4306B Clemson Cir CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 PERMIT NO.:
Eagan, MN5121 DATE:
Zoning: — No. of Units:
Owner:
Address:
Site Addess:
Plumber:
Meter No.: _ Connection Charge:
Size: Account Deposit:
Reader No.• —. Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinance Misc. Charges:
Total:
B Date Paid:
Date of Insp.: 5C? Z Insp.:
CITY OF EAGAN
3830 Pilot Knob Road SEWER SERVICE PERMIT
P.O. Box 21199
Eagan, MN 55121 PERMIT NO.:
Zoning:
Owner:
No. of Units
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee
B Surcharge:
Misc. Charges:
Date of Insp.:
Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
rr I -
For Office Use---___--
Permit City of Ea
aii c u~ '
Permit Fee:
3830 Pilot Knob Road
Eagan' MN 55122 Date Received: O j
Phone: (651) 675-5675 1 1
Pax: 651) 675-5694 1 Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
S(l~ 017 C7 4f ~t) If W 13 C (eAWN tf'l Unit
Name: Wt n1~ L(----- d- dA Phone:
i Resident/
Owner Address / City / Zip: Ql t~~ UL
i
Applicant is: Owner Contractor
Type of Work Description of work: ~J AS C t ep 7 C -IdIlke Construction Cost;__ __..._.__~___Multi_arra.ily_~uild#ng ('fes~f-No-
Com ari : 1 L8 Re, a4^ . h (#r
!E p y ` Contact:
I q3q). A/
K, t 1. + f `k City: I/Mni'"(Lo
Contractor Address:
(4 7 - 75
State: Zip: Phone: NA L-ieense-#~ Bgm_q - et as-Cert ic`f' aTe --77.21-
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 and supporting documents that you submit are considered to be public information. Portions 0-
I the information may be classified as non-public if you provide specific reasons that would permit the City to
1.~ ' _ 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.aopherstateonecall.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 St to Building Code must be completed within 180
days of permit issuance.
X_ x
Applicant's'Printed Name Appli s Signature
Page 1 of 3
city of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAR 012016
r
Use BLUE or BLACK Ink,
For Office Use
Permit #:
Permit Fee: � 2 • �i
Date Received: 1 - c
(_6,
0,
Staff:
r r 2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 1 " f� Site Addrgi 4306, C,eW1. '01 MC
r le
Unit #:
Name: rek,c Qtr Phone: 6 g I-94
Address / City / Zip: 1-4C--)(0 ' C+l yvl 0-11 0- c e
Applicant is:
Description of work:
Contractor
Construction Cost: C%C
CN t vk � 1 1 geek
etb: +e
Multi -Family Building: (Yes V/ No
Company: dT 3'Cein�A c `'ecl<l ......_ -�'ri Z'�"1 %7 ' Contact: n
Address: 3 8 iv, c- Z City: t� C s J i 1 I.€
State: 6/Zip: 37 Phone: '/2'1&3 351mail 'A
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: ..,w ... .
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:
Mechanical Contractor:
l
1 Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public inforrrnetion. Portions of i
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. CaII 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 4 NI* e 1.1br
Applicant's Printed Name
ant's Sig
u re
Page 1 of 3
C/6/�t 2) ,7 ()/e. DO NOT WRITE BELOW THIS LINE
SUB TYPES u/l
Foundation
}( Single Family
l Multi
01 of Plex
WORK TYPES
New
Addition
�( Alteration
Replace
— Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% y)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
— Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Budding
Fire Repair
Repair
,2 000
Y(5
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
— Siding
Reroof
Windows
/ 3e
— Exterior Alteration (Single Family)
— Exterior Alteration (Multi)
Miscellaneous
Accessory Building
— Demolish Building*
— Demolish Interior
Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: __Footings Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
-60)
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA144826
Date Issued:08/10/2017
Permit Category:ePermit
Site Address: 4306 Clemson Cir B
Lot:30 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-300
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.
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 -
Richard E Fraser
4306 Clemson Cir B
Eagan MN 55122
(651) 688-6171
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152845
Date Issued:11/02/2018
Permit Category:ePermit
Site Address: 4306 Clemson Cir B
Lot:30 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-300
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 -
Richard E Fraser
4306 Clemson Cir B
Eagan MN 55122
(651) 245-3481
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177304
Date Issued:06/24/2022
Permit Category:ePermit
Site Address: 4306 Clemson Cir B
Lot:30 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-300
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Richard E Fraser
4306 Clemson Cir Unit B
Saint Paul MN 55122--481
(651) 439-5770
Hoffman Refrigeration & Heating
5660 Memorial Ave N, Suite 2
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature