4479 Clover Lane Unit BRESIDENT / OWNER
NameL.kh a 5 ' . � 1I i t 1 J )
r �� PP } hoone:
Address / City /Zip% 1 clover' �aie L4 1l1 B• 9 ai
CONTRACTOR
Name: Rons Mechanical Inc License #:
Address: 12010 Old Brick Yard Road City: Shakopee
State: MN Zip 55379 Phone: 952 - 445 -8585
Contact: Linda Email:
TYPE OF WORK
PERMIT TYPE
/
New ✓ Replacement Additional Alteration Demolition
Description of work: 0 • 6 taanleAd A"c
� f
RESIDENTIAL
COMMERCIAL
New Construction Interior Improvement
� urnace
Air Conditioner
Install Piping Processed
Air Exchanger
Gas - Exterior HVAC Unit
Heat Pump
-
_ Under / Above ground Tank ( Install / Remove)
**When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
Other
RESIDENTIAL FEES:
$55.00 Minimum Add -on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
$5.00 State Surcharge) $ 55.0 TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation /removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
$ Permit Fee
- If the Permit Fee is Tess than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010 - $11,010 Permit
_ $ TOTAL FEE
CityofEa�afl
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
L\nc3A 3e M andelf
Cw
2011 MECHANICAL L � PERMIIT APPLICATION
- ite Address L 113 C (o v`�`� r one o un
V J
teie
Use BLUE or BLACK Ink
Permit #: 1 h 05 5
Permit Fee:t55 W
Date ReceiXed:
Staff:
Suite #:
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 n 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. U
x
Applicant's Printed Name Applicant's Signatur
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. 0. Sox 21199 PERMIT NO.: _
Eagan, MN 55121 DATE:
Zoning: _ No. of Units:
Owner: _
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Render No.: Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Dote Paid:
Date of Insp /f f9fc Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Itnob Road
P. 0 -Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: _ Total:
Insp.: Dote Paid:
From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:28 #582 P.011/079
Use BLUE or BLACK Ink
I For Office Use ~j I
' j Permit 1H
~ ✓
I
fln
City of Eap a ; Permit Fee: /1 D • 15
I
3630 Pilot Knob Road I I
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
I ------J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2013 Site Address: 44111 H411 b 1H41q 14411 B Uhtr L 9nG Unit
Ainl IM IIVtT
Name: 1,dit 00: Gasser CQMP0f1A Phone: f
t Resident/
G Owner. Address/ City/ zip: lOLM Gft V nt Pig 0k mm. c4h Pwit, MN iih 3H L4
Applicant is: _ Owner I- Contractor
1, off
I x Description of work: TeQr Q I e' Y0vf 1
Type of Work
1 Construction Cost: $1111 O- 00 Multi-Family Building: (Yes X / No
Company: z911Sior C 34 cal MgngANtlit, LLG Contact -00t ~ l tCpd h
Contractor Address: 51%4,; Inamteal StPPe #IU3 City: MAW, Plain
State: MN zip: %359 Phone: 9152- gLu-,1`iG,4
1 License 3C.1031 CJT3 Lead Certificate M N AT- 2Cq VLi -0
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
fr
e
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:
ti
Sewer & Water Contractor: _ Phone: ~i
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 th 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.Qooherstateonecall.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 dire N&w x
Applicant's Printed Name Ap is is Signature
Page 1 of 3
From:ALLSTAR CONSTRUCTION 19529427464 10/21i2015 12:26 #269 P.009/020
Use BLUE or BLACF(Ink
� For Office Use ^ ` �
� • ��!7(� (� �+ � (-���g�j �
���y o�LU�LL� R�4����� � Permit#: �� �
b � �O� � Permit Fee: �
3830 Pilot Knob Road OCT Z � �
Eagan MN 55722 � Date Received: �
Phone:(651)675-5675 � �
Fax:(651)675-5694 I Staff: �
1 I
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2015 R�SI��NTBl4L �!JlLDl�C� PER�i���aPPL�GATIOt�
Date: Site Address: Unit#•
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� � Name: i�nP�1✓a. J h�31��.V.,..��_��E•.s:,��..,0�`t Phone: /}//�I 6
� Resident/
� Owner � Address I City/Zip: y`I��' ��'7`j L �/gyZ � �'�.t=
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Applicant is: Owner � Contractor
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� � Description of work: t•- ���r �-� ,e,
� Typ�e of Work �
��w�� g Construction Cost:���GiCi' Multi-Family Building:(Yes �No
� .. .�...,�..,._.,_:__,.a.,,._�.,..�.......,-�..Y.,._m..�.�e....w.� f m�.n_.�._�_. .—_�-..�...s.�..�n�..R._..._�.w..<�,.�..:..,,�....,...���.,�..,a..�,.z.»_�...,,.,....�_..�a,.
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Company:�I�S��st. 4�nS'��uG�.�•r��s/Ylh�r►��i7L�f��G: Contact: �_.�,r►�+ dQ���-ro-ai+-� �
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�� Contractor ` Address:�i2/S �n��aS�-�-�mz 5� - �+�;4� �C3 c�ty: _,�I/1��+j�. i�'1,�„� �
State:�Zip: �5��`� Phone: �S�``��2=7����Email: /°��tc� cI, S�!"'. b'Z- �
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License#: �� (C�}�`� ��c? Lead Certificate#: d���=� 2�J�(�'� L ��
� ..��...�.�.....�.� _. �,........,_��„�.<.� �p.�,.,�,�,,...�.,..a .�..r��.,,�.R-�....�,.
� If the project is exempf from lead ce�tification, please explain why: �u r L, ;,� Ec�g3
�_—x-.�.�..��_,�..�a.�.,...._s��,.a....� ._ .."�,,�..-s.,<=<,�M��.,�,�,�-�,,.�..,.�^..�.....,a,.,�._�,....�. ...T....�.�...,.,�. ..,.-.�,Ra,�,...�..�...w..,�.�. .. .�..,�.��,.,,.��
� CONfPLETE THIS AREA OIVLY IF CONSTRUCTING A NEW BUfLDING
t In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
� j
Yes No If yes,date and address of master plan:
� Licensed Plumber: Phone: >
� �
� Mechanical Contractor: Phone• �
t
' Sewer&Water Contractor: Phone: �
� �
Fire Suppression Contractor: Phone• �
�.�,a.:.,.�,,�
� NOTE:^Plans and supporfing documents that you submit are considered to be�ublic information. Portions i
� P of
the information may be classi�ed as non-public if you provide specific reasons that would permii fhe City to '
�..m.,....,�_.M,._�,..�_.��M,n..,�,.�u,__._.�.._R,�.�,.-_...�s.�...:.���.conclude that the�r are trade secretss..,,.�.�.,,�..,�...�,..��..�r,..�,.�x.a.__.,.�,.,.,�.,�....�.,.��T..�,..,ti�.
<.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.400herstateonecall.ora
I hereby acknowiedge that this information is compiete and accurate;that the work will be in conformance w3th the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an appiication 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 authorixed by a building permit issued in accordance with the Minnesota State 8uilding Code must be cor�pleted within 180
days oi permit issuance. p _ _ �,...-�!
X -�;:�, �//'m� X �� _ �;.
Applicant's Printed Name �.. Applic nt's Signature"
Page 1 of 3
F
s
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151736
Date Issued:09/10/2018
Permit Category:ePermit
Site Address: 4479 Clover Lane B
Lot:16 Block: 01 Addition: Eden
PID:10-22750-01-160
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Linda N Foster
4479 Clover Lane B
Eagan MN 55122
(651) 452-9381
K2 Bath Design & Remodeling Llc
2710 Urbandale Ln N
Plymouth MN 55447
(952) 393-5712
Applicant/Permitee: Signature Issued By: Signature
I For Office Use -- ------
I
I
Permit
e iRt I
Permit Fee:01
`
Pump-
amu'I
� Dais Received: I
3530 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-56W I Staff.
buil i ainspectionsOcityofeacan.corp, L------- ------
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/10/18 Site Address: 4479 Clover Lane Unit #: B
Name: Linda Foster Phone:
651-452-9381
Address / City / zip: 4479 Clover Lane Unit B
Applicant is: Owner X Contractor
Description of work: P
Direct replacement of bath fixtures and finishes
Construction cost: 8500.00 Multi -Family Building: (Yes X
Company: K2 Bath Design Conrad: Damon Lee
Address.
