1562B 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, Micl 55121 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:
Date of Insp.• Total:
Insp.• Date Paid:
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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:Building
Permit Number:EA129038
Date Issued:12/31/2014
Permit Category:ePermit
Site Address: 1562 Clemson Dr B
Lot:24 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-240
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Kenneth P Gangl
1562 Clemson Dr B
Eagan MN 55122
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142687
Date Issued:05/15/2017
Permit Category:ePermit
Site Address: 1562 Clemson Dr B
Lot:24 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-240
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Kenneth P Gangl
1562 Clemson Dr B
Eagan MN 55122
(651) 247-1544
Stasney Electric Llc
15970 320th St
New Prague MN 56071
(952) 758-2546
Applicant/Permitee: Signature Issued By: Signature