4407 Clover Lane BCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA097155
Date Issued: 11/24/2010
Permit Category: ePermit
Site Address: 4417 Clover Lane B
Lot: 28 Block: 03 Addition: Eden
PID: 10-22750-280-03
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Joy Post
1408 NORTHLAND DRIVE
Fee Summary:
Valuation: 3,450.00
ME - Permit Fee (Replacements) $50.00
Surcharge -Fixed $5.00
0801.4088
9001.2195
Total: $55.00
Contractor:
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
- Applicant -
Owner:
Sandra Johnson
4417 Clover Lane B
Eagan MN 55122
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
Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use %
Permit #: / /1) Z3
Permit Fee:
Jzz,
Date Received: / -(Z'
Staff:
P‘-cl
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
'7-10 -.27o Site Address: 4///e) R CI.,gUlbiv LA/
Unit #:
Name: 1 t✓
Address / City / Zip: 4/'/ Q , j 8 Ls -4...v -
Phone:
Applicant is: Owner ,c Contractor
Description of work: Re -ba? d- exis-kag6 deck
Construction Cos(5.1)
Company:OeCN \jU 30e
Address: 1905 &Cneva/vf (V
Multi -Family Building: (Yes / No
Contact: Ot k-CILI
State: NW Zip: / a.
Phone:
City: O0.1. ./€.
65-1-717-3ya3
License #:N.63 0 J (% 3- Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
ce
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:
CALL BEFORE YOU Da. Call 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.gopherstateonecall.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 S = to Building Code must be completed within 180
days of permit issuance.
Applicants Printed Name
x
Applic . Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Garage
Deck
Lower Level
%� 13
W6713 cAver t
— Porch (3 -Season) _
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% \/)
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
, Footings (Deck)
Footings (Addition)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
— Siding _ Demolish Building*
— Reroof _ Demolish Interior
Windows _ 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 / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
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
TOTAL
(txa
Page 2 of 3
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.:
P. 0. Box 21199
Eagan, MN 55121 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:
14 Total:
By Date Paid:
Date of Irisp.• 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:
1 agree to comply
g ply 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 10/21i2015 12:22 #269 P.003/020
Use BLl1E or BLACK Ink
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3830 Pilot Knob Road RECEIVED � Permit Fee: �
Eagan MN 55122 OCT Z � ZO� j Date Received: �
Phone:(651)6�5-5675 � �
Fax:(651)675-5694 I Staff: �
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Construction Cost: �,i� Muiti-Family Building:(Yes �No_) f
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� Contractor add�eSS:S�i�JS 1n��S�f�.�+�c��,f - S►�;kE ��3 c�ty: t`V1A�+It i���,.! �
State:�Zip:����`'� Phone: �52-'�/2=?�/5'S�Email: t�t���td.1/��/". �'Z. �
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�icense#: .�� !c"9c.`� ���� Lead Certi�cate#: A/�=' ��I(d� L..
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If the project is exempt from lead certification, please explain why: ���L,� �„� �c��3 �
�
,
�" � �T COMPLETE THIS AREA ONLY iF CONSTRUCTING �,NEW BUILDING ��T�~���
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master pian?
Yes No If yes,date and address of master plan: I
Licenced Piumber: oM,,,,,,. &
� _ �
� Mechanical Contractor: Phone: �
� Sewer 8 Water Contractor. Phone: �
� Fire Suppression Contractor: Phone:
� NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
;
: t e iniormation may be classified as non-public if you provide specifc reasons that would permit!he City to
�„_� conciude thaf they are trade secrets �Po�� �
CALL BEFORE YOU DIG, Catl Gopher State One Call at(651)454-0002 for protection against underground utilky damage. Call 48 hours Y
before you intend to dig to receive locates of underground utilities. www.00pherstateonecali.ora
I hereby acknowledge that this iniormation 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 oniy an application for a permii, and work is not to start without a permit; that the work will be in
accordance with the appraved pian in the case of work which requires a review and approval of plans.
Exterior work authorized by a buiiding permit issued in accordanee with the Nfinnesota State Building Code must be co pleted within 180
days oi permit issuance. ___ ,.�-�
X
_-►'.�. �//E.���1 x �.y-T --.- �.
Rpplicant's Printed Name �,.,,,�Applic nYs Signa'ture
Page 1 of 3
i:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144397
Date Issued:07/25/2017
Permit Category:ePermit
Site Address: 4407 Clover Lane B
Lot:33 Block: 03 Addition: Eden
PID:10-22750-03-330
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Michael C Barton
4407 Clover Lane B
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
-------------I
r For Office Use
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► Building Permit #:
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1
0•,
j S&W Permit#:
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EAGAN
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I Permit Fee: I
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
I I
1
(651) 675-5675 �FAX:
(651) 675-5694
I
I Date Issued: I
buildinginspections
cityofeagan.com
I---------------------�
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Applicant is: ❑ Owner Contractor
Unit #:
h �5 e' C' pL4 1 6 l�
Homeowner
i
Address: qllb C%
City: �aQ Q_
State: i Phone::'''
Email:
Description of work: P e—b�-
Type of
Q
Construction Cost, a
Work
Type of building: ❑ Single Family ❑ Townhome,
of units Twin Home
Compan T7QM
Building
Address: �t"� WQST' K--y
City: GGC('V6���
Contractor
, //� '/
State:AWIp: � Phone61L2'f
_/_/
� � 9� fi 0 Z G2xCo 7131 5 �
License #: o O Expiration Date:
Sewer & Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
! License #: Expiration 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.
Applicant's Printed Name A licant's Signature