4080 Meadowlark RdCITY OF EAGAN Permit No: Date
3830. Pilot Knob Road Meter No: Size.
P O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner
Site Address.
Plumber
Conn. Chg: Zoning.
Acct. Dep: No. of Units.
Permit Fee.
Surcharge' I agree to comply with the City of Eagan
Tr. Plant
Meter:
Misc • By
Ordinanc
s.
WATER SERVICE PER
CITY OF EAGAN Permit No:
3830,Pilot
Knob Road B/P No:
P,O. Box 21199 Date:
Eagan, MN 55121
Owner:
Site Address:
Plumber:
MWCC:
City Chg: Zoning.
_
No. of Units:
Acct. Dep:
Permit Fee: I agree to comply with the City of Eagan
Surcharge: Ordinances.
Misc.:_
By
SEWER SERVICE PERMIT
City of Eaaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: 335.
00
Date Received:
Staff:
J
�% LS 2013 RESIDENTIAL BUILDING PERMIT APPLICATION j�,
Date: [ -1 i - Site Address: LSID) - � 7� —40 7 i�Q) ✓
5. rte. /a1' 4)
Name: L%cOCO K 1f )Y11110PM C. f, SOO •
Phone:
Address I City / Zip:
Applicant is: Owner
Description of work: 41:2
Contractor
Construction Cost: 45 Of)
mJiiX09
Multi -Family Building: (Yes /\ I )
Company: Aka) Gx-ter'iOrS Ay 5, 14
Address: 10701 Q3 id i4 . A).
State: Zip: 66,3(z,"..9
Contact:
Phone
License #: Q - 9 3 Lead
SSE .'cell
City: flap E Cf0 v£
703-31s- R0 0
Certificate #: AMT— — (c7 / 1/!O '" !
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: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
TE: Plans and supporting documents that you submit are
-information maybe classified as non-public if you prop
conclude that they area
Phone:
Phone:
lde s+
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 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 S
days of permit issuance.
. akOL Tzss
Applicant's Printed Name
»a aq
x
st be completed within 180
Applicant% Sign
Page 1 of 3
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 ( TDD: (651) 454-8535 I FAX: (651) 675-5694
build inoinspections(cacitvofeagan.com
Date:
For Office Use
Permit#: -3�v--�
Permit Fee: t: - C
Date Received:
Staff:
L
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
1-3O—(
Tenant:
Site Address:
1445'00 ACQio w (a r /( RI
J
Name: I4:y t.°nn
Phone:
Address / City I Zip: tib 8'4) .r�eQ� w % r 1f Kat So
Suite #:
Name: 4-4 kc v r w IC? ��C License #: PM °C o a s a
ref A),
Address: 7/ / S C00/0 -ar c City: -r w 4/9- r
ro ✓e
State: tvl r Zip: 5S ° 7C Phone:/ ‘() — gO 5— 6 270
Contact: /1arI S7t '�i+n Email: /a�leviewe (votlo1' n4. AAS11.corr,
New l< Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Iv // 4e,der
Description of work: repro d. e
RESIDENTIAL
XWater Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $
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.00pherstateonecall.orq
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.cltvofeaoan.com/subscribe.
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.
x
IVa rt S�e, p.
Applicant's Printed Name
Applicant's Signature
[-For Office Use
tt t t c (oo
Permit ^
E AG A
/�/� J--16/-
3830
l
3830 PILO
T KNOB ROAD I EAGAN, MN 55122-1810
if.
�e.1 i%
Date Received: -_//
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675 14 ' .; 0 3
0.,,. Staff: P J
buildinginspections(@cityofeagan.com ay:
2019 RESIDENTIAL BUILD! MIT APPLICATION
r
Date: Site Address: ` Li 000 S // •'A. j , i(t.1/c f/'n�,4 , Unit#:
Name: Phone:
Resident/ ,
Owner ' Address/City/Zip:
Applicant is: Owner Contractor
Description of work: PLL k� ,L-, i,,
.,1
Type of Work `,>,„
'?) ^ Multi-Family Building: (Yes /No )
4')(A
; Construction Cost: /
Company: l t� rc ,Y\ L(2 n.5 4- ✓6.f?i Contact: l if,-.1-- PG,%/i/
Contractor - Address: II S ilvi (ICity: -'�/I 1
State: , • p: c' f Z Z Phone: ((2S7
((257-2.l0 -/OCCEmaiI ( !t.^ f, /i-'J'� 6b '/, ‘it.'/1\
License#:
((;)5—(:)0 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: 5r(-,-,-) 7c/ 1 H /4 ' J 7-11
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 I
classified as non-•ublic if ou •rovide s•ecific reasons that would •ermit the Cit 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.gopherstateonecall.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 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 pla s. +
/ t
�' I, >� • �iiJ , 1
x x (..4 /
Applicant's Printed Name Applicant's Signature
f
2-1 b k 0 1166-dolfia- • /5 '76 k---C-
iij
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
_ Multi t —_ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
-f' 01 of_y 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
)o Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 4 390.*- Occupancy (.-�)-zC "3 MCES System
Plan Review Code Edition I/yl f L l.S' SAC Units
(25%10 100%_) Zoning P-b City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VWidth
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
r
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: rt al / /K14/4 , Building Inspector
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
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174535
Date Issued:02/02/2022
Permit Category:ePermit
Site Address: 4080 Meadowlark Rd
Lot:4 Block: 9 Addition: Hillandale 3rd
PID:10-32952-09-040
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 -
Zachary D & Whitney Hauser
4080 Meadowlark Rd S
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature