Exp. wall X Exp. wall IQ 7% ?`
Net exp. wall 2 9. 1 9 ? Net exp. wall ?,-
-19R""Gr3tF oaY' i tt7 22.2 Int. well _
ceiun9
06
ceiiinq
Floor . Floor
Total Btu, Totaf Btu. ' -
Required sq. ft. E.D.R. or sq. ins. W.A. Leader Bree Required eq. ft. E.D.R. or sq. ins. W.A. Leader area
-
-,
FL 1NlH Roan Leneth ? Width Height ?
FI. ?e, ?Flt(?„ttom Le?gth ? s Width IHeigM
Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea
No, Mtlih
af a. HeipM
o/ ena No. 01
1? hte U.eei h.
of cl c Area
. qt. '
No' yy ??h
o
l
ene Hx?pht
n/ anu No. u?
li ?hts Lmeal h.
of c.ack Alea
s4 h
. .
tl" ?
l C
i.
Coef Btu Coef Btu
Intiltretion 224? InfHtrotwn 21
Glass 50 Qd (? GIas6 I i •
Exp, walt -40G Exp. wall
-
Net exp, wall 1 ? Net exp. well
.00 -'??
Int. wall ' Int. wnll ?
Ceiling Ceiling
Floor Floor ") -1„
Totel Btu. S 70tei dtu. a)' !rL
.x_
Required sq. ft. E.D.R. ow aq. ins. W.A. Leadar areu Required sq. ft. E.D sq. in A. Leader area
q FI ;',? Room Length I? Width I Neight ? FI. R 't ength Width 1-10,ia1a
Pdi ndows a nd Dows -Cracka ge and Ar ea Wi ndows a nd Door -Cracka ge and Ar ea
NO w, dM
ol ana He,ahl
of nna No. 01
h h1s Lmeal f6
of cr k A-ea
3. R.
N?'
uf n
uf Onne
b h?s t"naal it.
of crack Area
sq. R.
-..-
Coet 8 tu cuet _ Is t u_
Infihrat?on Infiltrntion
Glass Glass
E.p. wall EzP, wxll
Net exp. wall Net exp. wall
--
---
-
--Int. wall Int. well
C6iling
'Roor^J-- - fIcwr - . , .
' Total Utu.
I Total Btu.
II He??unr,J sq. f[. E.D.R. or sq. ins. W.A. leader area y O Required sq. ft E.D.R. or sq. ins. W.A. Leader area ? Y ,
HEAT L0.SS CALCULATION$
HEATING&AIR CONDITIONING CO. MINNEAPOLIS,MINN.
WBather6trip8 A.S.H.V.E. ConstruCtipl Np.!'r,:' ' Insulation ^
1Arr,dows Doors Guide
Referenca Out. Wall Ilrt. Well Gilfn ':
9 "Rpol Flpor Kird How Applied
Yes-No Yes-No 19- . ,
',FI. .' Q Roan Length Width Heipht FI. Room Length Width Height
YJi ndows a nd Doors- Cracka ge and Ar ea , Windows a nd Doors- Cracka ge and Are a
N. W,rhh
ni
p
nne Neiohl
of oa?a No. ol
4
hcc lineel 1[.
of cra k Area
sa• fl.
No' W?elh
ot an He'pbt
of !ne Nn. of
h hts Linael h
of cra k Aren
aq. 0.
L
, 3 2 ry
Coef Btu Coel Btu
InfiltraLOn 1 13411 7(D6 lefiltratipt
Glass 561 ZW Gless
Exp.wall Exp.wall
Net exP_ wal l ? 2Afg, Net exp. well
1n[. wall Int. well
Ceiiing Celling
Floor FIOOr '-
7otal Btu. Totel Btu.
Roquired sq. It. E.D.R, or Sq. ina. W.A. Leader aree ReqUired ea, iL E.D.R. or aq• ins. W.A. Leader area
Aoom Length ?),,, Width Il Heipht FI. Room Length Widtn _ Hr?r-'.t,--?--?-.
Windows and Doors-Crackage and Area " Wi ndows a nd Doors- Cracka ge and Ar ea
o
?? R'itl?n
of ane He?qhl
o? ane Now of
I. hle mBet fL
L oi tt ck 4rea
. fl.
-
No' W, dth
pf ane H.+. qht
of ana No. ul
b bls Lineal (1.
of crack Area
sa. h.
---
---
Coef Btu Bta
Coef
Infiitl'Ttipn t 11-1 2223 IntlltrAtiOf1
ries5 Oq0 ciass
Exp, rvull Exp. well
Net exp. w II 252 . 1 ( 1 Net exp. wall
__ Int. wall
Ceiling Ceiling
Floor - ]-X I 41 • ? { Floor
Total Bw. Total Btu. _
Requirwl sq. ft. E.O.R. or sq. ins. W.A. Le9der erea Rgquired aq. 1t. E.D.R. or sq. ins. W.A. Leader area
F? i.4 ,?;,ny .r q? LRnBtfi l Wid[h HBiph[ FI, fioom Length Width Height
Windows e nd Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea
NO' Witl, M1
ol ane HeiOh[
of ene No. of
h hta l.neel ft.
ot creck Area
sQ. ft.
NO'
u? an Ni;1q1H
ul nnn Nn. nl
li hts Lineal 1t.
of crack Area
s0• rt.
Coef Btu Coef em ^
Inh I[rah on Inf i Itfat iOn
Glass Glass
Exp. wall Exp. wall
Net exp. wall Xp Net exp. wall
Int, wall Int. wall
Ceiling . . Ceiling
Floa 7?.'1 g! 7• - f kxx
TotalBtu. ' TotalBtw -
Nequired sq. ft. E.D.R. or sq. ins. W.A. Leader area ` Roquired 6q. It. E.D.R. or sq. ins. W.A. leader area
LOT: I? BLOCK: I SUBD./P.I.D #: 6ml#s
. 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
a?--
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•881-4675
C? dU
Remodel/Repair Reauirements
2 toples of plan
1 set of energy calculatlons for heated additions
1 sRe survey for exterfor addi}lons 8 decks
New Construction Reauirements
? 3 registered site surveys showing sq. R. of lot, sq. ff. of house
and all roofed areas (20% maximum lot coveraae allowed)
D 2 coples of plans (show beam 8 window sizes; poured ind. des(gn; etc.)
? t sef of energy caiculaftons
? 3 coples of hee pre:ervation pian H lot platted affer 7/11/93
? Rim Joist Detail Opftons selection sheet (buildinas wMh 3 or len uniFsl
DATE:
CONSTRUCTION COST:
0 3000 .,.,a
??? . I
DESCRIPTION Of WORK:r? ?32a? IAJC,S ?02 S1-A6 s'bgVZV N muNi-family bldg., how many units?
STREET ADDRESS:
PROPERTY
OWNER
Name: M(5-F?AC..r- 6(.0-r-1- Phone#: CD?7?
Last Flrst
Street Address: ( S ? V ll.?GYVl .56N LTi
City PkC9 R&J State: Zip: '5t? I Z2-.
Company: AieF'-61 _i-4/4!J Phone#: blZ L03?
(area code)
CONTRACTOR p? ?t
StreetAddress: ?CD ?? CJ''VAS?D+? C-n License# Exp.
city ?-4?Anl UAO `a state: [`?.?? zip: 5111 2.2
ARCHITECT/
ENGINEER
Telephone #: (
Sheei
Clly
- Name:
_ RegishaflOn M:
Stafe: Zip:
Sewer/waterlicensedplumber(ifinstallinasewer/water): Phone#: L?
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:?
t
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY
..-.??r
NO
_ No _ NotReq iredOCT 2 d 2000
Y:
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 E#. Att - Multi
O 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex O18 Deck F o ??S S
y ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
,1!(31 New O 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
O 32 Addition ? 36 Move Bldg. ? 43 Reroof O 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bidg)' ? 44 Siding
? 34 Replacement O 38 Demolish (Interior)
• Demolition (Entire Bldg only) permit - Give PCA han dout to applicant
VALUATION 30 0 fi U Occupancy 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 Width
INSPECTIONS REQUIRED
51.6
X Footings: TsIW033W _ Insulation _ Windows - new/replacement
? Footings: Deck _ FinaUC.O. _ Siding
_ Footings: Addition _ FinaUNo C.O. _ Stucco/Stone
_ Foundation Fireplace: _ r.i. _ air test final Roof: _ ice & water _ final
_ Framing Pool: _ frgs _ au/gas [ests _ final
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
Building E G Engineering
• ?5
Variance
r,ERTILtCATE OF SURVE.Y FOR ?
. Dl1NN & CURRY REAL ESTATE MANAGEMr-NT. tNC.
?
?
(9)
M
N
1 '
? f
/
C L FM
_ ? sO
A.
w 919 9? i`
?
9165,
R`
919.4 4' ?0 :.99 CO
_ -, 3?z96o,., ? ?RT
420.1 4rl2e 6899 9197
5,?4 9'38. o
o 9f4.7
s?? 920.3
? xC9pp
F9V93 (9z,0) o aR. 9i ,
? 36 9/vx rya/4 p? 90
a .
? IaRO?'0
?USESf?
? i o o? >?n
s?
\ , V
\ t
7\\,906.6 9069
p J1 o o cplo
Rev. 4-29-81 to show .^ ? Ay
buildin4 a5 staked Q\V•
90
LEGAL AESCRIPTION
?
?
v
m m
?" 9p
,
`
LOTi7, BLOCK I, THOMAS LAKE HEIGHTS;
ACCORDING TO THE RECORDED PLAT `
THEREOF, DAKOTA COUNTY, MINNESOTA
Z HEREBY CEI2TZFY THAT THIS SURVEY,
PLAN OR REPORT WAS PREPARED BY ME OR
UNDER MY DIRECT SUPERVISION AND THAT I
AM A DIILY REGISTERED LAND SURVEYOR
UNDER THE LAWS OF THE STATE OF
MINNESOTA.
DATED THIS zISTDAY OF Ta? 1981.
er'oi
/o`o/
I I
?
N
SCALE : 1 INCH = 40 FEET
„_ _..
APPROVED FOR DUNN & CURRY REAL
ESTATE MANAGEMENT, INC.
, BY : ?( X? rVZ/lf
1 DATED THIS ? DAY OF MXT 19?
wte tmoF: 1.v?po- CYeouM aNeJMO
-(f-'iM GAOR °' IDFGNN
Ve"Y'f CoxE5 WaEI ILTI?,eLa.-r-1
/??{,?.• NOTES
?.., r.,
SIGNED: JAMES R. HIL INC. * 100.0 DENOTES EXISTING ELEVATION
*(100.0) DENOTES PROPOSED ELEVATION
PROPOSED GARAGE ELEVATION = 921.0 FEE'I
°? ?EIj ?? C U J * PROPOSED TOP OF FOUNDATION
ELEVATION = 921.5 FEE7
HAROLD C. PETEASON, LAND SURVEYOR * pROPOSED
MINNESOTA REGISTRATION N0. 12294 LOWEST FLOOR ELEVATION=q14.1 FEE7
PUNCH MARK IN SIDEWALK
PROJECT HO. BOOK / PAGE JAMES R. H1LL, INC.
80207
80208 •
22/6 Planners / Engineers / Surveyors
FILE NO.
8200 Humboldt Avenue South
FOLDER B{oomington, Mn. 55431 812-884-3029
LOT: ? BLOCK: SUBD./P.I.D #: aiftQg C Ripioik
2000 BUILDING PERMIT APPLICATION iRESIDENTIAL?
CITY OP EAGAN
3ql?' 3830 PILOT KNOB RD - 55122
851-681•4675 SYm
New Construction Reauirements ?
? 3 regfsfered site suneys showing sq. ft. of lot, sq. ff. of house
and all roofed areas (20%, maximum lot coveraae allowedl
? 2 cop(es of plans (show beam 8 window stzes; poured ind. design; efc.)
? i set of energy calculations
D 3 copies of tree preservafion pian H lot platted affer 7/1/93
D Rim Jolst Detatl Opfions selection sheet (buildinas wHh 3 0r less unNsl
DATE: 140 ' Z3 - c40
Remodel/Repair Reauirements
2 coples of plan
1 set of energy calculations for heated additio:0000
1 site survey for exterior addlfions 8 decks CONSTRUCiION COST: . Sr_
DESCRIPTIONOfWORK: ?SN7????^ A_-04(4 ?XlQW NmuHi-famllybldg.,howmanyunih?
656F?
STREETADDRESS: fS'/O CL'iFfYiSnx /T ??ACrG}N X?IN( S?S?ZZ
Name: 1-C64Lr" ScvrT- _ Phone#: CflS( 1-150 -lI177
PROPERTY Las+ Firsf
OWNER
Street Address: 1<0 C_l e MSUu ('T
CONTRACTOR
ARCHRECT/
ENGINEER
City ?lACS-A iV State: _a(k? Zip: ?5 r 2?
Street Addr
City _
Company:_
Telephone N: (
Sheet Address:
Clly
Phone #:
(area code)
License # _
State: Zip:
Name:
Registration #
State:
Zip:
Sewer/water licensed plum6er (if installina sewer/water): Phone #: (?
I hereby acknowledge that I have read this application, state that the information fs correct, and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordincnces.
Signature of Applicant -
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
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RECEIVED AUG 2 9 2001
, CERTWICATE OF SURVEY FOR
DUNN & CURRY REAL ESTATE MANAGEMENT INC.
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buildin9 a5 staked 0\V'
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LEGAL DESCRIPTION ?
SCALE : 1 INCH = 40 FEET
LOT 17, BLOCK I, THOMAS LAKE HEIGHTS y :902•9
ACCORDING TO THE RECORDED PLAT ' APPROVED FOR DUNN & CURRY REAL
THEREOF, DAKOTA COUNTY, MINNESOTA ESTATE MANAGEMENT, INC.
I HEREBY CERTIFY THAT THIS SURVEY, 1 BY=
PLAN OR REPORT WAS PREPARED BY ME OR V A1
UNDER MY DIRECT SUPERVISION AND THAT I? DATED THIS I DAY OF ? 19?
AM A DULY REGISTERED LAND SURVEYOR WbeaxcF° Laq?I°? ?ot" 0F&*Q
UNDER THE LAWS OF THE STATE OF 'IWm'40.6?,R,,,'??.p?.,N 1?
MINNESOTA. ?? G?c?.v1 -? W? W1 ?ow0_1
,?- NOTES
.
DATED THIS ?TDAY OF ? 1981 ?
SIGNED.: JAMES R. HIL INC. * 100.0 DENOTES EXISTING ELEVATION
/ z *(100.0) DENOTES PROPOSED ELEVATION
PROPOSED GARAGE ELEVATION = 921•0 FEE
•
L /?y?f?/1 ? ?:?i9'? PROPOSED TOP OF FOUNDATION
? ELEVATIOI3 n 921.5 FEE
HA OLD C. PETERSON, LAND SURVEYOR x pROPOSED LOWEST FLOOR ELEVATION=ql4.l FEE
MINNESOTA REGISTRATION NO. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
80207
80208 .
2Z?6. Planners / Engineers / Surveyor
FILE NO.
8200 Humboldt Arenue South
FOLDER Bbomington, Mn. 55431 812-884-3029
T.,?A -5!-
2004 RESIDENTIAL MECHAPIICAL PERMIT APPLICATION
City Of Eagan
? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/wndos whrn pemuts are required for each unit
DateO:?2 // 7 /
Site Address 510 Unit #
P
t
O Tele
hone # 0J, 7 /
wner
roper
y p
L)?
Contractor
Street Address
s
City
t
St
r N Zi Telephone # ( (0S i) , "0d - &5O2?Q
a
e p
Bond #: Expires:
The Appticant is _ Owner A,-,-contractor _ Other
Add-on or alteration to eaisting dwelGng unit
ment
Additi
l -L-R
l
? f $ 30.00
umace _ ona
ep
ace
air exchanger
airconditioner _New _Replacement
other
State Surcharge L,4
FEB ? ? $ 50
Total
I hereby apply for a ResidenHal Mechanical Pemut and acknowledge that
be conformance wfth ffie ordinances and codes oY the CiTy oi hagan az
pemut, ut only an appli on for a permit, and work is not to start wit
appro d plan in the caspvorNwhicqre9*s a review and approvalp
ation is complete and accurate; that the work wID
Mechanical Codes; that I understand tlus is not a
nit; that the worJc will be in accordance with the
Name
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124360
Date Issued:06/30/2014
Permit Category:ePermit
Site Address: 1510 Clemson Ct
Lot:17 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-170
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Derek Dewitt
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 -
Clareen Metcalf
1510 Clemson Ct
Eagan MN 55122
(651) 283-6463
Dewitt Contracting Llc
8643 321st Ave NW
Princeton MN 55371
(763) 300-8604
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161524
Date Issued:06/01/2020
Permit Category:ePermit
Site Address: 1510 Clemson Ct
Lot:17 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Benjamin Grebner
1510 Clemson Ct
Eagan MN 55122
(612) 749-0489
Brand Company
18650 Revere Ave
Prior Lake MN 55372
(952) 447-4488
Applicant/Permitee: Signature Issued By: Signature