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4418 Clover LaneDate: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUt' i 9 7011 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 1`7-f1- 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Name: v Address / City / Zip: 911162 C tuVer ' Jane - Applicant is: Owner Contractor Unit #: Phone: (1 — 3 (o S— OSA Earian i Mrt) Description of work: RkX1I J d t�Xi s 0 ddz Cosi( Construction Cost i. St=om Multi -Family Building: (Yes A / No Contact: --3-0 eta.CJ Company: OeC.6.1 Joe Address: NIPS- 0S &eneua f IV State: Vi f v Zip: /a F License #: 3C) ) dEX. Phone: City: 00,1 e %Si- 71'7- 3t./.A3 Lead Certificate #: N 14 - 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.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 Minnes •ti . State Buildin • Code must be completed within 180 days of permit issuance. x Applicant's Printed Name ApVs Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage _ Multi 71 Deck 01 of Plex _ Lower Level Accessory Building WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Pian Review (25% 100% x ) Census Code # of Units # of Buildings Type of Construction VP, REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In Air Test Insulation Meter Size: Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool L{L(zr C t over Occupancy Code Edition Zoning Stories Square Feet Length Width Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required �C. Final / No C.O. Required HVAC 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 n 2290 l Page 2 of 2 ROBE ENGINEERING COMPANY, INC. ,W00 ELT 146th STREET, BURNSVILLE, tI1HHE_OT. y= 333.7 tai 4=Z -Bocci 5 'oK 41 P4 ‘E % CONSULTING EHO1HEU13 PLRRD HHCIS and LAS�iiRVEQOIIS Lin C:t c vvy- Cerci}i ce ie.oc7 Qf-.rte-ra NORTH -1 5C L6 03/.7) ,23L1 • �S�c�-3r-e t� I En- -( �� L�2O?Z: Lc T 36, 37, 38 AND 39, .&oc,C EDEA.: A©nITiaN, DAKOTA COv,v r , M t►111Vg5OTA Cla ,e DE loTES Ex157/N6 A- EV,M-MAI (135.o) DEKioTc� PRoFc D ELEI/ATICAI _ E --+-- ! kip /CA 7c : D/RL w T/cA1 Cr ✓ URPCC R ‘41 / 4f, CAST FZiaol< F1.4 -41,170A,► 76.'32 LOT"'3,5 4j ---• ,4 136.2 `f 79.83 ^i o Ln /' 2.33); 938.3 55.l0C 78.00 G.L) ; i ,135. ►: I 4 16 PRopo5E2: 4- 41A 17 C- BurLo �9 `1,0.DO-- 4 1 ee. CO • ��131.e� - a LCT (5 l L 1" G_�•� 1 ORA/NA66. AND UTILITY EAsEMENT 82.7 7e. 00 '+n 15c.2- 054 /60.74 EAST I hereby certify that this is a true and correct representation of a tract of land as shown' and described herecn.. As prepared by me on this "trAi der of 4/01-1 , 13/1. . '93l0.0� -,1 1.347 3o. } �fG • 67' Kinn. Reg, No. /6,0E5— 0 CITY OF EAGAN 3830 Pilot Knob Road P. d. Box 21199 Eagan, MN 55121 WATER SERVICE PERMIT PERMIT NO • 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 the City of Eagan Surcharge. Ordinances. ; Misc. Charges. Total. By Date Paid. Dote of Insp.: I 741 Insp • I CITY OF MEAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. 6. Box 21199 PERMIT NO • Eagan, MN 55121 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: Dote of Insp.: Total• Insp.: Dote Paid. From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:45 #582 P.056/079 City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use f Permit* I � � ViC 9 Permit Fee: 5V1:0.5 Date Received: 0111 l Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 91(12013 Site Address: dyito444 UP, 44(kt?› Glover Writ/ Unit #: Resident/ Owner Name: ecie/n Ij fl Cho: UQSSCXI tDmpany Phone: �' Address�City/Zip: 10/;38 CAN ""� Oast i tr vIc GCIChPrairie. MN 5531-4,-1Applicant is: Owner X Contractor Description of work: TeAY off and re,- Type of Work Construction Cost: $ (q 13Qp .OD Multi -Family Building: (Yes Y / No _) Company:.A11$i'Qr Ctn tativl(ii10n Pianiemati LL(i Contact 'J&c *I' d Contractor , Address: 51-17 IfdriS11 IQ! ed *4103 City: Maple Pla i vi State: MN Zip: 55341') Phone: qL— 1"12 1t -I"1 License #: Tit3) -1 Lead Certificate #: N�-iT- MY/'I -0 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) .. ._ _. _ ... _ _.. ..I 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 CaII 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.00pherstateonecall.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. SJUtt3Ttld Applicant s Printed Name Applicant's Signature •l Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:00 #301 P.011/022 4,111 CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: t037 Permit Fee: IR6Q= Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: P'//D 4 Site Address: *'&- Wf e41/14447i1- Resident/ Owner Name: 9VA F e, 6 L4 —1) 674 /-a,4 Address / City / Zip: 90i'- yo v G///ef 4 M e -Applicant is Owner i� Contractor Type of Work Description of work: "�''.5 (,q/jZ--4 "nv" ��in - Ge#/fal'rl'�fg ,%nafil i Construction Cost: 4t/4 000 — Multi -Family Building: (Yes / No ) Company: 4t( 4e, !„®sr Peaeirovs / iniii;111drUnce Contact: 'edI wt Ari ,,t -r7 Address: 6146 ! r W,S4-f IA 1 Si- -Su4 rl4- /'0 3 City: Aye- ?LA -1 el Contractor !! State: in/4 Zip: S6369 Phone:9 q .I6'r Email: ,474gt//S-)IeU'• ,4 .-. I. License #. t�l0.35 ® Lead Certificate #: //9-T doge, V - m� A t Unit #: !1 f I Phone: /✓% J If the project is exempt from lead certification, please explain why: 84; t: /983 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: 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 Cali at (651)4544002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 Buildin amu, mpteted within 180 days of permit issuance. x Vi144 Afieint2.0x Applicant's Printed Name ( Appiicpnt's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA158184 Date Issued:09/30/2019 Permit Category:ePermit Site Address: 4418 Clover Lane Lot:38 Block: 02 Addition: Eden PID:10-22750-02-380 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Devin H Stapf 4418 Clover Lane Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(cDcityofeagan.com -------------I For Office Use I L I Building Permit #: LIU I I I S&W Permit #: I I I Permit Fee: ;9, I I I I I Date Received: I I I I I I Date Issued: I t- - - - - - - - - - - - - - - - - - - - - RESIDENTIAL BUILDING PERMIT APPLICATION Date: _?/Site Address: Unit #: Applicant is: ❑ Owner Contractor Name:EG(LS!!nj �Ad OV,11y--X"5,_b4S'SC,e10-41 6In Homeowner Address:Q/ ; L4L& Llgle, Alt? Cbjc'.\,- to. -city: 1;;-cta v,,- State: Phone: Description of work: P2 is t�— Type of Q �/� Work Construction Cost ( —[ Type of building: ❑ Single Email: ❑ Townhome, of units Twin Home Compan 3QM �V'jSr�—V—CA C_ n\A Contact: `r ��✓ g Z/ � & Ujp ��Y � Building � Address: � t � City: � ����T� Contractor `J '/ State:A�Zip: S��T Phone>(otzJ`f S ' Emaili �l'Q� 3l/� S_ `0 License #: D Expiration Date: Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License #: Expiration Date: ` 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. Ll-� t�x c����� x Applicant's Printed Name A licant's Signature