4158 Meadowlark WayCity of Eagan
Site Address: 4158 Meadowlark Way
Lot: 2 Block: 5 Addition: Hillandale 2nd
PID: 10- 32951 -05 -020
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Applicant/Permitee: Signature
- Applicant -
PERMIT
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
$55.00
$5.00
Total: $60.00
Permit Type: Mechanical
411,11 Permit Number: EA104807
Date Issued: 06/12/2012
C o Elpil Permit Category: ePermit
Owner:
Lindsay Minderler
4158 Meadowlark Way
Eagan MN 55122
0801.4088
9001.2195
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.
Issued By: Signature
CITY OF EAGAN WATER 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:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. .. ,2 Misc. Charges:
Total:
By l Date Paid:
Date of Insp.• 51113 Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. D. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
r. _..__-_______r..____
1 For Office Use 411b~ City of Eatan i Permit #:I Permit Fee: q
_)5.60.
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff. 1
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: %
_"i►.l~LI o 1
Name: Phone: k
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: M)Yvf Sid i ~5
Construction Cost: Multi-Family Building: (Yes k / me )
Company:/VM (S:t(_1 J10fS Av S1 A Contact: S~E Affe-1(
Contractor Address: 1® (0+ `7J ~ , A City: 1E QoV
State: MA) Zip: 6~ J t0 Phone: O 1
License _!-tJ Lead Certificate ! V! - /
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 pennit 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:
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 the 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.-goaherstateonecall.ora
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 lid! C Lucompleted within 180
days of permit issuance.
x dw/- h53S X_
Applicant's Printed Name Applicant's gignatupl/
Page 1 of 3
r For Office Use
Permit#:
E AG N
Permit Fee:
/3/- a
/C
Date Received: - r
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 ECEIVE I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 APR 0 3 Staff:
buildinginspectionsCc�cityofeagan.com 2U19
2019 RESIDENTIAL BUILJ APPLICATION
Date: Site Address: e- do, )Ir-/ `A Unit#:
Name: Phone:
Resident/
Owner Address I City I Zip:
Applicant is: Owner Contractor
Type of Work
Description of work: Pt'_�i4 r^jet'r
kJ
Construction Cost: ' h') CO Multi-Family Building: (Yes I No )
Company: 0 c�r� ,"r\ 1. i: Contact: 615r.4.-- Y�.,/ /J -
�� C
Contractor Address: Zl� 7�///r �I City: "ifw
State:fi ' •Zip: ZZ Phone: ({25/ Z/t) -/QOLEmail: ( h.� f 2,i1 l C/r'*/,
License#: (e25-CD I L9 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 basedon a master plan?
7 Yes No If yes, date and address of master plan: 51rev70/e') G/u /fir po,..wd 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.citvofeagan.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.000herstateonecall.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'pia sly
x ,Y) v l v x aG'1
Applicant's Printed Name Applicant's Signature
.DO NOT WRITE BELOW THIS LINE vl I6. Gi� (1, iz L�ai1 / 6Y / q
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _X Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
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
x Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation
Uicl_ Occupancy MCES System
Plan Review Code Edition A, , I J SAC Units
(25%)( 100%_) Zoning at2 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length ,'- Fire Suppression Required
Type of Construction I/6 Width
2/5/
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
')c Footings (Deck) Final/C.O. Required
I Footings (Addition) x 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 Other:
Reviewed By: 1-7/ , Building Inspector
RESIDENTIAL FEES
Base Fee /
Surcharge (JgA1f(•
Plan Review / 3 17-0 0
MCES SAC
OPI/C-44 1
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:EA174508
Date Issued:02/02/2022
Permit Category:ePermit
Site Address: 4158 Meadowlark Way
Lot:2 Block: 5 Addition: Hillandale 2nd
PID:10-32951-05-020
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 -
Adam M Burnett
4065 Northview Ter
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature