1546B Clemson Dr CITY OF EAGAN WATER 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:
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: 6.
By Date Paid:
Date of Insp.: Insp.:
CITY OF 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 De
posit:
Permit Fee:
By Surcharge:
Y Misc. Charges:
Dote of Insp.:
Total:
Insp.: Dote Paid:
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j Permit # VJ a c6 7_~ 1
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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.
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2013 RESIDENTIAL BUILDING PERMIT A
PPLICATION p~°q
17~ 1d
Date: - 13 - Site Address: 15y b iV.63 CiO4~ -C
~ Unit`lf:•i
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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.
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Applicant's Printed Name --ter- Applica s Signature
Page 1 of 3
I , A
For Office Use/
Permit 9c
Permit Fee / 42/
Date Peon vor;
-8535 FAX Statt
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address. J5UJ , f3 (11-841,1_, Aft...Clie. Unit#:
44,4at y:
esleyeli aA r hone
Residont
Ownor
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Typo c.,4 Work
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Cost Building (Yes No
/Ayr r• c 10,14fieveontrcte: 14- "(
city
Contractor
PI z, 4,57-rlyi. vso Ernst!, frfiti—64.)ktyr CelilftsPVItli 5 C
License 4..? 21 Z 1— Lead Certificate#.
• lead certification ,Any•
/14101.:4'*_ ,./X0444/ 'lc/1'1MA I 1 17
COMPLETE THIS AREA ONLY IF CONSTRUCTING A Nevv,BuiLowo
In Ulf, iast months, nas the City of Eagan issued a permit for a similar plan based on a master plan'?
actir2, ; • ••
Lit(.:•• =4“' Phone:
tiittichan,y2,3, tractur Phone:
Sem & 'ti‘Jatr Contractor. Phone: .
Fire tttriipp'-eststott Contractor-i Phone:
. „..
NOtt Piens and supporting documents that you submit are considered to be public information. Portions of the Wort-nation may be
classified as non-public if you provide specific reasons that would permit the City to conclude thettkey_are trade secrets-
r,itosrribe to rege;ye an electronic notification from the City of proposed ordinances by signing up for an email update or' thii City
---------- -- ----------------------------- ----------------------
xtprim -,rotrk authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
d3y!s. ;SSUanee
Gopher State One Call e ç65l 454-0002 fc,,Dro!e;..tic.';against underground utility damage Call ziti •
.Y••• fl'He conformarr a with the oh:Imam:es and rode,
r ti ir-: , .rt penny, ,„ .Nork it, rotn start wilhotit a permit ',hot in '
fiftel
Printed Na c Applicant's Signature
1- i3
DO NOT WRITE BELOW THIS LINE /Se-/( C)6-y)16h !ie• (.01 //C Q D
SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
—
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi X 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
2( Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 'Dc)Doo 61 Occupancy 'TR(- 1 MCES System
Plan Review Code Edition Vols- SAC Units
(25%_100%_) Zoning PCity Water
Census Code 2/3 y Stories Booster Pump
#of Units 1 Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction t--b Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) X Final/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 /J Other:
Reviewed By: .• /u'' '^ , Building Inspector
RESIDENTIAL FEES
Base Fee -73.7S
Surcharge
Plan Review /8.,/y
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164531
Date Issued:10/01/2020
Permit Category:ePermit
Site Address: 1546 Clemson Dr B
Lot:9 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Patrick T Exley
1546 Clemson Dr Unit B
Saint Paul MN 55122--480
(612) 819-5551
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature