4078 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 �
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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:Plumbing
Permit Number:EA164550
Date Issued:10/01/2020
Permit Category:ePermit
Site Address: 4078 Meadowlark Lane
Lot:005 Block: 04 Addition: Hillandale 1st
PID:10-32950-04-005
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
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 -
Amanda R Salak
4078 Meadowlark Ln
Eagan MN 55122
(815) 275-3304
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164882
Date Issued:10/09/2020
Permit Category:ePermit
Site Address: 4078 Meadowlark Lane
Lot:005 Block: 04 Addition: Hillandale 1st
PID:10-32950-04-005
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 -
Amanda R Salak
4078 Meadowlark Ln
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167586
Date Issued:03/23/2021
Permit Category:ePermit
Site Address: 4078 Meadowlark Lane
Lot:005 Block: 04 Addition: Hillandale 1st
PID:10-32950-04-005
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Katherine Waters
4078 Meadowlark Ln
Eagan MN 55122
(815) 275-3304
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature