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4455 Clover Lane - Unit B
City atEapu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /n 1 Permit #: / '56 8 1 Permit Fee: / 9 Date Received: / ' i 1-12 Staff: I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -.1 I \C) Site Address: 1\LAs ` tc\Jt `-► l Unit#: Name: \(-\ \irrNj\\ Address / City / Zip: 111 -4 -SS 1� , MIC-Ni�..v Phone: J Applicant is: Ownerj�Contractor 1, Description of work: / � i j Id' e S -I -I dQc, z• Construction Costaa 5 Multi -Family Building: (Yes A( / No ) Company: Cly 611 .Toe Address: /%S &eneWI We - IV Contact: 4- -}'Gi State: M1" Zip:Va0 City: OQULC We - Phone: Co si - 7q7 31-4;13 License #: 3 0 1 O" Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) (T.'4171' i- /9?‘. 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.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 S - = = uilding Code must be co pleted within 180 days of..permit issuance. x Ap 1 is Printed Name Apple - s s"gnature Page 1 of 3 q466- Ct0u, -Ail61 UL.D0 NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building Fireplace Garage o!' Deck Lower Level 561 Porch (3 -Season) — Storm Damage — Porch (4 -Season) _ Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) — Exterior Alteration (Multi) — Pool Miscellaneous WORK TYPES New Interior Improvement - Addition Move Building Alteration Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% l/ ) Census Code #of Units # of Buildings Type of Construction h' 34 i 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: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Occupancy Code Edition Zoning Stories Square Feet Length Width Final 73 • zi ol-Ci .41 TOTAL Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant PD 8O /D MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required -Final /-No-CO. 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 ROBE' • y`ISC ENGINEERiNG PLANNERS ENGINEERS, A5ufVEYoas -r COMPANY, INC. -6 1000 EAST 146It1 STREET, BURNSVILLE , 6IINNESOTA 55337 PH 432-3000 Ccs'"" zYicizi 66u.ro cy /°6'el isigal....lattSric, 10 LOTS 1, 2, 3 AND 4, BLOCK e, EDEN] ADDITIat i, DAKOTA COUJJTY1 MIIJIUESOTA NORTH SCALE : r" = 30' BY: DRAIKIA6E AND UTILITY EASEMENT AENoT6.5 EY/ST/Me ELEVATi0Ai (9/7.o) DENOTES PRoP05Et) ELEVAT!UAJ --•- !!V D! CATES DIRECTION OF SURFACE ORA/MA6E 9 / 7. do ZrjEktiai4Eta GARAGE ROOK ELEVAT/oA! REV WED DATE: 7 "/'3 -/, Mlle' I .PPECTIONS DIVl � 3bf��� ae" g (9/4.0) EAGAN R E.1-E)V11�D BY DATE 1 1 " Lam' ` t 00 3D` FRo1.IT BUILDING SETBACK LINE 8- 0 2 (420.3.) Li. 28.10 h 6° R'= 83': 50 6.00„ 1 1,49 I CLOVER LANE 9/9.98� :�� 7 9.66 $ 89* 59' 02" W 0 m I 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/sr day of NOVEwi$Exe I 19 e6--. Kinn. Reg. Ko. /: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Kiiob Road P. O. Sox 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• I ogres to comply with the City of Eagan Surcharge. Ordinances. By off\ 3u& d Date of Insp.: C3 Misc. Charges. Total Dote Paid• Insp • CITY OF EAGAN SEWER 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 I agree to oomph/ 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 08:31 #582 P.023/079 City of aan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1�'"� Permit Fee: `� Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q ISI 1013 Site Address: -153,4,-1536,LILISS, %B (AMY (en . Unit SI: Resident/ Owner Name: earl I IVO CjO • l7accon t Y 1 ni Phone: ; Address / City / Zip: (PI AItl/IJrVeStParlovat1J, altvi NiviC, MN c;5344 Applicant is: _ Owner r Contractor Type of Work Description of work: Tear off wind re- roof - Construction Cost: S MI 2.1D • 00 Multi -Family Building: (Yes _ / No ) Contractor a 1 Company: /�IIciU' �,Urletrl£CtIDh MCWVi evV rit, LL t, Contact: Jut 1a1st1 ad Address: 51L15 Inditfrial Street #103 City: Maple Plain �y State: MN Zip: CDS , Phone: CI52—gy2-1494 License #: ZCADNG15 Lead Certificate #: NAT— Lv-t 10y' D If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes 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: _No Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: 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.��� 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.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. q clue HRistd x c - Applicant's Printed Name Applicant's Signature Page 1 of 3 Date: City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK In For Office Use Permit #: Permit Fee: / / • 3‘:::). Date Received: '7- /a . Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION - -)c Site Address: `'1 jjT cr Lot/42.,?.. Uzi- 'e Name: KAPOL i fel N .e..„\\ Address / City / Zip: Liy' 5 6 C t~_w'€,K-, Applicant is: ✓ Owner Contractor Description of work: Nt WIN1` 1A Construction Cost: ;dsti Unit #: J A IIS Phone: 4-6/- /*-T'G' dAvtck\uC\ <kobn-\ Cies: Multi -Family Building: (Yes / No Company: / l Contact: Address: v N y City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: 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: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: NOTE: • 4 ai d •,,por Phone: Phone: Phone: Phone: be public Eta 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.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 Cityof 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 lVr_ {�t N-4 i• Applicant's Printed Name Applicant's gnature Page 1 of 3 0 L/g65 C lc v'el2 Lf' , ►� DO NOT WRITE BELOW THIS LINE / g;ice SUB TYPES _ Foundation Fireplace Single Family Garage Multi Deck _ 01 of _ Plex _ Lower Level WORK TYPES New Addition T Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% f j�j ) Census Code # of Units # of Buildings Type of Construction _ Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement _ Move Building Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Reviewed By: Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant vvirloic MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 12:53 #301 P.001/022 -'•- City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 675-5675 Fax; (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: /51(3321 Permit Fee: Date Received: Staff: a 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1l //1i Site Address: 7 c.,- yrs Avoe Unit u: Ar". Name:lied/W d,41 ,4la - 4164 /-/O T 7 /4 Address / City / Zip: .5.E yf��s C /Oi/�i( I,4i Applicant is: Owner )< Contractor Description of work: 1 - 74 v'ny/ 5 ;&L V Construction Cost: 4a4P,c IV , Multi -Family Building: (Yes / No Phone: /1//i Company: All9 M. n cst ro C.an ff/Mnienetnee Contact: J A wi A /1Ern et -1-2 Address: Ci415 I nQw$A-rrR 157- .5;44-e- /03 City: infteite ?l r4rr t1 State: /1114 Zip: 566359 Phone4040-7t6t Email: i%4@oLds-{a.r• 4 z - License #:136 eogo 3'S © Lead Certificate #: N,4 T- a0 9(Q V - dt If the project is exempt from lead certification, please explain why: 4.4 LT. ;„ A /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? I 1 Yes No If yes, date and address of master plan: 1 Licensed Plumber: Phone: 1 Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Phone: Fire Suppression Contractor: ,:.E Plans and supporting documents that you submit are.consideredto be public. information.: Portions.. of the information may be classified as non-public Nide 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.gooherstateonecall.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 Buildin ,:;us • mpleted within 180 days of permit issuance. x Vi ,m n1ef1lan Applicant's Printed Name x Appli nt's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161578 Date Issued:06/03/2020 Permit Category:ePermit Site Address: 4455 Clover Lane B Lot:1 Block: 03 Addition: Eden PID:10-22750-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Lukas R Hall 4455 Clover Lane B Eagan MN 55122 (612) 710-9081 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature -------------I For Office Use I 1 1 i Building Permit #: 116 7 1 0 0 I ®a I S&W Permit #: I EAGAN I Permit Fee: I I I Date Received: 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 ( FAX: (651) 675-5694 1 Date Issued: I buildinginspections(aicityofeagan.com I---------------------., RESIDENTIAL BUILDING PERMIT APPLICATION Date: _3h Site Address: Applicant is: ❑ Owner Contractor Unit #: I ct-4 i o l/-� Homeowner Address:b L3 IA/I:? L4L-155 A City: o`Cka \t� Wip: 512-2 State:/ ytPhone: Email: P Description of work: P_- Type of Construction Cost i y Work Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan -Thy Building Address: Ll� ( . i�.� WeS`�t-y City:�GCPin ��G��1y—�1 Contractor State:Wip: 5531-/T /� Phone6tZ-JY5 Emaili AkeQ �e l 4sCSM`��""�Q°`�i �r 0Z V 3/� ZI Expiration ration License #: D E TiQ� Date: Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License #: Expiration Date: �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. /f 1 1k 1-1 ( ` Applicant's Printed Name A licant's Signature