4143 Meadowlark PtRESIDENT / OWNER
Name: MOON Ov l 4erJ Phone: 751 G W57 �
�j / �
Address / City / Zip: +N I J Ili Uf , d ')` ,�/ c- ( k' CYr"/ n
CONTRACTOR
Name: Rons Mechanical Tnc License #:
Address: 12010 Old Brick Yard Road Ci Shakopee
State: MN Zi 55379 Phone: 952 445 -8585
Contact: Linda Email:
TYPE OF WORK
PERMIT TYPE
New v .. - Replacement Additional Alteration Demolition
Description of work:
RESIDENTIAL
Furnace
COMMERCIAL
New Constructio * Interior Improvement
✓Air Conditioner
_ Install Piping — Processed
Air Exchanger
Gas Exterior HVAC Unit
_
Heat Pump
Under / Above ground Tank ( Install / Remove)
Other
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add -on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
$5.00 State Surcharge) $ 5500 TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation /removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the Permit Fee is Tess than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010 - $11,010 Permit
$ TOTAL FEE
€ityofEaQau
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Ala_ 4Y hojpoRiv
Applicant's Printed Name
VEi)
JUN 15 2011
2011 MECHANICAL PERMIT APPLICATION
t Site Addr ess: Lt 13 ' "��� o oOWI6fr l I
l f0!/i Rrsoli
x
Applicant's Signatu
Suite #:
Use BLUE or BLACK Ink
Permit #: - l 4
Permit Fee: ± 0
Date Received:
Staff:
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.ora
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 i ot 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;
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P.D. Pox 21199 PERMIT NO.: - -_
Eagan, MN 55121 DATE:
Zoning: No. of Units: Owner: i EntPrp'"
Address:
Site Addess: 4' -ac? rd
Plumber:
Meter No.: Connection Charge:
Size: — Account Deposit:
Reader No.: Permit Fee:
agree to comply with the City of Eagan Surcharge: 50r
Ordinances. Misc. Charges: _ 1
Total:
By Date Paid:
Date of Insp.: / QZ„ Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot if 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:
Date of Insp.: Total:
Insp.• Date Paid:
4--
lelb'CityotEaRan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: " I' q-
Tenant: 1\4( 11014
12
Use BLUE or BLACK Ink
For Office Use
Permit #:
tal 13°1
Permit Fee: 00 . pp
Date Received: 9. 1 2161 `V2
Staff:]
2012 MECHANICAL PERMIT APPLICATION
iteAddr ss: `` � d C7��k' I I t 7 P1
•
RESIDENT J i W
Name: MU -I U Y' F s 1 t�jJ 1 JPti Phone: I ��J C/l_/ ,%7
Address /City /Zip: I N 3 1 l-'/ C/ W 1 C(i !, t 19014 S5!2'?
Ct)NTRC'1`
Name: Ron's Mechanical Inc License#:
Address: 12010 Old Brick Yard Road City: Shakopee
State: MN Zip: 55379 Phone: 952-445-8585
Contact: Linda Email:
TYPE'OF WORK
New //
Replacement Additional Alteration Demolition
Description of work:
TE; lam'
! > it+ _ ,
�. is Iretd tta be screened by city
l tatlo n .on perm tted Greening methods.
PERMIT Ti
RESIDENTIAL
Y Furnace
COMMERCIAL
New Construction Interior Improvement
_ Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / Remove)
Other
_ _
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State Surcharge) (r,,., 1'1, \)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ l4A_J . V `' TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (includes State
(includes $5.00 State Surcharge)
Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
OR Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is Tess than
"_ $ Surcharge
- If the Permit Fee is > $10,010,
Fee
= $ TOTAL FEE
(i.e. a $10,010-$11,010 Permit
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.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 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.
LAnc\a ron‘-e/
Applicant's Printed Name
x
Applicant's Signet
Use BLUE or BLACK Ink
I For Office Use 1
I I
Permit#: City of Eap I Permit Fee:
i
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: 3 I
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 I Staff: I
1 I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: I)39 - q r ! ✓ Ou)~Q~l~
Name: 144 64-E- 4&00,
Phone:
Resident! i
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: ow /Ximc M)yvr Si 1V) }l . e
Construction Cost: Multi-Family Building: (Yes k / Iris )
Company: lV W 44c r c rs A, s w I.Ap- Contact: 56E AfIrLi !
~7 1 t,I
Contractor Address: (01 ` 3 /V ° City: rC},~k CroV£
State: MA) Zip: ~ 3 t0 Phone: -AD-3 -3 9<1 License _l-lJ ~S Lead Certificate N741
' (n~/
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
F
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 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.aooherstateonecall.ora
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 MinnesotS Bui n e ust be completed within 180
days of permit issuance.
s x
Applicant's Printed Name Applican 's Sign re
Page 1 of 3
Date:
City of EaQaII
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
RECEIVED
FEB 13 2014
Use BLUE or BLACK Ink
For Office Use
Permit* j ea)
0`
Permit Fee: ++���
Date Received: j L 13 )
Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
IOC Site Address: `°I l ° � 40 .c» j o P�
Suite #:
Tenant:
Name:
ResldenUOw er " `'\ � � Phone: (o l —Coc3g <,�-� �'� l
Address / City / Zip:
k111-3 zk Fit
Cot ?'trac'
-' 11; License #: //%a:7
� IO '-T
Address: ��Y zL`,i1 74( City: ILL j/�Le
State: ii♦ / ' Zip: 1 / Phone:
Contact: if ''i- 2 lis 44 Email: e 4
Pe rr Ift Tyl
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $5.00 State Surcharge)
*Water Tumaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic Svstem New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $('
CALL BEFORE YOU DIG. Cali 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.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 approveyt plan in the case of work which requires a review and approval of plans.
Cut (I
7-4/
icant's Printed Name
e.
plican s Signatu
FOR OF
ed It
Use BLUE or BLACK Ink
II-------- --- -- - - -- ------ - - - -- -- --- ----------------I
ermit#: / 1/Permit Fee:4400,
i1
3830 Pilot Knob Road, I I
Eagan MN 55122 1 Date Received: I
Phone:(651)675-5675 i I
buildinginspectionsecitvofeaoan.com I Staff: I
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: !^[" ) � Site Address: '7�<7 /�L lc�t oca/ `cV kG T Unit#:
r -� itrName:
Phone:tes ent! r Wer Address/City/Zip:
Applicant is: Owner Contractor
a
4 ;f Description of work: Re-inOi/
t' ( new la,e 1\in0, taali
Construction Cost: c' Multi-Family Building:(Yes /No )
>S4r 'f di, LC 1rSt✓4lComPanY CO - 711Su , Contact: -ey
lAddressD I t6 J ) feL Se-) ( 201 City: ea g
tConiradtok : ,
State:Pi Zip: 551 2 Z, Phone: &I'Z.-22(-I3V(OEmail: oSfrerhbuskilt.) & MSrI. o t
t '
... .". License#: ("500
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:
NOTEPlansar s ppt ng documents-th y tr subii i *6sli+e�d d' p rcin fo q, ®-�
info ma on may tied as non-pub�rf rou tide ifi s � to
i� r acs /tie ,5 /�e m .:1\-`1.:-1.A.0-Y,
aM# de se_Prets. -' kz '
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.cityofeagan.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)4540002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.00Qperstateonecall: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 r /7 Sti2OM X r7 ai..._
Applicant's Pr rated Name
Appli rat's grature
Page 1 of 3
t. 1-1y j i , /94 g6-NOT WRITE BELOW THIS LINE /66//`-
SUB TYPES
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
—
— Multi t4 Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
P 01 of_Plex 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
7 Replace _ Repair Egress Window _ Water Damage
`$ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation SS-00. Occupancy QC "3 MCES System
Plan Review Code Edition /X7/7 201 S'" SAC Units
(25%_ 100% ill) Zoning R -3 City Water
Census Code Stories Booster Pump
#of Units Square Feet Z 4P0 PRV
#of Buildings Length 1 Z Fire Suppression Required
Type of Construction V % Width Z 5—
REQUIRED
-REQUIRED INSPECTIONS .
_ Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
_ Footings (Addition) Final I No C.O. Required
_ Foundation HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water Final Pool:_Footings Air/Gas Tests _Final
ja Framing Drain Tile
_ Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath Stone Lath Brick
Insulation Windows
_ Sheathing RC1 Retaining Wall: )6 Footings!4 Backfill Final
_ Sheetrock Radon Control
_ Fire Walls Fire Suppression:_Rough in Final
Braced Walls Erosion Control
Other:
eviewed By: ( 0 ,e2/1 197;jc/y,' , Building Inspector
ESIDENTIAL FEES 44,S :e2 f!ht-n- I -- 017;i S
Base Fee
Surcharge 2 60 59 . /'T. I /s:v c- 59. f7
Plan Review 3146 >
MCES SAC 3v: ?a''-95 5, K,
City SAC a2 e+34....,);n.1 w 4-c (5 ts, q
Utility Connection Charge
13 J I' 14 rdi s, Ai d-K
S&W Permit&Surcharge
Treatment Plant $ /6
Copies _
TOTAL .,1 /I C 1✓De 5U 1a' I�ct i'`J t(
Page 2 of 3
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MEADOWLARK PT
STREET/PERMIT NUMBERS
A B C D E F G H
1 STREET# PERMIT# Description
2
3 4117 145389 Deck& Retaining wall
4 4119 145397 Deck
5 4123 145400 Deck
6 4127 145402 Deck
7 4131 145403 Deck
8 4135 145404 Deck& Retaining wall
9 4137 145408 Deck& Retaining wall
10 4139 145410 Deck
11 4141 145411 Deck
12 4143 145413 Deck& Retaining wall
13 4145 ✓ 145414 Deck
14 4147 145415 Deck
II v Mattson Bassett Creek Business Center
Macdonald 901 North 3rd Street, #100
Young Minneapolis, MN 55401
structural 612-827-7825 voice
engineers 612-827-0805 fax
September 29, 2017
Terry Ostrom
Ostrom Construction LLC
3786 Nicols Rd
St Paul, MN 55122
RE: Lakewood Townhomes Deck Replacement—Pier Alternate
4074-4190 Meadowlark Rd
Eagan, MN 55112
MMY Project No. 16329
Dear Terry,
The purpose of this letter is to document that Mattson Macdonald Young, Inc. is aware that the as-built
conditions of the new decks at the Lakewood Townhomes are different than what is shown on the
drawings dated 8/19/2016.
The original drawings show the width of the new decks to be 12' off the existing wall of the buildings and
10' off of the cantilevered 2nd floor framing. The as-built condition of the new decks is 10' off the existing
wall of the buildings and 8' off of the cantilevered 2nd floor framing.
This change is structurally acceptable.
If you have any questions or concerns, please feel free to contact me.
Sincerely,
Mattson Macdonald Young, Inc.
Tor Okevad, PE
MN License No. 50938
REVIEWED
By: �1
Date: ' Zq' .---/
Eagan Building inspections Division
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174530
Date Issued:02/02/2022
Permit Category:ePermit
Site Address: 4143 Meadowlark Pt
Lot:1 Block: 3 Addition: Hillandale 3rd
PID:10-32952-03-010
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 -
Milton C Jr Petersen
4143 Meadowlark Pt
Saint Paul MN 55122--175
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature