4108 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 t /comply with the City of Eagan
Tr. Plant Ordina ces.
Meter: �y>/
Misc • By �/ C/ - r7
WATER SERVICE PE MIT
I
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P.O. Box 21199 PERMIT NO
Eagan, MN 551211 DATE•
Zoning•
No. of Units:
Owner:
Address•
Site Address•
Plumber
I agree to comply with the City of Eagan Connection Charge•
Ordinances. Account Deposit:
Permit Fee'
Surcharge•
By Misc. Charges:
Date of Insp.: Total•
Insp.: Date Paid•
41'
City of Eaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: f1 -1d
3QI
Permit Fee:
Date Received: 61/13113
13/13
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-1I - IS Site Address: 'PO- LON - 1-11a- sli0g"- (/10 S. 1'% tek K,
Name: G,(J<'FIG° { }L)Y1 11D14i_ &co, Phone:
Address I City I Zip:
Applicant is: Owner
Contractor
Description of work: -f12)2 O7 f t2J
Construction Cost: r 4r
Company: Aka) &4erIfllS E'1 5M1� J1W.
Address: E0701 ` 3 . A-)• city: nope_ Gro��
Wikvi S Eoli iq y
I�S
Multi -Family Building: (Yes / des )
Contact:
Shv Are/
State: AIM Zip: 6J 3105 Phone: `1G3 -31,-c- p / �0 0
Lead Certificate #: N41- i, / 1//0
License #: I�� 6-93 7-S
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:
IOT :Plans and suPPti►dng documents that you subr it are considered Lo be public it rmation. Pa
of ti rr►ati » irtay be classifred as non-publ/c rtyou_
ude that they are .trade seer .
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.gopherstateonecaliorq
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
agan; 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 uil ing de ust be completed within 180
days of ermit issuance.
x C�i%t _ x�r
Applicant's Printed Name Applicant' Sig ature
0- 6' ' i It %qK
Page 1 of 3
I—For Office Use C� /n
Y. a `ee E AG A
Permit#: / ` &�")
. ,.,
4, . ecs/
Permit Fee:
�® '
Date Received:
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 / :T'I ®3 ,,.�
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675- 4 4: 3 Staff: inJ
buildinginspections[cDcitvofeagan.com By J
``
2019 RESIDENTIAL BUILDING P MIT APPLICATION
Date: Site Address: 0 "-14 Jori 5' /'Yl ci,,i&/i:,L AA Unit#:
Name: Phone:
Resident/
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type Description of work: •fes)f` , 'pi -C 2 r i :r1
of Work if'�:
Construction Cost: r'�� CC` k- Multi-Family Building: (Yes /No )
Company: 0 C•krG:; e(-^n 5 ^v G Ni Contact: CI (f,,1' f'r,`MA-)
Contractor Address: ZI41 �///' /( - City: ���lf
State:i�'�ti• Zip: �'y�Z Z Phone: (j 5/-2I0 -/OCcEmail: lA if,/✓�/1''`�`-� C,'ne`/, el',1.-
( i
�
License#: (Y 5TO0 I D Lead Certificate#:
i If the project is exempt from lead certification, please explain why:
( x(--r(iv/--
COMPLETE
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?
i Yes No If yes, date and address of master plan: (r��) 7C/�� I u /4 voc,r 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 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 no 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 approvial of Ola
x (i 1:n v 1 I Vx c, el
4
Applicant's Printed Name Applicant's Signature
P
DO NOT WRITE BELOW THIS LINE l/ eAC-c 'I'4
Rk_ Pc4
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi `amu-"' Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
7 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 Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION /�
Valuation ill 3/60• Occupancy IQL-3 MCES System
Plan Review Code Edition /11/7 'Z O J c SAC Units
(25%\f 100%_) Zoning P-D City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings '' Length Fire Suppression Required
Type of Construction (l/13 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
t Footings (Deck) Final I C.O. Required
Footings (Addition) 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:
�y,
Reviewed By: (�� , 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:EA157611
Date Issued:08/28/2019
Permit Category:ePermit
Site Address: 4108 Meadowlark Rd
Lot:4 Block: 7 Addition: Hillandale 3rd
PID:10-32952-07-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Barbara J Feda
4108 Meadowlark Rd S
Eagan MN 55122
Universal Windows Direct Twin Cities
150 88th St W #205
Bloomington MN 55420
(612) 866-2888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174823
Date Issued:02/22/2022
Permit Category:ePermit
Site Address: 4108 Meadowlark Rd
Lot:4 Block: 7 Addition: Hillandale 3rd
PID:10-32952-07-040
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 -
Michael Pender
4108 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