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4402 Clover Lane D 3830 Site Address Lot Block Sec/Sub , Name , Addre c Ciy _ ,. Name 3 Address ? _.•l.Yr ;v p Ciiy Phone T1fPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuUets # Otfier M BTU M BTU M BTU ? nn BTu CFM PERMIT FEE: s/c: TOTAL: MECHAIOICAL PERMIT PERMIT # CITY OF EAGAN RECEIPT # BLDG.TYPE Res. ? Mult Comm. Other DATE: _ r. / WORK DESCRIPTION New Add-on Repair FEES t-?--? RES. HVAC 0-100 M BTU -$24.00 qDDITIONAL 50 M BTU - 6•00 '(RES. HYAC INCLUDES NC ON NEW i CONSTRUCTION) - GAS OUTLETS (MINIMUM -1 PER PERNIIT) - 1.50 EA. COMM/INQ FEE -1 °k OF CONTRACT FEE APT, BLDGS. - COMM. FiATE APPLIES TOWNHOUSE & CONDOS - RES. HATE APPLIES MINIMUM RESIDENTfAL FEE - ALL ADD-ON 8 ? REMOQEIS - 12.00 •-al MINIMUM COMMERCIAL FEE - 20.40 STATE SURCHARGE PER PERMIT - .50 (ADD $50 5/C PEFi EACH $1000.00 OF PERMIT FEE) SIGN RM EE ? v` ''7;:.'•°t--? FOR: CITY OF EAGAN ,.r----- v .z.,.-?. .ti z-a??a9, 30, 3 ? BUILDING PERMIT N ° . 11955 Receipt # / , ' To be used br 1 l7F 4 PLLX Est Va1ue $48. 000 Date i?';A1' 15 ,193 5 SiteAddress 4442 CLOVF:R LN Erect L? Occupancy '•t3 Lot 2 9 Block 1 Sec/Sub. etDDi : LO=: Remodel ? Zoning ='?? Parcel No. Repair ? Type of Const. VFy Addition ? No. Storfes ?) 'Ji.LUE; 130:1t::; Move ? Length 44 = Name 14 `,0 y 3itJ L!V Demolish ? Depth 24p Address i_ Int Impr. ? Sq. Ft City B?"?' I' ?"Phone 7$0r 5? 1 u Install ? o Name SAME wppruvaa rees I ?? Address Assessment ? 4• V 0' Permit ? 2 City Phone Water 8 Sew. : Surcharge 24.00 Police Plan Review 137.00 ? ? W Name Fire SAC 575.00 ?n Address Eng. WaterConn. 500.00 ? W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 5lIVO Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permittee Var. Date Copies I? j? ,U19 . 50 Total 1?00D V,AE,UE ii?)iv1ES A Building Permit is issued to: on the express condition that ' all work shall be done in accordance with all applicable State qf Minnesota Statutes and City of Eagan Ordinances. I Building Official CITY OF EAGAN 3830 Pilot ICnob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 VermN No. Pennit Holdtr DMa TNephone M Plumbinp LO H.V.A.C. Ei.c,ric goftene. Inspsction Dats Insp. Commenb Foolinqs I ??tp Footinps 11 Foundatlon Framinp 7 RooNny Rough Plby. •- Rouyh Mtp. ? 4!) ? Irroul. Fireplace Flnal Hig. Pinal PI6y. XL Bldy. Final Cert.Oce. t Dsck Ftq. Dselc Frmp. WNI Pr. Disp. ' PERMIT # 7? ? 7 MECHANICAL PERMIT RECEIPT # ClTY OF EAGAN ? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: :ONTRACT PRICE PHONE: 454-8100 iite Addre*s BIDG. TYPE WORK DESCRIPTION .ot ? Btock 42? Sec/Sub ' ?--?--? Res. ?New x m Name -- ' " - , Mult Add-on y Address 1, Comm. Repair c City Phone' ` - ` Other Name c Address p City Phone TYPE OF WORK Forced Air ? M BTU Boiler M BTU Unit Heater, M BTU $-_ Air Cond. ? M BTU Vent CFM $_ Gas Piping Outlets # Other FEE 3 S/C: TOTAL• -? ? • FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/1ND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATYJRE OF P FOR: CITY OF EAGAM . . , , CONTRACT PRICE Site Addr?ss _?/Z/c 4? Lot Block _ m Name ? Address -- " ? c Ci1y? Name 3 Addre O Ci*,I .1??( i-L ? PERMIT # / I v f PLUMBINCi PERMR RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE (n -?-?? PHONE 454-8100 BLDG. TYPE WORK DESCRIPTION Sec/Sub FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR CITY OF EAGAN r Res. V New ` Mult Add-on Comm. Repair I Other ?I N FIXTURES P? Weter Closet - $3.00 TOTAL $ 0 ? Bath Tubs - $3.00 -1-Lavatory - $3.00 Shower - $3.00 / Kitchen Sink - $3.00 I Urinal/Bidet - $3.00 ?Laundry Tray - $3.00 3 c' I, Floor Drains - $1.50 I-Water Heater - $1.50 Whirlpool - $3.00 ' ' Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 ? --..._Private Disp. - $10.00 Rough Openings - $1.50 ?i FEE S S ? ? () STATE S/C: GRAND TOTAL: CITY OF EAGAN Q,??-?.3C7„+ 3/ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 / BUILDING PERMIT To be used lor 1 QF 4 tValue a48i000 Receipt p oate MAY 15 11956 86 Site Address 4402B CLOVER LN Erect Lot 28 Biock 2 secisub. EaEN ADDI T I GN Remodel Repeir Parcel No. Move Demolish Int. Impr. Occupancy R3 2oning PI) Type of Const. LCR No. Stories Length 44 Depth 24 Sq. Ft Name ME Approvala = e $ ¢ Address Assessment City Phone Water & Sew. ?Q W W Name ? a Address i W CitV Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee ' coon vALvE xoM5 A Building Permit is issued to: all work shall be done in accordance with all applicable State;ot Minneso Eng. Planner Council BIdg.Off. 5 15 8 Statutes and Ciry of EagaPermit $ 274.00 APC Var. Date 0 Surcharge 24.00 Plan Review 137. 00 SAC - Water Conn. 500.00 ' Water Meter 63.50 Road Unit 290.00 rr. PI. 156.00 Parks Copie p Total ? ? i the express condition that i Ordinances. ParmN No. PernNt Holder Date TNephone A Plymbing y H.V.A.C. L- ? Eloctrlc ? •yV'?,1,?;1,? - 1 U' ? ? Sotfoner Inspsction Date Insp. CommenU Footings 1 Footinys II Foundsdon Framing Rootiny Rouph P16p. 7--7 -f b Rouyh Hty. a Insul. Fireplace Flnsl Hty. Flnal Plbq. Bldy. Ffnal C.,1. occ. Deek Fty. Declc Frmp. Wsll . ri : . . PERMIT # , , • PLUMBING PERMIT RECEIPT # CITY OF EAGAN p 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE (0 CONTRACT PRICE: PHONE 454-8100 Site Ad w0.'L CCvu-E'-t r.--?.•?? BLDG. TYPE WORK DESCRIPTION Lot Block Sec/ Sub . Res. New ? Name Mult Add-on ? Addrqss = `•' ? Comm. Repair c CiV,` '<f . --f? Phone Other NQ FIXTURES TOTAL ? Name ! Water Closet - $3 00 $ . 3 Addre,ss Bath Tubs -$3.00 p City/'' ' - ? Phone7 ? ,- •' `, :? cJ ? Lavatory - $3.00 Shower - $3.00 / Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 - - COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM RESIDENTIAL FEE 00 $10 Laundry Tray -$3.00 7 T - . - Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - 50 =yyater Heater -$1.50 . (ADD $50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00 Z Gas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 -,?: =Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: " FOR: CITY OF EAGAN GRAND TOTAL: PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Add -,2' 'Y Lot Block m ? N C ? Name : c Address p CitY - _ TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuUehs # Other Sec/Sub Phone Res. V,- Mult Comm. Other WORK DESCRIPTION New ? Add-on Repair FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU - ADD-ON AIR CONO. 0-24 BTU - ADDITIONAL 6 M BTU - GAS OUTLETS - COMM/1ND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - MIIVIMUM - COMM/IND FEE - STATE SURCHARGE PER PERMIT - (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000-00) $24.00 6.00 12.00 6.00 1.50 EA. ? M BTU M BTU M BTU M BTU CFM 10.00 20.00 .50 FEE S/C: SIGNATURE OF e RMITTEE TOTAL• FOR: CITY OF EAGAN PERMIT # PLUMBIMG PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE - PHONE 454-e100 Site Address ' Lot Block Sec/Sub BLDG. TYPE WORK DESCRIPTION R ` New m Name ult Add-on ? r j Address Comm. Repair c City • , .' ,- Phone . ?- • Other , ? ; ?,• NO. FIXTURES TOTAL f Name Water Closet - $3 00 $ 3 Address . Bath Tubs - $3.00 O Ciry Phone Lavatory - $3.00 Shower - $3.00 FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE -$70.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00)/. Kitchen Sink - $3.00 Urinal/Bidet -$3.00 Laundry Tray - $3.00 Floor Drains -$1.50 Water Heater -$1.50 Whirlpool -$3.00 Gas Piping OuUets -$1.50 /Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 Rough Openings - $1.50 31GNATURE OF PERMITTEE FEE STATE S/C: FOR CITY OF EAGAN GRANO TOTAL: FOR? SA?F, UN IT5 CITY OF EAGANN TOWNHOUSL 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?•. ?? ?;;,? y V/ PHONE: 454-8100 , . BUILDING PERMIT Receipt # 7o be used tor 1 OF 4 PLEK Est value $ 4$,U 00 oate MAY 15 19 86 Site Address - Lot 3 ? Block Parcel No. ¢ Name - W 3 Address 0 = o Name SAM? 0 a Address ~ City Phone ?m LU W Name ? z a Address i W City Phone 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 ar)d City of Eagan Ordinances. Signature of Permittee ir A Building Permit is issued to: GOOD VALUB HOI?'!ES all work shall be done in accordance with all applicable Scate of Minneso { . . . Bui(ding Official -- 4 Erect 13X Occupancy R3 Remodel ? Zoning pT) Repair ? Type of Const, VF; Addition ? No. Stories Move ? Length 44 Demolish ? Depth 24 int. Impr. ? Sq. Ft. Install ? Assessment Permit $ 274.00 Water & Sew. Surcharge 24 . 00 Police Plan Review 137.00 Fire SAC 575.00 Eng. Water Conn. 500.00 Planner Water Meter 63.50 Council Road Unit 290.40 Bldg. Off. 5 15 8 Tr. pi. 156.00 APC Parks Var. Date Copies Total 42, 019.50 on the express condition that Ptatutes and City of Eagan Ordinances. ? 1 I PormR No. I r?.rmn Haa.. I oae• I TeNphone k I Comments u Flnal Oec. Fty. Frmy. Dlsp. PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ • ?-: , :., .. , • ?. Site Address Lot L Black Sec/Sub a? ? ? c Phone FEES COMM/IND FEE - 196 OF CONTHACT FEE MINIMJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) • ?' "'?,, •?... SIGNATURE OF PERMITTEE FOR CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New _ Mult Add-on Comm. Repair. Other NO. FIXTURES TOTAL L Water Closet - $3.00 ! Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 1 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 ? Floor Drains - $1.50 ? Water Heater - $1.50 Whirlpool - $3.00 z Gas Piping Outlets - $1.50 SoRener - $5,00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• . PERMIT # MECHANICAL PERMIT RECEIPT #i C?' a? S s CITY OF EAGAN ? r C? 3830 PILOT KMOB ROAD, EAGAN, MN 55121 DATE: 6-"% 6 Site Ad?esg ?`L! Lot U Block m ? ? c m c $ O Name -4 Address City _ TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other Sec/Sub Phone ? M BTU M BTU M BTU ? 4 M BTU CFM BLDG.TYPE Res. Muit Other WORK DESCRIPTION New ? Add-on Repair FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU ADD-ON AIR COND. 0-24 BTU ADDITIONAL 6 M BTU GAS OUTLETS COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GQES BEYOND $1,000.00) - $24.00 - 6.00 - 12.00 - 6.00 - 1.50 EA. 10.00 20.00 .50 FEE: ? ? ? ? ??` - -?--? SlC: . 51GNA R OF P ITTEE TOTAL: FOR: CITY OF EAGAN FOR SALE UNITS CITY OF EAGAN ???pds? 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 4-zwl a9,3o? PHONE:454-8100 BUILDING PERMIT Receipt # - To be used for 1 OF 4 PLEX Est Value $48,000 Date biAY 15 , t 9 8 5 Site Address 4404B C.LOVER LN Erect EN Occupancy 9 3 Lot.3? Block 2 Sec/Sub. mnN ADDITION Remodel ? Zoning ?n Parcel No. Repair ? Type ot Const Addition ? No. Stories ¢ Name GOOD VALUE HOMES Move 0 Length 44 z 1460 93RD LN Demolish ? Deptn 2g o Address Int. Impr. ? Sq. Ft. City $?;NEPhone 780-5510 Install ? = o Name LSAME ? ¢ Address '" Citv Phone p I _' b 1i._ 11353 Assessment Water 8 Sew. Police Name Fire Address Fnn 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 Ciry of Eagan Ordinances. SignaW re of Permittee t- ' -"-? GOOD VALUE HOMES A Building Permit is issued to: all work shall be done in accordance with all applicable Stpte of Minneso Planner Council Bldg. Of APC- Var. Dat, Permit S 274.00 Surcharge 24.00 Plan Review 137.00 SAC 575.00 Water Conn.50Q.• 00 Water Meter_63•50 RoadUnit 290.00 Tr. PI. 156.00 Copies T,,,,, . 0 9. 5 0 on the express condition that Ciry of Eagan Ordinances. Building Official - -,A ) ' f • I Pwmk No. I PernMt Holdw ? Data I TNsphoM N I Plbq. Hty. FM?al Oco. Fty. Frnty. Disp. • "MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 x M BTU M BTU M BTU Y M BTU CFM ? m c 3 O TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuUets # Other BLDG. TYPE Res. ? Muft Comm. Other PERMIT # RECEIPT # DATE: WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1°r6 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FEE ' ? OG ?:: i.,,,-• ?_- . , ?"` S/C• ?GNATURE O?' PERMITTEE TOTAL• FOR: CITY OF EAGAN PERMIT # Site Address L" Lot a _ Block PLUMBING PERMIT RECEIPT # C/ V Z GTY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE FEES COMM/IND FEE - 146 OF eONTRACT FEE MINIMiJM - RESIDENTtAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) BLDG. TYPE WORK DESCRIPTION Res. ? New `J Mult Add-on Comm. Repair Other Nq. FIXTURES TOTAL TWater Closet - $3.00 $ ? Bath Tubs - $3.00 ? Lavatory - $3.00 Shower - $3.00 1 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 1 Laundry Tray - $3.00 1-Floor Drains - $1.50 L Water Hester - $1.50 Whirlpool - $3.00 G.._Gas Piping Outtets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 FEE FOR: CITY OF EAGAN STATE S/C: GRAND TOTAL• '?2 FOR SALE UNITS TOWNHOE3SE BUIL•DING PERMI CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 11953 PHONE: 454-8100 T Receipt # 7o be used 1or 1 OF 4 PLEX Est. Vaiue $ 4 8,0 0 0 Date 8 6 MAY 15 .19 SiteAddress 4404B CLO`7ER LN Erect ? Occupancy R3 Lot 31 Biock 2 Sec/Sub. EDEN AD DITION Remodel O Zoning pn Parcel No Repair ? Type of Const ?Vn . Addition ? No. Stories ¢ Name GOOD VALUE HOMES Move ? Length 44 = 14 60 9 3RD LN Demolish ? Depth 24 o Address City BLAINE phone 78 0- 5 510 Int. Impr. I t ll ? ? Sq. Ft ns a o Name SAME Approvals 00 ? Address Assessment a ~ Ciry Phone Water & Sew. Police Name- Address City Phone 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 Ci f gan O" ances. 5ignature of Permitt A Building Permit is issued to: GQOD VALUE HOMES all work shall be done in accordance with all applicable iltate of Minn o Fire Eng. Planner Council Bldg. Off. 5 15 8 6 Var. Permit +' c / Y. v v Surcharge 24.00 Plan Review 13 7. 00 SAC 575.00 Water Conn. 500 . 00 Water Meter 63.50 Road Unit 290.00 Tr. PI. P k 156.00 ar s Copies T,,.,,, , 9 . 5 0 on the express condition that City ot Eagan Ordinances. Building FOR SALE UNITS CITY OF EAGAN TOWNHOUSE 3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121 N2 11954 PHONE: 454-8100 ? BUILDING PERJ.VIIi Rece iPt # 7o be used tor 1 OF 4 PLEX Est. Value $ 4 8, 0 0 0 Date MAY 15 19 86 8ite Address 4404 CLOVER LN Erect ? Occupancy R3 Lot 30 Biock 2 Sec/Sub. EDEN ADDITION Remodel 11 Zoning PD Parcel No Repair ? Type of Const 1.1n . Addition ? No. Stories ? GOOD VALUE HQMES N ?u?ove ? ?ength 44 Z ame 1460 93RD LN Add Demolish ? Depth 94 o ress BLAINFp 7 8 0-S 510 Ci Int Impr. ? ? Sq. Ft ry hone Install Z o Name SAMF ? ¢ Address ~ City Phone Lu W Name -z Address -C W City Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes nd City a Ordin ces. Signature of Permitte A euilding Permit is issued to: GQOD VALUE HOMES all work shall be done in accordance with ail aaQlicablb State of innesc Assessment Water & Sew. Police Fire _ Eng. Planner Council BIdg.Off. 5 I5 86 APC Var. Qate Permit y 4 ? 't . v v Su rcharge 24.00 Plan Aeview 137.00 SAC 575.00 Water Con n. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156 . 00 Copies Tota? $2,019.50 an the express condition thai and City of Eagan Ordinances. Building Official cirY oF EaGaN ? 3830 Pllot Knob Road, P.O. Boz 21-199, Eagan, MN 55121 11956 ? PHONE: 454-8100 BUILDING PERMIT Receipt # To6eusedior 1 OF 4 PLEX Est.value $48,000 Oate MAY 15 19 Site Address 8b 4402B CLOVER LN Erect C? Occupancy R3 Lot 28 Block 2 Sec/Sub. EDEN ADDITION Remodel ? Zoning PD Parcel No. Repair ? Type of Const. Vn Addition ? No. Stories W Name GOOD VALUE HOMES Move ? Length 44 14 60 9 3RD LN Demolish ? Depth 24 o Address Int Impr. ? Sq. Ft City BLAINEphone 780-5510 Install ? Z o Name SAME ? Q Address ~ City Phone cc w W Name a Address 0 i W City Phone Assessment Water & Sew. Police Fire _ Eng. Planner Coun Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg. information is correct and agree to comply with all applicable State of Minnesota Statutes and Cii?yl n Ord' nces. APC_ Signature of Permitt?// VBf. C A euilding Permit is issued to: GOOD VALUE HOMES all work shall be done in accordance with all appljveb Stat Minnesota a?it Building Official {,`.G Permit a " Y . "" Surcharge 24.00 Plan Review 137. 00 SAC 575.00 Water Conn. 5 0 0. 0 0 Water Meter 63. 50 Road Unit 290 . 00 Tr. PI. 156.00 Parks Copies 019750 ' Total on the express condition that an Ordinances. CITY OF EAGAN ,- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N° . ...11955 • PHONE: 454-8100 BUILDING PERNIIT Receipt # To be used tor 1 OF 4 PLEX Est Value $ 4$? 0 0 0 Date MAY 15 19 8 6 SiteAddress 4402 CLOVER LN Erect IN Occupancy R3 Lot 29 Block 2 Sec/Sub. EDEN A DDITION Remodel ? Zoning PO Parcel No Repair ? Type ot Const j,Ln . Addition ? No. Stories GOOD VALUE HOMES Move ? Length 44 s Name 2 W = 1460 93RD LN Demolish ? d Depth Addre ss t I ? S Ft p Cih, BLAINFQhone 7 4-5510 . mpr. In Install ? q. s Name SAME npprovals = o ? ? Address Assessment ~ Ciry Phone Water 8 Sew. a = Name _ a Address ? c W Ciry Phone 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 Ci Ea en Or ' ces. ? Signature of Permitte A Building Permit is issued to: GOOD VALUE HO S all work shall be done in accordance with all applica4le-4tatesYMinneso Police Fire _ Eng. Planner Council Bldg. Off. 5115 / 8 6 APC Var. Permit $ 274.00 Su rcharge 24.00 Plan Review 137.00 SAC 575.00 Water Conn. 5 0 0. 0 0 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2, 019 . 