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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. ..1 I v 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