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4402 Clover Lane BCity of Eagan PERMIT Permit Type: Plumbing 4011/' Permit Number: EA104838 CityDate Issued: 06/13/2012 of Q (�� Permit Category: ePermit Site Address: 4402 Clover Lane B Lot: 28 Block: 02 Addition: Eden PID: 10-22750-02-280 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 952-435-2442 Fee Summary: PL - Permit Fee (WS &/or WH) Surcharge -Fixed $55.00 $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Tony's Appliance 2090 County Road 42 West Bumsville MN 55337 (952) 435-2442 - Applicant - Owner: Marilyn K Schoberg 4402 Clover Lane B 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 C!ty of Eaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use G� / Permit #: /".! � --, 7/ > Permit Fee: / Date Received: ' Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � — 2o, Z Site Address:to/02_ e_ /00e -k- 7 ('1. , Name: Aieta[)/dk sal�,b-ej f Phone: Address / City / Zip: q R G Ver Applicant is: Owner x1 Contractor Unit #: J Description of work: / L� j I d- ekis"-I ItJ c- Construction Costes A 05- (5-1)Multi-Family Building: (Yes 1( / No ) Company: MPS— 61.1 30e. Address: /%S 6enev(r vw -1U Contact: TS--ot, Ck i City: Oc d9 State: 1 ' `t" Zip: /a0 Phone: 6 31- 75'7 - License #:(p3 0 ) d'. Lead Certificate #: 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: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 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. Applicants Printed Name x 1! Apy cants Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% 1/ ) Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE /656-g Fireplace _ Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair QZV6�` h' 34i Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Ilk 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 73 Surcharge Plan Review 47 .3 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies °�, J 2 TOTAL _ 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 PD g'O /D 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 e Backfill Radon Control Erosion Control , Building Inspector Final Page 2 of 3 ROBE ENGINEERING COMPANY, INC. 1000 EAST 14G STREET, BURNsVILLE, MINNESOTA 51137 CONSULTING ENGINEERS PLANNERS and LAND SURVEYORS 8c < C r Z `i C rzZe 24,7_51 z; L075 25, 29, 30 AJD 3/, DAK07hi ccLINTY, MIN DFAio-r 5 EX/57 N6 ELE✓AT/Olt! NORTH SCA LE = t" = 3C' • q N gl.X /0 / prt.t 944.3: I cc;62.041 244 J/ AdAN '.AWED DENOTES PROPCSEC ELI VAT IOA// ..rr� INDICA-1'4%S D/RECTiO/J c95,,% -rep FA C DRA/A/•46E 1,013- >: !ru IsHr, !"LOCK �lv TIONS DIVIC' ON 1 77„ / So.0 I f� AlB?~ • t DRAIN 6E AdV D UT, L ; TY EASEME'1?' , el I hereby certify that this is a true land as shorn' and described hereon.. m , I9St. -7 (,438.`) / and correct As prepared representation of a tract of by me on this , / day of Minn. Reg. No. ± CITY 9F EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road °. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: _ Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: agree to comply with Hte City of Eagan Surcharge: Ordinances. Misc. Charges: l Total: By 2 ((FP) Dote Paid: Date of Insp.: r 5:41 Insp.: CITY OF EAGAN SEWER SERVICE PERMIT - 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: _ Zoning: No. of Units: Owner: Address: Site Address: Plumber: 4t v 1 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 09117/2013 08:42 #582 P.050/079 Use BLUE or BLACK Ink For Office Use I j Permit j City of Eagan I 33 Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: _Ot Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff., I I I 2013 RESIDE\I f'Tf(IAL' BUILDING PERMIT APPLICATION Date: I I ZU~3 Site Address: 4LAIL7LH 1409, 44CH E ChO ~,Cllrhi Unit to Cf~ ~m~ Name: Phone: Resident E Owner Address / City / Zip: ~n WU?) Uhl St PULNOi\V' f& 646 MN %NY ~ Applicant is _ Owner K Contractor Type of Work Description of work: TO off and Ye-troc~ Construction Cost: Multi-Family Building: (Yes / No I 4 Company:Abgi t Uh l I LLL Contact ~)Ut I Address:514Gj Ir1d"IUI S11 d *10 City: MQLDV_ P t Contractor State: MN Zip: %Fo 1 Phone: "t b1_g41_ _IHSLA License* _-r,~l,~2JICJIS Lead Certificate NIT' W~tv-1-O 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: I Sewer & Water Contractor: _ Phone: NOTE. Plans and supporting documents that you submit are considered