4431 Clover LaneDate:
City of Ea�au
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
Site Address:
/316 1' /4
Exterior work authorized by a building permit issued in accordance with the Minnes
days of permit issuance.
nt's Signature
For Office Use
Permit #:
Permit Fee:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date Received:
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:
State Building Code m st be completed within 180
Use BLUE or BLACK Ink
Unit #:
Name: ) (t fy' e S WM S ]] Phone:
Address / City / Zip: 3 'O(/ ` L
Applicant is: Owner Contractor
Description of work: Re c% d- d
Construction Cos
Company: CTU
Address: 1 /1-S - 1V
State: MN (I Zip: S a0
License #: 30 drx.
Phone:
Lead Certificate #:
Multi- Family Building: (Yes _4„._ No )
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.
Page 1 of 3
(Is
SUB TYPES
Foundation
�( Single Family
Multi
01 of _ Plex
_ Accessory Building
WORK TYPES
New
Addition
_ Retaining Wall
Fireplace
Garage
Deck
Lower Level
n6
Alteration Fire Repair
Replace Repair
DESCRIPTION
Valuation
Plan Review
(25 %_ 100 %k )
Census Code ( {`
# of Units
# of Buildings
Type of Construction
_ Interior Improvement
Move Building
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
TOTAL
DO NOT WRITE BELOW THIS LINE
Porch (3- Season) _ Storm Damage
Porch (4- Season) _ Exterior Alteration (Single Family)
Porch (Screen /Gazebo /Pergola) _ Exterior Alteration (Multi)
Pool Miscellaneous
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
_ Demolish Building*
Reroof _ Demolish Interior
Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
1 C(cser
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Csc�_
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 _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
twL-
'11 9/1+x/ '
1 5 - 3o
lo<97
Page 2 of 3
NORTH
SCALE : /" - 30'
r93a. 2b)
/ `
i
ROBE- •
ENGINEERING
COMPANY, INC.
1000 EAST I46i STREET,
30' FRONT 8V/I.DIN6
5ET(3&J( L /A/Mt'
r
'o
PROP4
78.0
k
935.
LOT 19
4 - UNIT
9 2
IJ s e 44' 00 L
- 78.0¢
M
n
0 M —
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fr
CONSULTING ENGINEERS
PLANNERS and LAND ENGINEERS,
BURNSVILLE, MINNESOTA 53337 PH 432.5000
L0T5 17, 18, 19 AND 20, BLOCK 3, EDEN ADDITIO J,a f
I
1/
DAKOTA COUNTY MINNESOTA
I ri l
Lam`
/y1I
4/(( 2
r l
1 hereby certify that this is a true and correct
land as shorn' and described- hereon. As prepared
m4&4 , 19 E4 •
o a rt y
„
lg . 51 52.
eerie
3 Paev
E
2 143 1
Ctoie
I 05
.1
C13:1) DEMOTES EX1STIN ELEVATION
('336. o) DEMOTES PROPOSED ELEVATION
.�--- I#fDICAT 5 DIRECTION OF SURFACE DRAINAbE
935.83 = F/N /SHED GARAGE FLOOR ELEVAT1
representation of a tract of
by me on this 7. day of
DRAUNA&E AND
UTILITY EASEMENT
441')
., __ Hann. Rog. No. / ... G
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Rox 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 the City of Eagan Surcharge:
Ordinances. ✓ Misc. Charges:
By �.�`�� Total:
Dote Paid:
Date of Insp.: 1 1 �"
Insp..
CITY OF EAGAN
3830 Pilot Knob Road SEWER SERVICE PERMIT
Box 21199 P. 0.
P 0 . MN 55121 PERMIT NO.:
Zoning: DATE:
Owner No. of Units:
Address:
Site Address:
Plumber:
1 agree to comply witir the City of Eagan Connection Charge:
Ordinances,
Account Deposit:
Permit Fee:
By Surcharge:
Dote of In Misc. Charges:
Insp.:
�. Total:
Date Paid:
From:ALLSTAR CONSTRUCTIOR 19529427464 09/17/2013 08:36 #582 P.035/079
Use BLUE or BLACK Ink
For Office Use ~n 1
j Permit I I t I j
4-1h. 1 City of Evan I (30
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: Ot3 j
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~~5 ~ZbI3 Site Address: 49n I f 1 1 Ur +0 j14431 PJ Clover LQM Unit
~.~.=~.e,.~.,..v...,~.~..~m.. Name: GlAtitr 1 'IIVn CID. ~~S~ih l~Ctmunn~_ Phone:
Resident/ n
-ft Owner. Address/ City/ Zip: (H1e l Vl t,si ~k~((~V yt~Y~t, , M IY ~"7 y
Applicant is: Owner Contractor
Description of work: Tyr (>f qnd YE-I~DDf
Type of Work
Construction Cost~~ 0 ~V Multi-Family Building (Yes / No
Company: A'Mr CbftM00 ftU t LLC Contact:
Address: FJIt-IcJ 1Y1G1US1YICt~ StYal'-4- # ~D3 City: wple, 101 i 1'1
Contractor
State: MN Zip: _5C2-31501 Phone: g5Z_gq2 License W?J Lead Certificate
C (5 WT 20 lvy -D
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 if you provide specific reasons that would permit the City to
conclude that they are trade secrets. rx ~v
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.ora
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 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. 0 l
Applicant's Printed Name Appl' ant's Signature
Page 1 of 3
® 6 ® B I
o e
®®®® �00 EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(@cityofeagan.com
-------------I
For Office Use
I Building Permit #: U
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S&W Permit #:
I
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Permit Fee: T?I L`l zl I
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Date Received: I
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I Date Issued:
i---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Applicant is: ❑ Owner Contractor
Name: �GCQV\ "b 0-e_ (L>L U'Q_y'S tqs�s & C I ct_4l
i
Address: 14y 3 1 9 ui Lk�2- AIR city: aCt Q
Homeowner
State:% W i .5 2 Phone: Email:
—
Pik
1 Description of work: c
Type of q
Construction Cost
Work
Type of building: ❑ Single Family ❑ Townhome, of units Twin Home
Compan T7(�
Building Address: L/&P_) (_. r am W Qs-�_ l tF--� y City:GkVA
Contractor `, 1 _
State:mllh : 553�T Phone61ZJ1/Email. Q \[ �e ✓� �CSti^eo``��`�
�E�x
�z2�_W
License #: iration Date:
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License #: Ex iration Date:
I
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. i
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.
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.
Applicant's Printed Name A licant's Signature