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4312B Clemson Cir
CITY OF EAGAN WATER SERVICE PERMIT 3830Vilot Knob Road PERMIT NO.: P.O. Box 21199 Eagan, MN 55121 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: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: YY 7 Insp.: CITY'OF EAGAN SEWER SERVICE PERMIT 3830 Pitpt Knob Road PERMIT NO.: P.O. Box 24199 DATE: Eagan, MN 55121 No. of Units: Zoning: Owner: Address: Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Account Deposit: Ordinances. Permit Fee: Surcharge: Misc. Charges: D Total: Date of Insp.: Date Paid: Insp.: i Use BLUE or BLACK Ink For Office Use--------- , ~~t j Permit 1 I j Icy of Eap I Permit Fee: c, 5- o~ 3830 Pilot Knob Road I I Eagan' MN 55122 I Date Received: Phone: (651) 675-5675 I I I Fax: (651) 675-5694 1 Staff: all `___-_____U______J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ((fit f ( ~f 3 0-13 lo~~Ytt SO,U 6~_Unit Name: !P-a[ of Ao!✓4 A S ~l,-/ 14,L /9 M /'1 Phone: Resident/ Owner Address (City /Zip: Applicant is: Owner Contractor I Type of Work Description of work: K~Qee pf ~t,0IwJ - Construction Cost;_ v _ r.____.~_l~Qulti l amity ~aitdrflg~ {~`es / No-~-- ` L8 h vL Company: Contact: I Address: Ci3 ,Gfaf.a'16 _4.r0f,, City: Mo L i Contractor ~ Ylr1~n ~ ~ra~- State. Zip: Phone:" NAT.- Lead I Liserfse#:- - - _ e i ica e . If the, project is exempt from lead certification, please explain why: (see Page 3 for additional information) D &1'v,,I~ - 5 f 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 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.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 l 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 Buildi Code must be completed within 180 days ofpermit~,issuance. x-1162~ V`t 1e x Applicant's Printed Name Ap 'cant's Signature Page 1 of 3 ii u PERMIT City of Eagan , . , , Permit Type: Building 3830 Pilot Knob Rd '*� Permit Number: EA157489 R i* d,t r Eagan,MN 55122 •--- --jE AGA N Date Issued: 08/22/2019 (651)675-5675 +4.,. www.ci.eagan.mn.us Site Address: 4312 Clemson Cir B Lot: 35 Block: 02 Addition: The Trails of Thomas Lake PID: 10-75865-02-350 Use: Description: Sub Type: Single Fam Construction Type: Work Type: Day Care Inspection Description: Census Code: - Occupancy: Zoning: Square Feet: Comments: Christine 651-269-4594 Fee Summary: Day Care Inspection $50.00 1221.4216 Total: $50.00 Contractor: Owner: - Applicant - Bradley P Nelson 4312 Clemson Cir B Eagan MN 55122 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. 17) t' 4 ' ( Applicant/Permitee: Signature Issued By: Signature RECEIVLED ' Pc AtiG 2 2 2019 r For Office Use -C 2k % t • , Permit#:I�/ ----7 — CC 1 EAGAN • Permit Fee: 4...... ! (7 Date Received: r-DD-‘1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: 7 buildinginspections at cityofeaoan.com I .r 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /150--g- �OC`l Site Address: `�J ` C-1e.t4&son C-ICr!, e-- Unit#: IS Name: S > 6 fo-tA- Phone: 6 -/ " 26'1 -115-74( Resident/ Owner Address/City I Zip: 112/ e WI S O vt G 1v CI C �1��e-' Me Applicant is: Owner ) Contractor c Type of Work Description of work: POU-t l 6-et4-0 D fI �t u-1(S t\ th4-56e -fit 4- r ter �p�"" ' Construction Cost: gia--00. 0 o Multi-Family Building: (Yes,4(No ) Q // t L Company: 11o2�u G/1� 1J1 $ics( 1-(' Contact:-1;1—i.,. 6e T-w owQ-14-" Contractor Address: t c)( ,...-va (A)14—•( City: t_ 6 e ( State:rx id Zip: SS'O 7 C Phone:6s-(ai 3 7b 8Email: -pOZ �� +41, cool License #:be...43/Z[1 4 Lead Certificate#: If the project is exempt from lead certification, please explain why: fltA4.11-1---)4iFten— I' 2g Jho _ctedieZ) U--- 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:Plant'and supporting documents that you submit are-considered to be public information. Portions of the information maybe classified as non-public N you provide specific reasons that would permit the City to conclude That theyare 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.citvofeanan.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.aopherstateonecall.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. X J O t,4A- SO 64.0 OST-` x Applicant's Printed Name Applicant's Signature �c , a / � -7DO NOT WRITE BELOW THIS LINE �3� C 16-17L.00/1 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single FamilyGarage _ Porch(4-Season) _ Exterior Alteration(Multi) 9 _ Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of q Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior XAlteration _ Fire Repair _ Windows _ Demolish Foundation Replace — Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 2p_l__) 49 Occupancy4.1.-`3 MCES System Plan Review Code Edition 2oiS ,W(LE5 SAC Units (25% 100%( ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) X Final/No C.O. Required Foundation Foundation Before Backfill X HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final XFraming 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS 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: --X.9-- , Building Inspector RESIDENTIAL FEES Base Fee it Surcharge (01 ' 5'3 S . Fk 7( (3.c-ii)g r Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651)454.43535 I FAX: (651) 675-5694 buildinoin Dections©cityofeaoan corn ECeiv.,„ JUL I 202d 2020 RESIDENTIAL BUILWINS-PERML Date: 07/14/2020 4312 Clemson Circle Site Address: Resident/ Owner Type of Work D. r \OAFOr Office Use) , Permit it: /i?(-0-q(0' 11' 6 k•sbrc 7- fq-D°1 Permit Fee: Date Received: Staff: APPLICATION Unit #: B 1 Name: Comprehensive Services/Christine Tretter phone: 651-269-4594 Address City / Zip: Apollo nt is: 1210 Concord St. S., South St. Paul, MN 55075 - Owner _1( Contractor Tekc-Uhilc ,Ttiome-Liglee Description of work: Replace Deck Skirt Board - Req. spindle detach Construction Cost: $300 Building' (Yes 1 / No ) Company. Rodney Petersen Contact: Contractor Address: 20998 291st Avenue City: Belle Plaine StateMN Zip: 56011 phone: 612-716-541 Email: petersendesign@ frontiernet net : License tt, XM593648 , Lead Certificate #: g If the project is exempt from lead certification, please explain why: -3.001.RXMLZIAteetee, 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? 1 Licensed Plumber: Phone: Phone: Phone: Fire Suppression Contractor: Phone: t_ ------------------------- I' NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public it you provide specific reasons that WOOldpertnit the et& 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.citvofesorin.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 OU 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,ciocherstateonecall.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 permit: that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p ns. Rodney Petersen Yes No If yes, date and address of master plan: Mechanical Contractor: 7 Sewer & Water Contractor: Applicant's Printed Name Ap nt's SInatur DO NOT WRITE BELOW THIS LINE Ll��a C(&IK o'l C u,1- g /6as9� SUB TYPES Foundation _ Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration -( Replace / Retaining Wail DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level _ Interior Improvement Move Building Fire Repair Repair 0 Porch (3-Season) _ Porch (4-Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) _ Footings (Addition) _ Foundation Foundation Before Backfill Roof: _Ice & Water _Final _ Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL Final -rL Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation _ 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 _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Building Inspector fL,/ Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166964 Date Issued:02/16/2021 Permit Category:ePermit Site Address: 4312 Clemson Cir B Lot:35 Block: 02 Addition: The Trails Of Thomas Lake PID:10-75865-02-350 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Findley Holdings Llc 12117 Indian River Trl Hastings MN 55033 (651) 226-2769 Boys Mechanical Inc 490 Villaume Ave, Suite 300 South St. Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167166 Date Issued:02/26/2021 Permit Category:ePermit Site Address: 4312 Clemson Cir B Lot:35 Block: 02 Addition: The Trails Of Thomas Lake PID:10-75865-02-350 Use: Description: Sub Type:Residential 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 - Findley Holdings Llc 12117 Indian River Trl Hastings MN 55033 (651) 269-4594 Boys Mechanical Inc 490 Villaume Ave, Suite 300 South St. Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA168267 Date Issued:04/15/2021 Permit Category:ePermit Site Address: 4312 Clemson Cir B Lot:35 Block: 02 Addition: The Trails Of Thomas Lake PID:10-75865-02-350 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Findley Holdings Llc 12117 Indian River Trl Hastings MN 55033 Service Today 490 Villaume Ave, Suite 300 South St. Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature