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1543 Clemson Dr BCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA093288 Date Issued: 04/01/2010 Permit Category: ePermit Site Address: 1543 Clemson Dr B Lot: 23 Block: 02 Addition: Thomas Lake Heights 2nd PID: 10-75951-230-02 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,200.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Champion Window Company of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 - Applicant - Owner: Linda J Quammen 1543 Clemson Dr B Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature 41°'City atEta] 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: N.4A\\ RECEIVED E 2011 Use BLUE or BLACK Ink For (ire: Usa Permit*: ! 6 6 C� Permit Fee: 06 Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION -{ F� C le -vv vm Dv - Site Address: Tenant Suite #: RESIDENT / OWNER J Name: 1-21 V"��C QUCNvviyv)�. rm Phone: Cosl- L{SLf -dray Address / City / Zip: \L-1 g 0-184/ fd%i Dv OQSQr1 Mr) SS i CONTRACTOR Name: c /ivv- Address: `CJ' 2Av- State: Kiri in Zip: e^ �',�S1 ©4' / Phone: CD S I ~°6,441-/— /6/ / 0 Contact: 1DW teI 'V Email• Co License #: City: s+ Pcit_ \ TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: v.-7\ • ria f l C 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 Fumace yiAir-Conditioner ..... Air Exchanger _ Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping.....;___ ..__ ..--Processed _ Gas _ Exterior HVAC Unit _ Under / Above ground Tank (_ Install / _ Remove) **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace purred out appliances, ductwork, etc.) (indudes $5.00 State Surcharge) COMMERCIAL FELE! $75.00 Underground tank installation/removal $55.00 Minimum (includes State Surcharge) fft - If theATiiiillEWsdlips than $10,010, surcharge is $ 5.00 - If the) it Emit $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE OR Contract Value $ x 1% $ Permit Fee = $ Surcharge = $ TOTAL FEE 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.aooherstateonecall.orct 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 -N,t+-. Applicants Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _ Rough In _Air Test _Gas Service Test _in -floor Heat Final Exterior HVAC Screening Inspection CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21186 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 Insp.: Insp • CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob iioad 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. c Fd PJw 5— 7 C2';t1.3 (17'3" 4111' C!tyofEaftan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: I t tolea-1 Permit Fee: J Ol (P• 1 Date Received: (,O Staff: 513 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: kb - (1- 13 Site Address: r5'1o� la 1 ,, 15 1��3,is,<�B�Q��r�`�.- uD ��nit: J Name: a(-!/? �! TQ4!/�i1____ Phone: &(-2. 72/- S f "Od Address / City / Zip: Applicant is: Owner Y_ Contractor Description of work: Ret$o t✓ io Construction Cost Multi -Family Building: (Yes _No _) Company: - ( ec,, TgtC73d" Contact: � E12.3 e/) Address: 3 o 3 „Z M rtelia c City: 1 1ttt 62,0Ir•s State: /YIN Zip: 53-110 Phone: 61.2 - r22-/- 5506 License #: i^ - 19406 2-- Lead Certificate #: A/Af f — 24/?:17 — l 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: 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.gooherstateonecall.orq 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. Applicant's Printed Name Appiica s Signa Page 1 of 3