4449B Clover LaneCITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 11199
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.
1 agree to comply with the City of Eamon Surcharge•
Ordinances. Misc. Charges.
Total.
By t'- J i Dote Paid -
Dote of Insp.• lnsp •
�� - C, ` <,
CITY OF EAGAN
3830 Pilot Knob Road SEWER SERVICE PERMIT
P. O. Box 21199
Eagan, MN 55121 PERMIT NO.:
DATE:
Zoning:
Owner. No, of Units:
Address:
Site Address:
Plumber: _
I agree to comply withthe Cityof Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee:
By Surcharge:
Date of Ins Misc. Charges:
p. : Total:
Insp.:
Date Paid:
From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:33 #582 P.026/079
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: ` 4)94
Permit Fee: 15
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 1512013 Site Address: 444114414 1 b L L.1401444 g cAoLev lC ntI Unit #:
J
Resident/
Owner
Name: Eden i1D19 Cjb : Gassen Company Phone:
Address / City / Zip: t1p ��/D ` 1 ,```�
W
CAI Y 1 t PQtY {t � Pr iti l MN 5S 3y1
/
Applicant is: Owner Contractor
Type of Work
Description of work: Irsiv Of o►nol rt i'bO I -
Construction Cost: tI1J $1D• Do Multi -Family Building: (Yes / No )
Contractor
Company: Ilsity tIW1S yiAC lDn ManotgPjtnt Contact: CV, kialstead
Address: 5Ii-is IncluSi11c4l &1TC&t 4t 103 City: Mot Plain
p QPp
State: MN Zip: 6c) Phone: -t ✓2 �' -I c -12- I` GLI
License #: tel, O •J1S Lead Certificate #: NYiT - 20 -0
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
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.
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.000herstateonecall.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 cojnpleted within 180
days of permit issuance.
(jot IJs lcl
Applicant's Printed Name
x
Appli" a is Signature
Page 1 of 3
From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:03 #301 P.015/022
Date:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: / TSCa°
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
,24e 4 , Site Address: 1/1/4/1' 9999 ��✓G� � Unit*:
Name: OldVA- i i et — 466'1 M7,4
Resident/
Owner
Type of Work
Contractor
Phone:
Address / City / Zip: 9997- WV, C% dtZ 1v rL- £4- S w
I Applicant is: Owner x Contractor
Description of work:
Construction Cost: 4$I010dd
A'rk- W,r% t4»y/ 5:0'eri4'- Z/cebil-ed s44 42119=
Multi -Family/ Building: (Yes/ No _)
Company: ,QllstE44. 644e. 44;g44 f ��jil/tCeContact: V'WI 1114'n sk-r7
Address: C/ 04 6 1 n14S4-telt 1 S77. sr.Q rf-t /0 3 City: Mirk ;
State: OW Zip: 56369 Phone:q0-90-7 6q Email: ./%/4 //s-/
Lieense #: &403S 0 Lead Certificate ft: A/IQ'% 070 9t/ 7 gsg
If the project is exempt from lead certification, please explain why: ujur . ;. /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?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8, 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.gopherstateonecall.orq
1 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 authorised by a building permit issued in accordance with the Minnesota State Buildin ompleted within 180
days of permit Issuance.
x EhlctV
Applicant's Printed Name
Applic nt's Signature
Page 1 of 3
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Mechanical
Permit Number: EA152021
Date Issued: 09/24/2018
Permit Category: ePermit
Site Address: 4449 Clover Lane B
Lot: 5 Block: 03 Addition: Eden
PID: 10-22750-03-050
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
- Applicant -
Owner:
Christopher R Hurst
4449 Clover Lane B
Eagan MN 55122
(651) 895-9731
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.
Applicant/Permitee: Signature
Issued By: Signature
®;1e I
r i �
E AGA N
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(a)cityofeagan.com
--------------I
r For Office Use I
I Building Permit #: �Y,��U� �✓
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S&W Permit #:
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I Permit Fee: I
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Date Received: I
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I Date Issued:
I---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: qhQ23Site Address:
Applicant is: ❑ Owner Contractor
Homeowner
f
Type of
Work
Building
Contractor
Sewer &
Water
Contractor
Unit #:
Name: �GC � t/� (7 V\/�,Z C� .� 11�¢.y� S / 45t s e' C' c 4 l 6 l/�
Address: q t City: �aa OL v,-,
Statel—Mip: 3512 2 Phone: Email:
Description of work: P� QQ C. t -
Construction Cost
of building: ❑ Single Family ❑ Townhome, of units Twin Home
Compan j?Q Mt'c.LC_ (�\lam Contact: �" `�'
l/l
Address/ r�1 W SSTy City:
State: Lip: 553IVT Phone6t z-J7 5 EmaiI- AmeQ C
'�� 9� fi o z �� 3% 3// `�' License #: � O Expiration Date:
Company:
Address:
Required for State
new construction
Zip: Phone:
Contact:
Email:
License #: Expiration Date:
City:
ylzl�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.
av L\< —
Applicant's Printed Name A licant's Signature