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4492 Clover Lane For Office Usee~ / I I-A j Permit*: 2 1C~ 1 City of Ea Ed~ Permit Fee: e 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: P j Phone: (651) 675-5675 I I Fax: (651) 675-5694 ;staff; 2009 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: l AJ 'a -aC( Tenant: Suite RESIDENT I OWNER Name: G. '-P- CL's +%e > ks ' 10" hone: 6, - 22 Address / City / Zip: Applicant is: Owner Contractor / TYPE OF WORK Description of work: ae P Lot ~ 14 t L i Construction Cost. Q ob Multi-Family Building: (Yes / No ) CONTRACTOR Name:&;Job' cf ~I OYA Q 1j f,iQrO %j( H4-AKicense SO 41 j q 7 Address: 4N'h'7 Z-Clo 5T. uj•~ E ~ T rs' City: I-aw Ih~ryt F~ State: />~1'~1,~ yZip: Phone c-IT I - '4' ` 3 2 3 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateciory 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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 provide specific reasons that would permit the City to conclude that the are trade secrets. 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 plan . x f _0Jh.! x Applicant's Printed Name Applicant's Signature Page 1 of 3 !D ; U' 'I U MAY 2009 qqqoa CII)AL"C' DO NOT WRITE BELOW THIS INE SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool ❑ Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. -Multi ❑ 01 of _ Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage ❑ 04-Plex ❑ 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building" ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior ❑ Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation je Replacement ❑ Egress Window ❑ Water Damage Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 3vGd'~ Occupancy MCES System Plan Review Code Edition - 9 7 SAC Units (25%100% Zoning- City Water Census Code ~f 3~( Stories Booster Pump # of Units Square Feet 60 PRV # of Buildings Length 16 Fire Sprinklers Type of Const. _ Width /d REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) _ Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. _AirTest `Final Windows Insulation Retaining Wall Reviewed By: Building Inspector RESIDENTIAL ES: Base Fee Surcharge _ Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2of3 4qe)~0wc ~n r e LO J+ co if { ~~FF i 4 Now rv.O It t V- A) z 4 U) 4O un a pus f r. .44 Z~R : LtJ f ~ f ,r Use BLUE or BLACK Ink For Ofl<ce Use 1 I City of Ea aD I Permit /Lr~ REC i 3830 Pilot Knob Road E~VED I Permit Fee: . 6 3 I I Eagan MN 55122 DEC C) 12011 I Date Received: Phone: (651) 675-5675 I I I Fax: (651) 675-5694 I Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION` Date: Site Address: unit Name: Phone: RESIDENT / OWNER Address / City / Zip: C! ~P .f` r, d e SSj~~ v Applicant is: Owner Contractor TYPE OF WORK Description of work: r, mk C. Construction Cost: Ile g-p® Multi-Family Building: (Yes / No \ _ t \ ~Si- ~TS'^t -7833 Company: Contact: ')oe- CONTRACTOR Address: , (AttE, ~v(-k City: t"5')C-1. Q1AI State: _ Zip: S) Phone: 6~5- / - 7! T? 34,10 3 License #:('l(g Lead Certificate 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 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.aoaherstateonecall ora 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 appro I of plans. x_ <_)(7 e- ~(`X le~ x Applicant's Printed Name A li ant's Signature Page 1 of 3 LI`1 cl D- DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family _ Garage Porch (4-Season) - Exterior Alteration (Single Family) _ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex Lower Level _ Pool Miscellaneous Accessory Building - WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows Demolish Foundation T Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION ValuationQ Occupancy J)~~4~ MCES System Plan Review Code Edition SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRY # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: Stucco Lath Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings Backfill V Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge r V S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 These particular site plans were drawn from the previous permit. The decks will be rebuilt on the exact same footprint*. The contractor noticed that the original decks were drawn incorrectly/not to scale and did not want to further confuse the drawings. *4492 Clover Lane will be extended 7' s _ CITY OF NAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: _ Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: _ Total: BY Date Paid: _ Date of Insp.: CITY OF BAGAN SEWER SERVICE PERM. 37" Pilot Knob Road Eagan, MN 55722 PERMIT NO.: Zoning: DATE: Owner: No. Of Units: Address: - Site Address: Plumber: - 1 agree to comply with the City of Eagan Ordinances Connection Charge: . Account Deposit Permit Fee: By Surcharge: Dote of Ins Misc. Chorges: p.: Insp.: - Total: Date Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:52 #582 P.074/079 Use BLUE or BLACK Ink I For Office Use I j Permit City of Eap I Permit Fee: - 5 C, 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: n (13 j Phone: (651)675.5675 I I Fax: (651) 675-5694 I Staff: I I 1 Q 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1- - 1:3 Site Address: ~~}`1'1O ~y O 4 Z -Iy~ Z eti bane Unit Name: W*J ►M 010 1 GQftll CWUV1N Phone: Resident/ 'n Q I/►~p~ Owner Address / City / Zip: W~3 G11 vt V 1Wi pafgy I l~1JltJ1 , ~n~. MN 553'-H Applicant is: Owner ^ Contractor Type of Work Description of work: Tear off avid Ye'Vik Construction Cost: $20 Z 1 tp Multi-Family Building: (Yes x ! No Company: MAT 11YL=mi Wnaait ttt, I-Lt Contact: Jue ftlistow Contractor Address: 5Iy5 I11twftal ,1 `tA -0103 City: Mo fti n State: ► Zip: GY7YO ) Phone: 'I J - IIH -IL4I'7L License L7~, ~3~'✓1Gj Lead Certificate Nr I T- ~VI 1p~t 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 provide specific reasons that would permit the City to ~m~_ _ 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. x clueitl~teAd x Applicant's Pri ted Name Appl'c is Signature kJ Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/21/2015 12:33 #269 P.019/020 Use BLE1E or BLACK Ink � For Office Use ` � � j Permit#: � �� �"`''" j C1ty of���a� ECEIVED ; � �� � R � Permit Fee: f � 3830 Pilot Knob Road c � Eagan MN 55122 OC� 1 � Z��J � Oate Received: � Phone:(654)675-5675 � � Fax:(651)675-5694 I Staff: � i ► ���-��_����������J 2015 R�������CE`4L ��1�LDi[�!G PE�IVf[�`a4P�L1CATtQI� Date: Site Address: Unit#: �,..�:...� ..,..r,.�,PT,�,.,r,.....,...��<-�,:._..,....�rrY.-....a.,.,K�...n,,.,,�m.,.,:�.�.,�...�:..�,.Y,�,.�.,..a.,....,�..a.,�.�..,.-���,...._..,.�,.�.�,_,.�.,�.,..,,..,,..,:..o..,..m.�.. ..._�..,._�...,,�_� � � Name: L�n��✓�: 1��31t� -' �'�..t - ` �'; I"1c�� Phone: /1/�� I [ Resident/ � Owner � Address�City/Zip: LI'�9���W�2- C��,,�� f ,�,��, �'i�-��,,., : : A licant is pp : Owner � Contractor ` I ..,��,,..,�...�,�.aM.:..,e,..� .. _,,.�„K.:.:.,._.��.�_..:.n-_.w.��,...,..>...z.�..,,.....�,.�.,..w.�.�..�,...,.�..��._�_..,._..��,..,_R_.<.�.��.<.:4.�,w._...,:�<..,.�.._,,,.�,,.r...«..,>.�-._._.^.._ ,..�.,�,..,.a...�_.,,s..r.. I ` Descriptionofwork: ��•- '�f�� �,�/o'�� I�;.�E'�r� �Ll'.n(` •��R � ' Type of VUork ` Construction Cost: �Z�,�`�U'� Multi-Family Building:(Yes �No �.N.t...,..,�,...,�. ..� �..,,,��.,�-�...-�,....n-:.�M._��..r.�._.m-_..T:�...,..�...�.,,�:..�_.,,..�..�..,.:.._...�.��...,�.,�_.._�.,..-.�.� � Com an 115� �s�S� uc� ' � �• _<.�_.�.,�.�_,...�.�.,�._�s�:��.�w.��-.,a.,,�..,.�,,.. � J 'Tt!1�,r„�4„1 j � P Y�� A/t- 1� .��f/�d�•'� Gi7Lq h�L� Contact: _` ,r*, � � Address:S'��5 �n1�u15'l�'�,�L 5�' - Su�e��- IG� r � � Contractor . - �'�Y� ��� 1���"� � State:�Zip: �s��`3 Phone: ��``j✓2�7�5"�Email: i�'1't��ci 1�S'�z�P", b'�- � �icense#: .�C lr9�'� ���G► Lead Certificate#: /�/�►• ��� � Z— �„�,,._.�.�_._... ,.,-.�,_,.�,.,.,�..�.,.�. __-�-,�.....�.�,e�.,,�.�,,..,.,,.�...�n-�-.�,-.,��. � - -- .�<....�.,_,.�...�,.�,..,�,�.� ; If the project is exempi from lead certification, please explain why: ,��`�, ;,,�p ���3 � � : ...�.m,.-H,,.�._.�.P,:.__..�.�.,_..�.,,�.....:.�._,,..,a...�..�-.�....,�.�—___—_,.,�.�....�,�,.� ,�:_r._,==.,.�...T._ ��,,.n,�.,�..,..,t.....�>.,..�..�r.�..h..,.,..,� ; f COIViPLETE THIS AREi4 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• .�..,..�..� , n:.�.,.r... _ r.:,....,r w. �..�a�,.�.� ,ry.,:,._...M..� .. ...�..�.,.� ' � NOTE:Plans and supporfing documenfs that you submit are considered to be public information.RPortions of ; � the information may be c/assified as non-publlc if you provide speci�c reasons that wou/d permif the City to � ; conc/ude that they are trade secrets. � �.�.,�.,...�.w�,,.�.,.-....��::.�,.,.�.:...n�.�.�..�.�„t.::m.,._,...,�.�_�._.r,�.�..�.�.�_�....�__-���,�_:..:,�_�..�..,��,,,.�.�.�,..:�,.�N.n.....___:.���...�..,...<�..�.r.,,.,..r_�..�_,��.�..xnM.�.,.�..,c».....��,��.._� CALL BEFORE YOU DIG. Call Gophe�State One Call at(651)45A-0002 for protection against underground utility damage. Call 48 hours � before you intend to dig to receive locaies oi underground utilities. www.aooherstateonecall.oro I hereby acknowledge that this information is complete and ac�u�ate;that the work will be in confortnance wilh the ordinances and codes of the City of Eagan; that I understand this is noi a permit, but only an application for a permit, and work is not to start withoui a permit; that the work wiil 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 co pleted within 180 days of permit issuance. rt _ .. �,�-�^� ; x �'�. �//�.�,� X �� � Applica�t's Printed Name �.�, Applic nt's Signature � Page 9 oi 3 F" PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160759 Date Issued:04/10/2020 Permit Category:ePermit Site Address: 4492 Clover Lane Lot:20 Block: 02 Addition: Eden PID:10-22750-02-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 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 - Joshua A Mikiska 4492 Clover Lane Eagan MN 55122 (612) 718-8683 Majestic Custom Construction Inc 8800 Royal Ct NW Anoka MN 55303 (612) 419-2173 Applicant/Permitee: Signature Issued By: Signature GL M 4I 9 � 1 1 I EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections@cityofeagan.com ----------- For Office Use I t�tiO4b I Building Permit #: I I I j S&W Permit #: I Permit Fee: I I I i Date Received: I I I I I Date Issued: I I---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: �hqhQ23&te Address: - Applicant is: ❑ Owner aContractor nit #: IName: ��L � 14 b vy,e- O L U--c_,v'S fa!5 (b aI a4 k b l/-N, Homeowner Address:4q*) 14/13 qy q a ,41 B Clguev Lv-, city:,o`ct a State:/ Vl V"-EiD: !D___� (.1- L Phone: Email: Description of work: Pik QC. t - Type of I 2 / f Work Construction Cos t;J '7 of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan)T?Q�f71/l�%h c.LL o\A Contact:`r e f 1`C Building Address:! L/39 ii .tl WeSi" + K— y City:e, Contractor `� / State)-Wip: 5.3�T Phone>�rZ�y5- Emailt_�/UIQ�C �e�/� K2L6q� bzt�coxpir3/31 /�y2S License #: EationDate: , Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction i 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. /J Applicant's Printed Name A licant's Signature