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4495 Clover Lane B ëû ÿ þýý üëüÿÿ úýýë ôí æ ææàæ þýø þýüûúùø ÷ ö ò öýûúù øöûúùôù öù ò ý òîýùú ñ þðýöï çö ý åâàþö õööÿäõâ ââààââ ïèèìì óú þýöö éýèèìåìæå éýì òñ øðõ ùù ôö ûö äþö åæòýúôòø åòíö ô íäõ äõææ ßâÞæâààà öüú íö ùù ëöó öö öóùúùùüþ ëä þý òúë îö ì ùù÷öóþ ýö ýúþ ýö CITY OF EAGAN WATER SERVICE PERMIT 37J5 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: — -- — Address: Site Address: - Plumber: Meter N6. 3 G � D - Connection Charge: / jg v -1 Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordi.anc, Misc. Charges: - Total: B / Date Paid: Date o'a p. /0 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: — 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: From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:25 #582 P.002/079 Use BLUE or BLACK Ink For Office Use j Permit M , t City of Eap I Permit Fee: 79 11°9/ 3830 Pilot Knob Road Eagan I I Eagan MN 55122 ~ Date Received: ~ j I I Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: 06 1 - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q-5- 2013 Site Address: S Lm 5 y 1 unit Name: CdtVl ftr7 C'0 • ~Vi( = Wm h~ Phone: Resident/ Owner Address/City/zip: V439flitu We&t payk-W U , Edetl%Mitie , MN %-Nq Applicant is: Owner -)LContractor i Type Description of work--Tear off and re- roi~ of Work Construction Cost: S OIS. OD Multi-Family Building: (Yes JC /No Company: A119INY [QnCJMCtDn W .rilLContact: JQC tact tfmd Contractor Address: 5145 Indl TiAl S1 etf # 103T City: MCIDiL Nam State: MN zip: 653,59 Phone: 952-941-74S79 a License BC10315'15 Lead Certificate NRT- 20910"4_0 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 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:aooherstateonecall.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. ! xJoe N-Qilsfegd x fly- ~ Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan '* t � , Permit Type: Mechanical 3830 Pilot Knob Rd lb,41 ‘ � : Permit Number EA154831 Eagan,MN 55122 Date Issued: 04/15/2019 (651)675-5675 . Permit Category:ePermit www.ci.eagan.mn.us Site Address: 4495 Clover Lane B Lot: 25 Block: 01 Addition: Eden PID: 10-22750-01-250 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. Please call Building Inspections at(651)675-5675 to schedule a final inspection. Fee Summary: ME-Permit Fee(Replacements) $59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Minneapolis St.Paul Plumbing Heating Air Fred Onuko 640 Grand Ave 4495 Clover Lane B St.Paul MN 55105 Eagan MN 55122 (651)228-9200 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 PERMIT City of Eagan 4 , Permit Type: Plumbing 3830 Pilot Knob Rd '•„ :, Permit Number: EA148237 Eagan,MN 55122 -= =-- � Date Issued: 03/15/2018 (651)675-5675 www.ci.eagan.mn.us Site Address: 4495 Clover Lane B Lot: 25 Block: 01 Addition: Eden PID: 10-22750-01-250 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). Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota Fee Summary: PL-Permit Fee $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Milbert Company(Culligan) Fred Onuko 1801 50th St E 4495 Clover Lane B Inver Grove Heights MN 55077 Eagan MN 55122 (651)451-2241 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 -------------i i For Office Use I Building Permit #: i� i 0 I I �0 �i I S&W Permit #: EAGAN I Permit Fee: Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 (651) 675-5675 1 FAX: (651) 675-5694 I I Date Issued: I buildinginspections(a)cityofeagan.com 1---------------------, RESIDENTIAL BUILDING PERMIT APPLICATION Date: W 7 /o4g2L2 Site Address: Unit #: Applicant is: ❑ Owner aContractor I 71Name:)_� e d k_ A!9C S e, C" a-41 Cy Homeowner Address: �� pC e q `�1� q 5 City: �aQ O_`� State:% Wip: 1>, Phone: Aoki-e' Email: Q Description of work: ►" 2 t: Type of Construction Cost Work Type of building: ❑ Single Family ❑ Townhome, of units Twin Home -Ths ��L/L (fO,—�-ef Compan r�A_�_,�-`p�/� Contact: Building Address: z-/3�� ( . i � j V-\A/ City:F-6ZF A Contractor State:% &4: �U `7/�/Phone6tZ-J,/ / / b 62(0 2 �� !Q(� License #: �� J Expiration Date: Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction rLicense #: - Expiration Date:- ! I 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. Z� Applicant's Printed Name A licant's Signature