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:
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Use BLUE or BLACK Ink
a For Office Use
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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
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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:
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
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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.
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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