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1583 Clemson Dr CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot :nob 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: Date of Insp.: l Insp•: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot•Knob Road P. O. Box 21199 PERMIT NO.• Eagan, MN 55121 DATE: _ Zo ning: 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.: _ Dote Paid: ,... S /y� , ,� � 111 f /.5...;e3,111/tei 1 '7, Use BLUE or BLACK Ink fi For Office Use '1 j permit 0 I r I 1 I 3830 Pilot Knob Road Permit Fee: O 0 Eagan MN 55122 Date Received: Phone: (651) 6T5-5675 i I Fax: (651) 675-5694 I I Staff: Y I ! 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ZL~ 15 ) gag(~~ 8 i'~~j e, Name: ~Clt3/~ i t! /71_x+ Phone: •2L- S tGe_- Resider~tl Owner Addrs ! City / Zip: Applicant is: Owner Contractor P@ o'f Work Description of work: -Rena Ty Construction Cost:--+ Q6, 88 4 Multi-Family Building (Yes No Company: -_~T~UG yd~ - Contact: ~~,g~-_---- _3 D Contraetor Address: O I t ch"a ----city: 1 [Ln c~~ ,S~c State: 2AL- Zip: J~a ~ Phone: License - I y L 0 io 2- - Lead certificate AZ41- 2 ~9 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: - T - Phone: Mechanical Contractor: Phone: _ Sewer & Water Contractor: Phone; NOTE. Pla is and supporting -documents that you submit are considered to be public information. Por0ons of, the Worrr)#thon maybe classh7ed as non-public if you provide specific reasons that would conclude that the are trade secrets. ps~nrrit,tl;te Glty to CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cal 48 hours before you intend Co dig to receive locates of underground utilities. www.oooherstateonecall ono 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 authorbvd by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance, Applicant's Printed Name tT Appllca s Si n g Page 1 of 3 . �► Use BLUE or BLACK Ink For Office Use( j Permit:e: City of Eaaau Permit 3830 Pilot Knob Road Eagan MN 55122 Date Received: "IVY Phone:(651)675-5675 RECEIVED Fax:(651)675-5694 Staff: JUL 142017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7h340/i Site Address: /513 244,$' Y ' Y Unit#: Name: 4,or2dri 161-1-S FSS /T•',#27019 A _ Phone: Resident/ owner "`. Address/City/Zip: Applicant is: Owner Ar Contractor Description of work: reef . ifoi Type OT Wim; ; zs. Construction Cost:_ .3)ut Multi-Family Building:(Yes X' /No ) Company: 44yf / -^ €r741v Contact: 17.01f41-- M /r Address. /67/), 1 Y City: !/!!r ve tinfrieAlf Contras �j, State:mw Zip: /J--V_ Phone:4.7 IXC'"V c0f Email:AElic--eVitAi cYrer' e License#: /se 7Z9f Z Z- Lead Certificate#: NAT' - F/f?-©iif-/ If the project is exempt from lead certification, please explain why: A lYdEt1 4 /I/ 7 d. 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: NOTE: s�^. a s t o O N , � z " " the -2:44 in� �r � " o 31 f 3:> C 3 9 . y t y f7 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.gooherstateonecall.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 workwill 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 - e Building Code st be completed within 180 days of permit issuance. x g41.44.- Ph, ilityr AOP - , Applicant's Printed Name Ap. icant s Signature Page 1 of 3 DY DON T WRIT I3EL��IS E (Lt t 4cO 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_Flex _ 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 Valuation '' 3, •"- Occupancy Z12&- 3 MCES System Plan Review Code Editionn zezK- SAC Units (25%_100% p ) Zoning f City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length i Fire Suppression Required Type of Construction V S. Width 7 a 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_Gas Service Test Gas Line Air Test 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: ) '111"- M• (C 1 yotil , Building Inspector RESIDENTIAL FEES Base Fee ab 0 ic• " 59 . Er , Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147267 Date Issued:12/21/2017 Permit Category:ePermit Site Address: 1583 Clemson Dr Lot:47 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-470 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Patrick Cregan 1583 Clemson Dr Unit A Eagan MN 55122 (651) 329-1246 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature