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1610 Clemson Dr CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O: Box 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: � �A Total: By i �'l��i� Date Paid: Date of Insp.Z/ / Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 PiIot4(nob Road P. G. E3ox 21199 PERMIT NO.• Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: — Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.: Total: Insp.: Dote Paid: * .~~� \ \w' \ --� v. ~ -''-- Use BLUE or BLACK Ink a For Office Use I r `~-)~j I Permit l I Clay of Ealu I 0~ 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 L- 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;, o 0. Ue,,V Ir Company: ~ A, Contact: N `~'wl1 ,Lc, ( 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 ,j. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156009 Date Issued:06/12/2019 Permit Category:ePermit Site Address: 1610 Clemson Dr Lot:4 Block: 01 Addition: The Trails Of Thomas Lake PID:10-75865-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Thomas E Kline 1610 Clemson Dr Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature 40 • For Office Use • EAGN 1-Y-1 ��� Permit#: Permit Fee: 191) 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Email: buildinainspectionscc cityofeagan.com Staff: Commercial Plan Submittal:eplansc citvofeacian.com L 2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: f/11,1)q Site Address: P.0 / ) - PADSd� D i1.,- UJB iT /3 Tenant: Suite#: Resident/Owner Name: "rdM ��/,,� Phone: Address/City/Zip: /' (o ) O C l94 y,s o-) 0)' a yr I A Name: 6/7,D FY S /Y rMA) G[l` License#: Contractor Address: ) 9 Co 6 6 o. /O 1 S ,ii 1 (nl- City: d.fe llt OUAA State: p1I) Zip:(COL"i Phone: !)- 9 '1,3- 3 D Z Contact: Al LO-A) Email: 4 tie 4T)Ali yvRUd - C O w., RESIDENTIAL /Furnace Air Conditioner Permit Type Air Exchanger Heat Pump Other Newy Replacement Additional Alteration Demolition Type of Work Description of work: RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE 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.citvofeacan.com/subscribe. 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. x G-eolt 6 LoP J X 0.4/ Applicant's Printed Name Applicant' ignature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final