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4148 Meadowlark WayCITY OF EAGAN Remarks Addition HILLANDALE ADDN. #2 Lot 3 lk 6 Parcel 10 32951 030 06 Owner Street 4148 Meadowlark 6eer-t L ??, Eagan, MN 55122 Improvement Date Amount Annual Years ? Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SANSEWTRUNK 1970 74.94 3.00 25 - lil,3 1O'30"aS SEWER LATERAL ? WATERMAIN 1973 189.47 12.63 15 a, -/1i3 /0 •30 45 WATER LATERAL ? WATERAREA 1975 104.34 6.96 15 a0? -/ 7 /o--3o-9,5 *STORMSEWTRK 0' 1973 430.49 28.70 15 ///3 /p-jo-,V5 * STORM SEW LAT CURB & GUTTER . SIDEWALK STREET LIGHT Road Unit 260.00 #47778 11-16-84 ' WATER CONN, 470.00 if it gUILDING PER, #9726 It it sac 525.00 PARK CITY OF EAGAN Remarks Addition HILLANDALE ADDN. #2 Lot Z eik 6 Parcel 10 32951 020 06 Owner . Street 4150 Meadowlark 6eertLjll State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STFi EET SUR F. STfiEET RESTOR. GRADING SAN SEW TRUNK fdar 1970 74.94 3.00 25 SEWER LATERAL * WATERMAIN 1973 189.47 12.63 15 ie WATER LATERAL WATER AREA 10 1975 104234 - 6.96 15 • STORM SEW TRK i 1973 430.49 28.70 15 ie STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #47778 11-16-84 WATER CONN. 470.00 6UILDING PER. 2 SAC 00 PARK CITY OF EAGAN Remarks Addition HILLANDALE ADDN. #2 Lot 1 sfk 6 Parcei 10 32951 010 06 Owner Street State 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 1 e2 .10 C? -10 U?-CS SEWER LATERAL * WATERMAIN ?Qnq 1973 189.47 12.63 15 Z F C'l ?3?t -7 /O --4-95 * WATER LATERAL WATER AREA 31-9 1975 104 . 7 -S? * STORM SEW TRK ac)q 1973 430.49 28.70 15 5 . Z.- C' * STORM SEW ?AT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 WATER CONN. 470.00 it " BUILDING PER. n n SAC 599 0 n n PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: II Eagan, Minnesota 55123 Date Issued: 004/ 1 i/`' 4 (612) 681-4675 I SITE ADDRESS: tot I51?IIlJI.AI:'? 11lt'i PERMIT SUBTYPE: : FI, H; 1 1 it i ',ti , APPLICANT: TYPE OF WORK: (11VI IV, q ni_ I f?rr?I t1!r+ INSPECTION ., . I J .A I ? PermM No. Permk Nolder Date Telephone N SNV ? PLUMBING ??9 tf HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. ? Rough Htg. ' igw. Fireplace Final Hig. Orsat Test Final Plbg. Plbg. Inspector - Notily Plumber Const. Meter Engr./Plan Bldg. Final Declc Ftg. Deck Final Well Pr. Disp. ? Y CASH RECEIPT ? CITY OF EAGAN , P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE rtKCerveo ¦ROM AMOUNT $ / & DOLLARS +oo ? CASH ...-?}tHE K POR ? ? r / ?? ? ? . '' " . - ? ?? ` . . . . __._ .. ? L ? C r. FUNO COOE IIMOUNT , V r.- . ; Thanr?ou . ? BY Wltite-Payers Copy Yellow-Posting Copy Pink-File Copy 9 7a5/ 4-/rrL 7 7Z, - Z// SO 9?Z( y/ y/ J . , BUILDING PERMIT Te be uNd fer 1 OF 3 PLEX CITY OF EAGAN 3830 Piiot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 $54,000 Receipt # i? : 9724 84 SiteAddress 4152 MEADOWL ARK WAX. Erect C? occupency R1 Lot 1 Block 6 ?ec/Sub. HILLANDAI,E 2 Remodel ? 2oning Percel No. Repair ? Type of Const. V 1 H i2 Enlarge ? No. Storj? W Name '`'?IC!?AEL CONST Move ? Length ?? Z Address r'aDU HWY 7, SUITF 331 Demolish ? Depth4 5_ 9 Citv ` LOUIS Plf?none 938-4262 Grade ? sy. Pt. ? N SAi,?F; ApProreh Fws ame ? A?re? Assessment u ? City Phone Water 8 Sew. CW Name DU'f9QNCEAUX & ASSOC Police Firo ?? Address Eg. aW City ? Phone plonner I hereby acknowledge thot I hove read this cpplicotion ond state that l with oll a licable t ti n i orre t and a ree fo tom th i Councii Bldg. Off. 11/S/S4 p y orma pp n o s c c g e Stats of Minnewto Stotutes`ond Ci of E on Ordiran$es. , ,l _ ?, / AP? Var. Date Sipnature of Permittea A Building Permit is issw oll work shall be done in Buildirq Oificiol to: Pertnit '? ?•vv Surcharye 27.00 Plon check 147.50 5AC 525.00 Woter Conn. 470.00 Water Meter 63.00 Road Unit 260.00 Perks rotel $i,787.50 on the sxprcu conditlon that Stotutes ond City of Eopan Ordinances. Permit No. Permit Holder Dete Plumbing r Q g ?C - H.VA.C. ?-, Z q - I?.? Electric I ? - . ? Sohener Inspedion Date Insp. Othar Footings Foundation Framing ? Rough Plbg. .Z ? Rough HVAC " 3 HVAC Final Cert/ox. ? i Water Describe Loeation,:?J ' VYell Sewer Pr. Disp. _- ( I , t Recsipt ? ?VIECHANICAL PERMIT Psrmit No. ? CITY OF EAGAN FN . - '• ? _ ? ; i ? Fill in numbemd spacas S/C -:-C7Type or Prinr legibly Tot ?-420- 1. Date ;:.' 2. Installation Cost - 3. Job Addreu?' Cot`" Blk. ? Tract 4. Owner 5. Contractor Phone - 6. Address 7. City ? State Zip = , 8. Building Type: Residential El Commercial ? Institutional O 8. Work Description: New ? Add ? Alter 0 Repair ? I 10. Dacribe 1. uel TYPe No. Eauiomenr BTU - M. Ea. Forced Air No. Eouioment ` CFM ? ---? Mfg. Boi lers _ Air Handling: , Mfg - Mech. Exhaust - Unit Heater _ Mfg, h O Air Cond. t er ' Mfg, Gas,PipingOutlets 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: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERNIIT. • Permit No. CITY OF EAGAN Fee , Fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot % Blk. Tract 4. Owner 5. Contrector Phone :- 6. Address 7. City State 2ip 8. Building Type: Residential t7 Commercial ? Institutional ? 9. Work Description: New O Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Wel l 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 Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Te ka N"d oa 1 OF 3 PLEX FN v??. $53,000 SiteAdy? 4150 ;-1_r'=a1:OtvI.ARK WAY Lot 1 Blcek 6 Sec/Sue. TIILLANUALF, 2 Parcel No. W I Name -- - - -- - ; Addres ? ? City one 9JU-4262 ? Name ?? Address F- City Phone Address City Phone I hereby acknowledge thot I hove reod this opplication and stote that the inlormotion is wrrect and ogree to comply with oll applicable State of Minnesota Statutes aro City? of 4on Ordina es. $ipnMurc of PermiMee ?y A Building Permit is issued to: f1I HAL''L COidS;" all work shcll be done in accordance wlfh oll opplicabla State of Mir ild 6 9725 ?? ?, Recelpt # ' , ! / "J l „___ NOVEMBER 16 ,,,84 Erect LF' Occupancy "y Remodel ? Zoning R Repair ? Type of Const. V 1 HR Enlarge ? No. Stories Move ? Length 2 Demolish ? Depth 45 Grede ? Sq. Ft. Apyrorala Fees Assessment Water 8 Sew. Palice Fire Eny. Plonrar Council Bldg. Off. 11 /5/8 4 APC Var. Date Permit ' 0 SurcFwrye 26.50 Plan check 146.00 sAC 525.00 Water Conn. 470.00 WaterMeter 63.00 Road Unit 260.00 Parks Taal on the axpress conditlon thal and City of Eoyan Ordinonces. Buildinp Ofiicial Permit No. Permit Holder Date Plumhirp 1 l..' I ,2-fi-? 34 ? lv H.VA.C. l? tAjfZ.? Z -' El.ct,ic sonw.. Inspaetion Date Insp. Other Footings Foundation Framing a Rough Plbg. Rough HVAC Inwlation Final Plbp. V- Final HVAC Final Cert/Occ. Water Defcri6e Loeation: _ We11 Sewer - Pr. Disp. Recaipt PLUMBING PERMIT • Permit No. CITY OP EAGAN Fee PiII in numbered spaces S/C Type or Print /egibty Tot. 1. Date 2. Installation Cost 3. Job Address . ' Lot Blk. Trect 4. Owner i : ?, 5. Contractor Phone 6. Address ; 7. City State Zip 8. Building Type: Residential Q 9. Work Description: New 3 Commercial ? Institutional O Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray ' Floor Drains Drinking Ftn. r Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 aipt MECHANICAI PERMIT Permit No. CITY OF EAOAN ,. Fee ?ir:: -•-, Fil! in numberod spacee S/C TYPQ or Print /epidy Tot --'?-+--- i. Dste ` 2. Installation Cost 3. Job Address ` Lot 81k. . Tnct 4. Owner - 5. Contractor - phone 6, Address 7. City Stata Zip 8. Building Type: Residential ? Commercfal ? Inttitutional O 9. Work Description: New p Add ? Alnr ? Repair ? I 10. Desc?ibe Fuel TYpo I 11. No• Equloment 8TU - M. Ea. Fwced Air - No, Eauioment CFM - , Mfg. Boi lers _ Ai? Handting: Mfg. -- Mech. Exhaust . Unit Heater Mfg. O h _ Air Cond. er t Mfg, Gas. PiPiny Outlets 12. I hereby certify that the abova information is true and correct, and I agrae to comPlY with all ordinances and codes governinp this type of work. Signed ' for Rouyh Find Inspections: Date Inap. Date Insp. This is your permit when numbered and approved. ApprOVed CITY OF EAGAN 464-8100 I CITY OF EAGAN 9726 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 i _ BUILDiNG PERMIT W_ C_ ,__ 1 OF 3 PLEX $53,000 84 Site Ad ess 4148 MEADOWLARK WAY Lot ? elock 6 cec/Sub. HILLANDALE 2 Parcel No. W Name ; Addre 9 City _ :?rv•ic o Name Address u ? MrV Dhnna GW I i`U'R20NCE:IUX a Assoc Name u,-? Address ?W City Phone I hereby acknowledge that 1 hove read this applicotion ond stote that the inlormation is correct ond ogree to comply with al appliccble State of Minnesoto Statutes LTd City of Eo an Ordi ces. Sipnature of Permittee - '-4-L?ft) t' ' A Building Permit_is issued ro: M CHAEL OA1S?' oll work sholl be done in accordance ith oll applicable Statd of Mir Buildinp Officicl r _ Erect 0 Occupancy n1 Remodel ? Zoning Repair ? Type of Const. V 1 13i Enlerge ? No. Stories Move ? Length 2 Damolish ? Depth 45 Grede ? Sq. Ft. Approvals Faes Assessment W t & S Permit ' o 26.50 h S a er ew. Police urc orge Plan check 14 6. 0 0 525 00 Fire . SAC Enq. Woter Conn. 470.00 Planner WoterMeter 63.00 Council ?7?-?-? Road Unit 260.00 Bidg. Off. 1 i? ''? "?' Parks APC Total 1 r .$ ? Var. Date _ on the exPress condition thal City of Eayan Ordinances. Permit No. Pormit Holder Dete Plumbing ?Jol H.VA.C. 4(E q CJ P-n 745 Electric SoRener Inspection Date Insp. Other Footings .- ? - Foundation ao Framing P Rough PibQ. 7;,7.IS ? Rough HVAC 3 ? ? ff6. Insulation ? i Final Plbg. ?f Final HVAC Final cort/o«. (?O G a 7 Water Describa Location: YVell ri Sewer Pr. Disp. . Reaipt ! MECHANICAL PERMIT Permit No. CITY OF EAGAN FN Fill in numbsred spsaas S/C r Type or Print lspiblY Tot .- 1. oete ? --??;,:?; s. insmuation co,: 9. Work Desaiption: New ? Add ? Alttr ? Repair ? . . . ,? . . 3. Job Addreu' Lot Blk. ? Tract 4. Owner 5. Contrsctor Phone 6. Addross 7. City State Zip 8. Building Type: Rasidential Q Commercial ? Institutional ? I 70. Desaibe Fuel Type No. Fquiornent ' ''$TU'? M. Ea.- Forced Air Na. Eauiument CPM ? Mfg. . , : _ Air Handling: Boi lers - Mfg. - Mech. Exhautt - Unit Heater Mfg. _ Air Cond. Other Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I ayree to oomply with all ordinances and codes goveminy this type of work. Signed : for Ra+ph . Final Inspectiona:• Date Insp. Date Insp. This is your permit when numbered and approved. Approved ' CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT. - Permit No. CITY OF EAGAN Fee F Fi!l in numbered spaces S/C Type or Prini /egibly Tot. 1. Date 2. Installation Cost 3. Job Address ' Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential O Commercial O Institutional ? 9. Work Description: New 0 Add O Alter ? Repair ? 1 10. Describe I 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank _ Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 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 CITY OF EAGAN 3830 !'ilot Knob Road SEWER SERVICE PERMIT ? r ? P. O. Box 21199 PERMIT NO.: ? Eagan, MN 55121 DATE; ? Zonirp: Owner: No. of Units: Dlex ' Address: ' Site Address: • ?" P I: an a_e ._ G Plumber. e c.?an cr.,. . . _ ., ; I I"Fw M aanylY wi16 Nw Gy ef Ealen ConnscNon Charpe: , Adinnnow. Account Deposit: PermM Fae: ' Surciwrpe: BY Misc. Chorpex Dute of Insp.: Total: Inap.: DoM Paid: . CITY OF EAGAN 3830'Pilot Knob Road WATER SERVICE PERMIT P. O. Box 21199 Eagan, Mflf` 55121 ` PERMIT NO.: (117 ? , Zoninp: DATE: _ 7/2c ? ? Owner; :'',ael Const No. of Units: - 3 nie%: llddroas: Stte Addresr 4152 '4ebdow1ark 1•la A6 Hillan ale 2 umber: ica ? ? Mater No.: Siu: Connection Charpe: 47 ,. 00 u i ? Reader No.: Acwunt De sit: pO • t , ? Nne M eM* whi fw CMy of Eo"n Permit Fee; ------ S ------- onsaaafts urcharps: ' Mlac. Charpea: F 3. 00 nd r ^'eer ? ey Totol: Date of In sp.: ?e ?id: ; I rvp.: CITY OF EAGAN ' 383d' Pilot Knob Road WATER SERVICE PERMIT P. O. Bo-? 21199 PERMIT NO.: Eagan MPF' 55121' , DATE: Zorting: ' No. of Units: _ 1 ;,l rlv Owner. ;iclLae1 t Atldmsa: - ' ` Site Addrcss: Plumber. ' AAeter No.: 7 7S ConneeNon Chorpe: 4 7 ? nn F i si:e: A ? ? cowmr- F?eposir: Reoder No.: Q o 217 ? Permit Fee: I yM M aow44 wMh IM Ciry oi Eeyas Surchorge: Orltn.ear. Misc. Gwrpes: T? ? Totol: BY Dots Paid: Date af Insp.: Irap" ? ? /7`?S TY OF EAGAN SEWER SERVICE PERMIT 30 Pilot Kno6 Road 0. Ba: .21199 PERMIT NO.: gan, MN 55121 DATE: ^'^fl: ' No. of Units: ., 1 yrn ro aosolr whM !M Cily of Eope ConnecHon Charpe: . , Ordinaseas. Aocount Deposit: Permit Fae: Surcharpe: Br Mix. Chorges: Date of Insp.: Total: Insp.: Date Poid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Br' • 21199 PERMIT NO.: Eagan, MN 551 DATE: - ' Zau: : 7 ? p e?_ No. of Units: _ ???. . C:ICO (?ORS?? Addrosr Siri Addrcss: XX 415'J '.eac o?al :tr;. C<iy L:.?:. 17illandale Z Plumber. AAatar No.: Connectian Chorge: • 00 pd $iu: Aaount Deposft: 1 ? •0 0 Readsr No.: Permit Fee: 1 ym M eaeolp vNh Nw Gry of hps .. Surcharpe: Ordimner. 63.00 pd : etcr Misc. Charyes: Totul: BY Date Paid: Date of Insp.: Irop.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Rox 21199 , Eagart, MN 35121 Zonirg: .: . Owner, Address: Sib Add?ess: Plumber: -Irb 33 WATER SERVICE PERMIT PERMIT NO.: - DATE: No. of Units: 3 2'? r 5 3 nlex B6 Hillandale 2 M°ftr No•' Connection Charge: Size: ?y ;?,?t:,??s?r: _ Readar No.: cl 3/?? 3'4 9 ? pertnit Fee: 1 aoroe to aaepy wilb Nw Ciry ef Eeyen Surcharge: ?"?? Misc. Charpes: _ Taal: BY Dote Paid: Date of Insp.. ? Insp.: 00 CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21799 PERMIT NO.: Eagan, MN 551,?1 DATE: ? ?L• r 3 ? ?: ? Zoning: ., No. of Units: ? ? OWf1Ef: i`i C1Aa41 . .Oj'1:JC Address: Site Address: ; •' :•CAC ow aT , vay - -. Zn . a C Plumber. 'teiti:Cl 1feC`,ztrlicnl 11-16-84 4777;+ IUU.UU p I egros to eomoy wlt6 tha Ciqr oi Eagam Connection Chorpe: 425. OOOpd Ordinenees. Account Deposih 15.011 l,rl Permlt Fee: 1 Q n n..:; Surcharge: BY Misc. Charges: Date of Insp.: Total: Insp.: Date PaW: CITY OF EAGAN ' 3830 Pilot Krob Road WATER SERViCE PERMIT P. O. Box 21199 - PERMIT NO : Eagan, MN 551?2,1 . DATE: 3 Zoning* No. of Units: ? c ae enst Owner; Add?ess: Sita Addrcss: • ea ow ar - ay , ,_ an a e?: Plumber: :'eztze2 7'ec`;?c '^r, AAeter No.: Connection Ghorge: Slze: Account Depostt: . Reodsr No.: Permit Fee: • ' 1 yrw to aesrly wkh Hw Ciy of Eaysa Surcharge: •, Ordineew. Miac. Charges: a. , p? neter Total: BY Data Paid: Dote of Inap.: Inap.: CITY OF EAGAN 3830 Pilot Kroob Road WATER SERVICE PERMIT P. O. Box_21189 PERMIT NO.: Eagan, MN 55121 DATE: Zoniny: No. of Units: Owner, ' Addross: m sn : , Site /lddress: ?. .?. q. ?.? - W.sv 1 {.I ii'? Plumber. AA t N e er o.: . A? jOGfQG; . ? .r K? ? - SIZl. flJ ?? yU2pDS1Y: ' Reader No.: d?/YI 7 Permit Fee: "- 1 aym M esmoy vith !Iw Ciry of bgen Surchorge: Ordinanaa. Miac. Choroes: 7? ?? . (Ot c ? ? Totol: BY Date Patd: Date of Insp.: ' ??? ; t7/7s ? REQUEST FOR ELECTRICAL INSPECTION Eg-00001-04 See instructions for completirq this torm on baek of yellow coPy. ;o< 248.61: "X" Below Wcrk Govered by This Requesr ? Mw4AddjjRep. Type of Buitding AvVlianeea Mired Equipmenl Wired Home Range Temporary Service ' Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heati«g Commercial Bldg. Furnace Silo t)nloader Industrial Bidg. Air Conditfoner Bulk Miik Tank Farm Othe, Specify Other (SCecify) ion ree velow 11 Fge ServiceEntrenceSize tl Fee Feeders/Subieeders It Fer. Circuits 0 to 200 Am s 0 fo 30 A 0 to 30 Anips- Above 200 qmpy 31 to 100 Arnps 510-'0 31 to 100 Arnps Swimming Pool Above 100-Amps '(p (r U tLA,?-Amfls Transiormers Inigation Booms Partial- Other Fee Signs ? I ISpecial Inspectfon !5 ' flemarks . ??^? I TOTAL??CCC?C?--CrCr C/D /2 ? IlouBh-in ate ' ? ?l4 . th¢ Be , ? I ? peclor, i?e.gby rtify th9f the aDove Final f Date -w inspection has baen e 7, to made. flds repuesl voiA 18 monthg hom This request void ? (? ? ? (P 7?8 months frOm ?? V Lt59AR ? t ? G ? 3 . st? Re st te ( Fre No. Fbugh-in Inspeclion Required? ?Ready Noar ?N4#FNolify, InsPec- ? es ?NO tos When Ready icenseA Electrical Contractor 1 here6y request insDection ot above ? Oyvner eieclrical work imtelied at S7reet Address, Boz or Route N/o. Citv ? ec ion o. Township Name or No. Hanee No. Coun h ? - r ? Occupant (PRI/NT) / Phorte No. Po Suna?? flelLG+ Aadres \? . +L Ele?ca Co racto (Company me) _ Comractor's Liceose No. r C L'i 7 C, Ji? Mafling Address (CoMracto or Owner Ma ?8In5tail n) 31??--o rc? Au ori ed i at re YCo ractor O ner Sgr aking Installation) Phone umiber . MINNESOTp STpTE BOABD OF ELECTRICITY THiS INSPECTION REQUEST WILL NOT Griggs-Midwav Bldg. - Room N-191 BE ACCEPYED BY 7HE STA7E BOpRD 1821 University Ave., St. Paul, MN 55104 UNlESS PROPEiI INSPECTIOW. FEE IS Phn? 1612) 297-2111 ENClOSED. REQUEST FOR ELECTRICAL INSPECTION lo- See +nstructions tor completinq lhis form on back of yellow copy. ???? ?? ? `X" Below Work Covered by This Repuest d° 6 ? ew Add Rep. 7 TypeafBUilding AppliancesWired EquipmeniWired x Home Range Temporary Service Duplex Water Heaier Electric Heating • Apt. Building Dryer Load Management Comm./Industrial Purnace Other (Specify) Farm Air Conditioner Other (specity) Contracta's Remarks: Compute Inspection Fee Be/aw: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool D to 200 Amps 3 0 ta 100 Amps 15.00 Transformers Above 200 L Amps Above 100 _ Amps SignS Inspector§ Use Only: ? TOTAL , 50 Irrigation Booms L?O 15?b Special InspecYion ? D Alarm/COmmunication (? THIS INSTALLATIO Y BE REb DIS ONNECTED IF'ND'fo Other Fee COMPLETED WIT M I, the Electrical Inspector, hereby tif h h i Rough-in Oate y t cer at t e above inspect on has been made. Final ?ate ?- OFFICE USE ONLY Thi3 request void 78 months Irom s/a/?2 31 X 1 ? tn' 2 ? ? , Request Date Fire No. Rmg? h-In Inpsegion Required VJ t ll i Inspection Other Tnan Rough•In 4-13-94 ( u mus ca nspector when reatl )[] y) ? Ready Now ? Will Noti1y Inapector Yes ? No DateReatly IN Ijpensed contractor O owner hereby request inspection of above electrical work at: . Job Atltlress (Street Box or Route No.) Ciry 4152 Medowlark Wa So. Ea an Section No- 7ownship Name or No- Range No. Gounty . Dakota Occupant (PRWT) Phone No. POwer Supplier Adtlress Electrical Contractor (Company Name) - Conhactor's License No. Total Construction & E ui ment Inc. CA-018 3 Mailinq Adtlress (Coniractor or Owner Making Installation) 10195 Inver Grove Trail, Inver Grove Hei ehts Minnesota_SS. Authorizetl Signalure (ContrectovOwner ;cing Installation) Phone Number ' -hltngA?j ry,u-ni 451-1384 _ ? MINNESOTA ATE BOARD OF ELECTflICI7Y THIS INSPECTION REOUEST WILL NOT Griggs-Mftlwey Bitlq. - Room 5-173 BE ACCEPTEO BY THE STATE 60ARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCIOSEO. REQUEST FOR ELECTRICAL INSPECTION ``` ///EB'0O0°'-Od ? , See instructions tor compliKing ihisMarm on back o1 Yellow copy. l„? ?I ?/(l ` B 2 4 S 6_2? ??X"" Below Work.Covered by This Request ? b? Nk,A Ad V. 7ypa of BuildinB Applianeaa Yrired Equipment Wi.ed Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer ElecVic Heatin ? mie rcial Bldg. Furnace Si!o Unloader ustrial Bidg. r Air Corxiitioner Bulk Milk Tank Fa Rn O[her [Specify) Othcr (SVer.iry) 1Mr (5peci y Other Olher vmpute lnspectron Fee Below q Fee ServiceEntraneBSize p ' Fee Feeders/Su6feeders # Fee Circmts o-OZi 0 to 200 Am s 0? 30 qm 0 to 30 Am Above 200 qmps 31 to 100 Amps ,5-o'b 31 to 100 Amty, Swirrming Pool Above 100_Ai?s O o?J AAmps Transiormers Irrigation Booms S Partia6`Other Fee Sigis Special Inspecffon S p? ?--.? Renarks ?/ ( ?'O (J27 TOTAL! 37 - v Ij FinaF ?[ ?rJ Inspector, herebv P certify that the above tezmPet:lion has be9n meda. Tllif repuad roid Th.s .eques ,o,d 5 o R 18 rtpnths_Trom _ q'f_? -y,5 3-? 7 ` ?.cyucna vuav rue ??o. nougn-?n InspeGOOn ? - / I ` (i? !ie uired? ? ?ReadY N. g I NolitY. InsPec- b s No [or When peadY ?mnsed Electrical Contractor 1 herehy request inspection of above ? Owner eleCtrical work iMtalled ai= Slreet Address, Box or Route No. Sb Cit - 4" ecu n o_ Township Name or No. Nange No. Cou t Occup t INT) / L?? /?",, WY?/ ? Phone No. . Po Suppli Addr S .?[ /`?--'/?/s'C. Electri 1 Contractm-ICompany Name) Contrectur's License Nn. 9 y v 41 gr Mai ing Address (ContraGtor or OWner Meking lnstai on) 3 4t? J ?-!t, Au[horiz Srture tractor/ er Making In?;Tallationl 'Phone Number NINdESOTA STpTE BOABD OF ELECTRICITY THIS INSPECTION HEQUEST NILL NOT Griggs-Yidway 81dg. - Room N-191 BE ACCEP7ED BY THE STATE BOARO 7821 Uoiversify Ava_, St. Peul, MN 55706 UNLESS PItOPER INSPECTION FEE IS PM..e (612) zy72111 ENCLOSED. This Yequest wid Vt??? from ey flequest Date Y ? Fire No. RouPh-in Inspection Required? I [DRCady Now iII Notify, Inspec- ? - ° ???No tor When Ready ;censed Electncal Contractor 1 here6y request insoection of above ? Owner electrical wark installed at: Street Address, Bo: or Route No. we City cuon . Township Name ur No. Rnnge No. Cop ? , Occupant (PRiNT) ?' ?Y? Phunc No. PoSuppli Addj2yO? ? lec[ri Co `act lCw?any me) VCwrtractor*s License No. ? l Mailinp Address IContractor or Owner Maki ta;lationl . AuMoriz iB?1 re (CoMra mJOw'rer Ma kinB lnsWllationl Wdhe Number -1 MINNESOTA STpTE BOARD OF EIECiRICITY . THIS INSPECTION REQUEST WILL NOT Griggs-!lidhuay Bidg. - Room N-197 BE ACCEPTED BY THE S7qTE BOARD 1827 UniversityAve.. Si. Peul, mN 55704 UNLESS PROPEfl INSPECTION FEE IS phom (6721 297,2111 ENCLOSED. REQUEST FOR ELECTRICQL INSPECTION hAf% es-ooou,-..j , See iretructions for completing this form on 6ack of Veilow, copy. Y? ? 5 24863 ""X" Be/ow Work CoYered by This Request p Fea ServiceEMrartceSile R Fae Feeders/Subfeeders N Pee Circuits 0 to 200 Am 0 to 30 Am s 0 to 30 An+. s Above 200 Amps 31 to 100 Amps -Ty 31 to 100 q 5 Swimming Poot Above 100-Amps W 9 etiT&j, Amps Transtormers Irrigation Boorcs Partial%Other Fee ( Sigis ? I Special Inspection S?y.? TOTP?L FEE aemarks . '?"' ? ( `?J?1 (.f.??,?'• the Elec ncal Inspeclor, heroby p{?? ? ///? ( D-te ?J certify [hat the above in,qpe«ion has been / / / ..? made. lhii BquESt void 19 rtwn[hsfian Mass R • • 0 • • ro%ili[O ALL CONTRACTORS MUST BE LIC-FNSM WITH THE CITY OF EAGAN 'C' UNIT ?? INCLUDE Q SETS OF PLANS, CERTIFICATES OF SURVEY ? SET OF ENERGY CALCULATIONS To Be Used For: ( pF 3PLEx Valuation: QOo, Date:_ Site Address: 4I52 MEPJ>pWI.PQK WA?( • • Lot: I Block: (p Sect/Sub:?11.1.1?.i17?1E Z? Erect: ? Occupancy: ?-? Parcel #: Remodel: Repair: Owner: Enlarge: Move: Address: Demolish: City/Zip Code: Grade: Phone #: Contractor: Address: City/Zip Code: Phone #: Arch./Eng: Address: City/Zip Code: Phone#: Assessments: Water/Sewer: Police: Fire: Engr.. Planner: Council: Bldg. Off.: APC: Variance: Zoning: Q-4 Type Of Const: 1- 1 UP # Stories: Length: _ 5 _ Depth: 475 Sq. Ft.: Permit : 2-9rj, °° Surcharge: ? 2 ?°o Plan Rev. : 1 Gl? .s_° -? _ SAC: 00 - 'E> Water Conn : p °° Water Meter (03.°-° Road Unit: ? Parks : ? (7 7- S CITY O,F EAGAN N? 972 4 3830 Pilot Knob Road P.Q' Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receiot # C? Te ba wed Wr 1 OF 3 PLEX Est. Value $54,000 pate NOVEMBER 16 jy 84 Site Address 4152 ' MEADOWLARK WAY Erect ff Occupancy Rl , Lot 1 Block 6 Sec/Sub. HILLANDALE 2 Remodel ? Zoning Percel No. Repair ? Type of Const. y 1 HR Enlarge ? No. Storip?s5 ? Name • MICHAEL CONST Move ? Length ? Z Address 8800 HWY 7, SUITE 331 Demolish ? Depth 4 5 , ? City ST LOUIS PF(hone 938-4262 Grade ? Sq. Ft. ? Name SAME ZO ?? Address F- City Phone bw W Name DU'MONCEAUX & ASSOC _ F ?? Address . ?W City Phone Approvab Feea Assessment Water & Sew. Police Fire Eng. Plcnner Council Permit 9 47 J. V V $urcharge 27.00 Plon check 147.50 S,e,C 525.00 Water Conn. 4 7 0. 0 Woter Meter -JEI?Qo Rood Unit 2 6 0. n 0 I hereby ocknowledge that I have read this opplication and stote that Bid9. off. 11/5/84 parks the inlormotion is correct and cgree to comply with oll oppiicable APC Total $1.787.50 State of Minnewta $tatute nd Cit of Eo on Ordinances. Var. Date Signoture of Pennittee '? A Building Pertnit Is issued to: ICHAEL CONST on tha express condition cll worli sholl be done in accordancq.wrtK'3,Y1'aqplitablerSfa"f Minnesota Statutes and City of Eagan Ordinances. that Building Officiol Jqz=wl i-Q-. ? • • • • • ? ALL CONTRACTORS -MUST'BE LICENSED WITH THE CITY OF EAGAN ?AUNIT ?J?? INCLUDE 19 SETS OF PLANS, CERTIFICATES OF SURVEY ? SET OF ENERGY CALCULATIONS To Be Used For: ( aF Valuation: S3,000,2? Date: Site Address: 415D MqbrpWLp.QK Wo.y s • Lot : 2- Block :& Sect/Sub :91u,pµpALE 2-0-?Erect : _Y, Occupancy : Q-? Parcel #: Remodel: Zoning: P-4 Repair: Type Of Const: -Z-IHR, Owner: Enlarge: # Stories: - Move: Length: 21 Address: Demolish: Depth: 45 City/Zip Code: Grade: Sq. Ft.: Phone #: _ Contractor: " " • ' Address: City/Zip Code: Phone #: Arch./Eng: Address: City/Zip Code: Phone#: Assessments: Water/Sewer: Police: Fire: Engr.. Planner: Counci L• Bldg. Off.: APC: Variance: Permit: ?-Cl 7,-° Surcharge: -?? Z-(o. _ t!p Plan Rev. : I Li (o. sAC : 5Z5. °s water Conn : 410. Water Meter (03.= Road Uni t : 'L(op. °_ 1/- Parks: '? ' / r ??a? 5 0 CITY OF EAGAN N9 9"f?,`?j 3830 Pilo4 Knob Road, P O Box 21•199- Eaaan_ MN 55721 PHONE: 454-8100 BUILDING PERMIT Receipt Te be wad Fo. 1 OF 3 PLEX Est. Vclue $53, 000 pafe NOVEMBER 16 19 84 Site Address 4150 MEADOWLARK WAY Erect OX Occupancy Rl Lot 2 Block 6 Sec/Sub. HILLANDALE 2 Remodel ? Zonin9 R4 Parcel No. Repeir ? Type of Const. V 1 HR Enlarge ? No. Stories ? Name MICHAEL CONST Move ? Lenyth 25 Z 1 ?? HWY 7, SUITE 331 Demolish ? Depth _45_ 9 Address ST LOLiIS P? 938-4262 Grede 11 Sq: Ft. one CitY N SAME g ame ?q Address ? City Phone ? DU MONCEAUX & ASSOC W Name ?W u? Address ?W City Phone I hereby ocknowledge that I have reod this application and state that the informotion is correct and agree to comply with oli opplicoble State of Minnewta Stotutes a? Gry of E an Ordina s. Signature of Permittee ? A Building Permit is issued to: MI AAEL CONST ail work shall be done in accordonce w all p licoble St te o il Approvuls Fees Assessment _ Water & Sew. Police Fire Eng. Planner Council BIdg.Off. I1 5 84 APC Var. Date Permit 292.00 Surcharge 26.50 Plon check 146.00 SnC 525.00 Water Conn. 4 7 0. 0 0 WoterMeter 63.00 Rood Unit 260 _ ? 0 Parks Totei $1, 782.50 on the express condition that Stmutes and City of Eogon Ordinonces. Buildinp Officiol WM0111M ALL CONTRACTORS MUST BE LICE4SED WITH THE CITY OF EAGAN UNI INCLUDE Q SETS OF PLANS. CERTIFICATES OF SURVEY SET OF ENERGY CALCULATIONS To Be Used For_ ( DF -5 PL'E}C Valuation: 1;;5,C00. ? Date: Site Address: 4148 MFpmWl.H.2K. WC'•`( • • Lot: 2j Block: (o Sect/Sub:{-}?LLAI?Apo,« `?'1PErect: Occupancy: l2• ? Parcel #: Remodel: Zoning: ? Repair: Type Of Const: Z- I N Owner- Enlarge: # Stories: ? Move: Length: 2 Address: Demolish: Depth: 5 City/Zip Code: Grade: Sq. Ft.: Phone #: Contractor: • ' Address: City/Zip Code: Phone #: Arch.fEng: Address: City/Zip Code: Phone#: Assessments: FlaterjSewer: Police: Fire: Engr.. Planner: Council: Bldg. Off.: fL. 9g APC: Variance: Permit: ZV Surcharge: vo, Plan Rev.: SAC : 525 Water Conn: 410,9° Water Meter (O3. Road Unitc Parks: SO CITY OF EAGAN M 9726 ' 3830 Pilot Krtob Road, P.O. Boz21•199, Eagan, MN 55121 ' PHONE:454.8100 BUILDINC PERMIT Receipt 1 OF 3 PLEX Est.Volue $53,000 Date NOVEMBER 16-11984 Te be wed for SiteAddress 4148 MEADOWLARK WAY Erect IN Occupancy Rl Lot 3 Block 6 Sec/Sub. HILLANDALE 2 Remodel ? Zoning R Parcel No. Repair ? Type of Const. V 1 HR Enlarge ' ? No.Stories MICHAEL CONST Move ? Length 25 ? Name Oemolish ? Depth 4 5 ; Address 8800 HWY 7p SUITE 331 b City ST LOUIS P?one 938-4262 Grede ? Sy. Ft. ?o Name SAME Address ? City Phone ?w Name DU' MONCEAUX & ASSOC i? Address u <W City Phone I hereby acknowtedge that I hove read this application and stote thot the iniormatian Is correct and ogree to wmply with all opplicabie $tate of Minnesoto Statutes d City, of Ea on Ordin i es. $ipnoture of Pertnittee ? A euilding PeRnit Is issuedM CHAEL ONST all worlc shcll be done in accordance a 1 pliwble a of ii Buildinp Oificiol _ Approrol. Fees Assessment Woter & Sew. Police Fire Erq. Planner Council Bldg. Off. 11 /5/8 4 APC Var. Date Permit 2 2 ' 0 Surcharge 26.50 Plan check 14 6. 0 0 SnC 525.00 Wate r Conn. 4 7 0. 0 0 Water Meter 63,4 0 Rood Unit 2 fi 0_ n 0 Parks Total $1,782.50 on the express Condition that Statutes ond Ciry of Eagan Ordinances. x ! r;=;.E},Mr3D TO#,,NHIDMES :311. MH_IRLFQWL_HRF; "Et 1Efi?GAN MN PRcPARcD E_NZEL MFCHRtfT.C;='t` j;r J ?? ..: rf ? . . t_fiNIiIT3Iltti=: tiTEF'---- --------------- r----- '"OUTSME OUTSME Ii'+"vIL: 0 (1 T-.ii,E r, ?i - ' ----- _ _ ?<. I?r, ,- ? ni?I L'r' : ?'- 4-1 t=t ? D?s_ EE:?' l_ti7 T f'f 1DE R :1i'?f,= f? 1A, ?? : t;;', ? . . CISry 1i:C ?;?Ei3T.: ? iLM'i .?...:,.., . , f n:.,c-._.,.r .. . -Cii'tt^Q:?! =tdT- s,: ?- =H ---;J!';_ ? ---- ---?:?-i it:-.-- !i=i: ?; ! ?-- -- -,-.- . '' ?IQ ?I:q Va 3 ?? 'l/ '3?'}' A C ? J.JC .}._I v !•1i'tLLJ . .i3]{i 4 i ? zNG .y FLUCR-v i :1 t1= :i;',?ENTI.LtiTT_IIr. ;;RcIIPLE UCTS x LRTERT "r,RIhi _ ? YS ?J 'n t':;, .aT.aLs Y; { { _.y.Ga. „ I2l?i}. 33 , U H LO SS .. C,- %?Pi.S- TF:i1'_ ; i10 t, i.'!EE '-5 8 19 x; 1fi?z i 7 9i!_=:r?, ?E iS iii_i. 1?lJ ?Cft.ye ?c;pJ jf-F I] . 13. _.?'f .?) C { c: C ! •._I a ?Sg> ? t COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 070 n? ? Foundation Onl New Construction Interior lm rovemenE • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • StrucWral 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 Ept Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculatlons (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Povuer 8 Lighting Form (1) notalways" • Meter size must be established • Meter size must be established • Meter size must 6e established -if applicable • Project Specs (1) 1 • EnergyCalculations (1) 1 • Electric Pover & LighGng Form (1) 1 • Master Ept Plan (1) 1 1 • Fire Protection Plan (1) 1 • Soils Report (1) 1 • MC/ES SAC determination letter . MC/ES SAC determination letter • MClES SAC determination letter call 651-602-1000 call 657-602-1000 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: J - 3 O- 02-- WORK TYPE: _ NEW (( REMODEL CONSTRUCTION COST: /.QO -I. 3; SITE ADDRESS: L/ /Le4-'-/ -'J4 ? s0? TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK N-5 T?tV(.- N /k-L 1Ah? G ?L LS ?ON-? /L?1RIF?TTl? Naxne: ?9x!/nJ/lflM fY /QS 549 G. Phone #: I) 179e-I - 0e'1 6 S PROPERTY Last First OWNER Street Address: City: State: Zip: Company:/'1/4/A/450-rA- I/lA11/!. ?,a 11'!-41Y"l!/Vb+trPhone#: -OCP 0.5- CONTRACTOR 5 Y?7 7PwM 5 Street Address: ! 2?° y0 /'?0G s..G ?/ W A- City: 5 1?6+4'J" P"_ 3tate: /SG zip: ,S`,$` 3 Z cj ARCHITECT/ ENGINEER Company: Name: Street Addtess: City: Licensed plumber installing new sewer/water service: State: I hereby acknowledge that I have read this application, state that the information is Minnesota Statutes and City of Eagan Ordinances. Phone #: ( ) Registration Phone #: and agree to comply with all applicable State of Signature of OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaUIndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. 0 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE ? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bidg ? 43 Reroof ? 47 Repair ? 33 Alterations G 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 Planning Building ? Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered Q 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 C'ITY C?F Ef=,rAN CASH:f.1=Ra f:i TERM.T.NAl_. Nflv 6.".-3 nnrFw 04r02i93 TzMEe 0005e; •z0, NAt1E a OVERF•IEFtLi C:l:tNSTRL1CT.T.C1N 3210 9001 4 i i. i MrnnrnNi...nr,f: 543.25 205 9001 4a.ii' hfE(3DC)W!_Af?I; c?tJoC10 300 70(]1 414E; MEfiDt7Wt_(-tl;l; 391..25 l2i.55 .`.-?GC?i. 414R ME.F•lDrt)WI_.Aw'I( 12,,50 7ota1 F:ece:i.p+, Amt:aun+,e 917.00 C00584:1. LISC:fi IXie NAi';C`I ?X?;C?C?+Yh/`XM?%?%>X%?%?M??Y•?^'%?`.h?Yti ??i ?i ?k>X>X A?XM>X>XiXW*?k+'?i ?M}X?kX? ? 1999 BUILDING PERMIT APPLICATION (RESIUENTIAL) CITY OF EAGAN 3830 PILOT HNOB RD - 55122 O? 651-681-4675 ?li-o New Construction Reauirements RemodellReoair Reauirements a.(? ? ? 3 registered site surveys showing sq. fL oflot sq. It ofhouse and all roofed areas (20% maximum lot coveraae allowed) ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 set of energy plculaGons ? 3 copies of Vee preservation plan if lot platted aker 711l93 DATE: ? ?- 3 17 DESCRIPTION OF WORK: STREET ADDRESS: l f T_?4,2 z - LOT: ':? ? BLOCK: (o SUBD./P.I.D. #: PROPERTY OVVNER ? 2 copies ot plan ? 1 set of energy calculations for heated additions ? 1 site survey for exterior a itions & decks aVj1?'-aA--q it- CONSTRUCTION COST: Name: L- 4?xe-oz? S Phone Lasc Pvst Street City ? ?C/ State: f V `'L- Zip: Companyc Ct''•O?Z &Z,-f'?Y'LtPi?f dz'_ Phone #: C l? o '" ?a ??:Z CON'IT2ACI'OR ? ?a?y A / C?' /? Street Address:_ !tG I?cense fi 0e'?? Exp. Ciry ! , State: "L Zip: S?? ARCHITECT/ ENGINEER Company: Phone t1: Narne: Registraaon #: Street Address: Ciry State: Zip: Sewer & water licensed plumber (reauired for new construction onlvl: •/?/ %!' Penaity applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: D? ^a'Cr"?'ZL-- OFFICE USE ONLY Certificates of Sunrey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required .. ,. I& BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 02 SF Dweliing ? 07 5-piex ? 12 12-plex ? 17 Garage O 22 Porch/Addn. (4sea.) 0 03 1 of _ piex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-ptex ? 09 7-plex ? 14 Apartments ? 19 Lower Level O 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only 0 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 WindowslDoors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MClES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Valuation: °1o SAC INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 023312 Eagan, Minnesota 55123 Date Issued: 0 4/ 13 J 9 A (612) 681-4675 SITE ADDRESS: LoT : 1 B L 0 C K: 6 APPLICANT: 4152 MEflDOWLARK WAY GUNTER SANDRA HILIANDALE 2ND (612) 687-7000 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION FRAMING .. . INSULATION .. ROUGH ZN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY pLUMBING OR ELECTRICAL WORK PERMIT CR 22-Z1l -? CITY OF EAGAN 4-1q-0 3830 Pilot Knob Road PERMIT TYPE: B U T L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 3 312 (612) 681-4675 Date Issued: 0 4/ 13 / 9 4 SITE ADDRESS: 4152 MEADOWLARK WAY LDT: 1 BLOGK: 6 HILLANDALE 2ND P.I.N.: 10-82951-010-06 DESCRIPTION: Building..Permit 7ype Building Wo:rk Type r ; : .? t_.._ i I \ ?,• ? r BASEMENT FINI5H AITERA7I0N , ?`-'J " " `' ? ?i?J REMARKS: SEPARATE PERMI75 ARE REQUIRED FOR ANY PLUMBTNG OR ELECTRICAL WORK FEE SUMMARY Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - GUNTER SANDRA 4152 MEADOWLARK WAY EAGAN MN 55122 (612)687-7000 I hereby acknowledge that T h.ave rsad this application and state that the information is correct and agree ta comply with alI applicable State afi Mn. 5tatwtes and City of Eagan Ordinances. ? . _?_-- c ? (f?r•. /1.?1 'l.. 7 ?LGV./?,? 'i/ AP P LI CANT/P E RM ITEE'SI GN ATU R E I Ss?'?? A. I rn,? 23311 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 ' V 7 E..^...._ 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 of 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 Valuation of work Site Address: ? 5-?-- d ,IA4 STREET SUITE # Tenant Name: (commercial only) LOT BLOCK ? SUBD. rh?,, ' v P, I.D. # Descri tion of work: , kM6?j) The applicant is: Owner ? Contractor ? Other (Describe) Name Phone lr 7- D gd 7 Property LAST FIRST -41 ; t7 / _ rybo? t7 Owner / pddress STREET STE # City ?442v2? State /1 n. Zip S-s/ a2- Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & 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 application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: •tN' OFFICE USE ONLY BUILDING PERMIT TYPE ? 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 ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck WORK TYPE ? 31 New 13 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? .Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing JB Final ??.???? . ? ? •.. Y1...? ?? 0 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. 0 19 Comm./Ind. Misc. ? 20 Public Facility O 21 M9scellaneous ? 37 Demolish MWCC System City Water PRV Required Baoster Pump Fire Sprinkler Census Code y3y SAC Code / Census Bldg ? Census Unit Assessments M[ Framing ? Draintile M Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: vatuacion: $ SAC % SAC Units PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN 1'ERMITS ARE REQUIRED ;rOR EACH UNIT. I ` v0. FIXTURES EACH TOT.AL ? SHOWER 3.00 3. 0o Wf1TER CLOsET 3.e0 ?3.e0 BATH TUB 3.00 ? LAVATORY 3.00 3, o o _ KITCHEN SINK 3:00 LAUNDRY TRAY 3.00 HOT TUB/SPA "3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 ? GAS PIPING OUTLET • minimum - 1 ROUGH OPENINGS 3.00 1.50 ` 56: yyn rFR SOFi'ErlER 5.0 0 - ?.. , w... PRIVATE DISP. • Dek.ay. iic. 20,00 U.G. SPRINKI.ER • nome unaer cnnst. 3.00 ALTERATIONS • to adsting 20.00 WATER TURN AROUND 20.00 ` STATE SURCHARGE :SQ TOTAL: a2d • ?D SITE ADDRESS: '0'/5Z OWNER NAME:, jem? INSTALLER: - ADDRESS: CITY:_ sa 4oirll STATE: ZIP CODE:. ?- PHONE #: ? G/a) . 9s2 -1-5-65- ?//ZP/yl oG ?? ? 5 GNATURE O PERIvIITFEE 1994 PLUMBING P-ERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIL(DT KNOB RD EAGAN MN 55122 , (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAI./INDUS'TRIAI: BUILD.INGS. ALSO ROR Iv1ULTI- FAMILY BUILDINGS WHEN SEPARA'TE 'PERMITS ARE NOT 12EQUIRED FOR EACH DWELLING UNIT. NEW CONSTRi7CTiON ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEC: 1% OF CONTRACT FEE. STATC SURCHARGE: $.50 FOR EACH $1,000 OF ggM FEE. M1tIN1111U11'I FEE: $ 25.00 CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: r..>. .,_ , TENANT NAME: STE. # OV1'NER NAME: INSTALLER: , AD'DRESS: -?- ? - - C1TY: ? STATE: ZIP CODE: P'HONE #: ' FOR: CITY OF EAGAN APPLICANT 1994 PLUMBING-PERMIT (COMMERCIAL) CITI' OF EAGAN 3830PIIAT KNOB_ RD EAGAN MN 55122 (612) 6814675 , ? 2/84 , ? CITY OF EAGAN % APPLICATION FOR PERMIT . ` SEWER AND/OR WATER CDNNECTIODT (PLEASE PRINT) 1) PROPERTY ADDRESS: r.rr3AT• DESCRIPTICN: i?i/ ?/e Z , .?. ?».: (iot/B1ocJc/Stbdi.vision or.Tax Parcel I.D. Nunber) . _ . , IF ? .^{I= _ ^ Cmo '•-^r ^ ^ , _ ... ,--. - ::?, , .. _?. _ ,? _:•.•?T .. ..._.. (L%'or.=zi=e?; -- -- PRESE:N'!' --^,]Px;/Pw)POSED LrSE: . ? R-1 57NGLE FAMII.Y . O R-2 DUPLEX (TyVp UNITS ) Q. R-3 ?I'OWNHGZJSE ('PHREE: + CNITS ) ( ? UNITS ) . p R-4 APAR24ENT/CONDCmTiviZM ( UNITS) . ?.CCM14EtCIAL/REPAIL/OFFICE . ? IIQDUSTRIAL INSTITUTIONAL%C'?OVIIMRqTp. 2) APPLICANP (PLEA$E PRINT) NAME: ?IIL?IGQ6I l ii/ljf' T co ADDRESS: /sr/.c)PSZ?r? CITY, STATE, ZIP: PHOi : 3) pj,U[.qggZ NPME : FL'ASE FRiNT j ? FDR CITY USE ONLY ADDI2ESS• ? ' Meft 2=KFNNFRFCQRIVE EAGAN MINN $5122 PLERS LICENSE: ' •. CITY, STATE, Z IP : . "?,.452•1565 ? Active Ex p i r e d ' PHONE: .pLUMBER. LICENSE ?/ 001445M2 ? Not of Record Zitatt ni ia lrLEex rtsitll J ,.; .. .. .. . , NAME: -2--- iiDDRFSS : , . . CITY, STATG, ZIP: PHONE: 5) TNDICATE Wf{ICH PGRMIT IS BEIW. RDQUESTID: ? CONNEC'I'ION TO CITY SE,Tr1ER CONNBCrION TO CITY WATER ? 0`PIIM (PLFASE DESCF2IIIE) - 6) INDICA2'E 0NE: ? PI.EA.5E HOLD APPROVEp PERMIT FOR PICK-UP BY ONE OF ABGVE ? PI,EASE MAIL APPROVED PEF2MIT TO 1. 2, 6 4 RHWE . (Circle one) ? 7) SI&NP.TURE:? ? . DATE: i , . . . .--:,_ .t:_?...., ;,,_.;.__ ....... ...._ .__. .. .. , _._ •?.?.?ae?.e??.;,.. sw .?. ,., . . ,.... ?.:ri..K y.e i?i ?+ar??•R;i.ii ?r iAk ?;i??w?rt ?rr?!! A?k .•, rt . ..?;..?+t'?'? ?a. • . . . .. ., , .. s!! ss!r?uEss `? - ,, F O R C I T Y U S E O N L Y . . .. ' . . v rl PERMIT # ISSUED . . . . ' . . .1,r .- _ . ,.:; , . . . . ?: _ . . . .... ., . . . , . . . . . .;¢:? FEES : SEWER nERMIT ( I:VCL=- SUP.CFIP.RGE ) .. .... . . _ ,. WATER PERP1TT (INCLUDE SURCIIARGE ) $ ?3" ' WATER METER /COPPERHORN/OUTSIDE READER . $ "WATER TAP (ZNCLUDE COP.PORATION STOP) $ SEWER TAP. . ACC.OUNT GEPOSIT - SEWER , $ ?-'? ACCOUNT'.DEPOS ZT - WATEF. WAC. : -`SAC.. $ .;.TRUNK.WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER. S LATERAL BENEFIT/TRUNK WATER $ , . OTHER, . .. ..- .... $ ,.: _ :', . . TOTAL : i ? , $ a 9G `=, AMOUNT PAID/RECEIPT. # DOES UTILITY CONNECTION REQUIRE EXCAS7ATION IN PUBLIC RIGHT OF WAY? . .... .. . .. . . .. _.. . _ ,_ . . _.., , , .. . ; ? YES. II' YES, THEN "A'"'PERMIT FOR WORK WITHIN -••.`° ? PUBLIC:ROADWAY:".MUST BE ISSUED''BY THE - NO ENGINEERZAIG.DIVI5IOI3. LIST AS A CONDI-- TION." . ,.. SUBJECT TO TfiE FOLLOWING CONDITIONS: _ . . , .. APPROVED BY: TITLE: DATE: •a ? wi. ??s?..:s. aE??e ?w w? ?t??!r`? ?!?! r?!w?*!?!?I'?! w?! ?e!?e ?? nt?res? r. ? 1) 2) " (PLEASE PRINT). „ . ._ .. PROPERTY ADDRESS: . 2j,'?'/Y?O%I`-?%.i//?%'?' IEGAI, DESCRIPTICN:, (Lot/Block/SuLxilv3.sion or T&x parcel I.D. Nlunber). :. .j, , t • ° . g E:a S _ _. .i CT7-7L,'^Ta_, f??r-•-??? ^DT^ n T i ' . r "',+' L` `.1+ ?._ . .. ; . . ' . •. > , ? _? ._,.,_ G ..1T 1 .._.. _ - . . ,.., _. „ PRESE!,?'P 71LV;/PT20POSED USE: R l SINGI.,EE FAMILY ..- • ? i R 2 ` DUPLZC : .('IWO UNITS ) . 63',R 3 T(7WNH0[JSE (TH2EE + LTNITS) UNITS) ;. E3' R-4 APAR`iP4ENT%CONDOMINIC iM ( UNITS). ' p,CQNIMIIZCIAL/RETAIZ?OFFICE : 0 I=USTRIAL ' .. p INSTITUTIONP.L%GCn1EFtIqMETPP , APPLICANp : (PLEA$E PFINT). . ADDRESS : • `/s?/?P t7??rn "olz? ,:4',? ???r? ?? D Cr]???/u?v '?7 CITY, STATE, ZIP: PHONE : . ?3 ?' '? ?a / ? , . - . . . . • 3} pEbMgg2 NAME : ? ,., . .. , , PLEASE PRTH; ) , :.. FOR CITY USE OALY ; ADDRESS• • . 3M K iro???nr?r M1NN 55172 GUUGRRIVE: EAGAN PLERS LICEHSE , ' ..._._ CITY , STATE, ZIP: ' „ . ?'452•1565 Active Expired ' PHONE: PLUMBER. LICENSE /{. 001445M2 (? Not of Record '; • , Q` ?' ` ?: , ; . %4 ,., . . . .? . - . . . 4) OOCCIPANP/CJS-TPIEfZ Nl?4E : (PLEASE PRINi) ,.., .. ? ,. a ni ia . . _. .. , . ? . ADDI2ESS: - CITY, STATE, ZIP: _ PHONE : . , 5) INDICATE WHICH PI?RMIT IS BEING REQUES'.PED:. . ': _ __... _,._ _ ..,. . .....?.. , ,,.,.. . . _ .. . . . .. .:.,;._ :..:,,.. . .,. .. ._.. . ? CONNEGTION 7b CITY SD7ER •. ;: , _.. . CONNECPION ZO'CITY WATEFt ? OTIER (PLEASE.DESCRIBE) _. _.. - .. . _ . .;? .,. . . , . , Y .... 6) IlVDICA7'E 0NE: ? PLF.ASE HOLD APPRNEp pERMIT FOR PICIi-UP BY ONE OF AF30VE ? PL.EII.SE MAIL APPRpVED .PERNLLT 'IO l, 21 AN 4 ABOVE (Circle one) 7) SI&NAT[7RE: DATE: ' &???/fT.S:? f FEES: $ ?a_ •-s"d SEWER P:RMIT (INCLUDE SUP,CF?P.RGE) _.... ... $ ; ,:... ,...... . . : ?e WATER PEr*4TT (INCLUDE SURC[IARGE) , ;°WATER' METER'/COPPERHORN/OUTSIDE READER - . . ? . : _ .... _ .. WATER TAP (INCLUDE COF.PORATION STOP} ? SEWER TAP, :...._.. $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOS TT - WATER $ _, ,.... $ :''SA'C . : . $ . ,.,: ..,...,.., , .. . . _ , , ........ _. _ TRU NK,WATER ASSESSMENT. $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ ZATERAL BENEFIT/TRUNK WATER $ • OTHER . _.. _. : $ . , .. ' TOTAL $ . e-2 9G •" AMbUNT PAID/RECEIPT # - :. , DOES UTILITY CONNECTTON, REQUIRE EXCAI7ATION IN PUBLIC RIGHT OF WAY? _._ ._. _.... _? . YES. . C] .... . , . ._ . , . . ,. . r " MIT FOR WORK WITHIN - IF YES, T?HEN A PER ? PUBLIC:ROADWAY° MUST.BE ISSUED BY THE NO ENGIAIEERIDIG:DIVISIOP:_ LIST AS A COIvDI- TION.. _ SUBJECT TO TfiE FOLLOWING CONDITIONS: APPROVED BY: TITLE : DATE : ? . ._ . ?.'.f. 2/84. ' (PLEASE PRINT) ? .,. r . :? 1) PROPER'i'Y ADDI2ESS: . . . . . LEGAL DESCFtIPT'ICN:) (L.o,t/B1ockSL?bcLi? / ision or Tax Parcel I D. Ntmber) • . ? ? . . _ . . ... t..,v C'?^?.L'^I'T `)n .. . ..: . . .?. , , . , . ,. ? . _,....: • ._.. --- . i?•?ir.?zi:'e?; , : PRESE'V'P --^cIIDX;/PT20POSED USE: ; ` - . . . _. eR 1 SINGLE FAMILY`".? , . . _ 0?r'R 2` DUPLE{, m6:UNITS) . ? . R .i., TOWIVI-IIXJSE (T1-REE + UNITS) UNITS) .• -: a J, O: R-4 APARTm=%CONDOMINIIM ( UNITS). p ": CCvIMERCIAL/RErAII,/OFFICE ' .., 0' ]=USTRT.AL' . . _ . q: INSTIT(.FrIONA/ L, ? G OvERNMarr ,. . . 2) APPLICANP (PLEASE PRINT). ? `. . NF1ME: lY? • C?1GQe? ? f ? l ,ii ? n?l? ADDRESS CITY, STATE, 'ZIP: ?f--• ?iltiir `?Cl?i? ' ?., j/,?? ? /?.7 -.. . .. ... ?_. .. ? ? PHONE: _ .... . , . 3} PLIJNIBER .. c ?PLERSE PRItiT j. FOR CITY USE ONLY ; NA I'?: Afteft ADDF2ESS• U ' PLUNe RS UCEHSE ; •. 3?nn KFN?tGRE6 DRIVE' nn EAGAN M1NN 55122 Active ... . • ?. ? ' :.. CITY 2•1565' , STATE, Z IP : 45 _ Expired ? PHONE: "Not af Record . PLUMBER.LICENSE #}. 001445M2, ? • ? ;` °' ,? } ?'• . , , a , ni ia . 6) INDICA1Z 0'VE : 7) SI&NATURE: ,I ? PI.FI\.SE EIOID APPRC7VEp PERMIT FOR PICEC-UP BY ONE OF..ABWE .-? PLEASE MAIL APPRpVED PMMIT TO 1, 2, ? 4 AEOVE . ; (Circle one) ? / .,.; c... DATE: , .. ,- _- ..:. _ _ ..... _.. . . ._.. _ .. . ?R ? w_..w??qi;}N SYI lLw ?.:? . . .. . . ................. .. . .. . . . . . .. . -?? i ?. .. .? . . ,y :.a?.cll:JY:1i ? ? ?? t ??1 ? ?.?.? •. ?Y Rf 3 F"^ < Y .. . ?,?????? . .. ...T????? ?5??? ? . . . . - - ., . .? i e a:` F0R C ITY USE ONLY , "•, PERMIT '?. ISSUED ? , ? ? . . -.. -_ ...___ ..,_ ' , . FEES : $ / ; SEWER ., . .... .. . ?. ,. ?'I.-RMIT ( 2.ICLUD? SUP.CIIARGE) . . :. _...... ... . ? .,....:._ WATER _ . . . . . PERD4TT (INCLUDE SURCIIARGE ) ` METER"%COPPERHORN/OUTSIDE READER . $ WATER TAP (INCLUDE COP,PORATZON STOP) $ $ 1? ?- , o- .. . .. . • '? _. . .._F SEWER,TAP . ,?ACCOUNT GEPOSIT .-` SEWER 01 ACCOUNT. DEPOSTT ? WA`.?'ER r` WAC" •.. . . , . ' ' . ?. a ' . . ' .. .... ..' :. . . . 'J:' . . .. ' . , .'...: ?.... .. Y; APPROVED BY : TITLE: ? DATE : RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New ConsWction Reauirements • 3 registered site surveys showirg sq. 8. of lol, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies oi plan showirg beam & window s¢es; pou2d found design, etc.) • 1 set of Energy Calculations • 3 copies oi T2e Preservation Plan ii lol platted afler 711193 . Rim Joist Oetafl Options selection sheet (hldgs with 3 or less units) DATE 30 -- d JOB SITE ADDRESS71 IF MULTI-FAMILY BUILDI PROPERTY OWNER _L . HOW MANY UNITS? 3 TYPE OF APPLICANT ADDRESS ? PAGER # PIREPLACE(S) ? _ 1 _ 2 _ PHONE#7?3"'il^-Z?J? ZIP CODE J S L/ 3,? CELL PHONE # 1 L°?a FAX # ? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagaq Signature of Phone # Phone # mati is ices ? t Fee: $90.00 Fee: $70.00 Certificates of Survey Received _ Tree Preservation Plan Fjkceived _ Not Rdfluired _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone Water Softener _ Lawn Spriiikler Water Heater No. of R.I. Baths No. of Baths RemodeVReoair Reauirementa • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indirate it home served by septic system for additions ALUATION,;'-76L i i Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 OMplex ? 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 (addirion) 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 & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 OS-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 ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscelianeous ? 30 Accessory Bldg ? 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)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered FinallC.O. FinaUNo C.O. _ Plumbing HVAC Building Inspector RESIDENTIAL of f?Tl? BUILDING PERMIT APPLICATION ? 2 L(Lj, 2S CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConatruction Reauirements RemodellRenair Reauirements • 3 registered site suneys showing sq. ft. of lol, sq, ft. of house; and all roofed areas • 2 copies of plan (20% maxlmum lot coverege allowed) ? 1 set o} Energy Calculations ior heated addilions • 2 copies af plan showirg beam & window saes; poured found design, ?? . 1 site survey for exterior additions & decks • 1 set oi Energy CalculaGons ? . Indicate if home served by septic system for addiGons • 3 copies of Tree Preservation Plan il lol platted after 7/1193 • Rim Joist Delail Options selection sheet (bldgs with 3 or less units) DATE 5-30- O l VALUATION?? •0 n JOB SITE ADDRESS L1I52- Moa cloc.u I(x f K IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?ROPFRTY OWNER 7;u&q L ?nd.Qn bE TYPE OF WORK 4csADI0.c_emo r?_* w i,r7"w !4 fIREPLACE(5) _ 0_ 1_ 2 APPLICANT 1??c?? ? ? ?nc? rS PHONE# 952 - $ $ 7 ` 1(?e ADDRESS g Ol`I N ? Lo II?-?- 1?11 e• ZIP CODE S24 Z C) PAGER # Fax# 95Z - ?a 7/(o s q NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet 5ubmitted Plumbing Contractor: _ Ptumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Contractor: All above information must be submitted prior to processing of application. Phone # Phone # Fee: $90.00 Fee: $70.00 n ? I hereby acknowledge that f have read this application, state that the information is tqeq-and-n e o cofnply with all applicable State of Minnesota Statutes and City of Eagan O`rd,inances. Signature of Applicant c f CELL PHONE # Water Softener _ Water Heater No. of Baihs Phone #: Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex O 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation ?ansus Code SAC Units Nbr, of Units Nbr. of Bldgs Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) _ Footings (addition) Plumbing Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insularion _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit& Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total O 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Pibg_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) 0 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning C:ity V?iater Stories Baoster Pump Sq. Ft. PRV Length Fire Sprinklered FinaUC.O. _ FinaVNo C.O. HVAC Building Inspector Use BLUE or BLACK Ink I For Office Use Permit E~ I City of Eajan , p3 , sa I Permit Fee: 3830 Pilot Knob Road I i t Eagan MN 55122 Date Received: -GJL- I t Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I ~ f 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -l rl's Site Address: y l 1 ~'~~W t bLK l~ Name: [ (,(1V1► IV~C f Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner ~,(Co`ntractor } j Type of Work Description of work: fJf7' ,n/yvr si / S Construction Cost: Multi-Family Building: (Yes / his ) Company: !V I f,) f~ A v S A 4 .f~W- Contact: 111r~ I Contractor Address: )0701 City: (U~lJli:. State: MA) ` Zip: J t0 Phone: L, 9 ,7 License#: Lead Certificate#: fi/74_r' 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 e° the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota S uildi CJmt completed within 180 days of permit issuance. x 61w- ~ )-iss x Applicanrs Printed Name Applicant's Signat ~ /yjy n ~ Page 1 of 3 r For Office Use °°° e i `• Permit#: /--C(7 (�/ ' 0/ .,.. .‘ ,, ,,,, E AG A N %.... .: , �/• U (O Permit Fee: CEIVEC E Date Received: —/ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 APR 0 3 2019 Staff: 1 buildinginspectionsOcityofeagan.com 2019 RESIDENTIAL BUILTII IT APPLICATION . _ Date: Site Addr ss i M et , /' 1Je Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor A's-3 Type of Work Description of work: f.( ��` Pi-C e Mc.2. - 1 (';`)-- (( k) Construction Cost: iI�� CC' Multi-Family Building: (Yes /No ) Company: 05-4-rc ,Y\ 0�^n54^v i:i-trt•' Contact: l I%n4' Pi,,/kJ Contractor Address: Z/41 5//✓i-- a_0 g J - City: -YIe^..) State:r ti•Zip: �J /Z Z Phone: ( 5/'Z)0-/QCcEmail: ( 1i-,!lit./ifs.)`-' 6(rV/, e,..,-). R License#: ((25-00/ tD 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: 5 rr ZLi�) 1� /Zr c�,w�'cJ 771 Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 accordance with thapproved plan in the case of work which requires a review and approva of pl x IlJ x Li i Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi) Multi 'X Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage ?c% `Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION flg Valuation IS 0 Occupancy _ MCES System Plan Review Code Edition A, 1I c SAC Units (25%)( 100%_) Zoning 1/111 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length 1 Fire Suppression Required Type of Construction 116 Width '� ` REQUIRED INSPECTIONS Y Footings (New Building) Meter Size: rFootings (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 '1,, Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 1 7, , Building Inspector RESIDENTIAL FEES Base Fee pLI � Surcharge Plan Review ' "3 Y 0 0 MCES SAC ;MEOW City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 DO NOT WRITE BELOW THIS LINE // 7 o ik41,01Aa_ 1,04c,( / 6 76c/ I SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building ' _ Reroof _ Demolish Interior _ Alteration — Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage _`Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Ulg_Valuation Occupancy MCES System Plan Review Code Edition k I J SAC Units (25% 100%_) Zoning liin City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length 1 - Fire Suppression Required Type of Construction V6 Width 2 REQUIRED INSPECTIONS Footings (New Building) Meter Size: rFootings (Deck) Final/C.O. Required Footings(Addition) x Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final )( Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows — Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final — Braced Walls Erosion Control Shower Pan �j Other: _ Reviewed By: �i v , Building Inspector RESIDENTIAL FEES Base Fee / Surcharge 0 i l., Plan Review / 3/ 12 v MCES SAC City SAC WI C.644 Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 r- -, 1 For Office Use i Permit It /6/ / / c - I I • r:::!'''''te 1 r ...., 1 Permit Fee: -......sir I ...-7;.--,..... -c. ----)6 1 Date Received: 6 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810s 1 • .,A 02 21i..J W (651)675-5675 I TDD:(651)454-8535 I FAX(651)675-5694 I Staff: buildinuinspectionSOcitvoleaqan corn t;Y: ,.- I ..1 ............ .•••••••••1111•1C 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: b — / — 2 b Site Address:1'1/5V ‘iri. /ilea cio.,,,, /el‘,..4. 64) o, Unit#: 1 1 . I Name: Phone: , . Restdenti OwnerI I Address/City/Zip: I,/50 r.C.- ineelia-e-, 144'Y Z..- .. •••••••.a. ..a........ . 1 Applicant is Owner Contractor aarfta.t....ow Ka . aa. Type of Work Description of work. * 6 - fi ig_ or d c tit) 6 1 Construction Cost: Multi-Family Building:(Yes /No ) .......... . — I i I Company: C. t..e c s.7c4„,„/ Cc,;-1 c se•e 7/e. Contact G. ee., ig I.e., .."- i ,..› . Contractor Address: "3 6 141 1/4 it cl CL. kecity: ..". ./.0 0 ill , *15 lb i.., State:AP Zip: CSY 3/Phone:9 53 -.2 3 Y- 9galia2 6 recl 54- Ci.-cla s to ca." Ccity... License#: Lead Certificate#: c eeie r IIf the project is exempt from lead certification, please explain why I 1-i - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1 in the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? i _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: 1 Fire Suppression Contractor: Phone: . ... NOTE:Plans and supporting documents that you submit are considered to be public Infoimation. Portions of the Information may be classified as non-.tiblic If •u ,rovide s•°chic reasons that would.ennit the 0 to conclude that s ., 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 Citys website at www.citvofeauen.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. VAVVI QopherstateonecalLorq 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. .iri 9------ - x 67,- 'e) e. li x . 4 . c.. ...01P- ....,7(-.._.,„ Applicant's Printed ame --,/ Applicant's SJgature 1 DO NO,T WRITE BELOW THIS LINE (4114 g 01 C, do /Mek /10/I /41 7 SUB TYPES /'a' _ Foundation — Fireplace LI I - 'Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level — Pool — Accessory Building WORK TYPES __. New _ Interior Improvement _ Siding ` Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 0 Occupancy Y'v, 5 MCES System Plan Review Code Edition r Yv0? 0 SAC Units (25%_100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 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 Retaining Wall:_FootingsBackfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final — Braced Walls Erosion Control Shower Pan 11/ Other: Reviewed By: ,Building Inspector RESIDENTIAL FEES Base Fee VA/7 ' Surcharge �^ 7 Plan Review /77Y-11'7s' ' / MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 et 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174529 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4148 Meadowlark Way Lot:3 Block: 6 Addition: Hillandale 2nd PID:10-32951-06-030 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 - Robert C Brettin 4148 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