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4489 Clover Lane PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA089043 Eagan, MN 55122 . Date Issued: 05/05/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4489 Clover Lane Lot: 22 Block: 01 Addition: Eden PID 10-22750-220-01 Use Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Ashley Orman 410 W Lake St Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Standard Heating & Air Conditioning Shirley N Olson 130 Plymouth Ave. N 4489 Clover Lane Minneapolis MN 55411 Eagan 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 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA090686 Eagan, MN 55122 . Date Issued: 08/17/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4489 Clover Lane Lot: 22 Block: 01 Addition: Eden PID 10-22750-220-01 Use Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Diane Moyer Home Energy Center Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Home Energy Center Shirley N Olson 2415 Annapolis Lane #170 4489 Clover Lane Plymouth MN 55441 Eagan MN 55122 (651) 766-6763 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 Pennk # Dsft MwL PorekfM Plumbing Mechanical .2 $7 66,e/ INSPECTIONS DATE INSP. I I Rouyh-In Final Footings r? ?- drL) ? Dofe Inap. Oate Iriap. Foundation Plumbing •s 'r-2$? 3 Frame/ins. r j? -9? Mechanical - j'. Finel - ? J Remarks: No. 2. CITY OF EAGAN 3795 Pilot Knob Rood Ee9en, Minnesota 55122 Pbone: 454-8140 - PERMIT Dote: Site Address: ' Lot Block Sub/Sec. Nome , ¦ ? Address . '•1'___ ?.. ? -, City Phone: , . Nome . ` ---- ? • , • ? '- ? ic,- , ,; ?•. g Address - ? City Phone: ?-- This Permit is issued on the express condition that oll work sholl be Minnesofo 5totutes and City of Eagon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential Multi Res., Comm./Ind. I NewlAlter./Repafr. Cost of Instollotion Permit Fee Surcharge Total done in occordonce with oll applicable State af Building Official CITY OF EAGAN 3795 Pilat Knob Road Eagan, MN 55122 N2 6160 PHONE: 454-8100 BUILDING PERMIT Receipt To be wed fer Est. Value Dote , 19 Site Address Erect ? Occuponcy Lot Block Set/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge p Type of Const. Nome Move ? # Stories W Z Address Demolish ? Front ff. ? G Phone Grade ? Depth ff. ? Name Approvuls Fees 0 u? A? Assessment Permit ?? - Woter & Sew. Surcharge Ci 1 Phone Police Plan check ? FW Name Fire SAC ?? Address Eng. Water Conn. Q W p Ptanner Water Meter Ci h? Council Rocd Unit I hereby acknowledg e that I have read this application and state that gld9, p{f. the information is correct and agree to comply with oil opplicable APC Total State of Minnesoto Statutes and Gity of Eagan Ordinartces. Signoturo of Permi ftee A Building Permit is iuued to: on the express condition thct oll work shall be don e in accordonce with all applicable Stute of Minnesoto Stotutes cnd Clty of Eagan Ordinonces. Building Officiol Pamk # oaft IMnad PwmItf« Plumbing Mechonicol ,:1?`j t ? ,, •? ? 'L WD$ 3S g-? 3 6• /? INSPECTIONS DATE INSP. I Rough-In Final Footings 6c J Dofe Insp. Dote Insp. Foundati Plumbing -if f "j Frome ins. ? SI^ Mechanical FinGl Remarks: I ? .w J , BUILDING PERMIT Te 6e med fer . Site Addre l.ot Rarcel #. cirY oF EAGArr 3795 Pilot Keo6 Rood Eogan, MN 55122 PHONE: 454-8100 000 Block ? Sec/Sub. LdeT' Ad d. aWc Nome Ir_c _ - 3 Address o Name w F ?? Address H r-:.., o?.....,. Name Receipt # w2 6162 Erect ]] Occupancy - Alter p Zoning Repcir p Fire Zone - Enlarge ? Type of Const. Move ? # Stories - Demolish ? Front Grade n Deorh Water & Sew. Pol ice Firo Eng. Planner Council ff. ff. Permit - Surchorge Plon check SAC Water Conn. Woter Meter Road Unit I hereby ucknowledge that I have read this opplication and stote thot Bldg. Off. the information is correct and agree to comply with oll opplicable - State of Minnesota Statutes ond City of Eagon Ordinances. APC Total Signoture of Permittee A Building Permit is issued to: on the express condition that all work sholl be done in acrnrdance with all applicable State of Minnesoto Stotutes and City of Eagan Ordinances. Building Officiol ? CITY OF EAGAN • 3795 Pilot Knob Rosd Eogaw, Minnesofa 55122 No. Pbowe: 454-8100 PERMIT Date:. 5ite Address: Lot Block i e ? . ? P .. e aI C1ry . , Phone: - Total . - Sub/Sec. c?i Tilsen Hones Inc. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: $ingle I Residential Multi Res., Comm./Ind. I New/Alter./Repair Address I City : . . Phone: Name Address Cost of Instollotion Permit Fee SurcFarge This Permit is issued on the express condition that all work sholl be done in cccordonce with all opplicable Stote of Minnesota Statutes and City of Eagan Ordinonces. Building Official ` •. ? CITY OF EAGAN 3795 Pilot Knob Road Eogan, MN 55122 N! 6164 PHONE: 454-8100 BUILDING PERMIT Receipt # _ Te be used for Est. Value Date , 19 Site Address Ered rj Occuponcy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone E l ot Const T ? n arge Q ype . Name Move ? # Stories W Z 3 Address - Demolish ? Front ft. ? G " Phone - Grode ? Depth h. ,. Aparorals Fees • z 0 Z ou v? t- Woter & Sew. Police Fire Eng. Plonner Counti I Permit Surcha rge Plan check SAC Water Conn. Water Meter Road Unit ' I hereby acknowledge thot I have read this applicotion ond state that Bidg. Off. the informotion is correct ond agree to comply with oll oppiicable State of Minnesoto Stotutes and Ciry of Eagan Ordinances. APC Totol Signature of Permittee A Building Permit is issued ta on the express condition that oll work sholl be done in accordance with oll applicable State of Minnesoto Stntutes and City of Eagon Ordinances. Building Official ? . Pennk # Odft IwNd hrekfM Plumbing C/ Mechanical "?L?:?- ' 7" 3 ? • ? _ ? .Z- L' : ^ .-3. INSPECTIONS DATE . INSP. Rouph-I n Finol FoOtings Date Insp. Oafe Insp. Foundotion Plumbing J Frame/ins. Mechcnical .{r Finol -?/-? Remorks: .? PLUMBING PERINIT CRY OF EAGAN 3830 PILOT KNOB ROAD, EAGAI Sibe City l.ail c Add O Ci1Y FEES COMM/IND FEE - 196 OF CONTRACT 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 BEYONO $1,000.00) BLDG. TYPE WORK DESCRIPTION Res. New M ult Add-on Comm. Repair Other ` NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 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 Outiets - $1.50 _ )/- Softener - $5.04 ' Welf - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE FOR: PERMIT # RECEIPT # 55121 DATE: STATE 3/C: GRAND TOTAL• , ., . + , Y -+ BUILDING PERMIT C17Y OF EAGAN 3795 Pllot Knob Road Eogen, MN 55122 PHONE: 454-0100 5ife Address [.z.;.:: 1?- ?? ?• ? il. ? Lot Block Sec/Sub. ' Parcel # ' W Name z Addre ac O Z oV ul r I here the L State Receipt # N4 6165 Erect p Occupancy Alter p Zoning , Repair ? Fire Zone . Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Aaoeova I: Fee• ASSE!SSrTI@flt _ Ph Water & 5ew. one Police F ire Eng. Phane Planner Council ge that I have read this application and stote that gldg pff, _ corred and ogree to comply with all applicable Statutes ond City of Eagan Ordinonces. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total Signature of Permittee ? A Building Permit is issued to: on the express condition thot all work shall be done in occordance with oll applicoble State ot Minnesota $tctutes and City of Eagan Ordinonces. Building Official • _ Pwnk # OeM hmed hemilh" Plumbing U I=Mx /D- ?- Mechqnical 7 Cc, 14 fe, ? -•>L ? l f C? 8'" 3 l INSPKTIONS DATE INSP. Rouph-In Finol Footings -? - D Date nsp. Date Foundation Plumbing ' (Zzl Frnme/ins. Mechonicol -5' Final -? -8/ Remarks: u No. ?C CITY OF EAGAN 3795 Pilot Knob Road Eagen, Minnesote 55122 Phene: 454-8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Dote: I Receipt No.: $ingle I Site Address: Residentiol Lot Block - Sub/Sec. Multi Res., Comm./Ind. I No?T+e New /Alter. /Repair . ; Address Cost of Instollotion O City - - Phone: Permit Fee Name Surcharge . ? g Address e 0 {?1 ? • • City Phone: Total This Permic is issued on the expreu condition that all work shall be done in octordance with all appliwble Stote of Minnesoto Stotutes ond City of Eagon Ordinonces. Building Official . cirY oF EAGAN 8795 Pilo! Knob Road Eagan, MN 56122 PHONE: 454-8100 PERMIT APPLICATION N° 6165 Receipt # C?A Site Address Loc 24 Parcel # ]WNome Address Ci AAAA SxwaaeR 44yl rs ulover Lil. alxk 1 Sec/Sub. Eden Add. l(1 22750 240 Ol Tilsen Homes Inc . b27 S. Snelli? p?1e 698-5501 Erect ? Alter ? Repair ? Enlarye ? ?Ve Demolish Grode p Octupancy n'? Zoniny PD Firo Zone V 3 Type of Const. .{k Stories 44 Front Depth 22 it. °L Nome ,o o? Address ?e Approvoh AssessrrA(?t - Fees - Permit ' u Water & Sew. Surcharge 21.00 ~ Ci Phone P li Pl h k 25 W Name o ce Fire on c ec SAC 525 • 00 =?Z-y Address Eng. Water Conn. 305.00 <W Ci Phone Planner Water Meter 60 . 00 Council Rood Unit 1$5.0? 1 hereby ockno wledge thot I hove read this application ond state tlwt gldg. Off. the infortnatio n is wrrect and agree to comply with ail appiicoble APC Totul l, 276.75 State of Minnesota Statutes and City of Eagan Ordinances. Slynoture of_ A Building Perm Permittee it is issued to: Tilsen Homes, IriC, on the express condition that all work shull be done in occordonce h oll opplic?ble State of Minne ' sota 5totutes nnd City of Eayan Ordinanus. Buiidin9 Offrcia l v ?„-, ? cirir oF Er?GAN 3795 Pilot Knob R,,?°d Eogan, MN SS1? ' PHOIYE: AS4-8100 PERMIT APPLICATION N2 6164 Receipt: # Site Address _4491 C I ovPr T.ri _ Erect Iff Occuponcy R3 Lot 23 Block 1 Sec/Sub. Eden Add. Alter ? Zoniny PD Parcel # 10 22750 230 01 Repcir ? Fire Zone 3 - Enlarge ? Type of Const. V oWc Name Ti 1se_n Ho?mes Tnn Move p # Stories Z ? Address 627 S. Snelling Demolish ? Front 41+ ft. St. Paul Mn. 69$-5501 Ci ? pho?e Grnde ? Depth 22 ft. °? Nome Approvalt Fees ? '' ?' Address Assessrr?'i t 9- I1-$0 Permit 120.50 ~ Woter & 5ew. Surchorge 21.00 Ci Phor?e Police Plon check6Q..25 PW Name Fire SAC 525.00 1 x ? Address Eng. Water Conn. _305 . 00 ?W Ci phone Pionner Water Meter 60.00 Council Road tlnit 185 . DD I here by acknowledge that 1 have read this application and state ihot gldg. Off the i Stote nformotion is correct ond agree to comply with all appiicable of Minnesota Statutes and Ciri of Eaocn Ordinnnces. . APC Total l, 276 .`75 all I" of Permittee Permit is issued to: 21I be done in accordcnce 5totutes and he express condition thot Eogpn Ordinonces. CITY OF EAGAN 9795 Pllot Kno6 Road Eayen, MN 551?.Z N2 6160 - PHJNE: 454-8100 ?O yO? BUILDING PERMIT APPLICATION ReceiPt # To Ae wed for 1 of 1F -plex Ed, yalue $1+2 ,000 Dote 9-16 19 80 Site Address 44$9B Clover T.aI. Ered Occupancy R3 t.or 21 Block 1 sec/Sub. Eden Addition Alter ? zoni.g PD parce1 # 10 22750 210 Ol Repoir ? Fire Zone 3 Tilsen Homes Inc. Er,lar9e ? Type ot Cwut. V W Name Move ? # Stories Z Address 627 S. Snellira Demolish ? Front 41+ ft. 9 CitY St. PaU1, Mn phpne 698-5501 Grude ? Depth 22 ft. oe O Z °U u? I here the it State A Buildii all work Building I have read this application and state that ond agree to comply with all applicable ss and City of Eagan Ordinonces. ASSBS5n1a& 9-1 Water & Sew. Police Fire ' En9• Plonner Council Bldg. Off. APC Feas Permit 14?U.7U Surchorge 21.00 Plon check 60, 25 snc 525.00 Woter Conn305 • 00 Water Meter 60, DO Road Unit 1$5.00 Totol 1 .,.276 . 75 of Permittee ? Permit is issued to: T11S2II HOIIl@$ IT1C ` on the express condition thot oll be done in ac once with /t;?opp?lifabl+e State of Min)nesoto Statutes and Gty of Eagan Ordinances. firinl , cirr oF EAc,AN 3795 PNot icnob Road Eaoon, MN 55122 N! 6162 PHONE: 454-8100 BUILDING PERMIT APPLICATION To be used for 1 of 4 plex Est. Value 42 ? OOC s;n Aadress 4489 Clover Ln. Lor 22 Blxk 1 Sec/S„b, Eden Add. Parcel # 10 22750 220 01 W Nome i i I RPTI FiC1TTIP.?-' ? i n? _ 3 qdd?? 62? S. Snellin9 ° ,.,__ St. Paul, Mn ? Nome 0 ?? Address ?- r-??. o?...__ I hen the ii State of Permittee reod this application cnd state that pree to comply with all applicable City of Eagan Ordinonces. Receipt .# Erect UC Occuponcy R3 Alfer ? Zoning PD Repoir ? Fire Zone 3- Enlorge p Type of Const. V Move ? # 5tories Demolish ? Front r+4 ft. Foes Water & Sew. Pol ice Flre Eng. Planner Council Bidg. Off. APC Permit 14U.7U SurcFarpe 21.00 Plan check 60 • 25 S,e,C 525.00 Water Conn. 305, 00 Water Meter 60 . 00 Rood Unit 185.00 Toral 1,276.75 A Building Permit is issued to: 1115cii 11V111C.5, iiiU. on the express condition that all work shall be done in accor once wi t"I ali oob of Minnesoto Stotutes and City of Eogon Ordinances. Building Officiol ,/{ _,?Q - Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fill In numbered spaces S/C Type or Print legib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor 6. Address 7. City 8. Building Type: Residential ? 9. Work Description: New ? 10. Describe I11, Phone State Zip Commercial ? Institutional ? Add ? Alter ? Repair ? Type No. Equi?me,nt BTU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handfing: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Air Cond. Other 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 f,qrispections: Date Insp. Date Insp. ;7'his is your permit when numbered and approved. Approved CITY OF EAGAN 46448700 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spacets S/C Type or Print /egibly Ta. 1. Date 2. Installation Cost r 3. Job Address Lot Blk. Tract ` i 4. Owner 5. Contractor Phone ` 6. Address ,f 7. City State 2ip 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New O Add ? Alter ? Repair ? 10. Describe Fuel Type I 11. I ' No. Eauinment 9TU - M. Ea. Forced Air No. Enuiament CFM A H Mfg. ir andling: Boiters Mfg. Mech. Exhaust Unit Heater Mfg. Othe Air Cond. r Mfg. 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 MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in 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 ? 6. Address 7. City State 8. Building Type: Residential ? 9. Work Description: New O I 10. Describe 1 11, Type No. Equioment 8TU • M. Ea. Forced Air No. Equiament CFM Mfg. Air Handling: Boi lers Mfg. Mech. Exhaust Unit Heater Mfg. O Air Cflnd. ther Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for ' Rough Final , Inspections: Date Insp. Dete Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Phone Zip Commercial ? Institutional ? Add ? Alter O Repair ? ` ? . No. =11 CITY OF EAGAN 3795 Piloe Knob Road Eogan, Minnesota 56122 Phone: 454.8100 PERMIT Dote: Site /lddreu: " Lot Biock 1 Sub/Sec. EdC'I Name i'?C'. . ? Address ? City ' Phone: 1 ty ' Name . ? ? Address City Phone: This Permit is issued on the express condition thct all work sholl be Minnesoto Stotutes ond City of Eogon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol ? Multi Res., Comm./Ind. I New/Alter./Repair Cost of Instollation Permit Fea Surcharge Total done in accordance with oll applicable State of Building Officiol Rece;pt MECHANiCAL PERMIT I CITY OF EAGAN Fill in numbered spacea 7'ype or Print legib/y ? 1. Date 2, Installation Cost Permit No. Fee S/C Tot. 3. Job Address Lot Blk. ' 4. Owner ? 5. Contractor ? 6. Address { 7. City State Phone Tract ? 8. Building Type: Residential 0 Commercial ? Institutional ? I 9. Work Description: New 11 Add ? Alter ? Repair O Descri be Fuel Type No. Equi2ent 8TU - M. Ea. Forced Aif No. Equipment CFM Mfg. Air Handling: Boilers Mfg. Unit Heater Mech. Exhaust Mfg, h O Air Cond. t er Mfg. Gas, Piping Outlets i 12. I hereby certify Yhat the above information is true and correct, and I agree to comply with a1{ ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numhered and appsoved. • Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Additinn_ Ed-n Addition Lot 22 ___. _aik 1 Parcel #10 22750 220 01 Owner ?'=!?? '•.j??- Street 4489 Clover ' , Lane agan 5tate Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1982 504.70 100.94 5 302.82 A01 977 10-13-83 STREET RESTOR. GRADING 1982 232.99 46.60 139.81 A012977 10-13-83 SAMSEWTRUNK 4/ 74 19 b2.03 4.20 15 21.83 A012977 10-23-83 • SEWER LATERAL 1896.46 319.29 5 113'].a8 fl WATERMAIN • WATER LATERAL WATER AREA 1977 62.93 4 20 15 33.60 A012977 10-13-83 * 3ervices 1 82: STORMSEW TRK 1982 26.00 1.20 15$.60 A012977 * STORM 5EW LAT 1982 CURB & GUTTER SIDEWALK STFiEET LIGHT 9/16/80 WATER CONN. 305.00 20906 9 16 80 9UILDING PER. 6167 SAC 5125-00 9 2 0 0 6 91161 PARK - - - - CITY OF EAGAN Remarks Addition Fr3Pn Ad[itlnn Lot 21 -Blk 1 Parcel #1 0 22750 210 Ql Owner Street 4489B Clover Lane state Eagan MN 55122 _ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, ? 504.70 . STREET RESTOR. GRADING i 82 232.99 46.6o 139.81 SAN SEW TRUNK y 3 4.20 15 21.03 A012642 8-23-83 I i SEWER LATERAL r 2 46 379.29 1137.88 ?r n WATERMAIN * WATER LATERAL 1982 WATER AREA 33 - 3 • S C 1982 STORM SEW TRK • C 1982 2 E). 0o kl. 20 143.60 A012642 8-23-83 M STORM SEW LAT 1982 5 CURB & GUTTER SIDEWALK STREET LIGHT 9/16/80 WATER CONN. 305.00 20945 9 16 80 BUILOING PEFi. SAC PARK CITY OF EAGAN Remarks Additipn E(tPn Additinn Lot 7 3 Blk 1 Parcel Owner st?eec 4431 Clover Lane State Eagan hIIY 55122 0, ")1 Improvement Oate Amount Annual Years Payment Receipt Date STREETSURF. 19$2 504.70 100.94 Q -7 Z7- 0 q -q-Ql STREET RESTOR. GRADING 1$2 232.99 k(.(Q 99 C007155 7-10-81 SAN SEW TRUNK a 1974 62.93 20 15 29•41 A010341 -2-81 • SEWER LATERAL 1982 1896.46 .2 WATERMAIN ? WATER LATERAI 1 S2 WATER AREA 3 41. 8 /10103li1 -2-81 * 3ervicea 1 82 STORM SEW TRK j? Z b.OO 1.20 256.00 C007155 7-10-81 IF STORM SEW LAT 1982 S CURB & GUTTER SIDEWALK STREET LIGHT WATER COIVN. 3 BUILDING PER. SAC PARK - IAITY OF EAGAN Remarks dditipn Eden Addition Lot 24 Bik 1 Parcel #10 22750 240 01 ' 44916 Clover ? Lane Eagan NW 55122 Owner - Street _ State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. C1 19$2 504.70 100.94 r] F7 , 7v COO Z cl-q`?l STREET RESTOR. GRADING 232.99 46.6o 232.99 SAN SEW TRUNK 1F SEWER LATERAL WATERMAIN IN 1F WATER LATERAL 1982 5 WATER AREA * Services 1982 STORIJI SEW TRK 1982 2 6.oo 1.20 256.00 C O7LS4 7-10-81 * STORM SEW LAT 1982 CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN, 2090$ 9 16 80 BUILDING PER, 6165 SA C PARK CITY OF EAGAN PERIIAIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: I I+K'; ?- tNi't 1113f'S : 44 F L , 4491 . liNl? 44'1 1 k -1 PERMIT $USTYPE: TYPE OF WORK: +. F• F• n t R i I ,.„!E ?? F?l!(tf ?S'f I:rkhi ftAMAtiI" Permit Holder Date Telephone # PLUMBING HVAC InspeCtion Date Insp. Comments FOOTINGS FOUND FRAMING ROQFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 7'Receipt MECHANICAL PERMIT Psrmit No. , CITY OF EAGAN Fee , FiN in numbered spaces S/C , TYpe or Print /egib/y Tot. II 1. Date 2. Installation Cost 3. Job Address - Lot ?: i Blk ? ' Tr ct y . a I ? 4. Owner ` 1V ? -e / 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential O Commercial ? Institutional ? I 9. Work Description: New O Add ? Alter ? Repair ? I 10. Describe I11. Type No. Equi ment 8TU - M. Ea. Forced Air No. Evuipment CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. h O Air Cond. er t 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. 5igned : for Rough Final ? 4ispections: Date Insp. Date Insp. ? This is your permit when numbered and approved. Approved CITY OF EAGAN 45448100 ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I„ l , f 1 i ,, LANt ??t ra I i PERMIT SUBTYPE: I I - - i I Nr,', Permit Number: Date Issued: a'a Ht 1) 1 'r. APPLICANT: t?, i.• ???st?t i b i?? TYPE OF WORK: r i NAI ? ? Permit No. Permit Holder Dabe Teleptwne # SNV PLUMBING HVAC ELECTRIC ELECTRIC inspectfon Date Inap. Comments Footlngsl Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. ? - Deck Final ak g ?r Well Pr. Disp. I CITY OF EAGAN 3795 Fdot Knob Roed Eapan, MN 55122 Zoniny: Owner: Address. Site Address: Plumber Meter ho.. Size: Reader No.: 1 agree to aomply with fhe City of Eagan Crdtnancea. By Dnte of Insp.: 8795 Pilot Knob Road Eago.n, MN 55122 Zoning: Owner. Address: Site Address: Plumber: ....,.?...........y... Account Deposit: Permit Fee: ? Surcharge: Misc. Charges: _ Total: Daie Paid: - I nsp.. SEWER SERVICE PERMIT ? PERMIT NO.: DATE: „ No. of Units: ; 1 agree to eompty with the Cifry of Eagan Ordinonces. By Date of Insp.: I nsp.. _ Connection Charge: Account Deposit: _ Permit Fee: Surchorge: Misc. CFwrges: - Total: Date Paid: WATER SERVICE PERMIT CITY OF EAGAN 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: r - O wne : Address: Site Address: Plumber: Meter No.: - Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to complp wlth the City of Eogon Surcharge: drdinanees. Misc. Charges: Total: B Date Poid: y Date of I nsp.: I nsp.: ?±.c.r- .. r..zr.. Pilot Keob Road MN 55122 SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Unlts: Address: - , ber. - II , irae to comply with the City of Eagon Connection Chorge: ' inances. Account Deposit: _ ?I Permit Fee: - , Surchorge: - Misc. Chorges: e of Insp.: Total: I.: Date Pald: - WATER SERVICE PERMIT PERMIT NO.: DATE: ! No. of Units: ? CITY OF EAGAN 3795 Pilot Knob Road L.qon, MN 55122 Zoninnc WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 Zon!ng: Owner: Address: Site Address: Meter No C4vner• Plumber: Address: Site Address: Plumber: Meter No.: Si,w• Reader No.: I ogree to eomplr with fhe City of Eagan Ordinance:. By ?Dote of Insp.: CITY OF EAGAN 8793 Pilot Knob Road Eojan, MN 55122 Zoning: C`Nner. Address: Site Address: . Plumber: I og?ee to eomply with tl+e City of Eagan Ordinonees. Q.. Connection Charge: SiZe, " Account Deposit: Reader No.: Permit Fee: 1 egroe }o COmPIY M,ith the City of Eogon Surchorge: Ordinantes. Misc. Chorges: Totol: B Y Dote Paid: Dote of Ins I nsp.: P" SEWER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: Dote of Insp.: Connection Chorge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Totol: Date Paid: - CITY OF EAGAN 3795 Pilot Knob Road Eagcn, MN 55122 Zor,ing: Owner: Address: Site Address: Plumber: 1 agree to eomplr with the City of Eagan Connection Charge: Ordinanees. Account Deposit: Permit Fee: ' Surcharge: gY Misc. Charges: ? Dote of Insp.: Total: insp.: Date Paid: ; WATER SERVICE PERMIT PERMIT NO.: DATE: No, of Units: Connection Charge: Account Deposit: Permit Fee: Surchorge: Misc. CFrorges: Totol: - Dote Poid: Insp.: SEWER SERViCE PERMIT PERMIT NO.: DATE: No. of Units: (?' R bi CtTy . \ ? ???? •• ' 3? . B[JII,DING Rb Se i7Bed For Valuation Sif 1 6 Addzess ?Fif9/ 8 ? ?ov? r ?4n?e ui // IfJt-...B?.OC?C, ? '0QC./$ilb, sZY'gPr 4&h1 Paroel ' Owner: >;"-? T-?Se ?J•?' `?-/o.?t e< Address:,_ : ;L-t S. S Vell/N City/Zip Cpde: .S7'. P8-u f A2 e evN : SSl / 6 Pkione #: &5-r - S o EAGAN Include 2 Sets,af,pldns, pTan ,w/elevat?:ons 1 site 6 T APPLICATION , l set of, ene rg,y.. 6a}.6ulati°a?8- nate OFFICE USE' CIMY LLLec1. wcYp•cl .• ??? :. K Alter Zoning gEpair - gnlarqe? TpFie .ofCons"t. '?. b..:. Movie #`Stories" Daml'isk' Front Grade Llepth _ 52 pEE?¢ ftr: Contractcsr: S' a M a P,ddx'ess: City/ZiP 0odee Phorn Ai'c31. Fdd?es8 = City/Zip,Code: Phone #: ?dater/Se.rer Surcharge Police Plan Qaeck;L__4 Fire ? -' ' ., : °? ? ?, Water Goiui. CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PEWIT APPLZCATION 1 set pf energy calcu].ations. Tb Be Used For Valuation ?/ ?, DO b Date Site Pddress y?fq1 (??dvev 4yAve- OF'FICE USE ONLY Lot 13 slocx I sec./sub. J?e 4/Erect X occupancv Parcel #: Alter Zoning _ Repair Fire Zone ? Owner: T`Se AJ 9o.N e< 9.v Enlar7e' ^ 1YPe af Const. i? Move # Stories Address: 6? 7 s. S Nel //;?a Damlish Front Ny ft', City/Zip Cocte: `S7'??? Nf ?ivN • SSl / 6 Grade Depth ?2 ft. ... Ptore #: 698 - SSoI FEES APP%nTAIS Contsactor: S a.v% s Address: City/Zip Code: Phone Arch./Ehg.. _ Address: ' City/2ip Code: Phone #: Assessments .. , /?? aP?ut ? Water/Secaer ? Surcharge Police Plan Ctaeck Fire SAC Enq, Wates Conn. 7 OV-r Planrier Water Meter /'o Cowlcil Road Unit Bldg. Off. APC TOTAL He (7s?cl ;E°or. ? site'.`Acldress.: I;otBloak Sea i Paroel #: /D ?7S'D . r , _ CITY CFEAC,AN ' Snclude 2 5ete of plaris, ' 1 site plan w/elevatsons & ?BUII,DING PpMiT'APBi,ICATION ' f`ener9x Ca1Cil?.Atlons _' , `0 .'., 1 set . . Date ' f - ?- Valuation . . • . ; .. . / f?k'FICE USE CNLY,' ulp . <r/.F.?v - Erect %aC "Qccupancv Alter .. 28nirxT • PePai'r ge ] g Fire Zone .... of"?iast ?rpe , 7 ? - ?` ,a s n . ? ? . ? ? j s'"- NbVG {y J? SWLfPS I . NM , I ., R ?N L?t1D].13 . F'IUYf? .tit, e.•i . ?Sl /6 Grade' ? ?? ? . . ?. . ?dater/Sewer ?'-. Su:char4e Police P1an Check ? FiYe SPG ' , ' '-' • 'ii'a.S• . ?. ;? WaEer:COnn. 3 ' ° Plannr 0 _ atiOT MEtsr " W ,..' (7ounci1 81dj: Off. .. APC • ??? ?,;? F?I4 ? t ,s . ? . ? _ . _ : . .. ' ' ^ ?i $ «": ts of pla? 2 ? (Q 4 CITY EAC?AN , :se Include:- . ':Pfan w/elevata.ons & 1 siw BLtII?DING PEF8?IIT APPLICATION , 1 set?of et*z'9Y ealC11+?t1C?18 '. 'Ib Be Valuation ya D? O Date _ ??f?l ? Site Pt?dre?8s . l?9 l?'?uve V ?'Ya..e OEF'ICE, UsE ONLX' , r?cat< ?. .?;91cyr?s I: seo./Si&. ;jg;dCrv A? N Fxect X .Occupancv , ?'. pa?oel ?:. O/ " Alter Repair . Z6nin9'_____?^?. g? ?? e Enlarg i `fype of, Const ". 6a?a s'. S ?aelfN?, ; '_'-_ Nbve].i nar?oeh ? Ftont ?. ' „City/Zip: i tiev SSl / 6 Grade Depth : - ? ? Phore #:?,? . ?"- APPROVAis ? ?: .? ?" ??. ? ? _•' :' ,P'n PRrnii.t. ? ' ... 0 City/2ip:Code: Phcale #:. Wdt£Y/SEWEL' ?- Police : $i1TChdY'gE Plan'(heck Fire $W ... ? cS'?6`. . . ., ?, Watex Conn;:,.=:o ' Planner . Waber-MeteL';t , Counci:l Faoad' Unit ?? `L Bldg. Off. APC, • . ,: . '1?OrI'AL This re uest void 18 months from a-??' Date of this Request 12-10-1980 Fire Na ??T 3822 I, as t5cLicensed Electrical Contractor ? Owner, do heceby request inspection of the a6ove electri- cal wiring lnstailed at: St:eet Address or Route No. d191 R('] over LanP City?F 'Kan Section Township Range County Dakota Which is occupied by__ Tilsen Homes Is a roughin inspection required on this job? No ? Yes Kx Ready Now ? Will Call Kk PowerSupplier nako+a ('+y?_Address F?armina on Electrical Contractor O.B. `j'homnscn Electric Co. Contractor's License No4J0602 (COmpany Name) Mailing Address 12201 P,°.tka Blvd., ivItka 55343 (Electrical Contractor or Ownet Making This Inttallatlon) Authorized Signature Phone Noil,'-'?`' ' (Electrlcal Gontrattor or Owner Making Thls Installatlon) STATE BOARD COPU This inspection request will not he accepted by the State Baard unless proper inspection fee is enclosed. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N791 EB-00001-02 :821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 ??. REQUEST FOR ELECTFiICAL iNSPECTION 3822 CHECn BELOW WORK COVERED BY THIS REQIIEST Type oi 8uilding New Add. Rep. Check Appiiances W'ved Fot Check Equipment Wued For Home '?3 ? ? Range Tempotary Wiring ? Dupiex ? ? ? WaterHeatet ? LightingFiztutes ik Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial tlldg. ? ? ? Fumace OK ZO 0 Silo Untoade[ ? Indus[rial Bldg. ? ? ? A'v Conditionei L ? 4 Hulk Milk Tank ? Farm ? 0 ? ist ? ' e List ) Other ? ? ? Others =8?• Heie ? ?? '?T-- Others} - Here f /'nh,loriTF TA"ZiATTe'Q cuc oci nUl ti+ ServiceEntxan ize: P*ets&.Subfeeders: # Fee C7xcuits: # Fee 0 to 100 Am s. ' 0 30 Am etes 0 to 30 Am e[es o 101 to 200 Amps. -' r to 100 Am res 31 [0 100 Am eres Above 200_Amps. 1 1 Above 100 Amps. A6ove 100 Am s. Tcansformers 1 1 Remo[eControlCirc. Pa[tialoro[hetfee ? Signs 1 1 Special lnspection Minimum fee Remarks HAll? _ s TOTAL F /, f0 32e00 1, the Electrical Inspector, hereby certify that t1K' ve (Rough-in) (Final) das been This request void 18 months from ?L.?'.{ ? Sl iaa cn r9-cLc? ? - -- - la, o?- This request void ; 8 months from Date of this Request Fire No. T 8394 I, as 71L.icensed Electrical Contractor Owner, do hereby reques[ inspection of the above electri- cal wmng mstalled at: 3treet Address or Route No. mctinge-' City_ 6? Section Township Range County Which is occupied by 64Yl ??je "ft?i/ _ (Na e of Occupant) Is a roughin inspection required on this job? No K Yes ? Ready Now ? Will Call ? Power Supplier Address Electrical Contractor TRta dvXZ4tu ?? - Contractor's License NogLa?O ( om any Name) ? Mailing Address Authorized Signature or 9 PhoneNo. -71 ??AE [f7?? ?1 ? ??f'1?? This inspection request will not be accepted by the {? (? ?7 State Board unless proper inspestinn fee is enclused. Minnesota State 0oard of Electricity gg_00001-02 Griggs Midway Bldg. - Room N791 ? - 7821 University Ave.. St. Paul, Minn. 55704 - PMne 297-2111 a65 p-;tz ? REQUEST FOR ELECTRICAL INSPECTION ?8394 nv rn?rcunnnV TU7C RF(1T1FST l.lllili? UliLV11 1.V- -v . v Type of Building New Add. Rep. v -. -- Check Appliances Wired Fot Check Equipment Wired Foi Hame ? ? ? Rxnge ? Tempoxary Wiring ? ? Duplex ? ? ? Water Heatet ? Lighting Cuc[uies Apt. Bldg. ? 0 D Dryex ? Electxic Heating O .Commeccial Bldg. ? ? D Furnace ? Silo Unioadei ? Industrial Bldg ? ? ? Ai[ Conditioner ? Bulk Milk Tank . ? List 7- ?'IX{?S List Patm - ? ? pthers ? Others? Other ? ? ? Here Here 1 nnr.rmrnwr cnL' trni nul Service Enteance Size: # Fee ...... Feedeis&Subfeedess: # Fee C'vwits: # - Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 ro 300 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. T?ansfoxmexs RemoteConUOlCirc. Paztialoro[herfee Si ns Special lnspection Minimum fee $5 Remazks TOTALFE r?`? I, the Electn?a?)ns?r,?pcg?oy??ertify that the above inspection has been made. `P ,n..,._,. :_v r I I ? 1 I l I Date (Final) - . V , u !-/ // ` This reqaest void ' - 18 months from . Minnesota State Board of ElecVicity I.1. Eg_00001-02 Griggs Midway Bldg. - Room N191 1821 University Ave.. St. Paul. Minn. 55100 - PFane 297.2111 n Y ( REQUEST FOR ELECTRICAL INSPECTION ? T 38 25 v :,HECK BELOW WOCcK COVERED BY THIS REQUEST Type of BuBding New Add. Rep. Check Appliances w?rea roi ?.•? w-w...... °- O-- H ? ? ? Range U ° Temporary Wiring ? ome ? ? ? Wa[er Neater ? Ligh[ing Fintures Duplex Apt 81dg. ? ? ? DrYer ? 00 2 Electric Heating ? ? CommemialBldg. ? ? ? Fumace ? e 0 S?oUnloader Bulk Milk Tank ? Indusinal Bldg. ? ? O Aix Conditione[ List Fazm ? ? 0 ? ) L151 Othersh 19Do 19 Here ) a4e - pthexs Heie Othex COMPUTE INSP ECTION FEE B ELOW F e Service Entrance Size: # Fee Feeders&Su6feeders: # F? ??iis: e # d 00 n i nn a 11 0 to 30 Amperes 0 to 30 Am ?es F-- ?- 1 11 11 t 100 AmDeres I II 31 to lU0 Amperes ? ? Remaiks " ` $a,lj I,the Electrical tnspector,hereby certify6?3(a (Final) This request void 18 months from TOTAL F ^ (,320 has been ma e. Ute t ' Date_? This request void ? 18 months from ? 3825 Date of this Request 12-10-1980 Fire No. I, ast3Licensed Electrical Contractor OOwnec, do hereby request inspection of the above electri- cal winng installed at: ?gan 4489 Clover L2ne City Street Address or Route No. Range County Dako- Section Township Which is occupied by Til en Homes (Name oi Octupanq Is a coughin inspection required on this job? No ? Yes Ox Ready Now ? Will Ca11A3X Address Farmi»eton PowerSupplier naVota ('tv p,p. T$omo_ ElectrieCoo Contractor'sLicenseN?40602 Electrical Contracto[ (COmpany Name) Mailing Address I[[? i aicKay??u^ °•°`-" - (Electncal Conltactor ot Owne? Making Th{z lnitallatlon? • PtConaNo: ' Authorized Signature (Electrlcal contractor or Owner Makln9'?his Installatlon) ????? ????? ?j On?7 This inspection raquestwill not 6e accepted 6y the ? ?r ?? State Board unless proper inspeetion fee is enclosed. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N191 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2171 n 4 REQUEST FOR ELECTRICAL iNSPECTION o CHECK BELOW WORK COVERED BY THIS REQUEST EB-00001-02 3823V Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired For Homc IOC ? ? Range J?T Temporary Wvmg ? Uuplex ? ? ? WxterHeatei ? LightingPixtures mx ApL 81dg. ? ? ? Dryer ? Electric Heaang ? Commercial Bldg. ? ? ? Fumace TT2000 Siio Unloadei ? Induslna] Bldg. ? ? ? A'v Conditioner ? Hulk Milk Tank ? Fazm ? ? ? Lis[ List Cthet ? ? ? Others?Dl9p. Here 1 lsh7C7GC[? e e O[hers? Hexe COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Fceders&Subfeeders: # Fee C'vcuits: # Fce 0 ta 100 Am s. s • 0 to 30 Am eres 0[0 30 Am eres 4-00 101 to 200 Amps. 31 ta 100 Ampexes 31 to 100 Am eres Abovc 200 Amps. Above I00 Amps. Above 100 Amps. Txanstotmers RemoteConVOlCirc. Partialorothe[fee Signs pecial lnspection Minimum fee Remazks $a,ll OTALF S/,J'? 2s00 I, the Electncal Inspector, hereby certify that the ins i as bee n'--' (Roug}rin) e-1.7-- /?7 (Final) DFate ?. J-- z8 This request void 18 months from L .Z3 This request void ? ] 8 months from 3823 Date of this Reques[ l 2-10-1980 Fire No. ? I, as#3Licensed Electrical Contractor ?Owner, do hereby request inspection of the above electri- cal wiring mstalled at: Street Address or Route No. 4491 Clover Lane City Fagan Sec6on Township Range County Dakota Which is occupied by Ti 1 nPn H?ImA (Name of Occupant) Is a roughm inspection required on this job? No ? Yeso Ready Now ? Will Calln Power Supplier Dak ata Ctya Address Farmington Electrical Contractor O.B. Thomnaon Electric Co. Contractor's License No.4*EJ2 (ComOany Name) MaihngAddress 12901 Mtka Blvd n4tkti 55343 (ElecViwl Conbactor or Owner Makln9 Thls Installation) Authorized Signature Pho"ne No. ' (Eleclrical Contlactof or Owner Makin9 Tt+ls Installation) ME g(DARD QOK This inspection request will not 6e accepted hy the State Board unless proper inspection fee is endosed. r REQUEST FOR ELECTRICAL INSPECTION ee-ooooi -oa s„ ?-,??.? ' Sae instruct,ons tor comoletinB this form on 6ack of vellow copy. JU BeJOw Work Povered by 7his Request ? Z$? ? AO 1 W E E"uiument Wi d AAtl HeP. Type ot 9wldin9 Duplex Water Heater LightinG Pixtures Apt. Building Dryer Electric Heatin Commercial 81dg Furnace Z• O Silo Unloadc:r I.,dustrial BldQ. Air Conditioner Buik Mclk T&nk 111. .. ,..r...,...,. . _' __._ . C F 5 rvi ceEntrence5iza a Fea Faeders?SubleeAe?s N Fen Y?n i 900 n 0 to 30 Amps 'j 0 c 30 =T.. ?,..... 1nl I 31 to 7 Uu Amps 1 L i' 9?S ISpecialinspecbon ?5 „--, 40.50 !II' ?, rhe EIa-TTlAT r ? InsOector, hereby cerbly thet tha above inspeetion has baen '0made. 3Zg'(o? ,uz request wid g-$ La 1, g I, 18 months from e7c1-Er? qo • ?d VO$383 9 i n InsPec- uf N ' ' qequest Davn Fire No. o h- InsUect HouP fteqmreAm? y o ady Now ill '? ?He? [or When Ready s y ?983 :g?y °" 1 hereby iequest i nsPection o? aeove '?icensed Elecvical Co???racmr elactncal work in sialled at: ? pwne: C rtV Sveet ?.ddress, Box or floute No. iana aa89 B. Clover Lane ___ , cou,,,Y OccuD'aniIPPINTI Tileen Homes Address Power $upplier F$rID•lngyOn DakOta Cty ? Elechical Cnntrector lComDany Namel O.B. Thompaon Electric Co. ?- M2il?n9 Address (ConVactnr or kuu; n55343 [ on) 12201 Mtka Blvd., +?? MINNESOTA STATE BOARD OF ELECTRICITY Gri09s-Midwav Bldg. - Room N-191 55104 1821 UniversilY Ave.. 51. Paul, Phone I6121 297-2171 Phone ?s Licensa ,I 933-252g THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPEk INSPECTION FEE IS ENCLOSED. This cequest void 18 months from Daie of this Request 12-10-1980 Fire No. ? 3824 I, as Q I.icensed Electrical Contractor 0 Owner, do hereby request inspection o( the above electri- cal wiring installed at: Street Address or Route No. 4d89 B Clover Lane ??ty EaF,an Section Township Range County Dakota Wliich is occupied by Tilsen Homes (Name of OtcuOant) Is a roughin inspection required on this job? No ? YesAD Ready Now O Will Catlt3 Power Supplier Dakota Ctzlo pddress Farmington Electrical Contractor O.B. Thompson Electric Co. Contractor's License No?140602 (COmpany Name) Mailing Address 12201 Ntka Blvd,, Mltka 55343 (Elettrical Contractor or Owner Making Thlz Installatlon) Authorized Signature Phone No. (Electrical Contractor or Owner Making This Installallon) This inspection request will not be accepted 6y the State Board unless proper inspectian fee is enclosed. MinneSOta State Board of EleCtritity Griggs Midway 81dg. - Room N791 EB•00001•02 1821 University Ave., St. Paul, Minn. 55104 - PFqna 297-2111 ?J I REQUEST FOR ELECTRICAL INSPECTION y 3824 CHECK BELOW WOAK COVERED BY THIS REOUEST ? 7ype of Building New Add. Rep. Cry¢ck Appliances Wired For Check Equipment Wired For Home Duplex Apt. Bldg. Commercial Bldg. fT- ? ? ? ? ? ? ? ? ? ? ? Range Watei Heater Dryer Fumace D ? ? 02.00 Temporary Wiiing Lighting Fixtures Elec[ric Heating Silo Unloader ? 13X ? ? Industrial Bldg. Faim Oth¢[ ? ? ? ? ? ? ? ? ? Au Conditionet List )i. _ ri Qihels} ioy.?r `?ere ) ? _? nn -azery"-,s'v?- 8ulk Milk Tank List ) O(heISt Here > ? COMPUTE INSPECTION FEE BELOW Selvice Entrance Size: # Fee Fceders&Subteeders: # Fee C¢cuits: ik Fce 0 to 100 Am s 7*50 0[0 30 Am eres 0 to 30 Am tes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Am s. Ttansf i ' 1 Remo[eContxolCirc. Part,aloro[herfee o Sigm 7 ? Special lnspection Minunum f Remazks ?X Ha11 TOTA E? /, fp 32>0 I, the Electrical Inspector, hereby certify that has beeri`ii tade--1 Date/f,? /_ - 4-kl (Final) This request void 18 months from ? RESIDENTIAL BUILDING PERMIT APPLICATION ' 3830 PILOT KN08 RD - 55122 ? l b v ? 651-681-4675 New Construclbn Renuirements • 3 regislered site surveys shaxing sq. ft. of lot, sq. 8. of house; a`d all roofed areas (20% maximum lol coverage allowed) • 2 capies of plan showing beam & window sizes, paured found design, etc.) • 7 set of Energy Cakulalions • 3 copies of Tree Preservation Plan if lot platted after 717/93 • Rim Joist Detal Optbns selectan sheet (bldgs with 3 or less unAS) DATE o, ADO l JOB SItE AD IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER !--'e_?? ', VL" Q?(?1 TYPE OF WORK/) LdA2L (/) nQi?D dDOL) FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ADDRESS PAGER # GELL PHONE # NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Pfumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor. All above information must be submitted prior to processing of application. Phone # Phone # I hereby acknowledge that I have read this application, state that the information is with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ Water Softener _ _ Water Heater _ _ No. of Baths la- i?-r?l 4A S-Y , --T 4:?- RemadeVReoair Reauirementa • 2 copies M plan . i sel of Energy CalculaEons for heated additians • 1 sHe survey forezterioraddflions 8 decks . Indicate if home served by sepUc system for addNons VALUATION $41(D7 - 00 Phone #: Lawn 3prinkler No. of R.I. Baths PHONE# 95oZ)GI 35- 631Q4Pg ZIP CODE Ef,-)3q,3 Fax # 950L935 - 95_?y Fee: $90.00 Fee: $70.00 - --? ----? i?III ?grSect, and agree to comply ????- = - - - ? Air Conditioning _ Heat Recovery 5ystem Updated V01 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 !A>7 eAk 6 0 New Constrvdion ReauiremeMs 3 registered site surveys showing sq. ft of lot, sq. R. of house; and all roofed areas Re odeVReoair Reauirements 2 copies of plan Ctl '? ??' l ' -,:1.'':',.-,t N N ?1 (20% mazimum lot cwerage allaved) 2 copies of plan showing 6eam & window sizes, poured found design, eic 1 set of Emrgy Cakulations for heated addihais 1 sde survey for addilions & decks tA :;;; ?egPlaY? 3 FC s_ _ 7setofEnergyCalwlations Addrtion - indicateifon-sitesepficsysfem 3 wpies of Tree Preservahon Plan if lot platled aHer 711/93 Rim Joisl Detail Options selecfion sheef (bldgs wilh 3 or less units Date/// -( q / 0 ConstructionCost UJ SiteAddress ^ a ?Z7 % /?/7 lt ??vl / y '/` UniUSte # F ,(Aij DescriptionofWork 1??7m';' (??'1 ? ???L?'? - Multi-Family Bldg ? Y _ N Itireplace(s) _ 0 Cr 1 _ 2 / OlCbV V J Telephone#(??) -;7 PropertyOwner _? Coutractor Address City ? la CcL State Zip Telephone # (q?L) 970 `d COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar pian? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply £or a Residential Building Permit 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 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 appro pl ' the case o work which requires a review and approval of plans. ? , Applicant's Prin ed Name Appl cant's Sign ? (? S__ q 1 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. ?sI .rC3 KkLl e2,338, Date?l?l v Site Street Address 4 Unit # Property Owner V?T\? C? Telephone# (195) Contractor Telephone #(??) l01 ??-! Address V C? C Ci , Cxk ??r State 01? Zip The Applicant is: _ Owner ?Contractor _Other Aexisting dwelling $ 50.00 _tures 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 1 Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Totai $ `??C I hereby apply for a Residential Plumbing Permit and acknowledge that the information is compiete 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 perrnit, but only an application for a permit, work is not to start without a permit and work will be in accordance wit approved plan in the event a plan is required to be reviewed and approved. 1 Applicant% Printed Name ApplicanYs SRn-atu ? S?07F PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 Please complete for. Single Family Dwellings Townhomes and Condos when permits aze required for each unit Date ? / (,/, / 03 Site Address ( '7 p / f) C `d Vpi- (-A "-P Unit # Property Owner k/a V, tl.t S Telephone #(?(? )??j -730^2 Contractor ?u? 4c v 'e Address a!Y / ?r?.??2?? /4?/ Ci(y C.?lcevcGl State /V/I Zip Ss ? y? Telephone # The Applicant is _ Owaer V Contractor _ Other Septic System New Refurbished Submit 2 sefs of plans and MPC licensa $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Uniy Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other. _ RPZ _ new inst211ation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener X Water heater 2Cn? $ 15.00 replacement _ additional State Surcharge By -? l $ .50 T t l $ o a I hereby apply for a Residential Plumbing Permit and aclrnowledge that the informahon is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; t6at I understand this is not a pemut, but only an application for a pernut, and work is not to start without a pemut; that the work will he in accordance with the approved plan in the case of woFk which ?quires a review and approva] of plaas. ?ha? S L An?? .? ApplicanYs PrintedName App ant's Signature 5'l q 0(,o MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complcte foc Single Family Dwellings Townhomes and Condos when permits arc required for each unit Date ' / '3o / 0?" LAL? S(? 6' D-c) q`e? bx-y'` q_ Unit # Site Address (j,36:Sb a- ?(1 / ) Property Owner 1>dl ? N ?? 455 Telephone # ( 19 3o Contractor 12481 Rhode Isiand A1e??.2 0• city Street Address , I, n ? ?f v state Zip Telep6one #( r J,1- ) V` ? The Applicant is _ Owner 'K Contractor _ Other $ 30.00 Add-on, modification or alteration to eaisting dwelling unit fumace replacement _ air exchanger j I JAN 3 1 2003 U u air conditioner other - State Surcharge Total $ 0, ?O I hereby apply for a Residenrial Mechanical Permit and acknowledgc that the information is complete and accurate; that the work will 6c in conforcnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an applicarion for a permit, and wock is not to start without a pemut; that the work will be in accordance with the approved plan in ffie case of work which requues a review and approval of pl Applicant's Printed Name Ap icant's Signa e 50 FERMIT GlTY flF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BurLorNs PermitNumber: 032957 Date Issued: 0 8/ 19 / 9 S SITEADDRESS: 4489 CLQVER LANE LOT: 22 BLOCK: 1 EDEN P.I.N.: 10-22750-220-01 DESCRIPTION: REROOF/sroRM DAMAGE Bu,?ld, fhl}"Permit Type STORM DAMAGE BJildirtg Mfo?k Type REPAIR ,C:`ensus Code ? 434 ALT. RESIDENTIAL r ;v ?sr ,Jrw : ; f"M 'r? ".i'. REMSTEC'[17t1E5: 4489B, 4491, AND 44916. FEE SUMMARY: BATZKSTR'ANTJRCOMPANIES 4116 DIAMOND DR EAGRN MN (612) 452-5598 Appllcant - sr. L ic. 01?VNER: INC 14525598 0008676 ED N HOMENOWNERS ASSOC. 4489 CLOVER LANE 55122 EAGAN MN 55122 (651)686-7106 T hereby acknowledge that I have reod th5.s informatian is correct and agree to cpmply Statuties and Cit`y of Eagan prdinances. APPLICANT/PERMITEE SIGNATURE aPplzcation ancf srate that the with all applicable 8t,ate af mn. ISSUED BV SIGNAT I7E `"' _ K 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? 3830 PII.OT KNOB RD - 55122 3 a? 15 9 681-4675 ? New Construction Reauirements ? 3 registered sfte surveys ? 2 copies of plans (inWude beam & window sizes; poured /nd. design; etc.) ? 1 energy calculations ? 3 wpies ot tree preservafion plan rf lot platted after 7/1193 required: _ Yes _ No DATE: DESCRIP ON OF WORK: _f?'<//??l /?001 STREET ADDRESS: yel; RemodeVReoair Reauirements ? 2 copies of plan ? 2 site surveys (exRerior additions & dedcs) ? 1 energy calwlations for heated addRions CONSTRUCTION COST; / Q So3S e. e? aa - - -- LOT: BLOCK: ? SUBD./P.I.D. #: ? C7?t?tti PROPER"I'1' OWNER Name: 4?P/1 llav'le DGrJ/! i°/?S /G,:5`4 Phone #: Last First Street s l, / (E?' City G ' J State: IIJ Zip: ??aG Company: ?(9/'/(c??/?Q(1 L O/y/Q!?'/J/LoS Phone #: CONTRACTOR p/ / Street Address: ?? / /d??D O /"/(? ? License # /1 /O 7(O City ? State: Zip: 67- ARCHITECT! ENGINEER Phone #: Name: Registration #: Street City Sewer & water licensed plumber (new consVuction onty): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I here6y acknowledge that I have read this application and state that the information is cortect and agree to comply with all applicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No State: 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN C- 3830 PILOT KNOB RD - 55122 J 651-681-4675 New Conshucfion Reauiremenfz D 3 regisfered ske surveys showing sq. H. of lot, sq. H. oi house and all roofetl areas (20% maxfmvm lol coveraae allowed) ? 2 coples of plcns (show beam 6 window sixea; poured fnd. design; etc.) D t sef of energy calculailons ? 3 copfea ot free preservatlon plan X lof platfed alter 7/1/93 DATE: IOIoOO/'7 q Remodel/Reoair ReauiremenTS? o- C Q ? 2 copies ot plan 1 set o( energy cNculaiions tor heated addHions 1 sRe survey for exferior addRlons a decks CONSTRUCTION COST: DESCRIPTION OF WORK: 1&a(f STREEf ADDRESS: 'TW ? wUg/c zim ?--, 1?7/wl 4wR LOT: BLOCK: ? SUBD./P.I.D.#: Cb- V? - Name: 01-1011 Phone#: /ss/?6d0Vc-0q5Y PROPERTY Last PUsr OWNER ??U? ?? Street Address: 7 City ?4-v(,7 State: In? Zip: Company: Phone #: (area code) CONTRACTOR Sfreet Address: License # 6cp. City State: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Registratlon #: Ctty Sewer i water Ileensed plumber (reaulred for new conshuction onlvl: State: Zip: Zip: PenaMy applies when address chonge and lot change Is requested onee permH Is issued. ; hereby acknowledge ihaf I have read fhis appltcation, stafe thaf ihe Information Is correct, and agree to comply wMh all appllcabl StWe of Minnesota Statutes and CMy of Eagan Ordinances. A / _ "A"% Signature of Applicard: ""' "" '- ' - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Yes _ No Yes _ No - Not Required . Eden Homeowner's Association PO Box 22195 Eagan, MN 55122 Shirley Dlson 4489 Ckover I.ane Eagan, MN 55122 June 25, 1999 To Whom It Ivfay Concern: The Eden Homeowner's Association has given Ms. Olson permission to baitd an extension to her deck pmviding it meets Eagan's codes. It may be extended up to the end of ttte house (the front of her unit). 5ince it faces the street, it may not have staus attached or extend towards the street. Her plan meets these criteria. When the work is done and signed off by the city, I will need a copy of 8ie signod pemnit for our records. Sincere , i - Haskins NLiintenance Manager 4482B Clover Lane Eagan, MN 55122 651-687-0597 troy@haskins4homes.com , ? L CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 $J°0._? 0 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys n calcs. Gr? 9 ? 1(04 COMMERCIAL 2 sets of architectural & structural plans 1 set of specifications, 1 copy of energy calcs. """""""- Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date !/ / V luation of work Site Address: STREET SU1TE !1 Tenant Name: (commercial only) LOT ? BLOCK ? SUBD. (rlh?%(l. P.I.D. # Descri tion of work: The applicant is: ? Owner ? Contra tor ? Other (Describe) Name Phone - 17? ' Property ? FIRST -YA 0 vdh;Y?r I IAST Owner / Address c/Byeh wa?1'Je STREET ' ? STE # & 03/Zk I ?? ?rl City State Zip o a Company Phone Co ntractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # 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. Signature of Applicant: ? l? f p vQ r ?,?,a rte ST gET EDEN HOMEOWNERS ASSOCIATION P.O. BOX 21476 EAGAN, MN 55121-0476 SEPT 17, 1994 TO WHOM ZT MAY CONCERN THE BOARD OF DIRECTORS EDEN HOMEOWNERS ASSOCIATION HEREBY GRANTS LESTER FITCH PERMISSION TO EXPAND THE EXISTING DECK ATTACHED TO HIS RESIDENCE (4491 CLOVER LANE) WE DO HOWEVER EXPECT THAT THIS EXPANSION WILL BE IN COMPLIANCE WITH ALL CITY OF EAGAH BUILDING CODES \ DOUGLAS C. HELGESEN \ PRESIDENT , 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 ? 651-681-4875 Wew c«,.nuon«i aeamren,ems (/? 1 Z% I aemoaeVReoair aeauiremenh s 61, 25 Cal1ed 117,1111 a 3 reyiatereC 41e wrveYs showiny sq. 8. of bl, aq. lt. of house ?-n GD 2 coPles of Plan and gM rooletl areaa (20% mmdmum lot eovemae alloweN 1 set ol anergy caleulatbns for heoteA addiflons ? 2 coples of pkms (show beam & wlntlow aizes; poured Mtl. desl9rc etc.) 1 site wrvey tw exledor additlons 3 decks D 1 wl of enerQy calCUlallaa n J coplea W hee preseroallon plan II IW platted arter 7/1/93 DAlE: (n - 15 ' 00 CONSiRUCTION COST: DESCRIPf10N OP WORK: 112,k2 r' QreX 80" 060 174L 6,C02tivC1 *M sreEEr noDRESS: I-f q9I -6 L-' 1a 0E,e- LnI ?F,4?, !??t,J fS! ?? LOT: D-3) BLOCK: SUBD./P.I.D. #: Lf,24 Ja .2z750 23o A? ?OPERIY OWNER CONiRACTOR ARCHITECT/ ENGINEER Name:*-7%n A 6 _.e6*E P,one #: 6 sJ - 41-5a - =5-9 Loyt FlrEI Sheet Address: qSL4` A (-?JO t) C-.e " CIy l? /+ 4 s9-r11 State: ?.J ZIP: SS/021;2- Company: SF' ) ?- Phone #:(area code) Sheet Address: IJcense A ExP• CI1y State: Company: Name: Telephone 9: ( Zip: Shee1 Address: Regishatlon n: City State: Sewer/water Iicensed plumber (H instalflna sewer/waterl: Phone #: Lp: I herebY acknowledye Ihat I have read this applicaNon, date that fhe infomiaNon is cortecl, and apree to comply wNh an appilcable Sfale of Mlnneaola Sfalufea and CNy of Eogan Ordinancee. Signalure of Applicant ? Certificates of Survey Received _ Tree Preservation Plan Received _ OFFICE USE ONLY Yes No Yes _ No ? Not Required 15 r?) EDEN HOMEOWNERS ASSOCIATION P.O. BOX 22195 EAGAN, MN 55122 June 20, 2000 Irene Thorpe 4491B Clover Lane Eagan, MN 55122 Sincerely, President Eden Homeowners Association In Re: Proposed drawing and request to extend your deck Deaz Irene, Thank you for recently submitting your proposed drawing plan for e3ctending your deck. As discussed at the time you dropped off your plan to my home this past weekend, Eden Homeowners Association Board of Directors recently voted on and approved a new regulation whereby if a homeowner on the back side of the association development facing away from the street wants to extend the width of their deck, the homeowner must also at the time of extending their deck also extend the deck wall divider the width of the entire deck, while continuing the top angle down, angling it downwazd to the end of the deck. The extended deck wall divider must also have the same siding and color put on to the deck wall divider on both sides to match the siding that's currently existing on the homeowner's home. The type of siding that you have on your home is Norandex Viny14" Lap Siding (Traditional). The siding color is called Cactus. Since not all siding suppliers carry every kind of siding, a suggestion would be that you look in the Yellow Pages under "siding" and call around to see who carries Norandex Viny14" Lap Siding (Traditional) so that you can purchase an exact match to put on to your deck wall divider extension on both sides. If you have a problem finding a supplier who carries Norandex siding, I would suggest that you call Dick Hansen, our association treasurer, to see if he can ]ocate the gentleman who originally put up your siding to see where he bought the Norandex siding. Dick Hansen's phone number is #686-9338. Something that I neglected to mention that was not discussed this past weekend when you dropped off your proposed drawing is that homeowners who eactend their decks and put on a new railing and spindles must paint the new railings and spindles to match their adjoining neighbor's existing railing and spindles. Also, as I'm sure you're aware, per the City Building Codes you must submit your proposed deck extension drawing to the City of Eagan for its approval, as well as get a building permit before you start cottstruction of your deck extension. After the City of Eagan grants its approval and construction of your deck extension is completed, you are also required to have the City of Eagan come out and inspect the completion to make sure it meets City Code. At the conclusion of this inspection the City of Eagan will officially sign off on the construction of your deck extension, meaning that they've inspected it and they say it meets City Code. Would you, please, mail copies ofboth the building permit, as well as the City of Eagan's inspection paperwork to Eden Homeowners Association, P.O. Box 22195, Eagan, Minnesota, 55122? We would greatly appreciate this, as it's necessary for us to have all of this information for our files. As long as these conditions are complied with and the City of Eagan grants its approval of your proposed drawing and plans for extending your deck, Eden Homeowners Association gants its approval to your deck extension request. If the City of Eagan tells you that you must change something about your proposed drawing in order to meet City Code, you must comply. Thank you very much for your cooperation in submitting yow proposed drawing and for complying with our By-Laws. Congratulations on your new deck extension, and we hope that you' 11 greatly enjoy your new deck addition for years to come! Sincerely, Diane Sheazen, President Eden Homeowners Association (651) 686-7106 Jack Fay, Maintenance Eden Homeowners Association (651) 686-6032 ? I ? 1 ? i ' T 14 5?.?°'s r n ? 7 i ? l?iG?'? ? /'frlC ? G,/ovar k-a ne ? TILE? BEA BLOMOUIST MRYOP THOMASEGAN JAMES A. SMITH JERRY TMOMAS THEODORE WnCNTER COUNCII NEMBEFS March 19, 1982 CITY OF EAGAN -?'p,i)VS PILOT KN00 ROAD ' • ": "V.O. BOX 11199 EAGAN,MINNESQTA sstix . . ' . ':.w-• PMONE 454-8100 ? - -u•? ?'j`' . a .j..a ••rcy,'j..:+?'?' l '?. _ Dakota County Government Center $ Auditors Office -- Hastings, MUI 55033 Attent:on: Peg Dear Peg: F-de v\' TMOMASHEDGES ? C11Y AOMiNi5iRA10R EUGENEVANOVERBEKE CIiY LLENK This letter is to inform you of the corrections that need to be made regarding assessment payments. Tne following is a listing of these corrections: Parcel 10 11900 030 O1, Paid Oct. 2, 1981 Coo7289 ? needs to be deleted from 1982 tax statement and amount paid on the 1981 tax statement needs to be refunded. Parcel 10 22750 230 01,?Paid Sept. 4, 1931 Coo7220 needs to be deleted from the 1982 tax statement Parcel 10 48050 095 O1, Paid June 9, 1980 Coo5399 needs to be deleted from the 1982 tax statement $ amoet paid on the 1981 tax statement needs to be refunded. Parcel 10 84353 270 03, Paid Oct.6, 1980 Coo5541 needs to e eleted from the 1982 tax statement and amount paid on the 1981 tax statement needs to be refunded. Parcel 10 48050 094 O1, Paid Oct. 3, 1930 Coo5553 Needs to be deleted from the 1982 tax statement and amount paid on the 1981 tax statement needs to be refunded. Parcel 10 75950 180 07, Paid Jan. 11, 1982 A010858 ASSGSSh1ENT was paid at the County Uut 1952 installment still needs to be posted Parcel 10 16701 470 O1 DPN166 We have no record of payment and should be posted on tax statement. Check to see why assessments has been deleted. If you need any additional information please contact me. Sincerely, Ann Goers Assessment Clerk TME LONE OAK TREE ... THE SYMBOL OF STRENGTM AND GROWTM IN OUR COMMUNITY. 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?a ? as New ConsWCBon Reauirements RemodellReoa'v Reaui2manis Olfice:UseiO'n 3 registe2d sife surveys showing sq. R of lot, sq. ft. of house; and all roofed areas 2 wpies of plan ?? `?'?"? (20% rc?imum lot coverage allawed) 7 set of Energy Calalations for heated addiGons Ttee Pres,Plan N. 2 copias o( plan showing beam & window sizes; poured found dasign, etc. 1 site survey for addl6ons & decks T{BB?,d?-t8s?? ?.? 1 sel of Eneqy Caldilations Add'fibn - irid?icate donsife septic sysfem OneRg 9gpiic?______?fi,'.: 3 copies of Tree P2servation Plan ff lot platted after 711193 Rim Joist Detail Options seieclion sheet (bldgs wHh 3 or less uniLa Date ()?G l(5 ( I O0?,,C2e,< 12 Site Address P Construction Cost UniUSte # ? n /U s? 4&? D of Work <4 O - b Multi-Family Bidg VY _ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ( ) _ . . Go?,? Y ?5c-zoigs)S3 Contractor (, {7/ ? ( 0 _ Address -;,1 5 /lif/?i1/Plr ?/ • CitY 1 L' L- W>,-G42 kp- State M/(/ Zip JF? Telephone #( GS/)6S3 `MTJ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy CAde Category , Residential VenfilaGon Category 1 Worksheef • New Energy Code Worksheel (J submission type) Submitted Submitted . Energy Envelope 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 #( Telephone #{ Telephone #f I hereby apply for a Residential Building Permit and aclrnowledge 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 State of MN Statutes; I understand this is not a permit, but only an applicarion for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval ofplans. ? ,Evwe3f (2 /?'e&w-,? J/7 ApplicanYs Printed Name Applicant's Signature 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION ? S3 "4 ) CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 slr? ?b 651-675-5675 Please complete for modifications to existing residential dwellings. Date7 /--/? 1 Site Street Address Unit # Property Owner 2 Telephone #??) Contractor -2 -/v 112 Telephone # (3'5XM4'8'.3L` ? Address /5-20? 6-?R ff;z A) City State&,&2_ Zip--?27 The Applicant is: _ Owner 14 Contractor _Other Alterations to existing dwelling _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: $ 50.00 ? Water Softener _ Water Heater ? replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total 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 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 wiil be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ? ' A p icanYs a re App icanYs Print?ed Na e?l?/2 ? ? 76 -2"r/.. 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION 'd- /r.S-0 Cb c,C? /2 -7 3 u i Y vr tAGwn 3830 PI LOT KNOB ROAD, EAGAN MN 55122 651-675-5675 L Please complete for modifications to existing residential dwellings. By_ Date / I A5,1 _ Site Street Address !???? Unit # Property Owner Telephone # - Contractor /?! / e , elephone# Address City ? State ,?"/n) Zip The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: ? Water Softener _ Water Heater $ 15.00 new _ replacement 74 Lawn Irrigation _RPZ _PVB _new _repair _rehuild $ 30.00 State Surcharge $ .50 T l ota 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 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 ' e in accord with the approved plan in the event a plan is required to be reviewed and appro .? / ? -?fi /l? ApplicanYs Printed Name' ' ApplicanYs Signature --------------- ? ? j PermR#: ? Pemn Fee: ?- ? ; Date Aeceived: 30 , I 5taff: =------------------ 2008 RESIDENTIAL BUILDING PERMIT sPPLICATiON Dete: Sfte Address: `7`117 0-6 `t 7 ! I &d' 6 G1ooer.L /11 Tensnt: SWte #: ? 14d)nC'CWA^( DGI? 0116) Ph RESIDENT / OWNER one: Name: Address / Ciry / Zap: Applicant is: _ Owmer f- ConVactor TYPE OF WORK Descrip6on ot work: l P QfbU' Construction Cost_,_e/ • dJ _ Multi-Family Building: (Yesx_ / No CONTRACTOR Name:,&664215_ Jjon3e, T fbt1??5 License #: 20 ?/9 `.f? 7 Address: /vo ZVo ?J 65PZY j'YI ? ' 2ip: t //Ki Rxv State: Clty: ,a1lN BK Obe4- ? q? 'el Z3 65` ??lf - j Contact Person: C Phone: J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Mionesota Rules 7672 Energy Code . Resideniial Ven618lim Cafegpry 1 Worksheet • New Energy Code Woftheet Category swmitted Sutmmed (4 9ubmisBlon type) • Enerpy Enveiope Calculations Submitted In Hre Wst 12 months, hes ttre City of Eagan lesued a pemdt for a similar plan besed on a master plan7 _Yes _NO It yes, date and address of master plan: Ucensed Plumber: Phone: Mechenicel CoMractor: Phone: Sewer $ Water Conhactor. Phone: rlercp""8tY4u'84Drr?/t;?,re:C?++?idsi+a?i tlt?B?yblrC?fA ' ?nB?n00V7aYtae?6 ofr= NDTE' P78v?s arrd,ax, PP c easpns #nat wnuktperin)t the CNy to - ?,; r e clA c fd e `?p rne Ir?tonr?aon rr?eyCreWasalfA?d as nori p ul?N e H Y 6et 'R?nv , , L ? ? ?r / ,,? y y [?, y • GY?Yi?. ? A?IRPf ?D ...,I$?.?.?;...- '3 "a• x I hereby acknovAedge that this infortnaUOn is complete arW accurate; that the work will he in confortnance with the adinances anG codes af Me Ciry oF Eeg2n; Mat I undersiand this is rat a pertnit, but only an applicatibn ta a permit, and wark isanot to sWrt without a permB; that Me wark will 6e in accordance with the approved plan in the case of wwk which requires e review and approval of pl x pJ?e t`a x ..49// Applicant's Printed Name Appllcant's Signature Page t of 3 kuz'ffl PERMIT c ? CITY OF EAGAN PERMIT TYPE: q'?q-Gq 3830 Pilot Knob Road B U i L D i N G Eagan,Minnesota55723 Permit Number 024613 (612) 681-4675 Date Issued: 0 9/ 2 6/ 9 4 SITE ADDRESS: 4491 CLOVER LANE LO7: 23 BLOCK: 1 EDEN P.I.N.: 10-22750-230-01 DESCRIPTION: 1- "., ..1. Buildinq=-Permit Type 'I4uilding Wor_k,\ Type i `. 1 ? DECK NEW ,?%?' ?z7C115j????r? REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - FITCH 4491 Cl EAGAN (612)688-7039 Applicant - LE5TER OVER LN MN 55122 I hereby acknowledge that I have read this information is correct and agree to cnmply Statutes and City of Eagan Ordinances. ? 447n ? APPLICANT/P RMITE SIGNATURE applicat3on and state that the with all applicable State of Mn. -i ? ISSUED BY SIG RE INSPECTION RECORD CITYOFEAGAN PERMITTYPE: auiLozNG 3830 Pilot Knob Road Permit Numher: 024613 Eagan, Minnesota 55123 Date Issued: 0 9/ 2 6/ 9 4 (612) 681-4675 SITEADDRESS: L oT: 23 BLOCK: 1 p`PPLICANT: 4491 CLOVER LANE FI7CH LESTER EDEN (612) 688-7039 PERMIT SUBTYPE: DECK TYPE OF WORK: NEW L J PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA104484 Date Issued: 05/23/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4489 Clover Lane Lot: 22 Block: 01 Addition: Eden PID: 10-22750-01-220 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Sheila Niemann PO Box 2066 Burnsville. MN 55337 612-746-5545 Fee Summary: PL - Permit Fee (WS &or WH) $55.00 0801.4087 Valuation: 1.000.00 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: The Plumbing Guys Shirley N Olson P.O. Box 2066 4489 Clover Lane Burnsville NIN 55337 Eagan NIN 55122 (612) 746-5545 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 Citv of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink For Office - Use i I j Permit 0 j City of Eajan _ I z Permit Fee: 3830 Pilot Knob Road Z I Eagan MN 55122 Date Received: f Phone: (651) 675-5675 V~j% I I Fax: (651) 675-5694 1 Staff: Z 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name:! Y Q n Phone: RESIDENT I OWNER ! Address / City ! Zip: C I Uyey-), /V F.GLgaj, V\/1 • c1 2-2- Applicant is: I, Owner Contractor i TYPE OF WORK Description of work: ; c Construction Cos 4f r Multi-Family Building: (Yes / No ) Company: ~/h> U 303, Contact: ,~0c `~~I CONTRACTOR Address: I~tps- (~enewnye ' /V• City: State: f `I"Zip: /ay Phone: &S1- 717- 3YA3 r License R6 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) (J/G i Div ~1'/ 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 Minneso State Building Code must b completed within 180 days of permit issuance. x [^9 1 ' x Applicant's Printed Name Appl' a is Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE J' SUB TYPES C Ve.r e-- _ 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 PGA handout to applicant DESCRIPTION Valuation OccupancyG 11 MCES System Plan Review Code Edition Q? 7 SAC Units ^ (25% 100%-VIII, Zoning City Water Census Code Y Stories Booster Pump # of Units Square Feet //3 PRV # of Buildings / Length G Fire Sprinklers Type of Construction XA Width of 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 - Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FE 3 ,,,1, @ 5'!J• Bas„ Fee Surcharge Plan Review 7 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL ' Lc 03 1 110 Z 0 ti koe9 0 ~Y s ' -ell i 7'tb It VIII ~ ~ hh ~k Fram:ALLSTAR CONSTRUCTION 19529427464 09/1712013 08:26 #582 P.005/079 Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - - l For Office Use rI~ l Permit t,: City of Eap I Permit Fee: -2-) 3830 Pilot Knob Road 2 Eagan MN 55122 j Date Received: q ` (1 I V j I I Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: _ I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: q 5 ZO _SlteAddress: 4y8q,Ln9Fijyyg1,gH4I13 Guyer Wa unit --~.~~.~w Name: C - aSS1~I t ftn kto _ Phone: Cam n n Resident/ Address / City / Zip: C ftirit MN SGJ v4m 14%. IMP St NY' Owner _ Applicant is: Owner Contractor Type of Work Description of work: 1LGIY- UI I Omd Y1.-1 of Construction Cost: 911 4 IQ-OD Multi-Family Building: (Yes / No__) Company: 4IKiar C 6MM9r1#MMfftl Llf. Contact: a WSI Contractor Address:51HS lyidm al Syef _41D3 city: 4491G PO I State; MN Zip: %!&-I Phone: 9521459 License W 03151 S Lead Certificate NWT- 200I6t-I " 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: I 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 L the information may be classified as non;public,.if you provide specific reasons that would.pennit the City to conclude that they are trade secrets. =.a 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.qopherstateonecall.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. ' Y x x Applicant's Printed Name Applicant's Signature y Page 1 of 3 Use BLUE or BLACK Ink For Office Use Permit A' City of E RE~EpVE~ I Permit Fee: 38311 Pilot Knob Road Eagan PAN 55122 FED ~ ~ ~m~► ; Cate Received Phone: (651) 675-5675 I I ;=ax: (651) 675-5694 1 Staff: ! 2094 RESIDENTIAL BUILDING PERMIT APPLICATION Grate:Z -i-4` ~04 Site Address: 144 9 0, ~~h unit arne: ft'y 0 Phone: Re s i ci e rl tr y C~~ S~-1 C'l i ~2_~of1 (YY\ rJ ' 1 ZZ Owner Address I City? Zip: N:)plicantis: Ov.n?r Xcontactc, Descriptcn c'v.. -k: eU~qCJZ a tine l fl g1~i'~1rti9-1 Cf 1"° • 5 Type of Work 13 c ~ --nstruction Cost: Multi-FarnllyBuilding: (Yes _1 No Gcmpan . Contact: t' in AL Contractor Ac.dress:Ng5 V t q-p( -O -yP- City NO-0 State" • Zip: ~S ~C Phone: Lzt) 41 Do t_icense #r: QLead Certificate If tre pros=ct s exempt from read certification, please expla r wily,. tsee Fage 3 farads' t on?a l 'rifotniat ono; COhl PLETE TH IS 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 roaster plan? Yes -No If yes, date and address of roaster plan: Licensee! Plumber: Prone: Mechanical Contractor: Phone: i Sewer & LVater Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL 6EFORE YOU DIG. Gopher state One _a.l (65.) 454-HO2 L before ,iou it-tend to dig tDrec. _,,tes of . ,c:~ rr a.nd r ti[r. - 1 hereby ack aledge tTat iris it formation is complete anc, ac „'e; at `;re work wi,r be ic, cor orrnance ~ ith the ordinances and codes of the City of Eagan Vat i t Fderstand tvs is not a permii, b t only an application for a permit, ws d work is not to start ,,ithotl a permit; that the work will be 'in accordance urith the approved plan In the case of work ,%thic€r Tequires a review andapproval 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- A., x Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink I , � �--------------�,. . � For Office Use / � ` j Permit#: �-""� j �I�� Of �a�� Permit Fee: � 3830 Pilot Knob Road Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I I Fax:(651)675-5694 I Staff: I I I 1__._________��__�J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� Site Address:_ % 7 !J l L./G��C! Gc:•-+-T Unit#: �, � �� . / / �� \ Name: �6�•�lK-�,, .�� Phone: , ��a�� ry `�y'�� C� , �� Address/Ci /Zip: o!/F_',/ y7C � �' � �� ' �; �;,, , Applicant is: Owner Contractor ,� � � �.: � � Description of work:��c.�,. ��' CoC✓ T�(prE:Of V4tQrI�°'� xL � , v�,� Construction Cost: Multi-Family Building:(Yes /No ) � ` �;: `� � � Company: ��«�'iP/ � Contact: �� ` `� � ` ��S"� _� �� ty. !. � � � l Address �z-r� -� � ✓� Ci ./!i(•s�tic 5 `C�il��`�C��' _ � � State:,�i�1Lip:yi� Phone: �Ol�� /EmaiL �.. '�.., ! /�,� " � �7� � Z� License#:��/ �(GZ,.� Lead Certificate#: .�T/�� c.