1588B Clemson Dr CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. 9. 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:
!/ Total:
B hl324(/ ( 8 P Date Paid:
Date of Insp.: f t ,/ g/ Insp.•
CITY OF, EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. Q. 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.: Dote Paid:
+1.
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Use BLUE or BLACK ink
I For Office Use I
Permit 11 b~ 53
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My of EaI Permit Fee: -70.5o
3830 Pilot Knob Road I I
Eagan MN 55122 i Date Received: Phone: (651) 675.5675 1 I
Fax: (651) 675-5694 I Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
d
Date: Site Address: gS~)^5 S~ 159b.) 5~°0'3 81
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Name: J -1 bN- ~ / r t! ~t141, &4'sf'1_ OS --Phone: -Z• 72/-I=d-
Resident/
Owner Address / City / Zip:
Applicant is: Owner - Contractor
Description of work: e mg F *
Type; o Work
Construction Cost: _ Jot-7 Multi-Family Building: (Yes No
Company: 2A_L__0_ 41C 7_/ OAI Contact::~~~ 679 5'/3
Co'ntractor' Address: City: Nl/ht?eQ_~ fiS
State: I r l A - Zip: Phone: 612 =L 2-
License t^ - 1 Z 0_6 2- Lead Certificate 2 V?'7 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 maybe 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 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.gopherstatsonecall.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 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 authorised by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X. 1!1i24'be1CA CnM x T
Applicant's Printed Name Applicanys' Signature
Page 1 of 3
Use BLUE or BL.ACK ink
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` � Permit#:!�J J�I J �
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� �a I Permit Fee: �� � �
3830 Pilot Knob Road a ,�` / � � �--�-�-r RECEIV!=D , ,
Eagan M N 55122 � � � Date Received:� — (� ��� �
Phane: (651)675-5675 � `� y `� �` C� SEP � � 2��5 � , ^ �
� Staff:c`,)I(� �
Fax:{651)675-5694 �----------------� ',
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: –1 ' � � ) '� Site Address: I S S g . � C��e r-+�P�� /.J � i ✓'�
Tenant: Suite#: i
��� � � �ar�� �..1� 1 ���' s C,.� � � ��- �3.? �� ��
���,��� ; Name: Phone ,
� � ��� � v°� Address I City/Zip: ��'�� �� � s '��'� ��
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� ' Name: License#: � I
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� � , �` Address: H��SO��i P������g Se�'Yf��S���►�. City:
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P.O. B�x 22172
�� � � State: � �hone: �v�� �c ��� � 2 S � ',
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��,�: . � ' �� Contact: � ► �`� Email: YS <<' , • S.' � � • C.. �
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�.�,,�����t New _R'�eptacement _Repair �Rebuild _Modify Space _Work in R.O.W.
� � : Description of work:
�
' RESIDEN�lAL � �
� ? /
_ � Water Heater
' ' } Lawn Imgation�RPZ/_PVB) Water Softener
����� Septic System Add Plumbing Fi�ctures�Main/_Lower Level)
�
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�` '� New Water Tumaround
� � —
�,_ q_ 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 Tumaround(add$210.00 if a 5/8"meter is required)
$115.00 Septic Svstem New(includes County fee and State Surcharge)
TOTAL FEES$
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 iocates of underground utilities. www.gopherstateonecall.ar4
I hereby acknowledge that this info�mafion 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.
X,�'L, r�� Sc.,� ; / � ����
Applicant's Printed Name Applicant's Signature
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i Permit#: 6
••.* Permit Fee: 1 dc
14/
�. Date Received: r /D _
3830 PILOT KNOB ROAD EAGAN, MN 55122-181. , i
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)6 94 Staff: !
build inoinspections@cityofeaaan.com
2019 RESIDENTIAL BUILDING ERMIT APPLICATION
Date: L f 7/1/
Site Address: i . Unit#:
a if
S /
Name: D�G!f�/�°V 9Y�t /4%7a#70111 i i4-6" 4Phone:
Owner Address/City/Zip:
Applicant is: Owner Contractor
x r Description of work: aoudi Was, a'/ lope 1.t L.
Construction Cost: Multi-Family Building:(Yes /No )
Company:gaff" 1) t7W r A / C /onreacPry,r4taL /Jv- }
't/r
Comer
Address: 14 // 6,9.4,45ezt Ate, City: 4)iPL( 1441 L e y
State: td Zip: 9 f Phone:4s-7-.214' mail: /// ''^
64
License#: 2Z 9f WLead Certificate#: ,4
If the project is exempt from lead certification, please explain why:
AT1tti9
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:Plana .,: y
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeasan.com/subscribe.
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.
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.aooherstateonecall.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 pe '; that the work will be in
accordance with the approved plan in the case of work which requires a review and appro7J1f
tan
x PAIL L. 01en/�
x
Applicant's Printed Applicant's Signature
DO NOT WRITE BELOW THIS LINE /6g . C I'Cm- rt_ Dg • e j S6.!)
SUB TYPES
Foundation — Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi ,0 Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
IQ 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
Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION _
Valuation Z/ `,C9' Occupancy L-- MCES System
Plan Review Code Edition p7.1 i I S. SAC Units
(25%_ 100% )3) Zoning P b City Water
Census Code Stories Booster Pump
#of Units 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) y:, 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: /-"CrYYI "V /7i1- , Building Inspector
RESIDENTIAL FEES
Base Fee 1� ' k/° ' = / a a �'fT,
Surcharge p •/ /5-: O 0 •5 p• Ar-
Plan
Review
MCES SAC M;4 ;ol ✓m- !��
City SAC
Utility Connection Charge t c 5T;ii f L/7 07J
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3