4491 Clover LaneCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA100074
Date Issued: 07/13/2011
Permit Category: ePermit
Site Address: 4491 Clover Lane
Lot: 23 Block: 01 Addition: Eden
PID: 10-22750-01-230
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments:
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Diane Moyer
Home Energy Center
Fee Summary:
ME - Permit Fee (Replacements) $50.00
Surcharge -Fixed $5.00
0801.4088
9001.2195
Total: $55.00
Contractor:
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
- Applicant -
Owner:
Lester L Fitch
4491 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
Issued By: Signature
401/P
City of Eaaii
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use ///�/1 (x/
Permit #: / v S 37
Permit Fee:!, J , j c3
/
Date Received: `r,�b 12—
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
J
Site Address: Unit #:
Name:' P j- .{ F4-6Phone: Phone: to S-1 -li n-7039
Address/City/Zip: L./to/ Clover LAI E' j .n) f�A), ,SS /2Z
Applicant is:- Owner Contractor `I
Description of work: Rk,ti Id,
d i
Construction Cost3i S (5-1) Multi -Family Building: (Yes A / No )
Company: jtcI 1. be,
Address: /%S &eneVafWP - IV•
Contact: I -0C 4a70k
State: NtIv Zip: vas -7
City: Qom' ich`'-
Phone: Cosi_ 7I7- 3'0.3
License #: 1,(4 30') O. Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
/lbi /
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:
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.orq
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 Minneso State Building C• de must b completed within 180
days of permit issuance.
x` Sk0t-k
Applicant's Printed Name
x
App ca is Signature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
DO NOT WRITE BELOW THIS LINE
44,/
Fireplace
Garage
Deck
Lower Level
WORK TYPES
New Interior Improvement
;e Addition Move Building
Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation Z439
Plan Review
(25%_ 100%Air
Census Code 31e
# of Units /
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
4 Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
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
2477
PD
/11
.II
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final I C.O. Required
Final I No C.O. Required
HVAC Gas Service Test
Other:
Pool: Footings
Siding: Stucco Lath
Windows
Retaining Wall: Footings
Radon Control
Erosion Control
, Building inspector
Gas Line Air Test
Air/Gas Tests _Final
Stone Lath Brick
Backfill Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
73
/11 icb t' if' `2/
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NOISIA O SNOrw :.
4/11411 C-10ve,
m
1
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CITY OF EAGAN
3795 Pilot Knob Road PERMIT NO •
Eagan, MN 55122 DATE•
Zoning: No. of Units:
Owner•
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
WATER SERVICE PERMIT
I agree to comply with the City of Eagan Surcharge:
Ordinances.// Misc. Charges:
Total •
By Date Paid:
Insp'
Date of Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 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'
Surcharge:
By Misc. Charges:
Date of Insp.: Total•
Insp.: Date Paid:
Cily of Eaall
3830 Pilot Knob Road
Eagan MN 53122
Phone: (6$1) 675-5675
Fax: (651) 675-5694
Date: { a—
Tenant
Use BLUE or BLACK Ink
1
Permit*:
Permit Fee:
•Aa
.
Date Received: 12'( ? —�Z--
Lgta}f:aVl---
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
j51.) -
Sits
Site Address:
RESIDENT / OWNER
Name: 12./d/v
Address / City / Zip:
CONTRACTOR
Nere: MILBERT COMPANY INC.dba CULLIGAN WA_ TER •
Address: 1801 501" ST EAST , Cid..: INV,ER GROVE:IIG'T .
stater MN • Zip: 55.(77 Phone: 65.1 ••:451 2241 •
Contact BILL,MILB` I , Email:
TYPE OF WORK _Naw � Replacement
Description of vdorti:,
_ Repair _ Rebuild _ Modify Space Work in,R.O.W.
PERMIT TYPE
REIDENTIAL•
Water Heater
• Lawn hrlgatlpn CRPZ /_ AVB)
Septic Syetetn •
New •
. _Abandonment •
Water Softener
Add Plumbing Fixtures L, Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Hdster, Water Softener, or Water Heater Softener (Includes $5.00 State Surcharge) •
$35.00 Lawn Irrigation (Inclddes $5.00 State Surcharge)
•
$55.00 Add Plumbing Flxtutes, Septic System Abandonment, Water Turnaround* (Includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 Ita 518' meter Is required) •
$105.00 Septic System V.244($10.00 per as built) (Includes County fee end $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 (051) 454.0002 for protection against underground utility damage.
Call 48 hours before you Intend to dig to receive locates of underground utilities: www.000herstateonecall.orn '
I hereby acknowledge that this intimation N omelets and accurate; that the worlt wit be In conformance with the ordinances and codes of the City of
Eagan; that I understand this Is a permit. but only -an appOcition for ■ permit, and work a not to start without a permit; that the work will be In
accordance wiapproved pia i In /tya saes of work which requires a nNew and a of a h.
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Fram:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:26 #582 P.005/079
Date:
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
`�'►1 I(�
Permit #: I " `t
Permit Fee: t S a�
Date Received: 9 I 1111.3
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
q!SIZoi3
Site Address: yy8g144198j4yqllyyql B tovCY Lane Unit#:
Resident/
Owner
Name: EGit i ktii cIo - EaSseh Company Phone:
Address / City / Zip: V/Pap CI}JWet 41i/1m uctvn ktiilcf MN %Jil
Applicant is: Owner Contractor
Type of Work
Description of work: -rear off IIt11d Ye -Y Of
Construction Cost: 911 I Lilo -DO Multi -Family Building: (Yes / No )
Contractor
i
"License
Company: I}Ilstar Construction Manoilem%rlli Lit, Contact: JCC. }i►IS-fecc1
1
Address: 51 I Indict -vial Street itID3 City: IV►G1p1G Plain
State: MN Zip: %59:1 Phone: cts2-9,41-14S`i
#: bCID3I519 Lead Certificate #: NAT- 2A910 -I - 0
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes 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:
_No
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
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.aopherstateonecall.orq
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. ' Y
x �F i. -V/ tri
x Joe, 1ivtIStecd
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
From:ALLSTAR CONSTRUCTION 19529427464 10/21/2015 12:31 #269 P.017/020
*City orBaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
OCT 212015
Use BLUE or BLACK Ink
r For Office UseI
Permit #: -33 'C%
Permit Fee: 'T/7.
?_
Date Received:
Staff:
J
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Name: ariA✓A:1 Ft+31tr " EbEesi: 11d# Phone: iliA ...,.
Address / City / Zip: 4/49 - W4 / C/ y.' i-; € e C c';
Resident/
Owner
Type of Work
Contractor
Applicant is:
Owner X Contractor
�/
t Description of work: RE." 5.r 2 l s/<7/,/ I�r..l y/ .5:10-1S
Construction Cost: 4 ze`; coc:: - Multi -Family Building: (Yes No
I'
Company: A 11sta� �n57/�uG�/4v1 tM, del Gr/ltIra Contact: �� r -en A ll�.r,,�„Z
Address: 511/5 lin u'.S / nrL � - /63
City: An &fit- P1/1;',I,
State:/ /J Zip: SC361 Phone: 452-1Y2 r7Email: ;Erieg i/Slet r. A"2 -
License #: :A66 &10 356 Lead Certificate #: J /ti i • 2 d no 1- L
If the project is exempt from lead certification, please explain why: bra i L�„� /183
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:
ILicensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
I Fire Suppression Contractor: Phone:
meuvar
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. Cat 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,aooherstateonecall.orq
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 co,pleted within 180
days of permit issuance.
Applicant's Printed Name
x
Applic
nt's Signature
Page 1 of 3
1
-------------I
For Office Use I
I� Building Permit #: 3I
I
S&W Permit#:
EAGAN
`C
I Permit Fee: I)
I I
I
Date Received: 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(@cityofeagan.com
I
I Date Issued:
1----------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date:„ /.yC % /ZIJ,�LQ Site Address:
Applicant is: ❑ Owner aContractor
Unit #:
Name: �G( �� b �/l/�� C�
j gs b C t CL-4 k 6 l/\
Homeowner
Address: *-1q I IN qy R!9 A
City: kaaa
Wip:5I2_2
State:/ vt Phone:
Email:
Description of work: P,f�-
Type of
Construction Cost
Work
Type of building: ❑ Single Family ❑ Townhome,
of units Twin Home
Compan -T7QM
Building
Address: ��f� Uj9S
City: In Pv K\ 11 ,
Contractor
r
'/
StateAwip:5 z Phone6t z�7
/?
aztEcp
y-
License #: O Expiration Date: ,3/ � % S
gcA5 �z
Sewer &
Water
Contractor
Company:
I
Address:
Required for State
new construction
Zip: Phone:
Contact:
Email:
License #: Expiration Date:
City:
*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.ora 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.
,(a,vM e.\c ��e.v �- x
Applicant's Printed Name A licant's Signature