Loading...
1526B Clemson Dr CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: — Eaian, MN 55122 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: g Date Paid: Date of Insp.: /2_— 7' - — Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot.-Knob Road PERMIT NO.: Eagan, MN 55122 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: Dote of Insp.: Total: Insp.• Date Paid: t52Ce 115-t~ C3, ~52~314, ~5 2g 8 CkQ'vNs'or1 b' T_ Use BLUE or BLACK Ink I For Office Use 1 j Permit City of Eakan I Permit Fee: C 7 1 3830 Pilot Knob Road I 5 S I Eagan MN 55122 Date Received: 13 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I - - - - - - - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: tr 1 I Site Address: 1 GZ `-P C6 elwv1 V NV t Unit Name: 11~t11~ ~v4~ Phone: Resident/ - ~o V) a - 1 ~ Owner Address / City / Zip: f Applicant is: Owner L Contractor Type of Work Description of work: 2 u9 W R ~'~L OKI Construction Cost: J ~200 - 0 ® Multi-Family Building: (Yes X / No Company: ~c~ l a ~QQk-'I Qci an ,l K 21'1 VX L' I trt~ 14kontact: ' J , V 1 Contractor Address: city: _S4. LoLL C'ctr ~L State: OA k , Z`ip: Phone: Q-- 1 ~/'S- -7,20 License n-,Loo 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 pen-nit 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.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 V1 iAA d 5.~ x Applicant's Printed Name App ' is ig ature Page 1 of 3 • For Office Use %-%%‘% °,•°-• E AGA N Permit#: t ) "P"' t3") nib... •• •••' Permit Fee: (0°Gi 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Email: buildinginspectionsacitvofeagan.com Staff: Commercial Plan Submittal: eplans(ccitvofeagan.com L 2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: 7/20/19 Site Address: 1526 Clemson Dr. Unit B Tenant: open Suite#: Resident/Owner Name: Cathy Grenier Prone: 651 600 9941 Address i City zip: 1526 Clemson Dr. Unit B Eagan, Mn. Name: SJS Mechanical IncLicense#: PM060655 Contractor Address: 20169 320th St city: New Prague State: Mn Zip: 56071 Phone: 952 758 2986 Contact: Scott Smisek Email: scott©sjsmechanicalinc.com RESIDENTIAL 1 Furnace 1 Air Conditioner Permit Type Air Exchanger Heat Pump Other New / Replacement Additional Alteration Demolition Type of Work Replacement of existingequipment Description of work: p a q p RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge 60.00 $100.00 Residential New,includes State Surcharge =$ TOTAL FEE 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.citvofeaoan.com/subscribe. 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 .res a revi- - :7ppro I of plans. l X Scott J Smisek (r- J AC\ Applicant's Printed Name A nt's Sig re FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final