The URL can be used to link to this page

1584 Clemson Dr CITY OF tAGAN 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: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the Ci of n Surcharge: Ordinances. Misc. Charges: Total: By / Dote Paid: Dote of Insp.: /0 / p �� Insp.• CITY OF` EAGAN SEWER SERVICE PERMIT 3830 Pilot 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: Surcharge: By Misc. Charges: Dote of Insp.: Total: Insp.: Date Paid: • e i Use BLUE or BLACK Ink I For office Use I I ' j Permit#: 1►°~_ 1 t of Evan I .sa 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: 0 j Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 staff. 2013 RESIDENTIAL BUILDING PERMIT APPLICATION? Date: .16- 1(- 13 Site Address:6 1fga,q.) wig )58 ` ----Unit Name:.#~ ~ ~l _7.64J -AQLM_eS_-_Phone: -2- 72L S't2 L_ Resident;/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: Ale_MQ f Construction Cost Multi-Family Building: (Yes No Company: R C0/7 Contact: i Contractor Address:, 3a 1"1 t c?j7Gt,_-- _ City: Mf►fn> axz. State: M Al_ Zip: 5'S~lo Phone: - Z - 5406 - License S t^ - 1 ~ 10 6 Z- - Lead Certificate ~AT--:: 2 I 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. Plans and supporting) documents that you submit are considered to be public Information. Portions of_ the 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 48 hours before you intend to dig to receive locates of underground utilities. www.aoohenstateonecall.ora 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 160 days of permit Issuance. r Applicant's Printed Name L~ Applica f s Signature Page 1 of 3 Use BLUE or BLACK Ink � . � r----------------� I For Office Use • � Permit#: � �`'� �� lt� 0��Il � . �? � 3830 Pilot Knob Road i Permit Fee: � Eagan MN 55122 � I Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 � � � Staff: � �-----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with ail commercial ap lications. Date: rT' `1�% SiteAddress: �� Tenant: Suite#: � � �� Name: '� U'L /�"" �� Phone: (J f� �/d"p �� '�� esit�e�rtl�wt'lF.+r.. ' Address/City/Zip: i Name: � ' � cn License#: .-�'.' �. - � . ; � �-� � Address: 1,�� City�� /'� �/C� � ��OF�#C�iC�t?i' /� 2 �, �, State: �'l6� Zip: ��Q� � Phone: �'� :D�% �� , ' � ,' : Contact: � �'' (�'sCrL Email: �Lb�^--� �d!"d"t/? 1Y1�'� � �'o New �Replacemen Additional Alteration Demolition � � � f '�'��g p��Q� Description of work: � C� � �' /",�l C P �✓� � v b�/� c;�� ,�:< #�i�� Ri�of r�u��d and��. ;�a�a�u�t�d r��rt��q�a�r�f"i� r��r��cre�a��d��r : Gt�+de, Pteas�a c�aaat�ct th+a�tte�ia��1�s�t�r��r:�4�fs�i�n�.c�ra per��ed��tir��a��-:��ds. . :: RES/DENT/AL COMMERCIAL . �Furnace New Construction Interior Improvement ; Air Conditioner Install Piping Processed � .. �@�'13'�(��' — 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 State Surcharge $100.00 Residential New, includes State Surcharge =$ �� TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum, includes State Surcharge $70.00 Underground tank installation/removal =� Permit Fee "If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -$ Surcharge* 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 witho 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. /�'// /J /�' � x� ��1�� t�t /�``l Q S'� � _ x ApplicanYs Printed Name ApplicanYs Signature : FQI�t�.F1C�U�� ,_; =� : � � ,_ R�q��r�cJ tr�'spec��ns. ; ; :.: ... . R��ri�:t�ued"�y D�te � , U�der�un�i � f��r�i k� A�r 7�t �as��nrit�7'�s# `;.', �.I�i-f#o�r f� ': �`� : 3-1�l�#C�r�ng _. � �-�.,- � �. T City of EaEan 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink ---------, For Office Use I I C— Permit Permit#: I Fee: I I I Date Received: I I Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: `7 N, Site Address: ) 5yi b��' Resident/Owner Name: rk Phone: Address 1 City / Zip: -2 Name: �� 1�License #: Contractor Address: State: An,Zip:.Phone: Contact: Email: Type of Work —Now _Replacement —Repair —Rebuild _ Modify Space _ Work in R.O.W. Description of work:nz s-__ 'l RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ 1 ^ PVB) Water Softener Permit Type Add Plumbing Fixtures L— Main 1 Lower Level) Septic System New Water Turnaround Abandonment _ 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 Turnaround (add $280.00 if a 314" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ 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.gopherstateonecali.orp 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 pl ns V\ x ��eA' x Applicant's Printed Name Appliedht's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff PERMIT City of Eagan Permit Type:Building Permit Number:EA149375 Date Issued:05/18/2018 Permit Category:ePermit Site Address: 1584 Clemson Dr Lot:44 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-440 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 - Ajit B Ghadge 1584 Clemson Dr Eagan MN 55122 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature