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4416 Clover Lane unit BCite of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For oweI Permit #. -70(,1 Permit Fee: / Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION • Date: Site Address: 7 - 1 Cp i ‘-' w " - -- - — Will ?• RESIDENT / OWNER Name: 5 fe/Li' A y !3 I (.),"7 C'�"' A- Phone: 0 Address I City I Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: f - id l7t t K /i?ep/Qre c' i cf 1c/(ir Construction Cost:'! Z Multi -Family Building: (Yes I No ) CONTRACTOR Company: D (IKS Jo Contact: r d— 57,11 F -le • City: 0a/eddy Address: 19b C fe,'ev., t4"C ' ( State: /V4') Zip: 0'S%2t, Phone: b$/ - "797 - 3923 License #: ZOfv g 0 70 2 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, 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: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 48 hours before you intend to dig to receive locates of underground utilities. www. s o . herstate' necall.or 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 permit, and accordance with the approved plan in the case of work which requires a review and appro x _) ca L. 54-4.FK Applicant's Printed Name he ordinances and codes of the City of hout a permit; that the work will be in licant's Signature Page 1 of 3 SUB TYPES _ Foundation _ Fireplace _ Single Family _ Garage _ Multi At Deck 01 of _ Plex Lower Level _ Accessory Building WORK TYPES New Addition Alteration _ Replace Retaining Wall DESCRIPTION Valuation Plan Review ,/ (25% ✓} Census Code # of Units # of Buildings Type of Construction 6 4(- - ilia -0G C(ouC __ DO NOT WRITE BELOW THIS LINE y Xics TOTAL _ Interior Improvement _ Move Building Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) A. 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 � Porch (3-Season) Porch (4-Season) Porch (ScreenlGazebo/Pergola) Pool _ Storm Damage _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous _ Siding _ Demolish Building* _ Reroof _ Demolish interior _ Windows _ Demolish Foundation Egress Window _ Water Damage *Demolition of entire building —give PCA handout to applicant 41' tG 0.Q,? PA) Jot© ' MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers ge - 70) Meter Size: Final / C.O. Required ie Final l No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air /Gas Tests _ Siding: ! Stucco Lath Stone Lath Windows Retaining Wall: Footings — Backfill — Final Radon Control Erosion Control Building Inspector Final Brick Page 2 of 3 ROBE GlLI /6 ?/oL/(/ ZK, CONSULTING EHOIHUaS E NGINEERiNG PLANNERS and LAND SURVEYORS COMPANY INC. .1000 E)5T I4611 STREET, BURNSVILLE, W1HHESOT.1 St n7 PH 42 / 3'xe C 7 wztQZ c tiie eS +'w a g 2&g Cz . 'r:. grhe2 crz. LOTS 36, 37, 3E' AND 39, BLO . 2, EGE,�, ADDIT10i GA KO T A C': ; t / T i! 10 I AIIVE5 T A r l =5,a� DENOTES EXIST /Ai6 ELE V/47lati (935,0) DENOTE; FRO PC ELEV44T7cA1 E G A - IAJD/CAyik.G EC770AJ CF 5tRF4 CE R t ." .33 i ' E v ' '4 c FLOC, ' C Y j'' 1GA: BY: ��/ NORTH SCALE : /"= C' DATE: 1 „ F 4 1 UILDING It�',SI E'CTION /ISION (231.7) V EAST �. ,5.i) /54-, 92 LOT R„..9 c ,o o ' � ?g1 - t 79.83 LOT 76 92 �— 82. PRoPosE_ SE. 4'q /eta evii9. e s. 38.33) 9.3} OC A16 CO --� 78. 4 -UAJ /T 78.00 ( EA5T LO38 � 93,..c.) . 9,s.o c Ln EAST c -- 78.00 -- - O k ,r4-3 ;C Q O LOT 37 1 Ion ( � i f- I / r/ I ! DRA /IVA6e AND UT /L /T EASEMENT I hereby certify that this is a true and correct representation of a tract of land as show-n' and described herecn.. As prepared by me on this 9 day of MAI , 19 Te• . City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: / ? �,-/., 3 Permit Fee: f V6 Date Received: Staff: 2011 RESIDENTIAL PLUMBING/1PERMIT APPLICATION Date: Site Address: Lit 11 L +U G o V eX Tenant: Suite #: RESIDENT / OWNER Name: 5 -1 --en/ 14 glom sled n CONTRACTOR ) Phone: jOci 1452-090q Address / City / Zip: I-! l�`7 / (j 6 'vT UV'/ CGy���t't� s / 2 Z, Name: MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 50m ST EAST City: INVER GROVE fIGTS State: MN Zip: 55077 Phone: 651 .451:-2241 Contact BILL.MILBEYtt . Email: TYPE OF WORK PERMIT TYPE Nevi eplacement _ Repair Rebuild _ Modify Space _ Work in,R.O.W. Description of ork• RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New _ Abandonment ater Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge) 'Water Turnaround (add $166:00 if a 5/8" meteris required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ -� CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Calf 48 hours before you intend to dig to receive locates of underground utilities. www.aonherstateonecall.orQ I hereby acknowledge that this Infbrnation 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 note • start wi • a permit; that the work will be in accordance with approved plan In e case of rk which requires a review and approval of plan X iTIE ;t�� Applicant's Printed Name x Ap ca s Signature CITY OF EAGAN WATER SERVICE PERMIT 3830 Pi Irlt 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: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: G Total: B Dote Paid: Dote of Insp.: ' Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 PiIQt 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: B Surcharge: Y Misc. Charges: Dote of Insp.: Total: Insp.: Dote Paid: From:ALLSTAR CONSTRUCTION 19529427464 09117/2013 08:45 #582 P.056/079 Use BLUE or BLACK Ink For Office Use I I l j City of Ea j Permit* Permit Fee: - 3830 Pilot Knob Road Eagan MN 55122 Date Received C l Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9 (toy 2013 Site Address: HH 1U,y41U$ yL11X r 441k, Guyer will/ Unit M F Name: e0W ftA CAD' (70J%t ri C, Phone: Resident/ Owner Address / City / Zip: W 38 G 1\A "C11 PUNIC / & . W(Al Mki 6 e. MN 553yW Applicant is: Owner _ Contractor Type of Work Description of work: 2611 Off gnd M-YoU k YPe Construction Cost: Iq 1300 00 Multi-Family Building: (Yes / No t I Company:.. Y CMUdOn • l Contact: .11 V~ tbIftC4 t I Address: 949 IVI MNal S1 i *1102) City: Contractor maple ~'G 1 n State: MN Zip: (5c)%q Phone: "1"JL~ 1"12 1~~"1 License Pic U 315T-P Lead Certificate NRT- 20q V4 D 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: 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 pennit the City to M rvY conclude that they are trade secrets.e 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.oot)herstateonecall.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. Al X_ x ..,..c~1~R✓ Applicants Piinte Name Appl cant's Signature . 1 Pagel of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rom:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:00 #301 P.011/022 4,111 City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: t037 Permit Fee: IR6Q= Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: P' k 4 Site Address: We," $6://0 eh VIA 4711.- Resident/ SL Resident/ Owner Name: 9VA F of 6L4 —1) 674 //a,4 Address / City / Zip: 90e/- G///ef 4 M e Applicant is: Owner i( Contractor Type of WorkDescription of work: "1--54 (,q/j'--4 "nv" �e in - Gef7"/i�/Til'rl'�f� ,%ri an/y is Construction Cost: 4t/4 000 — Multi -Family Building: (Yes / No ) Company: 4t( 4e, !„®en Peaeirovs / iniii;111e9Wce Contact: NJ e wt Ali ,t -r7 !! Address:6146 1rd t ,4-r°eA I Si- .. r4r�4. /o3 City: Aye- ?LA -lel I. Contractor r I State: i r® Zip: S6369 Phone4 q t.I6t/ Email: ,474g L//S-1 r• ,4 .-. License #. seol0.35 ® Lead Certificate #: Ai -r doge, V - m� A t Unit #: !1 f I Phone: /✓% J If the project is exempt from lead certification, please explain why: 84;(,,r„ � /983 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 maybe 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) 4544002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 Buildin amu, mpieted within 180 days of permit issuance. x Ul144 Afieint2.0 Applicant's Printed Name ( Appiicpnt's Signature Page 1 of 3 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(cDcityofeagan.com -------------I For Office Use I L I Building Permit #: LIU I I I S&W Permit #: I I I Permit Fee: ;9, I I I I I Date Received: I I I I I I Date Issued: I t- - - - - - - - - - - - - - - - - - - - - RESIDENTIAL BUILDING PERMIT APPLICATION Date: _?/Site Address: Unit #: Applicant is: ❑ Owner Contractor Name:EG(LS!!nj �Ad OV,11y--X"5,_b4S'SC,e10-41 6In Homeowner Address:Q/ ; L4L& Llgle, Alt? Cbjc'.\,- to. -city: 1;;-cta v,,- State: Phone: Description of work: P2 is t�— Type of Q �/� Work Construction Cost ( —[ Type of building: ❑ Single Email: ❑ Townhome, of units Twin Home Compan 3QM �V'jSr�—V—CA C_ n\A Contact: `r ��✓ g Z/ � & Ujp ��Y � Building � Address: � t � City: � ����T� Contractor `J '/ State:A�Zip: S��T Phone>(otzJ`f S ' Emaili �l'Q� 3l/� S_ `0 License #: D Expiration Date: Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License #: Expiration 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. Ll-� t�x c����� x Applicant's Printed Name A licant's Signature