4425 Clover LaneRESIDENT /
OWNER
Name: 14- c5L,✓. J- 2-i d.,t..WG Phone:
Address / City / Zip: 4 4 Z 5 Gk k(.k Lc, ^Q- 61, 4q , M A/ - 5 Y i 2
, r/
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: I t(II4 r t / dam. )d hie w best{
Construction Cost: 2-00 Multi-Family Building: (Yes / No )
CONTRACTOR
Company: 'b eat-6 i - Jou.- ..�/r C Contact: i 5 /-✓6K`
5 , -t-V /� 4 C r'✓• City: 0 a Kehl /t
Address: I 9(0 &1'
//
State: M Zip: rr S1 Z1 Phone: (D f/ 7f 7 3(173P
License #: 2 7 a 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 supporting docu that you submit are considered to be p blic inllll nation. Portions of
the information may be classified as non -pubs if you pmfr a specie reasons t would perl►ni the City ib
con clude that they are trade regrets.
City of EaQaII
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
APR ''201
Permit#:O 7k42
Permit Fee: 1 114 7 l
Date Received: �I
Staff:
L
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
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.00pherstateonecall.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 and r nd this is not a permit, but only an application for a permit, and is not start without a permit; that the work will be in
accordance with ' e . pproved plan in the case of work which requires a review and approv
x
Applicant's Printed Name
plicant's Signature
/
Use BLUE or BLACK Ink
Page 1 of 3
•
'SUB TYPES
Foundation _ Fireplace
Garage
Deck
Lower Level
Single Family
Multi
01 of Plex
Accessory Building
DESCRIPTION
Valuation
Plan Review
(25 %_ 100 %_)
Census Code
# of Units
# of Buildings
Type of Construction
WORK TYPES
_ New — Interior Improvement
)(Addition Move Building
�� Alteration _ Fire Repair
Replace _ Repair
Retaining Wall
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:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
L / C1 D LK)
DO NOT WRITE BELOW THIS LINE
Porch (3-Season)
Porch (4- Season)
Porch (Screen /Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
_ Siding
Reroof
Windows
_ Egress Window
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
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
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
Page 2 of 3
ROBE
ENGINEERING
COMPANY, INC.
1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PH 4323000
NORTH
5CALE 1" = 30'
X
X 81
Ll / s c\u -c Lh
C•ZT/ cczie
Z.444I .1?e.3Ct p2li, ort: LOT5 21, 22,23 AND 24, BLOCK 3, EDEN ADDITION,
DAKOTA COUNTY, MIN NESOTA
v €NOTE E X157 /Nc, ELEVA No&I
( 95.o ) DE NOTES PROF'O U ELEVA7 ION
/MO /CATE'S DIRECTION or SURFACE DRAINAGE
937.5 •= FINIS/4ED GARAGE FLOOR ELEVATION
CONSULTING ENGINEERS
PLANNERS and LAND SURVEYORS
L_ L1
BY:
elf
a t e /
1 I
l FND
L p� T Y ��6
RA
ILA
/ ' Z '' E
�3
N i2 6 \ -725,0
8 i
/9 3 �'
/60.00 ....r ---••-
EAST
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 7 day of
v
Atl . D
>�� Minn. rtes. No.
, TY 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 ogres to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Dote Paid:
Date of Insp.: Insp.•
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:
1 agree to comply
9 plr with the City of Eagan Connection Charge. •
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.• Total:
Insp.• Dote Paid:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
Permit Type: Building
Permit Number: EA107226
Date Issued: 10/02/2012
CI 0 0., 81 Permit Category: ePermit
Site Address: 4425 Clover Lane
Lot: 22 Block: 03 Addition: Eden
PID: 10-22750-03-220
Use:
Description:
Sub Type: Windows/Doors
Work Type: Windows/Doors
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
- Applicant -
Owner:
Audrey Ridgeway
4425 Clover Lane
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.
Applicant/Permitee: Signature
A/iewri—e4
Issued By: Signature
From:ALLSTAR CONSTRUCTION 19529427464 09/1712013 08:37 #582 P.038/079
Use BLUE or BLACK Ink
I For Office Use l n
' j Permit
Clt~ of Eap I Permit Fee: ° 50
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received. 1 j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 01f5 l 2013 Site Address: y4Z3 442>g T 11 , 4L41CVR CIvex LAW/ Unit
Name: dean VVr'1 CIO' C'JO yl cum Phone:
Resident/
Owner Address /City/ Zip: W-1 J UiN "M Pftmi, Eym rare , M N 5 y
Applicant is: Owner Contractor
Description of work: My and yt Ybof
Type of Work `l
Construction Cost: 411 M''ll
V U Multi-Family Building: (Yes / No
Company: _t1
ILVIA t JjOtsLI VVI l l l ►Y`u ! Contact:
.~-y Ct
Contractor Address: ~Iy~ I~ndU CAI St 1e # city: Wit Nih
State:
Zip: ~1 Phone:
License ~~,/r~ UI.~J~ S Icj Lead Certificate
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
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: 4
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
a a ~mvy~ conclude that thM 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.aopherstateonecall.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 Code must be completed within"180
days of permit issuance.
x 6At S A x `L
°
Applicant's Printed ame Ap li ant's Signature
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156816
Date Issued:07/19/2019
Permit Category:ePermit
Site Address: 4425 Clover Lane
Lot:22 Block: 03 Addition: Eden
PID:10-22750-03-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Audrey Ridgeway
4425 Clover Lane
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157767
Date Issued:09/06/2019
Permit Category:ePermit
Site Address: 4425 Clover Lane
Lot:22 Block: 03 Addition: Eden
PID:10-22750-03-220
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Audrey Ridgeway
4425 Clover Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(@citvofeagan.com
-------------I
r For Office Use
I
I Building Permit #:
I I
I
SSW Permit #:
I I
I I
Permit Fee: 22q
1 +
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Date Received: I
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I Date Issued:
I---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: hqlSite Address: Unit #:
Applicant is: ❑ Owner Contractor
Name: �G([ b V\- fie_ C) S 4455 C7 C? i 0-4
; Address: qq2_3 Ah2 city: act a
Homeowner
ul� 5i! 2 ICU L�
State: i Phone(:: Email:
�'v� :
P,e Q
Description of work: t> e:,,
Type of
Construction Cost Li
Work
Type of building: ❑ Single Family ❑ Townhome, of units in Home
Compan _.ThLI�M
g IJljesk l� Building 'Address: � � �1 City: �
Contractor `J '/
State:/ Zip: 5�3 T Phone6tZ�'f 5 Email lmel f \e"
O'Z62(0 *� LCJD� ^-
License #: Expiration Date: J
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.
Applicant's Printed Name A licant's Signature