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4186 Meadowlark Rd, ?"-'` R • CASH RECEIPT CITY OF EAGAN . P. O. BOX 21-199 .. EAGAN, MINNESOTA 55121 ? DATE - 1? aeceIven FiiOM ' -- ? j \ AMOUNT I oo OOLLARS ? CASN [I CHECK FOR - 1 FUND GODE qMOUNT J ,.'. ' Thank You , BY . White-PaYers Copy Yellow-Posting Copy Pink-File Copy Remarks ? -7' .,adition H7LLANDALE ADDN. #2 Lot 1 Rlk 1 Parcel 10 32951 010 01 ow?er ? ???/?p ?ii ?,_ screec 4186d So. Meadowlark Road state EaQan, MN 55122 ?(Sf 07? W - ?u/?f ? / 27/ pi ? , Ifi, n'/J SC ?LJ/ " 4 , / .2 ) Improvement Date Amount Annual Years ' Payment Receipt Date STREET SURF. STREET RESTOR. GRADING BAN SEW TRUNK 1,25' 1470 74.91 ' 3: 00 25 SEWER LATEFAL * WATERMAIN 1973 189.56, 12.6A ?, 15 * WATEF LATERAL WATERAREA jI 1975 104.44- 6.96 15 Water area 332 1977 11.40 -1-.04 15 *STOflM SEW TRK 201 1973 430. 65' 28.71 15 ieSTORM SEW LAT CURB & GUTTEF SIDEWALK STREET LIGHT #44373 6-27-84 WATER CONN. 470.00 fi ty BUILDING PER. /?92z9 71 vi ? SAC 125:00 V ARK I CITY OF EAGAN Remarks Addition HILLANDALE ADD. #2 Lot Z Bik 1 Parcel 10 32951 020 01 owner Street 4188 So. Meadowlark Road State EaQan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 74.94 3.00 25 7.10 C010159 2-12-85 SEWER LATERAL *WATERMAIN p 1973 189.47 12.63 15 • C010159 -1 - 5 *WATER LATERAL WATER AREA 1975 104.34 6.96 15 • -- *STORM SEW TRK 1973 430.49 28.70 15 • 2-12-85 SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 9144373 6-27-84 WATER CONN. 470.00 " BUILDING PER. # „ n SAC . ?? PARK CITY OF EAGAN Addilion HILLANDALE ADD oWner Remarks Lot 3 AIk 1 Parcel 10 32951 030 01 street 4190 So. Meadowlark Road state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ,s 1970 74.94 3.00 25 27.10 C010162 2-13-85 SEWER LATERAL * WATERMAIN 1973 189.47 12.63 15 25.28 C010162 2-13-85 * WATER LATERAL WATER AREA 21 1975 104.34 6.96 15 27.89 C010162 2-13-85 * STORM SEW TRK 1973 430.49 28.70 15 57.52 C010162 2-13-85 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #44373 6-27-84 WATER CONN. 470.00 it 11 BUILDING PER. SAC PARK Receipt MECHANICAL PERMIT " l CITY OF EAGAN r Y?"r?' l 1 l, i i % ` Fill in numbered spaces ! - Type or Print legib/y 1. Date `l-- 2.InstallationCost ? . 3. JobAddress Lot_3 Blk. 4. Owner 5. Contractor 6. Address .7l i)O /f2?-i1 No. Fee S/C Tot. Tr?c? I// ' '?' (L ? Phone Ya s - 7. CitY % - , %' State .;::!4 - 8. Building Type: Residential jM Commercial ? 9. Work Description: New ?l Add ? Alter ? 10. Describe Fuel 11. Zip onal ? epair ? i f No. €quinment 9TU - M. Ea. Forced Air No. Equipment CFM _ Mfg. Air Handling: _ Boilers l Mfg. _ Mech. Exhaust - Unit Heater Mf9• r/.!,. . ; Othe - Air Cond. , r Mfg. Gas, Piping Outlets 72. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 -1 Receipt PLUMBING PERMIT CITY OF EAGAN 7 .a u f I Fill in numbered spaces Type or Print legibly 1. Date 7/18/84 2. Installation Cost S. eadowlark Rd 3. Job Address Lot-?-Bld 4. Owner ilichael Construction Tract (L 5. Contractor Wenzel Mech. Phone 452-1565 6. Address 3600 Kennebec Dr 7. c;tv Eagan state P4n Z;p 65122 8. Building Type: flesidential C? Commercial ? Institutional ? 9. Work Description: New ?X Add ? Alter ? Repair ? ? 10. Describe I 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield / Bath tubs Septic Tank ' Lavatory Softner Shower Well Kitchen Sink _ Urinal/Bidet Other water heater ' Laundry Tray tl1 posa ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. !. Signed : - - ' ? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 U Permit No. Fee 20.00 s/c .50 7ot. 20.50 - • . CITY OF EAGAN ?? ?,?? 3830 Pilot Knob Road P.O,Box 21-199, Eagan, MN 55121 L PHOME: 454-8100 BUILDING PERMIT Recelpt # Te 6e w"d for I GF 1 PLEX Est.Value Y54,000 Date 'iUNE: 26 1984 4138 SO ?1LAJOGdLA;2d: s:U R Site Address Erect ? Octuponcy Lot U? elock 6 I Sec/Sub. H.LLI.AI?DAI,E 2 Alter ? Zoning t Parcel No. Repoir ? Flre Zone NiICHAEL CONSTRUCTIOtd Enlarge ? Type ot Const. iv Name Move Z 8800 W HIh7Y , S'PE _S O # Stories 31 25 6 Address _ Demolish p Length City st OU1S one Grode fl Depth--5 Sa.Ft.- O Name v?? u ?? Address 6- City . Phone Name Address City Phone Assessment Water 8 Sew. Police Fira Eny. Planner Council I hereby ocknowledge that I hove read this application ond stote thot gldg. Off. the information is correct ond ogree to comply with all applicable ^PC State of Minnesota Stotutes and City of Eagan Ordinonces. Sipnature of Permittee - A Building Permit is issued to: oll work shall be done in occordnnce wit(i aly appliwbla StaM of Miapsc Buildinp Officiol Statutes Permit zvn.00 SurcFar- 00 Plan check147.5U snc 525.00 Woter Conn. 470.00 WaterMeter 63.00 Road Unit 260.00 Taal 50 _ on the express condition thnt City of Eoqan Ordinances. Parmit No. Permit Holdar Mise. Permit No. Holder Plum6ing H.V.A.C. fD Well Water Disp. Sawar eieccric ALf q31oc -95 InspeMion Data Insp. Othsr Pootings /r f kY J Foundation Framing Rough P16a •? Rough HVAC g?j Inwlation 1 Final Plbg. Final HVAC Final Weter Desuibe Location: Well Sewer Pr. Disp. Receipt ?PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prini legibly PermitNo. (/'> Fee 20.00 s/c "5= 1/18/84 Tot. 20.50 1. Date 2. Installation Cost 4188 S. 1Meadowlark Ftd 3. Job Address LotBlk./ Tract ? 1_T_` d- 4. Owner Michael Construction 5. Contractor Wenzel Mech. Phone 6. Address 3000 Kennebec Dr 452-1565 7. c;ty Eagan State Mn ziP 55122 8. Building Type: Residential ?X Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? I 10. Describe I 77• No. ?-5 Fixtures Water Closet No. Fixtures Cesspool/Drainfield 'Z - Bath tubs Septic Tank Lavatory Softner Shower Wel I / Kitchen Sink Urinal/Bidet water hQdt2t" Ot ? Laundry Tray ?Y spvsal- ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt ? /,? G EJ MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Printlegibly 1. Date 2. Installation Cost 3. Job Address Lot ? Blk. 4. Owner ,'Z ,XEl_?:,6- Permit No. / ? Fee ? S/C Tot. 1 ? 5. Contractor 4z?_G? 'i./Phone 6. Address 7. City = 4Cfliv State 8. Building Type: Residential 9 Commercial ? 9. Wark Description: New m Add ? Alter ? 10. Describe !?i Fuel 11. jp -/?7ES zp O epair ? No. ? Eauioment BTU • M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: _ Boilers Mfg. _ Mech. Exhaust Unit Heater - Mf9• Othe Air Cond. r Mfg. / Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 PERMIT # (? 6 ? CITY OF EIkGAN FEE 5 y PLUMBING PERMIT , RECEIPT # ? 454-8100 S/C MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL i'_ DATE "? ' MINIMUM COMMERCIAL FEE - $20.00 + $.50 ?,. 1. Bldg. Type: Res ? Comm Inst 2. New Add Alter Repair 3. Total Bid Price 4. Job Address </ L v , Lot ? Block / Sec S. Owner .}-/ s. Contractor 4?' ?`? /,(' • %i%'. ?[?i ?.+,n.?' ?.f?., (Name) ? ??' (Streeq ? (GtY) RiPI 7. Contractor Phone # - i. NO. FIXTURE5 s -Water Closet - $3.00 -Bath Tubs - $3.00 -Lavatory - $3.00 -Shower - $3.00 ? -Kitchen Sink - $3.00 -Urinal/Bidet - $3.00 NO. FIXTURES _Laundry Tray - $3.00 _Floor Drains - $1.50 -Water Heater - $1.50 -Whirlpool - $3.00 Gas Piping Outlets - $1.50 :17Softener - $5.00 NO. FIXTURES -Well - $10.00 -Private Disp Syst - $10.00 _Rough Openings w/o Fixtures - $1.50 COMM./IND. R T7400e/L? O?OTAL BID PRICE PLUS $•? S7ATE SURCHARGE FOR EACH;1,000 OF FEE. Signed: l c for ;7i!O'ra;?/? Approved Inspections: Date Rough Insp. Date Final Insp. • CITY OF EAGAN N• ? 92?1 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # t ? 7? re ha ,,.,d fs. L Oa-' 3 PLt:X $53,000 ,,,,#e JOtVis' 26 10 84 SiteAddreu Erect ?" Occuponcy --- HILLANUALE 2 ? ? S S b ec/ u Lot Block . Alter ? Zoning Parcel No. Repoir ? Fire Zone Enlarpe ? Type of Const. hij?-tlAEL CONST;c[ICTIUN ? Name 8800 W JHWY 7 ti'PI? 331 z Move ? .# Storie ? , Address S:'OUIS Yi? 931 pemolish ? Length 45 hone City Grode p Depth Sq. Ft. - SAA1t: Approvab Faes o Name ? z9z 0 ot Address u Assessment Pertnit ' 26.50 ? CitV Phone Water & Sew. Surcharge Police Plon check 14 6.0 0 W Name Firo SAC 525.00 P- ?? Address Enq. Water Conn. 470.00 ?W City Phone Plonner WaterMeter ?3.00 Council Rood Unit 26U.00 I hereby acknowledge that I have reod this opplication ond state that Bldy. Off. the intormation is correct and agree to comply with all applicoble ? . ?.. 0 Stote of Minnewro Stotutes and City of Eagon Ordinances. APC Total Sipnoture of PermiMee 11?;"riAr:r, cONti-r.zu?'-Tzor; A 8ullding Permit Is issued to: on the exprcss tondition thnl le $tote 94 Mlinnesoto $tatutes and City of Enqon Ordinances. oll work sholl be done in accordonce ith oll applic q p ( . , 8uildinp Officiol o ' "? - - Parmit No. Parmit Holder Misc. Permit No. Holder Plumbing C.' ? lF O ?? 1? ?l I? ? H.V.A.C. Well Watsr Disp. Sewer EMetric F/f Inspection Data Insp. Other Footings Foundetioo Freming Rough Plbg. Rouph HVAC ??3 ? ?/ u Inwlation Final Pibg. 11-3/9 Final HVAC Finsl ? r Wetar Describa Location: VYell Sevwr Pa Disp. - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Te 6r ¦wd Far 1 OF 3 PLEX Site Addrese _ Lot (• E Parcel No. - 19 W Name _ ; Address b City - ? o Name _ Address ? City - Name _ Address Phone Phone N? 9229 ' Receipt # C' ?/ 3 ?3 UUU Date JUNE 26 , 1984 - Ered Occuponcy 'zl - Alter ? Zoning `23 - Repair ? Fire Zone N A Enlorye • ? TYpe of Const. v t Move ? # Storie? 7 - Demolish ? Length 4 5 - Grode ? Depth Sq. Ft.- ? Apororals Fees Water S Sew. Police Fire Erg. Plonner Council k Bldg. Off. APC Permit Surcho rge Plan chec?? $AC -= Water Conn. 470.00 Warer Meter 63.00 Road Unit 260.00 I hereby acknowledge that I have read this opplicotion and state that fhe information is torrect and ogree to comply with oll opplicoble State of Minnesota Stotutes ond City of Eagon Ordinances. Sipnatum oi Pertniftee . . .. . . :. ?_. :? A Building Permit Is issued to: oll work sholl be done in occordonce with ull applicobla State of Mt? Buildinp Officiol '; Total '1 ' ' 50 on the express condition thni and Ciry of Eagan Ordinances. Parmit No. Permit Holdar Miac. Permit No. Holder Plumbing H.V.A.C. 1?y ?j Well Weter Disp. Sewer eleM.?c L(1 Inspaction Date Insp. Other Footings It I7 .? O Foundation Freminy Rouyh Plbp. Rouph HVA Inwlation C Final P16g Final HVAC 3 Final ? Wsrir Oeacri6e Loeation: YVell Sewer Pr. Oiap. ? NSPECTION RECORD? I CITY OF EAGAN PERMIT TYPE: I 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I ? m: ;,ilifi.n nilt E? n PERMIT SUBTYPE: ttutt ntNc H.'i94? 06/1H/9F• APPLICANT: TYPE OF WORK: F1f PA!{'i k(If)F DAMACsI fIi •:t k lF' I 1.-,' C?fMARl. I IVC I (IUF +{ 1 ii>i hNiI 4 1 70 Vtt r1VI)W! 11ftK i+t't i . t t i ? I Permit No. Parmlt Holder Date Telephona k ELECTRIC PLUMBING HVAC InspecNon Dete Insp. Comments FOOTINGS FOUND FRAMING ROOFING /Z 3l ROUQH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL. GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG OflSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL ? CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road I ? P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DI?TE: ``"?? Zoning: No. of Units: n ?jEx Owner. 1iiChael Const Address: Site Address: 4188 So Meadowl ark HD L 11,1 H illa a n Plumber: eIIZB 5-27-84 4 373 M0.130 '-' 1 eyree M oomoyr wkh elr py sf laga• ConnecNon C]wrpe: 425.00 pd Ordlnanees. Account Depocit: 15.00 pd Permlt Fee: 10.00 pd Surcharge: . 5o pd BY Misc. Chorpes: Dcte of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning; ---? Owner: mi?g, Addrcss: ----? Sita Addrcss: 4188 ; Plumyer, _ Wenze] hktor No.: Size: -- M eomPly wNh IiM C" o{ fown WATER SERVICE PUMIT PERMIT NO.: 57U7 DATE: 9- Z j_ s; ?.. No. of Unirs: I of 3p] ea Connection Chprge: Account Depostt: _ Permit Fee: Surcharge: Misc. Charyes: _ Total; ? Dote Paid: IDeC6T CITY OF EAGAN WATER SERVI 3830 Pilot Knob Road C E PERMIT P. O. Box 21199 PERMIT NO.: 5707 Eagan,MN 5.%121 DATE: 9-11-- q4 Zonirg: No. of Units: 1 oP 3 plex Ownar: '.i cnae ] ('onst Address: c? 5ite Address• 4 k Rd L2 B 1 Fillandale 2 \Plu^ber: - p W@' Inq.call Incql nt illfiiPS , / iNeter No.: -1^ 4toji*ctionCharge: 470.00 pd Size: t Deposit: 15.00 Pd Reode No.: Fee: 10.00 pd 1 e0rse b oomPlf' wbh !ie City ef Eayea Surcharge: .50 pd Ordi"ances. Misc. Chorges• 63.00 pd meter / l Totol: By Dote Paid: Oote of Insp.: ?nsp,; TY OF EAGAN SEWER SERVICE PERMIT 30 Pilot Knob Road 0. Box 21199 PERMIT NO.: i396 gan, fJIN 55121 pqTE: `?-1 - "i"g' No, of Units: ' ,.,... ?c ae o1irL Site Addreu: ? ?Clilill 1 1 8A e E Plumber. WeriZel 4 13 P I.yree eo eanoy wilY tha Cky of Ea9e. ConneeHon aorps: 425.00 d Ordlnenep. AewurM Depoait: 15. , pd Permit Fae: l0 • Pd B Surcharpe: ° i p?a y Miac. Chorpes: Dote of Irap.: Totai: Insp.: Dote Poid: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO : 37"r- 3:1 Eagan, Mft9 55121 . DATE: 1-1 1 ->t!; Zoniny: No. of Units: 1 oflill?' n- Owner• ',t{ ,. ` ? Address: ? 4 ? `- ?te Addr?: e RF cn ,-- ? -?1 I?(jARF 1 T a i 1`i7 ?5 ' ? nrialp 7 ?? ? lumber T u I , n - ' _ l ? VNeter No.l I -L L J : i LL Charge: _ 470.00 Dd Size: ?!count Deposir: - 15 00 D? Reade No::' Permit Fee: _ 10.00 pd 1 agrsO to eanply wifh !fie Clfy of Eagen O?dieo Surcharge: 50 pd W5 vn? Misc. Charges: F3•? r r (1 7,YEi r ? ToTol: BY Dote Paid: Date of Insp.: - Insp.: CITY OF EA6AN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 211£9 PERMIT NO.: Eagan, MN 55121 DATE: ' ' Zo^i^9: , No. of Units: S o" 3plex 11_hae ,ons[ Ownar; Address: Site Address: o ?.-eac!ow ar R L 3 E1 t{ i],1zLndale2 .. enze. Plumber: 6-27-84 44373 100.00 pd i esree ro eempy wxh Hb C*y oF Eege¦ Cor,oeccion charo« 425.00 nd ^ Ordiesneaa. Account Deposir. 15.40 pd Pennit Fee: 10.00 nd Surchargo: • SQ pd Bv Misc. Charges: Dote of Insp.: Total: Insp.: Dote Pald: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. ¢ox 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zonins: No. of Unirs: i of 3plex wner: -'' .•e:hael Con5t p Address: Site Address: 4190 So ;ieadowlark Pd L3 81 Hillandal.e 1 Plumber: `;`Feazel ''`eC?? Meter No.: Connection Chorge: 470.00 pd Size: Account Deposit: 15•00 pd Reader No.: Permit Fee: 10.00 pd 1 ayrm fo complr wlth Nw Ciry of Ea}pn Surcharge: •$0 rd OrlLwnea. Misc. Charges: 63-00 nd mete Totcl: BY Dote Poid: Date of Insp.: Inap ; , CITY OF EAGAN 3830 Pilot Knob Road P. O. soi Eagan, MN 55721 Zoning: 1`.cYr ' r.sc Owner, ? Address• Site Address: ??°? +?9 y?SeadAW7. `" ?fenz:e7.' P`csc, :' •. WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 1 at 3Plea ? Meu erNo : o?ndrtion Chorge: 470.00 pd . Size: oil / ?' A ??it: 15.00 pd . ? ? ? Fe it i P ].J.00 ?d ?i?2, Reader No r n e . (? nd 1 egm M eompb wMh elN Ciry of Eagan Surcharge: :1 :neter es: Chur Mt 1 Ordiaasaa. 9 sc. l T t : o a Paid: D t gY e o te of Ins : D I^i p. a q??? c? REQUEST FOR ELECTRICAL INSPECTtQN p EBI-000a7-0A ' See instructions for compl¢ting [his (orm on 6ack Of yellow copy. A ?,? 89 X?" Below Work ?overed by This Request Hdtl Rep. Type.of Buiiding Appliances Wired EquiUment Wired Home ? Range Temporary Servicis Duplex Water Heater Lightiny F'xtures Apt. Buildiny Dryer Electric Heatin ' Commercial Bldg. Furnace Silo Unloader Industrial Bidg. Air Conditioner 8ulk Milk Tank Farm Orher SPecrfv cher(sneulry) ther SpecifY Other Other Compute /nspection Fee 8elow tl Fee Service EntranceSize U Fee Peeders/Subfeeders N Fee Circuiis (,r"O D to 200 qm s D ta 30 Am s d-'4-0 0 to 30 Am)s Above 200_qmp5 37 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transiormers (rrigation Boon-is Pariia6'Other Fee Signs Special Inspection $ ? ^ /- ? TOyA'L FEE Remarks ? O-? ?. (/V Roueh-in Date , he Electri I Ins S . ereb4 that the ab ce tit Final r y ove inspection has 6een ? f 7 made. This request void 18 mooths irom B months from'd `-l 55 4 9 47189 glr?/ g ? Request Date Fire No. Roueh-in InsUection Requ?red? ?Ready Now ?rNotify Inspec- ?^?? ?Nu ?r When Ready icenseA Electrical Contractor I hereby requastinspection of abova ? Owner electrical work installed at: Street'Address, 8ox or Route No. ?Q? ?C? ?2$l?Oca6L1??/LL?. 4 C? Ci1Y eotion o. Township Name or No. Range No. Co Occup?nt(P3INT) L? 6?vo 0/ ?-vic. ?ai2'f 6.? PhonL No. Powe upplie/r /? ?L.¢{_?YLC-?c' Add/re?ss ? / J"???[ !- l?o-/r- Electri ?I Co Vact r (Company Name) Contractor's License No. ^ l`?-? MaillnB A dJress IContrac.tor or Owner Ma np Instail n) / 6 C-C) Authorized Signa re (C n[r tor Owner aki g Instailation) Phone Numher ??- 41 Z MINNE40TA STATE BOARD OF ELECTHICITV THIS INSPECTION REnUEST WILL NOT GriggS-Midway Bldg. - Room N-197 BE ACCEPTED BY THE STATE BOAND 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (672) 297-2117 ENCLOSED. REQUEST FOR ELE£TRICAL INSPECTION es-ooooi-oa See instructions tor completing this form on back of yellow copy. ?y bu 1qo "X" Below Work Covered by This Request Nevw AAdcll Rep. TVPe of Building Appliances Wired Equipment Wired Home Range Temporary Service Dupiex Water Heater Lighfi:ty Fixdires Apt. Building Dryer Electnc Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Buik Milk Tank Farnl Other PecifY Ihci (SPer,ify) t er Suecify Ot er Other Compute lnspection Fee Below N Fee ServiceEntrenceSize # Fee Fxnders/Subfeeders # Fee Circuits U ? 0 to 200 Am s 0 to 30 Am s 61 514, '0 to 30 Am s Above 200 qtnpyi 31 to 100 Amps 5-a--V 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers frrigation Booms 5 Partial: Other Fee Signs Special Inspection $ ? ? TOTA Remarks ` EE ?r ?_ 1.J FouOh-in Dnte ` rlf, the ectri • InspOCtor, erpby certit that the ab Ve Ginal ? Da?; ? q ? y O inspeetion has been e r +?' }?.•? made. Thie fequest voitl 18 monlhs from This requesl void i IG? ? G? 18 months from `? J A 47190 a- V( vSY Requ,est Da,te Fire No. Rough-in Inspection Required? ? ReaAy Now ?otity Inspec- d [or When Ready ?ed Electrical Contractor I hereby request inspection of above 4111 ? Owner eleclricel work instalied et: Street Address, Box or-Route No. City A--.-j ecuon o. TownshiD Name or No. Range No. County / D Occupant?(Pq/1NT) Phone No. Pow uuUlier A Adde n A 4- /'f""'?'? e,T. Elect?ica Con ?ct Company Namel Conlractor"s License No. ? a ./ Mailing Address IContracto o r Own ;er akin n tailation) ? ? , ? Author" ed iBn ontractor/Own Md ing Installation) Phnne Number l?`lv s? ; 'SOTA STATE BOAPD OP ELECTRICITV 'Aidway Bldg. - Room N.191 vrsity Ave., St. Psul, MN 56104 297.2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOAHD UNLESS PROPER INSPECTION FEE IS ENCIOSEO. This request wid M/- 18 months.from A 082.810 L;)-b.! SU Request Dat. ? Fire No. IO?ugh-in? Inspec[ n ??4+???/ed ??? Now BMViTrNotiiy Insnec- t Wh R ?.es [INa or en eady kj-ttc'e?tsed Electrical Cootractor I ryweby rmyuest inspachon of a4ove ? Owner cleclriwf work irmiatled at: Street Addres Box or qouie Nw ?n n ? V Ci?A /' ?C? ectio(+ o. TowrShiv Name or N0. Range No_ Cw OccuoarA (PRINT)/ ? z `? / Reu? No. f? C GcI lt.UUS-e. Power SupDlier Address Elechic I C9^ tra ta (CoarpeM N? 1 ,iii Cmiracmr s Lice?¢ No_ Ec MailinB Address ICoMrac2a a Owner !/aking InsSa;lan 6 a--o ? e," •v-e -u ?? Lu tho o 'z - nat re (C@ clor Omrer Wk' leeslallation) Whone N? MINdESOTA STpTE Bpp1D OF ElEG7RICIf1/ v THIS IpSPECTION REQUEST MILL MOT Griggs-Midwav Bldg- - Bmm N-791 6E AGCEPtEO BY TNE STATE BOJ?RU 7 627 University Ave.. St_ Faul. M SM04 UNLESS PROPER INSPEC710N iEE 6 Phnrw (6121 297,2771 ENCLOSED_ REnuESr FoR eEcrNcai lw?crIoau CA /? See i?tnctim?s for comp[eting fhis foro m 6ack of rallow wpY- a"'?! RUM n'- Be%w iVork Covered by This Request EB-OOUO7-04 \? -2:4 t 5 A ?od fleP. TYPe of Building Applia - E4uipmnn Mired Home Ra?x,e Temporary Service Duplex - Itlatef Neater Lightirg FixMes- Apt. Building Dryer Electric Heatin Cortmercial Bldg. Furnaoe Silo Uoloader ., Industrial Bldg_ Air Cwxlitiaier Bulk Milk Tank I FFarm . oeC. e.ner tscecirY) t r SpecilY OthM 011er LOlADUIB /OSOECllO0 FP.P. BC/Ottl p Fee ServiceEMranceSizs $ Fae Feeders/5ufifeeders Y Fce Circuits 0 to200 Anips 0 tD30 0 to30 AiTws Above 200 A 31 m 100 Anqrs 31 to 100 AnVs Swimming Pool Above 100_ AIRPS SO'a Transiormers Bnigation Baar?s Partial•'Other Fee Sigis Special I?upection T 1 ? HeG.s..`/ ?..,..._.__ ,....C./-_`_.- nnvn '` 'v ULS OTAL PEf + flough-in . Date / th El - ? . e ec ?aspecto.. hemb. Ili1y drdl She a6pvp Final Date i;soecL'm has 6san d ? e. TMS repuesl wid 18mmlFntmm I/ - ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 " PHONE:454-8100 BUILDtNG PERMIT N° 9229 Receipt # 313 To be used for 1 OF 3 PLEX Est. Value $53, ,000 Dote .TL7NE 26 , 19aA-- Site Addre s 4186 SO MEADOWLARK RD Erect L Y Occupancy R1 Lot ? HILLANDALE 2 Block ? Sec/Sub. p, lter ? Zoning R3 Parcel No. Repair ? Fire Zone N/A Enlarge ? Type of Const. V 1 HR Name MICHAEL CONSTRUCTION Move ? ,? Srories W 3 Address 8800 W HWY 7, STE 331 Demolish ? Length.2?1 - ° Cit ST LOUIS P?one 93 -4262 Grade ? Depth 45 Ft Sq y . .- °C SAME APProvals Feea -- - -- p0 u u? f Name Address City Phone Name Address City Phone I hereby ocknowledge that I have read this application and stote that the informotion is correct and ogree to comply with oll applicable Stnte of Minnewta Stotutes and City of Eagon Ordinances. Assessment - Woter & Sew. Palice Fire Eng. Planner - Council _ Bldg. Off. _ APC Permit 2•00 Surcharge 26.50 Plon check 146.00 SAC 525.00 Woter Conn. 470 _ 00 Water Meter 63 _ 00 Rood Unit 260 _ n0 Total --?1 ,7 82 . 50 Signature of Permittee I A Building Permit is issued to: MICHAEL CONSTRUCTIOAI on the express tondition thnt oll work sholl be done in accordonce Wifh-aN-pDDlicoble Stat of 'nnesota Statutes and City of Eagan Ordinonces. Building Offlcial ?- d1 e!-'; xY 6'0 l-.AKE.woo7-) rowNNor'?Es CITY OF EAGAN ? oF BUILDING PERP!QT APPLICATION Include 2 sets of p]ans, 1 Certi£icate of.Survey & 1 set of energy cal.culations. 'Ib Be Used For QA6.uN1T Aa,&?, val tion !!?Jooo 00 Date site Address: Lot BlocJc Sec./Sub. Parcel Owner= MICHAEI- ?NST?UGTI?N Address: City/Zip Cocle: Phone #: Contractor: G'o?"M C-- Address: City/Zip Code: Phone #: Arch •/Ehg •: 'DU M b N CCAU }c fr A??AG, Address: City/Zip Code: Phone #: OFFICE USE ONII,Y ? lz I Erect Occupancy - Alter Zoning -- Repair Fire Zone Enlarge Zype of Const. 'U? 1 1-1 {Z. Move # Stories Demolish Front 1 ft. Grade Depth q 5 ft. APPRDVALS FEES Assessments PeYm.it Z-° Water/Sewer Surcharge 2 ?•5O Polioe Plan Check 14 10. °° Fire SAC ?2 S • °` Eng. watex Conn. _ ?O. -F Planner Water Meter Co3. m Council Road Unit 2loO.= Bldg. Off. APC 'IOTAL /i 7P' .5-0 . CITY C;F EPGAN ? 9230 ' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55127 lr o PHONE: 454-8100 / BUILDING PERMIT Receipt # , ?"?-37=3 _ T. bs u.ed for 1 OF 3 PLEX Est. Value $54, 000 pO1e JUNE 26 1984 SiteAddress 4188 SO MEADOWLARK RD Erect :6 pccupauy Rl Lot _/__. siock_-,;?-sec/sub. HILLANDALE 2 qlter ? Zoning R3 Parcei No. Repolr ? Fire Zone N A Enlorge ? Type of Const. V 1 HR a Name MICHAEL CONSTRUCTION Move ? # Stories ; Address 8800 W HWY 7, STE 331 pemolish ? Length 25 b City St 1Oll15 pkone 938-4262 Grade ? Depth 45 Sq. Ft.- ? gAM$ Approvalf Foes ,o Name O? Address Assessment 295.00 Permit u? City Phone Water & Sew. Surcharge 27 • 00 police Plan check 147.50 FW Name Fire SAC 525.00 ?? Address Eng. Woter Conn. 4 7 0. 00 <W City Phone Planner Woter Meter _--63-?O 0 Council Rood Unit 260- 0 0 I hereby ocknowledge thot I have read this application and stote that Bldg. Off. the inlormation is wrrect ond agree to comply with oll opplicoble APC , Total +- 787•50 Stote of Minnesota Statutes and City of Eogon Ordinantes. Signature of Permittee A Building Permit Is issued to: MICHAEL CONSTRUCTION on the express conditlon thnt es and J of Eugon Ordinances. all work shall be done in occordonce w'yth o?pliwb e State f Min eaoto Statut ? Building Offidal ? ? La?c'Ewcbrz> TowH"oME5 LI fJ I T CITY OF EAGAN Include 2 sets of pluns,• . C? oF 1 Certificate of Surve & BUILDING PERMIT APPLICATION 1 set of enexgy cal.culations. Zb Se Used For r-U;I•UN IT /GP?P- Valuation ? 54?• ? Date Site Address : 4 I695 So. M F-APDWLPeK 120 OFFICE USE ONLY Lot ? Block ( Sec./Sub. Erect ? Occupancy R-? Parcel #: awner: LO NhT2UL'fl OQ Address: City/Zip Code: Phore # : Contractor: J?M E Address: City/Zip Code: Phone #: Arch./Eng.: C)U MC?h1CC?U Address: City/Zip Code: Phone #: Alter zoning R-3 Repair Fire Zone I•I /?4 Enlarge Type of Const. ?. I NK. Nbve # Stories Derrnlish Front 2r'j ft. Grade Depth 45 ft. APPRDUALS FEES Assessmencs Water/Sewer Police Fire En9 - Planner Council Bldg. Off. APC Permit ' .Z 9S °v Surcharge Plan Check / 7 D SAC 52 i?, =° water Conn. 42o. =° Water Meter l0 3. go xoad unit 2(00.-' ? N N X - N ? ? N ? b N x ? 4N A ? ,? ? -- ? (?' ° N _ ? CITY OF EAGAN NO 92?? MN 55121 199 E 3830 Pil b R d P B 27 K O agan, , no oa , . ox - ot . . PHONEF4548100 BUILDING PERMIT Receipt -- 23 -- To 6e wed for 1 OF 3 PLEX Est. Value $53 r000 pme JUNE 26 1 q 84 Site Address 4140 SO MEADOWLARK RD Erect pX Occupancy Rl Lot _3-Block gl ?Sec/Sub. HILLANDALE 2 Alter ? Zoning R3 Parcel No. Repoir ? Flre Zone N/A Enlarge ? Type of Const. V 1 HR m Name MICHAEL CONSTRUCTION Move ? # Stories Z o Address 8800 W HWY 7, STE 331 Demolish ? Length 27 Cityst LOUIS PKphone 938-4262 Grade ? Depth 45 Sq. Ft.- S?E Approvals Feea o Name ?? Address 1- City Phone ? W Name F _? ? Address uZ <W City Phone I hereby acknowledge thot I hove read this opplication and state that the informotion is torrect and ogree to comply with all applicable Stote of Minrxsota Statutes and City of Eagan Ordinances. Signature of Permittee _ A Bullding Permit is issued to: all work sholl be done in occo Assessment Water & Sew. Pol ice Fire Eng. Planner Council Bldg. Off. APC MICHAEL CONSTRUCTION Permit $ 292.00 Surcharge 26 _ 50 Plan check 146 _ 00 SAC 525 _ 00 Water Conn. 470-00 Woter Meter 6 3- n 0 Road Unit 76n- no Totai $1, 782.50 on the express Condition tNm Stututes ond City of Eagan Ordinances. Building Official C?0F crry oF EAcAN BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 Certificate.of 5urvey & ~ 1 set of energy cal.culations. ?l,<1(a uNIT - 41? - 7.b Be Used For Val tion Date Site Address: OFFICE USE ONLY Lot ? Block Sec./Sub. Parcel #: owner: L1I C14?L (-'O NST iRuC..T I Ot? Address : Qj?? 1A. f-E Wf .1 '7 U I T-F= 3'3 I city/zip c«de: ST.l?uis i`?K, Phone # : Contractor: ?j/??l L. Address: City/Zip Code: Phone #: Arch. /IIZg. : ? ' MON Gt=?U Y? A`?OG, Address : 3,?00 w(p ?? ST• ?1 ?'1? 385 City/Zip Code: 55435 Phone #: ?'I 2-:7 -(Q -1 Ca & Erect X Occupancy V--I A1ter Zoning (Z-3 Repair Fire Zone I-I A Enlarge Type of Const. SZ I HIZ. Move # Stories Demolish Front Z'1 ft. Grade Depth 4'2 ft. APPRDVAL.S FFFS Assess[rents Pexmit 217• 00 Water/Sewer Surcharge 2(0,W Police Plan Check 1 4(11. =° Fire SAC SZ 151. "° Eng. Water Conn. 41 O. °-° Planner Water.Meter fo3.°° Council Road Unit ZZ oO, Bldg. Off. APC _ TOTAL ), 78a , 5() 2004 RESIDENTIAL BUII,DING PERMIT APPLICATION V:83 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reouiremenis 3 regislered sile surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas RemodeUReoair Reauirements 2 copies of plan Ofice Use arriv CeAe1' Reed " Y ? (20%a maximum lot cwerage allowed) 1 set of Energy Calculations for heated addi(ions k Rectl Iree P[esPIM Tree ?resiie?luired N. YN 2 copies of plan showing beam & window sizes; poured found design, etc. s , 1 site suroey (or additions & dec tic system indicate if on-site se Additi SEp1it 'siem ? Ort-s1#E •N 5 se1 of Energy Calcutations p on - . 3 copies of Tree Preservation Plan if lot platted afler 711l93 Rim Joist Detail Opfions selection sheet (bldgs with 3 or less units Date /Q J Construction Cost Site Address y I W Snn VJ'?, mCadQ ?j lW ? ko " Unit/Ste # ? a nv\,J S-s 1 a a Description of Work IC V Multi-FamilyBldg ? Y_ N Fireplace(s) _ 0 _6) _ 2 Prapertp Owner Te{ephone #((-5) }`? S Z- - SQ I S- Contractor Address CITy State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category i Worksheet • New Energy Code Worksheet (?submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructbd a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review Telephone # ( D Telephone #( Telephone #( I hereby apply for a Residential Building 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 State of NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? , Applicant's Printed Name Applicant' Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition 33 Alteration ?? 34 Replacement ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex /kr- 19 Lower Level ? 12 12-plex Plbg_.Y. or_ N Valuafion Census Code SAC Units # of Units # of Bldgs Type of Const ? _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile ? Roof Ice & Water Final ?C Framing _ Fireplace _ RI. _ Air Test _ Final ` Insulation Occupancy Zoning Stories Sq. Ft. Length Width MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS Fiual/C.O. ? FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AirlGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: 7-1 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 20 Pool ? 21 Porch (3-sea. ) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ect. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Buiiding` ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bidg) - Give PCA handout to appiicant . Z-5 ? ?? ? ?, j ? / 7? RESIDENTIAL BUILDING (001 ti'd- Permit Application City Of Eagan 3830 Pilot Knob Road, Eagau MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 (5D New Conshuction Reauirements RemodeUReaair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roo(ed areas 2 copies of plan Cert of Survey Recd Y_ N (20°k maximum lot coverage allowed) 7 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam & window sizes; poured (ound design, elc. t site survey for additions & decks Tree Pres Not Reqd Y _N 1 setaf Energy Calcula6ons Add'dion - indicate rf on-site septic sysfem On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platled after 711193 Rim Joist Detail Op6ons selection sheet (bldgs with 3 or less units Date ? l 2 y / Q 3 SiteAddress Laa s-'Dit" (/vtae,,, L&,q K Construction Cost ?'7 ?? • b?' ??_ Unit/Ste # Description of Work j-AJ. v,. Multi-Family Bidg x Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner e vusn S Telephone #(65) ) ?IS 2- -?? I S Contractor J<e- ?w- Address 52 State 1'? Ilj Ccw,?,,? Zip $Sy 3 Z? City ?? Telephone #(b ? 2? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksh r?-:? ` . w?nergy Code Worksheet (J submission rype) Submitted I ? p? r C? ??u ?itted • Energy Envelope Calculations Submitted ;D . ? Have you previously constructed a building in Eagan with a similar?plan? Y N' If so, 25% plan review fee applies. _?---- Licerised Plumber Telephone # ( ? Mechanical Contractor Sewer/Water Contractor Telephone # ( Teiephone # ( I hereby apply for a Residential Building 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 State of MN Statutes; 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 wil] be in accordance with the approved plan in the pase of?work which requires a review and approval ofplans. / ??n ? _ MQs7i') C. K,2?4 I)c-? ? Applicant's Printed Name Applicant's OFFICE USE ONLY - y Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types IM 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 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 ? 12 12-plex Plbg_Y or _ N Valuation 2d•? ? Census Code L1 ST_ SAC Units Nbr. of Units Nbr. of Bldgs Type of Const !n FooCings (new bldg) 6O Footings (deck) _ Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final _ Framing _ Fireplace _ R.I. Air Test _ Final Insulation Occupancy ? -3 MC1ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Totai ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory 81dg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvemerrt ? 38 Demolish (interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundadon) ? 45 Fire Repair ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire 81dg) - Give ACA handout to applicant FROM ; SOUTH LEXINGTDN CHIROPRRCTIC PHDNE N0. = 612 454 8333 Jul. 30 2003 95:59PM P2 raminnrowNOen 463ob1 o7oor rELOVMl1C B?M9 C6Ui ± aCCV6tW ? ' x Wy[iAIILMN OE1Q?STN ?RO?6fiYMG011[S6: t??KADB 4 L MYME tM TA)Sii NLTTJOL 1.141.16 iPECMld66F.SiNCNfb' 000 TOtKT+VCtU• 7,11.10 PAYMt! LOW wbr14 UlAOf:I1E610ENNG•TOMMwOVK / S(TE MAP mor E6"rM71118 ePAP?F7 VKVfs (-av+iCi 700+1 UND. 1 pWt? BQe ?:? ?lDEB YU40w'r ftl, ) TOtu' 186,40 f.atg tp rt uHooLcqinrc;r: +n nmACnea LocarioN ee;nee?NaFenontoaat•r? PAYMIL2CW MONURMND STANE. PLLl MOM[]ITJ1D WRTER6MEO9iT1UCT OWGWe tATiN1AtW8D% L', pArF; tliaO A1101)NT: 100400 mm sulAaro iwroaMnoM owrAxa Iaai TYPi 1DWMMd6E YEARBUILT fOM M lvL T n ?e lOti sO r pu?t cunamU 40 R z74e om` R tATH 6 26 FMIA! Moom ppq..'Q R 0 OT,,&R tNN4GE DO< <iK CR ACSO 9t06 ?-NO , ` ` . i ? norc ohrroa.,e?.smR..wrw.? rwr~ M?u+ouaimemohno' r N TAx aEOeairnoK wr: euc, c wrurer pq,np?leE0.0?w fewr . AT7WVfAfM! TO GOµW% ARu sEUlO WT f i4N 1D nw an.rq r. nwurr•ay?y r.ma.a nw nar ? rn.s .ea u ro? trt.iwer a weM a.. 3+ tr.L a?r+qu? eo?itM?r.?oera. irdamoum mne aW ixa!w In raino err mvm. ra YWaIIffYaMallVw+aelaI?ip MnaYv?amabColnIk.?MYenOlOw9wa aiY. Or?+CaomsisMl ' ke?^pv?o0utoia•?r?nmNtv?R RM?Nwtluma r.w A? murt o?e?w?S?.vn ric-t?s e?m?don D?rvieiic oDe?JarsO1063 ormuuoaa.ero,um nrwRmiaww"iaYe rnn ....... . ........ " _'_._. . ". ___ _... Lg 7) 3 COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY UF EAGAN 651-681-4675 F?rundation ON New,Construe#ian Interi4r fm rovement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Malysis (1) " . Landscaping Plans (2) • Key Plan (1) • Projeet Specs (1) . Code Analysis (1) " • Master Ebt Plan (1) • Spec. Insp. & Testing Schedule ** . Certificate of Survey (1) • Energy Calculations (1) not always"* • SoilsReport (1) • Spec. lnsp. & Testing Schedule (1) • EIec.Povver&LightingForm (1)notalways" • Meter size must be established . Meter size must be established • Meter size must be established -if applicable • ProjectSpecs (1) 1 • EnergyCaiculations (1) 1 • Electric Power & Lighting Form (1) 1 • Master Ebt Plan (1) l 1 • Fire Protection Pian (1)" l 1 • Soils Report (1) 1 • MClES SAC determination letter • MC/ES SAC determination IeHer • 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: WORK TYPE: NEW ? REMODEL ,.__so ` I 1 SITE ADDRESS: / TENAN7 NAME: CONSTRUCTION COST: I I,I n6 .8 Z SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK Name: 1- 40,n6 1 awn'Nq?e ks,s6C• PROPERTY Last First OWNER Street Address: City: State: Zip: ComPanY: Yl"'?; jt?tQ I?)UM Phone #: ( q 5 2)?-I t13 - e? R? 4 S CONTRACTOR Street AddressjZ?j ?a? `N r( ,4 ? I Q City: State: HN Zip: ? ??-7 ( ARCHITECT/ ENGINEER Company: Name: Street Address: City: Licensed plumber Installing new sewer/water State: Johi? Phone #: (?) Phone #: Registrarion #: Pfione #: FEa o s zooz I hereby acknowledge that I have read this application, state that the information is corre and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ??? SignatureofApplicant:_ A, OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Aparhnents ? 27 Commercial/Industrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Sa1on WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bidg ? 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 INSPECTlONS ? Gas Service Test 11 Heating APPROVALS Planning Building ? Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MCBS System City Water Fire Sprinklered C7 Plumbing ? Stucco/Stone Variance 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 VALUATfON $ % SAC SAC Units Meter 5ize - Total CITY 4F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BUILDING Permit Number: 0 2 7 9 4 2 Date Issued: 0 6 i 18 / 9 6 SITE ADDRESS: P.I.N.s 10-32951-010-01 4186 MEAaOWLARK RCl IOTs 1 6LOCK: 1 NILLANDALE ADDTTTON #2 DESCRIPTION: RaoF oaMAGE Permit Type S70RM pAMAGE ?ork Type REPAIR 434 AL7. RESIDENTIAL ?M 4 ` ?r= REMARKS: INCLUDES: FEE SUMMARY: 4188 AND 4196 MEApOWLARK RD L2 L3 CONTRACTOR: - Applicant - ST. I.IC.OWNER: BflNNER ROOFING 18688611 2001204LAKEWOOD TQWNWQMES ASSOC 6001 LYNDALE RVE S 4186 MEApOWLARK RD MINNEAPpLI5 MN 55419 EA6AN MN (612) 888-8611 ' (612)452-5307 APPLICANT/PERMITEE SIGNATl1RE PERMIT ? ISSUED BY: I NATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Name: LA,u,.jo04 TW?»n ti Assor-_ Phone #: 5t - sI 07 U8T FIRSi ? ? 3 registered site surveys * 2 copies ot plan ? 2 copies of plana (indude beam & window sizes; poured ind. design; etc.) ? Z site surveys (exterior add'Aions 8 decks) ? 1 energy caiculations ? 1 energy ealculations ior heated additions ? 3 copies of free preservaNon pian if lot platted after 711/93 required: _ Yea No OATE: ? I ca:, CONSTRUCTION COST: DESCRIPTION OF WORK: ;''_, STREET ADDRESS: `? ?,0° qlxK c `% r 9 Street Address: z LOT BLOCK _? SUBD./P.I.D. #: ?S O.t+Y p.+oay Svva.tL? PROPERTY OWNER CONTRACTOR City: BgmodeUReoair Reauirements State: Zip: Company: gn?^??? QoeF?r?? tS*Ap Phone #: 888-4U Jl Street Address: 6 o o r L.y^,aA i& Ave- s License #-A2 001 a ° y y City: /? ?•+INi.wPe4r? State: s" mml• Zip: SS' 'V1I ARCHITECT/ Company: ENGINEER Name: Phone #: 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 correct nd a e to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. - ?/ / ?'?'-? • Signature of App)icant: OFFICE USE ONLY ?n Lt UEJ?UJ[ D Certiflcates of Survey Received _ Yes _ No ??? N d 0 - 0 Tree Preservation Plan Received _ Yes _ No -''---- - ?„? OFFIGE U5E unGr BUILDING PERMIT TYPE ? 01 Foundation a 06 Duplex a 02 SF Dwelling ? 07 4-plex a 03 SF Addition o 08 8-plex a 04 SF Porch ta 09 12-plex ? 05 SF Misc. 0 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? . 32 Addition ? 34 Repair GENERAL INFORMATtON Const. (Actual) (Allowable) UBC Occupancy Zoning # oE Stories Length Depth APPROVALS ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Firepface fl ? 15 Deck ? 36 Move 0 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 Misce{laneous MC/WS 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 S!W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ °k SAC SAC Units .. _ ?. ? T?w- oz? - ?w -5 ?--? ?- ?s - i (I ; ; .? , ? . .? --- _ 32951 HILLANDALE 2ND 32952 HILLANDALE 3RD MEADOWLARK ROAD SOUTH 4074/ 10 32952 01009 (4-plex) 4076/ 020 09 4078/ 030 09 4080 04009 4082/ 10 32952 01010 (4-plex) 4084/ 020 10 4086/ 030 10 4088 040 10 4090/ 10 32952 060 08 (6-plex) 4092/ 05008 4094/ 040 08 4096/ 030 08 4098/ 020 08 4100/ 01008 4102/ 10 32952 01007 (5-plex) 4104/ 020 07 4106/ 030 07 4108/ 04007 4110 050 07 4112/ 10 32952 04006 (4-plex) 4114/ 030 06 4116/ 020 06 4118 01006 4178/ 10 32951 04002 (3-plex) 4180/ 030 02 4182 020 02 4186/ 10 32951 01001 (3-plex) 4188/ 02001 4190 03001 ? JUN-07-2001 15:43 FRONFRMp HOME DEPOT AHS 7635428227 T-928 P.001/001 LIlMI'I'ED PO'4'EYt OF ATTORNIEY COUNTY OF }?}?0+s STATE OF MINNESOTA KNOW ALL PEOPLE BY THESE PRESEN!'S: TXTAT i, Todd Daniel Lewis, a resident of 9AP7.5'EY County, f-76B Minnesota ("Principal"), and a licensed contractor of R1v1A Home Services, Izlc., DBA Home Depot Instaitsd Sales locazed at 646 Mendelssohn Avenue Nonh, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constituce Elder-Iones Building PeRnii Service, Inc. ("Agenc") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place fusd scead rhe pawer to execuce, acknowledge, sign and deliver (in such farm as may be required by the municipaIity) a permit application, or any other instrument(s) which may he necessary and appropriate, in order to abtain the proper permit(s) from the Ciry of Eagan, Minnesota For the installation, maintenance and repafr of windows and siding (the "Work"). The powers conveyed to the Agent by this Limited Power of Aaomey are timited soleIy to the express powers detineated herein and appiy solely to the Work. ThSs Limited Power of Attorney shall expire and automatically be revoked on the (,s? day of2002, which date is one year from rhe execution hereof. Furcher, the powers conveyed by this Limited Power of tlnorney may be revoked by PrincipaC at any time by express revocation and shall also be revoked by the Principal's death, disabitity, incapacity or incompetence. 1N WITNESS WFiEREOF this Limited 1'ower of Attomey is executed this 'L-?= dayof 3??e ,2001. Todd Daniet Lewis ,?WORN TO AND STJBSCRIBED BEFORE NE by Todd DAniel Lewis on Chis day of -?] i hl 12 ¦ ' .xwan+uNw --- ---- ----- ------ `4Ie y ub ic in fo e State of Minneso?a BUR?ON T. BROWH N6TARYPUBUC-NINNES07A My Commission Expires: W??"'i'"•°'y101 s ? 196816.0 Received Tlme Jun• 7• 2:56PM _ i ? 2,84 CITY QF EAGAN / ? APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIOPi (PLEASE PRINT) 1) PROPERTY ADDF2ESS: S. MEADOWLARK ROAD r rr,a?, DESCRIPTION: /_or o2. L '0 r o (Lot/Block/Subclivision or Tax Parcel I.D. Nunber) I'' ??''_'-•:, ..,,.-. ,. J?_., - =- r•-?•? P_^ T T^? -=. _,,._.7 , 2•S _ .,•..._.: -- PRESLVT D^`1Nr;/PROPOSETJ LiSE: ? R-1 SINGI,E FPMILY ? R-2 DUPLEX (Zy.,7p UNITS) YXXR-3 T04vNk3WSE ('I'IREE + IJ.NITS) ( 3 UNITS) ? R-4 APAR71`'/CODIDC;MINIUNI ( UNITS) ? CQHMERCIAL/RETA2L/OFF2CE ? IIv'DUSTI2TAL (3 INSTITUTIONAL/GOVEE2IA'lENT 2) AppLICANr (PLEASE PRINT) NAME= Michael Construction ADDRESS: 8800 W. Hwv #7 Suite #331 CITY, STATE, ZIP: St._Louis Park, Mn 55426 PxoiN: 938-4262 3) F'LUMBER NAME. PLEASE PRINT) FOR CITY USE ONLY • • ADDRESS: ? u ? PLUHBERS LICE,NSE: . MO Kr;NNEBEC DHIVE. EAGAN MINN.55122 = dctive + CITY, STATE, ZIP; 452•1565 0 Expired PHOiQE: -MASILH Not of R cord ? ? PLUMBER LICENSE # 001445M2 a nitia ¢) OCCUpANT/aWNER (PLEASE PRINi) NAME: Michael Construction iaDDRESS: same as #2 ' CITY, STATE, ZIP: ? PHONE: ; 5) INDICATE WHICH PERMIT IS BEINC; REOUESTED: I px corNEcrzoN To czTr sEWER ? corRVFx..TrzoN To czzy wAZER ? 0-I'fiM (PLEZISE DESCRIIIE) 6) IIvDICATE ONE: ? PLF.ASE HOLD APPROVED PEIRMIT FOR PICK-UP BY ONE OF ABOVE ? PLF,ASE MAIL APPROVID PERMZT TO l, 2, 31 4ABC7VE (Circl one) 7) SIQaZURE: ""r DATE: ` . °, ?? • Mt MtNIL4WtaeMzj. j. sr MR =karjW:xwM ?ne i.e f,r wrr ??.rs,*r? ?r a, . o.r ? ?ai.. „ a d -, . ' ° 1 ..... . .. .. : irrlrwe H ;"?k ?f?e`?r3r ?="W-. F O R C I T Y U S E O N L Y . ,. ? PERMIT " ISSUED ? FEES SEWER n ERMIT ( INCLliDE SUP.CHARGE ) WATER PERf4IT (INCLUDE SURCHARGE ) WATER METER/COPPERHORN/OUTSIDE READER S WATER TAP (INCLUDE COF.PORATION STOP) S SEWER TAP $ J? • ?---a ACCOUNT DEPOSIT - SEWER $ >-?o--? ACCOUNT DEPOSIT - WATER $ WAC SAC $ TRUNIi WATER ASSESSPZENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ ' OTHER $ TOTAL c? :;'L-?? . , . fi . t . ,'. : •.. . ' , .. .? , ' . . : AMOUNT PRID/RECEZPT`? -4 -?',?? ? ? / • ...... `. DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO FNGINEERING.DIVISIOP:. LIST AS A COPIDI- TION. SUBJECT TO TEIE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE i/ , . ?J? Ri? ?t ? it ?4l? ?f ? s! ??!? !ll" !E W:" rkM /fc+? ? WPRW-.A Df.40 94,000*s!M 01 111111 mItJDi!/!.4" , le. ..M a !'4 .: . .. .. . . . .. . . .. . .. . .. .. .. .. . . .. .. .. .. . . .. ., _ I ! 2/a4 CITY OF EAGAN APPLICATION FOR PERIMIT i SEWER AND/OR WATER CONNECTIODT , (PLEASE PRINi) 1) PROPER'i'Y P,DDRESS: S. MEADOWLARK ROAD LEGAL DESCf2IPTION: )07T (Lot/Block/SubcZivision or Tax Parcel I.D. Niunber) Zt =; _-':, C'?';?i-^7? r .,]m=- .?^ ,-,- r- . .."`.__.. _ ?.,'i?J L-?t1`I' 1Q...,= -_ .` io? _____ PRESENT Z^i711iX;/P?2pppSED CTSE: ? R-1 SINGLE FP.MILY ? R-Z DUPLEX (rffnTO UNITS) 13XR-3 TCWNHOLTSE (THPEE + L7IVITS) ( 3 UNITS) ? R-4 APAR'Ii'?ENr/CONDC:MINIUM ( UNITS) ? COMMERCIAL/FtFPAITj/OFFICE ? ID7DUSTRTAL ? INSTITUTIONAL/GoOVER?ENT 2) AppLICANp (PLEASE PRINT) NAME= Michael Construction ADDRESS: 8800 W. Hwv #7 Suite #331 CITY, STATE, ZIP: St. Louis Park, Mn 55426 PxONE: 938-4262 3) pLu„BER PLEASE PflINT) bIAME: ?1/' /'A FOR CITY USE ONLY _ V OF= ?.nr-?rvwHL - ADDRESS: 3600 KENNEBECDRIVE. EAGAN MINN.55122 PLU!}BERS LICENSE: ? Active CI1'1', STATE, ZIP: 452•1565 0 Expired MA?TLR PHOiNE: Not of Record PLUMBER LrcENSE # 001445M2 C^?? St nitiT- Q) OCC.'UpF?N'r/a,1?1IIR (PLEASE PRINT) NP.ME: Michael Construction ZaDDFtESS: same as #2 CITY, STA'PE, ZIP: I PHONE : ,i S) INDICATE WHICH PERMIT IS BEING RDQUESTED: QX CONNECrION TO CITY SEF7ER ? D CODIDIECTION TO CITY WATER ? ? OTIiER (PLEASE DESCRIIIE) ? ? ? 6) LNDICaTE OiJE: ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABCn1E ? PLF.FISE MAIL APPROVED PIItMIT TO 1, 2, 3, 4 P.BOVE (Circle one) / . 7) SIG%AT'URE : DATE : ` ?E R Ri4_i?ci?in i* F? is? ?s':?ta?r.irh 3Y?! !?k fs ?piaris:a?'FM #ef #I? 1?4?k'?F?TFT ?M! ?#?!? !!E ?ii!?'!r?S!?;Jr i?i? ?t aik i?c s?a? i F O R C I T Y U S E 0 N L Y PERMIT '-` ISSUED 4 F£ES: $ ?-? SEWER !'ERMT_T (IVCLliDE SUP.CHARGE) $ WATER PERA'tIT (INCLUDE SURCHARGE ) $ C??• G? WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE COF.PORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATF..R $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ • OTHER $ TOTAL . .: _ ,.., AMOUNT PAID/RECElPT":# DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIG'rIT OF WAY? ?J YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO ENGINEERING.DIVISIQN. LIST P,S A COP:DI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ? RESIDENTIAL ? BUILDING PERMIT APPLICATIOiV CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construdion Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. oF house; and all rooted areas (20% maximum lot coverage allowed) • 2 copies o( plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculafions • 3 copies ot Tree Preservation Plan if lot platted aRer 711193 . Rim Joisl Detail Optiors seledion sheet (bldgs with 3 or less units) DATE JOB SI IF MULTI-FAMILY BUILDING, HOW MANY IJNITS? PROPERTY OWNER 00 t?d, ?"'Z° 1SS TYPE OF WORK < G.? l7-0 FIREPLACE(S) X-0 _ 1_ 2 APPLICANT G61(f k (NS ClC ? ?r (?, ? PHONE#7?,3'7??-??36 ADDRESS I 3 I W ?_, 5,? IZ GL, _ ZIP CODEIM3r PAGER # CELL PHONE # 412,-701- FAX # L4--1 -4g 6° eti 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: 5ewer/Water Contractor: _ Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. Phone # Phone # ?l?nL50 U +5 I hereby acknowledge that I have read this application, state that the infor atio is corr?e?;-e- comp y with all applicable State of Minnesota Statutes and City of Eag n rdin Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan ceived _ Not Required _ Updated 1101 ? Water Softener _ Water Heater ? No. of Baths RemodellRepair Reauirements • 2 copies of plan • 1 set of Energy Calculafions for heated additions • 1 site survey for eMerior additions & decks • Indirate if home served by septic system for additions _ Phone #: Lawn Sprinkler No. of R.I. Baths ?tib3o z5 ree: $90.00 Fee: $70.00 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex O 06 04-plex ? 07 05-plex ? 13 16-ptex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 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 ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Occupancy Zoning Staries Sq. Ft. Length W idth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) _ FinaUNo C.O. Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insularion MClES System City Water Booster Pump PRV Fire Sprinklered Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ 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 Search Copies Other Total _ FinaUC.O. Building Inspector . ` . RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651-681-4675 RemodeURaoair Reauiremenis 61 l ` . 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home sened 6y septic system for additions NewConstruction Reauiremants • 3 registered site surveys showing sq. ft. of lot, sq. %. of house; and all roofed areas [20°k maximum lot coverage allowed} • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservatlon Plan if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bidgs with 3 ar less units) DATE -` 5 JOB 51TE ADDRESS_ IF MULTI-FAMILY BU PROPERTY OWNER_ TYPE OF WORK? APPLICANT (20L? ADDRESS ` 1 /A PAGER # j VALUATION _ f? !%/T a :!?? 0 ) UNITS? 3 I. lifa o ??.SaCl?f/ah fiREPLACE(S) _ 0 _ 1 _ 2 PHONE#?a? '7rZ 7Sj0 C6S ,?h ZIPCODE go' ? PAX # CELL PHONE # ?O/L -97???7 NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Ener9Y 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: Phone # Phone # Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga ina s. ? t Signafure of Applicant Certificates of Survey Received _ Tree Preservation Plan ceived _ Not Required _ Updated 1/07 Phone #: Lawn Sprinkler No. of R.I. Baths HOW A Water Softener ? _ Water Heater _ ? No. of Baths Air Conditioning ? Heat Recovery System Fee: $90.00 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Pibg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi 0 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS Foorings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Other Framing` _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC UVater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? ? ?_ S0 FinaUC.O. _ FinaUNo C.O. _ Plumbing HVAC Building Inspector -IWA =3oME sExvicES n•rc. RESIDENTIAL , Home DepotInstalled Sales 3200 cobb Ganer,$ Pkwy., sce. uaoo 3UILDING PERMIT APPLICATION Adanta, GA 30339 CITY OF EAGAN 763-542-8826 ?? 3830 PILOT KNOB RD - 55122 BC-20268257 ? I 651-681-4675 New Construction Reouiremer?ts • 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas (20°k maximum lol coverage allowed) • 2 copies of plan showing beam & window sizes; poured iound design, etc.) • 1 set oi Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Delail Options selection sheet (bldgs with 3 or less units) DATE J08 SITE ADDR n-vtC.,,dAw\Q IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE Of N RemodellReoair Reauirements 11 ? ? ?? • 2 copies of plan . 1 set of Energy Calculations for heated additions . 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions Oo YALUATION Li 49eoLQ " ?s 4:' FIREPLACE(S) _ 0 APPLICANT 4y. P. ? -_3 V . u ADDRESS PAGER # CELL PHONE # 1 _ 2 PHONE# ri?'j,?'?-3q5•??4'7" ZIP CODE FAX # NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksneet 5ubmitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Air Conditionuig Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowiedge that I have read this appiication, 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 Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 '- a OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ,? 45 . Fire Repair ? 33 Alteration ' O 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolitidn (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Znning . • City Water SAC Units Stories ' Booster Pump Nbr: of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footinge (new bldg) Footings (deck) FinaUNo C.O. Footings (addition) Plumbing Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation FinaUC.O, HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Revisw MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector Use BLUE or BLACK Ink I For Office Use t I t llSS ' ~ of Ealan I Permit I My I I Permit Fee: gg 25 t 3830 Pilot Knob Road I t Eagan MN 55122 Date Received: I3 113 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff. I I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~t Site Address: ~le~ ' I ll.~lGLf L Name: fld(,t~Y1 i'ttJ(~ f Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Description of work: mfyvf Sidi to jiies Type of Work I Construction Cost: t~ Multi-Family Building: (Yes / f ) Company: ! V Ew &-r lo f At- Contact: S Contractor Address: )0701 q3 LQ . JV . City: /ICU (5 roV L State: MA) Zip:( c~/3 (o Phone: Ao3 -3 O (Q l1/ License ILL ~-tJ a Lead Certificate N741-' ~ )Il D / If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public 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.aor)herstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and axles of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota St II must be completed within 180 days of permit issuance. Foss x J Applicant's Printed Name Appli nt's Sign ure n Page 1 of 3 • r For Office Use L�// ;�• Permit#: f/ 9► E AG N 4.14c' Permit Fee: / - 7 ECEIVE Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 / (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675- 4 MAR 2 1 2019 Staff: buildinginspections(a)citvofeagan.com ��YY 2019 RESIDENTIAL BUILDING'I RMIT APP CATION Date: 3/itbSite Address: I /b(O 'O e I"Lr c V ('" i 6 Unit#: Name: Phone: Resident) Owner Address/City/Zip: \� ( _'I 1 /f Applicant is: Owner 1' Contractor 1-11.1 )in t 6 A-Cd( 7 1 Di( ( /0 Type of Work Description of work: Dec K (4. gl Construction Cost: 0 ©0 " Multi-Family Building: (Yes /No ) Company: dJI (/�57?Z//t Contact: I .a- �✓ G'►J Address:� 1 U� > City: . I4V( Contractor // nn II State:. Zip. ..5 /0".c. -"Phone:rrPhone:ly,,,��'r-'Z/C 1(Vii Email: l lr.M+Pv//rJ LJ ✓r r• .1, License#:105-00/ (4‘) Lead Certificate#: If the project is exempt from lead certification, please explain why: �)( ^rvi- 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? y Yes No If yes,date and address of master plan: /�i* 70/ La4 1-, st 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.citvofeacian.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.00pherstateonecall.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 no to start without a permit; that the work will be in accords a ith thea proved plan in the case of work which requires a review and approval Appli nt's Printed Name Ap i ant's Signature /� /ma k- I . /% `� � DO NOT WRITE BELOW THIS LINE -/ �(� � &` 6 1 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi X Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 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 _ x Replace _ Repair _ Egress Window _ Water Damage [_�Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation Ifila_ Occupancy T ' i(jgMCES System Plan Review Code Edition A, fl SAC Units (25% 100% Zoning in City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length 2 Fire Suppression Required Type of Construction I/6 Width REQUIRED INSPECTIONS `! Footings (New Building) Meter Size: fFootings (Deck) Final/C.O. Required Footings (Addition) x 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 sk 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: 17,' , Building Inspector RESIDENTIAL FEES Base Fee OW., Surcharge Plan Review i `� O MCES SAC Ori''''.1/ ' V City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155303 Date Issued:05/08/2019 Permit Category:ePermit Site Address: 4186 Meadowlark Rd Lot:1 Block: 1 Addition: Hillandale 2nd PID:10-32951-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Deborah Katzmark 4186 Meadowlark Rd Eagan MN 55122 (715) 718-1666 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature 0 i * tr.1 r . For Office Use I i ,1 Penriit#: th / -75. "r \6 1 ft Permit Fee: rZ' ECEIVE' Date Receid: ,c .-.- - veI 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 fi JUN 02 2020 Staff: I 1 buildinoinspections(d)citvofeagan com — .., IJV: 2020 RESIDENTIAL BUILDING PERMI PPLICATION Date: 12 -1 - 2.0 Site Address:Y/85" 51, SoaH /lie c4d0(.4deleh. /e."-- Unit#: Name: Phone: Resident/ ., , Owner Address/City/Zip: 9.45-(f-/S 6 s c # /kw at 1 0 0 . i 1 . i _ I Applicant is: Owner Contractor g - 1 , itieptiek) Artc(i .1-11r) 1 Type of Work Description of work: g pktee s c' c cc -Icfe-CS cy S ict(i-on) -- 6- 0 ail E -c— Construction Cost: Mum-Family Building:(Yes I No ) Company i..e. r.s.71:o , C6)-1 c.se Contact: 6 re /4 " 3 f---, I 1 o 90 3 4 bly/4 n JCL kV city: „,01.0 Address: Contractor State: Zip. S---5-4/3/Phone:5),„2 02 3/ 96tAtit? /1011 ' . '.- - r- • 54 6s i- - ,..ck.icc.," c. pe7itt e L m License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: i 1-- — — 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: ISewer&Water Contractor: Phone: , , I Fire Suppression Contractor: Phone: i NOTE-Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be 1 Lciassiffed as non-.ublic if •u . .vide-.ecific reasons that would.ennit the a to conclude that th. ars 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,citvoleacian.comisubscribe. 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 NG. 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. %yaw Qophet-Ltateonecali 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. x C V c"1 L4 i V'', C f.,..3 Applicant's Printd Name Applicant' gnature DO NOT WRITE BELOW THIS LINE 07,e6 `f L//oc 131&,dowlId ici /`7 S • SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 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 _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 24Occupancy G i- MCES System Plan ReviewCode Edition c 1,02 v SAC Units (2596 10096_) Zoning Vi City Water Census Code Stories ✓ Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction y JJ Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required — Footings(Addition) X 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: ) ,Building Inspector RESIDENTIAL FEES Kan-6 L,,,, Base Fee Surcharge ,n (n Plan Review (% l/ 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:EA162001 Date Issued:06/22/2020 Permit Category:ePermit Site Address: 4186 Meadowlark Rd Lot:1 Block: 1 Addition: Hillandale 2nd PID:10-32951-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Sheri L Gonsioroski 4186 Meadowlark Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162001 Date Issued:06/22/2020 Permit Category:ePermit Site Address: 4186 Meadowlark Rd Lot:1 Block: 1 Addition: Hillandale 2nd PID:10-32951-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Sheri L Gonsioroski 4186 Meadowlark Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174825 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4186 Meadowlark Rd Lot:1 Block: 1 Addition: Hillandale 2nd PID:10-32951-01-010 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 - Sheri Lynn Gonsioroski 4186 Meadowlark Rd S Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature