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1565 Clemson Dr BCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1565 Clemson Dr B Lot: 36 Block: 02 PID:10- 75951- 360 -02 Use: Description: Sub Type: e- Fireplace Work Type: Gas Insert Description: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature Addition: Thomas Lake Heights 2nd - Applicant - 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. Andrew Hoffman Total: $90.00 Owner: Sidney Schuyler 1565 Clemson Dr Unit B Eagan MN 55122 -4805 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA085745 09/02/2008 ePermit 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. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: New Exteriors by SMA Inc 10701 93rd Avenue North, Suite E Maple Grove MN 55369 (763) 315 -8900 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan Site Address: 1565 Clemson Dr B Lot: 36 Block: 02 Addition: Thomas Lake Heights 2nd PID:10- 75951- 360 -02 Use: Construction Type: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Sidney Schuyler 1565 Clemson Dr Unit B Eagan MN 55122- -480 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 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 Building EA091724 10/22/2009 ePermit CITY -Or EAGAN WATER SERVICE PERMIT 330 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: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Ins - CITY Of EAGAN SEWER 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: 1 agree to comply with the City of Eagan Connection Charge: Ordinances, Account Deposit: Permit Fee: By Surcharge: Y Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: r , [56C- 47T- 3 / /16 Use BLUE or BLACK Ink For Office Use j Permit #:1~~__ i tty of Eagan I Permit Fee: 1 3830 Pilot Knob Road i Eagan MN 55122 Date Received: t0 3 Phone: (651)675.5675 I I Fax: (651) 675-5694 I Staff: I 1 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # 8 tdq ~ Date: ( - 13 - Site Address. • $ ) I ~ .i$ a 01'r %!5M Unit` s#: Name: l ~ 4i n h orl Lrs_-- Phone: f-~• '7 _S S"(11Z :Resident! Owner" Address / City / Zip: Applicant is: Owner Contractor Type cif VV©rk Description of work: Aetbo~n ~ a - Construction Cost: 1 V 0 _ Multi-Family Building: (Yes VNo Company: L C - ` P) l~ UCH/CI~------ Contact: _&.'qen C,Ontractor Address: Q 1~ c~ lr City Minne_.aAa1ZS State: Zip: Phone: 6ZA2 - 22-1 - 5-506 License S l^ - 94 ©J 2-- Lead certificate Az4 2 419,V7 - 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: _Y Mechanical Contractor: -Phone: --Y-_--- Sewer & Water Contractor: Phone: NOTE: RlartS'and supporting documents that you submit are considered to be public Informat/on. Portions of the information may be classified as nor:-public if you pfpvide specific reasons that would permit the City to conclude that the aria trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) X454-0002 for protection against underground utility damage. Call 48 fps before you intend to dig to receive locates of underground utilifies. www.sronhomWteomecall.ora 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 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 ~fc2abeA 1-,nr n Applicant's Printed Name Applicanys Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use of E ~ ~ j Permit M. I Permit Fee: •'l 1 3830 Pilot Knob Road t I Eagan MN 55122 Date Received; 0011 13 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 •-----------------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: ~6 -1 t - t 3_ Site Address: ~5~~~151 r ! ~,8 Ua,,,,5rjy~uR Resident Name: -Mr1~~__~ r,lin A come Phone: -2• 72 _r,2a_- - Owner Address / City / Zip: _ Applicant is: Owner Contractor Type of. 1i Description of work: e 'O F' * _ otk /h~ pa; a Construction Cos - ~ v Multi-Family Building: (Yes _ - / No Company: ~-c- I/G T/ c~✓- Contact: ~~2-~--- '3o M_ v7 /r COnir> Gt¢t Address: n ! Gt ----city: Minneia ' State: A A - Zip: 555~~ Phone: 506 License 14 - 1` Z. 0 6 2- Lead certificate (M 2 !Cf 7 - 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: Phone: - Sewer & Water Contractor: -------Phone: NOTE. Plansand supporting documents that you submit are considered to be public Information. Portions of fle 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 46 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.om 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 riot 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. i5n rCr~ x~ Applicant's Printed Name Applica s Signature 9 Page 1 of 3 /46, 71''' City of Eakan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use (� Permit #: 1 '✓� ! 6 Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /5-4d5—PiffiC' Unit #: hone: Name: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Description of work: tester,' ester,' sf v0 ey - Ge be er 44 -.re_ vi Construction Cost: %i O� c— Multi-Family Building: (Yes Company: /4yr £r7b* !ieep.,e7✓ Contact: Contractor Address: ��1ra /--LpK /a_itve- Type of Work State: jh& Zip: . W Phone:‘97414:- '/ '/ /No ) ?etz.i Ayr - City: ,�(0 cepriO.I. Email. I�ilcc� CeD yr sTxw �f*"' License #: i2 `/' LL 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: Phone: Phone: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression 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 clbde 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.aopherstateonecall.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 yStSje Building Code must be completed within 180 days of permit issuance; x 114 - Applicant's Printed Nat x Ap icant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) WORK TYPES New _ Interior Improvement Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% XI) Census Code # of Units # of Buildings Type of Construction Move Building Fire Repair Repair U3 Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: TO vin In ,` Siding Reroof Windows Egress Window' Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant /92/2 2'/ SrP - MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2of3