4182 Meadowlark Rd 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:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By w I 01
Date Paid:
Date of Insp.• 73 Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 65121 DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
B Surcharge:
Y — — Misc. Charges:
Date of Insp.:
Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
I For Office Used } p
Permit#:
City of Eatan f Permit Fee: 3'4.5D 1
3830 Pilot Knob Road f
10 j
Eagan MN 55122 Date Received: 13l
Phone: (651) 675-5675 f I
Fax: (651) 675-5694 I Staff: I
f
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 2- 1JSad0U)L441Z
Name: G44JAZO-Od Phone:
Resident/
Owner Address l City / Zip:
Applicant is: Owner Contractor
Description of work: ymwf Sid i vi 6 S
Type of Work I
Construction Cost: Multi-Family Building: (Yes ! M& )
Company: t~ i O/ 5 Y S t Contact: .~f
t 1~C 1
Address: 10701 Q •r . N • City:
Contractor I 401L 151~VF_
pq
State. Zi ! J ~ t0 Phone:
License Lead Certificate N741-- 6 ~
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
the information may be classed as non-public if you provide specific reasons that would permit the City to
conclude that the are trade 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.4ooherstateonecall.om
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 1 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 Bull ng de st be completed within 180
days of permit issuance.
x a~/_ F4!:Ss x
Applicant's Printed Name Applicant's Signathfa
o Fi C Page 1 of 3
For Office Use
#11
/9g7E AGA N
Permit#:PermitFee:Date Received: `-�i
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: Inv
buildinoinspections(a�citvofeagan.com APR1 2 L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION (�
Date:f-i2- /S SiteAddress7/(gk \- 4CIOL,s _ckr c r �ciq Unit#: I//9Z
J
Name: i1,'-ef'0tl'` ` - f KrIW e,a,.@.vtf CO .. Phone:
Resident/ SI-
Owner
�- I
Owner Address/City/Zip: (o 70 / 5 f — S . W m /1-ppl? ()diet, / d�'l c512it
Applicant is: Owner Contractor
Type f Work Description of work: R.e p1 a A 4--
Construction Cost: / 3%x`00 Multi-Family Building:(Yes /No )
Company: �� eZ1'1� Cali/p1.-1G �� Lt.(Contact: r USYo,=1,
Contractor _ Address: ;2/95 .S//be/ t 11 fed City: F��'A
State:MN Zip: 5-51 2-2_ Phone:idZ 22/ 13ti( Email: OS 'ro4,1.b t'1 JPr5p "sit a 101-1
License#: r��--(P500/6, 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?
kYes No If yes,date and address of master plan:
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)4540002 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 approved plan in the case of work which requires a review and approval of plans.
x 7;77' 293//4/11 x
Applicant's(Printed Name Applicant' ignature
DO NOT WRITE BELOWTHIS LINE / '_7.
SIjB TYi'ES --l/g-c 1/4EAcipco IA 1201
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family — Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi Zl Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
2d 01 of__Flex _ 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
A Replace _ Repair _ Egress Window Water Damage
Zetaining Wall 'Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation `' 3 4m*= Occupancy 5:72-C-3 _ MCES System
Plan Review Code Edition AO Z0/) SAC Units
(25% )1 100% ) Zoning -3 City Water
Census Code Stories Booster Pump
At of Units Square Feet PRV
;t of Buildings Length 12- Fire Suppression Required
Type of Construction V$ Width Z S
tEQUIRED INSPECTIONS
Footings(New Building) Meter Size: ,
IG Footings(Deck) Final/C.O. Required
_ Footings(Addition) _ )d Final/No C.O. Required
_ Foundation HVAC_Gas Service Test Gas Line Air Test
Roof: ice&Water _Final Pool: Footings Air/Gas Tests Final
5-
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:
'lewed By: / D MI /n;$(yf" , Building inspector
i1DENTIAL FEES P e e-1- 3 '9'6' • 69 c.a '9 •
Base Fee
Surcharge Tog I J I>os D71/7D7-41 l)4-17
Plan Review m-5 reF- e\,q.h ,S S J ' ' D
MCES SAC
City SAC
Utility Connection Charge
B&W Permit&Surcharge
Treatment Plant
:opies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174800
Date Issued:02/22/2022
Permit Category:ePermit
Site Address: 4182 Meadowlark Rd
Lot:2 Block: 2 Addition: Hillandale 2nd
PID:10-32951-02-020
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 -
Barbara M Gannon
4182 Meadowlark Rd S
Saint Paul MN 55122--178
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature