4309 Clemson Cir B
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CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner:
Site Address:
Plumber:
Conn. Chg: Zoning:
Acct. Dep: No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter:
Misc.: By RI -A. �.
WATER SERVICE PERMIT 7 - S 7
CITY OF EAGAN
3830 Pilot Knob Road SEWER SERVICE PERMIT
P.O. Box 21199
Eagan, MN 55121 PERMIT NO.
Zoning: DATE:
Owner:
No. of Units
Address:
Site Address:
Plumber.
I agree to comply with the City of Eagan Connection Charge: r • ii0pd
Ordinances.
Account Deposit:
Permit Fee:
B Y Surcharge:
Date of Ins Misc. Charges:
p.: Total:
Insp.:
Date Paid:
;I
I ,
Use BLUE or BLACK Ink
For Office Use-__------
' I ~1~44 I
Permit
City o aI 00
Permit Fee: i
3830 Pilot Knob Road 11( I
Eagan MN 55122 I Date Received: t I
Phone: (651) 675-5675 I 2 I
Fax:,(651) 675-5694 1 Staff:
I I
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
13U 1 367/ 4 30q L 3018 e /l
Date: 0 Site Address: ~ /
(c/~,dN (e rUnit
FName: ~ ~ 7 e) nnlts Phone: ?lF 7 7S12/
Resident/
Owner Address/ City / Zip: be !/y
Applicant is: Owner Contractor
t---.__ X
n
Type of Work ! Description of work: h. !t` e I S /
_Construction_Cost: soa-- __------Mu+ti=Famifprrtlifiimg: (Ye/fro )
Company: 1 8 ~ 4r k .k#✓ h Joe fet
I Contact:
Contractor Address: City:
State: V-V\V\ Zip:' Phone: : ~'f-7
I
-Lfeenr : ead Certificate
-i
I
f the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
FCOMPLETE 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 documentsthat you submit are considered to be public information. Portions ofv
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.Qopherstateonecall.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 fate Building Code must be completed within 180
days; of permit issuance.
-S x
Applicant's Printed Name A I' ant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
i
(�
For Office Use
pity of Eaaii Permit#: i °I."1�f a
3830 Pilot Knob Road ;-. . Permit Fee: rpO v v
Eagan MN 55122
Phone:(651)675.5675 Date Received: r- '"i
Fax:(651)675-5694 NOV 2 8 2016
Staff:
2016 MECHANICAL PERMIT APPLICATION
0 Please submit two(2)sets of plans with all commercial applications.
Date: 11/16/2016si a Address:4309 Clemson Circle Unit B
Tenant: Karen Grant Suite#:
ResidentlOvVner
Name: Karen GrantPhone: 651-206-2585
4309 Clemson Circle Unit B Eagan MN 55122
Address/City/Zip: g
K&S HEATING AIRCONDITIONING&PLUMBING INC 43689
License#:
Contractor
Address: 4205 HWY 14 W City: ROCHESTER
State: MN Zip: 55901 Phone: 507-361-2332
HEIDI BROWN
Contact: Email: hbrown@ksheating.com
New ✓ Replacement Additional Alteration Demolition
Type of Work Description of work: Furnace and air conditioning replacement
NOTE Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code Please con•ta•ct'the Mechanical inspector dor Information on permitted Greening methods
RESIDENTIAL COMMERCIAL
Furnace _New Construction _Interior Improvement
Perm#Type; ✓ Air Conditioner _Install Piping _Processed
Air Exchanger _Gas _Exterior HVAC Unit
__.__..Heat Pump
--- Under/Above ground Tank L—Install/ Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New,includes State Surcharge =$60.00 TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
Surcharge=Contract Value x$0.0005 =$ Surcharge
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
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 BRIAN KEEHN
Applicant's Printed Name Applicant'sSignature
FOR OFFICE USE „ '
•
Required nspections Reviewed By,:'
Dam
Underground Rough In Ali•Test, Gas Service Test In floor Heat;:. Final HVAC Screening .
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141049
Date Issued:02/10/2017
Permit Category:ePermit
Site Address: 4309 Clemson Cir B
Lot:14 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Karen M Grant
4309 Clemson Cir B
Eagan MN 55122
(651) 206-2585
Minnesota Rusco
5558 Smetana Dr
Minnetonka MN 55343
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141175
Date Issued:02/24/2017
Permit Category:ePermit
Site Address: 4309 Clemson Cir B
Lot:14 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Karen M Grant
4309 Clemson Cir B
Eagan MN 55122
(651) 452-0402
Croix Crystal
3440 Yoerg Dr
Hudson WI 54016
(715) 386-8667
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151501
Date Issued:08/28/2018
Permit Category:ePermit
Site Address: 4309 Clemson Cir B
Lot:14 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Karen M Grant
4309 Clemson Cir B
Eagan MN 55122
(651) 452-0402
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature