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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