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4170 Meadowlark Way CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: L%/ 70 Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.• 1,1`f Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 P Knob Road P. O. Box 211 §9 PERMIT NO.: _— Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: _ — Address: 4 Site Address: _ Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.• — Total: Insp.• Dote Paid: Use BLUE or BLACK Ink I For Office Use rr Permit* City of Eap 1 14 1 Permit Fee: 1 3830 Pilot Knob Road i I Eagan MN 55122 I Date Received: 01113)13 1 Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff- c I I ___--_J J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:1 A/yel,((~,U./~ Name: _L.a4wccd h YIfJ//1~~ Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner OW Type of Work Description of work: OCo &-A22E yn)yv r sid / Yi (Wks Construction Cost: Multi-Family Building: (Yes Y Company: !V u 44er i © rs Av S A 4 f ~k- Contact: 562 Affe-C I Contractor Address: )Q /01 City: hook l9'1olfL ~~~y j Zip: I~~2~...) t/0 Phone: ~~0 /3 -3 1s _ pqQ State: %r (J ~ - - O I License Sr 3~ Lead Certificate fV 1 / (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 you submit are considered to be public information. Portions of A the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are bade secrets. 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.oro 1 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 Idin o st completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129627 Date Issued:03/02/2015 Permit Category:ePermit Site Address: 4170 Meadowlark Way Lot:3 Block: 3 Addition: Hillandale 2nd PID:10-32951-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Paul Vdovchenko 525 Diffley Rd #2090 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 - Jeffrey A Johnson 4170 Meadowlark Way Eagan MN 55122 (612) 338-3020 Five Star Heating And Air Conditioning Inc 525 Diffley Road, Suite 2090 Eagan MN 55123 (651) 338-3020 Applicant/Permitee: Signature Issued By: Signature r For Office Use (� w,, ��, Permit#: l- / /, E AG A N , ._,,... , ,y Permit Fee: / C Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-181 Lam, l� (651)675-5675 I TDD: (651)454-8535 I FAX: (651) -5694 Staff:1 �� Staff: a(�, buildinginspections cityofeagan.com mAR 2019 RESIDENTIALB . : ___ ' RMIT APPLICATION Date: 3/it II 1 Site Address: 11170 rYieAd,,JWrl4, 01 (C) Unit#: Name: Phone: Resident/ Owner, Address/City/Zip: Applicant is: Owner Contractor — Type of Work Description of work: Pea? �/ACe evv.a— Construction Cost: $(/S ©O�" Multi-Family Building: (Yes /No ) Company &IZ (1?t. (���..4W(C L.4//714 Contact: e 41 FP,////V Address: c7/`� . di/ex ��// Rel.- City: C—I�Gj/gvt. Contractor /� /� State: (PI.) Zip ./;:?-(3. (0 s-��-7/0--/VOOEmail: [-IMT/fv/II )óY-S /. 4/rt. License#: to 5-00/ & Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit forua similararplan based/on a master plan? ,/ T Yes No If yes,date and address of master plan: CI'�I7 G ,18 Li,14/,0"1 t2 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 ifty you provide specific reasons that Would permit theZl to conclude that thBY are trade secrets. II 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.gopherstateonecall.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 a roved elan in the case of work which requires a review and appro ..I f.I- S. x ('j,, t` V i'1J / x rf Applicant's Printed Name Ap.licant's Signature -DO NOT WRITE BELOW THIS LINE LI/ N.CA-C(DA)14/')/-7 C vvq-L � C �/9' 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 _ 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 _ x Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION S_FilD_ Valuation Occupancy 111.473-- MCES System Plan Review Code Edition A, 1 1 SAC Units (25%X 100% ) Zoning MI City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length ?2 Fire Suppression Required Type of Construction V6 Width , ' REQUIRED INSPECTIONS V Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) X, 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 P, 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: 1 f , Building Inspector RESIDENTIAL FEES Base Fee 006.Surcharge Plan Review '2ooMCES SAC ell/,. , �r64/4 1`I r V 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:EA174802 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4170 Meadowlark Way Lot:3 Block: 3 Addition: Hillandale 2nd PID:10-32951-03-030 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 - Jeffrey A Johnson 4170 Meadowlark Way Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature