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1774 Meadowlark CtDate: C!t of £a RESIDENT/ OWNER Address ! City / Applicant is: TYPE OF •' ( IF of CONTRACT Sewer & Water Contractor: x . %Jt(J _ to'/ Applicant's Printed License* Use BLUE or BLACK Ink For Office Use Permit # C Permit Fee: < 7 ` 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 0' C Staff: Fax: (651) 675 -5694 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 'A064- A E 1— 1 7-41 ► Address: fcc,1 D tvt Unit ik Date Received: M PLO mulrwk 0.0114,4- Etto MN consinhttion cc ny: l x tlar Matte_ e_cvt tau i s ✓t : Mt' l nc Contact DA via : Witt' RAJs+ic, ca r - t or State: l" t Zip: X Phone: l6t7 - 3ktAQ - 14'fS lead Certificate Phone: 8 !No ) the project is exempt from lead certification, please explain why. (see Page 3 for additional information) tale it r"1 e it c trout C+ or nor - flr ]4, .t?de tots f �sflo COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a sindar plan based on a master plan? Yes No If yes, dale and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: NOTE: Plats and sing dock the yre conskfered to be publirr the information may be classified as non-public 1you pnavide specific reasons that would permit the City to covlIMe that they are trade secrets~ CALL BEFORE YOU DIG. Core Gopher State One CM at (651)454-0002 for protection against underground utility damage. CaN 48 hours before you interxh to dig to rare locates of undervormid ublites. I hereby acknowledge that this information is complete and aaa,ale; that the work will be in conformance with the on finances and codes of the City of Eagan: that 1 understand this is not a pemd. but only an application for a pearlt. and work is not to start without a permit: that the work will be in accordance with the approved plan in the case d wodi which regiies a review and approval of plans, Exterior work authorized by a buadwng permit issued in accordance with the ttinrnesota Stale Burling Code must be completed within 180 days of permit issuance. Page 1 of 3 VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road 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: Ordinances Misc. Charges: Total: By Date Paid: Date of sp.: J a j ` �� 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: �� Surcharge: Permit Fee: By: � Misc. Charges: Date of Inspj.• .T j ' () Total: Insp.: Date Paid: � Use BLUE or BLACK Ink - r------------------„ I For Office Use � . I � I � Permit#:�� clt of �� Q�( � � Y � � Permit Fee: C/vll•a � 3830 Pilot Knob Road � I Eagan MN 55122 � I Phone: (651) 675-5675 I Date Received: I I I Fax: (651) 675-5694 I I � Staff: � �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: i / IS ► Site Address: Tenant Name: �e �.�.p.,�.,`�,� �;�� (Tenant is: New/ � Existing) Suite#: Former Tenant: Name: v �-c s ct�,+,,,,`K�- X, c�� a � � Phone: Property Owner_ Address i cit i zi t �7 b , t�� v P�_ ? . t '�12, i '�'�� 3 t '� ��} t '� (, b � t '1 b I 1 , �2 � � t °l �yC)t 1'7 S�� 1�tv.��`w�r� C� Applicant is: Owner Contractor Type of Work ` Description of work: s!� . �,.��N� r i�w1 t.,�� Construction Cost:��.�� 2v�� `� Name: C� W�vr�� Cov.y�lLC��v� �icense#: C�3�S.� � Contractor � Address: �Z �'�'> �/�7�.��i,�a. Q�_ city: V; ��.::�� " State: � h Zip:_�S � �' � Phone: G SZ ^ �l' �� " �� v b ' Contact: he �'�'� �.� Email: .,� � ��i �.�- �-O �--.��.,� .� 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. Porfions of the information may be classified as non-public ifyou provide specific reasons that would permit the'City fo :conc/ude that the 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.org 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 of plans: x �e �� gv� � t�e.�) x ApplicanYs Printed Name AppticanYs Sig Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA141019 Date Issued:02/08/2017 Permit Category:ePermit Site Address: 1774 Meadowlark Ct Lot:029 Block: 04 Addition: Hillandale 1st PID:10-32950-04-029 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 - Suzanne R Harris 1774 Meadowlark Ct Eagan MN 55122 (651) 451-6835 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149853 Date Issued:06/12/2018 Permit Category:ePermit Site Address: 1774 Meadowlark Ct Lot:029 Block: 04 Addition: Hillandale 1st PID:10-32950-04-029 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Suzanne R Harris 1774 Meadowlark Ct Eagan MN 55122 (763) 645-6568 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161512 Date Issued:06/01/2020 Permit Category:ePermit Site Address: 1774 Meadowlark Ct Lot:029 Block: 04 Addition: Hillandale 1st PID:10-32950-04-029 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Suzanne R Harris 1774 Meadowlark Ct Eagan MN 55122 (763) 645-6568 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167094 Date Issued:02/23/2021 Permit Category:ePermit Site Address: 1774 Meadowlark Ct Lot:029 Block: 04 Addition: Hillandale 1st PID:10-32950-04-029 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 - Suzanne Renee Harris 1774 Meadowlark Ct Eagan MN 55122--172 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature