3070 Shields Dr Unit 104City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3070 Shields Dr 104
Lot: 470 Block: 01 Addition: Lemay Lake Hills Townhomes
PID:10- 44651- 470 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
$88.50
$1.50
Total: $90.00
Owner:
Mary Jo Godfrey
3070 Shields Dr 104
Eagan MN 55121
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
EA091378
09/30/2009
ePermit
RESIDENT / OWNER
Name: /Yl It e y iO Go ci-erd Phone: 657 - & g/" /C /
Address / City / Zip: 3020 S Gt,e /df J •' ur - 17/ /C
CONTRACTOR
Name: Sc 1, wnr 1-e 5 1/ '�' License #:
Address: (/ ) 0fCN 4uccc Al City: 5 4 ) /tAt,t -1"Q'
State: AAA/ Zip: - 5 ? Z_ Phone: Ce -
Contact: "1%'r 3,4 -c hest , Email: — 77., p Se hc, - ,✓tLe/ Ae>t7C,A9 • e ,,-:
TYPE OF WORK
New X Replacement Additional Alteration Demolition
Description of work:
NOTE :Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction _ Interior Improvement
Air Conditioner
_ Install Piping " Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / _ Remove)
Other
** When installing /removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add -on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$.50 State Surcharge) 5z) 5V
$.50 State Surcharge) $ TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation /removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
$2,000 Permit Fee requires a $1.00 surcharge).
Contract Value $ x 1%
$ Permit Fee
- If Permit Fee is less than $1,000,
= $ Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001-
$ TOTAL FEE
City of Eaall
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicants Printed Name
2010 MECHANICAL PERMIT APPLICATION
Site Address:
Applicants Signature
Permit #:
Permit Fee:
Date Received:
Staff:
Use BLUE or BLACK Ink
3
Tenant: Suite #:
CALL BEFORE YOU DIG. CaII Gopher State One CaII at (651) 454 -0002 for protection against underground utility damage. CaII 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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.
Re vi 1
Under Ground Rough In . _Air Test _'Gas Ser
exterior HVAC Screening Inspect
r He F
FOR OFFICE USE
Required Inspectio
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA133016
Date Issued:09/17/2015
Permit Category:ePermit
Site Address: 3070 Shields Dr 104
Lot:470 Block: 01 Addition: Lemay Lake Hills Townhomes
PID:10-44651-01-470
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Mary Jo Godfrey Clemmens
3070 Shields Dr Unit 104
Eagan MN 55121
The Plumbing Guys
P.O. Box 2066
Burnsville MN 55337
(612) 746-5545
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA144410
Date Issued:07/25/2017
Permit Category:ePermit
Site Address: 3070 Shields Dr 104
Lot:470 Block: 01 Addition: Lemay Lake Hills Townhomes
PID:10-44651-01-470
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Mary Jo Godfrey Clemmens
3070 Shields Dr Unit 104
Eagan MN 55121
(651) 295-6916
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147310
Date Issued:12/27/2017
Permit Category:ePermit
Site Address: 3070 Shields Dr 104
Lot:470 Block: 01 Addition: Lemay Lake Hills Townhomes
PID:10-44651-01-470
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Mary Jo Godfrey Clemmens
3070 Shields Dr Unit 104
Eagan MN 55121
(651) 295-6916
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
Q
` ' , , VW t cit--' For Office Use /� / C"
„, �„ : ee
/ Cr/ ,
EA S'sAN P :
RECEIV I / -14 -q
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-56751 TDD:(651)454-85351 FAX:(651)675-5694 JUN 19 2018 Staff:
buildinainspectionsCc citvofeagan.com 1 _
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: AAAry 10 CIt-v-,nnch5 Phone: 2s 1 . 2-95 6,9//,
Resident/
Owner Address/City I Zip: 30 7 t? Stec 2 I As- b.i` U n } /01-(
Applicant is: Owner Ai Contractor
T e of Work Description of work: P-Cr►') kik 1.' /Dcck,'-t 7 l R P(r*C4- ►7Lc.j 1 t:A-ue Jr' a�. e .
Yp
Construction Cost
CIO 00 Multi-Family Building:(Yes A /No )
Company:L;,,d_s co.14-,.�� 0, (c-„s c:•/.t Contact: .^-n..y l� t.. r-��, 1)
Contractor Address: 8 7 q /j4., y 6 3 City: 83 4 1 S h,;r
State: a ¶-f
I Zip: o t). s
Phone: 7, ;9 Z5-63.3 �i Email: n n . 14-Girt h�n
! L:, 4_S Cc7. cc)••+,
License#: RC 7 Z 831 Lead Certificate#: 1 A'T- S8'1 2 V - Z.
If the project is exempt from lead certification, please explain why:
Q'n, I -I- 441/4,- 7 3 ' A-1 so n J- •L.-+., ...1 1% An c-kA 1. ( ,-c' ,, A .
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: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 they are bade secrets.
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.citvofeagan.com/subscribe.
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.00pherstateonecail.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.
Applicants Printed Name Applican s gnature
-- jg� . /06( / C 6 /
DO NOT WRITE BELOW THIS LINE 070 Ai
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi 4 Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
,4 01 of L 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 /O0O Occupancy 2)G—/ MCES System
Plan Review / Code Edition 01.00— SAC Units
(25%_100%i) Zoning Ad City Water
Census Code y3 t/ Stories Booster Pump �—
#of Units / Square Feet PRV r-
#of Buildings / Length -- Fire Suppression Required --
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) it- Final/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: , Building Inspector
RESIDENTIAL F S
Base Fee 'tom
Surcharge
Plan Review
MCES SAC '3 3 3i
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies / @- alfi
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169243
Date Issued:05/19/2021
Permit Category:ePermit
Site Address: 3070 Shields Dr 104
Lot:470 Block: 01 Addition: Lemay Lake Hills Townhomes
PID:10-44651-01-470
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Mary Jo Godfrey Clemmens
3070 Shields Dr Unit 104
Saint Paul MN 55121--136
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature