1564 Clemson Dr BCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1564 Clemson Dr B
Lot: 27 Block: 1 Addition: Thomas Lake Heights 2nd
PID:10- 75951- 270 -01
Use:
Description:
Sub Type:
Work Type: Gas Fireplace (new)
Description:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
Applicant/Permitee: Signature
PERMIT
City of Eaan
e- Fireplace Construction Type:
Census Code: 434 - Occupancy:
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Brian Welke
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
Lois A Beiemtan Tste
1564 Clemson Dr Unit B
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA084108
07/09/2008
ePermit
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. 0. 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:
1 ogre* to comply with the City of Eagan Surcharge:
Ordinanea. Misc. Charges:
Total:
By Date Paid:
Dote of Insp.: 2 r/ Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. b. Box 2 1199 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:
B Surcharge:
Y Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
4
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Use BLUE or BLACK ink
1 For Office Use 1
. t 1
Il ; Permit*
11 to q b of L(. to as
Permit Fee: 1_
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff: t
I
----------------J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION #
Date: 16-11-IS Site Address: 15 15 81d
C _1 _ _Unit
Resident/ Name:-#Or/* _116./1'0 Phone: (1,14- 2 S',W d_-
Owner Address / City / Zip:
Applicant is: Owner - Contractor
Description of work: R_ r.4 F i r1- -
Type of Work
Construction Cost: a S ~5 _ Multi-Family Building; (Yes No
Company: Contact: !2
'3 o ea
Ca trat for Address: _ 'ai'JIe1~a~ic+~, city: Minna. lZs
State: 1)2& Zip: Phone: (DZc2 - 7 2-1 506
License Ar- - L U 0 4 2-- Lead Certificate -2 Y?97 f
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: -----------------Y~-___-_`------_--- 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. Cap Gopher State One Cali at (651) 4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.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.
x_ 9fl'2 abeM ~i eri x
Applicant's Printed Name j Applica s Signature -
Page 1 of 3
f-For Office Use I
i i i Permit#: J 7
..�. •_.�.:.: %of., EAGAN
Permit Fee: ti
® Date Received: (�O
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ' It'
(651)675-56751 TDD:(651)454-8535 FAX: (651)675-56%d . Staff: a
build nginspectionsCdlcityofeastan.com Y, f
2019 RESIDENTIAL BUILDING ' IT APPLICATION
Date:114/1____Site Address: /5-411 R di,stsarri 0.4447e Unit#:
Name: #01/4/011/ if 'u /GSM/Him/ Phone:
Re
Oilier . Address/City/Zip:
Applicant is: Owner X Contractor
Description of work: i t R4La aakict.-4, el-, Wit, kat-
Type
&Tya
Y Building: (Yes - I No )
Construction Cost:
/� �/ `�re,eae,iv.r Z'a
Company: L T78L6LTI�>ti�/d 11 C ontact: p94/s M. i.,
Co . Address: 14T//.- 6fre-A Z �� City: ', E e pi"- z'
State: ti Zip:43/•3y Phone:4/c7-62114- krnail:/ afr(txvSf'Afi'T.t2'+N.iivet 2ri ' C ,
/ fir.:,
Ty,. License#: /it. 2Z 91 It. Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
'7 r - 7-:'''',-'7,1 m .maybe
classified. : .T.:*:. .._. _ . _...,:,� t t ..-11-:=S;'
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.comisubseribe.
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.
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.000herstateonecall.orq
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 pe `; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval tans.
Applicant'saPrinted m6 f Applicant's Signature
DO NQT WRITE BELOW THIS LINE /�6 4 C 161)10/1 0 i / 60'�
SUB TYPES /
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage — Porch(4-SSeason) _ Exterior Alteration(Multi)
Multi _A Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
tO 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
Replace — Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION A, _
Valuation Zr v�9' Occupancy G-- MCES System
Plan Review Code Edition "7-7ri 'to 1 c SAC Units
(25%_ 100% )(3) Zoning PP City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) 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: 1 nel 12/.///7id , Building Inspector
RESIDENTIAL FEES
Base Fee 1. ' k/D ' / o69/ &695,9."7-,
Surcharge & .ft /57 s 0 5p. Ar-
Plan Review
MCES SAC M;,, ,,77 *JAL S
City SAC
Utility Connection Charge yp--
n f
SSW Permit&Surcharge f T%n 9 /C /
Treatment Plant
Copies
TOTAL
Page 2 of 3