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4305 Clemson Cir CITY OF EAGAN Permit No: Date: Size: 3830 Pilot Knob Road Meter No: Date: P,O,.9OX 21199 Reader No: Eagan, MN 55121 Owner: Site Address: Plumber: Zoning: Conn. Chg: No. of Units: Acct. Dep: Permit Fee: 1 agree to co ly with the City of Eagan Surcharge: Ordinance Tr. Plant Meter: By Misc.: WATER SERVICE PER IT CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: P.O..Box 21199 a Eagan, MN 55121 t 1 i... DATE: Zoning: No. of Units: Owner: Address: 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: i Use BLUE or BLACK Ink r----------------- t~ I For Office Use ~.t,✓ j Permit ( t I City of Eano n I Permit Fee: $C d 0 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 I 1 Fax" (651) 675-5694 1 Staff: I I , - - - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date (10 L( > Site Address: ~tV 3 ' ?0313 'f ~O S ~f3C'Sf3 Ck gL"" f Unit ~ ' i Name: ~ O) O TI ~ a 1`11 AS L IL - Phone: ZoQj 2~/7 ZQZ f Resident/ -T Owner. Address / City / Zip: 0 ~ Q 0 C i - t Applicant is: Owner X Contractor i Description of work: ASIPh# It trD b' P~P J~ICC'~S I Type of Work -T h Construction Cost:... Company: TL8 Contact: i Address: City: Contractor V\ 76. State: V V\ Zip:- Phone" 7 (4 7- I t _ -L-i~„32-#_• ea e I Ica e 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: Sewer & Water Contractor: Phone: NOTE: Plans andsupporfing documents that yousubmit are considered to be public information. Portions of i 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,gooherstateonecall.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 Eagaih; 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 tale Buil ing Code must be completed within 180 days!o,f permit issuance x l~ YS x Applicant's Printed Name A s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129206 Date Issued:01/20/2015 Permit Category:ePermit Site Address: 4305 Clemson Cir Lot:17 Block: 02 Addition: The Trails Of Thomas Lake PID:10-75865-02-170 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. Applicant: Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Lori Torkkola 4305 Clemson Cir Unit A Eagan MN 55122 (612) 360-5704 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131226 Date Issued:06/09/2015 Permit Category:ePermit Site Address: 4305 Clemson Cir Lot:17 Block: 02 Addition: The Trails Of Thomas Lake PID:10-75865-02-170 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)$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 - Lori Torkkola 4305 Clemson Cir Unit A Eagan MN 55122 (612) 360-5704 Heights All Area Mechanical 6371 Crosby Ave IGH MN 55076 (651) 455-6323 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152779 Date Issued:10/31/2018 Permit Category:ePermit Site Address: 4305 Clemson Cir Lot:17 Block: 02 Addition: The Trails Of Thomas Lake PID:10-75865-02-170 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 - Lori Torkkola 4305 Clemson Cir Unit A Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature