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4128 Meadowlark WayCITY OF EAGAN 3830 Pilot Knob Road -P. O. BOx 21199 Eagan, MN 55121 Zoning: Owner: Address - Site Address. WATER SERVICE PERMIT PERMIT NO.: DATE. No. of Units. 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 Date Paid - Date of Insp.: I nsp • CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road PERMIT NO.: P. O. Box 21199 DATE: Eagan, MN 55121 e Zoning: No. of,Units: `i Owner: Address: Site Address: 412 Plumber: 0 \i I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.: Total: Insp.: Date 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 r For Office Use c1/4`• i � f'r Permit#: ,, ... EAGAN %.„..... ....,. Permit Fee:Date Received: /y a .. / / 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEId/' ' (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 APR 0 3 20i Staff: buildinginspections(a�citvofeagan.com J 2019 RESIDENTIAL Bl MIT APPLICATION Date: Site Address: //7 — It Zit fil{>aa.J Ij(#k taJK`J Unit#: Name: , Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: C. i4 , '�(`/,--c c Mcg n.. t) Construction Cost: �� 0C' Multi-Family Building: (Yes /No ) Company: O rc.,Y/\ l-(nS.Yel/(.N�.) Contact: l 1;,�� #'(.,/�! I Contractor Address: -Z/4l 'X 5i/vi- /l �\ City: State:i�lti- Zip: .5:01 z Phone: 7 (( L (t (r '5/-ZiO -/OcILEmai .• f(/l ./ c� u,ne /, Lt.,;'.. License#: ( ?5-00 I (p 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? � ��•-) - 2v/ 1 H /4'k,j�'&'d T/-1 Yes No If yes, date and address of master plan: 5 / 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 I 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.qopherstateonecall.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 approvl of pla L + � / 9 x(, k 1v/I" x tG i Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE ql /if ,doldi 0�_ ` SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi Y Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of S 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 14 Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 4 3 € Occupancy dp Z^ MCES System Plan Review Code Edition nijf 201 ' SAC Units (25% 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction U 13 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 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 ,�y. Other: Reviewed By: ) / ' '/ � -/ 7J- , 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:Building Permit Number:EA174811 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4128 Meadowlark Way Lot:3 Block: 8 Addition: Hillandale 2nd PID:10-32951-08-030 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 - Tatyana Y Akulova 5633 15th Ave S Minneapolis MN 55417 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature