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4114 Meadowlark RdCITY OF.'AGAN 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 Ordinan•-s. Meter Misc By WATER SERVICE RMIT filz7 CITY OP-EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO Eagan, MN 55121 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• 1 111,1111°City oi8agau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use l Permit #: I I( 121 Permit Fee: 1 ./ Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION J ! Date: -t I - Site Address: '1)'6? ! I - N _ I / '- I ! o MacieuoktisK Po I Name: L ?XE (ice �(�}(.t7)j1 1€ &coo - Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: Construction Cost: minor sid iyiq Multi -Family Building: (Yes X. / ws ) Compan012w &-leriors C}y SMA 1 At'. Address: )0701 `7.D , /tl Contact: 5v€.ril City: / f a pIE G ©vE State: J"I Zip: -663lG Phone: 7p3 -3 R<70 0 Lead Certificate #: NAT- ,`741 /D _ License #: 1�-1J a /J 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: NOTE: Plans and supporting documents that yousubmit are considered to a theinformationmaybe classified as non public you p rvi+d conclude that they are-tr 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.gooherstateonecall.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 Stajej BuiJgiing,Prod}f must be completed within 180 days of permit issuance. OCIA0/.. Applicant's Printed Name iaMaig �+ Applicant's Si tura Page 1 of 3 EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 dE a 122018 (651) 675-5675 1 TDD: (651) 454-8535 � FAX: (651) 675-5694 buildinginspections at7citvofeagan.com APR 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f —1Z— /e? Site Addressllll �4.QdOt. E4i`k Rok. , Ecie 411 Unit#: I/�/ l For Office L' Permit #: _ /fig Permit Fee: Date Received: Staff: L J Residen Owner Name: N`K.)6x` \c- AA titte.yea'►ve f Co Phone: Address / City / Zip: (o '70 l 51 s S..I . W a Apple L) ((C'y / /yi &) 59Z Applicant is: k Owner Contractor ✓ . oWork f Description of work: Rf p k cad Vt, c IL Construction Cost: 1 3 t? 0 (7 Multi -Family Building: (Yes / No ) Contractor Company: c//7Lrc'ei 1 &,1, U /(1,4 6,: j0, j Lit Contact: /ire' ..0.5j -f- til. Address: ;2/ 75 .5—// Let /St' 11 led City: C 4, 6 ✓1 State:MN N Zip: 5-5/ ZZ_ Phone: f. / 2 - 2 2/ -13 i2( Email: C,S fro t b,tr (d eri p /\54 . co r1 License #: AC— -&$oo /(® Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, XYes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: 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.gooherstateonecall.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. terry f.� /74,11 Applicant'sPrinted 7 Name x Applicant' ignature SUB TYPES Foundation Single Family Multi 20 01 of Plex WORK TYPES New Addition Alteration A Replace Retaining Wali DESCRIPTION Valuation Plan Review (25% )l 100% ) Census Code — Fireplace Garage X Deck Lower Level DO NOT WRITE BELOW THIS LINE / /t'7./� --/fo-f(Jdo/4X- - 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 A/.fob , — # of Units # of Buildings Type of Construction V $ REQUIRED INSPECTIONS _ Footings (New Building) IG Footings (Deck) Footings (Addition) — Siding Reroof Windows _ Egress Window _ Demolish Building"` _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancyp . c -3 Code Edition on ZOO Zoning `3 Stories Square Feet Length I Z Width Z Foundation Roof: _Ice & Water _Final 6_ Framing _ Fireplace: _Rough In Air Test _Final _ Insulation Sheathing _ Sheetrock _ Fire Walls Braced Wails ?viewed By: f o el MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required )0 Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests Final Drain Tile Siding: __Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector !SIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 17ec.k 390°• _ ��•� Sg'�j. ,y11 C' /al) ,dpi Ji �i r1 rI / M ff578z 2(,qn J 55 ✓ e D Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174522 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4114 Meadowlark Rd Lot:3 Block: 6 Addition: Hillandale 3rd PID:10-32952-06-030 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 - Colleen M Velo 4114 Meadowlark Rd Saint Paul MN 55122--176 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature