4120 Meadowlark Lane
From:ALLSTAR CONSTRUCTION 19529427464 07/13/2010 10:26 #041 P.001/001
JUL SEMI Use BLUE or BLACK Ink
AMES& t7 I
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Permit 1C/
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f Eajan
City o
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Permit Fee: ,
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3830 Pilot Knob Road i I
Eagan MN 55122 i Date Received:
Phone: (651) 675.5675 I I
Fax: (651) 675-569 i staff:
G€
C;A__1Ta
2010 MAL BUILDING PERMIT APPLICATION
Date: 7 /3 2 n r a Site Address: /2 v / '3 c L.
Tenant Name: mF.a~rsnalL..4,¢Fc 164&4 Pl'~~A1 (Tenant Is: New/E)isting) Suite
Former Tenant:
PROPERTY OWNER Name G,oege 14.4 4& Phone: ~f~ ~2 Sri - 492 7
Address / City / Zip: to S` is- !~'>h !6/ , zeb"✓ !l ~ ,zez Irs s Y'V
Applicant is: Owner Contractor
TYPE OF WORK Description ofwork:41!~a/dJ
Construction Cost: 4
CONTRACTOR Name: A//sfi,,r ion t77tu <77,~ /flsa.wClicense 5~S
Address: ,at O 3 -city:
State: Zi : Phone: Z 2 ' 7 S
Contact: da ~ Email: ~
ARCHITECT ! Name: Registration
ENGINEER
Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
0 TE: Ans:,r'd. supporting doc ' errt at c wsvbmit are' one. e"red to be pu .i c rti or atipn. Rp ` tins c,f
t d informatronn t
h a be classified"as nan, . e►
~ bic i~You provide specific reasons tfi""at would permit the. City to
Y
c4tde >.dt tft qt: try . 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.dQpherstateonecall.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 r w and approval of plans.
-s
X X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE r
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 16 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
Replace Repair _ Egress Window - Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
as
Valuation / 3CW Occupancy 1712C -3 MCES System
Plan Review Code Edition ? SAC Units
(25%_ 1000/0, Zoning R-3 City Water -
Census Code ~311~ Stories - Booster Pump
# of Units /O Square Feet PRV
# of Buildings Length - Fire Sprinklers
Type of Construction.L Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required &CeK 07-17T
Foundation HVAC
Drain Tile Aw Other:
Roof: Aee e. Final E4. vy~-- -
! Pool: _Footings Air/Gas Tests Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows E'R V Wi j '
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FE KS
Base Fee 1311Y Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
q 7..i-
Copies
TOTAL
Page 2 of 3
CITY OF EAGAN g'j]',I,pND(wE pDDPjRemarks
Addition (MWuWLARK kIDGE CO-OP) Let 301 alk 02 Parcel 10-32950-301-02
Owner Street 4120 MEADQWLARK LANE State EAGAN MN 55122
Blde.#3 Unit #1
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 02'1 17]SI TC21
STREET RESTOR.
GRADING
SAN SEW TRUNK OT1F;17131 rcel
* SEWER LATERAL
WATERMAIN
* WATERLATERAL 1973
WATER AREA ,76
IG 1977 52.82 5.28
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN HILLANDALE ADDNRemarks
Addition ?MEADOWLARK RID(;F. CO-OP) Lot 3n2 Bik 02 Parcel ? n-?2950-3f1?-fl?
Owner Street 4122 MEADOWLARK LANE State EAGAN MN 55122
Rlrln #Z llnit #7
Improvement Annual Years Payment Receipt Date
STREETSURF. OT7. inal TC81
STREET RESTOR. t n
GRADING
SAN SEW TRUNK original p rcel
* SEWER LATERAL
WATERMAIN
* WATERLATERAL 1973
WATER AREA Z .76
ark Don i ilo 1977 52.82. 5.28 10
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER.
SAC
PARK
?
CITY OF EAGAN HTI,LANDAI,E ADDRRemarks
Addition(MF.ADOWI.ARK RTD G. .0-OP) Lot 3n3 R1 k n2 Parcel 10-32950_303-02
Owner Street 4124 h9EADOWLARK LNAE State EAGAN MN 55122
Rlrlo #Z Ifnit #Z
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1 TC 1
STREET RESTOR.
GRADING
SAN SEW TRUNK Tl inal rcel
,r SEWER LATERAL
WATERMAIN
* WATER LATERAL 1973
WATER AREA 2 1975 11.39 .76 1$
Park Donation ip• 1977 52.82 5.28 10 S.3
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STFEET LIGHT
WATER CONN.
BUILOING PER,
SAC
PARK
CITY OF AGAN IiILI+AIYDALE ADDRAe arks
Addition ?MEADOWLARK RIDGE CO-OP? Lot 304 a1 k 02 Parcel 10-32950-304-02
Owner Street 4126 MEADOWLARK I.ANE 5tate EAGAN MN 55122
R1.ln 1kZ lin;r tkA
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. OT1 inal rcel
STREET RESTOR.
GRADING
SAN SEW TRUNK e OTl inal rcel
* SEWER LATERAL n
WATERMAIN
* WATER LATERAL 1973
WATER AREA 7 ,76
110' 5.28 10
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEFi CONN.
' 6UILDING PER.
SAC
PARK
CITY OF EAGAN HILLANDALE
Addition (MEADOWLARK RIDGE
Owner
P) - Lot 305 alk 02 Parcel 10-32950-305-02
street 4128 MEADOWLARK LANE state EAGAN MIN 55122
II 1.7.. .417 T T..: ? 1F C
Improvement Annual Years Payment Receipt Date
STREETSURF. OTi inal rcel
STREET RESTOR. t t
' GRADING
SANSEW TRUNK oWe OT1 inal rcel
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1973
WATER AREA .76
1 5.28
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. '
6UILDING PEq.
SAC
PARK
0 OF E,AGAN ffiLLANDALE ADDNR
Addition _
Owner
OPLot 306 gik 02 percel 10-32950-306-02
screec 4130 MEADOWLARK LANE state EAGAN hIIV 55122
Rlriv #Z Tlnit #F,
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. OT1g1i12I TC21
STREET FESTOR.
GRAOING
SAN SEW TRUNK original p rcel
* SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA Z I 1975 11.39 • 6 i-S
Park Donation )101 1977 52.82 5•28 10
* STORM SEW TFiK 973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PEFi.
SAC
PARK
CITY OF AGAN HTLLANDAI,E ADD2
Addition MEADOWLARK RIDGE CO-
Owner Street
-l.ot 307 Bik 02 Parcel 10-32950-307-02
4132 MEADOWLARK LANE EAGAN MN 55122
Bld¢.#i3 Unit #7
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. OT1 inal rcel
STREET RESTOR.
GRADING
SAN SEW TfiUNK original p rcel
* SEWER LATERAL . ?i
' WATERMAIN
* WATER LATERAL 1973
WATER AREA ? 1975 11-39 .76 i-S
Park D n ' n C 1977 52.82 5.28
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITV OF AGAN HILLANDALE ADDPI?emarks
Addition ?EADOWLARK RIDGE CO-OPI Lot 308 alk 02 Parcej 10-32950-308-02
Owner Street 4134 MEADOWLARK LANE State EAGAN MN 55122
Blde.#3 Unit #8
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. OT1 inal rcel
STREET RESTOR.
GRADING
SANSEW TRUNK e ori inal TC21
* SEWER LATERAL n
WATERMAIN
* WATEFi LATERAL 1973
WATER AREA 2f 1975 11.39 .76
Pa k D ' n 70 1977 52.82 5.28 10
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEfl CONN.
BUILDING PER,
SAC '
PARK
CITY OF ?AGAN IUI,1,pgDALE pDDNR
Addition _
Owner Street
_Loc 309aik 02 Parcel 10-32950-309-02
4136 MEADOWLARK LANE State EAGAN MN 55122
R7(lv 71Z Ilni* kQ
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. OT1 inal rcel
STREET RESTOR.
GRADING
SAN SEW TRUNK OTl inal rcel
+t SEWER LATERAL ri
WATERMAIN
* WATER LATERAL 1973
WATER AREA 1975 11 39 .76 15
Park Donation l10I 1977 52.82 5.28 10
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAF K
CITY OF AGAN ffiLLANDAT,E ADDI?qemarks
Addition ?EADOWLARK RIDGE CO-OP) LoT 310 Rik 02 Pe,cei 10-32950-310-02
owner. Street 4138 MEADOWLARK LANE State EAGAN MN 55122
Blda_#3 Ilnit #10
improvement Date Amount Annual Years Payment Receipt Date
STREETSUFF. OTl 11731 rcel
STREET RESTOR.
GRADING
SAN SEW TRUNK OTl inal TCBI
* SEWER LATERAL n
WATERMAIN
* WATERLATERAL 1973
WATER AREA 1975 11-39 .76
Park Donation l 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
3830 Pilot Knob Road
I Eagan, Minnesota 55123
(612) 681-4675
I SITE ADDRESS:
PERMIT SUBTYPE:
1 1 i,am i Nii
I 1,4' f1i ii i I i?1-1
I I?i MAtTt:'?
41 ol 41 4I..
INSPECTION RECORD?
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
, i , , . • •.i!
t I Y1 6 1
AlI ul_{f
Permit No. Permtt Holder Date Telephone #
Sm
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inrpection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Hlg.
Isul.
Fireplace
Final Fttg.
Orsat Test
Finel Plbg. Plbg. Inspector-Notity Plumber
Const. Meter
EngrJPlan
Bldg. Finel
U/
Deck Ftg.
Deck Final
Well
Pr. Disp.
&/?a/ c? REQUEST FOR ELECTRICAL INSPECTION
? See instructions lor Completing Ihis form on back of yellow copy.
f? R R4 4:R - "X" Below Work Covered by This Request
h EB-00001-07
u dCP 9'0117
New iAti Rep. Type of Building Applianceswred EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
Olher (specify) ContraCtor§ Remarks:
Compute Inspection Fee Be%w:
# Other Fee # ServiceEntrence5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
SIgf15 Inspector§ Use Oniy: ? TOTAL 0
Irrigation Booms C,:3 III ?
Special Inspection ? V
AIamVCommunication
O[her Fee
I, the Electrical Inspector, hereby
h
h Rough-in Date
certify t
at t
e a6ove inspection has
been made. Finai
? oat3
OFFlCE USE ONLY ? ? { i . • ?
This request void 18 moMhs from
, a ien..
ii. nn?
v'N ? i v l- (f/ /p{ •
G? 66443
•
Requesl Date o. Rough-in Inspection
F uired? ? Ready Now?Will Notify Inspedor
. ?: Yes ? No When Ready?
I 0 licensed contrector owner hereby request inspection of above electricai work ah
Jo6 Atldress (Street, BOx or Poute No.) City
/`?•Vd'C/d I a ? k - Sa .
clion No. Township Name or No. Renge No. Co
?
Occupant (PRIN'n Pfwn?e/No?.y yJ
??
u1I r D Vy
?YJ
Power Supplier Adtlress
Electrical Contractor (Company Name) Conhaclor5 License No.
Meiling Address (COnirector or Owner Making Installe[ion)
Aulhorized SgnaWre (Co rator/Owner Making Installation) Phone Number
MINNESOTA STATE BOF ELEC7R?ITV
Griggs-Midway Bldg. - m 5773
t821 University pve., St Paul, MN 55704
Ptqne (612) 642-0600
THIS INSPECTION REQUEST WILL NOT
6E ACCEP'fED BYTHE STA7E BOARD
UNLESS PROPEH INSPECTION FEE IS
ENCLQSED.
EAGAIV'TOWNSHIP
BUILDING PERMIT
oWna= --.....................................................
Address (Present) .°..-.---•?:5-........ ?
..... ..............° • ........
.`.
Builder .......... ................................................`.:......................
Addrew ......-•••••........•-••-••.....?•<??::.r..J.......................................
DESCRIPTION
N? 2634
Eegaa Townahip
Town FIall
DB:. ...i ?../..? ,? l :?/ ...............
Stories To Be Used For Front Depth Height Est. Cos! Permi! Fee Aemarks
I
?
LOCATION (366:6°,)
Streel, Roe or other Deseri !io of Location I Lo! Sloek Addition or Traa!
This permit does not authorize the use o"lreels, roads, alleye or aidewallcs aoz does i3 give the owaes or his agent
the right to creaie any situalioa which is a nuisance or which presents a heaard !o the heallh, safetp, convenience and
general welfare io anyoae in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK I3 IN PROGRESS.
i
This is !o certifp, lhat------------ - -- --....---°----...--°-has permission !o erect a-0191L.-L-11 ?-°-............--••••••-_•••-........._upoa
the above deseribed premise aubjec! !o the provisioas of the 8uildiag Ordinance for Eag n Township adopted April 11.
1955.
?...I! . .....••-..._.....
• .............................. . . . .. ...... I•:................................ Per ..................
hairman of Town Boa:d Suildin Ins 9 ctor
?MO8
2007 RESIDENTIAL MECHANICAL PERMIT arrLICATION
City Of :Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 6:51-675-5675
Please complete for. single family dwellings 8c townhomes/condos when permiu arc required for each unit
4 Go. 5o
cjl?_Ca-_
Date ?-
5ite Address LA\ Z l6 'ciy \L Unit #
PropertyOwner ?...??('M? ?:.C????"T•`J`f??- Telephone#(Cj'52)M(*i-
Contractor co d' ?Ax Stam c ?.
Street Address bCY5 %_rAW bi?V ? At-k City
State Zip Telephone # ( ?? ) ? "?'L? 1 I •
?
Bond ? ??t°V?#: W" Expires: ? ?I_??,
' ?
The Applicant is _ Owner ? Convactor _ Oth er
Fire repsir (replace burned out appliances, ductwork, etc.) `• 90•00
,
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit . $ 56.00
_ C fumace _Additional L Replacerrient _ New
air exchanger
air conditioner
heat pump '
other
State Surcharge , • ' .50
Total
1 hereby apply for a Residentiat Mechanical Pertnit and acknowiedge that the information is completc and accurate; hat the work will
be in conformance with ihe ordinances and cades of the City of Eagan and with the Mechanical Cod :s; that I undel ;tand this is not a
pertnit, but only an application for a pertnit, and work is not to stait without a permit; that the wor: will be in ac ordance with the
appmved plan in the cue of work which requires a review and approval of plans. _
'?-??1
Applicant's Pnnted Name Applicant's Signature
CITY USE ONLY
PERMIT #: RECEIPT DATE:
SOOE MID£NTIAL 1HECiMICA1. PEWIT APPLIClETION
. crnt oF EA(LU
S$SO PILOT KAOB itD
£Afii4F E!R 551 E8
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when pertnits are required for each unit
Date: q - L - U rj'
SITE ADDRESS: lY'le?jnL_) ??? Lh OWNER NAME: FS or-, Ql1C-A cl G-- TELEPHONE #:
INSTALLER NAME:
STREET ADDRESS:
CITY:
_ _._ T_GI-G?L1L1sIG?f??
Wohlers Southside Htg. & Air, Inc.
6950 W. 146" St., 4106
Apple Valley, MN 55124
(952) 431-7099
Place a check mark next to the permit work type
? Add-on, modification or alteration to existinq dwelling unit
lacement
• furnacere I nn r•
p
+ airexchanger S[p
• air conditioner 0 9 2G02
,
• other
Nature of work: 2=DI LLC.sz_.s W, C-; gv
?
--
a? tDr, mo1w
State Surchar e $ .50
Total
A Pl !-.¢J/ /?- ,
SIGNATURE F PERMITTEE
1102
CITY tISE ONLY
PERMIT #:
APPROVED BY:
, INSPECTOR
RECEIPT DATE:
2002 COMMEftCIi4L bIECELAftICAI. PERM1T AfPLICATION
CITY OF EAfiM
3$30 PILUT KNOB RD
£A6M, MN 55188
651-6$1-4675
Please cornplete for: all commercial/industrial buildings
multi-famify buildings when separate permits are not required for each dwelling unit
DATE:
STTE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY: STATE: ZIP:
TELEPHONE #:
WORK TYPE: New construction Instay U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
^ Processed Piping = --'--
SpecifyNature ofWark:
When isstalling/removing underground tank, ca11 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 mtnimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%_$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL
$
SIGNATURE OF PERMITTEE
Updated 1/02
, -. CITY USE ONLY
PERMIT #: RECEIPT DATE:
_.:.::_,??....?,_..._._ ,..__ _. . - . . ... _
, ` - 2008 RUID£NTIAL MECH"CAL PER1VI1T APPLICATIOft
• CITY Og EAfiAN
8$30 PILOT KAO$ iiD
$E1flAtN MN 55188
651-6$1-4875
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date:
SITE ADDRESS: LI/, c) ,i e
OWNER NAME: `-5 dCiA(ie_ o ar'\ TELEPHONE #:
, L..,.
INSTALLER NAME. 1-( Ili ?t %? 1 TELEPHONE #: ??SI "9sa -c17 7S'
STREET ADDRESS: 3toS C) ken/1 e he t-. '-Dr. ?4 e- - -A /
CITY: n STATE: ZIP:
Place a check mark next to the permit work type
Add-on, modification or alteration to existina dwelling unit $ 30.00
a `urnace reFlarement
• air exC er
• air conditioner
• other
Nature of work:
. ? _
- ?
,IUN 1 3 2002 '
State Surchar e $ .50
Total BY .? " $ 30'Sc)
SIGNAT P
t/o2
CITY USE ONLY _
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
8008 COMMEftCL4L MEC}IMICi4I. PEgM1T APPLICATION
C1TY 0F £Aflm
3$80 P1LOT KNO$ RD
KA6M, MN 55'188
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATF..:
SITE ADDRESS:
OWNER NAME: PHONE #: -
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THI3 SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP:
. . "A
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
prpc?cggd Pinino
_ r -v
Specify Nature of Work
When installing/removing underground tank, call 651-681-4675 for inspeckon by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = nrinirnum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 far each $1,000 8ase Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02.
RESIDENTIAL
BUILDING PERMIT APPLICATION
o -? ? CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
NewConstruction Reauirements RemodellReoair Reauirements 9
0
• 3 registered sile surveys showing sq, ft, of lot, sq. ft. ot house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 capies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey ior ezterior additions & decks
• 1 set of Energy Calculations • Indicate if home served hy septic system for additions
. 3 copies of Tree Preservation Plan it lot platted after 711193
. Rim Joist Detail Options selection sheel (hldgs with 3 or less units)
DATE /-2 7' 0 Z VALUATION /D, o vo ?SITEADDRESS 3 eacLcc,.?k LA/ MULTI-FAMILYBLDG XY _N
TYPE OF WORK FIREPLACE(S) ZC 0_ 1_ 2
APPLICANT ?If
4 s r"nsx,51'e4-'c., ,'4 e s L iD
STREETADDRESS `1?o?5?%n-? ?o?/«•?d CITY -l-s7`%?s STATE/*IN ZIP 5SO33
TELEPHONE # 6S/? ?f(lv -v?i o
CELL PHONE #zyP"E3 1-2 FAX #? s?? 5`?a - oyyo
PROPERTYOWNER__ TELEPHONE# 3 3
--------------- ---------------------------------------------T--------?-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY ?
.?e?± ? _ y r
0 ? dn ? e d`°y
Energy ode Category _ MINNESOTA RULES 7670 CATEGORY 1 n
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted •
• Energy Envelope Calculations Submitted
Plumbing Contractor: _____
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Condilioning
Heat Recovery System
Phone #
Phone #
I , `FA L'JI;?.E?b2??'1 6??
II? f ?, ?? Lti .
New Energy?ode WorksheetSwCmitted
SCp 2 " 2002
i
I'ee: 00.00
ree: $70.00
------------------------------------ ------------------------------------------------------------------------°------------
I hereby acknowledge that I have read this application, state that the inf ation is correct, a d gree to comply
with all applicable State of Minnesota Statutes and City of Eagan O ina es.
Signature of Applicant
OFFICE USE ONLY
Water Sofeener
Water Heater
No, of Balhs
Phone #
? Lawn Sprinkler
No. of R.I. Baths
v
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
714 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi '
? 31 New D 35 Int improvement ? 38 Demolish (interior) ? 44 Siding
? 32 Addition O 36 Move 81dg. p 42 Demolish (Foundation) ? 45 Fire Repair
?L 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDoars
? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation t.A`v Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) ? FinaUNo C.O. '
_ Footings (addition) _ Plumbing
_ Foundation HVAC ?
Drain Tile Other
Roof _ Ice & Water Final Pooi _ Ftgs
Air!Gas Tests
Final
Framing _
_
_
_ Siding Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
? Insulation _
_ Retaining Wall
? 07 05-plex ? 13 16-plex
a 08 06-plex ? 16 Fireplace
O 09 07-plex ,,? 7 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Levei
? 12 12-plex Plbg_Y or _ N
? 20 Poal
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? _UU
s
Z , Building Inspector
/? ?'
??
PERMIT # ?,y u 1 ?
RECEIPT DATE:
MIDFNTIAL PLUMBIN? PEftMIT ?PPLICATION
CITY OF EmlkN 'FEB (, 172TooP2
s8so PI.oT xxo$ Etu ?eA1v, l?t1v 551$2 651-B$i-4675
Please complete for. single family dwellings, townhomes and condos when permits are required for ,
backflow preventer for irrigation system
SITE ADDRESS
OWNER NAME: : TELEPH E#: (IIS I- 4J ?, ' Sd SoI
(AREA CODE)
INSTALLER NAME: %2 TE PHONE #:
(
STREET ADDRESS: (AREA CODE)
D •
CITY: ?pv STATE: Yl... ZIP: SJ4 ?, 'J
Place a check mark next to the ermit ork type
Modifications that alter living areas, such a adding new fixtures to lower level $ 50.00
ar as or additions -
.?
_ Modificationlalteration to existin? d Iling nit, including: $ 30.00
• new installation/repair/reb ild of RP
• lawn irrigation system
• water softener, water eater, air conditi ner
Nature of work:
Septic System, new/ furbished - $ 225.00
• includes C nty & Consulting Inspectar fees
• requires o sets of plans
• require MPC license
Abandonme of septic system ? 50.00
_ Water tur around - existing dwelling unit $ 50.00
• /8" meter (if required) 118.00
State urcharge
$ .50
To i $
?
I herebyacknowledge at have read ihis application, state that the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It
is the applicanPs respo ibility 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 propertylright-of-way/easement.
SIGN' TURE OF PERMITTEE 1/02
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LoT; 301 B L O C K
:
4120 MEADOWLARK LANE
HILLANDALE
PERMIT SUBTYPE:
MuLrr. (MZSC.)
BUILDING
024985
12/21/94
2 APPLICANT:
MEADOWLARK RZDGE LTD PTNRS
(612) 546-8201
TYPE OF WORK:
RLTERATION
DESCRTPTTQN (FIRE WALL)
INSPECTION ., . .A
FRAMING ROOFING
INSULATION FTNAL
REMARKS: INCLUDES 4122 4124 4126 4128 4130 4132 4134 4136 4138 MEADOWLARK LN
LOTS 302 903 304 305 306 307 308 309 310
.-
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
4129 MEApOWLARK LANE
LO7: 301 BIpCKs 2
HILLANDALE
P.I.N.: 16-32950-301-02
PERMIT uag,313
PERMITTYPE: aurLnrNG
Permit Number: 0 2 4 9 S 5
Date Issued: 12 / 21 / 9 4
DESCRIPTION:
B
(FrRE waLL)
ermit 7ype
i*?rk Type
MULTI. (MISC.)
ALTERATION
?
Q= Li
REMARKS:
INCLUDES 4122 4124 4125 4128 4130 4132 4134 4136 4138 MEADqWLARK LN
LOTS 302 303 304 305 306 307 308 309 310
FEE SUMMARY:
VAL[JA7IClN $3,000
Base Fee $54.00
Surcharge $1.50
Tota1 Fee $55,50
CONTRACTOR: OWNER: - Applzcant -
MEADQWLARK RIDGE LTD PTNRS
1660 5 NWY 100 426
MZNNEAPOLIS MN 55416
(612)546-8201
I ttereby acknowledge ,,that 1 have r^ead' tMa.s o.pp13c.ation shti;G.stats that the
information Is c4rredt and aqree tts comp3,y wi,th all applicab?l.e State ;af Mn.
Stat,utes and ?Ity pf;Ea.aan pt^dinancec,
IC T/P E ATURE ??O???I?:??-? ?
i4qi-6
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY o ? , r?
2 sets of plans, 3 registered sit ?tuve?ysiW6& f energy
calcs.
M r? ?f
.,.
COMMERCIAL 2 sets of architectural & structu al plans, 1 set o
specifications, 1 copy of energy a].cs--________
Penalty applies: 1) when permit is typed, but nat picked up by last working day of month
in which request is made, 2) address is changed or 3) lat change is requested once permit
is issued.
Date 12 / 15 / 94 Valuation of work $2,250.00
Site Address: 4120 - 413$ idleadavlark Lane
STREET SUITE #
Tenant Name: (commercial only)
LOT ?5 t) ( BLOCK 2L_ SUBD. P.I.D. #
U
Descri tion of work: Install firewall in cavit behind garage wa11 per attached drawing
The applicant is: E2 Owner O Contractor ? Other (Describe)
Name Meadowlark Ridge Limited Partnership phOne 546-8201
Property IAST FIRST chris sorensen
Owner
Address 1660 So. Highway 100 428
STREET STE p
City Minneapolis State m ZjP 55416
Company above Phone
Co ntractor Address License # Exp.
City State Zip
Company Z7oat P,.rchitectural Phone 835-5275
Architect/
Engineer Name _ E,a voat Registration #
Add1^ess 8900 Penn Ave. So.' (200)
Clty Bloominaton 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 thi application and state that the information is
correct and agree to comply wit 11 appl c ble S te of Minnesota Statutes and City of
Eagan Ordinances.
„
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Faundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex PS?12 Multi. Misc. 0 17 Swim Pool
? 03 SF Addit9on 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. _17 10 Multi. Add'1. ? 15 Deck 13 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New J2,13 Alterations O 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Mave
GENERAL INFORMATI4N
Const. (Actual
? Basement sq. ft. MWCC System
(Allowable lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code .? as
u
APPROVALS Census
dt Q
Planning Building Assessments
Engineering Variance
REQUtRED INSP ECTIONS
? .Site 0 fo oting -TFraming ? Insulation
O Wallboard q!l?_Fi nal ? Draintile ? Fireplace '
Permi t Fee vaiuac;on:
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 Oed.
Trails Ded.
Copi es , ,?
Other
Total:
m
g 2, Z 5-z?
SAC %
SAC Units
**********?*****************?**********
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 718
DATE: 09/22/00 TIME: 11:44:22
ID:
NAME: THOMAS•E OR MURIEL DONNELLY
3210 9001 4138 MEDOLRK LN 125.25
2155 9001 4138 MEDOLRK LN 3.00
3210 9001 1744 MEDOLRK RD 125.25
2155 9001 1744 MEDOLRK RD 3.00
3210 9001 1762 MEDOLRK RD 125.25
2155 9001 1762 MEDOLRK RD 3.00
Total Receipt Amount: 384.75
CR137804
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (COMMERCIAL)
? C651-681E4675v
? ?.
Foundation Onl
New Construction I
Interior Im rovement
• Structural Plans (2 sets) • Architectural Plans (2 sets) • Architectural Plans (2 sets)
• Civil Plans (2 sets) . Structurai Plans (2 seLS) • Code Malysis ' (1) "
• Certificate of Suroey (1) • Civil Plans (2 sets) . Project Specs (1 set)
• Code Analysis (1) •• . Landscaping Plans (2 sets) • Key Plan (1)
• Project Specs (1) • Code Analysis (1) " . Master Exit Pian (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Caiculations (1) not always"
• Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power 8 Lighting Fortn (7) notalways"
• Meter size must be established • Meter size must be established • Meter size must be established - if appiicable
• Project Specs (1)
1 • Energy Calculations (1) •• 1
1 • Electric Power 8 Lighfing Fortn (1) '• 1
1 . Master Exit Plan (1) 1
1 • Fire Protection Plan (1) '• j
1 • Soils Report (1) !
• MC/ES SAC detertninadon letter . MGES SAC determination letter • MClES SAC determination letter
. caii 651-602-1000 cail 651-602-1000 call 651-602-1000
- Contact Building Inspections for sample
Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - cali 651-215-0700 for details.
h p0
DATE: WORKTYPE: _ NEW _ REMODEL CONSTRUCTIONCOST: /rTD ?
DESCRIPTION OF WORK: AC G L 4!??ir r- n ln/fi II
TENANT NAME: // l U
mkq
FORMER TENANT NAM
SITE ADDRESS:,4 1 -,
Name:
PROPERTY
OWNER
Street ?
City _
CONTRACTOR
ARCHITECT/
ENGINEER
#:
- - - - - -----
--_
State:
Zip:
Licensed plumber installina sewer/water: Phone #:
Meter Size:
I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with ail applicable State
of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Appiicant:
( cr r K //
i ?'Ieahi41LPr ,1anP_
Last First
SUITE #:
LOT ? BLOCK? SUBD 4? kVQ,V',_?-4 ?
Phone#: ( 9Sa ) /70- ? 5-
Company: D n hdl
SfreetAddress:Q'-;-/q o
Zip:
Phone #: () 9a&7' q-:;?O U
City ?I S V State: m ?'I Zip:
ComPanY: " ? - - - .-Phane,#:
i
Name: i S1 N 'l„Registr
Street Address:
City
State:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bidg.
? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
WORK TYPE
? 31 New
? 32 Addition
0 33 Alterations
? 34 Repair
? 35 Tenant Impr
? 36 Move Bldg.
GENERAL INFORMATION
Census Code
SAC Code
No. of Units
No. of Bldgs.
Const. (Actual)
(Allowable)
UBC Occupancy
? 37 Demolish Bldg. 0 43 Reroof
? 38 Demolish (Interior) ? 44 Siding
? 42 Demolish (Found) ? 45 Fire Repair
? 46 Windows/Doors
Zoning
# of Stories
? Length
Width
Basement sq. ft.
First Floor sq. ft.
_ sq. ft.
MISCELLANEOUS INSPECTIONS
0 Gas Service Test ? Heating
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Building
3 . U c?
Total
I a-8- - 2 S--
sq. ft. ,
sq. ft. ,.
sq. ft.
sq. ft.
MC/ES System
Ciry Water
Fire Sprinklered
? Insulation ? Plumbing ? Stucco/Stone
_ Engineering Variance
VALUATION:$
% SAC
SAC Units
Meter Size
CITY USE ONLY
PERMIT #: y6?Jb? RECEIPT DATE: 7-I l-V I
MIi}ENTIAL MECEIANICAL PERMIT APPI1CATION
crrYoF EmAN
S$SO PILUT KNOB RD
£A6lkN MR 551 EE
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: O( G\
SITE ADDRESS: "'I I .1?C?? '??L?U ??\G.,?-?, F?N •
OWNER NAME: TELEPHONE #: (I S f? qoS' 3 Qy 2__
INSTALLER NAME: J? ??l ??i?c? ?C,,?'ELEPHONE #: ?J I ' ZZ'- Z?
(AREA CODE)
STREET ADDRESS: 2u`p s ' , ? • Q - L-?-5-5
CITY: STATE: ZIP: J?' ?C9? 'G?SS
Place a check mark next to the ermit work t e
New residential dwelling unit under constructionand not ownerloccupied $ 70.00
? Add-on, modification or alteration to existin dwelling unit $ 50.00 ?
- . furnace replacement
• air exchanger
• air conditioner
. other .J
Nature of work:
State Surchar e $ 50
? Total $ J`^" G J-j
Ren:inder: Cap for inspections.
;Z/?
? SIGNATURE OF PERMITTEE
Updated Ii01
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
C014I14IERCLdtI. MECiiMICAI. PERMIT APPLICATION
CITY oF E46AN
3$30 PILOT KNOB itD
EAfiAN, MN 55188
651-6$1-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dweiling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(ARLA COllE)
STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Specify Nature ofWork
W1:en installijrg/removing underground tank, call 651-681-4675 for inspection by Fire Marshal anrl
Plumbing lirrspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Undetground tank removaUinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/O1
CITY USE ONLY
LOT d0a BL oZ
SUBD. I
RECEIPT #: / ? 30l /
RECEIPT DATE: (5I719 7
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 P[LOT KNOB RD
EAGAN MN 55122
Date• 0/ (612) 681-4675
Complete this section onlv if vou are installing HVAC in single familv, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if vou are remodeling, adding to, or repairing ezisting sinsle familv
dwellings, townhomes. or condos.
Add-on furnace V Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc. , Other
Minunum fee applies to all cemodel or add-ons of existing residences $ 20.00
State Surcharge - 50
Total: . 20.50
SITE ADDRESS;
OWNER NAME: 4/al, W!l S u, If/ va A - ? PxorrE #: /S?v - 413 9Y
INSTALLER NAME: rxorrE #: Y3/ - 70 ftj
STREET ADDRESS: lo.Q '10 OC /? 4?P •
CITY:
_ STATE: Ad• zir: SSIa ?
/L,w ,o ?J'a?
SIGNATIIRE OF PERIyII ? O J?? --9;?
kA
CITY USE ONLY
L BL
SUBD.
RECEIPT#:
RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
" CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? all commerciaUndustrial buildings.
? multi-family buildings when separate pertnits are ngt required for each dweliing
unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: • $25.00 minimum fee or 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of rmi fee due on all permits.
CONTRACT PRICE x 1 % -
SITE ADORESS:
OWNER NAME: TELEPHONE
TENANT NAME: (tnnPROVEMEr+Ts ONLv)
INSTAtLER: -
ADDRESS: CIIY:
- -PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
STATE: ZIP:
CITY INSPECTOR
CITY USE ONLY
!
-? L BL O
?R
# ' ,
=`
r
_
ECEIPT
1 3
3 yA\ t ? - -
SUBD
DATE
?
?i.Xl 1
.
.,
-.. ,. . ik el°-.,u sft r+asr.sn1 $?+v-?K+ itr _..
9996
PCUMBING PERMIT (RESIDENTIAL) z d?rt k? .<
.
CITY OF EAGAN
PILOT, KNOB RD <
_
EAGAN, MN 55122
.. . _ t a JN •
: (612)' 681-4675 k
. ' . . - . . . x -
Please complete for: ? single family`dwellings
? townhomes and condos when permits are,required for each unit
FIXTURES EACH ?. -" - TOTAL
Shower . 3.00 x =
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 x
..,,
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x • -. .
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet' minirrium -1 3.00 x
Rough Openings 1.50 x
Water Softener 5.00 x .' ,. ? .,._ -..
- - Priyate Disposal * Dakata Cty. license -50.00
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 = -
Alterations " to existing 20.00
Water Turn Around 20.00 •_?`_ `' r``
STATE SURCHARGE .50
'YD
?
-
TOTAL 2.?
SITE ADDRESS: 7 t Z? ???•?,, I aar?- ?9?
OWNER NAME:I?.
INSTALLER NAME: '7'*P(U
STREET ADDRESS: Lg m kaa' K)`
L' 'a5 `Fz?
P
L
CITY:
:;.? Lp STATE: ,., ZIP:
"
PHONE #: ( ) 533-- 3S7
1x
?
BL
OFFICE USE ONLY
CONTRACT PRICE:
-:? ...,, ._ '. .: . .., . - :. ... -. . . . . . k
hT y
1996 PLUMBING PERMIT (COMMERCIAL)
z ti.
CITY OF EAGAN
3830 PILOT'KNOB RD
EAGAN, MN 55122
(612) 681-4675
DATE:
? all commerciallindustrial buildings.
:? multi-family buildings when separate permits are not required for each dwelling
' unit.
WORK TYPE: NP-1V CQNSTRUCTIQN
. DESCRIPTION OF WORK:
ADD ON REPAIR
- w.
RECEIPT #:-
DATE:
IS WATER METER REQUIRED? _ YES _ NO. 1F SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FWSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
_ WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? =;YES _ NO_
? IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
- FEE: $25.00 minimum fee or 1% of contract price, whichever is greatec State surcharge of $.50 per
$1,000 of ermit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SiTt AD'uRE55:
TENANT NAME: STE. #
OWNER NAME:
" INSTALLER:
ADDRESS:
CITY:
' PHONE #:
r
METER SIZE: " DATE:
STATE:
ZIP:
SIGNATURE:
APPUCANT
OFFICE USE ONLY
INSPECTOR:
u, i"'
i
r
EAGF.N TOWNSHIP
3795 Pilot Knob Rosd
St. Paul, Minnesota 55111
Telephone 454-5242
PBRt1IT FOR WATER SERVICE CONNECTION
Date• July 12, 1972
Billing Name: Beure-Hillendale Bldg. 3 Site Address: 4120-22-24-26-28-30-32-14-36-3$
eadowTark Lane
Otaner: same Silling Addreas
Number: 891
7 ?l cE??r? ? -?
?-- - / -
Plumber; Weaerke Trenching & Excavating
Meter Size
J. a L L
Meter No,, ??
Meter Reading
Meter Sealed: Yes_
Coaaection Chg.
Permit Fee 10.00
x . s c
Meter Dep. 2 2, 1
Add'1 Chg.
NO I Total Ch$.
Building is a:
Residence
Inspected by
Date
Remarke:
t2ultiple x Ao. Unitsl Townhoaees I-
Commercial
J.
Industrial gy;
Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulatioas of Eagan Township, Dakota County, Mianesota.
By:
Weierke Tren diing & Excavatine
Please notify the sbove office when ready for iaspection and connectian.
1
.
,l ot I. f3k t
I41 ll4ndwf¢,
EAGlaN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SE4JER SERVICE CONNECTiON
naxE: 5/4/72 NUNBER 995
Buere
OWNER•ibm ' Hillendale Bldg. #3
Address
PLUMBERWiierke Trenching TypE OF PIPE Heavy Cast Iron
AESGRIPTION OF BUILUING
Industriall Commerciall Residential I Multiple DwellingI Na, o£ units
I ' I xx ' 10
Location of Connections:
Connection Charge
Permit Fee 10.00 pd 5/4/72
. p s c
SCreet Repairs
ToCal
Inspected by:
Date Remarks•
By. Chief InspecCOr
In consideration of the issue aad delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulationa of Bagan Totmship, Dakota County, Minneaota
By.
Weierke Trdnching
Please notify when ready for.iaspection and connecCion and before any portion
o:E the work is covered.
•
/D 3 001-950 D34 01
4i*IlahdaJe AJdn
MASTER CARD
LOCATION
OWNER
.
STRUCTURE AND
LAND USED AS / O LAI ??(? (f S E ??-? ?• ?(?,f
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING at ??? Z?Ly
? I s ? T_7I _ /r ??I.STiVSD?.
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER ?
07HER
11
.
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATiNG DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOI
DRAINFIELD
PLUM8ING
WELL
SANITARY SEWER
Violations NoTed
on Batk
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
?
1
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDI710NS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION •
REINSPECTION REVEALED
CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions oLserved to he 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 INSPECTOR
CONJNENTS:
DATE
Cl
?? 23
city oF czagan
THOMAS EGAN
Mayoi
PATRICIA AWADA
SHAWN HUNTER
SANDRA A. MASIN
THEODORE WACHTER
Council Members
November 30, 1994
THOMAS HEDGES
CiTy Administrator
E. J. VAN OVERBEKE
CiTy Clerk
MS SUE CAMPELL
4124 MEADOWLARK LANE
EAGAN MN 55122
Dear Sue:
This letter is in reference to area separation walls between living units in an area in front
of the garage at the above mentioned address.
Upon inspection, it was found that a concealed area is being opened by owners of these
units. The wall befinreen the units was not sheetrocked and in order to maintain the
separation of a rated wall befinreen the units, these walls must be sheetrocked with 5/8"
sheetrock on both sides. If this area is to be used for storage in front of the garage, the
entire storage area must be sheetrocked with 5/8" sheetrock.
If you have any questions regarding this, please let me know.
Sincerely,
6w?
William Bruestle
Senior Inspector
WB/js
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122•1897
PHONE: (412) 681•4600
FAX:(612)681•4612
TDD:(612) 454•8535
THE IONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equal Opportunlty/Affirmatlve Actlon Employer
MAINTENANCE FACILITV
3507 COACHMAN POINT
EAGAN, MINNESOTA 55122
PHONE: (612) 481-4300
FNC: (612) 681-4360
TDD: (612) 454-8535
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN Mfd 55122
651-675-5675
Please complete for modificat9ons to existing residential dwellings.
4(5 ?
Date/16 ?
Site Street Address!?? ?Lt.,tP.r Unit #
Property Owner s W"A(? Telephone #(65 i) a - 5d,50
ContracYor Telephone # ?
Address JAA, Cily State? Zip ??J
The Applicant is: _ Owner ? Contractor _Other
Se.ptic System _ Mew _ Refurbished Sabmit 2 sets of plans and AAPC license Includes County fee
$ 100.00
Per as-buiit $ 10.00
Alterations to existing dwetting $ 50.00
, Add plumbing fixtures. This fee includes installation of a water so8ener and/or water
heater at the same time. !f you are insfa/ling onty a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are +nstalling.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 518" meter is required)
Other:
_ Water Softener '/Water Heater I $ 15.00
_ new ? replacement
( _ Lawn Irrigation _RPZ _PVB _new _repair „ a,Mbuild 1 $ 30.00 '
I State Surcharge u ? AUG 1 5 i006 V I $ .50
Total
I hereby apply for a
and acknowledge thatlhe information is complete and accurate: that the
wor?c wm ue In coniormance with the ordinances and codes of the Gity of Eagan and the plumbing codes; that i
understand this is no# a permit, but only an application far a permit, worx is no1 do start wittaout a permit anC wor1c witl be in
Mordrnn4_i_ ance with the approved plan in the event a plan is requireviewed and approved.
ilu
Appl"nt's Printed Name Applic Ys Signature
From:ALLSTAR CONSTRUCTION 19:5294274,64 10/18/2012 16:36 #614 P.007/010
Use BLUE or BLACK Ink ~C
For Office Use
city of Ea~a o n Permit / 0 7 ~
Permit Fee: c7
3830 Pilot Knob Road ~J
Eagan MN 55122 Date Received: /
Phone: (651)675-5675 I I
Fax: (651) 675-5694 1 Staff:
, ' 2012 '
2012RESIDENTIAL BUILDlN,G PERMIT APPLICATION CA
Date: m i7/t SiteAddress:X/z~ y,ZZ, Yrzy yizd. fizy'si a;y 3~ yl3ia 13b
y Unit
Name: J1'✓i_~ 'r. .~ca LXr? /~i rr" Phone: Z 417- c
RESIDENT / '
OWNER Address / City / Zip: _lv l3B / rte ..,.1'• ix A"I, /
Applicant is: Owner Contractor
01-
TYPE OF WORK Description of work: 7e, „7~ r,~n_ +'TCe t 5 Z k ititdttu+~t gp ,S,.L4
Construction Cost: 0 ( d, ,f6'Z. Multi-Family Building: (Yes ! No
Company: /~i1a(~%%oa~lreco~ A~d~~~L<< Contact Crc~~fa~foir,
Address:/ yS~~k ilr, ~•i _~haE~ Jk~e /0 7 City: 1'/J&
CONTRACTOR
State: Zip: S2jL_,~ S_7 Phone: 7 ,4",S
License T.3C 6'315.75 Lead Certificate _ LOG/ y'- p
If the project is exempt from lead certification, please explain wh : (see P ge 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 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.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.
Applicant's Printed Name App icant's Sign lure
Pagel of 3
4( 7Z(
I~NOT WRITE BELOW THIS LINE
I k-- b
SUB TYPES
- Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi ,y` L Deck - Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of- PI ex _ Lower Level _ Pool _ Miscellaneous
- Accessory Building
WORK TYPES '„n' ,~j New tovement ng _ 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%- 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
' 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 l`
Surcharge'
Plan Review'
MCES SAC A
City SAC
Utility Connection Charge t. _
S&W Permit & Surcharge /
Treatment Plant
Copies,
TOTAL
Page 2 of 3
From:ALLSTAR CONSTRUCTION 19529427464 09/30//2013 15:21 #670 P.011/016
4120, 4Ml, AVDA t 4122 i gt28
A1720 t 4132 l A 134, A 1361 A 1 JU Use BLUE or BLACK ink
l For Office Use _ I
I S
Clt of Eap Permit Permit Fee: J1 a~ 1
3830 Pilot Knob Road p
Eagan MN 55122 Date Received: 1 Q l
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: t
I 1
~A ~n 12f,013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1- 1 013 Site Address:, `I Z V WWQ /Vk V- 1,n - Unit
Name: M?UC~UGIY k RIM 00 • L=h l,OrnD_ Phone:
Resident/ _ p
Owner Address /City/Zip: 1PL28 ?M(Mi MN ~ :3
Applicant is: Owner __k Contractor
Type of Work Description of work: 7Tta_4 V_11 n! nd re `ro Wad
Construction Cost: g 31~ V~1 1 Multi-Family Building: (Yes _J\ / No
Company: AlmaY t MSft V CtM IV Q „=',LLC,Contact: l ~e t1std
Contractor Address: 51y5 1tfJ1t I lal S_qi DJ city: WAPIC W(Cl
State: MN zip: _%26 p Phone: '1 J2-" _Lit_ lL4yH
License -~iCt031515 Lead Certificate N A 1 I M+ V
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:
i
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 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.aot)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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State B ilding Code mu Mt be completed within 180
.4
days of permit issuance.
x x
Applicant's Printed Name- App c nt's Sig _ature
Page 1 of 3