4466 Clover LaneRESIDENT / OWNER
Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: ' ?;..__) ., . c,,) ee..A.,
Construction Cost: fa C9 ' . Multi - Family Building: (Yes / No )
CONTRACTOR
Name: -+b e_c�►.6 ,I9-1 c� _ License #: "04-3 0
.�
Address: 1 Oj,6 s (:,,,,,,,9 Q. , City: 6cc. /)a. /-e_
State: AL/ / Zip: , /D.8"" Phone: 6,,S" - 75" 7 — ? Ff33
f
Contact: ..)0.-e--- S# kk Email: ,)e3-e- g Ckshy',cc _ Co dir
COMPLETE
In the last 12 months, has
Yes No 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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
s
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. rfi
Tenant:
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
et..N (4;-
EcEorTa
u u JUL 1 4 20I0
r
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: G1 Cie) ,t 1 et n.--t
Use BLUE or BLACK Ink
Suite #:
CALL BEFORE YOU DIG. Call Gopher State One CaII 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 approvaf plans.
x -.
Appl'e's Signature
Applicant's Printed Name
Page 1 of 2
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 Siding _ Demolish Building*
0 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
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Construction
y3y
vs
DO NOT WRITE BELOW THIS LINE
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
/60
Reviewed By: , Building Inspector
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
jt 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
RESIDENTIAL FEES �,, n et/ Q
Base Fee '4
Surcharge
Plan Review k/7
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies Q 2"56
TOTAL
Page 2 of 2
E NGINEERING ` PLANNERS ENGINEERS, SSURVEYORS
COMPANY, INC.
u„........1000 EAST 146Th STREET, BURNSVILLE, MINNESOTA 55337 PIi 432
CerZ J caiy iSit„r'v e j
LSE,StaLdazgri LOTS 1,2,3, AND 4, BLOCK 2, EDEN ADDITIot -1
DAKOTA couK1TY, MINNESOTA
0
01
DATE I Cv 65
N ORTH qo
SCALE : I "= 30' II �
c
BY:
DATE: __
0
R
r,
ROBE
�y�� Cloves �
L . i ) 'f
c2?1.1) DENOTE.5 EXISTINE, ELEVATION
(9 DENOTES • PROPOSED ELEVATIO■
MD/GATES DIRECTION of SuR.FACE. DRAINAGE
JIKJISHED GARAGE FLOOR ELEVATIO/1
°i • s8 (9240
W
DRAINAGE ALID
UTILITY EASEMENT •
30' FROivT 6UILOW&
SETBACK LINE
5.4r ifetcee Oki
y 7- A.i -I9
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6"
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(93
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194 - sj
1 hereby certify that this is a true and correct representation of a tract of
land as shown' and described hereon.. As prepared by me on this h_ day of
NGveNBER 9 19 8s .
nn. Reg. No. E-
r . 4
CITY OF FAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. 0. Box 21199 PERMIT NO.•
Eagan, MN 55121 DATE:
Zoning: , No. of Units:
Owner: _
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By ,` Date Paid:
Date of 1 nsp.: v. 5 i Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. 0. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee:
B Surcharge:
y Misc. Charges:
Dote of Insp.:
Total:
Insp.:
Date Paid:
From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:48 #582 P.065/079
Use BLUE or BLACK Ink
I For Office Use( I
npn j Permit of EaRd 1 Permit Fee: 3 .~5 I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: a 1 i3
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff: 1
I I
-fin 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q N1 WI3 Site Address: 416 yyWa, 4LAW, L*4W9 u Laney Unit
Name: _ft C'~ QSSC,~(1 C~YYIDAYI~1 Phone:
Resident/ ~N i
Owner Address / City / Zip: N3Y N V\ PUY a\j, EdW PIf, ifif, MN 1;5N
- Applicant is: Owner K Contractor
Type of Work Description of work: ~~aY off ahd re-roof
Construction Cost: s n 1 Dlocl. Multi-Family Building: (Yes X / No
t Company: 4JNAY \~nD1,V1t~~(1'1 ~~I~ LAX, Contact:
J
Address: FJI'1J IhdIal J11 #~~3 City: n
Contractor r
act r
State: Zip: 15C23501 Phone: "I~~' "1'1 Z" 1y7y
License ,t03~ 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 classified as non-public ff 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.aopherstateonecall.oro
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 1 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_ lug I~alst~ad x (~a _
Applicant's Printed Name A Ocant's Signature
Page 1 of 3
From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 13:06 #301 P.019/022
C!ty of Earn
3630 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
J
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: °MO // Site Address: `/�Ci+' VV€itr £ 4'V6 t- �Yht- /l v
...,.........,.:...,:::,...,..,�._......_..:.,,.:......................:.. Unit fl
Resident/
Owner
Type of Work
Contractor
Name: ,r/ Atif,4 /7"i &Lt. — £.1ZEi/ NO4
Address / City/ Zip: Y9/05/ OftoCo t!/O✓ - Lie
Applicant is:
Owner ii Contractor
Phone:
Description of work: /SS -J2% W/7 bin,// /,(75.— cirri/Z-6414.1•44;11 04/Y,
Construction Cost ./010G! Multi Family Building: (YesJ No )
Company: /Q il54 A2 davit ' u t reit J niiiivrruw,n Ce Contact: v) :en /4 A7-2
Address: S' 46 Indus -1-r; I Si- 3 I- -: /0� 3 city: Nil` o._ PLA- s
State: /4 Zip: 5636'3 Phone:q) 4q. '7/57 Email: %f444..//S- r"• �.. .
License #: (, o 3S io Lead Certificate #: iti/14 7 do nV -
If the project is exempt from lead certification, please explain why: ;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 plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor. Phone:
Mechanical 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. CaII Gopher State One Cali at (951) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.og
1 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 wortc which requires a review and approval of plans,
Exterior work authorized by a building permit issued In accordance with the Minnesota State Buildin. • mpleted within 150
days of permit issuance.
x CJI r Mie-mao x
Applicants Printed Name Applic nts Signature
Page 1 of 3
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(@cityofeagan.com
--------------
For Office Use I
I n I
I Building Permit #: I 0
I I
S&W Permit #: I
I I
Permit Fee:
I I
I I
I Date Received: I
I I
I Date Issued: I
I
t----------------------j
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Applicant is: ❑ Owner Contractor
Name: EGLs/� �4 o t/x-A-e— 0 y, U-__,,f ja5.s cz, a I OL4
Homeowner Address:law its gque u" /-I, City: �aaa
Phone: Email:
Description of work: P, e Q G bh-
Type of Q
Work Construction Cost:)
Building
Contractor
Type of building: ❑ Single Family ❑ Townhome, of units Twin Home
Compan)Thy �t h cl C_\lam Contact:
Address: Li�� I' rJ & W QST 1-k\y City: j4;- -GLPV_,�
State: Lip: 553�T Phone6tZ Emailia/V12 �[ �e� CSN`eo``�Q°��^
License #: t D -7r-K ) Expiration Date:
Sewer & Company:
Water
Contractor Address:
Required for State: _
new construction
Zip: Phone:
Contact:
Email:
License #: _Expiration Date:
City:
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.aopherstateonecall.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.
Applicant's Printed Name A licant's Signature