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1601 Clemson Dr B þ ò ýüü ÿ ûîû ÿ úüüÿòÿ üý äýîí õî ä å ä ýüø ÿþýüûøö ì ô ÿýüû øýüûøö ì ÷öìúûí õÿ ô ÿ ôóòóïÿûü ñ ðÿ íûãí îîíðÿ í þí ëùööû ùùí ü ûëôùù ûù ë ôþíê ðÿþüö ùíüîí ë èòçèææë æ ëó æ ÷ú ÿî éÿèòçèë å ëäå éÿò ë öõ øôó ûû õí Þÿüç î â îãë÷ ôí áéüâ÷óäâ÷ää àòßóäææä îþüöîîãî ûû îîùí íûüöîûûþ ùâ ÿ ôüùï ë ûûìí ÿ ÿü ÿ CITY EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21 PERMIT NO.: Eagan, s°JIN 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. Chorges: Total: By Dote Paid: Dote of Insp.• 7 Insp CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot K nob Road P. O. Box 21199 PERMIT NO.: Eagan, IVIN 55121 DATE: Zoning: No. of Units: Owner: Address: f Site Address: Plumber: 1 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: ti .0 Use BLUE or BLACK Ink I For Office Use I Permit a - 'n__ i My of Eagn I c~i I Permit Fee. 45~ • S I 3830 Pilot Knob Road 1 2 Eagan MN 55122 I Date Received: 3 I Phone: (651) 675-5675 1 ~2 1 Fax: (651) 675-5694 1 Staff: cf lb I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 9 Date: Site Address: j ba i_ )1w b3S N& 'Vri g - _ Un td'i~:. 16 _ Name: Y4r21 L'n Phone: 1. 721- 7-M d N- Residettt Owntr Address I City I Zip: _ Applicant is: Owner Contractor Type of Vllork Description of work: Aei c~F - Construction Cost: _7 S 0 Multi-Family Building: (Yes No 7 25 Company: -PJ~UC7/C------ Contact: Jtt. Contractor Address:Q eL~al a-~__ City: 1~!C)1?e~LGJIr'S State: "-Zip: syd Phone:! License 0 ( 2-- Lead Certificate 2~ 1 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: __--_e- 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 speck reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Cab 48 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.orp 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!l~r"'T ~harCl? x r Applicant's Printed Names Appiica s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA121929 Date Issued:04/18/2014 Permit Category:ePermit Site Address: 1601 Clemson Dr B Lot:61 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-610 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. Holly Flood 1408 Northland Dr #310 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Judy K Sheldon 1601 Clemson Dr B Eagan MN 55122 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO Rwg)RP 1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 (952) 881-9000 TEST RECORD ADDRESS' C1i11 ~Sl~ 1 b~- C,n MAY 2 8 2014 OCCUPANT OWNER SOLD BY INSTALLED BY MAKE J Y2 L CJ~ ► l~ MODE SERIAL NO. INPUT 12 ~4 THERMOSTAT 14 ~ tC VENT SIZE VALVE ©f TYPE OF LINER 9-Ye'A LIMIT LINER SIZE LIMIT SETTING FILTERS: SI A 2-Zl 0 NUMBER FAN SETTING1121 WIRING PILOT TYPE ISy' 4AZI TEST TAG IGNITION MODEL LIGHTING INST. PILOT TIMING V - DATE TESTED PRESSURE t PERCENT COz stl r~ COMPANY TESTING INPUT CFH 7Qr~ PERCENT 02 r STACK TEMP. PERCENT CO One^ NAME OF TESTER FORM 235 (REV. 10/10) FORM DISTRIBUTIO : WHITE COPY -JOB FILE YELLOW COPY - CITY PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149747 Date Issued:06/07/2018 Permit Category:ePermit Site Address: 1601 Clemson Dr B Lot:61 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-610 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Judy K Sheldon 1601 Clemson Dr B Eagan MN 55122 (651) 214-3525 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature