1608 Clemson Dr - Unit B CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot K _lob Road
P.O.!3ox 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Addess:
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:
By Date Paid:
Date of Insp.: 0 21 ,-7 Insp.:
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CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot „,Cnob Road
P. Q. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 ogres to oomph, with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.• Total:
Insp.: Date Paid:
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Permit l I
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Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: 13
Phone: (651) 675-5675 1 I
: I
Fax: (651) 675-5694 1 Staff
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2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1L6 Site Address: f ~~ll) f~ ~Q~ 1~ ~ ~GYnSanr nc. Unit
Name: L RO t f s G f 7h a M c L... r~ ke /~djg Phone:6/: Z~/ 7 7 S /
Resident/
Owner Address/ City/Zip: 14117 & Me3i Met 13
Applicant is: Owner 9 Contractor
Type of Work a Description of work: Ae rye dspkt II I< nc fee& f ieces
_1 -a-So ~ Dllulti=Fa deiin Yes if -tNo
Construction Cost;,
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Company: ~ A, Contact:
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Address: ~1.3q~ Kay Cit. cte e.
Contractor i city.
Stater Zip:,' Phone:-7~
lzv~mrrse mad Certi icate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Vi V y 1 S 1 1) 1 nc- M to ( 50 6C"= f tL FA s -r o - Alo Pri t ty t"
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
i
conclude that they are trade secrets
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.aol)herstateonecall.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 authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x Tae 7t>Q_0~"es x
Applicant's Printed Name Ap c nt's Signature
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143840
Date Issued:06/28/2017
Permit Category:ePermit
Site Address: 1608 Clemson Dr B
Lot:2 Block: 01 Addition: The Trails Of Thomas Lake
PID:10-75865-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Julie A Mueller
1608 Clemson Dr Unit B
Eagan MN 55122--481
(952) 201-7245
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature