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 .
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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
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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
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f For Office Use
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f Permit#:.r° E AGA N
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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
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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
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1 Date Received: 6
3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810s 1
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(651)675-5675 I TDD:(651)454-8535 I FAX(651)675-5694 I Staff:
buildinuinspectionSOcitvoleaqan corn t;Y: ,.- I
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............ .•••••••••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