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4490 Clover Lane CITY OF EAGAN 3795 Pilot Knab Rood Eogan, MN 55122 N2 6127 PHONE: 454-8100 BUILDING PERMIT To 6e umd fer Site Adaress Lof Block Sec/Sub. Parcel # :ti . Q00 ien oWc I Nome Z Address O I L c..t - o Nome ?? Address a.--- Name _ Address I hereby acknowledfle that I have read this application and state that the information is correct and ogree to comply with oll applicable State of Minnesota Stotutes and City of Engon Ordinances. Receipt # Erect [] Occuponcy ,_ . - Alter ? Zoning T , Repair ? Fire Zone Enlarge ? Type of Consr. Move ? # Stories Demolish p Front ft. Grade ? Depth ft. Anorova le Fee• Assessment _ Water 8 Sew. Police Fire Eng. Plonner Gouncil Bldg. Off. APC Permit Surchorge Plan check SAC Woter Conn. Wuter Meter Road Unit Total ? Signoture of Permittee I A Building Permit is issued to: on the express condition that oll work shall be done in ucoordance with all opplicable Stote of Minnesota Statutes and City of Eogan Ordinances. Building Official ( ^ rMak # Dah Inmd Porwkhe Plumbing ? ) , 42 Mechnnicnl 02 (10 a ( - $' ? "!L s- ?. 4 / ?_ '? ? ? / ? ? 7 " `? ' , % vT ?/I. i, j? J ? /l/ INSPEGTIONS DATE INSP. Rouph-I n Final Footings I Dafe . Insp. Date Inap. Foundation Plumbing f?k Frame/ins. Mechaniwl Finol Remorks: • ? • cirY oF EAGAN 3795 Pilof Knob Road No. ?9en. Minneaoro 55122 Phena: 454-8100 PERMIT Date: Site Addreu: r . Lot Block Sub/Sec. Nome ilS eri HOTItG'3 17C . . , ? Address :??'''-)501 City ' Phone: Nome 1 I ? • i C?i ? VE'. ? Address 1- City - Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residentiol Multi Res., Comm./Ind. I "? f New /Alter. / Repoir Cost of Installation Permit fee Surcharge Totol done in accordance with all epplicable State of Buildinp Officiol CITY OF EAGAN 3795 Pilot Knob Road Eagun, MN 55124 NO 6128 PHONE: 454-8100 BUILDING PERMIT Te be med fee Receipt # _ Dnte Site Address ' Lot Biock 5ec/Sub. Parcel # a Nnme _ •"? z Address O - ? Name _ ?? ?u Address F- rc... Name _ Addres: I hereby acknowledge that I have read this application and stote that the information is correct ond ogree to comply with all appllcoble State of Minnesota Statutes and City of Eagan Ordinances. Erect ? Qtcuponcy Alter ? Zoning Repoir ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Fees Assessment _ Water & Sew. Police Fire Eng. Planner Council BId9. Off• - APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Tota I Signoture of Permittee I A Building Permit is issued to: on the express condition thot a!I work shall be done in accordance with ell applica6le State of Minnesota Statutes and City of Eogan Ordinances. Building Official PwqR # Dab Inuad PNmithe Plumbing v Mechanical '?2(0 3 p o ^2? -- ? ? !? 1? ?'o INSPECT10N5 ' DATE INSP. Rough-In ? Fincl Footings i Oate Insp. Dote Insp. Foundation Plumbing Frnme / ins. Mechaniw I O Finci Remarks: No, cirr oF EAcAN 3795 Pilot Knob Road Eo4oe, Mineesote 55122 Phone: 454-A100 PERMIT Date: / ionR r7 ( , Site Address: Lot Block Sub/Sec.. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIQNS Receipt No.: Single Residentiol 20681 1 of b nlex Name -115eTl tiome8 I.. .^,. New/Alter./Repoir ? Address ?r` ? • 'nP.1 ] ? 'y' Cost of Installotion ?nul City ? Phone: " ermit Fee , Ncme ` Surchorge ? Address A`fe. 11. c 0 ? *illvrater '','n. ,'? -- ?? ' City ? Phone: - Total ` This Permit is issued on the express condition thot oll work shall be done in eccordance with oll applicoble Stete of Minnesoto Stotutes ond City of Eugan Ordinances. La. Building Official CITY OF EAGAN 3795 Pilo! Knob Road Eagan, MN 55722 PHONE: 454-8100 BUILDIMG PERMIT " Receipt # 5te Address ' Lot Block Sec/Sub. Porcel # W Name - 3 Address - 0 r?:... ' Nome 0 0? Addre Name _ Address Erect p Aiter ? Repair ? Enlnrge ? Move Q Demolish ? Grade fl Assessment _ Woter & Sew. Pollce Fire Eng. Planner Council Permit SUfCh0fGJE Plan check SAC Water Conn. Woter Meter Rood Unit 1 hereby acknowledge thut I hove reod this applicotion ond state that gld9. O.ff. the information is correct and agree to rnmply with cll applicoble ApC Total Stote of Minnesota Statutes ond Ciry of Eagon Ordinances. Slgnature of Permittee A Building Permit is issued to: on the express condition that N°_ 6125 Occupnncy Zoning Fire Zone Type of Const. # Stories Front ft. Depth ft, cll work shall be done in occordonce with oll upplicoble State of Minnesotu Statutes ond Ciry of Eagon Ordinances Building Official Pawk # Dah Iwoed - Permitlw Plumbin9 ? f/ ?"- G " r Mechanical / f5/ 7" ?..7 INSPECTIONS I DATE INSP. Rough-In Finol Footings Dute Insp. Date Insp. Foundation Plumbing ? Frame/ins. a 3? - Mechonfcal Finol ? Remorks: No. CITY OF EAGAN 3795 Pilof Knob Road Eagan, Minnesoto 55122 Phone: 464.8100 PERMIT Dote: Site /Wdress: 4412 G1 oVel' LT` . I Lot Block Sub/Sec. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS ReceipT No.: Single Residentiai Multi Res., Comm./Ind. I Nnme '•?-c''? • x''t'•a InC. New/Alter./Repair. ? Address ! ? • ?`=.C ?zin%' Cost of Instaliotion City ?a? • '- ' Phone: Permit Fee Nome Surcharge ? ? Address City Phone: ' Totol This Permit is issued on the express condition that oll work shnll be done in accordance with all applicable State of Minnesoto Statutes ond Ciry af Eagan Ordinonces. Buildinfl Official :. . No. CITY OF EAGAN 3795 Pilof Knob Road Eagon, MinnesoM 55122 Phene: 45I-e 100 PERMIT Date: 1gso Site Address: 44 Lot Block Sub/Sec. Name . ? Address City Phone: Name ' - - ? ? Addreu ''lQ'I' I'`' City - ! Phone. This Permit is issued on the express condition that oll work shcll be Minnesoto Statutes ond City of Eogon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipf No.: Single I Residential Multi Res., Comm./Ind. I New/Alter. / Repair Cost of Instcllotion Permit Fee Surthorge Total done in accordance with oll applicnble Stcte of Building Officicl CITY OF EAGAN 3795 Pilot Knob Read Eapan, MN 55122 N2 6 126 PNONE: 454-8100 BUILDIPIG PER1v11T Receipt # _ _ _ -? To be wed for Est. Value Dote , 19 Site Address Ered 0 Occupanty Lot Block Set/Sub. Alter ? Zoning parcel # Repair ? Fire Zone Enlarge p Type of Const. W Nome ' Move ? # Stories Z 3 Address Demolish ? Front ft. ? Ci Phone I Grode p Depth ft. ? Approva I• Fees o Nome r ?U Address . .. F- r?... o?--- Nome _ Address I hereby acknowledge that I have rend this applicotion and the informotion is oorrect ond agree to comply with all Stote of Minnesota Stotutes and City of Eagan Ordinanu Assessment Permit Water & Sew. Surcharge Police Plan check Fire SAC Eng. Water Conn. P(anner Water Meter Countil Road Unit Bldg. Off. APC Total 5ignaturo of Permittee A Building Permit is issued to: on the express condition that oll work shall be done in occordance with all applicable State of Minnesota 5totutes ond City of Eogcn Ordinonces. Building Officiol Pffnk # Defe tauad Porwktw Plumbing -Ap Mechanital y. . / INSPECTIONS ATE INSP. Rough-In Final Footings Dote Insp. Date Inav. Foundation Plumbing Frame/ins. o o Mechanical ? Finol ? ? ? Remarks: CITY OF EAGAN Addition F.den Addi ti nn Lot I? Blk-2 Owner i. Street 4490 Clover Lane r l sj.c Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ?$2 rjQL?.7Q 1,QQ.9 100. 9?, A015 13 -7- 5 STREET RESTOR. GRADING ' l 1 82 2 .• 46.0 3 .99 007173 7?o SAN 5EW TRUNK - a1// 1974 62.93 4.20 29.41 A010532 9-2-81 ?F SEWER LATERAL 3 S' 1982 1896.46 319,29 5 4141 ei d / 7.3 7 070 WATERMAIN fWATER LATERAL 1982 WATER AREA 62.93 • 41.98 A010532 9-2-81 • Services 1982 STORM SEW TRK G 1982 26.00 51.29 5 S,QQ 007I73 7 O ?F STORM SEW LAT 1552 CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. BUILDING PER. 61971 sac 525.00 20635 8126180 PARK - CITY OF EAGAN Remarks Addition Eden Addition Lot 18 sik 2 Owner Street 449 nR Clover Lane ? Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. - u i 1982 . 100.94 5 Jt'Do /O Z y?''J STREET RESTOR. 5 GRADING ?qCj ^c 232.99 46.60 5 C'OO 71] y' 7 do ? SAN SEW TRUNK a 1974 62.93 4.20 1 29.41 A010533 9-2-81 SEWER LATERAL 1982 1896.46 3 .Q 06 Y50 a0 7/7V ! WATERMAIN WATER LATERAL 192 WATERAREA 41.98 A010533 9-2-81 Services 19 2. STORM SEW TRK c 19 2 25 • ?? 51.20 5 e7 3? (p •fOQ STORM SEW LAT 19 5 CURB & GUTTER SIDEWALK STREET LIGHT 185.00 20636 8/26/80 WATER CONN. 305.00 20636 8/26/80 BUILDING PER. SAC 206-16 8126180 PARK CITY OF EAGAN Remarks Additian Eden Addition Lot 20 Blk 2- Pe,cei #10 22750 200 02 Owner Street 4492 Clover Lane stete Eagan NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. "C) 19$ 504.70 100.94 5 STREET FiESTOR. 1 GRADING 1982 232.99 46.60 3• 9 ? Oo?? ? -7 ao SAN SEW TRUNK 1974 1 - 4.20 15 _ _ ? SEWER LATERAL 013 ; ], . 3T9.29 5 ?'!16• {/G ev0 71 7L O WATERMAI N • WATER LATERAL 1982 WATER AREA * services 1982 STORM SEW TRK 1982 2 6. 00 1.20 a! S, CD07/ 7(r 7 01 Q * STORM 5EW LAT 1982 rj CURB & GUTTER 51DEWALK STREET LIGHT R WATER CONN. 305.00 20638 8 26 80 BUILDING PER. 6125 SAC 7, PARK CITY OF EAGAN Remarks Addit'ron Eden Addition Lot Owner Street 4492B Clover Lane an MN 55122 "" Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ?1 19$2 504.74 00.9 STREET RESTOR. GRADING (040 232.99 46.60 ?7/7S' 7 a SANSEWTRUNK f 1974 67-93 4.20 29.41 A010534 9-2-81 * SEWER LATERAL ? 490 1 7 WATERMAIN * WATER LATERAI 82 5 WATER AREA 41.98 A010534 9-2-81 • STORM SEW TRK ? 1 SZ Z 6.00 51.20 S4,00 [GOQ -717 t/ f STORM SEW LAT 1982 CURB & GUTTER SIDEWALK STREET LIGHT Rd. L1NI 185.OC' 20637 /26 80 WATER CONN. 30$. 10C 20637 8/26 g0 BUILDING PER. SAC 70637 8126/8 PARK Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces SIC Type or Print legib/y Tat. 1. Date 2. Installation Cost 3. Job Address Lot ?_T Blk. _,,? Tract 4. Owner 5. Contractor Phone 6. Address 7. CitY State Zip 8. Building Type: Residential ? Commercial Cl Institutional O ? ? 9. Work Description: New ? Add ? Alter O Repair ? ? d 10. Describe Fuel Type ? ? , I 11. No, Eauipment 8TU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. O h Air Cond. er t Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. ?his is your permit when numbered and approved. 'Approved CITY OF EAGAN 464-8100 4 Reaipt PLIJMBINO PERMIT cinr oF EAaw PfN in iwmbtnd *wm Typs or Prlnt Ny/Wy hrmit No. Fn S/C ,. ?ate ' =rl 2. Installation cost 3. Job Addrsst?+LVk ?`•? ?-` ? Lot Blk. ? Tract , 4. Owner -rr,•--,r, -?' ?.,+ ee 5. Contractor Phone . y? 6. Addrets 7. City 5tate Zip ? I S. Building Type: Residential )b 9. Work Description: Newi to 10. 11. Commorcial D In:titutional ? Add O Alter 0 Fiepair O Describe , No• Fixtures Wster Closet No. Fixtures CesspoclJpninfield Bath tubs Se tic T nk Lavatory p a Sahner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outleu 12. 1 hereby cartify that the above information is true and correct, and I aqrse to oomply with all ordinanoes and codes governiny this type of work. Siyned : / ' "' for ` Rouyh F insl Inspections: Data Insp. Date Insp. This is your psrmit when numbered and spproved. Approvad CITY OF EAGAN 46"100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fae Fill in numbered s;paces S/C Type or Print /egib/y Tot 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner ? 5. Contractor Phone 6. Address 7. City 8. Building Type: Residential ? 9. Work Description: New C7 10. Oescribe I 11. E? (A State .' Zip Commercial ? Institutional ? Add ? Alter ? Repair ? uel Type No. Eauinment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets - -- - - - - --J 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 F fnal 0 ltnspections: Date Insp. Date Insp. tfhis is your permit when numbered and approved. 4 Approved CITY OF EAGAN 454-8100 CITY OF EAGAN ' . 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 ? (612) 681-4675 ? SITE ADDRESS: l„ l ,. I s sil:f i I ANc ? r4 ? PERMIT SUBTYPE: F $I(1 1 1 MEi.'-i II Cli CORD PERMIT TYPE: Permit Number: Date Issued: t ,) „I ()CK = APPLICANT: ??i,?,?? 44 TYPE OF WORK: r i raar fill t i I) t MIi e:'HMljK qtt/,7H/95 Permit No. Permlt Holder Qate Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 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 BSMT R.I. BSMT FINAL DECK FTG S rZ 2<I ` M? OECKFINAL _ (G? - - ? - ? -1 ? ?TY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: LAWI'. ,1 14 I PERMIT SUBTYPE: TYPE OF WORK: t iFRA7 rnt t'. " S f V f INSPECTION D• • D' F- L PERMIT TYPE: Permit Number: Date Issued: ? ov-ra+v r..- : e APPLICANT: I f f. I:' 1 H y? " l4 00 -1 J ??1 Permit Holder Date Telephone # PLUMBING H VAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIAEPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METEA i IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL ?,.---- - -- - -- CITY OF EAQAN 3795 Pilot Knob Rood Eogon, MN 55122 Zoning: Owr.jr. Address: Site Address: Plumber: Meter No.: Si7rar Reader No.: 1 agroe to eomply wrth the City of Eagan Ordinanaas. By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Chorges: _ Totol: Dute Paid: Reoder No.: I d9r'ee to eomply wifh fhe C1ty of Eagan Ordinaneas, Bv I F CITY pF EAaAN 3795 Pilot Knob Roai Eagan, MN 55122 Zoning: ` Owner; Address: Site Address: Plumber: Meter No.: Size: CIT7 OP EAGI N SEWER SERVICE PERMIT 3796 Pilot Knob Road PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No, of Units: Owner: • Address: - - Site Address: ? - Plumber: _ 1 agrea to eomplr w1t6 the Cifr of Eagan Ordinonees. Date of Insp.: Inso.:_ _ Connedion Char9e: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Dpte Pold: Dote of Insp.: - CITY OF EAGAN 3796 Pilof Knob Road Eagan, MN 55122 Zoni ng: Owner: Address: Site Address: Plumber: 1 eqree to eamply wlth the City of Eagan Ordinancas. By Dote of Insp.: I nsp.: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: _ Connection Chorge: _ Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: ? Total: , _ Date Paid: _ InSp.. SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Puid: ? CITY OF EAOAN WATER SERVICE PERMIT 3745 Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: -- Address: Site Address: Plumber: Meter No.: Connection Charge: Site: Account Deposit: Reader No.: Permit Fee: -- 1 ogree fo comply with the City of Eagan Surcharge: Ordinaneas. Misc. Charges: Total: gy Dote Pnid: f I D Insp : nsp.: ate o . CITY OF EAGAN SEWER SERVICE PERIIAIT 3795 Pilot Knob Rood PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No. of Units: Owner. ` Address: - Site Address: ? Plumber: I agree !o Complr with the City of Eogoe Connection Chorge: Ordinanees. Account Deposit: Permlt Fee: Surchorge: By Misc. Charges: Date of Insp.: Total: Insp.: _ Date Puid: unit k-plex CITY OF EAGAN 3;=95 Pllot Knob R Eagan, MN 55122 Zoning: Owner: Address: ?Site Address: CITY Of ".AGAN 3795 Pilot Knob Road Eagon, MN 55122 Zoning: Owner: ---` Address: Site Address: PI umber: ?.? 1 ogroe fo eomply with the City of Eagan Connection Chorge: ? prd;„dnces, Account Deposit: Permit Fee: Surcharge: gy Misc. Chorges: Dute of Insp.: Total: nsp : Dote Pnid: _ . ? v 7Y -`•'?` No.: to comply with the City of Eegon Cannection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Chorges: Totol: Dote Poid: I nsp.: SEVYER SERVICE PERMIT = PERMIT NO.: DATE: _ No. of Units: Y ate of Insp.: . R-- request void 18 months from Date of this Request_ 1, as #R Licensed Elec, cal wiring installed at: n )G_1 ? ( ? ^ '? ? `?"`? °? S 82132 No. by request inspection of the above electri- Street Address or Route No. 4490 Clover Lane City ?an Section Township Range County Dakota Which is occupied by Tilsen Homes (Name of Occupant) Is a roughin inspection required on this job? No ? YesiR Ready Now ? Wi1l Callfi Power Supplier Dakota Gtd . Address Farmincton Electrical Contractor Q B Thompson 'Ri er-+v' OCoe Contractor's License No.AA4EQ2 (Company Name) Mailing Address Authorized STATE ? phone No. 33-2521. stallatlon) ion request will not be ascepted by the unless proper inspection fee is andosed. Minnesota State Board of Electricity ? Griggs Midway Bldg. - Room N191 t8?1 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 ? REQUEST FOR ELECTRICAL INSPECTION v r?t ir. cT Eg.00001-02 82132 (:Hr,I;K tSY,LUW wVtc& t vvcnc :L u¦ i111J ..?,? i c.,•••,- d For Wir Check Equipmen t Wired For Type of Building New Add. Rep. anc Check Appl es e 0 Home 7C?] ? ? Range ? o Temporary Wiring Fi a Duplex ? ? ? Water Heater ? xtures Lighting 7 Apt. Bldg. ? ? ? Dryer ? 00 $2 Electric Heating Silo Unloader ? Commercial Bldg. ? ? ? Furnace * ? Bulk Milk Tank ? Industrial Bldg. ? ? ? Air Conditioner List ist L Farm D others I p thers ? Other ? ? ? ' Rete ere H (,UMYU I C 1NJCGl, 11V1 V C Gz D[:.LV.. # Fee Fce Service Entrance Size: ik Fee Feeders?Subfceders: ?F 00 0 to 100 Am S) UG • ? 0 to 30 Am res eres • 101 to 200 Amps. 31 to 100 Amperes ces Above 200 Amps. Above 100 Amps. Amps. 0100_Amps. Transformers Remote Control Circ. r fee • Signs al [ns ction S ci H 811 . 20? has been made. Date I4?;7a7-Fd This request void 18 months from CITY OF EAGAN 3795 Pi1M Knob Road Eagan, MN 55722 N! 6 126 PHONE: 454-8100 ry Z BUILDING PERMIT APPLICATION Receipt # " ?` To be umd for 1 of Q PLEX Est. Value 42,000 Dme 8-26 _, 19 80 Site Address 449 2B Claver I11. Erect Occu anc R'3 iik p y Lot 19 Block 2 Sec/sub. Eden Alter ? Zoning PD Parcel # 10 22750 190 02 w Name Tilsen Homes Ine. 3 Address 627 S Snelling ° :-. St. Paul 55116„,___ 698-5501 ? p Nome ?r < Addre z `- r:... Nome _ Address I hereby acknowledge that 1 hove reod this application and stote that the informotion is correct and agree to comply with all applicable Stote of Minnewto Stacutes and City of Eagan Ordinances. Repnir ? Fire Zone 3 Enlorge ? Type of Const. V Move ? # Stories Demolish ? Front 44 ft. Grade ? Depth 22 ft. Avvrovals Fees Assessment _ Woter & $ew. Police - Fire Eng. Plunner ? Council - Bldg. Off. _ APC Permit 120. 5(1 Surchorge Pl . nn Plan check hn _ 25 SAC 525 nn Woter Conn. 3n5 nn Water Meter 60._QQ_ Road Unit 185 nn TaQi 1,276.75 Signature of Permittee I A Building Permit is issued ro: Tilsen Homes InC. on the express condition that oll work shull be done i"ccordance with__gil opplicabie Stare of Minnesota Stotutes and City of Eagan Ordinances. Buifding OF4icial CITY OF EAGAN 3795 Nlot Knob Rood Eagen, MN $512= ' PHONE: 4548100 BUILDING PERMtT APPLICATION Site Address `'F`* Lot 20 Blxk parcei # 10 rc w Name - ; Address -62 ° C; St. ?p Nome - ? Address- ~ Ci V? Nome F - Address _ Receipt # N? 6125 Erect f(k Occuponcy N-i_ Alfer ? Zoning _ pn Repoir ? Fire Zone 3_ Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 44 ft. Grade p Depth 22 ft. Aoorovals Fees Assessmenf - Woter & Sew. Police - Fire Eng. Planner _ Council _ Permit 1LU.7U Surcharge 21.00 Plan check 60.25 SAC 525.00 Water Conn. 305. 00 Water Meter 60.00 Road Unit 185.00 I hereby acknowledge that I have read this application and state that Bldg. Off. the infortnation is torrect and ogree to CAmply with all applicable l 2'J(j_`?5 State of Minnesoto Statutes and City of Engan Ordinances. APC TMaI ,Signoture of Permittee A Bullding Permit is issued to: T1SS@ri Homes Ine, on the express condition thot all work shoil be done in accnrd nte with,a?l?imbie State of Minnesota Stotutes and City of Eagan Ordinonces. Buildin9 Offlciul l?!>?[s?v?J.? ?s lk? ? 5ec/sub. Eden 50 200 02 S S CITY OF EAGAN 3795 Pilot Knob Rood Eagon, MN 55732 PHONE: 454-8700 BUILDING PERMIT APPLICATION 1 of 4 PLEX Site Address 447UD ?luver ?i. Lot 1$ Block z Sec/Sub. Eden pa,cei # 10 22750 180 02 rc Name Tilsen Homes Inc. ; Address 627 S. Srielling ° ?:_. St. Paul. 5511LL___ 698-5501 o Name _ ? ?? Address r ?:... Nome _ Address I hereby ocknowledge thnt I have read this appiication ond state thot the informntion is correct and ogree to comply with oll applicoble State of Minnesota Statutes and City of Eo9an Ordinances. Receipt # N? 6128 - Ered OC Occuponcy n';? --- Alter ? Zoning PD Repoir ? Fire Zone 3 _ Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front - 44 ft. Grade ? Depth _ 22 ft. Aoorovals Fces Assessment _ Water & Sew. Police - Fire Eng. Planner - C•ouncil - Bidg. Off. _ APC Permit l9C1,5(1 SurcFwrqe PI nn Plan check h!1?5 sac - 525.00 WoterConn. 0 .00 Water Meter 60.00 amd unir 185.00 Total 1,276.75 Signature of Permittee I A Building Permit is tssued ro: Tilsen Homes IriC. on the express condition that all work shall be done in /ay??orda,?nc?e wit II a pliwble State of Minnesota Statutes and City of Eagan Ordirwnces. Building Official cirr oF Er?c,AN $795 Pilot Knob Roed Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receivt # N" 6127 To be med for 1 of ¢ PLEX Est. Value, 42,000 Date $-26 , 1900 Site Address 4490 Clover IS1. Erect DC Occupancy R3 Lot 17 Block 2 5ec/5ub. Eden Alter ? Zoning PD parml # 10 22750 170 02 Repair ? Fire Zone 3 _ Enlarge ? Type of Const. V s Nome Tils2n Hom2S Iric. Move ? # Stories z Address 627 S 9nP11i ng Demolish ? Front 22 fr. ° q St. P8u1 5517kane 698-5501 Grade ? Depth fr. e-I. ee.. ? Nome _ 0 u< Address f Name _ Address I hereby ackrrowledge that I have read this applicotion and state that the infortnotion is torrecf ond agree to comply with all applicable State of Minnesota Srotutes and City of Eagan Ordinonces. Assessment _ Water 8 Sew. Police - Fire Eng. Plonner - Council - Bldg. Off. _ APC Permit 14V.7V Surcharge 21.00 Plan check 60.25 snc 525.00 Water Conn. 305. 00 Water Meter 60. 00 Road Unit 185.00 Total 1,276.75 Signoture of Permittee I A Building Permit is issued to: Ti l ca» Hnm c Ine. on the express mndition that oll work shall be done in occ on ?with? ap liwble $tafe of Minnesota Stotutes and City of Eagan Ordinantes. Building Offictol ?? i?/'?'??gg f P_ 6 r ,26 . . -' CITY OF FJ'.GATd - Include 2 sets of plans, 1 site plan w/elevations & BUILDING PEFdMIIT APPLICATION 1 set of energy calculations. coor s 2 7b Be Used For ' Valuatign Date Site Pddress VO lt- 92 -s-v-PrL 7..ri - _ OFFICE IISE ONLY Lor/ N. Blocx Z. sec./Sub. Erect ? occupancy pl ?: lo -?a 75 o? Alter zoning Repair Fire Zone .3 o.mer: L/ S?.v /TG.a -.'-C-S Z?. vC EnlarJe _ TYPe of Const. Address: ?02'7 S. A7ove pemnlish # Stories Fmnt ft. ? Gity/Zip Code: .Sp. #0d N/ S'S // 4? " Grade a- ft. Depth Phone #: Contractor: SG?vv.e Pddress: City/Zip Code: Phone #: Arch./E1zg. . Address: APP%7VAIS FEES Assessmsits Perniit Nlater/Sewer Surcharge Police Plan Check /1o ? Fire SPG S ?[,i ? gnq, Water Conn. t)..7- Plaruroer Water Meter 6 C" . Council ? Roacl Unit ) K.i'- Bldg. Off. ATC City/Zip Code: Phone #: ?P ? o 4q,j 1 , . Th Be used For - J Site Pdd,r 'ss / - Lot? $lock 2 Sec./Sub Parcel #: /D ---4 a 7 1) a6-O D 2 CI'PY OF E1GAN Include 2 sets of plans, 1 site plan w/elevations & G PERKIT ApPLICATION 1 set of energy calculations. CSVF tion Date i 2 -dil LPS- e> _ OFFICE USE ONLY OWiler: _ T? I S L.v ?G,li ?NC Address: 62-7 S C.ity/Zip Code: .57?'. ?a G / ` <? (o Prmm #: 69 P- sso i Contractor: J G?wtti.Q Pddress: -;v City/Zip Phone #: Arch./Ehg Address: Code: Erect _,X_ Occupancy 3 A1-ter Zoning Fepair Fire Zone ??Je _ TYPe of Const. move # Stories Danolish Front y ft. Grade ? Depth A ft. City/Zip Code: Phone #: ?L7PAL APPRpVAL,g FEE5 Assessnents Pesmit ??0 [aater/Seaer Surcharge •? Police Plan Check Fire SAC EnJ• Water Conn. Planner Water Meter o Council Road Unit )g.7 Bldg. Off. f APC 2 V) Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy caiculations. Date d::7- i 2 --AQ CE USE ONLY f , Parcel #• ?_ .. ?'rxi«'y 3 --;1iz - e&'27?0 _l?v-vz O,mer: T/ I S L,v Address: _62-7 S' CitY/Zip Code: S]'. !Od Phone #: _69 ?- sro i Contractor: Pddress: City/Zip Coc1e; Phone #: Arch./Fhg, _ Pddmes: City/Zip Code: Phone #: _ Alter Zonirtg FEpair Fire Zone EnlarJe _ ZYpe of Const. ? i"bve # Stories Demolish _ Front <Vy ft. Grade Depth a ft. APPROVALS FEES Assessments Permit /20' tvater/Sewer Surcharge - Police Plan Check? Fire E SAC n5• Water Conn. c?.:; Planner _ Water Meter 0-? Council Road Unit 1K.? Bldg. Off. APC 4j . f ; ? ? :j t ij f ? 7C7PAL crrY CF FACAx m" ;, „A r1 , D6 ? P{?l lY ? , 1b Be Used For CITy pg FAGAN Include 2 sets of plans, 1 site plan w/elevations & IG PEFSiIT APPLICATION 1 set of energy calculations. itig-n Date ?- i 2 Site-?e s Io 4 J lock z Sec./Sub. Parrel #: ?a .0 2 Owner: /fG,atS _?Nc Address: /P i City/Zip Cade: S]. ?d C4 / SS116 Phone #: A 9 60 - SSo / Contractor: ? Address• City/Zip Code: Phone #: Arch./Enq.. Address: City/Zip Caie: Phone #: jfiW-1 N OFFICE USE ONLY Erect X_ occupancy 3 Alter Zorung Repair Fire Zone E7ilazge _ 'Iype of Const. Move # Stories Denolish Front ??f? Grade : Depth pPPROVALS FEES ASSessrents Permit Water/Sewer Surcharge Pplice Plan Check Fire SAC -R .S ?? gyq, ? Water Conn. J" Planner Water Meter cl? Council FQad Unit 1B?i Bldg. Off. APC 'DDR'AL - -- - -?o Th,., request void 18 months frcni S 82133 Date of this Request 9-20-1980 _ d Electrical Contractor ? Owner, XN Li Fire No. do hereby cequest inspection of ffie above electri- cense I, as cal wiring installed at: Route No t Add 4490 B Clover Lane City ?8'? . ress or Stree Section Township Range County Dakota Which is uccupied by Til en Homes (Name of OcCUpant) Is a roughin inspection required on this job? No ? Xes OK Ready Now D Will Call EF' Power Supplier n?ta Ctsr Address _ Farminaton Electrical Contractor Contractor's License No 0 O2 (COmOany Name) Mailing Address 12201 N.tka Blvd. j ft?tka r5?343 ^ Authorized Nu. 933•2a (Electlital Contractor or uwnar manuy - -. p ...... •-••-••. , This inspaction request will not be accepted h State Board unless proper inspection fee is ena. ' - - Minnesota State Board of Elechieity 11 gg_0000I-02 ' Griggs Midway 61dg_ - Roam N791 1821 University Ave., St. Paul, Minn. 55704 - PMne 297•2111 S g 2133 REQUEST FOR ELEC'?RICAL lNSPECTION CHECK BELOW WORK COVEREU BY THIS REQUEST ^ ??My c,...:.....o..? wi.vi Fnr ? ? ? Rnnge • Tempocaxy Wiring ? Home l D ? El ? Wa[ex Heater ? LightingFutuies ? ex up Bld ? ? ? Uryex ? Elec[tic Hea[ing ? g. Apt. Commexeial Bldg ? Cl fl Fu[nace [X]2. QQ Silo UNoadex 0 . Industrial 81dg. ? ? ? AiI Conditioner ? Bulk Milk Tank List Faxm ? ? ? oList thexs? ????EQ?A- Othe,s Heie Oihec ? ? ? He+e •nueuirTx INCP FCTiON FEE BELOW ?<.... ? ......d._...,__. .. 0 to 100 Am . IIG o 0 to 30 Am eres 0 ta 30 m eies o 101 to 200 Amps. 31 to 100 Amperes 31 ro 100 Am eres Above 100 Amps. Above 100 Am s. Above 200_Amps. Pacnal ox other fee Transformers Remote Control Cira Mimmum fee $ Signs . SPemallns ec[ion Rem ?s H8.11 TQTALFE . 32e00 1 T I, ec#???5 , ereby ce that lSovF inspection Dhas ate een ??de?Q o Sr (Final) Date 3 This request void 18 months (rom Minnesota State Board ot Electricity - Griggs Midway Bldg. - Room N191 -7? - 7821 University Ave., St. Paul, Minn. 55104 - Phona 297-2777 REQUEST FOR ELECTRICAL INSPECTION s CHECK BELOW WOAK COVERED BY THIS REOUEST ? EB-D0001-02 82134 Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment W¢ed Foc Home ? ? ? Range 0 n Temporaty Wiring ? lluplex ? ? ? Water Heater ? Lighring Fix[uxes Apt. Bldg. ? ? ? Dryex ? F.lectcic Hea[ing ? CommercialBldg. ? ? El Fumace ]Q2900 SiloUnloadei El Industrial Ridg. ? ? ? A'u Conditioner ? Bulk Milk Tank ? Fatm ) List List ) o o } p rs . h ers} H Other ? ) ) tlere ? 1 e COMPUTEINSPECT[ON FEF,BELOW Se[vice Entnnce Size: # Fce Feeders&.Su6feeders: # Fee Cucuits: # Fee 0 to 100 Am s? ? 0 to 30 Am eres 0 to 30 Am eres 101 ta 200 Amps. 31 to 100 Ampexes 31 to 100 Am xes Above 200 Amps. A6ove lOD Amps. Above 100 Amps. Transformets Remote Control Circ. 1 1 Pactial ox o[her fee Signs Speciallns ction Minimum fee $ Remaiks Hall I TOTALFEI 32,0 L I,11ii-?&lec'ncal Ws ecto hereby certify?b ie a e ectio9.?as 6een made. (Rougli-in)''\ z 1111 ?fiate? (Ftnal) ,1, f Date This request void 18 months from ? - ?.- This reqyest void , ? ?7 ?).;- ?o 18 months from '? ? ? J ? Date.of this Request 9-26-1986 Fire No. I, as%S Licensed Electrical Contractor OOwner, do hereby request inspection of the a6ove electri- cal wiring installed at: Street Address or Route No. 4492 Clover Lane City &gart Section Township Range County Dakota Which is occupied by Tilsen Homes (Name of Occupant) Is a roughin inspection required on this job? No 0 Yema Ready Now ? Will Call:Q PowerSupplier llakntw p+Y,. Address FRrmington Electncal Contractor 0 B Thompson EleetrieCoo Contractor's License NM0602 (comnany Name) Mailing Address Authorized Phone No. 93$-25?_.'., (Electrical Contractor or Owner Makin9 Tnis IastenaUOn) (C'? ?1 ?I? ????D (('n?M This inspectian request will not he accepted 6y the CJ !? L ?????ir ii State Board unless proper inspection fee is enslosed. . i`ii. . ?? ? ? ? .. t;x'rnwiut< r;NVr:i,Lii?i•: si.nci.: "u" curirilrAriON PIIrmiL appliratiou) ildin b ' . l: u 6v submitLL'd wiW ? ? ()wni•r L - -??'f'E" ??}1?? Un? or two Lamily dwelling ---- -- - _ -?y All other ? -?--- Site Address I g-7- E -?- D4EI?? OG r'rf . e llate Contractor ?'?F? A C• - Yhone - ? °-"- fOp 100 ZSCO LINEAL FT.- OF v? ?? it, ;ahovt? grade= . . EXPOSN.D WALt, W2???_,?d'Z+? -?- ? .1'c)'I'AL E\f'utiP:D WAI.I, + tz,4a.1 + ? z4q. I OPAQUE WALL CONS7'RllCTION: "U" Value X[ire a ( A - ------- ?If3Q S + ------ -- = (n) -" _.. . _ lf - tA ' _ __ Uctail r?ler.?n?, ... ...... .. . . II" ^. ? •'7 X _ , q . L L. _ _?'1G1 1 '" -' n _ t?i) . ..t?e r , - ( lU (A) (A 1 [rom ---- ' Ct. . s q _-- = l?? l?) attached sheecs ---- ----__-----??UI I" --- X sq. ft. ld? sq. ft. ?? Aa-ri? Dc?c?S x i?1EArHEfL 5N?t-?b , WLNDOWS: "U" VALUL: X AREA ?t?Q? ? ?.? y? ?? • qft: ', • fC. , -?--? - - _ _-?---?? - = sq. ? f t . „ . --------?- ---? - ?? --- ?_- = sq . f t `. -------- Ia sq ft. sq. £t.? -- ------- f t . 2? ( U ) ( A ) ??X '?'4' (U),'(A) Make & type -----?L'?'?a_... -------- ,?li"----?--X sq. It. _ '(U)?, ? ----- _ . --------?- ? ? ? ? ? X s y . f t . ._._------- ?? (A) g sq. ft. ? ? ? ? - -- - ----- DOJRS: value X area Nake h Type -_.S'-n•?--?? ---?Q ? _.?U) ?.4) U„- X sq. rL. ?2-(u) (A) X S? rc. u - -x S? f t __ : -?-- (u) (A) y ft. ? Os =-v(A). (? ?°?1D_-.?-?8.`?--.U --,-4-5°_ X Sq' -- S£3? r ?? 'CU'I'ALS 5q. ft. ToTA[. (t) (A) vnr.uH_s DIVIDtiD BY TOTAL WALL ARti!#-j f,qP. 0 AVERAGE "U" .17 or letis Eor t&'L famiLy dwellings ..22 or less for a11 other buildtnf;s CONSTRliCTTON FRAMINC R-Value 1. ' 17._ • !{ ? L. s. _?jIIL4.\C?---? ----- £:AEA-1? gnJ - ° --__ 4 . _{ 1,??syJ _LkT l, - - - - -- - --?-3r?_ ? 1 ?? 6 • 11?1.,?? QE. _ . Ai_.R_ _ -- .-- _ - ---' ? ??( ".... . ` ?oac?i -?- ,4ao . ,. ` ROOPCCF.ILLNG: TOTAL AftEA: --__- Detai7 reference fram attached sheets DeacrLbe openings __ in roof 193(0 +- z3o4 - 4a40 ;q. fL. --- - ?2? X 59. ?t ft. '_7??__ _ (u) --__ IO?e?? (A) - -•---------- ----- - --- Ull X sq. ----- - ' ft. - (U) _ ------- -- ?U) _ (A) A) - - ----- g yq. ----.,. ft• ------- ----=--,-(tJ) _ (A) _.__..___?- -- sq. - ------?-- ft. --'- -- -?- ----------'--_- '(li) (A),, `f uq• -- ' ,:..._ --- -- -- - _ _ (A) •4--24 TaznL (u) (A) vAI.ut,s DIVIDED BY TOTAL R'.)OH'/ CEILING AREA AVERAGE "U" .OS f.or ventiaLated roof.? .10 for a11 o[her construction - , ROOF/CEILING: R-value 1 • -_A'_?_ S. ? --------__._?s???,,?_ , . 4_.- .__I??l?? --?-Q---,_-r? ' . ; 5.---- -- •-- -- ------ NOTE* If average "U" values as calculated above do nat meet the F.nargy Co1e Rt9uirements,; ` the "AtternaCe Envelope_Desi},n" as outl.ined in SBC 6006 (g) may he used.,' AddiCiona sheets may be used to show calculations. '' PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 5 9 8 (612) 681-4675 Date Issued: 0 8/ 2 0/ 9 6 SITE ADDRESS: 4492-B CLOVER LANE LOT: 19 BLOCK: 2 EDEN DESCRIPTION: Buildin4;'Permit Type ,?8uilding l?p?rk Type Census C,ode ,?•. '`- ? ? i DECK NEW 434 ALT. RESSDENTSAL Z.. t ?;;.: u REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge .50 Total Fee $45.50 CONTRACTOR: OWNER: - HART qq92-B CL EAGAN , (612)454-9658 Applicant - VICKIE OVER LN MN 55122 I hereby acknowledge'that I have read this application and s'tete that the inforrnatian is correcC and,?°a9ree'to'oomply'wiCh all applicable State of Mn. SCa' and City of E°agan Ord#nances, ?64 ?? ? --?fSSUED BY: IGNA URE •? 1996 ? New Conslructinn Reeuirementa ? ? ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 BUILDING PERMIT APPLICATION (REStDENTIAL) 681-4675 3 registered aite surveys 2 eopies of plane (IndWe beam 8 window saea; poured Md. design; elc.) 1 energY cakulafionro 9 copin of hee prenerveNon plen M bt platled aRer 7Nl93 mquired: _ Yes _ No , / q96 DATE: ALI6vs T / 5/ DESCRIPTION OF WORK: lxg?? STREET ADDRESS: ? yyq2-Z tOT ? BLOCK o? SUBD./P.I.D. #: AE72'? ? ? ? ? ? ? ? 0 AJ PROPERTY Name:V/C-A?-IE Phone #: 'V5'?" OWNER ." Street Address- Z C?D?k ? ?'¢A)0 City: k?4C"4/0 State: 2ip. 6-6-/°2c?- CONTRACTOR CDmpany: Phone #: Street Address: License #• City: State: ARCHITECT! Company: ENGINEER Name: ? 2 croptes of plan ? 2 ske suneys (exterior additions R deNcs) ? 1 energy calculationa for heated addftions CONSTRUCTION COST: Zip: Phone #• Registration #• Street Address, City: Sewer 8 water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that 1 have read this application and state that the inf tion i correct and agree to comply with ail applicable State of MinnesoW Statutes and City oi Eagan Ordinances. i Signature of Applicant: OFFICE USE ONLY ? ? CEWE D Certificates of Survey Received _ Yes _ No taUG i5 1996 Tree Preservation Plan Received _ Yes _ No ----- ?----- ? CITY OF EAGAN PERMIT PERMIT TYPE: 3830 Pilot Knob Road B U S L D I N G Eagan, Minnesota 55122-1897 Permit Number: 032133 `(612) e81-4675 Date Issued: 0 6/ 01 / 9 8 SITE ADDRESS: 4492 CLOVER LRNE LOT: 20 BLOCK: 2 EDEN P.I.N.s 10-22750-200-02 DESCRIPTION: ,-, RE-SIDE BCrYldirlg?Permit Type 3F (MISC.) ?Building 49rk Type ALTERATION r?Ce'nSUS Code'?^ 434 flLT. RESIDEN7IHL , ., . 7 P ' . P..., V \ ( y / ?? ?f itf f ? 3 E ?4.. ?j REMARKS: FEE SUMMARY: VALUATZON $3,000 Base Fee $76.75 Surcharge $1.50 Total Fee $78.25 CONTRACTOR: - Applicant - sr. LIC pWNER: GREAT LAKE5 WINDOW & SIDE 18913400 2006042 6EEHEN JULIE 6098 LOWER 161ST ST 4492 CLOVER LRNE J20SEMOUNT MN 55068 EAGAN MN 55122 (612) 891-3400 (612)883-3794 I'fiereby acknowled,ge that S have read this appPication and state that the i,nforrnation is ¢orrect and agree to compiy with all applicable 5tate nf Mn. Statutes and CiLy of Eagan.Qrdi..nances. APPLICANT/PERMITEE SIGNATURE I JU 1wo w 14 ISSUED Y: SIGNATURE ? 7/t 331998 BUILDING New Construction Reouirements PERMIT APPLICATION CITY OF EA(}AN 3830 PII.OT IUVOB RD - 65122 681-4675 ? 3 registered sRe surveys 1 • 2 copies of plans (inGude beam & window saes; poured fnd. design; etc.) ? t energy ealculations ? 3 copies of tree preservetion plan 'rf lot pletted aRer 711l93 tequired: _ Yes _ No DATE: (a'?-. 9V (RESIDENTIAL) J-19.2,5 RemodeVReoair Reauirements ? 2 wPies oT plan ? 2 site surveys (exterior addkions 8 dedcs) ? 7 enargy wlwiations for heated atlditions ? CONSTRUCTION COST; DESCRIPTION OF WORK: STREET ADDRESS: ?`?% ?- L?G?c?=r?. L.//?c ? ??isc / LOT: ? U BLOCK: 2 SUBD./P.I.D. Name: -?7JLlG Phone#: ?frS'3'3 ?`l? PROPERTY Lest First OWNER 'r I/ Street Address: `-? T??-- GLe'0f 2' i City 1'/`? `??r? Stete: Al.ctl Zip: j S4?_.1: CompanyjJ? ???asJ Phone #: CON'I'RACTOR ? StreetAddress:_4?i%i License# City State: 221,.-,, Zip: ? ARCHIT'ECT/ ENGINEER Company: Street City Sewer & water licensed plumber (new construcHon ony): and lot change is requested once permit is issued. Penally applies when address chang I hereby acknowledge that I have read this appliCation and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Phone #: Registration State: Zip: Tree Preservation Pian Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace 13 ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq. ft. sq. ft. Footprint sq. ft. Building Permit Fee 71-1. 5 Surcharge /. 5t) Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 7195 MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit _ Engineering Variance a? valuation: g ?S?4D % SAC SAC Units CITY OF F11C.1N EARLY UTILITY CONNECTION PERNIT 4492, 4442B, 4440B, 4490 Clover Iane L17 18 19^ Tt? -- "'p pddress Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I understand tha[ the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not [o use, test, or connect these individual services to any interior plumbing and unders[and the require- ment to cap the sewer service to prevent any unauthorized use. In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage tha[ may occur due to this early connection. It is understood that no Occupancy Permi[ will be issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. Signed by - Plumber: Owner: ' Developer• ?' ??. Builder Da[ed: f- -'t / - F) 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemodellReoair Reauiremenis 3 registered srte surveys showing sq. fl. of l06 sq. ft. of house; and all roofed areas 2 wpies of plan ?.?.?:f_ ..-•t? (20% manimum bt coveraqe allowed) 1 set of Eneigy Calculafions for heeted addNOna 2 copies o( plan shaxing beam & window saes; poured found design, etc. 1 site survey for additlons & decks isetofEnergyCalculatlons Additwn-indicateHOnsitesep6csystem N$YS?eh???-• a= 3 copies otTree Preservation Plan if lotplaried ailer7/1193 Rim Joist Oetail OpUons selection shcet (bidgs wAh 3 or less umfs Date Construcfion Cost ? • Site Address 2_ (LCL(?a LA) Unit/Ste # ft Description of Work I/) 7(?Itf.. Multi-FamilyBldg _ Y_ N Firepiace(s) _ 0,? _ 2 Property Owner /'!/(?/ ( aL'?fC". Telephone k(07) y52 Contractor ? i ? gl? ??C- Address - 36V l/-?? 4&??t , 1-3 City ? State //M/ Zip 5V37 Telephone # (;''-Z) 9jJ o')JT COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Caiculations Su6mitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for 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 pernut, and work is not to start without a permit; that the work will be in accordance with the approved lan i the case of ork which requires a review and approval of plans., ? N Applicant's Printed ame Applic Ys Signature 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6on Reauirements 3 registered site surveys showing sq ft of lot, sq. k. of Imuse; and all roofed areas (20% marimum lot coverege allowed) 1 Soils RepoR if proposetl building is to be placed on disturbed soil 2 copies of plan showing beam & windowsrzes, poured found desgn, etc. t set of Energy Calculahons 3 copies of Tree Preservation Plan rf lot platted aNer 711/93 Rim Joist Detail Op6ors selection sheet (6wldings with 3 or less unfls) Minnegasco mechaniral ventilalion fortn Remodel/Reoair Reauirements OfFice Use OnW 2 copies of plan showing foohngs, beams, joisLS Cert of Survey ReW Y_ N 1 set ut Energy Calwlalions for heated additions Soils ReyoR _Y _ N 7 site survey tor additians & decks Free Pres Plan Recd _Y _ N, AddRwn - indicate n-site septic sysfem TrOe P25 Required _Y _ N _elf2V Oo-sdeSeptitSystem _ Y _N Plans are considered ublic informa4ion unless ou s4a4e Yhe are 4rade secret and the reason. Date Q 1/?_ /6-4 Construcfion Cost 3 , <'J 31 d y SiteAddress ?Iy9b C`(?U-e_f ?O?v?.4 IA ? Uniuste # Description of Work ??1Gu 1AolSZ v,?? LCa , Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner __?0.1i \ L \?. ?b l k?,6U? ? Cv-\ Telephone # (695 1) °--p r? Renewal By Andersen Contractor _ 1920 Counry Road "C" West Address _ Roseville, MN 55113 City St$te License #20130983 Telephooe # ( ) 651-264-4777 COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 • Residential Ventdation Category 1 Worksheet (J submission type) Su6mitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permiT for a similar plan based on a master plan? _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for 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 pernut, but only an application for a permit, and work is not to start without a permit; that the wark will be in accordance with the approved plan in the case of work which requires a review and appr val of plans. ?GLYa..?v1SOr? ??.? Applicant s Prmted Name Applicant s Signature ? W S c , D Permit Service 9533 - 367"' ytreet: North Branch, MN 55056 Phone 65 1-674 - 17g6 - F3x 651 -674-6190 To Whom It May Concern. [ am ah authorized dgent by Renewal b? , Pet'mits. I have enclosed a se(f addressed 5am?,ecl c? CIop f?r(you convbnienceeto muail? the Pennit back to me. I1thcre is a problem p 651-674-I766. "Ith this plcase feel frce to give me a call at Thank you for yo>u assistance, I Kara Benson WS&D Perrnit Service 651-674-1766 - Phone 651-674-619p- Fax j Pertnit#: 7 f(!? ?? j I ? ? PermitFee: ' i ? Date Received: f,7 ? I Staff: L -----------------I 2008 RESIDENTIAL I LUMBING PERMIT APPLICATION Date: O(J Site Address: _Ll-l? ? iD ClV ver '+). Tenant: Suite #: RESIDENT 1 OWNER Name: Vi ck-(,e f*Lr'?- Phone: -?5 7(013e) Address / City I Zip: _ S a-m e-) f`--, t 4 , uw7 ? ?? (\( J CONTRACTOR Name: License#: tO I 7-7 ci - PM Chanpion Address: u1 866 348 9 ?7Q ?dd Rd #100 . City: State: Zip: Phone: Contact Person: ?il'f So / C-1') TYPE OF WORK _ New ?Replacement _ Repair _ Rebuiid _ Modify Space _ Work in R.O.W. Description of work: f PERMIT TYPE RESlOENTlA4 ? Wat H t er ea er Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) (_ Main _ Lower Level) Septic System _ Water Turnaround New Abandonment - RESIDENT/AL FEES; $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Pfumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) *Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes Counry fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ' TOTAL FEES $ i nereoy acKnowieage tnat thls mtormation is complete and acc+irate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but oMy an apphcalion for a permit, and work ls not to staM1 without a pertnik that the work will be in accArdance with ihe approved pian in the case of work which requires a review and approval of plans. x -JCUIYI?_S ?U 42C x ApplicanYs Printed Name ApplicanYa?ignature FOR OFFICE USE Date Required Inspections:.' ? Under OroUnd -_ -? Rq?g??i ?n ?AiPTest ;? Ga&TesY ??daf ? ;?,z ? ? , : sz ----------------- ?? Perm,t *: _?2 ? ? Pertnit Fee: ? ??• 1 j Date Received: 1?b I I staff: I ? aoos RESiDENT9AL BUlLDiNG PERMiT APPUCaTioN Site Address: q47QAck'Q qq1z ri c!rg cQU ¢l" JW Tenant: Sulte #: RESIDENT OWNER i:{S566 N ? QOJ I ame: 1d Phone: Address / Gty f Zip: Applicant is: _ Crimer JIL Cortbactor TYPE OF WORK Descaiption ot vrork: fe- 4041P Conshuction Cost?l Muiti•Family Building: (Yes? / No ? CONTRACTOR Name:&LI" t". 9_4,rAQN ,7'a'lr'1 nS license m. 20 ??I I?I_____ 37 _ r Address: r - / /XJ '+71( 6- 5 eV ) n Ciry: f4 Stata: 1 Zip: , Phone: 4x'$-` i;d -,3Y -Z,3 Contact Person: G0gB°? 0,7 4c gG5 GORAPLETE THiS AREA NLY !F CONSTRUG7ING A NEW BUlLDING _ Minnesota Rulas 7670 Category i Minnesota Rules 7872 EnBfgy Code . qegideritiai Vantilatlon Category 1 Wqksheet • New Energy Cade WorksheBt Category suammee s„bmmea (4 atibR11s81an type) • Errergy Envelope CalculaNOns Submitled In the Iast 12 months, has the Clty ot Eagan lasued a permit for a slmilar plan based an a mester plan2 _Yes _No If yes, date and address of master plan: Llcensad Plumber: Phone: Nlechanical (?onhacEOr: Phone: Sew+er & water Contractor: Ptrone: ???'P981i$"8lri6[?4 -olio-"Qk?r?'$Ft?Tr'P 9 tlka lnfGtt?lltNt;(»By t? ?' ?B-: ?I??f jtptl5/J1?Y? ' . , . > .; : ? ' _ .,'..;; ( ..i:Cld1'? .?? ..?:i?-?+ -`... _?...,, • .'':,i? ,.. :` i , x ,..,,a; I harehy acknowledge that ihis informatipn is complMe a»d accurate; fhat tha w4rk wiU be in conformance with ihe wdinarnes and cades ot the City d Eagan; thai I understxnd this is not a permit, but only an applicaNOn for a permtt, enC work is not to start wi[hou[ a pertnR; mM me Wo* win ce in accorclance with the approved plan in the case ot work which requires a review and approvapt XLbec-P flfj&?A X ? E a Appltcant's Printed Name Applicant's Signature Page 1 of 3 City of EaiaIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (657) 675-5675 Fax:(651)675-5694 ?D ltuV ??2008 /l. 04 Ccc.,?QeoL 2008 RESIDENTIAL BUILDING PERMIT Date: 0? SRe Address: t-L 4 IV l, In tl e-f Tenant: Sulte 8: RESIDENT! OWNER Name: ed d Q o G? hone: Cp Address / Ciry 1 Zip: Applicant is: _ Owner ? ConVactw TYPE OF WORK RPIJ I(,G,1l1 q p f h Ci ?G? DescripGon of work : , , Conshuction Cost ?d '0 v°cD Multi-Family Bullding: (Yes No _) CONTRACTOR Name: 6ek Drn '? i(AJerxe License #: Address: i`t -0 l*) " •S . ciry:F?.tVn;naf-o") state: mN ziP: .560 1 Phone: ?oJ?1`?, Contact Person: I?f??J LJ bbL l s COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Categorv 7 Minnesota Rules 7672 EI1Brgy COdB • Residential Ven6lation Category 1 Worksheet • New Energy Code Worksheet Category sudmmed submined (4 Submisslon type) • Errergy Envelope Calculatrons Submitted In the last 12 months, has the Clty ot Eagan Issued a pertnlt for a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan: Llcensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporling documents that yau submit are consldered to be public lntormatlon. PorBons o/ the informaHon may be classifled as non-publJc ii you provide specific reasons that wou/d permif the City to conclude thai the are trade secrets. I hereby adenowledge that this informffiion is complete and accurate; that the wwk will be m coniortnance with the ordinances and cades of the Ciry of Eagan; that I understand this is not a permd, but only an application fw a permit, and work is not to start without a pertnR; that Me work will 6e in accottlance wdh the approved plan in the case ot work which requires a review and approval of pla ? X k D? L( T b ,??C%?7 X , ? ApPlicairt'a Printed Name Applicant's Signature Page 1 ot 3 ? Fa???sa --------- -- C j Pe 1 rmit#: I ? Pertnit Fee: ? I ? Oate Received: j I Stafl: ? I -----------------? DO NOT WRITE BELOW THIS LINE SU6 TYPES ? Foundation ? Single Family ? 01 of _ Plex ? 02-Plez ? 03-Plex ? 04-Plex WORK TYPES ? New ? Addition ? Alteration ?f Replacement ? 05-plex ? 16-plex ? Accessory Building ? Pool ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 07-plex ? Garage ? Porch (4-season) ? Ext Alf. - SF ? 08-plex ?K Deck ? Porch (screen/gazebolpergola) ? Multi Misc. ? 10-plex ? Lower Level ? Storm Damage ? 12-plex ? Miscellaneous ? Interior Improvemen t ? Siding ? Demolish Building` ? Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Windows O Demolish Foundation ? Egress Window ? Water Damage " Demolition (entve building) - give PCA handout to applicant DESCRIPTION: Valuation ? (?? Plan Review (25%_ 100% -)Lj Census Code # of Units # of Buildings Type of Const. ?[b Occupancy MCES System Code Edition tr1' ;) f,u ! SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) ? Foofings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I. _AirTest _Final Insulation Sheetrock Meter Size: FinaI1C.0. ? Final/No C.O. HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total ? .. ?/2 0 b Page 2 of 3 wl'i t;?? , 1 tor c?.uc coT LIA/E \ 4? ? o ? a ? iv? J NX V / • / ' Au4?z-a AcarE,e c40E Use BLUE or BLACK Ink F--------------- ' I For Qftice Ufse ; Permit ; C ity of Eap E> ; RECEIVE,) Permit Fee. 3830 Pilot Knob Road I 1 Eagan MN 55122 DEC ; Date Received: ; Phone: (651) 675-5675 i staff: Fax: (651) 675-5694 1 1 J 2011 RESIDENTIAL BUILDING PERMIT APPLICATION- Date: Site Address: Unit Name: Phone: RESIDENT ~ ~ OWNER Address/ City/Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Re 4 c e_. C-N` A 08c L t pa til ueW tM-_~A_ Construction Cost: l Multi-Family Building: (Yes / No Company: ~G~~v~t9C Contact: C,d+✓4c~~~c; Gc~! CONTRACTOR Address: City: ~ r0re 1-,e- CONTRACTOR State: Zip: Phone: 6,51- -75 ' ? - 31/----) 3 License #:-Q(!)& 30 /0c) Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 appro I of plans. x cJ o e_ x Applicant's Printed Name A i ant's Signature Page 1 of 3 Ocu el- 6" DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace - Porch (3-Season) _ Storm Damage Single Family - Garage - Porch (4-Season) _ Exterior Alteration (Single Family) - Multi Deck Porch (Screen/Gazebo/Per9ola _ r - ) Exterior Alteration (Multi) 01 of _ Piex - 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 --Repface-- -Repair s_W~`ndow--- - ~ _ a er amage - - Retaining Wall 'Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System 0-- Plan (25%_- Review 100 /o Code Edition SAC Units - t Zoning Water Census Code Stories Booster Pump of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock -7K Footings (Deck) Final ! C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other. Roof: -ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough in Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee n - Surcharge 1C Plan Review MCES SAC~~ City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 These particular site plans were drawn from the previous permit. The decks will be rebuilt on the exact same footprint*. The contractor noticed that the original decks were drawn incorrectly/not to scale and did not want to further confuse the drawings. *4492 Clover Lane will be extended 7' From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:52 #582 P.074/079 Use BLUE or BLACK Ink I For Office Use I j Permit City of Eap I Permit Fee: - 5 C, 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: n (13 j Phone: (651)675.5675 I I Fax: (651) 675-5694 I Staff: I I 1 Q 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1- - 1:3 Site Address: ~~}`1'1O ~y O 4 Z -Iy~ Z eti bane Unit Name: W*J ►M 010 1 GQftll CWUV1N Phone: Resident/ 'n Q I/►~p~ Owner Address / City / Zip: W~3 G11 vt V 1Wi pafgy I l~1JltJ1 , ~n~. MN 553'-H Applicant is: Owner ^ Contractor Type of Work Description of work: Tear off avid Ye'Vik Construction Cost: $20 Z 1 tp Multi-Family Building: (Yes x ! No Company: MAT 11YL=mi Wnaait ttt, I-Lt Contact: Jue ftlistow Contractor Address: 5Iy5 I11twftal ,1 `tA -0103 City: Mo fti n State: ► Zip: GY7YO ) Phone: 'I J - IIH -IL4I'7L License L7~, ~3~'✓1Gj Lead Certificate Nr I T- ~VI 1p~t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information, Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to ~m~_ _ conclude that they.are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x clueitl~teAd x Applicant's Pri ted Name Appl'c is Signature kJ Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/21/2015 12:33 #269 P.019/020 Use BLE1E or BLACK Ink � For Office Use ` � � j Permit#: � �� "`''" j C1ty of��a� ECEIVED ; � �� R � Permit Fee: f � 3830 Pilot Knob Road c � Eagan MN 55122 OC� 1 � Z��J � Oate Received: � Phone:(654)675-5675 � � Fax:(651)675-5694 I Staff: � i ► ��-��_��J 2015 R��CE`4L ��1�LDi[�!G PE�IVf[�`a4P�L1CATtQI� Date: Site Address: Unit#: �,..�:...� ..,..r,.�,PT,�,.,r,.....,...��<-�,:._..,....�rrY.-....a.,.,K�...n,,.,,�m.,.,:�.�.,�...�:..�,.Y,�,.�.,..a.,....,�..a.,�.�..,.-��,...._..,.�,.�.�,_,.�.,�.,..,,..,,..,:..o..,..m.�.. ..._�..,._�...,,�_� � � Name: L�n��✓�: 1��31t� -' �'�..t - ` �'; I"1c�� Phone: /1/�� I [ Resident/ � Owner � Address�City/Zip: LI'�9��W�2- C��,,�� f ,�,��, �'i�-��,,., : : A licant is pp : Owner � Contractor ` I ..,��,,..,�...�,�.aM.:..,e,..� .. _,,.�„K.:.:.,._.��.�_..:.n-_.w.��,...,..>...z.�..,,.....�,.�.,..w.�.�..�,...,.�..��._�_..,._..��,..,_R_.<.�.��.<.:4.�,w._...,:�<..,.�.._,,,.�,,.r...«..,>.�-._._.^.._ ,..�.,�,..,.a...�_.,,s..r.. I ` Descriptionofwork: ��•- '�f�� ,�/o'�� I�;.�E'�r� �Ll'.n(` •��R � ' Type of VUork ` Construction Cost: �Z�,�`�U'� Multi-Family Building:(Yes �No �.N.t...,..,�,...,�. ..� �..,,,��.,�-�...-�,....n-:.�M._��..r.�._.m-_..T:�...,..�...�.,,�:..�_.,,..�..�..,.:.._...�.��...,�.,�_.._�.,..-.�.� � Com an 115� �s�S� uc� ' � �• _<.�_.�.,�.�_,...�.�.,�._�s�:��.�w.��-.,a.,,�..,.�,,.. � J 'Tt!1�,r„�4„1 j � P Y�� A/t- 1� .��f/�d�•'� Gi7Lq h�L� Contact: _` ,r*, � � Address:S'��5 �n1�u15'l�'�,�L 5�' - Su�e��- IG� r � � Contractor . - �'�Y� �� 1��"� � State:�Zip: �s��`3 Phone: ��``j✓2�7�5"�Email: i�'1't��ci 1�S'�z�P", b'�- � �icense#: .�C lr9�'� ��G► Lead Certificate#: /�/�►• �� Z— �„�,,._.�.�_._... ,.,-.�,_,.�,.,.,�..�.,.�. __-�-,�.....�.�,e�.,,�.�,,..,.,,.�...�n-�-.�,-.,��. � - -- .�<....�.,_,.�...�,.�,..,�,�.� ; If the project is exempi from lead certification, please explain why: ,��`�, ;,,�p ��3 � � : ...�.m,.-H,,.�._.�.P,:.__..�.�.,_..�.,,�.....:.�._,,..,a...�..�-.�....,�.�—___—_,.,�.�....�,�,.� ,�:_r._,==.,.�...T._ ��,,.n,�.,�..,..,t.....�>.,..�..�r.�..h..,.,..,� ; f COIViPLETE THIS AREi4 ONLY IF CONSTRUCTING A NEW BUILDING � � In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? � � � Yes No If yes,date and address of master plan: � — � Licensed Plumber: Phone: � Mechanical Contractor: � � Phone• � � Sewer 8�Water Contractor Phone: � � �Fire Suppression Contractor: Phone• .�..,..�..� , n:.�.,.r... _ r.:,....,r w. �..�a�,.�.� ,ry.,:,._...M..� .. ...�..�.,.� ' � NOTE:Plans and supporfing documenfs that you submit are considered to be public information.RPortions of ; � the information may be c/assified as non-publlc if you provide speci�c reasons that wou/d permif the City to � ; conc/ude that they are trade secrets. � �.�.,�.,...�.w�,,.�.,.-....��::.�,.,.�.:...n�.�.�..�.�„t.::m.,._,...,�.�_�._.r,�.�..�.�.�_�....�__-��,�_:..:,�_�..�..,��,,,.�.�.�,..:�,.�N.n.....___:.��...�..,...<�..�.r.,,.,..r_�..�_,��.�..xnM.�.,.�..,c».....��,��.._� CALL BEFORE YOU DIG. Call Gophe�State One Call at(651)45A-0002 for protection against underground utility damage. Call 48 hours � before you intend to dig to receive locaies oi underground utilities. www.aooherstateonecall.oro I hereby acknowledge that this information is complete and ac�u�ate;that the work will be in confortnance wilh the ordinances and codes of the City of Eagan; that I understand this is noi a permit, but only an application for a permit, and work is not to start withoui a permit; that the work wiil be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be co pleted within 180 days of permit issuance. rt _ .. �,�-�^� ; x �'�. �//�.�,� X �� Applica�t's Printed Name �.�, Applic nt's Signature � Page 9 oi 3 F" PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA137978 Date Issued:08/02/2016 Permit Category:ePermit Site Address: 4490 Clover Lane Lot:17 Block: 02 Addition: Eden PID:10-22750-02-170 Use: Description: Sub Type:Residential Work Type:Replace Description: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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Biermann Family Trust 45 Orchard Way N Rockville MD 20854 (952) 484-2758 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153179 Date Issued:11/28/2018 Permit Category:ePermit Site Address: 4490 Clover Lane Lot:17 Block: 02 Addition: Eden PID:10-22750-02-170 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Biermann Family Trust 45 Orchard Way N Rockville MD 20854 (301) 257-0305 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165363 Date Issued:10/29/2020 Permit Category:ePermit Site Address: 4490 Clover Lane A Lot:17 Block: 02 Addition: Eden PID:10-22750-02-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Biermann Family Trust %john M Biermann Tste 45 Orchard Way N Rockville MD 20854 North State Mechanical 1444 14th Street W Hastings MN 55033 (612) 207-0345 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA172848 Date Issued:10/19/2021 Permit Category:ePermit Site Address: 4490 Clover Lane A Lot:17 Block: 02 Addition: Eden PID:10-22750-02-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Biermann Family Trust %john M Biermann Tste 45 Orchard Way N Rockville MD 20854 North State Mechanical 1444 14th Street W Hastings MN 55033 (612) 207-0345 Applicant/Permitee: Signature Issued By: Signature GL M 4I 9 � 1 1 I EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections@cityofeagan.com ----------- For Office Use I t�tiO4b I Building Permit #: I I I j S&W Permit #: I Permit Fee: I I I i Date Received: I I I I I Date Issued: I I---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: �hqhQ23&te Address: - Applicant is: ❑ Owner aContractor nit #: IName: ��L � 14 b vy,e- O L U--c_,v'S fa!5 (b aI a4 k b l/-N, Homeowner Address:4q*) 14/13 qy q a ,41 B Clguev Lv-, city:,o`ct a State:/ Vl V"-EiD: !D___� (.1- L Phone: Email: Description of work: Pik QC. t - Type of I 2 / f Work Construction Cos t;J '7 of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan)T?Q�f71/l�%h c.LL o\A Contact:`r e f 1`C Building Address:! L/39 ii .tl WeSi" + K— y City:e, Contractor `� / State)-Wip: 5.3�T Phone>�rZ�y5- Emailt_�/UIQ�C �e�/� K2L6q� bzt�coxpir3/31 /�y2S License #: EationDate: , Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction i License #: Expiration Date: ?�I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /J Applicant's Printed Name A licant's Signature