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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- O 0 W~' O r•yft~ 0 sty a .`v i X33 y0 (~2 ..a j C~R~L K fro ?o ,~y ~.y j c ti ! a Dc.c K. ' s G'ry,1V 0~' Q A Ic' ko Wet OE4.K 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