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