4430 Clover Lane CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot !Comb 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:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By -k� ( _ la . .t s a l � . i Date Paid:
Date of Insp.: 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 comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
B Surcharge:
Y Misc. Charges:
Dote of Insp.:
Total:
Insp.:
Dote Paid:
From:ALLSTAR CONSTRUCTION 19529427464 09/17/2043 08:46 #582 P.059/079
Use BLUE or BLACK Ink
Afth- for Office Use 1
non I ` I
I Permit#:__i'`[~~~ l
City of EaEd
Permit Fee: D r
3830 Pilot Knob Road
= 1(i3
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 i I
Fax: (651) 675-5694 1 Staff- I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q I V 12012) Site Address: 44A yy2kP22, 4430, LIKE C10YU LUX, Unit
i Name: eft c/D• basil m W[riW4 Phone:
Resident °
Owner Address / City / Zip: ~Dy38 G1'N V1 PRY10VAUT M~ i>faIYif, M N 55"
Applicant is: Owner Contractor
Type of Work Description of work: Tea of ~ Ye-Voo
Construction Cost: h t Dad • DO Multi-Family Building: (Yes No )
Company: 4-IIft G)Y"VA INQPlaladmenfj L Contact:
.SJI)t• t fl1~i~~tU
Address: 5145 IndtA Q1 SlTfM * IID3 City: WtiP,f N in
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I Contractor r'~ OI u rI'
State: MN _ Zip: '~J35 1 Phone: ~GJL~ IZ' 1~ J-i
License %r.IP,2J19 S Lead Certificate WT- 2bq 1pL4 --Q
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:
:Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe c/assfrted as non-public. if you provide specilfc 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.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 State Building Code must be completed within 180
days of permit issuance. 4
Applicant's Printed Name A icanrs Signature
Page 1 of 3
From:ALLSTAR CONSTRUCTION 19529427464 10/21/2015 12:23 #269 P.005/020 .
Use BLUE or BLACK Ink
� For Office Use ' �
� RECEIVED j Permit#: ������ i
Clty of�a�aIl ; . "'�L-� � �
� Permit Fee: V t d �
3880 Pilot Knob Road OCT 11 20�
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 � �
Fax:(651)675-5694 I Staff: I
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2075 �E�tC3E�!'T�A� ��IL���� PER�oT �PP�ec�Tion�
Date: Site Address: Unit#:
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� Residen�/ �
Ow�lef Address/City/Zip: ��l��"yy30 �/,� � �'p-� �
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Applicant is: Owner � Contractor
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� Descriptionofwork: ��'°' ���c in/ii/� /+�;,�r�'�✓` .��Cf°,�(" �
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Construction Cost: �Z�'i�`'� Muiti-Family Building:(Yes �No �
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.. �Company: ����As�. C..:r�SY��uG�.�a-ti t/1�fh�►���f71� GG'. Contact: .' � /y»��
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� Address:��� /n[�uS���rrL s� ` Si.:�k�. I C°� City: �A �� ��l ftl�,.�
CO.t1t�1Ct0� .. .� ' � �
� State.�Zip: ����`i Phone: �52-`��2�7��'�Email: �'►•�d c� S /". 17 2.
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� ,. . .. ..... License#: .�� (r'94'! 3��c� ;
�,,,.. � . _.A�.�,� __. �. Lead Certificate#:���►� ��l y(1� Z_._. .�.� -
If the project is exempt from lead certificatfon, please explain why: �
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W�.�
�� COMPLEI'E TH1S AREA ONLY IF CONSTRUCTING A NEW BUILDING �
In fhe last 12 months, has the City of Eagan issued a permit for a similar pian based on a master plan?
� �
Yes No If yes,date and address of master plan: �
� Licensed Plumber: Phone: �
� Mechanical Contractor: �
Phone: �
� c-"--_ o u•_a_..n_—`---`--- r:._.._. �
a
.............._ ; �:
� ?.
i
Fire Suppression Contractor.
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• �&
� NOTE:Plans and supporting documents that you submit are considered to be public information. Portfons of
� the information may be classified as non-public if you provide specific reasons that would permit the City to �
�.,.�:U._,�.��..a,..�,..�.�....:_�.��„�,R,�.r...�..:.�.��._�..�, conc/ude that t,�Y.�'are trade sec�ets��...,..,�.,.�,��..�..�.m.�.��„�.�.�.�.-�A..�..�..�...�
CALL BEFORE YOU DIG. Call Gopher State One Call at f851)454-0002 for proteclion against underground utility damage. Ca�l 48 hours
before you intend to dig to receive locates of underground utilities, www.gooherstateonecall.ora '
I hereby acknowledge thaf 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 !or a permit, and work is not to start without a permit; that ihe work will be in
accorda�ce with ii�e aNpiuv�d pia��;r�ii�e caa��c�i w�rii i�vnitin requires a review ano approvai oi pfans.
Exterior work autho�ized by a building permit issued in accordance with the Minnesota State Building Code must be co pleted within 180
days of permit issuance. _ -.--��
�_ y�...._... yw
X /
x �;:� �//'.�� �". . f "
Applicant's Printed Name �„ Applic nt's Signeture " `
�
Page 1 of 3
�
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137043
Date Issued:06/13/2016
Permit Category:ePermit
Site Address: 4430 Clover Lane A
Lot:42 Block: 02 Addition: Eden
PID:10-22750-02-420
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Noelle Cascalenda
4430 Clover Lane Unit A
Eagan MN 55122
(321) 626-9743
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
Applicant/Permitee: Signature Issued By: Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(cD.cityofeagan.com
-------------I
For Office Use I
I Building Permit #:
I I
S&W Permit #:
I
I. I Permit Fee: I
1 I
I I
Date Received: I
I I
I I
I Date Issued:
t- - - - - - - - - - - - - - - - - - - - - J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Shqz6Q23Site Address:
Applicant is: ❑ Owner Contractor
Unit #:
I
Name: �G(� t/� b VV`� C� �_,�� 11�.�.1' S lasers e, C I Ot_4 l C> In
Homeowner 7
Address:
Me ( 1 f7"LAZ /AA City: �aQ OL \/1-,
Phone: Email:
Description of work: P, Q b t7Z
Type of
Work Construction Cost l
Building
Contractor
Type of building: ❑ Single Family ❑ Townhome, of units 19,Twin Home
Compan I7L,qj (� �t`t't.� C_ C� \lam Contact:
��
Address: � r t & W Q�T City: GCS' VG��11' l
StateAwip: 5�3_ Phone6tZ-'f 5 Email(Vtk .k[ �e,� CUk-- �
b 71*-/- / _ —
License #:� 7 4.3 ,i l � Expiration Date: J/ 3
Sewer $ Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction i
I License #: Expiration Date:
` 1 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.
x
Applicant's Printed Name A licant's Signature