1579 Clemson DrCITY 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. 9
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.
Date of Insp.: i .i 7( Insp •
CITY 9F EAGAN
3830 Pilot Knob Road
P. O. Box 211,99
eagan, MN 55121
Zoning:
Owner:
Address:
Site Address:
Plumber.
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
1 agree to comply with the City of Eagan
Ordinances.
By
Date of Insp.:
Insp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
city or Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE '•r BLACK Ink
For Office Use
Permit #:
Permit Fee: S. 0 •
3 2-1- 13
Date Received:
Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: p I _ Site Address: ) ektrLsen
Tenant:
Suite #:
Name: °.66r t1�1'.Lfto
Resident/Owner `� S Phone: IUi7 i
Address /City /Zip: �.--Ern �•� _• � -) 55i ► -2_
Name: Appliance COnnectQLl$1fcLicense #: 659;
Address: 12850 Chestnut Blvd.
Contractor city:
State: ___ Zip: 952-4+6$03
551 g'
Contact: 0 t - fl .
Email:
CLIICK•de,104,411C 71-3
— New Replacement _ Repair — Rebuild Modify Space Wo
Description of work: _
IDENTIAL
ater Heater
___ Lawn Irrigation (__ RPZ / PVB)
__ Septic System
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge
Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
New
}G f— -
Water Softener
_ Add Plumbing Fixtures ( Main /_ L
—_ Water Turnaround
_ Abandonment
la�
CALL BEFORE YOU DIG. CaII Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 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.
Applicant's Printed Name
FOR OFFICE USE
Required inspections:
Reviewed By:
___Under Ground Rough -In Air Test Gas Test Final`
Date
Gily oI! aaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office
List toot 3ct
Permit #:
Permit Fee:
50
Date Received:
Staff: n
2013 RESIDENTIAL BUILDING PERMIT APPLICATION #
dq
Date: I t 11 I S Site Address:1 S'7 15 7_� I3'79 C iYw 6.1re r Untit`#:. 1 1
Name: 2 -On ''?"/; ( 7?i SES Phone: 6/.2. 72/- J -dtC
Address / City / Zip:
Applicant is: Owner ____ Contractor
Description of work: Remo PIA. 5.
Construction Cost: 28 t OP Multi -Family Building: (Yes _ / No
Company: R `.-CXY? UC7T/tom✓ Contact: 23e."8 &77 en
Address: 3 0 3 . M 'ra'Ie%a..6 City: Mint')ea,roI S
State: MAI Zip: SStYd Phone: 1002 - ! 2-1 ' 5506
License #: j e- t L O 2- Lead Certificate #: A/A L 2 11709 -
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:
CALL BEFORE YOU DIG. Cali 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 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 t 2 &&
Applicant's Printed Name LJ
x
Applica s Signature
Page 1 of 3
APR -30-2014 13:42 FROM:VIKING EXTERIORS 651 256 1061
Clly of Eaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (851) 675.5675
Fax- (651) 675.56.94
RECEIVED
APR 3 0 9n 4
TO:6516755694
r
P.1'2
Use i3_'JE or BLACK Ink
For Office use
Peron i #
Perm t Fee; 3-7C1 35
Date Received: t 1119
S'hdfP.
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
nate: jj�I 3� _ -I i s 17 1571$
_ - _.. She Addr : I S 9 7 9 ... C IemSo A A Link #: 4
Resident/
Owner
Type of Work
Contractor
Name:
Address / City / Z p:
Applicant is: ^ Owner Contractor
Description of work: 1 OF
construction Cost- 2 000 . °5
J
Phone:
company_ 41KINA Alt tiu VO4
xn —
Multi -Family Building: (Yes 4 / No _..)
Yj ° t �►; .e fOt Contact % a te) lie- y e r
Address: 90/ iV. eanao-d Citr .S0. Sr�vL
State; �_� Zip; 55101 - Phone:65 '254-4D / Email: Vafi/r,14t,d, rd/49r004410.xgr
License #: $(12Q 7�3__ tread Certificate #: L f' .$40
If the project is exempt from lead certification, please explain why. (see Page 3 for additional Information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING Aim(BUILDING
In the last 12 months, hes the City o1 Eagan issued a parmit for a similar plan based on a master platl7
Yes No if yes, date and address of master plan:
Licensed Plumber,
Mechanical Contractor:
Phone:
Sewer & Water Contractor
NOTE: P/ Phone:
Plans and supporting documents that you submit are considered to be public Information. Portions of
the Information may be classified as nonpublic if you provide
steric reasons that would permit the city to
conclude_that eBay are trade secrets.
L FORE Y D D. Gopher Sloe On* gall at (651) 45160002 for protection against underground utility mage. CalI 48 hours
trefoils you intend to dig to receive locales of underground utiadek. • ze`8-rtrt7; s.a •.„;
I hereby aci munderstand edge that tins innolmation is complete and accurate, that the work will be in oorltorrnsttce with the ordinances and codes of the City of
agtlatha wI un the els is not e permit, but arty an appdcatIon for a permit, and wok is not to start **had a permit that to work v lIP be in
ved Plan in the raise of wort which reepdroo a rovlew and approval of planes.
Exbrloar wont' arMwrb ed by a • ilding permit issued in accordance with the illeneeote Slits Building Coda eruct be completed within 180
days of permit Is9uano..
Photos:
x
Applicant's Signature
Page 1 of 3
NOV/14/2014/FPI 05:25 AM Elder Jones Building
41,11 City of Eaall
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
FAX No, 952 854 4909 P. 002
Use BLUE or BLACK Ink
a_
For Office Use
Permit #:
Permit Fee:
WLT7
vS
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Unit #:
Name:
Address / City / Zip:
Applicant Is: Owner `~-Contractor
Description of work: 3 (,J) i c/o w S h / P (c` 1 / d do V r Ct p/G a' j n
Construction Cost: Multi -Family Building: (Yes —7 No )
Company: _ THD At- Home Service, Inc, Contact:
2690 Cumberland Pkwy, Ste 300
Address: Atlanta, GA 30339-3913 _ City:
Lic # CR268257 Ph. 763/542-8826
State: Email:
License #: a L 8 a s% Lead Certificate #: NA 7• 1 f D 7 L /
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:
?:°2.NOTEF;PIahs;an n grdocuments t ty
d
.>;,�.. a ;:i rfin o: be'- - h t'Informatidri ; Po '.61 " of
..: ....,. ,..,... ups;,, - tie ,sub»lt.ere
, .;therrnformation, iiiii .„ c ssified 'a ss r p ' h(c "if -'.Mu..
•
;,,..,..,..,,. �.,.... :., ���, �A. the
...... vl�f� ecit�it:u�e'agons'ftiaf woul
. -... ;.... ,..., •.ei :tt,,,;,.. wcclliclr'iafe;,�iJ trade sacra
� to
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.gopjlerstateonecall.org
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 1 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 Codo must be complete within 180
days of permit issuance_
Applicant's Printed Name Applicant's Signature
Page 1 of 3
For Office Use
r.ti /7 7r
• . i FP(T�i Ful.
'A 'R 6 2020
naTs.PnCp�P['.- ._
„r _z<34 8535 FAX S_atf
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date, Site Address: 5-71 Unit#: —.._ —
//(,pts. Yq•.t"rone
Res@(.t`€.'nt
Owrl r
Type of Work 06
Cost 413000.- -- — — Multi-Family Building ,vas Jr' i No
f-JUC .
1 M[ tact
/. , J
(�lws.-�orcl�'W_>1�►f2 l�d�vt�' --
dri-�S
/.57/ x-f_. City � � r
Contractor
� Iv,z,r, 07,H 4,57-2-VA 'LP, Finai1: .__r1t�--
t`:j,kyfe s, c
License %9' ZZ[:`LZL Lead Certificate F.__---
r,. •!oh- lead certification ,ease explain why.
f A0 ,Avtrt.447 .+ 1Am,_ _ /-1,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
trio t monthshas the City of Eagan issued a permit for a similar plan based on a master plan?
Phone:
ntractor: Phone:
Se e 43at C:contractor: Phone;
Fire Suppression Contractor Phone: _----._ --
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the inforMatlof may be
classified as non-public if you provide specific reasons that would permit the City to conclude Mat ate trade secrets.,
* ,:,sunsr_ribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on thc,,c„,h;
Wob rr: a+ i L r
iter r. wor authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed with“, 190
(lays% unit issuance
R CiEFORE YOU CSI aGopher State One r_a;isi{651}454-0002 L. against underaroirnd utility damage. Cat 0 nu,•>�F :r= .:rr
y .,,i„ "� ,;,. r �-i confofmarrie ror..h the e'drnarc s and r fide,
is rot clod wid r_+ur a perm; d o. ;h.
., - ,.._ �, _..,+ -no- .,tr` ,. ..._. �,:• -;_.,: , . _ _.
/let
pia r ...r,'s .'rinfecf Marne — App can s gnature
•
DO NOT WRITE BELOW THIS LINE Cgnso4 ,Q / 7 /‘
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi X 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
XReplace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation $3,c5e:c% Occupancy 1i?C- I MCES System
Plan Review Code Edition ao l� SAC Units
(25%_100%_) Zoning City Water
Census Code 2,/3q Stories Booster Pump
#of Units I 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 Other:
Reviewed By: ./6/so-- , 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:EA161104
Date Issued:05/05/2020
Permit Category:ePermit
Site Address: 1579 Clemson Dr
Lot:43 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-430
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Srinivasa R Koppineedi
1579 Clemson Dr
Eagan MN 55122
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature