4441 Clover Lane BCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA092134
11/24/2009
ePermit
Site Address: 4441 Clover Lane B
Lot: 12 Block: 03 Addition: Eden
PID:10-22750-120-03
Use:
Description:
Sub Type: e - Fumace
Work Type: New
Description: Furnace
Comments:
Quesetions regarding electrical permit
952-445-2840
CRAIG ANGELL
12253 NICOLLET AVE. S.
equirements should be directed to Mark Anderson, State Elec
cal Inspector,
Fee Summary:
ME - Permit Fee (Replacements)
Surcharge -Fixed
$50.00 0801.4088
$0.50 9001.2195
Total:
$50.50
Contractor:
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
- Applicant -
Owner:
Michelle R Heller
4441 Clover Lane Unit B
Eagan MN 55122--243
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
411fr
CityofEaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
For Oho Use
Permit I: q56 (! I
Permit Fee: / 0-3 .1 c
Date Received:
Staff.
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: .7 - I q - ° / 6/Site Address: 4/14''1 1 i f A V 0.4t
Tenant: ✓)1 cl e.] re. +i e. 11-P.4^
Suite l :
J
RESIDENT / OWNER
Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of worts: :s ; k 3 <a. G �- / ..e i c -e- rot,-) 3 &-
6
Construction Cost: 4 1,9 r°3 -r) Multi -Family Building: (Yes / No )
CONTRACTOR
Name: e c%b e,...1.uc , License#: :1,0 ,; 3 ®1 `t C?
y
Address: )C/ , S C.-etilevic..,. )&.r-@- • ,t,) . City: C9c"_s k-c1}.I.e.
State: }'h ,r.) Zip: ,..S.7 ;s' Phone: (, S / — -7 S-? - 7 2 3
Contact: G 5+ ck k . Email: a -e.. ,:,.., • .. .
COMPLETE
in the last 12 months, has
Yes 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 pian:
_No
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and supporting documents that you, submit are considered to be pubic mlbrmatl or Portions of
the Information may be classified as nonpublic if you provide specific reasons that would pennit the City to
conclude that they we bade 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.00pherstateonecall.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 • ft, 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 whipl • i i '1�
� r �I f plans.
xC2TC
\‘,
(j I
Applicants Printed Name
JUL 1 9 2014p
can
s Signature
1t,
Page 1 of 2
LfL4 9 C1ou6-14
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
,* Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola) T
Pool
qw7
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation , eoe
Plan Review
(25% 100% V)
Census Code 113y
# of Units
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Meter Size:
Reviewed By:
Pi/
RESIDENTIAL FEESV
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Siding
Reroof
Windows
Demolish Building*
_ Demolish Interior
Demolish Foundation
Egress Window Water Damage
*Demolition of entire building — give PCA handout to applicant
Pd
i0
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final/ No C.O. Required
HVAC
Other:
Pool: Footings Air/Gas Tests Final
Siding: _Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings_ Backfill
Radon Control
Erosion Control
, Building Inspector
Final
73'I-
117 tt
'@ ¢
TOTAL
eo 0,6c4. & /6 -erg
Page 2of3
RO E 1-14-xg ciutcA 41, 93--z,7
ENGINENGINEEnACONSULTING ENc3IHEERS
EERING PLANNERS and LAND SURVEYORS
COMPANY, INC.
l .1000 EAST 1461n STREET, BURNSVILLE, MINNESOTA 55337 PH
5:tyle_ 37 P ,e ' 3
432-3000
TA cc:Lig...4
zAgc ( D cr4p22on: LOTS 9, /0, /, AND 12, BLOCK 3, EDEN AUDIT/OA/,
DAKOTA COUNTY) MINNESOTA
NORTH
SCALE : 1" = 30'
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9$0 ; DENOTE -5 EX/577/V6 ELE VAT/ON
(93� , o ) DE NOTES PROPO5 ED t LE-VAT/OA./
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F1/V/5NEL7 G/If''A6E FLOOR ELEVATION
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BY:
DRAINAGE. AND
UTILITY EASEME1UT
\.
30' FRONT By/LD/N&
561 -BACK L IIJE
EAGAN
REVIEWED
DATE: ?- 2Z'1U
•
X(930_Z(°
I hereby certify that this is a trued correct representation of a tract of
land as shown' and described hereon.. As prepared by me on this 7 day of
AbvWW , 19 r6°. .
BUILDING INSPECTIONS DIVISION
,/) / Hinn. Rag. No.,/
CITY OF EAGAN
383.0 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121
DATE:
Zoning:
— No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.:
Size:
Reader No.:
1 ogree to comply with the City of Eagan
Ordina
WATER SERVICE PERMIT
By
Dote of Insp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
Insp.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning:
Owner:
Address:
Site Address:
Plumber:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
1 agree to comply with the City of Eagan
Ordinances.
By
Dote of Insp.:
Insp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Dote Paid:
From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:34 #582 P.029/079
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: -I 11945
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: cIf( S120I3 Site Address: ri4y11441IBIy'-i`�3iti43B we* wine, UnitI#:
Resident/
Owner
Contractor
Name
€ce h troi- CSO : C-1O►SS+vIri Cornwall
Address / City / Zip: 1P9? CAN West PritlictiVONI € ) Prairie, MN %3L -P-1
Applicant is: Owner % Contractor
Description of work: "Tear off and ve-voof
Construction Cost: $ W1030.00 Multi -Family Building: (Yes / No _)
Phone:
Company: Amor Cm -humpy) Ma,t 11( LLL Contact: dot ItalstectcI
Address: 51.15 ihctictrial S1'YC + *103 City: Wei Plain
State: Ivt NI Zip: ✓"✓35 1 Phone: CI ✓ Z— H Z - IL-1
License #: C 1931515 Lead Certificate #: T- ZU"I tQt--1 - 0
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor: Phone:
Phone:
Sewer & Water Contractor:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www. aoaherstateonecall.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,
dot lqtacl
Applicant's Printed Name Abpl(j ant's Signature
Phone:
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA126775
Date Issued: 09/09/2014
Permit Category: ePermit
Site Address: 4441 Clover Lane B
Lot: 12 Block: 03 Addition: Eden
PID: 10-22750-03-120
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Two or More Windows/Doors
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Window World Aka Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
- Applicant -
Owner:
Michelle R Heller
4441 Clover Lane Unit B
Eagan MN 55122--243
(763) 370-7490
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:02 #301 P.013/022
44!! Cityofaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: _
Permit Fee:
Date Received:
Staff:
'3 SS
10.1,
J
20162016RESIDENTIAL BUILDING
U 7 VYLD NG PERMIT APPLICATION
Date:I4t /ALO Site Address: We . L � e h./7 G Unit#: 4
Resident/
Owner
Type of Work
Contractor
Name: AWAtVA t i e$ LL, -�.1e/°l i7®i
Address / City / Zip: V41/ *y.3 4
Applicant is: Owner X' Contractor
Phone: //�1
Descriptionofwork: A'F $%Cl`% kt//7 �Ylt// SA'/rs�' f44t.4
Construction Cost: i'04 dd'd Multi Family Building: (Yes /No __)
Company: A li5r/ 4L, d a9El'K e4rovt /t X/97;h &tan C Contact:.) a .rift A 11 ern A
Address: 6-1 146 Ine44.0-/'r A i s?^ ..SN rf-/03 City: fill'`'Re/- T L r s t 1
State: (Mr rN Zip: 56635 3 Phone:4040• '745y Email: illy`/ @ %.//S-4 r.. Z
License #: f36 6/0356 Lead Certificate #: o24 1 /A V - v�
If the project is exempt from lead certification, please explain why:Div�t-1,. `el /983
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:
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 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.aocherstateonecall.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 Buiidin , ;:�u . mplefed within 180
days of permit issuance.
x �, ► j'//errial7
Applicant's Printed Name
x
Apollo : nt's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157754
Date Issued:09/06/2019
Permit Category:ePermit
Site Address: 4441 Clover Lane B
Lot:12 Block: 03 Addition: Eden
PID:10-22750-03-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michelle R Heller
4441 Clover Lane Unit B
Eagan MN 55122--243
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature
� 1
0EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
build inginspections(abcityofeagan.com
-------------I
For Office Use
I 7�I Building Permit #:
I I
S&W Permit #:
I
Permit Fee: I (,
I I
I I
Date Received:
I I
I I
I Date Issued:
---------------------'
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �hq el V Site Address: -
Applicant is: ❑ Owner aContractor
Name: EGL SLI, 1A b Vk/`+- d t, 5,—(42S C-2
Homeowner Address: g4-1'A I y 4 City: �aQ0- v�
i
Stater 1AP: G51 2 Phone: Email:
Description of work: Pi P_ Q Cs t —
Type of
Work Construction Cost �
Building
Contractor
Type of building: ❑ Single Family ❑ Townhome, of units Twin Home
Compan .M 0 ontact: (20v' �' f
Address: L/39 rt& W QsA-(� 4 _Y City: Gl" �'_yx RV-G��vx-l e_
State:Awip: 55366/Phone&
15 07-License #:EC!Q(4 I �j ,,� Expiration Date: J ? /J
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction j
I License #: Expiration 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.
x
Applicant's Printed Name A licant's Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
build inginspections(abcityofeagan.com
-------------I
For Office Use
I 7�I Building Permit #:
I I
S&W Permit #:
I
Permit Fee: I (,
I I
I I
Date Received:
I I
I I
I Date Issued:
---------------------'
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �hq el V Site Address: -
Applicant is: ❑ Owner aContractor
Name: EGL SLI, 1A b Vk/`+- d t, 5,—(42S C-2
Homeowner Address: g4-1'A I y 4 City: �aQ0- v�
i
Stater 1AP: G51 2 Phone: Email:
Description of work: Pi P_ Q Cs t —
Type of
Work Construction Cost �
Building
Contractor
Type of building: ❑ Single Family ❑ Townhome, of units Twin Home
Compan .M 0 ontact: (20v' �' f
Address: L/39 rt& W QsA-(� 4 _Y City: Gl" �'_yx RV-G��vx-l e_
State:Awip: 55366/Phone&
15 07-License #:EC!Q(4 I �j ,,� Expiration Date: J ? /J
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction j
I License #: Expiration 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.
x
Applicant's Printed Name A licant's Signature