1765 Meadowlark Ct4 - 12/27/2010 17:46 7634326391
4 1111° ` City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
SERVPRO
jj 2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: (c•! i l I CD Site Address:
Tenant: C_ h JC �`ltlfr}Ci�Ck1Q
RESIDENT / OWNER
TYPE OF WORK
CONTRACTOR
Applicants Printed a e
Name:
Address / City /Zip:
Description of work: 0
Mechanical Contractor
Applicant Is: _ Owner _ .. Contractor
Construction Cost:4 ( )
sewer & Water Contractor, Phone:
c . is Signature
PAGE 02/02
Use BLUE or BLACK
Permit ats:
Penn s=ee:
Date Received:
Staff:
Phone: r_ � C
l51 c l �jq
•
t-o : _. ‘1) \ r rn
Multi- FaMily Building: (Yes )e— / No _)
Name: ti411] 4 � S* a License #: E (D Y400 r
Address: L0 0...C \ - City: .`t - ( - 0 0 1 Z) PO--t I.
State: YY) 14 Zip: J J ` 1 C Phone: 5 '(i94 -3 0 16 J a • vR0 -%
contact: 4 n-.%) Email: . 3fS.f - FIA - 10' l's1`q,rutr- .
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit fdr a similar plan based on a master plan?
_ Yes No if yes, date and address of master plan:
Licensed Plumber: Phone:
Phone:
CALL BEFORE YOU DIG. Call Gopher State One Cali at (057) 454 - 0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities, www.popherstateonecall.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
Eagan; that I understand this is not a permit, but only an application for a permit, and ,] is not to start without a permit: that the work will be
a • rdance ith the a• • • ved plan in the case of work which requires a review and appro pi n
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DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
'WORK TYPES
New
Addition
Alteration
Replace
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)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In _Air Test
Insulation
Meter Size:
Reviewed By:
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
(RESIDENTIAL FEES
Base Fee
Surcharge
Pan 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 (Screen /Gazebo /Pergola) Exterior Alteration (Multi)
Pool _ Miscellaneous
Final
7 2
Siding — Demolish Building*
Reroof Demolish Interior
Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire budding — give PCA handout to applicant
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
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
rivo
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
VILLAGE' OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 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 Village of Eagan Surcharge:
Ordinan es. Misc. Charges:
Total:
By Date Paid:
Date f Insp.: ` f $' 7f Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By: L C Misc. Charges:
Date of Irk Jr � 7j Total:
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126897
Date Issued:09/15/2014
Permit Category:ePermit
Site Address: 1765 Meadowlark Ct
Lot:016 Block: 04 Addition: Hillandale 1st
PID:10-32950-04-016
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Dennis Kelly
6580 168th Ave West
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Jennifer J Reick
1765 Meadowlark Ct
Eagan MN 55122
(952) 233-5794
Blizzad Air Inc
6580 168th Ave W
Eden Prairie MN 55346
(952) 934-0356
Applicant/Permitee: Signature Issued By: Signature
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Use BLUE or BLACK Ink
�_____--____�-.__-�
I For Office Use 1
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Clt of �a a� � Permit#: �
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I Permit Fee: �
3830 Pilot Knob Road � I
Eagan MN 55122 � �
I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 � I
� Staff: �
�-----------------�
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: I �I S � Site Address:
Tenant Name: jM z �d\d v.., \�.Y� �;����� � v+ g�
Tenant is: New/ [� Existin Suite#:
Former Tenant
Name:_�c s cM.ti`n�- �, ��ei �� � !1 Phone:
Property Owner Address�Cit �Zi i �> ���� , ! �
y P� 3 � b �1, �7b'� l '� bS t '9( `3� 17b\ � 1'15 �1 l?S?
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Applicant is: Owner Contractor c�.�w�h� �,�—�
Type of Work Description of work: SF� . �.. 1��r�N 1 h���,,�z��
ca�
Construction Cost:���.�1i�'
Name: C Kt V�vr���� ��� C o v.i�''y c���� License#: (���5.� C
COntraCtOr � Address: Z �'7`� �/�?�����i rr� Q�- City: V; c�,'1`���
State: � h Zip: �S 3 �' b Phone: G S� " d �� " �� rv b
Contact: %e �'�'� z.�. Email: .�. � .�1 �.�- �O L_�.�w�
.
Name: Registration#:
Architect/Engineer Address: City:
State: Zip: Phone:
', Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
NOTE;Plans and supporting documents fhaf you submit are considered to be public information. Portions of'
the information may be classified as non-public if you provide specific reasons thaf wou/d permit fhe City to :
:conclude that theyare tratle 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 w rk w II be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an ap c tion`for a permit, and work is not to sta�t without a
permit; that the work will be in accordance with the approved plan in the case of r whi h requires a review and approval of plans.
x `✓�e � t�� g v� � ��e•^) x
Applicant's Printed Name ApplicanYs Sig
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
Permit#:
City of Eaggll Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildinainsoectionsfitcitvofeaaan.com Staff:
I- J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-8-17 Site Address: 11 1.<5 Ick44 JO it)l he 1(cT Unit#:
IL I Name: Q if 1�^�y i�v Phone: q 5o�C'-761"4�,0�
Address/City/Zip: /16 �•� O iz I,fl rl<�..�
Applicant is: Owner )( Contractor
Suppply and install new windows or doors a,
I }
Description of work:
Construction Cost: 41900 Multi-Family Building:(Yes X /No _
Austin Remodeling Mike
• Company: Contact:
Address: 19306 Oelke Dr City: Prior Lake
MN 55372 62-221-4429 mike@austinremodel.net
State: Zip: Phone: Email:
BC664409 NAT-F158156-1
• License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
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'`!.Ate .t, ..l r' Krt . # v s a 1: g. p c xi d -Z f ..1 ,r .s f t z ,
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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.citvofeaoan.com/subscribe.
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.
CALL BEFORE YOU DIG. 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.aooherstateonecall.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 'e:<Ltd✓l,. 1,r i x Ale",
Applicant's Printed Name Applicant's Sig ure
Page 1 of 3