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4484 Clover Lane BCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA101505 Date Issued: 10/11/2011 Permit Category: ePermit Site Address: 4484 Clover Lane B Lot: 14 Block: 02 Addition: Eden PID: 10-22750-02-140 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Pella Windows & Doors Turnkey Sales 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 - Applicant - Owner: Jeffrey L Hutchinson 13645 Hanover Ct Apple Valley MN 55124 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 41111 City of Evan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: a Name: `, �i h / 1) Phone: 6/3- 5M -,"&"7,-/ Address / City I Zip: gyp/ B ('. L '.». 4.Az Applicant is: Owner V Contractor Description of work: Rebur daz Construction Cost3i S- (5-13 Multi -Family Building: (Yes )( / No Company:jjtCN \c3 .3©` Address: 1%5 (CneVaiff IV Contact: 1-o , 't•ki State: MI" Zip: se-s-A1S License #: M630-) d Phone: City: .-k l . Cos — 7/7- 3Y;3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /JUi i /N' 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.00pherstateonecall.oro 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 ode must be completed within 180 days of permit issuance. x Applicant's Printed Name ant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DO NOT WRITE BELOW THIS LINE jos- 1.-Nr tee Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION Axfy-" Valuation Plan Review (25% 100%__Zr Census Code # of Units # of Buildings Type of Construction 77-8 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool 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 PGA handout to applicant Occupancy .2- RC -1 MCES System Code Edition a co? SAC Units Zoning %P/3 City Water Stories Square Feet Length Width - REQUIRED INSPECTIONS Footings (New Building) ,k 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 I/ ,2d Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Other: Gas Line Air Test Pool: Footings Air/Gas Tests Siding: Stucco Lath Stone Lath Windows Retaining Wall: Radon Control Erosion Control Building Inspector Sce6 /0--e TOTAL_ Final Brick Footings — Backfill Final Page 2 of 3 4111110111100 C�1 0 /He"- 6 ‘1.14 C1 bv2t C� to.s"i1 WElD --1-IONS DIVISION ghghl7 CITY OF ,EAGAN WATER SERVICE PERMIT 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• I agree to comply with the City of Eagan Surcharge. Ordinances. Misc. Charges: Total • By Date Paid• Date of Insp.: Insp • CITY OF iEAGAN 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: B Surcharge: y Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:54 #582 P.077/079 City of EaQali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675.5694 Use BLUE or BLACK Ink For Office Use �'nf Permit #. ( (1 (l' (t Permit Fee: 61 ` 95 Date Received: Ct 0 113 Staff: 03 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 91012013 Site Address: 44141yyINelLMtIi19'1 b ClcxC1 4tne Unit #: Resident/ Owner Name: t1tfl 01 010. G.asse1n CAmpany Phone: �i Address / City / Zip: IJH i tj WeS-t P YkWYay Edtfl �'G (YI C I MN 5cr3`j�-I r Applicant is: Owner Contractor TYpe of Work Description of work: -Zak V`E cod ye,- v of Construction Cost: 41QI L,vO. OD Multi -Family Building: (Yes)( / No ) Contractor I iw1AY Mille* 1 I t, LIG Contact: At i a d Company:.y,, 'e Address: �I t "��vlt lal &fine -i 11103 City: WV 1)10h1 r 1 State: Nig Zip: 9 Phone: �52— -(�IL1Z— 1�' 1GLJ W3 License #: 13C43 6-1g Lead Certificate #: NIT- (D'f () If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes _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: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and the information supporting documents that you submit are considered to be public information. Portions of 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. 11 4 x u C) Applicant's Prin d Name x Applicant's Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/21/2015 12:30 #269 P.015/020 41011 City of Eat 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED OCT 112015 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Resident/ Owner Type of Work Contractor Contractor Unit H: J Name: U,i✓A: I P.i31es" (bE••i t'idA Phone: Address / City / Zip: �7[/fi' y,114 61the -rt L -.k1 Applicant is: Owner X Contractor II A Description of work: RE -- 5, .g in lid bi yi /•rj Vies CLEVp17,cr. 0341-�' I u i Construction Cost: iGa c'e Multi -Family Building: (YesNo i Company: A 11514.1._eons4g.41,in i/✓litul najice Contact: %.,), t A %1Er•+ Address: To71.5 inks-ite-, ro-L kir. /03 City: /1/1/keit Int FF..1 State: //lei Zip: 6s.%I Phone: 452-4f/2'710/.5lEmail: i,i- gcL1/S"irz6'. b'2 - License #: .136 &9t! _3CD Lead Certificate #: A/A'%• 2d160q' Z. - If the project is exempt from lead certification, please explain why: 80 ;LI- /153 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: PNOTE: 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.000herstateonecall.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 corTpleted within 180 days of permit issuance. x - ,.+, f1/4 x Applicant's Printed Name Applic nt's Signature Page 1 of 3 f City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA137713 Date Issued: 07/19/2016 Permit Category: ePermit Site Address: 4484 Clover Lane B Lot: 14 Block: 02 Addition: Eden PID: 10-22750-02-140 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 Surcharge -Fixed $1.00 0801.4088 9001.2195 Total: $60.00 Contractor: Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 - Applicant - Owner: Jeffrey L Hutchinson 13281 Downey Trl Apple Valley MN 55124 (612) 280-9674 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 e*i� 0 EAGAN n 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(a)cityofeagan.com -------------I For Office Use �y n/ I 1 Building Permit #: �Tl L,1J��j I I I I S&W Permit #: I Permit Fee: I I I I Date Received: I I I I I I Date Issued: I---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Applicant is: ❑ Owner Contractor Homeowner Unit #: Name:�ibyV,e—CDk As�5C�C'Ipt_4k C> Address: CJ�/ ri 4k.Ii�d+v City:aQ 0. Phone: Email: Description of work: P,,, Q C, Type of Work Construction Cost Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan :17QM t/t 't c.�_ o\� Contact: Building Address:6 q B CA& UJP-<- - &� Y City:�GCP� Contractor f/ '/s 5-k/ Phone6tz-J'f State:Wip: License #: o ti Expiration Date: Sewer & Water Contractor Company: Address: Required for State: Zip: Phone: Email: new construction ( License #: Expiration Date: Contact: 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.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� 1�e--\C + x Applicant's Printed Name A licant's Signature