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4405 Clover Lane Unit B
City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: 9-gQq Permit Fee: .7 0, O� Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3-361-1 1 Site Address: �� V '5 C t ® U e (- L_ a / 657 Tenant: Suite #: RESIDENT / OWNER Name: I' ` I G6 d /4 / 1 e.Q r h Phone: G J I g7 / 6'4 Address / City / Zip: i' `7 V 6 E 6 / c ire* La 5-57 Applicant is: Owner Contractor TYPE OF WORK Description of work: ! p1a CI— ON2 pa -I) Q door 1 h ela 5 ` L 1 it Q 9 Construction Cost: a 1 Lo :J Multi -Family Building: (Yes / No `'e ) CONTRACTOR Name:�\ Ittc�o C c v1. e. e_ -\-S License #: aO \ (.0 3L( l -. Q r Q.: Q Addresst, 0 L OIV ild) # I /( City: E an A J ` 5."l State: , v / Zip: � I c / I Phone: w 5 1 9O 05 Contact: 1 v 0.r CA -t —3-0 Email: COMPLETE In the last 12 months, has _Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ^ t Plans aTi!t S Qrt�R li/ 'L.�t u sub d i cons re to be i3r a i iii y u S the inclassified If irr ou trt vidl p cf e s d r i` � onclude`that they; re tra'de.'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.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 /\)10t\C CJI i'%1) e S IIS x Applicant's Printed Name Applicants Sign Date: City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / ©�(p 27 Permit Fee: / -2--L L £q Date Received: ! ' (Z Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 7-16- Sa Site Address: '/4O j �� (� C Unit #: Name: 1i t k -e< ., .e Ci[✓ Phone: Address / City / Zip: A/4-/O5T 1 I ("Ca' Applicant is: Owner Contractor J Description of work: Re, e,t f.(% / t eX J -I d z Construction Cosfit S (5-1) Multi -Family Building: (Yes x / No Contact: 1-0e, .0/c Company: OeC,Kc 13k,13k,i 300, Address: /%S &eneVaIMVP - iV• State: ('`Iv Zip: is Phone: city: (*1kc2xlf- Coll- 717- 3Y .A3 License #: R63 0 1 d X. Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1 1.,.f c-�'�e`- ' 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: CALL BEFORE YOU DIG. Call Gopher State One CaII 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.orci 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 lEt0 days of permit issuance. x Applicant's Printed Name x Appli s Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage �( Deck / Lower Level — Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair moo (25% 100%4) Census Code Tr #of Units # of Buildings Type of Construction VO. REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows _ Egress Window 1.0902-7 SUB TYPEScrcvqp Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Po MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required i Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Final Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL pr,dc 0 27 Page 2 of 3 `Z K C.(cw e,— L.43 •� C 2 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. 0. Box„21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: Date Paid: Date of Insp.: Insp.• CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road -- — P. O. Box 11199 PERMIT NO.• Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinance.. Account Deposit: Permit Fee: Surcharge: By ��. Misc. Charges: Dote of Insp.• Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA116184 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 4405 Clover Lane B Lot:36 Block: 03 Addition: Eden PID:10-22750-03-360 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Renae Frienwald 2200 Hwy 13 W 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 - Michael R Ahearn 4405 Clover Lane B Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature From:ALLSTAR CONSTRUCTION 19529427464 10/21i2015 12:22 #269 P.003/020 Use BLl1E or BLACK Ink � ForOfficeUse---------i � j Permit#: ����� �Ity of�a��� ; . . �- � 3830 Pilot Knob Road RECEIVED � Permit Fee: � Eagan MN 55122 OCT Z � ZO� j Date Received: � Phone:(651)6�5-5675 � � Fax:(651)675-5694 I Staff: � 1 � �..��_�.�_���_���_��J 2015 RE�IDE�`f�AL �111LD[i�C P�RIVl�T APPLIC,4TI0l� Date: Site Address: Unit#: ��,..�,...,.,��me: .,.M.,....���✓A. 1 ��31�'� �.'�l..c..i i'7d+4.,.�,��...��.. ..Phone: ,Mnl�� � � � Resident/ � Owner Address/City/Zip: �`I��"`�'5��7 �J�,/g� � ��� ��-�,y�, � � Applicant is: Owner � Contractor t � ��.,,.�.�,.ma .�.. ._..., ..,�,,>-,.n...F...����.rt,�..-�..:�.......,�-,�...-�..r�....,m.._.�..�,.=.�...�..�,..r,�,...m..,...�.�..�....�..�._...�.,.......--�...�..�.,r�...-,.. ....�n,.._� , ; -# Description of work: ��•- '�i�e �,ti/�y-�� �,,,�',�� ,��n� Type .o.f Work. v . � , � Construction Cost: �,i� Muiti-Family Building:(Yes �No_) f .v.�..-�,.e.,� ..��..Y..�.,,�-�..�.� _ � Company:�ItS��� (..c,nS��uC�.�r► tr/�/t�htG�7laHG� Contact: �..�,sn_ �l�f.�.-►J�..�:,....�...,.A,.�.=„'_� � � Contractor add�eSS:S�i�JS 1n��S�f�.�+�c��,f - S►�;kE ��3 c�ty: t`V1A�+It i���,.! � State:�Zip:����`'� Phone: �52-'�/2=?�/5'S�Email: t�t���td.1/��/". �'Z. � •. / �icense#: .�� !c"9c.`� ���� Lead Certi�cate#: A/�=' ��I(d� L.. �..�-�,�.,,.����� ---�-- __ _ _ - - - - -�.�,....�.,.a,.e.�. ; If the project is exempt from lead certification, please explain why: ���L,� �„� �c��3 � � , �" � �T COMPLETE THIS AREA ONLY iF CONSTRUCTING �,NEW BUILDING ��T�~��� In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master pian? Yes No If yes,date and address of master plan: I Licenced Piumber: oM,,,,,,. & � _ � � Mechanical Contractor: Phone: � � Sewer 8 Water Contractor. Phone: � � Fire Suppression Contractor: Phone: � NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of ; : t e iniormation may be classified as non-public if you provide specifc reasons that would permit!he City to �„_� conciude thaf they are trade secrets �Po�� � CALL BEFORE YOU DIG, Catl Gopher State One Call at(651)454-0002 for protection against underground utilky damage. Call 48 hours Y before you intend to dig to receive locates of underground utilities. www.00pherstateonecali.ora I hereby acknowledge that this iniormation 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 oniy an application for a permii, and work is not to start without a permit; that the work will be in accordance with the appraved pian in the case of work which requires a review and approval of plans. Exterior work authorized by a buiiding permit issued in accordanee with the Nfinnesota State Building Code must be co pleted within 180 days oi permit issuance. ___ ,.�-� X _-►'.�. �//E.���1 x �.y-T --.- �. Rpplicant's Printed Name �,.,,,�Applic nYs Signa'ture Page 1 of 3 i: PERMIT City of Eagan Permit Type:Building Permit Number:EA148312 Date Issued:03/20/2018 Permit Category:ePermit Site Address: 4405 Clover Lane B Lot:36 Block: 03 Addition: Eden PID:10-22750-03-360 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Adam R Hoatson 4405 Clover Lane B Eagan MN 55122 (952) 200-3461 Window World Twin Cities 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature -------------I r For Office Use I ► Building Permit #: � , , / I 1 0•, j S&W Permit#: `.. •..® EAGAN I� I ,� I Permit Fee: I I I ^1 I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I 1 (651) 675-5675 �FAX: (651) 675-5694 I I Date Issued: I buildinginspections cityofeagan.com I---------------------� RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Applicant is: ❑ Owner Contractor Unit #: h �5 e' C' pL4 1 6 l� Homeowner i Address: qllb C% City: �aQ Q_ State: i Phone::''' Email: Description of work: P e—b�- Type of Q Construction Cost, a Work Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan T7QM Building Address: �t"� WQST' K--y City: GGC('V6��� Contractor , //� '/ State:AWIp: � Phone61L2'f _/_/ � � 9� fi 0 Z G2xCo 7131 5 � License #: o O Expiration Date: Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction ! License #: Expiration Date: *I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. 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. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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. Applicant's Printed Name A licant's Signature