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4150 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: �t _ 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. �, f 1 Misc. Charges: 1171. a A "'"`ec T otal . Q c By 142-07", t It (JO �� Date Paid: Date of Insp.• z Oti.. Insp. CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. B 21199 PERMIT NO.: Eagan, MN 55121 DATE: Z"3ning: 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: Use BLUE or BLACK Ink I For Office Use Permit E~ I City of Eajan , p3 , sa I Permit Fee: 3830 Pilot Knob Road I i t Eagan MN 55122 Date Received: -GJL- I t Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I ~ f 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -l rl's Site Address: y l 1 ~'~~W t bLK l~ Name: [ (,(1V1► IV~C f Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner ~,(Co`ntractor } j Type of Work Description of work: fJf7' ,n/yvr si / S Construction Cost: Multi-Family Building: (Yes / his ) Company: !V I f,) f~ A v S A 4 .f~W- Contact: 111r~ I Contractor Address: )0701 City: (U~lJli:. State: MA) ` Zip: J t0 Phone: L, 9 ,7 License#: Lead Certificate#: fi/74_r' 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: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of e° the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.aoaherstateonecall.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 uildi CJmt completed within 180 days of permit issuance. x 61w- ~ )-iss x Applicanrs Printed Name Applicant's Signat ~ /yjy n ~ Page 1 of 3 f For Office Use c f Permit#:.r° E AGA N �� 5 Permit Fee: eCe/ r Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 f (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 APR 03 .1'`"'"" buildinginspections(o�citvofeagan.com 3 Cd } fI dr: 2019 RESIDENTIAL BUIL APPLICATION Date: Site Address: 111'50— et 11,..ik/4 Unit#: Name: Phone: Resident/ Owner Address I City/Zip: Applicant is: Owner Contractor Type of Work Description of work: Pt'•C,i` (!!^C e.'>ie!1.)- Construction Cost: t?0 Multi-Family Building: (Yes /No ) Company: (?c--a ,Y\ O�^nS 4-(-Li Contact: 1 1fn4-• Address: /41 �i/" 11 ig J , City: �e�if Contractor / State:it ti•Zip: .3:0e Z Phone:_6'31-i/o -/OO CEmail: 1 l r•� f r2/1"`��'& 7r V.l , Lla,3‘ License#: &5—CO I to 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? Yes No If yes, date and address of master plan: r(v) 70/S L ti /4 44,10e d 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 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.citvofeaaan.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 accor nce withLth approved plan in the case of work which requires a review and approve of pla f I,Ynf �ll� x 1f(; % 9 Applicant's Printed Name Applicant's Signature • f) DO NOT WRITE BELOW THIS LINE1-// , 0 ),I�! acudiA-a. act Ll 1 4/‘ ,D -.I 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 01 of_Plex _ Lower Level _ Pool _ F Accessory Building , WORK TYPES • New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building ' _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows Demolish Foundation _ XReplace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation UAD___ Occupancy 114173-- MCES System Plan Review Code Edition A, . 1 J SAC Units (25%4 100%_) Zoning 1, I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length 2 Fire Suppression Required Type of Construction ,! V Width �, ` REQUIRED INSPECTIONS V Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) r 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 Other: Reviewed By: ��/ , Building Inspector RESIDENTIAL FEES Base Fee / Surcharge 00 c.• Plan Review / 1 o o MCES SAC �ftji3PNfT) y- City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 r- -, 1 For Office Use i Permit It /6/ / / c - I I • r:::!'''''te 1 r ...., 1 Permit Fee: -......sir I ...-7;.--,..... -c. ----)6 1 Date Received: 6 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810s 1 • .,A 02 21i..J W (651)675-5675 I TDD:(651)454-8535 I FAX(651)675-5694 I Staff: buildinuinspectionSOcitvoleaqan corn t;Y: ,.- I ..1 ............ .•••••••••1111•1C 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: b — / — 2 b Site Address:1'1/5V ‘iri. /ilea cio.,,,, /el‘,..4. 64) o, Unit#: 1 1 . I Name: Phone: , . Restdenti OwnerI I Address/City/Zip: I,/50 r.C.- ineelia-e-, 144'Y Z..- .. •••••••.a. ..a........ . 1 Applicant is Owner Contractor aarfta.t....ow Ka . aa. Type of Work Description of work. * 6 - fi ig_ or d c tit) 6 1 Construction Cost: Multi-Family Building:(Yes /No ) .......... . — I i I Company: C. t..e c s.7c4„,„/ Cc,;-1 c se•e 7/e. Contact G. ee., ig I.e., .."- i ,..› . Contractor Address: "3 6 141 1/4 it cl CL. kecity: ..". ./.0 0 ill , *15 lb i.., State:AP Zip: CSY 3/Phone:9 53 -.2 3 Y- 9galia2 6 recl 54- Ci.-cla s to ca." Ccity... License#: Lead Certificate#: c eeie r IIf the project is exempt from lead certification, please explain why I 1-i - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1 in the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? i _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: 1 Fire Suppression Contractor: Phone: . ... NOTE:Plans and supporting documents that you submit are considered to be public Infoimation. Portions of the Information may be classified as non-.tiblic If •u ,rovide s•°chic reasons that would.ennit the 0 to conclude that s ., 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 Citys website at www.citvofeauen.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(851)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. VAVVI QopherstateonecalLorq 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. .iri 9------ - x 67,- 'e) e. li x . 4 . c.. ...01P- ....,7(-.._.,„ Applicant's Printed ame --,/ Applicant's SJgature 1 DO NO,T WRITE BELOW THIS LINE (4114 g 01 C, do /Mek /10/I /41 7 SUB TYPES /'a' _ Foundation — Fireplace LI I - 'Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_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 Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 0 Occupancy Y'v, 5 MCES System Plan Review Code Edition r Yv0? 0 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 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:_FootingsBackfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final — Braced Walls Erosion Control Shower Pan 11/ Other: Reviewed By: ,Building Inspector RESIDENTIAL FEES Base Fee VA/7 ' Surcharge �^ 7 Plan Review /77Y-11'7s' ' / MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 et 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162267 Date Issued:07/07/2020 Permit Category:ePermit Site Address: 4150 Meadowlark Way Lot:2 Block: 6 Addition: Hillandale 2nd PID:10-32951-06-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Brad Johnson 4150 Meadowlark Way Eagan MN 55122 (952) 484-9315 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174808 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4150 Meadowlark Way Lot:2 Block: 6 Addition: Hillandale 2nd PID:10-32951-06-020 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 - Brad & Hollie A Johnson 4150 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177118 Date Issued:06/16/2022 Permit Category:ePermit Site Address: 4150 Meadowlark Way Lot:2 Block: 6 Addition: Hillandale 2nd PID:10-32951-06-020 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Brad & Hollie A Johnson 4150 Meadowlark Way Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature