4482B Clover Lane CITY OF EAGAN WATER SERVICE PE '1'
3830 Not Knob 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:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: 2 Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
9830' Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagon' Connec
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of .Msp.f Total:
Insp.• , / 7 Date Paid:
From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:51 #582 P.071/079
Use BLUE or BLACK Ink
I For Office Use I
j Permittf: L4 4(d
j
City of Ea[i~ti 1 1
~ Permit Fee: 1
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j - Ott
Phone: (651) 675-5675
I I
Fax: (651) 675.5694 1 staff: I
1 I
`------.-----------J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q 1b f 2013 Site ~Address: L1ygUl Lly~l,yLIk21 y4k2t3 UMY Lahti, -Unit
Name: CduI CID. bung Phone:
Resident/ l,~ I ~p
Owner. Address / City / Zip: (07M ft wet PAMWI V Vim'1,, 1 wou it, MW %Nq
Applicant is: Owner x Contractor
Type of Work Description of work: mar off and rC roof
Construction Cost 4ZDJL4qU •C0 Multi-Family Building: (Yes Y ! No
k Company: I{JUr I=Dh AIAUT ►r*I L Contact: VAt I IIAIS~ead
Address: 514 11111E1 AI s eT Oo City: Nir1
COltfaCtO' State: MO Zip: _ 55359 Phone: 96),J 941" - Oq i
License gC ~D31CJ15 Lead Certificate NAT- W% q -0
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:
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 pro vide 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.Qooherstateonecall.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.
k
X_ JOE tW~ x c~
Applicant's Printed Name Ap(p`I cant's Signature
Page 1 of 3
From:ALLSTAR CONSTRUCTION 19529427464 10/2112015 12:27 #269 P.011 /020
Use�LUE or BLACK Ink
� For Office Use �
� i Permit#: `���"� j
�Ity of�a��Il ���EIVED ; _ `'� �
Permit Fee: v �
3830 Pilot Knob Road � I
Eagan MN 55122 �C� � � Z�� � Date Received: �
Phone:(651)675-5675 � �
Fax:(651)675-5694 I Staff: I
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�_��.����.�_���_���J
2015 RESIE3ENT[AL �I��LD��G F�E�Ni1�° i4PPLiCi4TION
Date: Site Address: Unit�i:
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� ` rva�iie. �,t n��n, e r�v�o c.,..-+G.�c ( 7uo'1' F'hOne: /1///1
� Resident/ �
� Owner � Address/City/Zip: N`�F�'G�'�/'��%� �/.,��¢. f ��� �'�.�;,,�., �
Applicant is: Owner J� Contracior �
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� T e.Of W01'k � Description ofwork: c'•- �� t� ;,�: . ,�, �
Yp..
Construction Cost: �Z��G� Multi-Family Building�( �N
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. Yes o )
� Company:�I�S�l4s� Ct�r►S���L��G�"1 sT�lterr�Gi7l�itLG: Contact: y�k�°r 6Q���:.. ...� _„v-,�...�....� ,r�
g
� �� �
� Address:�'iys �n�u'51��+�`!- �+� /Q� �� n , °
� Contractor S� " �", c�cy: 11�1 R.�1�. P �,.. �
k Siate:�Zip: �s.s'-��` `� Phone: ��2"`�'y2=7�.5��Email: f�'►•t�c��t�,/S'�et f. b'Z- �
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. �icense#: �C !c'9�� .�s�t� Lead Certificate#: d�/�T Z�J (�� Z. �
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� !f the project is exempt from lead certification, please exptain why: ��r L, ;,,,� P�B� �
� �
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COMPLETE THIS A,REA OIVLY 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:
�1 Licensed Plumber: �
Phone; �
�
� Mechanical Contractor: Phone: �
� Sewer 8 Water Contractor: Phone: � I
� �
� Fire Suppression Contractor: Phone: i
$t,,,,.�._:.�_.�.a...�..,,..�,�.._...,L.,,.�.�.�...Y.,..�.....,.,...�...��,.,..�a.,n...�_...��„c,.A_...�.,..�..v��.�......,�.�,.�.�.�..,�n.,,.�.._,�,�...R.- --- �.�.,,,..�„w.,�..�,,..�..�...,�.,,�.��.. " I
NQTE:Plans and supporting documents that you submit are considered to be pubiic information. Portions of =
, the information may be classi�ed as noa-pubiic if you provide speci�c reasons that would permit the City to
k`p conclude thaf the are trade secrets. `
fi-�:�::rr,x_,..x..V.,.�-,...:w�vvr.as..+..,-�r..see__e.,-w�-.e-.a++.�,.+�.ac.,;vs:ne.r..w�:.�-.+�x-..x:.mz�.xxa.e»r_.�.x..•-:--- :,�maw�.:...vr.=.asaa..+as��+.��xsa.n...ax_-v,v �vemv..a�r.•xa.xo-�am,r-:....w�.-n-e:..:x,�-a.�wnor:a+`-+:r-exs.=�-v«,a..z�.r�r.•:.�-.sn�n:wc3
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.aoaherstateonecall.ora
I hereby acknowledge that Ihis 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 Minneso4a State Building Code must be cor�pleted within 180 '
days of permit issuance. ,.p..__......•........ e„�
�„-,-... .-
.�.i;�, .�//f�.�1 �r -y�t ..
X x
Applicant's Printed Name �„ Appiic nYs 5ignature �
Page 1 ot 3
ff
,dig
• For Office Use ��
", i i 'f :::::e. °
flCEIvE, Date Received:
/f
/� ���
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810i i 1 et
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 JAN 1 6 2020 Staff: 19:
buildinoinspectionsicr�.cityofeagan.com -
2020 RESIDENTIAL BUILDING flT-APPLICATION
Date:
01/16/2020 Site Address: 4482 Clover Ln Unit#: B
'if
01
,� Sylvania & Kevin Oglen Phone: 952-687-9054
1,,, ,t f tf ` Name:
i. t a k
Address city/Zip: 4482 Clover Ln Unit B tititowiiiiii. ,'
411ilier �� _ Applicant is: Owner 1 Contractor
`g a Bathroom Remodel
? . �,,z : , Description of work:
al
,: 7,irSrv: s :, Construction Cost: 7000 Multi-Family Building. (Yes ✓ /No )
iiii-
t t ,', , Great Lakes Window & SidingDerek
• r v Company: Contact
0-41.444-:7:::!::',,-45-44:-' 14690 Galaxie Ave Apple Valley
ff, It s1, Address: City:
'i w State: MN Zip: 55124 Phone: 952-891-34C Email: Derek.glwsco@gmail.com
t .
f� t BC060427
` ,, ,9x4.,# `, License#: NAT-23297-3
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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire SuppressionlContractor: Phone:
8 jt t,E , :,:, , a , . y T .t e °. 4'"..
fr bd w ,- a : '".t° Yq ' ! i ,' uld the::, tr/M-1,*-rif': ',°,‘..°,7:‘:..;'''.-" t U°, ..3 t=ez,
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
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
accordwith the approve n in the case of work which requires a review and approval of plans.
x
Applicant's Printed Narife Applicant's ure
DO NOT WRITE BELOW THIS LINE L G L>9�1Cj / 5c77s
SUB TYPES i
��� ��
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family)
_ Single Famil _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace — Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy P‘.(,,,3 MCES System
Plan Review Code Edition :g ,. r/_ 5i SAC Units
(25%_ 100%Y..) Zoning . City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) �( Final/ No C.O. Required
Foundation Foundation Before Backfill / ` HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
x Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
ic Shower Pan Other:
eviewed By: 11/
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge ) r , .� u
19
Plan Review {/"
MCES SAC
City SAC talMI
Utility Connection Charge "
/
180 „i1)11
S&W Permit& Surcharge
Treatment Plant
(Old
Radio Meter Read
Copies
TOTAL
Page 2 of 3
For Office Use /
ICC_
I0/� & �-.- I
a i , „Permit#: i
.„.• ...• & 0.� Permit Fee:
.. -.... , II
I Date Received: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I I
(651)675-5675 TOO:(651)454-8535(FAX: (651)675-5694
� Staff: JI
buildinginspections citvofeaclan,.corn I
2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
D
Date: - /3-2 0?ry Site Address: • = ` i 7` II►
Tenant Suite#
Resident/Owner Name /tJAN t A- 1 J' e Li/iv bei t e,7 Phone: cs'7 t&F"7— , a 54-/
AddresslCitylZip: ycif gZ /o E2.. 4, U. • 4'14'1..1
.�,Srl2 a
Name: N t�rt t T S 111 Al 6 i t"'LL H (_.. License#: (l 4 �lv�°7
Address: 3041 '_L ft_15 L Nt. City. .(tl ,r.it G,,1
Contractor
State:1''tn( Zip:{ -3 7 +,� Phone: '7lo'3 2-a0,te -: 9.1`-E
Contact:�T f't.c.t 1 ct G m' Email: +a� !:ma(IN 5 5Jto 6 mCLi t ,C0 m
New . ‹-Replacement Repair ----Rebuild Modify Space `Work in R.O�V1.Type of Work r
'�-
Tarikless Water Heater
Description of work:
Standard Water Heater Lawn Irrigation( RPZ( PVi3)
Add Plumbing Fixtures( l Main/ Lower Level)
i p a n:ii - Water Softener
Description: tU r 0,v11M/iPi>lf.cerrItjit tSeptic System �}
{�..0 A.> Ujanr ,
"` Connection to City Water Well --- 1
New Abandonment I-� cf
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping(includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential(fee collected with Building Permit)
$115.00 New Septic System(includes County fee and State Surcharge)
•
$60.00 Connecting to City Water from Well`+$290 for Meter and$200 for Radio Read=$550
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours beforeyou
intend to dig to receive locates of underground utilities, my w.gopherstateonecall.or y
You may subscribe to receive an electronic notification from the Cityrog
of P posed ordinances by signing up for an email update on the City's
website at www.citvofeadan.comisubscribe.
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
accordance with the approved plan in the case of work which requires a review and approval of plans. permit; that the work will be in
,-----
<---_,..
x 1 rot, i-rA a r-,7e, -- --_,__
Applicant's inted Name x �"
Applicant's Si ___._ . _.
Page 1 of 2
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspectionsta7cityofeagan.com
------------I
For Office Use
I I
I Building Permit#:
I I
S&W Permit #:
I Permit Fee: I
I I
1
I Date Received: I
I I
I
I Date Issued:
I---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date:q,6Q23 .3h Site Address:
Applicant is: ❑ Owner Contractor
Unit #:
Name:�e—d�,� t�v-S ,lf't�Sc-:;,C'lG< i 6In
Homeowner Address: * 2 JA Ig Ui pa 0/? jey Z>^. City: �; `Ck L-
State) pl VI-Eip: ( /-L Phone: Email:
Description of work: P,e- Q t::,-
Type of 2
Work Construction Cost '7
Building
Contractor
Sewer &
Water
Contractor
Type of building: ❑ Single Family ❑ Townhome, of units Twin Home
Compan :;?QM // !S-V- �_ C�\lam Cvontact: ( -e_y-
Address: ��� 1� I & W QS - l 1F- y City:,(;-kY�
State:Wip: 553g_ Phone6tZ-�2l 5-
i -CQ� 3/ �/ hzi� c�
License #: � D Expiration Date: �
Company: Contact:
Address:
Required for State: Zip: Phone:
new construction
License #:
Email:
iration Date:
City:
1,�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
I 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.
>�Q V t-�� I�e`c �'+ x
Applicant's Printed Name A licant's Signature