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1557 Clemson Dr BCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1557 Clemson Dr B Lot: 31 Block: 02 PID:10- 75951- 310 -02 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Quesetions regarding elec 952- 445 -2840 Ashley Orman 410 W Lake St Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824 -2656 Applicant/Bermitee: Signature Addition: Thomas Lake Heights 2nd Total: PERMIT City of Eaan Permit Type: Permit Number: Date Issued: Permit Category: cal permit r equirements should be directed to Mark Anderson, State Elec ME - Permit Fee (Replacements) Surcharge -Fixed - Applicant - Owner: Robert W Norwick 1557 Clemson Dr B Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA085389 08/19/2008 ePermit cal Inspector, 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 öëö ðî ÿ þýý ðûðûü úýýüïïÿ ýþ ñûëô ó ë äñ þýö þýüûúù ò ûúùöø ù ò Þý ù ô ïý ô ëýü ã ÿþ ù ÿáäß ý ëúí ô ñúôýëìö ã ôîáõùô ßæêê õú þý ë îèæêäêä ôïóï öòñ ùù þ ó Ý ò õü ö ø ñúôýëìêöòô ãù ãö ãö áàßàà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý ò þ þýüýû ÿÿ þýðýü ûþþÿÿð ÿ ò ýý õ ü â ÿ ÿø úùø÷ öóæ à ùø÷ ö ø÷ öóæ ô óæï ÷ý ÷õù à ùà ßù÷ýø Üü úÛùý é ÷ á Ûù ý êðý üóó÷ üûýð ð ýü ÿ ÷ êàýð ðý÷ ýð ýýê àý ã ý Ûù øýóü ðýø ê ý é ä Ùäììêìêì ÷û úù äêâê â ëýùýâûââê öîõ øôó ÷÷ý ýöóç ù øúý ï öô ó à øù þýüýòô è å øýó ü ý ýá ý ý÷÷ýýý ý ð ý ýýü ÷øó ýý÷÷ý úý ðò ýúýù ýàøðþýüýß ý ê ÷÷ýæ úüýù ù øúüýù CITY OF EAGAN WATER SERVICE PERMIT 3830 PiIot Knob Road P. O. 89x 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: , 11 f Total: By P AU We., - /Le l 5 P) Dote Paid: Date of Insp.: S / 5 —c lnsp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Piht Knob Road P. O. Box 21199 Eagan, MN 55121 PERMIT NO.: Zoning: DATE: Owner: No. of Units: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: By Surcharge: Date of Insp.: Misc. Charges: Insp.: Total: Date Paid: 6 G /cam, soy/ N zi o " 'p , iewA/ Use BLUE or BLACK Ink For Office Use My Permit Ot 3 ~ of Expo I I Permit Fee. I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 I -FT Fax: (651) 675-5694 1 staff; I ------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: lb Site Address: =eL 7o 6g ~d -7 1 .~rri_r_------- Unit:. R Name: esiderlti f ?A/n___ r&_M1 A!! t Phone: ~f-~• ?2 J_ t e Owne Address / City / Zip: Applicant is: Owner Contractor Description of work: _4' fc~_F Type Qf Work _ - Construction Cost~_ aq t Multi-Family Building: (Yes _No Company: G~/Cull------ Contact: ~a en-_- Contractor Address: city: 1 Qrie~ r `s State: _MA/ - Zip: Phone: 2-1- 5565 License A13 - 1 9L 0 6 Z..- - Lead Certificate A14 I 2 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) 4540002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www owherstateonecail gro 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 180 days of permit issuance. X_ 91t 2_Aobo04-A _~~jef Applicant's Printed Name tl Appiica s Slgnature~~ Page 1 of 3 Use BLUE or BLACK Ink For Office Use 414!Plik. Permit#: 1-4 91/4 City of Ratan Pemlit Fee: 3830 Pilot Knob Road • - Eagan MN 55122 r --7AvED Date Received: Phone:(651)675-5675 Ply Fax:(651)675-5694 JUL 14 2017 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7//3// Site Address: / C C7 E , 14441 4444, Unit#: Name: /4441.207%/ /61-4-S" /074w t9r1sle ifferoete Phone: Resident, Owner Address I City I Zip: Applicant is: Owner Ar Contractor Description of work: AI i° —41444 1"7 CP4ea.; 4444."7 C7r1 C/444.241° TYPe--ofWork Construction Cost: 411.00` Multi-Family Building: (Yes ?Ce I No ) Company: Ayr eefivsreAser-xeyv -rive- Contact: /30-Z- /71-aYr Contractor Address /57/). 6f-44yr-t 144- City: +iiave brift-(er State:*Pi Zip: 557)--91 Phone:467-01-Yit VW/ Email:A41-etlivir{eihroCP7F-MelTh4fteve ' License#: ,6'(! ZZ-9fr- Lead Certificate#: r Flixot4i—/ If the project is exempt from lead certification, please explain why: /1:147"40 iiaL641 414,.1 7174' . 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: NOTE:PlansA the internution-': asnon-ptsbIk1fyou •' ' .' Ci4to "." , concIudefbat 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 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 "1 -te Building Code st be completed within 180 days of permit issuance. x FA/14C If4y7 x SAUL./ Applicant's Printed Name Ap• icant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi (47 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 ? Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation , d t:O Occupancy IR<-3 MCES System Plan Review Code Edition n zplc SAC Units (25%_ 100%° ) Zoning P.P City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length r'O r Fire Suppression Required Type of Construction ] Width i0 r REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) p0 Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test 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: /01/VA /n .1t 17/9" , Building Inspector RESIDENTIAL FEES Base Fee & i‘,°"' ‘,°J f/q Surcharge Plan Review i2 1 2) v 0 a.'' fil � VI J"In-MCES SAC " City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155345 Date Issued:05/10/2019 Permit Category:ePermit Site Address: 1557 Clemson Dr B Lot:31 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-310 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Robert W Norwick 1557 Clemson Dr B Eagan MN 55122 (651) 686-0568 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature