EA187103 - Building - Windows/Doors - Issued Date 09/27/2023 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA187103
Eagan, MN 55122 EAGN.;
(651)675-5675
www.cityofeagan.com * E R 1 8 7 1 0 3
Date Issued: 9/27/2023
Site Address: 4125 Meadowlark Pt
Lot: 3 Block: 1 Addition: Hillandale 3rd
PID:10-32952-01-030
Use: * 10 - 32952 - 0 1 - 03 (x *
Description:
Sub Type: Windows/Doors Construction Type:
Work Type: Replace
Description: patio door
Census Code: - Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. Carbon monoxide detectors are required within 10 feet
of all sleeping room openings in residential homes(Minnesota State Building Code).
If the door or window opening is altered or you are installing Bay or Bow windows,please call for a framing inspection. Ca
for final inspection after installation.
Fee Summary: BL-Base Fee $65.00 0801.4085
Valuation: 1,500.00 Surcharge-Based on Valuation $0.75 9001.2195
Total: $65.75
Contractor: Owner: - Applicant -
Nona 7 Davis
4125 Meadowlark Pt
Saint Paul MN 55122--175
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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.
Applicant/Permitee: Signature Issued By: Signature
---------------------
For Office Use
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I Building Permit#:
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EAGAN I I
Permit Fee:
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
651 675-5675 FAX: 651 675-5694
� � � � � I Date Issued: I
buildinginspections@cityofeagan.com I--------------------
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L,;2 -20 3 Site Address: /��m h1�}�Oc�L)�{7Q :rT Unit#:
Applicant is: El Owner ❑ Contractor
Name: &GALA- _'J�.kVt&
Homeowner Address: 41-?S /�'lE�/}bOa�L�4�1t -PT— city: E)Qt�;,r�-�
State: Zip: %_'L Phone: 2Email: , GtOTM L.CD
Description of work: LIPTL LE FXt_sm^tG :5=_,dZo rio6P_ A)IT-H 4AG SIZE 10D2..,
Type of at
Work Construction Cost: R. OOa
Type of building: ❑ Single Family ® Townhome,__L_of units ❑ Twin Home
Company: Contact:
Building Address: City:
Contractor
State: Zip: Phone: Email:
License#: Expiration Date:
Sewer& Company: Contact:
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new construction
License#: Expiration Date:
I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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.
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.orq for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
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Applicant's Printed Name Applicant's Signature