4486 Clover LaneCity of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
DEC 01 2011
Use BLUE or BLACK Ink
For Office Use
Permit #: 76`�
Permit Fee:
Date Received:
Staff:
J
2011 RESIDENTIAL BUILDING PERMIT APPLICATION L-
Date: Site Address: •
RESIDENT I
OWNER
Name: Phone:
/
Address / City / Zip: "'/ /3G r Jo v,, .r Z r, ,t,,e.- 1'r;L3c_...i S-S'/aM
Applicant is: Owner Contractor
TYPE OF WORK
\
Description of work: R,G `-,,L,� O\ c� k�c�c.1c. t a iA-� 11/41.81/4-4) -c-h--
Construction Cost: Multi -Family Building: (Yes / No )
'
CONTRACTOR
J(90
11 .5i- ?Sh —7g33
Company: ICA 1;1-,/ - T
f' ,c • Contact: �oe c,� - c,e'/
Address: I /G u ,„, UAu„.. .. )c r -1, City: Oc 1o)rtj-c
State: /Ilk) Zip: S'S --)0 0 Phone: m J - 79? — 317/‘ 3
License #: Q (y2 3C.) '1C)(0- Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
v,At,/ s (Di - () .(,\: i -t- ,
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
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.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 appro - I of plans.
�o e__ o�
Applicant's Printed Name
A
ant's Signature
Page 1 of 3
14(-10&C (c�
DO NOT WRITE BELOW THIS LINE
`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%)
Census Code
# of Units
# of Buildings
Type of Construction
Interior Improvement
Move Building
Fire Repair
Repair
vt5
REQUIRED INSPECTIONS
Footings (New Building)
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: Rough In Air Test _Final
Insulation
Sheathing
Sheetrock �)
Reviewed By: 1 V
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 PCA handout to applicant
-)44-aaa. �)
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings _Air/Gas Tests Final
Siding: _Stucco Lath ^_Stone Lath _Brick
Windows
Retaining Wall: ^ Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
IVA
tor,
1/1/4‘r
9-7069°
Page 2 of 3
Vaxota Uounty .treat tstate inquiry
Dakota County Real Estate Inquiry
Data Updated 7/24/2008.
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("(LI C(OUEte- Z--(\
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r
-54
PLEASE READ
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in cooperation with and the
..moi•
C O U N T Y
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4-1c-4 C(o
These particular site plans were drawn from the previous permit. The decks will be rebuilt on the exact
same footprint*. The contractor noticed that the original decks were drawn incorrectly/not to scale and
did not want to further confuse the drawings.
*4492 Clover Lane will be extended 7'
CITY SOF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road
PERMIT NO •
Eagal, MN 55122 DATE.
Zoning: No. of Units:
Owner:
Address.
Site Address -
Plumber
Meter No : Connection Charge.
Size: Account Deposit:
Reader No.: Permit Fee:
Surcharge•
Ordinances. Misc. Charges:
Total •
By / Date Paid:
Date of .7 lnsp •
I agree to comply with the
City of
Eagan
CITY E/F 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.:_ Dote 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
41' City of Eaan
Permit Type: Plumbing
Permit Number: EA145767
Date Issued: 09/25/2017
Permit Category: ePermit
Site Address: 4486 Clover Lane A
Lot: 16 Block: 02 Addition: Eden
PID: 10-22750-02-160
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:
PL - Permit Fee (WS &/or WH) $59.00
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
- Applicant -
Owner:
Orest J Ciuro
4486 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
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