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4411 Clover Lane B
RESIDENT / OWNER Name: JaG y & r[ der Phone: Address I City / Zip: / 7 y/ / 6 crow. t•-C n e-, ‘410 , 0 4, .5 4-5.-1 Z Z Applicant is: Owner Contractor TYPE OF WORK Description of work: 6'f e / t rot new t e C4 c, Construction Cost. /2GX> — Multi- Family Building: (Yes / No ) CONTRACTOR Company: \) e,G 16 2:1 irS0C.. V' (- Contact: �•ca- S '1/2'G E Address: tct (O 5 (3en eVa Aim- ma Oa is or (-sr State: !VW Zip: 5512-45 Phone: Co Si - 797 - 3 - f 2S License #: ©(' 30 7c ?_ Lead Certificate #: If the project is exempt from lead certification, please explain why. (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber. Mechanical Contractor. Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans docrr tghat considered to be k& cation. l ns of +City to and tlrttppotltittgr t srrtl if ara i k ! in fif rma io may be classi f nol€1 -¢t#tb if you 1ktp Gi C ns; that w rid p+ nit c onclude that they aye f secrets. City of Eaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675 -5694 Date: Applicant's Printed Name &pi I hereby acknowledge that this information is complete and accurate; that the work will be in con Eagan; that I understand this is not a permit, but only an application for a permit, and work is accordance with the approved plan in the case of work which requires a review and approval of p x y x- ` Applicant's Signature Permit #t: Use BLUE or BLACK Ink q 77c Pena Fee: 1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 116 Site Address: Unit S: 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..cf erstateonecail the ordinances and codes of the City of a permit; that the work will be in Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration _ Replace Retaining Wall Fireplace Garage Deck Lower Level Interior Improvement _ Move Building Fire Repair Repair DESCRIPTION Valuation 34a0 Plan Review (25% V' Census Code # of Units # of Buildings Type of Construction 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: 3q 4a 1M VW. RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies C Ieu612- Li* DO NOT WRITE BELOW THIS LINE � J 1aii� 7 TOTAL Porch (3- Season) _ Porch (4- Season) _ Porch (Screen/Gazebo/Pergola) _ Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final fl �4 _ Siding _ Demolish Building* Reroof _ Demolish Interior _ Windows Demolish Foundation Egress Window _ Water Damage *Demolition of entire building — give PCA handout to applicant ..TRC 1 MCES System — r`] SAC Units City Water Booster Pump PRV Fire Sprinklers G6 Meter Size: Final I C.O. Required i f 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 Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector qe 7 7 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Page 2 of 3 • �- % /ll ,� /0(i) . 46INEERING COMPANY, INC. EAST 14601 STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 ce idig _ r tcti4 NORTH SCALE : I" = 3o' OI 78.00 79.77 LOT 3 c938 v PROPOSED 4 -UNIT 66 1 . 2 LOT ' i 3o DENOTES EXIST/A/6 ELEVATION DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAGE 939.5 = FINISHED GARAGE FLOOR ELEVATION EAGAN REVIEWED 936.2) X36.) BY /*• _I_ L_I`i / e. ■ I I CONSULTING ENOINEEl'IS PtnmmEnS and LAID S UfVEYofS LOTS 29, 30, 3/ AND 32, BLOCK 3, EDEN DAKOTA COUNTY; MINNESOTA EAGAN REVI WE BY: DATE 3 14 C 3 FROIJT BUILDING SETBACK LINE EAST 1 hereby certify that this is a true land as shown' and described hereon.. 1984. ATE /66 /60.00 w . Adx �' 1JJc-K LDING INSPECTIONS DIVISION (�7- � tV EASEMENT NO 1` I - r1 1" �l� l ADDITION, a) ( and correct representation of a tract of As prepared by me on this 77p day of 044 Ninn. Red. No.,S" CITY OF EAGAN WATER 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: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 1 agree to comply with the City of Logan Surcharge: Or dinanut. �I Misc. Charges: r � Total: By Date Paid: Date of Insp.: ` Insp.. CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, FEIN 55121 DATE: Zoning: — No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: B Surcharge: Y Misc. Charges: Dote of Insp.• Total: Insp.: Date Paid: From:ALLSTAR CONSTRUCTION 19529427464 09117/2013 08:40 #582 P.044/079 Use BLUE or BLACK Ink For Office Use 'n 4 j Permit City of Ea Ed~ ~ Permit Fee: ~ 3830 Pilot Knob Road 7 Eagan MN 55122 Date Received: ct1. 13 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: _ I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4-5-1013 Site Address: 4411,4411%441:04 lab UDYCAr Loins Unit M f Name: Edekt ftm r-10" Wmlr1 (iOYY1D01Yhl Phone: Resident/ Owner Address / City / Zip: io fbb GhI Wect Pqrkvv N , Edw Pmi riC, MN 55344 Applicant is: Owner J Contractor Description of work: TM Q* Ghd Ye' ME Type of Work Construction Cost 3 10i 150.00 Multi-Family Building: (Yes X /No Company: VS-Val COnSir"Un MfdYltlf MCJJ A IJ [_Contact: JOC *AISifad k i Contractor Address: 511-15 InCUStY 01 S tC-+ * 103 City: Ali pt Plai h State: MtJ_ Zip: SSPhone: qS1 941_ 1454 License FIC1o31515 Lead Certificate NWT - ZDgID4-() 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 I 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 maybe Classlfed as non-public if you provide specific reasons that would permit, the City to N` 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.ora 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. ISt~ad x c x 4t Hy Applicant's Printed Name A li ant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA120265 Date Issued:01/29/2014 Permit Category:ePermit Site Address: 4411 Clover Lane B Lot:32 Block: 03 Addition: Eden PID:10-22750-03-320 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. Julie Chouinard 8800 Royal Court Nw 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 - Jody A Grider 4411 Clover Lane B Eagan MN 55122 (612) 670-6723 Majestic Custom Construction Inc 8800 Royal Ct NW Anoka MN 55303 (612) 419-2173 Applicant/Permitee: Signature Issued By: Signature From:ALLSTAR CONSTRUCTION 19529427464 City of aan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 02/10/2016 12:59 #301 P.009/022 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: / 4 ea Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Of /d/e, Site Address: y%//- al/f.1e Unit #: 4,5 Resident/ Owner Type of Work Contractor Name: 6/V,4 r f of - 4/3 &/ 1 -lo Address / City / Zip: T �// *Vs 6;fg- Applicant is: Owner Contractor Construction Cost: f 01 000 Multi -Family Building: (Yes o ) Company:,4ii&44. d rifkrr.c 1 Ah:ftriellaneeContact: wi /1/t ` //0 Address: �f446 (ndW54 ri 4 1 Si-- .5-0;LC /03 City: %VTh jle-RA- Iil State: %i itAI Zip: 5'636' Phone:q 4 ' 614 Email: ii74getllS r. -4 2- -. License #: (DAOiSO Lead Certificate #: AM -r- e4®9(,f - e� Phone: /✓//, 4.G1,01, J Description of work: 8-.5fa /eV/TA /417,,07/ 5; A If the project is exempt from lead certification, please explain why: gut Ur ` /993 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 pian? 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 thatthey are trade secrets. ............ CALL BEFORE YOU DIG. Call Gopher State One Cali 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. aopherslateonecall.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 State Building yl.. pleted within 180 days of permit issuance. • x of l` iT Applicant's Printed Name Applic>nVs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154226 Date Issued:03/04/2019 Permit Category:ePermit Site Address: 4411 Clover Lane B Lot:32 Block: 03 Addition: Eden PID:10-22750-03-320 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Jody A Grider 4411 Clover Lane B Eagan MN 55122 (612) 670-6723 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature i / f ® o I I I I I EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(a)cityofeagan.com -------------I For Office Use I I Building Permit #: obo I I I I I I S&W Permit #: I I C�J I I Permit Fee: � 1 I I I A-0I I I Date Received: I I I I I I Date Issued: I i- - - - - - - - - - - - - - - - - - - - - J RESIDENTIAL BUILDING PERMIT APPLICATION Date: �h qZ?W3 Site Address: Unit #: Applicant is: ❑ Owner IlContractor Name: �G(�V� b v,�e Cc>ja5'Sc, C'_I Ct_4 k 6 U-\� Homeowner Address: OW 3 Y413 Liq 11 /� (� ) � City: a IIJ Stat .[M WLi �� Phone: Email: Description of work:t�- Type of ! Work Construction Cost '7 Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan Th-�� CV1:S& -LA c_ \ Contact: (2-0,v'� �f Building Addressl�A t�tVlieS`�r 1 Contractor �J /? State: Zip: 5:53 Phone6t Z-/'/ 5 EmailCjAke�C V_ey -2 - cP License #: Expiration Date: �- - - - Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License #: Ex iration Date: ` 1 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. E�\e_xc�y�+ x Z_ z, �,; � Applicant's Printed Name A licant's Signature