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4088 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: CITY OF EAGAN Permit No.: Date: 3830 Pilot Knob Road Meter No.: 3 94(.7 x7I 3 73 Size: P.O. Box 21199 Reader No.• d g p 9 7 3 Date: /D = - g Eagan, MN 55121 n Owner: P7 '- u.d GZ 44 Site Address: _/_.� Plumber: /S C C.( At r.60 2 SPRINKLER (water only) METERS ARE TO BE INSTALLED AHEAD OF I agree to comply with the City of Eagan DOMESTIC METER ON WATER Ordinances. LINE. CREDIT WILL NOT BE GIVEN ,/r'' / f r� FOR DEDUCT METERS. By PERMIT , . � Use BLUE or BLACK Ink r________________^ � For Office Use � � � Permit#: � �� Clt of �a a� � . �� 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 �� i��(� , �� . �� 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 �.� Use BLUE or BLACK ink ,tr As-Kify - For Office Use ll 44011/' Cit of Ba 1 : pe� cel�P-, �-� , - ll 3830 Pitot Knob Road Permit Fee: I (1.-D,.......2 if,) � Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax (651)675"5684 Staff: • 2017 RESIDENTIAL BUILIDING PERMIT APPLICATION IDN Data: Site Address: gIAds 14 k Unit#: ¢` �, 41 '`'" Name: i : �44 d 'a, • �; ,. ♦ Al-r4�G7 Phone: ketd. / ' Itir Yi, : ` , }1 rr Address/City/Zip: li�? ,�ieiiXA '£,+ Applicant is: Owner Contractor /L `— ,„.„1. ,..,,..4 .‘,4!_iy.. ,.. . ,-1,- `~ , , Desaipd-on of work: repair � /`,e-.I1 , ,, •, , ,eyr -_•:4...,,,t3,1',,,,,.,,--1_41', L Construction Costatm Mufti-Family Building:(Yes /No ) , � � ,]'Y` N company: Austin Remodeling Contact: Mike 4l -�,.F-�x 19306 Oeike Dr Prior Lake Address: � City: 4°� ; ,`fib state: MN Zip. 55372 Phone: 69221-4429 mike austinremodel.net .r rEmail: 1 •-.,� < 4 BC664409 NAT-Fl58156-1 ' -�z, ry s License#: Load 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 based on a master plan? X YesNo if yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: • Phone: Fire:Suppraession Contractor: Phone: 4-:, 4 -,f i'� f`J': chi I �t � that �� to re ..�, ,',,i . .J.,i' '"` � r n.r 7.1 4" - yr 'lam, �.a. � t t y Jia ,r . �t 1 i :! 14 ! t i( drr,S60 , d 'r ic/r ',,1,0',46-* '°`�" r `- t,F z ,r 7 .�:r `$�XS- '. � '�' �� S ;;x � � � ,,, 'Ta ti.}-d..1�r .r�� irp7� C;:).1.'';'n^� i- {f X7 C.-..:• Ylgira. ''''': 411;7-1::74"'.7:.'.1 cRiiiell* thil •. d .,..fbilkiec:.�w roisi `'.1-• 4'Y:.'knHiL - ....,,:- ,-,,,,,,4,u,',„, 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. ykww.aQphergtateunecail.org I hereby acicnowledge 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 workauthortzad by a building permit Issued In accordance with the Minnesota State Bulldln dem • .• ,plated within 160 days of permit issuance. ,i xMichael Austin Applicant's Printed Name x pi cant`s Signature Page 1 of 3 t-f o BSc kt6,40 11 k_ L6A,--Q. DO NOT WRITE BELOW THIS LINE 15 [ (e'? SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi — 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 Replace f — _ Repair Egress Window Water Damage — Retaining Wall *Demolition of entire buildinggive PCA handout to applicant DESCRIPTION Valuation ali2P Occupancy A MCES System Plan Review Code Edition ,, _ # 'S'" SAC Units (25% 100% ) Zoning A City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation I HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final v Framing 30 Minutes 1 Hour Drain Tile /' Fireplace._Rough In Air Test _Final Siding: ; Stucco Lat _Stone Lath _Brick iiit 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: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge (10 ' :1, Plan Review viz6VA i V-- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 EAGANEGER 3830 PILOT KNOB ROAD' EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-8535 1 FAX (651) 675-5694 Date: !I SEP 19 20t9 13Y: 2019 RESIDENTIAL BUILDING PERMIT APPLICATION / 11 Site Address: 40bt) Unit #: r For Office Use Permit #: 58010 Permit Fee: Resident/ Owner Name: e",)vS4-.vN. `^ • r Address / City / Zip: it 8g ype of Work Applicant is: Owner X Contractor Description of work _Z,L Construction Cost 31 Phone: CD (Z —Z1Z-'‘el ds L Cc_�,.._, w\vki 'ss1ZZ /-? -1E sr Multi-Family Budding: (Yes %` / No Contractor Company O5Tor ('c)is Contact Address: 7/'iy- 5d"( 6'// City: C yam/ State:1 . Zip: �j a Phone: �t//Z1 t II%o Email: (' bri.�!`v//�N1 a^�'1'/• License* 17 0-0010 Pv//9 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 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: Fire Suppression Contractor. krfonnadon. Portions Aper Planedasandnon pvpperting tyodp,mfdetss dictyou subinit we considered to be c,e�ns would permit topublic trades may be dawdled as non-public lfyrw provide sp�fr You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the Citys website at www.cityoteagan.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 pemnit issuance CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaN 48 hours before you intend to dig to receive locates of underground utilities. v:_ _fagare r t -a r-_ u c llc;' _g I hereby acknowledge that this infortnation 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 wih oe in accord gnce withapproved plan in the case of work which requires a reviewand appro �v Phone: 160k Sip.] Applicant's Printed Name Ap • cant' Signature LPN./ 111V . VVI VI 1 1.. LJL=L01.0.. 11 11%7 SUB TYPES Foundation Single Family -/ Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%) Census Code / # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level �L-1SBoHo _ Porch (3 -Season) _ Exterior Alteration (Single Family) _ Porch (4 -Season) _ Exterior Alteration (Multi) _ Porch (Screen/Gazebo/Pergola) Miscellaneous Pool _ Accessory Building _ Interior Improvement _ Move Building _ Fire Repair Repair vv _ Siding _ Demolish Building* -X, Reroof _ Demolish Interior _ Windows _, Demolish Foundation — Egress Window *Demolition of entire building - give PCA handout to applicant Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water $.Final Framing +30 Minutes 1 Hour Fireplace: Rough In Air Test Final x Insulation !y Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL I _ Water Damage MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: Footings Air/Gas Tests Final Drain Tile Siding: Stucco Lath Stone Lath BrickEFIS Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector 0,1,0(--- 06LA(- Page 2 of 3 li 7Guo r , For Office Usey f 1 I I , 1 Permit Fee / I i 1 I I Dam Recolved I :3$30 PILOT KNOB ROAD I EAGAN,MN 55122-1810 i I 1E51)675-5675 I TDD.(651)454-8535 I FAX (651)675-5694 '0 311 aff i b rildirrnitIsaesboris@divgtgagan c,r1to ..J 2019 RESIDENTIAL BUILDING PERMIT APPLICATION owe; /1)17-(? Site Address: 1.-7/0 ki( /17:6,47c:11:AE-IKK (:'1; Unit#: Name /14.71c,"zfrott 4s.scci A Ff- r-----, i : ReSidenti Owner Address/City I Zip: -- I , I I Applicant is: Ownnr K Contractor . _ ... „.... Description of work: 5TvCC 0 4 Type of Work : (.2 0 Multi- COnS111_1Gli011 Cast: /0° ..- -Family Builds ig:(Yes I No ) ' Company ---VL1,41' IEc. contad, 37/1-1 D/ A.v j9,:sty,$) Address: .7.Zr 5 Pg, (,-.-54 -Ey ctizcic City: 7 .4.-v7".;(..,s , 7 cpntractor 6>( Z7 - 7 , F. 4-), , L , . Stateillf\J Zip:,I;III .>_) Phone: -,- -, ' (— ,..mail:_id'? c,Lf...'' .e.,,Lg.e(rcr,4,ex i Yr 1 0,1.3 l't 4- Cc-'11-\ ..„ .2 •2/_ License#: EC'.-7 •-•:' > ," -I W Lead Certificate#: I'the project is exempt from lead certification,please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING lin 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: Phone: i i Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: , gre Suppression Contractor: Phone; J I NOT Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be tiseyfied non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets ' .u may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's Ntebsite at www.cityareagan.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 caye of permit issuance. CALL,BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage Call$8 hours before you a tend to dig to receive locates of underground utilities ‘..yygrInherstolnonecall org i hereby acknowledge that this information is complete and accurate that the work will be in conformance wile the ordinances and codes of the City of I agan that I understand this is not a permit out 0111Y an application for a permit, and work is not to stall with .-.nil, that rho work will be III ;,.;:corriance with the approved plan in the case of work which requires a inview and appr. = • • :as ..„,..--. )1 .viftme..5 (IA VI 0 5-'›j X .....o111$11111P - Applicant s Printe ame Applican ig :two PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166554 Date Issued:01/20/2021 Permit Category:ePermit Site Address: 4088 Meadowlark Lane Lot:010 Block: 04 Addition: Hillandale 1st PID:10-32950-04-010 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 - Susan M Brewin 4088 Meadowlark Ln Eagan MN 55122--172 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171398 Date Issued:08/16/2021 Permit Category:ePermit Site Address: 4088 Meadowlark Lane Lot:010 Block: 04 Addition: Hillandale 1st PID:10-32950-04-010 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 - Susan M Brewin 4088 Meadowlark Ln Eagan MN 55122--172 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature