4188 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:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. z , Misc. Chorges:
Total:
By Date Paid:
Dote of Insp.: x Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.•
Eagan, MN 5021 DATE:
Zoning: _ No. of Units:
Owner:
Address:
Site Address:
Plumber:
A'.. .. .. .. fir.,.
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: _ Total:
Insp.-_ /7 Date Paid:
Use BLUE or BLACK Ink
I For Office Use t
I t
llSS '
~ of Ealan I Permit
I
My I
I Permit Fee: gg 25
t
3830 Pilot Knob Road I t
Eagan MN 55122 Date Received: I3 113
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff. I
I 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~t Site Address: ~le~ ' I ll.~lGLf L
Name: fld(,t~Y1 i'ttJ(~ f Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Description of work: mfyvf Sidi to jiies
Type of Work I
Construction Cost: t~ Multi-Family Building: (Yes / f )
Company: ! V Ew &-r lo f At- Contact: S
Contractor Address: )0701 q3 LQ . JV . City: /ICU (5 roV L
State: MA) Zip:( c~/3 (o Phone: Ao3 -3 O (Q l1/
License ILL ~-tJ a Lead Certificate N741-' ~ )Il D /
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 classified 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.aor)herstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and axles 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 St II must be completed within 180
days of permit issuance.
Foss x J Applicant's Printed Name Appli nt's Sign ure
n Page 1 of 3
r For Office Use
Permit#: 6/6/ (
E AGA N
Permit Fee: 67
�'� Date Received: D/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E'
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 MAR Z Staff:
buildinoinspectionst citvofeagan.com 2p19
2019 RESIDENTIAL BlAL % IT APPLICATION
Date: 34/h/ Site Address: 11 g 50, :Joid ipii 'f J_ t d 1q Unit#:
Name: Phone:
Resident/
Owner Address I City I Zip:
Applicant is: Owner Contractor
Type of Work Description of work: Pet* 4 k rv^"
Construction Cost: 418 % Multi-Family Building: (Yes /No )
Company Os410/14 dra,(C4)'DV1 Contact:
z
Contractor Address. 07l'"T t(tI&LE 1/ City: C/1-9/9-0
State: MI-____ Zip: /d d Phone: /a.JV Email: (lip-f','v4 4`ice i /i LL
License#: l[)l0 01(0 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: —ZOJ° 1-644.4v1 //7
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)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qooherstateonecall.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 witht
heapproved plan in the case of work which requires a review and approval o pla .
x Is+t7 x 1
Applicant's Printed Name App cant's Signature
DO NOT WRITE BELOW THIS LINE q/e(c> fiiewfoloo-o__- ie
Y / v6//
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
Valuation
U1)9_ Occupancy a j7 MCES System
Plan Review Code Edition A, 1 J SAC Units
(25%)( 100% ) Zoning in City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length 19– Fire Suppression Required
Type of Construction 1V °6 Width /5/
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
fFootings (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
')l„ 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: � �' , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge0 ifpg.,
Plan Review / -o O
MCES SAC ^ r V
City SAC 111/1/
44
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:EA157685
Date Issued:09/04/2019
Permit Category:ePermit
Site Address: 4188 Meadowlark Rd
Lot:2 Block: 1 Addition: Hillandale 2nd
PID:10-32951-01-020
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 -
Salvador M Rosas
4188 Meadowlark Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
0 i
* tr.1
r
. For Office Use I i ,1
Penriit#: th / -75. "r \6
1 ft
Permit Fee:
rZ'
ECEIVE' Date Receid: ,c .-.- -
veI
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 fi JUN 02 2020 Staff: I
1
buildinoinspections(d)citvofeagan com — ..,
IJV:
2020 RESIDENTIAL BUILDING PERMI PPLICATION
Date: 12 -1 - 2.0 Site Address:Y/85" 51, SoaH /lie c4d0(.4deleh. /e."-- Unit#:
Name: Phone:
Resident/ .,
,
Owner Address/City/Zip: 9.45-(f-/S 6 s c # /kw at 1 0
0 .
i 1 .
i _ I Applicant is: Owner Contractor g - 1 , itieptiek) Artc(i .1-11r)
1
Type of Work Description of work: g pktee
s c' c cc -Icfe-CS cy S ict(i-on) --
6- 0 ail E -c—
Construction Cost: Mum-Family Building:(Yes I No )
Company i..e. r.s.71:o , C6)-1 c.se Contact: 6 re /4
" 3 f---,
I 1
o
90 3 4 bly/4 n JCL kV city: „,01.0
Address:
Contractor
State: Zip. S---5-4/3/Phone:5),„2 02 3/ 96tAtit?
/1011 ' . '.- - r- • 54 6s i-
- ,..ck.icc.,"
c. pe7itt e
L m License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
i
1-- — —
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:
ISewer&Water Contractor: Phone:
,
,
I Fire Suppression Contractor: Phone:
i NOTE-Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be
1
Lciassiffed as non-.ublic if •u . .vide-.ecific reasons that would.ennit the a to conclude that th. ars 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,citvoleacian.comisubscribe.
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 NG. 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. %yaw Qophet-Ltateonecali 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 C V c"1 L4 i
V'', C f.,..3
Applicant's Printd Name Applicant' gnature
DO NOT WRITE BELOW THIS LINE 07,e6 `f L//oc 131&,dowlId ici /`7 S
• 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
Replace _ Repair Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 24Occupancy G i- MCES System
Plan ReviewCode Edition c 1,02 v SAC Units
(2596 10096_) Zoning Vi City Water
Census Code Stories ✓ Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction y JJ Width
REQUIRED INSPECTIONS
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
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: ) ,Building Inspector
RESIDENTIAL FEES Kan-6 L,,,,
Base Fee
Surcharge ,n (n
Plan Review (% l/
MCES SAC
City SAC
Utility Connection Charge
SSW Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162545
Date Issued:07/17/2020
Permit Category:ePermit
Site Address: 4188 Meadowlark Rd
Lot:2 Block: 1 Addition: Hillandale 2nd
PID:10-32951-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Salvador M Rosas
4188 Meadowlark Rd
Eagan MN 55122
(651) 222-1345
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174826
Date Issued:02/22/2022
Permit Category:ePermit
Site Address: 4188 Meadowlark Rd
Lot:2 Block: 1 Addition: Hillandale 2nd
PID:10-32951-01-020
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 -
Salvador M Rosas
4188 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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179059
Date Issued:09/16/2022
Permit Category:ePermit
Site Address: 4188 Meadowlark Rd
Lot:2 Block: 1 Addition: Hillandale 2nd
PID:10-32951-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Salvador M Rosas
4188 Meadowlark Rd S
Eagan MN 55122
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature