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1560 Clemson Dr BCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA098199 Date Issued: 03/10/2011 Permit Category: ePermit Site Address: 1560 Clemson Dr B Lot: 23 Block: 01 Addition: Thomas Lake Heights 2nd PID: 10-75951-230-01 Use: Description: Sub Type: e -Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 4,500.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Hearth and Horne Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 633-2561 - Applicant - Owner: Shawn L Moehrle 1560 Clemson Dr Unit B Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1560 Clemson Dr B Lot: 023 Block: 001 Addition: Thomas Lake Heights 2nd PID:10- 75951- 230 -01 Use: Description: Sub Type: Work Type: Description: e - Water Heater Replacement Water Heater Meter Size Meter Type Comments: Fee Summary: Contractor: Peggy Thomas 1560 -B Clemson Drive Eagan, MN 55122 Total: Manufacturer PL - Permit Fee (WS & /or WH) Surcharge -Fixed 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 Applicant/Permitee: Signature PERMIT City of Eaan Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Peggy L Thomas 1560 Clemson Dr B Eagan MN 55122 $15.00 0801.4087 $0.50 9001.2195 $15.50 Issued By: Signature Plumbing EA077626 05/04/2007 ePermit Line Size - Applicant - ï þ ý ÿÿ þýüøüû ùþþÿÿú ÿ ï ëýó í ñêñë ÿõ ÿþýüûúöæùâùÿýüû úùýüûòû ùû âÿâðëðáÿû ü Ü àÿ ùé ùùüéùÿ ÿ ñõ ÿ õ û õ÷ññð ì éäñäðîìîðìñ ôù ÿù ù ß ÿ äñäîñêîêñ ß ÿ ñî óðò õñ÷ ûû âùö öõù ñõ ñâóù õ ûõ÷ññð õ÷ññ èåì ùþü ö ù ûû øùó ùù ùóûüö ûû þ øõ ÿ âüø áù î ûû æ ÿü ÿù Mar. 27. 2012 9: 07AM Alb' City ofEatau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 No. 6020 P. 2 Use BLUE or BLACK Ink FgrlDse Permit #: /6) Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: March 27, 2012 Site Address: 1560 B Clemson Drive Unit #: RESIDENT I OWNER Name: Shawn Moehrle Phone: 651454-4209 Address / City / Zip: 1560 B Clemson Drive Eagan 55122 Applicant is: Owner x Contractor TYPE OF WORK Y Description of work: remove and replace 4 windows 6 ; (-7_6 (01l 4 t .k ,S Construction Cost 4295.00 Multi -Family Building: (Yes / No G) CONTRACTOR Company: Builders and Remodelers Contact Mai Anderson Address: 3517 Hennepin Avenue South City. Minneapolis State; MN zip: 55408 Phone: 612 827-5481 /�' BC1100 NAT 20683-0' r7 ✓ License #: Lead Certificate #: — If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes . No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor. Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the informationmay be classifiedas non-public if you provide specific reasons that wouldperrnit me City tp. conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 1 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 } 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 wilt be in accordance with the approved plan in the case of work which requiros a review and approval of plans. Mary Anderson Applicant's Printed Name Appl' nt s • nature Page 1 of 3 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box "21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: _ Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Dote of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P70. Box'21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.• Total: Insp.: Date Paid: \ I _ . ta ( iii 1 C_ Use BLUE or BLACK ink I For OfRce Use ! i ! ~q of E*n I Permit I Permit Fee: -1 1 - '45 3830 Pilot Knob Road I ! Eagan MN 55122 i Date Received: A Phone: (651)675-5675 Fax: (651) 675-5694 1 Staff. I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: k--EL- 13 -Site Address:6~*, 81f. 3 Name:' 11 e4M rePhone: ~-2• 72L_ Mtf Resident/ Owner Address / City / Zip: _ Applicant is: Owner - Contractor Type of Work' Description of work: _ SMQ F Construction Cost: - zp'.-71 e0o _ Multi-Family Building: (Yes _ No Company: e_ S 7-,e 414 /t7'!✓---- Contact: J L~1 e.CZ Contractor Address: O3 _a _ ~?calia. _ City: MineQS State: INv Zip: 555yo Phone: 642 - W-1-5506 License #:Ar - - 19 Z o 6 2-- e Lead Certificate _.Ir - 2 V?X 7 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes -_No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: - Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of ` th# information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade swets. CALL. BEFORE YOU DIG. Cal! Gopher State One Call at (851) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gophemitaleonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinaries and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. r X1 ! ~LGtf_Tr? C I'3 G~! ~I') X_ ~a Applicant's Printed Name ~J Applica s Signature Page 1 of 3 Use BLUE ur BLACK Ink --------------, � For Office Use � � j Permit#: �� ( ! Clt� of�� , � ' ��%� � 3830 Pilot Knob Road � F'ermit Fee: � � Eagan MN 55922 j t Phone: (651)675-5675 i Date Received: t � I Fax:(651)675-5694 � � StafF. C -----------------� 2015 MECHANICAL PERMIT APPUCATION ❑ Ptease submit iwo(2)sets of plans with ati commerciai applications, Date: � � {i'' �� Site Qddress:�JC� � (��A� ►�/�(,� L�tin1,ti%�;� !J Tenaat: V C�°id�� Suite#: x �,a.��.�, ��.,�:..�_.��,m�,��.�-��-.,�,,�.-��.Fr.��z..e.Y,._ �,.��.�-�m �>��u.�.�.x�,�.-. .. __ _ � . - . __ _ �-.,n�,�,. ResidentiOwner � Name. ti5 �G1A�y"�- �O�C.�� Phone ��,,,,o�''��'�� _ �� ' � � � Address/City f Zip: �� ` Name: JrdLvT�S'i�G �n,�.c�t ft'�+�v L�y.:� License#: ��.�._�,,�..�.x�.��,<_� COf1�C�Of ` Address:�Ll.c�O � �1^A.�'3�fh�!s�•� �L�-City: 7t„ '' � State: r�_Zp:��j Y�;� Phone, ��— Sl��'a'�� . Contact Email: z , � �� -� a �_�_: a T ._ _.,,�.,,��.��._��.�.�.a��,-:,�-_.�,a,� �,� — ��.�,-�,��-�:�.��-,�.a�m� � New �Replscement Additionat Alteration Demolition Type of Work � �escription ot work. /f,c��t.�» � � , ;. �' .a�-v-mv� ,v�+c+.v= �m+..�r+..�a>.sruecs-.-maw�.sa _ rznam�ewemw:*.. as-n-.mzn 'm.x �cc.�m�.r.-sarvmmawr@ ; ' NO'iE:Raof mou�d and gr+a�rnd maunted mec#�anicai equipmerrt is required bo be scr�eer�d by Ciiy � � Code. Pt�se r.ont�ct the MEchanica!inspecfor for informalion on permit�e�d screerring methods. > = s�.�� „�, ..��,.�.��,�_s.��.,�.�.�,.-�.�.��,� ..,��z��f,.��..� w r.�. _. F-,= � . �_a.� .x �,.,.,�� _„yw�.�,� n�..� .,��.. ...�� = RESIDENT/AL ` COMMER�IAL �Fumace New Construction Interiar Improvement ; Pet'tt'tit Type —Air Conditioner � Install Piping Processed � 3 _Air Exchanger Gas Exterior HVAC Unif '� � � n _Heat Pump ElnderlAbave ground 3ank (_Install/_Remave) ` -- Other � r.,_u� . m �„ �_� ro,..�t _�.m_�„� ._,�.�,.-„ �_��, f.,�_„�z.,��-_� ,_.�T_�.�. � ._:_��,..,_,.�,,>.�. _��y.� �. „ - � =-• �_ __ A�,_�..�,.��..� a� �� RESIDENTIAt FEES 7�� ? $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surchargej � $100.Q0 Residentiaf New(inctudes$5.00 State 3urcharge) _$ ��• �� 70TAt FEE ` t�.�_.,�- .r.,:.=. ,�, ,_.. �..�n,�., ,,..-<,.�.� _�.�� :.,,_�.�_..�,,.�,�.,�,�,�,�.s�..�Y�4� .�r�:� , F ��,.�.s.� ,�.�,�,,.�� COMMERCIAL FEES � Contraat Ya(ue$ x.01 = ; $55.00 Permit Fee Minimum `� $70.00 Underground tank installatia�fremoval =$ Rermit Fee 3 *If contract vatue is LESS than$10,01Q Surcharge=$5.00 =� Surcharge* ' *"tf contract value is GREATER than$10,010, Surcharge=Contract Value x$Q.0005 t 'k*'"If the project valuation is over$1 miilion,pfease call for Surcharge _� TOTAL FEE ' -.� ��,�._.� �_��z��,.�v,�..�-..��-�.��..�.m. _,��,�� ..�.�m��.�� z..��.«�.,�.�.�.,��.�� I hereby acknowledge that this irifoRnaGon is complete and accurate; that the work wi8 be in confo►mance with the ordinance,s and codes of the CiEy of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not ta start without a permit;lhat the w►ork wiq be in acxordance with the approved plan irt the case of work which reguires a review and approval of plans. X_1�o��.r�° �� r� x �� Appiicartt's Prirrted Name Applicant"s Signature FOR 4FFICE USE Required tnspections: Reviewed 6y; Date: Underground Rough in Air Test Gas Service Test 3n f}oor Heat Final HVAG Screening