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4447 Clover Lane - Unit B41 C!tyo:fEa�au Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 T Fax: (651) 675.5694 Applicants Printed Name 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Name: ' 7 " 3 AAC Address / City / Zip: Applicant is: Owner Contractor Description of work: 1 eXi s I / ,�JJ j de d Construction Cos 9 � Multi - Family Building: (Yes / No ) Company: Joe Address: NOS 6enec.e i w • iV State: b t I v Zip: / ae License #: K63 0 ) dr Contact: ©C - Ck i City: s !'- Phone: 3-1 7T7 3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) V iL T !H �G 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: 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 Minneso - State Building Code must . completed within 180 days of permit issuance. 4 Appl i+ Signature x Phone: Use BLUE or BLACK Ink For Office Use ., �j 1051 1C Permit #: Permit Fee: Date Received: Staff: Unit #: Phone: 4 I - L / � / 3 - Page 1 of 3 SUB TYPES Foundation _ Fireplace Single Family Multi 01 of _ Plex _ Accessory Building WORK TYPES New Addition Alteration \t Replace ( Retaining Wall DESCRIPTION Valuation Plan Review Garage 4 Deck Lower Level Interior Improvement Move Building Fire Repair Repair (25 %_ 100% \) Census Code #of Units # of Buildings Type of Construction V(5 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: Occupancy Code Edition Zoning Stories Square Feet Length Width RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL DO NOT WRITE BELOW THIS LINE _ Porch (3- Season) _ Porch (4- Season) _ Porch (Screen /Gazebo /Pergola) Pool _ Siding _ Demolish Building* _ Reroof _ Demolish Interior Windows _ Demolish Foundation _ Egress Window _ Water Damage *Demolition of entire building — give PCA handout to applicant Building Inspector Plivac } /[60urti0 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required 'x 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 _ Backfill Final Radon Control Erosion Control c). 1.K Page 2 of 3 ROBE E E NGINEERING CONSULTING and ENGINEERS, COMPANY, INC. W00 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 P11 432 -3000 Accele Qt . LOTS 5,6 AND 8, BLOCK 3, EDEN ADDiTION, • DAKOTA COUNTY, MINNESOTA NORTH SCALE : I "= 30' DRAMJA4E Ati1D UTILITY ,EASEMENT : 1 i (.55 DENOTES EXISTU'J6 a LEVAT/OM (92o.0) DEILIOTES PROPOSED ELEVAT/Oh1 INDICATES DIRECTION - OF SURFACE DRAINAGE. 92o.a� FIN 15I -!ED EARA6E FLOOR ELEVAT /01U 30' FROPJT BuILcIN6 -__J £ r2ACIC LINE (920. (9/92; O m (9/4.0) (964 tn 8 o 0 2 5 2. LOT 5 i919a i ) (9/9.8) 1 lU 89O 581 021 F (9/7.0) 133.27 8UILLI N CLOVER LANE s C9/9 9f 1.27 LOT 8 ti I 03 (.-9-2-15) 4467 1 , Z3.0� � 923,[73 „92 E. z,, LOT rQ o LOT 52.E (92z4 6.34 2 (92 )} N 890 0' 02"( R° 190.00 I ('920.5 (920.4) t /9.:4 44.61 i 14 _ 9, 0j , 'M 1 iti iti ki 1 .. 1 PROPOSED (u n'! `� 1 ..., U. I � � 4 — IU1.IIT o ▪ 89 Se'ot "E ` - _ o c� - - 46.53 + 9/�1, ) 03 J 1 _ CO f"9 /94 r1. `= I 1 hereby certify that this is a true and correct representation of a tract of land as shown' and described hereon.. As prepared by me on this Jsr day of /Vave'MBER , 1965 xinn• Rea. No. CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box '21199 PERMIT NO.: Ea`yan, MN 55121 DATE: Zoning: _ No. of Units: Owner: _ Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: i agree to comply with the City of Eagan Surcharge: Ordinenca. Misc. Charges: Total: By Dote Paid: Date of Insp.• /1 6- Sf � Insp.• CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eatjan, 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: Date of Insp.: Total: Insp.: Date Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/1712013 08:33 #582 P.026/079 Use BLUE or BLACK Ink I For Office Use ~p Permit ` j City of Calm I Permit Fee: ~s 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I ( 1 Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q 71-01 Site Address: 4 1 A4 44q CAMP Ovit Unit I Name: ftAw ~ C Phone: t Resident/ Owner.. Address I City / Zip: (014st (jliUl (l bi PROMOIUr M Maine, NON r3ca l I Applicant is: Owner Contractor Description of work: ]My off and t -yd) I - - Type of Work Construction Cost: till p 010. Do Multi-Family Building (Yes! No I r ~I Company: ftiaV CDY 1(IAChOn ManAA1`YffJ3i Contact: ~Joe,~t~ d Contractor , Address: 51% MU.~YW SITCH 103 City: wbilb Plain G °~2 - 9y2-5y State: WA Zip: rJrJ Phone: License _ P,~CIa315` 15 Lead Certificate N19-T- 2Ugw-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: Sewer $ Water Contractor: Phone: .NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of 1 the information may be classified as nonpublic 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,gopherstateonecall.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 co~~nnpleted within 180 days of permit issuance. ry x (jot 1.11 l,Vl d x L,, V t- 11 Applicant's Printed Name AppliC'a is Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA107198 Date Issued:10/01/2012 Permit Category:ePermit Site Address: 4447 Clover Lane B Lot:8 Block: 03 Addition: Eden PID:10-22750-03-080 Use: Description: Sub Type:e-Windows/Doors Work Type:Overhead Garage Door Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 5,656.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Melissa M Bury 4447 Clover Lane B Eagan MN 55122 Window Concepts MN 990 Lone Oak Rd #114 Eagan MN 55121 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:03 #301 P.015/022 Date: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: / TSCa° Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION ,24e 4 , Site Address: 1/1/4/1' 9999 ��✓G� � Unit*: Name: OldVA- i i et — 466'1 M7,4 Resident/ Owner Type of Work Contractor Phone: Address / City / Zip: 9997- WV, C% dtZ 1v rL- £4- S w I Applicant is: Owner x Contractor Description of work: Construction Cost: 4$I010dd A'rk- W,r% t4»y/ 5:0'eri4'- Z/cebil-ed s44 42119= Multi -Family/ Building: (Yes/ No _) Company: ,QllstE44. 644e. 44;g44 f ��jil/tCeContact: V'WI 1114'n sk-r7 Address: C/ 04 6 1 n14S4-telt 1 S77. sr.Q rf-t /0 3 City: Mirk ; State: OW Zip: 56369 Phone:q0-90-7 6q Email: ./%/4 //s-/ Lieense #: &403S 0 Lead Certificate ft: A/IQ'% 070 9t/ 7 gsg If the project is exempt from lead certification, please explain why: ujur . ;. /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 8, 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 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 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 work which requires a review and approval of plans. Exterior work authorised by a building permit issued in accordance with the Minnesota State Buildin ompleted within 180 days of permit Issuance. x EhlctV Applicant's Printed Name Applic nt's Signature Page 1 of 3 ®;1e I r i � E AGA N 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(a)cityofeagan.com --------------I r For Office Use I I Building Permit #: �Y,��U� �✓ I I S&W Permit #: I I I Permit Fee: I I I 1 I Date Received: I I I I I I Date Issued: I---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: qhQ23Site Address: Applicant is: ❑ Owner Contractor Homeowner f Type of Work Building Contractor Sewer & Water Contractor Unit #: Name: �GC � t/� (7 V\/�,Z C� .� 11�¢.y� S / 45t s e' C' c 4 l 6 l/� Address: q t City: �aa OL v,-, Statel—Mip: 3512 2 Phone: Email: Description of work: P� QQ C. t - Construction Cost of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan j?Q Mt'c.LC_ (�\lam Contact: �" `�' l/l Address/ r�1 W SSTy City: State: Lip: 553IVT Phone6t z-J7 5 EmaiI- AmeQ C '�� 9� fi o z �� 3% 3// `�' License #: � O Expiration Date: Company: Address: Required for State new construction Zip: Phone: Contact: Email: License #: Expiration Date: City: ylzl�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. av L\< — Applicant's Printed Name A licant's Signature