2010 East Center Circle, Suite 100 Ciky: Plymouth
State: MN Zip; 55441 Phone: 651-452-93W Email: diee@k2bathdesign.com
BC638895 s7/2�NAT120063-1
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
Built 1986
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the lost 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:
You may subscrlbe to receive an ,electronic notification from the City of proposed ordinances by signing up for an small update on the City's
weWte at www.cityofeagan.aom/subccribe.
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.
CAI. E YOU MQ Call Gopher State. One Call at (651) 464.0002 for protectlon against underground utility damage. Call 48 hours before you
Intend to dig to receive locates of underground utilities, xn=.gopherstateone l r
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 permll, 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 Damon Lee x =
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Occupancy
Ile,'
SUB TYPES
Plan Review
Code Edition
vi,-'
Foundation
Fireplace _
Porch (3 -Season)
Exterior Alteration (Single Family)
Single Family
_
_ Garage
Porch (4 -Season)
_ Ext erlor Alteration (Multi)
Multi
Deck _
Porch (Screen/Gazebo/Pergola)
^ Miscellaneous
_
01 of # Plex
_
_ Lower Level
Pool
Accessory Building
WORK TYPES
Type of Construction
Width
New
interior Improvement
.— Siding
Demolish Building'
Addition
Move Building
Reroof
_ Demolish Interior
_
Alteration
_ Fire Repair
_ Windows
_ Demolish Foundation
..___ Replace
Repair
_ Egress Window
_ Water Damage
Retaining Wail
'Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation
Occupancy
Ile,'
MCES System
Plan Review
Code Edition
vi,-'
SAC Units
(25% 100%
Zoning
/viz
City Water ._.
Census Coded
Stories
—'
Booster Pump
# of Units
Square Feet
PRV --
# of Buildings
Length
Fire Suppression Required --�
Type of Construction
Width
REQUIRED INSPECTION$
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Beckfill
Roof: Ice ater Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed ey:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
73 i
X71
Meter Size:
_ Final ! C.O. Required
Final / No C.O. Required
HVAC Gas,Service Test Gas Line Air Test Hood
Pool: Footings Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick EFIS
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
Building Inspector
Are
-7 o 4 &,- P i`-'14#
lgwOf,
Page 2 of 3
®o�eirEAGAN
Ir�®
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(abcityofeagan.com
-------------I
For Office Use I
20 8 I
I Building Permit #: I
I I
S&W Permit #:
I
I
Permit Fee: ✓ ! ��
I
I I
Date Received: I
I I
I I
I Date Issued:
I---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3/Site Address:
Applicant is: ❑ Owner aContractor
Unit #:
Name: �Gt l/\ b t/l-t-e C) V, _-:3 llN-¢_y' S G' t O_4
Homeowner Address4l 2l AlE LI t l ?"3- NE city: �; `Q OL- VI-1,
IylR: 5(22 t�ve..
i�
State: Phone: Email:
Description of work: P2 Cs b�-
Type of 22 Q
Work Construction Cost) t
Type of building: ❑ Single Famil
❑ Townhome, of units Twin Home
Compan T7QM
t/l�('c,LC_
_Contact: 20" of
Building
Addresszy�
rt& weST
City: z;-deyx
Contractor
�/ /�
State:M&6: S3�T `J Phhone6tZ�`1S Email0_k4Ae\f _\^_e,v�
2L( qc�C 1j b Z GPCo --
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.
Applicant's Printed Name A licant's Signature