1575 Clemson Dr CITY OF PAGAN WATER SERVICE PERMIT
3$30 Pilot Knob Road
P. O. Box 21199 PERMIT NO
Eagan, MN 55121
DATE:
Zoning: _
Owner:
No. of Units:
Address:
Site Address:
Plumber:
Meter No.:
Size:
Connection Charge:
Account Deposit:
Reader No.:
Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances.
Misc. Charges:
By ____,.t. ' , r I.4,, ^ a
r Total.
1 - `� ' ' Dote Paid:
Date of Insp.: — - ". --
`'' I Y OF EAGAN
383G Pilot Knob Road SEWER
P. O. Box 21199 SERVICE PERMIT
PERMIT
Eagan, MN 55121
DATE:
Zoning IdO.:
Owner: No. of
Address: Units:
Site Address:
Plumber:
C
!ogre* to comply with the City of Eagan Connection
Ordinances,
Charge
Account Deposit:
By
Permit Fee:
Dote Sur char
of ge:
nsp,: Mlsc. Charges
Insp.: ratan,
Dote Paid:
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Use BLUE or BLACK Ink
i For Office Use
j Permit ~I ILD p
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Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received:
Eagan ~4 Al
Phone: (851) 675-5675
I I
Fax: (651) 675-5694 1 Staff..
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 - site Address: is 1 ! 19, 131
Name: Yz- 4zn_~s____ Phone: (V-2- 72, - S a~
Resident/
"Owner Address / City / Zip:
Applicant is: _ Owner Contractor
Description of work:
Remo F n -
T Kleof Work
Construction Cor, `'?.l_& C5 Multi-Family Building: (Yes No
Company: C PJI'3 VC Contact: 2~f en
%_.1 1LJ
ContractOr Address: City: ~ ~IaRA~Jfc~.s
State: ML Zip: Phone: mac? ZS -
License SC - 210 6 2- Lead Certificate
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 informatVon. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the Clty to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hairs
before you intend to dig to receive locates of underground utilities. www.uoohen3tate2ne0ll.or_Q
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.
xfr_ rn_a en x
Applicant's Printed Name Applica s Signature 49
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133079
Date Issued:09/21/2015
Permit Category:ePermit
Site Address: 1575 Clemson Dr
Lot:39 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-390
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Todd Haglind
1484 W Pond Rd
Eagan MN 55122
(612) 220-3480
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
For Office Use
t Permit tit _/jQ-
, Permit Feeit
APR 16 2020
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
c Site Address: /7..�75 .._ P e —Unit#: — —
1/
07ht-_____ctill"04_ 44400 agAil Phone
Resident:
()Wrier �drr ,.•,; • 7
" `l ' f h tti 44". P f�&, sal
Type f Work c ' _-
4 tie
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��n Multi-Family Building tYeS No
tac
AloyT t v�v��CotcTTG'N% jd6?/ e 1-''' G ontact y ,/ r
Contractor=
A _-0-x Wit__ / City /` /1G L` I�°_11Z-Le
4 7, 6.5/-- -VL .`/s�Gi Erna,f >fi�C • / 7; ;/:l014.9e'putz2`e: c6'
LLead Certificate#
ieense w f�C 22`0(I z z-- ------------ _
€.r lead certification.
AuttA/A 444.F3
ty
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the tan; •s months. has the City of Eagan issued a permit for a similar plan based on a master plan?
Lictrnse%i +i,.Tshe'' Phone: — _ _
Ntech ,;„a' Contactor Phone: ---
Sewrc-& Water Contractor: Phone:
-
Fire f upression Contractor- Phone: ----- T_.-.--_
NOTE 'Mans and supporting documents that you submit are considered to be public information. Portions of the inforthetfoh may be
classifier as non-public if you provide specific reasons that would permit the City to conclude that theyare trade stores..
...b;c:ribc to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City a
A,f^t3 r a
=ixipit, .• u' inthorrrcd by a building permit issued in accoraance with the Minnesota State Building Code must be completed within '?u
r3c i t �c U 01U Gopher State One Oati ;651 i 454-0062 ( againstunderground damson_ t ail0., r,.
t�.
d';i conicfn-Ance with the idinenr eS
• t, i er . .- >kit., net it. start mit ;u .3 pert/ t ;hot the v •
"/vim I 'l f
pried Name Ap brant s Signature
_ 1
DO NOT WRITE BELOW THIS LINE /l 7.5 C 1 cm oi/\ bR ,
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
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 `Upoo (,,-.4.,,,,,,,,) Occupancy 2-Rc., i MCES System
Plan Review Code Edition Vo i c SAC Units
(25%_100%_) Zoning p-N City Water
Census Code If34,/ Stories Booster Pump
#of Units / Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction t--,[3 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 // Other:
Reviewed By: . ,A 4• iso— , Building Inspector
RESIDENTIAL FEES
Base Fee
—
Surcharge
Plan Review
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:Plumbing
Permit Number:EA176006
Date Issued:04/26/2022
Permit Category:ePermit
Site Address: 1575 Clemson Dr
Lot:39 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-390
Use:
Description:
Sub Type:Water Heater
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 -
Todd Haglind
1484 W Pond Rd
Eagan MN 55122
Adam's On Time Plumbing & Water Heaters Llc
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature