Loading...
4134 Meadowlark WayCITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road Pr O. Boz --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' agree to comply with the City of Eagan Surcharge. Ordinances. Misc. Charges. Total. By Date Paid: Dote of Insp.: �{ Insp ' CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road R. O. Bo1c 21199 PERMIT NO • Eagan, MN 55121 DATE• Zoning: No. of Units• Owner• Address - Site Address• Plumber• 1 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• 41101 City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Use BLUE or BLACK Ink For Office Use 114310 Permit #: Permit Fee: 515 Date Received: — l / 3113 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATIONA///, '1 �/ -t 1- 13 Site Address: `!�(0' ! 1//5"l ' / / 3 ' - " 7 / !) 40414f;( C� Name: Ll ,,XF1,00001 —6)Y11,100*_ /4S-COO 1 y: Phone: int! i Dgw Address / City / Zip: e Applicant is: Owner Contractor Description of work: -62.00 mime r, M:r SEOi i / i5 Construction Cost: Multi -Family Building: (Yes / Nos ) Company: /li'2W . k , i o rS S l ii 1 W. Contact: SIVE Af%i Address: 10701 (43 Lci . A). City: / (apiE G/ ©viw State: Zip: J 3IO5 Phone: C%3 -3 is` Si 0 0 `Q i I -AS License #: J [3S' Lead Certificate #: ,VAT- (l0`74/0 - 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: TE: Plans and supporting documents tillat you submit are con slderedto. ae publle In informationlily be s/ars e f as non-public conclude that t ley are trade see; 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.aooherstateonecall.orq 1 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 1 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. x adt0/— Applicant's Printed Name Fir Or 'C' J I0'�6 x Applicant's Signatu completed within 180 Page 1 of 3 Oct 0413 02:10p C&N Plumbing 9528082635 p.2 *City a[Eap Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 • S°1 (-J Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 6s -v= L '' !! 013 RESI DENTIM=PUIMBING �y��`�(�PERIMIT APPLICATION/ 3 Site Address: q 13 H g idt 1 ra rl�, Ill' y Suite #: 1 J C C_ . ........ Resident/Owner ��`'t �T 4l Phone: ' . 0 U. Name: _ Address / City / Zip: Contractor 4.--1 ) 2�j � Name: P _ «1) 4._ Licens DGd,G3 jQ-L—P 1f . Address: ill It ._ / 11 1 1 City: Dire i lirk State: I _ . Phone: t J ) [ - Vi (1L -1 Zip: !M. Ir Contact: i i, ,'lielAC nail: Type of Work 7 New Replacement t /Repair Rebuild Modify Space Work in R.O.W. — _ ^ ,� Description of work: ✓al f &t2 -C ✓ ) Qj-/if1 Permit Type RESIDENTIAL Water Heater -' ( RPZ / PVB) Water Softener Lawn Irrigation Add Plumbing Fixtures ( Main / _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Water Softener, (includes $5.00 Fixtures, Septic or Water Heater and Softener (includes $5.00 State Surcharge) Turnaround" (includes $5.00 State Surcharge) and $5.00 State Surcharge) (.1 -(.1 -TOTAL FEES $ it 00 minimum State Surcharge) System Abandonment, Water (add $200.00 if New ($10.00 per a 5/8" meter is required) as built) (includes County fee CALL BEFORE YOU DIG. Cali Gopher State One CaII at (651) 454-00D2 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www_oopherstateonecall.orq I hereby acknowledge that Phis information is complete and accurate; that the work will be in conformance with Eagan: that I understand this is not a permit, but only an application: for a permit, and work is riot to start accordance with the apgrQved plan in the case of work which requires a review and ap• • a plans. hfrc/-eTcY) Applicant's Printed Name a ordinances end codes of the City of out a permit; that the work will be in nt's Signatu CX FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _Rough -In __Air Test __Gas Test ___Final EAGAN 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-8535 FAX: (651) 675-5694 buildinginspectionsAcityofeacian.com Q,IT 12 2018 L For Office Use Permit #: Permit Fee: Date Received: Staff: 2018 RESIDENTIAL BUILDINGPERMITAPPLICATION Date: I -fZ' %8 SiteAddress:11//3i `' n `�.4CfOit Ic4t Lc 10(1-(1_44 Unit#: Contractor Name: Ai-e+4U•` (' \ 44406+,61-f- co Phone: Address / City / Zip: (2 -7() t 41 " S' o W i A- pp(e 1)ct ((e, 044) S-5/z`t Applicant is: ). Owner Contractor ✓ Description of work: f2e.91.4. " by Construction Cost: I_ 3 9 0o Multi -Family Building: (Yes / No ) Company: s--&ltii"iCv1u f r'IAG'j�.j Lt.(Contact: /2t•7 CJS/YGt�I, Address: 2/ t/5 $i/ Ler t15-' 1/ 4e1 City: E State: /''l N Zip: 5-5/ b2-- Phone:%'l Z 22/ -13 t7t., Email: OS f r t b 69r tJery P ?VA 9 t G PA License #: 69500 /(, 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? JYes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may 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.citvofeaoan.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 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.aooherstateonecall.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 1 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 /e;r Applicant's(Printed Name x Applicant' ignature SUB TYPES Foundation _ Single Family Multi 20 01 of Plex WORK TYPES New Addition Alteration A(1 Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% )1 100% ) Census Code — Fireplace Garage Deck Lower Level DO NOT WRITE BELOW THIS LINE L/1 ZLi ff//iqd o&)tik td /N' Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous Pool _ Accessory Building `Lie �7 Exterior Alteration (Single Family) Exterior Alteration (Multi) Interior Improvement _ Move Building Fire Repair Repair & 3 foe, , # of Units # of Buildings Type of Construction vs REQUIRED INSPECTIONS _ Footings (New Building) tG Footings (Deck) Footings (Addition) Foundation _ Roof: _Ice & Water _ 4_ Framing _ Fireplace: _Rough In Insulation Sheathing Sheetrock _ Fire Walls Braced Walls Final Air Test Mewed By: f 0 el ,n; $ /- Siding Reroof Windows Egress Window Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage 'Demolition of entire building - give PCA handout to applicant Occupancy L p -c -3 MCES System Code Edition 0// 2C4,5SAC Units Zoning J - 3 City Water Stories Booster Pump Square Feet PRV Length l 2- Fire Suppression Required Width 2 Final Meter Size: Final / C.O. Required )0 Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings' Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector ESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL cock- 390®- — sIP 39•4e'l• yY� 6-57e12- pt vt =s5 e 1 Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174511 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4134 Meadowlark Way Lot:3 Block: 9 Addition: Hillandale 2nd PID:10-32951-09-030 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 - Donna G Wolf 4134 Meadowlark Way Saint Paul MN 55122--177 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature