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4142 Meadowlark WayCITY OF E AGAN Remarks Addition HILLANDALE ADDN. #2 Lot 3 Rlk 7 Parcel 10 32951 030 07 OH'-ner Street 4142 Meadowlark 6ee?1.? Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 74.94 3.00 25 „E -3/ SEWER LATEFAL ? WATERMAIN "03 1973 189.47 12.63 15 •?p .Q ,s? - * WATER LATERAL WATER AFiEA d, 13 1975 104.34 6.96 15 p 71" ie STORM SEW TRK O 1973 430.49 28.70 15 2$ .}? 3 7 J^ ? i? * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit $280.00 50732 4 9 85 WATER CONN. 500.00 " if 6UILDING PER. 0045 sac 525.00 PARK CITY OF EAGAN Remarks Addition HnIANDALE ADDN. #2 Lot Owner Street 4144 Me 10 32951 020 07 state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipi Date STREETSURF. STREET RESTOR. GRADING SAN SEW TRUNK 11,5 11970 74-94 3.00 25 SEWER LATEftAL * WATERMAIN d-03 1973 189.47 12.63 15 ? WATERLATERAL WATER AREA 13 1975 104.34 6.96 15 * STORM SEW TRK jO Y 1973 430.49 28.70 15 ic STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Uni.t . WATER CONN. . BUIIDING PER. 0044 SAC n n PARK CITY OF EAGAN Remarks Addition HILLANDALE ADDN. #2 Lot 1 BIk Owner Street 10 32951 010 07 State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STFEETSURF. STREET RESTOR. GRADING SANSEW TRUNK fig 1970 ]Q.9ly 3.00 2 SEWER LATERAL ? WATERMAIN 1973 189.47 12.63 15 25.98 WATER LATEflAL ? WATER AREA 9.13 1975 104.34 i* STORMSEW TRK 1973 430.49 28.70 15 57.52 1200950 11-29-94 * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 280.00 50732 WATER CONN. 500.00 Ff 6UILDING PER. 10043 If SAC . PARK I Receipt,_„ PLUMBING PERMIT Permit No. CITY OF EAGAN Fea Fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date...:+ 2. Installation Cost 3. Job Address Lbt'_Blk +?s?! Tract 4. Owner:,. • <;/: .. ? r ? ,- 5. Contractor Phone 6. Address/ 7. City?l:' State Zip - 8. Building Type: Residential 0 9. Work Description: New ? Commercial ? Institutional ? Add ? Alter El Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic Tank _ _ Lavatory p Softner Shower Well _ _ Kitchen Sink Urinal/Bidet Other Laundry Tray 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 F i nal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ` -' 1 dU1LDING PERMIT Site Addrew Erect RemodN Lot Blxk Repair Percel No. Enlarge Move ? Name ? Demolish Address Grade City Phone Install AV # Occvpancy Zoning Type of Const. No. Stories Length Depth Sq. Ft. Feas Name A??s Assessment 1- City Phone Woter S Sew. ? Police W h Name Firo ?? Address _ , Erp. ?W City Phone Plonner Cowncll I hereby acknowledge that I hwe reod this applicotion ond stote fhot Bldg. Off. the inlormation is correct and ogree to comply with oll applicoble AP? State of Minnesoto $totutes and City of Eoqon Ordirwnces. Var. Date Sipnofure of Permittee A Buildiny Permit is issued ro: on ali work sholl be dona in accordance with all opplicabla State of Minnewta Statutes and City ol Bulldinp Officiol CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, PHONE: 4548100 Pertnit SurcFnrqs Plan Review SAC Woter Conn. Woter AAeter Road Unit i Total txpress conditlon that Oon OrCinancef. Pwmit No. Permit HoWx Drte Telephone # P???ing > L--'? , z U, < MNA.C. 5? i 3 i,j ? - ? - Elictric ? Softsmr IrnpsCtion Dab Insp. Othar Footinqt Foundatfon Fnminp Roofiny 8 A ? L RouqhPlbp. Rough HVAC Inmlation •`s'? ` , i? FinalPlbp. ?.` S?• Final HVAC Final G?t/Occ. y..Z:. Weter Wacribe Loutioo: • - 6 NNII Z`!.S- ?/ ? S. - rr j'f h O r CiL'CC55? V Savar Pr. Disp. PLUMBING PERMIT Permit No. . CITY OF EAGAN pN_. fill in numbersd wacss S/C Type a PYint /eyib/y Tot , ..? - 1. Date 2. Installation Cost ' 3. JobAddresr/;w Lot Blk. Tract 4. Owner ?- b. Contractor Phone 6. Addrsss ,_-- ( 7. City State 2ip 8. Building Type: Residential 'M 9. Work Dascription: New E] Commercial ? Institutional ? Add O Alter O Repair ? 10. Desaibe 11. No• .i Fixtures Water Closet No. Fixtures l/D i field Cos ? Bath tubs spGo ra n Se ti T k ? Lavatory p c an ft S Shower o ner Wal I Kitdhen Sink Urinal/Bidet Othe ",- _ ? l.oundry Tray r floor Drsins ? ' ?.w. , . . Drinkiny Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinanaa and eodes governing this type of work. Siynsd : ? - , - for ,- -' RwYh Final Inspections: Date Insp. Date Insp. This is your psrmit when numberod and spprovsd. Approwd CITY OF EAGAN 4644100 Repipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fss .? , , ? -? Fill in numbentd spaces S/C ." Type or Print legibly Tot _. " 1. Date ?-7_. ;o, 2. Installation Cost 3. Job Addresf Lot , Blk. Tract 4. Owner ' 5. Contractor Phone - 6. Address 7. City ' State Zip 8. Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New. Q Add O Alter O Repair ? I 10. Describe Fuel Type I 11. No. Enuioment BTU - M. Ea. Fwced Air No. Equiarnent CPM Mfg, _ Air Handling: - Boilero 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 Inapectiona: Date Insp. Dace Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 , CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT T. 6a urJ 1ar ' . .. 11 aeceipt #F : y10044 Slte Addresa rf 1.,?•, .?` 4v A y Erect L!. Lot Block ?ec/Sub. Remodel R ? ? epair Percel No. Enlarge ? W Ne^e , - < ` Move h D li ? ? Addre ss emo s ? ? City Phone ? Grade lastall ? OCCUO80Cy '• S Zoning ?"4 Type of Conat. No. Stories Length _ Depth Sq. Ft. ? Name ^rr?•?•• Address Assessment ? City Phone Water 3 Sew. Pollte Neme ' - - C Fire iF x? Address Enp. ?W City Phone ? y. `... Plonner Council I hercby ocknowladge thot I haw read this application ond state that gldg. Off. ` the inlormation is correct and a9ree to comply with all applicable APC State of Minnesoto Stotutes and City oF Eagan Ordinantes. Var. Date Sipnoture of Permittea A 8uildiny Pertnit Is Issued to: . all wo?k shall be done in accordanca with cll applicable Stote of Minnesoto Buildirq Offitiol hs? Permit Surchorpa - ;J Plan Review SAC 2 li Water Conn. ' J Woter Meter Rood Unit ? r Total on tM txprcss ca+ditlon ihat ond City of Eopan Ordinonces. Permit No. Permit Holdx Daa Telephona a PlumbinY ? '1 ( (e N.VA.C. 5 ( y ? ? (o le? ENctrie '?- Softww? Impsction Date I Oth?r F?tin? -y. - Foundation Framinq Roofing Q /-1 1 G L?. ?' RouphPlhp. zzff RouphHVA a•5 P44r/ /)/lZ 57? DP,- Inmlation Final Plbp, ? ? (e 72Ei° E -?/-?L f? - - Finai HVAC 6 77 Final Grt/Oae. , Weter DneriM Location: YYsll Swer Pr. Opp. R"ipt ?LUMBIN(i PERMIT h?mk No. ? CITY OF EA<iAN FM fi!llnnumbendWsat E/C Type or Print lmpibly TOL 1. Datu-;7 !` ,. 2. Insnllation Cost ' 3. Job AddratT,' f` t, Lot ' Blk. Trsct 1. Owner 5. Contnctor. Phone ? 8. Addnu i 7. Gty SUto 2ip i 8. Buiidinp Typr. Residential El Commarcial ? Inatitutional O i 9. Work Desaiption: New C Add ? Alter O Rapair O ! 10. Ducribe I 11. N?o Fixturef Wster poset No. Fix re m1/DrainfiNd CAm Bath tube _ m $e tic Tonk _ Lawtory p Sohrnr Shower WNI Kitchert Sink Urinsl/Bidet Om c _ ' Laundry Trsy , er ' Floor Dnins ~ ! Drinkiny Ftn. Slop Sink Gu Pipina Outlets 12. I hsreby artify that tha abovs infamation is true and correct, and I ayrss to oomply with all ordinances and codss yovsrniny this type of work. Siprnd : , fa pouYh Firol Inspeetions: Dau Insp. Date Insp. This is your permit when numberod and approved, Approwd CITY OF EAGAN 46"100 RoceiPt MECHANICAL PERMIT Permjt No. ? CITY OF EAGAN Fes - Fill in rwmbered spnces S/C •. TYpe or Print /egibly Tot ; 1. Date 2. Installation Cost ., ? 3. Job Address Lot 81k. " Tract ? 4. Ovmer ? 5. Contractor phone 8. Add?ess 7. CitY 31tite - Zip 8. Building Type: Residential O Commercial ? Insotutional ? I 9. Work Desciption: New 0 Ai1 O ANer ? Repair ? I 10• Desaibe Fuel Type EquiMeni 8 TU - ML 6. Forced Air Mf9- _ Boilers Mfg. Unit Heater Mfg. ' Air Cond. Mfg. Gas, Piping Outlets E.quiament CFM Air Handlinp: Meeh. Exhaust Other 12. I hereby certify that the above infortnation is true and correct, and I agree to comply with all ordinances and coryes governing this type of work. Signad : for Rouph Final Inapections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 INSPECTI(JN RECORD?^ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: Iri r?tsuG.f1 ,'11:r ?-Ir?v FI i I! ttfJ1.;! ; i,lI {I I 1 1tIPd #: PERMIT TYPE: Permit Number: Date Issued: f3llllCt 1 N0 0 F'793F: OErJiki/<.16 PERMIT SUBTYPE: . ( -. , i :.pl;lt.i F' ' !' " • r+f APPLICANT: TYPE OF WORK: P Ll'ATtt feooF fJAMq[il iI Es.rttfYl i: , Ai4kSx }NCiUf)f4 1 4 4 fiMl) 414 t. MFflI-i i 1611e71'M lJAY i ,? ? t Permit No. Permit Holder Date Telephone k ELECTAlC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FAAMING ROOFING /Z b b fG173 ROUGH PLUMBING PLBG AII7 TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. . BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 , 10 0455 PHONE: 4548100 lUILDING PERMIT R«e+Pt # Est. Volue Site Addreat Erect 0. ? Occupancy Lot Block sec/Sub Remodel Zoning . Repair ? Type of Const. Percel No. Enlarge ? No. Stories ' Move ? Length ? Neme Demolish ? Depth Address Grade ? Sq. Ft. City Phone Install O Appr ovab Fas ? Name ?? Address '_ City Phone Name Address City Phone Assessment Water & Sew. PoNce Fire En0• Plaoner Council Permit Surchorpe V Plan Review ' V SAC rj Water Conn. Water AAeter ? Rood Unit ? I hereby atknowledga thaf I hove read fhis oppiicotion ond stote that Bldg. Off. ? ? - ths intormotion is correct and ogree to comply with all opDlicoble APC Total Stats of Minnewto Statutes and City of Ea9on Ordinances. Var. Date Sipnature of Permittee A Buildiny Vertnit is issued Po: , .. .. . on ths exp2ss eondiffon thol oll work sholl be done in accordance with ell applicable State of Minnesota Statutes ond City of Eayon Ordirances. Buildirq Official Pwmh No. Pamit Holder Dab Tolephono # wurnbino H. V A.C. ' ? J ?•? ?? ? Y?J ? Elmerio Softww InWeMion Dab Insp. OthM Footinyg ..?g FoundNion Framina Rooflnq ? w Rouph Plba Rouph HVA "??l 7 3 85 41 Inalation Final Plbp. r Final HVAC // ; Final c.?vooc. wm. o.wie. Loc.tion: w.u Swrer Pr. ONp. CITY OF EAGAN 3830 Pilot Knob Road SEWER SERVICE PERM IT P. O. Box 21199 PERMIT NO,;. Eagan, MN 55121 DATE: Zaning: 3 No. of Units: 1 0 ` ,p1e.. ; Owner. 1fILKH _(iChael Const I Address: Site Address:. /1146 r,. . -Ij '?eauowlar:: :'a•.- L: i'7 ?:il.ldndale . Plumber 9 ' _ 425 .JJ _, 1 prn M aom? wMl? W CMr ef 6a?n Connacfion (]wrpa: Ordimeea. AccouM Deposih J Parmk Fse: . Surcharye: By Miu. CFaryes: Dute of Irap.: Total: I insp.: Dob Poid: CITY OF EAGAN WATER SERVICE PERMIT 383Q Pilot KnobFtoad ' • ; P. O. Box 21199 PERMIT NO.: . ,- Eagan, MN 55121 DATE= - 1 Zoning: No. of Units: 1 0 A pW,er; ?ticitael Const Address: Site Address: T ? ? e1,._"., Cenzel N`ecLanic^ AAeter No.: Cannection Gha?9e: 500.00 2d_ Size: Account Deposit: 1 r. O(, Reader No.: Permit Fee: 1^•00 _ 1 pne to easVly wMh !Ir Cih Of lMPN Surcharge: • c? - - Ordinanaa. 09 pZ Misc. Cha?pes: 112 Total: -orer g pote Paid: y Date of Insp.: Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pibt K nob Aoad 6137 P. O. Box 21199 • PERMIT NO.; ? Eagan, MN 55121 g h •,, ?i!?,Tdx . Zoninp: No. of Units: t ?; j.• Owner: Address: tt '' oc,t =ri 51te Address: 4i ") Ti Wo- Plunber: ' ? ?- AAeter No.:.,?Z.r S/?'?•?, Connection Owrye: 8'?Rv c G Siu: Account Deposit: Readei Nn • ?!1 Permit Fee: • y., I YOfM tO OOis? ??? tM ?. vn? OF Ee9O11 S ? SUfCF10fQl: ' ee m Misc. CFarges: 132 . ? Total: ; ' Dote Paid: e oi i- a/-7b InsD•: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knub Road P. O. Cox 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zonirg: No. of Units: '- O-` 31plea Owner. ^!ici?ael C,ons t Address: ? 4144 !leadowlarl: Site Address: a„ _ie ^ '.dj~• , ? -, ' r 11 er.. , _ Plumber: e L_1--P; 5371? . I eIr« fo eemPy wkw Na GFy of Eayan Connecrion Char?pe: 425 .!10 p?l OrdINKN. ACGqNIf DlpWt: Pemdt Fee: Surchorpe: BY Misc. Cho?yes: I Date of Irnp.: Total: ; Irop.: Date PaM: i CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knnb Road . P. O. Rox 21199 . , , r 1 PERMIT NO.: Eagae., MN 5512'1 DATE ' ZonlnD: '' ' No. of Units: ? Owner: ' '' cac=1 Co`18l' Address: i Sita Address: 4144 "`_eadnxelarK ''av 1.2 ^7 I:i] lan da1 e° ? Plumber: , - AAeter No.: Connection Chorge: Sy .?o._1 ?' Size: ' Atcount Deposit: Reader No.: Permit Fee: 1 yne lo eomPy wMw tM Ciry ef Gyse Surcharye: ',- Orllwnam Mlsc. Charpes: 12- ???_pd Totol: F.'t nn n.t ; BY DaM Paid: Dote of Irap.: Insp.: ? ilot Knob Road -------- -------- ------ P. O. Box 21199 PERMIT NO.: ' Eagan, MN 55121 ?At ZanlnG: ?' ?o. o'# lJantts. _ 3 . Owner: :a 1 nQef9f e L°' "'_iIltliltlES Address: TFI FF ?-( Site Address: " - ' 2 Plumber: Meter No.:..363 -?US? Connadion Char • Size: l,f a? Account Deposit? ,` Reade No.: l0 /71 9010 ?? Permit Fee: 10.0o 1• rw to com wNf? tM CMof La ; n Y vh? N Yan Surcharpe: Orli Misc. Choryes: 132,00 n;: ? ?:-?- Total: r=. Z 00 Date Paid: Dote of Insp.: Irqp.: ! . CITY OF EAGAN SEWER SERVICE PERMIT 3$30 Pilot Knob Road P. O. Box 21199 PERMIT NO; • Eagan, MN 55121 ? DATE: x ` Zoninp: 3 ;, No. of Units: 0 :-:ichael Const Owner: Address: Site Address: 4Z?4` '-,eado;. i;;r'. ': ' : ' Fiillandale "_2 `--- Pl*jmber: 100. [JU nd I nne ro ee?nyyr whh fir py oi KeOsO Connoction Owrpe: Ordiaanas. Account Depoetf: Permit Fae: ' Surchor9e: ° ey Dote of Imp.: I nsp.: -?NTY OF EAGAN 3830 f?itot Knob Road P. O. Box 21199 Eagan, MN 55121 2oning: Miac. Chorpas: Total: Doft Poid: WATER SERVICE PERMIT PERMIT NO.: CANfE:, Ne.-ef Unit; ownef, -' Rpfnrc ri`.r_ rt rall ^.?,fi@$ Addrcss: $ite Address: Plumber: i r t-Ujt E x Meter No.: -16 ?4/ size: ?/a-1 R? Reader Na.: /42 /rl !?'D (e y_ '3 (oym to aomPF/ wMM Ilr Ciry ef !ps¦ Ordinanou! gy Dote of Insp.: ? ?-a?- Cormection Charge: _5fl? . R'? p? i1 Acwunt Deposit: 1 ? . Permit Fee: ?., Surcharge: ? Miac. Chorfles: 'X) pd Total: .'i'% T)d rietE Dote Poid: Insp.: p?{ REQUEST FOR ELECTRICAL INSPECTION Ee-00001-0" See instruc[ions for como'ating this form on back oT Vellow aopy. ? ? 16 8 9 4 ••X"" Below Work Covered by This Request NN4 Addj ReP. TYpe ot BuildinB • APPlianees Mirad EQUiPrment YYired ' ome Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Furnace Silo Unloader - Industrial Bidg. Air Conditioner Bulk Milk Tank Farm Other speci v other(sne?+iv) t .r SVecify Other Other ' OlppUte I/ISpBCfl00 F@E A Pee ServiCeEntr9nce5iie q Fee feederslSu6(eeders N Fee. Cirwits 0 20 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 qmps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Ainps Above 100_Amps Transtormer5 Irrigation Boorris , Partial.'Offier Fee I Signs I I JSpecial Inspection ? $ 42 50 i TOTA1. E??) Remarks ' ? . y ?l ? qpugh-in e? 1. the cviyai ? p Inspector. hereby certify that tii¢ abova Final. Date pection has been (1?F , 71?Q made. Rft ,equestvold TAis request void ?? •"? a.? G montns from J c kwct,_..(r.?f ?4- 1( a 6 c? Reques[ Date Fire No. Roueh-in Inspection Re ui d? lnspec- Now L] Will Notify ?Nead cnOC 7/1 q re . y J?SOJ Yes ? No tor When Readv ? Licensed Elec[rical Contractor :erebY reuues "nspection of above Owner electrical work i talled at_ Street Address, Box or Route No. r j Citv Ea an e Uon . To nshiD Name or No. Range No County I 0 a OccuDant (PRINT) ? Phone No. Lakewood To w h s Power Supplier Address Dakota E7ectric Hec[rical Contractor (Company Name) Hilite Electric ' Contractor s License No. 40445 Mailine .4ddress (Contractor or Owner Makinglnstailation) . 3600 Kennebec Drjv , lia an, MN 55122 A Moriz ?(Contract ? ner Making InstallatioN Phone Num6er f 452-1565 YINNESOTA STATE BOAND OF ELEC7AICI7Y THIS INSPECTION REQUEST WILL NOT Griggs-Midway 81dg. - Room N.191 BE ACCEP7ED BV THE STA7E.BOARD ;UNLE55 P80PEN INSPECTtON FEE IS 7827 Universitv Nve., St. Peul, MN 551 04 . % ENCLOSEO. Phn. 16121 297-2171 ' ' '. . 5;;)2'? REQUEST FOR ELECiNICAL INSPECTION EB'°°°°' °a ' See instruc[ions for comple jj?ng this form on beek of yellow, cooY• 0 1 /' ? 16893 "X" Below Work Covewd by This Request ?? ? ?,eS AAd Nep. Type ot BuilAing . Applianees Wired EQuipmenl Wired Home X Range Temporery Service ° Duolex V Water Heater Y LiqhtinU Fixtures Commercial Bldg. ' Furnace Silo Unloader Industrial Bldg. Air Conciitioner Buik Milk Tank Farm Other SOec-fy therl5pecifyl p Fee Service EntranceSize k. Fee Feedars/5u6feeders # Fer. Circuits 1 2.00 0 to200Am s 0 to30Am s ],? 2rJ 0 to30Am s Above 200 Am 31 to 100 Amps 31 to 100 Amps Swinvning Pool i t= Above 100_Am Above 100_Am ' TransTOrtners " Irrigation Boorns Partial-'Other Fee I I I signs Special Inspection I s 42 50 I TOTR;L FEe ? flemarks • ,?'? ?. / • I 4/ q ,C -c'Cl ? nal r Inspector. herBby certify that the ahove 11"nspection has been made. reryuestvoid This request void ??{^ ? ? ,8`?nta °? i i ? ? ? u' 9 41? L- D /3"1 rE-?, l / /?, [I n Pn ? ?a C; o ReQUest Date •• 7/15/85 Fire No. Rough-in Inspection 'eq.???' ?? . adY Now nWi?l Notifv Insvec- Wh ?< < wYes ?No or en Ready 's+censed Electrical Contractor esc insDet;tion of above ? Owner lectriwl w?k imtalled at: ? Street Address, Box or Route Na. Gty Meadowlark Rad `{ Ea an ecuon o. Township Neme of No. " Range No. County Da kota Occupant(PRINT) Phonc No. Lakewood &ownhomes Power Supplier Address Dakota i a to Electrical Cantractor (Company Name) Comracmr's license No. 0445 Mailing r ss ( on ractor or Owner Making Imtailationl 3600 Kennebec Drive, Eagan, MN Aut r5on Contrac r ner Making Installationl Phone Number , 452-1565 MINNESOTA STpTE BOAND OF ELECTIiICITY THIS INSPEG710N REQUEST WILL NO7 Griggs-Midway Bidg. - Room N-191 ' BE ACCEP7ED BY THE STA7E BOARD 1821 University Ave_, S/. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121 297-2717 ENCLOSED. ( TOWNfI0U8F ) CITY OF EAGAN o N 10043 - - ' 3830 Pilot Krwb R?xl, P.O. Box 21-199, Eagan, MN 55121 PNOI?fE,: 454-8100 U-/ BUILDINC PERMIT Receipt # & 02n. Te 6e wed Mr 1 OF 3 PLEX Est. Value $54,000 DaYe_ APRIL 8 19 85 4146 S MEADOWLARK WAY Erect IN Oxupancy R3 Site Addren HILLANDALE 2ND Remadel ? Lot 1 elock 7 Sec/Sub Zoning R4 . Repair ? Type of Conat. VN Parcel No. Enlarge ? No. Stories MICHAEL CONSTRUCTION Move ? Length 25 W Name Demolish ? 8800 W HWY 7 Depth 45 ? Address Grade ? Sq. Ft. city ST LOUIS Pgo„e 938-4262 i„Stau ? Name SAME Z? o? Address Assessment ? WoMr $ $ew. ? City Phon¢ GW Name DU' MONCEAUX & ASSOC Police Fire =i " Addre 1 W 81ST ST., STE 102 Eng. ?W BLMTN Phone Cit 831-1844 Plonner y Approvols Feea Coundl Permit +? G 7 J. V V Surthorge 2 7- () 0 Plan Review 14 7_ 5 0 snc s25_no Woter Conn. 'inn ? Q Water Mefer F-1 ? 0 Road Unir 7Rn n0 I hereby acknowledge that I have reod this opDlicotion ond stote that gldg. Off. 4/4/85 T. P. 1-32-00 fhe inlormotion is correct and ogree to wmply with oll oDPlicoble APC Tota? 1? 969 . 50 Stuta of Minnesota Statutes and Cify of Eagcn OrdinanCes. ,,.•,r, ? r? Var. Date Sipnoture of Pertnittee ?•>>?`?•? A 8uilding Permit Is issued to: I`'1ICHAEL CONSTRUCTION on ehe express condition oll work shall be done in attordante with al!r9pplicable Sty" Minnesoto Statutes end City of Eagan Ordirqntes. tha+ 8uildinq Official ( TOWNI-lOUSE ) CITY OF EAGAM N° 10044 • 3830 PaJI(' Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # ???' 2 Te be tuad fer 1 OF 3 PLEX Est. Value $ 5 6,0 0 0 Date APR IL 8 , 19_$.Z SiteAddress 4144 MEADOWLARK WAY Erect Ex Occupancy R3 2 Lot 7 HILLANDALE Block Sec/Sub 2ND Remodel ? Zoning R4 . Repair ? Type of Const. Via Pazcel No. Enlarge ? No. Stories a Name MICHAEL CONSTRUCTION Move O 11 Length h 25 Z oemolish Dept 45 ? 8800 W HWY 7 Address Grade ? Sq. Ft. CRy ST LOUIS ne 9J?J-4267 Instau ? ? , Name SAME u ? Address ? City Phone ?W Name DU' MONCEAUX & ASSOC xi Address 4801 W 81ST ST iW Appmvab Fee. City gLMTN Phone 831-1844 Assessment _ Water 8 Sew. Police Fire Eng. Plannet Council Permit _ Surchorge Z-o. v v Plan Review 150.50 SAC 525.00 Water Conn. 5 0 0_ 0 0 Water Meter 6 3- 0 0 Road Unit 290- 0 1 hereby acknowledge thot I have read fhis application and state tFrot Bldg. Off. 4/4 / 85 T. P. 132.00 the inlormotion is correct and agree to comply with all applicable APC Total $1 79_50 State of Minnesota Stctutyes yo,ndCi/ty of ?EJa?gan O?rdino?nce?s , d?r?4cct Var. Date Slynoture of Permittee A Building Vermit Is issued to: MICHAEL CONST on the express conditlon that all work shall be done in acrnrdcexe Zvith all appJkablq Stote of Minnesoto Stotutes ond City of Eaqan Ordinances. 8uildinp Official ( TOYdNHOUSE ) CITY OF EAGAN N° 10045 ' 3834."PilotlKnob Hoad, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 0 Te be waA fer 1 OF 3 PLEX Est. Va1ue $56,000 Drne APRIL 8 lq 85 SiteAddress 4142 MEADOWLARK WAY Erect 12 Occupancy R Lot 3 Block 7 Sec/Sub: HILLANDALE 2ND Remodel ? 2oning R4 Repair ? Type of Conrt. VN Parcel No. Enlarge ? No. Stories MICHAFL CONSTRUCTION Move ? Name D h ? li l.ensth 25 De th Z 8800 HWY 7 emo s p 4 5 ? Address Grade ? Sq. Ft. City ST LOUIS ?ne 938-4262 Install ? Approvals Feos ? Name SAME 00 ? 91 Address Assessment Permit . 28 00 City Phone Woter 8 Sew. . Surcharge Police Plan Review 150.50 PW Name DU'MONCEAUX & ASSOC Fire SAC 525.00 i-? , Address 4801 W 81 ST ST Erq. Wofer Conn. 5?.0 ?W City BLMTN phone 831-1844 plon?r WorerMeter?S)0 Council 1 hereby acknowledge that I have read this application and stote that gldg. Off. 4/4/8 the inlormotion is correct and ogree to wmply with all appiicoble APC Stote of Minnewto Statutea and City of Eagon ?Or?dino?nceys. Var. Date Sipnature of Permittee Rood Unit 7 R n_ n Q T.P. 132.00 Total $1 F 9 7 _ 5 0 H BuHdiny Permit Is issued to: MICHAEL CONSTRUCTION on the expreas condiNon thal atl work sholl be done in accordanca with__QII opplicobler3tote,of Minnewto Statutes ond City af Eoqan Ordinontes. Buildinq Offtcial 4b? City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 - -----------=-, i ? ? Permit #: ? PermitFee: I ? i Cf/ ? ved: ? Date Rece ? Staff: J 2009 MECHANICAL PERMIT APPLICATION Date: CO SlteAddress: 41y2 vilea-dcxU(oyk (.004 Tenant: Suite #: RESIDENT / OWNER Name: HArU NEblQ, Phone: (dJ I_2!53 - L46cdS Address / City / Zip: y(q 2Mrqjn,.)L_c,, l COPlTRACTOR Name: (?i, x_n5 Lm nrtin jp S License #: Address: Q?)o E S+ City:! Acc m invbU?) State: Zip: 'eJCJqZ.[l Phone: W'4?S4-38D?) Contact Person: 0_eon1i-e`' &Jb TYPEOFWORK -New _X___ Replacement _Additional _Alteration Demolition escription ot worki ?i2,plo..Cia NOTE: Bath;roof mounteci and grraund »tounted mechaniCel eqt?IpmenE /s: iequired to ,. . be sciceened by G1ty Cade. PteasO'confact the AAechan1c?1:Iirspeciar;ar arie.of3the s= ' '..i?lanners?forf»tar'matfan.on rmltted:scr?r?_ niefhods.. ? .... ;. ,"; RESIDENTIAt COMMERClAL PERMIT TYPE ? Furnace _ New Construction _ Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger _ Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank ? Install / Remove) _ " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 FII'6 r@pdir (replace burned out appliances, ductwork, etc.) (inCludes $.50 5tate Surcharge) $ 50 50 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank in stallation/rem oval OR Contrect Value $ x 1°k $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ State SurchBrg@ $1,000 Permii Fee (i.e. a$1,001-$2,OD0 Permit Fee requires a$1.00 surcharge). $ TOTALFEE I hereby acknowledge that this information is complete and accurate; that the work will be in conforrnance with the ordinances and cotles of the Giry o1 Eagarr, that I understand this is rrot a permit, but only an application for a perrnit, 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. ApplicanYs Printed Name Appi anYs I nature FOR OFFICE USE Aeviewed-By: _ Date Required Inspections „_Undgr Ground Raugh in a Ai?,Test Gas Servace test In ftoor Heat .,_Final . , -- ,. a ° ` Eaderior HVAC Screening tnspect?uit M w _ ; .. ?-889 7 COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 ?L? ;? 1 '' ( oZ Foundation Onl New Construction Interior Im rouemeot • 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 Analysis (1) • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) '" • Master Ebt Plan (1) . Spec. Insp. & Testing Schedule ** • Certificate of Survey (1) • Energy Calculations (1) notalways*" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) *" • Elec. Pomr 8 Lighting Forrn (1) notalways" . Meter size must be established • Meter siae must be established • Meter sizg must be established -if applicable • Project Specs (1) 1 • EnergyCalculations (1) 1 d • ElecVic Power & Lighting Form (1) 1 d • Master Ebt Plan (1) d 1 • Fire Protection Plan (1) ** 1 1 • Soils Report (1) 1 • MC/ES SAC determinatlon IeBer . MC/ES SAC determination letter • MC/ES SAC determina[ion letter call 851-602-1000 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 K REMODEL CONSTRUCTION COST: ?--)-I SITEADDRESS: `i I1-1 L ' TENANT NAME: 1`{ a, ? CI 114 q) ?4 I q 1e FORMER TENANT NAME, IF APPLICABLE SUITE #: DESCRIPTION OF WORK I YlSTCl I I ?° W I'?IUhfllYll) YYl J,)f' N11 ??) ' C'?Q j i' Name: Phone #: (_J_R_V) PROPERTY Last First owrrEx p ? J Street Address: o l;? 1 /?? 0 (L a? yV City: State: Zip: Company:?Yl'()t°?ZaO?a v1Y)1,1` ? \U\^f\l'p Phone#: ?) ?()0??0S CONTRACTOR ??1'?Mcj StreetAddress: E, Cal City: State: M 1V Zip: ARCHITECT/ ENGINEER Company: Name: Street Address: City: State: Licensed plumber installing new sewer/water service: Phone #: I hereby acknowledge that I have read this application, state that the informa6on is correct,,,and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ///] _ fL_ / Phone #: Registration #: Signature of OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Aparlments ? 27 CommerciaUInd ustri 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 ? 31 New ? 35 Tenant Itnpr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies Building ? Insulation Engineering VALUATION $ % SAC SAC Units Meter Size sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered Ij Plumbing ? Stucco/Stone Variance Total 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTURS IiUST BE LICENSED WITH THE CITY OF EAGAN LI 1.11 j P, INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SllRVEY ?nF 3?,LEx t SET OF ENERGY CALCULATIONS To Be Used For: /?UWP (?pru(L Valuation: Date: Site Address: Qt9"Z. Wr-A?WIAF?- WR 1 OFFICE fA USE ONLY Lot: / Block ? 5ect/Sub .L,c,,x?? ? ? Erect x Occupancy IZ-3 Remodel Zoning 2-4 Parcel 4l Repair Type of Const ( _ Enlarge # of Stories Owner M lC4?ti,L (nIJ? 'i mme" Move _ Length Z? Demolish Depth 42 Address ?6M Grade Sq Ft City/Zip Code -55-T-, Liout5 Pri6L 6542f --------------------------------- Phone 13?3-42,(02- APPROYALS Contractor 'S/}AA tt- - Address City/Zip Code Phone Arch./Engr. Dot Address 4801 City/Zip Code Phone # 931- ? ?s49 Assessments Permit 3oI. =° Water/Sewer Surcharge 2g.tO Police Plan Review I15o,s% Fire 5AC 525,°° Engr Water Conn .=° 500 Planner Water Meter co3.?° Council ad Unit 280. Bldg Off , ` ? rks APC Treatment Pl 132.°? Variance TOTAL 50 ? 1985 BUILDING PERlIIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN UNtT (3 ? pF 3 PL-P-x To Be Used For: / jcyN?6wv INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Valuation: f.2,0 .94 Date: Site Address : q 14q M (-Aba? UV?, Wrp r Lot: I-- Block I Sect/Sub Parcel 4l owner ?1CI?4,L ?r?t-K i ? ?j IJ?CVEC?Pb1?cr? Address 9$t70 W OUiJ '-( cityiziP Code Si lxxJ?5 P010,? r54z? Phone C(3$-?{2(oZ Contraetor -SA-M 4, - Address City/Zip Code Phone Arch./Engr, pJ, M ONG(0p.4 p"jc, I)SS Address .00 1 w, i I`r ST. City/Zip Code O47oM1uq--IorJ Phone # ( 849 OFFICE USE ONLY Ereet X Occupancy 7--3 Remodel _ Zoning Q-4 Repair Type of Const Q. ? _ Enlarge # of 5tories Move Length 2 S Demolish _ Depth 4 rj Grade Sq Ft APPROYAI.S Assessments Permit Water/Sewer Surcharge 2$.S Police Plan Review o l??• - Fire SAC Engr Water Conn Planner Water Meter (03. ?° Council Road Unit 2?_= Bldg Off Parks APC Treatment Pl Variance TOTAL )?y. ? o SSiV4- ( 1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS ltUST BE LICENSED WITH THE CITY OF EAGAN uuIr c INCLUDE /*' SETS OF PLANS 3 CERTIFICATES OF SURVEY ?br 3 1 SET OF ENERGY CALCULATIONS To Be Used For: r..? ?t1tru??.??'OM{c. Valuation• . S4,c•'d' Date: 41 - 2 -7SJ Site Address: 4I1?p S, ?iAosmAik WA4 OFFICE USE ONLY ? Lot: ? Block ? Sect/SubHll-?DA1-F- Z?-OErect Remodel Parcel Ik Repair r- Enlarge Owner ? 44A4.L CAtJSF 7N t_opA,t4,J"Move Demolish Address %QQ w. Ay4 Y, S'f' Grade City/Zip Code SI L.OJLS P Ad4-, }542(o ------_- Phone : ?( Z^ -r('3jg' q2LP2 ?? ?a Li,gj)APPROVALS x Occupancy Zoning Type of Const # of Stories _ Length _ Depth Sq Ft Contractor Jrf> A,90V4, Assessments _ Permit Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit ? Bldg Of?Parks Arch./Engr. b(11?pNci&4? ANp AG6ocWtppC Treatment P: Variance Address 41gpl W. q14j W2, TOTAL R-3 2- 4 'U 0 25 ? * ? Z9 S.?v 2,1 °= ?4 1.SO 52S °° Sco .? 1 Z °? City/Zip Code gWOMiNq-6til Phone # ?31 -- 1644 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Bu= Lo z N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 9 3 6 (612) 681-4675 Date Issued: 0 6/ 18 J 9 6 SITE ADDRESS: 4142 MEApOWLARK WAV LQ7: 3 BLOCK: 7 HILLANDALE ADDITIQN #2 P.T.N.: 10--32951-030-07 DESCRIPTION: ROOF CJAMAGE ermit Type STORM DAMAGE ct,rk Type REPAIR 434 ALT. RE5IqENTZAL t ? W56 ir 9 qw 41't? ?j,?a? 'a?rv?.:ax ??k itnir Lnfi rG ?a sw44.m.0 ?W M ?s s? REMARKS: zNCLuoES: FEE SUMMARY: R144 AND 4146 MEADOWLARK WAY L2 L1 CONTRACTOR: - µpplioant - 5T. Lyc.OWNER: BflNNER RQQFZNG 188$8611 2001264 LAKEW000 TOWNMOME5 ASSOC 6001 LYNDflLE AVE 5 4142 MEADOWLARK WAY MSNNEAPOLT5 MN 55419 EAGAN MN (612) 888-8611 (612)452-5307 APPUCANTlPEflMITEE SIGNATURE ISSUED BY: NATURE CITY OF EAGAN ? p??") 73 ? 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 687 -4675 RemodeUReoair ReauiremeMs ? 3 registered aite surveys ? 2 copies of ptan ? 2 copies oi plans (include beam d window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addkions & decks) ? 1 energy calculetions ? 1 energy caiculations tor heated additions ? 3 copies of hee preservaffon plan 'rf lot platted afler 7/1193 required: _ Yes _ No DATE: CON?TRUCTION COST: C PA ?1 -r, /i L- , DESCRIPTION OF WORKe OAs ` A, L- S '?..> !'-....a a/ j ,A -`" 1 • ,f ???? ' STREET ADDRESS: 1,14 *C A'Q °''-' K ? A L? Lz L3 LOT BLOCK ? SUBD./P.I.D. #: l?+r-fkJLa.-i? /+.L 4 . C.W T pJOQy SVNO.Ci.`- PROPER7Y Name: LA"L,Jo04 T???1n?-s AssoG. Phone OWNER ?7 rmsr Street Address: City: State: Zip: CONTRACTOR Company: 0& n.JA44-A..- RambF%vc, Lc3,a#1 Phone #: $8 mr- 8 t° Street Address: ( o o r LYW aA i& hve- -r License #•?-100 1 -1 0y`1 Clty: /'t-\ I•JNI.APotfS State: ,?? w,l. Zip_ SS `! l 9 ARCHI7ECT/ Company: ENGINEER Name: Phone #? Registration #: Street Address- City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and a ree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certiflcates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No REC[EQMED ,? ? ?? ? 6 1193S --------------- OFFICE USE ONLY .--, BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 02 SF Dweliing o 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex o 05 SF Misc. ? 10 = plex WORK TYPE 0 31 New ? 33 Alterations ? - 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? 0 13 Garage/Accessory ? 0 14 Fireplace El ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous 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 SNV Permit SNV Surcharge Treatment Pf. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units - - ;1. CITY USE ONLY PERMIT#: 4bd RECEIPTDATE: 9-17lO? MIDENTIAL MECiELAMCiA. 'pEItMU 1??PLIL`ATIOR C17'YOg EAHt4N S$SO PII.OT KNUB $D KA&M bIR 55122 681-8$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are repuired for each unit Date: !j-t(`_p? SITE ADDRESS: OWNER NAME: '7tom\'pPL.. TELEPHONE #: (AREA CODE) INSTALLER NAMEl2_ TELEPHONE #: 3,61 79 (A EA CODE) r STREET ADDRESS: 0SA CtmC?0 ED ( ?- CITY: LT; -?Q,,x?_ STATE: mC'1 ZIP: ???O<{ Place a check mark next to the permit work tvpe New residential dwelling unit under constnrctionand not ownedoccupied $ 70.00 Add-on, modification or alteration to existina dwelling unit $ 50.00 furnace replacement air exchanger air ' 'oner • other Nature of work: c-??Sg LjL State Surchar e $ .50 Total Reminder: Call for inspections. ? Updated t/Ot CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: , INSPECTOR . , COMMERC1AI. MECEL4N1CAI. PERMIT "PLICATION CITY OF EA6LAN 3850 PILOT KAOB RD EAsM, Mx 551 Q$ 651-6$1-4675 Please complete for: all commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOU5 TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE#: - (AREA CODE) CITY: STATE: ZIP: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-6814675 for inspection by Fire Marshal and Ptumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, wluchever is greater. Underground tank removaUinstallarion = minimum fee Contract price: $ x i%_$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ . ',... ? - 1 •, . SIGNATURE OF PERMITTEE Updated 1/01 ? ? 2/84 . , ? 'CITY OF EAGAN . APPLICATION FOR PERMIT f ` , ... . .. - SEWER AND/OR WATER CONNECTIODi " (PLEASE PRINT) ' 1) PROPERTY ADDRESS: 41?F 7' M!1 A? .?Inrk (JL1a.U LEGAL DESCRZPTICN: " 2 n z '? _ "F?II(????t0 (Lot/Block/Subdivision:or TaY Parcel I.D. Nln-nber) IF T=S.=. :, S'?'::i;;=:L, ^,,O^ r --o-t_; _ .. ??.T ??.. .. .._.. . . . . _ . ._... ? i•?.. ?? _E,?.?i PRESEN'I' Z^NIIiX',/Pr0POSED CtSE: 1i R-1 SINGLE FP.MILY El R-2 DUPLE.Y (ZW'J UNITS) 0 R-3 TOWNII-ICi1SE (THFZEE + UiVITS) ( UNITS) p R-4 APARTmENT/C0NDC1y2NIIM ( UNITS) - ? . CavIMQ2CIAL/F2ETAII,/OFFICE ? IlMUSTRIAL ? INSTITOTIONAL/GOVERIznm 2) APPLICANT (PLEASE PRINT) NAME: M??P? ?? ADDRESS: 4L-;,'31 CITY, STATE, ZIP: N f5S 4a(e PHONE: LI'PA ,a ^ 3) piZmBgR P-LEASE PRINT) NAME: n!? - --- ? ' R CITY USE ?. ADDItESS= ??? VYGIJLCL rv ? • . 3GnnKFUNFRG[:l1RIVE EAGAN MINN SS1ZZ =- RS CENSE: i CITY, STATE, ZTP: - ="?+•:•;?452•1565 ?....--- ? ACt1VB Ex ir - 'PHONE: ? -PLUMBER LICENSE-# 001445M2-?-_: Record f a ni ia 4) OCCUPANP/(7dDIgR PLEASE PRINT) , DIF?NIE: ?t(f? ??, • iiDDItESS : , . . ;" CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTEp: ? CONNECTION TO CITY SEFIER ? CONNECPION 2U CITY WATER [] OrPIiER (PLEASE DESCRIBE) , 6) INDIC.;V1'E CiNE : . ? PI.I'.ASE FiOLD APPRCIVM PERMIT FOR PICEC-UP SY ONE OF ABds/E r-- - - --- _ . -?' PL.FIA,SE MAIL APPROVED PERMIT TO 1. 2, ? 4 AB(7VE ? i (Circle one) ;. ' 7) SIaN\TtIRE: DATE: S = /-Ai` FEES: READER STOP) , .._,.... $ TOTAL AMOUNT PAID/RECEIET. # DOES UTILITY CONNECTION REQUIRE EXCAI7ATION IN PUBLIC RIGHT OF . ., .. >. , , ,,; . : _ . . . .. , . _.. ? YES IF YES, THEN A'"PERMIT FOR WORK WITHIN . PUBLIC ROADWAY° MUST BE TSSUED"BY THE NO ENGIDiEERING.DIVISI4N. LIST AS.A CO?IJDI- ? TION. _..... .. ., . SUB3ECT TO TF3E FOLLOWING CONDITIONS: r . APPROVED BY: : WAY? ?. _ TITLE: DATE: $ OTHER WATER METER/COPPERHORN/OUTSIDE WATER TAP (INCLUDE COP.PORATIaN $ $EWER TAP. . ACCOUNT'DE$OSIT - SEWER $ ACCOUNT DEPOSTT - WATER $ ? . .sD G ? ?cJ e ;. :., _. ._ . . WAC $ $ ,? . TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER , $ /O S e-) SEWER L'ERMIT (I:VC;LGDi SUP,CTiP.RGE) $ WATER PERNITT ( INCI,UDE SURCIIARGE ) ' y . . . . . . . , '. ? . , . ' . , . . . ' ? ? ' , ' 2/84 , CITY OF EAGAN . APPLICATION FOR PERMIT i _ . -. - SEWER AND/OR WATER CONNECTIODI . " (PLEASE PAINT) ' 1) PROPEf2TY ADDRESS: ?fC??p IYi nc1n?.??nr?l ??O,U r•rr3ar. DFSCRIPTICN: ? '7 r :AII?n??P_ (Lot/Block/Subclivision or Ta*c Parcel I.D. NLUNber) ..... T..?; ., J?? i ??^ n_'•'.1T.?_'i 7`J T? .T :, ._ ...._.. PRES= ]Nr:/PROPOSED USE: ?. R-1 SINGI,E FA242LY 17 R-2 DUPIMS ('IWO UNITS) 0. R-3 :ZOWNHOUSE (TFIIZ.EE + U?VITS)( UNTTS) ? R-4 APAR2T4ENT/C0rmCM].iv2CM ( UNTTS). ? CCxMMERCIAL/RE'PAIi,/OFFICE ? IMUSTRIAL p INSTITUTIONP.L/GOVERNvIENT 2) APPI,ICANp (PIEASE PRINT). NAME: Mrc ivi +` l C2 . P ,< aDnREss: .Surfe 4331 CITY, STATE, ZIP: M1 N =7`5 4,.) L . PxOLNE: 3) pLC= , PLEA$E_PRINT) N71I"IE : ? FOR CITY USE OHLY ADDE2ESS• - ? ?c - '? ; ?c_nnKFhiNFRFCI?R?VE.`EAGAN.MlNN55122 PLUMBERS LICENSE: Q A ti ?,a.?---" ,- ZIP: •--?,?+„?i4S'7'L•156$ CITY ' STATE c ve Q E , , , zpire PHONE:. - MASfLN - PLUMBER LICENSE y 001445M2 ;- , Record '"f . ? a ni 1a 4) OCCUpANT/(X$IER " PLEASE PRINT) NANIE: i+DDRE55 : CITY, STATE, ZIP: PHOCIE: - 5) TNDICATE WHICH PERMIT IS BEING REQCJESTED: ? CONNEC,TION 7O CITY SEFTER - ,..... .... ? CODINDCTION ZO CITY WATER . ? CII'IER (PLEP.SE DFSCRIBE) 6) INDICp.Tm CNE : , ? ? PITASE FiOLD APPRCJVEa PERMIT FOR PICFC-UP BY ONE OF P,BdVE --- - - - - - - - PI.EASE MAIL AF'PRQVED _PERnIT T0 _1 -,-2 ; ? 4 -ABOVE!- . ? " (Circle one) 7) SIaAZURE: . . DATE: - \I i; F 0 R C I T Y U S E ONLY PERMIT 9 ISSUED . ;. , `FEES : $ ??-S U SEWER nERM2T ( I:aCLliDE SUP.CiIARGE ) - WATER .PERI+4IT ( IN .., ._,. ,.. . . CLUDE SURC[IARGE) WATE _ . ,:, .. R METER"/COPPERHORN/OUTSIDE READER . .... ... $ 'WATER TAP (INCLUDE COP.PORATION STOP) S ;SEWER TAP ACCOUNT' DEPOSIT - SEWER ACCnU1VT DEPOSIT - jdATER r R. _ • $ WAC - $ ' S??S-v U ?SAC . $ TRUNK..WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ ' LATERAL BENEFIT/TRUNK SEWER $ - 'ZATERAL BENEFIT/TRUNK WATER $ ? 3Z11 c?FJ - ` OTHER , , ... . $ TOTAL _ • I .>i" ' • _ . $ r AMOUNT. PAID/RECEIPT. # DOES UTILZTY CONNECTION. REQUIRE ?EXCASIATION IN PUBLIC RIGHT OF WAY? . , _... _ .. ,..::,.: . ,. . . , ,..... , . YES. IF YES, THEN A?"PERMIT FOR WORK WITHIN prtgLTrY RpnQt;7AY" .MUST. ?3E ISSLTED BY THE ?- NO ENGINEERIDIG.DIVISION. LIST AS A COdVBI- - - TION. SUBJECT TO TIiE FOLLOWING CONDITIONS: . _ . .. . , , ., _. . , ,.. ,. APPROVED BY: , . . . 4 TITLE: DATE : ??? ?n. w? ia w? nc.a se w?r? nt.?r int ?!?'!?'?!f we?!! !!'4?T !!"t'! ?!'e'!!'?"!! 1!ts!! w? wt r,fie f? ? i.t? ra s.? ?. ? LHF.E'.JL'CJIl TOWNHUME:3 -311. P1=FtDDWL_NRX E:'Tt EflGfiN Mii . ?F?PtIRc? ;;=t' WHcPieEL i•iECH!?fyii;'?t;'_ , DEt=I+=N CO1'+IT2LlNS '-----I,tlti TER---- --- -:_:Ui"f^tER------- I(JTS.I7lE IN?? IUE CU TSiD F ZPiSIl?E DAIL`,•' t?6RtEa D=GREC:i ?:tIGF'F_El DEGREES LfiTT'fUDE RFi`iGE -20 44 VIEliZltlhi ENTIi c HOU"E '•' ; R_UES .,_. ,._, . . . - ,;.::,.. .. F E9'IT : --NU?1E'ER ,F-- -3??Ur?:T--- -?1-Ur- PtQPLc RoC7P•i=' GA1'.N LC:'-' :: tti L_-' " 4 [t"; t!. U"s 20-f7lzs. 3456S. 9P`TE '7CIIf'iFQN=1`iT- HRrH ETUH GHl:ti :e.Ttli-! LQ:?`? C:t?:?i?-'LEG?TiDt; i-?l3i?EERS 3LLS.'' iIl_;,. ?,y.?, ?s??. 5890, 106 I'CfBQ?a1S 112_ 8100. ???? ".. . l??f ?' [f. ?'Z'• . '#+_. , 51 :,F,. 99f: ?'L-c• LotJo. 1:,i M?2S i?:L'?c;u 4Or.9, 19Pi 17F . ?1TILRFIQi'; i3. p. iPtiJ9iYCES =2IF?E: '- 12 C, U. iCTS , 1200. 5 ??Y ITERT GR I N 4780. -------- ----- ITRLS I Ck: "i. ?.'. _ :.- . J. . ' . . o? ? O? • RESIDENTIAL BUILDING U? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? a-3 -Q4" 7 ' -el New Construction Reauirements RemodellReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lol, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Suney Recd (209'o maximum lot coverage allowed) , 1 set of Energy Calculafions for heated additlons Tree Pres Plan Recd 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septlc System 3 copies of Tree Preservalion Plan if lot platted after 111193 Rim Joist Detail Op6ons selection sheet (bldgs with 3 or less units Date ? /? / ? r- ?p,2. ? •/{e „g Construction Cost Site Address Unit/Ste # Description of Work Multi-Family Bldg Y_ N Fireplace(s) 0 _ 1 2 Property Owner Telephone # ( ) L/C 'tt Contractor Address ?I:?1 &Zy-? Z-17 City ?l1 State Zip -<{ Y`3'_ 5' Telephone # ( )Q) L./J Y?J? ?+?-t/•? v vti:v COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COd2 Category 0 Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (^I submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contracfor Sewer/Water Contractor Telephone # ( ) . Telepf?? k.l1i Teleph'I l????. 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 pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. '40-01 ,00? ?!f %? ?6 /, 4 4,v,r ? Applicant's Printed Name Applicant's Signature OFFICE USE ONLY 5ub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-piex ? 17 Garage ? 10 OS-plex >< 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 31 New )Pl- 32 Addition ? 33 Alterafion ? 34 Replacement Valuation 0" Census Code ? 3 y SAC Units Nbr. of Units ? Nbr. of Bldgs i Type of Const yr\) Footings (new bldg) _y Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final _ Framing - _ Fireplace _ R.I. _ Air Test _ Final Insulation Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth 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 r7r , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Eut. Alt - Multi ? 33 Ext. Alt - 5F ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors *Demolition (Entire Bldg) - Give PCA handout to applicant ? z 2006 RESIDENTIAL PLUMBING PERmIT aPPLicaraoN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ? rs. sa f-7 ?l/ i Date ( I V lo ?j 0.'? I ? 1'; Site 5treet Address tv G'Qd(? k, Unit # ?I -z - -? ?i Property Owner /h'1 UV l.{ /ci.Sh i Telephone #( ) I ? 'i , I; Gontractor 5 Telephone# (65) ) 3 6` 13LI 0 ? Address City C? State_lt4pj I zip 55? ? , The Applicant is: _ Owner ?Contractor _Other - _ -- - ------- - -- ? y - ? ----- -- Sp ? e tic stem New Refurbished Submit 2 sets of plans and MPC license ! i Includes County fee $ 100.00 - ----- --- Per as-built $ 10.00 I? ?I Alterations to existing dwelling - Ii $ 50 00 _ Add plumbing fixtures. This fee includes installation of a water softe ner and/or water heater at the same time. If you are installing onlv a water soften er and/or water ul heater, do not comPlete this section, move to n , the next sectio he k the and c c i, appliance(s) you are Installing. ?i ! Septic Sysiem Abandonment Water Turnaround (add $130.00 ifi a 5!8" meter is required) 1i 1 ? -Othec - I il --- -- ? ` /' W t S ft ? i ? a er o ener j ! Water Heater $ 15.00 new ? replacement , :--- -- - - ---------- i , - ------ ---- i? Lawn Irrigation _RPZ ^PVB _new _repair '?--- --- - _---- ------ -- _rebuild $ 30.00 j I i State Surcharge ' - -- -- -- ---------- - -- - - $ .50 ; "i Tota! $ 16 " J ? I, fl I nereby apply for a Residential Plumbing Permit and acknowled e that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an a plicati for a p r it, work is not to start without a permit and work will be in accordancz with the approv IRi'-2??Jcj?gl is req ir d be rsvie d and approved. n, Applica 's Printed Nam ZOOC ppli an' Signature ? (J RESIDENTIAL BUILDING PERMIT APPLICATION 3830 PILOT KNOB RD - 55122 I 651-681-4675 New ConsWction Reaulrements • 3 registered site surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas (20% maximiun lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 set of Energy Calculations . 3 copies of Tree Preservation Plan ff lot platted afler 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 0 JOB SITE ADDRESS q IF MULTI-FAMILY BUILDIN PROPERTY OWN HOW MANY UNITS? 15W !'v d RemodellReoair Requirements • 2 copies ot plan • t set of Energy Calculations for heated additions • 1 site survey (ar exRerior additions & decks . Indicate if home served by septic system for addRions VALUATION i i TYPE OF WORK_ FIREPLACE(S) r"_0 _ 1_ 2 APPLICANT ?ln. P PHONE# 765 `7f _Z5P ADDRESS a/3 1 l i1 ?'\: ZIPCOD?YJ>3 PAGER # CEII PHONE # fo/G" /Ul ` FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: _ Air Condiaonuig Heat Recovery System All above infortnation must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that with ail applicable State of Minnesota Statutes and City of Eagav Signature of Applicant New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Sprinkler Water Heater No. of R.I. Balhs No. of Baths Phone # Phone # Fee: $90.00 Fee: $70.00 to Certificates of Survey Received _ Tree Preservation Plan fVceived _ Not Requifed _ I Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) 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 Insularion _ 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 ? 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 ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screened) ? 36 Multi ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors "Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Building Inspector For Office Use Permit C..i {`r1, City of Ea R I Permit Fee: 73, 00 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: `i I Ll _ _ t-l Tenant: Suite RESIDENT /OWNER Name: 3~k u, Phone: "t X72,'22 Z S Address / City / Zip: 7 \-a z r ~~s it - I L Applicant is: Owner Contractor TYPE OF WORK Description of work: -i.--- • ='-e~t~ Construction Cost: Multi-Family Building: (Yes /No CONTRACTOR Name: License 2U ~ Z ~s V Address: t9 City: t- State: ~~1N Zip: 4) Phone: 0 (r2 -2-7-Z- Uj t t' Contact Person: LPG,. 2~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 x Applicant's Printed Name Applican 's Signa ure Page 1of3 ì ý ù þýüýû ÿþþ ýüûúûúù øýýþþùúýð îí õýý ã ÿ ÿþõ úù ø÷ öó é á ùø÷ öø÷ öó é ô óéï ÷ý õù á ù íù÷ýø Üü úÞùý ì ÷â Þù ý æðý üóó÷ ü ûýððýü þ ÷ æáýððý ÷ ýð ýýæ áý ä ý Þù øýó ü ðýø æ ý çååæ åæå ôø úù ýü ý çæ ãæã Ûýùýûæ óò õñð ÷÷ý õ òýø åãô ý ïåãÞù öýø úù áâ Ýâ õ ü òô þ ý òô ëèãååå øýó ü ý ýâ ý ý÷÷ýý ý ý ðý ýýü ÷øó ýý÷÷ý úý ðò ýúýù ýáøðþýüýíý æ ÷÷ýé úüýù ù øúüýù PERMIT City of Eagan Permit Type:Building Permit Number:EA107891 Date Issued:11/01/2012 Permit Category:ePermit Site Address: 4142 Meadowlark Way Lot:3 Block: 7 Addition: Hillandale 2nd PID:10-32951-07-030 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - AARON R BIBLE 4142 Meadowlark Way Eagan MN 55122 J Carver Construction Inc 1345 Schletti St St. Paul MN 55117 (651) 645-5488 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r--------'-------- t For Office Use t 1 Il`-I3a t City of Eajug i"1 ~ry n t Permit 1 1 I C (3 1 I Permit Fee: J t 3830 Pilot Knob Road 1 1 Eagan MN 55122 Date Received: j Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff: } 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9-1)-LS Site Address: ~TU(_- LO, a GtJ Name: _ s1,t~Ot _Vf)h ~004i_ Phone: x Resident/ Owner Address / City I Zip: : Applicant is: Owner Contractor t l S Type of Work Description of work: M)" Sid' YQ Construction Cost: / Multi-Family Building: (Yes Company: ly IflfS l~~c S A A _f~k- Contact: cCJl~t/F .fr-11 Contractor Address: )0701 q7 L~ k . 1V - City: IQfOr 191t~ £ State: Zip: 6 J J t0 Phone: 3 _3 License Lead Certificate 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 classiFed 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.gopherstateonecall.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 St u. ng de st be completed within 180 days of permit isuance. x dw/- ~C1Ls x Applicant's Printed Name Applicants Sig re Page 1 of 3 r For Office Use ( /� C t �`7� 7 tF �s ss Permit#: 7 // e s 1/4,1/4‘,..t ct c s i0 EAGAN `` `• Permit Fee: /I S .2-r C^E IVE Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 c�.J (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569 Staff: buildinginspections(a�cityofeagan.com APR 0 3 2019 2019 RESIDENTIAL BUILAAUT APPLICATION Date: Site Address: '�" �f'�z ,/ 6. ,...:lei( /v<i 1 Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Pekrt7T e Of Work Description of work: Pci4 ;2 r .-Cc Mei.1J- `1.- �AIr /( daftn-cn 4_ Yp _ Construction Cost: J, � GGA Multi-Family Building: (Yes /No ) Company: ( `5:4'rc '\ l(2 n S Eli r N,iP) Contact: It l%,-\ f'r.,/'1- Address: Zl Lt .� ~ �/. 1 a. (I J , City: .‘--'`)/ \ Contractor / ,�( / State:t ti• Zip: l �Z Z Phone: (f 1/'Z/l) -/Oce cEmail: I (�•^ E, /0`-� C,'r\e s', Cl',',"', License#: SL' lG�' 0 I LO Lead Certificate#: { If the project is exempt from lead certification, please explain why: Y/41/r ! I 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? YesNo If yes, date and address of master plan: 5 r,--) �C?!'� 14 /Lr't1,ra's`d 774 1 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.citvofeauan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is no o start without a permit; that the work will be in accordQnce with th approved plan in the case of work which requires a review and approva of pia s. i, x (I I:n1- . viid r Applicant's Printed Name Applicant's Signature HI ��7ll.� `gtAk "v, /-' 7�'c/ J DO NOT WRITE BELOW THIS LINE ��t(O 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 \t. 01 of.7 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 �� .� L Valuation � J' 9 Occupancy �Z ,j MCES System Plan eview Code Edition OM 2'0LSr SAC Units (25% 100% ) Zoning P 2 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V .0 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ( 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 Z Retaining Wall: \ Footings?C Backfil�Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: /`D AI ics 1`jg -- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3