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4140 Meadowlark Way
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• I agree to comply with the City of Eagan Surcharge. Ordinances. C K Misc. Charges. Total - By Dote Paid - Date of Insp.: brs Insp • CITY OF EAGAN 3830 Pilot Knob Road P.0.Box21199 Eagan, MN 55121 Zoning: Owner: Address: Site Address: Plumber: SEWER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: 1 agree to comply with the City of Eagan Ordinances. By — —_ Date of Insp.: I nsp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: Total: 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 \�, �.• •sit.EAGAN 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 RE (651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694 b "Id'mgmspect'ons @."tyo fe agan.com APR 2 2.018 2018 RESIDENTIAL n BUILDING PERMIT APPLICATION %�f Date: -f 2- I8 Site Address:M 11�i.406.3' �r k W� ci g /1 Unit #: -/l7?� "7, 1 For Office ffice Us/e,Permit #: 7 Permit Fee: w Date Received: /174 - Staff: /Staff: L J ttesiden Owner` r —b Name: N-e+t'u6tl-� `Cr- INA 411.4.90,61:1" Co ,. Phone: Address / City / Zip: 6ri 7 0 15 t s1, Ws tlppI e 4 le/ ,ii S5! zit Applicant is: k Owner Contractor Type of Work . Description of work: iti /4 ct Dec, - Construction Cost: 4 3, y 06 Multi -Family Building: (Yes / No ) Contractor _: ` Company: els- ,< F1 CG, i S /rivt €4 0,i L1.( Contact: 7:1;,-.7 (S-/-(0,11, Address: ;2/ V9 S// Lt'/ /lei/ /0 City: L A, 44 State:/''►N Zip: 5-.5l 2-2_ Phone:%'/2- 22/-131V Email: bS froa'lbM1 it I Cr'ip "CA i cart License #: /de— 69560 40 Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, XYes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: 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 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.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.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work wit 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 Applicant's( Printed Name .51/4,21 x Applicant' Signature DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace Single Family _ Garage X Deck Lower Level Multi 2d 01 of _ Plex Porch (3 -Season) ) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool WORK TYPES _ New _ Interior Improvement Addition _ Move Building _ Alteration Fire Repair _ A Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% )1 100% ) Census Code # of Units # of Buildings Type of Construction V $ REQUIRED INSPECTIONS _ Footings (New Building) K Footings (Deck) _ Footings (Addition) Foundation _ Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Siding Reroof Windows _ Egress Window /z -/k-7-7 Exteri r 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 ,�- pLC -3 MCES System Code Edition oil ZC1,S SAC Units J ` 3 City Water Booster Pump PRV Z Fire Suppression Required 5— Zoning Zoning Stories Square Feet Length Width Insulation _ Sheathing _ Sheetrock _ Fire Walls _ Braced Wails viewed By: t 0 P'1 /V ; J /rik Meter Size: Final / C.O. Required 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 Pian Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 3940, — fc.o� 39•x' ;ll e (JD eS D71/7 -D741 W of t/ / Sie p\41,1 T5 '1eD Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174815 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4140 Meadowlark Way Lot:5 Block: 9 Addition: Hillandale 2nd PID:10-32951-09-050 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 - Kmar Llc 1925 Leavitt Woods Ln Shakopee MN 55379--336 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature