4319B Clemson Cir CITY OE EAGAN WATER SERVICE PERMIT
3830 Pit Knob Road
P.O. Box 2119J4 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Addess: -
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
B Date Paid:
Date of Insp.: ,w.7° f.. l7 Insp.:
CITY or- EACaAN SEWER SERVICE rCr..... .
PERMIT NO.: 300 Pilot Knc -5 Road
DATE
P.O. Box 1 1 21 No. of Units:
Zoning:
Owner:
Address:
Site Address:
Plumber: h the City of Eagan ronnection Charge:
with - c,
"Account Deposit`
I agree to comply permit Fee:
Ordinances Surcharge
Miser Charges:
Total:
By Date Paid:
Date of Insp.:
Insp.:
Use BLUE or BLACK Ink
For Office Use
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Permit t
City of Eancin
ac~
Permit Fee:
n
3830 Pilot Knob Road pn
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff: I
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2013 RESIDENTIAL BUILDING PERMIT APPLICATION .
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Date: l Site Address: 1617 ZL/7/~~St~P2 ~ 319 't-5 l 9 _ Unit
1 Name:
f homes 1=K_ Phone
Resident/
Owner Address / City / Zip:
_ Applicant is: Owner Contractor
Description of work: &J 14# A66 l-ICGe' /Al 7,6 fit!Ce r 0 f/4 S O/n~q
i Type of Work t
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Construction Cost:._~ _-lti-Feint Yes ti~to _
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Company: TL8 R,5~a 1 h Contact: O~ " 7L
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, N6 city:
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j Contractor Address: _ 7 -14
State: Zip:- ~5~G Phone" 440--7q7
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If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
d a~' /fit obe), D(,!~Cv n, f ast+
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 r~VQrmation may be classified as non-public if you provide specific reasons that would perriiit the Citv to
i conclude that theyare 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.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 l 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'p'ermit issua e.
/ 44
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Applica s Printed Name Ali-cant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177757
Date Issued:07/18/2022
Permit Category:ePermit
Site Address: 4319 Clemson Cir B
Lot:3 Block: 2 Addition: The Trails Of Thomas Lake
PID:10-75865-02-030
Use:
Description:
Sub Type:Water Heater
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 -
Dianne M Martin
4319 Clemson Cir Unit B
Eagan MN 55122--481
Tony's Appliance Inc.
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature