1596 Clemson Dr B CITY O €ALAN 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 City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Dote Paid:
Date of Insp.: 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 ogres to comply with the City of Logan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Mist. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
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Permit Fee: 4a 5o
3830 Pilot Knob Road ~2
Eagan MN 55122 j Date Received: LAQ0 Y j
Phone: (651) 675-5675 I I
Fax: (651) 675.5694 I Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: lc, -11- 13 Site Address: j,~~
r T12J/7 `/fI f .S Phone: Name: '721-1Jd -
Residenf
Owner . Address / City / Zip:
Applicant is: Owner _ Contractor
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Tyke of wurlt Description of work:
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Construction Cost: T 4-7 =_s Multi-Family Building: (Yes No
Company: _41'! r /7.5T~UG]r/'J I/ Contact: ~ o
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L l" It PYl"CL City: ^YJ1r~5
Cofntradtor Address: ,
State: -1)2 AL- Zip: Phone: 6 o~ 7._2 5-Sod
License 22_- Lead certificate 2
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: --y J Yµ-----___ -
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) 454-0002 for protection against underground utility damage. Cal 48 hours
before you intend to dig to receive locates of underground utilities. MM.ooherfteonecall.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 180
days of permit issuance.
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Applicant's Printed Name Applica s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120511
Date Issued:02/18/2014
Permit Category:ePermit
Site Address: 1596 Clemson Dr B
Lot:54 Block: 01 Addition: Thomas Lake Heights 2nd
PID:10-75951-01-540
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.
Josh Mcguire
1424 3rd St N
Minneapolis, MN 55411
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Evelyne Heselton
1596 Clemson Dr B
Eagan MN 55122
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature