Loading...
4174 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: 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.: 7 /(TV Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: _ Eagan., M 45121 DATE: Zoning: No. of Units: Owner: Address: Site Address: _._. Plumber: ) f 1V".j. pd 1 agree to comply with the City of Eagan Connection Charge: `LJ Ordinances. Account Deposit: Permit Fee: Surcharge: — By Misc. Charges: Date of Insp.: _ Total: Insp.: Date 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 r For Office Use „ II •�, ::::: ' I: /3/ 0 6 Date Received: ` /19 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E j IVE (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675- Staff: buildinginspections@cityofeagan.com MAR 21 2019 2019 RESIDENTIAL B O.LNG PE IT APPLICATION Date: "ft(I( I Site Address: 4'i 74' Met M`t d cJ i 1,j4 (6) Unit#: Name: Phone: Resident/ g Owner Address/City/Zip: Applicant is: Owner Contractor Description of work: K . J— Type of Work Construction Cost: 3 20 = Multi-Family Building: (Yes /No ) Company: 617L2� Cons a Contact: I �n►� P 6 Contractor Address:moi'/ 3'1/tied /-"f1 City: _fC ,/qn1 / State:( #J Zip �r/�a"Phone:( 2 J7 Zt'-WOO Email: C `e'�'!�a�����✓ `'•' /. Or). License License#: 01 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 for a similar plan based/ on a master plan? Yes No If yes,date and address of master plan: SP-17 ZO/U �' G�`✓�^�`�'L 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 secreta 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.aooherstateonecall.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 accor with the pproved plan in the case of work which requires a review and approv I p /kJ 'f x x . Applicant's Printed Name A rcant's Signature `DO NOT WRITE BELOW THIS LINE L' / 7Z1 40d fYc / i _ tt)'4L / z-,/6/ s SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi x Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level Pool _ Accessory Building 4 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 � r� 114."....3_ Valuation Occupancy / MCES System Plan Review Code Edition A, f J SAC Units (25% A 100% ) Zoning al City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length !'2 Fire Suppression Required Type of Construction V6 Width 711`�` 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 -A. 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: 17/ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge006 Plan Review / - MCES SAC I o o 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:EA174527 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4174 Meadowlark Way Lot:2 Block: 3 Addition: Hillandale 2nd PID:10-32951-03-020 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 - Daniel F Gay 4174 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 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177726 Date Issued:07/14/2022 Permit Category:ePermit Site Address: 4174 Meadowlark Way Lot:2 Block: 3 Addition: Hillandale 2nd PID:10-32951-03-020 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Daniel F Gay 4174 Meadowlark Way Eagan MN 55122 (952) 454-0498 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature