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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