1773 Meadowlark CtCity of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA111920
Date Issued: 07/18/2013
Permit Category: ePermit
Site Address: 1773 Meadowlark Ct
Lot: 020 Block: 04 Addition: Hillandale 1st
PID: 10-32950-04-020
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.
Lisa Skogen
5660 Memorial Avenue North
Fee Summary:
ME - Permit Fee (Replacements) $55.00
Surcharge -Fixed $5.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
- Applicant -
Owner:
Deanna D Griffin
1773 Meadowlark Ct
Eagan MN 55122
(651) 276-9470
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.
Applicant/Permitee: Signature
Issued By: Signature
4
/773 41,viiivev/amdt,
City of Eagin
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit ft:
Permit Fee: ‘299 C'
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPUCATION
(16-1-11C
Date:1412AI Site rrm Oftultsittilikv units:
RESIDENT
OWNER Address City 11 .5 1\A alj Old tiLIS- M
Applkant is °new Contractor rAitr Acivfi /eetA
ettiltb
TYPE OF WORK DesenPlim "lcut:t.t
Construction Cost! - _ _ - MIXii-FamIN Buikttng (Yes I No )
company:—'104 ...kr • -
Address: tekitft "Rua Se
CONTRACTOR
Stine: Ria EV: C3S-512-
cay:Pri
Phone: tal7.-- - 1.44s -
License t 2(15151043 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
OYU) Voi-levei LAM- ti&tropi- f-+ r)y- iviCit-e. of FtIAMCA fi)r. ger&
_ -tor
- ettkiti,he.s
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 Phenber: Phone:
Mechanical Contractor Phone:
Sewer & Water Contractor : Phone:
. . _
NOTE: Plans and supporting documents that you stthmit are considered to be public intbnrnation. Portions of
the infonnation may be classified as non-public if you provide specificreasons that would permit the City to
conclude that they are Wade secrets.
CALL BEFORE YOU DIG. ca Glad**, State One Cat at (651)454-0802 for protection against underground utility damage. Call 48 hours
betxe you intend to tig to revolve. locales of undergeound dales_ - _
I hereby acknimledge that this information is complete and aocisate; that the work sit be in confolmance With the ordinances and codes of the City of
Eagan; that 1 widerstand is is not a peon& Out arty an application ror a permit. and mit is not to start without a pemlit that the workwIl be in
accordance with the approved plan in the case at which requites a review and approval of plans.
Exterior wort authorized by a building permit issued in acceidance with the Ilinneseta Stale Bulldog Code must be completed within 180
days of permit issuance.
xl)%'td J1iitovx
Applicant's Printed Namel Applicanrs Signature
Page 1 of 3
.1 inet4014)
SUB TYPES
Foundation
Single Family
Multi
II 01 of (Q Plex
Accessory Building
WORK TYPES
New
Fireplace
_ Garage
Deck
Lower Level
NOT WRITE BELOW THIS LINE
— Porch () _
_ Porch (4 -Season)
— Porch )
Interior I
_ Addition _ Move Building
Alteration_ Fire Repair
Replace Repair
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% VI -
Census
/ )Census Code
# of Units
# of Buildings
Type of Construction
4/ 31/
7,8
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof:Ice 8 Water )F
J Framing
Fireplace: _Rough In _
Insulation
Sheathing
Sheetrock
Reviewed By:
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
dna# /'=svt i Rev':
Air Test Final
Siting
Reroof
Yilindows
Egress Window
Stone Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
IMscellaneous
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
'Drwwlilfon elands* building — givrs PCA handout to applicant
�C-3
o�7
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath Brick
yWindowsTAO 'Z
Retaining Wall: _ Footings _ Backfill , Final
Radon Control
Erosion Control
. Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/r 7¢
Page 2 of 3
Date:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
JUN 1 9 2012
r
Use,BLUE or BLACK Ink
For Office Use
Permit #: /0f3/31
Permit Fee: /0 5d
Date Received: 4n f' /.P"
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: I -eikkV
Unit #:
RESIDENT
OWNER
Name: Ie0A0X)lack R�eige s
v o . Phone? -?z 235'5
Cnr taez t- fete geeg in
Address / City / Zip: 1761 M eGcaoW fatrk Cr
Applicant is: Owner V Contractor
TYPE OF WORK
Description of work: ) L 4. 5 Ace° 40 watt
Construction Cost: 60o-- I
Multi -Family Building: (Yes X- / No )
CO
NTRACTOR
Company: 911)Ce04 121Ci<5ReFirkCY' LLC_
Contact: Cl'LttCY---
Address: '7&o E -r c -9,n Ar 4-- City: Ria1rtet8
State: hi/ Zip: E5' -I
Phone:
6 rz. -v 6 -- 5 Celt': 6)Z -2/4-6S-S3
License #: te 637 4Lead Certificate #:
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: flans 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.
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.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 State Building Code must be completed within 180
days of permit issuance.
O. �1�tl�
x U �. i�j Cbt-te5 E_ 6conkey x l f1"
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
/77s low,;
1({11 ( T & DO NOT WRITE BELOW THIS LINE
,&f5/37
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi Deck
01 of 1/. Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
°771 4f 00 ccupancy
Code Edition
Zoning
y3" Stories
! Square Feet
! Length
Width
(25%_ 1 00%_) /2/,/
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FE
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
•AG --3 MCES System
olall SAC Units
R'3 City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings `Asir/ as Tests _Final
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
/off ti.4r fAg
Page 2 of 3
VILLAGE` OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood 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•
Ordinan es. Misc. Charges:
Total•
By Date Paid•
Date f Insp.: fr f 5` 7f 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:
Permit Fee:
Surcharge:
By: / L C Misc. Charges:
Date of In Jr �) r �j5 Total.
Insp.:
Date Paid:
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use 'y
Permit #: </
Permit Fee:
Date Received:
a%%
Staff:
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: I 0 )1, AN Site Address:
•� �•\V v'�J \AY� tZ g flit/1
Tenant Name:
Architect/Engineer
Name: y-uc`.c1b.,ti`v Af�
(Tenant is: New / i\ Existing) Suite #:
Former Tenant:
�aQ
Phone:
Address / City / Zip: t» 3, 1-r) , I> b ,► '9 C,3 , t 7 b\ r 115 h S
t? S?
�M k7 S
Applicant is: Owner Contractor +' \Q m w\ h C
Description of work: St-..
h��wtt.��
cam
Construction Cost: l -2..V9
Name: C Kt WN v'r r\ ,<NA Cy v.t% +ti c d Nkt-• License #:
Address: 2Q7`"") kA/ ����dilrQ om.
State: el ' . Zip: S'S "3 k b
Contact: %e 1 -k... }[S
City: c q `
Phone: GS -2 " id % � evA \p b
Email: l p v�v�L 3 ,4Q .\\-\
Name: Registration #:
Address: City:
State: Zip: Phone:
Contact Person:
Licensed plumber installing new sewer/water service:
Email:
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.
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 wII be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an aption`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 whi h requires a review and approval of plans.
x `✓� e t g t c e•�)
Applicant's Printed Name
x
Applicant's Sig
Page 1 of 3
City of Eaaall
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 #: 2
Permit Fee: /C
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
a
#Zeis
Name: OfarinCE/� 1 L 6 i' � t Phone:
Address / City / Zip: / 7 3� o / a i k Ci . �- P n
Applicant is: Owner )(Contractor
.�
�ype ofo
Description of work: L ii ej ht„cQ 5C rye Sly 2-Q 5V/72106/3�
l ,A-�G
,
Construction Cost: 140 0 Multi -Family Building: (Yes 1 No t ) j9
xm
Conira
rticl' - k. LG n !CC, J c'� r'i Fro G
Company: � r, �C;y c fi 8°� �i- Contact:
7
Address: 1 ( r 5-6}-\,t(5(-0," j City: aclq 4
q
State: I Zip: 5't ( Phone: ( z. 2 3 Z. *ail:
pp
License #: 13 C 67 C V00 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
q�
pporting a ;.., i` c o ®. / moi " a a a. ,e a blic
on maybe classified esr nor
®include 9�'. re .tradE: �.
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.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 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 State Building Code must be completed within 180
days of permit issuance.
j(ki" f Iici (
C.
Applicant's Printed Name
x
Appli
is Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173745
Date Issued:12/01/2021
Permit Category:ePermit
Site Address: 1773 Meadowlark Ct
Lot:020 Block: 04 Addition: Hillandale 1st
PID:10-32950-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Deanna D Griffin
1773 Meadowlark Ct
Eagan MN 55122--172
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature