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4100 Meadowlark Lane 4 Use BLUE or BLACK Ink r For Off ce 1JSe 37 City of Ea a~ , Permit # g7 E 937 37. ~ Permit Fee: 1 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I c~c Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - J ' -f-O\ CJ Site Address: 4100-y j,U O (@A6W Lc,&k Lw- Teftefft: MOA'nkh) "&k : ctl , )~'o►KAN MW Suite RESIDENT/ OWNER Name: *194~A44- A,,e,=,e 7y/s Zs"3- ~,F Z.7 Address / City / Zip: s ? + 0ecK iz4uz Applicant is: Owner Contractor TYPE OF WORK Description of work: tie 3) kIJ;N L)5 - Neo) F Lai RooQ ' Re~,de V~ Nq~ S id ;d Dlwtr Construction Cos Multi-Family Building: (Yes / No ) CONTRACTOR Name: License #:~QG31575 Address:.rl , r~~dw51e+ ~.~!S City: m I e PLO'i K) State: Zip: ISIS 3519 Phone: Q "16?1 142 9LA._6 q -to N Allsi , '64- Contact: o Email: C LAa A 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 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.goi)herstateonecall.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. x C~Eca~2I2h/G!/r~ x Z/ lAl=-v Applic is Printed Name plic Ys Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi) _ 01 of Plex _ Lower Level Pool Miscellaneous Accessory Building WORK TYPES ` New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building - Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows - Demolish Foundation Ely Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 1y5 000 OccupancyZ G - 3 MCES System Plan Review Code Edition Aa2-7 SAC Units (25%_ 100%-Z) Zoning R,3 City Water Census Code 14 3Y Stories - Booster Pump # of Units /O Square Feet PRV # of Buildings Length - Fire Sprinklers / Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I C.O. Required Footings (Addition) Final / No C.O. Required Aj~ f` fGX`~r Foundation HVAC Drain Tile seFao'e r/N1 ~ Other: Roof: 4ee-8rterFinal Pool: -Footings iAir/Gas Tests -Final Framing ` Siding: -Stucco Lath -Stone Lath -Brick Wa Fireplace: -Rough In Air Test -Final _~k Windows, I t-& p MWO' Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL ES Base Fee /i 3t Surcharge Plan Review -7 3f MCES SAC City SAC Utility Connection Charge S&W Permit ik Surcharge Treatment Plant Copies / y Q ,L3'>~ ~°A• TOTAL Page 2of3 ? INSPECTION RECORD I CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: "•' 4 I Eagan, Minnesota 55123 Date Issued: ?•' ?•' ?/`' 4 I (612) 681-4675 I SITEADDRESS: ? 4°,• ,. . i ??? r1t1'r I tiN! ?i ; 1 ! r;l{?? _,; I APPLICANT: I PE I ,:?:RMIT I SUBTY?PE: I 11 1 FlM I Nii I 11 N'.111 (t I i nN TYPE OF WORK: i•i .i . ? • ? : ??,. t; I ui i I 1-?14, I IV h f i iI RnI I (IN t' I ft f iJp 1 1 i RE MAI.k ' I ld( 1 11111 :I l r) . ? I+'• I d!,.±,. ?11 !}{ MF AIsULli Alih' I N I u 1 s, 1 .' 0 I :' 0 F: .' 0t) 1-' 1 0 Permit No. PermR Holder Date Telephone A S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Dete Inap. Commerrta Footings I Foundation Framing Roofing Rough Pibg. Raugh Htg. Isut. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter EngrlPlan Bldg. Flnal /.z3 Deck Fig. Deck Final Well Pr. Disp. CITY OF EAGAN HTLLANDALE Additioh I MF.AnOWT.ARK RTDI;E Owner Lot 201 elk 02 Pe,cel 10_32950-201_02 street 4100 MEADOWLAkK LANE Stace EAGAN MN 55122 Rlrirt #7 linit #1 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. OT1 inal TC@1 STREET RESTOR. GRADING SAN SEW TRUNK 1 original p rcel * SEWER LATERAL 11 WATERMAIN * WATER LATERAL 9 3 WATER AREA (? 1975 11.39 • 76 15 Park Donation Ilp 1977 52.82 5•2$ 10 i * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER ? SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF ?AGAN H?I+I+ANDAL?' ADDNqemarks Additioli MRAf)()WT.ARK RTII(:F rn_nnl Lot ?09 Blk 02 Parcel 10_32450_202_02 Owner sireet 4102 MEADOWLARK LANE state EAGAN hN 55122 Rldo_ #2 tlnit #2 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. OT1 inal TC01 STREET RESTOH. GRADING SAN SEW TRUNK OTigli131 rcel * SEWEH LATERAL ?i WATERMAIN * WATER LATERAL 1973 WATERAREA f3 1975 11.39 .76 15 Park Donation t/p) 1977 52.82 5.28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UIlDING PER. SAC PARK . . ,.r cAGAN HIj,I,pjJDpj,E ADDNRemarks Additidn (MF.AIInWi.ARK RTnGF fn_nP? Lot 20? Bik 02 Parcel 10-s2950-903-02 Owner Street- 4104 MEADOWLARK LANE State EAGAN hW 55122 Rlrla #'7 ilnit #Z Improvement Date Amoun Annuat Years Payment Receipt Date STREETSURF, e OT1 inal rcel STREET RESTOR. GRADING SAN SEW TRUNK OT] inal rcel * SEWER LATERAL r? WATERMAIN * WATERLATERAL 1973 WATER AREA Z i? 1975 11.39 .76 15 Par& Donation ilo 1977 52.82 5•28 ip * STORM SEW TRK 1973 STORM SEW LAT CUR9 & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN HILLA16DpLE ADDNRemarks Additidn (MEAbOWLARK RIDGE CO-OP) - Lot 204 alk 02 Parcel 10-32950-204-02 Owner street 4106 MEADOWI.ARK LANE State EAGAN MA1 55122 Rldo_ #2 Ilnit #d Improvement Date nt Annual Years Payment Receipt Date STREETSURF. . ai treel STREET RESTOR. GRADING SAN SEW TRUNK e ori inal rcel * SEWER LATERAL r? WATERMAIN * WATER LATERAL 1973 WATER AREA 13 1975 11.39 .76 ZS Park donation iiC! 1977 52.82 5.28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK . . vr ?rAGAN HILLANDAI.E ADDNRemarks Addition?`NIEADOWLARK RIDG C-OP) Lot 205 Blk 02 Parcel - 10-32950-205-02 Owner street 4108 MEADOWLARK LANE State EAGAN MN 55122 Bldg.#2 Unit #5 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, OT1 inal TC01 STREET RESTOR. GRADING SAN SEW TRUNK de original TCel * SEWER LATERAL r? WATERMAIN * WATER IATERAL 1973 WATER AREA 1975 11.39 .76 1$ Park Donation / 1977 52.82 5•28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN HII,j,AADAI,E ADDNRemarks Additidn (MF.D(IWT.ARK RTfIGF C(l_(1P? Lot 906 Rlk 02 Parcei 10_32450-206-02 Owner street 4110 MEADOWLARK LANE State EAGAN MN 55122 Rl.lrt #'J Ilnit #F. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, OTl inal rcel STREET RESTOR. GRADING SAN SEW TRUNK OTl inal rcel * SEWER LATERAL ir WATERMAIN * WATER LATERAL 1973 WATER AREA Z 1975 11.39 .76 1 Park Donation 10! 1977 52.82 5.28 10 * STORM SEW TRK 1973 STOFM SEW lAT CURB & GUTTEF SIDEWALK STREET LIGHT WATER CONN, 9UILDING PER. SAC PARK CITY OF EAGAN gjLLANDp,LE p?D?emarks Additi6n rME,4DOWLARK RIDGE CO-OP? Lot 207 Bik 02 Parcel 10-32950-207-02 Owner Street 4112 MEADOWLARK LANE state EAGAN MN 55122 Blde.#2 Unit #7 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. OT7. inal rcel STREET RESTOR. GRADING SAN SEW TRUNK OTl inal TC01 * SEWER LATERAL WATERMAIN * WATER LATERAL 1973 WATER AREA ZO 1975 11,39 •76 1 Park Donation Il 1977 52.82 5•28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN ffiLLArTDAI,E ADDNRemarks Additi6n ?VDOWLARK RIDGE CO-OP) l.ot 208 Blk 02 Parcel 10-32950-208-02 Owner Street 4114 MEADOWLARK LANE State EAGAN MN 55122 Rlrln #7 llni+ #R Improvement Date Amount Annual Years Paymeni Receipt Date STREETSURF. DI'1 inal rcel STREET RESTDR, GRADING SAN SEW TRUNK Tl inal TCBZ * SEWER LATERAL WATERMAIN * WATER LATERAL 1973 WATER AREA ,76 Park Donation 110i 1977 52.82 5•28 10 * STORM SEW TRK 1973 STORM SEW LAT CUFB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN HIj,ypNDpl,E ADDNFiemarks Addicibn (MF.AnC1WT,ARK RTTIGE CCI_nP) Lot 71719 Bik 09 Parcel 10-32950-209-02 Owner Street 4116 MEADOWLARK LANE State EAGAN MW 55122 RlAn }F7 flni* $O Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. OT1 inal rcel STR EET F ESTOR. GRADING SAN SEW TRUNK OTl inal rcel * SEWER LATERAL WATERMAIN * WATER LATERAL 1973 WATER AREA 7 ? ,]( I!D) S. 2$ * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UIlDING PER. SAC PARK imiloLN HILLANDALE ADDNRemarks Addition 4MEADOWLARK RIDGE CO-OP) Lot 210 Bik 02 Parcel 10-32950-210-02 Owner Street 4118 MEADOWLARK LANE State EAGAN MN 55122 Rlrlo_#2 Ilnit #1(1 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, e OT1 inal pi trcel STREET RESTOR, GRADING SAN SEW TRUNK original p TC81 * SEWER LATERAL WATERMAIN * WATER LATERAL 1973 WATER AREA 3 .76 i-S Park Dona ion /Or 1977 5.28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTEFi SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK . . .; ....,r .:.: me..F. ? . -. ?» . . ,.,,. . . . . • . .. . . . ' - . . . • ? - ? PERMIT # ` MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: - PRICE: PHONE: 454-8100 For Office Use Only: Lot Sec/Sub (t Name ,-.::ir?>>,v i 1 .,.t r r a l Address ' ?4c^, I RP. c") 77 'i c Ciry -`- - AC:F. Phone ? Name _ c Address o C'ty - TYPE OF WOHK Forced Air Boiler Unit Heater Air Cond. Vent ' Gas Piping OuUets # Phone M BTU $- M BTU $_ M BTU $` M BTU $- CFM ? BLDG. TYPE WORK DESCRIPTION Res. ? New Mult Add-on ? Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 DES A/C ON NEW C ONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. , COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FEE: SIGNATURE PERMITTF?E /? S/C: G/Y /9/r ?2f al? I TOTAL• _?I FOR: CITY OF EAGAN /o0?2i-r-x 7 4 1721 6(GD ? 396 U Request Dale F e No. Rough-in Inspection Required? CL?y NOw ? Wili Notify Inspector Wh nR d ? `yas e ea y nsed contractor J owner hereby request inspection of above electrical work at: Jab Ad'dre5s(Stre/el. Box or Route No-) 1 / / /D l// • r Ciry /l C. "' ?? ? Section No. Township Name or No. Ranqe No. County Occupa (PRINTj ? ? ?'' ? ? Phon?o. f ? V? Power S pher Address Elecir¢al C iraclor (Company Nam Contractor's License No. l _S Mai6n Aaress (COntractpr or /Owner Makinq Inst tion) r -4/Y/ Au!ho gnaWr Co?n71ractovOwneer Mavng Ins Ilahon?) Phone Number MINSOTA STATE BOARD OF ELECTRIC? THIS INSPECTION REOUEST WILL NOT Grl s-Mitlway eltlg. - Room 5-173 BE ACCEPTED BV THE STATE BOARD 7821 Unrversity Ave., St. Paul. MN 55104 ' UNLESS PROPERJNSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ?'Q/?/ REQUEST FOR ELECTRICAL lNSPECTION ? See in5imctir?ns for cofllp'1etmg Ihis form on back of yellow Copy. ?'?Q G'i AIQ "X°Befow Work Covered by This Request ?{IiEV4? r EB-0q0001-08 - ew ,< Add Re'p? Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bullding Dryer Other (Specity) ? CommJlndustrial Fur Farm ir Conditioner Olher ispecrfyl Coniractor'S Remark5: Compute Inspection Fee Below: # Other Fee # Service Entrance 5i7e Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 700 Amps Transformers Above 200 _ Amps Abo e-10 _ Amps Signs Inspecmr"s Use Onry: ! OTAL J Irrigation Booms <a ? Speciallnspection ? AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certity that the above inspection has been made. Final oace . !! --i OFfICE USE ONLY . ..,_,_ This requesl void 18 monihs frOm fEQUEST FOR ELECTRICAL INSPECTION ' See instructians for completiM this form on 6ack of Yellow copy. 816 916 ••X" Be/ow Work Covered by Thrs Request EB-0M01 A4 3-S? PiwA Add Rep. Type of Building ApOlianCes Wired Equipment Wired Home Range Temporary Service Dupiex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. Furnace Silo Unloader Iridustrial Bldg. Air Conditioner Bulk Milk Tenk Farm otne. oecity cner Ispeciry1 ' Othet ISpeciiv O er Othm Comnute lnsnectmn Fee Rs!1nw p Fee ServiceEntreMeSize # Fae Feeders/Subfeeders N Fee Circuits A 10.00 0 to 200 Amps 0 to 30 Am s 2 $.?0 0 to 30 Am Elbove 200 Am - 31 to 100 Amps 31 io 100 Amps Swimming Pool Above 100_Amps Above 100_Amps Tranuformers Irrigation Booms ,5Q PartiaL'Offier Fee Signs Special Inspec+fon $ 15 ?r0 TOTAL F E / flemarks . ? IJ / flough-in ? 1, tha Ele rical ? InsPeetor. hmebV cerSifv that ihe above Final ? ? ate ?gp?tion has been . ? made. 711is re0Ues1 voiA 18 rnontfo trom This request wid ie 3?d f ST6 -/3 Request Date - Fire No., Hough-in Inspecuon Re ui d? ?Ready Now aRtTi Notily Inspec - , , 11/8/85 q re []Yes [Allro? tor When Ready ? Licensed Electrical Contractow 1 hereby request inspection ot above ? Owner . electncal work inslalled at: Street Address, Box or Route No. Qc",? City 4100 Meadowlark -Ax-ive Ea an ecUOn o. Township Name or No. / Range No. County 1 Dakota Occupant(FHINT) Phone No. Michael Construction Power SuDPlier Address Dakota Farm3n ton Elec[ncal Contraemr (Cwnlsny Namel Contractor s License No. Hili E 40445 Mailing Address JCoMractor or Owner Making Instailation) . 3600 Kennebec Drive, Eagan A ored re onvacmr Maki ng Installation) Phone Number 452-1565 MHNN(ySOTp yTpTE BOARD OF ELECTFIICITY THIS INSPECTION REO.UEST-WILL NOT Griggs-Midwav Bld9- -Room M-tBt _ BE ACCEViED BY THE STpTE BOARD 7ffi7 Univergity Ave.. SL Paul, MN 55104 UNlE55 PROPER INSPECTION FEE IS Phnnn (6121 297.2771 - ENClOSE0. . EAGAN TOWNSHIP BUfLDING PERMtT Owner •--....492-Z .::...':h:3.-./.....?------ -..---°°- --°_.-------------------- Address (presen!) ..-?.^:^-.....?_?:..?e.°-J......._ Builder ......... :. ............................................. ._..........?'-?-:-'...[..... Addsesa .... ....._..••••••••• ....................?.:..?.?? ......................... N° 2633 Eagan Townahip Town Hall n.:e ...1.a:./.?3/7? • • • .......................... 5YOr To Be Used For F:on! Dep3h Heigh! Esl. Cost 'Permi! Fee Remarka ) /?'-d?.-,3 .5'?a 7 ,?, /u /?l ?? ? cl LOCATION ,j31A,s'c' Streef. Aoad or other Description of Location I Lot oe Addition or Trac! n This pesmit doea noi suthorise the use'"of' sireels o: ads, alleys or sidewalks nor does it give the owner or hfa agen! the righ! Yo crea3e any situation which is a nuisance or which presents a haaard to the health, safety, eonvenience and geaeral weifare !o anpone in the communily. THIS PEAMIT MUST BE I{EPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS. This is to certifp. !hal----•--?.,--??z----...................... haspermission !o eree3 a?.-•--- `-?------........-°........................ ..upoa the above described p:emise subjec! !o the provisions of the Building Ordinance for Ea an Township adop3ad Apri] 11, 1855. """"".......Y'.'.? •_ ---•• .......... Per ......°-----.?.... v...'.................................................. °' "'"".Chai aa of Tnwn Board Suildia lns ector 46 Jan 27 09 03:37p Mn Window 952-888-9926 p.2 -r., .. : M?th4. b' City of Ea?an 3830 Pilot Knob Road - Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 FwOlficcUsc ---- - _ ' - ? ? - , vcrmit x: ? Pcnnit F?: I I ? I ? ? DOte Rer.eived: ?._ _ . _...._. ? i I I Stalr, I 2008 RESii3ENTi iAL. Bi.iif..DIPriG RERAfiiT APRLiCQTiON Dace: gitc Address: L, &176-,..._ . Tenant: Suite tt: RESIDENT / OWHER Name: honc: AddresslCityl2ip:,4_? ?\ Appticanl is' _ O+vnor ? ConUacxor TYPE OF WORK pescriptian of work: CIUl:•.' ?j Construction Cost: _ il-oore) i_ Mufti-FamNy Building: (Ycs4- / No _n_} " CONTRACl OR Namc: -- License Addrer...: MN WUflMS& SUXNG CO• , _ _. . WEYNDALE VE. S. City- ??.statc: zip: _? BbOOMING"N g , c 4.7 ( .) 7 `,- ContaCt Porson: ....... Phonc: COMPLETE THIS AREA ONLY IF ?,ONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Catedorv 1 MinnPSOta Rules.7@,72 Enefgy COdC • Residantial Vcntitation Catuyory 1 Worksheet • Now EneTy Coda Workshcet Gategory siaxnmcd sutunindct (J submission type) - Fnergy Envdope GalcuiaGarc Submined In the Iast 12 monthS, has the City of Eagan issued a permit Tor a sim:lar pldn baSed oo a master plan? _YCs _No If ycs, date and addresa of mastor plan: LicenSed Plumber: .., Phone: _ Mechanipal ContraCtor:....,__ Phone: , ,,. , _ Sewer & Water Cont?actor: Ahone_, NOTE: Plans and supporting docunients that you submit are considered to be public intormation. Forfions of thc information may be classifivo' as non public if you pravide specifie reasons that woUld permit the Gity to Canclude that the are trdde secrets. i hcreby ncknowioego tnat U+is intnrmadion is compietu and aaura+e; thal tna wwk wiN bo in coniormancr wilh Ihc orcfinanrx5 antl COdCS of tho Gity o( Eagan; tnal ! undr.n;tand lnis is not a permiL but onFy an apptication tor j perrnil, aild wo is not io stan YAipaut a pen++ii; tnat thc waAc wdl be in accordance with fhe approved ptan in Ihu case of work wnicn reQuires a review and app ? 1?J??/'` ? 1-4? X 1 f L ,? / 'Y Applicant's PPin?d Name ? ,4pplicar[i's Si^gna?turA - Page 1 of 3 952 854 8502 Jun 09 07 04:24a Carolyn 4?? city of EataIl 3830 Pilot Knob Road Eag3n MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 952-854-8?02 p.i ? Kqr Oftico Usa_ + r^ I ? Percnit Jt: I ? ? 0.ate Hocoived: .___ .. i I ? I StAfSc____' ._ . ? ?--^-------------' 200$ RESIDEN'TIAL BUiLDtNCx PERiiAiT IiPPLiCATi CON Oate• 9?3'0410 _ Sile dddrtsss: ?lI D _- Tonarrt: Sune it. RESIQEN7/OWNER IVame ?6t`}^ Phone:_T . Address / City ! zip: -- Applicant is: u QWner VConlraCtor TYPE OF WOfiK Dc:cciplion of work: -112? I' l?Gi?l? `? .?'??f??-? -,. ??• ? MuRi-Pamil Buildi Yes No ?' f (',pnstruction Gvst: - Y ?' ( CON'1'RACTOR Name: .eo.? Liccnse ti: 2?V ? Addre:s: J $"-i YFIIIALF-AYF--S... -• ---- CrtY: , BLOOMUCMN• MN 55410 - - State:._._ ZiP- . Phwm: ?.?.i11LLL?Co?tactPerson:.`?j1?J... ? -•- CQMPLETE THIS AREA ONLY IF CONSTRUC"r7NG A NEW BUILDING Minnesot R te 767 o i _ Minnesetl Rules 7672 Energy Code - Residential Vonblation Category t Wwkshoot • New EnBIgy CodE Wbrk'hoCl CaieCjOfy Submittcd Submitted (J suoryussron eype) • ErrerOY Emrotope Calwlaiiorts Submittod In the last 12 months, has tha City of Eagan issued a permit for a similar plan based on a master plan7 Yes _,_,,, No N yes, datc and address ot master plan: --- licansed Plumber- Phone: .- Pnone:_?..._ Mechaoical Contractor. Sewer & Water Cwrtractor Phone: NOTE: Plarrs and supporting docunents th8t you subm/t are cons/dened to be pu4lic informatiart- Portions of the in/ormatron may be classlfied as nonpubfic if you provlde specilic reasoirs ihar would Pero?lt the City to conclude that iheY sre lrade secrets. I hereby aeknowledge t"t fhis Informmipn is compfele and accura7e, that Iho work vnll ba in eonTOrmance with [ne oromaneos ano coaAS o+ 1[11: lillr V, Cagan; that I untlcr^.,Land this is rwl a pcrmit, but only an applica[ion fpr n pofmil, and work is not to stnn wiGwul a permik Mat the wak w711 bc in accordnnce witn tho approved plan fi tlre case of work whir.h requires a reviow and appbval o( plaris. } N / XL,l X-_ - qpplicanYs R'inted Neme AppEi t's Sign i Page 1 of 3 n -- ? • '' " . ' i INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 4 9 7 9 Eagan, Minnesota 55123 Date Issued: 12 / 21 / 9 4 (612) 681-4675 SITE ADDRESS: Lo r: 201 B L 0 C K: 2 APPLICANT: 4160 MEADOWLARK LANE MEADOWLARK RTl]GE LTD P7NRS HILLANDRLE (612) 546-8201 PERMIT SUBTYPE: MULTI. (MISC. ) TYPE OF WORK: ALTERRTION bESCRIPTION (FIRE WflLL) INSPECTION .. . .A FRAMING ROOFING INSULATION FINAL REMARKS: INCLUDES 4102 4104 4106 4108 4110 4112 4114 4116 4118 MEADOWLARK LN LQTS 202 203 204 205 206 207 208 209 210 ., CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE Permit Number: Date Issued: 4100 MEADOWLARK LANE LOT: 201 BLOCK: 2 HTLLANOALE p.Z.N.s 19-82950-291-02 DESCRIPTION: B u i I d i;ti? Ou"ildiM c (FSRE WALL) ermit Type MULTT. (MISC.) V?rk Type ALTEFZATZON " E pp}! ? ? ''iF+ r r t--• v?": s '?'_,.?. `S ? ...?}y:?1( ? ?? ? ? c?,OA euILosNG 024979 12/21/94 REMARKS: IMCLUDES 4102 4104 4106 4108 4110 4112 4114 4116 4118 MEAD4WLARK LN LOTS 202 203 294 0 206 07 08 04 210 FEE SUMMARY: vaLua,rraN $3,000 8ase Fee $54.00 Surcharge $1.50 Total Fee $55,50 CONTRACTOR: OWNER: - Applicant - MEADpWLARK RTOGE LTD P7NRS 1650 5 HWY 190 428 MINNEAPOLTS MN 55416 (612)546--8201 T hereby acknoW:Ledge;ithat ?have :'resd G4'tis,,A.plication ancf sta.ta that the infarmatian is 'correct and' agret tp com?3y wit#? al.l. applicab7,e' ?'State ;0,? Mrt. Statwtes,and City: of ;.E aga n: -Qrdinancs'5? . • -, A A T/F?E ? T E ATURE ISSUED Y: SI ATU ?- ? ? ,- CITY OF EAGAN 1894 BUILDING PERMIT APPLICATION 681-4675 I sr c?:i?S .•.J .r SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si surveyl co py f energy , calcs. ;: :. 6 u '? COMMERCIAL 2 sets of architectural & structu al..p.l.ans -1--5et-s specifications, 1 copy of energy alcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date lz / 15 / 94 Valuation of work $2,250.00 Slt2 Address: 4100 - 4118 Meadowlark Lane STREET SU1TE !! Tenant Name: (commercial only) . c},_ LOT BIACK C?k SUBD. ? P.I.D. o ? Q c es ri tion of work:Install fire wall in cavity behind garage wall per attached drawing The applicant is: QOwner ? Contractor ? Other (Deseribe) Name Meadowlark Ridge Limited partnership Phone 546-8201 Property LAST FIRST chris orensen Owner Address 1660 So. Hiqhway 100 428 STREET STE # City Minneapolis $tate m ZiP 55416 Company above Phone Co ntractor Address License # Exp. City State Zip Company Voqt Architectural Phone 835-5275 Archftect/ Engfneer Name Ed voat Registration # Address 8900 Penn Ave. so• (200) City B1?in9ton State m ZiP 55431 Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this ap lication and state that the information is correct and agree to comply w'th all applica e State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ti` OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 02 SF Dwg. 13 07 4-Plex j2=12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory ? 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 05 SF Misc. EL 10 Multi. Add'1. ? 15 Deck WORK TYPE O 31 New 33 Alterations O 35 Tenant Finish ? 32 Addition 0 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth iAPPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance 0 Footing EK Final .? ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility O 21 Miscellaneous O 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments 42? Framing ? Draintile ? 0 O Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: $ Z "z-S-37 f vatusc;on: SAC X SAC Units Q w EAGF.N TOWNSHIP 3795 Pilot Rnob Road St, Paul, MinneSOYa 55111 ,. Telephone 454-5242 i?ev??'?.?- ?- ?? a ei?c? PERPdIT FOR WATER SERVICE CONNECTION Date: July 12, 1972 Number• $90 Billing Name: Beure-Hillendale Bldg. 2 Site Addreas: 4100-02-04-06-08-10-12-14-16-18 va ow ark Lane Owner: S ame Billing Address Plumber:Weierke Trenching & Excavating Connection Meter Size Coanection Chg. ? Meter No 1MA-Z Permit Fee 10.00 ?? Meter Read"i 0Meter 2 2.01 S/ ? Meter Sealed: Yes_ Add'1 Chg. ND + Total Chg. Building is a: Residence Multiple x No. tTnitsl0 Commercial Industrial Other Inspected by Date Remarka : :oi:.GO LriS. 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 regnlatioas of Eagan Townshfp, Dakota County, Minnesota. BY: Weierke Trenching & E;xcavating Please aotify the abave office whea ready for insgection and coxutection. 1 . ,l c7" J , Bk ! 14; lland.Je EAGAId TOWNSHIP 3795 Pi1ot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SSFTER 5ERVICE CONNECTION DATE: 5/+/72 NLmER 994 OWNER:Buere - Hillendale - Bldg. #2Address PLUMBER Weierke Trenching TypE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILUING Industriall Commerciall Residential I Multiple Dwelling I No, of units I _ I ixx I 10 Locatian of Connections: Connectioa Charge Permit Fee 10.00 pd 5/4/72 . p s c SCreet Repairs Tota 1 inspected by: Date Remarks• By. Chief Inspector In consideratioa of the issue and delivery to me of the above permi.t, I hereby agree to do the proposed work in accordance with the ruies and regulations of Eagan Tocinship, Dakota-County, Minnesota Sy. Weierke Trenching & Excavating Ea.?an 55123 Acuh Please notify when ready for.inapection and connection and before any portion of the work is covered. /D 3 ?9s0 Oa! ol F4 ?11 a.nda.le Add n MASTER CARD LOCATION ?q p;? ?,?,I,? q,??( ,?L /?Gj + ,?„? • 1? ///? ON%NER ?ly ?? ` O J STRUCTURE AND LAND USED AS TUJ/???(J`?F_ PermiT No. Issued Issued To Contractor Owner BUILDING 1.2 7/ PLUMBING d ? - ??.. , CESSPOOL - SEPTIC TANK ? W ELL -.? EIECTRICAL HEATWG GAS INSTALLING SANITARY SEWER OTHER OTHER I • • Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTflICAL DEPTH HEATING ?v???;,,•; °-, OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD • ? PLUMBING i ? _ '? , WELI SANITARY SEWER Violations Noted on Back COMMENTS: ? COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS • PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABIE SUBSTITUTIONS OR DEViATIONS. DATE OF INSPECTION ? NON-COMPIIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. D COMPLETION OF CERTAIN IMPROVEMENTS WILL 8E DELAYED. 8Y CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPECTION CERTI FICATION - I certify [hat I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPEC70R COMMENTS: DATE i • ?? 23 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit X,30 , Date Site Address ?0?,? lC( Unit # Pro ert Owner 640,13 k-q?-e r Tele hone #(/C?S ?) 1f'S t" O Q 1 d y p p Contrictor STANDAAD HEATING a AIR CONDITIONIN6 00. Street Address ?DT?KE ??EE City State M"04EAPOLIS, MN 55408-299% Tetephone # ( ) Bond #: Expires: The Applicant is _ Owner A, Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional &Replacement air excha ? nger ? air condit ioner _New Replacement other State 5urcharge $ .50 Total $ 30•S%? I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an applicat for a permit, and work is not to start with iC that t ill be in accordance with the appr ed plan in the case or which requires a review and approval plan ?^^ L V I / cLt ? . Applieant's Printe Name Applicant's n ture 15 l?1 15 IJ D ? JUL 0 1 2005 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan , 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaVindustrial buildings muiti-family buildings when sepazate permits are not required for each dwelling unit Date Site Street Address Unit H Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address ` City ` 5tate Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove **see be/ow Fnterior Improvement _ Install Piping _ Processed _Gas Nature of Work: **When insta!ling/removing underground tank, call for inspection by Fire Marsha/ and Piumbing Inspector P¢I'ttlit F¢¢5: $70.50 Underground tank installation/removal S50.50 Mininium (includes State Surcharge) or ContraetValue $ x 1% _ $ PetmitFee • If ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge If ep rmit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be_ in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector RECORD OF COMPLAINT Date: 7/11/00 Type of Building: X Residential Apartment Other, Name: Ron & Julie Fems Address: 4112 Meadowlark Lane Phone number: 651-994-1958 (h) 612-431-7303 (w) Complaint: Whole basement had 2 to 3 feet of water damage. Comment: ?? TownhouseQ Action Taken By: Mandy Boudreau 7-II-oo RECOR.D OF COMPLAINT Date _7` P,`0-0 Complaint taken by Type of bu?7ding Name K r) v\ 1?- e f r? S AddTess _4//12 M?c(u•,.1?-.k Lawc L.egal desciiption Phone number ?AK IIES' Complaint _t.vw'u. Uw?s- LG,tid l" C 6 LI 32 766q 1 s...d "1 G n- ??t? ?s12 ? z3 ) a4t?,,. b,z V4% saO0 Action taken -40Ad +-o r•c:?..,,,,t w?V v,•?-VwidS ASgP A,'U s-Y rvC, t'v0-al Qo-w? e. Nci?-e nI WmmCnu' L°'? 'f/rd aVr? 1- 'n ?VI' .?n T 111 Ht - Signature RECORD OF COMPLAIIVT Date % -S " ?/ Complaint taken by Type of building _,4rZxl?t Name Address L.egal description Phone number - Complaint Action taken Comments Signature 4?b-? .,d _ ` _ ' . /2 !? . . `.e /I1 _ '--1t'- - , // '?l- I/_ ' ., n _741Wti?;z ? BUILDING COMPLAIIr'T GUIDELINES • When a complaint is received, get the address, name, phone number, and a general idea of what the problem is. • Always have two City employees present to (1) verify the conversations, (2) offer additional opinions, and (3) lend credibility. • Get 'both sides" of the story if there is a conflict. • Ask other inspectors and City employees if they are familiar with the address or the problem. • Contact other agencies or departments (ie. Dakota County Human Services, 431-2424; police department; fire department), if necessary. • Provide hand-out materials if they are available. 6 Maintain a record of inspections and conversations on a City complaint form. 2000 STORM DAMAGE PERMIT APPLlCATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Reauirements ? 2 Copies of plan DATE: CONSTRUCTION COST: ? I, 6 O O• 0-0- DESCRIPTION OF WORK: g-v W a 11 -??-r ?? ? If multi-famiry bldg., how many unlts? - , , INDICATE THE FOLLOWI(dG EQUIPMEPlY TO BE REPLAC6D AND BY WFBOAA: _ Plumbing _ Homeowner M Contractor Name _ Mechanical _ Homeowner gE Contractor Name "Note: If somebody other than the homeowner fs performing plumbfng or mechanical work, they must apply for appropriate permit. Only licensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: H I U:;)• L.b"VN_0__ ? a?cGv? LOT: BLOCK: SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR Name: V t C?L? ?E Phone #: -Co e 1l -7 Last First ? Sheet Address: q ( ? a nI (? o, c?. o"?v City ? c.iCr 0"'V^\ State: ? y?'n N Zip: S? 1 Z Z. ti ? Company: 2 I '? Phone #: (area code) Street Address: License # Exp. Clty State: Zip: =-, F?F??. B 12 2001 ? I hereby acknowledge that I have read this application, state that the information is correct, and agree to compty with all applicable State o} Minnesota Stalutes and Ciry ot Eagan Ordinances. Signature of Applicant: ?- % 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Reauirements ? 2 copies of plan DATE: ?I?! CONSTRUCTION COST: ??a ?JJ 'b?' DESCRIPTION OF WORK: fv mulfi-famft bldg., how many unlts?????? t.f. "`- 40 IRlDICA THE FOdLOWFPlC EQUI YO BE R CED AWD BY WHOfiA: Plumbing ?i? Homeowner gr Contractor Name Odk' in Mechanical ? Homeowner , r Contrqc?tOr NaM ? '*Note: If somebody other than the omeowner is pertorming p umbing or mechanical work, mey mustapply for appropriate permit. Only licensed plumbing contractor or homeowner may complete plumbing work. STREET AD RESS: 4I1b Y?ILGi tlb?l4-f K laf? I?Q ? ? J LOT: ? BLOCK: SUBD./P.I.D. #: H1 1lA ri G'?l-Y? 1 PROPERTY OWNER CONTRACTOR Name: 41 a'1 ac)?-'d Phone #: ji?5) -qSq- -760a Last Firsf Sheet Address: L4?1 ? ?At\")6?k Lap-o-- Ciiy ?--?? State: I^n 1 V Zip: 5s 1 3?-- Company: Phone #: (area code) Street Address: License # Exp. City State: Zlp: I hereby acknowledge that I have read this application, state that the information is correct, and agree to compty wilh all applicable State of Minnesota Statutes and Cify of Eagan Ordinances. ,Ral=?IVED Signalure of sEP 14 2000 ? I?_: ?? ------- OFF{CE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New 0 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) O 45 Fire Repair ? 34 Repair ? 42 Demolish {Foundation} ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF 36 Multi 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) q2-q ?? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Reauiremenfs ? 2 copies of plan DATE: .5C-h 'I PIM12? {? 02 S?.?.Q (? C1 CoN?U?IoN CosT: $ 500.00 DESCRIPTION OF WORK: I& Ym; l; e-- ee- ?ro GiC S?C?I( mulh-family bidg., how many units? 1'n 5 C'Jc I t luz vt, e- il,r 0 vt-0-?-j YI S 4l*m INDICATE THE FOLLOWING EQUIPPAEMT TO BE REPI.ACED AND BV WHOM: _ Plumbing _ Homeowner Qe Contractor Name _ Mechanical _ Homeowner g[ Contractor Name i °"NOte: If somebody other than the homeowner is pertorming plumbing or mechanical work, they must apply forappropriate permit. Only iicensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: ??5 l-?- -2- LOT: (2.4f'l BLOCK: SUBD./P.I.D. #: 2 PROPERTY OWNER Name: /ki /v 5;q v- r v Phone #: b 1 L'`?("3? Last F 51 Street ? City 3E 2 6? I?q State: Zip: ,2-- 4- s *1k ' pany: ??' CONTRACTOR Street Clty Phone #: (area code) License # Exp. Stafe: Zip: I hereby acknowledge that I have read this appiicaHon, state that the information is correct, and agree to comply wilh all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?--3830 PILOT KNOB RD - 55122 651-687-4675 Reaulrements D 2 coples of pian ? DATE: ?' ??/? Z? ?'? CONSTRUCTION COST: ?6 4?vU DESCRIPTION OF WORK: If multi-family bldg., how many units? IPlDICATE TBiE POLLOWING EQUIPPAEidY TO BE REPI.ACED I\P!D 6Y WHOAA: _ Plumbing _ Homeowner Q Contractor Name _ Mechanical _ Homeowner _qr Contractor Name "Note: If somebody other than the homeowner is pertorming plumbing or mechanical work, they must apply for appropriate permit. Only licensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: Name: d %Il LC Phone #: ? ??? ????D ? ? ? ?? Last First LOT: OBLOCK: O 3 SUBD./P.I.D. #: ? ? PROPERT1f OWNER CONTRACTOR Street Address: y" City State: Zip: Company: ? ?i Phone #: (area code) Sfreet Address: License # Exp. Clty State: Zip: I hereby acknowledge that I have read thisapplication, state that the information is correct, and of Minnesota Statutes and City of Eagan Ordinances. Signature oi Applicant: all applicable State OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-p{ex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 04 02-plex ? 10 08-plex ?. 19 Lower Level [7 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)* O 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV L () I` 4- BL C) -) CITY USE ONLY RECEIPT #: SUBD. 1/dL RECEIPT DATE: PERMIT # Aq 2000 PLiJbMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 E?? LO IQ?IO 2? S-?j 1 Y A 651-681-4675 ? Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Fioor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 X = $ Hot tublspa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System aewfrefurbished 'requires MPC lic. 75.00 X = $ Septic System abandonment 30.00 x = $ RPZ new instailation/repaidrebuiid 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 X = $ Water turnaround 30.00 x --- _ $ State Surcharge .50 -> ----> ---> $ .54 Total --> -> ----> --a $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -----------------------------------------------------------------•--------------------------------------------------------------------------- 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabie City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenanca adrvRies to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: ?? 0%- Lg-v--? OWNER NAME: : M(xA Ef\, Ak,a 5L- TELEPHONE #: ( S`"U o3 S ??- (AREA CODE) INSTALLER NAME: TELEPHONE #: (AREA CODE) STREET ADDRE55: CITY: STATE: ZIP: SIGNATURE aF PERMITTEE 0/(--, L'7 gL J CITY USE ONLY RECEIPT #: ____ SUBD. ?I?LIndQIe' RECEIPT DATE: ? PERMIT # 8U00 PLUM$1Nfi PEiiMIT (RES1DEN'fIAL) CTf1l Of' i:AfiAN 3830 Paor Kxos $n Elk&i4N. MN 55188 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system ?wnu 3e TOTAL 1' IR 1 U KCA Alterations to existing dweliing - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = = $ $ Gas i in outlet " minimum - 1 3.00 X = $ Hot tubls a 3.00 x $ Kitchen sink 3.Oa x Laundr tra 3•?? X = $ $ Lavato 3.00 x S2 tIC S stem new/refurhished ' re uires MPC Iic. 75.00 X = = $ S@ tIC S Stem abandonment 30.00 X = $ F{pZ new installatiaMre airlrebuild 30.00 X Rou h o enin 1.50 x = = $ $ Shower 3.0a x = $ Under round s rinkier if dwetlin is under conswcuon 3.00 x = $ Under raund s rinkler irexistin dwellin 30.00 x = $ W ater cioset 3.00 x = " $ 3 W ater heater 3.00 x = • $ W ater softener If dwellin under eonstruction 5.00 x Water softener If existln dwoutn 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .. ,50 --> ----> > ----' > $ .50 S &0 • s-o Total .a --> --- ---- Reminder: Cali for inspections of alterations, l.e. water heaters, water softeners, etc. . . • - - -- - - - - . . . •---•--•-•----•- -----•--•-- -Eagan-• -• ordinances- .. . -City ot• - to comply with alt a•ppllcable- - • - - - - -agree- - - • - • • • - -correct• , and- - ,• state• that the-informa6on-is- .----•------ •----- ---- ---------------- --•---- ----• .I have- - that- • read- • [his applicalion- -acknowledge. I hereby-- It is the applicant's responsibility W noGfy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal operalional and maintenance.actiwrilies ro the.faalities_c9nsWCted under_lbis_permit within City propertylright-of-wayteasement. SITE ADDRESS: I I TRAN. CHUNG 4112 MEADOWLARK LANE OWNER NAME: :_ EqGAN, MN 55122 ? (612)432-7668 INSTALLER NAME`. TELEPHONE #: - (AREA COOE) TELEPHONE #: (AREA COOE) STREET ADDRESS: CITY STATE: ZIP: SIGN T E OF PERMITTEE -- ? - O ? PERMIT # RECEIPT DATE: J ` 0 l Please compiete for: SITE ADDF2ESS: OWNER NAME: : INSTALLER NAME: MIDENTIAL PLUM$INF PEfiMiT ?PPLICATION crrY oFEAsAv 3$30 PILOT IiNOB {tD EAfil4N, bIR 581 EE 651-6$1-4675 ? single family dweliings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for irrigation system 'l 2V_ TELEPHONE #: (AREA GODE) TELEPHONE #: (AREA CODE) STREET ADDRESS: ? CITY: Place a check mark next to the oermit work tvoe STATE: Yu IV ZIP: `?/ ??- New residential dweliing unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new instailation/repair/rebuild of RPZ • lawn irrigation system • water turnaround -? U)A'i`- R_ N k f ature o wor : rJ b Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softenerS, etc. I hereby acknowiedge thal I have read this application, state tha[ the informatlon is corcect, and agree to comply with all applicable City of Eagan ordinances. It is the appHcant's responsibility to notity the properry owner that the City of Eagan assumes no liability for any damages caused by4h City during its normal operational and maintenance activities to the facilities consUucted under this permit within ity prope -of- y/e ent. / SIGNATURE OF PERMITTEE Updated 1101 iitt e+ EQQan k.ereipt 1}ate 41+9131W4J Tlpe FYInLed I5,18:53 F'a,_@IGt elu6bef 08= . BURNSUILLE HEPTiNli & itiD 9601,2I95 1 .yO MF 43108 7001.4@$8 -a -i . u0 FiF 43108 , Total Receipi Hmourit -CI.5o. User H34CGFiHid CITY USE ONLY 40T . I, I BL ? PERMIT #: ? SUBD. _ ITI llG1 ndQ iG' RECEIPT #: - RECEIPT DATE: 2000 M£CHANICAL P£fZMIT (fi£SIDENTIAL) ? crrY oF EAs,ax sgso PaoT xxos 0 EAfiAN b!N 55122 ? 651-681-4675 Date• •--?--=?g ? ,w•_? Complete this section onl if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U A.DDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) t ? ? State Surcharge Total $ 30.00 6.00 .50 $ Complete this section only if you are remodeling, adding to, or replacing an existing single-family dwelling, townhomz, or condo. Please indicate if it is a new item, alteration, or replacement. _ New ? Furnace _ Air exchanger __?4 Replacement Other 4 Air conditioning Other Fee ? State Surcharge Total Reminder: Call for fna! inspection. S[TE ADDRESS: $ 30.00 .50 $ 30.50 OWNER NAME: PHONE #: IOFJ - %dS J"?KJU ? ` - INSTALLER NAM : PHONE #: (AREA CoD6) STREET ADDRESS: 1?>efl CITY: c?J @-?-r STATF.e _ ZIP: ?,?7? SIGNWTURE OF PERMITTEE /d-3? L Bl SUBD. APPROVED BY: INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (COMMEfiCIAL) CITYOf EAL6u4N 3$30 PILOT KNOB RD EAfii4N, MN 55122 651-6$1-4E675 , ti Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction • Install U.G. Tanlc _ Interior Improvement Itemove U.G. Tank _ Processed Piping Wl:en installing/removing underground tank, call 651-681-4675 for inspeclion by f:re marshal and plumbing inspector. ' Descriprion ofwork: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee Cantract price: $ x 1% _$ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: TENANT NAME (IMPROVEMENTS ONLl): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: OWNER NAME: PHONE #: - (AREA CODE) ADDRESS: PHONE #: - (AREA CODE) CI`I'Y: STATE: ZIP: CITY USE ONLY ? ? t SIGNATUR.E OF PERMITTEE +6128940925 • 11-08-QO 13:58 From-BURNSVILLE HEATING +6128940925 T-316 P.02 F-377 Ileating & Air C'ondidoning, lnc. 12481 Rhode Island Ave. Sa., Savage, MN 55378 •(612) 894-0005 FAX (612) 894-0925 Attentioxi: City of Eagan Inspection CUepartinent Re: Fee reirnbursement for flood clamaged replaccment Please reiznburse Bwrnsville Heating and Arr Gonditioning tlie permit fee for the Joseph Schaefer residence at 4116 Meadowlark Lane (permit 43108). Mr. Schaefei• just inforuied us th.1t liis hoine was dalnaged by tbe floods last summer and his pcrnnit fee should have been waived. T1ae fee can be sent to: Burnsville kl.eating and Au- Conditioning 12481 Rhode Island Aventie S_ Savage, MN" 55378 if you have any qtiestions regarding tilis, feel 1Free to call Ka.ren Vonderbarr at 952-894-0005. Than3t you for your assistance. ? ,, . ._ .... L /' BL 3 q suBO. )-11161hC???? ? I CITY USE ONLY RECEIPT #: RECEIPT DATE: II .gO PERMIT# yl? 93Y/ 2000 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, hBi 55122 651-681-4675 Piease complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ Septic 5ystem newlrefurbished * reyuires nnPC iic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new instaliationlrepaidrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ ^ Underground sprinkler if existing dwelfing 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dweiling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 --> --> ----> $ Total -> --> ----> ----> , Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -------- -----------•--------•----•-------------- Y hereby ackswwledge that t have read {his epplicetion, state that the information is corred, and agree to comply with alI applicable City of Eagan ordinances. It is the applicanYs responsibitity to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. 51TE ADDRESS: OWNER NAME: TELEPHONE #: 6a51-?5SL (AREA CODE) INSTALLER NAME? 5-e I +' TELEPHONE #: (AREA CODE) STREET ADDRESS: CITY: T . Z P: SIGNATURE OF PE IrtTEE 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 1* ?f 336b Repuirements ? 2 copies of plan DATE: l4)_.19 - 719t9 ZQ CONSTRUCTION COST: ?m")• 00 ??- DESCRIPTION OF WORK: &4qV 1949c4rF SAgp2jLcL 0 7io5ocq'rzavH1 multi-f mlty pid ., how many units? l ?i INDICATE TOiE FOLIOWIIVG EAUIPMERIT TO BE REPLACED AtdD 6Y ddHOM: _ Plumbing _ Homeowner _qr Contractor Name _ Mechanical _ Homeowner g[ Contractor Name `*Note: Itsomebody otherthan the homeowner is performing plumbing or mechanical work, they must apply for appropriate permit, Only Ilcensed piumbing contractor or homeowner may complete plumbing work. SiREETADDRESS: `--l f 0-0 /kba ..7( tLk- LPAJ?E LOT: ? BLOCK; V SUBD./P.I.D. #: h1ahdA(G -#Jl- Name: Phone lf: V07O 8?R PROPERTY Last Flrst OWNER StreetAddress: Clfy State: /? IN Zip: Company: SE2-? Phone #: CONTRACTOR (area code) Street Address: License # Exp. Clty I hereby aCknowiedge that I have read this application, state that the of Minnesota Statutes and Cify of Eagan Ordinances. Signature of f 3830 PILOT KNOB RD - 55122 651-681-4675 State: is correct, Zip: comply wiFh ykapplicable State *dtV oF eagan PAI'I21ClA E. AWADA Mayor PAUL I3AKIiEN PECGY CARISON Cl'NI)El? Flk?LDS M EG'll LLEY Camcil Mrmbrrs "1'HOMAS HEDGES Ciry Adminis[raror Manicipal Center. 3830 Pilot Kno6 Road Eagan, MN 55122-I8I7 Phone: 651.681.4600 F:ix: 651.681.4612 "PllD: 051.454.8535 Maintenance Faciliry: 351I I Cuachman Point Eagan, MN 55122 Phonr. 651.681.4300 Fax: 651.681.4360 TDU: 651.454.8535 www.ciryofeagan.wm "rH E I.ONE OAK "f ItE.E Thr symlx)l uf screngc6 and gruWth in uur cunununiry January 30, 2001 Mr Eric Edwards 4100 Meadowlark Lane Eagan MN 55122 Dear Mr Edwards: According to City records, your home was damaged during tUe July 7, 2000 rainstonn. In addition to the removal of moisture and mold, firewalls between wiits must be rebuilt to original consnuction standards. Enclosed for your infonnation is a drawing of the original wall assembly. The correct wall assembly must be verificd and approved by the City's Inspections Division. Our records reflect that we have been not been contacted by you for the required inspections on your townhome. Please call 681-4675 to schedule inspections for the following: • framing, if applicable • insulation • sound board • sheetrock • appliance replacement • final Your anticipated cooperation in restoring your home to safety standards is greatly appreciated. If you have any questions, please contact me at 651-681-4683. Sincerely, J. Craig Novaczy Building Inspector ec: Meadowlark Ridge Townhome Association ? n° ? •- - . .? ? . (:oVncD 804") 01a Tym x ?- ?-? ( ?IB nPE x sHEer RQC?) De????_NH-c? wAU,- . A e-?.F,?--y ? a Date: city o eagan PATRICIA E. AWADA Mayor PAUI,FAKKEN PEGGY CARLSON C.'YNllEE FIELnS MEG'1'1LLEY Cowuil Metnbers THOMAS HEDGt;S City Administraror Municipal Center: 3830 Piluc Knob Rnad Gagmi, MN 55122-1 R97 Phone: 651.681.4600 Fax: 651.681.4612 TDD: 651.454.8535 Maintenance Facility: 3501 Coachman Poinr Eagan, MN 55122 Phone: 651,681.4300 Fax: 651.681.4360 TDll: 651,454.8535 www.cityofeagan.com THELONEOAKTREE The symbol of scrength and growth in our communiry February 8, 2001 RF,: 4100 MEADOWLARK LANE FIREWALL REPAIR CITY OF EAGAN BUTLDING INSPECTIONS DNISTON 3830 PILOT KNOB R011D EAGAN MN 55122 TO WHOM IT MAY CONCERN: As a result of water damage from the July 7, 2000 storm, I did restore the firewall between my unit and the adjonlulg unit to its original design when the units were bUljt. Sincerely, /?. V ` Eric 4100 Meadowlark Lane Eagan MN 55122 Date: 11 city oF eagan PAIRICIA E. AWt1DA Mayor PAUL RAKKE.N PF.GGY CARLSON C,'YNDEE FIRLDS M F;G'I1 LLEY Ccnmcil Members TE IOMAS HEDGES City Administrator Municipal Ceurer: 3330 Pilot Kno6 Road Eagan, MN 55122-1897 Phone: 651.681.4600 F:ix: 651.681.4612 TDD: 651.454.8535 Maintenance Facility: 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fas: 651.681.4360 TDD: 651.454.8535 wwv.cityofeagan.com THE LONE OAK'iREE The symhol of 5[rength and growdi in our communiry January 30, 2001 Ms Betty Jo Picka 4102 Meadowlark Lane Eagan MN 55122 Dear Ms Picka: According to City cecords, youx home was damaged during the July 7, 2000 rainstorm. In addition to the removal of moisture and mold, firewalis between units must be rebuilt to original construction standards. Enclosed for your information is a drawing of the oiigina] wall assembly. The correct wall assembly must be verified and approved by the Cify's Inspections Division. Permits to repair your home as a result of stonn damage are fi'ee-of-charge. If you have not applied for a permit, you may call 651-681-4675 and reqttest that an application be mailed to you or you may come in during normal business hours of 7:00 a.m.- 430 p.m. Monday through Friday and fill out an application. Once you have applied for a pennit, you may schedule au inspection for your home. Your anticipated coopecation in restoring your home to safety standards is greatly appreciated if you have any questions, please contact me at 651-681-4683. Sincerely, jo-, J. Craig Novaczyk Building Inspector cc: Meadowlark Ridge Townhome Association city oF eagan PAT'121CU1 E. AWADA Mayor PAUL BNCKF.N PEGGY C;AftISON CYNDEE FIELDS M EG TILLEY Council Members THOMAS HEDGES Ciry Administraror b4unicipal Center: 3830 Pilot Knob Rnad Eagan, MN 55122-1597 Phone: 651.681.4600 Fax:651.681.4612 TDD:G51.454.8535 Maincenance Facility: 3501 Coachman Poinu Eagari, MN 55122 Phone: 65 LG31.4300 Fat: 651.681.4360 1'Dll: 651.454.8535 www.cityofeagan.com THE LONE OAK TREE The symbol of strength and growth in our February 8, 2001 RE: 4102 MEADOWLARK LANF. FIREWALL 1ZEPAIR CITY OF EAGAN BUILDING INSPECTIONS DNISTON 3830 PILOT KNOB ROAD EAGAN MNT 55122 TO WHOM IT MAY CONCERN: As a result of water damage from the July 7, 2000 storm, I did restore the firewall between my unit and the adjoining unit to its original design when the units were bUlit. Sincerely, Betty Jo Picka 4102 Meadowlark Lane Eagan MN 55122 Date:,S_' l, j__ mmmunity 11 city oF eagan PA'I'1UClA E. AWADA Mayor PAUI. RAKKF.N PF.GGY CARLSON C'YNDEE FIELDS MEG "fiLL.EY Council Members "I'HOMAS HF,DGES City Administraror Municipal Center. 3830 Pilot Knub Road F.agan, MN 55122-1397 Phonc: 651.681.4600 Fax: 65 L6R I.4C, l2 7'DC): 651.454.8535 Maintenancc Faciliry: 3501 Coachman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.cityofeagan.com 7HFLONEOAKTREE The s}nnlxil of srrength and grrnvtli in our wmmunity January 30, 2001 Ms Michelle Hanson 4104 MeaJowlark Lane Eagan MN 55122 Dear Ms Hansoti: According to City records, your home was damaged during the July 7, 2000 rainstorm. In addition to the removal of moisture and mold, firewalls between units must be rebuilt to original construction standards. Enclosed for your infomiation is a drawing of tlie original wall assembly. The correct wall assembly must be verified aud approved by the City's Inspections Division. Permits to repair your home as a result of storm damage are free-of-charge. If you have not applied for a permit, you may call 651-681-4675 and requcst that an application be mailed to you or you may come in during normal business liours of 7:00 a.m.- 4:30 p.m. Monday through Friday and Gll out an application. Once you have applied for a permit, you may schedule an inspection for your home. Your anticipatcd cooperation in restoriiig your tiome to safety standards is gready appreciated. If you Iiave any questions, please contact me at 651-681-4683. Sincerely, Jt J. Craig Novaczyk Building Inspector cc: Meadowlark Ridge "I'ownhome Association 11 city oF eagan PATRICIA E. AWAllA M.ryor PAULRAKKEN PFGGY CARISON C;YNDF.F. FIELDS M EG Tll.l ,F.Y C:ouncil Mcmbccs TI-IOMAS HEDGFS Ciry Administrator Municipal Center. 3830 Pilor Knob Road Eagan, MN 55122-1897 1'hone: 651.681.4600 Pax: 651.681.4612 TUll: 651.454.8535 Mainteuance Faciliry: 3501 Coachman Point Eagan, MN 55122 P6onr. 651.681.4300 Fax: 651.68 L4360 "1'DI): 65 L454.853> www.cityofeagan.com THE LONE OAK 7'RF.E The symbol oFs[rengnh and growth in our communiry February 8, 2001 RE: 4104 MEADOWLARK LANE FIREWALL REPAIR CITY OF EAGAN BUILDING INSPECTIONS DIVISiON 3830 PILOT KNOB ROAD EAGAI`T MN 55122 TO WHOM IT MAY CONCERN: As a result of water damage from the July 7, 2000 storm, I did restore the firewall between my unit and the adjoining unit to its original design when the units were built. Sincerely, Michellc Hanson 4104 Meadowlark Lane Eagan MN 55122 Date: ?- Ia -- v ? ?f' IVP ? F E B ]_ 3 2001 ? I By *dtV oF engan PtiCRICIA E. AWqDA Mayor 1'AUI. BAKK1iN PEGGY (:ARI tiON CYNUEE FIELDS MEG TILI.F?Y CoiMcil Membea THOMAS HEDGFS Ciry Administrator Mimicipal Cencer: 3830 Pilot I'viob Ruad 1?agan, MN 55122-I897 Plione: 651.681.4600 F:ix: 651.681.4612 'I'Dll: 651.454.8535 Maincenance Faciliry: 3501 Coailiman Puint }iagan, MN 55122 P6une: 651.681.4300 Fax: 651.681.4360 TUD: 651.454.8535 www.cityofeagan.com '1'HE LON E OAh TREE I 6c aymlwl uf srrengrli January 30, 2001 Mr Lylle Liggett 4106 Meadowlark Lane Eagan MN 55122 Dear Mr Liggett: According to City records, your liome was damaged during the July 7, 2000 rainstorm. In addition to die removal of moisture and mold, firewalls between units nnist be rebuilt to original construction standards. Enclosed for your information is a drawing of the original wall assembly. The correct wall assembly must be verified and approved by the City's Inspections llivision. Our records reflect that we have been not been contacted by you for tUe required inspections on your townliome. Please call 681-4675 to schedule inspectious for the following: • framing, if applicable • insulation • sound board • sheetrock • appliance replacement • final Your anticipated cooperation in restoring your home to safety standards is greatly appreciated. If you have any questions, please contact me at 65 1-681-4683. Sincerely, ? J. Craig Novaczyk Building Inspector cc: Meadowlark Ridge Townhome Association and gruwdl iu uur umimunity 411?MV oF eagan PA'fRICIA E. AWADA Mayor PAUL BAKKF.N PEGGY CARISON Cl'N UH:E F IF.1.DS M EG TI LLEY Ctiuncil Mrmbers 1-1 10bL9S HEUGES Ciry Adminiscr.uor Municipal Center. 3830 1'ilot Knub Road tagan, MN 55122-1897 Phone: 651.681.4600 F:ix: 651.681.4612 "fDD: 651.454.8535 Maintetiance Faciliry: 3501 CuacLman Poin[ Eagan, MN 55122 Phnne: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 wwwciryofeagan.com THl 1_ONE OAK "PREE "1'he rym6ol of svengdi and growrh in uur January 30, 2001 Mr Mark Freese 4108 Meadowlark Lane Eagan MN 55122 Dear Mr Freese: According to City records, your home was daniaged during the July 7, 2000 rainstorm. in addition to the removal of moisture and mold, firewalls betwecn unics must be rebuile to original construction standards. Enclosed for your inforniation is a drawing of the original wail assembly. The correct wall assembly must be verified and approved by the City's lnspectious Division. Our records reflect that we have been not been contacted by you for the required inspections on your towiiliome. Please call 681-4675 to schedule inspections for the following: • framing, if applicable • insulation • sound board • sheetrock • appliance replacement • final Your anticipated cooperation iiuestoring your liome to safety standards is greatly appreciated. If you have any questions, please caitact me at 651-681-4683. Sincerely, J. Craig Novaczyk IIuilding Inspector cc: Meadowlark Ridge Townhome Association cormruiuig• *dtV oF eagan Pti f 1tIC1A E. AWAllA Mayur PAUL [3AKKf:N PF.GG]' CARISON CYN DEF: FI F? LDS MEG "I'ILLF.Y Couneil Mcmbers 'I'HOMr?S HEllGES Ciry Administramr Municipal Cencer: 3830 Pilor Knu6 Road Eugan, MN 55122-1897 P6one: 651.681.4600 Fax: 651.681.4612 l'L)D: 651.454.8535 Maintenance Facility: 3501 Coac6man Yoint Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.ciryoFeagan.com THE LONL UAI<"I'12EE "17ic mnlwl uFscrcngdh autl gruwdi in uur January 30, 2001 Mr Todd Holnian 4110 Meadowlark Lane Eagan MN 55122 Dear Mr Holman: According to C:ity records, your home was dmnaged during Nie July 7, 2000 rainstorm. In addition to the removal of moisture and mold, firewalls between units must be rebuilt to original construction standards. Enclosed for your information is a drawing of the original wall assembly. The correct wall assembly must be verified and approved by the City's Inspections Division. Our records reftect that we have been not been contacted by you for the required inspections on your townhome. Please call 681-4675 to schedule inspections for the following: • framing, if applicable • insulation • sound board • sheetrock • appliance replacement • final Your anticipated cooperatiou in restoring your home ro safety standards is greatly appreciated. If you have any questions, please contact me at 651-681-4683. Sincerely, 41?, ? J. Craig Novaczyk Building Inspector cc: Meadowlark Ridge Townhome Association cummunity RE: 4110 MEADOWLARK LANE FIREWALL REPAIR CITY OF EAGAN BUILDING INSPECTIONS DIVISION 3830 PILOT KNOB ROAD EAGAN MN 55122 TO WHOM IT MAY CONCERN: As a result of water damage from the July 7, 2000 storm, I did restore the firewall between my unit and the adjoining unit to its original design when the units were built. Sincerely, V?;ryl Todd?olm?---.? ?A' ` 41101Vleadowlark Lane Eagan MN 55122 Date: "10 b/ 11 city oF eagan PATRICIA E. AWqllA ? February 8, 2001 Mayor PAULBAKKEN rECCYCnfusoN RE: 4112MEADOWLARKLANE cnvDEF FiELns FiREWALL RF,PAIR MEG TILLEY Cnuncil Members CITY OF EL1GAN BUILDING INSPECTIONS DNISION 3830 PILOT KNOB ROAD THoNtns HEDCCS EAGAN MN 55122 Ciry Adminisvator TO WHOM IT MAY CONCERN: As a result of water damage from the July 7, 2000 storm, I did restore the firewall Municival ce,itrr: between my unit and the adjoining unit to its original design when the units were built. 3530 Piloc ICnob Road Eagan, MN 55122-1897 S111CeT'e . J Phone: 651.681.4600 Fax: 651.68 LhG 12 TDD: 651.454.8535 SOUIy TI'3ri ' 4112 Meadowlark Lane Maintenance Pacility: EagaCl MN 55122 3501 Couhman Yoint Eagan, MN 55122 Phone: 651.681.4300 Date: Pau: 651.681.4360 TDD: 651.454.8535 www.cityofeagan.com - ? - THE I.ONE OAKTREE The symbol of nrengdi and gmwth in our communiry 11 city oF eagan PAl'ItICIA E. AVUADA Mayur PAUL RAKKEN PEGGY C:Hf2LSON CYNL)l:l•: PIEI.Dti M EG1l L1.EY (Ouncil Mcmbcrs THONtas HrDcE5 City Adminiscracor Municipal Cencer: 3830 Yilut hnob Road 1?agan, MN 55122-1897 P6one: 651.681.4600 Fax: 651.68I .4612 '1'DD: 651.4i4.8535 Maintenance Pucility: 3501 Coadiman Puiur F.agan, MN 55122 Phonc 651.681 .4300 Fau: 651.681.4360 TD D: 651.454.8535 www.ciryofeagan.com "1'l-IE I.UNF OAK"1'Itt•:F: Thc rymlxol of screnp6 ;md gnnvrh in nur commimiq' January 30, 2001 Mr Soury Tran 14216 Freeport Trail Apple Valley MN 55124 RE: 4112 MEADOWLARK LANE Dear Mr Tran: According to City records, your lioine was damaged during the July 7, 2000 rainstorm. In addition to the removal of moisture and mold, firewalls behveen miits must be rebuilt to original construction staudards. Enclosed for your infonnation is a drawing of the original wall assembly. The correct wall assembly nmst be verified and approved by the City's Inspections Division. Our records reflect diat we have been not been contacted by you for the required inspections on your townhome. Ylease call 681-4675 to schedule inspections for the following: • framing, if applicable • insulation • sound board • sheetrock • appliance replacement • final Your anticipated cooperation in restoring your home to safety standards is greaNy appreciated. If you have any questions, please contact me at 651-681-4683. Sincerely, J. r? aig N?ovaczyk I3uilding ]nspector cc: Meadowlark Ridge Townhome Association 411?MV oF eagan PlA1'ItIC1A E. AWADA Mayor PAUL BAKKLN PEGG1' C:AItISON CYNDLG F1ELDti M LiG T1L1.EY Council Membrrs 1'HOMAS HED(;FS Ciry AcLninis[racor Mwiicipal Cencer: 3830 Pilut Knah Rnad P.agan. MN 5 5 1 22-1 897 I'honr: 651.681.4600 Fax: 651.68I .4G I2 TDll: 651.454.8535 Maincenance Paciliry: 35111 Cvac6man Yuint I:aga», A1N 55122 1'hunc: C51.681.4300 Fax: 651.681.4360 "f'DD: 651.454.5535 www.cityoleagan.co m I'HE LONF.OAKTREE 17ic rymhcil ofscrengch :md growdi in uur January 30, 2001 Mr Bradley Rudnick 4114 Meadowlark Lane Eagan MN 55122 Dear Mr Rudnick: According to City records, your home was damaged during the July 7, 2000 rainstorm. In addition to the removal of moisture and mold, firewalls behveeii units must be rebuilt to original construction standards. Enclosed for your information is a drawing of the original wall assembly. The correct wall assembly rnust 6e verified and approved by the City's Inspections llivision. Our records reflect that we liave been not been contacted by you for the required inspections on your townhome. Please call 681-4675 to schedule inspections for the following: • framing, if applicable • insulation • sound board • sheetrock • appliance replacemenl • final Your anticipated cooperation in restoring your home to safety standards is greatly appreciated. If you have any questions, please contact me at 651-681-4683. Sincerely, ? ? J. Craig Novaczyk Building Inspector cc: Meadowlark Ridge Townhome Association mnmiuniry 11 city oF eagan PnrxIcIn E nw,aDn Mayor PAULRAKKEN PEGGY C:AI2ISON C1'NDF,E FIF.LDS MEG TILLEY Council Mcmbers 'THOMAS HEDGE.S CiryAdministraror Municipal Center: 3330 Pilot Knnb Road Eagan, MN 55122-1897 Phonc: 651.681.4600 F:u: 65 I .6R I .4(12 7'DD: 651.454.8535 Maintenance Facility: 3501 Cuachman Point Eagan, MN 55122 Phone: 651.681.4300 Fax: 651.681.4360 TDD: 651.454.8535 www.ciryoFeagan.com THELONEOAKTREE The smibol of stren6rth ajid growt}i in our communirv January 30, 2001 Mr Joseph E Schaefer 4116 Meadowlark Lane Eagan MN 55122 Dear Mr Schaefec According to City records, your home was damaged during the July 7, 2000 rainstorm. In addition to the removal of moisttire and mold, firewalls between units must be rebuili to original construction standards. Enclosed for your information is a drawing of the original wall assembly. The conect wall assembly must be veriGed and approved by Hie CiYy's Inspections Division. Permits to repair your home as a result of storm damage are free-of-charge. If you have not applied for a perniit, you may call 651-681-4675 and request that an applicatiai be mailed to you or you may come in during normal 6usiness hours of 7:00 a.m.- 4:30 p.m. Monday through Friday and Cill out an application. Once you have applied for a permit, you may schedule an inspection for your home. , Your anticipated cooperation in restoring your home to safety standazds is greatly appreciated. If you liave any questions, please contact me at 651-681-4683. Sincerely, J-(?? J. Craig Novaczyk Building Inspector cc: Meadowlark Ridge 7'ownliome Association 11 city oF eagan PAI'[t1CtA E. AWAllA Mayor I:AUL BAKKEN PL:GGY CP,ItISON Cl'NDEE FIELDS MEG 7'11.L1:Y Cuuncil Mcmt:? rs 1'HOMAS HF.DGFS Ciry Adminisvator Municipal Center. 3830 Pilot hnub Road F.agan, MN 55122-I897 Phone: 651.681.4600 F:ix: 65 1.631.46 12 'I'DD: 651.454.8535 Maintenance Faciliry: 3501 Cuachman Poin[ F.agan, MN 55122 Phune: 651.681.4300 fax: 651.681.4360 "fDD: 651.454.8535 www. c ityofeagan.co in 'I'HE LONE OAh"I'REE "I'he symlwl of'strength vid growdi in our January 30, 2001 Mr 12obert Kanter 4118 Meadowlark Lane Eagan MN 55122 Dear Mr Kanter: According ro City records, your home was damaaed during Aie July 7, 2000 rainstorm. In addition to the removal ol' moisture and mold, firewalls between imits must be rebuilt to original construction standards. Gnclosed for your informatiun is a drawing of [he original wall assembiy. The correct wall assembiy must be verified and approved by the City's Inspections Division. Our records reflect that we have been not been coutacted by you for the required inspections on your townhome. Please call 681-4675 to schedule inspections for the following: • framing, if applicable • insulation • sound board • sheetrock • appliaiice replacement • final Your anticipated cooperation in restoriiig your home to safery standards is greatly appreciated. If you have any questions, please contact me at 651-681-4683. Sincerely, Zk J. Craig Novaczyk Building Inspector cc: Meadowlark Ridge Townhome Associatiou cummuniry CLAIM VOUCHER- REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: Burnsville Heating & Air Conditioning ADDRESS: 12481 Rhode Island Ave S Savage MN 55378 LOCATION: 4116 Meadowlark Lane P.I.D./LEGAL: Lt 19 Bl 3 Hillandale #1 RECEIPT#/DATEo #1082/10-3-00 VALUATION: REASON FOR REFUND: Storm Damage PERMIT #: 43108 TYPE OF REFUND: Pluxnbing Pemut 9001.4087 $ Mechanica] Permit 9001.4088 $ 30.00 Building Pemut Fee 9001.4085 $ Plan Review Fee 9001.4222 $ SAC (MC/WS) 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admin) 9001.4246 $ Water Connection 92203865 $ Sewer Pernut 9220.4532 $ Water Permit 9220.4507 $ Account Deposit 9220.2252 $ Water Meter 9220.4509 $ Water Treatment 9220.4685 $ Surcharge 9001.2195 $ .50 OveLpayment 9001.2250 $ Curb Box Deposit Refund 9220.2253 $ Construction Meter Dep Refund 9220.2254 $ Other $ TOTAL $ 30.50 I dedare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. \ November 13, 2000 SIGNATURE DATE I) I 1?'?V l 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Requirements ? 2 coples of plan DATE: ` y?-00 „ () CONSTRUCTION OST: ` (? as?x t 1 I('-S ?QJ-i U,n, ?- Q?R- DESCRIPTION OF WORK: multi-(amily bidg., how many units? IfdDICATE THE FOLLOWIP7G EQUIR"?iAER1Y YO BF REPLACED AND BY WHOM: Plumbing _ Homeowner 2[ Contractor Name ? Mechanical _ Homeowner g[ Contractor Name "NOte: If somebody other than the homeowner is pertorming plumbfng or mechanlcal work, they must apply for appropriate permit. Only Iicensed plumbing contractor or homeowner may compiete plumbing work. STREET ADDRESS: LiICS?Ji {' IeQQ0LjfQ:r1r' LQ,CI e' I "IYZ GV (aa LOT: ? BLOCK: SUBD./P.I.D. #: N iI( A hAQ I ei ? I Name: Li `-'v?? L1 Phone#: ??9?`0? PROPERTY Last First nP OWNER Street Address: yI o1v M PaAb w L-a. Cify IJQa?(? Stdte: I 1 l n 21p: Phone q: (area code) CONTRACTOR Streef Address: License # Exp. Ciiy State: I hereby acknowledge that I have read this application, state that fhe information is correct, and of Minnesota Stalutes and City of Eagan Ordinances. A'I_ Signolure of Applicant: Zip: to compty with ali applicable State SEP 7 - 2000 BY: OFFICE USE ONLY BUILDING PERMIT SUBNPES ? 01 Foundation p 07 05-plex ? 02 SF Dwelling ? OS 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 19 Lower Level ? 24 Storm Damage Plbg _Y or _ N 0 25 Miscellaneous ? 20 Poot ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories, Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Reauiremenis ? 2 coples of plan DATE: CONSTRUCTION COST: ?If 3-0 0, DESCRIPTION OF WORK: If multi-(amily bldg., how many units? IPIDICAiE THE FOLLOWIfdG EQUIPPAEfNB TO BE REPLACED AMD BY WFOOPA: _ Plumbing _ Homeowner 2[ Contractor Name _ Mechanical _ Homeowner Q Contractor Name "Note; If somebody other than the homeowner is performing plumbing or mechanical work, mey mustapply for appropriate permit. Only licensed plumbing contrqctor or homeowner may complete plumbfng work. STREET ADDRESS: Z z-- LOT: BLOCK: SUBD./P.I.D. #: Name: ,. /O S6P4 Phone #: ?0S0 PROPERTY Last Pirst OWNER f /- / Street Address; ??1 Ur /?2U ,.) t?C/?( City ?ZR/Yl State: AvV Zip: ? S l Z Z Company: !U k Phone #: CONTRACTOR Street City State: Zip: ? ? I {il FEB 2 6 2001 I? License # Exp. I hereby acknowledge that I have read this application, state that the information is correct, and of Minnesota Staiutes and City of Eagan Ordinances. State Signature of Appiicant: (area code) Clty of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDE Date: 11, /7 • C-l.( Site Address: ? _ - - _ _ _ - _ _ - _ _ - I j ? Permit #: ? PermitFee: I ? ? Date Received: I ? Staff: ? L ----------------- L PLUMBING PERMIT APPLICATION ? Tenant: ?y' G2 nC.'Z/ ELlec3 Suite #: RESIDENT i OWNER Name: Phone: ? Address / City ! Zip: CONTRACTOR Name: 61 "lGr i W'LeL'C 4 6-i/ a ?uvy // °tSLicense #: ?b3 7 7 z/Y /'/1"/ . . . , Address T?1g, City: r<, evAp> State: Zip: Z? ? c Phone: ?S7 - 37? 0/ Contact Person: c-r ea; TYPE OF WORK _ New -AZReplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMITTYPE RES/DENTlAL C?QS ?r??e ? Water Heater ? Water Softener / Lawn Irrigation ? Add Plumbing Fixtures C__ 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 Irrigatlon (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) 'Water Turnaround (add $147.00 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) TOTAL FEES $ 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. x q 44 t i l.t (9l?i *V it- UP? x ApplicanYs'Printed Ndthe I ApplicanYs Sigr'u?ture Clty of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 i----- ------ ----------? ? far0_ffice?Use ? I Permft #: ; Per„rt 4-1 t ? I ? Date Received: ? I I I Statf: I L------------- ---j 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: AO\J 11 uZ Site Address: 41 I O 1?eG?uJ l0.r?C cCKv1Q. Tenant: Sulte X. RESIDENT ! OWNER Name: kd)JA + rnO-1 cn4- 40I YV?aY\ Phone: (pS I' ^-7Q03 j ? e O k L y mgc., to,,? avi - Address ! City ! Zip: Ij a,r CONTRACTOR Name: 5?-1 License #: Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK _ New ?Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. Descri tbn of work: RLQ" A PERMIT TYPE RESlDENTIAL ,/ W H W ater eazer V ater Softener Lavm Inigation _ Add Plumbing Fixtures ? RPZ /_ PVB) ? Main _ Lower Level) Septic System _ Water Turnaround New Abandonmerit RESlDENTIAL FEES: $50.50 inimum Water Heater, Water Softener, or Water Heater and Softener (inGudes $.50 5tate 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) $100.90 Septic System New ($10.00 per as built) (includes County fse and $.50 State Surcharge) $91150 Fire Repair (replace burned out appliances, ductwork, stc.) (includes $-50 State Surcharge) TOTAL FEES $ I hereby 3clviowledge that this irrformation is complete 8rb accurate; that the work will be in conformance with the ordinances ard oode5 of the Ciry of Eagan; that I urxferstand this is rot a permit, but ordy an application fa a permit, and work is not to start wi[twut a permrt; thart the wrork wlll be in accordarce ruith the appraved plan in the case of work wFuch requires a review and approval of plans. I A FQR OFFlCE USE Revlewed By: Required iespectlons: Under Ground -Rough-In _Air Test . ---Gas'Fest _Final ' • 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