1511 Clemson Ct. . . . ' . ' . . . . . , • , . . ' . . . , , . ' . ? . . . ' .. . . y' .
` CITY OF EAGAN
? ?? ?
1
3830 Pilot Knob Road, P.O. Box 21 199, Eagan, MN 55121
* PHONE: 681-4675
BUILDfNG PERMIT
i
Rece
pt #
To be used for BASFlsENT FINISH Est. Value Date MAR 3 ,1992
Site Address 1511 CI.£!lSOM C?
OFFICE USE ONLY
Lot 2 7 Block I Sec/Sub ?K?$ ?? M FEES
PefC21 N0. Occupancy - ?
35
Z
i .
?. ??rt
N?e V$BII ROtiHOVDE on
ng
(,octual) Const -
.
sueharge
W qddrm i S i! CI.E!ffiOll CT (Albwable) - plan Reviey
?
C? ??N ? ?P ? of Stories
Len
th
??
Phone 683-1938 g
-
Depth _ SAC, City
? Name DOSCO S.F. Total - SAC, Mcwcc
?
AddrM 14710 DELFT A1f' S.F. Footprints
On Site Sewa
e
Water Conn
_
g
aty M8ENOM MN Z'jp 55068 On 5ite weli Water Meter
? Phone 423" 1814 =
Mwcc syst? Accc. o
?sit
8 City Water _
VcensB # PRV Required - SIW Permit
I hereby acknowlege that I have read ihis application and state that the Booster Pump - S/W Surcharge
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and City o( Eagan Ordinances. 7reatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: DOSCO Planner - park Ded.
on the express condition that ali work shall be done in accordance with ail Councii -_
applicable State of Minnesota Statutes and City of Eagan Ordinances.
g?, pff, _ ?
Copies
Buiiding Official
ti ' Variance - TOTAL 35. 50
Permit No. Permit Holder Daie Telephone #
-%w
PLIiMBING
HVAC
ELEcTRi °''
ELEcrRic
inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg. _
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Pibg. Inspeclor - NoGy Plumber
Const. Meter
Engr./Plan
Bldg. Final ?/ ?'j QZ 04e
Dedc Ftg.
Deck Final
Well
Pr. Disp.
BUILDING PERMIT
Site Addresa
Lot 27
Parcel No. -
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E : 454-8100
W Name ?L,C4;1 iiii1i
? Address 1471 TH
City ' ''%CAN
to Name
u` Addre
? City .
Name _
Address
City ,_
Phone
I hereby ockrrowledge that I have read this opplicotion ond state that
the intormafion is torrect ond opEee-to tomply with oll oppliccble
State of Minnewta Statutes ond-,E(ty,et EoQaFi 0rAif}onc*s_,- ,
Slpnature of Permittee `-'
A 8ullding Permit Is Issuad to: oll work sholl be done in accordorxe
Buildirq Official
Stote
4 n Sq. Ft.
Fee@
Permit J _ • 0{J
Surchorge 6' 50
Plon check 1 fi. U D
SAC 525.00
Water Corm. 470.00
Warer Meter 63 • 00
Road Unit 260.00
Total i;1, 832. 50
on the exprcss condiNon rhm
Statutes ond Ciry of Ea9an Ordinances.
N° 8415
Receipf #
Erect 15 Occupancy P, 3
Alter
Re
oir (j
? Zoninfl r`1
Di `
Fi
Zo
p
Enlarye ? re
ne
Type of Const. Vr1
Move 0 # Stories
Demolish ? Length 4 6
Asseument
Water a Sew.
Police
Fire
Erg.
Plonner
Cour?Cil
Bldg. Off.
APC
Permit No. mit Holder Misc. Permit No. Holder
g Y11 ?
O? ??
IRV
3 ?S
ll
Disp.
S?wsr
el.cc.ic Q 0,5? fl Y ?S e-j-, -7 -r6y
Inspection Date Other
Footingt
oun ion
Fnminp
..
RouqF? P16p.
Rouph HVA - ?
. .
Inwlation ?..
A?11
Finsl Plb¢ ? `•?
Final HVAC
Finel
Descri6e Loeation:
E
-
D,,p.
Receipt MECHANICAL PERMIT Permit IVo.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egib/y
Tot.
1. Date 2. Installation Cost
3. Job Address ' Lot Blk. Tract
4. Owner ' //jS Ni NF ('ONSi
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New 0' Add O Alter ?
10. Describe
11,
Repair O
Type
No. Epuinment 8TU - M. Ea.
Forced Air No. EQUinment CFM
Mfg. Air Handling:
Boi lers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Oth
Air Cond. er
Mfg,
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: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
?
Receipt PLUMBING PERMIT Permit No. -?
; CITY OF EAGAN
. ?' Fee .
FiII in numbered spaces S/C
Type or Print legibly
Tot -
1. Date 2. Installation Cost % / •
3. Job Address - Lot y 1 1 Blk. i Tract '?"? 5•
4. Owner
5. Contractor /
6. Address ?
7. City State _
8. Building Type: Residential C? Commercial ?
9. Work Description: New Ci--'- Add ? Alter ?
10. Descri be
11.
Zip
Institutional O
Repair ?
No.
_ Fixtures
, 1
Water Closet No.
- Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory $pftner
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. Dete Insp.
This is your permit when numbered and approved.
Approved i-. + CITY OF EAGAN 454-5100
CITY OF EAGAN
Addition Thomas L.ake Heiggts Addifion Lot 27 Bik 1 Parcel #10 75950 270 01
Owner street 1511 CZemsvn Court scate Eagan, MN 55122
lmprovement Date Amount Annual Years Payment Receipt Date
STREET SURF. 2 2 2 5-5-83
STREET RESTOR.
GRADING
SAN SEW TRUNK 1.9 7 3 &AOU
* SEWER LATERAL 1981 gg, 02 39 80 79.62 A0121 2 --s
WATERMAIN
* WA7ER LATERAL
WRTER AREA
STORM SEW TRK 544-32 36-29 1 435.48 A012172 5-5-83
, ,t STQRM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 42185 3-26-84
WATER COCUN. 470.00 "
BUILDING PER. 8 tr ii
sac 525
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
1 t4tlMA S IO\t. k Ffl l?iH !.`,
' PERMIT SUBTYPE:
Iitl f f Ni, '.
? 111 rirr
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Isl? I I U t N6
N:'dttf f ''
11111110illI94!f94 •
? APPLICANT:
jiil',f ii
( 13 l 1_ ) 4 .' ''f I ii 1. 4
TYPE OF WORK:
r,r 1.I
f J NA l
-1
?
Permlt No. Permft Hotder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
/
Deck Final
/ A/
Well
Pr. Disp.
CITY OF EAGAN
3830 P:iot Knob Road
P. O. Box 21199
Eagan, MN 55121
zonirp: Rl
pN,ner; SuA81
mas:
Addrcm 1511
ber. Star
Recder o.: 0 3 L WATER
? No.: 3 yc>
PERMIT NO.: 5359
DATE: 3-27-84
_ No, of Units: 1
Connedion Chors
llctount DepOS1t:
Pertnit Fee: -
Io4m hcesVy wi!b !w Ckr ef Eagew Sund+orye: •.Jv Nu
Mi,c. Ch,rgm; 63.00 pd mete
Totol:
By Dote Paid:
Dcte of Insp.: Irap.:
CITY OF EAGAN
3830 piiqt Knob Road
F.•O. Box 21199 '
Eagan, MN 55121
Zoning: '
Owner, :? t1A8 :1 ". ^ e C a i]8 i
Address:
Site Addrcsx 1511 ClemsOri G,
Plumber. S[ax' Plbg
Mefer No.:
Size:
Reoder Na:
1 ym to aanpy whh 1M Ciryr of Eqen
OrAeenoa.
BV
DOtG Of I ti5p.:
WATER SERVICE PERMIT
PERMIT NO •
DATE:
. No. of Units:
't L27 P1 Ttiomaa
-Z7-84
Connedion Chorge:
/lctount Deposlt: _
Permit Fee:
Surchorge:
Misc. Chorges: _
Totol:
DCtQ PGId:
:e
meter
CITY OF EAGAN
3830 Pilof ICnob Road
P. 0. Box 21199
Eagan, MN 55121
Ionlnp: 1
Owner:
Address:
Site Address: Y
Plumber. -:=Z
T bIISi
SEWER SERVICE PERMIT
PERMIT NO.: DATE: - , ,
No. of Units: '
1 egme to eeesolr wIM t!N GeY of Ews
OrdiMnaa.
By
Date of Insp.:
?ection Charge: 425.00 nd
Acmunt Deposit: 15.00
n`
PermM Fee: pci
5urchorge: T)
Misc. CFwiges:
Totol: _
Dote Pald:
/
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements RemodeUReoairRequirements
• 3 regrstered srte surveys showing sq. R of lot, sq h of house; an(911 roofed areas • 2 copies of plan
(20% maximum lot coverage albwed) . 1 set of Energy Calcula6ons for heated addihons
• 2 copies of plan showing beam 8 window sizes; poured found design, eta) . t site survey for extenor addiGons 8 decks
• 7 sel o( Energy CalculaUOns ' Indicite it home served by sepfic system for additions
• 3 wpies of Tree Preservation Plan d lot platted after 711193
• Rim Joist Defail Options selectlon sheet (bldgs wiN 3 or less units)
DATE VALUA(ION (P O• o?
JOB SITE ADDRESS I SI I C?EY?,[S9-? ?.
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWN
TYPE OF WORK_
APPLICANT G
ADDRESS I L' I
PAGER #
4-
4- GL D L)'TfY*Rc'PLACE(Sj _ 0_ 1_ 2
4-SI0) n?&::_ PHONE# g5Z "ff °I/ •3 q0n
CELL PHONE #
_ZIPCODE SI
FAX# 95- 4 -0 1I - '1'2SI
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPL
Energy Code Category _ MINNESOTA RUL.ES 7670 CA1'EGORY 1 D•
(check one) - Residential Ventilation Category 1 Worksheet Sub
- Energy Envelope Calculations Submitted
_ MINNESOTA RULF;S 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mcclianical Systcm Inciudcs:
Sewer/Water Contractor:
_ Water Sottener _
_ Water Heatcr _
No. oF 13aths
Air Conditioning
I-Icat Recovcry System
FEB 13 ppQZ
$90.00
$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 applicabie State of MinnesoTa Statutes and City of Eagan O[din es. _
Signature ot Applicant ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
Phone #:
la+m Sprinkler ree:
No. of R.I. Baths
_ Phone #
Pcc:
Phone # _
CITY OF EAGAN p
MN 55721 N? 0915
P
1
9
E
• ilot Knob Road, P.O.
3830 Box 21-
,
agaa,
9
BU k
ILDING
PERMIT PHONE: 454-8100 n /
i
Rece
Pt # _
Te M wed 4er SF DWG/GAR Est. Volue $ 73,000 Dare MAU!`u ?(y , 19_g4.._
SiteAddress 1511 CLEMSON CT. Ered Occuponcy R3
lot 2 7 Block 1 sec/sub. THOM. LK. HTS. ql}ef ? Zon;rvy Rl
Parce lNo. 10-75950-270-0I Repoir ? FireZone N/A
Eniarge ? Type of Const. VIl
w Name SUNSHINE CONSTRUCTION Move ? # Staries
Z Address 1471 THOMAS Demolish ? Length4 5_
City EAGAN phone 454-748 5 Gmde ? Depth-4$__Sq. Fi.-
SAME
Aovrovols
Fees
o
OU Name
Address Assessment Permit 352.00
VI
1-
City
Phone
Water&Sew.