to be public-in-formation. ~Pariions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.cioi)herstateonecall.ora 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_ (It H~ Iwad x 1 .i"Z Applicant's Print d Name Applicant's Signature f Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/21/2015 12:20 #269 P.001 /020 Use BLUE or BLACK Ink � For O�ce Use � � L�A j Permit#: �� /�� j Clty of �� REc��v�� Permit Fee: i 3830 Pilot Knob Road �� Z � �� Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I I Fax:(651�675-5694 I Staff: I � �---------------�� `� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION � �� ,�1 Date: Site Address: Unit#: ; : � Name: i�iJA✓�►. 1 �31 t�' " �J�..i �d� Phone: /1//� :�;�tesi,dent/;:�:'`:;: / \ ,.:,..>�.:::.:::::::. �Z- y' L�� 1 c- ,;;;;°..;•-��:e:;;:;:;::;::;';;,� Address/City/Zip:`�t/ "7� l ��+v�� /�4,�.�� F��M ;;::;;,.:�.._1?.,..1'. ,� a�:i;`:;; A i I cant is: n r Ow e Co tr r PP � n acto .:`:�.":;`:';?:::;;':;.;;t;;;g.;:'> , , Desc' � � n in fwr • t o 0 o k. � �C .�C in/ n .,i� t� , P r��/ if ::�:'::�_..:�;;,.Q: `.:r�.;.; / s-'� � e, ..�:�%a ,YJ?.: - # � ,✓ ;��;>>:��'`':�:: 2.� , c��`_ ,:: Construcii G� :..:.:.:.....:.:::>.::.-:.:.:..:.,::.,, on Cost: - ' F 'I B Multi ami ild' � u i Yes /No Y �9�� ) �,...�...�,.,. y . + /I . ,�.::.;<:;;<::.:;;.';<;::,�:::>::�:::::.:;�:,::::;::,:;,>,:: Company:�I�St�ql� 4%nj��2uG�.�� y/hlt�n��/Caft�;G Contact: �a rn A��rr+et-..� 9. ;,,:,; , , c ;;�;:;:;:'<::;��;'':<<`::';,,'.',�;`,°;;.;;c,;>':.'':;':' J _ ,� ,q ,q � �.;�>;;";>' Address:�� n/��5��-��t-t, - S�s.�� /C.� � � ..::...:: .::::.:;,":i�'i�;:; �i/ ' S?- , City: 1'Y i 1�� A..• �`:;�?DT1ti`��t.p�:;;:;�';' . , / ' ; � '; ` . State:,�Zip: ��`3 Phone: ��-`j/2']5/��Email:___i��c+�c:c t�S'frt I". b'Z _ cp � � �::.e=::::::._<:;;_:::�s::<:::;;_::;; License#: �C (t'�� S' �c. Lead Certificate#: hIt►T� ac%f(p� L If the project is exempt from lead certification, please explain why: ��;L, �„� �c�8� 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: ..:::.-.. ,....; :: . _..:.,:,:;,;::.::- ........:.... :::::::,.::...:.,:::;::..:;::.:.::.,:..:.,;:,..,::.,:;::....:.::._.::;::::.:,:::: :::.-::.;....:,,:.<::.::.::>;>.;.:::::.::::;::..,:;::.:::::_..::,:::::,,:..:<-:::::;::..;,:...::.•::.:: .:::.,:,>::;:,...,..:.::.,:,:::: :.::;.:.::.,,:.::;.,.:<::.:: ;:.. �ID�E Plans�nd suppQr{t�Rg alocuments that y�u subrr►it�re consldece,d:•#o„�ie.publlc r��or�►�t�ar�..�For��o,ns of � the�,niormation maybe ciassifietl as non pkblic rf you�rov�ple s,pecifi��ie��Qn,s�ha#y�►ou�d p"ern�at th��ity',,#o � .:�or►clu.�le that.:fhe ;�re.trade;:secrets.: �� CALL BEFORE YOU DIG. Call Gopher State One Call at(659)454-0002 for protaction against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.org I hereby acknowledge that this informaqon is complete and accurate;that the work will be in conformance with the ordinances and codes ofi the City of Eagan; that I understand this is �ot a permit, but oniy an apptication 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 780 `' days of permit issuance. ,_ -. ,..✓� 7: x ��•�+ �/�fm�hJ X �� ApplicanPs Printed Name Applic nt's Signature ` � Page 1 of 3 S � t � -------------I r For Office Use 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspectionspcityofeagan.com 1 �ZlL��b✓ I Building Permit #: 1 i I 1 S&W Permit #: I Permit Fee: I I I v I I I Date Received: I I I I 1 I Date Issued: I I I— — — — — — — — — — — — — — — — — — — — — j RESIDENTIAL BUILDING PERMIT APPLICATION Date: �h Site Address: _ Applicant is: ❑ Owner aContractor Homeowner Name: G(�t/� b V\/�� C'� V. �� U�y'/�� _/fi- CAS e, C' ct-4 6 In Address:' !A A10 16/04/ �,� r%?�buzy LEI City: �aQOL \P, Phone: Description of work: P, 2 Q Cs t�— Type of Q Work Construction Cost l `/ Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan 3CM �t/t t't,LC_ C�\/� Contact: �u �✓ Building Address :�� 1'� WEST T 1�— y City:z66py- Contractor fJ / ,/ /? aJ�C ^ >✓L , State:��Zip: .SU�T Phone:cotZ�7� Email.{a/Vle.�f �eyr License #: D 0 Z Expiration Date: Sewer & Water Contractor Company: Address: Contact: Required for State: Zip: Phone: Email: new construction i License #: Expiration Date: City: S: I l understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. R 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.y eA x Applicant's Printed Name A licant's Signature