50 on the express conditlon that City of Eagan Ordinances. Building ? CITY OF EAGAN Remarks ? addicton Eden Addition Loc 29 eik 2 Paroel #10 22750 290 02 I Owner Street 4402 CloVeY' Lane state Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 504.70 100.94 ?- STREET RESTOR. GRADING 1982 232.99 46.6o I SAN SEW TRUNK iF SEWER LATERAL 3.896.46 379.29 5 WATERMAIN WATER LATERAL 1982 WATER AREA * Services 82 STORM SEW TRK 1 82 256.00 1.20 '-- ? STORM SEW LAT 182 S CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks . Addition Eden Addition Lot 28 Rlk 2 Parcel #10 22750 280 02 owner_ - 1'` street 4402 B Glover Lane srate Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. -U 19$2 504.70 100.94 $ STREET RESTOR. ' GRADING & p 1982 232. 46.6o SAN SEW TRUNK q I* SEWERLATERAL 5 1982- 1896.46 379.29 WATERMAIN * WATEFi LATERAL 1982 ' WATER AREA * Services ' 19 2 STORM SEW TRK 1982 256.00 1.20 * STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addifion Eden Addition Loc 30 eik z Parcel #10 22750 300 02 owner Street 4404 Clover Lane state Eagan MA1 55122 Improvement Date Amount Annual Years Paymeni Receipt Date STREET SURF. 0 1982 rj0t?.']0 ].QQ.94 STREET RESTOR. GRADING (PqO 1982 ? 46. SAN SEW TRUNK tll 1974 62.93 4.20 15 11 SEWER LATERAL -3 ' WATERMAIN * WATER LATERAL 1982 5 WATER AREA 1977 62,93 4.20 15 • STORM SEW TRK 182 2 6.00 51.20 • STORM SEW LAT 1982 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PAR K CITY OF EAGAN Remarks Addition Eden Addition Lot 31 Rik 2 Parcel #10 22750 310 02 Owner Street 4404B Clover Lane State Eagan MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ?? D ]„Q82 504.7? 100.94 5 STREET RESTOR. GRADING C 1? 2 . 46. GO SAN 5EW TRUNK 6 2 - 9 3 4.20 S # SEWER LATERAL 4 WATERMAIN * WATER LATERAL . 1982 5 WATER AREA . 0 Services 1982 STORM SEW TRK 1$2 2 6.04 1.20 # STORM SEW LAT 1 82 )r CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PARK I CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: '' '? •' ?? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS• • APPLICANT• 141 i 3c? f?i ?:?, r. . 1 OVl:h I. ANE ? f! ( ??s. ? "?E ti?ti . . PERMIT SUBTYPE: TYPE OF WORK: r,111?iTrVIN I saftK!-.r FLAN RFViftlt U RV ?tIY.E HARrl Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBQARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNDucrivirv TEST HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG ? nFCK FINAL CL?jJ? I ' INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: `` ?' i ili t OvfFt l ANt' I PERMIT SUBTYPE: t' 1) () I T I'I H'y ;A El 1 nCF• p1ARK; : 1''4 A!1 RF V 7 f lIF 0 NY M i}f H14ftIt titl ! 1 111 f Nct a1 ? J 'r f?l ! <1 ?i APPLICANT: 4 4.1.2 ) 891?-43 TYPE OF WORK: t= rWni F- - L Permit No. Pe?mft Holdar Dete Telephone N ELECTRIC PLUMBING HVAC Inspaction Data Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYP BOARD FIREPIACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTd 1 0 DECK FINAL DL CITY Ur EAG,AN WATER SERVICE PERMIT 31W Nilot knob Road P. O. Box 21199 PERMiT NO.: Eagan, MN 55121 DATE: , Zonirg: _ No. of Unlts: Ownsr; ;?? ? Address: 4404 = - U'r fi r L8 ! 1e . _ ,. ... e„ . . , - n Sih Address: . i :v. 9Q?'- . UIII. Plumber. AAeter No.. ?,? D odoe: Size: " ° 1amme te osmylp wN6 1M GIWAfJ?¦ . OeriMweM. ??? x. Charpss: 6 ?!??_ ;; f t:t• i Totai: gy LZ pote Poid: DaM of Insp.: Irnp.: 44- l(o CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road - , P. O. Box 21195! . PERMIT NO.: , i, f agan, MN 55121 DATE: Zoninp: No. of Unltr. Owrnr: /1dd?ess: Site /lddrcss. .,?.r?s- !i .?. Plwnber: Meter No.: 3 72. a Size•. , Read?r No.:IJ 31Vdigolly I .'r.. !o oo?l?r .?ill? Nhe c?? ? ?tu s ? ' ? - ; _ o?..a... ?,?1[Z??"g.s: ?3.5i!r, ?b ?T?al: By vote Paid: Dnro of Insp.: Insp.: /d-- i - CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zaninp: Owrnr: Address: Sita Address: Plumbar: SEWER SERVlCE PERMR PERMIT NO.: DATE; No. of Units: Va 1 MP" te mowpip wNU !M CIly oi lwo OeiiMOaM By Date of Irop.: Conneetion Qarye: /lcaourM Depo*: Permit Fw: SurcFwrpo: Misc. Chorpp: Totoh Dah Pa1d: CITY OF EAGAN _ WAtER SERVICE PERIWT 3830 Piloi Knob Roaa ! - • P. O. Box 21190 PERMIT NO.: ' Ea&n, MN 55121 DA7E: Zoninfl No. of Untes: ' . "?; - Owner: c - - - - /lddrcss: SiM Address: Pl1.Mnber. ? Meter No.• d 500, (VIn;' $i2eI r' Xn c/{ RlC?i NO.: _L"" 1 i1. VUpi: 1 pwe to eew* whh tM G1p ? 5 roe: . 5t?-),, 04186mOM. 1 _ - r ? (71'lr .1 Br ,A.n_'!2 ? oore Paia: Dote of Insp.: trup.: 7- z B-,A: OF FAGAN WATER SERVICE PERMR Pilot Kwob Road Box 21199 PERMIT NO.: i, MN 55121 DATE: k3 No. of Units: o: - Cond Va] uc: Addmas: aon v Bz No.. h 0e-015 wo !y CJlp of bNw ? I nsp.: V^6.7-V v Conr+ictlon Qro.ys: Aocourn Deposit: _ Pertnit Fee: Surchorpe: Misc. Charpm - Total: Dato Pald: ? CITY OF EAGAN SEWER SEtV1CE PERMIT ? 3830 Pilot Knob Rosd P. O, Box 21199 PERMIT NO.: Esgan, MN 55121 DATE: Zoninp: 3 No. of Units: :, { Owner, ('ne)t 781•ie i1or.-I?• /lddress: - Site /lddrass: 4404 ri .,,.vY j,ay, j"'• CIRZ I'det: L•1 r. Plurnber. t: ic'.21 son ° l+?rnb nz 1 Mm to pl?r wNb !IN Gyr of Mlos Connectlon C}+orpa: , Ordiresam Aaount Deposlt: Permit Fes: Surehorpo: gy Mlsc. Choroes: Dote of Insp.: Total: iIroR: Doh PeW: CITY OF EAGAN 3830 Pilot Knob Rosd P. O. Hc x 21199 Eagan, MN S5121 Zoninp: F 3 Owrwr_ (7ood V Addroas: Sib /lddross: Plunnber: ? • = ";: c 1 Meter No.: - 7-2 Sl u: 7/9"RoUC. Reoder No.: d SN ? Nrw te an pIr wftb !Iw Or?iwneM. WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of UMts: nlel: ' Iue 'iomes Clover Lane L31 B^ ":jen, Addt;. ,on r2umbing lan Chorys: f1ond 'A By ?, ? Dar. Peid: Dote of Irrsp.: - x6 Irup.: CITY OF EAGAN 3830 Pila`c Knob Rosd P. O. Box 21799 Eagan, MN 55121 Zoninp: - Owrwr. Address: Site /lddreu: '-14? Plun+ber. ,. SEINER SERVECE PERMIT PERMIT NO.: DATE: No. of Unlts: 1e/m ham* wN& fW Cft dlqNs Conrnctlon Ufonpe: orlh.eon. Acooiw,t apoar. Paemlf Fw: Suniw.: By Mise. Chonpas: Doh of Insp.: Totol: Irap.: DoM Petd: Y 7 ? ?•. CASH RECEIPT ,7) -? " "'?"Jft CITY OF EAGAN 3795 PI LOT KN B R 0 OAD 1.?? ?• ? ?? ? EAGAN, MINNESOTA 55122 ? -AJ -- DATE L 19 ? I/ RCCt1VRD I / FROM ? a ? C? L.? AMOUNT r J c. ? -?-v?-?-u I & DOlLARS 1 oo ? CASH aCHECK FOR Y , , ? ?ybL3 ?. ??i.? ,i.? . FV ND ? CODE AMOUNT ??5.?- .',. r • , ..> .. ( ? C_. ) { Thank You _ 6407v 1?Y? , - -- ! wnite-Peyars copv Yellow-Posting Copy Pink-File CopY w .. . _. . . - .--,??.?.+-? R CASH RECEIPT ?'' ?•? 1T ? CITY 4F EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 r C ` . aare _ 1s . RECfi1V6D ?-- ? . FROM AMOUNT & QQLLARS I oo ? F]CASH ? CHECK ? Thank You 63573 C PUND ' -f CODE` ? AMOUNT i. ? . . ?? 1 1 's 1 This request void ? 18 months irom / w 1 `? 1 ?-t "1 ? /1 .-. ? L-? ? - r 7 A 10r, ? L T V V V l_?? ` N i '`i •.-/' '"`r `."' inspection Rou h-in ' - Request Date re o. 7 g qU ReadY Now W?II Notify, lnspec ? ? ?! 7 ? Yes ? No or When Ready sQUESTuFORE Lfor ECT?CA? ?NSPE? CT ? tONck of ysllow copV- <<,? C 2 4 3 S 5 "X" Below Work Covered by This Request E B-OOW i -04 TOT4-FEE'-- Rough-in r D?te ? ? ? • i?j Insaector, hereby certily thet Ihe a6ove Final ? D? ? ? ? 'nspection I?aa been meda. Thle requeat vold 16 monure tmm [:]Licensed Electrical Contractor I hereby request inspection oi eoove n electrical work installed at: 18is repuest void /?`? / mon(h5 (mm C 24384 RPpyest Uate (7 Rre No. Pough-in InsUer.UOn R q ireA> ?Ready Now Will NnufY Inspec- ?yes ?N ?ar Wh q tly ? Licensed Elec[ncal Convactor ? Owner 1 hereby vaQUest ins0achon ol above electncal worq installatl af' Street Address, Bok or Route No. GtY ecvon o. Townshio Name or No. flan9e No. C. n1y Occ=ntlPqlNT) Phane No. Pow¢r S-ooher dtlress ElCectnca! Conha<toqlCompanyl?leme) z:?? p ? ? Con(rur.tor's ?e e No? Y Mailin!g qddress IC tractor r Owner Makmg Instailavonl Aut r'Zed-Signalure (COntractor/Owner Making Installaf?on? Phon umber -^-'? aiwic nUANU UF ELtCTqICITY ' lmia irvavECTON REQUEST WILL NOT Gro99s-Mitlway Bldg. - poom N-191 0E ACCEPTED BY THE STATE BOAqD 7621 University Ave., St Peul, MN 55100 UNLESS PPOPEN INSPECTION FEE IS Phone 1612) 297-2111 ENCLOSED, REQUEST FOR ELECTRICAL INSPECTION y EB-OUWI-Oq ?-/ / See insVUCtiions tor comole4ng this lorm on back oi vellow copy. "X" Below Work Covered by Thrs Requesl f? 9d'?Rd v Fdtl Rep. T, e oi Buildmg AP6il ances Wired EOUiUment WireA Home Range Temporary Service Duple,x Water Heater Lightiny Fixtures Apt Bwldmq Dryei Electric He2tin Commerciai Bidy Fumace Silo Unloader Industrial Bidg- Air CorMiUOner Bulk Milk Tenk Farm Otner peu v oiner 15Vecitvl t ,r SucuFy Other Othur # Fea SarviceEMranceSize 4 Fee Feaders/SubieAders p Fee Cvcwts 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 qmp5 31 to 100 Amps , d 31 to 100 A s Swimming Pool Above 100_Amps Above 100_AmPs Transtormers IrngaLOn Booms Partial.'Other Fee Signs Speaal Insp@ctioo $ TOTqLFEE-? flem3rks I /l ?-a „- ? ? Poueh-in I. the lectu?e41 q ??O Inspector, hereby cerLfV thetthe above D'nte Fnal msoectian has been mede. This repueat void 18 monlhs Irom This repuest void -7 18 mpnths from C/ C 24383 ??'/? - Request p2te 3 Fire No, ftough-in Insyeciwn flqwred? QReaAyNow?WrIINpUSYjnsPec- t!? ?es ?NO When fleatly U Ltcense0 ElecVical Contract0r I heredV reqvest inspaction of abov0 ? Owner electncal work mstalled at Svee[ Address, eoz or Ro//µµ((11e NoA. uity ? ? W (./`C.? ? '1?? `.?G_./ W/?/ ecu i o. Township Name or No. panee No. Com?ty ? O upant (PHINT) Phone No. ? Pow r SupOlier Address ? Efe?tncai Contractor,ICompany Namei Con rn?-tor's Lice e No.? y ?l ? 7 ? / M e?+ddress lCo? cto; or wne aWng InstallaLON m , Au r¢ed Signature kContractor?Owner Making Installa[ion) n Phone Number mINNESOTA STATEBOARD OF ELECTNICITY J IMIS irvSPECTION pEQUEST W1LL NOT Griggs-Midwav eldg. - floom N-191 BE PCCEPTE? BY THE STqTE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PflOPEN INSPECTION FEE IS Phone (612) 297-2117 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB,00001-04 _, See instructtons for comoletine thia form on Eeck o1 Vellow copy. "1(" Be/ow Work Covered by Thos Request (C %4??83 ?rwr AAd flep. Typeo78Wltling ApplmncasWvBd EquiVmanlWveA Home Ranye Temporary Service 009F Water Heater Liyhhny Rxtures Apt. Bwidin9 Dryei Electnc Heatm Commercial 81dg. Fumace Silo Unloader Industnal BIAg Atr CondiUOner Bulk Milk Tank Farm O[nar oeu y rherl@pr_r_ifvl ? -? Veufy Other Otncr q Fee ServiceEntrence5ize B Fee FeeOers/SUbieetlers F.e Cvcuits 7t0 200Am s 0 ro30Am s 0 co30Am s A6ove 200 qmps 31 to 100 Amps I-r C_U 31 to 700 Am s Swimmmg Pool Above 100_Amps Above t00-AinPs Transiormer5 Irrigation Bpoms PdrtiaL Other Fee Signs Special Inspection Sy , I TOTAL FEE PerrNrks k;,7-00) HauBh-m Dnte y 1. the Ptq4t4?ES1 InsOector, hareby ceriify that the abova Final ? ?` nspection hee baen mede. lhia requesi void 18 monllu Inom C? 47610CI.I Fequest oate ire N Fou9h-?^ Inspection Fequvetl' eady N. ? Wtll Notdy Inspeclor When Reatly'+ G Yes o I?<Xensed contractor J owner hereby request inspection of above j al work at Job Atltlress (SVeet, 6ox r Route Na ) ?? L^? ? 11 Sactwn N. TownsM1ip Name or No Range No Counry occupaot lPRINT7 Phone No nn Power SupPliar A??ress Elec rmai Cootractor (COnpany Namel I ? Cornractor's ?oenae No ?,:CI4 ^Ma?kingFIns?ellat on? ) Mailioq Adtlress (G nVedor or Ow.nV`eri??LIJCJ. ?.? ? +so ^ l?t J?OIJN` Aui Si aWre IGomracm ner Making IngailaLOnl ? Pnone Number 4 -Z NNESOTA SiATE 60AHD OP ELECTRIqTV THIS INSPECTION REOUEST WILL NOT ggs-MlAway BIAg - Room 5493 8E AGGEPTED BV THE STATE 90NRD 1821 Universfly Nve., St Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS Vhone (612) 66241800 ENCLOSED m-a7 0 REQUEST FOR ELECTRICAL INSPECTION ld?"'N;, ?ee(m oao 9 J s/7/5, ? ? 4511 See insVUCtmns tor compleMq [his lorm on back ol yellow copy ? ?b F ?' 04, 7610 "X" 8elow Work Coveretl by This Request '.i ' Neve. ,qtld Rep Typeoi6utlding AppliancesWired Eqwpmen[Wired Home Range Temporary Servwe Duplex Water Heater Electnc Heating Apt eutlding Dryer O[her (Speciy) Comm /lndustnal Furnace Farm v Condinoner O?har ?spealy) Gonhactor§ Femarks Compute Inspechon Fee Belaw: # Other Fee # ServiceEntrance Size Fee # Cirwtls/Feeders Pee Swimming Pool 0[0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps $?9n5 Inspector's Use Only /i I ? ? TOTAL Irnga6on Booms 1 ' Spemal Inspecllon Alarm/Communication THIS INSTALLATION MAY 8E ORDER DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby -'n r oeie cerOfy that the above inspeciion has been made 1hal Date - ? ? OFFICE USE ONIY Tha request voitl 18 mamhs imm ?. This requesl vmd 18 nqnths from lJ 'C 24392 (C L/? O / ? LY -? - flequest f]ate F?re No, ` RouOh-in InsVecbon Quned? [3Ready NowWtll NntNy Inspec- gh r Whe ?n fleadY J es ? NO E] LicenseA Elec[ncal Contrector 1 hereby raduest nnspectroo ol ebove ? Owner elactncal work instelled at. Sveet A Aress, eox or Route No. ' Gty ?? oa o?cc? ecUOn o. Township Name or No. RanBe No. Co nty Or, U.?nt IPNINTI Phone No. ?? Pow? ? (( Supplier AAdress ( ( / ??f EI clncal Con[ractor (Compan amel " Ctrctor's L,c se No. ?W / V ??Y Mailm dJress Contrac or Owner Makine lnstailatioN - ? Au nzed Signawre (Convactor Owner Making Installat onl ? Phone Num/be?r ??C? ?O MINNE50TA STA7`E BOARD OP ELECTRICITV ? WHIs INbrtL??urv neuucsi rviLL rvuI Gnggs-Midwey Bldg. - Room N-181 BE ACCEPTED BY THE STATE 90AflD 1821 UniversrtY Ave., SL Paul, MN 55104 - UNLESS PPOPEN INSPECTION FEE IS Phone (612) 29]-21'll ENCLOSED, ? REQUEST FQR ELECTRICAL INSPECTlON ee-oooai.oa See instrucliens lor tomoletvp thns fwm on back of yellow copV- C)/ tf '? .4'?A7 "X" Below Work Covered by Ihis Hequest FAd AeO. Ty" of BuJEinB p0olmntes Wired Equiumenl Wved Hom Range ervice iiplex Water Heater xtures Apt. Bwldinq Dryer atui Commercial Bidy. Fumace er ad Industnal BIAg. Air Conditioner nnk Farm Soea.' v rvl O1M1Cf rnpw?.. . ...p........... ._ . . # F ee ServiceEntrsnce5ize R iee Feaders?SUbfeeders a Pee Circwts 0 to 200 Am 5 0 to 30 qm s 0 to 30 Am s Above 200 qmps 31 to 100 Amps . Qu 31 to t U0 Am s Swimming Pool Above 100-Amps Above 100_Am ' Transmrmers Irrigation Booms PdrtialOther Fee Siyns SVecial Inspection ?O $ TOTAL?FE ? Hert arks ? ' o r u J, g FouBh-m • ?ate 7 -rv J?lp I. the tiicnl Insoac,o.. he.aev cerU1V thetthe hove Final ?=e ?manspection hes been da. Thh request voiA 18 monlha trom ?173 v 2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MPI 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit ' Date ? / a 0 / 0GJ Site Address U y 4) L4 0-? U V t r I Pr nE Unit # Property Owner Telephone #(L(-5f ) ?.-I? - SC?-l L4 Contractor Street Address J4 SC? ? b C'i?'1`I"LYl ?JV ? CrtS' State ((l ? Zip ° Te?ephone # (j05` Bond t!: Expires: ? Conhactor _ Other The Applicant is _ Owner Add-on or alteration [o existing dwelling unit $ 30.00 ? furnace _Additional _Replacement air exchanger airconditioner _New _Replacement other State Sorcharge $ .SO $ 3(D"50 Total I hereby apply for a Residenrial Mecbanical Perxnit and acknowledge that the information is compiete and accurate; that the work wdl be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlns is not a pennit, but only an applicarion for a permit, and work is not to start without a pemut; that the work will be in acwrdance with the approved plan in the case of work which requires a review and approval ojilans, c) Applicant rinted Name c Ys igna e ? I JAN 2 4 2005 QcoK 4-'. PR6E 5! . , ROBF. ?nHSUtTIH6 EH61HEEfl5 ENGINEE?ING PiANNEflS nnd LANb 9llAVEYOltS ??n J?+e COMPiiNY, INC. ? 1000 E.IST 14fi1q STAEET, BURNSVILLE, YtHHESOiA b1337 PH 432-3000 Z,ag-cl IJes crj,p2i on: NORTH SCA LE : i" - 3C, ? ? .v A N 0 (j`L?..°J DENOTc'P, CK/57%N6 E?EVA7/ON C9He.o? DENOTES PROPCSE? E-;EVATtont 1NG1Cq?ES 0/FZE^_TioN af SURFACE DRA/NN6E ?fj1,3?= FlN?SHE:; G-4RRC-E FLOCR E4FVA7JON .. ? ?9a.c 9u?,a1 ? r LcTS 26, 29, :.c AAID 31, bL?x'-i 2p EDEN` LtLDlFIau, i v^AKc7Ll CO:.IMTY, MINNESOTA I i ? ^v! O ? Iti c BU/L .\ op ?0 7- -?G ! 1 ?39? ' __4 ING ? cc. CC r$ b ° N v ?or ?9 a - n'=?- /ba. 47 0 r.49L9 A( D2ARJ?bc AND ? U7iL'7Y EA56MEi17 c 0 L I ? <i h w a ° ?.al a r ? 1 ? t ? I ?? 1 v? ?937 ?y- ? 1 V ? V tract f I her:by cartify that thia in a t:ue and cas'reQd bpII tn of a day o land as ahoxn'and deacribed herton.. Aa prap Y me n thia _9nf m? , 19 8? . . Hinn. ReE. No.?s r. 1986 HOILDIAG PERlIIT APpL2CATI0A - CITY OF E9GAN HOTS: ALL COtiT(tACTpRS MOST BS LICENSED AITH THS CITY OF BAGAN COMMERCIAL SINGLB FiDIILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 3ET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: Valuation: ?Iezo Date: ?--?-a ? Site Address IISS ONLY Lot a'j_q Bloek o`Z Erect /.? Oceupancy _ -? Remodel 2oning 9p . Pareel/Sub - = Repair Type of Const Addition # of Stories Owner 64 oZtl m? > onnr= Move Length Demolish Depth 0? Address .? GD Int.Impr. . Sq Ft Cit /Zi C 3 ? ? Install y p o de 1 ?o .z 5 5?3 / ---------- - --------------- ------ Phone ? ffe)- S ,4-10 APPR09ALS FSES Contractor Address City/Zip Code Phone Areh./Engr. _ Address City/Zip Code Phone # Assessments Permit 2-7 Water/Sewer ? Surcharge Z ? Police Plan Revierr /.37 Fire SAC 57? Engr Water Conn 45Zx) Planner Water Meter ('3,? Couneil ; , Road Unit 'zq O Bldg Off / J Treatment P1 /S?""( APC ? Parks Variance Copies TOTAL NOTE: ADDRESSES FOR CA@NSR LOTS - COPTBACTOR/HOMEOiiAER MOST DESIGBATS {iHICH ADDRFSS IS D&SIRID. NO CH9NGE5 i1ILL BE 6LLOWBD ONCE BOILDIHG PERMIT IS ISSIIED. = I / 1986 HIIII.DI6G PERlII2 APPLICATIOH - CITY OF EAGAN NOTE: ALI. CONTEACTOES MQST SB LICENSED iiITH THE CITY OF BAGAB INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONSJ $2,000 LANDSCAPE BOND SINGLE FAlQLY DfiBLLINGS INCLIIDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: ? Date: Site Address 7-z3 64g er-I-A( OFFICS IISS OHLY Lot Bloek 2 Erect 1S Occupancy _ - P E llr ?? Remodel Zoning ? lJ arcel/Sub , ? ?3??a llez ?GCl? .. Repair Type of Const Addition 4 of Stories Owner h Move Length << Demolish Depth ? n Address Int.Impr. , Sq Ft City/Zip Code 021pp?y ?s v3v Phone `7ffdo - $z-/o Contractor ? ?e' Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone 4 COl4ERCIAL Install APPROVALS FEES Assessments Permit 27? Water/Sewer Surcharge Police Plan Review /3 7 Fire SAC -57'7- Engr Water Conn 5-L-22 Planner Water Meter rz? o Council i / Road Unit ZyU Hldg Off- /,% _? - Treatment Pl = APC ' Parks Varianee Copies TOTAL NOTE: 9DDHESS&S FOR C089SR IATS - CAHT@ACSOH/HOMDDiiNSH HQST DESIGNAiE WHICH ADDRFSS IS DFSIRED. NO CH9NGFS HILL BE 9LLOilED ONCE BOILDZNG PERMTT IS ISSDED _ . /? 1986 HQII,DING PERHIR APPLIC9TION - CITY OF EAGAN 1. NOTS: ALL COH?RACTORS lIpST BE LICEHSED WITH THE CIYY OF EAGAN COPAl6RCIAL SINGLE FAHILY DWffi.LINGS INCLUDE 2 SETS OF ARCHITECTIIRAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2t000 LANDSCAPE BOND To He IIsed For: Valuation: ? Date: ' Site Address zseey ? OFFICE IISB ONLY Lot ,`_ Bloek 2 Pareel/Sub Z Owner Address /6/?Q 93 City/Zip Code ,A3L,',-r?,y Phone 7Ale - S .j /d Contractor Address City/Zip Code Phone Meh./Engr. _ Address City/2ip Code Phone 0 Ereet _'X oceupaney _-R3 Remodel ? Zoning pz_ Repair _ Type of Const J2/ Addition # of Stories Move - ? Length 7/ Demolish Depth =CJVL ? Int.Impr. Sq Ft __ Install APPROV9LS Assessments Permit 2 7 Water/Sewer Surcharge C Police Plan Review / { 7 Fire SAC 5 7f Engr Water Conn Planner Water Meter Council ; Road IInit Bldg Off.' /'/ - Treatment P1 1:]1? APC Parks Varianee Copies 1Y)TAL NOTS: ADDRfiSSES FOR COHNEE IATS - CONTRACrO8/HOMEOWNEH MOST DESIGN9TS SiHICH 9DDRESS IS DESIRED. NO CHAAGfiS WILL BS ALLOBED ONCE BIIILDING PERMTT IS ISSIIED. 1986 BDILDING PERlIIT 9PPLIC9TION - CITY OF EAGgN AOYS: ALL CONTRACTORS MITST BS LICENSED {iITH THE CITY OF E9G9N COHIMERCIAL SINGLS F9HIL.Y DWSI.LINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLODE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND t SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE SDND To Be Uaed For: ??.y!?r Valuation: ? Date: Site Address OFFICE IISE ONLY Lot ,31 Block Z Erect ? Occupancy Remodel Zoning ? Parcel/Sub ?? Repair Type of Const Oxner ? _ Addition Move # of Stories Length ? Demollsh Depth Address Int.Impr. Sq Ft Install / CitY/Zip Code ??CdG xi ----°---- - -------------- ------- Phone 75?- APPROVALS FEES Contractor Assessments Permit Water/Sewer ? Sureharge ? Address Police Plan Review Fire SAC S 7 ?" City/Zip Code Engr Water Conn Planner Water Meter Phone Counc3l i Road Unit 1y? Bldg Off,:; ' Treatment Pl Arcri./Engr. APC , Parks Variance Copies Address TOTAL 7-0/c, City/Zip Code Phone P HOTE: ADDHESSES FOR CORPER LOTS - CONTRACTOS/HOMEOWREB MfJST DE3IG2IATE WHICH ADDRESS IS DESIRffi. NO CHANGES WILL SS ALLOW6D ONCE BOILDIAG PERHIT IS I3SIIED. -?'CITY OF EAGAN 38N0 PiloF Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: surLozNG Permit Number: 031621 Date Issued: g 3/ 2 0/ 9 8 SITE ADDRESS: 4404 CLOVER LANE L07: 30 BLOCK: 2 EDEN P.I.N.s 10-22750-300-02 DESCRIPTION: g10,6,3l;di-n-g!bpermit Type DECK 44 d , krt0?amk TYpe NEW d83 434 ALT. FtESIDENTIAL s : ,,, ?$+ u 44s a ? S ^? m rrr...ppp GSLU .? ?? ? alY. ?? ? A wf:t'y fid ?S `w.? ' REMARKS: PI.AN REVIEWEO BY MIKE bARCK FEE SUMMARY: Base Fee $50.00 COPIES $1.00 Surcharge $.50 Total Pee $51.50 Subtotal $50.50 CONTRACTOR: _ flpplicant - sT. Lxc.OWNER: FRpNTIER CON57 18914359 2006031 WEBER JIM 14101 FRONTIER LN 4409--B CLOVER LANE BURNSVILLE MN 55337 EAGAN MN 55123 ('612) 891-4359 (612)452-5074 9yu' u'.s'?Fko- r *P"t-'? '.? ?ay ?2' m. 'xq.. i?,?, iee?is?^, t e s a?' ? ner?? rry ecki?aw?le d9? A;a?; ? E??d?=';fitjriv,?`??zc`??RU?? ?c "irrf?srti??'C`?csn-°;is cwMF4?Cb?ri.cf?aH?14 e + ... e. ??- '-3 ca? __._ z.i.._.__ k...,.?I4er?i ncm' ?'3•:_aS SEr- ?.$3'. ? ? .?'yLT?-Hf-?5V6'?LeP41 ? ?F?.?.-.....'. L_a^'Yu • "'. ?. AaiYI, Ru47YG 9 ISSUED Y: SIGNAT RE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN tD 2 ? 3830 PII.OT KN08 RD - 65122 681-4675 New Construction Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 eopiea of plan ? 2 copies of plans (Indude beam & window s¢es; poureG fid. design; e[c.) • 2 site surveys (exterior add'Rions & decks) ? 7 energy ealwlations ? 1 energy calwla6ons for heated add'Rions ? 3 copies of tree preservation plan if bt plattad after 717/93 required: _ Yes _ No DATE: ?I,I,Idg CONSTRUCTIONCOST; ? I+ 4?•UO DESCRIPTION OF WORK: STREET ADDRESS: 4,464 [f) anutc- I.&va- LOT: BLOCK: OZ- SUBD./P.I.D.#: EDEK \ ( Name: ?' ?el?f-c J ? YYL Phone #: 457 ' Sb l 4 PROPERTY Lest First o`vr'ER 44b4 Street Address: Ltl vw- ciry 42kuar state: VYbU ziP: SSI Z3 ? CONTRACT? ompany:?p1-?(_G" Phone #: JS'l OR { Sheet Address: 1? IQ ??-tCr' `?OVt?_ License # 7bC)46316 City BCFV"?S? I ?- State: vW Zip: 5533-? ARCHITECT/ ENGINEER Name: Registration #: Phone #: Street City State: Zip: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the State of Minnesota Statutes and City of Eagan Ordinances. Penally applies when address diang correct and agree to comply with all applicabl Signature of Applicant OFFICE USE ONLY V Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not 00 -r?S- _ 6--< 4 PA6v? 5' aOBE ENGiNEEfliNG CONSiJL7IH6 EH8(NEfAS PIAHNEAS ond [AHD ?U8VEY0 / COMPANY, tNC. N ? 1C00 EAST I463fl S7RE:T, BUANSVILLE, Y1NH£:OTA 5S337 pH 4.'.2-3000 C?= =z Z-0-1-1Z C CLZ ?C S2ZrL7"??40 y ?Q?l ?C.?CT'? ?ZO?L • LcT-'5 2E,, 25, ;C ANG 3/, atrx.= 2I GrXOTA COL?NTY, MINP.;ESJ?,u NCRTH ScALE : ?" ? ??• ? 4 .N a ! a ? I ,cki!Ts 5C?=? .? ? ; `? - >g ? '? 5 •; 3?. ? r,3a) i 1 ? %,? 4 -LNi7- n ? ? Gl' ? °? 8c Cc G_`L?_°J DEAIG'e? c:IIG'/N6 E_E'?A`.;C/..' C90e-0) DENCT'S P.RCPCSci0 • E?EVAT1cA,' J4.+e 4..+,c; EDE--` .dTAf r'!cti' s? 1NGICq7c'S CIRE_T/CA! oF SURFACE OR.?,/A4f?? A N H ?J?{/."??= FiA!'SNE? ^?RAC^E FLOCR EL'cVA%`iDAi R E V I E W E D ?' ??3E',5 ? 4 ? ? 7 ?/ 9S_ -_ v. PcOF? <c = c I s'V C w C Ei !L ?I LOT S ? 94?;? -? ? ? ? • _i < <J C2A?V'f4?,c' pNO 7-? / io• L / ,) ? I reUT1L:T'! EA_6ME?1T 9 ?' /-. ' - S C9w_,,,?, i ( ,._ C? ?y?'331 0?l,33 ?I ` ?3 sr t-7 kn N c3' ?E•• W -? '7 / ? / ' 3Ec.e. ? II \ u ? C ? I `W 0 O •n ry ? , \L ? I i /'S? J ?v I ? o , V i ? Z heriby cartify that thia ie a t:ue and correct rapraaentation of a traet of land as shovn'and deacribed hereon.• Aa prapnred by me on thia 977/ day ot /" 414 , 19Sa, . ?.. ? Hinn. Res. Ho. v 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)? cixsr oF EaQax C4WA U I? • 3830 PII.OT KNOB RD - 66122 681-4676 New Construc[ion Reaulrements RemodeVRaoair Reouirements ? 3 registered sfte surveys ? 2 copies oT plan ? 2 copiea ot ptane (indude beam 8 window saes; poured fid. tlesipn; Mc.) ? 2 ske auneys (ezterior addkions 8 dedcs) ? 1 energy ealalations ? 1 ene rgy calwlations far heated addkions ? 3 mpies of tree preservation plan H bt platted aRer 7/1/93 iequired: _Yes _ No DATE: ?I - 3 1- g ZC CONSTRUCTION COST; SCO . O O DESCRIPTION OF WORK: Qt Gk A O O s? STREET ADDRESS: '-t 4 o y C L o v 6-rL L ? C?,?n?,, LOT: 10 BLOCK: ? SUBD./P.I.D. Name: LJ G h32b2 ?o u V Phone ??1 PROPERTY I.ast Firs /? ; ?7p"- 2 ,.•?D OWNER ?"1 ! 7 Street Address: 0 `f O y C ? o?l ??!'L 1.+Q J:1 lz? City L'-1A G Ks,,.l State: n q.? Zip: S S I 2'I - 2 N 4 Gl Company: C t?l ? Phone #: CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang and lot change is requested once permR is issued, I hereby acknowledge that I have read this appliqtion and state that the inTortn?{On is correct and agree M campry with all applicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. //, Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No i200 Tree Preservation Pian Received _ Yes _ No _ Not Requi ? i-oo.( d P.r6? _- ? ' CDHSUL7IH6 EHC31HEffl5 scD J?+e ?...?.? .?E£ii1NG PtANNEAS and LAHD fllRVEY08S _ .OMPANY, INC. 1000 E.iST 1461h 57REET, BURNSVILLE, YINHE:OTh S:237 P4i 4=2-.3000 Ce rZ i}`Z c uZ e y DC.I?C]"Lo22C7Z: LCI ?5 2E, -24, ?5C AAIC 3%, bC.vG;r_ 2i E'JE•: .AjX3/i iDu CAKC;:1 , MINF.tE?JTf; ?o_°J a^.E.VGYe? c':[/G.'.'Ne E:?'?ATlol?.' ?9Necj CE??lCTc? ?.RcPCS=' E?EVAT/OA.' ?? 1NC1CA?c'= C?RE?'%%N CF SURFACE ?RA/A/H6c ?f'?r.??cF?N'<rC: 3/iof'=a FLOCR E_=?lf?7iCnl ?yc? ?J:? I ' I 5cALr:5C' N ' ? ?u ? I,??? ? -? l 1 ???>? ? s3e. ?•` ? ` J c.- ?i I 1/C, 41 I ??S ??,: ? ! 4 Q BS. CG ? w ? , b \ ? < a' N ? ?937 6= i - (N ? , 10 ?a C ?q, ? o ?4'-•,? ?_ r t° N ? o?-- ?9 ? o, v `9?, J?_? _? ? ? {? o i V 8?. 9E 8i.9 --'- -? " C ? j'J' S 4 ? 164 47 A/ L? ?02.='U'Phc ANC ?-7 EA:EME:17 I ner:by cartify that thin ia n t:,je and ccr^tct npr'aeentation of a tzaet of lind as ¦hovn'and desc^:bed herton.• Ae praparad by ma on thif 97;1 day ot rn.a?r ----? 19 S? , ?? ?, ?•-,? liinn. ltis. No.? 8's This is notification to the city of Eagan that: The Eden Homeowner's Association gives permission to Guy & Karen Wenzel of 4404 Clover Lane to build an eMension of their deck as per the plans they have proposed to the Association. It meets the requirements for #he extension per our bylaws. Sincerely, ? Troy Haskins Maintenance Manager 4482B Clover Lane Eagan, MN 55122 687-0597 ? CITY OF EAGAN 3834 Pilot Knob Road ` Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: s u x L n z NG Permit Number: 032117 Date Issued: 0 6/ 0 2/ 9 S SITE ADDRESS: P.I.N.: 10-22750-300-02 4404 CLOVER LANE LOT: 30 BLOCK: 2 EOEN DESCRIPTION: Buil'ding,yPermit Type rBuilding Work Type ,?`'CEr16I1S COdB DECK ADDITION 434 ALT. RESIDENTIAL ? _:?•?. ? ? ' > > . . . . ,_ `?j 3 ki REMARKS: PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: u OWNER: - WENZEL 4404 CL EAGAN (612)791-3708 Applicant - GUY OVER LRNE MN 55122 ' I hereby acknowledge that I have read this information is correct and agree to comply ' Statuzes and Cxty of Eagan ordinances. ? 0 A ICANT/PERMI E SIGNA7URE FERMIT application and state that the with al1 applicable State of Mn. -ISSU BY: SIGNATURE loa L. 9? BL ? CITY USE ONLY RECEIPT #: OSOZ -/ ?// SU80. L??J RECEIPT DATE: 1/'SI9 1997 PLUM$INH PERMIT (MIDENTIAL) crrY og Ensax 3830 Paor KNos U f.AfiAP, MA 55122 (61E) 6$1-4675 Please complete for: ? single famity dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # SSiower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = HotTuWSpa 3.00 x = Water F:eater 3.00 x = Floor Drein 3.00 x = Gas Piping Outlet "minimum-t 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construdion 5.00 x = Waier -Sonerier = ror ezistin9 dwairng /u.uu x U.G.Sprinklzr 'fordwellingunderconst. 3.00 = U.G. Sprinkler ' for e:isting dwelling 20.00 = Alterations " to existing 2sidence 20.00 = Water Tum Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 = -(new end refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE TOTAL TOTAL .50 I hereby acknowledge that I have read this application, atate that the Infoirnation is wrrecl, and agree to compy with sll spplicsble City of Eagan ordinances. It is the applicanYS responsibility to notity the property rnmer that the City of Eagan assumes no liabiliry tor any damages eaused hy :he Ci'.y ?u*? Rs normai operauonaf and maintenance activities to the facilities consUUdad undec this permit within City properlyfrishiof-wayleasement. SITEADDRESS: <?/a ?e tz LN? OWNER INSTALLER NAME: TELEPHONE #: 7` 1J" ! r ;2 ;2 STREET ADpRESS /V L") cIrr: STATE: IA?; --,I? ZIP: ?/- 1 , CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997 SIGNATURE OF PERMITTEE v) 0 ir L ? BL ? SUBD. rdP.Y1 CITY USE ONLY RECEIPT # RECEIPT DATE: PERMIT# ???_ 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINO$ RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTA1 Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outle! * min'rmum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic S stem newlrefurbished "requiros MPC lic. 75.00 X = $ Septic 5 stem abentlonment 30.00 x = $ RPZ new instsllationlrepairlrebuild 30.00 x = $ Rou h opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler rfdwelling is underconstruction 3.00 x = $ Under round sprinkler Hexisting dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 X = $ Water tumaround 30.00 x $ State Surcharge .50 --? --> --> $ .50 TOtal -> --? --> ---> y Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. ---------- - ?------------------------------------------ --------•-----------------------------•------------------- 1 hereby adcnoxAedge ihat I have read this application, state that the iMortnation is wrteG, and agrea to comply wRh all applicable City of Eagan ordinances. It is the apphcanYs responsi6ility to notify the property owner thet the City of Eagan assumes no liability for any damages eausad by the City during ds normal operational and maintenance aCtivities to the facilities wnstructed under this permit within City propeRy/right-of-way/easement. SITE ADDRESS: J OWNER NAME: : j INSTALLER NAME:[ STREET ADDRESS: CITY: WETCH,JAMES 4402 CLOVER LANE ? EAGAN, MN 55122 (651) 405-8780 TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) STATE: ZIP: SIGNATU E ERMITTEE . ? CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOTS: PAYMFTT!' OF FF.E AT 'PSME pF ArPLIcATIoN ooFS Ngr aorSTITM APPROVAL OF PERPffT. INSPEGTION OF SESM APII1/OR FpL'L'II2 TTISTATS.ATTQj1$ wUL NOr gt,'.? SCHED- UIM UNTIL PERMIT HAS BF:FSI APPROVID. • ,??.,r.?:::,?:,?arxx?sxxrx,.s?rx?rsx:arxx:x,r,rxx P ease Print ? 1) pROPERTY ADllRESS: ?"g N E '_ LEGAL DESCRIPTION- . Lot Block Subdivision or Tax Parce ID ) IF EXISTING STRC'GZLiRE, DATE OF ORIGINAL WILPING PERMIT ISSC`ANCE: - PRFSENf ZONING/PROPOSID LTSE: (l"1on YearY ? COhII"mCIAL/RE'PAIL/OFFICE Kf' R-1 SINGLE FAMILY Q IAID[.'STRIAL F-I g-2 DL'pLEX (7t.o IInits) n INSTIZi7TI0NAL/GpVERNmU f?g_3 MWNEiOUSE (Three + Units) Units) . Q R-4 APARTMENP/COPIDOMINICT7 ( Units) 2) ? NIjMEi A/11C x E?? [3N ? 'y- ? ADDRESS:_ I? CITY, STATE, 2IP: PHONE: /?- 3 3 -- `S % 7 / 3) ' NAME: ADDRESS:_ -- CITY, STATE, ZIP: PHONE: MASTEft LICENSE# 4) •• • i?• `' NAP7E: _ ADDRESS: CITY, S"PATE, ZIP: ? rnurE: 5 Y1?0 r-Lumoers t,icense: Active FStAired Not recorded Staff Initlal 5) :? a: • ?• : a • a? - ?? ? NNNECTION 10 CITY SESqER Pq CpMECTION M CITY WATER ? p2q-0 ' 6) ?? • • i• C] PLEASE HOLD APPROVFD PERMIT EY)R PICK-DP BY ONE OF ABOVE ? PLEASE MAIL APPROVFD PERMIT TO 1.0 3. 4. ABOVE (Circle one) 7> FOR CITY USE ONLY , PERMIT # ISSL?ED Pd w/Bldg. Permit FEES: $ $_ /C5 - 5-6 SEWER PERMIT (INCLLDE SL'RCHARGE) $ $ WATER PERMIT (INCLODE SDRCHARGE) $ ?3' 5-21 $ WATER METER/COPPERHORN/0[7TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ IS-. U-Z) ACCODNT DEPOSIT - WATER $ .? an n c^ $ wAc $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TR[!NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRCNK WATER $- $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: $ /,?t 9?/` $ TOTAL ? z_?;_ z! ?Js7 3 RECEIPT RECEIPT DOES LTILITY CO [VNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SLBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: %G - , ? APPLICATION FOR PERMIT CITY OF EAGAN SEWER AND/OR WATER CONNECTION NO'tE: PAI'MEM OF FEE AT T7ME OF APPLICUION mES NOr CMeMTM r,nPxovnr, oF PERrsr. n1sPEMorr oF sEWM Arro/1OR umTEa rnMrrnr.r.nm-fpN,$ Wrr.r. NCYT gg SCHED_ UI,F.D UNfIL PERMIT HAS BM APPROVID. -? * **+. *?* * * * x,e * *x * ?,e**t?:*,r**** ? **** P ease Print) 1) PROP.ERTY ADDRESS : ?&01-2 %3 G/n r/? ? ? hy ?? ? •• LEGAL DESCRIPTION: - Lot B ock Sub ivision or Tax Parcel ID ) IF EXISTING STRL'CT[7RE, DATE OF ORIGZNAL BLILDZNG PERMIT ISS[,'ANCE: PRESENT ZOAIING/PROPOSID USE: (Mbn Year} Q CQtiPE2CTAL/REfAIL/OFFICE ? R-1 SINGLE FAMILY Q IPD70STRIAI, ? R-2 DL'PLEX (7uio Units) INSTIZS,'TIONAL/GpVERNMENp ? R-3 7.OWBII-IOL?SE (Three + Units) (,?, Units) ? . ? R-4 APARZT1'p/CObIDOMINILTI ( C Units) 2) NAD7E:?/fc???ScN ?e? ?- ADDRESS:_ CITY. STATE, ZIP:_ SL;?N?/?f ?7.v S C C17? PHONE:_y.y 3-S1 7 / ? 3) ' i: ?• tiANE: ADDRFSS: CITY. STATE, 2IP: PHONE: ? MASTER LICETISE# 4) •• • i?• -- NAME: ?avoc? ? e? ?is F _ ADDRESS: /V6 P ? -? / "- CITY, STATE, ZIP: /,7I111 iaii dh ,.i ? PHONE:_-7*Q Plumbers License: ? Active Etpired Not recorded Sta Itutial 'S? '' ? a' '?' :? •si • ?? ?CONNECTION TO CITY SEWEE2 ?CONMDCTION ZU CITY WATER a pRq;ER 6) '? ' •?" [] PLEASE HOLD APPROVID PERMIT FY)R PICK-C?P BY ONE OF ABOVE ? PLEASE MAIL APPROVED PERMIT TD 1.20-1 3. 4, ABUVE ?f (Circle one) % 7) r, r• • ,???G?,rs?• .?/ : r.er:iw s / . / , FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ S •.SZ'- SEWER PERMIT (INCLUDE SURCHARGE ) $ $ WATER PERMIT (INCLLQE SL'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATIOIV STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ cv" o ACCOUNT DEPOSIT - WATER $ 5-0 C) - CJ () $ WAC $ - 5?- 7?i' o $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ?62- $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: $ 1,2 % V', S-D S , j?,? l TOTAL _ &/2 .5 Z-/ ?n q RECEIPT RECEIPT DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC Q ROADWAY" MLST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *iOTw3: PAYMWTP" OF FEE AT TIME pg APPLICATION DOES MT COLSSt'IN1E APPROVAL OF PIItNIIT, . _ x?.,.x?r?r,.x?rxar?rx?exx:xxx,rx,rx:,rfr,r?t4:?t4:i. P ease Print ? 1) PROPERTY ADDRESS: LEGAL DESCRIpTION: . Lot Block Subdivision or Tax Parcel ID ) If' EXISTING 51RL'C.'IL1RE, DATE OF ORIGINAL BOILDING PERMiT ISSC'ANCE: i PRESENr ZONING/pROPOSID []SE: (Mon Year) ? Ca44MCIAL/Rh'PAIL/OFFICE Q IPIDC?STRIAI, [f INSTITUI`IONAL/GpVII2I?7T 2) ff?? ? R-1 SINGL,E FAMILY ? R-2 DLPLEX (Ztoo Units) ? R-3 'Il7WNIIi0USE (Three + Units) Units) R-4 APARTNW/CODIDOMINILTI ( Uni.ts) NAME:_lT//C,?? ADDRESS: CITY, S"rATE, ZIP: PHONE:?? S-5 / 7 / 3) • r ?• NAME: ADDRFSS: ? CITY, STATE, ZIP:, PHONE: MASTER LICENSE# 4) ? • • i?- NAME: ADDRFSS: CITY. SrATE, ZIP: ? PHONE: J .5? " °r , ?, . n • ? . ?• CONNE(.`pION 1U CITY SE,'WER ? CpMMION ZU CITY WATER 7) INSPDLTION OF SBM AAID/CR F7ATER 6) '? '' •?' C3 PLEASE HOLD APPROVED pERh'IIT FY)R PI K-OP BY ONE OF ABpVE --- -- ? PLEASE MAIL APPROVID PERMIT TO 3. 4. ABOVE ./? (Circle one) II15TAr.raTIpNS wrr•r• NOT BE 9CfED- ULID UNiIL PERMIT HAS BEa1 APPRO{7FD. Plimibers License: Acti.ve E7cpired Not recorded staff Initial a Onnn? FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /C'- 5 t SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SORCHARGE) $ $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ AS o ACCOLNT DEPOSIT - SEWER $ $ X?-,06 ACCOUNT DEPOSIT - WATER S •? C C-?? d $ wAc $ S 7S '??? $ SAC $ $ TRCNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ ? $ OTHER: $ TOTAL ? z_,sz-i ? 3s 73 RECEIPT RECEIPT DOES OTILITY CO NNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? Q YES ZF YES, THEN A" PERMIT FOR WORK WITHIN POBLIC Q NO ROADWAY" MLST BE DIVISION LIST ISS[JED BY THE ENGINEERING AS A CONDITZON . . SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION - . -xxx..x+:,r:zxxxxx,rxx,rxxxr:.w:xwir+etirx P ease Print 1) PROPERTY ADDRESS: 40?jiQL//S LEGAL DESCRIPTION: . Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRC'C1URE, DATE OF ORIGINAL BL1ILpIIM PERMIT ISSL'ANCE: ' PRFSENP ZONING/PROP0.SID L'SE: ? ear) q conMEacuU,/xErazLroFFicE ? rnroeszRinr. [I INSTITL'TIONAL/GOVERM,1EM 8- R-1 SINGLE FAMILY R-2 DUPLEX (ZWO Units) ? R-3 7DWNHOr-ISE (Three + Units) 0 R-4 APARTTg3V'P/CODIDOMINICfi1 2) ? NAhE:AlC At?/S aiv '40? rF 14,1, ADDRESS:8 - e: J? i 2 _, CITY, STATE. ZIP:-?3 C 9 A,10/f syy A'f N S?G 71 PHONE:!C! j 3 -.S-/ 7 ` 3) Etl .17u?''ie?8 I4AME: ADDRESS : CITY, STATE, ZIP: PHONE: MASTEE2 LICENSE# Lnits ) ( Units) r?u«?c5 J?jcense: a Active Expired tdot recorded Stef£Initial 4) •• L? ?: vo/r? ? - ADDREss:/N66 - -;? :z E- CITY, STATE, ZIP: A I/`} j N& PHONE:'7,j?"C' ? 5) " « ' ?• : a a+? ?? ? CONNSC'lION TO CITY SEG7ER Cp?,?ION TU CITY WATER Q pTHER ' . 6) ?? • r C3 PLEA.iE HOLD APPROVFD PERMIT FC)R PICK-LTP BY ONE OF ABOVE ---- - ? PLF.ASE MAIL APPROVID PERMIT TO 11 Z03. ¢, }BpVE (Cira 7' I` " =/, 1,5'- ? ?e5-- P1O7'G': PAYMF.KS OF FEE AT TIME pF APPLI(AZZON DOFS D70T ODNS1`I1iT1E APPROVAL OF PIItMIT. INSPF7CTION OF SEFffi2 AfID/OR WA'tIIt ZASmAraamrpNS yU,L NOT gg SCHED- ULID U[PfIL PERMIT HAS BEIN APPR(3VEa. FOR CITY USE 4NLY ; PERMIT # ISSOED /lr, a 7 Z-,j' 6 Pd w/Bldg. Permit FEES: $ $ ,C'' S Z% SEWER PERMIT (INCL[]DE SURCHARGE) $ $ ?L? • S Z! WATER PERMIT (I[QCLUDE SORCHARGE) $ G'3 $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ (1 Z') ACCOUNT DEPOSIT - SEWER $ $ /•S, LrC;' ACCOONT DEPOSIT - WATER $ ,?('iC'% • U C7 $ WAC $ -? % S ? c'-'c3 $ SAC $ $ TRDNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ • LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRCNK WATER $ ?•S? `"? $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ TOTAL Z, 2 S Za _ 7S RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUSLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SLBJECT TO THE FOLLOWING CbND2TI0NS: APPROVED BY; TITLE: DATE: ? /Z S ?? S 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN ,,. ... 3830 PILOT KNOB ROAD, EAGAN MN 55122 ' , 651-675-5675 Please complete for modifications to existing residentiai dwellings. Date ? I =?_) J I 0 Site Street Address C?(?v?r l.y 1 Unit#? Property Owner U t rn vV60Q_r Telephone #((ffj?') Contractor Champion Telephone # ( ) Address S7e Aocid Rd iF100 City State Zip Eagan, The Appficant is: _ Owner ?2ontractor _ Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built - $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee inGudes installation of a water softener and/or water heater at the same time. lf you are insfalling on a water sottener aad/or water heater, do not complete this sectian; move to the appliance(s) you are installing. next section and check the _Septic Systam Abandonment _Water Tumaround (add $130.00 if a 5/8" meter is required) Other: S? _ Water Softener _ Water Heater $ 15.00 _ new _?14placement _ Lawn Irrigation _RPZ _pVB _new _repair _re6uild $ 30.00 State Surcharge D $ .50 Total JUL I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordfnances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work wfll be in accordance with the approved plan in the event a plan is required to e reviewed and a proved. 1??(? ApplicanYs Printed Name 7- Appli anYs Signat e ? Ambl? City of Ea?an 3830 Pllot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 67rr5694 i ":---------- - j PermrtA: ? Pertnit Fee: -27 3' ft (D I j Date Received: ? j 1 StaPf: t I --------? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Data: site Awarws: TenaM: 5ulte 0: RESIDENT / OWNER Name: QaQiS a?NXifkllbtJ Phone: Address / Gty / Zip: Appdicant is: _ Owner -f- Contractw TYPE Of WORK pescviption ot work: Construction Cast: /??? . D O Mutti-Family Bulidng: (Yes / No __j CONTRACTOR s ??? Name: 6 a'1 ?N? ?UJP?n n? #: Aadress: 1?`?? 1 $? Ciry: rwm:0y A ^} Stata: o7I-L) zip: -53nZ Phone: 6,SZ - 49-3SIZ 3 Cantact Person: JvUb LVLiQ yS COMPLETE THIS AREA ONLY IF CQNSTRUCTING A NEW BU{LDING _ Minnesota Rules 7670 Cate9orv 1 Minnesota Rules 7672 Energy Code . Aes;aeMiai venniaeon carreeary i worMneat • New Eneigy code wo*sheet Category suhminea Submittea (J submisslon type) • Energy Emrelope Calculations Stdx»iUed In the lest 12 months, has the Ciry ot Eagan Issued a pertnit for a simllar plan basad on a mester plan? _Yes ,No If yes, date and address of ma5ter pian: tlcenaed Plumber: Phona: Mechanlcal Contractor. Phone; S?.wer 8 Water Contractor: Phone: NOfE B/ans and auppprIIrtg tloctiments f(rat you strblo?7ane constdenad tA be pftd/!c!n/o?matlnt? PorlJons ef .= the info±mation, may be slasslileaFas no?rpubllc H mptW!vlds spiecNic r6asvns that w#rt?M `pen?tlttAe C?yl? ' „ . .:.. ? - =coe?c1?`"?it' ?are:#??fd6?s?Y?ts i herehy acknowledge that this information is cornplete and accurate; that the xork will be in confamance with the ordinences aM codes of lhe Giry d Eapan; that I understand tMs is not a permi[, but only an a{pliration fw a pertnft, end xork m not [o stFA wiM ut a pertnik Mat the wqk will be in accordance with the epprwed pWn in the case of ork which requires a review srd approvai ` x ??be?? ?5 x ? ApPlicant's Printed Name ApptiCaM's Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA076155 Eagan, MN 55122 . Date Issued: 12/12/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4402 Clover Lane Lot: 29 Block: 02 Addition: Eden PID 10-22750-290-02 Use Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector, 952-445-2840Ashley Orman 410 W Lak e St Minneapolis, MN 55408 612-824-2656 ashley@standardheating.com Fee Summary: Surcharge-Fixed $0.50 9001.2195 ME - Permit Fee (Replacements) $30.00 0801.4088 Total: 530.50 Contractor: -Applicant - Owner: Standard Heating & Air Conditioning William J Oxton 130 Plymouth Ave. N 4402 Clover Lane Minneapolis MN 55411 St Paul MN 55122 (612) 824-2656 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 Use BLUE or BLACK Ink F----------------- I For Office Use' I Permit City of Ea Ea~ Permit Fee: 1 3830 Pilot Knob Road ; Eagan MN 55122 ; Date Received: 'TiN Phone: (651) 675-5675~lE, ">Ii stair: Fax: (651) 676-5694 1 - 1 2012 RESIDENTIAL BUILDING PERMIT APPLICATION T~s- l Date: ' ~6 -~/2 Site Address: q 402- G~Gy~Y L Ct yt.~ _ Unit Name: 4,f/, LL GGfh 0(?n Phone: RESIDENT ! OWNER Address/ City/Zip: 4110Z C Lp(iCY L an "f_ Applicant is: Owner Contractor TYPE OF WORK Description of work: e,bt t I I & (2)U ~Tt (YA 80: ~ Construction CostX Multi-Family Building: (YES No ) i Company: ck~ 30e- Contact: " o CONTRACTOR Address: Mps- e7enetcllye - /V City: Dalcbde- State: I Zip: Phone: 6 S-1 - 7 ` 7 3 Y2 3 License* atn 3 0 I 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 the 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.gol)herstateonecall.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 Tan (Ln Z&/[. x - J0/_1_ P Applicant's Printed Name Appl' nits Signature Page 1 of 3 Z4 DO NOT WRITE BELOW THIS LINE :7 lp ~b 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 Replace - Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Glib Occupancy t MCES System Plan Review / Code Edition ~ SAC Units ° ° (25 /o_ 100 /o___) Zoning City Water ` Census Code y3~f Stories - Booster Pump # of Units Square Feet gO PRV # of Buildings- Length Fire Sprinklers Type of Construction] Width /p REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / 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 Y Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee 3 Surcharge Plan Review 7 9 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 QcoK +Q-t P 'aE '77 ~~1 w ROi3 CONSULT1140 ENOINEfAS P ~ ~ pLftmsERS and LAND 9i]t3VEMO~LS qq6 2 COMPRNY1 INC. G~ov'e/ 1COC EAST 1461n STREET, BURNSVILLE, YINNE.OTA SSS37 PH 432-3040 C4e 1°'T ZZZ C t.Z ~ ~t• l w r1rL02z o n ; LOTS 26, 29, 3C AA V 31, 5Loe-v Z~ Ede-e,&` Am TtaAi iAKa7A CC~ ~i~lTY tVl lNNES~T~ G`' a_°J DI"Ajo-n 5 6X157i/V6 E1-FVAT1WJ (346, o) DENOTES PROPCSEC ELEVATIOA! INDICATES DIRECTiOA1 of SURFACE DRAWA6E Qsjag~ i FIN rSHEi. GARA+G6 FLOCR EL'5'VA 1CIV E Y,1E-WFD ' I BY. /I V u, '~9a•c7 ,68~a~,.w ~_(~,1 ; IV F, TTE: v -2~-i4 SCALE Y C J f 7espa 34 jN ~i55--- FRDOpct ! ~39~~ l rl B(J1~~~ G_ CJ C 4 ~ LQr oc a ~~r3. b ti a v a I~ h 48 to 81.4-9 /6-4 4-7 01 L_l ~ r ~?r`" r3 • f~f• ~S of ~z8 ' ~DRA:AIfik'c AA JD lJT+L;TY EASEMEDIT ` f 301 1=A0iYi %2~ I hereby certify that this is a true and Correct rePM24ntatin of a tract of land as shown'And described hereon., As prepared by fie on this I-*/ - Y m~ , 198. Ninn. log, xo .140,,.,.3_ 1403'5- From:ALLSTAR CONSTRUCTION 19529427464 09117/2013 08:42 #582 P.050/079 Use BLUE or BLACK Ink For Office Use I j Permit j City of Eagan I 33 Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: _Ot Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff., I I I 2013 RESIDE\I f'Tf(IAL' BUILDING PERMIT APPLICATION Date: I I ZU~3 Site Address: 4LAIL7LH 1409, 44CH E ChO ~,Cllrhi Unit to Cf~ ~m~ Name: Phone: Resident E Owner Address / City / Zip: ~n WU?) Uhl St PULNOi\V' f& 646 MN %NY ~ Applicant is _ Owner K Contractor Type of Work Description of work: TO off and Ye-troc~ Construction Cost: Multi-Family Building: (Yes / No I 4 Company:Abgi t Uh l I LLL Contact ~)Ut I Address:514Gj Ir1d"IUI S11 d *10 City: MQLDV_ P t Contractor State: MN Zip: %Fo 1 Phone: "t b1_g41_ _IHSLA License* _-r,~l,~2JICJIS Lead Certificate NIT' W~tv-1-O 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: I Sewer & Water Contractor: _ Phone: NOTE. Plans and supporting documents that you submit are considered to be public-in-formation. ~Pariions 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. 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.cioi)herstateonecall.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 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_ (It H~ Iwad x 1 .i"Z Applicant's Print d Name Applicant's Signature f Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/21/2015 12:20 #269 P.001 /020 Use BLUE or BLACK Ink � For O�ce Use � � L�A j Permit#: �� /�� j Clty of �� REc��v�� Permit Fee: i 3830 Pilot Knob Road �� Z � �� Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I I Fax:(651�675-5694 I Staff: I � �---------------�� `� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION � �� ,�1 Date: Site Address: Unit#: ; : � Name: i�iJA✓�►. 1 �31 t�' " �J�..i �d� Phone: /1//� :�;�tesi,dent/;:�:'`:;: / \ ,.:,..>�.:::.:::::::. �Z- y' L�� 1 c- ,;;;;°..;•-��:e:;;:;:;::;::;';;,� Address/City/Zip:`�t/ "7� l ��+v�� /�4,�.�� F��M ;;::;;,.:�.._1?.,..1'. ,� a�:i;`:;; A i I cant is: n r Ow e Co tr r PP � n acto .:`:�.":;`:';?:::;;':;.;;t;;;g.;:'> , , Desc' � � n in fwr • t o 0 o k. � �C .�C in/ n .,i� t� , P r��/ if ::�:'::�_..:�;;,.Q: `.:r�.;.; / s-'� � e, ..�:�%a ,YJ?.: - # � ,✓ ;��;>>:��'`':�:: 2.� , c��`_ ,:: Construcii G� :..:.:.:.....:.:::>.::.-:.:.:..:.,::.,, on Cost: - ' F 'I B Multi ami ild' � u i Yes /No Y �9�� ) �,...�...�,.,. y . + /I . ,�.::.;<:;;<::.:;;.';<;::,�:::>::�:::::.:;�:,::::;::,:;,>,:: Company:�I�St�ql� 4%nj��2uG�.�� y/hlt�n��/Caft�;G Contact: �a rn A��rr+et-..� 9. ;,,:,; , , c ;;�;:;:;:'<::;��;'':<<`::';,,'.',�;`,°;;.;;c,;>':.'':;':' J _ ,� ,q ,q � �.;�>;;";>' Address:�� n/��5��-��t-t, - S�s.�� /C.� � � ..::...:: .::::.:;,":i�'i�;:; �i/ ' S?- , City: 1'Y i 1�� A..• �`:;�?DT1ti`��t.p�:;;:;�';' . , / ' ; � '; ` . State:,�Zip: ��`3 Phone: ��-`j/2']5/��Email:___i��c+�c:c t�S'frt I". b'Z _ cp � � �::.e=::::::._<:;;_:::�s::<:::;;_::;; License#: �C (t'�� S' �c. Lead Certificate#: hIt►T� ac%f(p� L If the project is exempt from lead certification, please explain why: ��;L, �„� �c�8� 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 Suppression Contractor: Phone: ..:::.-.. ,....; :: . _..:.,:,:;,;::.::- ........:.... :::::::,.::...:.,:::;::..:;::.:.::.,:..:.,;:,..,::.,:;::....:.::._.::;::::.:,:::: :::.-::.;....:,,:.<::.::.::>;>.;.:::::.::::;::..,:;::.:::::_..::,:::::,,:..:<-:::::;::..;,:...::.•::.:: .:::.,:,>::;:,...,..:.::.,:,:::: :.::;.:.::.,,:.::;.,.:<::.:: ;:.. �ID�E Plans�nd suppQr{t�Rg alocuments that y�u subrr►it�re consldece,d:•#o„�ie.publlc r��or�►�t�ar�..�For��o,ns of � the�,niormation maybe ciassifietl as non pkblic rf you�rov�ple s,pecifi��ie��Qn,s�ha#y�►ou�d p"ern�at th��ity',,#o � .:�or►clu.�le that.:fhe ;�re.trade;:secrets.: �� CALL BEFORE YOU DIG. Call Gopher State One Call at(659)454-0002 for protaction against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.org I hereby acknowledge that this informaqon is complete and accurate;that the work will be in conformance with the ordinances and codes ofi the City of Eagan; that I understand this is �ot a permit, but oniy an apptication 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 co. pleted within 780 `' days of permit issuance. ,_ -. ,..✓� 7: x ��•�+ �/�fm�hJ X �� ApplicanPs Printed Name Applic nt's Signature ` � Page 1 of 3 S � t � PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156885 Date Issued:07/24/2019 Permit Category:ePermit Site Address: 4402 Clover Lane Lot:29 Block: 02 Addition: Eden PID:10-22750-02-290 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - William J Oxton 4402 Clover Lane St Paul MN 55122 (651) 687-0977 Centerpoint Energy 1240 W River Pkwy Minneapolis MN 55454 (612) 321-5597 Applicant/Permitee: Signature Issued By: Signature -------------I r For Office Use 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspectionspcityofeagan.com 1 �ZlL��b✓ I Building Permit #: 1 i I 1 S&W Permit #: I Permit Fee: I I I v I I I Date Received: I I I I 1 I Date Issued: I I I— — — — — — — — — — — — — — — — — — — — — j RESIDENTIAL BUILDING PERMIT APPLICATION Date: �h Site Address: _ Applicant is: ❑ Owner aContractor Homeowner Name: G(�t/� b V\/�� C'� V. �� U�y'/�� _/fi- CAS e, C' ct-4 6 In Address:' !A A10 16/04/ �,� r%?�buzy LEI City: �aQOL \P, Phone: Description of work: P, 2 Q Cs t�— Type of Q Work Construction Cost l `/ Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan 3CM �t/t t't,LC_ C�\/� Contact: �u �✓ Building Address :�� 1'� WEST T 1�— y City:z66py- Contractor fJ / ,/ /? aJ�C ^ >✓L , State:��Zip: .SU�T Phone:cotZ�7� Email.{a/Vle.�f �eyr License #: D 0 Z Expiration Date: Sewer & Water Contractor Company: Address: Contact: Required for State: Zip: Phone: Email: new construction i License #: Expiration Date: City: S: I l understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. R 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. ,�0.y eA x Applicant's Printed Name A licant's Signature