The URL can be used to link to this page

4094 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 Ordinanc Meter: LIZ ��/1 V / OCjC Misc • By WATER SERVICE PERMIT 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: Permit Fee: I agree to comply with the City of Eagan 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 l ° ` c r r ° :::::ee i 6/673�F : /3/' 6 6 Date Received: /` 3830 PILOT KNOB ROAD I EAGAN, MN 55122-18104-- 0 R j (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-; %4 Staff: buildinginspections(&cityofeagan.com P I) 2019 RESIDENTIAL BUILDING P MIT APPLICATION Date: Site Address: P' 1i o _/ )p 1,lC,JekkJ itil< Ad- Unit#: Name: Phone: Resident/ . Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: l6LC 1� a 01 r-C c'.mac.I k) I Construction Cost: OC' Multi-Family Building: (Yes /No ) Company: 0 5�{-�.(;:;y, l,2%�5--(-v is N,f �t i r %,%�(ti) Contact: ,��` f Contractor Address: ZI S 5!�� /I City: ��Y)i° t State:i �ti• Zip: cOZ� Phone: (ES/-Z/) /��cEmail: { ii-, ir:/i4 ) � '/� Ct, ,,-). License#: (C2 5-00 I tO Lead Certificate#: a If the project is exempt from lead certification, please explain why: -1-e(A; COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ' In the last 12 months, has the City of Eagan issued a permit forfa similar plan based on a master plan? 7 Yes No If yes, date and address of master plan: 5 r. j ?U/S I c, /4 A'A'A 771 / 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 maybe 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.citvofeacian.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 no o start without a permit; that the work will be in accordance witth th approved plan in the case of work which requires a review and approva of Ola s.//,/, x I I;'n 7 v11%) X ir1 , ,4 Appli`cant's Printed Name Applicant's Signature OW THIS LINE IeDO NOT WRITE BELJD /q ii16-6-ACLa 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 (so 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 rReplace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 0 39 613•----- Occupancy Z:2-C 3 MCES System Plan Review Code Edition ✓n n 201S-- SAC Units (25%Y? 100% ) Zoning ? ). City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ?D Final I 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: i `O 144 /11 ; )(IV , 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 2of3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174516 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4094 Meadowlark Rd Lot:4 Block: 8 Addition: Hillandale 3rd PID:10-32952-08-040 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 - Lydia C & Dante Deguzman 1512 Pinetree Trl Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature