4074 Meadowlark Lane VILLAGE OF EAGAN WATER SERVICE PERMIT
3/95 Piiot'Knob Road 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 Misc. Charges:
Total:
/ Date Paid:
Date Insp.: f/ 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:
B Misc. Charges:-- --s'
Date of sp.: Total:
Insp.: Date Paid:
.
� Use BLUE or BLACK Ink
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� For Office Use �
� � Permit#: � �� �
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Y � � Permit Fee: �
3830 Pilot Knob Road I I
Eagan MN 55122 � �
I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I I
� Staff: �
�-----------------�
2014 COMMERCIAL BUILDING PERMIT APPLICATION
Date: f �IS � Site Address:
Tenant Name: �e�d\�Q v..� \�.�- �:������ (Tenant is: New/ � Existing) Suite#:
Former Tenant:
Name: {° �c scl�+•...�n�- X, r��o �� � � Phone:
Property Owner Address i City�Zip:xl d�t7 . �' ra�2, ►t c��� o 't ��� , 'iv��F. �t �7�t�, �( c��� ,�l ���
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Appiicant is: Owner Contractor �
Type of Work ' Description of work:__s�. Y•t7 !t �r�N� � �t w1 t-^�
Construction Cost:�/�.LW �
Name: C� Y�vr�.c�� �r� ` pv.��l��c.�w� License#:
Contractor Address: Z �°7'� �/�'���,�,,,� U r. city: �; ,�q�,�
State: �1 � Zip:_�S 3 r�' b Phone: G S� � ��� �— �ti � �
Contact: %he �'�'� e� Emai�: .,. � ,� �nt� �O L_`�,�v..�
Name: Registration#:
�Architect/Engineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: 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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the w k w I be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an ap c tionifor 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 r wh' h requires a review and approval of plans.
X `� e ��-� gv� S �e`�) x
Applicant's Printed Name ApplicanYs Sig
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135846
Date Issued:04/07/2016
Permit Category:ePermit
Site Address: 4074 Meadowlark Lane
Lot:030 Block: 04 Addition: Hillandale 1st
PID:10-32950-04-003
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Leighanne M Shequen
4074 Meadowlark Lane
Eagan MN 55122--172
(952) 358-0420
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature