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4122 Meadowlark Way-- ._. Addition HILLANDF Owner Street lk $ Parcel 10 32951 010 08 P-#- & stace Eagan, MN 55122 Improvement Date Amount Annual Years g$ Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK 1970 ]ly.94 3.00 25 27 . 10 C010262 9- -g5 SEWER LATERAL ? WATERMAIN 1973 189.47 12.63 15 25.28 C010262 9-3-85 * WATER LATERAL WATER AREA ?x 3 1975 104.34 6.96 15 2.8 C0102 2 -8 • STOFM SEW TRK ' 0 1973 430.49 28.70 15 57 . 52 C0102 2 9-3-85 k STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road n1 $280.00 50728 4/9/85 WATER CONN. 500.00 " " 8UILDING PER. lOO IT SAC ??rr9-. ' O n n PARK Remarks ADDN. # 2 CITY OF EAGAN Remarks Addition . HILI,ANDALE ADDN. #2 41?7 Lot 1 BIK owner Street 10 32951 010 08 MN 55122 Improvement Date Amount Annual Years Q?, Payment Receipt Date STREETSURF, STREET RESTOR. GRADING SAN SEW TRUNK 1970 74.94 3.00 25 27.10 C010262 9-3-8 SEWER LATERAL * WATERMAIN 1973 189.47 12.63 15 25.28 C010262 9-3-85 4e WATER LATERAL WATER AREA 1975 104.34 6.96 15 2.8 C010262 --8 * STOFMSEWTRK p 1973 430.49 28.70 15 57.52 C010262 9-3-85 * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Foact ni $280.00 50728 4/9/85 WATER CONN. 500.00 9UILDING PER, lOO SAC 2?+j,OO 5 n n PARK , i CITY OF EAGAN Addition , HI3 Owner Street Lot 1 020 08 stace Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOFi. GRADING SAN SEW TRUNK 1970 74.94 3.00 2 SEWER LATERAL * WATERMAIN i? 1973 189.47 12.63 15 * WATER LATERAL WATER AREA 1975 104.34 6.96 15 * STORMSEW TRK 1973 430.49 28.70 15 * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. n n SAC u v PARK CITY OF EAGAN Remarks Addition , HILLANDALE ADDN. #2 A IOR Lot 3 Blk 8 Parcel 10 32951 030 08 Owner sc.eec 4+3Er Meadowlark F,sortiA-? state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING Z SEW TRUNK S 1970 74.94 3.00 25 ' 1 , S LATEFAL * WATERMAIN 61 -5 1973 189.47 12.63 15 7, * WATER LATERAL WATER AREA 113 1975 104.34 6.96 15 ? STORM SEW TRK ?U 1973 430.49 28.70 15 ? STORM SEW LAT CURB & GUTTER SIDEWALK STREETLIGHT WATER CONN. „ 11 BUILDING PER. 110053 11 SAC u ? PARK ? CITY OF EAGAN Addition . HILL Owner #2 A 12/ Lot 5 Blk $ Parcel 10 sc.eet ?Qr-Meadowlark P6?(A}i.u stace Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOFi. GRADING SAN SEW TRUNK J 5 1970 74.94 3.00 2$ SEWER LATERAL !e WATERMAIN 1973 189.47 12.63 15 4e WATER LATERAL WATER AREA -13 1975 104.34 6.96 15 * STORMSEW TRK ? 1973 430.49 28.70 15 ?c STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit $280.00 50728 4 9 85 WATER CONN. 500.00 BUILDING PER. 10055 SAC PAR K 10 32951 040 08 n, MN 55122 Improvement Date Amount Annual Years r) Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK y 1970 74.94 3.00 25 27 .10 C0102 7 9-3- 5 SEWER LATERAL * WATERMAIN 1973 189.47 12.63 15 25.28 C0102 7 9-3- 5 * WATER LATERAL WATER AREA 6213 1975 104.34 6.96 15 2. g C0102 7 9-3- 5 dc STORM SEW TRK 1973 430.49 28.70 15 57 • 52 C0102 7 9-3- 5 * STORM SEW LAT CURB & GUTTER SIDEWALK STFEET LIGHT 280.00 50728 4 8 WATER CONN. 500.00 ° ° BUILDING PER. 10054 s,ac 525.00 PARK INSPECTION RECORD I CITY OF EAGAN PERMIT TYPE: I 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: ? (612) 681-4675 - SITEADDRESS: APPLICANT: I PERMIT SUBTYPE: TYPE OF WORK: i 11 k/1W11 Plis I I I' '?i 14 j 1{ t N 1 I!tI ? JrtfalaiH 114 FI I ?I I I : i fiAl Permit No. PermR Holder Date Telephone F S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspaction Date Insp. Comments Footingsl Foundation Framing Roofing Rough Plbg. Rough Htg. I6UI. Fireplace Final Htg. Orset Test Finai Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan BWg. Final Deck Ftg. Deck Final Well Pc Disp. ? ; - ?,f?,;? •,r ; CITY OF EAGAN r 3830 Pilot Knob Road, P.O. Box 21•199, Eayan, MN 55111 ' PHONE: 4648100 lUILDING rERMIT Receipt AF Te M rwJ he Est. Value ? i Dote SiM Addrms '!?' r Erxt p OccupancV - lot Block " SeclSub. ? r 1;s- Remodel ? Zooing P?? ? - Repsir ? Type of Const. Entarge ? No. Stories ? MoVe ? Lsnpth >c ? Name .. Demolish ? Depth Addross c Grade ? Sq. Ft. CitY Phone Install ? AyMeva4 hM ? Name At Addresi Assessrnent Permit U+) I.- CitY Phone W°t°r a S°w. kuch°rge Police Plan Review GW Name Fin SAC W I x, Addraas 4? ? Enp. Wcter Conn. u - , CW City -- Phona Plmnsr WotarMeter Countil Rood Unit I hercby xknowladpa thot 1 how rood this applicotion and stote that Bldg. Off. - '` fFr Inlormotion is corrcd and agrce to comply with all oppiicable APC Total StoN of Minnesoto Stoturos ond:City of Eoqan 0rdironus. r Var. 0ate Sipnotun of Pemuftp ' A 8ulldirp Pennit Is Isswd W: on fM exprsu cadiNon Ihot dl work sholl M dorn in occordonce with all opplimbla Stata of Minnewta Statutes ond City of Eopon Ordinonus. Buildieq Offkiol ? Pwmit No. Pwmk Holda Dets Tsla hons * Plumbinp H. V A.C. ehictrie sohen.. IMpsction Data Insp. Othsr Footinys Founa.tpn ?P I k Framinp ZZ ? .. RoOfing , . Rouph Plbp. ?Q . Rouyh HVAC Inwbtion Find Plbp. p 7 Final HVAC -- Final Cwt/Oec. 8 w cc? ?! 1- ?v wattr Deserib Loeation: YYell SwNr Pr, D'qp. Recsipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fa 1; Pill in numbered spaces S/C % r r? ? l -? Type or Print leyibly T - ot ?T 7. Date ; ^-,'?- '• , 2. Installation Cost 3. Job Addresa Lot Blk. Tract 4. Owner J ? 5. Contractor - Phone 6. Address s / 7. City State Zip 8. Building Type: Residential-,Q Commercial ? Institutional ? 9. Work Description: New Ll Add O Alter ? Repair ? 10. Describe Fuel Type I 11. No. EqllipmeIIt BTU - M. Ea. Forced Air No. Eauiament CFM Mfg. ,.. qir Handling: 8oilers _ Mfg. - Mech. Exhaust " Unit Heater _ Mfg. Air Cond. Other 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 Rouph Final Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Roaipt PLUMBING PERMIT PermR No. CITY OF EAGAN FN fil! 1n numbered tpecsi S/C Typo a Print /pidly TOL ? i. Date: 2. Installation Cost 3. Job Addrest V.. Lot ? Blk. Tract 4. Owner b. Conuactor Phons ' 8. Addrass 7. City State 2ip S. Building Type: Residential Eg Commercial ? Institutional O , 9. Work Description: New E3 Add ? Alter ? Repair ? I ? 10. Desaibe i 11. No. Fixtures Water Closet No. Fix ures fi G l/O i ld ? Bath tubs e sspoo ra n ti Se T k ?'_. Lavstory p e an nne S Shower r o Well i Kitchen Sink _ Urinal/Bidet Oths ' Laundry Tray r Floor Drains J, Drinkinp Ftn. Slop Sink Gas Pipinp Outlets 12. 1 hereby aKify that the above infwmation is true and correct, and 1 ayrea to comply with all ordinances and codes governiny this type of work. siww' ? for Rouyh final Inspsctions: Date Insp. Dato Insp. This is your permit when numberod snd approved. Approved CITY OF EAGAN 4644100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548100 + lUILDING PERMIT RKe+ar # Te Iw mud fer Est. Value 0 ; ; i Date , 19 L, SiMAddreat '. i.. .. t"-C.f?.',. 4 L7. 4x1Y Erect Lot Block Sec/Sub. Remodel Repeir Percel No. Enlarge . . . . Move Name 19 Z - d Demolish ? Addrecs Grade ? City Phone ! c` Install ? Name ` Ov Address ul F- City Phone , & ,.?iUC: ?W Name W ? :,. ; u? Address . . . . . ix W City - Phone 1 hercby ocknowledpe thot 1 have read this cpplicotion and state ihot fhe informotion is correct ond ugree to comply with all opplicobla SMte ot Minnesoto Statutes and Ctty of E( aponOrAinances. SiQflOtUIQ Of PlITIH!!- ,?•? . . --"t ?• /` (•'i...-! l??' A Buildinp Permit Is iuued to: ? L ' 1yall work shall be done in ocoordance with oll appliaoble Storo of Mfj Buildirp Officiol ' U occupency r:• _, ? Zoning ? Type of Const. ? ? No. Stories ? Length ? Depth ? Sq. Ft. O ob FNs /,SSlSSmCnt Water 3 $ew. Police Fire Enp. Plonner Councfl Bldg. Off. - / } / .; 5 APC Var. Date Permit . . i) n ' Surcha?" 00 i Plan Review • 50 ? SAC .00 Woter Conn. ' 1i) • L U Water Meter E" :' 0 u Road Unit .= "L' , U a JU Total I ? . SO i on ths express conditian Ihal Stmures and City of Eopon Ordirwnces. Permh No. Pxmit Holdw Dou Telephone ? P????ng r)4a? ?5 ,sl, H.VA.C. jO ENetrie SoftaNr Impsction Dats Insp. Other Footinp 44 Foundation Framinq ? Rooting Rough Plby. ZGy. Rouph HVAC ? Inalation . Final Plba Pinal HVAC ? s W Final Grt/Oec. d LtJ?3 ( ? Water Dsscri6e Loeation: YYsll Sevwr Pr. Dhp. Reaipt PLUMBING PERMIT Permit No. ' CITY OF EA(iAN FN fill in numbercd specea S/C Type w Print /epidly Tot : 1. Date 2. Inatallat(on Cost ? 3. Job Addresa 1yi Lot Blk. Tract , 4. Owner _ ? . • ? 5. Contnctor phone 8. Addrns 7. City State 2ip 8. Building Type: Residential G] Commercial ? Institutional ? 9. Work Desaiption: New Q Add ? Alter O Repair O 10. Describe 11. No• = Fixtures Water Closet Noz Fixtures ? Bath tubs Cetspool/Drainfield Lavatory 5eptic Tank Sohner _ Shower Wall Kitehen Snk Urinal/Bidet _ y Laundry Troy Other. - _ ? Floor Droins Drinkinp Ftn. ? Sl op Sink Gu Piping Outlets 12. 1 heraby prtify that the above infwmation is true and correct, and I agree to comply with all ordinances and codes govsrning this type of work. Siyned : : i ; ( ; for ? qough Final Inspsctions: Qjte Inap. Date Insp. This is your permit when numbered and approwd. Approved CITY OF EAGAN 454-8100 Reaipt MECHANICAL PERMIT ParmitNo. CITY OF EAGAN Fee - fill in numbered spacea S/C TYPe or Print legiblY Tot '_ ?' -' •') 1. Date 2. Insrallation Cost - • "? " _ ?, /.".'? . y -_ • ' , 3. Job Address Lot Blk. Tract ' J' - 4. OM1f18f - ' -' . - 5. Contractor Phone 6. Address ` r= 7. City State Zip 8. BuildingType: Residential-;E Commercial ? Institutional ? 9. Work Description: New-fL7 Add ? Alter ? Repair p I 10. Dacribe I 11. Fuel Type No. ' Epyinment BTU • M. Ea. Forced Air No. Equipment CFM ,. ' Mfg. Air Handling: Boiiers ? - _ Mfg . Unit Heater -•' Mech. Exhaust .. _ Mfg, h O Air Cond. er t 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: far Rough Final Inapections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 • CITY OF EAGAN ? n r Z , . .. 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHONE: 454-8100 sUILDING PERMIT rtece+pt # Te w wNd Fer .?- En. Volue Date . 19 Site Addrea Lot Block Sec/Sub. Parcel No. a Z 9 Name City Phone LL1TJvm Name Address ? City Phone Name i & Phone Erect q ? Occupency Hemadel Repair ? Zoning Type of Const. Enlarge ? No. Stories Move ? Length Demolish ? Depth Grade ? Sq. Ft. Install ? Aoororals Fees Assessment Woter 8 Sew. Poliu Firo Erq. Plonner Council Permit ? $urcharye } Plan Review SAC ' -r Water Conn. Woter Metar I?> Rood Unit <<%' I hereby ackrwwledga thot I how read this application ond stote thot gldg. Off. ihe iniormotion is correct and ogree to tomply with oll applicoble APC Total '- ' Srott of Minnewro Statutes ond City oF Eagan OiFdinances. -- Var. Date Sipnoturc of Permitteo A Buildinq Permit Is iuued to: .. . , . .. ." on tM -xPrea eaditlon tho+ oll work sholl be done in atcordance with oll applicabla Stote of Minneaota Statutes and City of Ecpan Ordirances. Buildlrq Offlcial Permit No. Psrmk Holder Dne Telsphone # Plumbinp H.YA.C. Ebetric Softwwr Irqpsction Data Insp. Othw faotinpt n ? .pr Found?tion F?minp Roofiny / Rouyh Plby. -/U- O Rouph HVA R. - QU C'rLJ V?[/L Inwlation Final Plbp. /? ?? ? • Final NVAC 7 (r QN ?? Find Cwt/OCC' O'IS i ?ater Dawriba Lotation: YWII S?ws? Pr. Ditp. Receipt MECHANICAL PERMIT Permit No, CITY OF EAGAN Fes Fill in numbered spaces S/C Type or Prini legibly Tot 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract' 4. Owner 5. Contractor , Phone 6. Address 7. CitY Stau Zip 8. Building Type: Residential 0 9. Work Description: New ? Commercial 0 Institutional ? AdtY ? Alter ? Repair ? I 10. Desaibe Fuel Type I 11• No. Equipment BTU • M. ffa. Forced Air No. Eauioment CFM Mfg. qir Handling: - Boilers Mfg, - Mech. Exhaust Unit Heater _ Mfg, O h Air Cond. t er 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 J ? ) ?- Roaipt' _ PLUMBING PERMIT Permit No. - r' CITY OF EAGAN FN fill in numbered apacer S/C Type orPrint /eyldly Tot 1. Date 2. Irotallation Cost 3. JobAddreas'lt Lot Blk. Tract ? ,- 4. Owner , 5. Convactor.''.'L'/ Phone i . i 8. Address , ? i 7. City State 2ip 8. Building Type: Residentiol ? Commercial ? Institutional ? ? 9. Work Description: New b Add O Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cecs ool/Drainfield ? Bath tubs _ p Se tic T nk Lavatory p a $ ft Shower o ner Wel l ? Kitciwn Sink _ Urinal/Bidet Oih t i _L Laundry Tray ar _ ? ._ 1 Floor Drains Drinking Ftn. Slop Sink Gas Piping Outleu 12. I hereby certify that the above infwmation is true and correct, and I agree to comply with all ordinances and codes governing this type of Work. f? . Siyned :?; 1 r_? - ? C for Ra+9h Final Inspsctions: Date Insp. Date Insp. This is your permit when numberod and approvsd. Approved CITY OF EAOAN 4644100 CITY OF EAGAN 0 5 2 . • 3830 Pilot Knob Rosd, P.O. Boz 21•199, Eagan, MN 55121 PHONE: 4548100 ' dUILDiNG PERMIT Reuiw # Te ?e rwd fer ? 6!' ,. 4'1_,; ,:; . Esf. Volue I .? Dote . 19 - - Site Addrest 4 T 17 ;Ai72 1Y1, Lot Blcek ' cec/Sub. Parcel No. 1 Name Z ? Address City Phone Neme t' Address ?? City Phone C? ?uW Name - 2,3 Address ' . . .. . tW City '?..' Phone Erect Ll Remodel ? Repair ? Enlerge ? Move ? Demolish ? Grede ? Install ? Ayyrovals Occupency 2oning Type of Conat. No. Stwies Length ? j Depth Sq. Ft. fees , 5 . ?'I Permit ' Surchorpe 28.00 Plan Review ?- 5 C. 5 Q SAC -' l ` • C 0 Water Conn. WaterMeter • ?t1 Road Unit _ ri , i: U 1.1a.OCTOt01 `y1 r77c?•50 Asseument Woter 3 $ew. Poliu Fin Eno• Planner Countil I hereby acknowledys thot I hova reod this opplication and staro that gld9. Off. tha informotion is correct and ogree to comply with oll opplicabla APC StaM of Minnesoto Statutes ond) City o? Eagor?'Ordinonces? y s 1/ Var.Oate Sipnoturo of Pcrtnittea % .`/; A Buildinq Permie Is issued to: dl work sholl be done in accordance with oll opplicable State of Minnes Buildinq Official ? Stotutes _ on tM sxpren condiflon Ihot City of Eopan Ordinantes. Permit No. Permk Holdx Drte Tolephone # Plumbiriy H.VA.C. ENcaie y)11,3 9-1 kri -?? Y?-}'Z* Z? Soh?r Impsetion Date Insp. Other Footinpt ?Q FountNtion Framin9 Rooting ie Rouyh Plbp. Rouph HVA 7 Dr '71 7 ? 77 lnwlation ? Final Plbp. Final HVAC Final CardOae. ? W;t.r o.m;b. Loc.t,on: vw.ii S.w.. Pr: Dhp. Reaipt , MECHANICAL PERMIT Pe?mit No. CITY OF EAGAN - Fee ! fill in numberod speces S/C TYPe a Print legibly Tot 1. Date 2. Instaliation Cost 3. Job Address Lot Bik. Tract 4. Owner ' 5. Contractor - Phone 6. Address 7. City State Zip 8. Building Type: Residential G1 Commercial ? Institutional ? 9. Work Description: New ? I 10. Dacribe 1 11. Add ? Alter ? Repair ? Fuel Type No, Equioment BTU • M. Ea. Forced Air No. Eauioment CFM Mfg. _ qir Handling: Boilers - Mfg. - Mech. Exhaust Unit Heater Mfg. _ Air Cond. Other 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 Rouph Final InapeMions: Date Insp. Date Insp. This is your permit when numbered and approved. App?oved CITY OF EAGAN 464-8100 Rsceipt t`-I - 8 ") PLUMBING PERMIT Pe?mit No. CITY OF EAGAN FN FIlI !n numbered sAacer S/C Type w Print /egibly TOL 1. Date '-= 2. Installation Cost 3. Job Address -!? -: / dlot %T 81k. Tract 4. Owner 5. Contractor • Phone 6. Address A i! . 7. Clty Stete ''" 8. Building Type: Residential b 9. Work Description: New O 10. Describe 11. Zip Commercial ? Institutional ? Add O Alter ? Repair ? No, ' fixtures Water Closet No. Fixtures Cess ool/Dreinfield J ? Bath tubs p Se tic T nk - -1- Lavatory p a $pftner Shower Wel I ' Kitchen Sink Urinal/Bidet Other ? ' Laundry Trey . % Floor Drains ? ? . ? Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above informetion is true and wrrect, and I agree to comply with all ordinances and codes governing this type of work. Signed: ' for Rouph Final Inspections` Date Insp. Date Insp. This is your permit when numbered and approved. Approvad CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 #£>??. ? PH 0 N E: 454-8100 SiteAddress .n...AX6'i.,4RX: +riAY Lot Block ? Sec/Sub. 1-i+ LLANDAT.r: 1 H^ Parcel No. BUILDING PERMIT Receipt# ' To be used for >0-? FH.?I ?T Est. Value $1 *5100 Date S.'P'T 13 OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System - On Site Well - Zoning (Actuaq Const (Allowa6le) # of Stories Length Depth S.F. 7otal Footprint S.F. , Name Cf[1'RI. E .iG`NIY:L)Pd City Water - z Address 4128 '!EA00W1ARK WA'f PRVRequired 0 City phone 436-0619 Booster Pump o Name, ? Q Address ? City- Name Address City? SMA 1 hereby acknowledge that I have read this applicafion and state that the information is correct and agree lo comply with all applicable State of Minnesota Statutes and City of Eagan Ortlinances. SignalureotPermittee C«'11i4, 11 ,7 w';ii:3QF4 A Building Permit is issued to: __- - on the express condition that all work shall be done in accordancewith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official APPROVALS FEES ? 34?W, Engr./Assess. Permit Planner Suroharge i•? '' ? Council _ Plan Review . Bldg. Off. SAG City . Variance SAC, MWCC Watet Conn. . Water Meter . Road Unit Treatment P1 f>eMke??p} ?? TOTAL Permit No. Permit Holder Date Telephone tf Plumbing H.V.A.C. Electric Softener Inspection oate Insp. Comments Footings I Footings II Foundation 1012, .. '•??j_ ?o ,,,, ? ?: c? Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. :,: . , . . . CITY OF EAGAP . , 3830 Pilot Knob Road, P.O. Box 21•19 PHONE: 454-8100 BlJILDING PERMIT T. L. ruA M. 1'_ a SiteAddreu S.l?Y Lot 1 Block sec/sub. %<IL;.ANDAI,E 214D Parcel No. W Name _ ? Address _ City _ O Name it _ ? Addreas - u ? City - Name i tE 10051 Eagen, MN 55127 Receipf lli`ot pat e AP:'ttL , 19r'? Erect Occupency i + Remodel ? Zoning _ 94 Repair ? Type of Const. ,.4, Enlarge ? No. Stories Move ? Length Demolish ? Depth Grede ? Sq. Ft. Install ? Aonwvala Fees Assessment Phone Woter 3 $ew. Poliu & Fin T Erw CitY Phone '..?' .1 .?`EPlonner Council I hercby acknowledye that I how read this opplication and stote thaf Bldg. Off. the information is cwrect ard ogree to comply with oll opplicable APC Stata of Minnewto $tatutes ar+d Lity of €ogan ?rdinonceg. ? Var. Date Permit Surcharya Plan Review_I Ab...da SAC 57S?OO Water Conn. --QQ8-00 Water Metsr ---- 63?00 Rood Unit 280 _ OQ .?? 132,00 Toul •9w•30 Sipnoturo of PertmiMee ?"`'e'?" ?? ? ?' ? 1FL A Building Permit Is issued ro: I? on the exprest corditlon tha+ dl work sholl be done in xcordance with cll opplicoble Storo of Minnesota Statutes and City o4 Eupan Ordinonces. O.a?JI?? f1Lt??:?1 . ,. . ? . •. . Permit No. Pvmit HoWsr Drte Telephona # Plumbinp H.VA.C. 5? v c.J EMetrid Sottsrwr Impection Date Insp. Othx Footin¢ Foundstion Fnminy ? Roo(Ing Rouph Plba ? It- Rouyh HVA InWIMiOn ((? Final Plbp. tx i Final HVAC ? Find Cert/Oee. ? C11 g? 'C ? C/ Watir Describe Location: NNII SevKr Pr. D'qP. S CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612)681-4675 ON RECORD PERMIT TYPE: Permit Number: Date Issued: B11(ILiINi7 t4 : 7 ') 3 ? a 6 !!1i/9h I N: 10 ;i.•v(,1HiA v1a; I SITE ADDRESS: ` r 7 Ptl APPLICANT: r n : f,i r I I4t i,101)4,411 RRK 41AY ( 1 t1N i1 .` . :. S .,,... .,?. ? I PERMIT SUBTYPE: TYPE OF WORK: i • D. • DA I I I I I I ? ifI Pi(el1 k', trlr Slrll; ?,. -I! A .. 4 1:H_ 41?3.'. ql <t? Mf?E1Ult!-liHPi- WA `d < 4 ' 1 "t 1 4 1 !. Permit No. Permlt Holder Date 7elephone # ELECTRIC PLUMBING H VAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ?2 b wB ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP80ARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HJE`"- OflSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK PINAL I CITY OF EAGAN 3830 Pilot Knob Road SEWER SERVICE PERMIT P. O. Box 21199 Eagan, MN 55121 PERMIT NO.: 7 4 i Zoning: ??? DATE: 5-22- Ownsr: icita el Const No.ofUnitr. Address: Site Address. 4136 *feadowlar4: Y;??' 2e WA L5 RS ;'tllandale 2 . e? Hn c3 Plumber. - ?? y.-.,s 5?72? ? . ?nlr" to ese?ply wMh flN py o1 Eayew P Connsction (]?arpe: ?•- -5 . 00 pd ? Ordinene", _ Accou,r nepowt: 00 Partnk Fes: I'3. ?Q BY Surdwrye; . 5 ? ?ate of Insp,; Misc. Cl+orpes: Insp.: Totol; Dote paid: cirv oF EAGAN . WATER SERVICE PERMIT ? 3830 Pilot Knob Road " P. O. Box 21199 PERMIT NO.: " i Eagan, MN 55121 t JI pqTE; ;- 12-3L I n, ZODi"g` No ot U i 1 of 5 1- ? ? Owrror: 24ichael Conat . 2 ex • "fs Address: Site ^ddrou; ? 4136 tleadocalark 'da L5 B49 at+_llar.dale 3 Plumber. ''enz?t '<eciian ?] Meter No.: Connedion Charpe: 500. 00 -,)d Siu: Acoou^t Deposlt: 1 i 0 Reader No.; Permit Fee: _ 10 01) 1 ay? ?MMPIY wbh "W City of Eagan , Surchorge: - i 0 Ordj"°AW' Miu. Gnw: 132.00 od - BY Totol: _ 63.00 nd r-ieter • Date Paid: Date of Insp.; %ft eomyly wi16 Na Ctb of Leyae Insp. WATER SERVICE PERMIT PERMIT NO.: DATE: ` -- ? ^ -- : No. of vnits: - 1 o E 521e.. Connedion Chorge: 00 nd Atcount Deppsit: _ 1 5 00 Permit Fee: - l p il ^ Surcharge: - 0 Mtsc. Charpes: - 132 OQ nj Toral: ? nn nc rr rer Uate Potd: CITY OF EAGAN 3830 Pilat Knob Road P. O. Box 21199 Eagan, MN 55,121 ' Zoninp; Owner: i'iciiae /Wdress: Site Hddresa: 4136 M TY OF EAGAN SEWER SERVICE PERMIT 130 Pilot Knob Road d: Box 21199 PERMIT NO.: '- : . ? ... igan, MN 55121 DATE: nirq: No. of Units: ' 1 Uf 5p1Px mer: t. Address: n: M eos?Vhr wilh tlr Ckf oF teyen C:onnscilon O+arya: 425.0) ic nn of Insp.: ACOOUM DepOSit: _ Pemdt Fae: _ Surcharpe: Mitc. Chorpes: - Totoi: ; CITY OF EAGAN WATER SERVI CE PERM 3830 Pilot Knob Road IT P. 0. Box e1199 PERMIT NO.: 6 '! ? Eagan,MN.55121'" DATE: ZO^"'fl: No. of Units: 1 of 5plex pN•rKr; ":iciiael Conat llddrcss: Slte Add,ess: _ 4132 'readowlarlc " av ' 4 r`i r'il landal 2 PltRBbQC Meter No.: ConnecHan Charye: 700.OQ pc: Siu: A o t D it 15.00 cc un epos : Reader No.: Permit Fee: 10.00 1 prM fo esmoy Mq6 tir Ciy af hyPO Surchorge: .50 Orpwene«. ?Nrac. Choroes: 132.00 o(i ToroL• 63.00 1 -r e! BY Dots Poid: Date of Insp.; ?nso.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: ? Eagan, MN 55121 .. Zoning: A'1Ya?? "' ' r i C? SDle`- Owner: „??_.?-:F•] ??i?SC [ ? . Addross: ? ? SiM Address: Plumber: • , ct]1ji icc?l _ s Meter No 3 5?c 9S /?? i Conrxction qharpe: = D 0 . 0 C t;1 Siu:?C/$L AeeauM DeposfF. 15.00 Readei No.: 0_3 !r'7 SO Permit Fee: 11 0 • 00 1 yree te aanoy whh !M Ciy of Eeyen Surchorge: .50 Ordlmena? Misc. Charyes: i . . ??`; ` ??O Total: '"' ,r ,F•rer BY - Date Poid: Dme of Insp.: ?S, Insp.: I CITY OF EAGAN SEWER SERVICE PERMIT ' 3830 Pilot Knob Road ? 3?; ; P. O• Box 211S9 PERMIT NO.: Eagan, MN 55121 pATE; - - - - Zoninp: - No. of Unita: - 1 0f S p1--c Owner: `ii chael C'onat Address: ^ Site Address: ,?- IA P3 471andn1^ "' Plumber: I 4-9-85 50723 190,00 pd I I pnft ro esmoyr wIM the Ciryr ef [ap¦ Connection Charpa: _ 425.00 pd AAiNnem AceourM Depodt: 15.00 Permk Faa: 1 0 _ 00 Surcharpe: BY Mise. Choryes: Date of Irup.: Tatol: I^sp.: Doft Vald: CITY OF EAGAN 3830 Pilot IC b R d ' WATER SERVICE PERMIT no oa P. O. Box 21199 PERMIT NO.: 0205 Eagan, MN 55121 DATE: "12 ' ' Zontrg: ,i No. of Units: 1 of 57)lex ,Owner: ?'.icnael conat /lddrosx Sits Addrcss• 4123 ,.•eddowlark Wav ' 37' -, i' 113.?a 1v 2 Wumber: AAetsr No.: Connection Chorpe: 500 . 00 nd Size: Acoount Deposit: 15.00 Reoder No.: Permit Fee: 10.00 l MnM M Oowply wilh fIM Gyr of Eeyen $urdwrys: .50 iO.dGanw. Misc. Charger. 132.00 pd_ Total: _ i,'i_n? ?1J m.rer RBy Dote Puid: Date of Irnp.: Insp.: CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road P. O. Box 21199 sCRERMLT. :NO.j Eagan, MN 55121 Zoninp: ' r. No. of Units• Owne?: L=.13e) :c;ts; ? ? Addross: , Site Addrcss: od, 1 ,f k?!. Iz . 1 . . ? %umber: ,_, . AAetor No.: 3 -70 119 V 0 Connection Chorge: Siu: ';-/fff I Roc/i ? Account Deposit: Q Readar No.: ?3 AL?f ?%+ -2 Permit Fee: 1 fi . 00 1 agrN fo eanply whA !M Ciy of Eayes Surchorge: .50 AAfu. Choryes: 132.00 pd i 7f ToroL• A t 1 Dote Paid: ! f l n.- Insv.: CITY UF EAGAN WATER SERVICE PERMIT 3830 P,ilot Knob Road ' P. O. Box 21199 PPRMIT NO.: - Eagan, MN 55121 ' DATEt ,. ? - ?. ?.. _ 2oninp: :: D _ No. of UnTts: Owner: _ `lichatl t rniri; Addrcsr. _ 9E Site Address: _4124 'fBI'GLil__ 2ri:_'j• 1 r 2 j, t d t' l ndala 2 Plumber. i" .r;Z 1 rd i a I AAeter No.:Connection Chorge: Size: ? Account De posit: 1 5 . :? Ci Reader No.: Permit Fee: _ 10 ilfl 1ayme M aempyr rhU f6e Ciy ef la9es Surcharge: . 90 OrJinanor. Misc. Choryes: _ 1 '12 00 _p ' Totol: BY Date Paid: Date of Insp.: Insp.: CiTV oF eaG 4N 3830 6?ilot Kmb Road " WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: ?J(L7 Eagan, MN 55121 DATE: _ ^ Zoninp: No. of Units: t c` -, 7pn Owner: :'.icaael Conat Add ress: Site Address: 4124 `ieadowlark 'v'iv '' 13q 4'i t A i i i PlUTbLf: '.tei•••n] 'fprhHIIita l AAefer No.: Connedion Chorye: 5Q1 - Siu: Account De Postt: 1 r, Reader No.: Permit Fee: _ 1 n tk' I NrN te aasply wiM Me Gy of Eoom Surche - ?? ". OrJinontM. Misc. CFarpes: 1 ? ? '1( ., , BY Totol: - F a nn ,? o*er Dote of Insp.: Dota Paid: 1-._ . CITY OF EAGqN , 3830 Pilot Kno6 Road SEWER SERVICE PERMIT P. O. Box 21199 ? Eagan, MN 551 21 PERMIT NO.: - ? Zontnp: DATE: 'ic::ael Const I Owner: No. of Unih: i ' Address: ? Stro Address: 4124 Meadovlark G'av LZ :ialZandale Ptumber: ae_n>.e -.ectian ca i - 5.) ..?<. ? I aYne M aem* wMi tM Ciy of Eqpn i Corenction Charge; 4 25 . 00 ncl O?JiMnaL AccouM Deposif: l 5. 0? P•renrt Fes: I ?. 0`? BY Surchorpe; c ., Dote of I nsp" Miac. Clqrpea; ?? Taal: DoM Poid: CITY OF. EAGAN 3830 Pilot Knob Road s EyyER URVICE PERMR P. O. Box 21199 PERMiT NO.: Eagan, MN 55121 DATE: , > Zaninp: 7 3 No. of Units: i of 5plex Miciiael Const Owner: Address: Site Address: 4122 ?1ead owlark "<nr L1 i; ?'i.ll?ndale 2 ' pl,,mbpr, :?enze ..eciian ca .. , ? . ,l j,,., 1 qrw M eo?eplp ail6 !V py ef E6?n O a Conn?cHon (]iorpe: 4-5. C'^ o?l . I MIIOM, ACCDWIf DEposif. 1 3• '?f: Parmlt Fee: Surdwrpe: i j 18y Mise. Chorges; Daro of I nsp" Totul: I Irnp.' Dote Pald: ! - J r ITY OF EAGAN , 3830 Pil t K b R d WATER SERVICE PERMIT o no oa P. O. Box 21199 , PERMIT NO.: Eagan, MN 55121 pATE; ZoninO: No. of Units: 1 o f Owner; t[icnael Cliti6t Addross: iFl FF?- ?: Sita Mdross: /i 122 landale Plum4er: Wet:zel KaZkahUi Meter No.: 3s6 TKI 53 Connection Chorpe: 500. Slze: Aceount Deposit: 15.0C) Reader No.: ?.? ? Sl0 03 Percnit Fee: I?; . 0,`? I prM to eomyly wN6 Nr Ciy of [oyan Surcharge: •`' ?' Ordinenw. ; Miu. Chorpes: TotoL• f,5 ni? P, wrer BY Date Paid: Dote of Insp.: ?,c,R.,, - Inap,; // oc This reques[ void ? 3 ? 2 ? ? ? I??'`??? c ,?- i ?? ? 9 75 Y ? o c) Request Date Fire No. Rough-in Inspection 7/15/$5 pe4uired? []Ready Now [N Wiil Notify_ Inspec- , [11 Yes ?No [or When q¢ady [A Licen,?8 Electrical Contrxctor 1 hereby re8uest inspection of abova ? Ownet electrical pork imlalled at: S[reet Address, 8vx or Route No. City I Meadowlark Ro Eagan ecuon o. Township Name or No. Ra ge o. County Dakota Occupant IPRINTI Phune No. Lakewood Towhnhomes Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) ? ConVUCmr"s License No. Hiltte Electric 40445 Mailing Address (Contractor or Owner Makine lmtailation) , 600 K nebec Drive Ea an MN 55122 g Authorized i natur(Contrec d ner Makin Installation) Phom NumDer 5 - 5 MINNBSOlfp STATE BOARD OP ELECTIIICITY THIS INSPECTION REQUEST WILL fl0T Griggs-Midway Bldg. - Room N491 ' BE ACCEPfED 8Y THE STATE BOARD 1827 University Ave.. St Paul, MN 55704 UNLESS PROPEN INSPEC710N FEE IS Phorre (612) 297,2111 ENCLOSED. /5? ; QUEST FOR ELECTWCAL 111WECTIOW E?O°OD1? ? See instructions for completing this form on trackof Yellow coDY. 047116 "X" Below Work C?ex+ered by This Request Add ReP. TYPe o( BuilAin9 APPliamea W.rad E4uipment Wired - ome Range Temporary Service Duplex Water Heater Ggbting Fixtures Apt. Building X Dryer ElecVic Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Buik Milk Tank Farm Otner (Specify) Other (scecilv) t _r Specify Othcr Other ompute lnspection Fee Below p Fee ServiceEntranceSl2e H Fee Feaders/Subfeeders N Pee Circuits 12.00 0 io200Am s 0 to30Am ?to 30Am Above 200 qmps 31 to 100 Amps 31 to 700 AMPS Swinoning Pool Above 1?_A Above 100_Amps Transformers Irtigation Boorrs Partial:`Other Fee I Signs ? I [Special Inspec*.ion 642 ?? Aemarks .rj0 TOTAL/ FEE ) ? i r . - l L/Z..C?U/ .. (,;(? - ? the F?ecu?eaT ?? 3 ?pector, hereby ?r1iry thet the above I Final ? j?p?tion has heen . made- This request voM 18 moMln from REQUEST FOR ELECTRICAL INSPECTION ED-00001-04 / See instruetions fw cowlatino this torm m 6ack nt vellow coor. _ EM 0 11 5 "X" Below Work Covered by This Bequest . Add ReD• TypeofBuiWing AOVliamesNired EVUipmenttl/ired Home Range . Temporary Service ? Dupiex Water Heater Lightin,y Fixtures Apt. Building Dryer ElecVic Heana Conuriercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Peci OtherlSDecityb t r SVecify Other Oiher lISD@CI/On tP.B HBIOW p Fee Service EntranceSize p Fee Peeders/Subfeedere, # Fee Gircuits 0 to 200 qmps 0 to 30 Am s 0 to 30 An Above 200 qmps 31 to 100 qmps 37 to 100 Angis .. Swimming Pool Above 100_Amps Above 100_Amp.ti Transfortners Irrigation Boorrs , Partial'Offier Fee Signs Special Inspection $ ? TOTAL Nemarks ? a ? . / "•• ••• . ./? ? -Yl' g p LJ, the ElecvTwl h9rebV Aify 2hat the a6ove I Final r Date - p?tim has been mnd°- tn;s rectreee vaa This reQuest void j ?'-) ? ./ . mon[hs from G 7115 ?d O c? Reques['Date 7/?C/pC :/ 0 7 Fire No. RouBh-fn IrKpection Pequired? . ?fleadY Now [glHili NolifY InsDec- ?. [gves ? No tor MYheo peady XXLi.censed Electrical Contractor -.,? ??e request insvection of abova ? Owner electrica wark imtallad et: Straet Address, eoz or Route N. C+ry I Meadowlark oad Eagan ecUOn o.. Townshfo N me or No. nge No. Cnunly I ? Dak t OccuOant (PRINT) Phone No. ? Lakewood Townhomes Power Supvlier Address DAKOTA ELECTRIC Farmington Electrical Contractor (COmpuny Name) CoMractor"s License No_ HILITIE ELECTRIC 40445 Mailinp'AAdress (Contraclor or Owner bWking InstailaUOn) 55122 Authori Stgna se? ontrac[or/ ?' ' Mak?ng I?rsWllationl . Phone Nuniber 452-1565 ? Al11NNE5bTAYSTqTE BOARD OF ECECiRIC1TY ' 7HIS INSPECTION qEQUEST WILL NOT Grigga-Midway Bldg. - floom N497 - BE ACCEPTED BY iHE STATE BOARD 1821 University Ave., Si. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS Phnnw 16121 297-2111 . ENCLOSED. G?-?--? 3? lEnuESr Fos ELECrItlcAL tnISPECTIoIY Es-oooo,-o. J , See instruecians for mmpleli.g this f«m m 6aek of yeliwr copr- . ../ ? 47114 ..X.. Be/ow Wd'k Ctavered by This Request ?Add' ReP'I-TYPe ot BuiMing ' Applieaas wirad ' E9uiDmCnf Nired . ? ?THome Range Temporarv Service ? ? ? I I COnvnercial Bldg- I V I Air Cad F?ce ? 1 5i[o Unloader I Inrkistrial Blda. itioner --1 Bulk Milk Tank ? Farm p Fae ServiceEnRranceSiza ti Fae Feeders/Subfeeders 0 Fee Circuits 0 to200 0 to30 01.o30Am Above 200 Am s 37 m 100 Amps 0 5 31 to 100 Arrips Swimning Pool Above 100- - - i Above 100_Amps Transfortners Irrigation Booms I . b Partial.`Oiher Fee ' 1 -1 Sigis '' ISpecial Inspection _1S ' Remarks q.Z. ?J TOTAL F E ???G7 Rough-in , ue Electrica I?rsrspactor. harebY ?eRify thal the ahove Fi?al U p e j} nspeCtipn has Aeen .? ? ?l? ?? 7hy relryest voitl 18 manthatiom This request void .? «» ,s us B ??? ??l Nequest Date ? Fire No. Rough-:n I?pection ?auired2 • ?Ready Now g] Wilt Notitv Insoec- 7/15/85 wYes ?No fo? ??n Ready Licensed Elec[rical Contrac[or ?? a ? 1I.ere6Y request inspection af above ? OwRer aleCtricsl wrork inttalled aT Street Address, Box or Route No. City 8 Meadowlark Road Eagan c[ion _ Township Name rn No. Range No_ County Dakota OcCUpan11PRI" Phone No_ Lakewood 7ownhomes Powef SuPP11M Address Dakota Electric Farmington Electrical Contractor (Cornpanv Name) Cmtractor's license No_ Hilite Electric ' 40445 Mailing Address (Contractor rn Owner Making Imia:la[ion) 3600., en ebec i Ea an MN 55122 A th " ed gFia- ?"e4CoMra or/ t Naking Imtalla[ian{ Awne NunWer ? +-? " 452-1565 YINNESOTA STqTE BOARD OF ELEC7RIGI7Y THIS INSPECTION REQUEST WILL NOT Griggs-YidwaY Bldy. - Ibqn N-791 8E ACCEP7EU BY THE STA7E BOAND 1821 UniveBity Ave.. St. Paul. YN 55104 UNLESS PIIOPER INSFECTION FEE IS Pb.,.... 16121 2972717 ENCLOSED_ This request voidG3/?^ 51?j'g 18 monlhs From 1?? 072 932 j?_q Reques[tPdte' ? ? ? irc No. Rough-in Inspection Required? ?Ready Now (??Will Nntily, Inspec- ? y le -? ' ?Yes KNu tor When Ready t Lfcensed Electrical Contractor I hereby request Inspecuon of above Owner electrical work installed at: Street Address Box or Route No. ? City w6z?=-N ection o. Tuwnship Name or No. Range Nu. Couniy Oc/cyupaLnt IP^RINT)./ 4L ?? ?? Phone Nu. ??? / f / s 7 Vf 1 ?.I\ 6 • ' PoWer SupU i N,S P AAdresW 4S Elct ical Contractor (ComVany Name) ? e G1e C_ 1? c /?Lf?V Contractor's License No. Mailing( ?Address (CoMractor or Owne Moking In- ailation) Authorized Signature lConV ctor?Owner Making Installation) Phone Number Jz > MINNESOTASTA?.yE BOAR?F EIECTflICFYe ? THIS INSPECTION REO.UEST WILL NOT Griggs-Midway Bldg. - H?om N-191 i . BE ACCEPTED BY THE STATE BOARD 1621 Univarsity Av¢... $t. Peul, MN 56104 ?1 - UNLESS PROP?p INSPECTION FEE i5 o.._.;? ia???'Iozz71ii' -.r -- . ? : , .. . ENCLOSED. .. REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-oa H y7? ? ' See instructions for compieting this form on 6ack of yellow coDY• ? ?,7?•C??? ""X" Below Work Covered by This Request AAd Rep. Typ¢ oi Building Appliante! Wirad Equioment Wired Home Ranye Temporary Service Duplex Water Heate.r Liyhtin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Furnace Silo Unloader Industrial Bldg. Air Conditioner 8ulk Milk Tanl< Farm Oche., neci v Other ISOer.Ily1 ther SVecify Other • p1her Comuute Msaection Fee Belaw p Fee Service Entrance$i2e d Fea Fenders/Su6feeders N Fee Circuits 0 to 200 Amps 0 to 30 qm s ?. 4: 0 tn 30 An± s Above 200 qmpy, 31 to 100 Amps 31 to 100 qm s Swimming Pool Above 100_Am s Above 100_Ai»PS Transformers Irrigation Boonis Partfal-'Other Fee Signs - Speciallnspection $ TO T Rerr?rks AI??FF,E? di? ?tt / Rough-in Date 1, the Electriwl Inspactor, hereby ertify that the abova Final ? ?,j Date ? inspectio been med Thlsrequestvoidl8monthsfmm ?E"/ ?) 3?3G 7- r) S5? Street Address, Bo Route"No. r City - $ ad ark Roa q l?-?- ( ?> Eagan ecLOn o ToWnshipNameorN _ "No Cauntv Ddkota OccuDant (PRINT) Phone No. Lakewood Townhomes Power Supplier Address Dakota Electric Farmington Electrical Contractor (ComDany Namel Contracmr's License No. Hilite Electric 40445 Mailine Address (Contracmr or Owner Making Instailation) Authoriz ,$i naMx (Contracto ner Z ing Insfalla[ion) Phone Num6er - ob_ne (612) 2972711 ENCLOSED. ? Licensed Elec[rical Contractor 1 hereby requesl inspection of above MINNLO?q STATE BOAHD OF ELECTIIICITY THLS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 6E ACCEFTED BY THE STATE BOARD 1821 Univergity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Owner electrical wark imtalled atc ? ? REQUEST FOR ELECTRICAL INSPECTION , See instructions fw wmpleting this fwm on baek of yellaw.copy. 647113 "X" Below Wo??ered by This Request EB-DOOOIAd ?-/7'G5?- AdV Nep. Tvpe of Building Appliaaas Mired Equipment Wired Home Range . Temporary Service Duplex Water Heater Lighting Fixtures Apt $ui Iding Dryer ElecVic Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fyrm Other SPen Qther ISper_ifyl t r SUeciTy Other Other (.OAIp[/(B IOSpBCt10// FC@ 8C/OW p Fee ServiceEn7renceSize 71 Fee Faeders/SUMaeders t7 Fee Circuits 0 to 200 qmps 0 to 30 A . 0 to 30 Am Above 200 qm?x; 31 to 100 Amps 37 to 100 Anny, Swimming Pool Above 700_Amps Above 100_Amps Transiormerg Irrigation Boorts Partial•`Offier Fee aigns apecial inspec:wn $ TOTAL FEE ~ Nemarks J L-,rZ 'av Rough-in y D ie r,[- ?, the E e ncal ?.' r:/• ???/ ? Irspactor. herebv - . Certify The[ the abpve pection has bcen ' . ? D?e ? ?de. `monthsfran • ' • CASH RECEIPT • CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MIN OTA 55121 ??? D E • ? f9 wecerve ? PR 17 AMOUNT $ J & _-DOLLARS ?'ao E]CASH CHEGK /1 4 3 I) 6 'F4ND ' C DE APAOUNT Tv -7 a aa ? Thank You ? BY N_ 51965 W White-Payers Copy Yellow-POrting Copy Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15599 ? x PHONE:454-8100 --I 3-7L, `? BUILDING PERMIT Receipt# To be used for BASEMENT Est. Value $1 , 500 Date SEPT 13 Site Address 4128 MEADOWLARK WAY Lot 3 Block 8 Sec/Sub. HILLANDALE 2ND Parcel No. x Name CHYRL B JOHNSON = Address 4128 MEADOWLARK WAY ? City EAGAN Phone 456-0619 p Name SAMF ? a Address P City Phone v¢ W W Name_ ?W ? g Address Q W CitY- 1 here6y acknowledge that I have read this application and state that [he inlormation is correct and agree to comply with all applicable State of Minnesota Statu[es and Eagan Or 'nan s. Signature of Permitle A Building Permit is issued t: _ CHYRI B_JOHNSON on the ezpress condition tha Ilwork shall be done in accordance with all applica6le State of Minnesola Statutes and City of Eaqan Ordinances. Building OificialI OFFICE USE ONLY On Site Sewage Occupancy MWCC System _ Zoning On Site Well _ (ACtual) Const Ciry Water _ (Allowable) PRV Required # of Stories Boaster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES 34 00 Engr./Assess. Permit . Planner Surcharge 1.00 Council Plan Review Bldg. Otf. SAC, Ciry Variance _ SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 - mawcopy .50 rornL 35.50 (TOwNxoUSE) CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 Assessment Water S Sew. Police Firc E+o• Plonner Council Bldg. Off. 4 4 8 5 APC Ver. Date . ? y PHONE:454-8100 f/' C PERMIT BUILDIN ReceiPt # aze? ? Te M wad hr 1 OF 5 PLEX Est, Value $56,000 pO1e APRIL 9 1985 SiteAddreaa 4136 MEADOWLARK 4VAY Erect 6a Occupancy R3 l.ot 5 Blcek $ Sec/Sub. HILLANDALE 2ND Remodel ? 2oning uQ Repair ? Type of Conat. j? Parcel No. Enlarge ? No. Stories MICHAEL CONSTRUCTION Move ? Length_25 ? W Name Demolish Depth5 ? $80? HWY 7 Address Grede ? Sq. Ft. Citv ST LOUIS Pgone 938-4262 Inscau ? g SAME Approvols Faes ,F Name Addresa Citv Phone N8T8 UV -L•1VLYl.t.HUt1 @ H.7.7V1. qdd,e,s 4801 W 81ST ST City Ri.MTN Pnone 811-1844 I hereby ocknowtedga that I have read this application ond state that the informotion is correct and ogree to comply with oll applicable Stots of Minnewto Stotutes anolqity of guqan (Ydinonces. / Sipnature of Permittea A Building Pertnit Is issued to: MICHA] oll work shall be done in accordonce with all N_ 10055 Permit ' 0( Surcharge 28.0( Plan Review 150.5( gqC 525.0( Water Conn. 500.0( Woter AAeter ___6.,1 - O ( Rood Unit 2110 0( T.P. 132.01 Tota1 $] , 97c) _ 5 I on ths axprest condition thot ond Cify of Eayon Ordlnantes. Buildinp Officiol ( ToVaNxovsE) CITY OF EAGAN N° 10054 , 3830 Pilot Kno6 Roed, P.a. Box 21-199, Eagan, MN 55121 BUILDIN6 PERMIT PHONE: 454-8100 ReceiPt # j,y? ,? `? Te !e wad Fer 1 OF 5 PLEX Est. Value +556, 000 Date APRIL 9 19 85 SiteAddrese 4132 MEADOWLARK WAY erect C$ OccuPency R3 HILLANDALE 14D Remodel Lot 4 Block 8 Sec/Sub ? Zoning 09 . Repair ? Type of Const. Parcel No. Enlarge ? No. Stories MICHAEL CONSTRUCTION Move ? Length 25 W Ne'T'e 8$00 HWY 7 Demoiish ? Depth 45 ; Address Grade ? Sq. Ft. a city ST LOUIS P*hone 938-4262 Install ? SAME Approvals Fees Name Zu $? t Address City Phone ?W Name DU'MONCEAUX & ASSOC _? Address W 1ST ST ?W city MTN Phone 831-1844 Assessment - Woter & Sew. Police Fire Eng. Planner ? Council _ Permit ? Surcharge 28.00 Plan Review 150, 50 SAC 525-00 Water Conn. _ 5 0(1 (1 p Water AAefer 6-4 n 0 Rood Unit 7 R n n p I hereby acknowiedge that I have read this application ond state thot gldg. Off. 4j4 85 T. p_ 132 . 00 the iniormation is correct and ogree, to comply with ell applicable APC Total $1 ? 979 _ 50 State of Minnesoto Statutes an ity of E gon O?dinances? Var. Date Sipnoture of Pertnittee A Building Permit Is issued to: MIC AE CONST UCTION on ths express condition oll work shall be done in accordence with qheDV?icoble ate f Minnesoto Statutes ond City of Eopon Ordimntes. thai Buildinp Ofilcial ( TOWNHOUSE ) CITY OF EAGAN . . 3= vao,;?,?, P.O. B? 21-199, e?, ??,21 . ` PHONE:45A-8100 ??ir ?a ? euaoING Ti M anA Iar 1 OF 5 PLEX EO.yalue $56, 000 pate APRIL No 10053 - ? 9 ly 85 sroeaadreu 4128 MEADOWLARK WAY rrm Ck omuven cv R3 Lot 3 glock 8 ?Ulx AILLANDALE 2ND Remodel ? Zoning R4 Repair ? Typeof Const. VN Paesl No. Enimge ? No. Stories MICHAEL CONST ? ? N? 8800 HwY 7 ?ish O oepcn 45 Address Grade O sq. rK. C,iy ST LOUIS Pffho„B 938-4262 i„sWi ? Nane SAME ?°b fan ? ?? pM,,;t 3 O 1_ 0 0 ??? wore. a sew. su.cho.pe 28.00 Cfty P11O1e PoliCe 15 0. 5 0 Nan RevieMr ?W Nane DU'MONCEAUX &'ASSOC pire yAC 525.00 _a Amms 4801 W 81ST ST p„o. ryoh,Cnn. 50 00 ?W city BLMTN p?„e 831-1844 pia„? yy,lwMew 63 _ 00 Councii Rood unit 280-0 0 I heeeby ocknowledas Nat 1 hwe ceod this avplicotion and stote thw gidg. pff. 4/ 4/ 8 5 T. P_ 13 2. 0 C the irdomnrion is correcr and agree ro canplY wirh an appliw61e ' ax romi $1. 9 7 9. 5 C ty of , gon inonoes StoM of Minnesoto Stotutes o Var. Oate Sipnuture of Pennittee _ • A 8uildirg Permif Is'issued ta MI A CONSTRUCTION ?? ??? ?tim dws dl work dwll be done in xoo?dance with all qppkimbk Stote oryAnnesoto Statutes and City of Fapon Oidinontes. BLOIdrq Offidal (TOWNHbUSE) CITY EA6AN 3830 Pdot Knob Hoad, P. Box P1-199, Eagan, MN 55127 PHONE: 454=8100 BUILDING PERMIT 1 OF 5 PLEX Receipt $ kral1e $56, 000 pote APRIL 8 gkeqddma 412 4 MEADOWLARK iqAY Lot 2 Bbck 8 Sec/Sub. HILLANDALE 2A]D Pmcel No. W Name MICHAEL CONSTRUCTION ? Addma 8800 HWY 7 C;ty ST LOUIS PVto1e 938-4262 Name SAME "?.' Crty- row - Phone - p W parne DU'MONCEAUX & ASSOC _? ,?,? 4801 W 81ST ST ?7, 1 C;iy BLMTN phom 831-1844 Erect ? Reneodel ? Repeir ? Enlarge ? Mwe ? Demolisn ? Grade ? lnstafl o w,pm"b N_ 10052 S?7nL9 occupancv R3 Zoning R d Typeof Consi tIr_ No. Staries t.ensch 25 Deplh 45 sa. r-c- /lssessmeM wore. a sew. Police Fire Eng. Plmme. Cowxii Foss Penra3aZ-0 0 S„d„? 28.00 %a„ Ftev;ew 150.50 SAC 525.00 Wat,C,,,,,, 500.00 yy,te, Mete, 63.00 Rood U,„t 2 8 0_ 0 0 I nerenv ockrowledge ehat i nove .eoa n,is oWiwnon oM store nwr 61ay orf. 4/4/A 5 T. P. 132.00 fhe informotan is onrrect md agree to comply with oN oppliwbk State of Minnewro Stotutes ar? Ciry of Eago O?dinonces_ A? T?? $1 , 979. 5 Q , Var. Da[e Sipeaturc of Peemittos A Btdlding Perm» Is iss,n? MI HA•L CONSTRUCTION «, ha e? ??? tha, dl work sholl be done in acoordance with oll opplimbla SpaR'offAinneaota Statutes and Cih of Ecpan adinonces Buldirg OHicid / -C lC? 4 1. Of ( TOWNYOUSE) .,CETY OF EAGAN No 10 0 51 3830 Pilot ?rwb Aoad, P.O. Boz 21-199. Eagan, MN 55121 ' PHONE: 454-8100 BUiLDING PERMIT Rece+v* # Ts 6easoA la 1 OF 5 PLEX Ea.yalue $53, 000 pate APRIL 9 1985 SireAdtheas 4122 MEADOWLARK WAY Erect Cy, Ocwpancv R3 lat 1 Block 8 swjSub. HILLANDALE 2ND Re'"°del 0 Zoning ud Parcel No. Re{air ? Type of Const. TPa Enlarge ? No. Stoties TAWross MICHA EL CONSTRUCTION pmMove olish ? DLength epth 27 4 5 8800 W HWY 7 t LOUIS PI?1e 938-4262 G„otBil p sqR SAME Avwo?u6 Fees Name Address ?City Phonre Nffi„e DU' MONCEAUX & ASSOC Add,ess 4801 W 81ST ST c;ty BLMTN pho„e 831-1844 AssessrneM _ water 8 Sew_ PoIFce Fire ?o• Planner _ Caundl - Pemvt 4i 2 9 2. 0 0 5„rdw,yB 26.50 Plan Rev;ew_ 1A-6 . 0 0 snc -----525.r0 0 warer care,. S o o_ n o Wore. Meter fi3- 0 0 rtond Unit ---22n n p 1 hereby ockrawtedys thut I hwe read this apptication mM stcte thct mdo. p{f. 4 4 85 T_ P. 132.00 rhe inewmacion is correct aM agree ro con+aly winc alt applicaWe A? T? $1, 9 64 . 50 State of Minnesoto Smtutes aq iry of Ecgan ?dinonces Var. Date Siprature of Pemuttee w Building Permit Is issued ta MI A L CONS RUCTION ?? Plcprew condi? that dl work shall be done in acordance with oll apRlicoble Stmq oflqjnrajot Statutes md City of Ecpan Orfinances. Buildinp Offkfol ?5? s i S 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit 3a •sZ Date ? / yC 0?_ Site Address Io_('K L-S1 ' Unit # Property Owner i,? L:SL6'1 Telephone # (?.Sl ) LSj-c?QU - - -? Contractor _ Wohlers Southside Htg. & Au', Ir?c• ! 6950 W. 14e St., #106 Street Address _ App]e Va11ey,NIN 55124 CitS State (952) 431-7099 Telephone # ( ) ? _ - - - - - Bond #: ???) 4 `7-ICS Expires: 8- The Applicant is _ Owner 4-Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional X.,'Replacement air exchanger ? air conditioner ?iVew XReplacement other state Surchar pU G 0 9 2004 $ .50 T t l By ?? o a I hereby appiy for a Residential Mechanical Pernut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pern-ut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl 1au?_?'.c.h.: Applicant's Printed Name Applicant's Signature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commerciaUindustrial buildings multi-family buildings when sepazate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephoae # ( ) Bond #: . Expires: - The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove *"see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: **When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Pertnit Fees: $70.50 Underground tank installationhemoval $50.50 Minimum (includes State Surcharge) - OY Contract Value $ x ]% _ $ Permit Fee • If pe rmit fee is $1,000 or less, add $.50 ? $ - State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work wili be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name Applicant's Signature Approved By: , Inspector Date: PERMIT # s -I ts RECEIPT DATE: 2002 PvESiDMIlAL PLUMBINC PE#tM1? ?PPLICAT&ON crrY oF EAGAH 3$30 PILOT KPOB iZD £AHAN. MN 55122 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: 4)24 jne(aU (0W)C{Y-F- ? • OWNER NAME: : ?,vlSnY? ?r?OII P TELEPHONE #: A CODE) ? ? _ ?ARI(J INSTALLER NAME: TELEPHONE (AREA CODE) STREET ADDRESS: " JuAllymy Y T-• CITY: L&kU I Illl STATE: ZIP: ????1 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repaiNrebuild $ 30.00 _ lawn irrigation system Replacement/additional: _ watersoftener ?raterheater?-----____ --'-------, $ 15.00 State Surcharge .50 F'Y -- -- - - ' $ ?S .5p rotal I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to complywith all applicable City` Eagan ordinances. It is the applicant's responsibilityto notify the property owner that the City of Eagan assumes no liabilit for any damage caused by the Cit ur g its normal operational and maintenance activities to the facilities constructed under this permit pro y/ ' -o - a t. SIGNATURE OF PERMI 1 /02 48-?n COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Foundation OnL : New Construetion Interior Im rovement. r ` • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (i) • Certifiqte of Survey (1) . Civil Plans (2) • Project Specs (1) • CodeAnalysis (1) "* . LandscapingPlans (2) • KeyPlan (1) • Project Specs (1) . Code Analysis (1) • Master Ebt Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) notalways" • Meter siae must be established . Meter siae must be established • Meter size must be established -if applicable • ProjectSpecs (1) .L • EnergyCalculations (1) ** 1 1 • Electric Pomr & Lighting Form (1) '* 1 1 • Master Ebt Plan (1) 1 1 • Fire Protection Plan (1) *' d 1 • SoilsReport (1) l • MC/ES SAC determination letier • MCfES SAC determination letter • MC/ES SAC determination letter pli 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 CONSTRUCTION COST: SITE ADDRESS: HI Z.2 W 3`J Mtn6t1Wo. " 'c Wa.ev1 -- ??a y ) ? la?? 4 13?, TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK PROPERTY OWNER CONTRACTOR ARCffiTECT/ ENGINEER Name: Lavp'Q Y\d` 7o\m)hwe_ aSi)C Last First Street Address: City: Company: ? Street Address: Zip: City: State: M ? Zip: °7 Company: Phone #: Name: Registration #: ' Street Address: City: State: Licensed plumber Installing new sewerlwater service: Phone #: C.? 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. Signature of Applicant: Updated 1/02 61 State: I Phone#: (?5 I)? qti ° 0 2?,,a5 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 Commercial/Industri al ? 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 17 31 New ? 35 Tenant hnpr ? 42 Demolish ( Foundation) ? 46 Windows/Doors 0 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations 0 37 Demolish (Bldg) ? 44 Siding ? 48 Autharization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning SAC Code # of Stories No. of Units Length No. of Bldgs. Width Const. (Actual) Basement sq. ft. (Allowable) First Floor sq. ft. UBC Occupancy sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered El Insulation Engineering 7 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 •- VALUATION $ % SAC SAC Units Meter Size Total . s . ?. ? .. -.,. 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL COFITRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN LINI T A I oF 5 i?-tX To Be Used For : -1?WU OMl, INCLUDE 2 SETS OF PLANS 3 CERTIFtCATES OF SURVEY 1 SET OF ENERGY CALCULATIONS valuation: 53,cx::U.1?9 Date: 4 z- q5' Site Address: MZZ M,ti(}4)W (hfk VA OFFICE USE ONLY Lot: Y(I Block Seet/Su Q 4L??? Erect X Occupancy Remodel Zoning Q-4 Parcel /6 Repair Type of Const Qki Enlarge ll of Stories Owner _ p, Move Length ? _ Demolish _ Depth 45_ Address Grade Sq Ft City/Zip Code *'ri bO'(!I S 5qAA -------- Phone 531L4 VeZ APPROVALS Contractor Address City/Zip Code Phone Arch./Engr. ?Ju' ??ft ? ??. Address 4bul ?? vl'- City/Zip Code ?jLf.5,0 f-4 1ti3? 0411 Phone N 19 41 Assessments Permit 29 Z. 00 WaterlSewer Surcharge 'L Police Plan Review 1 4(9,- Fire SAC 5Z5,O° Engr Water Conn 50c) Planner Water Meter (L'0 Council Road Unit Bldg Of Parks APC Treatment Pl 00 Variance T A ? 1 S C? I OT L ) ? ? ? r 5a-- 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS l9UST BE LICENSED WITH THE CITY OF EAGAN U Nt T g INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY ? oF S Pt-EX 1 SET OF ENERGY CALCULATIONS To Be Used For: ?6wkl opmk, Valuation: 5(?10L'b, 09 Date: -2?85? Site Address: 4124 M,k"WIMk tjdk,f OFFICE USE ONLY ??. Lot: AZ Block ?K6 Sect/S Erect Remodel Parcel !f Repair L /Enlarge Owner M ?(,?1Qr?, ?Si?S` ? ?1 4,(??• Move Demolish Address Grade City/Zip Code LBUZ$ Pw}f'k Phone -42,(o'7r Contractor S qu (ti Addres City/Z Phone Arch./ Address 4wI W., 81`T sl-/ City/Zip Code &09q , 7?471 Phone # p? ?? IS" APPROVALS X Oceupancy R-3 _ Zoning Q-4 _ Type of Const ?F4 # of Stories _ Length 75. _ Depth 4 S, _ Sq Ft Assessments Permit 30 (. L' Water/Sewer Sureharge 2S.°° Police Plan Review ? cp. 5° Fire SAC 525 °= Engr Water Conn 5 .°° Planner Water Meter 03, °- Council Road Unit Bldg Off arRs- APC Treatment Pl Variance ?l g 7 9 5 d ToTni. `t b` ? ( j-0 ?5-s 7985 BUILDING PERNIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WI?H THE CITY OF EAGAN UNI'T ? INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY IoF 5 PLE X 1 SET OF ENERGY CALCULATIONS I? ? To Be Used For: 1(q?uNltpK6 Valuation: 5(?-,COC)• - Date: `Z' ?s Site Address: QiZg Nt4/Irppkl(,Qfk WV{x( OFFICE USE ONLY Lot: Block '5."8 Sect/SutS?)/? Erect Remodel Parcel # '- ? Repair X Occupancy ?-3 Zoning (?- _ Type of Const ?j Enlarge # of Stories Owner M((,I-?'q'?(_, Move Length 25 t " Demolish Depth ?_ Address ??J ? Grade _ Sq Ft City/Zip Code ?lr, (.(M5 PA'f`K `t4 a---------------------°------------ Phone q39-44Zi92- APPROVALS Contractor Address City/Zip Code Phone Arch./Engr. ? kS Address 4961 j,v ? (sT 5F City/Zip Code I'J1,'JvwN?{'6r1 9,'431 Phone Ii Assessments Permit p, °` _ Water/Sewer Surcharge 2.g,°= Police Plan Review 150so Fire SAC 525. Engr Water Conn Planner L,Iater Meter (93, °o Council Road Unit °O ?2D. ' Bldg Off arks APC Treatment P1 = Variance TOTAL ? ??- S O 1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN LItiIIT 5 INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY I oF 5) PLE1-1 1 SET OF ENERGY CALCULATIONS To Be Used For: -fpWUftM1t„ Valuation: 5(o,CZ'?.?` Date: ?--2,-9_5' Site Address: 4137- M4A-0ou?uWk luPtj OFFICE USE ONLY Lot: 4 Block ? Sect/5u Erect ? Remodel Parcel # Repair Enlarge Owner kIG+? G7lf+_ ? OW4(GLD. Move Demolish Address 99M Grade X City/Zip Code ,.;1, 4 Z.?UlS PO? X42-?a -------------• Phone ?lt 4Z(,A- APPROVALS Contractor $? 4 Address , City/Zip Code Phone Arch?Engr. J'HQNC4,A%JL( 7 q55_ Address OD ? S' sl City/Zip Code 13 LeoM (NG 5?;431 Phone # 2j 1 ? irs44 Occupancy ?-3 Zoning V--4 Type of Const 11?j 4l of Stories Length 25 Depth 5 Sq Ft Assessments Permit -;oI ,°" Water/Sewer Surcharge Z$ °-° Police Plan Review ?50so Fire SAC 525.°? Engr Water Conn Planner Water Meter 63.°% Council Road Unit 250.7 Bldg Off? Parks APC Treatment Pl 132. Variance p c ? f 7 ` TOTAL 1 / / ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN HOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN ?V,_1 ? r g INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY I oF 5 PL-EX 1 SET OF ENERGY CALCULATIONS To Be Used For: "fUWNl{-p4tr, Valuation: 5(c-,Cz::70 • ?O Date: -z --? Site Addre ss: 41 36 W*WWLA6E- (?q?( OFFICE USE ONLY Lot: ? Block ? Sect/Su Erect ?C OccupancY ? l n ? Parcel ?k Repair ? Type of Const Enlarge # of Stories Owner UI (A(a, CZ WS+, ? DttV"- Move Length 25 ? ? - Demolish Depth 45 Address L v 1 Grade Sq Ft City/Zip Code $'?• uoU'S t/j-rk Phone -?(3 1 - 4Z(pZ Contractor Address City/Zip Code Phone Arch./Engr. IIM ? ( S • Address 48bi City/Zip Code 5?;43( Phone # APPROVALS Assessments Permit 30I . ?' Water/Sewer Surcharge ZS.°= Police Plan Review 1 50. 3b Fire SAC 2 5,r- Engr Water Conn 5co _°= Planner Water Meter Co3,- Council Road Unit Bldg Off Parks APC Treatment Pl Variance TOTAL :.` . ` ` . ?f l 3 co Y, ? ?-- ?;`? ? .3 ::?? ??_-? Lh..?,.?.:?,:?? ,,?H,r;E-u ?n? ? i?µ' ? '.Q_ M=Rr1nWLAR.t; RD ? EflGRN ??i ti PF'Ci'i?Ril ,_ , . 1?ttZtL i?i?'? :t-IHT;IU9? ' " 4S : TJE'-"iGN CE3P,IiITIT,.7'NS /? ??' /?•• '?.li./I"? . ? 3 --- > ---- IJ ? 171E It`!S Ii?- - ?`'?1?6P tE3 J`? -Rt - [;(IT.?,.? •'iI' -?----: L 1 ? t c ------------ -ZI?t L+3ri'L'i' ' ? . ? , E ? .. _ ` ; 6i?CE; E f.tEGREEw Lt?T T'ri tD= P jr1 } : 1 i_= L °, ? A . v -2 0 l-ii `?-c .i4 j%;t=ifl;?t ?v ll?z . ;; :.._. .' . . taf..?._ .. ? ENT t.:_ I c. Ht??_1?.? 'p' .:.. ILL' S„ --r-tUt•1EEl=' L'??--• ----' --- '--- ---,: PrQPLE . - 1_Q':?. G!rt1r'i „ L.i_i.3 v u - 1.J?. Ci1i' St?' •-1 e =fiT- .LZN6 iUR:S . ITILRTIQ[-i 'i_`iRNGES [f."LE: Ts,:,; EMT. 'r,R I N ;,.%• ffLS F:;?EA r;Z-t 1H Gti l. C'a r' . '39 -a b a 162. 4 •?i1'?, 722. .L-Ji'_ay L4 !in 0. 1200. 12CiU. u. 4i2r_t. LV7.LG. , ,:??' 1.'.. . . . E.T,UH LOSS CD:{=:l"Rfl%T1.dt', Nt1=•iBERS' ???r?. l nG { 9030. 9B 1+? 06. 1 `t i 4 LIr `_! . 19N f -17F - !) , u. _1 C - _??._tb5n / ?r . ? ? ? ?, j,tc ;L,L• .' . =ti?,?:'? "• ? . .Y 1-NKE'.tiG011 TOWNt'iUt'1ES ? ., t•i_RnnG)L_I1Rt; R.It ,;.:. . : EflGfltti ;9ti PFCRRRrtl t;'•r': i.«N`EL i9E i=i-IHt9ICAL I.--?"•? ... DE51?1Ei'{ !_OND7 ?TII7Cyti -if. i INi ER---- ----- ?ltT 3DE I ---------SU MMER------------ -? r NSIU ,?,,i•s:. E ?i_ITSiDE ThlSIT'E D3-iIL`i' DEG FE ES ;!-EGREE`, IrEiaREES Lt?TITitDE 7II c _. . 4? MIEI1IUfil - + ?;s T; ?:?>;?' ' r i _ ENTIi;c Ht7UE=E ?+F-Fi_Ut:s ? .:.. . :. . ;, .... --NUMF-tR, ?F-- ---r?=c:-: --- ? ? ---?•,-? ??-?--- `L-?f . t EQPLE ?.7Cft•?=.. i ? ?<,..-• ?A.iPi LV?_ _ ,-- _NIC; ,f i1, 0,". 2 0 ;• ir.. 345£5. ^?-CIIhi FONEi•f T- NR FI-i s:;TUH GAr.r, E:TIJH LOv:3 C;OtSTRll+vTj t7t; i,UIMIBEf2S ?:`WfiLLS'` . ?;WFI`fIT?wS lf?. 1 _5 Ci 9 r? V. 1 n i.iL $ 52. 8100. , S770. :cB ILItYIs 42, 546. ' 9 &ti:U. 9R , .? ?URS • D Li 1. 722. 1305. 14i t,.._ . . ? ;?ENTILATIIIc; i "?LI:i. c4_I, 4l?tG?-?+. 19P? 1?F ; fIRPt'iflNCES ??. 0. cfIPCE?: ; Y 2 Ci u . 1210 0. 4780. -------- -------- RLS k ' ;i 207io.. :2?45b5. 11 y r : n .tf?°?G lJS"_.,:.•:?:.?. . . ' . . ..T?'w1?'.?c-?.?,.! • . A"lly . . ';, ; •. ' ?..; ' TClWNi-!Ch1E=: ?,??`: r.': '' NH_ffnOU :• L_HR'r; F'D a^'`;..•:=?.•? EflGRr} t•tti ? p. 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' . . . 47:30. ?. ? . . . . , - ? - RLS `4565. 207iG. ? . .,,.,r, . ? . •?uT?ry . ki •:'(? : .. .'Tt. ? LfiKED.JLiJD Tt7WN'rlUhiE?= ?..,..,. '_ . M_RTtDUL`HRr: F'It ERC-'{''Ii'f t'jS't ?REFt?Rct? D'i' I?Ict?lZtL i?iE C'ril=tiiIt:?? ? ?J:_.; "??"• '"' •: ? DE? :IGii L 'flt9IiIT3DNS7' , ?..?• -W IPaTER---- ---------------::1LIt?In1ER ---- -- ?`:';?UTSI7IE It`f ` =I1'%? 1 I ------- °°a'uBE6?tEZ;. . .. C _ T:3iI:E Ii4S?II?t IlPGRtES ' T13?IL`i' DE61; EES DEGREE"v 1 tiT17f1DE RHN,=E ; ? 44 VIEDZUt•1 EIYTIRC i"IviJc'E !iF'FLUt' f?:?.? :.. .. . . ..: •?Ei?T '.. --NU"1RER CIF-- --? ?r--L.l't: f - --- ---Bi-1 i H----- PtQPLE F.'OC!f'i'?? GAi.P'; 1_03'_ G FITT'•i L0 ='.`_-: 4 u. o,: 2o71Y,a 3 'At s?.5_ PiFQM=hiT- H?F"fi t,TUH GFi1'Pj .ry S..,, 1,_ 3 S5;' ? . QIJS" ., 162 _ _ 8 1LIU. $ . . 42. FtYG . . 90:i, C 2L 2S' . {.?L?t ? ? 240. LLRTI?t; [fl?]CES ??. " l2tlu. _ 12U0. 0. ?T.: _6R I hi 4780. ;?Q7i6.. ?..? 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T 9L: i;=rr.. i4.i 4069, 15Pj 17F D_ u. _!45[icJ. r = - PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U T L D T N G Eagan, Minnesota 55122-1897 PermitNumber: 027937 (612) 681-4675 Date Issued: 0 6/ 18 J 9 6 SITE ADDRESS: 4122 MEADOWLARK WAY LOT: 1 BLQCKs 8 HILLANDALE ADDZTION #2 P.I.N.e 10-82951-010-08 DESCRIPTION: ROOF qAMAGE Permait 7ype STORM pAMAGE ?.QCk 7ype REPAIR 434 ALT. RE5IDEN7IAL : 3? u+a1 ? n sir ? ? xx as a m? « rca +Y 9 -Z ?P" ? =c• ta si m? ? ? ziry REMARKS: INCLUDESs 4124, 4128, 4132, 4136 IhEADOWLARK WAY L2 L3 L4 L5 FEE SUMMARY: CONTRACTOR: - flpplicant - sT. La[c.OWNER: BANNER ROpFTNG 18888611 2001204 LAKEWQQD TOWNHOMES ASSOC 6001 LYNDALE AVE S 4122 MEADOWLARK WAY MIMNEAPOLIS MN 55419 EA6AN MN (612) 888-8611 {612}452--5307 APPLICANTlPERMITEE SIGNATURE ISSUED BY: SIGN RE CITY OF EAGAN ?"??7 1996 BUILDING PERMIT APPLBI ATION (RESIDENTIAL) 681-4675 RemodeVR@pair Requirements ?s Q, . /4+#4F- A-6 dG,L Ar4< 4?AY * 3 registered aite surveys ? 2 aopies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) * 2 site surveys (exterior addRions & decks) ? 1 energy calculatfons ? t energy calculations tor heated additions ? 3 eopies of tree pro9enation plan if lot platted aRer 7l7/93 required: _ Yes _ No 4f DATE: ? / (..' C/? (= . CCNSTRUCTIaN COST: ? 6 0 L G s qd+'trN+. DESCRIPTION OF WORK: ?5.??Q oG¢ T QE"?c?"a?' 'n-N 9 STREET ADDRESS: `If Xy LOT I'' S BLOCK SUBD./P.I.D. #: ? o/c- S , p? T ,n-.+O.a y S V PROPERTY Name: LAwc1,,.sooo 7 ;W,?,?mM4 Assoc-. Phone OWNER Street Address: City: State: Zip: CONTRACTOR Company: Rcmb+`ijoj G C_maf' Phone #: S88' d C? I( Street Address: G, co c Lyvo a L4 A vc- s License #? 001 2 °y q Gity: /k r.J.?..Apa?rs State: .,,-t jAm?. Zip: SS i+l ? ARCHITECTI Company: ENGINEER Name: Phone #: Registration #: Street Address• City: Sewer & water licensed plumber: change are requested once permit is issued. State: ? Zip: Penairy appiies when address change and lot I hereby acknowtedge that I have read this application and state that the information is correct applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No agree to comply with all 1?-y ?'?t4 J U Gd 3 6 [!sss Tree Preservation Plan Received Yes No OFFICE JSE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition o 08 8-plex 0 04 5F Porch o 09 12-plex ? 05 5F Misc. ? 10 = plex WORK TYPE ? 31 New o 33 Alterations ? . 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? 16 Basement Finish 0 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory o 20 Public Facility ? 14- Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition _ Basement sq. ft. MCNVS System Main level sq. ft. City Water _ Sq, ft, Fire Sprinklered sq. ft. PRV _ Sp, ft, Booster Pump _ Sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS 5AC 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: $ . _? . % SAC SAC Units : 1988 BUILDING PERMIT APPLICA ON - CITY OF EAGAN SINGLE FAMILY DWELLINGS 4? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATESOf SURVEY, 1 SET OF ENERGY CALCULATIONS ? ? ?- ? NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED, NO CHANGES WIjL4 BE ALLOWED ONCE BUILDTNG PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ITS FOR SALE UNITS # OF UNI TS INCLUDE 2 SETS OF PLANS CERTIFICATE OF SURVEY - CHECK WITIi BLDG. DEPT., 1 SET OF ENERGY CALC ATIONS COMMERCIAL INCLUDE SETS OF ARCHITECTURAL & STRUCTIIRAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For:3?p./'1' F-rN,SM S3te Address 4(Zg ???n,?)lj Valuation: /S00 Date: 39E? 9? 198e", Lot 3 Block Parcel/Sub Owner C.H i2 L 3, -:S"o W%1 sd vJ Address 41Z12> oJ City/Zip Code -5S [Z 2-- Phone 156 - o Ch [ q SArn?, Contraetor ???'.PP-rsr-r--rr?-?'?. n Address City/Zip Code`?'?? Phone Arch./Engr. Address City/Zip Code OFFICE USE Ob'I.Y On site sewage MWCC system ? On site well _ City water PRV required ? Booster Pump ` APPROVALS Engr/Assess Planner Council H1dg. OFf. Variance Oecupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MFiCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 3y o4 1. vJ , 5c:?' 3S• SO Phone # INSPECTION RECORD CITY OF EAGAfV 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: Lo T: 5 B L 0 C K: 4136 MEADQWLARK WAY HII.LANDALE 2ND PERMIT SUBTYPE: sF (MZSC.) PERMIT TYPE: B U I L D I N G Permit Number: 024850 Date issued: 11 / 16 / 9 4 8 APPLICANT: DU ALL SVC COMSTR INC (612) 788-9411 TYPE OF WORK: REPAIR DESCRIPTION (EXTERIOR WALL) INSPECTION FRAMING .. . ROUGH IN PLBG .• ROUGH IN HTG FINAL ? _ ? PERMIT ..k CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55123 Permit Number: (612) 681-4675 Date Issued: BUILDING 024$5@ 11J16/94 SITE ADDRESS: 4136 MEApOWLARK WAY LCST: 5 BLQGK: 8 HSLLRNpALE 2ND P.T.N.: 10-32951-050-0$ DESCRIPTION: (ExrERZOR waLL) 8fixJ,diingt;,Permit Type 5F (MI5C. ) ?uil.di?t? W'o?rk, TYPe REPAIR ?.:? '?_.. ?>. r f Y'S + {lj ..1...- ?^^??tl f?T `, v. ? 'y t ? . . . _ .. REMARKS: FEE SUMMARY VALUATIQN $1,060 Sase Fee $25.00 Sureharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - sT. lxc. OWNER: fJU ALL SVC CONSTR INC 178$9411 0003178 NGUYEN WENDY 636 39TN AVE NE 4196 MEACIQWLARK WAY COLUMBIA N7S MN 55421 EAGAN MN (612) 788-9411 (612)452-3988 I ? , I }terekry ooknaw],,edse th?t 1,, have. read'tktis appliaatiam snd state that the inforrt?ttan is correct and ag.ree, tb camp1y wxth all ap.pi,?cab?.?Sta?e-e?? ?#r?. Statwtee a;nd C:%ty of epoon: Urdirfancosr-, i ? --- ? -- .? .?c.rrn APPLICANT/PERMITEE SIGNAT ISSUED B: SIG TUR . . . CITY OF EAGAN 1994 BUILDING PERMIT.APPLICATION 681-4675 SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy af energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date //-i5-96/ Valuation of work 100/) q-0 Site Address: 1-1134, STREET SUITE # Tenant Name: (commercial only) LOT r BIACK SUBD. ???tyc?i dUUN P.I.D. # Descri tion of work: a e ?r The applicant is: 0 Owner ? Contractor ? Other (Describe) Name 0c3 (A (?t F_ AJ WF/V ?. Phone '15-X-?,g :P'K Property LAS *WC- -)v90FLRsT ?-'h 1' Owner address ,z- Q-,?A,- IL cL/?L /c o?, W W' STE STREET City ? n, State JI/l Zip Company ?t( ' 4 C L j7 Phone 9Y ff Contractor Address (o -2, 6 - License # Exp. C i ty St a t e ' 91 / - v 1 ^ ! l Z i p .? Scl 1 2. Company Phone Architect/ ? Engineer Name Registration # Address ' City State Zip 5ewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this ap lication and state that the information is correct and agree to comply with all applic e State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 Sf Porch ? 09 12-Plex 0 14 Fireplace El 05 SF Misc. ? 10 Multi. Add91. O 15 Deck WORK TYPE ? 31 New ? 32 Addition rqaj /' m'F 2rf-f?/'i Di-- ??a/?? ,!$ 33 Alterations 0 35 Tenant Finish ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) lst F1. sq. ft. UBC Occupancy 2nd F1. sq. ft. Zoning Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS O .Site ? Wallboard ? Footing ? Final PT Framing ? Draintile ? Insulation ? Fireplace Permi t Fee vet„at;«,: Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 5AC Units g D0a . . , '?„u' iv.,,.. y...... ?y 4 0 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. 13 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire 5prinkler Census Code _Y / SAC Code -T Census Bldg ? Census Unit v Assessments . . y -- ? . . . ..............:... ..,._ .. .. -.- ; - . . , .. . , . . . 1 ' ? . 2/84. ?. , . J CITY'OF EAGAN • APPLICATION FOR PERMIT % . _.._ . .'v,w. - SEWER AND/OR WATER CONNECTIOD] -- ? ' (PLEASE PRINi) 1) PROPEfYPY ADDRESS: IEGP,L DESCftIPTICN: , . 2 (I.rot/B,1ocJc/SuLxii.vision;or;Tax Parcel I.D. Nunber) ' IF ?[C'_'_ •.C'±*,., •"^r t?• ?r--+ ??? ,?,1r••µ-' -- ..:'??:?j L:_iv'1T 1-'-._ a.,.-.. --... ??•?r. _.i =e.?; - ` PRESE:NT --^ilPib'/PROPOSED USE: R-1 SINGLE FAMILY . ;.0"R=2 DUPLEX ('IWO UNITS) 0. R .-3 TCIWNHGUSE ('I'HIiEE + UNITS ) ? ( UNITS ) ? R-4 .APAR'IPff M/CONDCNLTNIiM ( UNITS). p CQNIIAE2CIAL/RETAII,/oFFICE • ? 1tMUSTRIAL Q 2NSTITUTIONAL%GOVERNMENr 2) APPLICAN'P (PLEASE PRINT). N71ME: ADDRESS : 880o 40. I-hiv yj "7 3.3 i CITY, STATE, ZIP : _SL . Luu i:s /'k : rl ni S5 ¢a E _ . ' PHONE: 3} pju(KggZ PLEASE PRINT)--, .. . FOR CITY USE ONLY , . a • ? ; NAME . . . _ . _, ......__ ' V1T fteft ; . ADDRESS: ,?cuucricr. naIVE` EAGAN MlNN:'65122 PLUNBERS LICE ---' KSE, CITY, STATE, zIP:- '-?--?.?;,:452•1565 ,,;,,....---•--= ?, ? ctive Expired • PHONE~ -PLUMBER LICENSE /?1'001445M2 ----------- ----- ? N of ecord : •. a ni 1a 4) OCJCCJPANP/d[*4ER :. ;..(PLEASE PRINT) . c; NAME: M ? ADDRrss: CITY, STATG, ZIP: ' , PHONE_ 5) 1NDICATE WHICH PGRMIT IS BEING RDQUEgTID: ? CONNEC_TION Zl7 CITY SE^lER _ .,.,....__ .. Q CONNF7C.'TION TO CITY WATER . ? (7PfIER (PLE'.ASE, DFSCRIBE) b) iNDICA7E C'VE: - El PLEA.SE EIOLD APPROIFI) PERMIT FOR PICK-UP BY ONE OF ABC7VE ? PL,FIISE MAIL APPRpVED PERMLT ZO l, 21 3, 4 AEUcIE • (Circle one) 7) SI&NATURE:- DATE: , G .. U ? -. _ .. .. .. .. .:.:.,...,.,:.,_.;:..:.-.._-.?.,.....,._...:.:,_. ......_,........ ........ .. _.._. ...... •.......... . . . .. ?TI?\ ???1! ••?? ?IwirT'1?1kM?1?FM?i??f?f??!?!}'!!'K.?'.I??S!t? - '? , F O R C I T . . . . . . . ?.: :a; Y U S E O N L Y • ,. . . PERMIT r ISSUED ..:. ... : ' . ..... . :.:.:.•. :-:: .... FEES: SEWER nvRMIT (INCLCD:: SUP,CIlP.RCE) - . , WATER PE12D4IT (INCLUDE SURC[IARGE ) $ WATER METER/COPPERHORN/OUTSIDE READER $ WA4'ER TAP (INCLUDE COP.PORP.TION STOP ) $ $EWER TAP. $_ 1S•aU ' , ACCOUNT GEPOSIT - SEWER $ ACCOUNT DEFOSTT ? WAmER WAC $ ;: i:z _:• . ..:TRUNK WATER:ASSESSMENT $ TRUNK SEWER ASSESSMENT $ • LATERAL BENEFIT/TRUNK SEWER $ ZATERAL BENEFIT/TRUNK WATER ` OTHER . .. . . . :..... . $ _. , ;,,.. - TOTAL .?'•::r`AMOUNT. PAID/RECEIRT "`# DOES UTILITY CONNECTION REQUIRE EXCAIIATION IN PUBLIC RIGHT OF WAY? ? YES. , ....: : IF YES, T .. ;..._ . :.. .. •,. : . : _ HEN A''"'PERMIT FOR WORK WTTHIN '- • NO PUBLIC RO ADWAY." MUST.BE ISSUED BY THE ENGINEERI NG.DIVISIOP;. LIST AS A CONDI- • - - TION. .. _. ., ... , SUBJECT TO TIIE I'OLLOWING CONDITIONS: APPROVED BY: TITLE: _ DATE : .a s=Pm wu. ? Wjlu .ur ..c n we wkm wus , " I • 2/84 CITY OF EAGAN ' . • '` e ? APPLICATION FOR PERMIT , ` SEWER AND/OR WATER CONNECTIODI ' (PLEASE PRINT). 1) PROPERTY ADDRESS: k"rJE Cc1a.c/ : LW-AL DESCFt2PTICN: `Wleirida/e 2 ?Q . (Lot/Block/Subdivision•or;Tax Parcel I.D. Nwnber) . ? J :?" "-?T-? r*!i ?'-.,•1 ' IF F`{.Z . . . / ' ? ..? . J.. r.? Y'?I.T . ..?. . PRESENT ?_^,7IDN;/PT20POSED USE: R 1 SINGLE FAMILY - . "' ., :....,:'•,?'"13"R=2 DUPLEX (Two LINITS) Cl R73.;'POWDII-iC(JSE (TFIREE + UNITS) ( UNITS) . O R-4 .APAR'iP?ENT/COrIDCYNINICT??I - ( UNITS) : " ? 0?E2CTAL/REPAIL;/OFFICE . , . ? ?IvD' USTR7AL . ? , INSTITUTIONAL/GOVEF2Nvo?TP 2)' ApPI.ICANT (ALEASE PRINT). r]AME: M?chnel C'A?St. ADDRESS : 880a lo.' y"7 . S'cc: 4 3 3 i . CITY, STATE, ZIP: Lc•u;.A: PHONE: • : -. -. . , .. ?I3 r4=Y?.c? ? 3) pLumg2 PLEASE PRINT) NAME: n/-?j'? , .. . FOR CITY USE OHLY . ADDRESS? : ;. - 3600KENUFRFn nRryE: EAGAN MI14N.55122 PLUNBERS LICEHSE: Q Ac •??' ' CITY, STATE, ZIP: 452•1565 ,?.....--° J Expired • PHONE: - •PLUMB£R. LICENSE # 001445M2 ' - 0 t o Record . ? .•"?',; ? ?- - ' _ - _ - -1 a n i i a 5) 'INDICAT'E WHICH PGRMIT IS BEING RDQUESTE'D: ? CONNECrION TO CITY SLY)ER Q CbNNECrION TO CITY WATEFt ? (7I'IIER (PI.EFISE, DF.SCRIBE) -- L . , " ? PLI'1?SE FiOID APPRpVID PEFIMIT FOR PICK-UP BY ONE OF AHC7VE --Q_PLFASE MAIL APPROVID PERMTT 2b 1, 2, 4 A&NE • \ . ` (Circle one) `. 7) SI&NAZURE:- DATE: .: -- r. . • i'•1 F 0 R C I T Y U S E ONLY • `'?+.: ?. . PERMIT r ISSUED . . .. > ,`.. ? -. .. . ,:_::,':?•. FEES: SEWER ntiRM2T (INCLliDL. SUP.C[iP.RGE) $ lo Sv . -.'WATER PET2b4TT (INCLUDE SURCIIARGE) . $_????? 6 • WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE COF.PORRTION STOP) ? SEWER TAP, $ ??uo ACCOUNT GEPOSIT - SEWER `. `ACCOUNT DEPOS TT ? WATFR l s.: • $ WAC :. , +S ?ot S.c u . =`.SA'C $ ' ,TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFTT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ `OTHER YES. IF YES, THEN A.?n _ . , . . ..- ---- C? PER' , . _ MIT FOR WORK WITHIN " . - PUBLIC.ROADWAY.".MUST.BE ISSUED BY THE NO ENGINEERING.DIVISIOR:. LIST AS A COIvDI-" - - TION. SUBJECT TO TEIE FOLLOWING CONDITIONS: APPROVED BY: TITLE: 5 DATE : r.? , ". .. . ? 2/84 . ,_ . .. , ?. .. . ... . , CITY OF EAGAN • , , : • ? APPLICATION FOR PERMIT .. , - SEWER AND/OR WATER CONNECTIODT , ? . . . . . .. . . .. ... .._.. ._....,.. " (PIEASE PRINT). 1) PROPE2'PY ADDRESS: IEGAI. DFSCRIPTICN: (Lot /Block/Su..bdiv isio,nor : Tax Parcel I. D . . NLUNber) . , ,:. I F X1 " J CyT'^`"?'TT^ ?r-• 1^?.`....:T _' .r ? ,. . _ .. F . _, .__ ./ .1 .? .1::._v_ ;G P:?•.?.iT I.= .:..._.. . ... t?•?r_=.i_ear; . PRESa]'P -Z?*INr,/PRQPOSED LTSE: EJ R-1 SINGLE FAMILY '`"." ` ?':" R 2' DUPLE{ (TWO UNITS) . 0.::R73:_TdG7NHIXJSE (Tf-IRF.E + UNITS) ( UNITS) ?. R-4 APARZmENT/CONDCMIINICM ( UNI`rS). ? Cav1MMCI1)L/REPAI.L/OFFICE ? 711MUSTRIAL [J INSTIT[]'PIONIIL%GOVERNMENT _ 2) APPI,ICM'p ,(PLEA$EpRINT). N1aME: Mi?hn?? C'ons? ` ADDRESS : 880o „ , . CITY, STATE, ZIP: PHONE: ?t38=?a.?? _. 3? pj,LMgER PLEASE PRIMT)' f? . :' - FOR CITY USE OHLY - ,, -. •?,. }?I? .. N .. .._.. , _.. .. ftE'? ? _. L 3 ? , ADDRESS i ?KFNNFR?G'DRIVE -'EAGAN MlNN'S5122 PLUMBE NSE _ . ' f 452•i565 - CITY, STATE, ?ZIP.. "-^-?w+?.+:::._ Active Expired ' • PHONg: - °- 0 K? of ecord - -PLUMBER: LICENSE {/ 001?45M2 - - . • - t ' „' a ni 5) TNDICATE WHICH PCRMIT IS BEING RDQUFSTED: __ ,,.. .. _._...... ? CONNEC'PION TO CITY SLVIER ? ..... . .._.< ,-' ?C] CONNE7CTION TO CITY WP,TER [l OrPIiER (PLF.ASE_DFSCFtIBE) o) 11VLlls?lt; UNt:; 7) ? PLTIISE F10LD APPROJEp PERMIT FOR PICK-UP BY ONE OF ABWE _M PLFIISE. MAIL APPRQVED PERM2T T0 4:A&7VE ,___---- (Circle `one)-- 4?? ? ??. _ . . DATE: / , , .:: _.?_...,..?....?,_. / . .. .. ; : : r---? : .:.?:m.ie,rs?.?.,?a„??l•r'M4?ii+Pili.rti?;?i?"!ir.?i!!.1"!?«K!t?!?3!YS,tT?R'?!!f+?4"?!tF??a¦''ir F O R C I T Y U S E O N L Y . PERMIT ? ISSUED FEES : SEWER nERMIT (IDiCLL'DE SUP.CI?P.RrE ) ? /4 3U WATER PERA4TT (INCLUDE SURCIIARGE)' $ 1O'SaL. WATER METER"/COPPERHORN/OUTSIDE READER ? WATER TAP (INCLUDE COF.PORATION STOP) $ SEWER TAP ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSTT ? WATER WAG,. . . SA'C . $ TRUNK WAT.ER ASSESSMENT $ TRUNK SEWER A.SSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ ZATERAL BENEFIT/TRUNK WATER.„ $ 3-d OTHER .-,- $ ` TOTAL AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION. REQU.IRE,EXCAYATION IN PUBL2C RIGHT OF WAY? ;. . . ..., ,, -•, -,- YES. IF YES THEN A_'"PER MIT FOR WORK WTTHIN `- _ PUBLIC,ROADWAY." MUST.BE ISSUED"BY THE ENGINEERING.DIVISION. LIST AS A CONDI- - • TION. , .... _. .. ... SUBJECT TO TFIE FOLLOWING CONDITIONS: APPROVED BY: f ? TITLE: _ DATE : ? ?; . . t s.ra s? sr? ? ? +w? ?c ? ia ?rr?w ?? ?tMi?'!i? !!!! A'? !!'t'!' I!'?!!`::!'!}'}r?s?! !!!? !i!t!,? s.r? ?! irt? r.t s? ?. .. , ... ......,;.... ..:-, 1) PROPERTY ApDRESS_ LEGr1L DESCItIPTICN: 2) IF ??"?2_° - -• ':, S'?° :? "? :? ? „-I c?" ;T . . . . . . . ,. . . . . PRESE:NT ::0,NILNN:/Pr<)POSErJ LTSE: R-1 SINGLE FAMILY - ` ' `J" 0 'R=2 ` DUP= (ITWO UNITS ) ;: GI ` ,R7 3;:TOWAffHCt1SE (TfMEE + UNITS) ( UN2TS) ? R-4 .APAR'iMEN':P/CONDCMINIIM ( UNITS). . ? CQM[VfERCFAL/REPAI7i/OFFICE . p 1aU' USTRIAL [J INSTI2Ll'PIONAT?%GO'VSRNN?PP , APPI,ICAN'I' _: : (PLEASE PRINT). .. . .;: , NANIE: . . ., .. ADDRESS : SSOo 60 , fi66 y"'7 CITY, STATE, ZIP: St L_, A. n?,v PHaNE: ?i38-?fa?.2 3) PjUMgg2 r(PLEASE PRINi)`: FOR CITY USE•ONLY . ,. T]AhfE • ?-?/'--?y? 'a' PLURBERS LICENS - ADDFtESS : : ,-?uFNn?FgFCORIVE`'EAGAN MINN 55122 Active CITY, STATE, Z IP :__ `-`?w,. 452•1565 ?,?,....-. --- ?] Es p i r d . No of Record • PHONE:_ . : PLUMBER.IICENSE # 001'445M2'- ? • -+c?f.i.'..: a i ia 4) OCCIJPP.NT/CXIPIII2 ?? _ ;.,..?PLEASE PHINi7 .. . . NAME: a+DDrtrss : .2. . , . ,, , . . ., . CITY, STATE, ZIP:. Pf-Kk]E: . , . . . .. .. ''.. .., . 5) INDICATE WHICH PERMIT IS BETNG.REQUESZ'ID: I' _ . . ...,_.__ ? CONNECTION TO CITY SLV1ER - .,..._._ . ....,, Q CONNDCrION TO CITY, WATEFt [] CIP[iER (PLEASE DESCFtIBE) O/ ? PLF.A.SE FIOID APPROIED PERMIT FOR PICF:-UP BY ONE OF ABC7VE C`3 PLEASE`MAIL APPROVED PERhLIT-TO 1, 21 4 ABOVE ? `? ? - -- (G.rcle one) __ _ --.-- 7) ? ?- ...:, . , , .. .: . CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT 2/84 ? .. ? ,_._, _.. _ _ ..._..? . . . DATE: __. . _ ,,.,.. _.,. ..,- , .. ,... , ,.._ ,. ..,.. ' (PLEASE PRINT). APPROVED BY: TITLE: _ DATE: : /27 t ? som .wzm saM:M ..,. ..t.r ia okw w? ? ? ? ? ?'e?! ? !'k'! {? ?'?!} 1?!! wq+! wE!! ?e !yn w? !'?"P pt s.ra so .. ?? RESIDENTIAL l BUILDING PERMIT APPLICATION ? CITY OF EAGAN ? b q' ??? lr??? ? 3830 PILOT KNOB RD . 55122 651-681-4675 New ConsWction Reauiremeirts RemodellReaatr Reauirements • 3 regislered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas ...,, • 2 wpies of plan (20°k maximum lot coverage allowed) . 1 set of Energy CaiculaGons for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) ,_ • 1 site survey for exterior additlons 8 decks • 1 set of Energy Calculations . • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lol platted after 711193 - . Rim Joist Detail Options selecGon sAeet (bldgs with 3 or less units) DATE D/ JOB SITE ADDRESS? IF MULTI-FAMILY BUILC PROPERTY OWNER TYPE OF WORK APPLICANT ADDRESS W1 _U1 PAGER # CELL PHONE # ?LZ ? 761 ,- 5'S-E FAX # NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes: Mechanicat Contractor: _ Mcchanical System Includes: Sewer/Water Contractor. MINNFSOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Su6mitted - Energy Envelope Caiculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: _ Water Softener ? Lawn Sprinkler Water Heater No. of R.I. Baths ? No. of Baths Phone # Air Conditioning Heat Recovery System All above information must be submitted prior to processing of applicafion. V ? FIREPLACE(S) 2?0 _ 1 _ 2 PHONE# 7`3'75'17S?d ? ZIP CODE S Y3 Phone # Fee: $90.00 Fee: $70.00 102??M I hereby acknowledge that I have read this application, state that he i o ation is correctt and agree to comply with all applicabie State of Minnesota Statutes and City of Eaga r na ce Signature of Applican Certificates of Survey Received _ Tree Preservation Plan eceived _ No Required _ Updated 1101 VALUATIO HOW MANY UNITS? 6 ?o k- kt)W.e S s ? , ? „. OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 AddiGon O 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs' Type of Const ? 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.) O 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* O 43 Reroof ? 46 WindowslDoors •Demolition (Entire Bldg only) - Give PCA handout to appllcant _ Occupancy MC/ES System _ Zoning City Water _ Stories Booster Pump _ Sq. Ft. PRV ' . _ Length Fire Sprinklered ' W idth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinaUNo C.O. Footings (addirion) Plumbing Foundarion 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 8? Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaUC.O. HVAC Building Inspector ï þ ýø ÿÿ þýüøüû ùþþÿÿðûûþ÷ íì ìí ëêñì ÿõ ÿþýüûúöæùâùÿýüû úùýüûúöæù÷öæòû ó ùûíÿ âÿâðëðáÿû ü Ü àÿ ùé óûù óóùàÿùóù þùóî ø ùööû øùøù ó ÿ ûîâ øùø û øù î â ùþóãù ùùàÿùþü öø óüóî éäëÞäììîñìîðìñ ôù ÿù ù ß ÿ äëÞäîñêîêñ ß ÿ ë î óò õñ÷ ûû úöâûõ÷ù ó êêá òÝððõ ö ùú ü õ÷ññ õ÷ññ èñåêññ ùþü ö ù ûû øùó ùù ùóûüö ûû þ øõ ÿ âüø áù î ûû æ ÿü ÿù ÿùû ÿ þýý üüÿÿ úýýÿÿõ÷î æ æå þýø þýüûúùø ÷ ö ò öýûúù øöûúùø ÷ ö õ÷ôùó öù ý ò ý òîýùú ñ þðýöï óùöíó óöðýö óö üöó ì ëö ù ÿëöëöó ý ùìòëöë ùëö ì òöüóêö ööðýöüú ëóúó ì ïèçèìæì óú þýöö éýèçèæìåìæå éýÿì ò ñÿ øðõ ùù øòù äõöó ååîôáææäöøú äõæ äõææ ßâÞå öüú íö ùù ëöó öö öóùúùùüþ ëä þý òúë îö ì ùù÷öóþ ýö ýúþ ýö ñû ÿò ÿ þ ý ýüüûúùù øûûüü ûóðï ëâ îë ýü üûúùø÷ óáôûùø÷ óùø÷ óá áê ÷ ñ ÷âû ô ûô ììåû÷ ø Ûþ üðû ö ñ÷ ñ ñ ðû ñ ú ñèæ þ÷ þý ææ ñþ ü ÷ èô ææ ÷ æ è ô úñç ðû úø þ æ ñøñ è ö éìãéèëèìë ÷ø üû þ Ý û éìãéèîèî Ý û ìýè öúõ ú ôó ÷÷ óô ÷ ñ îî å êÜìì ó ø ÿ þ ÿ þ ïßíî úø þ ÷÷ æñ þ ñ÷ø ÷÷ ú ü æ ü û ôøæÿ þ å è ÷÷ á ñ üþ û û øüþ û 4,11 C!ty of Eaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Use BLUE or BLACK Ink For Office Use 'ij� �) Permit #: L ,/v f Permit Fee: , , Date Received: (11.. 113 1 Staff: J 2013 RESIDENTIALBUILDING PERM-/ IT APPLICATI4 Site Address: 11 /o/09 /uL114 1� '/l Ll2%/_-gia / Name: k.DX)1» 1) t'Y\ Y(1004€. Phone: cIl 1)Fi1' Address / City / Zip: Applicant is: Owner Contractor Description of work: +eM oc--C nozoF maiior sr�l1>,►c� }�'t s /// Multi -Family Building: (Yes X. / Ott► ) Construction Cost: 46Z_ 00 Cor Company: AAA) ler i O fS Ay S ii./4 :.A- Contact: 5h(/ t Address: 1070! `?J Aor . N • City: 1/104 Cro f% State: f 1/y Zip: 5 3(05 Phone: C%3 -3 t/0S` // 0 0 License #: 1/4R___ .( 13 a Lead Certificate # !V: 41 674/0 - l 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: supporting documents that you submit a 'con naybe clase%lle ►apt Corr -public if you provide sj Jude that 'c 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_gooherstateonecall.org 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 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 S days of permit issuance. . dawL VSs Applicant's Printed Name ltiiaq F be completed within 180 icant's Signa Page 1 of 3 -, I—For Office tisezz i - Permit#: 07 / ----7‘.0 (2" ,,,,... ....A. Permit Fee: /2 ; - 6 1 flECEIV . iii.;ll Date Received: 6 ik 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 IL (651)675-5675 I TDD:(651)454-8535 I FAX(651)675-5694 JUN 0 2 2020 I Staff' ...•.-1 buildinqinsoectionsAcitvofeagan.corn J Bv• 2020 RESIDENTIAL BUILDING'PERMIT-APPLICATION Date: 6 —i — 2 0 Site Address: 9/ .247-, gie a doi, /cit-4 boe,,,, Unit#: 1 Name: Phone: Resident/ Owner Address/City/Zip: 1"-/ / 22 Meick., 44 ie ....._. be-)Ay- I i Applicant is: Owner Contractor : /I , 'a -'0 i ()Ci?_6ie S4 S '1.- —iiCi6t0/91e-- Description of work: fil Type of Work .. i'. Construction Cost: Multi-Family Budding: Yes_/No ) I I . I I Company: (. t.4, r x t4,.. Cop:4.s"e ite,_ Contact 6,-,e9 iiie, Contractor Address: '.903 4 /1 y A n Ci a kei City: 10 jo 0 AP/ i 415 State:efg Zip: 5S4/3/Phone:552 -,2 3";— *4W ( r e,5, 521`. CYC a S fow,,,,t 6:) ir... k.r 7ge r • License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes No if yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: 1 Sewer&Water Contractor: Phone: i 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-,Wilk if •u ,rovide s•ecific reasons that would ,=milt the Cl to conclude that the 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.citVoleartamcornfsubscribe. 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 000herstateonecall 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. A X G "1 . e /L.5 Applicant's Printa Name Applicant's Si re ,f----- 1 DO NOT WRITE BELOW THIS LINE Z—//7 0/160),(960 k-lit' Li) ,/ / '6 6 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 .12 Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 21 J 0 d Occupancy it .,& 3 MCES System Plan Review Code Edition IV?-`a SAC Units (2596 100%_J Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction --75— Width . REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) _7\e_ 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_BackfillFinal Sheetrock • Radon Control Fire Walls Fire Suppression:_Rough In_Final — Braced Walls Erosion Control Shower Pan Other: Reviewed By: 11/ ,Building Inspector ' RESIDENTIAL FEES Base Fee iq.6,e,,K6 Surcharge Plan Review ;riii-7)-‘'6 A'6 AAy MCES SAC City SAC Utility Connection Charge 0 0 0 SSW Permit&Surcharge 1 l/ Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174509 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4122 Meadowlark Way Lot:1 Block: 8 Addition: Hillandale 2nd PID:10-32951-08-010 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 - Benjamin Thomas Kissell 4122 Meadowlark Way Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature