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1591 Clemson Dr / . For Office Use � a..J :::: -44 t • E AGA N APR 2 3 2018 J® 3 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinoinsoections(a citvofeacian.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/413//e Site Address: /S, / ' J tUnit#: Name: f4/.t7-69V .rz44- / ,,re'c r/vG/Z tt 'Sone: Resident! Owner Address/City/Zip: Applicant is: Owner +Contractor Description of work: i ete 1 ,€e- c'-i" /i eft, TYPe Of Work lir , tom- Construction Cost: a?i) Multi-Family Building:(Yes /No ) Company: Air er7A,Srir-4(er-se,"/ Contact: ,1. li1‘V7 o ntractor f ;: Address: /.c/I? 441-Mar /� V City: �'� C F' 149-44-4, State:GN'"Zip: 95-1)-(( Phone:6 57' jt difO/ Email:/h j r kiv$77 .f'7-eribr e fr1fiae-A, License#: t-22-19j-2-- Lead Certificate#: If the project is exempt from lead certification, please explain why: i - MeWeie 771 ri7tdt /971 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 trade 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.citvofeaaan.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.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 wor is not to start without a permit; that the work will be in accordance with the approve plan in the case of work which requires a review and approv plans. x ?if vw /` '! x Applicants Printed arts Applicants Signature DO NOT WRITE BELOW THIS LINE /.5 / ()km so-7 4Y /ygreeoky 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 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 'e Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation I/ /‘U' ' — %Z6 ^ 3 MCES System .1— Plan Review Code Edition An 2.40/S SAC Units (25%_ 100% ) Zoning PD City Water Census Code Stories Booster Pump #of Units Square Feet /490 PRV #of Buildings Length /1, • Fire Suppression Required Type of Construction 1l 5 Width M ' REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final I 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: e'rReviewed By: a� /�i/er r• / , Building Inspector RESIDENTIAL FEESrj /!g �1(, 5 i /‹.7617-7'?? Base Fee GG Surcharge & /S". L. ;9. /7°-, Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ñü ðÿ þýýüûúûûú û ùüüýýû÷û ýþ ïïüó ã ïðï ïï þý ÿþýüûú÷õ à þüûú ÷ ÷õ à öõàëúó ãþ þ íäíåþúû ß ÿòþ óú çó ó òþ ó ý ó éæ õõú æ æ ó ý úéæ æ úæ é ýóè òþ ýûõ æóûó é ùêäâêììéïì éíìï öù ÿþ ê éïð é ðï Þþä é õô óò úú ëõ âç ðþûë÷ ïð ó ë ç öïï ä öïï ñáï îáíí ýûõç úú æ ó óúûõúúýÿ æ ÿþ ûæå é úúà óÿþ þûÿþ CITY AF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: P. O. Box 21199 DATE: Eagan, MN 55121 Zoning: — No. of Units: Owner: Address: Site Address: r _ Plumber: Connection Charge: Meter No.: Account Deposit: R ea der No.: Permit Fee: Reader I o gre. to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: / „/1 Total: * _ � Date Paid: By Date of Insp.: Insp.: Y OF.EAGAN SEWER SERVICE PERMIT 830 Pilot Knob Road 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: ' 0 ^f- 5121 / ~( - ��__��_' Use BLUE or BLACK Ink For Office Use 1 j "Permit # - 01 i City of Eagn I I Permit Fee:. 44A ov 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675.5694 I Staff: _ - I 2013 RESIDENTIAL BUILDING (PERMIT APPLICATION # Date: site Address: l6t~,1 ~ j5_°1)pl acj4 ry t~`#!~L_ ~ ~~yy -T- Unit Name: ~ ~,l i IS- M,[ h , e s__ Phone: Rosidentl ,Owner Address / City / Zip: Applicant is: Owner Contractor Type of+WOrk Description of work: mO e- * ~ _ Construction Cot_Z& 1 5 O p Multi-Family Building: (Yes No--) Company: _aR ~ _67/7~T UG7'/dam----- Contact: -2 _&2g2 en Contractor Address: O l " Ii a/')P.i'l Aha, city: Minn, -Aal ZS State: -tLLt=~ Zip: Phone: 6Zc2L. - ?2-1-5506 License _Sir - 197,092- - Lead Certificate #:2s~ ' f 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. Mm.oonherstateonecali m 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 abeA issuance. 6/ Applicant's Printed Name V Applies s Signature Page 1 of 3 Use BLUE or BLACK Ink r-----------------1 I For Office Use l I Permit -j~ 9? 5 70 CIA of E n RECEIVED I I y l Permit Fee: 3830 Pilot Knob Road MAY 1 Z 1013 i 5 Eagan MN 55122 i Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 L-____ 2014 RESIDENTIAL-PLUMBING PERMIT APPLICATION Date: .J ` Site Address: r~~ 1 &rrvnul `r ,fz~ Tenant: L Suite _ Name: D Phone:(D 1 Resident[Owner 'Address/ City /Zip: )C 'l l l~ L~Y~ t A LIDC- Name: ~/1 1)J _ `i'_r icense 1 C F L-A Contractor Address: ~I. City: Cc~~ ~J t tom[? State: Zip: Phone: 1~4 (zD I Contact: Avv--,~ Email: Type of Work, - New replacement _ Repair _Rebuild - Modify Space - Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener r Lawn Irrigation RPZ / PVB) Permit Type Add Plumbing Fixtures L- Main Lower Level) Septic System Water Turnaround New t. ` u Abandonment RESIDENTIAL FEES: r t: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00State Surcharge) i *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES 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.aogherstateonecall.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. u V x l Applicant's Printed Name APPlica 's Signature FOR OFFICE USE Reviewed By: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter, ~ tit(~etert Rdi Read staff: - - ~ v. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA130103 Date Issued:04/06/2015 Permit Category:ePermit Site Address: 1591 Clemson Dr Lot:55 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-550 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Joann Zinken 9320 Evergreen Blvd Nw Suite B Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Janice A Lavone 1591 Clemson Dr Eagan MN 55122 (651) 905-9152 Centerpoint Energy 1240 W River Pkwy Minneapolis MN 55454 (612) 321-5597 Applicant/Permitee: Signature Issued By: Signature House heating test record CenterPoint. ' - h �� Energy ��` ? � �:;:� Owner �yl�C� L avon Q Controis Conversion �f Address �s�� 'pM C�pt�• Thermosiat �}�t s��at plug _ Vent Size � � l City_�,aQ� h l/alve e�,Cy(,JCCI _ Kindofliner/size �(f� Heat l� Date htg.inst Limit ��(�O� _ Draft hood Regulator Sold bv CenterPoint Energy Limitsetting 1�S _ Filters:Size ,tO,Y�x/�Vumber � Installed by CenterPo int Enerqy Fan setting �/v�� _ Chimney locations: �Inside Q Ouiside Electrical work bv CenterPoint Energy Pilot type �jp�tJ'� _ Chimney construction � ��,/1/L � Heat type (�FA Q Space heater Pilot make Wiring Test tag Gas line by Pilot model _ Lighting Inst Date tested i'��,s Unit heater Other Pilot timing _ Comnanv testinq CetlterPoitlt Energy �� Gas design �0 Pressure:Hi fire/Lo fire _��S__ Tester's name `�� S Percent CO2 � . g Make �!(J�� Model /, ' Input CFH `f's Percent Oz� • � Serial no. � �� Input O +(� Stack temp �� Percent CO � CNP 235(11-2008) PERMIT City of Eagan Permit Type:Building Permit Number:EA158216 Date Issued:10/01/2019 Permit Category:ePermit Site Address: 1591 Clemson Dr Lot:55 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-550 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 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 - Kevin J Bohman 1591 Clemson Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature