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4480 Clover Lane Use BLUE or BLACK Ink ~ FQr,Qft~e t3se ~ Pit bu of Eau I Permit y I Permit Fee: ' 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received; Phone: (651) 675-5675 I I Fax: (651) 675-5694 i staff. I L------------------ 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7 J 9 0 / 6Site Address: //80 C Tenant: C' + n t~ r n, a A/ Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: 11:2 ro'n Multi-Family Building: (Yes / No __j ®C~ 3 O o CONTRACTOR Name: 2 ck_,b y Sow vc < License* Address: 19 a 5- Ca-Pi►I r )!w 1~.~.~ , A) _ City: r9g-jo ()"I g State:. Yh A\\ Zip: 5::ZS" 12 ig? Phone: '7 S? 3 Contact: J Cc~Sr ~-cv Email: 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 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.goaherstateonecall.ora 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Appl s Signature J U L 1 9 Z 010 Page of 2 L0 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 _ Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation AV Occupancy r -1 MCES System Plan Review Code Edition A~W7 SAC Units (25%_ 100% Zoning p D City Water Census Code Stories Booster Pump # of Units Square Feet _ PRV # of Buildings - Length g Fire Sprinklers Type of Construction Width /0 REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC 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 _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee "73 Q /jam N ~p Surcharge Plan Review/ MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 Uo 1 ►ye T-- O CZ) 11 ~ I ~ v1 _ ~ ~8 y s f ,~s.~s n! ~ ~ 13,106 OK 00 s Cyl OC 1 U1 / - ? N Y ~ Esc. op ~,z / /0100 tic OC r~i t G a~.~a f s ~1 g q u ~ ~Nl J m ~~9a ~N 1 s9~, 0~6 3i' ~ i gb ° N y~s• p~ o ~ as o 9 `sA ~ Q 9 BY. DATE:" R ILDIFIG W-)FICTIONS DIVISION Mike, Jeff has several building permit applications for deck replacements in Eden Addition. Eden Addition is quad homes, zoned PD, dating to 1980. There was no provision for reduced setbacks in the PD Agreement. Some of the permits are for decks are in front yards, facing public streets. The buildings are already at the 30' setback, and it appears existing decks are 8' deep. I gave the go-ahead to replace decks the same size as existing, which appears to be 8' x 10'. Two are proposed to be 8'x 20'. Are you comfortable with larger decks, provided they do not go any closer to the front lot line than the existing 8'? Please let me know. Pam Thu 7/22/2010 3:34 PM Yes, as long as the 8' encroachment isn't increased. Thanks, Mike CITY OF EAGAN p 37951 Pilef Knob Rwd &gan, MN 55112 l?l ?7? 8057 ,+-GHONEs 454-8100 BUILDING PERMIT 1 of 4 PLEX • I Receipt # c<. v.,i.,. $51,000 n...a Mav 19 i0 83 SItQ /WV(Q$$ YVVVL li1VVC1 LQl1C Lot 10 Block 2 See/Sub. Eden Addition Parcel # 10 22750 100 02 1 1 ? IN.m. Tilsen Homes, Inc. ? 627 S. Snellin ? ? Addrea .. , ..,,? g ....,. ??,.. o I Nome OwneY f? Addreu Nome _ Address I hereby ackrrowledge thot I have read this , fhe informofion is corrett und ogree to cc Stute o4 Minnesota $tatutez and City of E Siqnoture of Permittee A Bullding Permit is issued to: Ti18 oll work shall be dorre in otcordance with o ition and state thaf with all epplicable Ordirwnces. Homes erect gx ac-cancY R-3 Alter ? Zonirg (PD) R-3 Repoir ? Flre Zone NA Enlarge ? Type of Const. V Move ? .# Stories Demolish p Length 44 Grade ? Depth ZZ Sq. Ft.- Aporovala Fees Assessment _ Water 8 Sew. Police - Fim Enp. Planner _ Countil _ Bldg. Off. - APC - Permit 400.vU Surchoree 25.50 Plon check 143.00 sAC 525.00 Woter Conn450.00 WarerMeter 60.00 Road Unit 250.00 Taol $1739-6171 _ on the express condition thnt ond City of Eogan Ordirronces. Buildlnp Ofilcfol ? . C1T1( OF EAGAN '?7 9793 Nlof KnoA Raad Eagan, MN 55122 y, O PHON@s 454-8100 BUILDING PERMIT Receipt # ? r_ " ..._. s.,. 1 of 4 PLEX ..J.._ $Sf .000 Mav 19 Site Address 4482B Clover Lane I Lot 11 glock Z Sec/Sub. Eden Addition Parcel # 10 22750 110 02 rc Name '1'ilsen Hoixes, Inc. , z Address 627 S. Snelling ?:- St. Paul 55116e,___ 698-5501 a Name F Mdre r:... Name _ Mdress 1 hereby acknowledge that I have read ihis opplic the information is torrect und agree to comply Stote of Minnesoto Stotutes and City of Eogan 8059 83 Erect $y, Occupancy R-3 Alter p Zoning (pD) R-3 Repair ? Fre Zone NA Enlorye ? Typa oF Lonst. V Move ? # $tories Demolish ? Length_4.4L Grode ? Depth __22_Sq. Ft.- Aoorovoh Foes Assessmenr _ Permit LOV.VV Surchorye 25.50 Plon check 143.00 SAC 525.00 Water Conn450. 00 Water Meter 60.00 Road Unit 250,00 Water 8 Sew. PaHce - Fire Enp. Plonner _ Council - and stote that Bldg. Off. _ ollnpplica6le f APC Sipnoture of Permittee i sen Homes, Inc. A Buildirg Permit Is istued to: _ oll vrork shall be done in ocmrdonce with oll opvliwble State i Buildinp Officiol Toml $1739.50 on tha express Cordition Ihnt *sf Eagon Ordinances. - CITY OF EAGAN 379S Pilet Kne6 Rmd Eogee, MN 55123 PHONIs 434-8100 1, . BUILDING PERMIT Receipt # Te be med fer 1 of 4 PLEX p? v.,?.. $51,000 p,,,e Ma Site Address 4482 Clover Lane Lot lZ elxk z Sec/Sub. Eden Ad'dition Porcel # 10 22750 120 02 W IName Tilsen Homes, Inc. z Addreu 627 S. SriellinQ r:«. St. Paul 55116eL___ 698-5501 p Name _ ?? Addrest . r... Name _ Address 1 hereGy acknowledge thof I hove read ihis opplicofion ond state that the inlormotion is correct ond ogree to comply with oll applicable Stote of Minnesoto Statutea and City of Eagan Ordin6nces. SlOnature of Permiffea Tilsen Homes, Inc. A Building Permif is issued to: all work shall 6e done in xcordance wlth all opplicobl t of Bulldinp Officiol 14,A N° 805$ Erect $$ Occuponc R-3 Alter ? Zoning (?PD) R-3 Repair ? Fire Zone NA Enlorge ? Type ct Const. V Move ? # Stories Demolish ? Length 44 Grade ? Depth 22 Sq. Ft.- Avnrorals Feea Assessment Permif ?ou.vv Woler & Sew. Surcharge 25.50 Police Plan check 143.00 Fire SAC 525.00 Erp. Water Conn.45?0. oo? Planner Water Meter Council ? Rood Unit Bldg. Oft. APC 1 39 . 50 Total ? on tha express tondifion thm wM Stat? City of Eayan Ordinances. CITY OF EAGAN 3793 illot Knob Rood Eegan, MN 5511= iHOHE: 4S4-B100 BUILDING PERMIT - ` T. M uwd fer 1 of 4 PLEX Et yalw $51,000 Site Addreu 4480 Clover Lane Lot 9 Blxk 2 58e/SuyEden Addition parcel # 10 22750 090 02 ' W NOme Tilsen Homes, Inc. 9 z Address 627 S. Snelling r:?. St. Paul 55116?___ 698-5501 p Name _ ? ?0 Address ? ru.. Nume_ Address I hereby acknowledge that I hove read this application ond state that the information Is correct ard ugree to wmply with oll applicoble $tate of Minnesoto $tafutes ond Cily of Eogan Ordinonws. Sipnature of PermiMeo A Buildiny Permir is iuwd ro: Tilsen Homes, Inc. cll work sholl be done in occordcnce with oll ooolioobl/StMe nf My N? c70a5s Receipl * ??'?/?? May 19 ,e 83 Erect ? Occuponq R-3 Alter p Zonirg (PD) R-3 Repoir ? Fire Zorro NA Enlorge ? Type of Const. V Move ? # Stories Demolish ? Length 44 Grade ? Depth ZZ $q. Ft.- Aovr"ob Foes Assessment pemit 286.00 Water & Sew. Surcharge 25.50 Police Plon check 143.00 Fire SAC 525.00 Eng. Woter Conn450.00 Plonner Wafer Meter 60.00 Council Rood Unit 250.00 Off. Bidg . APC Torol $1739.50 _ on the express condiHOn Ihnt City of Eapan Ordinancea. Building Offlciol 379s rU* BUILDING PERMIT 51te Address. Lot Parcel # - ac Name . W ; Addres b ? Nome _ tu Address H ?':... Name _ /lddrcss 1 hereby acknowledge thot I have read this ap the inlormofion is carrect and agree to wm Stote of Minnesota Statutes and City of EoS Siyrtoture of Permittee A Bulldiny Pe?mit Is issued to: Tilsen all work shalt be done in ocoordcnce with all 6uildfnq Offlciot ' Of EAGAN Reedl Eoqon, MN 55122 NF: 454-8140 Reuipt # Eract hiter ? Repoir ? Enlarge ? Move ? Demolish p Grode ? NO ? - ? • ??_;v Otcupancy ?-3 zoni?,g cPii) x-3 Firc Zone NA Type of Const. #' Stories Ft. Water 1L Sew. T Police Fire Enp. Council _ and' stote thot 81dg. Off. all applicobla ances. APC _ Permit 'tib.UU Surthcr9e Y25.50 Plan check 143.1i0 SAC 525.00 I Water Conn4.20. QD ? Woter Meter 60 _ )n i Road Unit 2i3 ?1:1 Totol $1 ? 3a _ Si] on tha express condition thnr of Mlnne,s6te Statutes and City of Eapen Ordinances. ,• Permit No. Pe Hd-r No. Holder PlurnWny 3 ?'(Q 7 7 H.V.A.C. g-7 [I -77-7-8rS Weil WaMr Disp. S?rw? Electric wOt3$11 9?8?-(?te 7-1$$3 Irupectian Dab Inap. Other Footinqs Foundation Frsminy Rouqh Plbq. Rouqh HVA Inwlation Final Ptbq. _ ? Fioal HVAC - Final 777 7 Weter Dsse?iba Location: YYell Sewer Pr. Dbp. BUILDING PERMIT Site Address 44tSUS C10 Lot 10_ Biock _2` Parcel # 10 22750 cWC Name Z llddre 9 _ u? ~ °W` 379s Zo 9 4Nome OF EAGAN s+d Eayen, MN 55122 Es 4S/-8100 I hereby acknowledge that I hove reod this opplication ond st, the informotion is correct ond ogree to comply with oll op State of Minnesota Stotutes and City of Eogan Ordinonces. Sipnoture of Permittee A Building Permif is issued to: Ti184 oll work shali be done in occordonte with all Buildiny Officiat of Receipt # ?? 1?l ..: Ercct cupancy ^Iter p Zonirp (PL`) It-3 Repoir 0 Fira Zone tLA Enlarqe D TYpe of Const. V Move ? # Storfes Demolish ? Length 44 Grode ? Depth 22 Sq. Ft. Approvala Fees _ Assessment Woter & Sew. ' Police Fire Eny. Planner ? Council ? Bidg. Off. ? APC Permit zb6. UV Surcha?fle 25.50 Plon check 143. 00 5AC 525.00 Woter Conn4, 0 • OQ Woter Meter .? Rood Unit L, D_ (; " Totcl $] 719 _ BTl on the express condition thni ond City of Eoflan Ordinances. Permit No. Permit Ho1tMr Misc. Parmit No. Holdar Ej Plumbing a rj H.V.A.C. ? Z ?{?(IOl}?I ? $" / `$ 3- Wall Water Dap. Sawer Electric y?0T3$Z? 0.8- Asi%psm 7-/S''X3 Inspection Date Insp. Other Footingt ? Foundetion Frsming 4t Rouph Plbp. Rouph HVAC 3•1/ 8 4.J Inwlatfon Final Plbp. `?? G? /?• ? 10001, Finsl HVAC Final ` Water ??ibe Location: YVell , Sewer Pr. Disp. .- , BUILOING PERMIT 4 3„s P" Receipt # p - ^ r s', • t, J? Site Addreu 4432 Clovex Lane Erect X$ , - Octupancy Lot 12 Bl«k 2 Sec15ub Eden Add.itioit Alter ? Zoning I nl.) I;-- i Porcel # 10 22750 120 Qi Repair ? Firc Zone 14A E V nlnrqs ? Type of Const. W Nome Tiisen komea. IxLC. M v # Storie o e ? s _ ? Address 627 S. Snelling Demolish ? LengthS4 [iN St. Paul 55116 pk,,,,,, 693--5501 Grade ? Depth2 2 Sq. Ft. °C Name _ Zo /lddress H r.... Name _ Address 1 hereby ocknowledge that I have ?eod this oF fhe informotion is correct nnd agree to cort Stote of Minnesota Statutes ond City of Ea Sipnuture of Permittee i'ilren H A Building Permif is issued to: all work shall be done in occordance with oll OF EAGAN eed Eagan, MN 55122 f. LSL_Y1AA Assessment Water & Sew. Police Firo Enp. and stote thct 81d9. Off. all appliceble bnces. APC - . Totol 17 39 . 50 Permit LY+b.UU Surcherfle 25.50 Plen check 14 3. 00 SAC 525.00 woter con.4 rn _ n(I Woter Meter 60. 00 Rood Unit 250.00 _ on ths express condttion 1hai City of Eayan OrCinances. I Buildinp Officiol •I . . Permit Na Permit Holder Misc. Pxmit No. Holdar I E S ?'-? w nter Disp. Sevwr Elsctrie waS3 gJQ a l?- e 7-? g? Inspeetion Data Insp. Other Footingt a Jc Foundation Frsminq ? Rouqh Plby. ^ g• ? Rouph HVA Inwlstion Final Plbg. r- Z• ? ? Final HVAC Final ? Watar n sp ibs Location: Wsll Sewer Pr. Dhp. °;_ . • ' 3795 Pile* BUILDING PERMIT 4 PLEX Site Addreu 446L13 (:lOVei 1.8'. Lot _11_ Block 2_ Sec/Sub. pQrcel # 10 22750 110 0; oc Nome Tilaen Homes, ' ? Address 627 S. Snellin; o- n..__1 cetyc o Name u? Addre: ?- ri.., I hereby acknowled9e that I have reod this applicotion ihe information is tarrect ond agree to comply wifh State of Minnesoto Statutes and City of Eogon Ordii Sipnoturo of Pertnittea i sen Howes, N Building Pertnif Is issued to: oll work shall be done in accordonce with oll applicob Buildinq Officiol OF EAGAN oed Eogan, MN 55122 Es 454-6100 ? ReceiPr __L Erect XX Occuponq R-3 Altar p Zoniny (1'D) R-3 Repair 0 Firc Zone NA Eniaroe ? Tra or consr. 0 Move 0 # Stories Demolish ? Length_44 ApPeora Is Fees Assessment Permit '- 6. Woter 8 Sew. Surchorge 25.50 ? Police Picn check 143. 00 Fire SAC 525.00 Enq. Woter Conn450. 00 Planner Woter Meter 60, 00 Council Rood Unit 250.00 state thot Bidp. Off. applicoble ^pC Taal $1739.50 ;s . Stote on the express condition thol y-af Eapon Ordinances. Psrmit No. Permit Holder Misc. Permit No. Holder Plumhin9 ..C ` ?0.1 g -4T-p 3 H.V.A.C. 3 Wall Water Disp. S?wer Electric 0$3$t0 ?B+ '?/ $3 tnspection Date Insp. Other Footings ?Z?' ?J Foundat{on Framiny ' Rouph Pihy. ? Rough HVAC Inwlation Final Plba /S ) Final HVAC .? Final a?5 Water ??ibe Location: Yllell Sewer . Pr. D'ap. CITY OF•EAGAN Addition Eden Addition Qwner 5treet 4480 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 9$2 504.70 100.94 5 STREET RESTOR. ] GRAOING ?( 82 232.99 k(. (o SAN SEW TRUNK ?F SEWER LATERAL 1896.46 ? WATERMAIN IF WATER LATERAL 82 WATER AREA /40//, - - Services 1982 5 - STORM SEW TRK ?q 1982 Z C.OO 1.20 M STORM SEW LAT 1982 CURB & GUTTER SIDEWALK STREET LIGHT 5-19-93 CONN. 450.00 BUILDING PER. SAC 525.00 PARK I k 2 Parcel #10 22750 090 02 state Eagan NIIV 55122 CITY OF EAGAN Remarks Addition Eden Addition Owner -U:11: Street 4480 1 Lane Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. Cc< C) 1982 504.70 100.94 5 201.88 A013949 5-25-84 STREET RESTOR. GRADING ? o 1982 232.99 46.60 93.22 A013949 5-25-84 SANSEW TRUNK 1974 62.93 4.20 15 16.84 A013949 5-25-84 • SEWERLATERAL 4 p 759.59 A013949 5-25-84 WATERMAIN • WATER LATERAL 1982 WATER AREA 93 4.20 15 29.41 A013949 5-25-84 * Services 1982 STOFiMSEW TRK ? 1982 256.00 1.20 102.40 A013949 5-25-84 11 STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT 250.00 35924 -19-83 WATEF CONN. 00.00 BUILOING PER. 2057 SAC - PAR K CITY OF-EAGAN Remarks Addition Eden Addition i ' ? : 448? , Owner ' ` Street IZ State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. (? 504-70 100-94 5 302.$2 A012826 9-27-83 STREET RESTOR. GRADING D 1982 232•99 46.6o 5 139.81 A012826 9-27-83 SANSEW TRUNK a 1974 21.03 A012826 9-27-$3 # SEWER LATERAL 1982 18 279•29 5 1137.8$ it it WATERMAIN •"WATER LATERAL 1982 S WATER AREA 33.60 A012826 9-27-83 ? Services 1982 5 STORMSEW TRK 1982 256.00 rj1.20 5 153.60 A012826 9-27-83 IF STORM SEW LAT 982 S CURB & GUTTER SIDEWALK STREET LIGHT 250.00 3592 ?-19-83 WATER CONN. 4SO.00 u to SUILDING PER. SAC 525.00 tt n PA K CITY OF EAGAN Remarks . Addition F.den Adclition ? Owner ;,' 1 Street 44821 Ik 7 Parcel #10 22750 110 07 State EaQan I+Mt 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. "L 7 100.94 5 201.88 STREET RESTOR. GRADING (Pqf) 1982 232.99 46.60 93.22 A013131 1-3-83 SAN SEW TRUNK 29.41 A013131 1-3-83 • SEWER LATERAL 182 18 6. 46 .2 9 5 758.59 ?. 3 -3-8 WATERMAIN * WATER LATERAL 1982 WATER AREA j 16 84 A013131 1-3- 3 • 3ervices 1982 STORM SEW TRK 1982 256.o0 1.20 102.40 A013131 11-3-83 * STORM SEW LAT 1982 5 ' CURB & GUTTER SIDEWALK STREET LIGHT 256,00 35924 -1 -8 WATER CONN. aSO.DO it it BUILDING PER. 059 ' SAC It ?t PARK Reoeips MECHANICAL PERMIT PermitNo.r-3 CITY OF EAGAN Fill in numbered spaces S/C Type or Print /egib/y Tot. 1. Date 2. Installation Cost , 3. Job Address LotBlk. ? Tract •? 4. Owner 5. Contractor 6. 7. C; Phone ? ' ? ?:? V : State Zip 8. Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair C) 0. Describe - Fuel Type .? 11. No. Eauioment STU - M. Ea. Forced Air No. Equiament CFM Ai dli H Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: " for Rough Final Inspections: Date Insp. Date _ Insp. This is your permit when numbered and approved. Approved - CITY OF EAGAN 454-8100 CITV OF EAGAN WATER SERVICE PERMIT 3630 Pilot Knob Road $. O. B& 21199 PERMIT NO.: 4,1 Eagan, MN. 55121 D/1TE: ?'q3 Zoning: No. of UnUs: uTl L 4i'1F' owner_ '.?ilser. t?o.-,tes Address: Slt, Addnn;4482 Clover Lane, LI2 I32 Eden Addn "? n 1 -1? ? Dl'1w Plumber: _ Meter No.: Size: Reader No.: 1s9ne te oomplp wiMe !he Cify of Eagan Oerinenas. By Date of Insp.: Connection Chorge: Account Depostt: Permit Fee: 10•00 pci Surcharge: • 5Q Dd Mlsc. Choryes: 60.00 nc? ;tte ter Total: Dote Poid: CITY OF EAGAN ? SEINER SERVICE PERMR 3830 Pilot Knab Road ` P"O: Ilox 21199 PERMIT NO.: 5695 Eagan, MN 55121 DATE: 6-20-01 Zoninp: R3 No. of unlts: 1 uriit -4`1eh Ownar. Tilsen Ilom.c'.9 Add?ess: sire Addrm: 4482 CZover Lan e Ll? L-.2 I:den Avdl`n Plumber: _ Ralph's PlbQ 35924 101.10 Iagroe te oosPy wilU tM CitY d b9ew Connectton ChoMe: 4 2S _ 0 0 p;i Ordlnena& Account Deposit: Permk Fae: I Surchorpe: _ S?? pii_ Br Misc. Charpes: Dcte of Insp.: Total: Insp.: Dote Poid: Receipt,;,?-= ? PLUMBING PERMIT Permit No. CITY OF EAGAN I Fee ._?i:? . ,^• r ' I fill in numbered spaces S/C Type or Print legibly ? Tot. 1. Date s2. Installation Cost 3. Job Address _ `iot1' l Z Blk. Tract Z? Ci 4. Owner 5. Contractor r .,_?? • /,? ? ? ?/_/ 4?i??•1% Phone ? ? 6. Address f.n,?J-?/?/. 7. City State Zip 8. Building Type: Residential Commercial O Institutional ? 9. Work Description: New,)Q Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank _ Lavatory $oftner Shower Wel? Kitchen 5ink - - Urinal/Bidet . bther -T-- Laundry Tray ? .4 Floor Drains - ?. Drinking Ftn. Slop Sink Gas Piping Outleu 12. 1 hereby certify that the above information is true and correct, and I agree to Comply with all ordinances and codes governing this type of work. Signed:' " for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ?CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Psrmit No. CITY OF EAGAN Fas fill rn numbered spaces S/C Type or Print /egib/y Tot. ; 1. Date - 2. Installation Cost 3. Job Address • Lot?Blk. ? Tract 4. Owner -- 5. Contractor Phone 6. Address _ 7. City State Zip ? 8. Building Type: Residential 0 Commercial O Institutional ? 9. Work Description: New O Add Q Alter O Repair O 10. Describe ' 11. No. Fixtures Water Closet No. Fixtures Cesspoal/Drainfield Bath tubs Septic Tank lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Orinking Ftn. Slop Sink - Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY UF EAGAN 454-8100 ?, . Reoeipt MECHANICAL PERMIT Permit No. •_? - , CITY OF EAGAN Fse.P? FNI in numbered spaces S/C '- ? Type or Print /egibly Tot. :- C ? 1. Date 2. installation Cost , ? 3. Job Address . + Lot?Blk. cz=c_ Tract 4. Owner __- / ~ 5. Contractor Phone 6. Address ' f. 7, City ' State Zip 8. BuifdingType: Residential;0 Commercial ? Institutional ? 9, Wark Qescription: New ? Add ? Alter 11 Repair ? 10. Describe. , - Fuel Type _ 11. No, Equipment 8TU - M. Ea. Forced Air No. EQUipment CFM Ai dli H Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F i nal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt _= - PLUMBING PERMIT CITY OF EAGAN Permit No. Fee r ' fill in numbered spaces 5/C _ Type or Prini /egib/y Tat. 1. Date 2. Installation Cost 3. Job Address LotBik. Z Tract 4, Owner 5. f ? ?? - 6. Address ` •' '? 7. City State Zip 8. Building Type: Residential CJ 9. Work Description: New D 10. Describe 11. Commercial ? Add ? Alter ? Institutional ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory $oftner Shower Welt Kitchen Sink Urinal/Bidet Other Laundry Tray - Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply wiih all ordinances and codes governing this type of work. Signed : for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt ' PLUMBING PERMIT Permit No. CITY OF EAGAN Fes Fill in numbered s,paces S/C Type or Print legiWy Tcvt, 1. Date,• ?'? f r?• -?? 2. Installation Cost ' 3. Job Address%S ?z-, Lot Blk. Tract • --? 4. Owner ,i ? ? .? 5. Contractor` -"-.4,' ?- Phone 6. Address 7. City State Zip 8. Buitding Type: Residential Commercial ? Institutional 0 9. Work Description: New Add D Alter O Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank l.avatory Softner Sh0wer . Well Kitchen Sink Urinal/Bidet Other -T . Laundry Tray % Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed-? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? ? f CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 I I SITE ADDRESS: , „ , "vt i: i.n(vt PERMIT SUBTYPE: i , !It nilT 1N(, PECTION REcoRv PERMIT TYPE: Permit Number: Date Issued: APPLICANT: TYPE OF WORK: f lhtik ! rnirtI i r ?i111 1 1 1 lirs ? Pennit No. Permft Holder Date Telephone N S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings t Foundation Framing I Roofing Rough Plbg. Rough Htg. Isui. I-P Fireplace Rnal Htg. Orsat Test Rnal Plbg. Pibg. Inspector - Notity Plumber Const. Mater Engr./Plan Bldg. Final Deck Ftg. G Z 3 Q Deck Final ? Well Pr. Disp. Reoeipt - PLUMBING PERMIT CITY OF EAGAN Permit No. Fea ` Fill in numbered spaces S/C . Type or Print legib/y Tot. 1. Date 2. Installation Cost ; 3. Job Address A Lotjn'_Blk. Tract 4. Owner , ,• _ 5. Contractor fl?«,-? Phone 6. Address 7. City State 2ip ? 8. Building Type: Residential El 9. Wark Description: New ? 10. Describe 11. Commercial O Institutional O Add ? Alter ? Repair 0 No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner 5hower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains . Drinking Ftn. ; - Slop Sink Gas Piping Outlets . 12. I hereby cartify that the above inf ormation is true and correct, and I agree to comply with all ordinances and co des governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legib/y 1. Oate - 2. Installation Cost 3. Job Address ' -J Lot Permit No. . Fee n , S/C " Tot. . . • ,? Tract 4, Owner • i . f- . 5. Contractor Phone - ' ? 6. Address 7. City State Zip - 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equinr?nt BTU - M. Ea. Forced Air • No. Enuipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outleu 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Fiough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 N CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: ;'1 I 1 "i N`; Permit Number: :1 ''ri Date Issued: ? ? ? q 6 SITE ADDRESS: , „Y : APPUCANT: , ; !. I Fi{Mr: ; k I , ! !? t ,:li . 1 F 1ot fi l r: 1 l y ft f> w'i 1 514 TYPE OF WORK: [1F5C171'{'11ON f t10 t( M,, 1 1 1 f( NA i Ir- liffiN Rf"F'A ti? ( fi(rI qrfMFHfI L Pertnit No. Permft Holder Date Telephone A ELECTRIC PLUMBINQ HVAC Inspectlon Date Insp. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATINd GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG F1NAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ?2l DECK FlnlnL f??? ? ??y i ?A`Yf I ? 3110-7 L''?i? C,gXr, AJr4,4,&fivMWC0i.j INSPECTION RECORD ( CITY OF EAGAN PERMIT T,YPE: f:?a i 1 li 1 Nt3 3830 Pilot Knob Road Permit Number: ?•' M-•' I Eagan, Minnesota 55122-1897 Date Issued: 0 H f" s!`' 6 (612) 681-4675 SITE ADDRESS• APPLICANT: ' I AMlQ. ;?! hl fr?.'! F.}l/ 01.4I PERMIT SUBTYPE: !,; , 1 V130T!Hii TYPE OF WORK: FTNAI 7 Permit No. Permit Holder Date Teiephone M ELECTRIC PLUMBING HVAC Inspection Date Inap. Comments FOOTtNGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIFiEPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN SEWER SERVICE PERMIT ?830 Piiot Knnb Road pERMIT NO.: P. O. Box 21199 Eegan,MY 55121 DATE: Zoninp: f' .) _ No. of Units: - "Owner• eY1 ?.QY?ES yriC: Address: . Sfte Address: ? ?VE?Z' i.,"? ??:. I:__:._ Plumber. ?8-1'Ph' s Plbw rr• 1 agrse to aanply wuh tbe CMp of 'Lagan Ordinesow. By Date of 1 nsp.: - Connection Owrpe: Accotnt Deposif: Pem?k Fee: lv-..O 0 `-- Surc.lwroe: Misc. Chor9es: Total: Dote Poid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road pERMIT NO.: P. O. Box 21199 p^TE: Eagan, MN 55127 lunit- 4plex No. of Units: z?i?: Tilsen Homes Inc Owner ? /lddrosr. ? ??;4480 Clover Ln 5 Addn L9 B2 Eden i ber: Ral h' a Pl p? 0 0 pd 4 5 0 um / 3? l 31 3l . Connedior? Charye: o Meter No.:, Stze; " °? 'tic°unr oepoWt. 14.00 pd 9L ??! q' ?Lk PaRnit Fee: D Reoder No.: • 50 PCL 1 Nr" ts emily vftb Ne C? of go"o Surchaw: 6 0 0 0 pd mete: Mi? ??: o?ipe?. Totol: Dote Paid: By Insp.: I Dote of InsP.: I ?z- ld- .5' l _ ClTY OF EAGqN ? SEWER SERVICE PERMIT ? CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 3830 Pilot Knob Road 569L ? P O Box 21199 PERMIT NO.: 48 07 P. O. Box 21199 PERMIT NO.: ? . . Eagan, MN 55121 Q,,?. ?r?C??S3 j EagWn, MN ?5121 DATE: 6- 2o-8?. ?t31 Zoni ? i 1 zoni R3 ?? No. of unirs: 1 unit - 4pl.e ng: - un No. of Unlts: t I x n r l i 1sf--n k' L3=`es O Tilsen Homes Ownar: : w e Address: Address: sire Address: 448 B tov L n, r,t ?t LL ' ? si ?? 1 SiN I?ddrcss:448QB Clover La ne. ?,10 B2 Ed en Addn Plumber: R ' Plb . „ ._._.._,_ Ralvh's P1bA Plumber 5-- 19 -• `? .', 3 5`? ? u 100. ?? !' -?? r No. •?.-3 7/ Connection CFwrQe• 4 5 0. 0 0 pd 1 eoru to eemOh wilh 16 Cily ef Eagon Con?kctfon Charpe: 4 25 _ Q01 Siu: 5,7 ? I?ccount Deposit: Ordlneneea. _ Atcount Deposlt• . Reader No.: /?? •S? ?? 5 Permit Fee: 10. 00 pd- d ? 10 it F 00 p P ? e to eosnolf? witA He Citp of Eayan gre Surchorpe: • 50 ? . enn ae: 5u.charge: - 50 ?d ? Inewo... Misc. Chorges: 60 .00 pd mete BY Misc (?+ar : e / Totol: . g s ? Date of Insp.: Total: By u""«? Date Paid: I^sP.: Dote Pafd: Dcte of Insp.: 3- - Insp.: CITY OF EAGAN SEWER SERVICE PERMIT CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road ; - ?; 3 3830 Ydot Knab Road - , PERMIT NO.: P. O Box 21799 PERMIT NO.: - t" `' d ? P. O. Box 21199 121 MN DATE: °??3?-63 Eagan, M? ?5121 DATE: ? - ' Eagan, 55 1 ,init° U eX Zonino: No. of Units: , Zoning: ' 3 - Owner: Address: Slte Address:"! ` ''?P CIOVp.r L: Plumber: -"'--' Nletar No,: Size: Reoder No.: ' 1 ayrw to oomply witk fbe City of Eaqan Ordinaneq. By Dute of Insp.: Connection Chor9e: :'- -?) u • U li pCl Account Deposit: io.-OO D Permit Fee: 5urchorge: Mix. C '?? *. hnrfles: Total: Date Paid: No. of Units: Address: 4`; o v D A. iber: Palvn' § Plbg 35924 w to comPly wilh Nha Cihr ef Eeyon of Insp.: _1 ,_.- „ ,. ?,c n? Connettion Charpe: 4< ' Account Deposit: Pe?mit Fee: - '? 30 SurcFwroe: - ? ? o1 Mist. Chanaes: Totoi: - REQUEST FOR ELECTRICAL INSPECTtON ^ EB-00001-04 '&ee inatructions for completinp this fwm on back of yellow copy. w ? "X" s4PQ??r?Jo?7ered bv This Reoues[ 370? 4ow Add Rep. Type o1 Building Appliances Wired Equipment Wired Home Range o Temporary 5ervice Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace 2,50 Silo Unloader Industrial Bldg. Air Conditione Bulk Milk Tank Farm bcxl yy Ih?r ISPer,ilYl t er SVeci y ther OihLr ic p ,r,.. .. Fee ?.... ServiceEntranceSize 1J Fee Feeders/Su6feeders # Fee Circuits II 10.0 U to 206 Am s 0 to 30 Am s 1• 0 to 30 Am?s Above 200 q?np5 l 31 to 100 Amps 31 to 100 Am s 5wimming Pool Above 100 -Amps Above 100_Am s Transformers Irrigation 8oorns e Partial Other Fee Signs Special Inspection $ OQ 3 AL FE Remarks r. -?_ v_11 ? 4 1 f1JU Rough-in 3w C)a te ? y I, ica I Inspactor, hereby ertify that the above Final ?? spection has been made. Thie repuest vold 16 months irom ThisreQuestvoidj"W Lt.-Z' 37aq 3 18 monchs from cl -1 C x w 083819 r..?..?? Request Date Fire No. ReqAhe?7nspection ?ReadY W? ll N;tify InsPec• 7-1 5-1983 ?Yes o tor When Ready 1 1 OCLicensed Electrical Contractor I hereby request insDection of above U Uwnef CitY Street Address, Box or Route No. Eagan 4482 Clover La,ne ection o• Township Name or No. ange No. Couiity Dakota Occupalit (PRINT) Phone No. Tilsen Homes Power Supplier Address Farmington Dakota Cty. Electrical Contractor tCompany Name) Contra<:tor's License No. 0602 O.B. Thompson Eleetria Co. A4 Mailing Address (Contractor or Owner Making Instailation) 12201 &s Blvd., mtka 55343 Authorized S a e(ContractoVOwner king I tal tionl Phone Number 933-2521 , r wc iiucocCT1 (1N RF(]UEST WIIL NOT MINNESOTA STATE BOARD OF ELECTRICITV BE ACCEPTED BY THE STATE BOARD Griggs-MidwaV Bldg. - Room N-191 UNLESS PROPER INSPECTION fEE IS 1821 URIVHfSixY A46.. St. QBUS, MN 55104 ENCLOSED. Phona (612) 297-2111 ?vv CITy pg EAGAN Include 2 sets of plans, ,. • . 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. ? - - 'ib Be Used Fbr ¢ Valuation Site Pddress Ipt 1?_ Block ? Sec./Sub. Parcel # : //> 2 2-7 5 D / /Cl ?51, p-" Date 5 -/tY -0-3 OFFICE USE ONLY Erect x OccuPan?Y ..? ? Alter Zoning _ gep? Fire Zone Enlarge _ Type of Const. Nbve # Stories Demolish Fxnnt yy ft. Grade Depth 8? ft. a,mer: NoVAt?'?, Address: Z `f S S 'l£ ? City/Zip Cale: ?'t0.4 S5I 1 ? Phone #: /?ou?(-- S 5c-:, Contractor: Pcldress: City/Zip Code: Phone #: Arch./Eng.. _ Address: City/Zip Code: Phone #: ?4ater/Sewer Surcharge _ Police Plan Check Fire SAC g1q, Water Conn. planner Water Meter Council Road Unit _ Bldq. Off. P,PC 'ICyPAL :,? T( ? CITY OF EP.GAN Include 2 sets of plans, 1 sitz plan w/elevations & BUILDING PERMIT APPLICAT70N 1 set of enerqy calculations. Tb se used For IZ4 valuation ?/ ?jb n Date ?T?--3 Site Pddress 1/-Vu-- CLjre ?t' .? Lot /??_ Block Sec./Sub. 6 Parcel #: /D /g0_ O a- Oamer: i4cltAf5 i -=?c ` Address: {pZ°7 S????{tn?i _ Gity/Zip code: ?-. e?-u.\ Sstl to Phone #: Contractor: Address: _ City/Zip Code: Phore #: Arch./Eng. . Adclress: City/Zip Code: Phone #: OFFICE USE ONLY Exect X Occupancy Alter Zoning f .-? Repair Fire Zone Enlarge _ Type of Const. J Nbve # Stories Demlish Front y ft. Grade Depth ft. APPROVAT.S FEES Assessments Penait P"?flo ?aater/Sewer Surcharqe aS Police Plan Check Fire SAC En9 • Water Conn. SU ? Planner Water Meter (PD Co,???l Road Unit as-? Bldg. Off. APC - TCYS'AL yt ? ?SCa ?? ? CITY OF E7?GAN Include 2 sets of plans, ?-t 1 site plan w/elevations & `_- gUZL,DING PERMIT APPLICATION 1 set of energy calculations. Zb Be Used For I G valuatio re'5/,, ooZ) Date 1?-?gvS3 Site Addre55 yko "5 can F- Lot 0 Block ? Sec./Sub. 6?'-'. Erect ?X Parcel #: ? 0' 4??7.5? /OB O r2 Alter Repair Osmer: Enlarge _ Niove Address: City/Zip Code: Phone #: Contractor: ZZZ4r 121,? o?ir-c-c Address: City/Zip Code: Phore # : ln ?e" ?5 SO / Arch./Ehq.: Address: Demolish Grade T^]ater/Sewer Police Fire ? OFFICE USE_ONLY Occupancy ? Zoning ? Fire Zone Type of Const. { - # Stories Front z/ ft- Depth 96Z ft. tng • Planner Council Bldg. Off. APC Surcharge _ Plan Check SAC Water Conn- Water Meter Road Unit City/Zip Code: - Phone # : ` ??' l? ?a r ? ? ??? S r o? j' lal? ? ?Ty OF EF?GAN Include 2 sets of plans, ` ?0 1 site plan w/elevations & ? BUILDING PERMIT P.F1'LICATION 1 set of energy calculations. To Be Used For • .' Valuation ?51i OO D Date s/?^?•? site Pddress /-/I () La?1?- Lot q Bloclc o2 Sec./Sub. (2&V Parcei #: l0 -9 a76o oQo oa. ONmer: Address• City/Zip Code: Phone - ? Contractor: Pddress: ? City/Zip Coc1e: Phone # : /I'? K - ? ?56 ( Arch./Eng.- P,[1dre55: City/Zip Code: Phorie #: "OFFICE USE CNLY Esect Occupancy Alter Zoning Repair Fire Zone gztarge _ Type of Const. Nbve # Stories Dsnolish Front yy ft. Grade Depth- g 2 ft. ?4ater/Sewer Police Fire kn9 • Planner Council Bldg. Off. APC Surcharge _ Plan Check SAC water Conn • Water Metex Road Unit Tdi'AL 'c' 1-1 X?`( ' S b Th,= repuest void -? -Lg Llo t a;?t E42?^ 18 monC's from m f1S2,?Qq1 3 -7.;Z y 3 yD, o 0 Request Date Fire No. R eqnugh-in Insprcl?on Nwred, ?Reatly Now?`??I: Noufy InsDec- 7_15_19s3 ?'es ?NO torWhenReatly ? Licensed Eleclncal Contractor 1 hereby reques[ msPection ol above fl n-.., elactncel work inatellad ot Streel Address, Box or Route No. C'tY 4480 B. Clover Lane Eagan ection o. Township Name or Na. Hange No. County Dakota Occupant IPAWTI Phone No. Tilaen Homea Powet Supulier Aaaress Dakota Cty. Farmington EleGncal CoMrector (COmuany Name) Contractor?s License No. O.H. Thompaon Electric Co, A40602 Mailin AAdress (Conhacmr or Owner Maki ?343ilauun) Mtk Bl d 1 ? 5 v ., 12 Idtka 0 a r l 1 Authorized Si at (COnvactor?pwner? ng In' all on) Phone Number 933-252i MINNESOTA STqTE BOAHO OF ELECTRICITY I% TMIS INSPEGiIVrv ntUU[Si rviLi rvoT BE ACCEPTEO Griggs•Mitlwey BIdB• - Room N-791 BY THE STATE BOAND UNLESS PROPER INSPECTION FEE IS 1827 Univarsitv Ave., St. Paul, MN 55104 ENCLOSED. Phone (812) 2972177 REQUEST FOR ELECTRICAL INSPECTION M Es-ooooi-oa • ' Sea instructuons lor completing thia form on hock of vellow cooV. „x" A<O3u?.k (' 7aranf hv This Renuesf 3 7-,? Hdd Nep. TYOe ol Bmltlmg Home ApOliances Wsretl 30 Range .00 Equipment Wired TemForary Service Duplex Water Heater Lightiny Fixtures Apt. Bwlding Dryer Electnc NeaLn Commeraal Bldg. Fumace 2.50 Silo Unloader InAustrial BIAg. Farm Air Conditioner Bulk Milk Tenk Othe,ISncr,ilyl t er Sueu/v Ot e, Other 10( • k •r?• ? Fea r? SelviceEntrenceSize H Foa Fexders/Subleede?s k Fee Gvcuits IUGI 10e 0 to 200 Am s 0 to 30 Am s ?• 0 0 to 30 Am s Above 200 qm>s 31 to 100 Amps 31 to 100 A s Swimmin Pool Above 10U_Amps Above 100_Am s Transiormers Irrigation Booms . Partial: Other Fee Signs Special inspection 0 5o $ TO AL FjEf 4 e ? ? Rerrv?rks D1C?{ H9?.1 RouBh-m ( MOle I, the nl 7a,y Insoectoq nereby cerLfy that the above Final ? ?lP n insoacI ion hes bee ? meea. TNe repuast void 18 monlha irom (/ ?-. ?'r REQUEST FOR ELECTRICAL INSPECTION 'See inahachons far comolating this form on beck of yellow copv. "X" Belo?Wb? ?overed by 7his Request + EP-OW01-04 37a`I 3 e AAd Nep. TyOe ni Bwltling Ap0lmncxs Wnad Equipmem Wiretl XX Home Range 5.00 Temporary Service Duplex Water H¢ater Liyhtmy Fxtures Apt. Bwlding Dryer Electnc Heatin Commercial Bldg. Furnace . 50 Silo Unloader hidustrial Bldg. Air CondiLOner Bulk Milk Tank Farm 5 01her ISUeniYl [ier SPC?iIy p(hcr Oth.r '10( Lomnure mspection7-ee Ne/ow q fee ServiceEntrance5ize k Fae Faxtlars/Sub}eeAers # Fee Grcwts G 1000? 0 to 200 qm s 0 to 30 qmps 1. U tn 30 Am s Above 200 qmps 31 to 700 Amps 31 to 100 Am s Swinmin Pool qbove 100_Am s Above 100_Am Transtormers Irrigation Booms Partial/ Fee Signs Special inspection 5 50 0 Rem3rks Dick FIall 4 e T iA1,FEE ?/ .L/7 'rst.i aouen-i r, o;?iN v q/? (i I, tha Electncal Inspectoq hereby cerbty Ihat the above Findl i? (?'e? spec\iOn has ba9n V {/ 0 mada. This requesl void 18 monllrs Irom This request void ?-l 18 nxmths from wnR aRl 7 37?2?(3 ?/D• b0 PeGUest Date Fve No. Rouph-m InspecLmi Reqwre d> fteady Now ?Nil I Nuufy Inspec- ? 7-15-1983 .Ves ?No ???r Whe n ReatlV 3Mice.nsetl Elec[ncal Convac[or I hereby request inspection ui ebove ? Owner elechicel work installad et Stree[ Address. Box or Houte No. CRy 4480 Cloirer Lane Eagen ecuor, o. Townshio Name or Nn. Range No. Counry Dak ota Ocrupan[ IPqINTI Phone Nn. Tileen Homes Power SupDhrer AdAress Dakota Cty, Farmington Elecvical ConVactor (Company Name) Contra<tor's Lic:nse No. O.B. Thompson Electric Co. 9t}0602 MailinB AdJress (COnVactor or Owner Makfny Instailation) izzoi 1tt Blva., Mtka 55343 AuNorized 9g W IConhactor (wner ng Ins Ila onl Myl?h ? Pho ibgra 9=?a a ? O MINNESOTp STATE eOP.RD OF ELECTNICITV N? TNIS INSPECTION HEQUEST WILL NOT Griggs-Midwey eldg. - Noom N-191 BE ,SCCEPTED BY THE STATE BOAND 1821 Un?vnrsity Ave., St Peul, MN 55104 ' UNLESS PPOPEN INSPECTION FEE IS ENCLOSED. Phone (612) 297-2111 Allo, City of EaiaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 -------- ? ?w oni? usa ---------- I ? Permit ? ? Permil Fee: ? Date Received: 'g 13 j I Statt: ? I I -------- ? --------- 2008/ RESIDENTIAL BUILDING PERMIT APPLiCATION Date: Slte Address: 443 Z ??? ffi+ Q C 1?0 o w )-IV Tenant: Suite M. a(Ph a ' AJ e: N RESIDENT/OWNER r r on ame: Address / City / Zip: ppplicant is: _ Owner 9 Contractor TYPE OF WORK Description ot work: KBOp Construction Cost ??0?. ? Multi-Family Building: (Yes / No ? CONTRACTOR Name: JUbC goyn-f rin CMUl?icense#: ZO Addreu: 1js17 Z 4-> 4"^ 4 6.> . City: 'Aa /hi 11 h) State: 1'll"IN Zip: 5502 38 C t P 1' 4 t 6 Ph erson: JQ . on ac one: COMPLETE THIS AREA NLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . ResidWtial VeMiladon Category 1 Worlcsheet • New Enargy Coda Worksheet CatBQOIy Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitled In the last 72 months, has the Clry of Eagan issued a pertnit for a almllar plan based on a master plan? _Yes _No If yes, date and address ot master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Pians and supporting documents fhat you submlt are considered to be publtc Intormadon. Porfions of the Informatlon may be c/assNled as non-publlc If yon provlde specJfic reasons thaf would permk the Clty to conelude that the are trade secrets. I hereby acknowledge ihat Mis intormation is complete and accurate; Ihat the wak vnll be in conformance with the ordinances and cades of the City ot Eagan; that I underetand this is not a permit, but only an application for a permit, and work is not to stert without a permit; ihat the work will be in ? accordance arith the approved plan in the case of work which requires a review arxl approval an .?6 x D4?p {?a54? x cant's Printed Name ApplicanYs Signature Page 1 of 3 PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: auzLozNG Permit Number: 028398 Date Issued: 0 7/30/ 96 SITE ADDRESS: 4480-8 CLOVER LANE LOT: 10 BLOCK: 2 EpEN DESCRIPTION: --? (REPLAGEMENT) _. B`uilding?,Permit Type ?'BUilding W,prk Type Census Code 439 ? i° fe ?? < i - ` DECK REPFIIR ALT. RESIDENTSAL L.,: r.i REMARKS: FEE SUMMARY: Base Fee Surcharge Lic. Search Total Fee $45.00 $.56 Fee $5.00 $50.50 CONTRACTOR: - Applicant - sT. Lzc.OWNER: ORFIELD CONST, JOHN 18509194 2002105 MARTIN LORNA 110 WINNIPEG N 4480-B CLOVER LN ST PAUL MN 55117 EAGAN MN 55122 (612) 850-9194 (612)454-2670 I hereby acknowle.dge thatI hawe read this application and state that the informatian is carrect and agree.to oomply with ail applicable 3tate o# Mn. Sta.tutes and Gity af Eagan Qrdinarrces. / ? 4j 1 Ih,9- SSUED BV: IG'SA RE"I?- -Nm APPLICA /PERMITEESIG TURE CITY OF EAGAN 1%396 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodelfReoair Reovirements 4 JD. ? 3 registered site aurveys ? 2 copies of plan ? 2 copies ol plans (indude beam d window slzes; poured fid. deaign; etc.) ? 2 sRe surveye (exterior addMiona 6 decks) ? 7 energy ealculatfoM ' ? 1 energy wlculeGone tor heated addkions ? 3 oopiee W tree preservaNOn plan H bt pLatled efter 7/1/93 requhed: _ Yea _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: Lf?2l4C e STREET ADDRESS: It T DO ? ? 1 !?7 v ,o /, ?- 671-2 ? LaT BLOCK SUBD.lP.I.D. #: ?) PROPERTY Name: ? ? ? Gt 9 /UL Phone #: ?? ? zg» OWNER StreetAddress*ff 10'a l/'Pd' LClA 2 ' City: G'mI State: 14 IV Zip• ? 7?Z z CONTRACTOR Company: ?)WIn C%611Pb, cOlihone#: StreetAddress: Ij0 ?i?i?/?141'p_P,TrF? License#•Z'6r2?4 City: 51- State: /m Zip. / ARCHITEC7l Company: Phone #- ENGINEER Name: Registration #Street Address, City; State: Zip: Sewer 8 water licensed piumber: change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and Ciry oi Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates oi Survey Received _ Yes Tree Preservation Plan Received _ Yes No No Penalry appiies when address change and lot is correct and agree to Co1npjy with atl ???????D PH 7 4 336 ---- ,--r------ OFFICE USE ONLY . . ? BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex 0 02 5F Dwelling o 07 4-piex 0 03 SF Addition o 08 8-plex 0 04 SF Porch ? 09 12-plex a 05 SF Misc. 0 10 = plex WORK TYPE m--31 New a 32 Addition 0 33 Alterations a 34 Repair ? 11 Apt./Lodging o 0 12 Multi Repair/Rem. ? 0 13 Garage/Accessory ? 0 14 Fireplace ? o-?f5 Deck ? 36 Move 0 37 Demolition GENERAL INFORMATION Consl (Actual) \./A) (Ailowable) USC Occupancy ?-? Zoning 12-1 # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License ' MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire 5prinklered PRV Booster Pump Census Code. SAC Code Census Bidg Census Unit Building Engineering Vaiuation: $ Variance ? J-i 3y ?- 1 % SAC SAC Units . . ? PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BurLozNG Eagan, Minnesota 55122-1897 Permit Number: 028521 (612) 681-4675 Date Issued: 0 8/ 2 3/ 9 6 SITE ADDRESS: 4482 CLOVER LANE UNIT B LOT: 11 BLpCK: 2 EDEN P.I.N.a 10-22750-110-02 DESCRIPTION: ?uilding:,,Permit Type !Building. 144o_r,,k Type _' Census Cade ? r i u, x , s ?h x ! i DECK NEW 434 AIT. RESIDENTTAL .7 " re? r, , ,.^' . .? i . . ? REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.59 Total Fee $45.50 CONTRACTOR: OWNER: - Applicant HASKINS CFlROL qqgp CLOVER LANE EAGAN MN (612)687-0547 L. I hereby ackno-wledge thatThave read Chis infiormation is cor,rect.and agrae. to comply Statutes aad City of,E,agan Ord,inances. , da41-41_ 7S? APPLI AN7/PERMITEE SIGNATUIiE B • applfcation and staCe thatthe withall appkiaable State o.t Mn. ! 1cxi,0 &' d,?- ISSUED BY: IGN TUR ' '?- ^ CITY OF EAGAN 3830 PRLOT KNOB RD - 55122 l 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Name: 1*5 Kl Al 5 (A±C Phone #: CM-04 ? u.. _ mn IS. ? 3 registered aile surveys ? 2 copies of plan ? 2 copies of plana (Mdude Deam 6 windav sizes; poured fid. desipn; etc.) ? 2 site surveys (e:terior addkiona 3 decks) ? 1 energy piculetions ? 1 energy celculeGons tor heated addilions ? 3 eopka M tree preservaHon plen H bt platted aRer 7/f /83 ' iequired: _ Yea _ No ? DATE: 13 -C -Y 6 . CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: "? ? ?%1% `` ?'??•? ? -A`????% LOT /? BLOCK ? SUBD./P.I.D. #: PROPERTY OVYNER CONTRACTOR ARCHITECT! ENGINEER Street RemodeVReoait Reauiremenb C. Ciry: L4 C-AAI State: MAZ Zip• ?5 L:?'2 Company: S/YVE ' Phone #: Street Address: City: State: Company: ??MC? Name: License #- Zip. Phone #• Registration #• Street Address* Ciry: State: Zip: Sewer & water licensed plumber: ? Penalty applies when address change and fot change are requested once permit is issued. I hereby acknowiedge that I have read this application and state that the fnfortnation is corcect and agree to comply with all ? applicabte State of Minnesota Statutes and City oi Eagan Ordinances. /j Signature of Applicant: ? G?v ' !?' ' ?? OFFICE USE ONLY IR? ? EWEDD Certficates of Survey Received _ Yes _ No faUG n i fgyfi Tree Preservation Plan Received _ Yes _ No __ _ _ _ _ _ _ _ _ _ _ _ _ _ REACTIVATE _ PERMiT t I Ole CITY OF EAGAN 1993 BUILDING PERMtT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. t`b?? l ? COMMERCIAL an s, 2 sets of architectural & structura specifications, 1 copy of energy calc . Mqy 2? ?993 Penalty applies: 1) when permit is typed, but not picked up by 1" " • of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ? /Z ? / ?' Val uat i on of work Site Address: g0 STREET SUITE N Tenant Name: (commercial only) IAT BIACK SUBD. C Je_e-? ? ? a n P.I.D. N `'! Descri tion of work: The applicant is: 2L Owner 0 Contractor ? Other <ne.or;x> Name C(? ?", e() ?? At4 PPrfi12PCK Phone 4g 3?9H00, Property L.ST FIRST OWn@f g C) (? ? O Vr- Q2 L N ` pddress ? A SiREET SiE # City iq N State ?rV Zip Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration N Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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. Si9nature of Applicant: RESIDENTIAL BUILDING Permit Application City Of Eagan 0 iv 3830 Pilot Knob Road, Eagan MN 55122 Telephooe # 651-675-5675 FAX # 651-675-5694 New ConsWd'wn Reauirements RemadeUReoair Reauiremenfs 3 registered si[e surveys showing sq. R. o( lot sq. ft of house; and aH roofed areas 2 copies of plan (20%maximum lotcoverage allowed) 7 set o! Energy Calculations for heated additions 2 mpies of plan showing beam & window sizes, poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations AddNOn - indicate d on-site sepf'rc sys[em 3 copies of Tree P2seNa6on Plan'rf lot platted after 711193 Rim Jozt Detail Op6ons selection sheet (bidgs with 3 or less units a S O b Fs 4 V">" Office Use OnN Cert of Survey Recd _ Y_ N Tree Pres Plan Recd _ Y_ N TreeP2sNotReqd _Y _N Omsite Seplic System _ Y_ N a o Date Z 7 / U 3 Site Address 1q?l?_ Construction Cost 1'?" UnitlSte # Description of Work ( e?G' A /U" Multi-Family Bldg Z\ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner JW qN/: .r 7?? i11J?^ Telephone #( Z- Contractor Z 01 ?',7TS 3 Address State /11 /V / ?" City lw) lTZ°IJe?ar1„c?d(? Telephone #(?! f) l) S- 82 1 0 Zip 5T/M COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a buiiding in Eagan with a similar pian2 _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% pian review TW11 7 ?2? Id I hereby apply for a Residential Building Pertnit and acknowledge do? the information is complete and accurate; that the work will be in conformance with the ordinances and codes-of-the"Ci y?"of-Eag and the State of NN Statutes; 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. Telephone #( ? -?- - [' ApplicanYs Printed Name ApplicanYs Signature RESIDENTIAL BUILDING Permit Application City Of Eagau 3830 Pilot Knob Road, Eagan MN 55122 ??• Telephooe # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenfs RemodeVReoair Reauiremenis Office Use OnN 3 registered sile surveys showing sq. ft, of IoL sq. ft of house; and all roofed areas 2 coples of plan Cert of Survey Recd Y N (20%maximum lot caverege allaxed) 1 set of Eneryy CakulaGons for heated additions Tree Pres PWn Recd _Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey for additlans 8 decks Tree Pres Not Reqd _ Y _ N 1 set of Eneqy Cakulatlons Addidon - iMicate 'rf ort-site sepfk system On-sRe Septlc Sys[em _ Y _ N 3 copies of iree PreservaUon Plan'rf bt pladed aker711193 Rim Joist Defail Options selection sheet (bldgs with 3 or less uniGs Date J Q- l2z l L 7i' , Construction Cost L '2v Site Address UnitlSte # Description of Work I( Multi-Family Bldg /-X- Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ??2GiJ A cpLL ?' L)wiU? ?9`?//25+ Telephone # (a j'r7) Contractor Address City State (,P16?,.?P 6,v,fy. L 141C f'' Zip Telephone # US? ) 7%,? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Enveiope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( o7i I hereby apply for a Residential Building Permit and acknowledge that the infefri?i?ation::is=comple[e=aail accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. Applicant's Printed Name 9 2,--J' , Applicant's Signature 651 /I 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. /5-Sv Date4_1/ 4 I1) q Site Street Address 'el?lS'O [!S Unit # Property Owner eazg?,/2 C, ?`i.? Telephone #([ 5) F?8.3 -?l`5609 Contractor ?t /) Teiephone # ((cS! Address c3 L,70 kn?? ex. U" City ? State h- Zip 55 / The Applicant is: _ Owner 1-Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5!8" meter is required) Other: Water Softener y Water Heater $ 15.00 ? replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total ,JUN 2 S 2004 g??,Sa I hereby apply for a Reside6-Pfarrt ' erR?and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances 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 will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. P.rI? Applicant's Printed Name ApplicanYs ignature PERMIT c? 7?3 ?CITY OF EAGAN ?- 6 3830 Pilot Knob Road PERMIT TYPE: eurLorNe Eagan, Minnesota 55123 Permit Number: 021106 (612) 681-4675 Date Issued: 0 6/ 0 2/ 9 3 SITE ADDRESS: P.I.N.: 10-22750-090-02 4480 CLOVER LANE LOT: 9 BLOCK: 2 EDEN DESCRIPTION: B,u'ilding, ,Permit 7ype DECK Building V1o,rk Type ADDITION 1,'UBC Occupancy?, R-3 ' Building Lengthj 6 Building Width 6 ? j \ `?- `?? REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $,Sg Total Fee ;25.50 CONTRACTOR: OWNER: - APPlicant - CORCORAN PATRICK 4480 CLOVER LN EAGAN MN 55122 (612)683-9409 I hereby acknowledge that F heve read this infnrmation is correat and agree to comply Statutes and City of Eagan Ordinancas. L Q Qe""? )I Qx-?? APPLICANT/PERMITEE SIGNATURE INSPECTION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: LoT: 9 BIOCK: 4480 CLOVER LANE EDEN PERMIT SUBTYPE: DECK _11 N,n &Ai 11id ISSUED V: IGNAT Rq k? RECORD PERMIT TYPE: Permit Number Date Issued: 2 APPLICANT: CORCORAN (612) 683-9409 TYPE OF WORK: IF- appiication and state that the with all applicable State of Mn. BUILDING 021106 06/02/93 pATRICK ADDITION I IL - ------- 01/14/2010 THU 15:39 FAX 6514378831 Q002/002 Use 13LUE or BLACK Ink I i I 72 6 ! ! I Pmii #City of Evan I Permit Fee: 56) 3830 Pilot Knob Road j Eagan MN 55122 i Date Received: l Phone: (651) 675.5675 i ! Fax: (651) 675-5694 Staff: I 2010 MECHANICAL WIT APPLICATION Date: Site Address: _44 Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City 1 Zip: LAW 1AUK ~onn0l, P u #3t 1DfYt[4' '.11 se CONTRACTOR Name: t~ ~ i~_ '~X~cen Address: 19 0 V~hn Win-y~T -City: State: my/1 Zip: Phone: I 0!~i I - ~4 iij I Y - Contact Email: TYPE OF WORK New _ Replacem t Additional Alteration Demolition M Description of work: 11a ,r Nil . E.- PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under I Above ground Tank Install / _ Remove) " When installing/removing tank(s), call for inspection by Fire other Marshal and Plumbing, Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ X1% $50.50 Minimum (includes State Surcharge) $ Permit Fee - if Permit Fee is less than $1,000, surcharge is $.50. - if Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001$2,000 Permit Fee requires a $1.00 surcharge). <TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work wilt in conformance with th rdinances and codes of the City of Eagan; that I understand this is not a permit, but only art application for a permit, and w t to start without a p ; that the work will be in accordance with the ap r ved plan in the ca which ui Will review and approval of pla x ~ Applica rinted Name xplicant's Signature _ ~ per' r ~..',,!!~~?~y'`, i~'~, f FJ. 3' '~c'" va•. r-s a., c: ~-°:•xz,s^5~ ~ .y,,~¢ C ' 1~r 2AYi` =~N~,~;ny*" y N ry~ •'f .?s.X 'gf~'" 3''3i: ,c4 u.f .y,I'i:•{t..s'.k'R>o w.,,.J~4 ate'`,'.£-.'r•• r,.,xt rt^ AIR ~lal E • V 5 E ^ ~y v 4 by O iF 'iv J r=F R f . ` P :tt3 y~"~TM ~A4 f~ 5~ i 2 wall, y04 f..`1 ~I ~ ~'{35k, L..*+' :3•; 9~&-;(. GAY ..J ~f.u~ ~ K»~°'ir F F "~.4~• ~<<; a'is 'Y wz- • R tint ;lnspectior S ~lr der c~ru ~ . tr T ' t f ~Y .~xt$ 7 s r _ u 7 .Y e,.' n-"v, 's r Fv~ha~`1; ~2"'+~-rr1L'~"~"vr, 3:E 3.~.~ ~ 1. §{..w +r =t, ; Y~~' t _ a Ste' ~~2R F:•i ':CY r t+.ei ;::a?: ".N:F.'.wvs ..4Y i~ v Use BLUE or BLACK Ink For Offic eUse __-_-TT_- -I City Ol LatdPermit 1 Permit Fee: `2 d- 00 1 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: I b j Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: M L V 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Vl° Tenant: IJAl '7- Suite i 1100, RESIDEN /OWNER Name: I A _r G'O K for rd Phone: 6T` Address / City / Zip: A-lye t] 6 L y V ee LfJ Applicant is: Owner Contractor TYPE OF WORK Description of work: f r5 Al 0 Construction Cost 3~ Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: 393 ,r'i~IdduyB/~Jd/~ City:Lotll.S State:IWAI Zip: rSVZ.4 Phone: 9 rZ 9 33 6 3o61 ~ d Contact:, 5C aTT Email: 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 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.goi)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes e C of Eagan; that I understand this is not a permit, but my an application for a permit, and work is not to start without a permit; that t ork wi a in accordance with th proved plan in the cas which requires a review and approval of plans. c v-777 x Applicants Printed Name Applicant's S gnature Page 1 of 2 From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:51 #582 P.071/079 Use BLUE or BLACK Ink I For Office Use I j Permittf: L4 4(d j City of Ea[i~ti 1 1 ~ Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j - Ott Phone: (651) 675-5675 I I Fax: (651) 675.5694 1 staff: I 1 I `------.-----------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q 1b f 2013 Site ~Address: L1ygUl Lly~l,yLIk21 y4k2t3 UMY Lahti, -Unit Name: CduI CID. bung Phone: Resident/ l,~ I ~p Owner. Address / City / Zip: (07M ft wet PAMWI V Vim'1,, 1 wou it, MW %Nq Applicant is: Owner x Contractor Type of Work Description of work: mar off and rC roof Construction Cost 4ZDJL4qU •C0 Multi-Family Building: (Yes Y ! No k Company: I{JUr I=Dh AIAUT ►r*I L Contact: VAt I IIAIS~ead Address: 514 11111E1 AI s eT Oo City: Nir1 COltfaCtO' State: MO Zip: _ 55359 Phone: 96),J 941" - Oq i License gC ~D31CJ15 Lead Certificate NAT- W% q -0 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non public if you pro vide specific reasons that would permit the City to conclude that they are trade secrets. _ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.Qooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. k X_ JOE tW~ x c~ Applicant's Printed Name Ap(p`I cant's Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/2112015 12:27 #269 P.011 /020 Use�LUE or BLACK Ink � For Office Use � � i Permit#: `��"� j �Ity of�a��Il ��EIVED ; _ `'� � Permit Fee: v � 3830 Pilot Knob Road � I Eagan MN 55122 �C� � � Z�� Date Received: � Phone:(651)675-5675 � � Fax:(651)675-5694 I Staff: I I � �_��.��.�_��_��J 2015 RESIE3ENT[AL �I��LD��G F�E�Ni1�° i4PPLiCi4TION Date: Site Address: Unit�i: .�.....�.�.,.....��,,,�...�.�.r.�..,_..�,_.�:.:_„�..,.�,�...�..::._.�...a,.,_...�..,�.�.,..._�.,_..�.._,�._�.,..�M:r..,.�.,�,,...,.,,�,.W.,...._-�..,�..,�..o,..�d.u,� _... _. � x. .�,.,..�...f_..,-,�..�.�m.,.�...,�_,r; � ` rva�iie. �,t n��n, e r�v�o c.,..-+G.�c ( 7uo'1' F'hOne: /1///1 � Resident/ � � Owner � Address/City/Zip: N`�F�'G�'�/'��%� �/.,��¢. f �� '�.�;,,�., � Applicant is: Owner J� Contracior � ,�-.,�.,,�,.�.�.�.,,.,..�.y,��.��:.,.��,..,_,_,.,�,.<.,�...M.�,.:�.�_:�,,�.,_�,.W.=r.w...�...,-_,.r._._.. . _ _ • ... _ .. G. - -_ ...,..�.,r.�. .�>.rrt_.�,._..�.�,...��..,,,_.,...,.�_�,..�,�.,.�.�a�_�..,�..� �__ �,.. �.�x... �.._..M..-M� � T e.Of W01'k � Description ofwork: c'•- �� t� ;,�: . ,�, � Yp.. Construction Cost: �Z��G� Multi-Family Building�( �N , �_.,.,_...�.�..�...,..�,�,a.� ,...r.�_.,m,.�. �._..M�,�...r.,,._>..-.�...,.._�r_,.r..,.�_... .. . Yes o ) � Company:�I�S�l4s� Ct�r►S��L��G�"1 sT�lterr�Gi7l�itLG: Contact: y�k�°r 6Q��:.. ...� _„v-,�...�....� ,r� g � �� Address:�'iys �n�u'51��+�`!- �+� /Q� �� n , ° � Contractor S� " �", c�cy: 11�1 R.�1�. P �,.. � k Siate:�Zip: �s.s'-��` `� Phone: ��2"`�'y2=7�.5��Email: f�'►•t�c��t�,/S'�et f. b'Z- � � . �icense#: �C !c'9�� .�s�t� Lead Certificate#: d�/�T Z�J (�� Z. � ��..�.�,,..�.�,.��_ ._.�..�..,�,,...�...�._.�,,.,�__—_:._.._�..,.�..,e... .A..�,..�..�.� ----.,s_ ..� ...�-K,�.�.,...,..�..,,..�..,.....,.� � !f the project is exempt from lead certification, please exptain why: ��r L, ;,,,� P�B� � � � �..,.�.,.w,�...�..'....._.�,....:. .�.�...�.,� _.�...,.a .,�.�..�.- ,��_,,.x,n.�r__.��_.��..,p.�,�.�a.�,.�.....��:m� ..,�-„_,...-..�...�.�,..Q:,..�..�..�. ..m._..,.�__:,.�.�..�,_:.:�..� COMPLETE THIS A,REA OIVLY IF CONSTRUCTING A NEW BUILDING £ In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? �Yes No If yes,date and address of master plan: �1 Licensed Plumber: � Phone; � � � Mechanical Contractor: Phone: � � Sewer 8 Water Contractor: Phone: � I � � � Fire Suppression Contractor: Phone: i $t,,,,.�._:.�_.�.a...�..,,..�,�.._...,L.,,.�.�.�...Y.,..�.....,.,...�...��,.,..�a.,n...�_...��„c,.A_...�.,..�..v��.�......,�.�,.�.�.�..,�n.,,.�.._,�,�...R.- --- �.�.,,,..�„w.,�..�,,..�..�...,�.,,�.��.. " I NQTE:Plans and supporting documents that you submit are considered to be pubiic information. Portions of = , the information may be classi�ed as noa-pubiic if you provide speci�c reasons that would permit the City to k`p conclude thaf the are trade secrets. ` fi-�:�::rr,x_,..x..V.,.�-,...:w�vvr.as..+..,-�r..see__e.,-w�-.e-.a++.�,.+�.ac.,;vs:ne.r..w�:.�-.+�x-..x:.mz�.xxa.e»r_.�.x..•-:--- :,�maw�.:...vr.=.asaa..+as��+.��xsa.n...ax_-v,v �vemv..a�r.•xa.xo-�am,r-:....w�.-n-e:..:x,�-a.�wnor:a+`-+:r-exs.=�-v«,a..z�.r�r.•:.�-.sn�n:wc3 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.ora I hereby acknowledge that Ihis information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans, Exterior work authorized by a building permit issued in accordance with the Minneso4a State Building Code must be cor�pleted within 180 ' days of permit issuance. ,.p..__......•........ e„� �„-,-... .- .�.i;�, .�//f�.�1 �r -y�t .. X x Applicant's Printed Name �„ Appiic nYs 5ignature � Page 1 ot 3 ff PERMIT City of Eagan Permit Type:Building Permit Number:EA137329 Date Issued:06/29/2016 Permit Category:ePermit Site Address: 4480 Clover Lane Lot:9 Block: 02 Addition: Eden PID:10-22750-02-090 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Patrick G Corcoran 7037 Logan Ave S Richfield MN 55423 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162120 Date Issued:06/26/2020 Permit Category:ePermit Site Address: 4480 Clover Lane A Lot:9 Block: 02 Addition: Eden PID:10-22750-02-090 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 - Harry A Mcclung 4480 Clover Lane Eagan MN 55122 (952) 693-6817 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature 3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspectionsta7cityofeagan.com ------------I For Office Use I I I Building Permit#: I I S&W Permit #: I Permit Fee: I I I 1 I Date Received: I I I I I Date Issued: I---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date:q,6Q23 .3h Site Address: Applicant is: ❑ Owner Contractor Unit #: Name:�e—d�,� t�v-S ,lf't�Sc-:;,C'lG< i 6In Homeowner Address: * 2 JA Ig Ui pa 0/? jey Z>^. City: �; `Ck L- State) pl VI-Eip: ( /-L Phone: Email: Description of work: P,e- Q t::,- Type of 2 Work Construction Cost '7 Building Contractor Sewer & Water Contractor Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan :;?QM // !S-V- �_ C�\lam Cvontact: ( -e_y- Address: �� 1� I & W QS - l 1F- y City:,(;-kY� State:Wip: 553g_ Phone6tZ-�2l 5- i -CQ� 3/ �/ hzi� c� License #: � D Expiration Date: � Company: Contact: Address: Required for State: Zip: Phone: new construction License #: Email: iration Date: City: 1,�I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the I information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. >�Q V t-�� I�e`c �'+ x Applicant's Printed Name A licant's Signature