1513 Clemson Ct Use BLUE or BLACK Ink
r----------------�
I For Office Use �
' � Permit#: f 0'� I
Clty of ����� � � �
� Permit Fee: � �� �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: I
� I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / '- " � Site Address: 1 ��� � ���`^S �� ��� Unit#:
' Name: �� Phone: � � � ^ L"/�'�°��
Residen�! �}
� �Oyyn`��` �'��� Address/City/Zip:�> 1 �� W�-Strr�- ' �
� ���- �� .� Applicant is: Owner Contractor
r
� � �°'°` Description of work: � � 1�^
TYpe of Work :
�
' Construction Cosfi ��- Multi-Family Building: (Yes /No�
Company: U W G-C✓�� v��-� d�`� Contact: ��►-�
Address: V1U Z�o S v"�-�—�`r"� City: �dc v� V va iY�"�'
Co�tractor ���� � �
State: °v'�Zip:�� Phone: �S Z'��� Email: ' �� �'Y�J� v� �rtU ��-
� License#: � b � Lead Certificate#: �`� � - � S � b C/
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE;�Plans�and supportr�g�►ocuments�I1ax.yor��submltare�onsid�red�to;be public infvrmat�i�n, P�r�ions������of ���
the infQrmafion irray be c/assifiec�as-nan=publi��t'yc�u�rovide specific reasons that would permit the City to
� '��.concl�d�#h�t�the a�re tratl�,�°se�refs. '���
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.qoaherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved p�an in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit iss ance.
�
x x
App' ant's Printed Name ApplicanYs Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1513 Clemson Ct
Lot: 28 Block: 1 Addition: Thomas Lake Heights
PID:10- 75950- 280 -01
Use:
Description:
Sub Type: e - Fumace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746 -5200
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Abdolreza Shafiei
1513 Clemson Ct
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA084552
07/22/2008
ePermit
BUILDING
Slte Ad2r?
Lot
Parcel No. _
oc Name _
? Address
City -
r Name _
?u Address
1- City
Name _
the informofion Is correct cn
Sipnoture of Permittee
A Building Pe?mit Is issued M:
all work shall be done in acao
Buildiep Offitiol
---?ti-•- p
3830 Pilot Knob Road, P.O. Box 21=:T99, Eqgak MN 55121 N? g980
PHONE: 454-8100 ?eceipt #
Dtjl'! 11V •
CIty
I hereby acknowledge that I h.
Stote of Minnewto Statutes ?
Erect p?' Occuponq R3
kS LK 1? S ''Alter p Zoniny
i Repair ? Fire Ione N/A
? Enlarqa ? Type of Const.
r ve ? # Stories
'
?,?emolish p 4,? ? fi "
Length
r
-7 ?-'
Grode p
.
Depth 50 S4. Ft.
r ? Approvals Ftes
'' JAssessment Permit ' 0 0
34.50
,Water & Sew.
P
i Surchorfle
k 168.50
Pl
h
0 ol
ce
on c
ec
Fire SAC 525.00
1
•
_.
Enp.
Woter Conn. 470.00
? ? 2 J 63
00
Plonner .
Woter Meter
Coun[il Road Unif 260•00
tion ond state that Bldg. Off,
with oll applicuble
)rdinonces,
APC , , Q()
Totul
T 7 ?+Ti
-?
on the express condition that
iooble Stote o6 Min nesota Stotutes ond City of Eayan Ordinonces.
:
Pwmit No. Permit Holder Miec. Permit No. Holdar
Plumbing 3 ? dt ?U 5 '' ( ' t ?
H.V.A.C. ? 50? .Z-- -1J 1[; n< ? y 3 C 1`? 5A
w.u
wn..
Disp.
Sewer
E kctric
Inspsction Dete Insp. Othx
Footinqt
Foundation
Frominq
Rouyh Pitp.
Rouph HVAC
Inwlation ?LfC Q{
Finsl Plbp. j"e/
Finsl HVAC
Final
Ger? .".E '
Wster Dftc?i6e Locstion:
1Ns11 -
Savwr
Pr. D'up.
Receipt PLUMBING PERMIT Permit No.
CITV OF EAGAN F.
Fi!l in numbered spaces S/C
Type or Print legib/y Tot
1. Date 2. Installation Cost
- - , ?
3. Jo6 Address "iot Blk. Tract =
4. Owner
5. Contractor
6. Address
?7. City State Zip
8. Building Type: Residential 13"' Commercial ? Institutional ?
9. Work Description: New Cl' Add ? Alter O Repair ?
I 10. Describe
1 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
_ i Lavatory Softner
Shower Well
% Kitchen Sink
` Urinal/Bidet
Laundry Tray Other
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 454-8900
CITY OF EAGAN Remarks
Addition-TflOiflA.S Lake EIeights Addition Lot 28 Bik Z Parcel #10 75950 280 01
owner street 1513 Clemson Court state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipi Date
STREETSURF. 353.72 A012172 5-5_$3
STREET RESTOR.
GRADING
SAN SEW TRUNK
*SEWERLATERAL 1981 199,02 39.80 5 79• 2 A012172 ?5- 3
WATERMAIN
,t WATER LATERAL 1981
WATEFi AREA !qy' ?,?
STORM SEW TRK 35. A012172 5-5- 3
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 #42660 4-18-84
WATER CONN. 470.00
BUILDING PER. 8980
sac 525.00
"
PARK
INSPECTI4N RECORD
ZCITY OF EAGAN PERMIT TYPE: ?
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: `i', ",'•' ;'`
(612) 681-4675
SITE ADDRESS: APPLICANT:
•10 (i46 1 13
i
? ;;I?1Piri .?. . IIF^ IA"rS
PERMIT SUBTYPE: TYPE OF WORK:
?f' A 'T Nt
I:0 INEi
y? 5\411
;
-?--- -- - - - - - -- - ??? ? . ? i
Permit No. Pertnk Holdlr Date Telephone *
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBC
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PIBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FlNAL
DECK FTG
DECK FINAL
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road -~ ' - .
21199'
B PERMIT NO.:
o:.
P. O. ?
MN 55121
Ea DATE:
gan,
Zoniny• No. of Units:
h
r?
??r: a
? /1W reSS: , 1 •
bmas
La e }I ..
v. ?
Site /lddress:
?
`
?'
.?,.
.- s i
?`
17i
-
r`,
'?'Plumber .
,
?
- 0
Meter No.•
` ° ion Charge:
?,&4
a1
T 470.
0
00
15
? .
'
AcCOUnt Deposit: .
0 3 L 3?? //
:
Reader No
Permit Fee:
l n.??
.
f
h
6
Ci
n
Surchar
e: 77
ry o
l
e
Iayeee to eomPlp wit n
g
?
..:.,. ri..,..?.??
CITY OF EAGAN SEWER SERVICE PERMIT ?
F.
3830 Pilot Krob Road pERMIT NO.:
P. O. Bc*i 21199 D^?:
Eagan, MN 5512'? No. of tlnits:
ZOI'11?Ig: ...
S ur.?:?ir.e r_•onF t
pwner:
i, - ,i ia9 Y+S?:E: ?ietB
Address.
1513 Clenso.2 ? ? ?' ? - '`
Site Address: gtal Plb _
v
with Nm Citp of Eagan
M eomoll? `?
of Insp.:
Connectfon G+crqe: ? 425.00
O
Account DePosit: _.----
Permlt Fea: ?'0• Q0
_50
Surchorge:
Misc. Cho*yes:
Totol:
CASH RECEIPT
CITY OF EAGAN
4
i P. O. BOX 21-199
EAGAN, MINNESOTA 55121
OATE 19
RECEI V 60
FROM '
AMOUNT ? I"-
; S -.
. -. . `{ . & DOLLARS
+oo
EICASH 'Q CHECK
Ft1N? GOOE Ar+10UNT
0
1
J
?
Than au7
BY
White-Payers CopY
Yellow-Posting CopY
Pink-File Copy
,?b ?30 5 9 5-? _g y
387 9 L a 8 60/
InSPeC-
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NY 8980
PHONE: 454-8100
BUILDING PERMIT Receipt # 7'{
Te ba wed for SF DWG/GAR Est.Volue $ 68,000 Date APRTT. 17 , 19__8A_
SiteAddress 1513 CLEMSON CT. Ere<t [JK Occupancy R3
Lot 28 Block 1 ?c/Sub. THOMA LK HT Alter ? Zaning Rl
Parcel No. 10-75950-280-01 Repotr ? Fire Zone N/A
Enlorge ? Type of Const. V
w Name SUNSHINE CONST Move ? # Stories
? Address 1471 THOMAS LN Demolish ? Length_4Z' 6"
City EAGAN Fhona 454-7485 Grade ? Depth_90 Sq. Ft.-
Aoorovals Feea
o Name SAME
?? Address
1- City Phone
~
Name " JAMES R. HILL INC.
?w
1-2 Address 8200 HUMBOLDT AVE. SO.
?W Citv BLMTN. rhone 884-3029_
I hereby acknowledge thaf I have read thls npplicafion and state thaf
the intormation is correct and agree to mply with oll applicGble
State of Minnesota $ta es ond Ciry q?ogan Ordinoncq,?q
Signature of Pertnitt ed2'!?"!L?'[t?ri ,?,r c _
?/
A Building Permit Is issaffd to: S[INSH1
pll work sholl be done in accorda wifh il opplicable St feE?/r1g
Assessment _
Water 8 Sew.
Police -
Fire
Eng.
Planner -
Countfl _
Bldg. Off. _
APC _
Permit .:;, 33 / . UU
Surcharge 34 _ 50
Plan check 168 .50
snC -__U_5-00
Worer Conn. 470-D0
Water Meter 63 - n 0
Road Unit 960. np
Total 51.858.00
on the ezpress conditlon thm
$tatutes and City ot Eagon Ordinances.
Building Officiol
CITy pF EAGAD7 Ir.clude 2 sets of plan_=,
1 Certificate of Survey &
BUILDING PERMIT APPLICATION 1 set cf_ energy calcul8tions..
To,Be Useci F _ Valuat9.on Date (o
Site Address /543 'C.?t'?atson C-7- OFFICE USE oNLY
Int a8 B1oclc / Sec./Sub. oH?s LQkeFxect r)<_ Occupancy
Parcel #: ??ter Zoning ?? , Repair Fire Zone
OWr1eT: ? KbtSK r t rf e ?OhS J ]? uc'J`io,i
Address: 15(71 -gtor..as Z.•tste
City/Zip Code:
Pnone #: Ly(,1-7C(-7
Contractor: Sct k,j r as
Address: ot ?vo i c-
City/Zip Code:
Phone #:
Arch./En9
Address:
City/zip
Phone #:
Enl.arge _ Type of Const.
Nbve # Stories
Demlish Fmnt ft•
Grade Depth sp ft.
APPROVALS FEES
Assessments Pexmit 33 7
[4aber/Sewer Surcharge 2y ??-
'
Police Plan Check / 6
ol?
Fire SAC 5 5-P
glg, Water Conn. 41D -?
Planner
? -
Water Meter (o
Council Road Unit 2-6u -
Sldg. Off.
P.PC _
y/) 7
'I+DTAL l i Y/ SP• o-U
-ti
2/34
CITY OF EAGAN
APPLIi.ATIOPJ FOR PEILMIT
-' SEWER AND/OR WATfiR CONNECTION
(PLEASE PRINT)
PPCPE=- ADoRESs: &i-13 (11614s-,:, ?-
iFr=,L D^SGRI°TIC;1: 4c,7'" ?8 13 lOCFC ? 7-41a`s, C.4K2 X415Z'-4?
.
(Int/Block/Subclivision or Tat Parcel I.D. Nisnber}
STR[;CP'?,E, D?7; GF CRIGi ;uiLCL`:G P--7:.Sm rcSUa,
! F=--'- z^.;Ii:F:/. =C!'CSED XR-1 SuiGLE r^n?ffl,y
D R-2 GUPLEX M;p UDIITS)
[3 R-3 2GSvNHCLISE (TIIl2E" + [NZTS) ( 5)
? R-4 ApAR??'F'`:T/CO-LqDC??LPi1IL^,1 ( T-.`Ii
? CaNIEu2CIALJRETAIL,/OFFICE
? 11ML'STr2TAL
? IDISTIZUTIONAI./G0VM?.^'?FI'
z) APDrT= (PLEdSE PRINT)
NA61E: Si.I1?SL7 /Lst" ?.cvtS7'i-caC'7 !pq
ADDRESS: 151-71 7% ov'r. aS ?c u'?
C==^', s=, zzP: Ea24 1" x7i? SS-?2- 2-
PHOVE: tL,S'?/- /;cfj,S
3) pU:,T.c-? ASE PRINI)
f roJ FOR CITY USE OHLT
ADDRESS: /7}yni1 5 -rR,. PLU!!BERS LICEtiSE:
r:7n
Active
CITY, STATE, ZIP: o A'7
T? 5-fy2iy
/ 4y,?
Expired
7
IL.?.
PHO??IE: pLUMBER LICENSE p_? =? _`,Lg?yy Not of Record
arr ini ia
Q) pCCJpANT/CrqpTM / .. (PLEASE PRItNf)- ?•?:
?
I(., iq+C[?ifNl_
6L.S I
rwnrr-ss: 147 i `1-6
CZTY, STATE, ZIP: SS/ZZ
PFIQ:IE:
5) INDIC<,'?':.' P7HICH PM,SIT IS BEIiVG RDQUPSTLD:
? Cb"'LL1['.CI'ION 'Ib CITl' Sa7II2
? CC"i??]ECI'ICZN 'in CITY WATER
? 0'I'f'.ER (PLLA.SE DESCP,IEO
6) E;DiC':'= C`W:
? PI,E`SE I?OID APP?tOVLID Pt?%tIT FOR PICFC-UP BY ONE OF ABOC E
?°LE.15E :?*AIL APP 'ED PERtilIT 'IO 1, 2? 4 ABOVE
(Circle one)
? 7) S?G?'?.?.P.: DATE:
? `
??! e?:?lasJO i? i!?c e.lr? f? rt 1't s.ss:a.? 1? oi s?:saw:a:? ?? a.c ?rJ?l.+er?-l?r fn aw !.a ?asai ¢
F 0 R C I T Y U 5 E 0 N L Y
P°?M2T - ISSUEn
F°OS: $ iO.S d SET.'iE? nVA\1Ty
$ / a_.5;- d WATER PEPS1IT (INCLUDE SURCY.ARGE )
$
l0.3. a?d
?
S
$
s
$
$
S
$ '
S
WATER METER/COPPERHORN/OUTSIP.E RLAULP
WAT;:.R TAP ( I1'Ci.iTDE CORPORATICN S"_'0? )
SEWED TAD
ACCOUNT GEPOSIT - SESJER
ACCOUNT DEPOSIT - WATER
wac
sac
TRUNK WAT°R ASSESS:IE:IT
TRliNK SES4ER ASSESSMENT
LATEP..AL BENEFIT/TRUNK SE:4ER
LATERAL BENEFIT/TRUNK WATER
OTHER
TOTAL
$ AMOUNT PAID/RECEIPT 17
DOP.S UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
C YES IF YES, THEN A"PERMIT FOR WORK WITHIIV
PtJBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TIO[V.
Sli3JECT TO TFiE FOLLOL9ING CONDITIONS:
APPROVED BY:
TIT;,E:
DA TE
???ORMw sw wtAmwmwmse wss w.+wwc+ pqw:rml4w"q w_a w*Wwa G"m w+ ReowR w" wi M
CERTIFICATE OF, SURVEY FOR.
. I DUNN A CURRY REAL
L ? ? . ? J 1
.. . .._.. ,
QEVSSF-o 4-17-a4 T„
5?ac"'4 q y¢..oaosF-fl
y0t-$9E FoR- 6uN5HIn1E
CANST RUC.T o 0
?
?
TATE MANAGEMENT INC.
FO 10 ?DRAVNAGE
a UTIL-TY ?
I EASf NTS ?
p•
/
\ gp! 4i O ?\LOT
glY.O+t \
•gsz'? \
'?? ?° 's
v a ? R
• ?.
9?F
. ?0\
IA
28
o
PUNCH MARK IN SIDEWALK-
? ? ? ?er ? 1"10 ta
?? / -? \40.00?
? { m PRO?ED ? I
\o ? Has£
?
2A1T \\ ?
N G4R
O ?
4.33
- - A --? ---0--- ?? ? . 1
1f6.05 \ °?
N
\ ? \ o
'. ,?
? ? - -
;? ?`o'•?p?i . ??i . ?
? >
o\ ? p,2252.
` 9??.r
?,r 9NP
9/8D Z? \
\
?' 917Jx
"lo 5
i
I.EGAL DESCRIPTION ?a1e.3
LOT 28, BLOCIC 1, THOMAS LAKE HEIGHTS\
ACCORDING TO TAE RECORDED PLAT
THEREOF. DAKOTA COUNTY, MINNESOTA ,
-I HEREBY CERTIFY TAAT-THIS SUR`IEY,
pLAN OR REPORT WAS PREPARED SY ME OR
UNDER MY DIRECT SUPERVISION AND THAT I
AM A DULY REGISTERED LAND SiJRVEYOR
UNDER THE LAWS OF THE STATE OF
MINNESOTA.
?. ' .
. \
'- 1 V
?
w
W 6
q?e•
?,.
w ?
0
m.
SCALE : 1 INCH = 40 FEET
APPROVED FOR DUNN fi.CURRY REAL
ESTATE MANAGEMENT, INC.
BY:
DATED THIS _ DAY OF _ i9-=
NOTES
DATED THZS ZISTDAY OF J'a.N 1981 ? DENOTES IRON MONUMENT FOUND
0 DENOTES IRON MONUMENT SET
SIGNED: JAMES R. HILL, INC.. ELEVATION
100.0 DENOTES EXISTING
_
*(100.0) DENOTES PROPOSED ELEVATION
? * PROPOSED GARAGE ?20.3 FEET
ELEVATION
? * PROPOSED TOP OF =
BCOCK
9
201 FEET
ELEVATION )
_
H OLD C. PETERSON, LAND SURVEYOR * PROpOSED LOWEST FLOOR ELEVATION= 90-3FEET
MINNESOTA REGISTRATION NO. 12294 '
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.,
80207 84638 -
80208 '
75/• planners / Engineers / Sur.veyors
. FILE HO. 57 8200 Humboldt Avsnue South
FOLDER Bbominyton, Mr. 55437 812-884-3,029
: l ?... _ . . . ., .,. .. _ ,,,.., _ ,_ _. .,,,- . _ ,? .. . _ , .- -,,•, ... _ ,,,. _: _ ». _ . . _ * . , ° , . .. ? : T?:'--: ?. : . •
.. ••• •••••Y• I
Gu wo?trochou fVo.
ide
C?`indows I Doon Refermce OuL Wall Int. WaH C<iling Roof
i"- Ycs-No I 19- I ? Fl.? 1-
' Room Length ' -' Width Fkiqht ' /!II ? ???
Wi ndows nd Doors- -Crac;ca ge n? fl tta
Ne. WbtH
oto??e Hai{M1t
olp+n• ho u
b;n?. LIn?t1 (0.
ofcnct Aru
p.R
D Q
Coef. &n
Infiltration
G1ass
Exp. wall
Net exp. wall O
Inl. wall
Floor
Cla.
lotai Istu.
2eavired sq. ft. E.D.R. or sq. ins. W.A. l.eader area
Fl.1 Ll ?IV4 Room jLength 1"J'/nu Width /'j ?/, it
Windows an Doors-Crackaat and Aree ??
Na K'IEIh
ot p.ns Heleht
of o??a No, o[
IIgTb Llne. l tt.
of cmek Aie.
M. h.
Coef. Btu
Infiltntioa
Glas?
Esp. wall ?
Net up. wall
la[. wall
Floor
CeJ.
7ota1 Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 DlY14 Room I LenRth)U'b/1Width fQ
Windowe an oors-Crackaae end Arpa
No. a'piii
e[ D.,a H
t etKTl
o Oane
Yo, o[
Ilg ?t•
Llnul IL
et enek
Are?
ry. tt.
' 1 r1 !I
C«f. &u
Infiltration ' ?
Class
Exp. wa11 ?
he[ exp. wan 7
Int. wa11
Floor
Ceil.
Total B;o.
-rb{-aZ N1L - 53;303 9A
lmnlation
Floor ?F:ind How Applied
I
RoomjLength/3'Q' Width
nr??raekeae and Area
W Itlth
n.o• /f .l?t
t p?w IIcEIa of eracl[ C. [t
]E [;]
r • ? ?? /
1/0
10
C«F. Btu
Ia6llration /
Clau /Q
Exp. wall
Net exp. wsll
ut. Weu
Floor
r. -4.
Twnl Btu.
RGqURfd aq. h ED.R. or aq. ine. W.A. l.eader area
/ FI.1MQ1 ROJhRoomlLenethRU.,It Width/aI/a+'HeightT7/J71
Windows and Doors-Crackage and Area
No. widah
Of O?oe fleldAt
nf Di.. No. ot
llc4b Llnul ft.
OI Cr.Ck nrc.
p. fl.
Co<f. Btu
In6ltratiun
Gaana _
Exp. wall
Net ezp. waU
Inl. wall
F7oor
??.
Tota1 Btu.
lA 4
N. WIJIn
o[?.'e HNgp<
ol,p.n• Naol
IIfTt• Llne. lft.
olcnck Are•
CoeE. Btu
Infiltration
Glass
ExP. wali
Net ezp. wall ?
Int. wall
Fleor
Cdl.
Total Btw 111,29 _
Reqaired sq. it. E.D.R.,or sq. ino. W.A. Leader area
?C':athorstrips A Guide?
1'i:r.dcws Doon ReEerence Out. Wall
1'ee-ti? I Yn-\o 19_.
Fl.I f? •- D Room Length)/o'Q11 Width
Windows and Doors-Craccace .o,i A..,
Constrnetion No.
Wall Ceiling
No. Wiath
of pane HNiht
o:9?of, Nu u!
I?!lu• Llnul ft.
ul cnek /.
y fe.
) 0 ' ?
Caef. &a
Infiittalion
Glass
Fsp. wall'
het up. wall `
Int. wall
Floor
Ceil.
iotai ntu.
Repuired sq. ft. E.D.R. or sq. ine. W.A. Ltader ates
F1•1 ) L1N RoomI Lengih) 7 '0° Width' )
\L'indows snd Doers-Craekao. nrd A... r
x> Wmtn
er o.ns HUght
of c•n. No. of
?rnt. Llnul t0.
ot eraek At
n. tl
CocF. Btu
Infiltra[ioo
Glau
EiP. waU
Net exp. wall
Iot. wall
Floor
Ceil. ?
lotat tSm.
Required sq. Et. E.D.R. or aq, ins. W.A. L.eader aren
A. Room I Lcngth /QV 11 Width
Windowe and Doors-Crackace and Area
No, otD?n? H.:ent
ofLane :?e. of
Ilghb I.Inul f?,
ofo.ek wrea
q ft.
r ?1 i 11
Coef. Btu
lnfiltratio¢ J [tC
Glass Q
E:p. wall t
Net e:p. wall
Int. wall
Foor
Ceil. t
lotal tS;u.
Requ'vcd $;. ft. ED.R or eq. ins. N.A. [.eader a'ea -LAa
Imalstion ,
t tioo? ?:?a How Applied
Fl.1 Room I Length Width ?'0
Winc6ws and Door?--Crackaae aad Atea
--YWIOtE
N. a f p.ne HHfbt
of ps. No. of
II(Tta Llo.. l ft.
Of tra[k Are•
p. (l.
i
C«f. Btu
1n61ttaLOn Q E
Glaix?
Exp. wnll /
N<< el,. .,an 7
Int. wall
F!nnt
('-l
Tdnl Btu.
ft E.D.R. or aq. ins. W.A. L.eader area
1) Room I L.engthy4/Q"Width,z
Lnd Doors-Crackaae end Ares
Ne. wimn
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ntv.. No.o[
Ilfhts I.Innltt.
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p.f1.
,
. ] I 1 ?1
T"
, ,< < ,r j
,,, ??.
I Coaf. Bm
In6ltratian ?
Cilaat _
Exp. wall
Net tzp. wall ? 7- 1
Int. wall
Floor
Ceil.
rotaistu. ) 4N1_ 760 a-A„h F/ 0 [Qa •7191
Keqmred eq. tt. L.U.K. or aq. ms. W.A. L.eader aree ?
Fl.1 Room I Length Width Height
w maowa a na voors -a,racra ge ana n rea
N. k'IJtn
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o(,Dan? Nn of
UffhU Ltne. t It.
o1 craok Aru
sG. f[.
Coef. Bcu
Infil lration
Glasa
Exp. waI;
Net exp. wall
Int. wall
Floar
coi.
Total Btu. I
Rcq;irecl Sq. ft. E.D.R..or so. ins. W.A. I.eader area
: R .,.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
031962
05/06/98
SITE ADDRESS:
1513 CLEMSON CT
LOT: 28 BLOCK: 1
THOMAS LAKE HEIGHTS
P.Z.N.: 10-75950-280-01
DESCRIPTION:
?`, , SIDING
ilc?fh' ermit Type
uild3ng '_ JQ 7ype
0Ce.ne4 Co
?g
u?
?
m?'g Mp '- v"'j"
REMARKS:
SF (MISC.)
REPAIR
434 pLT. RE5IDENTIAL
fm
FEE SUMMARY:
VALUATION $8,000
Base Fee $137.25
Surcharge $4.00
Total Fee $141.25
?
CONTRACTOR: - Applicant - sT. Lzc OWNER:
MN WINDOW & SIpIN6 CO 18889904 2000961 KRAUSE STEVE
8609 LYNDALE AVE 1513 CLEMSON CT
BLOOMINGTON MN 55420 EAGAN MN (612) 888-9904 (612)454-2687
- -.. - f? &...
d, I heraby,aekna?+ledg;?, ?°that;?.?,{??e ?M ` ?' vrI?
*,. -eu,• at ?' ??:" ix ? "??•2l` t17 Si s
.
- nft?fi-watiolh is ?arw???' ag?
Statutes and City o'f Eagen 0 r01rtana4"s. ? 4r
.,......_.... _ _,- -'a:' : -a .. ...... ....:?-_:.._ ..._ o y... . ._.,-s _..?.......:wz.-a...,.M.m..,'??s. ....,+?w,.,:.a..as?m....-.., J.?&?uw -_s._
I APPLICANT/PERMITEE SIGNATURE ISSUE Y: SIGNATURE
? ? ???
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
t CITY OF EAGAN
3830 PII.OT KHOB RD - 65122
681-4675
New Construction ReauiremeMS RemodaVReoair Reauirements
? 3 registered ske surveys
• 2 copias of plans (inGude beam 8 window saea; poured fid. design; etc.)
? 1 energy calalations
• 3 wpies cf tree preservetion plan if lot platfed after 711193
requfred: _ Ves No
DATE: S S q
DESCRIPTION OF WORK:
S/ d/,?
? 2 copiea of plan
? 2 sNe surveys (exterior additions 8 decks)
• 1 energy calculations kr FreaMd adddions
CONSTRUCTION COST;
' ?
STREET ADDRESS: /S-/3 Kyer-r 3 e.? 0? -
LOT: c? 9' BLOCK: ( SUBD./P.I.D. #:
c? (' / c
Name: R ?I V 5 ? J -?tJ e- Phone #: ?J ?_q
PROPERTY ?Lasc First
OWNER
Street Address: 123 ?, (? ?cm1 P-'? (.. ?7" .
Ciry &Ct q G/? Srau: Zip:
mn,,/?'// ? ?
Company: Y"? V ?t/j qJ?c?J ?`.J? Jl? ?? -1, phone #:
CONTRACTOR ?y ?/g/ ?
Street Address: License # ? v'?v 7d'?
?
City State: ? Zip:
ARCHITECT!
ENGINEER Company: Phone #:
Registration #:
Street
City
State:
Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certficates of Survey Received _ Yes _
Tree Preservation Plan Received Yes
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex
? 02 SF Dwelling ? 07 4-plex
O 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 70 _ plex
WORK TYPE `
5 ?J_rn' ?
? 31 New M-33?Atte'fations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 38 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 7 o?-S
Surcharge .oo
Plan Review
License
MC/WS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
?
r'
%`? 6a_
Valuation: $
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
1999 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681•4675
New Consfnicflon Reaulremen}s
? 3 regtstered sHe suneys showing sq. tt. of lot, sq. H. of house
and all rooFed areas (20% maximum lot eoveraae allowed)
A 2 caples of plans (show beam 3 window sizea; poured fnd. deafgn; etc.)
? 1 sei of energy calculatioro
? 3 coples of hee preservation plan H IW plaMed after 7/1/93
DATE: ?, A? 9
DESCRIPTION Of WORK:
STREET ADDRESS:
LOT: ?-? BLOCK:
9' 122 -
(RESIDENTIAL) M ,?/ y ? l
? ? •?s o
Remodel/Reoair Reaulremeah ' ' -
2 copies of plan
1sei of energy ealeulalions tor heafed addRions
1 sNe aurvey lor exterior addiNOns S decks
cosr: Y ) (v`7 101(00
l2 ?/ -?/Sy-a ? S7
Name:%1`',«n.2' 6? Phone#:
PROPERTY ? taaf First
OWNER
Street Address: 3
Cfty 61 State:?a?z Zip:
? ?.// ?
Company:!?????v ? Phone #: G /-,7' ?2_
(area code)
CONTRACTOR
Street Address: /-'o License #. ?k/rI729 -?L Exp.`94?
City State`: -Zip: 332
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Stree't Address: Regisfration #:
City State: Zip:
Sewer 8, water iicensed plumber freautred for new conshueHon onlvl:
PenalFy applfes when address ehange and lot ehange is requested once permil is issued.
S hereby acknowledge thaf i have read Thls applicatlon, state fhat the information is correct, and agree to comply wRh all applicahl
Stafe of Mnnesota Statutes and City of Eagan Ordinances. /?
Signature of ApplieanY. ?/-6-1+1r-y
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
2007 RESIDENTIAL PLUMBING PettMiT APPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifications to existin residential dwellin s.
?J?-,?
7 i? 1n--l
Date " J I ?
;
Site SYreet Address UniY #
Property Owner ??L? ? eit Telephone # (6*?p'?V ?
Contractor ? ? ?? ? -? Telephone#?{??
Address ?{? n? City State? ZiOZ?
il
The Applicant is:
Owner 8 Occu
ant Licensed Plumbin
Contracto
_
p
g
r
Septic System ` New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee applies when extensive plumbing re airs are made to a building.
Al:erations to existing dwelling $ 50 00
_ Add plumhing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are
installing onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
L
?
W:ate o ftener
ater Heater $ 15.00
JUN 0 4 1007
new replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total ???
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 this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordan with the appr plan in e event a plan is required to b eviewed Md?pov
/
J
AppficanYs Printed Name App's Signature
b
i?.?
07/24/2009 09:30 5073647328 ARCITECTURAL ENHANCE PAGE 03
- - - - - - - - - - - - - - - - -
For office U96617
I Permit: -
of Eatal
Permit Foe:
5830 Pilot Knob Road
Eagan MN 55122 }mate Reoerved
Phone, (651) 675-5675
FaX: (651) 675-5694 state
r 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
4Lt S A~f~r sane#:
Tenant:
m - - Phone: -
RESWENT 1 OWNER Name:
Address I City / Zip: p
L b 61 License a + r »r , - '
CONTRACTOR Name: N r~r'~ Q t
Address:
JilA) . Zip:
city: „j-L- state: pj Q6 L LE 1`-
t - ~K~ .antaCt Person: w _ _
Phone't+---~
New _Replacement -Repair Rebuild ,w,w Modity Space -Work in R.O.W.
TYPE OF WORK
De9cri qon of work:
PERMIT TYPE RESIDENTIAL
Water Heater --Water Softener
Lawn irrigation Add Plumbing Fixtures
RPZ I,'VB) Main Lower Level)
Septic system -Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 MinimuM Water Heater, Water Softener, or Water Heater W9 Softener (Includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures. Septic System Abando.nrrlab]f. Water Turnaround* (includes $-50 State Surcharge)
"Water Turnaround (add $165.00 it a 5/8" meter is required)
$100.50 Septic System New ($1 0-00 per as built) (includes County tee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surch TOTAL FEES $
1 hereby acknowledge that this lntorrnetio7 is complete and accurate; that the work will ba in conf nnanca with the ordinances and codes of the City of
Eagan; that l understand this is not a permit. but only an application for a permit, and work is to start witt~aut rmit, that the work will be in
acco ante vwth the approved plan in the oase of work which requires a review and approval of
L gQ .
Ap lcant`a Printed Name tea re
FOR OFFICE USE Reviewed By. Date:
Required Inspections: -Under Ground _Rough-In __Air Test -Gas Test -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114587
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 1513 Clemson Ct
Lot:28 Block: 1 Addition: Thomas Lake Heights
PID:10-75950-01-280
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
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 -
Abdolreza Shafiei
1513 Clemson Ct
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature