1745 Meadowlark RdRESIDENT /
OWNER
Name: - - ( Mel. �2e r-�� Phone: 6 ? 6l? ���� �Y /eK)
/� �%
Address / City / Zip: / > ' V /v //✓ /c'rC l
Applicant is: Owner V Contractor
TYPE OF WORK
Description of work: dr -/..r"-- ( 4. ZED Cif,/ / bil Zi/Cce / .4/kV /14 '/
Y
Construction Cost: S ''� a Multi- Family Building: (Yes / No )
CONTRACTOR
Company: 6:41-
't S'T(c.ir. - *.\ CO;) Contact: e`Sc— %o
Address: 4 /60 " ( W City: (76, ,,, \,Y\-
State: 1, Zip: J ° Li; Phone: >63 £/2 — 7 S' X'
License #: /(3 6 Lead Certificate #: g- - 1 - - I g 5 / S -i --Oo 70
Does this project require Lead Remediation? ❑ Yes (lk No (see Page 3 for additional information)
If no, please explain: IJc `E=i3
In the last 12 months,
_Yes No 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:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
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 C!ty of EaQall
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
011 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: / ?VS Ii 7 y 3 A /% "eQ f 4.(-/c Unit #:
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.aonherstateonecalI.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 p : n ..
Applicapt's Printed Name
x
Apr ' ant's Signature
Use BLUE or BLACK Ink
Date Received:
Staff:
Page 1 of 3
Ve�:.AGE "OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: fi
Plumber:
Meter No.• Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
I agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By , Date Paid:
Date of Insp.: r 7' / nsp.:
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 Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
�
Use BLUE or BLACK Ink
�___--_--____.__--^.
iFor Office Use�� i
� � Permit#: (� �
CltV of �a a� � . . a �
" � � Permit Fee: ���� � �
3 8 3 0 Pi lo t Kno b Roa d � I
Eagan MN 55122 � �
Phone: (651) 675-5675 i Date Received: i
Fax: (651) 675-5694 � �
� Staff: �
�-----------------�
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: I ��S � Site Address:
Tenant Name:_ �e���Q v..� \��� 1l�:�g��,� (Tenant is: New/ � Existing) Suite#:
Former Tenant:
Name: {' �-e a.cM��n� X, o'\�� �� � � Phone:
PropertyOwner Address/City/Zip: j7�'3 , ��51, I '>>(�A , �-��}'7 1 ��IS � �`� �(3 . 1 ?�`� ►'�'?q
�`13 7 , � �3�'
Applicant is: Owner �Contractor �� � � k�
o� ��
_Type of Work Description of work:�'I� . •�.��e �r�N� h i��,,,�t.,��
Construction Cost�� S.2� �
Name: C� 1�vr��� i`1�� C o v.��1��c��v� License#: �3�..�� �
Contractor , Address: Z O7'� V�1�����-o,� Q r. City: �/, ��.'.��
State: �1 h Zip: �S 3 �' b Phone: G SZ " � �� �" �� `v b �
Contact: %he �'�'� �.� Email: � .^� v.�- �o L...�i��
Name: Registration#:
Architect/Engineer Address: city:
` State: Zip: Phone:
' Contact Person: EmaiL
Licensed plumber installing new sewer/water service: Phone#:
NOTE:P/ans and supporting documents that you'submit are considered to be public information. Partions of `
the informatiori may be classified as non-public if you provide specific reasons that wou/d permit the City fo
conc/ude that they are traale 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.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the w rk w�I 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 start 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 ofplans.
X `✓�4 ��-� g v� � �eY.) X
ApplicanYs Printed Name ApplicanYs Sig
Page 1 of 3
I—For Office Use• �--
i 7 5%a--
• ' • P
ermit% E AG N
).<1 +
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections@cityofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6'771 Site Address: // D 1,4ric p- I G -# Unit#:
Name: Re-001,),--4 k-945-5-6 (477°'\•)
(477°'\•) Phone:
esit ent/
;owner Address/City/Zip: /735, 37 , 37 /`/f / Y 3 ,q5, `l 7 `/? , s/ , 5 3
Applicant is: Owner K Contractor
A
Type of:wor�C.
Description of work: 44-77( ,/ SoN /NS7A-t-L- �� ON G 4 G E S
Construction Cost: ��j�, Multi-Family Building: (Yes /No )
Company:____C---170C-4:-.)77/../G ,CriZto12 5 Contact: .J I^^ 2)41/IV S°'`J
Address: /72/3 /fz t-E y C/lze-e City: // ,1 -5
Contractor 7 /15/
_[State:/Lr" Zip: 5503 3 Phone: 657 Z7�iZ3Email �n-�rer /09 eSier-ierSt'' . c'--
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:
NOTE Plans and:supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public ifyouprovide specific reasons that would permit the City to conclude that they are trade secrets.
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 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 tart without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and app • • • •lans.
JAI' esl
Applicant's Printed Name Applic. Signature
For Office Use
• • / �4 ' C�
, , Permit#: I ci r1 St
t%.t %so° 0 EAGAN
��•- •«mss AUG 2 7 2019 Permit Fee: •)- _.(i)
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections@cityofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: kid 7—// Site Address: 17 y7 /�'`M�OW /l i Unit#:
Res deny:.
Name: — Phone:
}' C'
Address/ �y/Zip:
Applicant is: Owner X Contractor
Type of Work-
Description of work: )Fo% XE74ii /73,' .04406E0TL/J-5-, PL-4-7Es-,-, fj/ S'ZS
co
Construction Cost: c2i O00 Multi-Family Building:(Yes /No )
Company: EV Z(#t S INJ 6 EX zt�/2s Contact: V+ �"" DA-V17 OA)
COt1 Ctor•
Address: /72/v /j2Es�y CfRCLe City: ,��7ArGS
State: 5� 3 3 / &e v°-r , e, er►`a r s,.,i, r`a
/7M/ Zip: ° Phone: 6 57 -�Zd>o Email: �� �asf '� �
License#: C G-?3 3 3 Co. 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:
NOTE:Plans'and,suppo►tmg documents that you submit are considered tobe.public informeti'on. Portions of the information maybe
rlassf ed ais:hon ibllc ifyou nvide specific reasons that would.penmft the City-to-conc.hide that they are trade secrets.
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.citvofeaaan.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 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 st 1 , "•ut a permit; that the work will be in
accordar) with the appr ved plan in the case of work which requires a review and approval of plans.
x 0,Ari vro S x
Applicant's Printed Name Appli - •nature
DO NOT WRITE BELOW THIS LINE c Y r u-Ad ouJ i sr k_ 1`-4 I c i 155
SUB TYPES
Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
4 01 of 4Plex 7 Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
sic Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION 9V
ti(�'O Occupancy '_ ',' 5MCES System
Plan Review Code Edition A i , , 5 SAC Units
(25% 100% .) Zoning MO City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) y Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing )L 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS
Insulation Windows
X. Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
-
Braced Walls Erosion Control
Shower Pan -
Other:
-
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge aot
Plan Review
MCES SAC ‘( -(1/ P°
City SAC
Utility Connection Charge
S&W Permit&Surcharge
D (9
Treatment Plant "(
Radio Meter Read
Copies
• TOTAL
Page 2 of 3
Received
10/23/2020
Affidavit
State of Minnesota, County of Dakota water damage permits
My current legal name is James K Davidson, and my current occupation is President Of
Everlasting Exteriors, Inc.. I am presently 39 years old, and my current address of residence is
17218 Presley Cir, Hastings, Minnesota 55033.
After framing inspection all 19/32" OSB wall sheathing was installed with 7/16" crown staple 2" in
length at pattern of 3" around perimeter and every 6" in the field. .
I hereby state that the information above is true, to the best of my knowledge. I also confirm that
the information here is both accurate and complete, and relevant information has not been
omitted.
Signature o dividual
10-23-20
9 permits
permit # Address
157753 1735 Meadowlark Rd
157755 1737 Meadowlark Rd
157756 1739 Meadowlark Rd
157757 1741 Meadowlark Rd
157758 1745 Meadowlark Rd
157759 1747 Meadowlark Rd
157760 1749 Meadowlark Rd
157761 1751 Meadowlark Rd
157762 1753 Meadowlark Rd
Notary Public
Title And Rank
Date Of Commission Expiry
WALMNO SURFACES GREATER THEN 30"
ABOVE AREA BELOW REQUIRE GUARDRAILS
MINIMUM 36" HEIGHT AND DESIGNED
jC,HTHAT A4" SPqRE WILL NOT PASS VffiWjLMt4C
s OFk
it 6- gg or- -6 Crwtkl
LAY
10
lK
w4avx0l
IN
i
PL A f
JP
pAq ?Lg
TIN
L V;.A w !R(Wk
I q
016 -rc, To
7m gang m the residence
FIRE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164726
Date Issued:10/06/2020
Permit Category:ePermit
Site Address: 1745 Meadowlark Rd
Lot:046 Block: 04 Addition: Hillandale 1st
PID:10-32950-04-046
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Gary W & Martha E Hockman
1745 Meadowlark Rd
Eagan MN 55122
Champion Window Company Of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574-2054
Applicant/Permitee: Signature Issued By: Signature