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1569 Clemson Dr
CITY OF EAGAN WATER SERVICE PERMIT 383Q Prot 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: I agree to comply with the City of Eagan Surcharge: Ordinances. / Misc. Charges: // i� % %/` Total: By L✓ � � Date Paid: Dote of Insp.: /fril Insp.• CITY OF EAGAN SEWER SERVICE PERMIT 3830 not 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 Deposit: Permit Fee: B Surcharge: Y Misc. Charges: Date of Insp.: Total: Insp. • Date Paid: 1. ... - • i ci ( (3 / 6 t Use BLUE or BLA_C_K_1_nk r - - - - - - - - - - - - I For Office Use i a Permit //17l1l_3 City of Eafian I Permit Fee: y I 3830 Pilot Knob Road I Eagan MN 55122 I 9- I Phone: (651) 675-5675 Date Received: I Fax: (651) 675-5694 Staff: I L -----------------I 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. P~ Date: C Site Address: ?~~9 li~Q~C 3c 4"~- Tenant: _ A.. &L ✓1 Suite M 3 Resident/Owner "Name: Phone: Address / Ciitty~•/ {Zip: Name: License Address: L~ k oCC;, City: at Va Contractor r State: tvl Zip: Phone: Cptd 57Z$ 9 `I 3C0 Contact: (n Email: _-~b ° ' WL_~ (3 ~G-kzo+ coNV~ New Replacement Additional ,1 Alteration Demolition Type of Work Description of work: t-~ A(Z- ~,.,.w _ a w_ m. NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City E Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL k 3:ir urnace New Construction Interior Improvement Permit Type ' C onditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump _ Under/Above ground Tank Install Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES Contract Value $ X.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge* **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE 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 wi t a permit; that the work will be in accordance with the approved plan in the cease of work which requires a review and approval of plans. x I V_ - x 0,-,4Jeo~' 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 HVAC Screening Use BLUE or BLACK Ink For Office Use j Permit #:1~~__ i tty of Eagan I Permit Fee: 1 3830 Pilot Knob Road i Eagan MN 55122 Date Received: t0 3 Phone: (651)675.5675 I I Fax: (651) 675-5694 I Staff: I 1 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # 8 tdq ~ Date: ( - 13 - Site Address. • $ ) I ~ .i$ a 01'r %!5M Unit` s#: Name: l ~ 4i n h orl Lrs_-- Phone: f-~• '7 _S S"(11Z :Resident! Owner" Address / City / Zip: Applicant is: Owner Contractor Type cif VV©rk Description of work: Aetbo~n ~ a - Construction Cost: 1 V 0 _ Multi-Family Building: (Yes VNo Company: L C - ` P) l~ UCH/CI~------ Contact: _&.'qen C,Ontractor Address: Q 1~ c~ lr City Minne_.aAa1ZS State: Zip: Phone: 6ZA2 - 22-1 - 5-506 License S l^ - 94 ©J 2-- Lead certificate Az4 2 419,V7 - f 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: _Y Mechanical Contractor: -Phone: --Y-_--- Sewer & Water Contractor: Phone: NOTE: RlartS'and supporting documents that you submit are considered to be public Informat/on. Portions of the information may be classified as nor:-public if you pfpvide specific reasons that would permit the City to conclude that the aria trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) X454-0002 for protection against underground utility damage. Call 48 fps before you intend to dig to receive locates of underground utilifies. www.sronhomWteomecall.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. x ~fc2abeA 1-,nr n Applicant's Printed Name Applicanys Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use of E ~ ~ j Permit M. I Permit Fee: •'l 1 3830 Pilot Knob Road t I Eagan MN 55122 Date Received; 0011 13 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 •-----------------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: ~6 -1 t - t 3_ Site Address: ~5~~~151 r ! ~,8 Ua,,,,5rjy~uR Resident Name: -Mr1~~__~ r,lin A come Phone: -2• 72 _r,2a_- - Owner Address / City / Zip: _ Applicant is: Owner Contractor Type of. 1i Description of work: e 'O F' * _ otk /h~ pa; a Construction Cos - ~ v Multi-Family Building: (Yes _ - / No Company: ~-c- I/G T/ c~✓- Contact: ~~2-~--- '3o M_ v7 /r COnir> Gt¢t Address: n ! Gt ----city: Minneia ' State: A A - Zip: 555~~ Phone: 506 License 14 - 1` Z. 0 6 2- Lead certificate (M 2 !Cf 7 - f 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. Plansand supporting documents that you submit are considered to be public Information. Portions of fle information may be classified 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 Call at (651) 4540002 for protection against underground utility damage. Call 46 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.om 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 riot 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 160 days of permit issuance. i5n rCr~ x~ Applicant's Printed Name Applica s Signature 9 Page 1 of 3 ORSAT results Permit # 114793 1569 Clemson Dr, Unit A Original Message From: topdogmech@yahoo.com [mailto:topdogmech@yahoo.com] Sent: Wednesday, February 12, 2014 8:56 AM To: Jeffrey Wheeler Subject: Orsat test results. Top Dog mechanical llc. Orsat results for Dan Kahn. Address. 1569 Clemson Dr. Unit A Eagan mn 55122. Furnace. Goodman M# gmh80603an s# 1307344620. Installed. 9/19/2013. Fire rate. Low fire 1.75" WC. High fire 3.5" WC. Stack temp. 212 deg. F. CO -.02%. 0-9.5%. CO2 -6.75%. Thank you. Dan @ Top Dog. 612-578-2436. Sent on the Sprint® Now Network from my BlackBerry® . n Use BLUE or BLACK Ink �-----------------, � For Office Use I � l�� � I I Permit#: � City of ����� .F�� r .� .. -�. � �� � � Permit Fee: I � I 3830 Pilot Knob Road t Eagan MN 55122 I Date Received: � I Phone: (651) 675-5675 � staff: j Fax: (651)675-5694 L----------------� 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: i' � ��_Site Address: Tenant: Suite#: Resident/Owner Name:�'Cl �-�,�� Phone:1..��� r J-��'� ��� - �� 11 ,�^� Address/City/Zip: , �� f � Name: �'h���� p������� License#: P Contractor . ` Address .,�. .��e ��M _City: State: Zip: !j,�j70 DOC{C���� �o�tact: Ea�Bt'1, ��5.`.�.123 mai. ;Type of Work —New /�Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: ` ' RESIDENTIAL Water Heater I ,` �Water Softener Lawn Irrigation�RPZ/_PVB) Permit Type — � Septic System _Add Plumbing Fixtures�Main/_Lower Level) _New Water Tumaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround*(includes$5.00 State Surcharge) 'Water Turnaround(add$200.00 if a 5/8"meter is required) f` $105.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) � TOTAL FEES$�� CALL BEFORE YOU DiG. Call Gopher State One Call at(651)454-0002 for protection against underground u�lity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www aopherstateonecall.ora i hereby acknowledge that this information is complete and accurate;that the work will be in conforman 'h 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 wo ' o start witho . i hat the ork will be in accordance with the approved plan in the case of work which requires a review and approval o plans � X '(�� .�� � X AppiicanYs Printed Name ApplicanYs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground ' _Rough-in _Air Test _Gas Test _Final / �1° X`