�3�'� If the project is exempt from lead certification, piease 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;P/ans and supporting d'c�ccimenxs that yau sub�nit are�ons�de"reaF f6_�e pu�Zlec rnforrriatiorr Por#�ot��4€ tlie ir�t'orination may be classt�ed as►ton-pub/fc if you provid�°speci�c reasans thaf,wciu/d�erxt��#tlae Crty tv ' cc�rrcltrde tha�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.poqherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building, u complet�d within 180 days of per ' ' uance. �--''° x !�,�.-�i�s''�� X ✓ ApplicanYs Printed Name App�canYs Signature � Page 1 of 3 09/z6/zOla FRI 16: 01 FAX 001/001 ��Z�//� �...�� r� Use BLUE or BLACK Ink -----------------i � FOr OFf'iC9 U6e , ' � �� j Permil#:_/� ��`�-' j ; City o� �a�a� : Ep 2 6 �0,4 � �prmil Fpp; . . �-�- • 3830 Pllot Knob Road S � ��,.�' � � i Eagan MN 55122 j l� f]alp Rer.elvPC1: �� ' Phone:(651)675-5675 �j'�;..�.,.�. I �,/�� i Fax:(651)675-5694 i SIAff; ��%/�� I ..�� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ��, �t'��; ) �� 'y�� Date: Site Address:"rT� �U�� Unit#; � "' --- -::.�.�:-::_::.;_. l r � ."�_ ��1 .,__=�..._......_..._..�..� ....:....:..:....:_,:.-- :.; .. _;....�_..�-- ::�:•: Name:�� • Phone: �.,� •,__.. ...;._. .. � �. >:::., � x x _.<,�,:.. _.. . ,. -•- ---- :.....::�� y �:�-�-Aw �c«�� , �. ._:_�..:..r.. . � '�'`�:"_ .�._... Acidress 1 Cit I zi, i . _.�_._.... .,, • ----� --.._.._ . . ._.... . . .—... .._ _ _ _ � Applfcant Is: Owner � Contraclor - �•+..-��`-� Dcscription of wnrk: l�L �' � •% ,.••.::......•., _x . .x.. . ��'(� Y!{� ' �.:•x � �#.. ,�_._ .. �--��=�°�� -"x��^--��-�-- Consiruction Cost: Mu1G-Famdy Ouilding:(Ycs_I No_) � � _ _ _- - �:�t:..- -- Company: Contact:_..�I.,l��. ...Uv..�I��G� I , .._:.;;_.:�:�.�_..... ............: • � -.._.__ ..._ ./'� .. ....;.,-.,. ��lJ �` ' �/� �7�� .:.:..:x....:;:...--�--....::.:. .�..::��,-- `�1,1�1�� , �� •=•:�' Adclress; c y: ..._•. :. �---. . . ._._:...., / �°::":..:`:'....:... . .:- State:�°.."1 Zip Phone: I;P,I(i_ ��P��il: . .:�:_: :�._ :�J�� ,.. � -_- ��=-�:_:��;::, .-�f` �( i�7�o?(Q�-�Z-I ��.:�:_�:::.:..:. ........ . .�� (�> n ;_...:-..:-_•:::y_-::.:.i�"_::�: Llcense#; �C��l? !1�� f\ -•=...� .........-:°:-===�. ... Lead Certificate li: .. .�. If the project is exempt from lead certification, please explain why:(see Page 3 for additional information) ; COMP�.ETE THIS AREA QNLY IF CONS7RUCTING A NEW BUILDING In tl�e last 12 months,hos tlte City of Eagan issued a permit for a similar plan based on a master plan� ._._.Yns _No If y�s,cl�tca and�ddrass of master plan: Liaensed plumber: Phone: . Mech�nlcal Cont�acto►: Phone: Sewer&Water Contractor: Phone; r �, . .. ,....._..�_..,.........;,,.. ,. ,� .. . �.pr. •rax i ,_._.. , ',;ti:..:::�;-...- - `.?k� ,-. I --.•,.'+*;��r . _ yyy— , p _. �� a �p�/^�J _�� y �'... _� --..W�-�:::-..,._..; __....... . , r��.,�'��.. ,� ,f,�i� ..t�..:��i �:;�l.��d�l7fl�'r�'k4��.t�`tl!l5t�l,�'!i�il�'{ =p�..��..., ',�: Y �5:-�.':H{tr� .r.....:.�5__:...:�:?I'_Y••L'�� I'?� A ...�:l1.�C' i'A'�r::^�^4 1�' /�A ' I±� I ..�.�..._..._..y �... ' y 1 .��.��..�..�.. � • .. i»' '��i ' . i��l!�r:� , . • . . �t.�. e � t..�.. ..� :;-._,�.- y��l'a�i�' �ty� i , rg��Y ' "..__-::-•_--•.� �.. • ,1�� ., ;.�'�� }�� :::��-,_�'./�i��i,�'.Q.�i�tr�Kt�l°,�i�'�i',l°�'I'f....;.. � ; �i!!�;`_ �•_ � �-°_.��. :i�;�_;::; ...__..__._��..s..._�:�iL��.V"��._I�SW��qlp7 � iiuf�� nN�n . _ _ __ _ _ a:'f�L��hl"1�i'.'".�t"X"�RW.Gi�a.H'„ ••.��.�i ..` v P�� .. :. __.._.............._. r ..._.._ ::�..��..�".p�a._ , . �,- .a • _ -+'•'95�..�,�'...::..�41Ci,��xf1li��A�� 9.w.��rPl�.+.�'�,. . .....___...... ......�.._..w�..=...._.._._._... �r9h.�].Q�S��1�+��5`:r��"�Rl�. '••� y. ... .. ...._... ° �- ,x_�!�" • . „�AP'��'xm;-n:+�'vi'nr`�u.n.nrrxu"w �xns��v;�,�x..5,'", . ,k�4.f�1'� �S��V-�,.��6a�Jte�ri75:::::.�:_.:_•--�--... ...r.:._. .... _ _....�...._.,. r =- ��. ..�.. ....,...�..«��....:�..�.�,��..�....�.......�...�..«.�...�.m..,.�.....�....��.�....�..�._�......�...... CALL BEFORE YOU DIG. C�II Gephar StOte One Call al(651)d54-0002 fur prvleclion againsl urulergmund��1��1V�9mAge. C9q 4R houls ., beinre ynu inlend to Aiy��r.eive lor,ales of under�round utilities. www,�o�herstaleonecall.ors� I hereby aeknowloUge that lhis infor�riaGOn is eompiele anu accurata; Ihat lhe wurk will be in eonfum�anc�wjlh 1�orclinane.ps and e;qdPS o11hP Cily�� Ee�an;that I under�land uils Is not a permlt,b�rt only an appUcaGon (or a permii, a�id work is nol w slarl wilhoul a permil; thal lhe wurk wiu�e in eccordance with the approved plan In tne ca.e of work whlch requires a revlew a�id approval of pfans. ExtArior work authorized by a building permit issued in accordance with the Mlnnesota State Build��g vde muse be completed wlthln 160 dayS Of p9rmit iSSUOnC . : x�.� � v�� x �1�%�il ' G�,r.`-- Ap{�licant's Printed Name ApplicanCs Sic�nature (� �' �� I ��{' l w, V�'l.J�� """ �(� r�,y��c,rs I \..� � �� X.�:I �I�A ►�:� . From:ALLSTAR CONSTRUCTION 19529427464 10/21l2015 12:31 #269 P.017l020 Use Bl.UE or BLACK Ink � For Office Use � � {° j Permit#: `�� I �1�� Ol ��aIl �ECEIVED � W � 3830 Pilot Knob Road � Pertnit Fee: � Eagan MN 55122 QCT 2 � 2015 � Date Received: � Phone:(651)675-5675 � � Fax:(651)675-5694 I Staff: � I i `��_��__J 2015 R�SE�Eli�'Tl�4L B�OL�(�G P�RIViIT'AF�PLIC�4TION Date: Site Address: Unit�f: �,.,.__.r,,..«..�,,,,..�,.....�.�..,.��,.�,<..�.n._..__Yt�.�..n_.`.........�,.�...�.wR-=..�.�,.�...�,._...,.,....,.,..�„_..w.�_�,..�....�...,-e..._.�„�.,��.��, . _,_._��.�..._._._..�.,.. � Name: �,►,�l�✓!+: ) d�+31 t� � ��+.r r'�Qe� Phone: N�H � � R�sident/ y��- �� I � Owner � Address/City/Zip: T/� € ��c' /r+ � �:�, 9 Applicant is: Owner � Contractor � e,..�.�».�..�...�.a.e,.�.wA,�-_--..._�....._�.....�..�_.�:.�._,._:.r,.,.,_._.......,._„�.,,,s,�,_�-,...�,.�. �r_._��.,�,r_.�,...,,r_.,�,...�.Y......,�.,.�..��k._..�_.��...,_ � �� Description of work: �r ��C^v - �1,�''Y� ��,,-, Type of Work � � Construction Cost: ��`;�-'�C.:— Multi-Family Building:(Yes �No ) �......:,:,.�,.�,�...,�,....,..�w_.�.�.� CompanyY,.� j,S�As� C�..,S��uG�.�� Y/�lt�h��p:.lq c�.,._��.�,,.�,....�.�,.,.�..+�,,.��..�..7..�...�.�_Y��„M..�,a�_�._ _� , � �'I lt Contact: �,.�,r+�, ��„�,�,.� � � � � f f � Contrac#or s Address:Si�S �n��S�-�-+�� 5f - '�.,��. �G+� ci�y: (�11 o��jt� 1�1�,.! � � ^ j / `s r State:�Zip: �53s� Phone: �2-`��2�7�5'S�Emai1: tlt•�i+�t�lj$'�c!". 6'� � t� , k License#: �� t'gc:� ��c1 Lead Certi�cate#: /��iA7• �i��f(��- L � # ,.�..,..�.,��.�.,L,v,._-.�.,�,�-,....�_.�,.�.�,,.a,�. ..�.�.—...�..�_�.�..,��,�,.,. .,--,,,-..,.�,..�..��,,�.�.�...m.t,� : If the project is exempt from lead certification, please explain why: p��o�� ;� �a��3 � ... ,.�..,�..�__.T.,�..�_,._..- -�.,�..�.,..-�..�.�.�-_-�...�,.,.�.,,,�,_..t.M,�.�.,�..e....=. __. ._.�-.,��.�.._.�.�.,.A..�..,..�...�.__,.,�.:.�,�,..�.�..,.,...�.,..�_.�,..�...�.._.r._ � "' • � CONIPLETE THIS AREP► OPILY IF CONSTRUCTiNG A NEW BUILDING � � ' In the las!12 months,has the City of Eagan issued a permit for a similar plan based on a master pian? � � � � � Yes No If yes,date and address of master plan: Licensed Plumber: Phone: � s Mechanical Contractor: Phone: � ` � Sewer 8 Water Cont�actor: Phone: � � � � Fire Suppression Contractor: �_ M � Phone: � ��NOTE:Plans and supporting documents that you submit are considered to be public information. yPortlons ofv � the information may be c/assified as non-public if you provide speci�c reasons that would permii the City to � conclude that the�r aie trade secrets. , � ' �..��..,��.,..�.�,.�..,..M..�.��,-..�x,_.�.�...��.,�._...�.:,x-,..�.�.:�:..�....�...�,,.�_�...,:,..,,. � CALL BEFORE YOU DIG. Call Gopher State One Cali at(651)454-0002 for protection against underground utllity damage. Call 48 hours.�� before you intend to dig to teceive locates of underground utilities, www.aoohersiateonecall.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 bui(ding permit issued in accordance with the Minnesota State Building Code must be com pleted within 180 days of permit issuanee. ^ _...,,.r�,,._.. .,,,..--;! x �:;� ��.��,./ �� '�� - �, x Applicant's Printed Name Applic nt's Signature" Page 1 of 3 c.. € PERMIT City of Eagan Permit Type:Building Permit Number:EA139854 Date Issued:11/14/2016 Permit Category:ePermit Site Address: 4489 Clover Lane Lot:22 Block: 01 Addition: Eden PID:10-22750-01-220 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Shirley N Olson 4489 Clover Lane Eagan MN 55122 (651) 688-0954 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159493 Date Issued:12/23/2019 Permit Category:ePermit Site Address: 4489 Clover Lane Lot:22 Block: 01 Addition: Eden PID:10-22750-01-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Shirley A Olson 4489 Clover Lane Eagan MN 55122 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 -------------I For Office Use I I� Building Permit #: 3I I S&W Permit#: EAGAN `C I Permit Fee: I) I I I Date Received: 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(@cityofeagan.com I I Date Issued: 1---------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date:„ /.yC % /ZIJ,�LQ Site Address: Applicant is: ❑ Owner aContractor Unit #: Name: �G( �� b �/l/�� C� j gs b C t CL-4 k 6 l/\ Homeowner Address: *-1q I IN qy R!9 A City: kaaa Wip:5I2_2 State:/ vt Phone: Email: Description of work: P,f�- Type of Construction Cost Work Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan -T7QM Building Address: ��f� Uj9S City: In Pv K\ 11 , Contractor r '/ StateAwip:5 z Phone6t z�7 /? aztEcp y- License #: O Expiration Date: ,3/ � % S gcA5 �z Sewer & Water Contractor Company: I Address: Required for State new construction Zip: Phone: Contact: Email: License #: Expiration Date: City: *1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.ora 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. ,(a,vM e.\c ��e.v �- x Applicant's Printed Name A licant's Signature