1610 Clemson Dr B CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.:
P.O. Box
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. !ir Misc. Charges:
A Total
By Date Paid:
Date of Insp.: Z Insp.:
•
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 2119! PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address: f
Site Address:
Plumber:
I agree to comply 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
City of Eagan Permit Type:Building
Permit Number:EA110749
Date Issued:05/28/2013
Permit Category:ePermit
Site Address: 1610 Clemson Dr B
Lot:3 Block: 01 Addition: The Trails Of Thomas Lake
PID:10-75865-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:window
Joanne Burr
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Loren W Strand
1610 Clemson Dr B
Eagan MN 55122
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
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
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159466
Date Issued:12/19/2019
Permit Category:ePermit
Site Address: 1610 Clemson Dr B
Lot:3 Block: 01 Addition: The Trails Of Thomas Lake
PID:10-75865-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Nancy J Strand
1610 Clemson Dr B
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature