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4479 Clover Lanety atEagao 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit Fee: $I9. ! t/ Date Received: Jl1N 2 11y-�2f ;1 2011 RESIDENTIAL BUILD! PERMIT APPLICATIONCa& Date: iQ/r/j Site Address: 44 761 Clover Unit Staff: RESIDENT / OWNER e.� Name: a tl,,n(1G ---\--(3e.)..)Cl \ Phone: (DS' / -S-S-(0 -4 &' a 9 Address / City / Zip: 4'1 q ( L. A.xm - Applicant is: Owner Contractor TYPE OF WORK Description of work:q,C1 Cif C — ctr)e) f.8 ©..0 4.0 4) Axc k) S WO beck- 40 Bz4,0 Construction CostW21 C_P - G v Multi -Family Building: (Yes / Noj) CONTRACTOR Company:" ctS tp,u) Contact:,\v-Pti ,S0e Address: \ t(S C-re.r�G�. f 1-J . City: ( .?EL 1 .. State: 1,--\. N Zip: SS 13 Phone: LC ( -1 ct-14? 3 License #: t9._)(02 -1.,73C). aLead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, If 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? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: , docu , ubm �e ° .e �• gyred to be pu \�f# ,, #„ wJvv / . �� v . t_ �� It ffy a p v d v, v`�," 3 re c> ice; yp ry i s h SS f#ts o, o s 0%-- \ / "" �t! i „„--- / i% �,, � % V�\�\ �' .. m \\�`���\ `fir \���« .,. �. a�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.gooherstateonecall.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 wo k 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 f plans. Applicant's Printed Name x Appli 's Signature Page 1 of 3 DO IVO TE 6E OW THIS LINE g`?8,91 SUB TYPES Foundation Fireplace Single Family Garage Multi < Deck 01 of Plex Lower Level Accessory Building WORK TYPES New Interior Improvement f( Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction Y) O2-7 V REQUIRED INSPECTIONS Footings (New Building) Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Re roof 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 1444-0v7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) �C Final / No C.O. Required Foundation / _ HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: _Ice & Water _Final Pool: Footings ^Air/Gas Tests _ Framing Siding: _Stucco Lath _Stone Lath Fireplace: _Rough In _Air Test _Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Final Brick Sheetrock Erosion Control Reviewed By: ( L— , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 00-k- (')uoi i9, at 14/ OD Page 2 of 3 APEIE NGINEERING OMPANY INC. k J000 EAST 1461A STREET, 6URNSY$LLE, MINNESOTA 55337 PH 432-3000 C r„ jY etzzc Lagar/ 17e sr4p2fon: LOTS I3, 14, 15, Axlp 16, Block DAK0774 GOVW7"Y, MINNE50TA CONSULTING ENGINEERS PLANNERS and LAND SURVEYORS DRAIIJAGG .AND UT 1 L!T y ,AScMENT • • • V. O . 4l EDEN /ADI TI 30' FRONT BvIc.D/NG SETBACK LINE - ..� // 1, 3p. N Q RTH SCALE: 1" = 30' Cf? -_;;;:72-3 DENOTES EXIST/N6 ELE✓4T/v/V f (9z.o,o) DENOTES P/ oP05ED EL6YAT/O/tI /NDIGATES DIRECT/ ON 0c- = F/,v/5Nso a.AR,4 GSE SURFACE FLOOR & L vA 770/J I hersby 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 /4•>i , day of f�7��% Ninn. Reg. City otBaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit*: oEi r - Permit Fee: idd. q 2011 RESIDENTIAL BUILDING PERMIT APPLICATION -, Date: Site Address: Unit #: RESIDENT i OWNER Name:'( et ^ e `�C�l.) f, " WI Phone: j Address / City / Zip: ' -1'7 ? C 10(H /1 6- 4 ? / � -,.,, . A Applicant is: Owner , Contractor TYPE OF WORK Description of work: l 2're o (-r - eac1- ' Z(. -%I `-"=:.---Construction Cost o Multi -Family Building: (Yes i No ) CONTRACTOR Company: 6z= -r5 t�>sj -.S�,.- sr‘c. - Contact: ,Sof'_ �.J 1z_./We Address I ,5 enev i i%' �i. City: Ccs Igo If'' n State: i t `l) Zip: ISS \ "ZtPhone: UJ 5\--7/7-3q23 License #: Cts 3C fir Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes If 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? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NO'TiE: P and support docautr►ents that you submit a consi fared to be pftblic infol anon. Portions of the information may be classi d els non-publ if yoti provides cifi ns mat worarkf permit the City to conclude that ey 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conforms Eagan; that I understand this is not a permit, but only art application for a permit, and is not accordance with the approved plan in the case of work which requires a review and appro : I . f plans. x �JU S4-01 Applicant's Printed Name with the ordinances and codes of the City of a permit; that the work will be in q DO NO I WRWRITE IS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration 4.Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level Porch (3 -Season) _ Porch (4 -Season) — Porch (Screen/Gazebo/Pergola) _ Interior Improvement Move Building Fire Repair Repair (25%_ 100% _4 Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _ Siding: _Stucco Lath Stone Lath _ Windows Retaining Wall: — Footings T Backfill Radon Control Erosion Control , 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 �yf Page 2 of 3 ROSE NGINEEfING 'COMPANY, INC. {000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PH 432'3000 eSzLr' v e ff , sg z O•tcr4,02 on: LOTS /3, 14, /5, AIJQ 16, 3L00K 1, DAKOTA COUNTY, MINNESOTA CONSULTING ENGINEERS PLANNERS and LAND SURVEYORS DRAINAGE AND UTILITY EASEMENT G i i '�//--) /`•� >3. EDEA/ , IDDIT/ 3d FRonIT B41/GD/NG SETBACK LINE 0. )- / / // V V N M. q 3p. C0 Y \` ZR.vi k/,� --I° - o e' --' � O 1) 5 o / (P4 • 4/ / °N 4,i 40 /r12%.0 N0RTH SCALE: I" = 30' DE'NOTE5 EX/ST/A/C ELEV4T/OA/ (92.0,o) DENOTES Pko POSED El6VAT/OAJ /AIDICATE5 ID/RE-CT/On! O/ 5UFFACE F/,v/SNEU a.,4R,4' FLOOR ELE"vA T/O/v I 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 ,/4.77, day of ►� , 19 S. Ninn. Reg. No. / RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK `\ ` it Description of work: ��?,�‘r.co_ ©\ o �,P_G� t k ). l t-L A.}-,l u Construction Cost l c9 00 Multi - Family Building: (Yes / No ) CONTRACTOR Name: p s 6 r\ e .2 4 c • License*: _nC9 6330 70a Address: 19. (S Ka- .ii) e u« City: f9 rt 14 .. (t. State: Zip: ..5 °/ DR Phone: CS - 75 783 _fr1,6_ Contact: - s►_ S \ c.3.,, k.: Email: o e . ) eckeby e - COr^-c COMPLETE In the last 12 months, has 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: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans a nd supporting documents > you submit ae+e co idered to � n. do s t f #► information maybe classic d as non - rt is if y+ a provide sp#c # c r t t d ► conclude thalt they , trade secs. x 41 City 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Tenant: L. : A301 c .. F,c,S-F-er• Applicant's Printed Name !JUL 81 RECT x �■. �-JZ 1 Ap s Signature L Permit Fee: Staff: Use BLUE or BLACK Ink Permit # Date Received: / - 7/ /c) 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '7 —' / --,0/0 Site Address: L `' / 7 17 r ()vex , l 0 a ao . Suite #: R CALL BEFORE YOU DIG. Cali 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.aooherstateonecall.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 approv of plans. Page 1 of 2 SUB TYPES Foundation Single Family Multi _ 01 of „ Piex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25 % 1 op% Z Census Code # of Units # of Buildings Type of Construction Reviewed By: _ Fireplace _ Garage Deck Lower Level ` Interior Improvement Move Building Fire Repair — Repair 3dee REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _ ice & Water Final Framing Fireplace: Rough In Air Test Insulation Meter Size: C 6- L, . DO NOT WRITE BELOW THIS UNE J-l3q cM► Occupancy Code Edition Zoning Stories Square Feet Length Width JtESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL — Porch (3-Season) _ Storm Damage Porch (4-Season) _ Exterior Alteration (Single Family) _ Porch (ScreenlGazeboIPergola) _ Exterior Alteration (Multi) Pool _ Miscellaneous C 57 - Siding _ Demolish Building* Reroof — Demolish Interior Windows — Demolish Foundation Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant Ac ,2 007 MCES System SAC Units City Water Booster Pump /Go PRV Fire Sprinklers 2,0 Radon Control Erosion Control , Building Inspector Sheetrock Final / C.O. Required , Final t No C.O. Required HVAC Other: Pool: Footings Air /Gas Tests Final (9613 Siding: Stucco Lath Stone Lath Brick Final Windows Retaining Wail: _ Footings _ BackfiiI Final Page 2 of 2 DRAINAGE 4MP UTILITY EASEMENT � dlgl - � tL mac, BY: L (cl 7(7 n r Cloig z 1 11.PBE ,I GINEERING _. *'COMPANY INC. 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000 J E Z CLeLt__X P.CCEIC 45 .L cr L z'cn: LCT5 /3, l4, 15, AMP 16, BLOCK DAKOTA COlVit/TY, M!NNE5OTA EAGA REVIEWED C 4 t J ..!ILf_;IN '" ` a,` ;TIONS DIVISION CONSULTING ENGINEERS PLANNERS and LAND S URVEYORS t > 3 . i> ,- ---7 f 7 -' 4 1 1-1- 30' FRO Bv/tD /N G SET K LINE N ORTH SCALE : !'' = 30' (2 DENOTES EX /5T /A/6 ELEMT /OA/ EDEN A DDI71 (97-0 ,o ) DENOTES Pko Po SED EL E 14/4 T /ON /A/D/cATES D /RECTID.N of SURFACE DR,4 /Ah' 3E F /.0 /SNED a FLOOR ELEVA 77OA/ 0' I 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 , /4 day of 65°r&,7 , , 19V5 . M �! )finn. Reg. No. CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21139 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: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By (/3 %'9-) -- Dote Paid: Date of Insp.: it -- ) f -- S Insp.. CITY 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 the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: I nsp.• Date Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:28 #582 P.011/079 Use BLUE or BLACK Ink I For Office Use ~j I ' j Permit 1H ~ ✓ I fln City of Eap a ; Permit Fee: /1 D • 15 I 3630 Pilot Knob Road I I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I I ------J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2013 Site Address: 44111 H411 b 1H41q 14411 B Uhtr L 9nG Unit Ainl IM IIVtT Name: 1,dit 00: Gasser CQMP0f1A Phone: f t Resident/ G Owner. Address/ City/ zip: lOLM Gft V nt Pig 0k mm. c4h Pwit, MN iih 3H L4 Applicant is: _ Owner I- Contractor 1, off I x Description of work: TeQr Q I e' Y0vf 1 Type of Work 1 Construction Cost: $1111 O- 00 Multi-Family Building: (Yes X / No Company: z911Sior C 34 cal MgngANtlit, LLG Contact -00t ~ l tCpd h Contractor Address: 51%4,; Inamteal StPPe #IU3 City: MAW, Plain State: MN zip: %359 Phone: 9152- gLu-,1`iG,4 1 License 3C.1031 CJT3 Lead Certificate M N AT- 2Cq VLi -0 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) fr e 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: ti Sewer & Water Contractor: _ Phone: ~i 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 th 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.Qooherstateonecall.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. x dire N&w x Applicant's Printed Name Ap is is Signature Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/21i2015 12:26 #269 P.009/020 Use BLUE or BLACF(Ink � For Office Use ^ ` � � • ��!7(� (� �+ � (-���g�j � ���y o�LU�LL� R�4����� � Permit#: �� � b � �O� � Permit Fee: � 3830 Pilot Knob Road OCT Z � � Eagan MN 55722 � Date Received: � Phone:(651)675-5675 � � Fax:(651)675-5694 I Staff: � 1 I �...��������_����_�.�J 2015 R�SI��NTBl4L �!JlLDl�C� PER�i���aPPL�GATIOt� Date: Site Address: Unit#• �,me..,.�.�.�..�,...,y.�.H:,.m.�„_,.._,.,�_.,.�.,,.�.,<�.,...._...W.r...�,�:...:J.,� ....<��.,.,.n...,..,N�.�...�,z,,..,u. .,....,,,�.�.�,a � � Name: i�nP�1✓a. J h�31��.V.,..��_��E•.s:,��..,0�`t Phone: /}//�I 6 � Resident/ � Owner � Address I City/Zip: y`I��' ��'7`j L �/gyZ � �'�.t= � f 1 � Applicant is: Owner � Contractor �.._�.,�,..w1.�.�>.n..��.:x�<.,�:.��..'-.�._..,�_,�-,.:..��.,.�,.....�K..,.�.,-.�.w..,._,_._..��..ti..�,..„�,._...".._.,.z.��.,�..,T..�.�,.:_._�_..,.�...�.-�,.�._....�._.u.,..�w�....�r..�.�,,._.�..P,.=._�4r�v.�....�,-...,.�.�..,T�,_ � � Description of work: t•- ���r �-� ,e, � Typ�e of Work � ��w�� g Construction Cost:���GiCi' Multi-Family Building:(Yes �No � .. .�...,�..,._.,_:__,.a.,,._�.,..�.......,-�..Y.,._m..�.�e....w.� f m�.n_.�._�_. .—_�-..�...s.�..�n�..R._..._�.w..<�,.�..:..,,�....,...���.,�..,a..�,.z.»_�...,,.,....�_..�a,. ... . ,:,,F..._ .....�...;.,a.� ... .. _ .. _. . � _ p . �.� Company:�I�S��st. 4�nS'��uG�.�•r��s/Ylh�r►��i7L�f��G: Contact: �_.�,r►�+ dQ���-ro-ai+-� � � �� Contractor ` Address:�i2/S �n��aS�-�-�mz 5� - �+�;4� �C3 c�ty: _,�I/1��+j�. i�'1,�„� � State:�Zip: �5��`� Phone: �S�``��2=7����Email: /°��tc� cI, S�!"'. b'Z- � � � tl ; License#: �� (C�}�`� ��c? Lead Certificate#: d���=� 2�J�(�'� L �� � ..��...�.�.....�.� _. �,........,_��„�.<.� �p.�,.,�,�,,...�.,..a .�..r��.,,�.R-�....�,. � If the project is exempf from lead ce�tification, please explain why: �u r L, ;,� Ec�g3 �_—x-.�.�..��_,�..�a.�.,...._s��,.a....� ._ .."�,,�..-s.,<=<,�M��.,�,�,�-�,,.�..,.�^..�.....,a,.,�._�,....�. ...T....�.�...,.,�. ..,.-.�,Ra,�,...�..�...w..,�.�. .. .�..,�.��,.,,.�� � CONfPLETE THIS AREA OIVLY IF CONSTRUCTING A NEW BUfLDING t In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? � j Yes No If yes,date and address of master plan: � Licensed Plumber: Phone: > � � � Mechanical Contractor: Phone• � t ' Sewer&Water Contractor: Phone: � � � Fire Suppression Contractor: Phone• � �.�,a.:.,.�,,� � NOTE:^Plans and supporfing documents that you submit are considered to be�ublic information. Portions i � P of the information may be classi�ed as non-public if you provide specific reasons that would permii fhe City to ' �..m.,....,�_.M,._�,..�_.��M,n..,�,.�u,__._.�.._R,�.�,.-_...�s.�...:.���.conclude that the�r are trade secretss..,,.�.�.,,�..,�...�,..��..�r,..�,.�x.a.__.,.�,.,.,�.,�....�.,.��T..�,..,ti�. <. CALL BEFORE YOU DIG. Call Gopher State One Call 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.400herstateonecall.ora I hereby acknowiedge that this information is compiete and accurate;that the work will be in conformance w3th the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an appiication 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 authorixed by a building permit issued in accordance with the Minnesota State 8uilding Code must be cor�pleted within 180 days oi permit issuance. p _ _ �,...-�! X -�;:�, �//'m� X �� _ �;. Applicant's Printed Name �.. Applic nt's Signature" Page 1 of 3 F s PERMIT City of Eagan Permit Type:Building Permit Number:EA154099 Date Issued:02/19/2019 Permit Category:ePermit Site Address: 4479 Clover Lane Lot:15 Block: 01 Addition: Eden PID:10-22750-01-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Dianna E Townsley 4479 Clover Lane Eagan MN 55122 (651) 683-1949 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature ®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