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4118 Meadowlark RdPERMIT City of Eagan Permit Type:Mechanical Permit Number:EA111959 Date Issued:07/19/2013 Permit Category:ePermit Site Address: 4118 Meadowlark Rd Lot:1 Block: 6 Addition: Hillandale 3rd PID:10-32952-06-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Elizabeth Luther-olave 4118 Meadowlark Rd Eagan MN 55122 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature CITY 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. Deb: No. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter: i//17 Misc. By WATER SERVICE P IT CITY OF 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: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: t 5.1 s? 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA122673 Date Issued:05/15/2014 Permit Category:ePermit Site Address: 4118 Meadowlark Rd Lot:1 Block: 6 Addition: Hillandale 3rd PID:10-32952-06-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Elizabeth Luther-olave 4118 Meadowlark Rd Eagan MN 55122 (952) 649-7819 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA123325 Date Issued:06/04/2014 Permit Category:ePermit Site Address: 4118 Meadowlark Rd Lot:1 Block: 6 Addition: Hillandale 3rd PID:10-32952-06-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Elizabeth Luther-olave 4118 Meadowlark Rd Eagan MN 55122 (952) 649-7819 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA126331 Date Issued:08/21/2014 Permit Category:ePermit Site Address: 4118 Meadowlark Rd Lot:1 Block: 6 Addition: Hillandale 3rd PID:10-32952-06-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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 by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Elizabeth Luther-olave 4118 Meadowlark Rd Eagan MN 55122 (952) 649-7819 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature � , Use BLUE or BLACK Ink . . . � r-----------------� . t For Office Use � . � � �/�O ' �I�'� � Permit#: � � .� � C�6� �1 �� I Permit Fee: % /r �' � ��,�� 3830 Pilot Knob Road � �I�� Eagan MN 55122 � Date Received: �� `� � Phone:(651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: � � �� x � �, � a � �=g � :,� Name: ��1'ZlA�� l.l��e�f'' � QL�� Phone: � ��" �e�� ,� �� ;= Address/City/Zip: y� �� 0 . �1/��t�Lu{r� �� ^rr�u � � � ��, �� ; Applicant is: �Owner Contractor � �� .> Description of work: �� ,�„c�, �� '.� � Construction Cost:�l�, � Multi-Family Building: (Yes /No_,� ,,�.., � .. �� Company: ��l�erS � t2c��ye��'$ Contact: �oc�I ��..�� C�5I��3 9d�'� - _= Address: 3Sl 1 �--�r�.c�t.�*Y•l i+4V+� City: �i►��te�9.��o�i`S �1�1� � �"'r�M'#�'��?I"- : � State: 'h1N Zip: SS'�0�6 Phone. b�'�- 2�1 S�g� Email: h��hc�bu�11�rS�t�ao (`e�+mD�lec� � 4 License#: ��tZ�Ol I 8� 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8�Water Contractor: Phone: Fire Suppression Contractor: Phone: � I►�� Pta��n�gr�+��er��f�';y�t��'��+��c�'t�J`�� s�r�s�' , t��Ct�i,�i�a��r��'"��nt�isyr�c�'��'�:�tr��r�a,��1�1��r� ; , ��. : , ��:. . �� d�:��f'; ��a .�.�... . . : � �� ;.;.y `; 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.goaherstateonecall.arca 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 Building Code must be completed within 180 days of permit issuance. x ��v C.y�r/�rr" x Jl� C-��'"��---�-_— Applicant's Printed Name Applicant's Signature Page 1 of 3 { � j�� d ". ��DO NOT WRITE BELOW THIS LINE �� SUB TYPES F _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Fam9ay) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Aiteration(Multi) _ Multi � Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Buiiding* �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 �� -'� Occupancy " MCES System Plan Review Code Edition � ; c'` SAC Uraits (25%_ 100%�) Zoning City Water Census Code � Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction �� Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:�Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control `� Other: Reviewed By: �' , Building Inspector RESIDENTIAL FEES Base Fee � Surcharge "�� Plan Review �'" � MCES SAC City SAC Utility Connection Charge �� ,�� ' E �.. J�� S&W Permit&Surcharge � •�` �� ,�� "`� Treatment Plant Copies TOTAL Page 2 of 3 i'Y i--�; � � � ��' • "ti�+ L� �/ � � � , ' � `��/G/.� { � � � � �� - � � � � � . . � d`'.�'�� '� �=+ �,�� ~ �,''� � �. ' � � � f� �� - � � �,k � � �. �Iil� � � Y � r � � +� . �� f� + �� -F� �� 7 � �r y5 � '�� } � — � �� , � � � � � � � � rr �, . � � - " F .. � � �� . � � � y � ' . �� i � � � • � � � � � � � � �� ' � � �� . . � �� l�� - � � � �' � ' �� - �� -. � .�, � : � �� . �� t�� } �� '�+ � " �� '�i � r � � � � � . �`� � �� '�' � ;1� � ,�� a � �" � �v � �' � ��. �,� � � � � � ` U'. � �. �r• � f � � . ,..,� f � �,,� o � �� , �� - �f � � } �ry�►� 1,,�,.� �., �'' '.�ti� '�s' S"'�. �� \V '� ' r� �, �,..� '� � � y�t � �� • � � � �,�� (� � � •� ��+,. t' � '� � � ' :+� . � � � � �.� , � �,-� ,: � � � � � 4�' � ' � � � � }' �'�� ` � , �, �� ,�,,, � �� `� ,. �� , � ,� —�,�� I" �� • �� , � , � �, �� + ' �� ,,,. �,, :�/ ,� ,� ` � � �� ..� �� ' ,� �� r�� :� � ��'�-� � '�� '� a��'��` � � ..� .,�' PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150183 Date Issued:06/25/2018 Permit Category:ePermit Site Address: 4118 Meadowlark Rd Lot:1 Block: 6 Addition: Hillandale 3rd PID:10-32952-06-010 Use: 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Incorrectly pulled for Meadowlark Lane. 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 - Elizabeth Luther-Olave 4118 Meadowlark Rd Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174821 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4118 Meadowlark Rd Lot:1 Block: 6 Addition: Hillandale 3rd PID:10-32952-06-010 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 - Charles M Fogarty 4118 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