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1592 Clemson Dr B û ÿþýþü ÿÿ þýûý üþþÿÿõú ÿ ñ úæñþ þßýæ ì íë ÿø û ú ùþ ûò öõ þ ûò ô ô ôþòþ û þöñ ðñöñ ûó Ú æôä ÿ ì ûö ôþù üôö ìì ñøêûÝã èççí ÷ü û æþ èçëçìë àþþìüç öõõô øóò ùùþ Ùþñø ä ýþÿî ìö ëìîñ ôþù ôöÿþýþôöìì êìéì× æ þõýæþæþå þæ þùùþþ þæþæò ñþ þþý ñù õæþþùùþ ûþ òô þûþ þî òÿþýþï þ ç ùùþã ñûýþ ûýþ 1--------------- Fo~:OffLe_lFs l 0 ~Il I Permit 3830 Pilot Knob Road j Permit Fee: Eagan MN 55122 I Phone: (651) 675-5675 Date Rec 30 2009 Fax: (651) 675-5694 I Staff. - - - - - - - - - - - - - - ~~GG //2009 COMMERCIAL PLUMBING PERMIT APPLICATION Date:/25/v Site Address: Tenant: Georgia Cook Suite PROPERTY 1592 Clemson Drive j3 6514051187 OWNER Name: _ Eagan, MN 55122 Phone: CONTRACTOR Name: O 19t am P1 W?jbi r License 0L0(52A PI'n. Address: 2905 e14 Ay. S,City: 1)14213 Stater Zip: 55"T00 Phone: (UP-) T4 e-4'033 Contact Person: TYPE OF New X Replacement _Repair -Rebuild _ Modify Space Work in R.O.W. WORK - - Description of work: r tttCPi vva* e r hmtex PERMIT TYPE COMMERCIAL New Construction Modify Space Irrigation System yes / - no) RPZ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: Size & Price 3/4" meter $203.00 Avg. GPM High demand devices? -Yes No Flushometers Yes No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract Value $ x1% $ Permit Fee Required on ALL new buildings and boulevard irrigation systems - = $ Radio Meter Read If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s) If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge Following fees apply when installing a new lawn irrigation system. $ 50.E Water Permit Call the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ h 5o State Surcharge TOTAL FEES $ 50 5? 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. x J€i" • N or,b t om, x Applicant's Prin ed Name A icant's Signature ,FOR OFFICE USE Approved By; Date: Required Inspections: Under Ground Rough-In Air Test Gas-Test Final PRVRegwed: Yes No Page '1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Valuation: 5,145.00 Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Site Address: 1592 Clemson Dr B Lot: 50 Block: 01 Addition: Thomas Lake Heights 2nd PID:10- 75951 - 500 -01 Use: - Applicant - $50.50 Owner: Georgia E Cook 1592 Clemson Dr B Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA082845 05/02/2008 ePermit equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 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 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Valuation: 4,795.00 Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Site Address: 1592 Clemson Dr B Lot: 50 Block: 01 Addition: Thomas Lake Heights 2nd PID:10- 75951 - 500 -01 Use: - Applicant - $50.50 Owner: Georgia E Cook 1592 Clemson Dr B Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA082846 05/02/2008 ePermit equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 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 û ÿþýþü ÿÿ þýûý üþþÿÿõú ÿ ñ úæñþ þßýæ ì íë ÿø û ú ùþ ûò öõ þ ûò ô ô ôþòþ û þöñ ðñöñ ûó Ú æôä ÿ ì ûö ôþù üôö ìì ñøêûÝã èççí ÷ü û æþ èçëçìë àþþìüç öõõô øóò ùùþ Ùþñø ä ýþÿî ìö ëìîñ ôþù ôöÿþýþôöìì êìéì× æ þõýæþæþå þæ þùùþþ þæþæò ñþ þþý ñù õæþþùùþ ûþ òô þûþ þî òÿþýþï þ ç ùùþã ñûýþ ûýþ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilcit Knob Road PERMIT NO.: P. O. Box 21199 Eagan, MN 55121 DATE: Zoning: , — No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: / Dote Paid: By fi y "l lnsp.: Date of Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pi Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: i agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: ,,_,0,, _________._„ L ,.,,.. . ) Tfr:, , , , .._ ,\. /,,,, , 1 // /I I t /4 / - 9 j I 1 I PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA112445 Date Issued:08/14/2013 Permit Category:ePermit Site Address: 1592 Clemson Dr B Lot:50 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-500 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 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 - Georgia E Cook 1592 Clemson Dr B Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use CIV of Eapn j Permit 1 h 1 Permit Fee: -I V - 5 0 3830 Pilot Knob Road Eagan MN 55122 j Date Received: 3 I Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff. I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: - I l - i 3-_- Site Address: WT 41 8 ) $nit Name: C01L0S_-- Phone: 721- rQ 2_- Residelnir Owner Address / City / Zip: Applicant is: Owner Contractor Ype ofwof-k Description of work: Rei o i=- - a--- - - T. Construction Cost: V i Zq Multi-Family Building: (Yes _ / No Company: Ca Q5 BUG /0W__--_ Contact: c~ Address:-s~!SlsL~ I"1 t~i~PYIAYI City: Min Q nh's Contractor State: ! J ) A/ Zip: syd G - Phone: ~2-1 License SLA-~ 4 2- - Lead Certificate /V,a _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 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-W2 for protection against underground utility dames. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cods 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. Applicants Printed Name Applica s Signature Page 1 of 3 For Office Use VIL:P ) APR 16 2020 , Peri-nit Fee / Date F•:.'1,,•\ FA.C,AN riN 55122-lc It' 5•7, • •'• TDD 551,-154-8535 FAX 675-569s 2020 RESIDENTIAL BUILDING PERMIT APPLICATION 6 Site Address: / 5 ).. Cteinri- Avpvc- Unit#: _ gelt-4-140-01 , tkiattsg,404 Phone: Resident Owner y • •r •)e-C1Z- 0471-44.4'• • 4 Type ot Work 1 tit os. /SOO ryluill-Farnil,„• Building (Yes / „Ix-yen-ie./4 /ley r ( ,(T.F.c7v4/ fete -.1-'°"/ contact_ ,--;,,loress / C'.; ihe City ett e Contractor rt4, o s,p±y , 4.57-,2.vt• t7/101 Erna /17f4e. tiii•j/hyf(....4"*eirztk:s445 Ce.•wt. License:# 2-7 Z Lead Certificate#. if 1!-v,• inn lead certification. explaio. why: /49.409-",a4,10 ,./AlefiA47 Ati_Vpii'l /117 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILIANG the a months. has the City of Eagan issued a permit for a similar plan based on a master plan? ,1,iteJ aCidreSS tt, ,ceilsen Pic,rribei Phone: Phone: Sevv:c Contracto:i• Phone: Contraciwi Phone: NOTE Plans: and supporting documents that you submit are c•.'..)(sidered to be public information. Portions of the information may be classified au5 non-publtc if you provide specific reasons that would permit the City to conclude that ttwL4re trade secrets-. j.rn1 - eve a;t electronic notification f-or the Civ of proposed ordinances by signing up for an email update on Externi vy0,,K authorized hy a building permit issued in accoroance tth the Minnesota State Building Code must be completed within 180 days CALL BEFORE vOL DIG Gopher State One Cal; (651'i 454-0002 ,,agalosi underground utility damage Call 40 t, 1,9 , confe,mance Nit the cydlnances ' • ,' r S Hit 4 permil -- pen: rot •o start witt,tml a palmr, ho -la ea /lett /101)-C-- x Avar4r. Applicant s Printed Name Ap..ricant's Signa ure / + DO NOT WRITE BELOW THIS LINE / 9?- CLi. 161(J_ B /'G O / 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_Flex _ 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 `Apcoo (m:^,"`„"`) Occupancy "TRC- ( MCES System Plan Review _ Code Edition gots- SAC Units (25%_100%_) Zoning . City Water Census Code 2/34/ Stories Booster Pump #of Units / Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction t-,L3 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: •• A.4,/.5-‘- , 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