4305B Clemson Cir 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 co ply with the City of Eagan
Tr. Plant Ordinance .
Meter: - 72 0
Misc.: By
WATER SERVICE PER T
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P.O: Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I 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
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~.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
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- 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-
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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
r For Office Use
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E AG N
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EGEIVE0.
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 e�
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 OCT 2 3 2019 Staff:
buildinainspections(&cityofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l 7)/0' ,/ /el Site Address: 3u S (J ` / fin Unit#:
Name: e-:19/1 in , -t i-1 i t,O Phone: (c ' / —Z i 1— Z c Vi
Resident/
Owner Address/City/Zip: ! 3U L to/i ,- L i rC!
Applicant is: Owner X Contractor } 17 7/i T(z i-i.)c h C 760/44)---/
/,ci
Type of Work Description of work: [J!3-f"k �rt v c.�.4(( F. 'tif'C) /to f--✓�i u UI /►� 4 f o5a
Construction Cost: /, fr . Multi-Family Building: (Yes / /No )
Company: V2.N f } h/ ,ocic/i[/L9Contact: /vA2, ‘c, 4-64,4
Contractor Address: ��I Lo �•r� /• City: Ls- - (l -3L /16
State: /0 Zip: 4-57D 76, Phone: Q)'-e----74), •Z-6E/rgii: A x .4'11- kti/ vi-14 r , 61f
License#: s -/2_-- fir( Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified,as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.gonherstateonecall.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.
x Al/Frz; 4-44_4 ( x4'.az
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE L-A3P'-) 13 C(g",S`',,, C` r 1 510
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex — Lower Level Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement Siding _ Demolish Building*
11
Addition _ Move Building Reroof _ Demolish Interior
is.Alteration _ Fire Repair —'Windows _ Demolish Foundation
_ Replace — Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation OccupancytftviiltiaMCES System
Plan Review Code Edition z `; SAC Units
(25% 100% ) Zoning City Water
1 Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings 1 Length Fire Suppression Required
Type of Construction Er IL Width
REQUIRED INSPECT!'NS
Footings (New Bu (ding) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Additio ) Final/No C.O. Required
Foundation oundation Before Backfill HVAC Service Test Gas Line Air Test_Hood
Roof: Ice &Wa er Final Pool: Footings Air/Gas Tests _Final
Framing 30 Mi utes 1 Hour Drain Tile
Fireplace:_Rou!h In _Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
7` Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By:
i , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge , : g
Plan Review (1) ill
,
MCES SAC `, .#. 0 !
City SAC , €�� '''
Utility Connection Charge
S&W Permit& Surchargeet �`,
Treatment Plant / Crc, a T
Radio Meter Readl Iii V I v f t1.
Copies
TOTAL I r ;,-
1 Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158994
Date Issued:11/13/2019
Permit Category:ePermit
Site Address: 4305 Clemson Cir B
Lot:18 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-180
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 (miscellaneous)$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 -
Connie Knipp
4305 Clemson Cir Unit B
Eagan MN 55122--188
(651) 214-2047
Piperight Plumbing Inc
3920 Foss Rd
Minneapolis MN 55421
(612) 598-8106
Applicant/Permitee: Signature Issued By: Signature