4125 Meadowlark Pt411'
City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
r ffice Us
Permit # / -,?/.461
Permit Fee: 5: O?)
Date Received:
Staff:
��// 2011 MECHANICAL,APERMIT APPLICATION
Date: //-111--'( Site Address: '//Z � n .. tcP0,--3(avl� Poi'^+
Tenant: Suite #:
J
RESIDENT I OWNER
Name: 6 tilA. ReS t vs 5 rs vt I Phone: 605 - Co 3 (- % .
j
Address/CitLi/Re- /'i
CITY OF EAGAN Permit No: Date.
3830 Pilot Knob Road Meter No: Size*
P.O. Box 21199 Reader No: Date.
Eagan, MN 55121
Owner:
Site Address.
Plumber:
Conn. Chg: Zoning.
Acct. Dep: No. of Units.
Permit Fee.
Surcharge. I agree to comply with the City of Eagan
Tr. Plant Ordinances. /�'p�
Meter L(
Misc • By
WATER SERVICE PERMIT
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.:
P.O. Box 21199
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:
Misc. Charges:
By
Date of Insp.: Total:
Insp.: Date Paid:
11011City otEkau
/11
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: (\ 430
Permit Fee: 141 ' 5
Date Received: t J13 /13
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Q
Date: ! -1 - Site Address: 4/ 0 .. LIO5 y 1029 iii33 i'f th a,aP j
J
Name: %.f,(WQ001 K )k)Y1 i` 1QP [ I' c - Phone:
Address / City / Zip:
Applicant is: Owner
Contractor
Description of work: + 0C-Chntre minor Sidi vig
Multi -Family Building: (Yes ^ / lke
Construction Cost: '* O/ 000
Company: A 2t) (t1j" ({j f5 nb)t S /l i! _,f4t). t'. Contact: 5-6E ) f fPJ J
Address: 10701 Q ykr . A) • City: / l apk
State: e Zip: 5� r 3(05 Phone: t7C,3 -31S' 8470 / 0
License #:))C � � /7-S Lead Certificate #: NAT- (�'7I//0 -
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
ubmit ere considered,totbe pubfic information Portions o
on -public it yotl 3Vide;
idud e that they are
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.gopherstateonecail.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota St Sul ng 5e ;' ust be completed within 180
days of permit issuance.
x
iL )CSS
Applicant's Printed Name
Page 1 of 3
r
For Office Use
�`i � c �Ø
Permit#:Permit Fee: /3/ 0 1�
ECEIVE1) Date Received: 4_. ,/G`
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-5 APS u 3 200 Staff: ` adA
buildinginspections@citvofeagan.com
2019 RESIDENTIAL BUE-DIN-TPERIVIIT APPLICATION
` M t
Date: Site Address: L /�
— !Z.-- I i t�;d 0.,ler, 0 trt} Unit#:
Name: Phone:
Resident/
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of Work
Description of work: Pt L)4 , 'Pi, C e:>le fl
Construction Cost: 1�� �0 Multi-Family Building: (Yes /No ) i
ih i�T� ; 1 S rt../i 1--rd.) Contact: k. IT,��' �'t:iii/J
Company: '�
Contractor Address: 114-15 5-f/ 1- -/I City: 4'Yif°•-,
State: 'YTAI• Zip: 'c OZZ Phone: ("51-Z10 - /O0LEmaiL I t, 11),./J4,-.. t','k-v`%, t',,,,,
License#: (t'5 (-'O I LP Lead Certificate#:
If the project is exempt from lead certification, please explain why:
14.1) ,(r..
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?
7 Yes No If yes, date and address of master plan: 3 r(v) 706 1 /fir PLAvc 774
/
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 if you provide 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.citvofeaean.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.gopherstateonecall.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 no o start without a permit; that the work will be in
accordance with th approved plan in the case of work which requires a review and approva of pla s.
/� �;I
x 1,74 vIli x u
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE z-//. .s `11 "'`.'f'�(iw�� -P1- . /-e-;-6iw- -
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi LU Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
? 01 of j 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
Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 3F00.-- Occupancy J Z "3 MCES System
Plan Review Code Edition \'Tht 24:'i.S- SAC Units
(25%X7 100%_) Zoning 41 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction v ? Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) r 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 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan /�,� v / Other:
Reviewed By: I�V' iii)/ i h-/(p,' , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174816
Date Issued:02/22/2022
Permit Category:ePermit
Site Address: 4125 Meadowlark Pt
Lot:3 Block: 1 Addition: Hillandale 3rd
PID:10-32952-01-030
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 -
Nona J Davis
4125 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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175961
Date Issued:04/25/2022
Permit Category:ePermit
Site Address: 4125 Meadowlark Pt
Lot:3 Block: 1 Addition: Hillandale 3rd
PID:10-32952-01-030
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 -
Nona J Davis
4125 Meadowlark Pt
Saint Paul MN 55122--175
Mon Ray Inc
7900 Excelsior Blvd, Suite 140
Hopkins MN 55343
(763) 544-3646
Applicant/Permitee: Signature Issued By: Signature