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4092 Meadowlark RdCITY OF LAGAN 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 Ordinances. Meter: Misc By WATER SERVICE PERMIT .57 CITY OF EAGAN Permit No: Date. 3830 Pilot Knob Road B/P No: Date. P.O. Box 21199 Eagan, MN 55121 Owner: Site Address. Plumber MWCC• Zoning. City Chg: No. of Units. Acct. Dep: I agree to comply with the City of Eagan Permit Fee: Surcharge Ordinances. Misc • By SEWER SERVICE PERMIT 4,11 City otEaaan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink F For Office Use Permit #: Permit Fee: Date Received: -11, 3 //3 Staff: J i + 13 PI 2013 RESIDENTIAL�BUILDING�PERMIT APPLICATION -� 1- Site Address: lO (W - %COl J " i l " u1O 8 Loco 5 ifEadoolafk JQJ Name: L l tX)—6)Y1 J1O . Phone: Address I City I Zip: Applicant is: Owner Contractor Description of work: Construction Cost: Company: ! V EW & "IO fS h y Sig j1W- Contact: Shi . 't 18,1 I Address: 10701 . JlJ • City: J It idE. CT() State: Alit) Zip: 673 �i Phone: /7;�, -3 is- 0 4X0 0 License #: 1 L 7 f i/M"(!; Lead Certificate #: ` 6;21/10 o - I 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: Phone: Sewer & Water Contractor: Phone: ns and supporting documents that you siui r it. are cons rent to.be public information Po nation► may oe ciassi i as pori-publfc if you provide sp irea � t rat wr e► p t w C sacral 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.aooherstateonecall.org 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 3uildi ; Cofl m, st be completed within 180 days of permit issuance. x 00,40( 2ss Applicant's Printed Name Applic "t's igna )04799 ;moi} Page 1 of 3 -' r For Office Use tE ( O jsV`7 -1 tF, t i r'f Permit#: //-- ,, ,, E AGA lPermit Fee: '1/444. 471 Th,,� Date Received: '/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ',' n w j (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675 f ;94 „ Staff: ��� buildinoinspectionsOcitvofeagan.com ' J 2019 RESIDENTIAL BUILDING /RMIT APPLICATION Date: Site Address: i �O1 Z 5, f rc'Ow11t(i gid, Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: Pt._14 ;2 ^h-C c' >ie.1 Construction Cost: 9.i)T �'C - Multi-Family Building: (Yes /No ) ......... . Company: 0C re,,7N l �'r�S�- iv� H . i� Contact: li 1f,,� }'Z/��/"� P Y� Address: Zi41r. l�r! (I City: �k-�)e"� Contractor State:r 1� �l• Zip: 1t Z Phone: 0.7-2/0 - /Oc7cEmail: (4 /f i L./L'•�c� �, `i, (1,,,I, • 1- • License#: ((.25—CD I lig Lead Certificate#: If the project is exempt from lead certification, please explain why: I 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: SVrM9 76/S ` u lei leed 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.aopherstateonecall.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 approv,ai of pla si. 0. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE l a- )11 ado Le)`AY'`' ''"l / �C/6 7� SUB TYPES Foundation _ Fireplace Porch (3-Season) Exterior Alteration(Single Family) Single Family Garage Porch (4-Season) Exterior Alteration(Multi) Multi 1O Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous en 01 of4 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 r Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 3784 . Occupancy TZ C "3 MCES System Plan Review Code Edition //1 ZO1 SAC Units (25%)0 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V5 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: 20 Footings (Deck) Final/C.O. Required Footings (Addition) 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: —T©wit ill,r /' 4Y/ , 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:Plumbing Permit Number:EA156268 Date Issued:06/21/2019 Permit Category:ePermit Site Address: 4092 Meadowlark Rd Lot:5 Block: 8 Addition: Hillandale 3rd PID:10-32952-08-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Natalia Sadchikova 3909 Westbury Way Eagan MN 55123 (651) 808-4253 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:EA174523 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4092 Meadowlark Rd Lot:5 Block: 8 Addition: Hillandale 3rd PID:10-32952-08-050 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 - Brian D Parker 4092 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