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4485 Clover Lane - Unit BDate: City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: , 6(O �► Permit Fee: Date Received: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 7 _I Z _ 26,/Z Site Address: C lever- I-044 �. Unit #: J Name: ,g1:4C7711 an, 6_ / I c 'r$ Phone: Address / City / Zip: 11/11 /!/p/ - 8 Applicant is: Owner Contractor Description of work: Rb2/ I sTi Ck Construction Costes��rr , A 5- (5-7) Multi -Family Building: (Yes A /I No Company: C -N 6,1 :Yoe Contact: Address: /%S &eneVa 3WE' - iv City: 00kdak- State: (` `I V Zip:/aF Phone: (Q s-1 75.7 3Y 3 License #: t,6 3 01 OD,. Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /5?‘ 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. 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 completed within 180 days of permit issuance.� Applicant's Printed Name x App ants Signature Page 1 of 3 011.6 C1w SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New 44 Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% //l Census Code #of Units # of Buildings Type of Construction (Jfi'- lg. DO NOT WRITE BELOW THIS LINE _ Fireplace _ Garage Deck Lower Level _ Porch (3 -Season) _ _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool Interior Improvement _ Move Building Fire Repair Repair aya /a 3,V 1 743 Occupancy Code Edition Zoning Stories Square Feet Length Width 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 /47 ) @ L5t 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 2007 fes% MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required ,i0 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 a Backfill _ Final Radon Control Erosion Control , Building Inspector Page 2 of 3 CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO • 'Eagan, MN 55122 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.: Insp • CITY (F EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO • r• Eagan, MN 55122 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 09/17/2013 08:27 #582 P.008/079 C!ty of Eaaft 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: I II(� I 05 Permit Fee: > O?�(1 • �1� O Date Received: ` I 11 I' 7 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Ci JE J 2uI3 Site Address: l'ILl<31LILIf3e,1+49 LiLik5R Clovo' Lar(/ Unit#: [Namc,ncJo.n Resident/ Company Phone: iowner ' Address / City / Zip: �'W�2G(},{ t POitic"I a 11 ei MN ,3L -1'--i Applicant is: Owner Contractor Type of Work Description of work: -ROW off and Ve-VOD Construction Cost: J 21)I 20.00 Multi -Family Building: (Yes �/ No ) Contractor Company:. MOM tiYIS•IniC11OI maymeiturt, L L Contact: 60e lialgtead G �l-t,�m.� Address:�51y5 Indl(stna( &t et�l #ID�J City:tMaple, Plain Plain � State: MN Zip: 55 f Phone: v1s2_ q -1 - 1 •1 9'7 0157,-q91- License #: PjC113IGJIS Lead Certificate #: NWT - 2D01(0L1 -D If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and the information -,,,.t...,.�.._._.,.. ..,�r_.�...,�,x� supporting documents that you submit are considered to be public information. Portions of may be classified as non-public if you provide specific reasons that would permit the City to �.......,_„ ..,,—_...�---conclude that they are trade secrets._ 1 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. oopherstateonecall.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 1/completed within 180 days of permit issuance. .t x due It alsil.ad Applicant's Printed Name 1-9.0 Ap itant's Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/21/2015 12:29 #269 P.013/020 111)01. City of Eaall RECEIVED OCT 2 1 2015 Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use �p Permit #:� ✓ �� Permit Fee: Date Received: Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Resident! Owner Type of Work JName: itdA✓A; i kaltr gbE4 �dA J Site Address: Unit #: 11/ Phone: //9 Contractor Address / City / Zip: Wel.- ¥V 5 e/dr/rt Applicant is: Owner X Contractor Description of work: PE- 5,1,e 5.T ''.- j Construction Cost: 24; LCC% ' Multi -Family Building: (Yes No Y J Company:I(I1'4Att- rGrr ?MA doliGnit{1r;e Contact: j,r+ A/% .rv-t Address: 6-11/5 /ndi,251 i -i trL- 5 - - su;kf. /63 City: ) State: ?lid Zip: 6-513�41 Phone: 452 4'2 Ema,,. /s1•4 ad /S4Z r. �s � License #: 6 6.96356 Lead Certificate #: Ali • 2Ono If the project is exempt from lead certification, please explain why: 844;L„ - ;4 fcs(83 via 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 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.00pherstateonecall.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 coopleted within 180 days of permit issuance. x Applicant's Printed Name Applicnt' s Signature Page 1 of 3 -------------I For Office Use i Building Permit #: I i I EAGAN I Permit Fee: 4 3 _ ` I I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I (651) 675-5675 �FAX: (651) 675-5694 1 I I Date Issued: I buildinginspections a.cityofeagan.com I----------------------j RESIDENTIAL BUILDING PERMIT APPLICATION Date: zh q Site Address: Applicant is: ❑ Owner Contractor Unit #: Name: �G( �V� i--ib Vv`e- CDtt2.,rS A95c,ei ot`-�i b li,/� Homeowner Address: z/L/P!5 yz�P,3 AJB City: �o Ct a ', `'' y Stater l/�ip: 5122 Phone: 1� Email: Description of work: P, Q t' bh- Type of Construction Cost �, j Work Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compank3 l/� t'c .Lc_ �s Contact: �JJ�`� �✓ M, Building Address p, 61, Wes* T 4/—\y City:1de—yX Contractor �J '/ State: Zip: 553/T Phone6Iz�7 License #: � D Expiration K- q� � 0 Expiration Date: Sewer & Water Contractor Company: Address: Contact: Required for State: Zip: Phone: Email: new construction i I 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.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. Applicant's Printed Name A licant's Signature