Loading...
4464 Clover Lane - Unit BCity of Eaall Address / City / Zip: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Staff: Fax: (651) 675 -5694 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7- 12 -21 j2- Site Address: W � €r ��� Unit #: 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: Name: Ma/' a ril ,L ee - Phone: Applicant is: Owner . Contractor ?� Use BLUE or BLACK Ink For Office Use G� Permit #: Permit Fee: /7- + 1 Date Received: 7 -11 - 12 4 Description of work: Re-tart 1 d eXi sT i dect � Construction Cosh ((fi�rr j , S (Y Multi- Family Building: (Yes / No Company: C,1c 6., :sae I Contact: TO .C/ci Address: / %S &eneVa/3 P -4v City: 00d-dale State: I 't1`r 99 Zip: la0 Phone: 6 51 . 7q 7 3 License #:N,6 3 0 ) O ca. Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I J 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.gopherstateonecall.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 tate Building Code must be completed within 180 days of permit issuance. x i‘,li 7 Applicant's Printed Name x App cants Signature Page 1 of 3 it 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 Fireplace _ Porch (3- Season) Garage _ Porch (4- Season) ' Deck _ Porch (Screen /Gazebo /Pergola) Lower Level Pool Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) 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 ate ;tl TOTAL DO NOT WRITE BELOW THIS LINE //qlo C1ouC�2 LA EI , Occupancy Code Edition Zoning Stories Square Feet Length Width 7 Siding Reroof Windows _ Egress Window PD g`a /D 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 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 2of3 • o � /ROBE ENGINEERING A COMPANY, INC. Lm..... X1000 EAST 146Th STREET, 8URNSV1LLE. MINNESOTA 55337 PH 43Z•3000 cer 6tcreir eg ( o NORTH SCALE : 1 "• 30' s It a ` CONSULTING EHGINEEAS PLANNERS and LAND SUAVEYOAS ASSE gL hre i : LOTS i,23, AND 4, BLOCK 2, EDEN! ADDITION, • DAKO1P cOUMTY, MIUNEScTA C,LxL ) DEMOTES EXISTI ELEVATION (9 bE1.10 S • PROPOSED ELEVATOOM 1AUD1CATES DIRECTION of SURFACE DRAIIVAG,E FWISINED 6ARR6E FLOOR • ELEVAT/OQ ' 1hE4s (' ED r� y4:0 f' BY: Ne1.0 A se rim? .V T SB 00 9S 73�.. ` � \/ / C9 1 F ,� (936 dt 1 , 1 - IONS DIVISION DRAINIAGE AIwID UTILITY EASEMENT • 30' FRC*/T 8U1 LDMAJG SETBACK LINE f1 CA tip �\ r,( /o D.acK, I hereby certify that this is a true and correct representation of a tract of land as shoxn•and described hereon.. As prepared by ma on this 1Isr day of NOVEM862 _, 19 es . u Nina. ilea. No. CITY OF 5AGAN WATER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: P. O: Box 21199 Eagan, MN 55121 DATE: Zoning: _ -- No. of Units: Owner: — — Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 1 agree to comply with Hte City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Dote Paid: Date of Ins p.: Insp.: CITY OF ,EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. Q. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: _ Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.• Total: Insp.: Dote Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:48 #582 P.065/079 Use BLUE or BLACK Ink I For Office Use( I npn j Permit of EaRd 1 Permit Fee: 3 .~5 I 3830 Pilot Knob Road Eagan MN 55122 Date Received: a 1 i3 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 1 I I -fin 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q N1 WI3 Site Address: 416 yyWa, 4LAW, L*4W9 u Laney Unit Name: _ft C'~ QSSC,~(1 C~YYIDAYI~1 Phone: Resident/ ~N i Owner Address / City / Zip: N3Y N V\ PUY a\j, EdW PIf, ifif, MN 1;5N - Applicant is: Owner K Contractor Type of Work Description of work: ~~aY off ahd re-roof Construction Cost: s n 1 Dlocl. Multi-Family Building: (Yes X / No t Company: 4JNAY \~nD1,V1t~~(1'1 ~~I~ LAX, Contact: J Address: FJI'1J IhdIal J11 #~~3 City: n Contractor r act r State: Zip: 15C23501 Phone: "I~~' "1'1 Z" 1y7y License ,t03~ 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: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public ff 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.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 1 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_ lug I~alst~ad x (~a _ Applicant's Printed Name A Ocant's Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:06 #301 P.019/022 C!ty of Earn 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: J 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: °MO // Site Address: `/�Ci+' VV€itr £ 4'V6 t- �Yht- /l v ...,.........,.:...,:::,...,..,�._......_..:.,,.:......................:.. Unit fl Resident/ Owner Type of Work Contractor Name: ,r/ Atif,4 /7"i &Lt. — £.1ZEi/ NO4 Address / City/ Zip: Y9/05/ OftoCo t!/O✓ - Lie Applicant is: Owner ii Contractor Phone: Description of work: /SS -J2% W/7 bin,// /,(75.— cirri/Z-6414.1•44;11 04/Y, Construction Cost ./010G! Multi Family Building: (YesJ No ) Company: /Q il54 A2 davit ' u t reit J niiiivrruw,n Ce Contact: v) :en /4 A7-2 Address: S' 46 Indus -1-r; I Si- 3 I- -: /0� 3 city: Nil` o._ PLA- s State: /4 Zip: 5636'3 Phone:q) 4q. '7/57 Email: %f444..//S- r"• �.. . License #: (, o 3S io Lead Certificate #: iti/14 7 do nV - If the project is exempt from lead certification, please explain why: ;ur /993 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: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor. Phone: Mechanical Contractor: 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. CaII Gopher State One Cali at (951) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.og 1 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 wortc which requires a review and approval of plans, Exterior work authorized by a building permit issued In accordance with the Minnesota State Buildin. • mpleted within 150 days of permit issuance. x CJI r Mie-mao x Applicants Printed Name Applic nts Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137980 Date Issued:08/02/2016 Permit Category:ePermit Site Address: 4464 Clover Lane B Lot:2 Block: 02 Addition: Eden PID:10-22750-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & 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 0801.4088 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 - Marian M Lee 4464 Clover Lane B Eagan MN 55122 (651) 454-6143 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(@cityofeagan.com -------------- For Office Use I I n I I Building Permit #: I 0 I I S&W Permit #: I I I Permit Fee: I I I I I Date Received: I I I I Date Issued: I I t----------------------j RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Applicant is: ❑ Owner Contractor Name: EGLs/� �4 o t/x-A-e— 0 y, U-__,,f ja5.s cz, a I OL4 Homeowner Address:law its gque u" /-I, City: �aaa Phone: Email: Description of work: P, e Q G bh- Type of Q Work Construction Cost:) Building Contractor Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan)Thy �t h cl C_\lam Contact: Address: Li�� I' rJ & W QST 1-k\y City: j4;- -GLPV_,� State: Lip: 553�T Phone6tZ Emailia/V12 �[ �e� CSN`eo``�Q°��^ License #: t D -7r-K ) Expiration Date: Sewer & Company: Water Contractor Address: Required for State: _ new construction Zip: Phone: Contact: Email: License #: _Expiration Date: City: 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.aopherstateonecall.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