Surchorge 36.50
176
00
Police .
Plan check
r
?U„w Name Fire SAC 525.00
'Z
Z;-,
Address
Eng.
WoterConn. 4 7 0 , 0
City
Phone
I here6y acknowledge that I have read this ap0iication and stote that
the inlormatioa is correct ond a,_?e to comply with oll opplicuble
$tate of Minnesoto Siatutes pnd-eit"f Eogmq OrdTanyes,? _
Signoture of Pertnittee - 424'?_SG( ' J`"°
A Building Pertnit Is issued to: SUNSHINE CONST
oll work shall be done in accordanCe wrth all pli le $tate
Buildinq Offitial -?-
Planner _
Council _
Blda. Off.
APC -
Woter Meter _623-0 0
Rood Unit 260 _ 00
Torol $1T?RR9_50
on the express rAndition thm
$tatutes ond City of Eagan Ordirronces.
CITY OF EAGAN
Include 2 sets of pllns,
1 Certificate of Survey &
UILDING PERMIT APPLICATION 1 set o` er.asT.7 cal.culations.
To Be Used For Valuation ?QQQ Date AvcG, za,/Yf3?
Site Pddress : ISI/ Ck' s O„ `{- / OFFICE USE ONLY
Lot ?)7 Block _L Sec./Sub. i¢?j Erect ?Occupancy
Parcel #: 7 S q Se) -a 7 0-0 ?71,1ter Zoning -
Repair Fire Zone
Owner: S U H t? ru z c dn s??u <: {,s ? Enlarge _'Iype of Const. IYAZ
Nbve # Stories ,
Address= % Y7l 774"'.«-s Demlish Fmnt f ft.
City/Zip Code: Grade Depth ft.
Phone #: <FS<( - ? Y?? APPRAV11I.S FEES
Contsactor: S?Gn-e ar ?tZ-a-?v^-"
Address:
City/Zip Code:
Phone #-
Arch./En4• c t, S R? 14r (( .??
Address: 2-0cu 4uw,j„)G-f ?Je
City/Zip Code: A100 r. I k;/z A,' S`S'Y? J
Phone #: q -36 .z g
Assessments Permit
Water/Sewer
Police
Fire
Eng.
Planner _
Council
Bldg. Off.
APC
Surcharge
Plan Check,
SAC g
Water Conn.
Water Meter
Road Unit
D
/? ??a• s U
TOTAL
CITY OF EAGAN N020171
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
n ?n ...7 ,, 91
BUILDING PERMIT PHONE: 681-4675 Receipt # ?=
Tobeusedfor BASEMENT FINISH Est.Value Date MAR 3 , 1992
Site Address 1511 CLEMSON CT
Lot _27 - Block I Sec/Sub.TxOMa t.pKE HTS
PBfCeI N0. Occupancy
Z
oning
pjype VERN RONHOVDE fnctuaqconst
w qddrp,sS 1511 CLEMSON CT (Aliowable)
?
Y ol Stories
cjty EAGAN MN
Zlp Len
th
? q
Phone 683-1938 DeDth
? Naffle DOSCO s.F.7otal
S.F. Foolprinls
? Addf2SS 14710 DELFT AVE on Site Sewa
e
g
Cj(y ROSEMOUNT tIPI Zlp 55068 on Sne weii
? Phane 423-1814 MWCC Syslem
p Qty Water
Vcef1S8 # PRV Requited
I here6y acknowlege [hal I have reatl this applica[ion and state that Ihe Booslei Pump
information is correct and agree Io comply wRh all apphcable State of
Minnasota Statutes and City of Eagan Ordinances
Signature of PermRee APPROVALS
A Bwiding Permil is issued to: DOSCO Planner
on the ezpress condition that all work shall be done m accordance with all Council
applicable State of Minnesota Statutes and
iry ol Eagan Ordinances.
C eldg. Oe.
,
Y y
BwldingOflicial??N1R? III.? Variance
OFFICE USE ONIY
FEES
Bldg. Pertnu 35.00
- Surcharge .50
- alan aevlew
- SAC, City
= SAC,MCWCC
_ WaterConn
- WaterMeter
Accl. Deposit
_ S/W Permit
- S/W Su¢harge
Treatment PI
Road Unil
- Park Ded.
CoOies
- TOTAL
]ti Sn
9oy9 ii
J 2 8 557 a?
Rapuest Date
'2/'z(?/9'Z Fre No Rough-in mspection
Reqwretl4
?FeadyNOw ?WiIlNOtitylns0ec[or
7
gc1'es G ?b When Reatly
1 Cklicensed contractor I.] owner hereby request inspection of above electrical work at:
Job Atltlress ISlreet BOx or Route N. ? C'ty
1511 Clemson Ct. Ea an
Secimn N. Township Name or No Range No County
Dakota
Occupam IPRINT7 Phone No
DosCO 423-1814
?ower Supplier Atltlress
Dakota Electric
Eleclriwl Conlractw (fqmpany Namel Gontractor5 4canse No
Joos Electric AM01895
Mailing Mtlress IGOnlractor or Owner Making Instailation)
2104 Great Oaks Dr' e Burnsville MN 55337
Authonzetl Sgnawre IConlraclor/Owner Maxin slall nl Pbone Number
431-4755
MINNESOTA STATE BOARD OF ELECTNICITJ ? THIS INSPECTION REOUEST WILL NOT
Griggs-MlCwey Bltlg. - Foom S-i]] ? BE ACCEPTED BV THE STATE BOAFD
1821 Universlly Ave., SL Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Plrone (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION E&00001-08
Sea mslrudions tor campieting tM1is lorm on back ol yeliow copy /0'i;1411
pp
x"X" Below Work Covered by This Request
ew Add Rep TypeolButldInq AppliancesWrted EqmpmentWired
Flome Fiange Temporary Service
Duplex Water Heater Elechic Heating
Apt. Bwlding
Dryer
O[her (Specify)
Comm /Industrial Furnace
Farm Air Condilioner
°"''a°s'??ment con„actor$ Rema?s
x
Compute Inspectron Fee Below:
# ' ONer Fee # ServiceEniranceSze Pee # CirounslFeetlers Fee
Swimming Pool 0 to 200 Amps 0 ta 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
9ns
Si
TO7A? 3 O.?O
Inspectors use oniy ?
(?
•
Irrigauon Booms ?`?'
Special Inspection
Aiarm/Communication THIS INSTALLATION MAV BE OHDERED DISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MONTHS.
I, Ihe Electrical Inspector, hereby
RougRin Date y7 9'-(-
certify that the above inspeciion has Finai Date ?,?_
been made
OFFICE USE'JNLY
Thrs request vaitl 18 momFS irom
nC? REQUEST FOR ELECTRICAL INSPECTION ^ ee-00001•04
/ See instruCtlons for comolotine this twm on back af Yellow copy. ? n r'a o0 A ••X•• eeloW Work ?.')veied by This Request
AAd Rep. Type ol Bmlding APplmneea Wrted Equioment Wired
Home Range Tempora
Duplex Water Heater Lightin
Apt. Buildmc?
Commerclal Bldg. Dryer
Fumace Electric
Silo Un
%
Industrial Bldg.
Fefm
Air Conditioner
Othqr Veai y
Bulk Mi
Tank
Other IS
[ r ueu y t er Othm
ompute lnspec[ion Fee Below
p Fee Service EntraoeeSize d Fee Feeders/Subfeaders b Fee Circwts
?? -- 0 ta 200 qm s
Above 200 Am ps 73
/
5-, 0 to 30 Am s
37 to 700 Amps 0 tn 30 Am s
31 m 100 Amps
Swimming Pool
Transformers Above 100-Am s
Irngation Booms
•5"v Above 700-Am '
Partial.'Other Fee
Signs Special Inspection g
? TpT
?'y?['Fr
?
No
ma.LC y
?
?]
/ M.W/1
flouah-in (
Da)?' // `
, the al
J 7f meDec1ar. he,obv
certity thet the above
Final te L inspactwn has been
C
TM, repueetvdAlBmonlliatrom v? L{--/Yr.?
This request void lf 7
18 months from l l
?? ?
?
I hereby roquest insDection of abova
elec,ncal work installad at:
S -? -8Y
THIS IN5PECTION REQUEST WlLl NOT
6E ACGEPTED BY THE STATE BOAHU
UNLESS PpOPEN INSPECTION FEE IS
ENCLOSEO.
MINNESOTA STATE BOARD OF ELECTXICITY
Grigga-Midwey Bldg. - Room N-191
4821 UnivereitV Ave.. St. Paul, MN 56704
Pnone 16121 297-2111
weatnrrrtnps ? Guide
ows I Doon ReEereace
r Room
Heiv6t R
? Wi ndaws j nd Doors -Craua ge nnd A rca
Ne? w1eW
atD??e H.I,nt
of piin• ]:u u:
hrht. L'n.l tt.
uf craek An&
p, fL
, d 1 I! 1
1
D
Coef. &o
1nhlUatioa
Glase
rgL
Etp. wall j mi+
Net ezp. wall
Int. wall
Floor
Ceii. igT
1 otai tStu.
Required sq. ft. E.D.R. or sq. ina. W.A. Leader erea
F1•1 ) i Vi',V/A RoomI Lenath>rl'/.UIC/idthK//_u HrivhtR1(1+
Arew
w'iain
or Da?e HeIin'
ot D ao. 01
II.b Lmnl tt.
ef erack
p 1
610
j m
CoeF. Btu
Jabltratioo
CJas$
Fsp. wall
Net ezp. wall
Iot. wall
Floor
Ceil.
Total Btu.
Required sq. (t. E.D.R. or sq. ins. W.A. L.eader aree
Fl. Room I Length ' i) Width 10 1 Hcg6t
Windows an oors-Cratkage end Area
Na a9dtn
e[Dan• Helpnt
et0?n. Yo. ot
???4 Llneal ft.
e[v.ek wr.
iip.tl.
• i d FI
Coef. &u
Infiltr.t,oa a
Glau
Etp. wau
h'et exp. wan 7
Int. wall
F7oor
Ceil.
total B;u.
Required s.i. ft. E.D.R. or w. ina. Q/A isader aren
Conihnetion No. Imvlatian
Out. CVall int. WaN Ceilinq Roof Ftoor Kind How Applicd
RoomI Length/3Jq' Width
Ilmra-1'raekace and Aita
Na, WIUth
ot Nn? 11 1 Igb[
of D?e? No. et
Ilfpb Lv.d E.
e[ er?eY Arc.
sv. fl.
I 1 /
! / ?! !O
C«F. Btn
?tra4oe
-21
?au A2 -59 --WO
Exp, wall f
Net e:p. rvell 162 -7
Int. waQ
Floor
C-i
Total Btu.
Requ'aed aq. h. E.D.R. or aq. ina. W.A. Ltader area
f F7•1 hg RoomI Length ! u. Widt I J' Height ?
Windows and Doors-Crackaae and Area
No winie
o! y.ne ri<irni
nf D.M t+a af
IIgAU Llnul [[.
of crack
I
Cocf. tu
Infilvatwn
Glaas
Exp. wall
Net exp. wall
Int. wa!!
Floor
Ceil.
Tota1 Btu, oto?
Required sq. ft. E.D.R. oT sq. ine. W.A. Leader aren
f F7.1 R Roomll.engthr]14 4 WidthHeightRl6
Windows and Doors-Crackaae and Ar<a
Na WWtn
tD..e HdpEt Naof
Ilcht• Limal[i.
ofcr. ek
I
Coef. Bm
Infiltration
Glass
Exp. wal: '
Net exp. wall
Int. wall
Floor
Cdl.
Tottl Btu. '
Reqeired sq. ft. E.D.R..or:q. ins. W.A. L.tader atta
1 o-{-aZ )41y = 53,303 d4Ol,
N?`:ndowi Doors 11 Rer «<pu a,t. wan tnt.
'?es-, o Yes-No 19-
7F1.IW.&I Room Length ) fD'Q?? Wi?h f/ fp
Windowe and Doon-Crec:ceae and A.ea r?
Congtructioa No. in+olstion
aH Ceiling Roof F7oor iKind? How
Fl.i Pa4-h Room I Length /J' " Width
Wincowe aed Doon---Crackaae and Area
No. w?au.
orDarie t?•i?n?
•[pane; Nu. o:
Il?ht• Llnul Ll.
otenck Ar.-.
w.ft.
/ M
Coef. &n
Inhitratioe
Glass
fsp, walj
Net exp. wall ?
Int. wall
Floor
Ceil.
Tota! Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. L.oader area I
Fl.l ia,11 Room I Length 1']'O" width 3'). I" Heieht
Wi ndowe a nd Doors- -Craeka ge and Ar en
Na Vfldtn
of D+rs Heltnt
or y.n. No.o[
IfchU LIneUIt,
e[ enek An.
M. tl.
Coef. Bcn
Infiltration
Glau
Eip. wall
Nee e:p. wall
IoL wall
Floor
Ceil. l
Totat Btu.
quired sq. Et. E.D.R. or sq. ins. W.A. Leader arca
R. Room ILength )Q00Width?%f
Windo+n and Doors-Crackaat nnd An
Na. A'IJIh
ofy.n. 11e1LTl
oiD+ne Yo. o[
Ilght. Llnetl [L
otcraek
C«f. Btu
Infiltratio¢
Gla?f
Esp. wall ltqAi
Net e:p. wsll
Int. wall
F7oor
Ceil. 1
,otsi s;u.
Required so, ft. E.D.R or sq. ine. WA Lsader atea I
Guide
--?W161h
No. of nam H?l[bt
o[ paw No.o[
IlgGla LIuu1IL
otsraek Are?
&V. ft.
n i 11
I
- C«f. Btu
Ln6ltration Q
Glau
Exp. walf L
A1ei exp. wall
ut. Weu
F!onr
C-a,
Totel Btu.
Required aq. ft E.D.R. or sq. ina. W.A. l.eader area
Room I Length ktj'JWidth 'O" Height '0
I
W maowe an tl VOOrs?racra ge ana nr ea
No. wldth
of moe lleIgbt
nf mM Ne. ot
Iliht. Llnul ft.
at er?ek Aroa
q. tl
'T u '
r u 11011 )
? u r i
! l+ Cotf. tu
n61Ua[ion
Glaes
Exp. wall 11612
Net esp. wall lp
Int. wall
'n061
Ceil.
rotai stu. 7N1 750 R?j h F/v
Required eq. ft. E.D.R. or eq. ina. W.A. ader ares
Fl.1 Room I Length Width
Windowe and Doors-Crockaae and Area
N. WIJi?
ot pane 1Ie1gLt
oLOanm No. a[
li[hts Llneal [0.
of crack Aru
w- t6
Coef. Btu
Infiltra[ion
Glass
Exp. h•al;
Nct ezp. wall
Int. wall
Floar
cd.
Total Btu.
Rsqaired sq. ft. E.D.f2..or w. ina. W.A. Leader area
SURVEY FOR . '
. DUNN & CURRY REAL ESTATE MANAGEMENT INC.
-,-
,- .,
SURVEYOR'S CERTIFICATE
N 83°28'3!"W
r - 135.23
? -`----_.____ -• ,asas
7 DRAINAGE
? UTIIITY EASEMENTSr?.?.?s ?
3
O
p
N
?
0
?
Z
? LOT
?
11 ?
?
' // j 6.0
PROPO:
o , N/jHOUS
p' 917.7 ? 1 a D /
l b i N?
N
11
M j
1 ?
°
27
/
.? '
---?
oi
;
N
?
?
? .. -,-
i
ttJ
: 4D
0
CY) ?
C
h
u?Y
i,? 74.27 vele.r l"
0=18°59 55
°R= 252.08 ,°
C EMSp
REVISED 3-22-84 TO SHOW PRDPOSED
HOUSE FOR SUNSHINE CONST.CO.
LEGAL DESCRIPTION
LOT 27, BLOCR 1, THOMAS LAKE HEIGHTS,
ACCORDING TO THE RECORDED PLAT
THEREOF, DAICOTA COUNTY, MINNESOTA
I HEREBY CERTIFY THAT THIS SURVEY,
PLAN OR REPORT WAS PAEPARED BY ME OR
UNDER MY DIRECT SUPERVISION AND THAT I
AM A DULY REGISTERED LP.ND SURVEYOR
DNDER THE LAWS OF THE STATE OF
MINNESOTA.
DATED THIS ZST DAY OF J,dl? 1981 .
SCALE : 1 INCA = 40 FEET
APPROVED FOR DUNN & CURRY REAI.
ESTATE MAr1AGEMENT, INC.
BY:
DATED THIS _ DAY OF _ i4=
NOTES
SIGNED: JAMES R. AILL, INC. * EXISTING CONTOURS ARE SHOWN
* 100.0 DENOTES EXISTING ELEVATZON
*(100.0) DENOTES PROPOSED ELEVATION
PROPOSED GARAGE ELEVATION = 9}1.0 FEET
PROPOSED TOP OF FOUNDATION
ELEVATION 4;V-T FE$T
H OLD C. PETERSON, LAND SURVEYOR * pROPOSF.D LOWEST FLOOR ELEVATION= 9?FEET
MINNESOTA REGISTRATION NO. 12294 ? . .+'
PROJECT NO. BOOK / PAGE JAMES R. H1LL, INC.
80207 (84593)
80208
75 . Planners / Engineers / Surveyors
F1LE NO. ?36
8200 Humboldt Avenus South
FOLDER Bbomington. Mn. 55431 812-884-3029
?
i
g P. Xqj
z/aa
CITY OF EAGAN
APPLICATION FOR PEFh'NIT
- SEWER AND/OR WATER CONNECTIO.I
(PLEAS£ PAINT)
1) PP,OPEI'I'Y ADDRESS: L%f-
r.Fr=,L DESC2I°TZCN: IO r- k
I Z
h
I-?
.
(Lot/c3lock/Subdivision or Tax Parcel I.D. NLmlber) c
?
s
iE"jS:=' `:G STRLTGT;.^:2E, DAT' G_° ORIGiidAI. =LDT:`1G Pa!?!IT ISSUaNCr:
? P?_°=_: -_.•,•12;r:/=.C°CSED USE: Q R-1 =iGLE r^PMSLY
? R-2 DUPLE.Y MNO Wi ITS)
? R-3 TG4vTIIi0II5E (Tf= + TT!S[TS} ( Wi I':S)
? R-4 ApAR1=:T/CQjIDQ1,LiI2U,L1 ( t,TIZ:Si
Q COMMEftCIAL/RETAIL,/OFFICE
? LMUSTRZAL
? INSTITUTIONAL/G04'M-ZIE,T]T
Z) ApnI,TC -%T (PIEASE PRINT)
I?: ??nblS?7
"
'
M
"
?vu(
?C
-i
NQ l O
C
ADDRESS: 1 <( ? t '-??'ic•.? L4 "
CITY, STATE, ZIP:
PHO.IE: -7c(4i•-
3) pu:mg N?? ASE PHLNT)
J ?I FOR CITY USE ONLY
•
ADDRESS: ?
Q W t' S PLUHBERS IICEYSE:
A
i
CITY, STATE, ZIP:
? r?N/Y
di. '??Sl20 ct
ve
0 Expired
PHONE: ?
i c
pLUMBEA LICENSE N I :? 2E?/yy? Q Hoj o Recard
arr ini 1a
4) OC'C?Jp1'V'I'/a,7ilER (PLEASE PAlNf)
NN'IE i S C. N G?t
ADDF2ESS:
CITY, STATE, ZIP: S C{ cw? a
PHp;IE:
5} INpIG,T'E WfIICIi PEP.hLiT IS BEIIVG RDQUESTID:
? CO.+NECfZON TO CITY SE41ER
? CO^Il1fK.TIO.I 'Iq CITY WATER
? O= (PLL•ASE DESCFtIBE)
bl C`d::
? PLFASE EiOLD APPR(1S7E.D PERtitTT FOR PICK-UP BY ONE OF ABMB
QPI.E'1SE bLAIL APP?VF? PERNLiT 'iq 1, 2 a 4 ABOVE
(Circle one)
7) SIG'-TLzE: ???? DATE:
! R?Ialili.i?! i 111?t?Jr? ! s!'atsi?# ? aY s r:ss:a ta a i?t?F./t:r°? ;•- __ f? aeG'?lit;arefe
F 0 R C I T Y U S E O N L Y
PERtitIT - ISSUED
F`'L'S: $ ? a. Sa
$
$
G 3. -?o
$
$
$ <5, ?-a
$
$ ? ;20. ?
$
-S°Z-S m-c
$
S
$
S
$ •
SEWEB nEo?trm (I`;C:.:;D? SU°CH?:G?)
WATER PERP1IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE REr1DER
Wt1TEP. TAP (INCiUDv- CORPORATICV STOP)
SEWE4 ':Ao
ACCOUNT uEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
wac
SAC
TRUNK ?4ATEP. ASSESSt•1E:IT
TRliNK SEWER ASSESSbIENT
LATEP.AL BENEFIT/TRUNK SE[9ER
LATERAL BENEFIT/TRUNK WATER
OTFIER
$ TOTAL
$ .5i• ? AMOUNT PAID/RECEIPT # 11?? ? 6
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUSLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TFIE FOLLO!9ING CONDITZONS:
APPROVED BY: c? e/69
TITLE:
DATE:
wcwra ULM w?a w? w sw wm Ra wtn w w?om wm w.'m wc ose o-?m wtm
??
rww Ae s"
Totill
cinr oF EAGaN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
?) ?
/ a f
Date / s'2-- Valuation of work
Site Location: S a,d ?
STREET STE i
Tenant Name:
LOT 9q BLOCK J_ SUBD. P.I.D. #
Descri tion of work: FiNisH BASEn+e.NT
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name °A) U Q<?-) Pho ne
Property LAST F[RST
Owner Address ? co
STREET STE #
City ?L/j4-State Zip ?
Company Phone
Contractor Address ty 7(o Licens e # N"y'
City 90 J-"-I° ? State 9-PJ Zip ,ftav ?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknawledge that I have read this application and state that th e infarmation is
correct and agree to complyyv all licable State of Minnesota Statu tes and City of
Eagan Ordinances.
i /
Signature of Applicant: ??_/
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch
?€aefi-'4y- ? 07 Fireplace ? 12 Comm./Ind. New
? 03 Two-family ? 08 Deck ? 13 Comm./Ind. Add
? 04 Multi-fam. T.H. 19 09 -asement Finish ? 14 Camm./Ind. Rem
? 05 Apt. Bldg. 0 10 Swim Pool ? 15 Public Fac.
WORK TYPE
?R ?,??4 • ^?e '??
?
- .. ... ._: ,?>.?
? 16 Agricultural
? 17 Building Move
? 18 Demalition
? 20 Miscellaneous
? 90 New ? 93 Remodel ? 96 Move
? 91 Addition ? 94 Repair ? 97 Demolish
? 92 Alterations 13 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy 9-3 Basement sq, ft. MWCC System
Zoning lst F1. sq. ft. City Water
Const. (Actual) 2nd F1. sq. ft. PRY Required
(A1Towable) Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Ptanning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing )EC Framing ? Insulation
? Wallboard P-Final ? Draintile ? Fireplace
Permi t Fee 3S.00 Yeiuation: ?
Surcharge .sa
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Road Unit
Treatment P1.
Road Unit
Park Ded.
Trails Ued.
Copies
Other
Total
SAC %
SAC Units
CITY OF EAGAN
3890 PILUT KNOB ROAD
EACAN, ;.^.: 55122
PHONE: (612) 454-8100
pL,UHBING; PERMI1'
I?SIISENTIAI.;;
FOR CITY OSE UNLY
PERMIT #
RECEIPT # ?
DATE:
PLEASE CO?IPLETE UPPER PORTION ONLY FOR SINCLE FAtiILY
TOWNlIOHES/CONDOS STfiEN PERHITS ARE REQUIRED FOR EACH UNIT.
DiIELLINGS ' b
----------------------
WORK DESCRIPTION
NEW CONST -?,
ADD ON ? ?`ni Sh
REPAIR ???
OWNER NnME: V o S G o
SITE ADDRESS: `5 ?,
IAT:?? BIACK I SUBD..///BJhLLL??•? /.'iLd.
1?L 0, S' I" "j COMPLETE THE FOLLOWINC:
INSTALLC•R:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
3. o'O
? SflOWER 3.00
1 WpTER CIASET 3.00
BATiI'TUB 3•00
IAVA?TORY 3. o0
IAUND3.00
KITCN>HEAT .00
_ NOT T3.00
WATER 3.00
FLOOR 3.00
GAS P UT.
(MI 1) 3.
ROU OPENINCS 1.50
ADDRESS. C?.?v?. y.2 Q-?- ,_ ?•••?•-
? WATER SOFTENER 5.00 ?
CITY: '--nr 2ZP: 5??° PRIVATE DISP. 15.00 . '
U.G. SPRINKLER 3.00 '
PHO E q: ?Z3 3736 9i4_
SUIITOTAL S 45 dg
? 1,?,. ,( SA_t?' cS-?rc9- 19 ? ST. SURCHARCE ?.50
SIGNATU OF PERMITTEE ?
TOTAL: $/15
bOMMERCIAI:/INDiISTRIAL: PLEASE COMPLETE THIS YORTION FDR ALL COMMERCIAL/INDUSTRIAL BIIILDINCS AND
HULTI-FAMILY dUILDINGS WtiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE »:
FOR: ' CI1'Y OF EAGAN
FEES
18 OF CONTRACT FEE. '
STATE SURC}IARGE - $.50 FOR
EACN $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE. ,
CONTRACT PRICE x 18 ,
STATE SURCHARGE
TOTAL:
? $
(SIGNATURE)
?
CITY'OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
BUILD? Nf{ 7
024019
06/30/94
SITE ADDRESS:
P.I.N.: 10-75950-270-01
1511 CLEMSON CT
LO7: 27 BLOCK: 1
THOMAS LAKE HEIGHTS
DESCRIPTION:
Building Permit Type
Building Wo,rk Type
it
?
i
i
\7 . ?
° . -;i"
DECK
NEW
?-t -j - ? ..??_,??
r ? ~1,
Ii?_J
?? ?c
(t
_ J
?
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPY $.50
Surcharge $.50 Total Fee $31.00
Subtotal $90.50
CONTRACTOR: - Applicant - sT. LIC. OWNER:
DOSCO 14231814 0004144 RONHQVDE VERN'
14710 DELFT AVE 1511 CLEMSON C7
ROSEMOUN7 MN 55068 EAGAN MN
(612) 423-1614 (612)683-1938
Z hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan prdinances.
?
APP? NT/PERMI7EESIGNATURE
applicetion and state that the
with all applicable State of Mn.
I
Q(1n R??? ?
IYh?,.9
I SUEO BV: IGN RE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: auxLozNs
3830 Pilot Knob Road Permit Number: 024019
Eagan, Minnesota 55123 Date Issued: 06 / 3 0/ 9 4
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 27 BLOCK: 1
1511 CLEMSON CT DOSCO
THOMAS LAKE HEIGHTS (612) 423-1814
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION .. . .•
FOOTINGS FINAL
F
L
J
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
$3 1•M
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
caics.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
i .?--
Date r. /?/Y Valuation of work 3 50
Site Address: rs?? e7 so?
STREET SUITE #
Tenant Name: (commercial only)
LOT ->> SLOCK ? SUBD.,; P.I.D. #
Descri tion of work:
The applicant is: ? Owner f? Contractor ? Other (Describe)
Name I( oA) µ oJ 0?- ?'-A `? Phone &Y3- 1 f 31"
Property
Owner LAST f1RST
Address
STREET STE #
City State Zip
Company L) o -S &_ 'D Phone `/>3-1 PI`>
Contractor Ad'dress t`IS'?/6 D-? Lf4- 4-1,,? License # Y'y `i Exp3 3/ f
City naf-aState `'fvl Zip J,-J-06?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with a applicable State of Minnesota Statutes and City of
Eagan Ordinances.
I
S f Applicant: ??
, ?.
.t:
..,
.:
rUNN & CURRY REAL ESTATE MANAGEMENT INC.
SURVEYOR'S CERTIFICATE
N 83°28'3l"W
135.23
?
? 5? -'---__ ' ,aess
DRAINAGE S
UTILITY EASEMENTSc--..i ?
? ._
i
LOT 27
r
l r
w
_
c? o ? Lr%
W _ ? ?- -
tL7 am)'"?24.59_-_
0 46.011
• ? ` M PROPOSED ( '^ O
- Z ? HOUSE
- m 1 5n.? 19.0 ? f oi Z Z
d ??us
GAR? N
? ^ ? N ? . ??, ? • 4e
-_?-- 32.0 __ 'sso.si
in
. ?
?"i 0--- .in,
M
c`EMc
REVISEO 3-22-84 TO SHOW PROPOSED
HOl1SE FOR SUNSHINE CONS7 CO.
LEGAL DESCRIPTION
?
74.27 s,?..?*?•
0=18° 5955
R= 252.08 K°,
I
,-Ot
LOT 27, BLOCR I, THOMAS LAKE HEIGHTS,
ACCORDING TO TAE RECORDED PLAT
THEREOF, DAICOTA 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
IINDER THE LAWS OF THE STATE OF
MINNESQTA.
DATED THIS ZIST DAY OF JAIf 1981 .
.
?
SCALE : 1 INCA = 40 FEET
APPROVED FOR DUNN 6 CURRY REAI+
ESTATE MANAGEMENT, INC.
BY:
DATED THIS _ DAY OF _ 19_
NOTES
SIGNED: JAMES R. HILL INC. * EXISTING CONTOURS ARE SHOWN
• * 100.0 DENOTES EXISTING ELEVATION
•(100.0) DENOTES PROPOSED ELEVATION
PROPOSED GARAGE ELEVATION = 9if •6 FEET
PROPOSED TOP OF FOUNDATION
'1 OLD C. PETERSON, LAND SURVEYOR ELEVATION n„9z!?? FEE
INNESOTA REGISTRATION NO. 12294 * pROPOSgD LOWEST FLOOR ELEVATION=`978f F?
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
80207 (84593)
80208
75,,. Planners / Engineers / Surveyors
FILE HO. 36
6200 Humboldt Avanue South
FOLDER Bbominyton. MrL 55431 812-684-5029
' RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New ConsWcdon Reauiremenfs
• 3 registered sile surveys shawing sq. R. of bi, sq. fl of hause; and all roofed areas
(20°b ma(imum lol coverage allowed)
• 2 mpies of plan showing 6eam 8 window saes; poured faund design, etc.)
• 1 set of Energy Calculatiom
• 3 copies o( Tree Preservation Plan rf lot platted after 711193
• Rim Joist Detail Options seledion sheet (hldgs witli 3 or less units)
DATE l_(?-02
SITE ADDRESS I S1 I CZC-Y?
TYPE OF WORK ?
APPLICANT f
STREETADqDR s l?a y"7 /1?-c?
TELEPHONE , tjp'7 ? G '?1 CELL PHONE #
11-? STATff',? ZIP
FAX # '21?Z
PROPERTY OWNER v"cAfll? TELEPHONE# & 693' I??
------°-------------°------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY - MWNFSOTA RULES 7670 CATECORY 1 MINNES01'A RULES 7672
(J submission lype) • Residential Ventilation Category 1 Worksheet Submitted • e9e-Weqcchea6Suibmifled
p I?
. Energy Envelope Calculations Submitted ?? ??T ?
.lUl 1 7 2002 !
Plumbing Contractor: ____
Plumbing system inctudes:
Mechanical Contractor.
Mechanical syslem includes:
Sewer/Water Contractor:
_ Air Conditioiung
_ Heat Recovery System
ILTI-FAMILYBLDG _Y XN
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Phone #
Fee:
Fee: $70.00
-------°---------------------------------------°------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicabie State of Minnesota Statutes and City of Eagan Ordinances.
SignafureofApplicant ?&XCI ?
--------°------°---------------------- °- -----.._-------°--------------
. OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
_ Water Softcner
Water Hea[er
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Bat}
RemodellReoair ReauiremeMs
. 2 copies of plan
1 set of Energy Calculatlons forheated addNons I r", 25
• 1 sile suney for exterior additbns 8 decks
• Indicate'rfhomeservedhysepticsystemforadditions
?
VALUATION t
?
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119463
Date Issued:12/02/2013
Permit Category:ePermit
Site Address: 1511 Clemson Ct
Lot:27 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-270
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 house wrap 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.
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 -
Vernon M Ronhovde
1511 Clemson Ct
Eagan MN 55122
Bear Roofing Exteriors
2000 Oak Knoll Dr
White Bear Lake MN 55110
(651) 407-1987
Applicant/Permitee: Signature Issued By: Signature