1562 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:
By Date Paid:
Dote 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 ogre* to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
B Surcharge:
Y Misc. Charges:
Dote of Insp.: Total:
Insp.: Date Paid:
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Use BLUE or BLACK ink
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I Permit Fee: -1 1 - '45 3830 Pilot Knob Road I !
Eagan MN 55122 i Date Received: A
Phone: (651)675-5675
Fax: (651) 675-5694 1 Staff. I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: k--EL- 13 -Site Address:6~*, 81f. 3
Name:' 11 e4M rePhone: ~-2• 72L_ Mtf
Resident/
Owner Address / City / Zip: _
Applicant is: Owner - Contractor
Type of Work' Description of work: _ SMQ F
Construction Cost: - zp'.-71 e0o _ Multi-Family Building: (Yes _ No
Company: e_ S 7-,e 414 /t7'!✓---- Contact: J L~1 e.CZ
Contractor Address: O3 _a _ ~?calia. _ City: MineQS
State: INv Zip: 555yo Phone: 642 - W-1-5506
License #:Ar - - 19 Z o 6 2-- e Lead Certificate _.Ir - 2 V?X 7
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
`
th# information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade swets.
CALL. BEFORE YOU DIG. Cal! Gopher State One Call at (851) 454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gophemitaleonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinaries 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. r
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Applicant's Printed Name ~J Applica s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165704
Date Issued:11/16/2020
Permit Category:ePermit
Site Address: 1562 Clemson Dr A
Lot:21 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Lori M Seavers
1562 Clemson Dr
Saint Paul MN 55122--480
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176891
Date Issued:06/06/2022
Permit Category:ePermit
Site Address: 1562 Clemson Dr
Lot:21 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Lori M Seavers
1562 Clemson Dr
Saint Paul MN 55122--480
Ez Home Solutions
2595 hamline Ave N
Roseville MN 55113
(651) 214-7483
Applicant/Permitee: Signature Issued By: Signature