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4418 B Clover LaneRESIDENT i OWNER Name: (' E 1).0 Phone: 7 Z / 3C,, Y._> Address / City I Zip: / J C J C fOV?' Z_Qo � .+ 1 Applicant is: Owner X- Contractor TYPE OF WORK Description of work: fMk/Cc/ / 1 (d' 4t✓ C � Construction Cost: 2 $� Multi- Family Building: (Yes / No CONTRACTOR Company: Pty )6 67 _mac ) C Contact: Joe 5 A . Address: / 96 ,5 e' °l 4 t i City: C State: / 114 Zip: Cc/2b Phone: 6 .5 - 7? 7 - VZ5 License #: 2o 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, 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 d ocu m ents that you submit are consid ared to be p i nformation. Portions of th informat may be class ified a S rfo -pu blic if you prate Specific reasons #ltaf W ould p mtit the Cit to conclude that they are trade secrets. City of EaQRII 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 I hereby acknowledge that this information is complete and accurate; that the work will be i 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 _e ms Applicant's Printed Name 2011 c)') icant's ignature Permit #: 9'0\20 ( Permit Fee: I / 0 ) - (05 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: onecal Use BLUE or BLACK Ink 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. • o • hersta in mance won is not to s of +tans. nances and codes of the City of 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 DESCRIPTION Valuation Plan Review (25 %_ 100 % Census Code # of Units # of Buildings Type of Construction Fireplace _ Garage Deck f 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: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL % 'il 6 C( t 9 9D 20 DO NOT WRITE BELOW IS LINE Porch (3- Season) _ Porch (4- Season) Porch (Screen /Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width 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 PGA handout to applicant - 1 4 4 , MCES System ,,. 0 SAC Units City Water Booster Pump PRV Fire Sprinklers 0' Meter Size: Final / C.O. Required Ni Final / No C.O. Required ! HVAC _ Gas Service Test Other: Pool: _Footings Siding: __Stucco Windows Retaining Wall: Radon Control Erosion Control , Building Inspector Air/Gas Tests Final Lath Stone Lath Brick _ Footings _ Backfill — Final Gas Line Air Test Page 2 of 3 O NORTH f p SC/ALE : i" _ (12/.7) �31 ROBE ENGINEERING COMPANY, INC. �� 1000 EAST I461!1 STREET, BURNSVILLE, MINNESOTA 55337 PH 422 c etZ e ey Zgcl . e! : ? Cr4p22o72: LOTS 36, 37, 3E AND 39,, BLOC.( 2 ECE.k, ADDJTr"c,'� DAKOTA CO/JA/Ti' MI A IN 5OTA Cle .a , DENOTES EX! S7 ELEVA7/ai;/ (935, ) DEMOTE; FROFCSED ELEVATGAI /54, C93� J o.74- EAST CONSULTING EHGIHEERS PLAHHEAS and LARD SURVEYORS /-c < BooK 4/ PA c 6 36 76.92 - g�.c� 78. oo - 4 - 1 I g .._�- �_Q a' _ ,� PRO P086.. 4- UNIT 1 ` 79.82 -,�, 8U/LC J �i N — EE * . � { r a28.o� '38.33) ;(11,2s.23\ LOT o? 5I �� . 82.74 78.00 41 130.2- E /A1D /CATEE. D /RE_; /CAJ Oi 5uRr4 CE R `1533 = F/ V I.5HEE 6/4RA C FL5O, E7VA 1D,&:` / / 1 ` 1 _ r- EAST C DRA /NAEe: AND UTIL /TY EASEMENT I her :by certify that this is a true and ccrrect representation of a tract of land as shown' and described herecn.• As prepared by me on this 9 day of 41011 , 19 a. 60.0D JAL.,* t -Fa-vir, A 30.0 4 �7 93 O Minn. 1t eg. No. /Gages" CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. 8oz 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: Ordinonas.4 Misc. Charges: Total: By Date Paid: Date of Insp.: / C y . Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: P. O. Bdx 21199 Eagan, MN 55121 DATE: Z oning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.: Total: Insp.• Date 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 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA128165 Date Issued:10/28/2014 Permit Category:ePermit Site Address: 4418 Clover Lane B Lot:39 Block: 02 Addition: Eden PID:10-22750-02-390 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. Wade Sedgwick 7588 Washington Ave S 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 - Marion Tste Rustvold 4418 Clover Lane B Eagan MN 55122 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA127566 Date Issued:10/07/2014 Permit Category:ePermit Site Address: 4418 Clover Lane B Lot:39 Block: 02 Addition: Eden PID:10-22750-02-390 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - Marion Tste Rustvold 4418 Clover Lane B Eagan MN 55122 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:00 #301 P.011/022 4,111 CityofEaall 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'//D 4 Site Address: *'&- Wf e41/14447i1- Resident/ Owner Name: 9VA F e, 6 L4 —1) 674 /-a,4 Address / City / Zip: 90i'- yo v G///ef 4 M e -Applicant is Owner i� Contractor Type of Work Description of work: "�''.5 (,q/jZ--4 "nv" ��in - Ge#/fal'rl'�fg ,%nafil i Construction Cost: 4t/4 000 — Multi -Family Building: (Yes / No ) Company: 4t( 4e, !„®sr Peaeirovs / iniii;111drUnce Contact: 'edI wt Ari ,,t -r7 Address: 6146 ! r W,S4-f IA 1 Si- -Su4 rl4- /'0 3 City: Aye- ?LA -1 el Contractor !! State: in/4 Zip: S6369 Phone:9 q .I6'r Email: ,474gt//S-)IeU'• ,4 .-. I. License #. t�l0.35 ® Lead Certificate #: //9-T doge, V - m� A t Unit #: !1 f I Phone: /✓% J If the project is exempt from lead certification, please explain why: 84; t: /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 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 Cali 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, mpteted within 180 days of permit issuance. x Vi144 Afieint2.0x Applicant's Printed Name ( Appiicpnt's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165380 Date Issued:10/29/2020 Permit Category:ePermit Site Address: 4418 Clover Lane B Lot:39 Block: 02 Addition: Eden PID:10-22750-02-390 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Mark A Goff 4418 Clover Lane Unit B Eagan MN 55122 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature 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