4313 Clemson Cir
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•
CITY OF EAGAN Permit No:
Date:
3830 Pilot Kriob Road Meter No: Size:
P.O. Box 21199 Reader No:
Eagan, MN 55121
Owner:
Site Address:
Plumber:
Conn. Chg:
Zoning:
No. of Units:
Acct. Dep:
Permit Fee: I agree to comply with the City of Eagan
Surcharge: Ordinances.
Tr. Plant
Meter: By .� -�_J�
Misc.: �
WATER SERVICE PERMIT cc
"7 -�
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:
Use BLUE or BLACK Ink
For Office Use
04
Permit 1L
I 0 oe~ 1
C*ty of Ea
Permit Fee:
38,30 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 1 n
Fax: (651) 675-5694 1 Staff:) I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ~ 3 1 13j) o ji3 j -3 x}3,3)3 C 1 em so, - O_1'~ Unit
F~ -_i Name: -24Tr l 5 0 ,•1 A 0,14-A-5z L~4 1•~~L1)eh Phone: '!~4o2 7 7
Resident/
Owner ' Address/City/Zip:
{ UJQ
W Applicant is: Owner Contractor
i Description of work:/aka tkp~~ gk Ae' w
Type of Work 7
V li' C....,..
_Constructi4n..Cost:_ IVD
TLS -,5~aCrllilc ~h C. • o v
I Company: Contact:
Contractor Address: City:
6 f 2- 7 -
I State: •Zip: 552i (a Phone:
titertse # - Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
'r ~ 9 A
0 fold V'_1
I 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:
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 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.aooherstateonecall.org
1 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 Minneso State Building Code must be completed within 180
days of permit; issuance.
X_ x
Applicant's Printed Name rant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA148522
Date Issued:04/04/2018
Permit Category:ePermit
Site Address: 4313 Clemson Cir A
Lot:9 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Megan Kampa
4313 Clemson Cir
Eagan MN 55122
(651) 485-0413
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153893
Date Issued:01/31/2019
Permit Category:ePermit
Site Address: 4313 Clemson Cir
Lot:9 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Rachel C Lewine
4313 Clemson Cir
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154356
Date Issued:03/15/2019
Permit Category:ePermit
Site Address: 4313 Clemson Cir
Lot:9 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-090
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 -
Rachel C Lewine
4313 Clemson Cir
Eagan MN 55122
(612) 408-3032
Water Heaters Now Inc
23310 Canby Ave
Faribault MN 55021
(952) 688-2222
Applicant/Permitee: Signature Issued By: Signature
For Office Use
i i NI---17‘CAFRIOI8V-2.r19
� D Permit#: I 'J ;)
•°' E AGA Permit Fee: . C(�
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionscitvofeagan.corn 04
2019 RESIDENTIAL BUILDING PERMIT APPLICATION "0?-146-(�
<1 -t " �1 de- (� de- . 5 f Z2 Unit#: is
Date: � ` � lSite Address: G��
/17
Name: F04\e,1 C' VAI t✓)Pi Phone:b/2 - O3 2--
Resident/
_-Resident/ is /J _ ,,l , C��
Owner Address/City/Zip:4 3 !3 de,r \S i Cc LLe G��✓ " ' G5-12:2-
Applicant
5-d2i2-Applicant is: X Owner Contractor
Type of Work Description of work: Jkt2t 1.1 i (/ta L 1t/1l
Construction Cost: ? 00 4 OO Multi-Family Building: (Yes X /No
Company: C ( t iO l r ?A l -.ntact: ci1A4
Address: 2-5-2D ' r/ I 4 f i 1 . City: I(lll\
Contractor
State: ft) Zip: (4 .. ' on-_ ar Email: S �, dent Mia.
( CVO. C.a't'r\
License#: Lead Certificate#:
If the project is exempt from Lead certification, please explain why:
aVmoi! 1s i . ra
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 may be
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.cityofeagan.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.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 appro . plane
�
I(\ x/ /
Applicant's Printed Name .. plicant's Signatur
DO NOT WRITE BELOW THIS LINE Li 3 1 3 c(e- C ,,,--- `
/c, / C/�)3
SUB TYPES � d
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
4'. 01 oi9Plex Lower Level Pool — Accessory Building
WORK TYPES
New 4 Interior Improvement — Siding Demolish Building*
Addition Move Building _ Reroof _ Demolish Interior
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 Occupancy 111660 / MCES System —
Plan Review / Code Edition 4,2,0/7 SAC Units —
(25% 100% V ) Zoning P6 City Water _
Census Code 11311 Stories —" Booster Pump
#of Units / Square Feet PRV
# of Buildings / Length Fire Suppression Required ..---
Type
Type of Construction Width —
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood
Roof: Ice &Water _Final Pool: Footings Air/Gas Tests _Final
Framing _ 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
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: '1,, , Building Inspector
RESIDENTIAL F S
Base Fee j
Surcharge
Plan Review 33 3i
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read _OS
Copies I atri
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155517
Date Issued:05/20/2019
Permit Category:ePermit
Site Address: 4313 Clemson Cir
Lot:9 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-090
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Rachel C Lewine
4313 Clemson Cir
Eagan MN 55122
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169404
Date Issued:05/25/2021
Permit Category:ePermit
Site Address: 4313 Clemson Cir
Lot:9 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Rachel Phyllis Chinitz
4313 Clemson Cir Unit A
Eagan MN 55122
(612) 408-3032
Brockmans Heating & Cooling
26246 Denmark Ave
Farmington MN 55024
(651) 226-9852
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172509
Date Issued:10/04/2021
Permit Category:ePermit
Site Address: 4313 Clemson Cir
Lot:9 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-090
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.
All tiled shower bases require a water test.
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 -
Rachel Phyllis Chinitz
4313 Clemson Cir Unit A
Eagan MN 55122
(612) 965-1509
Eagle Ridge Plumbing Llc
E7899 1020th Ave
Colfax WI 54730
(612) 388-6209
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174070
Date Issued:12/22/2021
Permit Category:ePermit
Site Address: 4313 Clemson Cir
Lot:9 Block: 02 Addition: The Trails Of Thomas Lake
PID:10-75865-02-090
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.
All tiled shower bases require a water test.
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 -
Rachel Phyllis Chinitz
4313 Clemson Cir Unit A
Eagan MN 55122
(612) 408-3032
Tpc Plumbing Llc
2958 Sheridan Ave N
Minneapolis MN 55411
(612) 588-2411
Applicant/Permitee: Signature Issued By: Signature