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4309 Clemson Cir í ÿ ý þ ý ÿþþü ûÿÿ ýñ ìû û÷ ÿíñû ð ÿ äì ÿ ø øôÿè÷ÿáÿ÷ ûúù ø÷ûúùïù ÿ÷ù áÿ ìí ù ú Û Ý îóïííîíëë ó þøííïÚþ ûþ ó þøííýóõã ä ÿëææåäåä ÷û ÷ ÷ ÿÚ æåãåã Ú ìýå öýôõ øóò ùù Ü ÿÙÿøôé÷÷þî÷ ó ùô÷âìãáðÿá÷ þ óõ ó ùôóõã êçä ÷üú ô â÷ ÿ ùù ÿ ñ÷ð ÿ÷÷ ÷ðùúô ùù ü ñóÿ ÿ áúñþ í÷ ÿå ùù è ÷ð ÿÿ ú ÷ 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: 1 agree to comply with the City of Eagan Tr. Plant Ordinances. d Meter: B y M isc WATER SERVICE PERMIT 7 — 7 CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Kneb Road P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: .. Plumber: 1 I agree to comply with the City of Eagan onnection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By 0 C Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: / / i<s7 I Ius- --ax; i 7 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / / /,3 Site Address: 7 3 D 1 SQ) ac r Unit #: r Resident/ Owner e Name: Al J%/Q/y/J�—, &' L '0(/ Phone: ‘26-7- A66>- 6668 Address / City / Zip: i' :--" 0 q 23 eLe4 5-0A1 . 14 —i "N "C )/ Applicant is: Owner .) Contractor Type of Work Description of work: , 26/2Lti _ C,) /QM 1. Poo R rr x Construction Cost: frl/qd . Multi -Family Building: (Yes ! ( / No ) Contractor Company: '/N CI 1j C7i71/4/r<G7 /70k CO Contact: /LLt- ,c A)C-W//),/,, EfL Address: 5 -& / 7jpn/r/Er-9u /1 City: /Y -)p/5 State: / 9/A Zip: S ,, 7//626 Phone: 6-7/.5-a - 6 (> y - e 5e. License #: 1--"3n,�,S(?D,ej 2. Lead Certificate #: 4/AY "- 7 Z 5 7 3- t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) WO L-�:iD In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 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.gopherstateonecall.orq 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 JEl/C <S Pd /%)Ny!=. Applicant's Printed Name Applicant's Signature Page 1 of 3 ;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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119973 Date Issued:01/07/2014 Permit Category:ePermit Site Address: 4309 Clemson Cir A Lot:13 Block: 02 Addition: The Trails of Thomas Lake PID:10-75865-02-130 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. Stephanie Vought 3451 W Burnsville Parkway Suite 120 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 - Eileen Ketterling 4309 Clemson Cir Eagan MN 55122 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161083 Date Issued:05/05/2020 Permit Category:ePermit Site Address: 4309 Clemson Cir Lot:13 Block: 02 Addition: The Trails Of Thomas Lake PID:10-75865-02-130 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 - Francis R Barevich 4309 Clemson Cir Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177776 Date Issued:07/18/2022 Permit Category:ePermit Site Address: 4309 Clemson Cir Lot:13 Block: 02 Addition: The Trails Of Thomas Lake PID:10-75865-02-130 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Francis Raymond & Alicia C Barevich 4309 Clemson Cir Eagan MN 55122 (612) 770-2117 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature