The URL can be used to link to this page

4074 Meadowlark Rd' ' ' CITY OF EAGAN . . . ' 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 P H O N E: 454•81 QO BUILDING PERMIT Receipt# To be used for • Est. Value Date ,19 ? Site Address OFFI E USE ONLY Lot Block Sec/Sub. =? L'• ???- -? ?'' On Site Sewage - Occupancy MWCCSystem _ Zoning Parcel No. On Site Well _ (Actual) Const a Name i' i? • + City Water _ (Allowable) i = AddresS "- PRV Required - # of Stories a City Phone Booster Pump _ Length - Depth a ,o Name S.F. Total ? Q Address Footprint S.F. ? City Phone APPROVALS FEES U¢ W Name Engr./Assess. Permit ? = x- Address Planner Surcharge ' ; Q W City PhOne Council Plan Review ' Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the . Variance SAC, MWCC information is correct and agree to comply with all applicable State of Wa[erConn. ' Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A 8uilding Permit is issued to: ' - Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks . Building Official TOTAL • Parmit No. Permit Holder Data . Telephone # Plumbing Electric Softener Inspection oate Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Pibg. ? /3- RoughHtg. ? r S S8?Qla tlcl?i..f Isul. P Fireplace Final Htg. Final Plbg. Bldg. Finai Cert. Occ. Temp. LP Deck Ftg. D9ck Final Well Pr. Disp. it ? y ?T (ter#ifiratt of (Orrupanry titp of (Eagaa lirpttr#mrnt u# lui1D'mg .Jns.pertimt This Cenifrcate issued pursuant to the requiremenu of Section 306 of the Uniforrn Building Code cenifying that at the time ojissuance this structure was in compliance with the various ardinances of the Crty regulating building construction or use. For the following: UseCbssifia;m 1 OF 4PLEX BWg, P?o,;, No. 14996 ppcupaaY Type R3 7?wg nftwi R4 Type CowL Vn ?r of BuikUng AAVEN ENTERPRISES Addrm 14442 EXCELSIOR BLVD., MTKA 8udd;ngAddjm 4080 S MEAD WLARK R?i;tyL6, B9, HILLANDALE 3RD t' JUNE 26, 1989 euadng offi6W POST IN A CONSPICUOUS PLACE 'c?TY oF Ea? INSPECTION RECORD GAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: ;,, ! i I ?,tJUr?l 1 I,ti APPLICANT: i 1, i 11 nc r'bat i PERMIT SUBTYPE: TYPE OF WORK: rar 4i 1}f SCIt[PTiUN i!iA' INSPECTION .. • .A i Permk No. Permk HoWer Date TNaphone 11 ELECTRIC ? PLUMBING HVAC Inspectlon Mta Insp. Commenb FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP80ARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 0 BSMT R.I. BSMT PINAL DECK FTG DECK FINAL ? CITY OF EACAN •,'... 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 BUILDING PERMIT Aeceipt # To be used for i '^ Est. Value Date ,19 SiteAddress Lot 1 Block Sec/Sub.??1L?t?``??A?` Parcel No, a Name ,?•?E•,, F,r:1F.Pi'RiSSS9 INC = Address 1i+442 ;tiM7.1.S1i5R DLVD ° City Phone 9 J 3"0 562 o Name : ? `•. ? i Address ? City Phone a W Name = Addre ? W City_ Phone 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. Signature of Permittee A Building Permit is issued ta l"c on the express condition that all workshall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. . Building Oflicial OFFICE USE ONLY On SRe Sewage _ Occupancy MWCC Syafem Zoning '-G On Site Well _ (Actual) Const City Water x (Allowable) y ` PRV ReqWred of Storles ' " Booster Pump _ Length Depth S.F. Totel Footprint S.F. APPROVALS FEES Engr./ASSess. Permit ' i" • Planner Surcharge Council PlanReview Bidg. Oft. SAC, City ' Variance SAC, MWCC Water Conn. r' Water Meter Road Unit Treatment P1 Parks TOTAL Permit No. Psrmlt Holdar Dabe Tslephon e Pluinbing g Electric 4 ?(IbI t-ZL Softener inaPection oate insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. _ _ Rough Htg. ? QIs- I5UI. C.heC4 ,?f f at t Fireplace Final Htg. ,Q?rJ Final Plbg. izw Bldg. Final Cert.Occ. ?-/ Temp. LP Deck Ftg. Deck Final J Well Pr. Disp. E r ??• (gerfifiratit of (Orrupariry Citp of Cagan lgP}iaYfritpltf of IltDlrig jtt9}1Ptftoit This Cenificate issued pursuant to the requrrements ojSection 306 of the Urriform Building Code certifying that at the time of issuance thr.s structure was in compliance with the various ordinances of the City regulating building construction or use. For the follo)iing.• Uu (7assification I OF G-M EX Bidg. Pertnit No. 1IiQQS Occuparcy Type R-3 Zonieg Disirict R-LL 7yM c.om, V-N Owner of Buildiog HAVEN F]Jr#?PR' TSFS , TTC pdd,,,, 14442 F3R.T?7 CT(R R[ UD Buiiding Address jW$ $ W-01Lll ARK Rn Imliry (.3y R9 Y HTi I AAH]Ai F. '{Rn L. 1(1 1 01 ?s ? ??? Dne: AllQ15T 17, 1990 Bwld g officw POST IN A CONSPICUOUS PLACE PERMIT # ??? t o'i ? • , MECHANICAL•*ETIM17` CITY OF EAGAN RECEIPT # ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE Site AddrTs _ Lot - m Name _ m Address c City _ Name _ c Address o C'ty - TYPE OF WORK Forced Air Boiler UnR Heater Air Cond. Vent Gas Piping Outlets # Other WORK DESCRIPTION New Add-on Repair ? BLDG.TYPE . Res. ?. Mult. - - Comm. _ Other PHONE: 454-8100 Phone M BTU M BTU M BTU M BTU CFM FEE: S/C: TOTAL• FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA. COMM/WD FEE - 1%OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) CONTRACT PRICE Site Address 02121F_ ?% -- Lot Block ? Sec/Sub Name !-,tr' -?a Address ?JS/i 2i l,,?=,,.i _,-?? c City Phone Name 44-• ? T 3 Address O City Pho FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE R CONDO - RES. RATE APPLIES 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 $7,000.00) OF PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 PERMIT q 7v'L (G RECEIPT q n 2 ?? ? DATE: '=i94 - ? BLDG. TYPE WORK DESCRIPTION Res. X New ? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ?Water Closet - $3.00 $ Bath Tubs - $3,00 Lavatory - $3.00 -Shower - $3.00 __,I-Ki?chen Sink - $3.00 -Urinal/8idet - 5100 Z Laundry Tray - $3.00 ' ,? Floor Drains - $1.50 i - ?t- --.1_Water Heater - $1.50 i ? ti _Whirlpool - $3.00 , j_Gas Piping Outlets - $1.50 ? . z- ! (MINIMUM - 1 PER PERMIT) I _Softener - $5.00 I -Well - $10.00 _Private Disp. - $10.00 , ?iRough Openings - $1.50 FEE: STATE S/C: _? ' FOR: CITY OF EAGAN GRAND TOTAL: For OfHce Usa Only: ? / , MECHANICAL P6RMIT . PERMIT # ' CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: :ONTRACT PRICE: PHONE: 451-8100 ? Site Address _ ? Lqt m Name _ ? Address c City - ? Name _ c Address o ?ity - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other Sec/Sub Phone M BTU M BTU ' - M BTU ?M BTU CFM PERIAIT FEE: S/C: TOTAL: ' TYPE WORK DESCRIPTION BLDG . Res. New Mutt Add-on Comm. Repair Other FEES flES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A!C ON NEW CONSTRUCTION) RM EA T I ) - 1.50 . GAS OUTLETS (MINIMUM -1 PER PE CONMlIND FEE -1% OF CONTRACT FEE APT. BIDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIYIUM RESIDENTIAI FEE - ALL ADD-ON 3 ? REMODELS - 12.00 - 20.00 MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT - 50 . (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) EAGAN ? ? ? ? . BUILDING PERMIT To be used for i Receipt # Est. Value Date ,19 SiteAddress " "'; . . - ?"•!• RU Lot Block Sec/Sub. ?ALLANllALE 3!?r Parcel No. a Name ?AVE-ti G'r "s'F.'tPRISESO INC 3 Address ?Yt'.:.:•StUR PILYD ° City ?TKA Phone Y33-0562 CITY OF EAGAN ,. 9 9 4 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 ¢ Name '+?"F 0 ? ? Address ? City Phone ?- Q V ?y W ?y ?_ x5 ¢_ Q W Name _ Address City_ I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SignaWre of Permittee A Building Permit is issued to: ytJ• on the express condition that all work shall be done in accordancewith all epplicable State ot Minnesota Statutes and City ot Eagan Ordinances. Building Official On SRe Sewape _ MWCC System ` On Site Well _ City Water ^ PRV Required Booater Pump APPROVALS Engr./Assess. Planner Council Bidg. Off. Variance Occupency Zoning (Actual) Conat (Alloweble) # of Stories Length Depth S.F. Total Footprint S.F. FEES Surcharge Plan Review SACr C.ItY SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL R-3 k-4 Y-k L 446 394.00 17.50 197.(x0 100.GJ SS(1. C!A SS(7. rJQ 67.:)0 32S.Ou 6.ou 2*. zii Permit No. Permit Holder Date Telephona Jt Plumbing iC__ H.v.aC. 'Slr l 8' Electric [? ? 7 ? g$? ??`R Softener Inapection Date Inap. Comments Footings I Footings II Foundation Framing -)-/g_ Roofing Rough Plbg. Rough Htg. 8(s/gg yow Isul. Fireplace Final Htg. Final Plbg. 30 Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. (ItxfifirtttP vf (Orrixpttnry Citp of eagan Erpttrtm2 u# luiiding JWcrtimt This Certificate issued pursuant to the requiremenls of Section 306 of the Uniform Building Code certifying that ar rhe time ojissuance this structure was in compliance with !he various ordinances oJ the City regulating building consrruction or use. For the follo wing: UM Classifiqtion 1 OF 4-PLEX Bldg. Rraiit No 14994 Orcupancy Type R-3 Zooing Distria R-4 Tya C? V-N ownerofauikeing RAVEN ENTERPRISES .yddm 14442 EXCELSIOR BLVD ????n:sa 4076 S MEADOWLARK RD tmw.ty L2, B9, HILLANDALE 3RD , Date NOVEMBER 30, 1989 euathng offic;al POST IN A CONSPICUOUS PLACE J , , • CONTRACT PRICE Site Address Lot Block s' >?< ? Name m Address c Ciry Phone Name s? ,? c Address O City Phone PEES COMM/IND FEE - 195 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES 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 $1,000.00) SIGNATURE OF PERMITTEE - FOR: CITY OF EAGAN :...? . <,? ?--, ? . . . . PERMIT q y?C J PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 % ? ? - ? BLDG. TYPE WORK DE$CRIPTION Sec/Sub Res. ? New /? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES ? Water Closet - $3.00 TOTAL $ ? Bath Tubs - $3.00 ' -LLavatory - $3.00 ' -Shower - $3.00 _/ Kitchen Sink - $3.00 ' -UrinaVBidet - $3.00 Z Laundry Tray - $3.00 ' ? Floor Drains - S1,50 i- j ? Water Heater - $1 50 _Whirlpool - $300 Z Gas Piping Oudets - $1.50 (MINIMUM - 1 PER PERMIT) -Softener - $5.00 Well - $10.00 Private Disp. - $1000 ? Rough Openings - $1.50 FEE: STATE S/C: ' GRAND TOTAL: -2y ? ? ??{'?._ , ?J •i `v-"'f I PRICE: MECHANIC4 REAMIT CITY OF EAGAN - 3830 PILOT KNOB ROAD, EAGAN, MN 55722 PHONE: 454-8100 PERMIT # X ' RECEIPT # DATE: Site Address ' BLDG. TYPE Lot?r Block ? %`{ ?eg/$ub Res. 1 ( ?.?l.K._ _., „ Name ?`?r_•, ' Tr_. Fl,ln CO?CD. C._ Mult. m Address ,, . Comm. c City fOther (D c 3 O Name _ Address City _ I TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater ? M BTU Air Cond. M BTU I Vent CFM ' Gas Piping Outlets # ? Other FEE: ' S/C: ? TOTAL: WORK DESCRIPTION New ? Add-on Repair FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & - $24.00 - 6.00 1.50 EA. REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE .;FOR: CITY OF EAGAN 9i? CITY OF EAGAN °' 097 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt# To be used for 'R ';)`' 1 I o" Est. Value Date ,19 Site Address '' %4- _-:m0 hi:, ,uWLAltI: 1:;: OFFICE USE ONLY Lot ' Block Sec/Sub. '' i?•Lh':!.;ALFi 3?:1, On Site Sewage _ Occupancy MWCC System _ Zoning Parsel NO. On Site we11 _ Type of Const City Water (Actuap a Name :t)r , lLLAi.UALh _ (AUowable) W = ? , Address 47 _;?.,t;LSil;`" PLVD ? of Stories Length ° City ` Phone 933-0502 Deatn Total S F , p Name }?.AVL.1? EP:'j'i.'.'.{YR1SE5 1NC . . FootprintS.F. ?? Address APPROVALS FEES P City Phone Assessments _ Permit F , V WateUSewer _ Surcharge y j W Name Police _ Plan Review ? z Fi SAG Cit _ - Address re y - o= i W CitY Phone Engr. Planner _ SAC,MWCC _ Water Conn. Council _ WaterMeter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thatthe information is correct and agree to comply with all applicable APC _ TreatmentPt State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies SignatureofPermitlee / TOTAL A Building Permit is issued to: jj" Ti, t ri i? i S 1 on the express condition that all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinances Building Official Psrmit No. Permit Holder Dato Telephone x Plumbing H.V.A.C. Electric Softener Inspectlon Date Insp. Commente Footings I Z?,;a Footings tl Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. , -- ? ? CITY QF EAGAN < <,. " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUfLDING PERMIT To be used for Site Address J : <f: , Lot Block Sec/Sub. A•LANo,,L'r?. )i?l; Parcel No. a Name INC W 3 Address o rtir? . ¢o Name ? < Address P City Phone Ua ?y W Name F W s z. Address <W City Phone 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 ot Eagan Ordinances. Signature of Permittee A Building Permit is issued to:_ C 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 ¦ 4 A tl 43 ? Receipt # 4 Est. Value 35903k.Date `r?t' 11 ,19 On Site Sewage _ Occupancy MWCC System _ Zoning / - On Site Well (ACtual) Const City Weter (Allowable) PRV Required _ # of Staries Boaster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Peimit ' Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL '• Permit No. Psrmit Holdar Date Talephona # Plumbing C?C? H.?.P.AC. Electric Softener Inapection oate inap. Commenta Footings I Footings II Foundation Framing Roofing Rough Plbg. 7 Aec Rough Htg. A >. isui. 911 . 11 • y P k. o,'s !, H e,s 6 t.• Ps Fireplace Final Htg. . ?? Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ? .?..Aft (Itrtifiratt n# (Orrupttttry Citp of (tagan SP,pMl'f11TPtlY Of l1tItbt11g IriHpPtftIII[ This Cenificate rssued pursuant to the requirements of Section 306 ojthe Urrtform Building Code cenifying that at the tlme ojissuance thi.c stnecrure wa in compliance with the vanous ordinances of rhe Ciry regulating bui(ding constructron or;'use. For the following: ux c,.ssifiation 1 QF 4 BWe.Ilem;t ,vo. 14993 oaUP.-Y rra R3 zoNng nisWct R4 r,m cong. VN o,,,,,«dBi7mng HAVEN ENTERPRISES, ".Q. 14442 EMM-.SIOR SLVD, rIIKA eWahng naarm 4074 S. NIEADOWIAF3C ?mAD I?hty L1, B9, NiTa rR 3M D„e: .TAtd]ASY 26. 1989 POST IN A CONSPICUOUS PLACE -- - - - - - - - - - - --- - - -- INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: '?'j jI sr 1 r+r3 ? !< tsPHh 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: II (612) 681-4675 i. i !, i > • ?yN SITE ADDRESS: !?; r I APPLICANT: %lo ?"t h!f Al+li1-tt Ak{i4 f) ktli I I UN li f[ i.itf4 ll(li ! ',j:li PE?,?1(I?TI?UBT,?fPE: 7 TYPE OF WORK: : ni rtR ntrnN , ? ,?, , !t, I rn,d ;.•" wAKt: & f'qvE?. Pertnit No. Permit Holder Dete Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING i z 3i l!L ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOAFO FIREPLACE _ FIREPLACE AIR TEST FINAL PLBG FINAL HTG OPSAT TEST BLDG FINAI BSMT R.I. BSMT FINAL DECK PlG DECK FINAL .. . , . . , CASH RECEIPT , ? CITY OF EAGAN ? • 3830 PILOT KNOB ROAD . EAGAN, MINNESOTA 55122 ? . ? i ? DATE 19'?.. . ? Y " AMOUNT $ = 1 I 8 DOLLARS ? CASH L?. CHECK I Thank You BY i._ ,.? ! WhRe-PayersCOpy ' Yellov?POSting Copy Pink-Flle Copy CITY OF EAGAN • s r 3830 Pilot Knob Road, P.O. Box 21-199, Eegen, MN 55121 ? ? ? PHONE: 454•8100 BUILDING PERMIT Receipt # To be used for 1 C1F 4 Est. Value ; gS,i)(K) Date %??Y 11 ,?g tib Site Address 4080 S Ms AUi)4'LARK RD OFFICE USE ONLY Lot 4 Block g Sec/Sub. HYLW?taDALE 3RD On5ite5ewage Occupancy 4 xF MWCC System ^ Zoning - Parcel No. O S "K n ite Well _ (Actuaq Const a Name H`+ir'N E41TEBPRISBSv 1k%G CityWater X (Allowable) V-ii zi 3 14442 RXCELS10R BLVI; Address PRV ReQuired # ot stories 2 22, a City HT? Phone 933--0562 Booster Pump Length 44 ' Depth o Name 5?'f?- S.F. Total , ? Q Address Footprint S.F. ? City Phone APPROVALS FEES Engr./Assess. Permit 394.00 V W Name 275 y j ? Z Planner Surcharge 0 • _ Z 5 u Z Address Council Plan Review 197•00 aW• Cit PhOne y BIdg.Off. SAC,City 100000 I hereby acknowledge that 1 have read this application and state that ihe Variance SAC, MWCC 550•00 intormation is correFt and agree to comply with all applicable State of Water Conn. 550.00 Minnesota Statutes and City of Eagan Ordinances. I , water Meter 67.00 Si'gnatureaf Permittee Road Unit _ 325.U0 A Suilding PermSt is issued to:_ HAVi:iN ENZ'lihPR7.SES, I:2C Treatment P1 ZL?.09 on the express condition that allwork shall be done in accordance wiih all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. Z ,414. o..ildinn Clfficial TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 PHON E: 454-8100 , BUILDING PERMIT To be used for 1 Or u Est. Value $SS0Site Address ?Ta 5 t?iEAiiOHLARtC RD Lot 3 Block 9 sec/Sub.HYL1.ANDALE 3Rv Parcel No. m N? me ? 1iAVEN ENTERPRIS£S t INC = Address 14442 EXCELSIOR HLVD ? ?eity ?'IT'? Phone 933-05b2 ¢ .o Name SA? ? Q Address ' City Phone ?Q F W . 'Name ? _ Address sw City Phone I hereby ackRoq?ledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statufes and City of Eagan Ordioances. Signature of Permittee - .4 Buildinq Permit is issued to: HAVEN ENTfiflPR151aS l IHC on {he express condition that all workshall be done in aCwrdance with all applicatl?le State of Minnesota Statutes and City of Eagan Ordinances. Building Official_ ? Receipt # Date 4Y 71 ,t9 $(s OFFICE USE ONLY On Site Sewege _ Occupancy MWCC System g Zoning R-4 On Site Well (Actuap Const V"N City Water X (Allowable) v-N PRV Required _ # of Stories 4 Booster Pump Length i2 l Depth 441 S.F. Total Footprint S.F. ? APPROVALS FEES Engr./Assess. Permit 3%4•00 Planner Surcharge 27•50 Gouncil Plan Review 191.00 BIdg.Off. SAC, City _ 100.00 Variance SAC, MWCC SSQ•Q? WaterConn. SSZ!'.? WaterMeter2 67-00 Road Unit N Treatment P4 04.00 Parks 2 41W.-M TOTAL ! , CASH RECEIPT % CItY OF E'ACAN 3830 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 DATE ? I I I 19 ..... . ? i r?c?rvm / ? FnaM AMOUNT $ - . ! ? i & DOLLARS ?m ? ? CASH CHECK } wn FUND OBJECT qMOUNT Thank You BY While--Payers CoPY 1 £5 .-. r+ e e. ; a C: °. •_i'>.'t Yalbw--POStl^9 CoVY Pink-File Copy BUILDING PERMIT To be used for 1 Of a r . ? /4 14994 Receipt # Est.Value $55+()Ot) Date 'I°•Y li ,19` Site Address 4076 s MEADOWLARK tD Lot 2 Block y Sec/Sub. HILLAHDALE 3AD Parcel No. e Name HAVEN ENTL3RPRISES, ING ? Address 14442 EXGE.LSIOR BLVD City ie ' TKA Phone U33-05 1 0 . o Name 3?''E ? Q Address P City Phone ?Q FO WW Name _g Address e W City Phone I hereby acknowledge that I have read this application and state that the informaiion is c0lrect and agree to comply with all applicable State of Mir)pesola Statutes and City of Eagan Ordinances. Signature of Permittee A Buyding Permit is issued ro:. RAyEN BtiTGRPRISES, INC on ; s§ express condition that al I work shall be done in accordance with al I applica6k State of Minnesota Slatutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eegen, MN 55121 PHON E: 454-8100 OFFICE USE ONLY On Site Sewage _ Occupancy R'3 MWCC System x Zoning R-4 On Site Well (Actual) Const V"N City Water X (Allowable) Y`N PRV Required _ # ot Stories Z Booster Pump Length 22 ' Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 394.00 Planner Surcharge 27•50 Council PlanReview 197•00 BIdg.Off. SAC,City 100000 Variance SAC, MWCC 550.00 WaterConn. 550•00 water Meter 67.00 Road Unit 323.00 Treatment Pt 204.[)L! Parks TOTAL 2.414.1" CAS;i aWEIPT ?? . ? CITY OF EAGAN 3830 PILOT KNOB ROAD ? EAGAN, MINNESOTA 55122 . DATE 19 - ? AMOUNT & DOLLARS ? CASH ? CHECK wR Ti I + ,?"" ? ` ? ? ..i ? .--_ . . • BY ! Whke-Payers CoPY t ' Velbw-PasHngCopy . . s _. , . .. Pink-File Copy Thank You . CITY pFEAGAN 3830 P(lf,t Kqob qped P.O. 1;l?x 211? Eapan, MN 55121 .t Owner. • Site Address: Permit No: Date: B/P No: Date: 77 it0 Plumber: MWCC: Zoning• ' City Chg: No. of Units: ' Acct. Dep: Permit Fee: I agree to comply with the City oi Eagae Surcharge: Ordinances. Misc.: B Y SEWER SERVICE PERMIT CITY OF EAGAN Permit No: S 3830 Plipt'Knob*Road Date: ? Meter No: Size: P.O. Boz 21199 Reader No: i Eagab. MN 55121 .. Data Owner.- '?avea ?'aterpiisPa SiteAddress: W76, So. Meadorala Plumber. L3ko Si.',e ?lcej8ln Conn. Chg: `' ?'? • :? Acct. Dep:- I ` OOnd Permit Fee: _ Tr • 0()Ud Surcharge: . 50pd Tr. Plant 2!""+.0tppd Meter. ? 7 ..:-- 2 R9 Ailtn.,a.,1 Zoning: No. of Units: ' I agree to comply with the CIly of Eagan Ordinances. WATER SERVICE PERMIT ? CITY OF, EAGAN Permit No: 3830 Pllot Knoa Road Date: Meter No: 4 D SiZe. v Q? P C` Bbx 21199 Reader No: Eagan, MN 55121 Date: Z?6- g$ Plumber. Lake Side Plumtin , nn. Chg: , 550.00 Dd t Dep: ]- !?. lltl od rmit Fee: t?? • ???? nd Surcharge: _ • 50 nd Tr. Plant- 204.00pd Meter. - ., Misc.: Zoning: '"' No. of Units: ' I agree to comply with the City of Eagan Ordinances. /t By WATER SERVICE PERMIT v CITY OF EAGAN Permit No: Date: ? 12 3830 PiQot Knob Road Meter tio: Size: ? P.O. B°x 21199 Reader No: Date: ? Eagan, MN 55721 ' . nn.Chg: ''.3dnd Zoning: `-"' 1 ct. Dep: " e7'. Q!)Rd No. of Units: I rmit Fee: 1 0- CQ..pd ? rcharge: _ - SOnc ! agree to comply wlth tbe Clty of Esgan Plant 7 04 . GQcrd Ordinances. ter. ? - ' 3c.: BY ? i ; a < 0 Pilot ,inob Road , Meter N,p: 6/O Zfd Size: ?X IftemAddress:-, Y OF EAGAN Permit No: Date: 31= `- I Sox 21199 Reader No: 97. 1 Date: - 8- 8 an, MN 55121 ner. Jluver ;.nterprises ??J78 So. ?feado?alar': ,d. L3 ?39 1?i1.lanc'a1e TII ber. '??i=e Side Plumbin - n. Chg: 5 S,. Dilnrt Zoning: ? t Dep: 7?-??o,nrt No. of Units: 7 ' Permit Fee: 10 _ Il!)pri Surcharge: - Selpr' I agree to comply with the City of Eagan Tr. Plant ?04 _ 0nrt Ordinances. Meter. -77. Misc.: By WATER SERVICE PERMIT ?._ i I CITY OF EAGAN Permit No: Date: { 3830 Rif.it Kndb Road IB /P No: ?Date: ? P.O. Box 21799 ° `.'. Eagan, MN 55121 •• E Owner. '-''r?a interFri9es SiteAddress:'" -,7R So. Meadowl-rE; ;'.d. *.^ " „i:i.1.'_.,'- -_? - ` Plumber. t° Side Pltunbin?> O?_ a.' MWCC: Zoning. Ciry Chg: ? ?? • ????' No. of Units: ? Acct. Dep: . :X rn; I agree to comply with the City of Eagan Permit Fee: ' Ordinances. Surcharge: Misc : By SEWER SERVICE PERMIT Gti cAGAN Permit No: Date: 3830 Pilot Koob Road B/P No: Date: P.O. Ba: 21199 p? Eagan, " 55121 c QWfIBf: SiteAddress: '=3dou2ark r•i ,_, ?'q "1il ?- Pltimber. M':NCC: City Chg: Acct. Dep: Permit Fee: Surcharge: No. of Units: I agree to comply with the City ol Eagan Ordinances. By SEWER SERVICE PERMIT Ci i?..c EAGAN Permit No: ` Date: 3830_P11ot Knob Roal! Meter No: qU zy6/ ,f Siz? P.O. Box 21199 Reader No: d S? ?6 ??? Date:. :.Eagen, MN 55121 Owner. aveu 'nterpr3sNa SitBAddress: ' ?)7[; ?n TT' - Plumber. Sid e ?'lin?. Ch ` n ? St; , i)Jpd Zoning: F n. g: t 1-G • ????pi No. of Units: mitFee: O?lpd roharge: [ • S???? I agree to comply wflh the CHy oi Eagan Pt '»"'8 Ordfnances. ter. ? -'neci 0 sy VI/ATER SERVICE PERMIT ? CITY OF EAGAN Permit No: ' Date: ? = ??_?'} - .- 3830 QiloEKnob Road ^ T ...q" B/P No: Date: -1 , I ? P.O. Bo?r 21199++ ° .y Eagap, MN 55441 Owner: f'nte-nrises r`eadawlar?c pd. ?t+ 1?9 Sillaad..CI i?-` So SiteAddress: . '-a'e ? 3iAe P1uT? irifi Plumber: MWCC: Zoning• City Chg: No. of Units: Acct. Dep: I agree fo comply with the City of Eagan Permit Fee: ; Ordinances. Surcharge: = Misc.: BY L SEWER SERVICE PERMIT CITYOFEAGAN PermitNo: 4 Date: 3830 Pilot knob Road Moter No: Size: . P.O. Box 21199 Reader No: Date: Eagan; MN 55121 - a<,eri 'r.t^.2'p-?ises Owner. SiteAddress: 4'7`"i Sa ?'"PO?n.alark 7 40 'ttll?,1? TTr { Plumber. Conn.Chg: '5^.(=OP4 Zoning: ?- Acct Dep: 15.00n:i No. oi Units: ? Permit Fee: • 1) Ll T)`? Surcharge: •5`'??' 1 agree to comply with the Cify o1 Eagan Tr. Plant 2, 4. I^(1 Ordinances. Meter. F7 Misc.: BY WATER SERVICE PERMIT CITY Pr EAGAN Permit No/:/ Date: -' 3830 Pilot Knob Road Mgter No f074?1 6 4 _575- Size: S/8 Raclt P.O. Box 21199 " Reader Na6 LA 36 9?5 Date: Eagan, MN 55721 ; vef, ";?r_er?rts?s Owner. SReAddress: 41)F'I S^ T? 7T*j1' r1 1P TT7 Plumber t l-P ciAP Conn. Chg: ^50.0Opd Zoning: Acct. Dep: 1.5-0nT?J No. of Units: = Permit Fee: 11D• 00D??'- Surcharge: •508d I agree to comply with the Clty ot Eagan Tr. Plant 204 •00p,7 Ordinancea. Meter. 7. p,% ' ? Misc.: B WATER SERVICE PERMIT , This request vofd 18 nwnths from E 2dAFfl -?? Street Address, Box or Route No. Crty - I 9999XX90PAX99X 4076-MEADOW LARK EAGAN ecuon o. Township Name or No. Range No. Counly DAKOTA Occupant (PpINT) Phone No. HAVEN ENTERPISES 9 -0 62 Power SupDlier Address Electncal Contractor (Company Name Contractor"s Lir.ense No. ?CNAMARA ELECTRIC, INC A-042608 Mailing A ress (Contractor or Owner Making Instailation) P.O BOX 422 ROSEMOUNT MN 55068 Authorize Signawre (Comrdctor/Owner king InstallatioN Phone Number 4?4 MINNESO7A STATEWHD91FELEC7qICITY THIS INSPECTION PEQUEST WILL NOT Griggs-Midway Bldg. - Ro6m N•191 BE ACCEPTEO 9Y THE STATE BOAHD 1821 Universitv Ave.. St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS ENCIOSED. Phone 16121 642-0800 ? L'icensed Electrical Contrnc[or I hereby request inspection of above ? Owner electrical work installed at: REQUEST FOR ELECTRICAL INSPECTION 1 See instruction5 for completing this form on back o1 yellow copy E 244U "X" Below Work Covered by This ftequest ,ry EB-00001-06 New Add ReO. TYDe ol Builtling ApPliancae Wited Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhtin,y Fixtures Apt. Buildinc? Dryer Electrie Heatin Commercial Bldy. fumace Si!o Unloader Indusirial Bldg. Air Conditioner Bulk Milk Tenk Farm otner sve?:ify omc? tsrn,?:uvi thr.r SVecify Ot er Other ompute lnspection Fee Below p Fee ServiceEntrenceSize # Fee feeders/Suhteeders +? Fne Circuits 0 to200Am 5 0 to30A9s Oto 30Am s Above 200 Amps 31 to 100 Amps ? 31 to 100 Am s Swinvning Pool Above 100_Amps Above 100_Amps Transformers Irrigation Boorcis Partial•:Other Fee Signs Special Inspection $ • 5 TO E Nemarks ' ? ? . i.. Rough-in I the Electrical nspector, he/e6y ? certify thet the a6ove Final ? D' 'nspection has 6een made. r i fhin rwauest veiA 18 month9lfom This request void 18 months from 1 ? O E 244 F1 Request Da Fire No. Rouph-in InsDeclian Required? E]Ready Now ?WiII Nntity Inspec- G n - Q Q ?? ?No ? lor When Ready tl o- o . i 0L.-pensed Elec[rlcal Contractor 1 herehy request inspection oi a6oVe l EJ t iwner elecirical work installed at: Street Address, Boz ar Route No. City . 4078-MEADOW LARK EAGAN ecLOn o. Township Name or No. Range No. County DAKOTA CiccupenllPRINTI Phone No. 933-0562 Power SuGP ?er Address DAKOTA ELECTRIC FARMINGTON Electncal Con[ractor (Company Name) Contracmr's License No. MCNAMARA ELECTRIC, INC A-042608 Mailing Address (Comrar,tor or Owner Making Instailation) P.0 BOX 422, ROSEMOUNT MN 55068 Authorize Sienawre (Con tor Owne aking Instaliation) Phone Num6er 1 4 2 - 5o MINNESO7A STATE OB AflD 112110 ELECTqICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwav Bldg. - Raom N-191 BE ACCEPTED eY THE STATE BOARD 1821 Universiiv Ave.. St. Paul. MN 55104 UNIESS PROPER IPISPECTION FEE IS Phone (612) 6420800 ENCLOSED. , " o REQUEST FOR ELECTRICAL INSPECTION ?-. es-ooooi-os ?lw - -- ... , See instructions tor completing this form on back ot yellow copy. 7 E 244,61 "X" Below Work Covered by This Request Add Rep. Type oi Builtling Appliancea Wired EquiVment WireA Home fiange Temporary Service Duplex Water Heater Liyhtin,y Fixtures Apt. Building Dryer Etectrie Heatm Commercial Bldy. Fumace Si!o Unloader ? Industrial BIAg. Air Conditioner Bulk Milk Tenk Farm Other Peci y Other ISPar.ifyl t Br Pecity ther 01her omn??te /nspectlon Fee Below p Fee Service EntrancaSize ft Fee Faeders/Subfeeders il Fee Circults U to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 qmpy, 31 to 100 qmps 31 to 100 qm s Swimming Pool Above 100-Amps ? Above 100_Amps Transtormers Irrigation Booms Partial-"Other Fee Signs Speclai Inspection $ ror L F Ne ?rks 53 . 5 ? RouOh-in Da.F? the Eleclricel / . ? ? Inspector, heteby c rtify that the above Fina? ? 1e inspection has been mede. fhi9 request void 18 monihs irom ' BLDG. PERMIT NO. /?jn 01-3210 Bldg. Permit 01-3422 Plan Check ` 01-3445 Surch./Adm. 01-3446 SAC/Adm. ? 01-2155 Surcharge ?Cr? 75-3860 Road Unit 3? ? 20-2275 SAC ? 41 ? 20-3865 Water Conn. J J` C) 20-3868 Water Trmt. 20-3716 Water Meter lo , 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded 75 ao ?a [?n on TOTAL ?) // / BLDG. PERMIT NO. ? •.?I C> ? - MC ?-- ?4 (1??` J ?;Co)-u 1c?.2 ?z pevi 01-3210 Bidg. Permit Y1 L4 On 01-3422 Plan Check ? ? I CY) 01-3445 Surch./Adm. 5S 01-3446 SAC/Adm. •? ??-? 01-2155 Surcharge ? 75-3860 Road Unit 20-2275 SAC ,20-3865 WaterConn. 115S ?J d? 20-3868 Water Trmt. ? o Ll 20-3716 Water Meter (v'7 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL ? 'Y ?7 ? BLDG, PERMIT NO. ? ? 99- q n 1C,!'??? . :? • ?C ?c°? l?iv (?i1l2KG 01-3210 Bldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. ? 01-3446 SAC/Adm. 01-2155 Surcharge i 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. 55 C :?5r`.?IUC` ?5 zi tt ?5-c 560 (Y) =:?10 41 Dn CO 7 Oo TOTAL CITY OF EAGAN N° 14 0 9 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHON E: 454-8100 Receipt# -7e/L r? F (D`7 To be used for FOUNDATION Est. Value Date AUGUST 26 19 87 Site Address 4074-4080 SO MEADOWLARK RD lot 1-4 Block 9 Sec/Sub. HILLANDALE 3RD Parcel No. e Name TOWNHOMES OF HILLANDALE z Address 14442 EXCELSIOR BLVD ° Ciry MTKA Phone 933-0562 ZIName HAVEN ENTERPRISES INC I ? ? Address S? P CityPhone ¢ W Name_ = Address u W City- I hereby acknowledge that I have read this applicetion and state that ihe information is corcect and agree to compiy with all applicable State of Minnesota Statutes an-d¢iry of 154an Ordinances. / Signature of Permittee Iml y/"- A Building Permit is issued to: HAVEN ENTEF all work shall be done in accordance with all appl Building Official OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Weil _ Type of Const City Water _ (Actual) (Allowablfl) # ot Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments water/Sewer Police Fire Engr. Planner Council Bldg. Off. APC Variance INC s of Minnesota FEES _ Permit $15.00 _ Surcharge _ Plan Review _ SAQ City _ SAC, MWCC _ WaterCOnn. _ Water Meter _ Road Unit _ Treatment P1 _ Parks Copies TOTAL 41?5 n? _ on the express condition that s,*nd City of Eagan Ordinances. . CITY OF EAGAN N2 14 9 9 6 3830 Pilot K,nob_Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHO N E: 454-8100 Receipt # ` n ? ?? '4 ? ? To be used for 1 OF 4 Est. Value $55, 000 Date MAY 11 ,19 88 Site Address 4080 S MEADOWLARK RD Lot 4 Block 9 Sec/Sub. HILLANDALE 3RD Parcel No. e Name HAVEN ENTERPRISES, INC 0 Address 14442 EXCELSIOR BLVD z City MTKA Phone 933-0562 o Name_ n Address ? City_ ? WW ¢ ?W Name_ _ g Address v Q W City- I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State Minnesota Statutes and City of Eagan Ordin es. Signature Ot Permittee A Building Permit is issued to: 1-IAVEN ENTERPRISES. INC on the express condition that all work shall be done in accordance with all applicable State o(f?Minnesota Statutes and City of Eagan Ordinances. BuildingOfficial ?C, OFFICE USE ONLY On Site Sewage _ Occupancy R-3 MWCC System X Zoning R-4 On Site well (Actual) Const V-N City Weter 7C (Allowable) V-N PRV Required _ # of Stories z _ Booster Pump Length 22 f Depth 441 S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess._ Permit 394.00 Planner Surcharge 27.50 Council Plan Review 197.00 BIdg.Off. SAC,City 100 .00 Variance SAC, MWCC -550 ._44 waterConn. 551L.00 Water Meter 6-7- O0 Road Unit _32-5? Treatment P1 204.00 Parks TOTAL 2,414.50 ? CITY OF EAGAN ?? 14 9 9 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING ? ? ? ? `??t- PERMIT qece?pt# To be used for ? OF 4 Est. Value $55,000 Date MAY 11 ,19 $8 Site Address 4078 S MEADOWLARK RD OFFICE USE ONLY HILLANDALE 3RD Lot 3 Block 9 Sec/Sub ?n Site Sewage _ Occupancy R-3 . MwCC System X Zoning R-4 Parcel No. V-N On Site Well _ (Actual) Const a Name ?VEN ENTERPRISES? INC Cirywater __?L (AUOwable) V-N z 14442 EXCELSI?R BLVD Address PRV Fequired # of Stories 2 ° City MT? Phone 933-0562 Booster Pump Length ? 22 Depth 44' ¢ .o Name SAME ? S.F.TOtal o Q Address Footprint S.F. U ? City Phone APPROVALS FEES ~¢ yVj W Name Engr./Assess. Permit 394.00 ?= Planner Surcharge _ 27.50 x? Address Council Plan Review ?97.00 Q W City PhOne Bldg. Off. SAC, City 1Q0.00 I here6y acknowledge that I have read this application and state that the Variance SAC, MWCC _?SO_ QQ information is correct and agree to comply wilh all applicable State oh Water Conn. ?OQ Minnesota Statutes and City of Eagan Ordinanc Water Meter 6 ?_ nn Signature of Permittee _?? - Road Unit ? 7 5 nn n 6ui?ding Permit is issued to: ?VEN ENTERPRISES ? INC Treatment P? 204.00 on the express condition thai all work shall be done in accordance with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. (? ?i1 Parks 2?414.50 ? ??ryyyy,,, Building Official? 11J__ 1I?L??? (? , ` TOTAL , CITY OF EAGAN No 14994 3830 Pilot Knob Rond, P.O. Box 21-199, Eagan, MN 55121 a PHONE: 454-8100 ' Q ` ?/ ) BUILDING PERMIT Receipt # ?? `3 0 °7 To be used for 1 OF 4 Est. Value $55,000 Date MAY il ,19$$ Site Address 4076 S MEADOWLARK RD OFFICE USE ONLY HILLANDALE 3RD Lot 2 Block 9 Sec/Sub On Site Sewage _ Occupancy R-3 . MwCC System X Zoning R-4 Parcel No. V-N On Site Well _ (Actual) Const a Name HAVEN ENTERPRISES, INC Citywater X (Allowable) V-N z Address 14442 EXCELSIOR BLVD PRV Required _ # of Stories Z 0 City MTKA PhOne 933-0562 Booster Pump Length . ZZ 1 Depth 44' ao . Name SAME S.F. Total ?Q Address FootprintS.F. r¢- City Phone APPROVALS FEES wW Name En9r./Assess. Permit 394.00 ? Planner Surcharge 27.50 _g u Address Council Plan Review 197.00 Q W City Phone Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.0 0 information is correct and agree to comply with all applicable State of Water Conn. $50.00 Minnesota Statutes and City o f Ea g an Ordina ces. Water Meter 67.00 ? / ? Signature of Permittee Road Unit 325.00 A 8uilding Permit is issued to: HAVEN ENTER P-RISES_; TNC_ Treatment Pt 204_.QQ on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. p Parks 2 414.50 Building Official ? l, . TOTAL , CITY OF EAGAN : Nm 1 4 9 9 3 ' 3830 Piiot Knob R?ad, PZ. Box 21-199; Eagan, MN 55121 BUILDING PERMIT PHONE:45a-8100 Receipt# To be used for 1 OF 4 Est. Value k55, 000 Date MAY 11 ,19 88 Site Address 4074 S MEADOWLARK RD Lot 1 Block 9 Sec/Sub. HILLANDALE 3RD Parcel No, ? Name HAVEN ENTERPRISES, INC z Address 14442 EXCELSIOR BLVD 0 CityMTKA Phone 933-0562 ,o Name SAME z? oQ Address ? City Phone ? W W w Name _ ? Adtlress U Q W City Phone I hereby acknowledge that I have read this application and state that the intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City /o?f E/a?gan Ordinan Slgnature of Permlttee lf?C A Building Permit is issued to: N?1VEN ENTERPRIS INC on the express condition that all work shall be done in accordance with all applicable State of Minnesota? ?SJtatutes and City of Eagan Ordinances. Building Official??del,_I j1 1, OFFICE USE ONLY On Site Sewage Occupancy R-3 MWCC System X Zoning R-4 On Site Well (ACtual) Const V-N City Water x (Allowable) V-N PRV Required _ # of Stories 2 Booster Pump Length 22 ' Depth 44' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit ? 394.00 Planner Surcharge 27.50 Council Plan Review 197.00 Bldg. Off. SAC, City 100.00 variance SAC, MWCC 550.00 Water Conn. 550.00 Water Meter 57.00 Foad Unit 39 S_ n(] Treatment Pl 204.00 Parks 414.50 2 TOTAL , 19$8 HUILDING_PERI?fT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ? / INCLUDE 2 SE'PS OF PLANS, 3 CEftTIFICATES OF SURVEY, 1 SET OF ENERGY CALCOLATI0IVS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTZPLE DWELLINGS RENTAL UNITS FOR SALE UIdITS 4k OF UNITS INCLUDE 2 SE'PS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENEBGY CALCULATI0N5 COMMERCIAL INCLUDE 2 SL"1S OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SYECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS u"(r A ?? ?F To Be Used ror: 0"c'?4?&-V_, Valuation: 5S,OC-0 Date: Site Address fih OFFXCE USE ONLY i ? I Lot L Block _19 Parcel/Sub i/11,1o xW1.1 /'-e Owner rrL?i???/v16'? ?? ?////-Lrta/c.0 Address City/Zip Code /fIllb SS3??S? On site sewage? Occupaney MWCC system ? Zoning On site well Actual Const City water _ Allowable , PRU required # of stories Booster Pump ? Length Depth S.F. Total Footprint S.F., Phone 3 ?.__ Contractor Address City/Zip Code Phone Arch./Engr. Q ylrz'a lx Addrzss ?lgtv___?LG City/Zip Code d? str=) Phone # APPROVALS FEES Engr/Assess Permit _ Planner Surcharge Council Plan Review Bldg. Off. SAC, City Varianee SAC, MLdCC Water Conn Water Meter ? Road Unit Treatment Pl Parks Copies TOTAL " .r 19$8 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SE'T5 OF PLANS, 3 CEATIFICATES OF RUEY, 1 SET ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOhEOWNER MUST DESTGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS YSSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 'r- Z?_ # OF UNITS INCLUDE 2 SETS OF PLANSt CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 uNI T A I"F 4 - To Be Used 1 or: 4 r?rGE & STRUCTURAL PLANS, SET OF ENERGY CALCULATIONS Valuation: SStCXDO Site Address ?D 1(p ??111.?,tn,t?x' ?',-Pl ? Lot ? Block ?_ Parcel/Sub /46 fAaA4 ??. Owner ?.?lncr-?+??5 Gf' Xe Address City/Zip Code _AY16 Phcne ?-On? ;)- Contractor I)Al/e6ts Z?,W nir?,. Address -=; City/Zip Codz Phone Arch./Engr. Address J?r / Gt/ ?O ? j T City/Zip Code Phone !l Date: S?e,? f ? p OFFICE USE ONLY On site sewage _ Occupancy MWCC system Zoning On site well _ Actual Const City water _ Allowable ? PRV required lk of stories Booster Pump J Length Depth S.F. Tota1 Footprint S.F. APPROVALS FEES Engr/Assess Permit ? Planner Sureharge Council P1an Review Bldg. Off. SAC, City Variance SAC, M`u1CC Water Conn Water Meter Road Unit Treatment Pl Parks Copies TOTAL 198$ BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I q45 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCOLATIONS NOTE: ADDRESSES FOA CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIEICATIONS AND 1 SET OF ENERGY CALCULATIONS UMT R I oF 4 To Be Used i'ur: CSValuation: SSi?. Date: Site Address i??rL Lot 3 Block ? Pareel/Sub Owner ?,? 11-qzy11-AfE Address City/Zip Code OFFICE USE ONLY On site sewage_ hIWCC system _ On site well , City water _ PRV required , Booster Pump J Phone '?j ?P;? - 6Ta ;?- &eA1 Ew? ? C?- _ Contractor P Address 4? A?``"te` _ City/Zip Coda Phone Arch./Engr. Address /??/ Zzl??S? J City/Zip Code /j??pp7v71??d?? Phone # ?-Z APPROVALS Engr/Assess Planner Council Bldg. Off. Variance Occupaney Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES Permit Sureharge Plan Review SAC? City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OE ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[JST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS l 7?I # OF UNITS INCLUDE 2 5E'tS OE PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENEHGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS LNI 1 A I->F 4 To Be Used For: 14 Valuation: -55i? Date: ` Site Address d?°l'uUA nb) Lot Block % Parcel/5ub 4?ilJ,z?n.&da F?2 ? ? Owner lGf,,. mv`r c-r+a c- S c-i ,? /// ?/lJ 4XI44, LQ Address /y5?fY'-7- City/Zip Code OFFICE IISE ONLY On site sewage ____ Oecupancy MWCC system _ Zoning ? On site well Actual Const City water _ Allowable _ PRV required # of stories Booster Pump _ Length Depth S.F. Total Footprint S.F. Phone y'3 3= 2 Contractor 11"1,6N Address 54r2 E' City/Zip Code Phone Arch./Engr. Q ?/Jjvi'a/f•eC,+J,Y N Address 1 City/Zip Code A x? Phone # -- APPROVALS FEES Engr/Assess Permit _ Planner Surcharge _ Council Plan Review Bldg. Off. SkC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment Pl Parks Copies TOTAL ??? 1NSYECTION RECORD CITY OF EAGAN PERMIT TYPE: s u z LDx NG 3830 Pilot Knob Road Permit Number: 026533 Eagan, Minnesota 55122-1897 Date Issued: 1 m/ i. 2 J 9 5 (612) 681-4675 SITE ADDRESS: Lo-r : 4 S L 0 C K: 9 APPLICANT: 4080 MEADOWLARK RD STOVE & FIREPLACE GALLERY HZLLANDALE 3RD (612) 89$-1174 7?71 . _ . .. . . ; . .. _ - ,. _ , ._, _. . _ . _ .e; ? . PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW UESCRIPTION (GAS) CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: ?k Pdq SUTI.DTNG @2fi533 a0/iz/9s SITE ADDRESS: DESCRIPTION: 4080 MEADOWLARIf RD LOTa 4 6LOCK: 9 HILLANDALE 3ftLl ( G A s) Permit Type FSREPLACE ?lb.rk 7ype iVEW ,? e dae r?? sia?.. REMARKS: FEE SUMMARY: 8ase Fee Surcharge Total Fee $25,00 ? .50 $26.50 ?n?' ` . '? ?s a14tsL 4Nk kt ?€d ='T '?F ?zg ai ?? M. tt?,.,.,._. ?4n a v mu? ? ?,?ffi1z zs s.Y ?.?v CONTRACTOR: - Applicant - sr. Lxc. OWNER: STOVE & FTF?EPLACE 6ALLERV 18981174 20032080 SUNDELL ftONALD 1275 COUNTY F20AD 42 4080 MEAOOWLARK RD BURNSVILLE MN 55387 EHGAN MN (612) 858-1174 (612)452-5367 APPLICANTlPERMITEE SIGNATURE AM14 R?? l -'ISSU D B SIG TURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 FIREPLACE PERMIT APPLICATION 681-4675 DA DESCRIPTION OF WORK: ? INSTALL NEW FIREPLACE: _ WOOD BURNING - INSTALL GAS LOG ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTlNG FlREPLACE .???o ,?C GAS OTHER: AREA TO BE INSTALLED IN: STREET ADDRESS: 'ya ?D LOT ? BLOCK APPLICANT: (circle one only) OWNER 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. PROPERTY Name: "-ou%kA« Phone #: `y ? ?`?30-7 OWNER 1M..Y. ?? FIRST Signature: Street Address- City: ?L4a '?-k vN State: (1t/1tA Zip: FIREPLACE Company: Phone #: 7 `? INSTALLER ?17 Signature: Street Address: l?-7B C 7y •?? .. ?,? License #: abO 3?020 City: State: ?._ Zip• GAS LINE Company: l/U ?.ar H-?e s? Phone #: Pll" ,Fc)? 3 INSTALLER Name: U? t-beLp Signature: S_ ?. n??'_??,? L??-?(?_ ??. Street Address- City: ? ?-e,- LL State: MA Zip: SUBD./P.I.D. #: OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE ? 31 New ? 33 Aiterations ? 32 Addition o 34 Repair GENERAIINFORMATION --? Census Code. SAC Code REMARKS: Chimneylflue must be inspected before concealing. ... ,.p?' • ?'? ; ;;' .?. '? ?" ?` air,r .A! ? . .M•"a?aG p -k? • ? 4r , '. •a FEE5 per!t';s± PsQ Surcharge Other Copies Total: 1987 BDI 1LDING 0 PERMIT APPLICATION 7 CITY OF EAG9N SINGLE FAMILY DWELLINGS INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCOL6TIOH5 NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGNATE FTHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSDED. MIILTIPLE DWELLINGS - RFSIDENTIAL RENTAL UNITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WITH BLDG. DfiPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL 1 SET OF SPECIFICATIONS AND 1 ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ?oUNC?T ?D?1 n To Be Used For: Site Address lit-I 4 ` %tb & STRUCTURAL PLANS, SET OF Valuation: Date: ? Lot ?-eli Bloek ? Pareel/Sub -Q&e6A q Owner ?_?O ,? ? ? zAa4k a . _. , Address /1yy2 City/Zip Code f_??e/_' ?, ?..sH? S53y?y Phone DJ - 0 S"(, Z Contractor ESz Address !2A4C City/Zip Code Phone l Arch. /Engr. ,Gy Address City/Zip Code 7 ' Phone 4l V/ ? OFFICE USE ONLY On Site Sewage Occupancy MWCC System bn Site Well _ Zoning Type of Const City tidater _ (Actual) (A1lowabl.e ) # of Stories Length Depth S.F. Total Footprint S.F. APPROOAI.S FEkS Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC, City Engr SAC, MWCC Planner Water Conn Council Water Meter Bldg Off B Zt. Road Unit APC Treatment P1 Variance Parks Copies TOTAL 49?o ? COMMERCIAL 2002 BUILDING PERMIT APPLICATION GITY OF EAGAN 651-681-4675 _ Foundation Qnl New. Construction Interior Im rovement ! • Structural Plans (2) sets • Architectural Plans (2) sets • Architecturel Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) *' • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) •" • Master Ebt Plan (1) • Spec. Insp. 8 Testing Schedule "* • Certificate of Survey (1) • Energy Calculations (1) notalways'* • Soils Report (1) • Spec. Insp. & Testing Schedule (1) '* • Elec. Pomer & Lighting Form (1) not always'* • Meter sim must be established • Meter size must be established • Meter size must be esta6lished -if applicable . Project Specs (1) 1. • EnergyCalculations (1) " 1 1 . Electric Power & Lighiing Form (1) 1 • Master Eb1 Plan (1) b 1 . Fire Protection Plan (7)'" d 1 • Soils Report (7) 1 • MC/ES SAC determination letter . MC/ES SAC determination letter • MC1ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: I '' ;0 ' dZ WORK TYPE: _ NEW X REMODEL CONSTRUCTION COST: ,{ SITE ADDRESS: ?^101H' LA()IF?0 A ??? ? (Z ?1,,_? ?[?•t ,?` ? 11 (L.,.,. ' TENANT NAME: I '4b ? X/ SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK PROPERTY OWNER CONTRACTOR ARCHTI'ECT/ ENGINEER ' Name: Ll+?L,?tatx tl?? owyAvm'4 4tvS Ot.' . Phone #: c.?5I ) `7914 " 40 Z u "?'5 Last First City: Company: Zip: Phone #: ( ? Z ) HOS-6" 65 _ StreetAddress: ? LY110 t-- 'dY)sf_k't.4 W CA_.e.c.t City: ,_)LQ?,?,','? State: " N Zip: -?1 - - I Company: _ Name: Street Address: City: Licensed plumber installing new sewerlwater service: I hereby acknowledge that I have read this application, state that the information is Minnesota Statutes and City of Eagan Ordinances. Phone #: Registration #: State: State: Phone #: and agree to comply with all applicable State of Signature of OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaUlnd ustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S!W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Building sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered ? Insulation Engineering VALUATION $ % SAC SAC Units Meter Size C? Plumbing ? Stucco/Stone Variance Total ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date issued: BUILDING 028006 06/21/96 SITE ADDRESS: P.I.N.: 10-32952-040-01 4074 MEADOWLARK RD LOT: 1 BLOCKe 9 HILLANDALE 3RD DESCRIPTION: REMAR??p? u o Es : 4M HI?q r? €t?ng?e 4076, 4078, AND 4080 MEADOWLARK RD 12" RAKE & EAVES Permit Type MULTI. (MISC.) W;ark Type ALTERRTIQN d??. 434 ALT. RESIDENTIAL ;.??+??p dP`,'??? 3 ?M?'? ? E`?y.? m?`I ??? s FEE SUMMARY: Base Fee 5uraharge Total Fes VALUATTON $74.75 $1.50 $76.25 COWTf?14?:TOF?' - HppiicanL - OVER EAD C 1VSTRUCTIpN 14606277 17259 N CREEK DR FARMINGTOM MN 55024 (612) 460-6277 I. hereby?, ecknowl,sdge tFr4,t T,.;Y °corr?ekCt°:a;r?tlaa?pt Statutesu and,City af Eag;an...p:r 9?6 ,^? ? i3 ?A r{e'o ry LL aav T ??i??'1/ ZKl? ? APPLICANT/PERMITEE SIGNATURE $3,000 OL"RKMOCJ CONDO AS50C 4080 MEflDOWLARK RD S ERGAN MN CITY OF EAGAN 290 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conshuction Reauirements RemodeUReoair Reguirements ? 3 registered site surveys ? 2 copies of plan ? 2 eopies of plana (include beam 8 window sizes; pouretl fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? t energy calculations ? 1 energy caiculations for heated additions ? 3 copies of tree preservaiion pian H lot platled afler 717193 ? required: _ Yes _ No DATE: 6 -151' y'? CONSTRUCTION COST: , . .. DESCRIPTION OF WORK: L1 STREET ADDRESS: = LOT l - q y?-yo ') ? BLOCK 9_ Name: Z?4e ?",:?/ -r cL A-sA,- Phone #: ?1 FIqST PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Street Address: City: State: Zip: Company: /?ve-?^ Phone #: l? d 6?77 Street Address: l?? .S? ?? ?t v/? License #: City: `?1 %k State: ?>c Zip.J ?TJ2 Company: Name: SUBD./P.I.D. #: Phone #:- Registration Street Address- City: 5ewer & water licensed plumber: change are requested once permit is issued. State: Zip:. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the infarmation is correct and agree to comply with all applicabte State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certiflcates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 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 o. 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVALS Planning Building MCIWS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNII Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION * ...................F.Rx.x,.....x tF* NC7PE: PAYNffNP OF FEE AT TIME OF * nrPrs=ota ooES Wm coN- ; . * STI1LTi'E flPPRGi7AL OF PERNIIT. • ? * iNSnBcrrocv oa sENM nrm/ox WATER ;. ? irsrALraTTOris wus, nxrr sE scEDcn.ID ? * t!NfIL PERMT HAS gEF79 pppRCh7FD, t!t#t#t;f4f#i#*R*il**ir!**!t#t}i4*t1`#*** aV oF eagara (PLEASE PRINT i) PROPIItTY ADDRFSS: .J?47.4. ;S ?? rwL.q,-k. 7•FY;AT• DFSC?tIPTION:. . Lot/Bloc]tJSubclivision or Tax Parcel ID IF EXISTING STRCiCTLTRE, DATE OF ORIGINAL BLILDING PIIZMZT ISSt?ANCE: PRESENP ZONING/PROPOSID USE: Q COhIl+'9SEE2CIAL/RETAIL/OFFICE ? INDT-ISTI2IAL Q INSTIT[ITIONAL/GOVERNMENT 2) ,°• ? LvAME: Nbnt Year Ca?R-1 SINGLE FAMILY ? R-2 DUPLEX (3tao f-inits) EffR-3 TOWNHOT-ISE (Three +: Uriits) Q R-4 APARTMENT/CONxOMINILM ADDRESS: ?aLf69 Zinrf?,-, {a7/ O CITY, STAT'E. ZIP: /77,/ . SS3 7 y PHONE: 7-6 6 ?J 3) • : ?• rAME; ADDRESS: CITY, STA'I`E, 2IP: . PHONE: MASTER LICENSE # 4) s?,Eli ?ju?: Units) f Lnits) '1U[LI{JeL6 License: Ij ACt1V2 Expired Not recorded Sta Initia ' NAME: A;e-?? . ADDRESS :/4i' t CITY, STATE, ZIP: .?, ? ? ?? ? • 5-,?--? ? I`h : ri n r .? PHONE: 93?3. ' 5) sO' W '?1• • i1 .' C a10 ONNECTION TO CTTY S?`NNECTION TO CITY WATER n 01HER 6) ./D - ?F r***************,r***,r***?*************,t********v?**************?r,r***********************************x . ? ` TfE GOLD COPY OF THE PERMiT WILL BE SEbTP DIl2DCTLY TO PUBLIC WORKS To FACILITATE MEPIIt PICK-UP. ? ; PLEASE ALIAW ZWO WDRKING DAYS FOR PROCESSING. SOMEONE FROM TfIS CITY WILL CONTACT YOL IF TfIERE * ARE ANY PROBLEMS. ?x****************************************+****?***************************************************? : FOR CITY USE ONLY 4 ? '3 ?. PERMIT # ISSUED , . L e??-er, Z- ? Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLDDE SDRCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OLTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOLNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BEIVEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL RECEIPT RECEIPT ? DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERI[VG NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: APFLiCATION FOR PERMIT SEWER AND/OR WATER CONNECTION ? _ ......x.._,.x..Ft. .. •: ? N02E: PAYhEM OF EEE AT TIME OF ••• ,. * r,pPUcaxiorr DOEs NOr ccN- ; . I sriTUTE AePRUvr,[, oF PERruT. ; • . ; itasencriaa oF sewEz nnn/()R vm,TEt ;. ; INs•rALIATrzoN,s wIIa. NCYr sE scmur.m ; * 12ML PF]iMIT HAS HMN pppRp{7FD. ivswt?x*firff?:tt?s+?trf+k+tt:?:?eta:fair* oF eagcln (PLEASE PRINT 1) PROPERTY ADDRESS: ._/y27? e:ada[.J 1ur/C T FGA7' DESCRIPTION: . . . Lot Block S vision or Tax Parcel ID ) IF EXISTING STRC'CTURE, DATE OF ORIGINAL BL7ILDING =MIT ISSUANCE: PRESENT ZONING/PROPOSID USE: Q CO=CIAL/RETAIL/OFFICE Q INDOSTRIAL ? INSTITUTIONAI,/GOVERi,'NT 2) , " • • N11ME: Mont Year c-?-R---1 SINGLE FAMILY DOPLEX ('iWo L'nits ) ffR-3 TOWNfiOLiSE (Three .+. Units ) L?nits ) Q R-4 APARTMENT/CONIDUMINIUM ( L'nits) ADnxESS: La -W9?:., J CITY, STATE, ZIP: PHONE: Y'?ij L1- -,:;V 1`i b 3) ' ? NAME; ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LICENSE # . Plumbers License: I Active Expired Not recorded Sta Initi 4 ) .?e'i',?31Z'a • .u ?: NAA'!E: ADDRESS: CITY, STATE, ZIP: ?'17 i n.n t 7?Sn .?' ? /'7,•1 ,?/ ,??3'?1j PHONE: -2.32 5) s ?w • a?• •''u ?0 ? ?-T-ION TO CITY S CTION TO CITY WATII2 ? O'iHER 6) N k***,t,t,t**,r*****Ir?Y*ie?rikat*ir?F',t,t?k,t*kir*?r*******?t*,t,t?k,t?e*,t****ir*ic**?Fir*?c,t,tir?t?c?k*k***?tir?le*,t********?r?F?t*,t,t?k,t,r,t,t*i k * k THE GOLD COPY OF THE PERNIIT WILL SE SERP DIRECPLY 7o PUffi,IC WURKS TO FACILITATE METER PICK-UP. * k PLEASE ALdAW 2W Wl7RKING DAYS FOR PROCESSING. SOMEONE FROM TfM CITY FIILL CONTACT YOL IF 4'fIERE * ARE ANY PROBLENIS. * ? *********,r***************#************x*************************?*********************************? _'FOR CITY USE ONLY PERMIT # ISSOED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLL1DE SURCHARGE) $ $ WATER METER/COPPERHORN/Ot'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRLiNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL SENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRDNIi WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTIO[V REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F I YES IF YES, THEN A"PERMIT FOR WORK tiVITHIN PLBLIC Q ROADWAY" ML?ST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: APFLiC;4TION FOR PERMIT SEWER AND/OR WATER CONNECTIQN I?-j R-1 SINGLE FAMILY r-itv oF ecigan (P E PRINT 1) PROPERTY ADDRESS: LF]GAL DESCEt2PTION: . . . . , .? Lot Block S vision or Tax Parcel ID IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSLANCE: PRESENT ZONING/PROP0.SID LSE: Q COMMEFZCIAL/RETAIL/OFFICE Q IAIDLiSTRIAL INSTITUTIONAL/GOVERNMENT i*. Ni/PE:^ PA3Mfr1JP OF FEE AT TIME OF ; •* . * xPpLIcATIaN DOEs rar car ? . * STINlg 11PPR(3VAL OF pERMIT. * • < ; irSPFrrraa oF sENa r,Nm/ox Wu+TER *. * iWrALLaTioNS wur.. riar sE scmur.ED ; * [7N1'IL PIItNIIT HAS BEF1V APPROVFD. **++r?*s?**+::tt:*?*ts+t**+tr++i,t+araa*• Nbn Year E_? R-2 DLPLEX ('itao t?nits) R-3 TOWNHOUSE (Three-+'Uaits) ? R-4 APARTMENT/CONDOMINIUM (LL Lnits ) ( Lnits) 2) nAnE: LGI.Ec S- ?u- _ ?? - - --- ADoREss: .? ? CITY, STATE, ZIP: PHONE: 3) NAME : "Jlrc?y? _ ADDRESS: CITY, STATE, ZIP: . PHONE: MASTER LICENSE # 4) . e •. ? ?. N11ME: ADDRESS : e s- .(y- (/O CITY. STATE. ZIP: -r PxorE: ror City Use Plumbe`rs TLice.nse; I Active Expired Not recorded Sta Initi? 5) a+ NE a • ??P . i a+a - CONNECTION TO CTTY NNECTION TO CITY WATER O OTHER 6) '5-=z/S - k************?k?k?F?tit******9r?e*?t****Yt*****?Fitat*********7t**ir?t*?t****?r?ck?e?Fatak?F?lr*?tir*?k********k**#Yr***********k k ? f Tt3E GOLD COPY OF THE PEE2MIT WILL EE SE[JI' DIRFX`iZ,Y Z+0 PUBLIC WORKS TO FACILITATE METER PICK-UP. ; F PLEASE ALIAW 'IWO WORKING DAYS FOR PROCE'SSING. SOMEONE FROM TfE CITY WILL CONTACP YOL IF TfERE ? t ARE ANY PROELF.NIS. * ?**********************************************************#***************************************? .? PERMIT # ISStiED Pd w/Bldg. Permit 4R CITY USE ONLY FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SORCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRULVK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED Sy THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED By; TITLE: DATE: 7?3?a 2006 RESIDENTIAL MECHANICAL rEaMIT apPLicATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos whett permits are required for each unit Date ff- / Site Address Unit # Property Owner C_ ? Telephone # (3do) cq-?6?? Contractor HEATING & AIC, INC. ?;:i vi e a way Street Address SUIt2 120 Cjty State burnsv e, Zip Telephone #(?? d # B _?/ -0 A? on : Expires: 6 The Applicant is _ Ownet Conuactor Other Add-on or a?teration to existin g dwelling unit $ 30.00 furnace _Additional _Replacement _ New air exchanger ? air conditioner heat pump - ? other _ 'o1 ?2? 11i ?i?ou State Surcharge •50 Total $ ?)O- I hereby apply for a Residential Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will be in conformance wifh the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that nd this is not a pernut, but only an application for a permit, and work is not to start without a permit that the ork wil be in accor , ance with the approv the cas which requires a review and approval ofplans. ? m ? m--+-? ? ?cL b C1 / d Applicant's Printed Name Applicant's Signature LUb ? I? U MAY 2 2 2008 COMMERCIAL BUIL?DING Date: Site Address: Tenant Name: LaX1 /,lien?l ru,a Li?? r r (Tenant is: ? v?.-.E. ? ---------------- ? I ??r'falfic?e?s? ? Permit#: •? ? I Permit Fee: , .? I Date Received: ? I ? I j Staff: I L -----------------? New/ Existing) Suite#: PROPERTY OWNER Name: Phone: Address / City / Zip: Appiicant is: _ Owner _ Contractor TYPE OF WORK Description of work: t,h5- 1?6/2 eT2 0 Construction Cost: CONTRACTOR Name: 44, t License #: Address: Zi : State: W Cit p ' " y: Phone: G/7- 3G 3-cP/? 5'-- Contact Person: g& !v/r ARCHITECT / Name: Registration #: ENGINEER Address: City: State: ' Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Phone #: be public°7nformation Portrons of ; NOTE: P lans a n'pl sup'portJng docuir?ents thaf you subrimitare corisitleretl!to „ . , , ,:- the information may, be,classified as non publ?c; rf you provide?spec?fc reasons::that woald perm?f the Criy to conclude;taffhe ?are?iradesecr'ets: I hereby acknowledge that this intormation 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 appiication 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. Applica s Printed Name Applic?i Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES: ? Foundation ? Apartments X Lodging ? Miscellaneous WORK TYPES: ? New ? Addition X Alteration ? Replacement 0 Public Facility ? Accessory Building ? Commercial ! Industrial ? Ext. Alteration-Apartments ? Greenhouse ? Ext. Alteration-Commercial ? Antennae ? Ext. Alteration-Public Facility ? Nail Salon ? Interior Improvement ? Siding ? Demolish Building* ? Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Demolish Foundation ? Windows ? Water Damage • Demolition (entire building)- give PCA handout to applicant DESCRIPTION: Valuation Occupancy Plan Review ? Code Edition (25%_ 100% ?) Zoning Census Code y3Y Stories # of Unlts ? Square Feet # of Bufldings / Length Type of Const. Width REQUIRED INSPECTIONS Footings (new bidg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: _ Decking _ Insulation _ Final _ IcelWater ? Framing Fireplace:_R.I. _AirTest _Final Insulation Final C/O Inspection: Schedu?e M arshal to be prese Reviewed By: _ Building Inspector Reviewed By: Planning Base Fee y3 7_ Surcharge Plan Review SAC-MCES SAC-City SM/ Permit Financial Guarantee SIW Surcharge Storm Sewer Trunk Treatment Plant Sewer Lateral Treatment Plant (Irrigation) Street Park Dedication Water Lateral Trail Dedication Other Water Quality Water Supply & Storage (WAC) Total w J/ZG ' 3 MCES System SAC units - QZ-z City Water - - Booster Pump ? ? PRV ' -? ? Fire Sprinklers Sheetrock Final/C.O. ? FinallNo C .O. HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _ Stucco Lath _Stone Lath _Brick Wlndows Retaining Wall ?t. Yes No Sewer Trunk Water Trunk Page 2 of 3 i ? ? NewConstruction Reauirements# 600" • 3 registered site surveys showing sq, ft, of lot, sq. R. of house; and all roofed areas (20% maxfmum lot coverage allowed) • 2 copies of plan showing beam 8 wirulow sizes; poured tound design, etc.) • 1 set of Energy Calculations • 3 copies o( Tree Preservation Plan it lot plaUed after 711193 . Rim Joisl Delail OpGons seledion sheet (bldgs with 3 or less units) DATE JOB SITE ADDRESS IF MULTI-FAMILY BUILDING HOW PROPERTY OWNER C TYPE OF WORK APPLICANT I&AA ?S ? ADDRESS PAGER # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation 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. Air Conditioning Heat Recovery System All above information must be submitted prior to processing of applicafion. I hereby acknowledge that I have read this application, state with all applicable State of Minnesota Statutes and City of E( Signature ot Applica Certificates of Survey Received _ Tree Preservation Plan RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Phone # Gtl/ FIREPLACE(S) 7?_0 _ 1 _ 2 PHON E#,7eL3 7?_? 75?d ZIPCODE??> CELL PHONE # I/Z '70 " 944 y FAX # Water Softener Water Heater No. of Baths RemodeVReoair Reauirements • 2 copies of plan • 1 set o1 Energy Calculations for heated additions . 1 site survey forexterior additions & decks . Indicate if home sened by septic system (or additions Phone #: Lawn Sprinkler No. of R.I. Baths VALUATIO y f Phone # 4 ?q,D6 Fee: $90.00 ree: $70.00 is correct, and agree to comply _ Not FWquired _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Altera6on ? 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) Footings (addition) Plumbing Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License 5earch Copies Other Total O 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level 0 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 5iding ? 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 _ FinallC.O. Final/No C.O. HVAC Building Inspector ÿüù ÿ þýý ûðûü úýý ÿ ñé äóñ ñää þýö þýüûúù ó ûúùöø ù ó ã þÛã ûúùãýéý þ öýôü õôöýôü þÛ ý å í ñà õ ÿôñ ôîáþÝ÷ óßæêê õú þý ë îèæêäêä ôïóï öòñ ùù òëôùýôü ã ò ñà õêÿÚãø õþ ãöñ ãö áàßñàñ ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA111998 Date Issued:07/23/2013 Permit Category:ePermit Site Address: 4074 Meadowlark Rd Lot:1 Block: 9 Addition: Hillandale 3rd PID:10-32952-09-010 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. Ashley Orman 130 Plymouth Ave N Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Marina Clark 4074 Meadowlark Rd S Eagan MN 55122 (651) 687-0342 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature City of Eaaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 335. 5. 00 Date Received: Staff: J �% 2013 RESIDENTIAL BUILDING PERMIT APPLICATION j�, Date: [ 4 J - LS Site Address: LSID) - � 7� —40 7 2l ✓ Qgo 5. / k )Q Name: 1-426100 00f K 1(,1)Y1 D'i4E f, SOO • Phone: Address / City / Zip: Applicant is: Owner Description of work: 41:2 Contractor Construction Cost: 45 Of) minor s�a r vac r p J 2s Multi -Family Building: (Yes /\ / ) Company: Aka) Gx-ter'iOrS Ay 5, 14 Address: 10701 Q3 id i4 State: Zip: 66,3(z,"..9 Contact: Phone License #: Q - 9 3 Lead SSE .'cell City: flip/E0 v£ 703-31s- R0 0 Certificate #: AMT— — (c7 / 1/!O " ! If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: TE: Plans and supporting documents that you submit are -in ormatt otr:may be classified as non-public if you pro conclude that they area Phone: Phone: (MS 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.000herstateonecail.orq 1 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota S days of permit issuance. . akOL Tzss Applicant's Printed Name »a aq x st be completed within 180 Applicant% Sign Page 1 of 3 I— For Office Use Ø4& j toPermit#:E AG A Permit Fee: / • ,� Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 A-, ' Id (651)675-5675 I TDD: (651)454-8535 I FAX (651)67 94 `' buildinoinspections(a�cityofeagan.com By Staff: r� 2019 RESIDENTIAL BUILD! � MIT APPLICATION ikDate: Site Address: 1101 J, /Gdy,,)IIS/� Zc, Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Description of work: •f�.I'.i� r 1'-c c:>1 I Type of Work °( :)5"---Cost: /�� k Cc _ Multi-Family Building: (Yes /No ) Company: C'54-rc; ` (2 S 4. Contact: l I', Contractor Address: Z1 I � /I City: "i/'%-) State:ir��• Zip: c-OlZ Phone: ((5/'"Z/0 -/LacCEmail: I 1r.^fX/0c , ` License#: (t"5—L' / 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? 7 Yes No If yes, date and address of master plan: 52rr- ?c/ 1 u /A' -' 'i 771 / Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.citvofeagan.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.gopherstateonecall.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 o start without a permit; that the work will be in accordance with th approved plan in the case of work which requires a review and approval'of pla s. x I 'n r v i/ x Li Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE L/0 -7q /4e owlig Um 'c SUB TYPES Foundation — Fireplace Porch(3-Season) Exterior Alteration(Single Family) i — Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi) _ Multi X Deck Porch (Screen/Gazebo/Pergola) — Miscellaneous 1 01 of I�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 $o Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 3gB�. Occupancy _L 12 C ' 3 MCES System Plan Review Code Edition Gy1 d) 20 I5 SAC Units (25% 100%_) Zoning P T City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ✓5 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: 70 Footings (Deck) Final/C.O. Required Footings (Addition) R') Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: TO /Y'' 14-1'1 j1-- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174534 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4074 Meadowlark Rd Lot:1 Block: 9 Addition: Hillandale 3rd PID:10-32952-09-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Marina & Scott Clark 4074 Meadowlark Rd S Eagan MN 55122--175 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177104 Date Issued:06/16/2022 Permit Category:ePermit Site Address: 4074 Meadowlark Rd Lot:1 Block: 9 Addition: Hillandale 3rd PID:10-32952-09-010 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Kitchen 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 - Marina & Scott Clark 4074 Meadowlark Rd S Eagan MN 55122--175 Sowada & Barna Plumbing Llc PO Box 188 Cedar MN 55011 (763) 444-0292 Applicant/Permitee: Signature Issued By: Signature