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4112 Meadowlark Lane r For Office Use Ctv of EPermit 3830 Pilot Knob Road Permit Fee: ?D Eagan MN 55122 Date Received: - - Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: t~ Site Address: Tenant: Suite RESIDENT / OWNER Name: Z7 Phone: Address City Zip: 1l CONTRACTOR Name: icense _ b 9.7 11%x' Address: y7 - - City: __L! •G~ e ~ _ State: it' Zip: Phone:n 7 Contact Person: TYPE OF WORK New eplacement Repair - Rebuild Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation -Add Plumbing Fixtures (_RPZ / PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) "Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) JU TOTAL FEES $_J JU I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes or 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 /221!5 SLR Ae ad is( X Applicant's Printed Name Appfica `s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test -_Gas Test -Final L , _ . EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 5/4/72 NUMBER 994 owNER Buere - Itillendele - Bldg. #2Address PLUMBER Weierke Trenching TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units xx 10 Location of Connections: Connection Charge Permit Fee 10.00 pd 5/4/12 .7u P■ ›/4/1‘ 3/C Street Repairs Total Inspected by: • Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By Weierke Trenching & Excavating Eagan 55123 Please notify when ready for inspection and connection and before any portion of the work is covered. From:ALLSTAR CONSTRUCTION 1952,942-74,64 10/18/2012 16:35 #614 P.005/010 Use BLUE or BLACK Ink C For Office Use~j 1 j Permit A/0 7 -7 j City of Eakan ~ Permit Fee: 3830 Pilot Knob Road I 0 - f _ Eagan MN 55122 I Phone: (651) 675-5675 Date Received: f I 1 1 Fax: (651) 675-5694 Staff: - - - - - - - - - - - - - - - J 2012 RESIDENTIAL BUILDING PERMIT APPLICATION C'R1L M E n ne + ~rr~i~ i-rrAdc It n Date: 1_0L1 711z- Site Address: yL, vi c L, yju~: yic - S iub ynr yu t oaf y/ `flI ~ yll U Unit Name: cry, Phone: 171-? RESIDENT / OWNER Address/City /Zip: 'g*T Applicant is: Owner Contractor Description of work: 712ti k,Tr r r a ~7` f4#21a ce, W set c TYPE OF WORK 'J I Construction Cost: V a6 z ' J Multi-Family Building: (Yes / No Company /l/161'r- L'oaj~rr-c ivt A~lkdu_6z.~,<~ GL~ Contact: - 161Z1eR er 1A0'~Je- CONTRACTOR Address: - ;Jk riy, -f -0~ d 112-e /a-i City: __T_~n%,,.✓ State: /r Zip: 2L3 S 7 Phone. ?S-2- - ~ y 7;15-Y License C 43f 5-7 Lead Certificate 1111*7-- Zola 4- O 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 the information may be classified as non-public ff you provide speck reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.ora 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 State Building Code must be completed within 180 days of permit issuance. x L G/ ~~~r l~rS%!3 x Applicant's Printed Name Applicant's Sign tune Page 1 of 3 ,n 4 tl~ O NOT WRITE BELOW THIS LINE /fi SUB TYPES - Foundation _ Fireplace - Porch (3-Season) _ Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) ~C. Multi [~&oDeck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of - Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES ~Aiorlm 1 1► ~'L New _tovement _ 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 Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%0 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers 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 HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: Ice & Water Final Pool: Footings _Air/Gas Tests -Final Framing` Siding: _Stucco Lath Stone Lath Brick f Fireplace: -Rough In _Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill - Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: - , Building Inspector RESIDENTIAL FEES Base Fee, ) Surcharge L- Plan Review MCES SAC City SAC t` { Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL' i Page 2 of 3 From:ALLSTAR CONSTRUCTION 19529427464 09/30/2013 15:20 #670 P.008/016 ~~oa ~~loat ~t0~~~rla~, ~lo$ / L` O, 4 a 14 Use BLUE or BLACK Ink 1 ( Auto, " For Office Use City of Eajan I 11 Permit k: i Permit Fee: 4 • fJ~ S 3830 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Q-ln I Fax: (651) 675-5694 1 Staff. O E I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~ 2J)13 Site Address: - Name: heau(aYk RM C/o• bom CTrPhone: Resident/ ~ Owner Address /City/Zip: [PH MA wf,fit ~ICk -QXl INU.t 1, V a { rl C i MN (5%+1 Applicant is: Owner 4-Contractor Type of Work Description of work: and YP -rO nd ~rlt' m 2m F Construction Cost: s 3117;10 •-1 i t0 m Multi-Family Building: (Yes __f_\ / No Company: ~fflSbY ( Qf\ ~lV t IDn IY nUft& U Contact _l k Contractor Address: E9193 MUV"I I dal Stmt + ID3 City: Map(t PN~( n State: MM Zip: 55✓0 1 Phone: 114 ✓H License M R~✓151G Lead Certificate NAT-10b9_0 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 the information may be classirred as non-public if you provide specific reasons that would permit the City to conclude that they 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.aooherstateonecall.oro 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 State Building Code mus b completed within 180 days of permit Issuance. X_ eJo 4(i}fad x r~ Applicant's Printed Name Appl' nt's Signature Page 1 of 3 Use BLUE or BLACK Ink ---------, � For Office Use I I � Cit of Ea a� j Permit#:�<�b�l ?s � , Y � /` /� � � � Permit Fee: (J�- dv � 3830 Pilot Knob Road � � �� Eagan MN 55122 , I � �, Phone:(651)675-5675 �. � Date Received: � , I , Fax:(651)675-5694 � � i � Staff: -----------------i ' 2015 MECHANICAL PERMIT APPLICATION ' ❑ Please submit two(2)sets of plans with all commercial applications. ' Date:� � - 1 — 1 J Site Address: y��'Z � �..c�.c�� c.. �n� II Tenant • r1 Suite#: �I ' S §_. t«��+.'�=V''."/`� �u„ ` � ��y ��""'- ; Name:� c�r�a� �o.C�0.��, Phone: ��'1�1-Z'�� -S""[L`�?5 I, �� a ��:�� Address/City/Zip: �'(1 r Z. �1�.�b� � cc�-� �Gy n� I ��;�.��. ' �;' I �� r�;, � �� Name:�� ,c��-��-o�` ��.��., .a �,�r License#: �� r. '�`��, "'; Address: i$1 C`i �_ '-� '1 5 r .S T- �a_i��-� !l City: M. ..n�c.��j 1.S �4 ' 4 ��w ',� State:�_Zip:_.5 J�i(:� Phone: � t L�T 2.�l-lS� :�,�� Contact: �n�c.- ��-- Email: q�n�-.1�r,�n�r O_hn'��a�1- C_cc�M, �5 �} "# ' '�'„�i �,, New �Replacement Additional Alteration Demolition � ,��, �> .�,, �' �. � �fi., ��a �' � ' ��`� � � � �� Description of work: �� e a. C ��'SS� 4 �6..�� . �. �>��,�� _ .M, .. � � r _ 3 v �,., . , , ,.:. wz.�� , . - , - �,.�� ,�;�;�, �; � . ,. . .: { ��`4 �� RESIDENTIAL COMMERCIAL �; " ��:. �,�� K �Furnace New Construction _Interior Improvement � �� Air Conditioner � ,�.� _ Install Piping _Processed ��,j�4��r Air Exchanger Gas Exterior HVAC Unit f�'p��5 v��i Y�� ry�= E�� ' _Heat Pump _UndedAbove ground Tank �Install!_Remove) 5�`�3� Other �'.�,. :Y �z�r RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) r a� $100.00 Residential New(includes$5.00 State Surcharge) _$ p� TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee 'If contract value is LESS than$10,010, Surcharge=$5.00 =� Surcharge"` "'If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 **"If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in onformance wit 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 start witho t er it;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 1lo c�n �- 1�� 11eS x Applicant's Printed Name Applican ignatu „< , .,..u... ,�r� ..� . ; „ e;� �� e � � �� '.s�& � ' �,��<W �� '� r4� � . , . ., ... . _ _. .. . �,:.,� '�' . .�. _.�, ...�. _... ....._..,'., ..'. � .' .'.f; PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160489 Date Issued:03/12/2020 Permit Category:ePermit Site Address: 4112 Meadowlark Lane Lot:017 Block: 03 Addition: Hillandale 1st PID:10-32950-03-017 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - George A Richardson 4112 Meadowlark Lane Eagan MN 55122 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature