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4137 Meadowlark PtPERMIT City of Eagan Permit Type:Mechanical Permit Number:EA148775 Date Issued:04/20/2018 Permit Category:ePermit Site Address: 4137 Meadowlark Pt Lot:4 Block: 3 Addition: Hillandale 3rd PID:10-32952-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bharath B Purushothaman 14420 Atwater Way Rosemount MN 55068 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. t? +10 0 Eagan, Minnesota 55122-1897 Date Issued: 0 it ; i r r•,o t. (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: APPUCANT: TYPE OF WORK: Nrl t ifir! I 1 t l?rz I 1 11 rl INSPECTION .A . r• (t? q?l:k •. A';t l'eNi/i l l f'! 1?+? 1 I 1', f:l iyil f 1'1 1? ( ul nid`/ 1•l 11111111111411 ui( 1 1111 f k!+ qi NfiNi Permit No. Permft Holder Date Telephone N ELECTRIC D??D?G3/ &Qej 5 g ? °O PLUMBING HVAC Inapectlon Uste Insp. Commenb FOOTINGS FOUND FRAMING ? ? ROOFING ROUGH PLUMBINC, PLBG AIR TEST ROUCaH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIflEPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL FOR SALE T.H. BUILDING PERMIT 12829 Receipt # To be used for FOUNDATION Est. value Date OCTOEER 30 19 86 Site Address 413 7, 3 9, 41 j4 3 S NIEa1DOWLAR N RTlrect ? Occupancy Lot L-?Block 3 Sec/Sub. HILLANDALE 3i211 Remodei ? Zoning Parcel No Repair ? Type of Const . Addition ? No. Stories TOWNHONIES OF HILLANDAi,E Move ? Length W Name 3 Address 14442 EXCELSIOR BLVD Demolish l ? ? Depth F ° iNiKA 433-0562 City Phone Int. mpr. Insisll ? t Sq. o Name riP?VEN ENTERPc"2I5ES INC App?ovals Fees $¢ nddress 14442 EXCELSIOR BLVD Assessment Permit 15.00 ? Ciry f4KmA phone 933-0562 Water&Sew. Surcharge ? ' Police Plan Review MOiYCFAUX LA.'2KIN FW Name DU Fire SAC ?o Address 4801 81ST ST Eng. WaterConn. g W c;ry BLNGT2d phone 831-1844 planner Water Meter Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Council gld 10/30/8 Off Unit Road Tr PI intormation is correct and agree to comply with all applicable State o} g. . . . Minnesota Statutes and City of Eagan Ordinances. APC Parks Si t f P ` Var. Date Copies ? ? ermittee ,." gna ure o -- - . To?l tLaVEm LN'rERPJISEG INC u:?i?rs CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np ? PHONE: 454-8100 A Building Permit is issued to: ` on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official PermX No. PormN Moldsr DNS TNaphons 8 PlumWnp H.V.A.C. Electrle Sollanx InspscNon Dab Imp. Commsnb Footlnqsl Footlnps ll Foundatbn Framiny RooHnp pough Plbq. Rouph Hty. Imul. Fireplaes Find Hty. Final Plbp. &dy. Flnal Cwrt. Oce. Daek Ftp. Doek Frmq. Woll Pr. Dbp. Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. . . . . .?. ...... . , . . . .. , . . . PERMIT # PLUMBING PERMIT RECEIPT N ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: i CONTRACT PRICE: PHONE: 454-8100 Site Address , , ?e?VSub r y Name %i '' ? • • ? 'Fq Address c City ? Phone Name ; Address ' O City Phone i PEES ! COMM/IND FEE - 146 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES , TOWNHOUSE 8 CONDO - RES. RATE APPLIES I MINIMUM - RESIDENTIAL FEE - $12.00 ' MINIMUM - COMM/IND FEE - $20.00 ? STATE SURCHARGE PER PERMIT - .50 '(ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF BIDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE TIiE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ _Bath Tubs - $3.00 _Lavatory - $3.00 -Shower - $3.00 _Kitchen Sink - $3.00 -Urinal/Bidet - $3.00 _Laundry Tray - $3.00 _Floor Drains - $1.50 Water Heater - $1.50 _Whirlpool - $3.00 _Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMin ? Softener - $5.00 _Well - $10.00 _Private Disp. - $10.00 _Rough Openings - $1.50 FEE ? STATE S/C:v ' --- - - -? GRAND TOTA : r, H(???4 ? B j CITY OF EAGAN ?? L. ? J4 y. j: 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? ? o 12 903 PHONE:454-8100 ILDING PERMIT Receipt # (;?. eusedtor 1 OF 4 PLEX Est.value $58t000 Date NOVEMBI'sR 20 1936 Sitenddress 4143 M EAD04t'LARK PT - UNIT A Erect ? Occupancy R3 LotI_ elock 3 Sec/Sub. HILLANDALE 3RD Remodel ? 2oning R 4 Parcel No. Repair ? Type of Const. Vl] Addition ? No. Stories 2 a Name TOSJI411 0NSES OF HILLANDAI.E Move ? Length-44 14442 Add AXCELSIOR HI.W Demolish ? Depth p 3 ress Int. Impr. ? Sq. Ft CityPh one 933-05fi2 Install ? o Name HAVF,N f;NT INC Approvab 0Q Address S`?? Assessment ~ City Phone , Water & Sew.: I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry oi Eagan Ordinances. Signature of A Building Permit is issued to: HA` all work shall be done in accordance with all Building OHicial Planner Bldg. Off. lt/ 'Cv/ a APC Var. Date Permit $ 307.00 Surcharge 29.00 Plan Review 153.50'I SaC 575.00 Water Conn. 500.00 water Meter 63 . 50 I Road Unit 290.00 Tr. Pi. 156.00 Parks Copies Total 52*074.00 on the express condiUon that and City of Eagan Ordinances. "- v?_ ? • Parmlt No. PermM Xoldar Date TNsphorro li Plumbinq M.V.A.C. Eimtric $OM.M. Inspeetion Data Insp. Commanb FooUngal Footlngsll Foundatbn w Id, Freminq Rooliny Rough Plby. Rouph Ht9• > /af Imul. j ? Finplaee FInN Htg. Flnal Plby. ^ /_?) ?, _ ? iya,c?,.?•L Bldp. FMSI 4/44 Grl.Oee. ? . Deck Fty. Deck Frmg. Well Pr. Dbp. ??.7w . i . .. ' - Gy , U; >?SG ? . _; .. ... .4.i n.?'... a. . , . .... .".. . .. rT, . T . .. . . .:' ; . ..."•y .- . . . "PERMIT# K . • . , MECHANICAL PERMIT RECEIPT # { ? K w CITY OF EAGAN . 3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address I BLDG. TYPE WORK DESCRIPTION ? Lot Block =7 ? Sec/Sub _ R N I ? Name R COND. CO ew es. Add M l 4 - ? Address TH AVE. S0. -on u t R i C 20 epa r omm. I ? City M INNEAPOLIPhbW 554 p h ? 881 •9000 t er ? Name FEES 3 Address ? RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 . ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK ' '? GAS OUTLETS - 1.50 EA. Forced Air M BTU • COMM/IND FEE - lodo OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unft Heater M BTU MINIMUM - COMM/IND FEE - 20.00 , Air Cond. M BTU STATE SURCHARGE PER PERMIT - SO (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1 ,000.00) Gas Piping Oudets # omer FEE: zi: S/C: ? SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN PERMfT # PLUM&NG PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: l? i9 ? L Site Address -" '• ' >" ' ?, . aA,K Lot j Block Sec/Sub ? I Name r 1,rc ,: / oL a? Address /? ?/C S ; . .?c, .. f•,; . Sa c City Phone Ff y Jd «, m c 3 O Name _ Address City - Phone I FEES k COMM/IND FEE - 1oi6 OF CONTRACT FEE 'MINIMUM - RESIDENTIAL FEE - $10.90 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. a' New X ` Mult X Add-on Comm. Repair Other NO. FIXTURES TOTAL L Water Closet - $3.00 $ ? Bath Tubs - $3.00 ?Lavatory - $3.00 _Shower - $3.00 / Kitchen Sink - $3.00 - Urinal/Bidet - $3.00 Laundry Tray - $3.00 ' Floor Drains - $1.50 ' - -Z_Water Heater - $1.50 ' Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 -Well - $10.00 Private Disp. - $10.00 - ? Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: fgprfiftrafp o# (Orrupttnry Citp of eagan MPxl'111tPtlt D# l1ttLbiM jWPtftDri This Certificate issued pursuant to tke requiremenu of Secdon 306 of the Unijorm Building Code certl fying that at the dme of issuance this structure was in compliance with the various ordinances of the Crty regutaling building construction or use. For the following.• ux ciaeificarian 1 OI' 4 Pt.'' ^ Bldfl. Rrnue No. 1:'-f 7 O-paacY Type i?' Zoning Distnci Type Coost Owner o( Building nIFS q} . . Address . . . Bwlding Addrea ., _ _ Loaliry 1• i ° ? • ? . .. i,?.. T• r,::. ? ' Lkkte: Building Ofrwial POS71N A CONSPICUOUS PLACE j L 1, 2, 3, 4, B 3 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12904 BUILDING PERMIT PHONE: 454-8100 Receiptp Tobeusedtor 1 OF 4 PLEX Estvalue 552o000 Date tiOVFMBER 20 19 86 Site Address 4141 MEADOWLARK 12T- -UNIT B Erect ?J Occupancy Rj Lot2 Block 3 Sec/Sub. HILLANDAI,E 3t2D Remodel ? Zoning k4 Parcel No. Repair ? Type o1 Const. Vii Addition ? No. Stories z_ W '' Name UWNHOMES OF HILLANUALE Move ? Length-44 3 Address 1$442 EXCELSIOR BLVD Demolish ? Depth- - - - -- Z7- ? ° 14TKF. 933-0562 Int.lmpr. ? Sq.Ft ? Ciry Phone Install ? i a OV oQ r Name HAVEN ENT INC Approvala Address SAME Assessment Li W Name DtI' uiONCF.AUX LARK IN Address 4501 81ST ST <W Ciry BLhIGTETPhone 831-1844 I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee X. A Building Permit is issued to: HAVEPa ENT INC all work shall be done in accordance with all applicd6le Sfste of Minneso Water & Sew. Fire Eng. Pianner Council Fess Permit -$ Surcharge _ Plan Review_ Water Conn. 500. 00 Water Meter 63 . 50 Road Unit 290. UO Bldg. Off. il? `•"? " Tr. PI. 156.00 APC r Parks Var. Date Copies Total $2.044.00 on the express condition that and City of Eagan Ordinances. " PermN No. PermH MWdsr Date TelepAone a WumWny i. / H.V.A.C. , El.cuic /87 Soflenx InspecNon Data Insp. CommeMs FooUnqs l FooNnps ll 1G GJ? E j 6 Rooflny Rouqh Pibp. *f? . Rouqh Fitp. Inaul. FIrePlace Flnal Hlg. .r ?9 "7 C . ? Ffnal Plbg. . A v Bldp. Flnal eA- GA. Oec. Dock Ftq. Deck Frmy. WNI lPr. Dlsp. 1;-wwv4'w"w , - , • . . . Site PRICE m Name S m Address c City _ ? Name c Address p City Phone ' TYPE OF WORK ForCed Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other PERMIT # y ? MECHARICAL PERMIT ' RECEIPT # CITY OF EAGAN r 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: I>" ounuo• ace-Rlnn M BTU M BTU M BTU M BTU CFM i i " BLDG. TYPE WORK DESCRIPTION b Res. New Mult Add-on Comm. Repair Other FEE: ; S/C: - TOTAL: - FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE .} ?Y' FOR: CITY OF EAGAN Fri C PEFiMIT tk PLUMBINCa PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: z' SiteAddress ' ?.<..._='- x Lot _2 Block Sec/Sub ? Name _ m Address c City _-• Phone," zv %`/" Name ,f. 3 Address p Ciry Phone FEES COMMlIND FEE - 19/o Of CONTRACT FEE MINIMJM - RESIDENTfAL FEE 410.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. V New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL ? Water Closet - $3.00 S _LBath Tubs - $3.00 ! Lavatory - $3.00 _Shower - $3.00 / Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 / Floor Drains - $1.50 / Water Heater - $1.50 Whiripool - $3.00 Gas Piping Outlets - $1.50 SoRener - $5.00 ? _Well - $10.00 Private Disp. - $10.00 ? Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• 4 w . , • (Itrtifirate of (Orrupanry titp of eagan 10P}iahtPllt Af S1lOitUJ JriH}iPtttDlf Thrs Cerlificare issued pursuant to the requirements of SecHon 306 of rhe Uniform Building Code cenifying that at tke time of rssuance this structure was in compliance with the various ordinances of the Cuy regularing building construction or use. For the following: Use Qeaificatioo I (F 4 PU'-"- Bldg. Rlmit No. LY? OccuwncYTYPe R3 zooing Uslrict 7ype CoM. •,?.. o? or suaac? P7?firBCMSS !1F ! i;A.A!uTi?.:: :; T?,,?.SIO?? IIi Vli. i Tfh ? auila;ngnaama •'.;; ' sr.`:?<?: `; L"WUY p„m: ;, "n1*M 19, 14$7 Waaing official POST IN A CONSPICUOUS PLACE 4, B 3 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12905 ? - PHONE:454-8700 ' BUILDING PERMIT Receipt # To be used ror 1 aF 4 PLEX Est value +S 5Z r 000 pete NOVEMBER 2 0 Ab .19 _ SiteAddress 4139 MF.ADOWLARK PT - UNIZ S Erect 7? Occupancy K3 Lot3elock -3 Sec/Sub. HILLANDALE 3 Remodel ? Zoning Rd Parcel No. Repair ? Type of Const vfl Addition ? No. Stories Name TOWNfIOMES OF HILLANDALE Move ? Length 13c0 Demolish ? Depth -?? Add ress 14442 EXCELSIOR BLVD Int. impr. ? Sq. ft 22 Ciry t+ITKA Phone 933-0562 Install ? cc 0 0 H a ? Name HAVEil ENT INC Approi Address SAM Assessment Phone r- FW Name DU'MONCEAUX LARRIN ?a nddress 4801 81ST ST `W city BL14GTNphone 831-1844 I hereby acknowledge that I have read this appl ication an d state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry ot Eagan Ordinances. ? Signature of Permittee A Building Permit is issued ta: HAVE\I ENT INGY - all work shall be done in accordance with all aodicable State of Minnesa Water 8 SeH Police - Fire Eng. Planner_ Council _ Permit ? Surcharge _ Plan Review SAC Water Conn. Water Meter Road Unit- BIdg.OH.la/.9W/o Tr.PI. tao.vv APC Parks Var. Date Copies Total $2.044.00 on the express condition that Statutes and City of Eagan Ordinances. Building PermX No. PermN Holder DaM TMephone M Plumbinp :) L 4,V H.eA.c? / Electric ? So1lMer Inspsctlon Deb Inap. Commenb Footinqs I PooNnysll Fountla8on .? ? Framiny ?a ?? 6tJ 6' Rooling Rouph Plby. k Rwyh Htp. .L 6 LlJ6 ?l?f IrouL ? AP17 ,?41-A' Flreplacs Flnel H19• C. / • Flnal Plbp• &dq. FMaI S19 ? ?' Cot. Oca Deck FIQ. Dack Frmq. Well Pr. Disp. _ . _ ,.. .. PERMIT # u -, ,. . MECHANItAL PERMIT RECEIPT # GTY OF. EAf3AN , ,,.. 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site m Namon? co Address c City - Sec/Sub ? Name ; Address p Ciry Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM ? FEE S/C: TOTAI: BLDG. TYPE WORK DESCRIPTION Res. ? New MuR Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1%OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - SO (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE v" ' %?• <-`? FOR: CITY OF EAGAN PERMIT # CONTRACT PRICE Site Address "/ 3 Lot J_ Block PLUMBING PERMR RECEIPT k "-- CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE:154-8100 Sec/Sub m Name ?2r,s?vz r•'t d C• 4. ? Address ?dy[ S ???.,ti?.? c City -%"•-j0?.?. Phone ? c 3 O Name : Address City _ Phone ? ?a w ' FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTiAL FEE - a10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. < New X Mult 'r Add-on Comm. Repair Other NO. FIXTURES _LWater Closet - $3.00 / Bath Tubs - $3.00 Z Lavatory - $3.00 Shower - $3.00 ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 J Floor Drains - $1.50 ! Water Heater - $1.50 _Whirlpool - $3.00 _Gas Piping Outlets - $1.50 Softener - $5.00 -Well - $10.00 Private Disp - $10 00 TOTAL ? ? c r > ? sd Rough Openings - $1.50 U !I FEE STATE S/C: GRANDTOTAL• 1'?'•?`-' • 'e . r (Itrtifiratr nf (Orrupanry Citp of eagan FPiitil't1liMtt Of Illitlbillg JWptfiDtt This Certificate issued pursuant to the requirements o,J'Section 306 of the Unijorm Building Code certifying thar at rhe kme of rssuance this structure was in compliance with the ),arioecs ordinances of (he Ciry regulatlng buildtng construction or use. For rhe following.• Use CLsifiarion " Bldg. Rrmit No. . oauwar TyN Zooing natr;a Type conn _.. , owxr of euitding , . .., . ..; .. :- .; r ..-.:.Addrw .:.. . . . . .. . . . ':.. ? .; . Bwldng Addrtst Lomhn, -' 29iSFj Dak: Building Offwial POST IN A CONSPICUOUS PLACE ? . - • •-? ? ? Dx (gPrfifiratr u# (Orrupanq titp of (Eagan DP}tal'bliPllt Af Iltilhiltg JI[S}iPttiDlt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the ume of issuance thrs structure was rn compliance with the various ordinances of the City regulating building construction or use. For the following: u,c clARsifinuon •: , . . ... . Bldg. I4rotit No. . . - OccuPaocY'I)'Pc ... ..?,.--,TiRWai Di9U}C, . . ?YPR Co?v,----.-?, .. _. ? ._ . . . - , . ? , .. v ? .. . Owoer d Budding pddinv _ Bwlding Addrem Locality : ,:EBRLIAk` 2ck. Ute: Building Offiaal. POST IN A CONSPICUOUS PLACE INSPECTION RECORD I CITY OF EAGAN PERMIT TYPE: ;''' 1 1 t' 1146 I 3830 Pilot Knob Road c?. ? ?? +w Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ?'• ??`? ?"'• I (612) 681-4675 I SITE ADDRESS: rj ? ". ` APPLICANT: -; I F1i A1???6.J1 Ni+? f' 1 .' !tf?.;..' . ; 1?1 I I? ;1 I I +riRWnir 1:11 r3unll1 'irJ PERMIT SUBTYPE: i , !.: . ,;t r ? , TYPE OF WORK: M! A1iill-1i F,I:f R FPwtt? f+.iiHF [?Al4A61 I, , Permit No. Permlt Holder Oate Telaphone R ELECTRIC PLUMBING HVAC Inapection Dete Insp. Commenta FOOTINGS FOUND FRAMING ROOFING IZ ? ? qP3 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST - BLDG FINAL BSMT R.I. BSMT FINAL _ DECK FfG DECK FINAL L-1, 2; 3,.4 , B 3 3830 Pilot Knob Ro di P.O. Box?2G-?1 9, Eagan, MN 55121 ?? p 12906 `- PHONE: 454-8100 i SUILDING PERMIT Receipt s To be used tor 1 JF 4 PLEX Est value $83,000 Date NOVF.MBER 20 1986 4 - UNIT C Erect Occupancy R3 Remodel ? Zoning R4 Repair ? Type of Const.Ign - Addition ? No. Stories 3 Move ? Length ?? Demolish ? Depth ?? Int. Impr. ? Sq. Ft Install ? Assessment Water & Sew. Police Fire Eng. Planner Council aid9. ott. llo2o/e APC Var. Date Lot_4 Block -3 Parcel No. a z 3 0 Zo Name Nr?.VIi:V i;i?T IYC ? ? Address f- r.h„ oti,,,;o I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee r?-------? a%' ? r r S h 41.50 u c a ge Plan Review 191.001 SAC 575.001 Water Conn. 500• ou I Water Meter ? 63 . 50 ? Road Unit 290.00 Tr. PI. 156.00 Parks Copies- Total .U. ? A 8uilding Permit is issued to: HAVEN ENT I` ? on the express condition that all work shall be done in accordance with all applicable 9tate of Minnesota Statutes and City of Eagan Ordinances. Building Official ParmH No. Parmit HWdar Date TNephone # Plumbin g H.V.A.C.' Eloctde ' Soltener ?Inapedion Date Insp. Commen4 FooNnpa 1 /? '% ? p LfJC/ FooGngsll Foundation yq ? Framiny Roofing Rough Plby. Ronyh Hty. ;5?i4 7 Gl InaW. Fireplace Final Htg. 1 7 Flnal Plby. Bidg. Flnal Cart. Occ. 2 7 Deck Ftp. , Deck Frmg. Well Pr. Dlsp. CITY OF EAGAN 3830 Pilot Knob Rwd P. O. Box 21199 Eagan, MN 55121 ,•;?<:-. ":nCerr.ci9e? SEWER SERVlCE PERMIT PERMIT NO.: DATE: _ No. of Units: ? Addrcss: • _ - -.G 3 7.e _ c „eu t , Site Addrcss: Plumber. CM7 of EaYom conrlwian Nm !o aoeih ? lM Aaour?t ??? 1 prAiw?eas. Permk Fee: Surdwrps: Misc. CFwrom BY Total: - Date of Insp.: po" Paid: Intp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot.Knob Road pERMIT NO.: P.O. Box 21199_ ^,?,TE: 11 -26--L E Eagan, MN ?'3121 No. of Units: ?-Dlex Zoning: ? Owner. si Address: anc:a e SiteAddess: 4143 Meado?rlark P0 iz1t T.? Plumber: d!e ? Connection Charge: Meter No.: 15 pOpL? ? Account Deposit: .10 Q0PAI ? Size: permit Fee: Reader No.: SOpd I agree to comply with the City of Eagan Suroharge: 156.0 ?P?' ?;• Misc. Charges: Ordinaoces. Total: Date Paid: By Insp.: - Date oi Insp.: _ ? CITY OF EAGAN WATER SERVICE PERMIT ; 3830 Pllot Knob Road 8229 PERMIT NO.: 11 -26-Q 6 P.O. Box 21199 OpTE: ? Eagen, MN 55121 4_ples _ Zoning: No. of Units: c Owner: an a e 5r? Address: ar' Poin 1"3 "'?eadow Site Addess: t 1 '«e de 9lumbin Plumber: ` • n Charge: 500. 0Ope Meter No.: 15 . OOpd siZe: " 4gC?Pe??? 10.00 a a?d7 ? ?1 ?fo;e ???n t? ' °e .50 d Reader o: u? e: 1 agree to comply wfth the Chagage E Icharg 156 . 0 0 TP c Ordlnancea .%Vr ? p 63 5llnmeter otal: Date Peid: ? oi In Insp.: OF EAGAN 'ilot Ktwb Rosd 3ox 21189 Addrcu: bsr. ? . ., ises SEWER SERVlCE PERMIT PERMIT NO.: DATE: No. of Units: inc 1.2 33 Hilia ft «•.is .w er. cie,, .f r.o.. By Dah of Irqp.; I nsp.: c«n.crion aarg.: Acoounr oepwWr. _ Psrmit Fea: Misc. Chorpes: _ Totol: Doft Pold: i0a.capa CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O„Box •.0,199 °: PERMITNO.: 8-128 Eagan, Mi., i5121 DATE: 11-26--86 Zoning: No. of Unitx 'tj 4 i`i`x Owner. "aven Enter; rsGes Address: SiteAddess: 4141 l4e?+dovlark Po inf T':' ^"i '71%iandalv ?rc? ? Plumber. lake Side Plumbinn I Meter No.: Connection Charge: r00_ 00pa ? Size: Account Deposit: 1 5_!)t1?,.1 i Reader No.: Permit Fee: I!?-??; ? i I agree to comply wRh ihe City ol Eagan Surcharge: Ordlnances. Misc. Charges: 1 Sf, nn,,.t Tp ? Total: fi3_Si1?+? ri ctvr ! By Date Paid: Date of Insp.: Inap.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Plipt Knob Road P.O. Box 2.1199 PERMIT NO.: F.298 Eagan, MN 55121 DATE: 11-26--!?6 Zoning: No. of Units: wRtiF Ownec Haven ^n Prnr'caa ? : Address: - Site Addess: Plumber: - Meter No.:.? Size: -YX " / DGfVic. u,ya...- Reader No..O 76 7 1341 .?t?jLpg?$ tic• yg nn.,_ 1 agree to comply wRh the Quy gan ur? OrdManc REau?RE[sist!Chages: 4Wa,ga-• Date Paid: te of I Insp,: a-/9-07 WATER SERVICE PERM17 PERMIT NO.: 11--- CITY OF EAGAN 3830 PNot K;iob R?d , ppTE: 4- leX P.O. BOx 21199, gan, MN 55121 No. ot Un'?: ? ? YiseS d Zoning: ?yven EnteL ndale 3r pwner. t L3 g3 tLilla lazk PO?` ? Address? 4139 t??dow 50? .00 de ?lumbin e Site Addess: Lflke Si Connection Char9 ? Plumber. sit: t? . ?p d count Depo • 5? d Meter No.: pc permit Fee: a Tp -Size: S gurcharge: 156.00 ' Rea r N00- the City o1 Ea9an isc. Charges: etgr 1 a9re° to comPlY W? Total: 0rdinanO ' pate Paid: Insp•:: By eoflns 6 sfvm SERVlCE P?R CITY OF EAGAN ??T NO.: 3830 Pilot Knob R°°d p DA?: P. O. Box 21199 55 21 Eeyr^. MN No. of Units: Zoning: - ? ?us owMr: ' . , .. . . -_.. - bdrosg' ' Site Ad...ess: Plumber, - l Ng" t° 600* w,* tbm CRT af M"0 OrN""Ges' By --? pae of Irap•: Con+sdl°^ Ch°A°AccouM Deposit: PermK F°°: Surd+uf0°' Miu. Totcl: _ pow Pafd: MM WATER SERYICE PERMIT CITY OF EAGAN PERMIT NO.: ! , 3830 Pilo1 Kaob R?d ? P.O. Box 27199 DATE: Eagan+ MN 55121 No. of Units: _ .; Zoning: -rter risen . Owner. Site Addess: Plumber - Meter No.: - Size: ? Fieader No.: o? Eagan I agres io oomPlY WNh 1he City Ordinances• BY -? Date 01 Insp•: Connection Charge: Account Deposit: - Permit Fee: , Surchar9v. ? Misc. Charges Total: ? Date Paid: ------ ? ; CITY OF EAGAN $E" SUVE? PERM ? 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zanlrp: No. of Unih: i< Owrrr. ? Addrca: Site Address: Plumber. I prw M asmoly wMb tM pry of h/ow OrdiNnar. By Date of Irnp.; Connectlon CJwrps: AeeourM Depoait: , PerMt Fee: Surdwrpe: Mise. CFarpas; Totol: Oaft Pald: Eagan, MN 55121 DATE: !E-plex r3 No. of Units: Zoning: Owner. }iaven Enterprises Address: 4137 ?"eadowlark Point L4 II3 tiillandale 3rd Site Addess: Plumber. Lake Side Plumbin CIiY OF eAGAN WATER SERVICE PERMIT 3830 PNot Knob Hosd pERMIT NO.: 3? ?? P.O. Box 21199 - - 6 3 REQUEST FOR ELECTRICAL INSPECTION E-ooooi-os ??? ? See instructions for comple6ng ihis form on back of yellow copy. X Below WorliCovered by This Request ? Ne A q Rep'. ". Type ot Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: ?N7,?Kv # Other Fee # Service Entrance Size Fee # Circuiis/Feeders Fee Swimming Pool 0 to 200 Amps 0 100 Amps Transformers Above 200 Amps 100 -Amps SI IlS Inspector's Use Only: TOTAL Irrigation Booms C14ri- Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCUNNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO , S. I, the Electrical Inspector, hereby tif h h b Rou9n-in cer y t at t e a ove inspection has been made. Fina; pate OFFICE USE ONLY This request void 18 months irom 0=110°431 Request Date 9S Fire o. Rough-IrGnspectioq.Eiequired (YOU m t call inspector when ready) Inspection Oiher Than Rough-In ? Ready Now XWill Notify Inspector Yes No ? ?ate Read I%icensed contractor ?owner hereby request inspection of above electrical work at: Job Atldress (Street, Box or Route No.) Iy,3 ? ??ujux V_?`?? Cily Section No. Tovmship Name or No. Fenge No. C nry Occupant(PRINT) Phone No. e . Scr? POV" r SUpplief Address Electrical Coniractor (Company Name) Contractors License No. C T lli. L - O Ca O? Mailing Atltlress (Conirector or Owner Making Installation) 9 ? \ ?V Au?h Signature ira odOw Making Installalion) Phone Number 'C' Y r T 9 G rv V ? B S B I IIII III ?I? I II ? II I I I I IIII II) STATE ? ? Q 821 Un esryA St 51U4 e. MN .P u ECTION EE I S OPEA NS P S Phone (612) 642-0800 ? . O SED ENC Thfs request void 18 mon[hs fyom ??W 2 L f (7 .J , ??C l??yLf.l'Cc.F;f. aJ r? & y??x ??r';2• 0v Heques . Fire No. Rouph-inInspection ReQUired? []Ready Now [8Will Nntify Inspec- 12-22-86 (ZYBS ?No cor wnen aeadv R) Licensed Electrical Contrnctor I hereby request inspection of ehove ? Owner electrical work inatalled et: Street Address, 8ox or Route No. City 4143 MEADOW LARK POINT RD EAGAN ectron o. Township Name or No. Range No. County I I DAKOTA Occupant (PRINT) Phone Ne. FIAVEN ENTERPRISES Power Supplier Address DAKOTA ELECTRIC FARMINGTON Electrical Contractor (Company Name) Contractor's Licanse No. C& M ELECTRIC, INC. A-042214 Mailing ress IContractor or Owner Makina I nstallationl P. . OX 28 LAKEVI E M Au oriz 5i nature IContrac or Ow ki Ins ation) Phone Number 469-3233 MIOTA STqTE BOAR?G OF E C Y TMIS INSPECTION NEQUEST WILL NOT Or" Midway Bidg. - Noom N-191 (? BE ACCEPTED BY THE STATE 90ARD 18 Univarsitv Ave., St. Peul, MN 66104 UNLESS PpOPEH INSPECTION FEE IS Phone(672)642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E8-°000PI- ? See instructions (or comDleting thls form on baek oT yellow coDV• ? C,,. "X" Be/ow Work Covered by 7hrs Request Add jtep. Type of BuilOinB AvPlioncea Wired Equipmenl Wired X Home Range Temporary Service Duplex Water Heater Lightin Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther peCi y thpr ISU,-,.ifyl t er peci y t er Other ompute lnspection Fee 8elaw k Fee Service EntrBnceSize X Fee Feeders/Su6feeders M Fee Circuits 0 to200Ams 0 to30Ams 0 to30Am Above 200 Am p5 31 to 100 qmps 31 to 100 A s Swinunin Poal Above 100_Am s Above lOD_Am s Transrormers Irrigation Booms Partial•'Other Fee Signs Special Inspection $ ? ? 7 flemarks 2 ,5 5 0TAL F ? / - ? .? Rouph-in L 1. the Flac,tLCaA?? inapector, hereby certify that the ahove Finel D:+te? inypection has been F •> J f% Y mede. fhla requesl vo101B monthe Irom REQUEST FOR EIECTRICAL INSPECTION es-ooooi-os Ilr See instruetiona for eompletinp this fwm on baek ot yeliow copv. ? 6, 9? C- 734 61 "X" BeJow Work Covered by This Request + fNexA_Adl Rep. Typa of Builtling AppllanCea Wired Equipmenl Wiretl I I I.+ I I Duplex I I Water Heater I I LiphtinU Fixtures I industrial 61dg. ? ?AirN? Gonditioner ? i Bulk Milk Tank I I I I rFarm ?n PB?? v cner?sne?, rv? M Pee ServicaEntranceSiza q Fee Feedars/Subieeders N Fee Circuita U to 200 Am s 0 to 30 Am s 36.00 0 to 30 Am Above 2_Amps 37 to 100 qrnps M 31 to 100 A s Swimmin Pool Above 100_Am s Abov 100_Am s Transformers rrigation Booms n Pbrtial•"Other Fee Signs Suecial inspection 5 ??- emerks TOTA?,FEE SaZ ?LG? Rough-in ( 1, the Electricel 42 Inspector, hereby Final ? ate certifY that the above inspection has bean This reSuest void IB months from ?y/ ///../Y 7 C 73461)..2.P3 &; y61- a-'Y' Requ@st Date . No. Fire Rough•in Inspection Require d7 C]Ready Nuw t%WiII Notify. Inspec- 12-22-86 12Yes ?No torWhenReady ? Licensed Electrical Contractor I hereby request inspection of abova ? ? Owner electrical work installed at: Street Addre55, Box or Route No. . ' CitV •4141 MEADOW LARK POINT RD. EAGAN ` ecuon o. TownBhiD Name or Na RanBe o. Counry DAKOTA Occupxnt (PRINT) Phone No. HAVEN ENTERPRISES Power Supplier . Address DAKOTA ELECTRIC FARMINGTON, MN Electrical Contractor (Company Name) Contractor's License No. C& M ELECTRIC, INC. A-042214 Mailinp Address (Contractor or Owner Meking Instailation) P. . BOX 328; LAKEVILLE, MN 55044 Aut ori ed Signature (Contract O er M ing Installation) Phone Number 469-3233 ? THIS INSPECTION HEOUEST WILL NOT MINO?fi?OTq STATE BOAND OF ELECTRICITY BEACCEPTED Gri? Midwey Bldg. - Room N•181 BY THE STATE BOAflD 1821 Univeraitv Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phonef6121842-OB00 ENCLOSED. ? REQUEST FOR ELECTRICAL INSPECTION EB-00007-05 , See instruclions for completing this form on beck Of Vallow copy. C? 7'3++-6 0 ""X" Be/ow Work Covered by This Request AAd Rep.? TVPe of Buildine Aoolioncea Wired . Equipment Wired I I I I I Uuplex 1 I Water Heater 1 I Liahtina Fixtures J I I I I Industrial Blda. 1 I Air Conditioner 1 I Bulk Milk Tenk I Farm p Fee Service EntrenceSixe p Fee Faeders/Subfeedera # Fee Circuits - 0to 200 qm s 0 to 30 Am s 2 3 .00 0 to 30 Am s Above 2 0 qm?y 31 to 100 Amps 4.00 31 to 100 A s . Swimmin Pool Above 100_Am s Above 100_Am s Trensformers rngation Boorns Partiai.'Othor F Signs Special Ins? ction g TOTAYE` ? Nema?ks ' 52.5 j. 14 I, the ?I ?7 Inspeeto?, hereby erti(y thal the above Final c, /? nspection has bean Thla request vo1C 7his request void 1/?,s/f?7 18 mon[bs from C .73460 e:?, 5? y7_-?- Request Date" iire No. ?ough-in Inspection equired? OReady Nuw MWill Notify, Inspec- 12-22-86 CRves ?No LorWhenReady ? Licensed Electrical Contrector I hereby request inspection of above ? Owner 'eleetrical work installed et: Street Address, Boz or Roure No. City - 4139 MEADOW LARK POINT RD. EAGAN ecuon o. - T ownship Neme or No. Range o. Counry I I DAKOTA Occupent(PRINT) Phone Na. HAVEN ENTERPRISES Power SupDlier Address DAKOTA ELECTRIC FARMINGTON EI¢ctrical Contractor (Company Name) Contractor's license No. C& M ELECTRIC INC. A-042214 Mailing A r s(Contractor or Ownar Making Insteilationl P. . OX 328; LAKEVILI.E MN 55044 Aut rized ' nature (Comrector r in nstalleti n) Phone Number - 469-3233 MIN?TA STATE 90ARD OF ELECTRICITY v THIS INSPECTION REnUEST WILL NOT 6rig MidwaV BId9• - poom N.797 BE ACCEPTED BY THE STqTE BOARD 182 Universitv Ave.. St. Peul, MN 66704 UNLESS PHOPER INSPECTION FEE IS Phone (6121 642-0800 ENCLOSED. REQUEST FOR ELECTRICAt INSPECTION . EB-00007-q6 Il, Sea instructions lor completing this form on back of yellow copy. 78 "X" Below Work Covered by This Requesf AAd Hep. 7ype of 8uilding Appliancee Wired EquiVmenl Wired X Home Range Temporary Service ? I Duplex ? Water Heater Lightiny Fixtures Commercial Bldy. Fumace Silu Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Vecov Other(SPer,fy) ompute Inspectron p Fee Service EntranceSize 4 Fee Fxxders/Subfeeders # Fee Circuits 0 to200Am s 0 to30Am s 0 to30Am S Above 200 qrnps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Boorris 0 Partial-"Other Fee SignS Special Inspectfon 520.50 TOTAL RemarksTWO INSPECTIONS - BASEM?ENT. pYJ ? Rough-in Dnte I, the Ele n ? Inspector, heraby tif th t th b Final ? Dale cer y a e a ove inspection has been ° C r y'' made. f fiia repuest voiC 18 months irom 18'monQhs from'd '-IJ16 d-- 7478 /, ?, P3 I Request Date ? Fiie No. Rough-in Inspec[ion Required? C]Feadv Nnw nWill Notity, Inspec- ? Jr-11-87 [Ryes ?No [orWhenReady ? Licensed Eleclrical Contractor i ? Owner I hereby raquest ins pection of aboVe electrical work insla lled at: Street Address, Box or Route No. City 4139 MEA WWLARK PO T EAGAN ecuo?? o. Townshlp Name or No. Range No. County DAKOTA OccupantlPRINT) Phone No. HAVEN ENTERPRISES Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. C& M ELECTR C N Mailing d r¢ss (Contrac[or r Owner M2kin o B Installation) .0 BOX 328; L KE I LE, MN 55044 Aut rize ignalure (Contractor n M. g Installationl Phnne Number 415q-3233 MINN TA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUES7 WILL NO7 Grig idwey Bidg. - floom N•191 V BE ACCEPTED BY THE STATE BOARD 1821 niversitv Ave.. St. Paul, MN 55104 UNLESS PHOPEN INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. y 1 ?4 1 5, IMeaDu•ulaA P!, CITY OF EAGAN OFFICE INFORMATION MEMO TO DATE TIME i???,U z r ? 93 FROM OF ,? PHONE NO. RECEIVED BY: H Was here to see you Will call again Please call Returned your call ACTION REMARKS/MESSAGES Review and see me Review and comment AC) wAj El?Z Prepare reply lor my sig. ?=o ? TA?TI ?v C.- F-l C? C:l Reply and send me copy - For your approval +.? ie,? ot-t- 'pir G-- ? For your inbrmetion For signaNre As we discussed 7?% .eCC As you requested . Take appropriate action Return FILE ? DISTRIBUTE ? OVER ONE SIDE ONLY COLLATE NO. OF COPIES HEAD TO HEAD STAPLE DATE NEEDED HEAD TO FOOT (Other)TYPING: ROUGH DRAFT RUSH DATE NEEDED SINGLE SPACE FINAL COPY DOUBLE SPACE CARBONS- ?OW?iHbU3 4 ?E' B 3 CITY OF EAGAN 1?' ? 12903 'v FOR SALE UNITS 3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 - ` I PHPNE:454-8100 BUI D I L ING PERMIT Receipt# La Tobeusedtor 1 OF 4 PLEX Est.Value $58,,000 Date NOVEMBER 20 19 8'6 SiteAddress 4143 MEADOWLARK PT - UNIT A Erect ES Occupancy R3 Lot 1 elock 3 Sec/Sub. HILLANDALE 3RD Remodel ? Zoning R4 Parcel No. Repair ? Type oi Const. vri Addition ? No. Stories 2 ¢ Name TOWNHOMES OF HILLANDALE Move ? Length-.44- = 14442 EXCELSIOR BLVD ddres oemolish ? Depth t I ? S F ?- i ? o . n mpr. q. t TxA Phone 933-0562 C tY - Install ? o Name HAVEN ENT INC Approvals Fees 0 a Address SAME Assessment Permit $ 307.00 ~ City Phone Water & Sew. Surcharge 29 • 00 ? W Name DU' MONCEAUX LARKIN m; Address 4801 81ST ST aW Ciry BLMGTN phone $31-1844 Police _ Fire - Eng._ Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 11/20/8 in(ormation is correct and agree to comply with all applicable State of Minnesota Statutes and Cily of Eagan Ordin4Nes. APC Signature of A Building Permit is issued to: HA1 all work shall be done in accordance with all Building Official Date r Plan Review 153 . 50 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2 .074.00 on the express condition that and City of Eagan Ordinances. L 1, 2, 3, 4, S 3 CITY OF EAGAN ? ' 3830 Pilot Knob Road, P.O. Box21-199, Eagan, MN 55121N- 12904 - ` BUILDING PERMIT PHONE: 454-8100 Receipt Jt ?Y4 (l? Tobeusedtor 1 OF 4 PLEX Est.value $52,000 Date NOVEMBER 20 19 86 Site Address 4141 MEADOWLARK PT--UNIT B Erect Occupancy R3 Lot_2- elock 3 Secisub. HILLANDALE 3RD Remodel ? Zoning R4 Parcel No. Repair ? Type of Const. VIl Addition ? No. Stories 2- W Name TOWNHOMES OF HILLANDALE Move ? Length44_ 3 Address 14442 EXCELSIOR BLVD Demolish ? Depth ° MTKA 933-0562 Int.lmpr. ? Sq. Ft City Phone InsWll ? a 0 ?a ? ? Name HAVEN ENT INC Address SAME Assessment Phone Fees F W Name DU' MONCEAUX LARKIN ?? Address 4801 81ST ST aw City RT.MGTNphone 831-1844 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O inances. Signature of Permittee ? ?/ A Building Permit is issued to: HAVEN ENT INC all work shall be done in accordance with all aqpli e State of nnes Water & Sew. Police Fire Eng. Planner Council Bldg. Off. 11/2 0/8 , Var. Permit $ 289.00 Surcharge 26.00 Plan Review 144 . 50 SAC 575.00 water Conn. 500 . 00 Water Meter-16-3,50 Road Unit 290 _ 00 Tr. PI. 156 . 00 Parks Copies Total $2.044.00 on the express condition that and City of Eagan Ordinances. Building O(Ticial L 1, 2; 3, 4, B 3 CITY OF EAGAN N 0 1 Z n3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - 9? PHONE: 454-8100 J ?? BUILDING PERMIT ? Receipt # V Tobeusedtor 1 OF 4 PLEX Est.Value $52YO00 Date NOVEMBER 20 19 86 SiteAddress 4139 MEADOWLARK PT - UNIT D Erect 7? Occupancy R3 Lot3 Block 3 Sec/Sub. HILLANDALE 3 Remodel ? 2oning R4 Parcel No. Repair ? Type of Const. Vp Addition ? No. Stories ¢ Name TOWNHOMES OF HILLANDALE Move ? Length ? z 3 Address 14442 EXCELSIOR BLVD Oemolish ? ? Depth 22 ° . lnt Pr. sq. Ft. city MTKA Phone 933-0562 Install ? Z o Name HAVEN ENT INC $ ¢ Address SAMR ~ City Phone FW Name DU'M ONCEAUX LARKIN ?? Address 4801 81ST ST aW City BT.NjGTjQ phone 831-1844 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci of Ea an Oances. Signature of Permittee 9 A Building Permit is issued to: HAVEN EAIT INC all work shall be done in accordance with allapilicable Stat of Mi Assessment Permit ?4 26y. U U Water & Sew. Surcharge 26.00 Police Plan Review 144. 50 Fire SAC 575.00 Eng. Water Conn. 500.00 Planner Water Meter 63 . 50 Council Road Unit 290.00 BIdg.Off. 11/20/8 Tr. pi. 156.00 APC Parks Var. Date Copies Total $2. 044.00 on the express condition that Statutes and City ot Eagan Ordinances. Building L 1,2,314, B 3 CITYOFEAGAN A' ?+ I 3830 Pilot K ob Road, P.O. Box 21-199, Eagan, MN 55121 +v ? _ 1290v BUILDING PERMIT PHONE:454-8100 ? Receipt# To beusedtor 1 OF 4 PLEX Est Value $83, 000 Date NOVEMBER 20 1986 SiteAddress 4137 MEADOWLARK PT - UNIT C Erect L? Occupancy R3 Lot 4 Block 3 Sec/Sub. HILLANDALE 3RD Remodel ? Zoning R4 Parcel No. Repair ? Type of Const. J.T.F} Additlon ? No. Stories ¢ Name TOWNHOMES OF HILLANDALE Move ? Length44._ 3 Address 14442 EXCELSIOR BLVD Demolish ? Depth- Z? ° MTKA 933-0562 Int.lmpr. ? Sq. Ft. Ciry Phone Install ? o Name HAVEN ENT INC Approvals ?°, ?a ' address SAME Assessment ? ~ City Phone Water & Sew. ? Q ?W Name DU'MONCEAUX LARKIN Police Fire ?a Address 4801 $IS`' S'' E n 5C W city BLMGTN phone 831-1844 Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe 11/20/$ gldg Off information is correct and agree to comply with all applicable State of . . Minnesota Statutes and Ciry of Eagan Ordin fl s. APC ? VBr. Date Signature of Permittee.__? AVEN ENT Fees Permit $ 382.00 Surcharge 41.50 Plan Review 191. 00 SAC 575.00 Water Conn. 5 0 0. 0 0 Water Meter 63 . 50 Road Unit 290 . 00 Tr. PI. 156 . 00 Copies Total $2,199.00 A Building Permit is issued to: i on the express condition that all work shall be done in accordance with all applicabler?te of Min so? at,?tes and City of Eagan Ordinences. Building Official e FOR SALE T.H. UNITS CITY OF EAGAN A?p p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?v - ?? v?? BUILDING PERMIT PHONE:454-8100 Receiptp (?7,? To be used for FOUNDATION Est value Date OCTOBER 30 / 19 86 Site a,ddress 4137 ,3 9,41 ,43 S MEADOWLARK RDErect ? Occupancy Lot 1-4 Block 3 Sec/Sub. HILLANDALE 3RD Remodel ? Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories W Name TOWNHOMES OF HILLANDALE Move ? Length 3 Address 14442 EXCELSIOR BLVD Demolish ? Depth ° MTKA 433-0562 Int. Impr. ? Sq. R City Phone Install ? o Name HAVEN ENTERPRISES INC $a Address 14442 EXCELSIOR BLVD ? ciry MKTA Pnone 933-0562 ? W Name DIl' MON('.F.AUX T.ARKTN 00 Address 4801 91ST ST a W CiryB7.MGTN Phone 831 -l $44 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or inances. Signature of Permittee A Building Permit is issued to: HAVEN ENTERP ISES all work shall be done in accordance with all applica4l@ State of Mi ne Feea Assessment Water & Sew. Police Fire Eng. Planner Council BIdg.Off.10/30/8f APC Var. Date INC Permit $15.00 Surcharge Plan Review Water Conn. Water Meter Road Unit Tr. PI. Copies.- T„„ ? ? 17 U U on the express condition that and City of Eagan Ordinances. Building Ofiicial C ?C.J---aC--C-C -%KV-t.C .s ?7 2-35 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. !?X i'13•I?DCJ ?N?-E ck. Date /I I 1 q I b`f Site Street Address y ) 43 MeQd?Cv I C(,(k- r L Unit # Property Owner J"11 kh Ma,5011 , T( • . Telephone # (i?l ) (A ?? Li1'5?7 Contractor ?P PI !?Q.WOCV--S Telephone #(Lf)I ) 3?- ? 3y v Address ?`1lU ??d City ? G?.Y?1 State-m?j ZiP 55I The Applicant is: _ Owner ? Contractor _Other Altetations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _ _Septic System Abandonment • Water Turnaround (add $121.00 if a 5/8" meter is required) - ? Other: _ 7Water oftener Water Heater $ 15.00 ? ? eplacement additional. Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 5tate Surcharge $ .50 115- S U Tota1 $ I hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Kri S () i an Applicant's Printed Name A LL?j 6 Applicant's ignature /.5. ,p F?1D ? COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Foundation Onl New Construction Interior Im rovement • SWctural Plans (2) sets • Architectu2l Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • SWctural Plans (2) • Code Malysis (1) " • Certificate of Survey (1) " • Civil Plans "I (2) • Project Specs Pl (1) (7) • CodeAnalysis (1) • LandscapingPlans (2) • an Key • ProjectSpecs (7) • CodeMalysis (1) " • MasterExitPian (1) • Spec. Insp. 8 Tesdng Schedule • Certificate of Survey (t) • Energy Calculations (1) not always" • Sofls Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • ProJectSpecs (1) 1 • EnergyCalculations (7) " 1 1 • Electric Power & Lighting Fortn (1) " 1 1 • Master Exit Plan (1) 1 ? • Fire Protection Plan (7)" 1 1 ? • Soils Report (7) 1 • MC/ES SAC determination letter • MC/ES SAC detertninatlon letter • MClES SAC determination letter qll 651-602-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food 8 beverage or lodging facilities - submit plan to MN Department of Health. Cail 651-215-0700 for details. DATE: "a2. WORK TYPE: _ NE1N Z( REMODEL CONSTRUCTION COST: 2, Z?'I 1_y V? SITEADDRESS: H?n M?016 owlaC+? ?? - TENANT NAME: 139, 4 k4? , s* FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK rrarne: L-.(t1(_P, I ll M :11?%lt1QYY1f Pt S(30C _ PROPERTY Last First OWNER Sueet Address: City: State: Zip: CompanY: H1 h)eS(7ba V 1 Y1 f] ?`d' LVl.mi L'11,Lm Phone #: c q 5 Z?? l) ?- ? P3 ?? CONTRACTOR St. SteYlr S Street Address: ltzty_ 1=b 1t'.ti°' 1,.? rnl pt ?1 _ City: 1 State? M? Zip: ?, !? 7 ARCHITEGT/ ENGINEER Company: Name: Street Address: City: State: Licensed plumber installing new sewer/water service: Phone SUITE #: J0,hh *Or,ettt Phone#:c I?Si? qqH '021-05 Phone #: Registration #: ??R 0 6 2002 I hereby acknowledge that i have read this application, state that the information is correc and agre com State flf.V Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaUInd ustri al ? 32 Ext Alt - Apts. ? 15 Lodging 0 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous 0 29 Antennae 0 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New 0 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterarions ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorizarion ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning SAC Code # of Stories No. of Units Length No. of Bldgs. Width Const. (Actual) Basement sq. ft. (Allowable) First Floor sq. ft. UBC Occupancy sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building sq. ft. sq. ft. sq. ?. sq. ft. MC/ES System City Water Fire Sprinklered ? Insulation Engineering 0 Plumbing 0 Stucco/Stone Variance Permit Fee Surcharge Plan Review MC/ES SAC ciry sac . Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication .; .. Water Quality Other Copies .. VALUATION $ % SAC SAC Units Meter Size Total i ' BDILDING PERMIT ? ? ??-- :C9TION - CITY OF EAGA HOTS: ALL COBTRACTORS MUST BS LICENSID iiITH THE CITY OF EAGAN SINGLE F9NQLY DWII.LINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATION M[JLTIPLS DTiEI.LINGS - RESIDENTIAL RENTAL IINITS FOE SALS IIDTITS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SQRVEY - CHECg WITH BLDG. DSPT., 1 SET OF ENERGY CALCULATIONS COIYMERCIAt: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $29000 LANDSCAPE BOND To Be Used For: [Sia??/CZ, Valuation: Site Address ?3 ,6.MCAW{.(l.AQk? Lot Bloek 3 Parcel/Sub /!`?!,r,/?f! . Owner fa;v.r?,?r+.'s ? ?.?:? .n?_ Address City/Zip Code . Phone a3-esirC: Contractor ,r ao'' 1ivU Address IyyyZ- 4',?ze?i?• City/Zip Code Phone Areh./Engr. r% N Address 9'/ City/Zip Code ,?i?Ar/ s?37 Phone # Erect ? Remodel _ Repair _ Addition _ Move _ Demolish Int.Impr. _ Install _ APPR011AI.S Date: Oceupaney Zoning Type of Const # of Stories Length Depth Sq Ft Assessments Permit ??. Water/Sewer Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Varianee Copies TOTAL. NOTE: ADDRES56S FOR CORNEa LOTS - CONTRACTOR/HOMEOiINER MIIST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES iTILL BE 9LLOWED ONCE BQILDING PERMIT IS ISSIIED. 1986 BUILDING PERHIIT APPLICATIOH - CITY OF EAG9N NOYS: ALL COATRACTOHS MIJST BE LICENSED iiITH THE CITY OF EAGAN SZNGLE FgMQLY DWE.t.INGS INCLUDE 2 SETS OF PLANS, 3CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLING3 - RESIDENTIAL RENTAL t1NITS F08 SALE ONITS ?,, INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRaSY - CHECB iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & S 1 SET OF SPECIFICATIONS AND 1 SET ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For • ?4 ? Site Address A ?J?#" AF'?a (Lot ? Block 3 1 Parcel/Sub µ???AWA+ {t? Owner ?Ot,A b KPP1 tj; 0 0 Address City/Zip Code mi{A Phone Contractor bitbs N Address City/Zip Code Phone , Arch./Engr. Address City/Zip Code Phone 4F ta f '° TRUCTURAL PLANS, OF Valuation: ?'1,06o Date: Ereet ? Oecupancy 1?13 Remodel Zoning t2. 4 _ Repair _ Type of Const TL N Addition # of Stories 3 _ Move Length .Demolish Depth 22 _ Int.Impr. _ Sq Ft Install APPROVAIS FEES Assessments Permit 307, Water/Sewer Surcharge :ios Police Plan Review ? `11. Fire SAC 5'] 5 . Engr Water Conn Planner Water Meter (03.? Council Road Unit Z32. Bldg Off Treatment Pl lsCo, APC Parks Variance Copies TOTAL lq NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOBbiER MIIST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHgNGES iiILL BE ALLOiiED ONCE BDILDING PERMIT IS ISSIISD. .uol, T*- l' ? /c:;) - 6 s- 1986 BIIILDING PERKIT APPLICAITON - CITY OF EAG9N NOYE: ALL CONTRACTOHS MOST BE LICENSSD iiITH THE CITY OF SAGAN SINGLE FAMIELY DiJELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS MfT[.TIPLE DWELLINGS - RESIDENTIAL RENTAL IINITS F08 SALS DNITS •??. INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECg i1ITH BLDG. DSPT., 1 SET OF ENERGY CALCULATIONS COMMERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $29000 LANDSCAPE BOND To Be Used For: Valuation: Site Address Lot ? Block ?A Pareel/Sub ?NN A A[ i' ?f Id OwnerbWtil61%1G i?; W15 n1 ? Address U City/Zip Code M+AA ? Phone 01 3z " ? ?eo a Contractor RpWN r Nl- XNd Address I?"f'1?-, ???t(F>El?a"' lJ9Vat City/Zip Code Phone '1-n" ot;4. z Areh. /Engr o?GI?+,'ItNa?. /.rJw h f 1j Address City/Zip Code Ulm , V,?-?fl Phone 4k 5 Z, o00 Date: 1q6V 1 $ Erect ? Oceupaney 1Z• 3 Remodel Zoning R•4 Repair Type of Const 'V?N _ Addition # of 5tories 2 _ Move _ Length +4-_ Demolish _ Depth Z Z Int.Impr. _ Sq Ft Install APPEOVAtS FEES Assessments Permit Zb9, Water/Sewer Surcharge Zco. Police Plan Review 14 .?'- Fire SAC 515. Engr Water Conn 4oD. Planner Water Meter b3 $O Council Road Unit 7-3 Z. Bldg Off Treatment Pl 15Co, APC Parks Variance Copies TOTAL 20 44-, NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER liUST DESIGNATE WHICH ADDRESS IS DSSIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED. . ? (J 1986 BQILDING PERMIT APPLICATION - CITY OF NOTE: 9LL COATRACTORS MOST BE LICENSSD iTlTH THE CITY OF EAGAN SINGLE FAlQLY DiiELLINGS INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCUL TIONS IyUI.TIPLE DWELLZNGS - RFSIDENTIAL RENT9L DNITS FOR SALE ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SIIRVSY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & S 1 SET OF SPECIFICATIONS AND t SET ENERGY CALCULATIONS, $2,000 LANDSCAPE BQND? ? To Be Used Eor: Valua 141 Site Address ?'?''? Lot ? Block ? Pareel/Sub ?-? ?' i ?,U?x ~ Owner??,Jk9e?sR^a?"s"a Dis H Address ???1ic? City/Zip Code Phone q ,? `?; ' ?-'ci TRUCTURAL PLANS, OF tion : 5Z 1 od° Date: IqoU 11?s Ereet ? Oceupaney IZ 3 Remodel _ Zoning IZ• 4 Repair _ Type of Const 5Z N Addition _ # of Stories Z Move _ Length q-4 Demoliah Depth ZZ _ Int.Impr. _ Sq Ft Install APPHOVALS FEES Contractor 2?';11. Address ?('.rlF?lI f' City/Zip Code ??Fl¢$" Phone Arch. /Engr. 1:? J?mtlw-!; A11?? ?A t'iz 1 nS Address City/Zip Code ? W\?i Phone # Assessments Permit 2-BI. Water/Sewer Surcharge 210, Police Plan Aeview ?4 4•s° Fire SAC Engr Water Conn vD, Planner Water Meter Council Road Unit 2'32, Bldg Off Treatment Pl 15(0, APC Parks Variance Copies iOTAL Za14-. NOTE: ADDEESSES FOR CORNEE LOTS - CONTRACTOR/HOMEOiiNER MOST DESIGNATE WHICH ADDRESS IS DSSIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSDED. UNIT 1986 BOILDING PERMIT 9PPLICATION - CITY OF EAG9N NOTS: ALL COHTRACTORS MOST BS LICENSED iiITH TH6 CITY OF SAGAN SIAGLE FAMILY DFIELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MQLTIPLS DiiELLINGS - RBSIDENTIAL RENTAL @IITS FOR SALE DNITS ? 1°4 INCLUDE 2 SETS OF PLANS, CEBTIFICATE OF SDRQEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CO*!ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & S 1 SET OF SPECIFICATIONS AND 1 SET ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ? J () f To Be Used For: 4143 , Site Address *?'i T'l-, Lot I Block :R Parcel/Sub ?-- , , Owner Address N ?,1 ' 1, ??" - ? CitylZip Code ??•;?-, ?? <?"? ?;' ? a " Phone ? Contractor r ., t I 9ddress i?y`,' -d IcJ r v 01 City/Zip Co.de Phone Arch./Engr. OV NieCio ?`? ??f•,? ?,u Address 4ZS.???1 00 ; y+-' ? ? g City/Zip Code Phone # TRUCTURAL PLANS, OF Valuation: 5?e),090 Date: NoJ is _ Erect ? Oecupancy Iz•3 Remodel Zoning lz 4- ` Repair ? Type oP Const _g L4 Addition # of Stories Z Move _ Length ? 44 Demolish _ Depth ZZ Int.Impr. Sq Ft Install APPEOVAIS [rEES Assessments Permit ? O-I, ' Water/Sewer Surcharge ZT Police Plan Review I 53.5= Fire SAC 5'1 S , Engr Water Conn 400• Planner Water Meter co3•5O Council Road Unit 'L37-1 Bldg Off Treatment P1 15(0. , APC Parks Varianee Copies 20TAL NOTE: ADDEESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MUST DESIGNATS WHZCH ADDRESS IS DESIRED. NO CHANG&S LTILL BE 9LLOTdSD ONCE BIIILDING PERMtT IS ISSIIED. PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 , Permit Number: 0 2 7 9 3 8 (612) 681-4675 Date Issued: 0 6/ 18 / 9 6 SITE ADDRESS: 4137 MEADOWLRRK P7 LO7: A BLOCK: 3 HILLANDALE 3RD ADDITION P.I.N.: 10-32952-040-03 DESCRIPTION: ROOF DAMAGE Permit Type W;o r,k 7y p e Gensus Cade? ?'? ? ? 1 ? .. ? ?,.. STORM DAMAGE REPAIR 434 ALT. RESI[IENTTAL r•-? 9 REMARKS: TNCLUDES: FEE SUMMARY: ?°`.-?a „°?....., ' ,--•-?;? ? ?. q ar.?,?? n?. '?` ? ?ka? g H 4139, 4141, AND 4143 MEA[IOWLARK PT L3 L2 L1 CONTRACTOR: - App].icant - ST. LTC.OWNER: BANNER ROOFING 18888611 2001204 LAKEWOOD TOWNHOMES ASSOC 6001 LYNDALE flVE S 4137 MEADQWLARK PT MINNEAPOLIS MN 55419 EAGAN MN (612) 888-8611 (612)452-5307 ? r hereby ?ac,kno?al,edge`nthat' I fMav?. .r; information is'`eorre,ct.and atgree t S'tati'utes" and City EagarY° 0 rdina7i? . ,. ? .. , . . . _ ?? . e .. APPLICANT/PERMITEE SIGNATURE CITY OF EAGAN ?? q3? 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 RemodeVReoair Reauirements ? ? 3 registered ake surveys ? 2 copies of plan ? 2 eopies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 ske surveys (exterior additions 8 decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 eopies of tree preaervatfon plan if tot plalted after 7H/93 required: _ Yes _ No ? DATE: (:9 CONSTRUCTION COST: DESCRIPTION OF WORK: u?- ? STREET ADDRESS: y3 lzr'`O ° L''`A-et k N` La C,l LOT ? BLOCK \,-;3_ SUBDJP.I.D. #: R/L 5 C.tN Y p...ipAy SVNOIC.L`- PROPERTY Name: Leg4t..aooe Te-j,)»aM-c iEssos-. Phone#: 4-1 o-7 owNeR . ?, `M5T Street Address• City: State: Zip: CONTRACTOR Company: O?^?^??= ?ObF?NG 'Gc3-R0* Phone#: Street Address: ( oor LYNOAL& Rvc- s License #-J 001 ??yy City: /'A j.J.vE,apoe.rs State: ?'+ w,l. Zip: ARCHITECTI Company: Phone #: EMGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is co ct an agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certiflcates of Survey Received _ Yes _ No JU??1?1 ???,, Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY _ . , BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling a 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations a- 32 Addition a 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? 0 12 Multi RepairlRem. ? 0 13 Garage/Accessory ? ? 14 Fireplace o ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCIWS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCMIS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment Pf. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4143 MEADpWLflRK PT LQT: 1 BLOCK: 3 HILLAIdpAIE 3RD P.I.N.: 10-32552--010-03 DESCRIPTION: BasEMENr Fzrvzsw flL7ERA7TON REMARKS: « ??? ?? ? ? ?;; '??" c 094z BUILDING 026400 e4/17/ss A SEPARATE PERMIT IS REQUIRECI FOR ANY PLUMBING OR ELECTRSCAL WORK FEE SUMMARY: Base Fee 5urcharge Total Fee $35.00 $.50 $35.50 CONTRACTOR: OWNER: - Applicant - RETERSEN MILTON 4143 MEADOWLARK PT EAGflN MN 55122 (612)688-6657 ? -'APPLICANT/PE IES? -? :S???T?? U? ??- ,n CiTY OF EAGAN - ,. 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-d675 Remodel/R@pair ReQyirements ,$y &- Ko wg,?P? ? 3 registered sfte surveys ? 2 copies M plan ? 2 copies of plans (include beam & window sizes; poured fid. design; etc.) ? 2 ske surveys (exterior addRions 8 decks) ? 1 energy calwtations ? 1 energy calculations tor heated additions ? 3 copies of tree preservation pian ff lot platted after 7M/93 required: _ Yes _ No DATE: dI1 Z_ I4? CONSTRUCTION COST: 11 7'?0, ? DESCRIPTION OF WORK: FrniSl,;114 .b6wAs46cirS S-C STREET ADDRESS: Megviio IarJC P4- LOT ? BLOCK .? SUBD./P.I.D. #: Ai1 «de-- Ad??'a- No. 3 . P .E 6.-:d- Jb ?Z9<"L 0,10 03 PROPERTY Name: pe4v-s? r'`ri*a.., Jv: Phone #: ?z-fe'577 OWNER ""' ""°T Street Address• ???? ???Z?L Z°2• City: State: (?1x. Zip: ?12? ? CONTRACTOR Company: Qk c?? Phone #: lk?d Street Address: n. License #• -?-?-- City: A-A;Ii?? State: - )+?- Zip• --s-Y? ARCHITECTJ ? any: Ore,.3 ccU?, ) 5 Phone #- ENGINEER Name: Registration #• Street Address- City: State: Zip: Sewer 8 water licensed plumber: ol Penalty applies when address change and lot change are requested once permit is issued. f hereby acknowledge that I have read this application and state that the information is corcect and agree to comply wfth all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY REGC'rsN[ [D? Certificates of Survey Received _ Yes _ No APR 12 1995 Tree Preservation Plan Received Yes No --------------- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 02 SF Dwelling ? 07 4-plex 0 03 SF AdditiQn ? 08 8-ptex 0 04 SF Porch ? 09 12-plex a 05 SF Misc. ? 10 ` plex WORK TYPE 0 31 New c4?33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Alfowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? ..,° ?. ? 11 Apt./Lodging -? 16 Basement Finish 0 12 Multi Repair/Rem. 0 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility 0 14 Fireplace ? 21 Miscellaneous 0 15 Deck 0 36 Move 0 37 Demolition Basement sq. ft. MCMfS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. SAC Code ? Census Bldg ? Census Unit 10_ Building Engineering Variance ? Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct, Deposit • SMl Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % sac SAC Units ? ?? G ?tif f 6'(.,t,"c.___O?-?L6-e??;?.-C<G`_?i1- ?a-?t_C?c?-L------______.__ _._..___----__ _ .____._._ _?_._ .- t9 /3--(-??3_ - ?? . -- r Q? ?-?- -- ? ------ ..._____.__?C s_QC ?S -7.?______._....____, _. ,?{, ?L ?lc.. _ 4..i..? ? - • - . _. . _ _ - -- - -____ ?.. ___ _- _ __ _ __ _ _. _ _ _ _. -_- ?,1..._. _'?.!-Cl?' ---- -------. __----- -- CL: - .lLc?L. ?---."_____..=?????'? -- ? ?? . ---- ?__ ?C? --? • -- -- --- - ?' . l? G?- __ --- - , , ? L t ? -- - -- _ • , - -- -- - - ?-. ._--- __:___ __ -- _ - --.--------- ? ? -._ ?_-_--- ---.._----- `?. . ; ? _ _ _ _ - ---------? _ .._. -- -- - IL??_... ....... --,- - ------- . ?.f,?.? .1?-? ---- _.--- -------- . ? Cc / G' /30 /4 :2: 6o-w , _ ?-- ? ? - INDIVIDUAL UNIT CERTIFICATION - Certificale No.: `tiu_4_t67 3. -Purchase Price: Structure Address:_ 4137=4 t43 MEADOWLARK Pf __EAGAN9_ MCI. 55I21 ASSOCi2ti0n Naff12:IAKE.l?i.0-OD_S_4.1M1IH4.NES-_NGKENNA MpNAGFMENT AS50 Builder:_?ann-s?ona _/ , Unit No.: 414t Unit Owner(s) Complete Unit Mailing Address: (If different from above) Unit Limited ???z? ?? Warranty Commencement Date: , 8 HOME OWNERS WARRANTY PROGRAM THIS CERTIFIES: (1) Your Builder/Developer, the Warrantor under the HOW Program, administered by the Home Owners Warranty Corporation, has provided your Unit with an insured warranty as described in the Limited Warranty and Approved Standards booklet which is provided to you with this document; and (2) The Unit Owner(s) named above islare entitled to the benefits provided under the Certificate of Enrollment issued to the named Association. SECRETARY PRESIDENT Date Issued 02/16/88 Mailing Address: HOME OWNERS WARRANTY COHPORATION WESTERN PROCESSING CENTER 500 GRAPEVINE HIGHWAY, SUITE 300 HURST, TEXAS 76054-2760 (800) 433-7657, (877) 284•3737 HOME OWNERS WARRANTV COHP. 1982 OWNER HOW 707A wesc Rev. 1/8B ? CITY 4F EAGAN APPLICATION FOR PERMtT SEWER AND/OR WATER CONNECTION . P ease Print) p 1) PROPERTY ADDRESS: ••• LEGAL DESCRIPTION: IF EXISTING STRCCMRE, DATE OF ORIGINAL BLILDING PERNLiT ISSL'ANCE: ', - - (Nbn Year) PRFSENP ZONIAIG/PROPOSID LSE: 0 CORT4ERCIAL/RFTAIL/OFFICE Q INIDC'STRIAL rl INSTIT[!TIONAL/GOVERAP9E,'NT O?R-1 SINGLE FAMILY 0 R-2 DLPLEX (Tao Lnits) r7 R-3 TUWNHOLSE (Three + Units) ( Lnits) R-4 APARTMENT/CONIDOMINICfi1 ( Units ) 2) 1vAME: a7`? ADDRESS: ? CITY, STATE, ZIP:_ R' PHONE: 3) • ?: ?• 1VAME: ADDRFSS: CITY, STATE, ZIP: PHONE: -7e o cj? MASTII2 LICENSE# Pltunbers License: a Active H Expired Not recorded Sta f Initial 4) •• ? ??• ' NAME: ADDRFSS: CITY. STATE, ZIP: PHONE: • 5) '? w • ?+• : a • s? - ?• JZ CONNECTION TO CITY SE,'WII2 E3? CONNDCTION To CITY WATEEt ? ??- - ? (Circle one) *iOTE: PAY1KFTfT OF FEE AT TIME pF 6) q PLEASE HOLI7 APPROVID PERMIT FOR PICK-UP BY ONE OF ABOVE -- ----- -- ? PLEASE MAIL APPROVID PERMIT TO 1. 2.?, 4. ASOVE . APPLICATION DOES NOT CONSTI7[Ti? APPROVAL OF PEEtMiT. : itusPncrzoN oF MM ArID/ox wazEt INSTALTamroNS wUL rxrr BE scHEn- UI,ID UNTPIL PERMIT HAS BEEN APPROVFD. :fOR :CITY USE 4NLY - ?--- PERMIT # ISSUED 9 -;-? y7 .. . . Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) .. .. $ $ WATER PERMIT (INCLUDE SDRCHARGE ) $ $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER S 5bD O-t7 $ WAC $ ?j 75 Cr?U $ SAC $ $ TRLNK WATER ASSESSMENT $ TRLNK SEWER ASSESSMENT $ $ LATERAL SENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ ?? ?' Gr -a $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ Z) TOTAL RECEIPT RE - C IPT# DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC Q NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST S CO D IO . A IT A N N. SUBJECT TO THE FOLLOWING CONDITIONS: .y APPROVED BY: TITLE: DATE : CITY OF EAGAN APPLICATION FOR PERMIT .. SEWER AND/OR WATER CONNECTION * . - **ATF': PAYMENP OF FFrE AT TIME OF * APpr.scATIorr noEs NOr coKSrrTM * APPROVAL OF PII2NIIT. * * INSPDCTION OF SEWM ANID/OR YJA'IER ? jt T.T.ATTONS WII.I, NO1.' BE SC'HID7- ? ULID UNTII. PIIiMIT HAS BFM * APPROVM. ? ? ? ********************************** triease Yrint) 1) PROPERTY ADDRESS: d?//y/ 177<A??L] LEGAL DESCRIPTION: ock/SUbdivision or Tax Parce IF E}ISTING SIRt'CILiRE, DATE C FRFSENT 7ANING/PROPOSID LSE: q coLcuL/xErAIr,/oFFzcE Q INIDC'STRIAL n INSTI'IUTIONAL/GOVII2NMENT IF ORIGINAL BLILDING PERMIT ISSL'ANCE: " (Nbn Year) ?R-1 SINGLE FAMILY ? R-2 DLPLEX (Two Lnits) ? R-3 TDWNfiOUSE (Three + Units )( t?nits ) R-4 APAR7.MENT/CONIDOMINIUNI ( Units ) 2) NANE: ADDRESS :1? ey ? g ?•- r, ? ? 1/? CITY, STATE, ZIP: PHONE: ? _Z?PS-- ")eo p 3) • i: ?+• 1VAME: . l..L. _ .r .- ADDRFSS.?a!,? 2 Z- J ?' _ ?r CITY, STATE, ZIP: PHONE: MASTER LICETISE# Plumbers License: Active Expired Not recorded St?'a I? tial 4) •a• • • i?- NAME:- _ ADDRESS: CZTYSTATEj ZIP: /t PHONE: • 5) • r. •Bi• : a • a ?? x CONNECTION M CITY SEWE,'R 4EEK(.?ZON TL7 CITY WATII2 Q OTMR ' 6) `? •?' El PI.EASE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF AHOVE ._- ? PLEASE MAIL APPROVID PERMIT TO 1, 2./3? 4.ABOVE . (Circ one) 7) r, r• u • _ `?'? .,?-,? d ? -?' . ?"?`? ? '?' /?.? C-?Sl r/ FOR -CITY USE ONLY PERMIT # ISSUED Zz ? Pd w/Bldg. Permit FEES: .._. ? , SEWER PERMIT (INCLLDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOLNT DEPOSIT - SEWER $ $ ,5 . Lr 7J ACCOUNT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRDNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PCiBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DZVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : . ? ,. . CITY OF EAGAN ? APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ?#********************?********#***# * * *ro179: PAnMEnrr aF FEE AT TIM oF * * APPLxcATzoN DoES rur oororiTuTE * ? APPROVAL OF PERMLT. * ? INSPDCTZON OF SETnM AND/OR MTER * IIJSTAIZATIONS WIU NOT BE SCHED- * * ULID UNTrIL PERNIIT HAS BEET] * ? * APPROVID_ * ? ? . • ?xxxxxx?xxx,xxx?x n ?,xxxxxxx ?? ? P ease Print ) ` .1) PROPERTY ADDRESS : LEGAL DESCRIPTION: IF EXISTING STRLY-ILTRE, DATE C PRFSENT ZONING/PROPOSID LSE: Q COPR,'IERCIAL/RE,'TAIL/OFFICE Q INIDL'STRIAL C] INSTIZ[?TIONAL/GOVERIVMENT vision or Tax )F ORIGINAL BL'ILDING PERMiT ISSt'ANCE: (Nbn Year) 24?R,-1 SINGLE FAMILY ? R-2 DLPLEX (Two Onits) ? R-3 'IOWNHOLSE (Ttiree + Units) ( tnits) R-4 APARTh]aNT/CONIDOMINIUM ( Units) 2' ? NADE' ADDRESS: _/2G4jg' CITY, STATE, ZIP:?- p?'-?-??? ,?? "-? ????7? PHONE: /otJI -'7C d 0 3) • ti i: ?• NAME: .. v ADDRESS: /,2 cj/ CITY. STATE, ZIP:,?? PHONE:? s e-,? - 7iS a 2? MASTER LICENSE# ? r.Luuiuers i-acense: a Active H Expired Not recorded Staff Initial 4) •• • i?• - NAME: %scz S _ ADnREss: 4r 2 CITY. 5TATE, ZIP:?2'?` nn U?i,n.?.? "?^jr? 5..5- ?ry ?_ PHONE: - 5) '? a: • ?• : ? ? ?? - ? CONNECPION Ti0 CITY SEWER ?COANF]CrION TO CITY WATER C] OT'HER 6) OV141(RA • ?- 0 pr•FAGE HOLD APPROVID pERM2T FOR PICK-L?P BY ONE OF ABOVE M PLEASE MAIL APPROVID PEE2MIT TO 1, 2. & 41, ABC?VE . ,, (Circle one) 7) r n u• . FOR -CITY USE ONLY._ _. . ?, PERMIT # ISSUED ZZ Pd w/Bldg. Permit FEES; $ $ SEWER PERMIT (INCLLDE SURCHARGE) $ $ fPi"S ? WATER PERMIT (INCLLDE SURCHARGE) $ S-z) $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUtQT DEPOSIT - S'EWER $ $ %5, Crl ACCOUNT DEPOSIT - WATER $ 56 .Q o $ WAC $ G/7S•0'D $ SAC $ $ TRDNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRLiNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: er ? TOTAL i /Cf '3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ED YES IF YES, THEN A"PERMIT FOR WORK 4dITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SDBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ? TITLE: DATE: D a- \ PERMIT # RECEIPT OATE: ? MIDENTilkL PLUM$1NG PEOTT APPLiCATIOR ? crrY oF Easm S$SO PILOT KAOB ltD £AHRN, MN S51 EE 651-6$1-4675 Please complete for: ? single family dwellings > townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system ' SITEADDRESS: . ? OWNER NAME: : #: Qc?a,,_.?Lq? -?? . (AREA CODE) r INSTALLER NAME: . A_ . r TELEPHONE #: qS3s Q 3I ? c1?07? STREET ADDRESS: 605 12th AVERUG :q-t'3 (AREACODE) :n ap , i ,;,;.,-? . CITY: STATE: ZIP: Place a check mark next to the permit work tvpe _ New residential dweiling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abanaonment of septic system • new installation/repairlrebuild of RPZ • lawn irrigation system • water turnaround Nature of work: &,ok c,e jo .( 1(\E' Q?„?/ _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees e requires MPC license v State Surcharge ? ? $ .50 Tota I $ ?Q `? Reminder.• Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the informadon i rrect, and agree to comply wilh all applicable Cityof Eagan ordinances. It is the applicant's responsibiliry to notify the property owner that the City of Eagan umes no Iiabili w???'.d-a7m??ages caused by the Ciry during its normal operational and maintenance activities to the facilifies construc[ed under fhis ?erm ifhin C' proper{ylrjpgt-edf-way/easement. RMI Updated 1101 7?,54? 2007 RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do nof combine inside and outside plumbinq on the same application; separate applications and permits are required. Date 1' / 17 ! D 7 Site Street Address ! 7 ( t" ( L° -r's O W[ 4/ !` k T'16 2?74' Unit # Properly Owner A a ra &? IOu rVs h 0-C`? o? ma Y1 Telephone #( ) Contractor N o 1- -&-h e r h V0`,4 'n fj r v/ ay Telephone # C1b3).s D?' d'o-Ado Address 5g S3 ?t 2 nn t, n'E ?ve City 14.:2 I S• State?l t Zip The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor Septic System New Refurbished Submit 2 sets af plans and MPC license Includes County fee _ _ $ 100.00 Per as-built $ 10.00 Fire Repair (replace bumed out flxtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installatian of a water softener and/or water heater at the same time. li you are insfalling on/v a water softener and/or water heafer, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new X replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total V I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to startwithout a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. 1 Q a.vb?: e (,j a,l ApplicanYs Printed Name IicanYs Signature + RESiDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNQB RD - 55122 boo- 651-681-4675 NewConstruction Reauirements • 3 registered site surveys showing sq. ft. ot lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam &window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Jaist Delail Options selection sheet (bldgs with 3 or less units) DATE l0 - ? D ?&I JOB SITE ADDRESS-%3 7 - ql'? I , ql IF MULTI-FAMILY BUILDI PROPERTY OWNER __?, TYPE OP WORK? APPLICANT Cot!/Aw ADDRESSJnl /1/-, PAGER # HOW MANY Ck 60,25 RemodellReoair ReauiremerNs • 2 copies of plan . 1 sel of Energy Calculations for heated add'Aions . 1 site survey ior exterior addiqons & decks • Indicate if home served by sepUc system for additions VALUATION ?§we FIREPLACE(S) 1 _ 2 PHONEO?3??v?Z'- ? ZIPCODE CELL PHONE # lo 17- ` 701 ' / 54f FAX # NtIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Venti{ation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that with ail applicable State of Minnesota Statutes and City of Eagan Signature of Applicant _ Phone #: Lawn Sprinkler No. of R.I. Batlis Water Softener Water Heater _ No. of Baths _ Air Condiaoning _ Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 correct, and agree to comply Certificates of Survey Received _ Tree Preservation Plan Rk?eived - NotlRequired _ f/ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex 0 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Fina Footings (addition) Plumbing Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool , Ftgs _ Air/Gas Tests _ Fiqal Fireplace _ R.I. _ Aiz Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water 5upply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex 4 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N V . ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screened) ? 36 Mulfi ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered _ FinaUC.O. _ UNo C.O. HVAC t City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4137 Meadowlark Pt Lot: 4 Block: 3 Addition: Hillandale 3rd PID:10- 32952- 040 -03 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935 -9669 Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Permit closed without required inspection(s). Letter sent to applicant on 6/9/09. (pi) A framing inspection is required when installing a Bay or Bow window or if the opening is altered required in all sleeping rooms prior to final $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Bharath B Purushothaman 4137 Meadowlark Pt Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA087796 12/17/2008 ePermit Smoke detectors are Use BLUE or BLACK Ink I For Office Use 1 I I Permit#: City of Eap I Permit Fee: i 3830 Pilot Knob Road I Eagan MN 55122 Date Received: 3 I Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff: I 1 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: I)39 - q r ! ✓ Ou)~Q~l~ Name: 144 64-E- 4&00, Phone: Resident! i Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: ow /Ximc M)yvr Si 1V) }l . e Construction Cost: Multi-Family Building: (Yes k / Iris ) Company: lV W 44c r c rs A, s w I.Ap- Contact: 56E AfIrLi ! ~7 1 t,I Contractor Address: (01 ` 3 /V ° City: rC},~k CroV£ State: MA) Zip: ~ 3 t0 Phone: -AD-3 -3 9<1 License _l-lJ ~S Lead Certificate N741 ' (n~/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) F 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.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 MinnesotS Bui n e ust be completed within 180 days of permit issuance. s x Applicant's Printed Name Applican 's Sign re Page 1 of 3 Use BLUE or BLACK ink �-----------------� � For Office Use � Cit af�a �� ; Permit#. �,o�-t�� 3830 Pilot Knob Road � Permit Fee: � • O� j Eagan MN 55122 � � Phone:(651)675-5675 I Date Receive� ' ��" � , 1 � Fax:(651)675-5684 � j � Staff:`�J� � ��.��J 2015 MECHANICAL PERMIT APPL.ICATION ❑ Please submit two(2j sets of pians with all commercial application� Date: �� Site Address: � /' �� Tenant: Suite#: ResidenUOwner Name: � � Pnone: ��` ��'��l Address!City/Zip: � �'1� �l �U`C {1. �' Name: � (,, License#: ��-'�� Address: i�i " 6`- �z City: �� Contractor ,�/ �s — State:�—'_—Zip: � Phone: J -� l � � �- Contact: ^C� Email: cGGe//` � New Replace nt Additiona Alteratian Demolition .� Type of Work Descrip#ion of work: / MQTE:Roof mounted and ground mounted mechanical equiprn+ent is required to be screet�ed by Gity Code. Please con#act the Mechanical Inspector fot infofmation on�etTrnttted scnseniag trie#hods. RES/DENTIA! COMMERC/AL �Furnace New Construction _Interior Improvement P��'Itllt'Typ@ : —Air Conditioner Install Piping _Processed Air Exchanger Gas Exterior HVAC Unit _Heat Pump UndedAbove ground Tank (_Install 1_Remove} Other I RES/DENT/AL FEES I $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge 'I $100.00 Residential New, includes State Surcharge =$ �� TOTAL FEE COMMERCIAL FEES Contraat Value$ x.01 $60.OQ Permit Fee IlRinimum, includes State Surcharge $7Q.OQ Undergraund tank installationlremaval =$ Permit Fee "If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -� Surcharge" If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cales of he City of Eagan;that�understand this is not a permit, but only an application for a permit,and work is not to start without a ermit;that the wprk will be' accordance with the approved plan in th case of work which requires a review and approval of plans. �— � X ��- `�� Applicant's Printed Name A lican s Signature FOR OFFlCE 11SE Required Inspections. {�Ey�Qy�&�gy: pa�: tlnderground Rough!n Air 7est Gas Service Test in-flc�or H�at Finaf FiVAC Scre�nrng Use BLUE ar BLACK ink --------- j For Office Use j � � Permit#: � �� -1" l� � C�� Permit Fee: • I � � 3830 Pilot Knob Road i (� � Eagan MN 55122 � Date Received:�i `t� �'`�J ' Phone: (651)675-5675 � Staff:� � Fax: (651)675-5694 !________________! 2015 RESIDENTIAL PLUMBING PERMIT AP �IC TION i e Date: � � ' Site Address: � � l P` Tenant: Suite#: Res�dentlC�nrner ' Name: f Phone:�� LSf��U � Address/Gity/Zip: ( �l/ r �VV � �� Name: �� License#: Address: �City: �� Contractor ��'�`� State:�'Y�Zip: Phone: r ' `�l ''�!�?� Contact: �� `- Email: ��'"�r✓` T eofWa _New _Replacement _Repair �Rebuild _Modify Space _Work in R.O.W. YP - � Description of work: � RESIDENTIAL ��ater Heater Water Softener Lawn Irrigation(_RPZ 1�PVB) P@t't111t:Typ@ Add Plumbing Fixtures(_Main/_Lower Level) Septic System New Water Tumaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes 5tate Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround*(includes State Surcharge) "Water Tumaround(add$210.00 if a 5J8"meter is required) $115.00 Seqtic SYstem New(inc{udes Caunty fee and State Surcharge} � �q TOTAL FEES$ �fU CALL BEFORE YOU DIG. Call Gopher State One Call at(651}454-0002 for protection against underground utility damage. Calt 48 hours before you intend to dig to receive locates of underground utilities. www.popherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and cod of the City of Eagan; that I understand this is not a permit, but only an application for a perm�, and work is not to start wi hout a perm�that work will be in accor nce with t e appr ved p an in the case af work which requires a review and approval of pIa C ; � ti. � , �� < x t X A p icant's Printed Name Ap icant's Signature FOR OFFICE USE Reviewed By: {}ate: Required Inspectians: Under Grauntl Rough-In Air Test Gas Test Finat Meter Related Mtems: Me#er Size 'Radia Read Mant�meter Staff: Use BLUE ar BLACK Ink For Office Uset ----------- -- - - - - - - -- -- ------- --- --- - --- ----- - - --- - - ------- City /j :::: / {// : (, `� 3830 Pilot Knob Road i 1 Eagan MN 55122 Date Received: Phone:(651)675-5675 buildinginspectionsecitvofeanan.com I I I Staff: !- 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: [^/ ) Site Address: 7f. /)/-Q 4tJOt)I at k_ f. Unit#: „,,,4,,,,,,,,,,,za.4_,:c.,,,,*.-±,1,-,P,I4,,,,T, Name: Phone: FI.,:?i,,, t,,,,--7M.,,P.,1,ii„;:f,P.,,,,-- ner Address/City/Zip: r s*µ' Applicant is: Owner Contractor M )V€ i Y Work Description of work:' t'_ _ ecI(..,. {�uQ Lug rd Y! W j0 .,,[i Construction Cost: _ ®h Multi-Family Building:(Yes / /No ) : Company: ()S4'f'oiiA COnS Tcu(likV\ G-/.-C Contact: �Y f5-1o1 ,,,,:::'.,,,,,,,,,,,--::::4--,,,,,, -,:, Address: j 4 6 S'i ve?6L Se-) ( le City: Pa Oontract8lrty 4 , State:Pi A/Zip: '$12 Z Phone: (pl Z-22J-i3O40Email: DSf( r tlu'Id(cJ Msn. Ge .. License#: S 00 ((F Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE.Flans and supporting d mpnt`seha:f y u i ibmXi re side ;„ r L l form y a r at1:.96 mak be`cl$8sifted a*pori pt�blrif if dt p i i 1e i s• k 1+Ai 7tigi 4 r r� t trade secrets - .� 71 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecali.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is 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. filig_ 720/11 Appl7rfl )?2o7 nt's Pr nted Name x 17/1 L"(1:;e- APpir nt s gnature Page 1 of 3 4 -:(Rpie_ie_ LI- . DO NOT WRITE BELOW THIS LINE /1/6- /6 e __ SUB TYPES _ Fpundation _ Fireplace — Porch(3-Season) __ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi '6 Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 70 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New — Interior Improvement _ Siding _ Demolish Building* Addition — Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage )4 Retaining Wall 'Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation $ cs-va• Occupancy _R C-3 MCES System Plan Review Code Edition .Ari 2 0 I S SAC Units (25% )4 100% ) Zoning ? -3 City Water Census Code Stories Booster Pump #of Units Square Feet 2 6o PRV #of Buildings Length 1 2- Fire Suppression Required Type of Construction V 5 Width 2 C REQUIRED INSPECTIONS Footings(New Building) Meter Size: )D Footings(Deck) Final I C.O. Required _ Footings(Addition) _ Final/No C.O. Required _ Foundation HVAC'Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final e Framing Drain Tile _ Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath _Brick Insulation Windows _ Sheathing t0 Retaining Wall: Footings?o Backfill ys Final — Sheetrock Radon Control _ Fire Walls Fire Suppression:_Rough In_Final - Braced Walls Erosion Control Other: viewed By: l 9 wi A•is/ ifl , Building Inspector !SIDENTIAL FEES e��Jr 4® _ o' /5-..0 Sq #7 Base Fee Surcharge (L e3-0.:,n s Al (i)•4- i I /60.0. — Plan Review R : r d rf 9s in d` 14- /¢ / MCES SAC /1�v/� e3 /�t t/ /� f7 City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 J /0__.�G' NV1d aLIS w,fi ro' ZIISS NH'NVGV 0 ,an"-I Oak,.a,r»ro.� =zz,1� e m,,, m:.o amau�ua lwmonns INIOd/aVO `�21V-IMOQV3W Oblh-b LOt� �/� me„odd 5n,oy,fims�kw,w, 0 °A gDuapa°W uo MN V 1 9 kIOHNMOl QOOM3>V7 m° o0 9J:: tj1It u o n° a 6 6 n 2y'y "' ➢ 6 9 ° � '$' a ; d't' a g a a d m P ( r t o Ba '2' a E'E' yy" §2,' �' $° °� Bo ° ry m a n °Oq u u ��'S o m '6z- `4, a o 8E yafg Es YY= 'd-'?• -'),223 • • • • • • • • • °_mE� a 6 p 6° 6 otiap 2i� y� 6�° J<Y • • • yU J1 c N ° vt o� y 5 E a u�� m0sU _ f y,o �a 11,q -'a't,", iO� N • • Nb V6 ti o Oo Q- O -0.28 2 Ua' a� a 5 W 0 - gay " `• :Thi'-'.. §v9 6� 6`2- ra ��guuw'_u • �i5 O u 4 a °m �'° am`y� p " a6 ar o8 ; aog.. n"oa ia` o o 3' ua .R ° a °�' _L^N`o a s hg��i '64A Z ip °" ° U i.3.:31,, 6' r 6 aa m6 y_�a y "o- o 2 2 '0'91 � .41aago g�,m a=a u� 2 qq y oy dui 2' '`r .''$g W4 ° a 6° 0 6 �'a E s 9g-g.9 3a P'& °a°6 `°z' z r • • • —2 .. 6 El;.; °a _ -F, u m gtpa. or6P s vg ° "m`"m °" n �ihm ¢ a m o m v n m ? `"a te y2U0 " o °-� =,on-`ob8 dou ° 2$"2+°v 9n� gym" m �' "o= oo p Ya_8.= 3 6 "oa -ki88: _ °arc t5so"= 2- � °sipo �oo-p a`� op o E _ :. � � �' .. °sao"u �, .. g. `a nk6�3=0°� n F"�ozy« +bo r ,6 ar J°' 4 "- a2o- °v` 26.m!?"�°s� ag""`Ec" � g6..-« � �- ��€ d s6= YE4?S°"�'6�=y°b�u ° uQ`�of - yya-..._ '- q"T ° ° t " m� o°t o iF VpOyt84.—. a"n' .6-, a'bo moT 2228 VT y 6 0 6 "90 yon '� �Uu €m�^'a am&�sa >�°>ya_ a.. �+ _ b�= °�F�' $ ."h� a�a a y y =, " N 8y 6N '41 °'"Pu2' ,,, 41T, 12.2yo6`c um,.6$zao6a. § F"op !?,71-_., +g r5.?2-.? u,Y �' p 8 0 � d o 0 9ya zf o ‘2#2 as ooQ �� a .N.,-; sso °6= ptiY o°g �-�°0.s�� $ a� 'coa - °a� s 6U3' A. o E .. y6LL �° o " sad `a >_$ •o= "v°,a-ao �2Gs"?,-° opo o o' er o222 �U y` ° _ v°c 'i' F r gE 2'..� _ a � o3s°a'��'a"o.. aEn `E ..y PO N i �-� L U �U° y� 6r 42 ��-- E2)M§ F 6-_� � y ... y � Q �� 6s y, �] 3Ns U9 E4 � y �a_ pp yy yC iuw!: 'F-,IP 6 O !S a .SK p ar S " ' .. O- a y E01y''' F O�Qt y6 '= O`�y- �,-fL�UQO.H.p .� mt 8 0 U g y o � �r fi .9 RI 2p °aoo " = a2 u 2 5' _ �� ay y ys °� a'` �a`�ao HO »,- E -„,o.-=-55 = -aom°O° o �'2' ° o`o a � �' z S �! u a ,Ra g-§' 'H w�i LLai34-' i o xxxo �Sm iak�o Boy ao6 nna§? .4-7. �a -- _ ry m v v, -o r co a' O - ri m v m .o t6t dm d n "pl..; 1a 6 2Io v m r ej C 0 75 c ,. 3 0 In r. 0bob ti WI C %////, Q 8 oo • rt WNW v 0\ co �• �Poo� m Ea al CIS 0N �4 / 1 10P '-------1 Gr.. ,U , w.i41Øs o� 4 a �!!% %///OH O/� O m r v v a v_ m m `” O%% a O /�, NORTH v • 10 Q c O S€Ib /211 F- -r4. - ° y6�� ,/ nIII d €Ib �� o c(2,_ AIIII cc o = _J LZIb u-)'%%06 / IZIb O €Zlb % j _ q J� s I _ , a �✓ ` .J ofl 110N111Hr LiJ / u QYO2i H2iV1MOdy3W HIfOS j Z D,•, °% a. , 0, 0 ,e,r ., illarmisitir , ,LATil MIT . 144 - >0 j% BLOb t, 8 /j ,ii 4 it Amp lilt, 14-', 41111P% , 4/ MEADOWLARK PT STREET/PERMIT NUMBERS A B C D E F G H 1 STREET# PERMIT# Description 2 3 4117 145389 Deck& Retaining wall 4 4119 145397 Deck 5 4123 145400 Deck 6 4127 145402 Deck 7 4131 145403 Deck 8 4135 145404 Deck& Retaining wall 9 4137 145408 Deck& Retaining wall 10 4139 145410 Deck 11 4141 145411 Deck 12 4143 145413 Deck& Retaining wall 13 4145 ✓ 145414 Deck 14 4147 145415 Deck II v Mattson Bassett Creek Business Center Macdonald 901 North 3rd Street, #100 Young Minneapolis, MN 55401 structural 612-827-7825 voice engineers 612-827-0805 fax September 29, 2017 Terry Ostrom Ostrom Construction LLC 3786 Nicols Rd St Paul, MN 55122 RE: Lakewood Townhomes Deck Replacement—Pier Alternate 4074-4190 Meadowlark Rd Eagan, MN 55112 MMY Project No. 16329 Dear Terry, The purpose of this letter is to document that Mattson Macdonald Young, Inc. is aware that the as-built conditions of the new decks at the Lakewood Townhomes are different than what is shown on the drawings dated 8/19/2016. The original drawings show the width of the new decks to be 12' off the existing wall of the buildings and 10' off of the cantilevered 2nd floor framing. The as-built condition of the new decks is 10' off the existing wall of the buildings and 8' off of the cantilevered 2nd floor framing. This change is structurally acceptable. If you have any questions or concerns, please feel free to contact me. Sincerely, Mattson Macdonald Young, Inc. Tor Okevad, PE MN License No. 50938 REVIEWED By: �1 Date: ' Zq' .---/ Eagan Building inspections Division PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162329 Date Issued:07/09/2020 Permit Category:ePermit Site Address: 4137 Meadowlark Pt Lot:4 Block: 3 Addition: Hillandale 3rd PID:10-32952-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bharath B Purushothaman 14420 Atwater Way Rosemount MN 55068 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178369 Date Issued:08/12/2022 Permit Category:ePermit Site Address: 4137 Meadowlark Pt Lot:4 Block: 3 Addition: Hillandale 3rd PID:10-32952-03-040 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Bathroom(s) Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bharath B Purushothaman 14420 Atwater Way Rosemount MN 55068 (651) 230-5325 Mad City Windows & Baths 5020 Voges Road Madison WI 53718 (651) 500-0514 Applicant/Permitee: Signature Issued By: Signature