1576 Clemson DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1576 Clemson Dr
Lot: 36 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10- 75951- 360 -01
Use:
Description:
Sub Type:
Work Type:
Description:
e - Water Heater
Replacement
Water Heater
Meter Size Meter Type
Comments:
Fee Summary:
Josh McGuire
605 12th Ave S
Hopkins, MN 55343
Contractor:
McGuire & Sons Plumbing & Heating
1424 N 3rd St.
Minneapolis MN 55411
(612) 604 -4285 X61
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Manufacturer
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
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Bemetta R Kambeitz Tste
1576 Clemson Dr
Eagan MN 55122 -4806
$15.00 0801.4087
$0.50 9001.2195
$15.50
Issued By: Signature
Plumbing
EA080940
11/07/2007
ePermit
Line Size
CITY OF EAGAN WATER SERVICE PERMIT
3839 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:
Date of Insp.• Insp.•
CITY OF EAGAN SEWER SERVICE PERMIT
3831 Pilot Knob Road
P. O. 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:
Surchorge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
w •
tol rim
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Apr 04 2013 11:43AM HP LASERJET FAXBAC CONST
4011111° Cal of
3830 Pilot Knob Road
Eagan MN Bain
norm Mei) 87e.5676
Fax: (651) 075-6654
6127223447
U.. BLU
page 5
or BLACK Ink
For Oflloe Use
Penult x: __
PermN Fat,:
Dale Received:
staff: -
2013 COMMERCIAL BUILDING PERMIT APPLICATION
r Otte Address: / S7.v - 15-'74 C I 'e Il'1 S O Ni___� I
Data: L � w
;etc .t1MkM�l (Torment h: -- New 1 X_ Existing) Suits*: -------
Tenant Nam,.
Name:
Former Tefunt:
Phone:
Address / City I Zip:
leant*:
Owner Contractor
1
'V yl /'..: 4h '� �Iair, III �� ..
', 11911 1,11, P 11 Ilrl^i�8�l811611I191�
Construction Coal:
i I IIIc V hl 1 it I I:�11
lr ir 11 . nd utility damage.
fdbct'aQa►inat.undaau tY
r r 1'1° r 111 0102'07 twelve Iocutes of underpaid Ud11tl1ee
I herebythat *Is :1f'tokrnadorr is complete and =watt,: Met the worts will be in conformance with the otdironcee end
codas' of thr ..I ; that: l und.mtsr%d'file Is' nota perrnit, but only an appliosllon for s permit end work 1a not to start without a
permit that the k WM be in accordance with the approved planIn the baso of work 411, requires a i.aiew and epprovaf of plans,
Prh tad Nam. Applicant's 13 tura
Appiicsnf$
Email:
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Page 1 of 3
Apr 04 2013 11:44AM HP LASERJET FAXBAC CONST 6127223447 page 6
DUB TYPE%
Foundation
Commercial / Industrial
Apartments
Miscellaneous,
WORK TYPI,
New
Addition
Alteration
Replica
Salon Owner Change
c-
-)c -
DO
-Icy
DO NOT WRITE BELOW THIS LINE y �L ( l l
_ Public Facility
_ Accessory Building
Greenhouse / Tont
Antennae
Interior IrnproVsment
Exterior Improvement
Repair
Water Damage
Extortor Alteration -Apartments
Exterior Alteration -Commercial
Exterior Alteration -Public Facility
_ Siding
Reroof
Windows
Fire Repair
RESORPTION
Valuation Occupancy
Pian Review Code edition
100%__) Zoning
Census Code Stories
S of Unita Square Feet
# of Buildings Length
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Dsok)
Footings (Addition)
Foundetion
Drain Tile
Roof: Decking __Insulation __Ice & Water .rFinal
Framing
Fireplace: _Rough In At Test __Final
Insulation
Meter Size:
_ Demolish Building"
Demolish lntoror
Demolish Foundation
Retaining WaII
*Demolition of entire building - give PCA handout to applicant
MOBS Byetem
SAC Unite
City Water
Booster Pump
PRV
Fire Sprinklers
Shaetrock
Final 1 C.O. Required
Final 1 No C.O. Required
Other:
Pool: ._Footings _Air/Gas Tests _Fine'
Siding: __Stucco Lath __Stone Lath _Brick
WlndoWS
Retaining Well
Erosion Control
Final CIO Inspection: Sc ,°dui . Fire Marshal to be present: ___Yea No
Reviewed By:
COMMERCIAL F'EES
Base Fee.
Surcharge
Plan Review
MCES SAC
City SAC
S&W Permit & Suroharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication
Trail Dedication
Water Quality
BuIlding Inspector Reviewed By:
Water Quality
Water Supply & Storage (WAC)
Storm Sewer Trunk
SeWer Trunk
Water Trunk
Street Lateral
Street
Water Lateral
Other: _�_--------
TOTAL
Planning
Page 2 of 3
Apr 04 2013 11:42AM HP LASERJET FAXBAC CONST 6127223447
PSAL
CONSTRUCTION SERVICES
• Banner Roofing • Award EXtarlore • Champion Chimney •
3032 MInnOhaha Ave. S., Minneapolis, MN 56400
Phone 612-721-5500 t=ax 612-7a2-3447 Www.baGns.net
Y� fi--w
page 2
WWW �j��1I��III'���{�' f •""�t9pi1.�1 1 � 1�!
_.•V�.j I �. X 91 : i Y III row, III��N� 1 �fK'�i i n'Ntl' .;,;
Horizon Mills Tow ubotine Association
Various Addresses
Ea an, MN.
404
h:
CO: 'bailey Enterprises
1775 Selby Avenue
St, Paul, MN 55104
REMOVAL OF EXISTING ROOFING & REROOFING OF ENTIRE BUILDINGS * N 1D0044805
CLEMSON DRR,,
#261574.1576.CLEMSON DR, #321342 1544
material down to the roof deck, clean up alt debris, ondb1auawaye. When r from
the
obits.
1. Remove existing roofingand using plywood and tarps as much f the house.
g the
Protect the building and rlandscaping Aster will be put in close proximity
debris from the existing roof a dump
as needed to allow insulation contractors access to the ni . r Note- quare This of
2. Remove roof sheathing rice at a rat• o $ pe
work will be peerformed over end abDve the contract p
3. Install new pre -painted, gutter apron or drip edge on all lower edges.
4. Install GAF W
eatherwatch •` nderiayment 6' up root from all lower edges and 9' at upper Main buildings
only.
' wide strip of GWeatherwatch underiayment 8" up sldewalls and onto roof deck.
5. Install an 1 8' • F
atoh utideriayment 3' wide, up entire length of all valley areas and a 3'section at all
6. Install GAF Weatherw
vent penetrations.
7. Install and cover the remaining roof areas with GAF Shingle -Mate wrinkle resistant underlayment.
8. Install custom -fabricated, 24" wide, prepainted galvanized metal valley, W -sty
le.
-tarter course with self sealing strip at all eaves to ensure the seal of the first course of
9. Install a 7 self s
shingles.
10. Supply and install new GAF Tinmbertine iD Lifetime fiberglass shingles. Color
11, Install shingles with tour (4) galvanized roofing nails per shingle.
Install matching hip and ridge shingles using minimum of two (2) galvanized roofing nails.
12. In work.
13. Remove the existing siding at all sidewall location and reinstall upon completion of roofing side
a metal shingle tins course for course with shingles, at roof to wall transitions (i.e.
14. Install new 28 gau g � � � �
walls and chimneys).
Use BLUE or BLACK Ink
i
For Office l l,, q t~ o
City of Eqdll i Permit
Permit Fee: O ' oo I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 1
Phone: (651) 6754675 l i
Fax: (651) 675-M4 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION #
Date: 1 l - ! 3 Site Address:12q lI2- !3, )5-)6,1576 B C_ ;~)_t_ $ nItt`# :
Name: cam
Lr Phone: k4- '721. t d d
Resident/
Q)ffneF Address / City / Zip:
Applicant is: Owner - Contractor
Type of Work Description of work: of mQ
Construction Cost: _ -*211 d 0 Multi-Family Building: (Yes Z No }
Company: --rr)"7 T'~UG /OW Contact: 67 2__----
CdntittCtor Address: ?J _ City: minneapnltl
State: _J)2AL- Zip: Phone: 612- 72-1- wa -
License 0 b Z-- Lead Certificate
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: -_--____-_y
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions Qf
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.ooftroteonecali.org
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 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 160
days of permit issuance.
x11164 P t!51rnl x
Applicant's Printed Nam Applica e
s Signature
Page 1 of 3
APR-30-2014 13:42 FROM:UIKING EXTERIORS 651 256 1061 TO:6516755694 P.2/2
Use or BLACK Ink
r..
RECEIVED I Ferolllceuae
City of Ealan ; Permit
APR 3 0 ?R1&
1
1
3830 Pilot Knob Road 1 Permit Fee: Eagan UN 55122 I I
1
511,
Phone: (651) 675.5675 11 Date Received: I
Fax! (651) 8~5-6894
I StaIF. 1
1 I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Daft-. _ 1'S714 - 15 7 4 13
Ske Address:
Resident/ Nemo: Phone:
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work DOGMption of work: - Q`30/ g- AP-E.65
-IKE Gonsbudion Cost' Multi-Family Building: (Yo6 / No a) 'DIM
COmPany/~r tKIN IwN~uicn I t ~F,N a Contact; v G
Contractor Address- 901 V. ora✓ city: e4y. J/. /'.t c .
St3tc: N ZiP: f0 Phone /N/ Email:
~fyJM Coq ~T-O.ti/~ /~T
_ License # D 7 Lead Certificate L r S
If the project is exempt from lead certification, please explain why. (see Page 3 for additional information)
E
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI DING
In the last 12 months, has tho City of Eagan I"ued a permit for a similar plan based on a mutter plan?
---.Yes _No If yes, date and address of master plan:
Licensed Plumber.
Phone:
Mechanical Contractor: Phone:
Sewer b Water Contraator.
NOTE. Plans and su g Phone:`
pport/n documents that you sub
the in mit are considered to be public infonnaftn. Portions of
for" "On may be Class~ as non-public ilyou provide SpecMc reasons Met would permit the City to
conclude Shat they are trade secrtats.
CALL BEF ORE YOU DIG. Ca" 1501011" you intend to d to G°pherstato One Call at (661) 44-002 for protedlon ayairat underground utility ddmna. Call 48 hmm"
b rotQive Iocwlw at undergrwnd uVides.
I hereby acknowleoge that dtis inlOrmatipn is complete and
Fagan; that I umdorytand this is not a accurm; that the work Will be in cmrontrance wim the ordmencet; and wd~ of the City ur
accordance with the permit, put only an application for a permit, and work Is not to start without a permit; that the work will be in
approved plan in the case of work which requires a review and approval or piam.
Ea1e1a'work aMorked by a building permit Issued in sccoMan
days of Permit issuance. w wMh the Mlwtesoto Soto 84Aldlnp Colo Hoot he completed within 160
tr
ADpfi 's ZPrin Nano X
Applicant's Signature
Page 1 of 3
, .
For Office Use
Perrn'''' 1/A)0 19 Ee-
. ,..,
. . r
• r 1 / ,9-0
,m)R 16 202.5 1 Permit Fee
.
••-• ' • '-
Date Re-(2,,,,t
t .
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
ate 1-41 -6 Site Address: /5740 Cte444atv ibiedpve Unit#:
14.--te:74,11
Resident:
Owner
..,,.
• '3'-' " -• — .•- T'''''-Y..' t e-c-4. Xig-ma. ki* //-e4r4,•;\, ' ' - , ' Atprohcao-4-. .,...4/4
Type of Work
;,,,,
i &V Multi-Family Budin Ye X_ ' No -. (
. ........
/7
''...:(x-:-.Jah. /4 yr (eii-.- pe a c r_R.:Tv vi) Awle ....fireitfiuj-vonetrtel4 ;;;14' y.
coottactor, ,.5.drEssCatt-1, _ r _ /91/e ' Cit‘ Aitole_Le. 14/1-1-Ley"
tt,t- PI P.V7,) 070-g '•'',,,-. .7-1Y1 Lao, Email /471-144---Ar?ihrj,"4144,41,414 , C 62,4:1-
icense it: ige it7 fj Z 4-- Lead Certificate#
,'.-•-i:•,qt,t: '!ortl lead certification. p[ease expiate why'
.,,nvu,vei 4 __ il f 7
hit,:td- A.1 hefo4
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW,SVILPING
;r, tnt, it 1; months. has the City of Eagan issued a permit for a similar plan based on a master plan?
V: , V .;: ,-r-_, anc 'J.-.,-.1,-.2re:.,..,:.,' n',;,..;.,- L:',:,:••
,..icos.:,fi PinOkii Phone:
Attv1,i,::.v n -act-'-- Phone.,
—
Wia'.Ytt uGnttactor VV V Phone:
F-iie 61..it-)nreSSIOT1 COtttraCtOr 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 trad,e SectetS.
, n ''be to ,neve an electronic notification from the City of proposed ordinances by signing up for an email update on t.-.!,,cv:ty
ivxtet,:tt ',,,,C,,i< authorized by a building permit issued in accorcance with the Minnesota State Building Code must be completed within ,BO
ilays,“rig iiiIiiit asnarice
,LALL 3E“..-;RE YOU OIG Gopher State One Cali- Ei5ii 454-0002',' -;,',.,: ,;,,1 •against underground utiliP damage Cat
, ' t '-.' '. I lie i i iiiigro,ind.it,: -st.
. .., — • .. V V • ' t,t - ',-tva•t(vat is ct.:mete ,'7,:. acc,..at:., '.n.,: a'.,•:,,^.'yor, %,•'• ”! Conformance with the omtirtarvJes aoo : . .1 -:
- :t t (,--t v-- •- t-: ."( v( E,-;(volit. ,v:.;' .,,: , _,.- ,-(::;,t :: .: :. : ., 1.-:( york t' not tct start Will-out a permit that the , •(- v
/2
4 ' ilitt /41-, vr
Ap icant's Signature
DO NOT WRITE BELOW THIS LINE /.-7t2 C,1 0A. OI ` b1 '0-
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi X Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
2( Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation pOO (n:i•„, -) Occupancy 272c- 1 MCES System
Plan Review Code Edition V o l c SAC Units
(25%_100%_) Zoning PN City Water
Census Code l,/Kq Stories Booster Pump
#of Units / Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 58 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan , / Other:
Reviewed By: • /`� '4.o^ , Building Inspector
RESIDENTIAL FEES
Base Fee _
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
SSW Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3