1585 Clemson Dr, Unit B rne45✓` /C >wLCCi7,- 50t
Y
I ear
// /2 °
o
CITY OJ EAGAN WATER SERVICE PERMIT
383O 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 agree to comply with the City of Eagan Surcharge:
Ordinoneas. Misc. Charges:
Total:
By Date Paid:
Date of I nsp.: �� } Insp.:
CITY (F EAGAN SEWER 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:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
By Surcharge:
Y Misc. Charges:
Dote of Insp.: _ Total:
Insp.• Dote Paid:
Use BLUE or BLACK Ink
I For Office Use
~q of Eap I j Permit _AVOIq 4 j
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: JA, 13
_Va Phone: (651) 675-5675
i I
Fax: (651) 675-5694 1 Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION #
Date: Site Address: L6154) $ $ 0192, AC_6m~5- un~
Name:I AIrf-2 Z__~ tl T&WL/S_-- Phone:
Resident
Owner Address / City i Zip: -
Applicant is: Owner - Contractor
Type of W*rk Description of work: Remo e-r1 - - -
Construction Cost: 80 Multi-Family Building: (Yes / No
Company: rT Contact: '3:~_L~Gq EMI)
Contractor Address: O I"I ti eh~~?k-----city: 1~/_/?_n,°Q/i-S
State: Zip: Syd ~ Phone: 612 i-~~ ~
License 2e - 19106 2- Lead Certificate #:_&A - 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: flans 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) 434.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. MM.gonhen tateonecali.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 Cade must be completed within 180
days of permit issuance.
X. fi 2a.bP_ 46~n rd! en x
Applicants Printed Name 1 Applica s Signature
Page 1 of 3
Use BLUE or BLACK Ink
I For Office Use
l
My ~i, 11 j Permit # A-1.615%
1 I
agn
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
u,` 1
Phone: (651)675.5675 t I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
B to
Date: - i - i 3---- Site Address: _Unitl:
Name: r, -
Resident/ An ~ t Y4- 4J,0 h r! Phone: - ?2l - r- 'C,(14
Owner' Address / City / Zip:
Applicant is: Owner Contractor
T . Of Work Description of work: Kemp r- r o~
Tpe Construction Cost:+ 123 '400
Multi-Family Building: (Yes / No
•
Company: Rae_ Contact: W-- 670exi
Address: t' ~z i nVl!? c:liCity:
LS
State: _L111Zip. Phone: 61,2 2- - ~
License - 1 t Z 0 6 2- Lead Certificate -&Af- 2 V?87 1
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 Call at (651) 4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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.
x Ali z
Applicant's Printed Name Applica s Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
4111100
City Permit#: ` 1
�f "` "� Permit Fee: 12,a. (oci
/
3830 Pilot Knob Road RECEIVED /`7 -�7
Eagan MN 55122Date Received: ��
Phone:(651)675-5675 Staff: iI/
Fax: (651)675-5694 JUL 1 4 2017
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 71131'7 Site Address: i5-3c 8 C L'e4 rz v'e Unit#:
Name: /142, l t't-$ !`9?'W liCerole 1�'° Phone:
Resident/
owner i Address I City/Zip:
Applicant is: Owner ekr Contractor fI
Description of work:_/47 XType of Wort( e c
l '�
Construction Cost: 2,41-'4' Multi-Family Building:(Yes ?C /No )
Company: ,44yr 6r-Nci a Contact: /3141— m. /Ayr
Address: /S7l), 14- /f'v+C.- City: 411? ft/P24'
Contractor
State:mf►f Zip: 95-to-v_ Phone:467-Ail-it1.01 Email:/3144-te/tYf c'7c'r' a
License#: ise 229 :ZZ Lead Certificate#: N4r — F/lx Of" -/
If the project is exempt from lead certification, please explain why:
/1 // II'.
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:
,OrrtiAubmitril r,� 4' .,� 3't a 35 �.,
the:informa
+l 1
ey
72: .. ,.,., 1 ,.moi., s
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.00pherstateonecall.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 7-te Building Code st be completed within 180
days of permit issuance.
x Phw+~ X / <.tel r Itis
Applicant's Printed Nam4 Ap'icant's Signature
Page 1 of 3
(s 6c S 1 01
DO NOT WRITE BELOW THIS LINE IL-Pi
92 <
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi i4 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
1.3 Replace Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation di -21 c. Occupancy 2C-3 MCES System
Plan Review Code Edition tri n Z.Q i S SAC Units
(25%_ 100% T°) Zoning .D City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length )2 Fire Suppression Required
Type of Construction v 6 Width i v
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Lo Final/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:
Reviewed By: / D • ic i74.- , Building Inspector
RESIDENTIAL FEES
Base Fee 1 D 59 ' `f
Surcharge
Plan ReviewFe�112� b D . z)."17;71;/VI u lift
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169560
Date Issued:06/01/2021
Permit Category:ePermit
Site Address: 1585 Clemson Dr B
Lot:49 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-490
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Myron M Carlson
1585 Clemson Dr Unit B
Saint Paul MN 55122--481
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169605
Date Issued:06/02/2021
Permit Category:ePermit
Site Address: 1585 Clemson Dr B
Lot:49 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-490
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Myron M Carlson
1585 Clemson Dr Unit B
Saint Paul MN 55122--481
(612) 865-8968
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature