4124 Meadowlark WayCITY 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.: Insp •
CITY OF EAGAN
3830 Pilot Knob Road
P. O. fox 21199
Eagan, MN 55121
SEWER SERVICE PERMIT
PERMIT NO •
DATE•
Zoning: No. of Units•
Owner•
Address•
Site Address•
Plumber•
I agree to comply with the City of Eagan Connection Charge•
Ordinances. Account Deposit•
Permit Fee•
Surcharge•
By Misc. Charges•
Date of Insp.• Total•
Insp.: Dote Paid•
4,11 City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
Use BLUE or BLACK Ink
For Office Use 'ij� �)
Permit #: L ,/v f
Permit Fee: (-V-5(v,1
Date Received: (11.. 113 1
Staff:
J
2013 RESIDENTIAL
BUILDING PERMIT APPLICATI4
-) - LSite Address: 11/o/09 /uL114 -/ - /l Ll2%/_-gia /
Name: k.DX)1» 1) t'Y\ 1(1004€./4S.06 Phone:
dl
l)Fi1'
Address I City I Zip:
Applicant is: Owner
Contractor
Description of work: +e c/nozoF maiior sr�l1>,►c� }�'t s
/// Multi -Family Building: (Yes X. I )
Construction Cost: 46Z_ 00
Cor
Company: AAA) ler i O fS Ay S ii./4 :.A- Contact: 5h(/ t
Address: 1070! `?J Aor . N • City: 1/104 Cio f%
State: Zip:(56�,3t05 Phone: C%3 '3 (S` 8'7
0 0 0
License #: ))C 1J a Lead Certificate #: NAT- 6 74'J - I
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:
supporting documents that you su6t»lt a 'con
naybe class► aptCorr-panic ifyou provide sj
Jude that
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_gooherstateonecall.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota S
days of permit issuance.
. dawL VSs
Applicant's Printed Name
ltiiaq F
be completed within 180
icant's Signa
Page 1 of 3
F For Office Use
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EC IVEU Date Received:
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651)675-56751 TDD: (651)454-8535 1 FAX: (651)675 94APRo 3 no Staff: •1'
buildinginspectionsecitvofeagan.com
2019 RESIDENTIAL db1tD1NG-PERMIT APPLICATION
Date: Site Address: ii- 411Z Z J6-ele,,i/F'K btA y Unit#:
Name: / Phone:
Resident/
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of Work Description of work: ( �'� _ lV-c d Mei.'t.) Pe+ f-1717 kiwi( +I,u,,...,, 1—
)
Construction Cost: U0 kMulti-Family Buil mg: (Yes /No )
Company: 0 5-,`-fc, l (.._"n S 4"e-1.1(...f,ri Contact: l 1;,-N4- PG,MN)
91 a
Contractor i Address: -Z/41 3 �!`✓G- (I !1 City: �"le J
State:i! 'ti• Zip: 5-rill Z Phone: (.(J Yi-Z)O -/OCcEmail: 1111 /n WO c-) (,rne`/, C,+,1.
License#: (G25-00 1 tp Lead Certificate#:
If the project is exempt from lead certification, please explain why:
I 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?
YesNo If yes, date and address of master plan: 50f,� - �f%�� �c. /4in,yF,‘'tJ 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 maybe
classified as non-public if you provide specific reasons that would permit the Cit to conclude that the 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.nooherstateonecall.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 no>; o start without a permit; that the work will be in
accordance with th approved plan in the case of work which requires a review and approvaj of pians:
x 0 I,') 1" v 1�,J x `1 ,-Jfr` SII
Applicant's Printed Name Applicant's Signature
q/.? 11Y1-64Ct/0 /1911-4 A)14---9 /-CW6
DO NOT WRITE BELOW THIS LINE
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
rp 01 oflex 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 c5-6L'°.I- Occupancy ---/- RZ "3 MCES System
Plan Review Code Edition W 20/5SAC Units
(25% plow/. Zoning P--J7 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V B Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 7 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:r Footings f" Backfill 7E Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan ,�j� Other:
Reviewed By: 1 DA /11 1i/CJyf- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
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:Mechanical
Permit Number:EA156159
Date Issued:06/18/2019
Permit Category:ePermit
Site Address: 4124 Meadowlark Way
Lot:2 Block: 8 Addition: Hillandale 2nd
PID:10-32951-08-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Abdul R Sait
4864 Steeplechase Way
Eagan MN 55122
(651) 253-1305
H2c Inc Dba Heating Cooling And Plumbing
820 N Concord St
South St Paul MN 55075
(612) 791-0850
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174510
Date Issued:02/02/2022
Permit Category:ePermit
Site Address: 4124 Meadowlark Way
Lot:2 Block: 8 Addition: Hillandale 2nd
PID:10-32951-08-020
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 -
Minhaz Zafar
4124 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