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4489 Clover Lane B A-T N6 I ally of Eaaaii Permit q-0 7q 4110~ . Permit Fee: - o 3830 Pilot Knob Road Eagan MN 55122 Date Received: l Phone: (651) 675-5675 t Staff: Fax: (651) 675-5694 I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: v ~ Site Address. k l CLOWN, L90 Tenant: Suite s: RESIDENT I OWNER Name: Phone: Address/ City/ Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: T~''~'0 gwL r( % = Construction Cost:.( Multi-Family Building: (Yes _ . / No CONTRACTOR Name: JD~Sg=V-j .7 L- \ Att. 1I&A License # x620) O I. t - Ak Address: ~ v41~~ ~ KM City: F State: rV~N Zip: _!5z_^ Phone: tA`h6 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category I Worksheet ^ • New Energy Code Worksheet Category Submitted Submitted (d submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _,_Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor Phone: Sewer & Water Contractor. Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and-vZN 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 ns. x '~,A~ V(LtL %AXnt!s Applicants Printed Name Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) , Storm Damage - Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous T Accessory Building WORK TYPES _ New _ Interior Improvement , Siding ` Demolish Building* Addition Move Building Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows - Demolish Foundation Replace _ Repair Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION d, Valuation 3C~B Occupancy J` C- - T MCES System Plan Review Code Edition 6Zc,? SAC Units (25%___ 100%--1 Zoning P4 City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width 14L' REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I C.O. Required Footings (Addition) - Final I 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 Meter Size: Erosion Control Reviewed By: Building Inspector RESIDENTIAL F S Base Fee f Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 v SP 40 400 mw ti Aug 10 09 09:00a Peterson 9528082635 p.2 For Office Use - - - - Permil ~ ~J I City of Eaali , I Permil Fee: • 53 3830 Pilot Knob Road Eagan MN 55122 Date Received: g Phone: (651) 675-5675 -`---_~j_ Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: q q Uq CCVe K Lanp Tenant: Suite RESIDENT! OWNER Name: Phone: 0 Address I City / ZlIip: tan n Ci CONTRACTOR Name: 4- nse Address: n City: State: H { ) Pp: 15 2 3 7 Phone, . 2) L4 OLLt Contact Person: lr iS r TYPE OF WORK New X Replacement _ Repair Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESID NTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL 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 Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 it a 518" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ E I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with a rdinances 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 i oout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval plans. App ant's Printed t+t-ame is atur FOR OFFICE USE Reviewed By: Dale: Required Inspections: -Under Ground -Rough-In Air Test _Gas Test Final CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: -- - -- No. of Units: Owner: Address: -- Site Address: - Plumber: Meter No.: — Connection Charge: Size: — Account Deposit: Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinance Misc. Charges: Total: By Date Paid: Date of Insp.: Insp c - .: CITY OS EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: — No. of Units: Owner: Address: - - - -- Site Address: Plumber: — — — 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: By Surcharge: y Misc. Charges: Date of Insp.: - - -- Total: Insp.: _ Date Paid: 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 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.. € City of Eatan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAR 172016 Use BLUE or BLACK Ink For Office Use Permit #: j/��-� Permit Fee: 3.��7�Q Date Received: . Staff: J 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/17/2016 Site Address: 4489B Clover Lane Unit #: Resident/ Owner Name: Sawbill Strategic , Inc Phone: 651-351-0500 Address /City /zip: 217 2nd St N , Stillwater, MN 55082 2J Applicant is: Owner ✓ Contractor Type of Work Description of work: Remodel-,„9r.!'J/ x'7-6/7 64.7-61- Gd 42eacc(7 45 000 4 (A),:/cc. OGc.�S - ,� r D a p�S Construction Cost. , f ”" Multi-P4mily Building (Yes / No f ) Contractor Company: Two Bellas LLC Contact Brent Rieck Address: 18517 Dunbury Knoll City: Farmington State: MN Zip: 55024 Phone: 952-210-9046 Email: brent.tblIc@gmail.com License #: BC648425 Lead Certificate #: NA If the project is exempt Yes/ Built after from lead certification, please explain why: 1980. In the last 12 months, Yes )( No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 Code must be completed within 180 days of permit issuance. x C r-ieLAL Applicant's Printed Name x Applicant sem. ignature Page 1 of 3 t C(O/ DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family T Multi 01 of Plex WORK TYPES New Addition Alteration _ Replace Retaining Wall Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation Plan Review (25% 100%) ) Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool _ Siding Reroof Windows Egress Window _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous _ Accessory Building _ Demolish Building* ` Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy c --3 Code Edition MA 2 0I S� Zoning ?� Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water Final Framing J Fireplace: Rough In _ Air Test " Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required _ Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control j Other: Reviewed By: 1-02 /'f/ y,4 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL i3 ;;/ < e rel e r► I 0 Z 4 r'1i7o�5 / 8 bt), C`Ar3me-kcf -T-Df\5 9v 5-1'ft X 2 0, J )' vv, �v Page 2 of 3 -----------------Use r In d For Office Use City of Eajan ` / t l hermit#: � (�a S� j I > to 3830 Pilot Knob clad , Permit gee. � L 1 Eagan MN 65122 I Coate Received: �. Phone: (651)675-5675 i Fax: (661)675-5694 l staff: I L..----------------- � 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date': 5-Z-2._/V Site Address Tenant: eaite ' , — 1 Resident/Owner Name: Phone: lr >- G '1 °>kill Add ress t CI / i }" Nome:" '.�4�,�'� �fr`t License ---- " Add #3[1 t r ress: PC, 6 > I City: Ji'� ;'e%� State: M Zip: .. 3 Phone: - 0 2 i. . 5 Contact t is pc rt Email: pg3" >�� ih� g,=».dw�ww.wc.,w,�:.:. .,pa�.a... e::.wamm,..aaq ....ex.�;w.a.�.aw•....�.....4.P.w.<.... :. w«w..w...�, f Type of Work New Replacement �Repair X Rebuild __ Modify Space Work in R.O.W. x o work: Description*f RESIDENTIAL - Water Heater Water Softener Lawn Irrigation( RPZ/ PV8 Permit Type Septic System Add Plumbing Fixtures( Main/ Lower Level) New Water Turnaround Abandonment s 1 RESIDENTIAL FEES. $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) 91 $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL.FEES$ BALL REFO E YOU DIG. Call Gopher State One Gall at(659)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. m,ry catFis vise rali.ar 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. x Applicant's Printed Name A ant's -� Pp S Signature FOR OFFICE USE Reviewed y Crate: Required Inspections., Under Ground bough-in Air`test Gas Test Final Meter Related Items: Meter Size:� Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137758 Date Issued:07/20/2016 Permit Category:ePermit Site Address: 4489 Clover Lane B Lot:21 Block: 01 Addition: Eden PID:10-22750-01-210 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sawbill Strategic Inc 217 Second St N Fl Main Stillwater MN 55082 Indoor Climate Experts Llc 1608 Hackberry Ct Carver MN 55315 (651) 253-0741 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