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4130 Meadowlark Way
RESIDENT / OWNER Name: 3leVei Jnk Phone: 051 I ?(og L/5// Address / City / Zip: _ J iii ' L 4 4/ a / ��W 0 • 1222 CONTRACTOR i Name: ' Il l III OA ■t d 1i ' 4. icense #: a_0(9 /07— P Address: M& City: kr9I( e) State: MN ZipL i : IV Phone: `4(03 iv(/ 135/ Con tact: Coil 1 I I Jl /T \UI U)'i')l� Email: 0 dii, . . id o ,.` • g ' TYPE OF WORK t New Replacement Repair Rebuild _ Modify Space — Work in R.O.W. — — Description of work: O/ /. COL L l itt 4 ' W 1•1" PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ / _ PVB) Add Plumbing Fixtures ( Main / , Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTS, FEES $ (add $189.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 XAv1urnn r d.Qmuh 1 Applicant's Printed Name EEC p % 1VI. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance Eagan; that I understand this is not a permit, but only an application for a permit, a is not accordance with the approved plan in the case of work which requires a review and a Applicant's Signature For Office Use Permit #: Use BLUE or BLACK Ink Permit Fee: Date Received: Staff: �� 2012 RESIDENTIAL ^ TIAL PL U , PERMIT APPLICATION Date: �/L0 Z Site Address: `— Ic t Il c.�1 C1 { O t/ V I VI I F-- V U Tenant: Suite #: 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.aooherstateonecali.ora J e ordinances and codes of the City of t a permit; that the work will be in FOR OFFICE USE Required Inspections: ` Under Ground Rough -In _. Air Test Reviewed By: Date: CITY OF EAGAN WATER SERVICE PERMIT 3.830 Pilot Knob Road P. 0. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: _. Zoning: _ No. of Units: Owner: - — Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: B u _ Date Paid: — Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob 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: 1 / • Permit Fee: �` Y �, ,,..` Surcharge: By Misc. Charges: Date of Insp.: Total: I nsp.• Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3.830 Pilot Knob Road P. 0. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: _. Zoning: _ No. of Units: Owner: - — Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: B u _ Date Paid: — Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob 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: 1 / • Permit Fee: �` Y �, ,,..` Surcharge: By Misc. Charges: Date of Insp.: Total: I nsp.• Date Paid: 41101 City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Use BLUE or BLACK Ink For Office Use 114310 Permit #: Permit Fee: 515 Date Received: — l / 3113 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATIONA///, '1 �/ -t 1- 13 Site Address: `!�(0' ! 1//5"l ' / / 3 ' - " 7 / !) 40414f;( C� Name: Ll ,,XF1,00001 —6)Y11,100*_ /4S-COO 1 y: Phone: int! i Dgw Address / City / Zip: e Applicant is: Owner Contractor Description of work: -62.00 mime r, M:r SEOi i / i5 Construction Cost: Multi -Family Building: (Yes / Nos ) Company: /li'2W . k , i o rS S l ii 1 W. Contact: SIVE Af%i Address: 10701 (43 Lci . A). City: / (apiE G/ ©viw State: Zip: J 3IO5 Phone: C%3 -3 is` Si 0 0 `Q i I -AS License #: J [3S' Lead Certificate #: ,VAT- (l0`74/0 - i 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: TE: Plans and supporting documents tillat you submit are con slderedto. ae publle In informationlily be s/ars e f as non-public conclude that t ley are trade see; 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.orq 1 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 1 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 S days of permit issuance. x adt0/— Applicant's Printed Name Fir Or 'C' J I0'�6 x Applicant's Signatu completed within 180 Page 1 of 3 1 For Office Use ,` � °°° Permit#: /Lig 7C9 EAGAN isto Permit Fee: y� Date Received: " 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810Ia `- (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(c citvofeagan.com APR ' 2 2018 L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date:f—f 2- l8 Site Address:7 �,1�Q Qt�tt7t,�`. ,oki- � £c 4 4 Unit#: l /3O J Name: 1k) vuso i-\ AA 44 eii-ei' f Co • Phone: Resident! ,,,, ff owner Address/City/Zip: & 70 / 91s:--- 5 L tu, Apple Oct l t e i old) 5- 92y Applicant is: ). Owner Contractor Description of work: Type of Work �� e t P Construction Cost: 3'100 Multi-Family Building:(Yes /No ) Company: 5-iKleil Coin(_5 kt t G jo•� L(C Contact: ,7 t'r7 /i 5 rGi-1 Contractor Address: ;7/y5 51 f int?! &II fed City: E 114✓I State:MN Zip: SS/ 2-2_. Phone:f/2- 22/-13111rs Email: CS fru b14iEder y i$1,54 (-1 License#: . 60500/(® 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? XYes 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 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.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.00pherstateonecall.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 /�ii�` s�Yr ii x Applicant'sr Printed Name Applicant' ignature DO NOT WRITE BELOW/ THIS LINE E/� SUB TYPES -// O /T/&c&/ ,/V /Lig 7 , Foundation _ Fireplace Porch(3-Season) Exterior Alteration(Single Family) — ( g Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) _ Multi )! Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous ?d 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 A Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation ` 3 4ve. = Occupancy P-C-3 • MCES System Plan Review Code Edition 0/7 ZC&) SAC Units (25% 100% ) Zoning -3 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length 12- Fire Suppression Required Type of Construction V $ Width Z 5 REQUIRED INSPECTIONS Footings(New Building) Meter Size: K Footings(Deck) Final/C.O. Required _ Footings(Addition) _ )d Final/No C.O. Required _ Foundation HVAC_Gas Service Test Gas Line Air Test _ Roof:_lce&Water _Final Pool: Footings Air/Gas Tests Final Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding: Stucco Lath Stone Lath Brick insulation Windows _ Sheathing Retaining Wail: Footings Backfill_Final — _ Sheetrock Radon Control _ Fire Wails Fire Suppression:_Rough In_Final _ Braced Walls Erosion Control / Other: viewed By: 1 0 PI ifl'$/ fr , Building inspector :SIDENTIAL FEES a Sg • C-47 . Base Fee e e x- 31" , — /c• Surcharge =4 L'tvi ,$ p; tJ;55 e%�D 9 Ol)•F( 1 Plan Review Whet J MCES SAC W 7e P(lvl X City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174813 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4130 Meadowlark Way Lot:2 Block: 9 Addition: Hillandale 2nd PID:10-32951-09-020 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 - Wagon Maker Investments Llc 16121 Hampshire Ave S Prior Lake MN 55372 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature