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4453 Clover Lane - Unit BCity of Eaaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: /23 Date Received: -7'1 ,1 I'll - Staff: f'J C1 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: j 7 2°/Z-- I Site Address: �1`'S CAINJ LAIM Name: Address / City / Zip: (-AyJ b Q,( cy.te)/ Applicant is: Owner . Contractor Phone: Unit #: {� J Construction Cos .. — t Multi -Family Building: (Yes A. / No Company:DEC_N 6113O Contact: Ot` 461 Address: /9(0S &eneVa/1 W ..11/ City: O0Lid k - State: i ` t Zip: Js-ia0 Phone: COST- 75:7- 3,-/a9 License #: Ktfj 3 0 ) O f-. Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /3tIL ; /,v PC 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 Cali 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. - x Apps Printed Name x Applicant's - ig -ure Page 1 of 3 -_r 6T. rtot)&172- ticytht DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Single Family _ Garage _ Multi .c4 Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES _ New _ Interior Improvement Addition_ Move Building Alteration _ Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% !/ ) Census Code # of Units # of Buildings Type of Construction 4'34i Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool 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 i Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies 07.5-1 TOTAL 73 _ 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 1.477 PD /0 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required -Finat-t 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 e Backfill Final Radon Control Erosion Control , Building Inspector Page 2 of 3 ROBE ENGINEERING COMPANY, INC. tOOO EAST 146IN STREET, BURNSVILLE, MINNESOTA 55337 PH 432.3000 Cera JZ CCale au.rivw"ey /07' leggsLalabischaZxcst: LOTS I,2, 3 AND 4, BLOck 3, EDEN ADDITION, • DAKOTA cOU!%JTY1 M,NtUESOTA CONSULTING ENGINEERS PLANNERS and LAND ENGINEERS, NORTH scALE : r" = 30' DRAI1'lA6E auD UTILITY EASEMENT (fiZi) DEAI07E5 EXISTING ELEvAT/aij (9/7,o) DEwoTES PROPo5EU ELEvATlo&J -�--- IND1 CATES DIRECTIDl+.I OF SURFACE DRAlAIA6E 9/7 do FINISHED GARAGE FLoo,EACANlT/oAA/ (9 //g").. :9La.4) • EAGAN RE�v` BY DATE C 1- (..r' ` BY: REV{E/ED DATE- 7-. /9-4. Ri1Wt a'Ak+SPECTIONS WM6ION a /26,84 � -- 74.96 52,00 +n `r LOT l ".a LOT 4 ory � 9�6Aj, Z I�. �J 9/4.5) ` O !.1 896 58'02"E - 65.14-- •- 44. PROP i 9/4.6 •- co 9t3, rh BUIL LOT 2 L,x14, (9/.9, -(90o, 30` FRO JT BUILDING SETBACK LINE ,;7 OA,ED UNIT 4 -13 J O' ION 4 rxfo` k 1)3 LOT 3 (916.J 16.Q\ Le 28.10 z p38.00 A-6 45' 601, I 27.66 4, 52.0o 2 79. 66 5 89° 59' W 8 4' P 2 —'s 020.3) t9%9 �1 0 m 1 CLOVER x LANE o9/9p) ; 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 isr day of /VoveM8r 19 es'. Kinn. Reg. Ko. /: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 WATER SERVICE PERMIT PERMIT NO • 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. Ordinances. Misc. Charges. OkTotal - By g X} Date Paid. Dote of Insp.: /1 -8& ' Insp • CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: Owner: Address: Site Address: Plumber: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 1 agree to comply with the City of Eagan Ordinances. By Dote of Insp.: Insp.:_ Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: 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: "L tL1l(3 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q ISI 1013 Site Address: 4.153,4,-1536,4 4 t.14 (AMY (en . Unit if: Resident/ Owner Name: earl I IVYI CjO • l7accon tompani Phone: ; Address / City / Zip: (PLI? GItl/IJVICStPQYkVrf4t4, altvi NAiviC, MN %3NLI 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£CtIbI MCWVi evV rit, LL t, Contact: Jut 1a1st1 ad Address: 51L15 IndIA trial Street #103 City: Maple Plain �y State: MN Zip: CDS , Phone: q5 L-qy2-1494 License #: ZCADNG15 Lead Certificate #: NAT— Lv-I 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 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.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 From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 12:53 #301 P.001/022 CilyofEaaall 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: 1 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1l //1i Site Address: 7 c.,- yrs A/F7 44-nL Unit u: Ar". Name: ..01404 1,4la - 4164 /-/O T 7 /4 Address / City / Zip: .5.E yf� -' G�/Ot/ti2 I,4i Applicant is: Owner )< Contractor Description of work: A -.5 loth 74 v'ny/ 5 ;&L V Construction Cost: 4a4P,c IV , Multi -Family Building: (Yes / No Phone: /1//i • Company: Ail9 M. tKt ro &in ffainiervinee Contact: J A m 4 /1Ern et -1-2 Address: Ci415 I nQw$rI-rrR 157- .sit r/ -t- /03 City: fnftei- ?Lk ;el State: /1114 Zip: 566359 Phone4040-7g6q Email: ,;.4 oLds-{a.r• 4 z— License #:136 eogo 3'S © Lead Certificate #: N,4 T- 070 9(Q V - dt If the project is exempt from lead certification, please explain why: 4.4 LT. X983 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 suppos'tingdocuments. that you submit areconsideredto 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.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 permlt, but only an application for a permit, and work is not to start without a permit; that the work wiU 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 dim //1 &fflav7 Applicant's Printed Name x Appli nt's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA173787 Date Issued:12/03/2021 Permit Category:ePermit Site Address: 4453 Clover Lane B Lot:4 Block: 03 Addition: Eden PID:10-22750-03-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Andrea M Weatherford 4453 Clover Ln Unit B Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 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