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4450 Clover Lane - Unit BRESIDENT / OWNER Name: Phone: Address / City / Zip: L/ L/ so 6 c lei° J � 4y�..C_.. . Applicant is: Owner Contractor TYPE OF WORK Description of work: fe e� , 'J' Z & k ! v / . 4 Z g" �``''--- Construction Cost: iit FGA Multi - Family Building: (Yes / No ) CONTRACTOR Company: 0- " eie 3 h 3'62-e-- Contact: 3 Address: 1q6 C 6 ,C� v City: �?t- A4-C -- State: 44. Zip: 7 C)2 V Phone: a( � ` z69 -00 License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) � f4-7 a . t l 7g (' b* In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may classified as non - public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 9 11 City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 a, k Applicant's Printed Name Applj nt's Signature r Use BLUE or BLACK Ink For Office Use J / ��/ Permit #: ` , / Permit Fee: i10 Date Received: 2(-I 2- Staff: f17 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.gopherstateonecall.orq 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. 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: 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 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 %) Census Code # of Units # of Buildings Type of Construction RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Fireplace Garage Deck Lower Level 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 Insulation Sheathing Sheetrock Reviewed By: L TOTAL DO NOT WRITE BELOW THIS LINE 2 /`75 b 13 " Clo✓e Cs� Porch (3- Season) Storm Damage Porch (4- Season) Exterior Alteration (Single Family) Porch (Screen /Gazebo /Pergola) Exterior Alteration (Multi) Final Pool Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Siding Reroof Windows Egress Window 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 _ Siding: _Stucco Lath Stone Lath Windows Retaining Wall: _ Footings Backfill Radon Control Erosion Control , Building Inspector Final Brick Final Page 2 of 3 • CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 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: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By (.��' Dote Paid: Date of Insp.: 40 >i g Insp.: CITY OF EAGAN 3830 CITY Road SEWER SERVICE PERMIT P. Q. Box 21199 Eagan, MN 55121 PERMIT NO.: Zoning: DATE; Owner: No. of Units: Address: Site Address: ______ Plumber: 1 ogre* to comp with the City of Eagan Connection Charge: Account Deposit: Permit Fee: By Surcharge: Misc. Charges: Dote of Ins p.. Insp.: Total: Date Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:47 #582 P.062/079 Use BLUE or BLACK Ink I For Office Use (n I j Permit (I City of Eagan I Permit Fee.^ 5 I 1 I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: N Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2 Site Address: ~)~G'1 HIB14~%'1yc_pg C, oyck Lam Unit M Name:WM Niq COQ. US= Phone: Resident/ Owner . Address / City / Zip: ~j 3y Applicant is: Owner Contractor aY 8 t Ye Type of Work Description of work: itay Off Construction Cost: $I1 11`5 8D. Multi-Family Building. (Yes X / No f Company; oy, ma t Contact: € Contractor Address:51% l Yd ftal cam. a 1 reti 10 -City: MWt Nib c. State: M_ Zip: ICJZ- I'12" IL4 Phone: t W License f 031''J)J Lead Certificate Nr1T' ~q~Dy'~ 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 may be classified as non: public, f you provide specific reasons that would permit the City to ~v ---conclude thattare 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.oopherstateonecall.org 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. x / ;(Lij ~n x `t ! C1 ' Applica 's Printed Warne A li ant's Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/21 /2015 12:25 #269 P.007/020 Use BLUE or BLACK ink � For Office Use i �� R�CEIVED � Permit#: �u_ � y �� ; � � 3830 Pilot Knob Road ��OT � 1 �O� � Permit Fee: � Eagan MN 55122 � Date Received: � Phone:(651)675-5675 � � Fax:(651)675-5694 I Staff; � I � ��_��.�__��J 2015 R�SIDEl��`!A� ��tLDl�C� PER[��T APRLlC�►YlON Date: Site Address: Unit#: �..-,�.�-,,,.,�.< ._�..,...��,.�,,�.,..�..r,,._.....�.:�..,..,�.�:4,_.�.,��:.�,,..�.,..�,..._..,.:.�,... .�,.�...� — - ��-- r ,. , . �...��...�,._�..-.s,,� �,A..�...,.�,,,,�.,�,...,�..�.�,M,�,_,.�.:� Resident! � Name: ��,A✓f►: J Frti31t� ��.i �de4 Phone: /►//� � � OWIt@t Address/City/Zip:°�7��'7`/s� � . � �j¢r° __ /�� 1_q-,J � ��-, � Applicant is: Owner � Contractor s ; _.,,�..A._,k�.� . �Description ofwork: r.�,��:4�r�C...�MA.wn..,..i,R...�,.,.�.�,_�.,.�.1.�.,.:....�.. .�.�.,�.,v,..,.,.�.�._..._„�,.�x.._� _.�„�,..��...d„_,._.�__ --� Type.of Work � � , � � Construction Cost: � ��l�e✓C� Multi-Family Building (Yes �No .:.�..M,.�.,.�....,�.�...��..,R,..,=.z,......,,.�..,�,�..�,,.�,,.,.,..m,.....,.�.�.�,..,.�.�.�,�.�_.:.,�„__.,,.��.�.._,...,,_...,..:_._.,a...�...-,.��..,.n...,.,..R,z..,,..�;.._...,�.�-� , ) ...,.� c Company:��lSth/� lisn5'�iZuG�,�re t��l�on�finlzJt�� Contact � s� :,�.,..��__...�, ...,�.�,� � � � , .� � ' A I��.�,�-..� k � � � COt1tflCtOr, . Address:�ti/S �n��r5��-��-L.��- - ��;+� �C3 c►ty: �V1�,��t t�'(��i-� ; State:�Zip: ��'-�r` `� Phone:��2-`i'�2=75/5'7j Email: ��tc� ca.1 �'7'zr/°'. b'Z.. � � . - f . License#: �� G'9�`� �� Lead Certificate#: fr��s• �*Jy(d'� Z � .x„� __....�•.�._..._,�.�..,.�..,,�..,..:_ . _ _ . ...�,�..�,��,.�,.,.�,,..,-�,.....�_..�,�..�.� If the project is exempt from lead certification, please explain why: ,��L� ;,,,� 6�f�3 � e 8 � �� COiUIPLETE THIS AREi4 ONLY IF CONSTRUCTIAlGyA NEW BUILDiNG�tt��M ry� � In the last 12 months,has the City of Eagan issued a permit for a similar pian based on a master plan? � s � � Yes No If yes,date and address of master plan: � �� Licensed Plumber: Phone: � ; � Mechanical Contractor: Phone: � , � Sewer 8�Water Contractor. Phone: � � �� Fire Suppression Contractor: � ��» �� M phone: ', NOTE:P/ans and supporting documenfs that you submit are considered to be public informaGon. Poriions of� ' # the information may be ciassi�ed as non-public if you provide specific reasons that would permit the City to � I� �� conclude that th�aie trade secrets. � F..,�.��.:.�.A.�.,_-.._-�.,�<.��.�.:_��<.,�.�..K..�„w..,U,.._,.1..,,.�.<.�.�,�...,�.�_�_u.F,�.�,��.»�. _,�,�..�.�.........�.,.,�...e>,..�.,K.�..�....<,�..,ss�...,,...a#,.,,�....�..�.,,�.�.�:_�...�.,<._,..��,.��_r� ;. CALL BEFORE YOU DIG. Call Gopher State One Cal)al(651)456-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.ory I hereby acknowledge thaf this information is compiete and accurate;that the work wiit 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 aceordance with the Minnesota State Building Code must be co pleted within t80 days of permit issuance. ,�,�......... �,,,.—'� ,,,_._...�..___� � . . x -ml� .�/�f'rr�.� � � :. '} ;.w � Applicant's Printed Name Applic nt's Sig�ature J Page 1 of 3 � For Of--------------1 fice Use Permit ®e � , ®� i Building #: I I I ®I �, �, �e EAGAN I S&W Permit#: I I Permit Fee: I n I I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I 1 (651) 675-5675 �FAX: (651) 675-5694 I I Date Issued: I buildinginspections(a)cityofeagan.com I----------------------j RESIDENTIAL BUILDING PERMIT APPLICATION Date:, Df Z % & (J.�Q Site Address: Applicant is: ❑ Owner aContractor Unit #: Name: Homeowner Address./ in2ld P1(e,iiIUPA/ L3'1 City: b�Q0. v-, Stater V�ip: �1 -?_ Phone: Email: P� Q J Description of work: e C, Type of Construction Cost � y Work Type of building: ❑ Single Family ❑ Townhome, of units Twin Home 1,1Compan RQM Contact: Building Address: L/5 �� lJlle�4-v�y City:�GLe t�iG�\1r i2, Contractor State:m&LIp: .5_3�T`� Phone611-2�/ - Email. v� � z 6p(l n License #: Ex iration Date: o�,S Sewer & Company: Contact: Water Contractor 4 Address: City: Required for State: Zip: Phone: Email: new construction I License #: Expiration Date: 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. /( '0. V -�2 L\ <_� � C �/ti �� - x Applicant's Printed Name A licant's Signature