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4138 Meadowlark Way
CITY OF EAGAN 3830 (Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 WATER SERVICE PERMIT PERMIT NO • 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.: — 1 J Insp • CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot KnBb Road PERMIT NO P. O. Box 21199 • Eagan, MN 55121 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. r"'"'., Surcharge By Misc. Charges: Dote of Insp • Total. Insp • Dote 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 4 EAGAN 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-85351 FAX: (651) 675-5694 APR 1 2� �$ buildinginspections(a�citvofeagan.com For Office Use Date Received: Permit #: Permit Fee: l Staff: L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION S _ �j Date: c� Site Address '-�fs�h.�.aG1ai,3'��r l� /VA- q Unit #: 1-038 14 J Name: IL 2 4J ('\ 1"\kA .eikeit I co . Phone: tt) Ce Ie ii) r51 2y Address / City / Zip: %(1 70 S S-) .%j Q �l Applicant is: )t Owner Contractor Description of work: C ( PP,P(q c r 1) e'U P (Vt(i' n) Rig f( Construction Cost: 4 5 5t /.5 Multi -Family Building: (Yes / No Company: 6...54/ <'611 (Or i _5 /i�W c, LL.( Contact: 77 65(Gpv1, Address: of / 99 Si J wr / l/ 4 City: E r/ y A State: /''I A/ Zip: SSI 2-2— Phone:6'/ 2 221 -1 3 2, Email: &S /v tr1h L4;1016-1 p "Sit rot= -1 License #: r�-- 6,500 /(o 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? XYes No If yes, date and address of master plan: Licensed Plumber: Phone: Phone: Phone: Fire Suppression Contractor: Phone: Mechanical Contractor: Sewer & Water Contractor: 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.gopherstateonecall.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 `�/r t S /,4441 x L Lti--- Applicant'sPrinted Name Applicant' ignature Foundation _ Fireplace _ Single Family _ Garage _ Multi Zl Deck id 01 of __ Plex Lower Level WORK TYPES New Addition Alteration Replace Retaining Wail DESCRIPTION Valuation Plan Review (25% )1 100% ) Census Code DO NOT WRITE BELOW THIS LINE j6-4 SUB TYPESL--(/ 1176/qdcitorizki id 14 Porch (3 -Season) Porch (4 -Season) _ _ Porch (Screen/Gazebo/Pergola) _ Pool _ Interior Improvement Move Building Fire Repair Repair l Coo # of Units # of Buildings Type of Construction V $ REQUIRED INSPECTIONS _ Footings (New Building) JG Footings (Deck) _ Footings (Addition) Foundation _ Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation _ Sheathing _ Sheetrock _ Fire Walls _ Braced Walls Mewed By: 1 0 el /v %lc r f}- — Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy fZC -3 MCES System Code Edition An ZOO SAC Units `3 City Water Booster Pump PRV 1 Z Fire Suppression Required Z5 Zoning Stories Square Feet Length Width 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: ?C Footings Backfill J\Final Radon Control Fire Suppression: Rough In Erosion Control Other: , Building Inspector Final :SIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL leer'- 394)0- 59. . ✓��'� v7'&S ;7,7- UrD .t,lc, X1'1 R-57-ejZ p t SS ei) Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174814 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4138 Meadowlark Way Lot:4 Block: 9 Addition: Hillandale 2nd PID:10-32951-09-040 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 - Ilya Grigoriyevich Freyter 4612 Penkwe Way Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature