4152 Meadowlark Way CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.:
P. O. Sox 21199
Eagan, MN 55121 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. LS�-'` ..? Misc. Charges:
p ( Total:
By L) Gi - Al S 'r Date Paid:
Date of Insp.:,-4 v114::' =1 ° Insp.:
CITY OF EAGAN SEWER 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:
i. — it) - 84 4
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
B y Misc. Charges:
Date 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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126098
Date Issued:08/13/2014
Permit Category:ePermit
Site Address: 4152 Meadowlark Way
Lot:1 Block: 6 Addition: Hillandale 2nd
PID:10-32951-06-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Janel Behrends
122 West 3rd S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Judy L Lidenberg
4152 Meadowlark Way
Eagan MN 55122
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
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Permit#:E AGA N
��_� !�• Permit Fee: -Z/. �t
Date Received: ~/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIVE
(651)675-5675 I TDD: (651)454-8535 FAX: (651)675-5694 Staff: 1+'
buildinginspections a(�cityofeagan.com APR 0 3 2019
2019 RESIDENTIAL BUI • ING___PERMIT APPLICATION
Date: Site Address: 7 "►!/L ]h Q��,;�1 f�./( IA1-7 Unit#:
Name: Phone:
Resident/
Owner Address/City/Zip:
Applicant is: Owner Contractor
Type of Work
Description of work: PLS i4 , (�r'��C a Mc !1.-
t♦ _ k) i
Construction Cost: 00 Multi-Family Building: (Yes /No )
Company: 0in S 4•el/ f?l) Contact: 61,4--
1Z%if 4
� C
Contractor Address: Zl4-1 7/`vi a_ti - City:
State:t \I• Zip: 5:0Z Z Phone: (j15/'Z)0 - i/'�ii4 (,trv`/,
License#: (G15—C'0/ L9 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: S SM) 7D/S L H /4 14)00`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.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.00nherstateonecall.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 with th approved plan in the case of work which requires a review and approva ofrpla
x ti
Applicant's Printed Name Applicant's Signature
DO NQT WRITE BELOW THIS LINE qi .p� )I} c(,t) ?iK tt jJ2 L /S W
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi 'X Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Skiing _ Demolish Building*
Addition _ Move Building ' _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
x%Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION ft
Valuation '3 W 0 Occupancy ihti:7 MCES System
Plan Review � � Code Edition A, • ' SAC Units
(25%' 100% ) Zoning AU City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length IY Fire Suppression Required
Type of Construction 1/6 Width `
REQUIRED INSPECTIONS VV
Footings (New Building) Meter Size:
1 Footings (Deck) Final/C.O. Required
Footings (Addition) x 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
7(, 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: 1--7/ , Building Inspector
RESIDENTIAL FEES
Base Fee /
0
Surcharge 0 l•
Plan Review / -!�
MCES SACy1jP
, . � j /3/
!/
City SAC Mir 1
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
I-For Office Use
A
Permit#: /61 76
Permit Fee: /2:: "6 9
Ecen„
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JUN 02 2020 e '
(651)675-5675 I TDD: (651)454-8535 I FAX(651)675-5694 Staff:
buildincirisoectionsAcitvoreagan.corn BY:
--
2020 RESIDENTIAL BUILDING PERMI APPLICATION
Date: k, - 2 Site Address: "9/5,c2,.. geado,;., /4 frh t04 Unit#:
Name: Phone:
Resident! i
Owner Address i City I Zip: 91.5- .7 17 doLA.)4ap.
Applicant is: Owner Contractor
Type of Work C-
Description of work /V- 0 ,/)C V.6" _S 4 't,(16 td 19 K-
Construction Cost: Multi-Family Building: Yes /No )
Company: r re.e/&.. Contact: 6 e e
i 4,"
9'03 6 /41/V/4 4 CI C:04
£ccity .0110 0/4 4.5 740
Contractor Address:
1 State:eg/I...Zip: 575-4/37Phone:95,7 -.2 3 - VsAlit? reci 91- c,ossf--04./..1
e e
License#: 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:
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•ermit the Cl to conclude that the 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.citvoleacan.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 000herstateonecall ors
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 p ns.
Applicant's Pftted Name
Applicant's Sig re
DO NOT WRITE BELOW THIS UNE I ji Ja I' l(i co&W. 10P-ti //,/ - —
StlB TYPES
_ Foundation ` Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
4Muni 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 \ b Occupancy II MCES System
Plan Review Code Edition . , , ry 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 \I Ml 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:_Footings_BackfillFinal
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 (�41/19a9-(1°'
Surcharge
Plan Review 511'/ AA/'-'1
MCES SAC
City SAC
Utility Connection Charge /11 J�,
-Y ' 7 O
S&W Permit&Surcharge ��(. f‘-` (f)(v
(9
Treatment Plant /. `
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168951
Date Issued:05/10/2021
Permit Category:ePermit
Site Address: 4152 Meadowlark Way
Lot:1 Block: 6 Addition: Hillandale 2nd
PID:10-32951-06-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Judy L Lidenberg
4152 Meadowlark Way S
Saint Paul MN 55122--177
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174809
Date Issued:02/22/2022
Permit Category:ePermit
Site Address: 4152 Meadowlark Way
Lot:1 Block: 6 Addition: Hillandale 2nd
PID:10-32951-06-010
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 -
Judy L Lidenberg
4152 Meadowlark Way S
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