4435 Clover Lane B41110.
City of Eagii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
.-z.cgair15-3F
APR 1 2011
Use BLUE or BLACK Ink
Permit*:
Permit Fee: S /Va
d • 6 9
7111
2011 RESIDENTIAL BUILDING PERMIT APPLICATION L11/1 1. '
Date: Site Address: Unit #: @}"Cikeili of -
RESIDENT /
OWNER
Name: V4' a n K PeA. CO NI? _ Phone:
/i
Address / City / Zip: Lig S 5 3 e to lici ^ Q, , Eci r?aA , Milr , 2 Z
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: 1t Q la C L \, 2GK
Construction Cost: f� c Multi -Family Building: (Yes / No )
CONTRACTOR
Company: 'J" -Gk,$ 6i Se. .l •^c. Contact: JOC Sic'
Address: / TCS �'t nLV� 641-- City: dtilCo(4 r`e
c Phone: %5 ( - 7 7 - 31(7
State: 01 /1 Zip: 5—.5-� 2 U
License #: Z0(030 70 Lead 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:
.) NOTE: Plans and supporting documents that you submit are considered to be infi»mat n. Portions of
the information may be classified as non-public if you provide specific reasons Nrat w+ p rmit t to
' conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for pr
Call 48 hours before you intend to dig to receive locates of underground utilities. www
I hereby acknowledge that this information is complete and accurate; that the work will be in
Eagan; that I understand this is not a permit, but only an application for a permit, and
accordance with the approved plan in the case of work which requires a review and approva
Applicant's Printed Name
ion - , ainst underground utility damage.
herst. onecall.o
the ordinances and codes of the City of
without a permit that the work will be in
s ignature
Page 1 of 3
Li y35 Clovei2 (Q �
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
Fireplace
_ Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season) _
_ Porch (Screen/Gazebo/Pergola)
WORK TYPES
_ New ! Interior Improvement
_ Addition , Move Building
_ Alteration — Fire Repair
yReplace— Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%16
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
_ Footings (Deck)
_ Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
_ Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock J
511
YB
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
— Siding
Reroof
Windows
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Egress Window — 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 I 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 — Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Reviewed By:
RESIDENTIAL F
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
%3 75.
P6 001/6---4=
Page 2 of 3
ROBE
ENGINEERING
COMPANY, INC.
�...�...�..��.1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 55337 PIi 432-3000
CONSULTING ENGINEERS
PLANNERS and IAND SURVEYORS
C'rZ z ''i c cz1 c eST, "" Cit
igewca .Ic yvr1,02fort: LOTS 13, 14, 15 AND 16, BI OCK EDEkI ADDITION,
DAKOTA COGIA/ T1; M/NNE,-)07 A
NORTH
SCALE t I " = 30'
(..1...;;A:-.6-)? L A107&---5 i r 5))/1/6; EL 1/11170A,1
(i3S,o) DENOTES P/ ft7S:"= D ELEI/47/0A/
+�----
!Air)/ C 47 rts L/F6F..: <'T/O,L-` OF' 01/47/1: 8 DRAINA(bE
933,o = F IA/ /? /tit '/.,) it- Lat'/C L Ja VAT /0/V
DRAIP.JAEE AND
UTILITY EASEMENT
93o.2,
EAGA 1 .Ti
REVIVE
BY: 4 1/i.
/ 7f
DATE.
BUILDING IN.S_CTI
1
,
N 890 5-8' 02" C (5,314))
/59:22 ei3q ni
37.72
(VISION
.1;
0
I,
CLOVER
1-M NE
'93oxzdo
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 day of
19 gc- .
1�1
B y `I
3 ' 2 1
I'
0 01 1 k_.,%
1.`
1 �--- 30' FRDA JT 8UILD/AJ6
IT�`> SETRACK LINE
`935.
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Hinn. Rag. No. Oboes"
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA096625
Date Issued: 10/21/2010
Permit Category: ePermit
Site Address: 4435 Clover Lane B
Lot: 16 Block: 03 Addition: Eden
PID: 10-22750-160-03
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
952-435-2442
Fee Summary:
PL - Permit Fee (WS &/or WH) $50.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $55.00
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Frank Petrone
4435 Clover Lane B
Eagan MN 55122--243
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
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA096625
Date Issued: 10/21/2010
Permit Category: ePermit
Site Address: 4435 Clover Lane B
Lot: 16 Block: 03 Addition: Eden
PID: 10-22750-160-03
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
952-435-2442
Fee Summary:
PL - Permit Fee (WS &/or WH) $50.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $55.00
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Frank Petrone
4435 Clover Lane B
Eagan MN 55122--243
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
CITY OF EAGAN
3830 Pilot Knob Road
P. 0.13%x 21199
Eagas%, MN 55121
Zoning:
Owner:
Address.
Site Address:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I ogre* to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Dote of insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. 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.
Surcharge.
By Misc. Charges:
Dote of Insp.: Total•
Insp.• Date Paid-
From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:35 #582 P.032/079
City of Eapil
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:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
q
Date: -115' 2013 Site Address: 4y35,4t- Bi L4 4 1, 443713 CIoVCX Lan& Unit #:
Resident/
Owner
Contractor
Name:
•
vvhi ►1�,�oop cJo . cac Lv) Compoiny
Address / City / Zip: W`�3t1 Gltll VWPah/411610 Pt *it, MN 5G( -IU -1
Applicant is: Owner Contractor
Phone:
Description of work: ay off cod re-Ii.xf
Construction Cost: $1,111% • 60 Multi -Family Building: (Yes / No )
Company: )t(lDr broffictiovl ,YNtymt tat Contact:
Address:
(�'b 5 Ihd4StYla( s-tre(ai- *iO3 !� City: Maple Plan
State: IY►N Zip: `3S f5' °I Phone: %2- H2 —
License #: 3C 103(5 ! ✓ Lead Certificate #: N�17 tv'1 v
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 y to
conclude that the 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.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
x
Ut I .i,J
Applicant's Prin ed Name
From:ALLSTAR CONSTRUCTION 19529427464 02/10/2016 12:54 #301 P.003/022
401111' City of £aall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
6-5t
2
Permit Fee:
Permit #:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4o7�o4!p Site Address:
Resident/
Owner
Type of Work
Contractor
0/35- W37 £/ i/4 t 37 -
Name: 39VA.,ll6L� — 41874 No,4 /,,
Address / City / Zip: `�7 3S rf77 ow %77g
Unit #: �,r8
Phone: /t///,
plicant is: Owner )( Contractor
Description of work: A* -.S/4 l4/,7 fly/ 5.7eZr lr'
Construction Cost:ace Multi -Family Building: (Yes / No )
Company: A 1151 4LE 61$40-c4441'01,1 , j:
"Pr,
inifirlieriallee Contact: J i W% A /lE n er
n
Address:Sr 4!S lydws,4-rtAE S7T- _511 ar4-€.- /03 City: Jv1 p/e- PLrrn
State: [n! Zip: 56.359 Phone:' q 7,16 Email: i%I6j i/5-/ ,--. 4
License #: BC (k)3S 0 Lead Certificate #: AMI' - do 910 V
If the project is exempt from lead certification, please explain why: 5 kUr ;d X993
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.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 Buildin yu: mpleted within 180
days of permit issuance.
di "NI ikernan
Applicant's Printed Name
Applic nt`s Signature
Page 1 of 3
Date:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JUS. 0 6 2016
Use BLUE or BLACK Ink
For Office Use
/37
Permit* -
Permit Fee: /' 2c9 f
Date Received:
Staff:
2016 RESIDENTIAL„//BUILDING PERMIT APPLICATION
"7/k..(// (r, Site Address: 7 3 :.a 73 C r✓ z y. L_ci
Unit #:
Name: Frank Kara! f fLTrt Phon I Z) -gig /
Address / City / Zip: 44 l_.
5 .L_O Vt✓%' Li) , - i / tiff 56122
Applicant is:
Owner Contractor
Description of work: Deck
Construction Cost: ___,
Company: Nome OWIGY
Address:
Multi -Family Building: (Yes 74* / No )
Contact:
City: A�
State: '� Zip: Phd�te��p 12-1 mail: ���C� i �” • Mill
t i
n
License #:
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
/3Ui1. i /4; b'c
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:
Plans andsupporting documents than su mit are co;
nformation maybe classi ed:as nonpublic if you provi
conclude'that the are tr
ered to be public information,,
fie reasons atwould peril,'
le 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.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 Minneso State ilding Code must be completed within 180
days of permit�iisssuan ,.
F n /'ti eM e x
Applicants Printe
Ap cant's Signature
Page 1 of 3
V DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Vddition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
_ Porch (3 -Season) _
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
_ Move Building
Fire Repair
Repair
AI gy
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ike & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In _Air Test _
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Final
RESIDENTIAL FEES "
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
�3 '.f
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
MCES System
200. SAC Units
pig City Water
Booster Pump
/G4/ PRV
/ ,t„ Fire Suppression Required
/Fi
Meter Size:
Final / C.O. Required
Final I No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _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
/eh, /5"'"/?:
Page 2 of 3
//L 5 C✓(°�&R L� Cavi &
ROBE
III)
ENGINEERING CONSULTING AS ENGINEERS,
AND
COMPANY INC.
I. .1000 EAST 146th STREET, BURNSVILLE. MINNESOTA 55337 PH
C�IerIPZZ:t Culp eSZLP Y.E,
Z4gccZ , JOr l3to7t: LOTS 13, 14, l5 AND lb, BLOCK 3 EDEM ADDITION,
DAKOTA COUNTY, M/NNE07A
PLAN andSURVEYORS
x 37 PSE 544
432-3000
NORTH
SCALE 1" = 30'
DENO'TE'S EX/ S T//W EL EVA T/011,.1
(935.0) DENOTES PROPOSED ELE(/4T/ow
-�---- /ND/CAT S D/T?ECT/ot/ OF SVRF4CFR DRAINAGE
933.0 = FIAJI514CD G,q 46 F-LooR ELEVAT/ON
DRAINAGE ANP
N 89` 58' 02" E
uTILITY EASEMENT- /54-.22.
i,I
♦ V
x%30.2..
036.0
5r-
//6.50
(PI.°
(0/3‘).0)
37.72
C'v4s
LOT /3
gl
L07 / 6
p.p0 / $1 &1 /) w0'
To /i "$r"vs /0'x 4 •
naCk
CY/I
XV) I5
L� J
%/""
/o
9I.2
-,�
0 1 1
1.-
EAGAN
WED
H
O
CLOVER
LANE
\ FRONT\,_3o'
SETBACK ONE
(%3o X241
I here1y 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 7Pi day of
mA>�kr 19 fe-
-TIONS DIVISION
Minn. Reg. No. /601Y
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA175612
Date Issued:04/11/2022
Permit Category:ePermit
Site Address: 4435 Clover Lane B
Lot:16 Block: 03 Addition: Eden
PID:10-22750-03-160
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Francis S Petrone
4435 Clover Ln Unit B
Eagan MN 55122
(612) 442-0982
Total Comfort Heating & Cooling
8818 7th Ave N
Golden Valley MN 55427
(763) 383-8383
Applicant/Permitee: Signature Issued By: Signature
oo�. •tee®EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(a2cityofeagan.com
--------------
For Office Use I
I Building Permit #:
I I
I I
S&W Permit #:
Permit Fee:
I I
I I
I Date Received: I
I I
I I
I Date Issued:
I---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3h qhQ23Site Address: Unit #:
Applicant is: ❑ Owner Contractor
Name: �G(�t/� b vy`e— (t> - tr-�Q_v' S'S b C'_ I ct-4 i 6 lf,
Homeowner Address: 14R A JR city: o`
State: i Phone: Email:
Description of work: 2 Q C3
Type of a q
Work Construction Cost `
Type of building: ❑ Single Family ❑ Townhome, of units Twin Home
Compan Q
Building Address: �� it"� WQS'T� City:_FVGQ\-,C-l�
Contractor / '/
State:&&6p: 5 Z Phone6t ZJIf 5- Email. vtke
Z Cr�co S cp
- 1_ License #: Expiration DateEL
Sewer S Company: Contact:
Water
Contractor i Address: City:
Required for State: Zip: Phone: Email:
new construction
License #: Ex iration Date:
1�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.00pherstateonecall.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