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1566 Clemson Dr BCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Boz 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"Z.—' Date Paid. Date of Insp.: /� Insp . CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO P. O. Boz 21199 • 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 Deposit. Permit Fee. Surcharge. By Misc. Charges: Date of Insp.: Total. Insp • Date Paid. 2 R I 411160 CltyofEaffall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit* 1 1 ti`'i sDatePermit Fee: 1 `0 • as-- Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: 10 - 11- 1S Site Address: d''S6gJ.6.10 1g46) )566 0 Cipityvr-- Unit • r /241r) (l, 7 LL') 1 ap4'I�. ___ Phone: =2. 72/: S, -'oa J Applicant is: Owner __ Contractor • Description of work: R'e l bo F a r1.5. Construction Cost: 4 2 3 1 59-9 Multi -Family Building: (Yes _ _ / No ____) Company: Rig C aas rd.e(/CT/ Contact: 2 675 en Address: 3 0 3 q M t 2nehetAck.. City: M inneQ p I/S State: M/1./ Zip: 53-12/0 ( Phone: 6/2 - 7 2-/-55c License #: ij ( - ! 9 Z a 6 2 -- Lead Certificate #: /1/4 7- 2 41.g? — I 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: Mechanical Contractor: Sewer & Water Contractor. Phone: Phone: Phone: CALL BEFORE YOU DIG. Cap Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Can 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecaltorq 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. E1 ! 2&b �,) 0/ erg Applicant's Printed Name tJ x . Applica s Sig;nature Page 1 of 3 CityofEaaafl 36330 Pitot Kroh Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 1fi ; t AN 5 2016 Use BLUE or BLACK Ink For Office Use Permit #. Permit Fee: Date Received: Staff: 13 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 4/20/2016 Site Address: 1566 Clemson Drive #B Tenant: Resident/Owner Suite #: Name: Huong Hoang Phone: 612-3664335 Address / City / Zip: 1566 Clemson Drive #B Contractor Type of Wor Name: Metro Heating & Cooling License #: 20090002249 Address: 255 Roselawn Avenue East #41 City: Maplewood State: MN Zip: 55117 Phone: 651-294-7798 Contact: Micah Email: micah©metroheating.net New Replacement _ Repair — Rebuild _ Modify Space _ Work in R.O.W. Description of work: Replace existing water heater Permit Type RESIDENTIAL/ Y Water Heater Lawn In-igation ( RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (_ Main / ^ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes State Surcharge) *Water Tumaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ 60.00 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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start ' hout a accordance with the approved plan in the case of work which requires a review and approval of plans. x Micah Vail Applicant's Printed Name d codes of the City of hat th=. ork will be in Applicant's Signa re FOR OFFICE USE Required Inspections: Under Ground Rough -In Air Test eter Related Items: Meter Size Radio Read Manometer Gas Test Final r For Office Use iI Permit* n i it,21%.11 Oa," E N , Q Permit Fee: / 14% Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 :` rl (651)675-5675 I TDD:(651)4548535 I FAX (651)675-56• r Staff: �� buildinginspectionsCcacityofeaaan.com 2019 RESIDENTIAL BUILDING P IT APPLICATION Date: L / 7 /9 Site Address: 1 SLG 1 f/onvikexi am.v(` Unit#: #(7161/1111 est 4 ✓ /CM IName: Phone: i Retidetstr Owner Address/City/Zip: Applicant is: Owner X Contractor .r Description of work: itr ,�f li t� �k�C+ dlr./ 'rc- ��jl!/d - f Construction Cost: Multi-Family Building: (Yes /No ) A y�^^---" wrG,t 4#49,' 'v i .a�'N4 Company:g tons 6TId+4r �9W t,Yof ontact: P4-,i�'- jk. r Address: is-i/.2 6f/2145(Lfr City: 4/Le ` -tL e ContrattOr State: 1i Zip: 6-61411 Phone:4;7-.214- mail:/Air ipi'v5rAtet'a7'.rZ1v.yfve tj 0,4' .. License#: BL ZZ 94 1.L Lead Certificate#: If the project is exempt from lead certification, please explain why: iinelk) JAI Atizvel 44,grifi I Vg 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: Fire Suppression Contractor: Phone: ,on maybe NOTE.Pra0 x 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. 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. 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.aooherstateonecall.orq 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 pe '; that the work will be in accordance with the approved plan in the case of work which requires a review and approval tans. x FICC x � � Applicant's Printed et/. Applicant's Signature DO NOT WRITE BELOW THIS LINE / -e& C l CMs on Dg- , J3 / co s SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) — Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous J 01 of i' 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 Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION /j, Valuation `" z/45CI9'r Occupancy MCES System Plan Review Code Edition 07.1 -to I c SAC Units (25%_100% )6) Zoning P b City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) 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 ��1 � Other: " �/ Reviewed By: YYI �• ei /c1" , Building Inspector RESIDENTIAL FEES Base Fee 1� 4 j!/D / a 's9-fT, Surcharge 6) .41 /5; 00 5p. /47-- Plan Review MCES SAC M'4 ell deal- ,/e.e"e- City SAC Utility Connection Charge ..e`</..57.. , /L 0. ..5. S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 • , EAGANFor Office Use/ • `• `� .' •' Permit#•./ Permit Fee: 60 ° \1 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:building.inspacticins(a)cityofe.a an.cam Staff: Commercial Plan Submittal: eplans(&cityofeagan.com 2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: 5/15/20 Site Address: 1566 Clemson Drive #B Tenant: Suite#: Resident/Owner Name: Huong Hoang Phone: 612-366-4335 Address/city/zip: 1566 Clemson Drive #B Eagan, MN 55122 Name: Metro Heating & Cooling License#: PC642529 Contractor Address: 1220 Cope Avenue E City: Maplewood State: MN Zip: 55109 Phone: 651-294-7798 Contact: Carley Email: invoices@metroheating.com RESIDENTIAL ✓ Furnace Air Conditioner Permit Type Air Exchanger Heat Pump Other New ✓ Replacement Additional Alteration Demolition Type of Work Replace existingfurnace Description of work: 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.citvofeaqan.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 requires a review and proval of plans. XCarley Ferrie Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163008 Date Issued:08/11/2020 Permit Category:ePermit Site Address: 1566 Clemson Dr B Lot:28 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-280 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 - Huong T Hoang 4361 Woodgate Lane N Eagan MN 55122 (651) 500-9806 Heating & Cooling Consultants Llc 46001 Hardeggers Ln Cleveland MN 56017 (952) 461-5100 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA163009 Date Issued:08/11/2020 Permit Category:ePermit Site Address: 1566 Clemson Dr B Lot:28 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-280 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 - Huong T Hoang 4361 Woodgate Lane N Eagan MN 55122 (651) 500-9806 Heating & Cooling Consultants Llc 46001 Hardeggers Ln Cleveland MN 56017 (952) 461-5100 Applicant/Permitee: Signature Issued By: Signature