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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