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
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ENGINEERING
A COMPANY, INC.
Lm..... X1000 EAST 146Th STREET, 8URNSV1LLE. MINNESOTA 55337 PH 43Z•3000
cer 6tcreir eg
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NORTH
SCALE : 1 "• 30'
s
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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
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f' BY:
Ne1.0 A
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1 - IONS DIVISION
DRAINIAGE AIwID
UTILITY EASEMENT •
30' FRC*/T 8U1 LDMAJG
SETBACK LINE
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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
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I Building Permit #: I 0
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S&W Permit #: I
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Permit Fee:
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I Date Received: I
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I Date Issued: I
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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