Loading...
4413 Clover LaneCity of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECE \ JUL 1 4 2010 'D. Use BLUE or BLACK Ink Permit#: q50 I Permit Fee: 1 / / 5"-c Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: q41 /3 C (0 u j Lei Tenant: Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: 2,.) -, VJ ,e -G4 Construction Cost: Y (9 b Multi -Family Building: (Yes / No ) CONTRACTOR Name: °e.c nA c .# 30-e_ License #: ,0 630 tIo2 Address: )4 kg- e';. e et.lL/A..e, City: co 0,,k_e}t.,(.e State: 141N Zip: S--5-1.9 Phone: G 51 _ -757 -- `7� 3 // Contact: Sieh c .Sc Le.. �C. & cc�t ,e..S br�ic-,e , c -c -'.7 COMPLETE In the last 12 months, has If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes _No 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 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.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 approvsof plans. x 3_\ Applicant's Printed Name x A••Ii ant's Signature Page 1 of 2 C( cu L E -.0 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3- Season) Storm Damage Single Family _ Garage _ Porch (4- Season) Exterior Alteration (Single Family) Multi Deck _ Porch (Screen /Gazebo /Pergola) Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Occupancy Plan Review Code Edition (25% 100 %4 Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction \1(3 Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL Siding Demolish Building* Reroof Demolish Interior Windows Demolish Foundation Egress Window Water Damage *Demolition of entire building - give PCA handout to applicant L MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC 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: Z , Building Inspector L/ /fj Page 2 of 2 p -ea•y idrn,:..::rMnp:� ROBE ENGINEERING COMPANY, INC. EAST I461h STREET, BURNSVILLE, MINNESOTA 5Z41 . + cpazo7L: LOTS 29, 30, 31 AND 32, NORTH SCALE : / " = 30' �r1 i Cdfr*1E11 cu1 3o' 37, z C.4331527) DENOTES (93s• 0 ) DENOTES - �.r — INDICATES 939.5 = FINISHED / 1 hereby certify that this is a true land as shown'and described hereon.. /Weed , 19 84 . CONSULTING EHGINEEAT PLRUUNEl1S and LAND SURVEYORS Ev BY DATE rte _' SETBACK L PROPOSED BUI 88. L OT 134,9 3I - ` i \ J 55337 PII 432 ' ! 1.4.L4 I DAKOTA COUNTY, MINNESOTA EX/ST/MG ELE VATION PROPOSED ELEVATI DIRECTION OF SURFACE ORAINAGG: GARAGE FLOOR ELEVATION UILDIN6 NE EAST /60.00 DING 00 4 - UNIT BLOCK 3, (93 80.23 EDEN" ADDITION, LOT 29 r945.L, N 8J 44'43" W I r - 82,41 -- i 9 38.3 (31.4) ,/ LOTi 32 tAg. . 0 RA/N 96 T/4. E AS NO L �� { I _' EMEN and correct representation of a tract of As prepared by me on this 77d day of ttinn. Reg. No. 1 ?©gr RESIDENT OWNER Name: r V a 3 0 1 k c s 6 y Phone: (P.� f (D d 1 of i Address Zip: `t I 3 C L) 02.)f Lc�i Ea-3 Ch S CONTRACTOR 1 City t� Name: UY9 C. LC`tQLV License Og a33 1 -cuC- Address: 1 a )1 VI/LW v o ;#M/at.-6 City: J /1/0- 14_ v kj State: r Z hD Phone: ,CA C iii G 0 Contact Person: cL2) X TYPE OF WORK New k Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL 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 $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) 5V TOTAL FEES x 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date: 1 ,i-a -09 Cit7otEaQau 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: y-413 C1 Uve/ l OuvL, t✓ 9CL--, Tenant: Suite 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 approv• pla 0 b►n- dv .0 Applicant's Printed Name x Ap gnature Use BLUE or BLACK Ink For Office Use Permit Permit Fee: Date Received: Staff: a 414 FOR OFFICE USE 'Reviewed By:, Date: Required Inspections: _Under Ground Rough -In Air Test Gas Test Final Date: City otEaap�n 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink ForWoe Use Permit #: / e'6" 7 Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION , l Site Address: 944 r 5 g C lo Vet' 4. Unit*: RESIDENT l OWNER Name: LG Ann. iC5S pdr -%— Address / City / Zip: 4/4// Phone: Applicant is: Owner Contractor TYPE OF WORK Description of work: If - Construction Cost*. D Multi -Family Building: (Yes / No ) CONTRACTOR Company: Pr c !cf ice/ J....4 , r✓iG Address: 19G1— r4(/P_ - State: fl'74A Zip: SS / 98 Phone: Contact: J -o>✓ ,5 /04 - State: 04" City:(e_ C'?-7,7-3VZ-- License #: eC4' 307 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber Phone: Mechanical Contractor Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe ctassitied as non-public if you provide specify reasons that wEu le permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www. • o • a t- teon . II.or I hereby acknowledge that this information is complete and accurate; that the work will be in co Eagan; that I understand this is not a permit, but only an application for a permit, and work accordance with the approved plan in the case of work which requires a review and approval ,f9 ieir; x Applicant's Printed Name codes of the City of ut a permit; that the work will be in Page 1 of 3 44(-3 CIo1&'. L4 & DO NOT WRITE BELOW THIS LINE qea7 -SUB TYPES Foundation Single Family Multi 01 of_Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation2÷Y.12L.) Pian Review (25% 100% Census Code # of Units # of Buildings Type of Construction V REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Porch (3 -Season) Porch (4 -Season) Porch (ScreenlGazebo/Pergola) Pool Storm Damage _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window _ Demolish Building* — Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building – give PCA handout to applicant MCES System 7 SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: _ Final / C.O. Required ?c Final / No C.O. Required l ` HVAC Gas Service Test Gas Line Air Test Other: _ Pool: _Footings Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control Reviewed By: ' �--� , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL OW46 /iAke/2Ox 2 uv) Page 2 of 3 d7.+1,r0.61. Lj�' • .E'M 5iee17,i F-., .4 w. qq Chien_ 67- qg'6 (IOBE tes ti, CONSULTING E110111MS ENGINEERING PLnuitens and L11110 SURVEYORS COMPANY INC. 1000 EAST 1461h STREET, BURNSVILLE , MINNESOTA 55337 PH 432-3000 2gQI DescricipaZort: LOTS 29, 30, 31 AND 32, BLOCK. 3, EDEN ADDITION, DAKOTA COUNTY, MINNESOTA NORTH ScAL.E : 1" = 30' C9.13.2 o DENOTES EXISTING ELE VAT/01V (935.0) DENOTES PROPOSED ELEVATION —E--- INDICATES DIRECTION OF SURFACE DRAINAGE: 139.5 = FINISHED GARAGE FLOOR ELEVAT/ON _7 G_ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: P. 0. Box 21199 DATE: Eagan, MN 55121 No. of Units: — Zoning: Owner: — Address: Site Address: — Plumber: N Connection Charge: Meter No.: Account Deposit: Size: Permit No.: ermit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Charges: r--; '�,< Total: - ,� Date Paid: Y Date of I nsp.: — l C '�3 Insp.: OF EAGAN SEWER SERVICE PERMIT - 3830 Pilot Knob Road PERMIT NO.: P. O. Box 21199 Eagan, MN 55121 DATE: — Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to comply with Hoe City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: - Total:: Insp.: Date Paid: From:ALLSTAR CONSTRUCTION 19529427464 09117/2013 08:40 #582 P.044/079 Use BLUE or BLACK Ink For Office Use 'n 4 j Permit City of Ea Ed~ ~ Permit Fee: ~ 3830 Pilot Knob Road 7 Eagan MN 55122 Date Received: ct1. 13 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: _ I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4-5-1013 Site Address: 4411,4411%441:04 lab UDYCAr Loins Unit M f Name: Edekt ftm r-10" Wmlr1 (iOYY1D01Yhl Phone: Resident/ Owner Address / City / Zip: io fbb GhI Wect Pqrkvv N , Edw Pmi riC, MN 55344 Applicant is: Owner J Contractor Description of work: TM Q* Ghd Ye' ME Type of Work Construction Cost 3 10i 150.00 Multi-Family Building: (Yes X /No Company: VS-Val COnSir"Un MfdYltlf MCJJ A IJ [_Contact: JOC *AISifad k i Contractor Address: 511-15 InCUStY 01 S tC-+ * 103 City: Ali pt Plai h State: MtJ_ Zip: SSPhone: qS1 941_ 1454 License FIC1o31515 Lead Certificate NWT - ZDgID4-() 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 I in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the. information maybe Classlfed as non-public if you provide specific reasons that would permit, the City to N` 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.aooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. ISt~ad x c x 4t Hy Applicant's Printed Name A li ant's Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 City of aan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 02/10/2016 12:59 #301 P.009/022 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: / 4 ea Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Of /d/e, Site Address: y%//- al/f.1e Unit #: 4,5 Resident/ Owner Type of Work Contractor Name: 6/V,4 r f of - 4/3 &/ 1 -lo Address / City / Zip: T �// *Vs 6;fg- Applicant is: Owner Contractor Construction Cost: f 01 000 Multi -Family Building: (Yes o ) Company:,4ii&44. d rifkrr.c 1 Ah:ftriellaneeContact: wi /1/t ` //0 Address: �f446 (ndW54 ri 4 1 Si-- .5-0;LC /03 City: %VTh jle-RA- Iil State: %i itAI Zip: 5'636' Phone:q 4 ' 614 Email: ii74getllS r. -4 2- -. License #: (DAOiSO Lead Certificate #: AM -r- e4®9(,f - e� Phone: /✓//, 4.G1,01, J Description of work: 8-.5fa /eV/TA /417,,07/ 5; A If the project is exempt from lead certification, please explain why: gut Ur ` /993 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 pian? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression 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 thatthey are trade secrets. ............ CALL BEFORE YOU DIG. Call Gopher State One Cali 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. aopherslateonecall.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 yl.. pleted within 180 days of permit issuance. • x of l` iT Applicant's Printed Name Applic>nVs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159521 Date Issued:12/26/2019 Permit Category:ePermit Site Address: 4413 Clover Lane Lot:30 Block: 03 Addition: Eden PID:10-22750-03-300 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$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 - Doug Thompson 4413 Clover Lane Eagan MN 55122 (651) 269-7851 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature i / f ® o I I I I I EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(a)cityofeagan.com -------------I For Office Use I I Building Permit #: obo I I I I I I S&W Permit #: I I C�J I I Permit Fee: � 1 I I I A-0I I I Date Received: I I I I I I Date Issued: I i- - - - - - - - - - - - - - - - - - - - - J RESIDENTIAL BUILDING PERMIT APPLICATION Date: �h qZ?W3 Site Address: Unit #: Applicant is: ❑ Owner IlContractor Name: �G(�V� b v,�e Cc>ja5'Sc, C'_I Ct_4 k 6 U-\� Homeowner Address: OW 3 Y413 Liq 11 /� (� ) � City: a IIJ Stat .[M WLi �� Phone: Email: Description of work:t�- Type of ! Work Construction Cost '7 Type of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan Th-�� CV1:S& -LA c_ \ Contact: (2-0,v'� �f Building Addressl�A t�tVlieS`�r 1 Contractor �J /? State: Zip: 5:53 Phone6t Z-/'/ 5 EmailCjAke�C V_ey -2 - cP License #: Expiration Date: �- - - - Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction License #: Ex iration Date: ` 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.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. E�\e_xc�y�+ x Z_ z, �,; � Applicant's Printed Name A licant's Signature