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4419 Clover Lane BYip 40111 C!tyofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 's r: VE MAYQg2011 Use BLUE or BLACK Ink dr tie tise Permit #: 1 q 7; Permit Fee: 'O. cb Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: "} // Site Address: L/�/( E Clover L 6-610D Tenant: Suite #: RESIDENT / OWNER Name: 5C 6-11- SC /`1 U. i f �. Phone: (06/ 63 lOd'7 Address / City / Zip: LI `� d -/�/� c /aver L a "...f2Applicant is: Owner 1`� Contractor 4 s ijf en n do ws w; TYPE OF WORK I Description of work: -. 'I O. pa4 j o d DO ; � -e i's 41 r O�n, Construction Cost: t `! % 0 1 Multi Family Building: (Yes / No ) CONTRACTOR Name:1 Cm y `t License* (a-aLj 9 Address: ''9iq/ o L- rt r c /1L/ Cirty: e , 4 ! State: r l Zip: 1 Phone: 1 9,:, d Nos, Contact: 100.- 2) Email: 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 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.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. x a n cy m7 e 5 i i1 Applicant's Print d Name x Applicant's Sig re Page of 2 41111` City 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: • Date Received: (� % 2010 MECHANICAL PERMIT �` A�PPLIATION Date: _ r 1 4 ! / 0 Site Address: 44161 — ! / - OD V 11-1 . Tenant Suite #: RESIDENT / OWNER �-� Name. e --1/) Phone: 1012-`66:F6ed Address /City / Zip: 441q '- / - clov'trip /.Zi CONTRACTOR Name: 51,Lu r _ . l Address: iZ W • `� ` City: 1 State: / ►fl Zip: , Phone: �2 -4,---7-0-i./ Contact: _, ( !Y 1'� Email: TYPE OF WORK New N Replacement Additional Alteration Demolition Description of work: NOTE: and grorin mount ed mpeci>aii arl equiprir rlt Is required to Dae acrbsned by City Owe. tine Mfikal lnspecterr for!i rhlsl an screening ttreth . PERMlT TYPE RESIDENTIAL y ---Furnace Air Conditioner Air Exchanger COMMERCIAL -____ New Construction _,_ interior Improvement HVAC Unit / _ Remove) for inspection by Fire install Piping Processed _ _ ...._... — Gas Exterior Heat Pump` .„_ Under / Above ground Tank ( Install _ — (cher "When installing/removing tank(s), cal Marshal and Plumbing Inspector RESIDENTIAL FEES: 555.00 Minimum Add-on or alteration to an existing unit (includes burned out app noes, ductwork, etc.) (indudes $5.00 State Surcharge) $5.00 State Surcharge) $ L. • "" TOTAL FEE 595.00 Fire repair (replace COMMERCIAL FEES: 575.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit .Fee requires a 5 5-50 surcharge) Contract Value $, x 1% $ Permit Fee - if the Eggag,g is less than Fee = $ Surcharge • If the Permit ate is > $10,010, 0.e. a $10,01“11,010 PenNt = $ TOTAL FEE CALL BEFORE YOU PIG. CaU Gopher State One Cali at {661)454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecali.org I hereby acknowledge that this information is complete and accrate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is nota permit, but only an application fora permit, and work is not to start without a . rmi • that the work will be in accordance the approved plan in se of work which requires a review and approval of 7 Rough In Air Test _Gas -,:. Exterior HVAC Screening inspection CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 WATER SERVICE PERMIT PERMIT NO • 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 A A - � Date Paid. Dote of Insp.: Insp • o CITY OF EAGAN 3830 Pilot Knob Road P. O.@ox" 21199 Eagan, MN 55121 Zoning: SEWER SERVICE PERMIT PERMIT NO.: DATE: Owner: No. of Units: Address: Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: 8 Surcharge: Y Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:38 #582 P.041/079 C!tyofaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use (� Permit#: (l 1O3 Permit Fee: ✓' 5 Date Received: Gt kill tJ Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9I5!2D13 Site Address: L►`in iLiLil 16Cloyed( Lane/ Unit #: J Resident/ Owner Name: tdein blq CIO . CIOKcth COrnDafy Phone: Address / CRy / Zip: �t-i3 D G Y Y�J� PQrkwav, ec i Prairie, M ti I 3LH Applicant is: Owner X Contractor I 1 Type of Work 1 Description of work: �Qli Off g re -not n1t y Construction Cost: 4 f ($�JO.Ot Multi -Family Building: (Yes X./ No ) Contractor e Company: Oar to t l', i l ur f^ Mpro � Contact: (bt, ts-tectd , Address: SIMS ,t IGt AD11 I(Al 1 ee-T 41153 City: Maple, PM() State: MN Zip: Jj CFA -Phone: "- CILI /-1L19-1 License #: 6k .D3)S13 Lead Certificate #: NWT— 2.O 1PLf -D t' If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) rICOMPLETE n the last 12 months, If 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: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: 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.4_ CALL BEFORE YOU DIG. Call Gopher State One CaU 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 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 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. IIS* Applicant's Printed Name Ap i ant's Sign ture Page 1 of 3 41111 C!tyofEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use 111(7.1A rPermit #: / Z6/ / V Permit Fee: 6 0 ` 0 L Date Received: Staff: 2015 RESIDENTIAL�PLUMBING PERMIT APPLICATION Date: wit /4)pL Site Address: "r ckver Lao e '� ' Tenant: Suite #: ^ -S'c('ILftt2. ‘/J----‘/J---Y 0'� Phone: Name:G' Address / City / Zip: 91/1f -4 eJ0/...er 4-1.4f) g ?? M 4 `S! 2 Name: W2-4dC, Lsi COA Cep S O) License #: Address: OG``M •re r City: Pa (t1 * Ct91' f State: f01 Zip: 5.616 E7 Phone: 7 9 Contact: r 2 Email: . New X' Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ ��j "� j[ may/ _ p e_T' r / [4tc� 61 Cl"' Description of work: �� RESIDENTIAL Water Heater Water Softener Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures (_ Main / Lower Level) _ Septic System _ Water Turnaround _New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) CALL BEFORE YOU DIG. CaII 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.org 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 work which requires a review and approval of plans. Applicant'siPrinted Na nspec ns: ted Items Mete r.. 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: 7067q -S-(', Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: e x Name: ``�i- 1 -- S 4. -� pk<6 S6(o[� ' �G +A,' Phone:l.P�Z Address / City / Zip: V IA- lq 6 C l ootit (.N6%H--A //YYl 56/Z_ -z -- Applicant is: Owner Contractor Ty ®•Wor Description of work: p1act_ jc, 5,17 PA -Art v e .4.>11. is gi n & cii p .,,,» - Construction Cost: Multi -Family Building: No ) li�trattor� Company: W )\N, 6 o rJ l orc'..ep 4S YY\ Contact: t. Sa Address: dc'(1 7:::rA- '.1--- City: ..t r c,.1 State: t. Zip: 66) CY Phone: (pjj -9O5-016Smail: ,wo0-06nc,pp)d,C�•''1 License #:. kL.0?,rci.3 Lead Certificate #: J N --c" - a3"1 -1e, -- -7--- If If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ti has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOT Flan lnd Supporting B • tints t ,® br»ft are consid* red public information - • o s theinformation may e clan sed asw t epic rf ou provide specific • seat would ' C!t„�. ude tll� ` ' ar£ traa�e S� ► :.~K y } f 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.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. 0 oktP_a4 Ai6 11c nt's Printed Name nt's Signature Page 1 of 3 LlUleocutLn SUB TYPES Foundation Single Family Multi 01 ofYPlex WORK TYPES SDC NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level New_ Interior Improvement 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 101 7-3 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Framing 30 Minutes _ Fireplace: _Rough In insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Final 1 Hour Air Test Porch Porch Porch Pool (3 -Season) (4 -Season) (Screen/Gazebo/Pergola) Occupancy Code Edition Zoning Stories Square Feet Length Width Final RESIDENTIAL FE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 73 7-r- it?e� Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant std?c,-1 %d1y MCES System SAC Units Pd City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Air/Gas Tests Pool: _Footings Final Drain Tile Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector Page 2 of 3 RECEINTr- WV 2 0 1-‘.111 3830 Pilot Knob Road 1 Eagan MN 55122 Phone: (651) 675-5675 1 buildinginspectionsPcitvofeattan.com Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 1 Date Received: 111 Staff: 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 1-2" 7 Site Address: 4419 B Clover Lane SchultzTenant: Resident/Owner Contractor Type ofWork Permit Type Suite #: Name: Phone: Address / City / Name: Northern Mechanical Contractors License #: PC645358 Address: 1975 Seneca Road Eagan City: State MN Zip. 55122 Phone: 651-789-2275 Contact: John Hanson johnh@northemmc.com New / Replacement Repair Rebuild Modify Space Work in R 0 w Description of work: Replace bath tub with tub/shower. RESIDENTIAL Water Heater Lawn Irrigation ( RPZ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility darnage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecali orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvoteaean.comfsubscribe. 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 no sta 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 pla x John Hanson Applicant's Printed Name x Appli n $ Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: WINDOW CONCEPTS 2 0f ltlinnesota, Inc Eva Street St. Paul, MN To: City of Eagan — Building Inspections Regarding: 4419 Clover Ln Permit Number: 136187 107 Office. 65 905-0105 Fax 651-905-1745 01/07/2019 I am writing to cancel the plumbing permit we pulled on this address. The job has been completed by a different company. After installation, the home owner hired a different company to fix some corrections needed. The permits that the other companies pulled have been closed out. Jeff Wheeler told me that based on the notes, the companies hired after us completed the work we started. Jeff advised me to write a letter requesting our permit be cancelled. There is also a building permit open under this address. Jeff confirmed that an inspections still needs to be completed to close this out. So far, the home owner has refused to schedule an inspection, but our efforts remain. Please contact me directly with any questions or concerns. Thanks, Heather DeBoer Administrative Assistant 651-604-8260 ® 4 e f ®®®lie E AG A N �P 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections(c)cityofeagan.com -------------- For Office Use I Building Permit #: I I I I S&W Permit #: I I I I Permit Fee: I I I I Date Received: I I I I I Date Issued: t---------------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date:,yhql Site Address: Unit #: Applicant is: ❑ Owner KContractor Name: E?z sA �A b V1�2 O k ---I U-42-N17 S taS"S C�;l C I CX,4 k 6 l/-\� Homeowner Address: l 1 City: �c Ct 0— V� State:% V�Lip: 50Z Phone: 16Vai Description of work:t- Type of Work Construction Cost a t , -V Type of building: ❑ Single Family ❑ Townhome, of units JRTwin Home Compan 3QM l/J!SE&jt'c,lr✓ n\lam Contact: Building Address � � (_. i1'�1 VJ T {�—City:G(�f;�Y\ Contractor 1/� State:Lip: 553��Phone�o�z�7Email. a/ylQ.�[ �e � R5q( �/ OZCa( �O License #:EC T (� Expiration Date: .3C 2 �� Sewer & Water Contractor Required for new construction Company: Address: State: Zip: i License #: Phone: Contact: City: Email: Date: 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.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. Al x Applicant's Printed Name A licant's Signature