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4448 Clover Lane BRESIDENT t OWNER Name: -3e'ail J t -P,5 L e Phone: q y8 6 C ioU4- -' Lane / t; % , i /) 5".�l 2 z Address !City /Zip: �� � , Applicant is: Owner Contractor TYPE OF WORK Description of work: ' CC‹ Construction Cost: $ f � Multi- Family Building: (Yes / No ) CONTRACTOR Company: ecKS ay cot 1.r`C Contact: Jc<-. 5 4.0; ;' Address: I /lI5 U Aevc, t `e- a City: .>dLda /� toil - r� C� ( P, State: / 1/141 Zip: 5 ( Phone: 5 - I — 797 - SY Z 5 License #: 2-0c 0 Ida Lead Certificate #: if the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, 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: _Yes Licensed Plumber. Mechanical Contractor. Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered o be public i r► rmaffee. P tharn:s of th information may be classified as non - public if you provide specific reasons that taa lld per;rnit the Oily conclude that they are trade secrets. City of Baku 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 1 hereby acknowledge that this information is complete and accurate; that the wor will be in 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 approve x j C/t. Applicant's Printed Name Use BLUE or BLACK Ink Permit #: / 1 19 Permit Fee: C71 • (o he Date Received: 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. .A! o • herstat necall.or e ordinances and codes of the City of out a permit; that the work will be in Page 1 of 3 SUB TYPES Foundation Fireplace _ Single Family Garage Multi Deck 01 of Plex Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25 %_ 100 %_er Census Code # of Units # of Buildings '- Type of Construction 3J REQUIRED INSPECTIONS Footings (New Building) F (Deck) Footings (Addition) Foundation Interior Improvement _ Move Budding _ Fire Repair _ Repair Aaga 3Y 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 Cam DO NOT WRITE BELOW THIS LINE Occupancy MCES System Code Edition SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers — Width 73 � y _ Porch (3- Season) Porch (4- Season) _ _ Porch (Screen/Gazebo/Pergola) _ Pool Siding Reroof Windows Egress Window *Demolition of entire building — give PCA handout to applicant ail Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Other: Pool: _Footings Siding: _Stucco Windows Retaining Wall: _ Radon Control Erosion Control , Building Inspector 1 poc. Demolish Building* Demolish Interior Demolish Foundation Water Damage Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Gas Line Air Test Air/Gas Tests Final Lath Stone Lath Brick Footings _ Backfill _ Final Page 2 of 3 ROBE E NGINEERING CONSULTING and LAND SURVEYORS COMPANY, INC. {000 EAST 146Th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 j goL dr gionc LOTS 44, 45, 446 AMC 47 8LocK 2 EDEN DAKOTA COUNTY, .MINNESOTA NORTH ScgLE : /" = 3o' C�er�z "z cacti 30' FRONT BUILDING 5ETBACK LINE - ...1 W t l C4/ 2 DENOTES EXISTING ELEVATION (923,5) DENOTES PROPOSED ELEVATION )fJDICATES DIRECT IO1U OF SURFACE. DRAINA 923:50- Fht1514 ED &AEA'&( FLOOR •LEVAT /OA/ EAGAN R EV! 6° 4 118. � _q i c =21. 9/6.3) \ o 1 DRAINAGE 414D UTILITY EASEMENT N 89° 58' 02"' E - -- 66.06 - - - �q (929.0) 5 C LA NE ` 4.4"6 9'0 j1/9,4 _ :922.: 9232) 1 44 67 BY: S ED •u.r -v y s 89 58' "W /25_06 21 0 PROP r 5ED ,`,922.6.) o w '9? N -i \ (925 LOT 1 N-.. -� 0 1. \ 1 4-7 '.•.---:- 44 \ on D ONS DIVISION (922 919.1 59.00 a (V0.4.) I 0 LoT 45 I - 59.00 -- UNIT ^ T 923, BUlLI / a , 1 i I' 5 A DDITIOt'J1 0 m (922.3) 930.0) ,n 930.0) 35.45 (._9299 59.01 '929.6; 89° 58' oz" w 5 88° 55' 17 "W _ 1 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 %sr' day of N©veM 8ER. , 19 9S • _ �� Minn. Reg. No. X..e)Fs CITY OF,EAGAN WATER SERVICE PERMIT 3630 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: I agree to comply with the City of Eagan Surcharge: Ordlnancs. � 1\ Misc. Charges: Total: By )J " v V Dote Paid: Date of Insp.: I Insp.• CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. - O. Box 21199 PERMIT NO.: Eagan, MN 55121 Zoning: DATE: Owner: No. of Units: Address: Site Address: Plumber: 1 ogres to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: B Y Surcharge: Date of In Misc. Charges: I nsp.: �.: Total: Date Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:47 #582 P.062/079 Use BLUE or BLACK Ink I For Office Use (n I j Permit (I City of Eagan I Permit Fee.^ 5 I 1 I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: N Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2 Site Address: ~)~G'1 HIB14~%'1yc_pg C, oyck Lam Unit M Name:WM Niq COQ. US= Phone: Resident/ Owner . Address / City / Zip: ~j 3y Applicant is: Owner Contractor aY 8 t Ye Type of Work Description of work: itay Off Construction Cost: $I1 11`5 8D. Multi-Family Building. (Yes X / No f Company; oy, ma t Contact: € Contractor Address:51% l Yd ftal cam. a 1 reti 10 -City: MWt Nib c. State: M_ Zip: ICJZ- I'12" IL4 Phone: t W License f 031''J)J Lead Certificate Nr1T' ~q~Dy'~ 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, f you provide specific reasons that would permit the City to ~v ---conclude thattare 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.oopherstateonecall.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 / ;(Lij ~n x `t ! C1 ' Applica 's Printed Warne A li ant's Signature Page 1 of 3 Use BLUE or BLACK Ink r I For Office Use Permit#. . /'DOW ~ ~ ~altidan ~ I I Permit Fee: I 3830 Pilot Knob Road I t Eagan MN 55122 Date Received: Phone: (651) 675-5675 i staff: I Fax: (651) 675-5694 L - 2014 RESIDENTIAL-PLUMBING PERMIT APPLICATION Date: Site Address: I I q9 CJ v°(fi Tenant: Yxf CCL. Suite #:Q F65~ -33 Name: t Phone: ~r - 3 J ' t ~Resident/Owner Address / City / Zip: Name: r License Address: I City: Contractor State. W1 Zip: ~t0 Phone: f Email: Contact: I m.~~~b New Replacement -Repair Rebuild _ Modify Space -Work in R.O.W Type of Work - Description of work: RESIDENTIAL r Water Heater Water Softener Lawry Irrigation RPZ I- PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System { _ New Water Turnaround k Abandonment f RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn °Irrigation (includes $5.00 minimum State Surcharge) y $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) 'Water Turnaround (add $200.00 if a 5/8" meter is required) I $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ • 00 1- J 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:gooherstateonecall.ora I hereby acknowledge that this inrormation 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 X Applicant's Printed Name Applic nt's Signature FOR OFFICE USE Reviewed By: _ Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Metef~);:@(zlt+Bd I€mt 1k~etStZ_ Radlo ~eadtff _ -F 6.2 From:ALLSTAR CONSTRUCTION 19529427464 10/21 /2015 12:25 #269 P.007/020 Use BLUE or BLACK ink � For Office Use i ��� �� R�CEIVED � Permit#: �u_ � y ����� ; � � 3830 Pilot Knob Road ��OT � 1 �O� � Permit Fee: � Eagan MN 55122 � Date Received: � Phone:(651)675-5675 � � Fax:(651)675-5694 I Staff; � I � ��_�����.�__������J 2015 R�SIDEl��`!A� ��tLDl�C� PER[��T APRLlC�►YlON Date: Site Address: Unit#: �..-,�.�-,,,.,�.< ._�..,...��,.�,,�.,..�..r,,._.....�.:�..,..,�.�:4,_.�.,��:.�,,..�.,..�,..._..,.:.�,... .�,.�...� — - ��-- r ,. , . �...��...�,._�..-.s,,� �,A..�...,.�,,,,�.,�,...,�..�.�,M,�,_,.�.:� Resident! � Name: ��,A✓f►: J Frti31t� ���.i �de4 Phone: /►//� � � OWIt@t Address/City/Zip:°�7��'7`/s� � . � �j¢r° __ /��� 1_q-,J � ���-, � Applicant is: Owner � Contractor s ; _.,,�..A._,k�.� . �Description ofwork: r.�,��:4�r�C...�MA.wn..,..i,R...�,.,.�.�,_�.,.�.1.�.,.:....�.. .�.�.,�.,v,..,.,.�.�._..._„�,.�x.._� _.�„�,..��...d„_,._.�__ --� Type.of Work � � , � � Construction Cost: � ��l�e✓C� Multi-Family Building (Yes �No .:.�..M,.�.,.�....,�.�...��..,R,..,=.z,......,,.�..,�,�..�,,.�,,.,.,..m,.....,.�.�.�,..,.�.�.�,�.�_.:.,�„__.,,.��.�.._,...,,_...,..:_._.,a...�...-,.��..,.n...,.,..R,z..,,..�;.._...,�.�-� , ) ...,.� c Company:��lSth/� lisn5'�iZuG�,�re t��l�on�finlzJt�� Contact � s� :,�.,..��__...�, ...,�.�,� � � � , .� � ' A I��.�,�-..� k � � � COt1tflCtOr, . Address:�ti/S �n��r5��-��-L.��- - ��;+� �C3 c►ty: �V1�,��t t�'(��i-� ; State:�Zip: ���'-�r` `� Phone:��2-`i'�2=75/5'7j Email: ��tc� ca.1 �'7'zr/°'. b'Z.. � � . - f . License#: �� �G'9�`� ��� Lead Certificate#: fr��s• �*Jy(d'� Z � .x„� __....�•.�._..._,�.�..,.�..,,�..,..:_ . _ _ . ...�,�..�,��,.�,.,.�,,..,-�,.....�_..�,�..�.� If the project is exempt from lead certification, please explain why: ,���L� ;,,,� 6�f�3 � e 8 � �� COiUIPLETE THIS AREi4 ONLY IF CONSTRUCTIAlGyA NEW BUILDiNG�tt�����M ry� � In the last 12 months,has the City of Eagan issued a permit for a similar pian based on a master plan? � s � � Yes No If yes,date and address of master plan: � �� Licensed Plumber: Phone: � ; � Mechanical Contractor: Phone: � , � Sewer 8�Water Contractor. Phone: � � �� Fire Suppression Contractor: � ����» ������� M phone: ', NOTE:P/ans and supporting documenfs that you submit are considered to be public informaGon. Poriions of� ' # the information may be ciassi�ed as non-public if you provide specific reasons that would permit the City to � I� �� conclude that th�aie trade secrets. � F..,�.��.:.�.A.�.,_-.._-�.,�<.��.�.:_��<.,�.�..K..�„w..,U,.._,.1..,,.�.<.�.�,�...,�.�_�_u.F,�.�,��.»�. _,�,�..�.�.........�.,.,�...e>,..�.,K.�..�....<,�..,ss�...,,...a#,.,,�....�..�.,,�.�.�:_�...�.,<._,..���,.���_r� ;. CALL BEFORE YOU DIG. Call Gopher State One Cal)al(651)456-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.ory I hereby acknowledge thaf this information is compiete and accurate;that the work wiit 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 aceordance with the Minnesota State Building Code must be co pleted within t80 days of permit issuance. ,�,�......... �,,,.—'� ,,,_._...�..___� � . . x -ml� .�/�f'rr�.� � � :. '} ;.w � Applicant's Printed Name Applic nt's Sig�ature J Page 1 of 3 � PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163075 Date Issued:08/13/2020 Permit Category:ePermit Site Address: 4448 Clover Lane B Lot:44 Block: 02 Addition: Eden PID:10-22750-02-440 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 - Jean Jaeger 4448 B Clover Ln 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:Mechanical Permit Number:EA163418 Date Issued:08/31/2020 Permit Category:ePermit Site Address: 4448 Clover Lane B Lot:44 Block: 02 Addition: Eden PID:10-22750-02-440 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - Jean Jaeger 4448 B Clover Ln 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 For Of--------------1 fice Use Permit ®e � , ®� i Building #: I I I ®I �, �, �e EAGAN I S&W Permit#: I I Permit Fee: I n I I 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(a)cityofeagan.com I----------------------j RESIDENTIAL BUILDING PERMIT APPLICATION Date:, Df Z % & (J.�Q Site Address: Applicant is: ❑ Owner aContractor Unit #: Name: Homeowner Address./ in2ld P1(e,iiIUPA/ L3'1 City: b�Q0. v-, Stater V�ip: �1 -?_ Phone: Email: P� Q J Description of work: e C, Type of Construction Cost � y Work Type of building: ❑ Single Family ❑ Townhome, of units Twin Home 1,­1Compan RQM Contact: Building Address: L/5 ��� lJlle�4-v�y City:�GLe t�iG�\1r i2, Contractor State:m&LIp: .5_3�T`� Phone611-2�/ - Email. v� � z 6p(l n License #: Ex iration Date: o�,S Sewer & Company: Contact: Water Contractor 4 Address: City: Required for State: Zip: Phone: Email: new construction I License #: Expiration Date: 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. /( '0. V -�2 L\ <_� � C �/ti �� �- x Applicant's Printed Name A licant's Signature