1537 Clemson Dr, Unit BRESIDENT / OWNER
•
Name: U I/iC( i 6t0U4 I!-� OS C - I l Phone: l / ( i -i- t' r a�
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: . f i11 4 a / !. ). Y. / /L_' l 1 ' .k.it:,�, t -_/ ' i-
_ _!
iiNIFF
Construction Cost:` Ail au Multi - Family Building: (Yes / No )
CONTRACTOR
Cif
e /
Name: License #: Lc) 5-0
INC.
S ELA ROOFING 1EXCELSIOR EI,s1OR BLVD O,
Address
ST. LOUIS PARK, MN 55416
City: ID #0001050 State: Zip:
Phone:gS-q /‘" 0-z- Contact Person: na- +I); c r" - '
COMPLETE
Energy Code
Category
(/ submission type)
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
_
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes
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 they are trade secrets.
4 City of Eaaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /(9•- ° Site Address: I 7 C $Q r) 0,4 rk
Tenant hind.; 0o11NeOL L5R .
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 approvpt-gf plans.
x
Applicant's Printed Name
ic� u1:ck
For Office'lJse
Permit Fee: /0 C
Permit #:
Date Received:
Staff:
Suite #:
x
Applicant's Signature
9 _(;4e.
Page 1 of 3
SUB TYPES
_ Foundation _ Fireplace
`�( Single Family _ Garage
/__ Multi _ Deck
_ 01 of _ Plex _ Lower Level
Accessory Building
WORK TYPES
New
Addition
?( Alteration
Replace
Retaining Wall
Reviewed By:
/(:37 s 7 C(67cot( 6- 1 D (.,ktiE
1
DESCRIPTION
Valuation
Plan Review
(25 %_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
46
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
DO NOT WRITE BELOW THIS LINE
Interior Improvement
_ Move Building
Fire Repair
Repair
q 7
TOTAL
op
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Meter Size:
Porch (3- Season)
_ Porch (4- Season)
_ Porch (Screen /Gazebo /Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Windows
_ Egress Window
t L� , Building Inspector
Storm Damage
_ Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
Siding Demolish Building*
Reroof Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
X Final / No C.O. Required
� HVAC
Other:
Pool: Footings Air /Gas Tests _Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
/9
('L -rho
Page 2 of 2
CITY 0: EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.•
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: _
Plumber:
Meter No.• _ Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Dote of Insp.• _ Insp.:
CITY OP EAGAN SE' ER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
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:
~53~ 135 p,, I53-i IA, t53~ Clum son 'Dr.
Use BLUE or BLACK Ink
F-----------------
I For Office Use I
3$a
City Ol Eap Permit 3
Permi
t Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I p-~ I
Fax: (651) 675-5694 1 Staff: O I
I I
2013 RESIDENTIAL BUILDING PERMIT AP{PLACATION
Date: Site Address: V Y i f Y Unit
Name: 11~ ll9 I 1~ ~ v 4 t!\ , I Phone: 70(e a -
Resident/ - ~ ~ n on' 1 J~ _
Owner Address /City /Zip: a~ 2
s
Applicant is: Owner Contractor i ,
Type of Work Description of work: 'EL4 0U/ V Y0 G' L l~l ou , SJi VL9 U r
Construction Cost: ` ~JU 1 Multi-Family Building: (Yes X / No )
Company: ,sel a- ~it 1 C~a t c~ Q Ei PP In4 tact: - J
Contractor Address: CLOD LX_Uk;/O~- 6(Ud City: =S-4• LoLL C'c4-1~
State: h Zip: Phone: ~cZ- ~J S-fi -720
License M ` ox) USA Lead Certificate
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 they 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.aooherstateonecall.org
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.
11
ix
X 12 2r
Applicant's Printed Name App ' is ig ature
Page 1 of 3
•4k
Use BLUE or BLACK Ink
r
For Office Use
Permit 7
City of Evan
I Permit Fee: _ I
3830 Pilot Knob Road RECDrED I I
Eagan MN 55122 Date,Received:
Phone: (651) 675-5675 OR 2 9 71014 I I
Fax: (651) 675-5694 I Staff:
I I
~J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~1 29-N Site Address: 15,37 C Lm6c:)n PR i Y e Unit +
Name: V L_} ®I SLO V "'9f1l 1< V4 T !E LQ Phone: 651-610-20a5
Resident/
Owner Address/ City /Zip: 1537 5 Ci-m5nn 'vP,; v
Z P/t
Applicant is: Owner Contractor At P~,Ig~, T/
Type of Work Description of work.
ov
~ Construction Cost-4 ef 675 Multi-Family Building: (Yes No..
Company: yS Qcc,~ &W OOO if11 ca-S Contact:
Contractor Address: &,CMAr`!,- AYE*Ioc, City: ,e 1041- V, 414=X
State: MN Zip: 55~Z Phone: 661-2-10-087 Email:
License #.-bc 5;5t0$7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
YES
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 norn-public if you provide specific Feasons that would permit the City to
conclude that they 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.gopherstateonecall.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 State Building Code must be completed within 180
days of permit issuance.
x~lFlndo) x
Applicant's Printed Name Ap ica t' Signature
Page 1 of 3
153 J.) a .-A ,fir s
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 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 or
Valuation Occupancy ~aZc- 2 MCES System
Plan Review / Code Edition 2 do-2 SAC Units
(25%_ 100% z) Zoning PD City Water
Census Code Stories - Booster Pump
# of Units / Square Feet PRV
# of Buildings l Length Fire Sprinklers
Type of Construction d Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Drain Tile
Fireplace: -Rough In -Air Test -Final Siding: -Stucco Lath -Stone Lath -Brick
Insulation Windows
Sheathing Retaining Wall: _ Footings - Backfill - Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES O teak s 15 e/ ~r 3 E70
Base Fee 3 a&
Surcharge
Plan Review 1
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies ,
TOTAL
Page 2 of 3
_ 1g- a(actTROYS DECKS & WOOD FENCES `M 15W A - ~'E l a r
TROYRANDOLPH oc' c.IC. c -
~R~ ~2!
apple germane ave # 106 ~J6~ Y L
apple valley mn 55124 s 6(y-fl N
-2 .0y uON11, INC
I
t r ~
1} o dQ , LEGAL DESCRIPTION 'i
LOT 2, 3, 4 AND 5. BLOCK 2 THOMAS t
IV LAKE HEIGHTS, A.CCORAING TO THE ~
O RECORDED PLAT 'THEREOF, DAKOTA
K p ~r / `$f ~o COUNTY, MINNESOTA.
X11 E occK5 ibAr
V AAA Lowe Lcy, L
a Age 3-fccr c-fr
9a 1.0 0 -The c.4Fwcg-
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sty a .`v i X33 y0 (~2 ..a j C~R~L K
fro ?o ,~y ~.y j c ti ! a Dc.c K.
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4 ~ ,111 Aoo ( To Clirry
CALL T a'
- EVE 6D po~bit LEO6~2 ~dqo
BY. `C? (924.0) on Etta by 7awt i caq
rTcr Dt'awrrlb can phgnS
3 ATE°•' CFrrlnt
I HEREBY CERTIFY THAT THIS SURVEY,
BQ~#~[NG I SPECTION DlYlS10N of r PLAN OR REPORT WAS PREPARED BY ME OR
I Ch;.Mn~ UNDER MY DIRECT SUPERVISION AND THAT I
130TE5 / AM A DULY REGISTERED LAND SURVEYOR
100.0 DENOTES EXISTING ELEVATION T~ UNDER THE LAWS OF THE STATE OF
(100.0) DENOTES PROPOSED ELEVATION DcrlL
MINNESOTA.
PROPOSED GARAGE FLOOR ELEVATION = 924.5 FEET
PROPOSED LOWER FLOOR ELEVATION = 924.8 FEET DATED THIS 22" DAY OF MAy 1980.
PROPOSED ENTRY ELEVATION = 929.2 FEET
PROPOSED FIRST FZAOR ELEVATION - 933.6 FEET SI D: JAMES R. HILL INC.
U~QF17L>~ .Ir'lt~.} yo ~.1 ~~V~TEf~
HAROLD C. PETERSON LAND SURVEYOR
s MINNESOTA REGISTRATION NO. 12294
l
• BOOK / PAGE
HILL INC.
JAMES R. f
Planners f Engineers Surveyors
PNO.
' 8200 Humboit Av
enue South
Bloomington,_ Minnesota 65431
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155772
Date Issued:06/03/2019
Permit Category:ePermit
Site Address: 1537 Clemson Dr B
Lot:25 Block: 03 Addition: Thomas Lake Heights
PID:10-75950-03-250
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 -
Vladislov M Raykhfeld
1537 Clemson Dr Unit B
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature