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4477 Clover Lane B*City 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Dike Use Permit* q//`/ Permit Fee: / � e C� Date Received: Staff. a_ 2010 RESIDENTIAL BUILDING PERMIT APPLICATION C a 1-/' Date: -- =./ -.90/0 Site Address: 4/ 4/1-717c:4 L p v/ _ L dc}�,r 6 Tenant: Suite 5: RESIDENT I OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK k/0 Description of work: ?p,.9411 - p_ ©k 6 bt=t.ch. t�U t"}.. . ,0",e„Uf Construction Cost, (":9 0C) Multi -Family Building: (Yes / No ) CONTRACTOR Name: o_,�ks b 30, e. Z NL . License #: _` C) Co30 70 Address: i c/ a S (- •enc} e uck City: t! (. k.,1 Le State: !'1A) Zip: . IDs) Phone: 6 S'1- 757 -- -7,,r:33. Contact: JCS S\ cx..-c i -LI. Email: G iig) . )e c jtSb13t3 e - C ca r -t 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: NOTE: Plans and supporting documents that you suburdt ane considered to be public lalonnetkon. Portions of the information may be classified as non-public if you provide specific reasons that would pmt the City to conclude that they we 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.000herstateonecall.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 approv - of plans. Applicant's Printed Name Ap s Signature Page 1 of 2 Lib C fo��� Ln. l�b�� � e DO NOT WRITE BELOW THIS UNE SUB TYPES Foundation Single Family Multi 01 of Plea Accessory Building WORK TYPES New Addition Alteration 1( Replace Retaining Wall _ Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair _ Repair DESCRIPTION Valuation J' Plan Review (25%_ 100% ?<, ) Census Code # of Units # of Buildings Type of Construction Vo) REQUIRED INSPECTIONS _ Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ace & Water Final Framing Fireplace: _Rough In Air Test insulation Meter Size: Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (ScreenlGazeix)lPergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant �7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final I C.O. Required Final I No C.O. Required HVAC Other Pool: Footings Air/Gas Tests Final Siding: Stucco Lath Stone Lath _Brick Final Windows Retaining Wall: Footings ,.� Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Rrioi/prL-4 (,'t1c. t�v -i9 J"fi5 TOTAL Page 2 of 2 ROBE yuU� Clau6-�� Li CONSULTING EN IVES ENGINEERING PLANNERS and • gUAVEVOAS COMPANY, INC. 1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 C.0 Ljf cct1 . r42ian. NORTH SCALE : 1"= 3o' LOTS 5,6,7 AND 8, BLOCK 3, EDEN ADDITION, DAKOTA COUNTY, MINNESOTA `z35.S _ DENOTES EXI5TIIV6 ELEVATION (920.0) DEILIOTES PROPOSED ELEVAT/OAf INDICATES DIRECTION - OF SURFACE DRAINAGE. FIN I5l-LED 611RA6E FL0012 E(.EVAT/a/V DRA11VA6E AND UTI L►TY 6A66MENT 30' FRONT BUI LDIN6 SETBACK L/NE 920,008 l\ 52.00 /V 891° 58` 02" E (9/7.0) /33.27 LOT 5 (9/9.8) 44.b17d' (9/6.5, (356! f —S240 -- I\ S2,00 -- I\ (920. (979.7) 8 Cb 1 _ 0 Co 0 flrOAPKA itv- il,O (920.. 5-j 61.27 LOT 8 PROPOSED 4-,umiT _-� I BUILDING 0 0 oi i (920-11 9/9°J`' ► nj 4! i` • '� . M \' �y q. `v p O IJ 89° 58102"E ---66.53 — O 0 !,92/,7) 23.04/923,0} :67 9z E. z; 1 LOT 6 4 LOT 7 52.00 (927, t I8- 34 70. 34 N 890 58' 02" E 9/9) (9/9.5) i L=33.80 R= 9z �� /90.00 d =/0° //',33u _C CLOVER LANE S, 94 90 (94617" • I hereby certify that this is a true and correct representation of a tract of land as shown' and described hereon.. As prepared by ma on this /sr day of Novella 6-12. , 19 B5' Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2011 RESIDENTIAL PLU Tenant T itj Site Address: Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: C' l7712- ING PERMIT ' PLICATION r. RESIDENT I OWNER 'Name: __Ai A' C,F--- Address / City /Zip: "lif CONtRACTOR Sults a: Phone: a 4,54 tai f, t,4 Nance; MILBERT COMPANY INC.dba CULLIGAN W../.TER • Address: 1801 50"' ST EAST City .: INVER GROVE:1.1t, S States •MN__ Zip: 55°77. Phone: Contact BILL.MILBEik'rj . Email: 65,1 :451-2241 • TYPE OF WORK PERMIT TYPE •Nevi 40/solacement Repair _ Rebuild _ Modify Space Work In,R.O.W. Description of Work: . RESIDENTIAL • . Water Heater • Lawn trrigatign (_ RPZ/ PVD) • Water Turnaround Septic System • __ New Abandonment • ,Water Softener ' Add Plumbing Fixtures ( Main l Lower Level) RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater=s Softener (includes $5.00 State Surcharge) • $35.00 Lawn Irrigation (lnchldes 35.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround' (Includes $5.00 State Surcharge) 'Water Turnaround (add $166.00 its 5/8' meter is required) • $105.00 Septic System 1j ($10.00 per as built) (Includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc,) (Includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Can 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•000herstateonecalLors I hereby acknowledge that this khfirmation N complete and accurate; that the wont will be In conformance with the ordinances and codes of the City of Eagan; that I understand this Is riot a pemdt. but only in application 'fora permit. and work to rt without a permit; that the work MI be In accordance wl the approved p a In the case of work which requires a review and a .. /'� • : ,op, •App /Hilt- i %fll •e t ant's Printed Name ; • pp Icant's•Signature CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot snob Road P. O. 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• lopes to comply with the City of Eagan Surcharge. Ordinances. By Date of insp.: / 76 Misc. Charges. Total Dote 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: I ogre* to comply with the City of Eagan Ordinances. By Dote of Insp.: Insp.: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:28 #582 P.011/079 City areae 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use II—I (31 Permit #: Permit Fee: 3g•15 Date Received: `11 l I J Staff: 2013 RESIDENTIAL BUILDING APPLICATION Site Address: 1-1,4111441113L-14111441111 CI w LafG Unit #: Date: ciI511013 Resident/ Owner. Type of Work Contractor Name: alert IIVri Ct 10.' GasSeX) Company Phone: Address/City/Zip: D'P �v/t VCSt Paul cuJ1env PI'Gtir►tiMN t 3Hy Applicant is: _ Owner /� Contractor Description of work: -Mar off and ire- roof Construction Cost:�$11 1100 • 00 Multi -Family Building: (Yes t X / No ) Company: AllSit�tr CUIrIS1 icfil�tn MaVICIOYiLn1 1.14, Contact: jot 1!Stead Address: 5iLIS Iflci 4 trial wed *in City: Maple Plain State: MN Zip: 55359 Phone: 952- qt -12-"1` 91 License #: 3C1031515 Lead Certificate #: N p1T- 2c9 tis i ^p 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 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.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. 00 -tattoo! tid Applicant's Printed Name x Ap caiht's Signature Page 1 of 3 City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA121278 Date Issued: 03/24/2014 Permit Category: ePermit Site Address: 4477 Clover Lane B Lot: 13 Block: 01 Addition: Eden PID: 10-22750-01-130 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. Kris Dien 3670 Dodd Rd Eagan, MN 55123 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 - Applicant - Owner: Ramona Peter 464 Deer Run Tr West St Paul MN 55118 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature From:ALLSTAR CONSTRUCTION 19529427464 10/21/2015 12:26 #269 P.009/020 Date: City ot6aQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED OCT 21 2015 Use BLUE or BLACK Ink For Office Use Permit #: 1 Permit Fee: Date Received: Staff: 2015 RESIDENTIAL BUILDING PERMIT APPLICATION J Site Address: Unit #: I Name: a rJ 'A : I ika1 t& [ ..i HdA Phone: Resident/ Owner i Address / City /Zip: '6/77 d//7' G/g/It Applicant is: Owner X Contractor A/lei I Description of work: Re--- 5..tv w ,/a drop/ ,u hf Type of Work . /' Contractor I Construction Cost: f2C% ea,' Multi -Family Building: (Yes /No Company: A I1S4A,z._ 6r1.51112.0 4. -Lin ;Mittel' it -n66 fr c e: Contact: ,....):en A i 141'1 ihNi Address: 511/5 inkS11'R-rA'L. S+ - S+:ii-L /03 City: fY1, IL PIs.. k State: filIJ Zip: 65%1 License #: J66 (&gel 356 Phone: g52-``15/2=7V54/Email: ;, > gcz.i,S r. b'Z- Lead Certificate #: A/A_. 2c) #$ Z_ If the project is exempt from lead certification, please explain why: i �,� m83 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 maybe classified as non-public if you provide specific reasons that would permit the City to �� _....s conclude that the are trade 4,014 secrets. ra , i4jy-g ,4,M^ XLa__tt ^„� � T.XaTt 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.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 co pleted within 180 days of permit issuance. y, Applicant's Printed Name �.e Applicnt's Signature Page 1 of 3 ®o�eirEAGAN Ir�® 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(abcityofeagan.com -------------I For Office Use I 20 8 I I Building Permit #: I I I S&W Permit #: I I Permit Fee: ✓ ! �� I I I Date Received: I I I I I I Date Issued: I---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/Site Address: Applicant is: ❑ Owner aContractor Unit #: Name: �Gt l/\ b t/l-t-e C) V, _-:3 llN-¢_y' S G' t O_4 Homeowner Address4l 2l AlE LI t l ?"3- NE city: �; `Q OL- VI-1, IylR: 5(22 t�ve.. i� State: Phone: Email: Description of work: P2 Cs b�- Type of 22 Q Work Construction Cost) t Type of building: ❑ Single Famil ❑ Townhome, of units Twin Home Compan T7QM t/l�('c,LC_ _Contact: 20" of Building Addresszy� rt& weST City: z;-deyx Contractor �/ /� State:M&6: S3�T `J Phhone6tZ�`1S Email0_k4Ae\f _\^_e,v� 2L( qc�C 1j b Z GPCo -- License #: D Expiration Date: � �� Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction 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. Applicant's Printed Name A licant's Signature