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1602 Clemson Dr õìõ ÷ø ÿþ ýüü ûúÿûúþ ùüüþÿú üý úïäÿ ß ýüõ ýüûúùøü ÷úùãé ùøü Üüÿÿùïñüïüûåþý ùþ ü ôôô Þøé äéó÷ å ç í íô ôù ýüÿøêçí í ó÷÷ò õñð ùù öÙÞ î ÷äÿéó õï üîåãóóß ÿåã á àßß ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü õìõ ÷ø ÿþ ýüü ûúÿûúþ ùüüþÿú üý úïäÿ ß ýüõ ýüûúùøü ÷úùãé ùøü Üüÿÿùïñüïüûåþý ùþ ü ôôô Þøé äéó÷ å ç í íô ôù ýüÿøêçí í ó÷÷ò õñð ùù öÙÞ î ÷äÿéó õï üîåãóóß ÿåã á àßß ûéÿ îùùëïÿïùéùùûý ëåýüõë ÿðí ùùì üýÿü CITY OF EAGAN WATER 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: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 1 ogre. to comply with the City of Eagan Surcharge: Ordinaries.. Misc. Charges: Total: By Date Paid: Date of Insp.: "'"' Insp.: • CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. G. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 ogre* to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.• Total: Insp.• Date Paid: • ° Use BLUE or BLACK Ink I For Office Use 1 61 M of EaL ~fl ~ Permit _--I ~ _1J~.__~ ~ Permit Fee: 4Aq 9, 0 d _ 3830 Pilot Knob Road Eagan MN 55122 i Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 staff. 2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION dq 81 Dam: - - IS Site Address:16PQ J6eZ )AQ0 C)~~ r__.._N__Unit`ll: Name: ~raoms--- Phone: 2. 721- I M2&_ RLSrdetttl Owner Address / City / Zip: Applicant is: Owner - Contractor Type of Work ' Description of work: I-10roQF.-1-a-- _ Construction Cost 0 0Multi-Family Building: (YesZI Na Company: f}-_T UG ~I d__,Y Contact: 3 3 Cantracfar Address: 0 .2, city: Mint2~► p~h"S ~ State: MAI_ Zip: 5-5 VO (v Phone: ~ 211__ License - 12"0 2-- Lead Certificate #:-N,41- 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: Plane 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. Cali Gopher State One Call at (651) 45440002 for protection against underground utility damage. Cal 48 hours before you intend to dig to receive locates of underground utilities. www.gQphwstateonecall.ora 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 l~t/f Z.~~+t?!_~ e =n ) x r Applicant's Printed Name Applica s Signature Page 1 of 3 • • r For Office Use ; • Permit* i.S6 677 E AGA N Permit Fee: Date Received. /'? 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 r� w" .;,, /O- (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694Ni� Staff: buildinginspectionstcityofeacan.com ,4, BY 2019 RESIDENTIAL BUILDIN I ''APPLICATION Date: Site Address: 6,11A A ' i O Unit#: Name: D�li r�/�7°V PT�G /!l>aL'lrf� ��r�o��u�1�Phone: . Address/City/Zip: Applicant is: Owner Contractor Type Description of work: &1 C* fie" Ai/74a if oiv'%&- / y v a�'-�A_ et Construction Cost: Multi-Family Building: (Yes /No ) �/ �^ 'y�.e-/Gig'r •_'dam• Company:/I �07.5'T7gULTTen.Asvb C l� ontact: �?.*pt.. jk. irVt j C Address: 14—/1.2. 6m-meLir /4i City: L.V. 1 -(i z' ontractOr State:AW__Zip: 63/, Phone:4s-7 7ikmail: CM/ire., License#: .. Lead Certificate#: If the project is exempt from lead certification, please explain why: 1470149L , veil Addy, i17 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit fora 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: 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.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.aooherstateonecall.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 fans. emir Applicant's PrintedApplicant's Signatures DO NOT WRITE BELOW THIS LINE /O t) c (u 1 so n D(L . / �6 Cly 7 SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) _ Multi C Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 11411'-01 of g 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 20 Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 3� BQ�•' Occupancy D2-C-3_ MCE�S,. ystem Plan Review Code Edition n 20,$' SAC Units (25% 100%p) Zoning P,7 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VB Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) y) 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 nil nn Other: Reviewed By: T VV\ Y+' ` 'Id 4A- , Building Inspector RESIDENTIAL FEES Base Fee t✓ X% S i/n" /Gflc 1 i 4 Surcharge , Plan Review /D JC 2 b ' r 2 00 SS • r-f MCES SAC ®`�,�/ ;p 1 .) ' , /'T' City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA169462 Date Issued:05/27/2021 Permit Category:ePermit Site Address: 1602 Clemson Dr Lot:60 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-600 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Kendall Peters 1602 Clemson Dr Unit A Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature