4417 Clover Lane unit BRESIDENT /
OWNER
Name: Sc ^Cy j1.. n.50.. Phone:
Address / City / Zip: 91-1 11 ( C lockr Lam" Q- P Eva, , M') ,fj'/ 2 Z
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: r 4c. /ea, Id NC L 13C c({
Construction Cost: d'd . .4'7 Multi- Family Building: (Yes I No , )
CONTRACTOR
Company: \) Q,C KS 'Sy ,Soe. rt L contact: J �42. S k-ct t-1C i
Address: t 5 (..7e^ eva fit✓ k) . City: (Oa k'4(t (t'
_ G�,
State: Zip: 5 5 17iS Phone: Co 51 , 79 7— 3 423
License #: 2O( 3®7 ) e:9 - 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 and supportingdo cu t rat u Sftt t aye car d to be public irthtt"matioi7. Po bons of
the Information may be classified as note ub tf) pirovi a spy rtea#sons t would permit the Ci to
conclude t at they aria trod seGP81 .
4 0 1 City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
1
(� Cof
I hereby acknowledge that this information is complete and accurate; that the work will be
Eagan; that I understand this is not a permit, but only an application for a pen*, and
accordance with the approved plan in the case of work which requires a review and approv
x
Applicant's Printed Name Applicant's Signature
Use BLUE or BLACK Ink
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
-
Date: Site Address: Unit #:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 ; • r protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. , •c hersrateonecall.o
ce with the ordinances and codes of the City of
t a permit, that the work will be in
Page 1 of 3
SUB 'TYPES
• Foundation
_ Single Family
Multi
01 of Plex
WORK TYPES
New
4 , Addition
T Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25°x6 100%
Census Code
# of Units
# of Buildings
Type of Construction
Accessory Building .40,
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
4-07 ( a l o u&K_.
DO NOT WRITE BELOW THIS LINE
_ Fireplace
Garage
$Pe ck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _ Rough In Air Test Final
Insulation
Sheathing
Sheetrock �
Reviewed By: ) v , `✓ )
TOTAL
Porch (3- Season)
_ Porch (4-Season)
_ Porch (Screen/Gazebo/Pergola) _
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding _ Demolish Building*
Reroof _ Demolish Interior
_ Windows Demolish Foundation
_ Egress Window _ Water Damage
*Demolition of entire building — give PCA handout to applicant
200`7
Meter Size:
Final / C.O. Required
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
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
qg
Page 2 of 3
E NGINEERING ROBE CONSULTIHG ENt31t1E pintitiEfIS and LftHI) SUfVCYOtiS
COMPANY, INC.
EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PH 432 °3000
Cr y.1 ' 'i c
S - _C1,_ ph LOTS 25, R6,27 AND 28, BLOCK 3, EDEN ADDITION,
DAKOTA COUNTY, fVI I NN E SOTA
GI)
NORTH
SCALE I" = 30'
?rick 37 P?44E 67
elotkr 4,
De rE EXISTING ELEVA 1 ION
(935.0) DENOTES PROFF'0`.3[7.-. L) ELEVATION
--•.� IIJDICATES DIRECTIOAJ OF SURFACE DRAINAGE
9•9.o = FINISHED GARAGE FLOOR ELEVATION
I IC{
L I
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L_''
L_ l
I hereby certify that this is a true and correct representation of a tract of
land as shown' and described hereon.. As prepared by me on this , 7m' day of
MAaelf , 19 .
DATE:
BUILDING INSPECTIONS DIVISION
BY:
L_'-
EAGAN
REVIEWED
9,16
00
Z
...�� Minn. Rag. No. A-085
C./
93 __
1 1RA,NAC- AMP
EA ST UTILITY EASEMENT
,- � 30
935.0
– .. --,•— (931..0 / 60 .00) `I57
78.0 )
, ....g— gi.or.
N
N
I
I
LOT
x936_- 9 / 7 2
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13a • D)
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to
1
LOT 25 I
041.0
(9361 I
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PROPOSED
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LOT 28 jrI
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C 82.00 - 41
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(11..5 / 60.00 ._, -6.-_. °13t+, ` L943.2 )
■ J
EAST , 0
301
FRONT BVILDIN6
E NGINEERING ROBE CONSULTIHG ENt31t1E pintitiEfIS and LftHI) SUfVCYOtiS
COMPANY, INC.
EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PH 432 °3000
Cr y.1 ' 'i c
S - _C1,_ ph LOTS 25, R6,27 AND 28, BLOCK 3, EDEN ADDITION,
DAKOTA COUNTY, fVI I NN E SOTA
GI)
NORTH
SCALE I" = 30'
?rick 37 P?44E 67
elotkr 4,
De rE EXISTING ELEVA 1 ION
(935.0) DENOTES PROFF'0`.3[7.-. L) ELEVATION
--•.� IIJDICATES DIRECTIOAJ OF SURFACE DRAINAGE
9•9.o = FINISHED GARAGE FLOOR ELEVATION
I IC{
L I
I —
I ) I
L_''
L_ l
I hereby certify that this is a true and correct representation of a tract of
land as shown' and described hereon.. As prepared by me on this , 7m' day of
MAaelf , 19 .
DATE:
BUILDING INSPECTIONS DIVISION
BY:
L_'-
EAGAN
REVIEWED
9,16
00
Z
...�� Minn. Rag. No. A-085
C./
CITY OF EAGAN WATER SERVICE PERMIT
3830 Piiat 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:
1 ogres to comply with the City of Eagan Surcharge:
Ordinances. 0 k Misc. Charges:
. Total:
By S �`� Dote Paid:
Date of Insp.: ^ E k0 Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot•Knob Road
P. Q. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
agree to comply with t City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.• Date Paid:
From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:38 #582 P.041/079
Use BLUE or BLACK Ink
I For Office Use I
j Permit
City of Bap I Permit Fee: ' ~ . -1 -5
3830 Pilot Knob Road o n J 12
Eagan MN 55122 1 Date Received tJ
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9151201-3 Site Address: L44n ,L4qh t5, L4q&4gj96 Clover L CIM, Unit :
Name:_ l~ C'~ C~oliseh C0h'1Dq~ Phone:
Resident/ p l' Owner Address / CRY / Zip: ~py3 b UtV 41A PQYk ay , Ulm prWric,~T 3~ L4q C
I
Applicant is: Owner X Contractor
Type of Work Description of work: 201Y off d 1 P-Irp
I
Construction Cost. 4 0 t O -lDO Multi-Family Building (Yes No
l~
Company: 1ft COMUGtlM MaVI~01C YIf 1. Contact: C l~le,~tll~stC~(~ ,r
Address: SIyS 1h &ATia1 S'1'ref,4 153 City: Woe, Plain
Contractor
State: Jam- Zip: C_55 Z l Phone: Cnl- q, 4,L- ly
e
License # S cw1rals Lead Certificate N- 2(~ilP+0
1~7
r1fthe 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:
G
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 46 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 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 160
days of permit issuance. ~.pn ~ `y
X_ u 1. ~clt IAIA x
Applicant's Printed Name Ap i ant's Sign ture
Pagel of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152438
Date Issued:10/15/2018
Permit Category:ePermit
Site Address: 4417 Clover Lane B
Lot:28 Block: 03 Addition: Eden
PID:10-22750-03-280
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 -
Sandra Johnson
4417 Clover Lane B
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
® 4 e f
®®®lie
E AG A N
�P
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(c)cityofeagan.com
--------------
For Office Use
I Building Permit #:
I I
I I
S&W Permit #:
I I
I
I Permit Fee: I
I I
I
Date Received:
I I
I I
I Date Issued:
t----------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date:,yhql
Site Address: Unit #:
Applicant is: ❑ Owner KContractor
Name: E?z sA �A b V1�2 O k ---I U-42-N17 S taS"S C�;l C I CX,4 k 6 l/-\�
Homeowner Address: l 1 City: �c Ct 0—
V�
State:% V�Lip: 50Z Phone: 16Vai
Description of work:t-
Type of
Work Construction Cost a t , -V
Type of building: ❑ Single Family ❑ Townhome, of units JRTwin Home
Compan 3QM l/J!SE&jt'c,lr✓ n\lam Contact:
Building Address � � (_. i1'�1 VJ T {�—City:G(�f;�Y\
Contractor 1/�
State:Lip: 553��Phone�o�z�7Email. a/ylQ.�[ �e � R5q(
�/ OZCa( �O
License #:EC T (� Expiration Date: .3C 2 ��
Sewer &
Water
Contractor
Required for
new construction
Company:
Address:
State: Zip:
i License #:
Phone:
Contact:
City:
Email:
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. Al
x
Applicant's Printed Name A licant's Signature