1548 Clemson Dr B
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3830 Pilot Knob Roa SCR V 1 �
u vier+ 11
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:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: 1 Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. Q. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:_
Owner:
Address:
Site Address: 'eri—f3r--t,ti+-
Plumber:
47 S y (1? r
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:
1,_________)4 .., _.
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Use BLUE or BLACK Ink
-
For Office Uset
j Permit # VJ a c6 7_~ 1
C14 of Eapo
I Permit Fee: 11 0____ 1
3830 Pilot Knob Road
1 1, ;
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 1 i~
Fax: (651) 675-5694 I Staff.
1
2013 RESIDENTIAL BUILDING PERMIT A
PPLICATION p~°q
17~ 1d
Date: - 13 - Site Address: 15y b iV.63 CiO4~ -C
~ Unit`lf:•i
kws
Resideinf Name: __4t, r Zn_ r I(, _74 tin c*mAe_S___ Phone: 721- .,£'t'G d -
Owner Address / City / Zip:
Applicant is: Owner Contractor
Description of work: Rfr o~--- _
Type of Work
Construction Cost: l 51_ •-~D Muni-Family Building: (Yes. _ ! Na
Company:g Contact: eA_--
Co[1#tdCtQt Address:Q !"I t/EYlA/'1~_- _ City: 1Y~/t°__QTP~71r•.3
State: ! )2AL_ Zip: 5-5-OYO (a Phone: (+Z ,2 2- 5,5d6
License#:St- 194062- Lead Certificate 2,F? -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'Itlformation may be classed 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) 454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.,QwtgMtateonecail:ora
1 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.
_ L r
x_! t ZtP_ i4 r) cap Ch
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Applicant's Printed Name --ter- Applica s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159998
Date Issued:02/04/2020
Permit Category:ePermit
Site Address: 1548 Clemson Dr B
Lot:10 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
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
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John D Thompson
1548 Clemson Dr B
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
-t
For Office Use
Perm;t
, . .
IN
, .
t\FP, 162.020 Permit Fee Ai.; • ("P
Date R,irs'ai
; )il FAX
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
l/f1/2-4" Site Address /,5-Vgb7 et OM S.41) .._. iDAPide Unit#:
Resident' /47"ell ""6"6""'"1-1—. ti4t1-1741/Aer t'fAiat-achsfr PnOne
Coiner
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•-,es.;',i.it.nr
Type of Work d e4-46. crki,"/ AZA4ceoix4a"
or Cost 2l/(...00 Multi-Family Building (Yes K ,
Ihy_r ne lav ji4vie1707.f4urlact piocu /4.1
/0-- Afifi..4 e
Contractor
-1' it/tit,z (..57-1Vk v$), Ernati /7frfirte;-
i_Jcense ciy z Lead Certificate
i•. i lead certification. ra.eae,•----
#4:1fr't414.401°'' Ada' AW4441 sisfp
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NVV.131JILDING
.nonths nas the City of Eagan issued a permit for a similar plan based on a master plan?
Phone:
%:irintr8cliori Phone:
Sewn Water Contractor. Phone:
Fr Spctret;siort Contractor Phone:
. _
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the irdorthation may be
classified as non-public if you provide specific_reasons that would permit the City to conclude that tkejt are trodesectets.
„ ,Ltoscr,be to receive an electronic notification from the City of proposed ordinances by signing up for an email update on thri-
rlitter
authorized by a bolding permit issued in accordance with the Minnesota State Building Code must be completed within
ri-or it-sunrie
YOU Gopher State One Call -a(651 454-0002 ii,• deamst uncie.rproono utility damage Cat tO ,
- "r cork is no nu. d perm; ihoi ;Fin
•
(1P4t4C-a /4/ 4
• .414e.V_Litri....
Appir: orinted NaAp iicant`s Signature
DO NOT WRITE BELOW THIS LINE / `-rte C/ m�ov Da• Lt1 - g /moi 0Q g 0
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
Valuation •Upon („T:,,,,, ) Occupancy 2-12c- I MCES System
Plan Review Code Edition X01 c7 i S SAC Units
(25%_100%_) Zoning P. City Water
Census Code 27,34/ Stories Booster Pump
#of Units / Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 56 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings(Addition) X Final I 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 , / Other:
Reviewed By: •• /4P/So^ , Building Inspector
RESIDENTIAL FEES
Base Fee _
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3