1527B Clemson Dr CITY OF EAGAN WATER SERVICE PERMIT
PERMIT NO.:
3795 Pilot Knob Road PERM
Eagan,' MN 55122 _ No. of Units:
Zoning: —
Owner:
Address:
Site Address:
Plumber: Connection Charge:
Meter No.: Account Deposit: - - --
Size: - - -- Permit Fee:
Reader No.: Surcharge:
agree to comply with the City of Eagan Misc. Charges:
Ordinances. Total:
c
Date Paid:
Date of Insp. Air , .// 1nsp.:
3a
D:
SEWER SERVICE PERMIT
CITY OF EAGAN PERMIT NO.:
3795 Pilot Knob Road DATE: _— .- - - - - --
Eagan, iMN 55122 No. of Units:
Zoning:
Owner: - -- -- - - -- —_
Address: Site Address: --
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Account Deposit:
Ordinances. Permit Fee:
Surcharge:
___ Misc. Charges:
By _Total:
Date of Insp.: Date Paid:
I nsp.:
15a~ Ar.15a~ tayUse BLUE or BLACK Ink
I For Office Use I
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j Permit#: 1
City of Eakan I 5 . ~s
Permit Fee: 1
3830 Pilot Knob Road p
Eagan MN 55122 j Date Received: lot i ~5 I
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff. I
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- - - - - - - - - - - - - -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: C~ e f f f\ ~/Vy i f V Unit
Name: -n' I tJI I l U ~ ~ it r Je , ~ J , l l~ Phone: , G':< S _
Resident/ ` V~ /Vu 3-4&
Owner Address / City / Zip: 2 2
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Applicant is: Owner} Contractor A
Type of Work Description of work: V V o (kwl vVtn G c t
Construction Cost: V Multi-Family Building: (Yes / No )
Company: 0- Qit inel Ca qd QE?`'r1ed ItAi `tt o)htact: ' l'i-A124til 1
Contractor Address: Cf)(-) G >L~ols/O v- Q%jd City: _S4. Lo LL State:h 'Zip: Phone: ESQ
License ~IC> ] CU 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 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 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.oor)herstateonecall.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.
12 ~ 71A d T-h 1 10 S~ XP
Applicant's Printed Name App ' is ig ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172964
Date Issued:10/22/2021
Permit Category:ePermit
Site Address: 1527 Clemson Dr B
Lot:14 Block: 03 Addition: Thomas Lake Heights
PID:10-75950-03-140
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 -
Lisa Knoof
1527 Clemson Dr Unit B
Eagan MN 55122
(651) 226-4954
Warner Stellian Co Inc
550 Atwater Circle
St Paul MN 55103
(651) 222-0011
Applicant/Permitee: Signature Issued By: Signature