1512 Clemson Ct
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I Fur Office Use
-7 y 7
'"77 City of Eapn I Permit#:
J 1®• a
I Permit Fee: I
3830 Pilot Knob Road r I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: V Zejk) Site Address: I aYJ~r v>
Tenant: G Suite M
_L=~L
RESIDENT/ OWNER Name: c;revi ~z A5 r, ^ Phone:
Address/ City/ Zip:
Applicant is: X Owner Contractor
TYPE OF WORK Description of work: 4/,~, 1q Q214 0( "l
~ V _j
Multi-Family Building: (Yes / No
Construction Cost:
CONTRACTOR Name: S License
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.goi)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in co ormance 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 wor 4s not to start without permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv plans.
X rA if rrL^ AQUA V-1 x , i
Applicant's Printed N me 'p 'cant's 1gna re
Page 1 of 2
. ?: ? .
cinr oF EAC,AN
3795 Pilot Knob Rood Eogan, MN 55122 N! 6656
PHONE: 454-8100
BUILDING PERMIT ReceiPt .#
Te be used for Est. Yalue dote , 19
Site Address Erect ? Occupancy
l.ot Block Sec/Sub. Alter ? Zoning
parcel # Repair p Fire Zone
E
l e
f Con
t
T
n
arge ? .
yp
o
s
oWe Nnme Move p # Stories
3 Address Demolish ? Front ft.
0 • Ci Phone Grode ? Depth ft.
o Norre - "?
e
A
t
? Address ssessm
n
_
?
~ Ci Phone Water & $ew.
u?
W
Nome Pol ice
Fi
W
F W
?z
Address re
Eng.
<W G Phone Plnnner
il
C
I hereby acknowledge thot I hove reod this application ond stote thot ounc
gldg. Off. _
the information Is correct and ogree to wmply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinonces.
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Rood Unit
Total
Signoture of Permittee I
A Building Permit is issued to: on the express condition that
oll work sholl be done in accordonce with nll applicoble Stute of Minnesoto Statutes and City of Eagan Ordinances.
8uilding Officlcl
• ` V ? ?
Pon+M # peM Ipued
I ??raNNW
Plumbing ?? 'T6 _
-.3
,- •*- ' t•
Mechanical ?LE il I
INSPECTIONS DATE INSP. Rough-In Final
Footings S7_1r=8,1 Date Insp. Dote Imp.
Foundotion
- Plumbing
?
?rom?"ins. Mechanical -2
Finai . .
Remarks:
(Etrfiftr?tt nf (Or?upttury
titp of (Eagan
DepttrtmPnt of Witilbing Ais.ppriian
Tbu CMi f icatt ittmtd partraw to the rcqitiremc»tt of Sation 306 o f the Uni f orae BuiJding
Codc artifring tbat at the timu of xttuana tbu struttu?c wat rn cmPGana wisb the varioru
erdirrancu o f the Citr ngxlatixg brrildixg connructioA or xu. For tlx jollowing
unchwa? 5F DWG/GAR ?? ?e 14* 6656
Z=ft Dbukt Rl
o«„p.7 Tyv R3 Tyv. camuwtw. V Pin Z.b. NA
o,,-*(,,,w, SLnshine Const. Md? 1507 Clemson Ct., Eagan
ZLtrv ?--
B? ?: April 12, 1982
ro.. 1. . C? ?ff
Receipt
MECHANICAL PERMIT Permit No. '
CITY OF EAGAN
Fee
Fill in numbered spaces S/C -
Type or Print /egib/y
Tot.
1. Date 2. Installation Cost - •
3. Jab Address n'1Sw?ot !Blk. ? Tract
4. Owner
5. Contractor =-' ?'cr•?t.?? ~ ?j 1cs. ;??/% : ,,-, , Phone
6. Address ! ('X't=J7'K/l..'?i?
7. City
I
State Zip
I 8. Building Type: Residential jk Commercial ? Institutional ?
1 9. Work Description: New Qi
110. Describe
I 11.
Fuel Type
No,
• F.quioment BTU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. ` Mech. Exhaust
Unit Heater
• Mfg.
Air Cond. Other
Mfg.
Gas, Piping Outlets
12. 1 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
•.Jnspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
, Approved CITY OF EAGAN 454-8100
Add O Alter O Repair ?
? Receipt .2S7 &Li
PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C ?
Type or Print legibly ?
Tot.
7. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor - ?' - Phone
6. Address z _ ' • , ', x /F i ?.
7. City " State Zip
8. Building Type: Residential Q Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter O Repair ?
10. Describe
11,
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Septic Tank
Lavatory $oftner
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 QF EAGAN 454-8100
CITY OF EAGAN Remarks Addition TTiomas Lalce H,eights Addition i-ot 16 Bik 1 parcel #10 75950 160 O1
owoer` 4 - r,,,'iti ;;, ? ,Lo Iur„_st,e8t 1512 Clemson Court stete Eagan, hIN 55122
ii,lil icrlti, yF? L L,'iIl,
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 530-56 _A011130 6-3-82
RESTOR.
GRADING
SAN SEW TRUNK 9 73
* SEWER IATERAL S,,? 19$1 199. 02 39.80 $ 119.42 11 it
WATERMAIN
* WATERLATERAL 19$1
WATER AREA 19,77
STORM 5EW TRK 544-32 14670 471.76 11
* STORM SEW LAT ISHI
CURB & GUTTER
510EWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC
PARK
. INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 6$1-4675
SITE ADDRESS: tQ fi , 16 ? LOCK ; i APPLICANT:
l6lr CI.EMSQM C1 fpkll. U1JAY11E
l'NqMAS l,AKE HFTQHYS (612) 469-3997
PERMIT SUBTYPE: TYPE OF WORK:
(1! t, k
Control No.
NIIIIaIMG
•ri42h
•9/14/97.
-
s • ?.., ? ? = ?.? - -
?r?J..? :5 ? ?'?? ' ?? :; s i ?., •S" -
"". . ?i` 7?i+ -'zi?? ? "' ? .T __i+ ? .., j??'T ,' _?? y„ ? t• ' -
w?j t?'
_? _ A • . .--? . ? 7?--?5-'?. i k s??y ? _ _ 1?L?• ? ; F _ _ ` -._ ?. ? - - - - -
?. i??tT:i??=.'k _.,?'l.s ?• e%ui?'•? r???r. _
Fermit No. P..mlt twwsr DN" 'fitepbon. s
S/1N
PlUMBING
HVAC
ELECTRIC
ELECTRIC
Irnpactlon Oate Inap. Ccmmenh
Footlngsl
Foundation
Frami^9
P-A^9
Rpugh Plbg.
Rough Htg.
W.
Fireplace i
Finel Htg.
areet Teet '
Flnal Pbg. PIhQ. lnspector - NolilY Plumber
Conet. Meter
EngrJPlan
Bldg. Final ?
De(* Ftg.
e4ot3 4,6W - CAOt"740
Deck F+naJ
won
Pr. oisp.
P
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
1 i;+??+??. t r?F i Si! 1?;1i 1??
PERMIT TYPE:
Permit Number:
Date Issued:
tfi APPLICANT:
i •;i : ,
I t: l.' 1 1441;11if 4f
r r, i
PERMIT SUBTYPE: TYPE OF WORK:
rf Rar.tOa
Permit Holder Date Telephone #
PLUMBING
H VAC
Inspection Dete 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
IRRIGATION
METEfl
FLUSH
MAINS
coNOUCnviTv
TEST •
HYDROSTAl7C
TEST
BSMT R.I.
BSMT FlNAL
DECK FFG
DECK FINAL
REQUEST FOR ELECTRICAL INSPECTION ??? EB-00001-03
See instructions for compieting .?.
this form on back of yellow copv. i:`? ?? ^ '` ??
T 5 5 6 8 4 ?
"X" Below Work Covered by This Request ?
N Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Dupiex Water Heater ighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. io "Furnace Silo Unloader
strialBldg. Air Conditioner Bulk Milk Tank
r Et A g dcher Specify. Ocher iSUPr.iiyl
r ISUecify Other Qther
Cnmpute lnspectron Fee Below
4 Fee Service Entrance Size
0to100Am s 6 to30Am s piD 0 to30Am s
0 fee Faeders/Su6feeders # Fee Circuits
101 to 200 Amps 31 to 100 Amps p p 31 to 100 Am s
Above 200 Amps Above 100_Amps Above 100_Amps
Transiormers Remote Controi Circ. Partial Other Fee
i Special n $
TOT
Re t
, AL FEE
/ 1 oJ -
This request va
78 months from
? , .
.!? ???• .. . ,
?r `• ?
? ,_J1
o.ite i
i 7 ??/ I, the Electrical i . ._. __
? Inspector, herehy P
Drite ;?ertify thet the above i1'?'. t:e,•,?S ?
at;•. .: y.._ 'h-?
inspection has been
Q/ made.
. `
This request void qr ( / 1 I ( TA O Ma S ?LL 4 C l" t T 77`0 U
18 months from ?
T E. S 684 ?? 3 ?
Request ate
?
n? Fire No. RouPh-in Inspection
Relqu?ed?
?Ready Now [??lI Nntify. InsPec-
t
Wh
R
r
D
! O U?'eS ?No or
en
eady
`2-ficensed Electrical Contractor I here6y request inspection at above - ?'?-? ""-•'
? Owner electrical work installed at: ? -' Sireet Address, Box or Ro e ? City
ec i.on o. Township Name or No. Range No, Coun[y
Occupanf NT)
?u... n s
) v Phone Nc,. y
Povver Supplier Address '
Elecxric i qnK?
CJ
H; '?'-? -• -
a,? i?..? St4 t-• .
7
Y,?rs?
License No.
Mailing.AddAsS,Pyntrac4or orwA?Y ? •'ingta+ -
? j ? ?? t, ?) s }` q C' 7 ^?
tj ? 4T1 >_rs. ? -,.
1 J `? f
Authoriz r (? ? 3'? 3X ?Tr?"n1?+kf?g-?Ij?ta.LJ?tion)
MINNESOTA STATE BOARD OP ELECTRICITY
Griggs-Midwav gld8. - Room N-191 ' . .
1821 UniversiYy Ave., St. Paul, MN 55104 -''! • ` .
Phone 1612) 297_2151 ?
cIrir oF eaGaN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: -
Eog..n, MN 55122 DATE:
Zoning: No. of Units:
Owner: -
Address:
Site Address:
Plumber:
w7lh the City of Eagan
mpl
I
r
M Connection Charge:
r
ag
ee
co
Ordinonees. Accaunt Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dnte of In
: Tatai:
sp.
Inso.; Date Paid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units:
Meter`No.° Connection Charge:
Size: Account Deposit:
Reoder No.: Permit Fee:
'1 agree M eomply witl+ the City o4 Eagan Surcharge:
Qrdinonoes. Misc. Charges:
- 7otaL• i
g Date Paid:
y
Date of Insp.: Insp.:
Address:
Site Address:
rfb Be
/ -- 'cITt%oF Eac,A,%
BUILDING PERNffT APPLICATION
Used For ?tx.,,? Val tion
Include 2 sets of plars,
1 site plan w/elevatiors &
1 set of enesgy calculations.
0/-? rJ 0 0 Date 'VVl I S? ?
OFFICE USE OAII.Y
Erect ?y, OccuPanc7'
Alter Zonin4
Repair Fire Zone
Enlarge _ 7.ype of Const. J7-
Nbve # Stories
Demolish Front ft.
Grade
g ft.
Depth
Site Pddress: ts ? Z- ?-
Lot /C Block ? Sec./Sub.
Parcel #: //) 7,59-Sli // ri L19/
Oaner:_,/??:.,..?+.-..?C-r,..?..??..:ti G;-
Address: /D f7 _ etj 157
city/ziP coae : ? °-, t1?. S S 137
Phone #: Or_iss;f
Contractor: A?- C,-7
Address:
City/Zip Code: 4
Phone #: "
Arch. /Ehq.
Pddress:'713?
City/Zip Code: (',t? A
Phone #: 0 f5i
APPRQVAIS ?''?
/S? -!
Assessments Pexmit
Water/Sewer Surcharge
Police Plan Check
Fire SAC S?2 S -ep
gng, Water Conn. 3 -35'
Planner Water Meter d -O°
Council Road Unit / 45 a?
Bldq. Off.
APC
CITY OF EAGAN
3795 Pilot Kno6 Roed Eagan, MN 55124 N2 6656
PHONE: 454-8100 7 '?e
BUILDING PERMIT APPLICATION ReceiPr #
re be used for SF DKG/9AR esr. Value 61,000 Dore 5-14 1 9 81
Site Address 1512 C1HR50I1 Ct Erect 12 Occupancy R3-
Lot 16 Block 1 Set/Sub. ThCrnas IaCe HtS Alter ? Zoning RI
Parcel {k 10 75950 160 Ol Repair ? Fire Zone 12
Enlarge ? Type of Const. V
m Nome Smchine Conqtnic-f-icm Co Move ? # Stories
; Address 1017 E. 157th St oemolish ? Pront 50 fr.
o ?_ Bux175ville ?one 435-6535 Grade ? Depth 48 ft.
? Name _ Approvols Fees
O
Mdrea
w INam. P1v-llip5 Plan SVC.
; nddre? 7630 W. 145th St
App e V ey 432-2044
I hereby acknowledge thot I have read this application and stote that
the information is correct ond agree to wmply with all opplicoble
SMte of Minnesota Statutes and City of Eagan Ordinances.
Assessrt&Q _`-
Water & Sew.
Police -
Fire
Eng.
Planner -
Council -
Bldg. Off. -
APC
Permit 156 _ 00
Surcharge 10 -50
Plan check 7R_00
snc 52 5 nn
Woter Conr$15 _ O()
Water Mete r6O - nf)
Road Unir 1 R5 nn
Total =1 _'269 .5O
Signature of Permittee I
A Building Permit is issued to: Snnchina ('nnctnurtinn fYn on the express condiHon thot
all work shall be done in aecordar)¢e with all aDC1KVble?State of Minne;6ta Statutes and City of Eagan Ordinances.
Building Officlal ' "'°'?
• I CERTIFICATE OF SURVEY FOR
DUNN & CURRY REAL ESTATE MANAGEMENT INC.
- cOURT - 9,9?
x917.g - \
4=540 39'30" R_163.g9 °x?s.2 ?
9\ 6R 919.R
?\65 ???• ` ? ? 15. . ??? S ?'
918.4 -?- \
9 k• ? ? ?. q?s' 19.3 .42.07-'_ 919.2
g15•8?o?i''? ? t]--*-32.0 '
. O h????\ \O ?O 16.2 t GAR. I
?
/
\
?
818•9 18.7 /
y Iao
N0 '\\150 ao??OUSEED \ 16/?9/
O? ? ? \ ' \ ? 1
-56. O-?N 14.7
12-3 163
\ ?N ??%
LOT 16 ,'
•? ? ? ?? ?
? \t? \
DATED THIS ztsT DAY OF TAlJ 1981
\o
N
`V
\\ ? ? o ? i
+.
I
MARK IN SIDEWALK. Q "'
7 N rn?
Q
IV
/
i
Rev. 4-29-81 to show buiidin9 0 906.9
as staked. +
q06.6 1
LEGAL DESCRIPTION
1 SCALE : 1 INCH = 40-FEET
LOT16, BLOCKI , THOMAS LAKE HEIGHTS;
ACCORDING TO THE RECORDED PLAT
THEREOF, DAKOTA COUNTY, MINNESOTA
I HEREBY CERTIFY THAT THZS 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.
JAMES R. H
INC.
APPROVED FOR DUNN & CURRY REAL
ESTATE MANAGEMENT, INC.
sY :
DATED THIS ? DAY OF ? 19??
s pc.cw?
0jacuW6 w* wh ? ?? 1
C*&40*- NOTES
* 100.0 DENOTES EXISTING ELEVATION
*(100.0) DENOTES PROPOSED ELEVATION
• PROPOSED GARAGE ELEVATION = 919:5 FEET
* PROPOSED TOP OF FOLTNDATION
ELEVATION = 920.0 FEET
* PROPOSED LOWEST FLOOR ELEVATION=916-8 FEET
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. I
'
80207
80208
22/4- pianners / Engineers / Surveyors
FILE NO.
8200 Humboldt Avenus South
FOLDER 6bomington, Mn. 55431 812-684-3029
MINNESOTA REGISTRATION NO. 12294
• HAPPINESS
?' ZO
?
V
DON JOHNSON
BOB FOSS
SUNVHINE CONV 8 Y iUVT' V,N VO.
ADDITIONS NEW CONSTRUCTION REMODELING
435-6535
ct.?A,
• 1 ? ?n? ?-.-
?.?.?.,... ri, S 3 3 7
:April 28, 1981
koberts Architects
4941 France Ave. So.
i°iinneapolis, Niinnesota 55410
LUT 16 BLOCK 1 THOi9AS LAFLB HEIuN`?'S
1512 CZENISON COURT
Roof Color - Tan
Soffit ana Fascia Color - 2irown (Alwninum)
Siding Color - Adobe Beige
Thank you,
,
ilon J son
5tiNS9IidE CUitiST;iDCTION C0.
Y
llJ:ksp?
?
? CITY OF EAGAN FERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 032136
(612) 681-4675 Date Issued: 0 6/ 01 / 9 S
SITE ADDRESS:
1512 CLEMSON C7
LQT: 16 BLOCK: 1
THOMAS IAKE HEIGH7S
P.I.N.: 10-75950-160-01
DESCRIPTION:
, Re-szoe
Bu'ild3n"g,., Permit Type
ding Wprk Type
?"`Census Code
js
\
\t ? 4 %
J
i?
.\
SF (MISC.)
flLTERATION
434 ALT. RESIDENTIAL
ir. {.
.,. _w
? aPa
REMARKS:
FEE SUMMARY:
VAWATION
Base Fee $124.75
Surcharge $3.50
Total Fee $128.25
`G/ 9F0fJ
CONTRACTOR: - Applicant - sT. LIC OWNER:
GREAT LAKES WINDOW & SIDE 18913490 2006042 TRYG6 IORI
6098 LOWER 161ST ST 1512 CLEMSON CT
ROSEMOUNT MN 55066 EAGHN MN 55122
'(612) 891-3400 (612)454-7399
I I
i hereby acknowledge that I i5ave read this application and state that the
information is c,orrect and agree to onmply.,with, a11 appl$cable State ofi Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PEFiMITEE SIGNATURE
ISSUE? BY: SIGNATURE
32 I?? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) tI Z?j - ZS
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
- ' 681-4675
Naw Constrvdion Reauirements RemodeVReoair Reauiremants
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window s¢es; poured ind. design; etc.)
? 1 energy calwlations
• 3 copies of tree preservation plen if lot platted after 7111/93
required: _ Yes _ No
DATE: ? -/" 5r
? 2 capies of plan
? 2 ske surveys (exterior adddiona 8 decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; ???,c7 d
DESCRIPTION OF WORK: ,( _
STREETADDRESS: __/S`/
f/ ?A,,
BLOCK: SUBD./P.I.D. #: ^?I/?./SVI,S CuCX '
Name: ??2 G Cj? ? oR, ! Phone #:
PROPERTY ? First
OWNER
Street Address: 45 City State: Zip:
/J
Company: phone #: e?/
?
CONTRACTOR ?
Street Address: ?-fri ? ? License # ?&G`
City State: Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
5ewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penatty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to compry with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applipnt: ?r?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
g .Y
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex
E3 02 SF Dwelling O 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 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 o?/ w, I5
Surcharge 3. S0
Plan Review
License MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ `7,? ?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Unks
CITY-OF EAGAN PERMIT °°"t ° "°. 1039
'c
3830 Pilot Knob Road PERMIT TYPE: B U T L D I N G
Eagan, Minnesota 55123 Permit Number: 001426
(612) 681-4675 Date Issued: 0 9/ 10 / 9 2
SITE ADDRESS:
1512 CLEMSON CT
LOT: 16 BLOCK: 1
THOMAS I,RKE HEI6HT3
DESCRIPTION:
rBuilding Permit Type DECK
Building"Work Type REPflIR
UBC Occupanoy R-3
Building Length 14
Building Width -, 12
i
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REMARKS: C b ? o
FEE SUMMARY:
Base Fee $25.00 COPY $•50
Surcharqe $.50 Total Fee $26.00
Subtotal $25.50
CONTRACTOR:
FORD, DWAYNE
3260 232ND
HAMPTON
(612) 463-3997
- Applicant -
14633997
ST E
MN 55031
OWNER:
TRYGG TOM
1512 CLEMSON CT
ERGAN MN
(612)454-7399
I hereby acknawledge that I have read this application and state that the
information is correct and agrse to comply with ell applicable 5tate of Mn.
5tatutes and City of Eagan Ordinances.
APPLICANT/P RMITEE SIG ATURE IISSUEU t4y S NATlSRE ??
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Kno6 Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: is BLOCK: 1 APPLICANT:
1512 CLEMSON CT FORD, OWAYNE
THOMAS IAKE HEIGHTS (612) 463-3997
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
?
?
Control No. 1039
BUILDING
001426
09/10/92
REPAIR
im-
PERMIT #
REA?CTIYATE _
, ' 14 IL
CITY OF EAGAN ? n? CO
1992 BUILDING PERMIT APPLICATION
681-4675
`6Ep §;g w
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
specificatlons, 1 copy of energy calcs.
Penalty applies when typing of permlt is requested, but not picked up by last-warking day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date - 7 jc;? / / Yaluation of work _ `n'ZDo
Site Address: ISI a e /en, Sa n e-f,
STREE7 ? SUITE R
s f
`t
k
d
r
5
.e C
Tenant Name: (commercial onl y) "
LOT ? BIACR -j_ [SUBD. ???
g
T?ov?t.sLatif ..
D. 0
Descri tion of work:
T.he applicant is: 00wner OK Contractor O Other (oeecrsne)
Name
7^n m ?' V aq Phone Y5 ? 3 99
Property ____
L•S1 UaST
Owner Address _>, Pm s oV? ef?
STREET STE /
P City StaYe Zip
Company nI,u ?r n r Q? Phone ?-fG 32197
Contractor Address 3? 4 o -o'?? f/-. License #- Exp.
City State Zip _S`so,R )
Company Phone
Archttect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber . Processing time far
sewer 6 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 wi 1 applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
woRK nrpE
? 31 New
O 32 Addition
OFFICE USE ONLY
,.
?
4?
? 06 Duplex ? 11 Apt./Lodging 0 '16 B$sement Finish
? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 10 Multi. Add'1. ?15 Deck ? 20 Public Facility
El 21 Miscellaneous
? 33 Alterat9ons O 35 Tenant Finish ? 37 Demolish
ex, 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy ? 2nd F1. sq. ft.
Zoning Sq. Ft. total
f of Stories Footprint Sq. ft.
length ? On-site well
Depth !L, On-site sewage
APPROVALS
Planning Building - 9? O S
Engineering Variance
REOUIRED INSPECTIONS REPLqeiz E)VsTiIqG tZC
? Site 19 Footing O Framing
? Nallboard 0 Final ? Draintile
MWCC System
City Water
PRY Required
Booster Pump
fire Sprinkler
Census Code
SAC Code
Assessments
_ ?.
y3y
? Insulation
? Fireplace
Permit Fee 2510b
Surcharge
ie
Licens 2
AC
City SAC
Water Conn.
Nater Meter .
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies ,m
Other
7ota1:
SAC %
SAC Units
s
,TIFICATE OF SURYEY FOR I
DUNN• & CURRY REAL ESTATE MANAGEMENT INC.
- ?COURT ` 9j92
x917.6 \
\ '-.90`_ ? b,:54°39'30" R;16 9 o?s?92 ?
3.
99.4
^9?6gkk ? ? ?, . 916.4 ? sfsz ?
19.3
9%15'9 ' ?32•0
\0 `O \"9162 t GAR.
aB•7
18.7 y ?\ ie.o
V ROPOSE? ? 16.29 ?
9,y 2 w ?y ?C? \ Nm?. W\P
p ? -Ii0U5E ' ?N
, ? + \ ? ??cl " \\ ? , ` -50 .0?- _ 14.7
.3, 12.3
?\\LOT 16 ;
,
? ?t^ \ o \°
tr s ??N 1 ? `
? -p
i
PUNCH MARK IN SIDEWALK Q
7 ' N m ?
Q.
Rev.4-29-81 to show buildin9 906.9
as stnked. ?? z
'y06.6 1
LEGAL DESCRIPTION
1 SCALE : 1 INCH = 40 FEET
LOT 16, BLOCK 1, THOMAS LAKE HEIGHTS;
ACCORDING TO THE RECORDED PLAT
THEREOF, DAKOTA COUNTY, MINNESOTA
I HEREBY CERTIFY THAT THIS SUR\7EY,
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.
DATED THIS z(ST DAY OF fAn) 1981
SIGNED: JAMES R. HI , INC.
MAtCVLL a.. rnl?n.?v..? .,.-,.... ., -•---"
MINNESOTA REGISTRATION NO. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
80207
e0208
22/4- planners / Engineers / Surveyors
. FILE NO.
8200 Humboidt Avenue South
FOLDER Bbomington, Mn. 55431 812-884-3029
APPROVED FOR DUNN & CURRY REAL
ESTATE MANAGEMENT, INC.
BY :
DATED THIS ? DAY OF ? 19L??
? ?
vmflpr I0r'rMcP6 *4* wh,euxiii-I
Q**CZ*- NOTES
* 100.0 DENOTES EXISTING ELEVATION
*(100.0) DENOTES PROPOSED ELEVATION
* PROPOSED GARAGE ELEVATION = 919.5 FEET
* PROPOSED TOP OF FOUNDATION
ELEVATION = 920.0 FEET'
* PROPOSED LOWEST FLOOR ELEVATZON=916.8 FEET
STATE RESIDENfIAL CONTRACTOR/REMODELER
LICENSING INFORMATION
PERMIT #
1. I have made application for license to the Department of Commerce.
Date of Application
_ Residential Building Contractor
_ Remodeler
?
Signature Date
2. I am exempt because I am a gng specialty remodeler.
C? 7- f°2
Signature Date
3. I am exempt because my annual gross receipts are less than $15,000.
9- 7 - ya.
Signature Date
4. I am exempt because contracts on individuai projects in aggregate do not
exceed $2,500.
?- 7
Signature Date
Questions regarding the licensing law should •be directed to the Department of
Commerce, 133 East Seventh Street, St. Paul, Minnesota 55101, (612) 296-6319
Licensing Information, (612) 296-2594 (Enforcement).
? Nob
Reaulremenls
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
? 2 coples of plan
DATE: I D -?;)' 3 "-a0
CONSTRUCTION COST: O-Ua3 • 7 (D
DESCRIPTION OP WORK: kE-P-1001: kmE If multi-family bidg., how many unlfs?
IWDICATE THE FOLLOWIPdG EQUIPAAEM TO BE REPLACED AfdD BY WHOM:
_ Plumbing _ Homeowner Q Contractor Npme
_ Mechanical _ Homeowner Q Contractor Name
"NOte: If somebody omer man the homeowner Is pertorming plumbing or mechanical work they mustapply for appropriate
permiT. Only Ilcensed plumbing conTractor or homeowner may complete plumbing work.
STREETADDRESS: CL?So,v CO U/Z j
LOT: Jb- BLOCK: I SUBD./P.I.D.ti: Rr]YNAvs QK@ ?? ?
( -r e- ?(' ?- l- )
PROPERTY
OWNER
(LoRz)
Name: W ? LC.I)x ?Ij I?')'y)C 5 Phone #: 6Sl - y S y- 7 3?79
Last First
Sheet Address: /-'- / a CLC--mS D iJ CZ 0 ?-
cNy E? '!-rn? State: /Yl r) Ztp:
SS l??
Company: Phone #:
(area code)
COMRACTOR
Sheet Address: License # Exp.
Cffy
State:
Zip:
cc";; 2 s 2000
T.
I hereby acknowledge fhat I have read this applicaHon, state thaf the information is correct, and agree to compy witfi a
of Minnesota Statutes and City ot Eagan Ordinances.
Signafure of Applicant: `Z??
?5?a3
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122 .
651-675-5675
Please complete for modifications to existing residential dwellings.
/5?5v
- 1
Date (X I ulJ ( Dq 1 TRYGG, LORI '
1512 CLEMSON COURT
I
Site Street Address I EAGAN, MN 55122 U(11t #
(651)454-7399 ,
Property Owner Telephone # ( )
Contractor (612) 827,4033 •
Telepnona # (
)
address 2905 GARFIELD AVE. SO, city state zip
MINNEAPOLIS,
The Applicant is: _ _Owner Y-1 Contractor _Other
Alterations to existing dweliing $ 50.00
_Add fixtures to rooms, excluding water softener and water heater ?
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
X replacement _ additional
Lawn Irrfgation System P2_ new _ repair _rebuild $ 30.00 '
?
State Surcharg - $ 50
Total g ? S. SO
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand thbs is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
ApplicanYs Printed Name p ant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118021
Date Issued:10/25/2013
Permit Category:ePermit
Site Address: 1512 Clemson Ct
Lot:16 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-160
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 .
Elizabeth Hess
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 -
Aaron D Kapaun
1512 Clemson Ct
Eagan MN 55122--186
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177585
Date Issued:07/08/2022
Permit Category:ePermit
Site Address: 1512 Clemson Ct
Lot:16 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-160
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Thomas & Susan Crocker
1512 Clemson Ct
Eagan MN 55122
Options Exteriors
6340 Industrial Drive Suite 200
Eden Prairie MN 55346
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature