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4190 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. Misc. Charges: Total: By Date Paid: Date of Insp.: 7i 7 ft Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. 0.130)021199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: —. 44.17 1 agree to comply with the City of Logan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.: Total: Insp.• —_ 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA127732 Date Issued:10/14/2014 Permit Category:ePermit Site Address: 4190 Meadowlark Rd Lot:3 Block: 1 Addition: Hillandale 2nd PID:10-32951-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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 by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Rosalie A Sitzmann 4190 Meadowlark Rd S Eagan MN 55122 (651) 405-8289 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature • r For Office Use Permit#:E AGA N Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIVE (651)675-5675 I TDD: (651)454-8535 I FAX: (651)67 694 Staff: buildinginspections(a citvofeagan.com MAR 2 1 2019 2019 RESIDENTIAL LLCIALG P MIT APPLICATION Date: /it I/l1 Site Address: ?0 _CO/ r ei r!int)/j/k £�r!_ g'U q n Unit#: Name: Phone: Resident/ Owner Address I City/Zip: Applicant is: Owner Contractor Type of Work Description of work: 71(k Construction Cost: 910~ Multi-Family Building: (Yes I No ) Company:_ 6 s om /L� t;L 1 Contact: Ard- ,v/&,j Address:_c9' 7 (V&l�- 6 � • , City: 0(1-9/9 J/7Contractor 6r---t-z/0 / i Stater, Zip: /,;22--Phone: ^/W (II--l Ili►.I-- //4-) ; 6 ( License#: (05 d 0/49 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? Ss-Yes No If yes,date and address of master plan: Senn -7it4G� '�"Z 'i'4- 711- 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 maybe 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.citvofeauan.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.aopherstateonecall.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 accord nce with the approved plan in the case of work which requires a review and approv:I qt•la /f,1-> iiI J %I� x Applicant's Printed Name Ap•'icant's Signature 4 bb NOT WRITE BELOW THIS LINE 0 I / 0 Vil CUDl `k- /`"" / �476,/� 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 a; 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 U1SL Occupancy MCES System Plan Review Code Edition A, 1 1 J SAC Units (25%)( 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 1/6 6 Width ' < REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings(Addition) r Final I 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: 1-7_, , Building Inspector RESIDENTIAL FEES Base Fee 006 Surcharge Plan Review ( .0 O MCES SAC yji3PTWT) / 3J 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:EA174827 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4190 Meadowlark Rd Lot:3 Block: 1 Addition: Hillandale 2nd PID:10-32951-01-030 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 - Rosalie A Sitzmann 4190 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