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4154 Meadowlark Waye`lo`? CASH RECEIPT -`? ? CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 _ reecerven FROM AMOUNT $ I F] CASH __-D CHECK .`' row _ - ' PUND COOE AMOUNT Than"u BY & DOLLARS 1 oo White-Payers Copy Yellow-Posting CopY Pink-File CopV ? q -7 -) D - </l(s () 9721 `frsp 9-7?2 yis 4 ? .101? CITY OF EAGAN Remarks Addition HILLANDALE ADDN. 4{'2 Lot 3 Blk 5 Parcel 10 32951 030 05 owner ' Street 4156 Meadowlark 6eurt& 11- state EaQan, NIN 55122 Improvement Date Amount Annual Years .?Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 74.94 3.00 25 27.10 C010457 5-14-85 SEWERLATERAL ? WATERMAIN ja3 1973 189.47 12.63 15 25 • 2 11 * WATER LATERAL WATER AREA 3 1975 104.34 6.96 15 27. 9 * STORM SEW TRK ap 1 1973 430.49 28.70 15 57 • 52 ? STORM SEW LAT ' CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #47779 11-16-84 WATER CONN, 470.00 if it BUILDING PER. n fi SAC 599 - 00 n i+ PARK CITY OF EAGAN Remarks Addition HILLANDALE ADDN. #2 Lot 4 BI k 5 Parcel 10 32951 040 05 Owner Street State Eagan, MN 55122 Improvement Date Amount Annual Years El. Payment Receipt Date STREET SURF. STREETfiESTOR. GRADING SAN SEW TRUNK LIS' 1970 74.94 SEWER LATERAL * WATERMAIN 1 1973 189.47 12.63 15 25-28 ? WATER LATERAL WATER AREA 1975 104.34 * STORM SEW TRK dIN 1973 430.49 28.70 15 57-52 * STOFiM SEW LAT CURB & GUT"TER SIDEWALK STREET LIGHT Road Unit 260.00 #47779 11-16-94 WATER CONN. 470.00 It IT BUILDING PER. n ie SAC PARK CITY OF EAGAN Addition HILLANDALE ADDN oWner _ Street Lot 2 alk 4158 Meadowlark 6evxt; 10 32951 020 05 Eagan, MN 55122 Improvement Date Amount Annual Vears S}j Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 74.94 3.00 25 2,10 C010247 8 SEWER LATERAL - - Ye WATERMAIN p 1973 189.47 12.63 15 2.28 " " • WATER LATERAL WATEFi AREA -112 1975 104.34 6.96 15 2.8 ir STORM SEW TRK 1973 430.49 28.70 15 57.52 * STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit WATER CONN. 470.00 it 11 BUILDING PER. iF9721 n n SAC n i; PARK CITY OF EAGAN Addition xzLT,aNmat.E annN_ #2 Lot Owner ' 10 32951 010 05 sveet - 4160 Meadowlark 9e?rrt?L/State Eagan, MN 55122 1 Improvement Date Amount Annual Years -S? Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 74.94 3.00 25 27.10 0010473 - 5-31-85 SEWER LATERAL * WATERMAIN 303 1973 189.47 12.63 15 25.28 11 ic WATER LATERAL WATER AREA 13 1975 104.34 6.96 15 27 89 of ie STORM SEW TRK dt 1973 430.49 28.70 15 57- 52 * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 #47779 11-16-84 WATER CONN. 470.00 if 11 BUILOING PER. 9720 SAC 925-00 r n PARK CITY OF EAGAN 9"I?2n 3830 Pilot Knob Rosd, P.O. Box 21•199, Eagan, MN 55121 PHONE:454-8100 C- -2-),-)2 BUILDING PERMIT rteceiPt # Ta M wnd fer 1 OF 4 PLEX Est. Value $53,000 i"OVc,<?:i?i:R 16 1 9 Dore 84 SiteAddress 4160 MF.ADOWLARK WAY Lot 1 Blxk 5 Sec/Sub. HILLANDALE 2 Parcel No. ? Name -'_........._. .... ? ; Addres , U City one _ Name SAMF, ADProvab Address Assessment _ City Phone Water 8 $ew. DTJ'tfOt7CEAUX & <1SSOC Police Name Fire Address Enp. City Phone Planner _ Erect 13? Occupancy R1 Remodel ? Zoning Repair ? Type of CansY. V 1 fiR Enlarge ? No. Storiea Move ? Length 2 Demolish ? Depth 45 Grede ? Sq. Ft. 1 hereby ocknowledge that 1 have read this opplicotion and state that the informafion is correct ond ogree fo comply with all appliccble State of Minnesota Stotutes and'Cify Af Eag Ordina s. $fynature of Permittee 1 '?"'? ? A Building Permit Is issued to -I fQYCHAEL CatdST all work sholl be done in acwrdance wi all upplicable Stato of Mir , off, 11/5/84 Date Permit 292.00 Surchorge 26.50 Plon check 14 6. 0 0 snc 525.00 Water Conn. 470. 00 WoterMeter 63.00 Rood Unit 260.00 Parks • ? Total 112 on ths expras condition iha+ Statutes and City of Eogan O?dinonces. Buildinp Officlal Pxmit No. Psrmh Holdx Date Plumbing I ? H.VA.C. el.ctric Softensr Inspection Date Insp. Other Footings Foundation Framinq 3 ? Rouph Plbg. lv. 3 Rouqh HVAC ?L Inwlation Final Plbg Fioal HVAC Final c..uo«. Water Describe Location: • Wel I EDisp. Rsaipt pIIECHANICAL PERMIT Permit No. CITY OF EAGAN , Fee < :i Fi/l in numbered speces S/C Typs or Print leyibly Ta, .' - 1. Date 2. Installation Cost 3. Job Addreu? Lot iBlk. Trect ;_. 4. Owner - 5. Contractor Phone 6. Address 7. City Stau Zip - 8. Building Type: Residential Commercial ? Institutional ? 9. Work Desaiption: New_Ji7 Add ? Alter ? Repair ? 10. Describe Fuel Type 1 11. No. Eouioment BTU - M. Ea. Forced Air No. Equipment CPM Mfg. _ Air Handling: _ Boilers ? Mfg. ?- Mech. Exhaust Unit Heater Mfg. O Air Cond. ther Mfg. Gas, Piping Outlett 12. 1 hereby certify that the above information is true and correct, and I agree to mmply 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 Cities Di i? ta1 Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. Receipt PLUMBING PERNIIT. • Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legib/y 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 ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? I 10. Describe I 71• No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Sofiner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Dreins Drinking Ftn. Slop Sink Gas Piping Outlets 72. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoaipt PLUM8ING PERMIT CITY OF EAGAN Parmit No. FM Fill in numbered spacea S/C Type a Print legib/y Tot 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner , - 6. Contractor ; - Phone 6. Address 7. City 1 State Zip 8. Building Type: Residential 0 9. Work Description: New, ? Commercial ? Institutional ? Add ? Alter 0 Repair ? 10. Describe `-' I ??v '=,--, 4 ? - f ---, '", - 11. No. Fixtures Water Closet No. Fixtures Ce l/O i fi ld Bath tubs sspoo ra n e S i T k _ _ Lavatory ' ept c an f S Sh0wer tner o W ll - Kitchen Sink e _ Urinal/Bidet O h Laundry Tray er t Floor Drains -` Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above iniormation is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: / •- ' ' for Rough Finsl Inspections: Date Insp. Date Inap. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 i CITY OF EAGAN 3830 Pilot Knob Road, P.O. 8ox 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDIN6 PERMIT tteceiPt To M wud foe 1 OF 4 PLEX Est. Value $54,000 pOfe NOVEA1f3ER 16 jq 84 Site Add 4158 t1EADOWLARK t^]AY Erect t Occupancy R1 r ss Lot ? Blcek 5 SeclSub. H I LLAP7DALE Remodel ? 2oning Parcel No. Repair ? Type of Const. V HR Enlarge ? No. Stories ? Name t'lICHAr.L CONST n4ove ? Lenyth Z i Demolish ? Depth 45 Address ? City ST LOUIS Mone 938-4262 Grade ? Sq, Ft. ZF Name SAMF' Approrah Faes 295 . O OU Address Assessment Permit City Phone Water 3 Sew. SurcFarpe 7- U? u? Z Police Plan check 14 7. 5 0 GW Name nU MONCEAUX & ASSOC Fire Sp,C 525.00 vW 70.00 ?? Address Enp. Water Conn, 4 ?W City Phone Planner WoterMeter 63.00 I Council Rood Unit " 60 , 0 0 1 hereby ocknowledge thet I have read this applicotion ond state that gidg. Off.Parks the intormation is correcf and a,9ree to comply with all applicable APC Total ? I, State of Minnesoto Stotutes crrd; City of Eo n Ordinor? s. J . / Var. Date Sipnoturc of Permittee 'v^.d -u?'/ A Building Pertnif Is issued to: Ff'HAE CONST on ths express conditian Ihot all work sholl be done in occordanSr-Wifii oll appliwble State of Minnesoto Srotutes ond Ciry of Eogan Ordinantes. I Buildirq Officiol ' - I Permit No. Parmit Holder Date Plumbing Z , H.VA.C. er.ct.ic : Son.ne. Inspection Date Insp. Other Footings 1.2 Foundation Framing 3a ? Roueh Plbg. /- -???5 ? Rough HVAC 3? ? itf+? ? -?' ` =?-??? c<• . Inwlation 6' Final Plbg. Pinal HVAC / Final J Cert/Ooe. Water ???ibe Loeation: Nlell Sawar Pr. D'isp. Receipt % Date 2. Installation Cost ?i 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional 0 9. Work Description: New ? Add 0 Alter ? Repair ? I 10. Describe I 17. 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. I hereby certify that the above information is true and correct, and 1 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 PLUMBING PERRAIT l • Parmit No. CITY OF EAGAN Fea fill in numbered spaces S/C Type or Print /egibly Tot . Reoaipt MECHANICAL PERMIT Pe?mit No. CITY OF EAGAN Fes Fill !n numbered spaces S/C ; rTYPe or Printlegidy Tot i. Data 2. Instaliation Cost 3. Job Addrest Lot Blk. Tract 4. Owner 5. Controctor Phone 6. Address 7. City Swte Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Desaiption: New 0 Add ? Alter ? Repair O I 10• Desaibe Fuel Type 1 11• No. Eauioment 8 TU - M. Ea. Forced Air No. Equioment CFM Mfg. ? _ qir Handling: _ Boilers ` Mfg. ?- Mech. Exhaust ' Unit Heater _ Mfg. Air Cond. Other Mfg. ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? BUILDING PERMIT ,._ ._ 1 OF d_ PLEX $54,000 SiteAddress 4156 MFADOWLARK WAlL l.ot 3 Block 5 Sec/Sub. HILLANDALE 2 Parcel No. Name , bUITE . - --- Name J??lu Address City Phone Name DU'MONCEAUX & ASSOC Address Phone 1 hereby acknowfedge thot f have read this the inlormofion is correct and ogree to c State of Minnesota Statutes r?l City of/ $ipnoturc of Permittee A n..ua:..., o_._:. A. :?...ew .,.. ? CITY aF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, PHONE: 454-8100 and stote thar 9722 55121 # L _ .- ( NOVEMBER 1 84 Erect lJ' Occupancy R1 - Remodel ? Zoning Repair ? Type of Const. V HR Enlarge ? No. StoriRS., Move Q Length ? Demolish ? Depth Grade ? Sq, Ft. Assessment Water 8 Sew. Police Fire Erg. Plonner Countil / BIdg.Off. 11/ 5/84 APC Var. Date Permit '' 4:7.J .vv Surcharqe 27-0? Plan check 14 7. 5 0 SqC 525.00 WaterConn. 470•00 Water Meter 63.00 0 Rood Unit 260.0 Parks Total $1,787.50 _ on the expreu condition that City of Eaqan Ordinances. Buildirg Official ` 7 Permit No. Permit Holder Date Plumbing ( Q? H.v.a.a 0;3 3 $ • 1/ Electric 9 Softener inapection Date Insp. Other Footings Foundation Framing 3 Rough Pibg. ? Rough HVAC Insulation Final Plbq 1 %r Final HVAC 8 Final ? Cart/Ox. Water Deseribe Location: ' Well Sewer Pr. Disp. _? Reaipt MECHANICAL PERMIT Pe rtni CiTY OF EAGAN t No. - 1 «,, Fes Fill in numbered spaces S/C Type w Print /egibly Tot 1. Date 2. Instaliation Cost - 3. Job Addreu L t o . Blk. Tract 4. Owner I 5. Contractor Phone •- 6. Address 7. City State Zip 8. Building Type; Residential O Commercial ? Institutional ? 8. Work Description: New 0 Add ? Alter ? Repair ? I 10' Descr'be Fuel Type I11 No. EqyjpMpt B TU - M. Ea. No. Eouioment CFM Fwced Air - ° > ____- Mfg. . _ Air Handling: Boi lers ? Mfg, -? Mech. Exhaust Unit Heater ? Mfg. Other Air Cond. Mfg. _ Gas, Piping Outlets I 6a e?. .• ?:a. _L_ . -•--y - •.•, •No< <iia aoove imormation is true and correct, and I agree to comPlY with all ordinances and codes governing this type of work. Si9ned : - . ' for Rouqh Final Inspections: Date Insp. Date Insp, This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt PLUMBING PERMIT - Permit No. i CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legib/y Tot. 1. Date ` 2. InsWllation Cost 3. Job Address Lot Blk. Tract 4. Owner II 5. Contractor Phone 6. Address 7. City State Zip 8. BuildingType: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? I 10. Describe I 17• 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. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECORD ? ? CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road o-+e?c??+ Permit Number: Eagan, Minnesota 55122-1897 Date Issued: c? ?•!N (612) 681-4675 ; SITE ADDRESS: APPLICANT: I 1?? q D11 li01011 fttA? lirs: ?. .:}I! ;ilf 1 !IVd.I;;Uii IioN ? ili[!A}?iiAl! (tilli llfuN p.' 4 i,on,:! PERMIT SUBTYPE: , ) uh Iq 0 il14*4WM TYPE OF WORK: 1<FPA1N k)F i't fON NfRilf+f 17!"MltRt 7 N( I t1UF 4 l L+, p 41 b8. NNII 4 1 SN MF 1411tllJ1 Ali1t UFIY It t t L 1 }, Permit No. Permit Holder Date 7elephone 7t ELECTRIC PLUMBING HVAC Inapectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR 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 NAl ?.,?s? F?t R $ - i -?ic cw3 crp.A,. ?K Need J?,?4JF • INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: {{7' III1 r N6 I Pf .' a; 41 W14, . 3830 Pilot Knob Road Permit Number: I Eagan, Minnesota 55122-1897 Date Issued: I (612) 681-4675 . :?-T-14 13 ( SITE ADDRESS: ;--AppLICANT: f 1i•! Yi! F1!???lil (51:P t11?7 u`..? I:iil l111 ?.i11`9'.Tt.'11, I f IiN ? 11l! I r?I!1?o1 r i 1.? , . I PERMIT1 iM .? §UBTYPE: TYPE OF WORK: i •,. t?nr r N 1 AVt INSPECTION .• . .• I +;nwiN 1, ,!: j1tFd9Akh','. IMl I11I.4, 411 r,,. 11 1-8 , ANit 41t,0 !1!.liU1!I:JI.AliF' l-IA1' ? ? r?? Permit No. Permit HoIdM Dete Telephone k ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING i z 3 L 1448 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 9723 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Recelpt # 4'?2'L2?T- re be wed for 1 OF 4 PLLX Fst velue $53, 000 pate NOVEMSER 16 19 84 4154 NiEADOWLARK WAY SiteAd?ress 5 HILLANDALE 2 Erect Lot Block Sec/Sub. Remodel Parcel No. Repair Name ; Addre b CONST Zo Name 5AME u? Address ? City Phone FW Name & $ i? Address - V ?m City Phone I hereby ocknowledge that I have read this application and stare that the informofion is torrect ond ogree to comply with oll opplimble Stote of Minnesom Statutes arid City. of, Eagan Ordinarues. Sipnature of Permittae _ A Building Permit is issued all work sholl be done in a Bufldirq Officiol Minnesoto Enlarge Move Demolish Grade 47 Occupancy R1 ? Zoning R ? Type of Const. V 1 iiR ? No. Stori2 ? ? Length Depth 4 5- ? Sq. Ft. rals Faes nssessmenr Woter 8 $ew. Police Firo Enp. Planner Council Bldg. Off??? APC Ver. Date Permit Y " ` • V" Surchorye 26.50 Plon check 146.00 y,C 525.00 Water Conn. ? 7 0. 0 0 Woter AAeter 6 3. 0 0 Rood Unit 260100 Parks Total $11, 782.50 on the express condiNon that and Ciy of Eopan Ordinances. J Permit No. Pe?mit HoWer Data Plumbing H.VA.C. (A) e,, )- -(X 311 I -?? Elactrie Softener Irupection Date Insp. Other Footings Foundation Freminp . Roua?i Plbs. A 3 Rouyh HVAC ? Inwlation Final Plb& 2/ Final HVAC Final S Cart/Oee. 2 ? Water Descri6e Loeation: - WaII Sewer Pr. Disp. TY OF EAGAN SEWER SERVICE PERMIT 30 Pilot Knob Road 0. Box21199 PERMIT NO.: gan, 1AN 55121 DATE: ; i. nirp: No. of Units: 1o' ,,,,,r• 16iael Const Address: 11 i'-''? 4;,'7 r) to anwh with 11N Cky of Eato¦ of Irup.: L1 15 Hillandale 2 Connaction Charpe: AaourK Deposit: PermM Fee: Surcharps: Misc. Choryas: Totol: Date Poid: CITY OF EAGAN WATER SERVICE PERMI T 3830 Pilot Knob Rosd P. O. Box 21 T99 :•'• PERMIT NO.: Eagan,'AN 554-11 DATE: Zoninp: + No. of Units: ot n( 'h Owner. c ae onst Addross: Site /lddrcsx ` r.ea ocr ar,: `day .. F? laric.ale _ Plumber: AAeter No.: Connection Chorpe: t`.. 7Pd slzr. Account Depo:it: . ; j Readsr No.: Permit Fee: . . 1 prM to eswyly Mk6 11N Gry of bpn Surchorpe: . On/inanaM. Mlx. Charyes: 3.00 pO, r: - c et Totol: BY Dats Poid: _ Date of Insp.: Inap.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O: Box 211199 VERMIT NO.: Eagan, MN 55121 pA7E; - , i^0: No. af Unlts: ''-^- (b?:eit Addrosx wIar.c ira Slb Address: -160 :?tf44,o v i.l B5 i?iJ_' ;e3ale 2 y Piumber. : ? Metsr No.: 3'f 9 a 54 o Connection Churpe: 470.00 pc! SiZ@: -518 "&-e.G. Aeeounf DepOSiY: .i ' p Reader No.: Q 9L ?2 o`C / 7!! Permit Fee. 1' )•^ r) I .9r« ro aMvb wa +ti. Ciy of e.g.. Surcharge: .50 Pd OrdlM--• Mlu. CFaryes: _ 63.00 Pd mc-'.cr Total: BY " - Dote Poid: r1 DMe of Insp.: 7?/_ a y/ P s Insp.: CITY OF EAGAN SEWER SERVICE 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE; ZOOIng; , Nrw b asm* wifh fIN Ciy of Bapn Adlnemaa, By Dote of Insp,; lnsp.: CITY OF EAGAN 3$30 Pilot Knob Road P. O. Box 21199 -° + Eagan, MN 55121.> ;4 Zoniny: Owner; Micitael Cnsst Addross: Sits Addrm: 4158 Mesd3WlarF Plumber. 'ter.h Metar No.: Siu: ? Readar No.: ? MM M eow* wNh 11w Gy W Eayan f Orileesw. I ; By -------------- ? Dote of Insp.: i B5 flillandale 2 Connecrion Cho,ye; 470. Account Deposit; .15. Permit Fee: ? ? . Surcharge; Miac. CFw Totol: Dote Paid: -- CITY OF EAGAN 3830 Pilot Koob Road WATER SERVICE PERMIT P. O. Box 31199 PERMIT NO.: Eagaa, MN. 55121- DATE: Z?^?^D? No Qf Units: 1 o f ti pl ex ? . 'Owner: :c?I;iei AddmO: Slts Addrcss; `'- ? j `' '????'ark f•Yap I Z P;5 F i' 1 irlale 2 y0lumber: r' ? E i L?:C C11 AAeter No.: 9 N4n (harpe: PA e ? d 470.00 Siu: ?, i X d 15 00 ? nt ceou Depostt: . v Reoder No.: d? L a a/ 74, Permit Fee: - 10.00 Pd 1efm M emoy Nilb !M Ciry of Eayoa Surcharpe: •51) Pd OrdGenon. MIx. CMrpes: 63.00 pd nie er , ? Totol: j BN Dots Poid: Date of Insp.: Insp,; i ? Conrnciion Charye: AcwurM Deposih _ Permk Fse: Surthorpe; Mlsc. Uwrper - Totcl: ? Dats Poid: PERMIT 7' ..?- ' J WATER SERVICE PERMIT PERMIT NO.: DATE; Wo. ot Unlts: - 1 of 4plex CITY OF EAGAN 3830 Pilot Knob Road SEWER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: ? Eagan, MN 55121 pATE: - - / ' Zoninp: R4 1^ c t, ?l e}: No. of Untn: 'Tichael Const Ownar: Addresa: Site Address: 4156 ?•feadowlark L.'ay L3 BS I ill-ir n1e 2 Plumber: :'nzel ^?ec?: 11-16-34 47779 t1ki.00 tc 1 qM to aowpy wMA !M py ef fe"s Connection Chorpe: 425.00 pd O?diNew. AttouM DepOSit: Permit Fee: i B Y Surcharpe: . 5 C' > Mix. Charpas: Dote of Insp.: Totel: Insp.: Dote Pald: 7 CITY OF EAGAN 3830 Pilot Knob Road 1 WATER SERVICE PERIMIT ? P. O. Box.2'199 -- PERMIT NO.: Eagan, MN 551,Z1 Do1TE: 2oninp: No. of Untts: lc.iae const Owner: Addresx i ' ea ow at . SIM Addrcas: ?` .av , ?? _ an a e c . Plumber. . i ;ec'i Aeter No.: Connection Chorye: , '?<t ize: Acaount Deposit: i i eader No.: Permit Fee: . 70 p qw? M aomylp wNA 11w Ciqr of Eeyan Surchorga: 5 0 ? coramena& u.... ?,i Misc. Choryes: Totol: By Dote Potd: Dote of Insp.: 1nsp.: ACaN _ t Knob Road WATER SERVICE PERMIT P. ?j. Box -2'1199 J PERMIT NO , Eagan, MN 551;1 1 .: DATE - 7' 4 oning: 1 : 1 p-r<r No. of Units: 1 0 Addross: Siro /lddrcss: i ea?4sr ?tx';. . ; ] 71?4 ;?a,?Jale ? Plumber. '?zel "f c'.-, . Meter No.: -3 q ' ` i sr:e: _s/s n/?..-4.? R i d` L :.???fT ,; - ; Reader No.: p 9/ ? a/ - , . _ 1?7 I "wo to eoNlr wilh Nw Ciy ef G Permit Fee: 1 J.^`? . c 9en onomoo... Surchorge: .:iC n MiK. Cha.g5: 7: 3 . r) r . `J B Totol: Y Dote of Irup.: a c! /R S Dats Pold: I nap.: CITY Of cAGAN ? 3830 Pi1ot Knob Road sEWER SERVICE PERAAIT ? P. O. Box 21199 Eagan, MN 55iz] PERMIT NO.: ' D - - Zaning: .4TE: Ow,.er: i?nae ons No. of Units: ` - Address: Site Addrcss: 4 % =eadoviar_, .?aY Plumber. _ er1ze? anae ' i lr?_"4 Ti7n ?egm fo eanNf' wkA N» C?h ei Leps Ordinancp, By Dote of Insp.; InsP.: --------------- Connectlon Chorpe: -"4 ' S . , ' - Atcount Deposit; Permk Fse: Surcharpe: Mtsc. Chomm ToMl; D0t& Pold: _ 0 Pilot Knob Road WATER SERVICE P?R [Eagan, Y OF F.AGAN Box 21199 MN 55121 ?RMIT NO.: DATE: ? ; 0? r. qa ?Naof Units: ss: ddrcsa: a 4 ,Plumber: Rp?L 2c.t? _ ,, il _3ndale ; Meter 5ize: rg°: 4 7 (i . ! ; : ) ,. a Reoder No.: ?euoslt: 15. 0 i rd 1y? ??* W" t6 Permit Fee• 1 0. 00 Oriine ? °E Ep°" Surcharge: . 5r• ? Misc. Chorpes; 77Q ^(Ii cc7e? gy Total: Oate of Insp.: ? DOts Poid: `( ? I^sP.: -------------- ? REQUEST FOfl FIECTRICAL 1111?ECTION ' See instruc[ions fw completiiiiAhis torm on back oi Yellorr capy- 24M1 "X" Below Work Covered by This Request EB-O"7-04 y?S?IgS' Rep. Type of BuilAfng ApOlialltes rPired EQaipment Wired Home Range Tempnrary SeQVace Duplex Water Heater Lighting Fi,ctures Apt. Building Dryer Efectric Heatan Commercial Bldy. Furnace Silo Untoader Industrial BIAg. Air Conditioner Buik Miik Tan3c Farm Otf1P.! $PCC,fy OIhQf d$pCCffy? 1 .r SVoci(y Other Other Comoute Msoectlon Fee Relaw # Fee Sefvice EntranceSize # Fee FeedersBubfeeders N Fee Circuits / Go o to 200 Am s 0 to 30 Am s O 2,;70-0 0 to 30 Ang)s Above 200 Am • 37 to 100 Amps ,z, 31 ta aOL? A ' Swinuning Pool A6ove 100_Amps /above ]OD_A? ' Transtormers Irrigation Boomis d7' PaRial.`Othec fee Signs Special Inspection 5? _Z> ? T O FEE RemSrks ?X a f:.d ? Roueh-in ? I Date k` l.f'-? 1. t Elec ca 1 Ir?.Oeelw.hereM ? • ortily lhai tY?C a10v9 Final r Oate & ? 7i tiw has bean ??? de. This repuest vold 18 montM trom rnis rauuasc voia 5t (e ?? qt15-1gO ?V? Vi 951 Rzquest Date ,//?? fire No_ Itough-in Inspection Required? ?Ready Now ?YMifE'9Batify, Inspec- ror Wh R d : J es ?No en v-a Y icensed Electrical Contracmr . 1 hereby raquest insoactioo of adove ? CNvner electncal war4 imtalled a7: Street Address, Boxy?o?r/Route No. . ` ? . Gi[v 1?i G /v[ i7A U e(J 2 4?? eclion o. Township Name or No. • flange No. C? [y ` .1/ ?" _" ? '7' Occupan (PflINT) ' Phone No_ ov eb 6'I -,e-- P Suppli •?' !'-ti?? ? C?"-?-c? , qddress ? TLJ?-?ur ? ?.6''N(. . Electr cal Contractor (Comp?aJny Name) . ?. l?. X-? antracmr's License No. '?'G' S? Cl.J Mailinp Address (Co tr ctoror Owner Making InsUilatioN .? - ? Author?zecj.Sien ( (ractor? er Nlakin9 InsWllation) / ?g?- ? Tlto Nutber "' \ ? CT? !+-, V? z - MINNE60TA STpTE BOARD OP ELECTRICITtt THIS INSPECTION REQUESiOi1LL P007 Griggs-Midway Bldg. - Room N-797 BE ACCEPiEO BY THE STA7E BOARD 1821 University Ave., St. Psul. MN 55104 UNLESS PROPER INSPECTION FEE IS vh...,e 16121 297_2711 ENCLOSED. . REQUEST FOR B..ECTRICAL INSPECT10111 ?E/?o°°°'-oa , See it?siruetions for completirg this form on back of yel low copy. (1 i?? - s S 0, 2?p 1 U F 85 7 "X* ' Below Wor Cover'ed by This Request Y Fee SerriceEMranceSiie M Fee F¢eders/Suhfeeders # Fee Circuits 6"C7 O to 200 Anips 0 to 30 Am s ? 0 to 30 Am Above 200 Amps 37 to 700 Amps 31 to 100 Am Swimming Pool Above 700_Amps t7-C7? Amps Transfomiers Irrigation Boorr?c 5-0 Partial- Othcr Fee :mgis Special Inspection $? f'? TOTICL E Rpnarks . Q ? -,-0 T. tha Efirtirt-"I ' 4?? Inspector. here6y --'ify lhat the above Fi?l D' '?gp?tion has baen ?de. n„s .wuiesc .pia J 6 q 7 (o ,8 ??857 L i r-? C!:? ? uest Oate./ ? Pue No. Rough-i 'InsVecvon Re9ui ? ?ReudV Nuw ill Notit¢ Inspec- ? . V J es ?No tor When ReadY Licensed Electrical Contractor 1 hereby repuestinspection of above ?Owner electrical work imtailed aC Street Address, Bnor Route No. Citv - sizissw _ Township Name or No. Range No. Co y 15 R- OccupantlPR/INTI Phone No. 1'bavy?e$)uPPl Y ? A dre?s1s?f .G-`K / ? i`?, ? G`?- G Electri 1. `r etor ompany N 1 ' Contractor's License No. ? -e'lt) V .? Mailing Address (Contractor or Owner Making Instai tion) 31 k l -6--t, ? m a or?Owner ki Auihwize Installation) Pho e Number 7 ? a j- C - I YINqvF,S&p STpTE Bpppp OF ELEC7RICITY V THIS INSPECTION REQUEST WILI NOT Griggs-YidwraY Bldp. - Room N-797 6E ACCEPTED BY THE STATE BOARD 1821 Unirersity Ave.. St. Paul, NN 55104 UNLESS PROPEfl I/dSPECTON FEE IS Phpne 1672) 287-2777 ENCLOSEO. / ? ? K l ?. w Requesl Date ?;...vo:- Rough-in Inspection. "_ 1f rl? equ' ? b?'1 ? [? Reatly Now ?14ux Noti1y Inspec[or ( Wh R tl ? T C, No en ea y I?ensed contracror 0 owner hereby request inspection of above electrical work at Job Adtlress (S1treet. Box or Route No ) 1 41 (p? ? C?Y..Ja..+?.?w ?]yi-, VvCL City C-pipt ag Section No. Township Name or No. Range No. Count ' C:_ Occupanl(PRINT) ua- Mc- ucnanLis Phone No. Power SuOPlier Adtlress s Electri ai ontraclor (ComOany Na ? Contractor's License No. c.-tr f c. 0- e?- ? Mailing A ress ICOnttador pr Owner Making installation? 5 (+ (.? ? Authorrzetl ignalure IConlrecton0- t*eNd '-ng Instal Lon? ' Phone Numher cnnO -3s55 MINNES A 7A7E BOARD OF ELECTRICITY - ? THIS INSPECTION REOUEST WILL NOT Griggs- i ay BIAg. - fioom 5173 BE ACCEPTED 0Y THE STATE BOARD 7821 U erslly Ave.. SL Paul, MN 55104 . UNLESS PFOPER INSPEC710N FEE IS Phone (612) 642-0800 ENCLOSED. This request void mo ?6? /_ ? nths from ? ?Q Y5. arc? s O te ? ?j?j ' I Fire No. Rough-in Inspection Rr.quir ? ?Ready Now?-Wi'It"Notify Inspec- [ Wh R S Q es INo or en cady 91tY`Unsed Electrical Contractor I hereby request inspecGon of a6ove ?Owner electrical work installed at: Street Address, Boz or Route o. ?? ? ? ? / ? City Z5 I ,4-2 y s ' w ?u -_ ' ecbon o. wnship Name of No. Ranpe No. Coutty / 1? Occupant-LPli1NT) PhoneNo. Po upplie - - ' ,Q. ? ??.- Add s • 2vti ? i„ ?,•? Electl Cnntractor ICompany Name) Cnmrector's Licr,nse No. Mafling Address (Contra mr or Owner Making Inst ilation) ? Q ?--'OK-• ?'-? Authorized SiBmt(ire (enLactor/Ow er king Installation) Phone Number " ? YI YINN OTA STATE BOARD OF ELECTflICITY THIS INSPECTION NEQUEST WILL NOT Briggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1921 University Ave., St. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS phpre (6121297-2111 ENCLOSED. ?b G (Q' REQUEST FOR ELECTRICAL INSPECTION es-ooooi o0 , See instructions for completins.this form on back of yellow copy. "X" Below Work Covered by This Requesl M3 24852 s' Nkm Ad ep. Type of Building Appliances Wired EquiVment Wired Home Range . Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer . Electric Heatin • Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other(SOecifv) t r SVeciFy Other Olher nn hee Ralnw R ee Service EntraneeSize t! Fee Fezdars/5ubfeeders # Fee Circuits ( p'd 0 to 200 Amps 0 ta 30 qm s ?S`? 0 to 30 Am Ahove 200 qinF?y 31 to 100 qmps ?`d, d-p 31 to 100 A s Swinuning Paol Above 100-Amps Above 100_AmFs Transtormerg Irrigation Booms g Partial-'Other-Eee nema.ks „gns Speciai inspecLOn TOTAL ^ ?J A qough-io ? Date 1, the EI -cai C.j Inspectar, iierehy f car that the a6 f( Final ? 0 tef?/ ?f y J. ove paction has been ? 'ld1 ¢• ( de. ypyrpuextvoidl8monthstrom - y p?. ? Se REQUEST FOR ELECTRICAL INSPECTIOM - ' See irstructions tor completi.q Lhis form m track of Yellom wpy. ? 232485-8 "X" Be/ow Wo6?.Cove7ed by This Request ?A 'Rep. Type of BuilAing Apoliance3 WiraA Equipmen[ Wired Home Range .Temporary Service Duplex Water Heater L'eghhng Fixtures Apt. Building Dryer Hectric Heatfn Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Buik Milk Tank? Farm ocner suecify) Otne,psoecitv! thr.r peci(v Othe, Chher Comuute lnsoectron Fee Relow R Fee ServiceEntranceSize p Fee Feeders/SUbfeedcre it Fee Gircuits MJ 0 to 200 qm s 0 to 30 A / O to 30 Amps Above 200 Amps 31 to 700 Amps 571"O 31 to 700 Affps SwimmingPool Above 1Q0_Amps b(,?b Amps Transformers Irrigation Boorrs P-artiat-'Offier Fee Signs Special Irupection 5 21 B,.D TOTAL FEE_? Rertarks Xouph-in Date 1, ths tr' iievactor. ne.eev ? cartiiy that fhe abova Final Date C 1 ?p?tion has been t ?r2 'O node. T1p (equest voiU 15 montls rrom This reqvest void 1@ montns r.am ••9..-•.. . ?+vecuon Hequ?red2 ?Ready Now [41Nf1Tl?o[ity, InsVec- ? es ?No [or Wlien Ready LA}'Licertsed Elec[rical Contrac[or 1 hereby request in6paetian of a6ave ? Owner electrical wwk installed at= Street,4ddress, Box or Route No. l? ?fSB /Ult-a-0a4„L4..Z- Gity cuon o. Township Name or No. . Range No_ Cau'?/?\ 1,?,J Occu an[ IPRI TI Phom No. Power?l'er / ?dx, ? Addrgs.s?L .? ??- El?tr- I? tra or {ComDenY amel Cnntracior s License No. _ L Gr (/ i Mailing Address (Con[rac?p r or Owner Making Ins lationl - IZ.. Authorized Si a re ( ntractor? n Makitg Installation) one N??6er ? ? I ? THIS IXSPECTION REQUESi N1LL NOT MINNESOTA S7pTE eOARD OF ELECTFIICITY gE pCCEPiED.BY THE 5TA7E 80ARD Grigps-Midway Bldg. - Room N-191 1827 Univergity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phore 16721 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION See instrm[ions for comvleting ihis form m back of yellow caDV- ?N 8 39 "X" Below Wnrk Covered by This Request Ee-ooooiAa v: Mo4 Asj#fj Rep. TVpe ot 8uildin9 Appliancea Wired Equipmenc Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer - Electric Heatiii Commercial 81dg. Furnace Silo Unloader Industrial 81dg. Air Conditioner Bulk Milk Tank Farm Othe, ceciW other tsnecitvl ther Sveciiy Other Other L07710UtE lI/SDeCtIOR FCC 8BlOW M Pee Service Entrame Size IX Fee Feeders/Subteeders # Fee Circwts ? 0'LTl 0 to 200 qm 5 0 to 30 A 0 to 30 Am Ahove 200 qmps 31 to 100 Amps 37 to 100 A Swimming Pool Above 700-Amps 'U W A inps Transformers frrigation Boorrs Partial.`Other Fee Signs Special Inspec!ion TOTAL yE Remarks ? _ ? Final rapuestroid ? the ElecZrieaf ? Y I ? I?pector. here6y itY thHt the a6pve ? ingPeCtiOn Ias b09n mad6. This request void rj 6 q ? ? {„? .. ( ^1 'O? y? 18 months fwm ? ? I / 24,959 L 3,35 v ; Request Date Fire No. ?qu_ri?n?l?peclion rYo_ady Now [?IMAT'?tify InsDec- _ j1 ?-,' ?'oNo ?..? tur When Ready ed Electncal Contractor ?ens 1 herebY request inspection of above ? Owner ' electrical work imtalled at: Street Address, Box or Route No. City e ion o. Township Name or No. Nange No. Co Occupant ( INT) Phone No. Power uppli ? Addr Elec[rical ont ctor (COmpany Nmei c ' . ? CoMracwr'S License No. ? 1 ? - o (i Mailin?g ?Address IContr c or or Owner /yT?- king I?uta i on) ns? ?5 ? l.i=-Ki U Autho ized Sig t re.L.C ntractoJ wn Making Installation) Phone Nurtiber c? lu?c Y r MINNESOTA STATE BOARD OP ELECTRICITY TNIS INSPECTION HEQUEST WILL NOT Griggs-AAidwaV Bldg. - Room N-191 BE ACCEPTED BY THE STqTE BOAHD 7827 University Ave., St. Paul, MPl 55704 ' . UNLESS PROPER INSPECTION FEE IS Phnee (6721 297-2111 ENCLOSED. CITV OF EAGAN 3830 Pilot Knob Noad;"P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Te bs wed foe 1 OF 4 PLEX Est.Value $53, SiteAddress 4154 MEADOWLARK WAY Lot 4 elock 5 Sec/Sub. HILLANDALE 2 Parcel No. W Name MICHAEL CONST ? Address $800 HWY 7, SUITE 331 City ST LOUIS P4one 938-4262 m SAME o Name 8u ? Address F City Phone Name DU'MONCEAUX & ASSOC U-3 Address aW City Phone I hereby acknowledge thot I hcve read this opplicotion ond state that the informotion is mrrect and agree to tomply with all opplicable State of Minnesoto $tatutes City of Ea n Ordinan es. Sipnature of Permittee Assessment Woter 8 Sew. Police Fire Eng.- Plonner Council Bldg. Off. 11 /5/$ 4 APC Var. Date Permit 0 Surcharge 2 6_ 50 Plan chetk 14 fi _ 0 0 SAC 525_Op Water Conn. 4 7 fl _ fl Q WaterMetar 61 00 Rood Unir 7611 00 Parks Total 1 r 72.$? 11 Building Permit Is issued t: M CHAEL ONST on the express condition that all work sholl be done in accordanc wit a opplicablq?5feje o$f -M?in?nesota Stotutes and City of Eogon Ordinances. Buildinfl Officiol ?'k ??^?5??-2'.y ? r N° 9723 Receipt # ?'yC?? 000 Date NOVEMBER 16 , ?q 84 Erect $] Occupancy. R1 Remodel ? Zoning R4 Repair ? Type of Const. V 1 13R Enlarge ? No. Storigg Move ? Length L Demolish ? Depth ?- Grade ? Sq. Ft. Approvals Fees • •• • • wall@= ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN %,Ok' UN (T INCLUDE Q SETS OF PLANS, 3 0 CERTIFICATES OF SURVEY SET OF ENERGY CALCULATIONS To Be Used For : _OF 4 FL-EX Valuation: ?3.rx)O._`x'_ Date:_ Site Address: 4154 MF-pmy4tA2K Lot:4 Block: -rj Sect/Sub:?jUp.gpKE Zr'!p Erect: X Occupancy: 2-1 Parcel #: Remodel: Zoning: 2-4 Repair: Type Of Const: Owner: Enlarge: # Stories: Move: Length: Address: Demolish_ Depth: ? City/Zip Code: Grade: Sq. Ft.: Phone #: Contractor_ ' "'• Address: Assessments: Permit: City/Zip Code: Water/Sewer: Surcharge: Police: Plan Rev.: Phone # : Fire : SAC : 525- °-' Engr.: - Water Conn: 4?0.= Arch./Eng: Planner: Water Meter ro3 =" Address: Council: Road Unit: 7100.°.3 Bldg. Off.: Parks: City/zip Code: APC: Phone#: Variance: ? It 7 ? U u t'T" ? • • ? • , .? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN -* ?2a ? To Be Used For: I c?-,= 4 ruEX Site Address: 4IIaD N1E??,,?Rx WAZ?/ INCLUDE Q SETS OF PLANS, ? CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS Valuation: 53,OCU. 29 Date: Lot: I Block: 5 Sect/Sub:HiLL^.-4m&A-E ZrµD- Parcel #: owner: MI(,HACL CvNST. Address :$8G1b 4d%4. I SU I TE ':531 City/Zip Code: `2r. L.purS :PAV-K Phone # : 938- 4Z?z Contractor: Mlu-taEL 'L01.tST. Address: City/Zip Code: Phone #: Arch. /Eng: j?U 1?lOhlGF?UX ? ?`f'--?C• Address: City/Zip Code: nh.,.,o* - Erect: x Occupancy: Remodel: Zoning: Repair: Type.Of Const: Enlarge: # Stories: Move: Length: Demolish: Depth: Grade: Sq. Ft.: Assessments: Water/Sewer: Police: Fire: Engr.. Planner: Council: Bldg. Off.: APC: Variance: Z-I Y-1 HR. 45 a Permit : 292.- Surcharge: 26:1 .2? Plan Rev. : SAC: Water Conn: 41p-° Water Meter Road Unit: Parks : ? /iAa- SU ?$ REQUEST FOR ELECTRICAL INSPECTION EB-Oaqo,-oe inst dions for completing this fvrm on Dack of yellow copy. L? ? O7,? ?EWrow°ftrrk Covered by This Request ew Add ReN TypeofBuilding AppliancesWired . EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating ApL Building Dryer Othec.(Specity) CommJlndustrial Fumace Farm Air Conditioner Other (specity) CornracroYS Remarks: W\ rC Compute lnspection Fee Below: ik Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Poal 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps . Signs Inspector§ Use Only -4 ?- TOTAL ? Irrigation Booms 4` .0 ? pecial Inspection / AlarmlCommunication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee p COMPLETED WITFIIN 18 M_ NT I, the Electrical Inspector, hereby Rouyn-in oate certif that the above ins ection has Y p been made. Final r Date ? J OFFICE USE ONIV Thi3 request voitl 18 months Irom REQUEST FOR ELECTRICAL INSPECTION E/?O00°i ?/ ?p ' See i?tructions for completing ihis farm on hack of yellda caD?- ( I ) j o. L?t 8-5'O ,.x.. Be/ow Wo,? Coeet+ed by This Request `r" PAwn q ReP. TvPe of Building AvDlianesn wirsd Equiwatent lCired Home Range Temporary Service Dupiex Water Heater Lightiny Ffzmres Api. Building Dryer Elec:tric Heatin Commercfal Bldg. Furnace Silo llnloader Industrial Bldg. Air Conditioner Buik Mitk Tank Farm otner (Specityl 1Dihcr (swecelv) . t ,r Specffy OthCr Othcr CO/llOUI2 IRSDBCIIOn FP.B BP.lOW AFea ServiceEntranceSize tt Fee Feeders/Subfeeders # Fee Circuits #-(j Uto200qm s 0to 30q / Otn3QAm Above 200 Amps 31 to 100 Amps SZf'a 31 to 100 Amps Swinuning Pool Above 100 _ .0 Ob _Amjs Transtormers Irrigation Boorrs PartiaL`Other Fee Signs Specfal Inspec[fon $- ,? 70TALFEt____) Rentarks 17-32 J-C) + ? Hoi,gh-in Date I?Oaclor. hereby a6ova fi' ??t the ?-' Final Date ` ec nsptim has 6een ,. 1 7 4 mads_ 11ft iaquest rOiA 19 monthe from "CITY OF EAdAN "e 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # T. ?. nuA !w. 1 OF 4 PLEX $54, 000 ,, N( SiteAddress 4156 MEADOWLARK WAY lot 3 Block 5 sec/Sub. HILLANDALE 2 Parce l No. MICHAEL CONST of Name 8800 7 331 S I E WY ? Address r City ST LOUIS P4one 938-4262 o Name SAME Z ? Address ? City Phone GW Name DU' MONCEAUX & ASSOC _? Address u act Z. City Phone I hereby acknowfedge that i have read this applicotion ond state that the inlormation is cOrrect ond ogree to comply with cll opplicable n Ordirwnces. Stofe of Minnesota Statutes City oF i . . $ipnoture of PertniMee ? NST /1 Building Permit Is issue . C L CO oll work sholl be done in atcordance wit oll o plicobJe St e of k 1!T° 9722 84 Erect [7 Occupancy RI Remodel ? Zoning R Repair ? Type of Const. V 1 HR Enlarge ? No. Stories Move ? Length 2 Demolish ? Depth 45 Grade ? Sq. Ft. AvDrovals Fees Assessment Woter d Sew. Police Fira Eng. Plcnner Council Bldg. Off. 1 1/5/84 APC Var. Data Permit 0 Surcharge 7 7 - no Plan check 147.50 sAG 525:00 Water Conn. 470.?00 Water Meter _63 - 00 Road Unit 26111-00 Parks Total ?$1,787.50 on the express conditlon that Statutes ond City of Eagan Ordinances. BuildiiV Official ? ••• • i '• ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN UNIT INCLUDE Q SETS OF PLANS, 9? CERTIFICATES OF SURVEY 0 SET OF ENERGY CALCULATIONS To Be Used Forc Valuation: ':-?4,pOp. p Date:_ Site Address: 415(o MEApioNtLARk WAY • • Lot : 3 Block :5 Sect/Sub : 11,1.PNDAL.E.2T Erect : x Occupancy : ?- ? Parcel #= Remodel: Zoning: Q-4 Repair: Type Of Const: Q -IHE. Owner• Enlarge: # Stories.: Move: Length: Z5 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: Council: ? Bldg_ Off.: APC: Variance: Permit: ov _'L? 5_ Surcharge: ZT Plan Rev. : sAC : 525, = water Conn : 4-70. ? Water Meter (n 3, °-° Road Unit: '7 1„ro 20 Parks: ? /,7k7- So CITY OF EAGAN N9 9721 - 3830 Pilot P:nob Road, P.O. 8ox 21-199, Eagan, MN 55121 ' `?' Y` PHONE:454-8100 ., BUILDING PERMIT Receipt # Te ba wed For. 1 OF 4 PLEX Est. Velue $ 5 4 ? 000 Date NOVEMBER 16 1p 84 SiteAddress 4158 MEADOWLARK WAY Erect ? Occupancy Rl Lot 2 Block 5 Sec/Sub. HILLANDALE 2 Remodel ? Zoning R Parcel No. Repair ? Type of Const. V 1 HR Enlarge ? No. Stories a: Name MICHAEL CONST Move ? Length 0 HWY , SUITE 31 Demolish ? Depth 45 ; Address b City ST LOUIS P4one 938-4262 Grede Ll Sy. Ft. SAME Appeovals Fees Zo Name EU Address AsSessmenT O Permit ' 3 t- City Phone Wuter & Sew. Surchcrge 27.00 Police Plan check 147.50 ?W DU'MONCEAUX & ASSOC Name Fira 525.00 SAC i,?-? Address Eng. WoterConn. 400 u ?W City ' Phone Planner WaterMeter - 6 3 - QO Council Road Unit 2 Fi n- n 0 .I hereby ocknowledge thot 1 hove read this opplication and state thaf gldg. Off. 11/5/84 parks the inlormotion is torrect and a ree to comply with oli applicable APC Total $1, 7a7. 50 City of Ea n Ordirwnces. State of Minnesoto Stotutes ar ? ? Var. Date Signature of Permittee A Building Permit is issued to: MP HAEL CONST on the express tondition tha" of Minnesota Stotutes and City of Eogan Ordinances. oll work sholl be done •in acwrdanc I oppli e S e r Building Officiol ?•(J/4-°? ? _ ? ?? wroul'lm ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ?G?U NIT pt INCLUDE 19 SETS OF PLANS, ?•?? / ? CERTIFICATES OF SURVEY ? SET OF ENERGY CALCULATIONS To Be Used For: ? oF 4 f7-Ex Valuation: 1574 000• 2? Date: Site Address: 1158 NIFp,pp"LAV-k ?p.y Lot: 2 Block: ?j Sect/Sub: NIu,P? LN" Parcel #: Owner: Address: City/Zip Code: Phone #: Contractor: Address: City/Zip Code: Phone #: Arch./Eng: Address: City/Zip Code: nh.,.,o*- Erect: Y, Occupancy: _ Remodel: Zoning_ Repair: Type Of Const: Enlarge: # Stories: Move: Length: Demolish: Depth: Grade: Sq. Ft.: Assessments: Water/Sewer: Police: Fire: Engr.. Planner: Council: Bldg. Off.: APC: Variance: R _4 "Z: •IH2. 2-5- 45 Permit: ZqS,= Surcharge: z Plan Rev. : SAC : cjZS. °-° water Conn: 4-70, ? Water Meter (03_= Road Unit: 2[00.= ? Parks: ?ITY OF EAGAN No 9720 ' 3830 Pilot Knob'itoad, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 BUILDING PERMIT Receipt T. 6e wad for 1 OF 4 PLEX Eg, Value $ 5 3, 000 pote NOVEMBER 16 1 q 84 SiteAddress 4160 MEADOWLARK WAY Erect Elk Occupancy R1 Lot 1 Block 5 Sec/Sub. HILLANDALE 2 Remodel ? Zoning R4 Parcel No. Repair ? Type of Const. V 1 HR Enlarge ? No, Stories ? Name MICHAEL CONST Move ? l.en9th 27 ? Address 8800 HWY 7, SUI7,'E 331 Demolisn ? DePth 45 City ST LOUIS PAone 938-4262 Grade ? Sq. Ft. ? S11ME Approruls Foes O Name ?U Address City Phone ?W Name DU' MONCEAUX & ASSOC U0 Address ?uZi City Phone 1 hereby acknowledge that t have reod this opplication ond state that the inlormation is wrrect and agree to tomply with oll applicable State of Minnewto Stotufes a KI)City f Eog Ordina . Signoture of Pertnittee M CHAEL CONST Assessment WaterB Sew. Police Fire Eng. Plonner Council BIdg.Off. 11 5 84 APC Var. Date Permit 2 2. 00 Surchorge 26.50 Pian check 14 6. 0 0 snC 525.00 Woter Conn. 470.00 Woter Meter 63. 0 Road Unit 260 _ 00 Parks 7otat $1,782.5 0 A BuildingPermif Is issued to: on the expreas condiNon thal oll work shail be done in cccordance wiyifTppplicoble f3T""t§ of Minnesota Sratutes ond City of Eopcn Ordinances. . 8uilding Official 6b(4q Telephone # ( 2004 RESIDENTIAL BUILDING PERMIT APPLICATION . ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellReoair Reauirements Offce Use OnIJ 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas 2 copies of pian GeA of Survey Recd Y' _ N (20% maximum lot coverage aliowed) i set of Energy Calculations for heated additions Tree Pres Plan Recd Y=N, 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks 7ree Pres Reqwred _ Y= N 1 set of Energy Calculations Addifion - indicate if on•site septic system On-site Septig Sqstem Y_ N 3 copies of 7ree Preservation Plan if lot platted after 717193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date )0/ q c vv Construction Cost SiteAddress 66&Ste # Description of Work Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2 Q Property Owner Telephone # (W4 ! 7 v `O' Contractor . U i6, Qdo, • • Address City State Zip Telephone # (g$Z) q;?5' 9 ?(!< / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 y • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Catculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ . , tee applies. .....-,. =' ?-. ? 1 r' Licensed Plumber Telephone # ( Mechanical Sewer/Water Contra ? : - U , c.. a4 L , N If so, 25% plan review Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. GV? I J • ?? Ks ? . S Applicant's Printed Name Applicant's Si ature OFFICE USE ONLY Sub Types D 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-piex ? 06 04-plex Work Types . y ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Buiiding* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water 5AC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Ice & Water _ Roof Final _ Pool _ Ftgs _ Air/Gas Tests Final _ _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Ptant License Search Copies Other Total Building Inspector ??T7 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canstruction Reauirements • 3 registered site surveys showing sq. ft, of iot, sq. ft. of house; and ail roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam 8 window sizes; poured (ound design, etc.) • t sel of Energy Caiculations • 3 copies af Tree Preservation Plan if lot platted after 7/1/93 . Rim Joist OeWil Oplians selection sheet (bldgs with 3 ar less units) DATE 10 - t3 - O Z <Z1•?? RemodellReoair Reauirements . 2 copies ol plan • 1 set of Energy Calculations for heated additions • 1 site survey tor exterior additions 8 decks . Indicate if home served 6y sepGC system `or addi6ons VALUATION ? 5 '700. 0c) SITE ADDRESS q1$+ M faD v cA?,i L WflY MULTI-FAMILY BLDG _ Y N TYPE OF WORK Cont e.€rm? 15?canm _ Sksp "pjo,gAmsj'FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT STREETADDRESS 200 IC'1 A-)0. CITY STATEffia ZIP_Sa34:Cj TELEPHONE #?63 4Z0 Z14E?CELL PHONE # ro IZ Z'KZ 3550 FAX #? 634-"?34 35 a f PROPERTYOWNER f? rt..3 c,QncQn TELEPHONE# 5,52- !5t --ZlZOb 90k, ?alx& +v I I S LJ 3S?? ?LP ??-5-1? COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNESO"i':112UL1:S 7670 C:\"fEGORI' 1 MIIV\ESO"C:\ RCLES 7672 (J submission type) • Residen[ial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ____ Plumbing systcm includes: Mechanical Contractor: Vlcctiviiril svstcm incluclrs: Sewer/Water Contractor: Waler Softener _ ` Water Heater _ No. of Baths :1ir Conditioning I-Icat Recovcr}' Systcm Phone # Fee: 590.00 Fec: 570.00 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 ---------- - ---------------------- - --------- - ---------------------------- - --------------- - --------------------- - ----------------------------- - -- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 _ Phone # Iawn Sprinkler No. of R.I. Baths Phone # OFFICE USE ONLY O 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex O 07 Orplex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage O 10 08-plex ? 18 Deck ? 11 10.plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous O 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 38 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AlteraGon O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg only) - Gtve PCA handout to appiicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width . REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) FinalNo C.O. _ Footings (addirion) _ Plumbing _ Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Franung Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final Windows (new/replacement) _ Insulation _ _ Reta'vung Wall 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 Building Inspector CITY USE ONLY PERMIT #: Is a` p`-?' RECEIPT DATE: ???? RESIDENTIAL ?????ICl?? ?ERMIT A?PLICATION CITY Of EmAP 3$30 PILOT KNOS iiD EAFAN MN 55128 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: OWNER NAME: O ' ! C) Lemm TELEPHONE #: INSTALLER NAME: STREET ADDRESS: TELEPHONE #: 1 CITY: \ STATE: ? ZIP: Place a check mark next to the permit work type Add-on, modification or alteration to existinq dwelling unit $ 30.00 • furnace replacement-- • air exchanger • air conditioner? ? • other Natur r\ml? of work: State Surchar e $ .50 Total $??J CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 2002 CiOMME?CIAL MECtiANICiAL PEftMrr 1??PLJC,1???N Cl l I ?F EAfiAN sgso PiLOT KvoB RD EAG", MN 55122 651-661-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENAN'I' IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRE55: CITY: TELEPHONE #: STATE: ZIP: WORK TYPE: New construction Tnstall U.G. Tank _ Interior Improvement Remove U.G. Tank - Processed P;ping Specify Nature of Work Wleen installing/removing underground tank, call 65I-68I-4675 for inspection by Fire Marshal and Plumbdng inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tanlc removaUinstallation = m;n;mum fee Contractprice: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 far each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/OZ COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Foundation Onl - New Gonstructian interior im rovement _ • Structural Plans (2) sets • Architectural Plans (2) sets • Architecturai Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1) . Project Specs (1) • Code Analysis (1) ** • Master E)at Plan (1) • Spec. Insp. & TesGng Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always*` • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) notalways*' . Meter size must be established . Meter siDe must be established • Meter siza must be established -if applicable • ProjectSpecs (1) 1 • EnergyCalculations (1) *" 1 1 • Electric Povner & Lighting Form (1) "* 1 l • Master Ept Plan (1) 1 1 • Fire Protection Plan (1) 1 • Soils Report (1) d • MC/ES SAC detertnination letter . MClES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 contact t3uudmg inspections tor sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. DATE: I-3 (3 OZ WORK TYPE: _ NEW ;??_ REMODEL SITE ADDRESS: TENANT NAME: - r'fi1 YU t y-? Sb FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER ? Name: ..Q,,e?(?t ..?'1('Tdw ?1 ? ?`!? ?f ?S ? C • Phone #: ( ?Q ? ? ) 9"i H ` b L LD ?? Last First Slreet Address: City: Company: Street Address: CONSTRUCTION COST: 2,111.72 SUITE #: Zip: Phone #: iM5 City: shatprof, State: H Ki Zip: '?j 319 Company: Phone #: (_ Name: Registrarion #: Street Address: City: State: Licensed plumber installing new sewerlwater service: Phone #: FEB 0 6 ?001 I hereby acknowledge that I have read this application, state that the information is correct, a agree to ply with all applicable State of ? Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? Updated 1102 State: OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Aparhnents ? 27 CommerciaUlndustri 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 Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair ? 33 Alterarions ? 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 Building ? Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered 0 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 Totai . ? ? ..._? ... ? ; ? 2/84 P) CI TY OF EAGAN w APPLICATION FOR PERMIT - SEWER AND/OR WATER CONNECTIODI " (PIEASE PRINT) 1) PROPEl7TY ADDRESS: T.r3nT• DFSCI2IPTICN: (LOt/Block/Subd-lv lsion or Tax parcel I.D. Nisnber) ' IF •1IT Z=.::_ <<_or.-..%=ea?:; --- PRESE.'VT ?^'7IDN./PROPOSETJ LtSE: 0 R-1 SINGLE FAMILY ? 2 DUPL?`{ (?TO UNITS) kf R-3 .TOVdNHOUSE ('I'FiREE + UNITS) ( l? UNITS) ? R-4 APAFYI2q]T/CONDCMINILM (T UNITS) p CQMMERCIAL/REI'AII,/OFFICE ? IMUSTRIAL ? INSTI'I'UTIONAL/CiDVMUZOIr 2) APPLICADIT t tAt%Ec (PLEASE PRINT) ? ADDRESS: CITY, STATE, ZIP: f,(J; ',3JI PHOiQE: ? 3} pILMggR NAME : PLEASE PRINT) _ 1 FOR CITY USE ONLY . ADDRESS: . 3m 36WKFtiNFRFr QRIVE. EAGAN MINN 55122 PLUM$f RS LICENSE: A ti ' CITY, STATE, ZIP: '?.452•1565 „y--- Q c ve Ezpired _ ' - PHONE: MASTER PLUMBER LICENSE # 001445M2 E=3 6"?--?J °rd , a ni ia y 1 l:l.i:UYHIV"1'/UNiVt:R NANIE: FsDDFtE55 : CITY, STA'PE, ZIP: PHONE: _ tr??nac rnini? 5) INDICATE WNICH P£RMIT IS BEING REQUESTED: `U' CONNECTION TO CITY Sa^IER Eje-CONNEC,?PION TO CITY WATEFt ? 0`PIiEt (PLFASE DESCRIBE) 6) IlVDICA`1'E ONE : ? PL.F'.ASE I301-D APPRQVEp PERNIIT FOR PICI:-UP EY ONE OF APWE Q/PI..EeASE MAIL APPRpVEp PERMIT TO 1, 2, 4 11BWE . (Circl one) 7) SI ,C'??Ir,TURE: DATE: ? ....,. ? .. MI! "!9?40ypj?.t,.;r.,a .?r .: .,...:.a ?w ?a, ?+t rr.+ii?,,,?? i?ii ii+4 ? ii•??t+?!?!_ ?!?!k+!!?..??.?, ,. ., ., .. _ ?k 4?l.? . F O R C I T Y U S E O N L Y • PERMIT ISSUED ? FEES : $- / 4 - S a $_- -.1s•1. s ? $ fo ..? ?--tl S $ $ . Y $ S $ $ $ _ SEWER nLRMIT (INCLUDL SUP.CIIP.RGE) WATER PERP'[IT (INCLUDE SURC[IARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP. (INCLUDE COF.PORATION STOP) SEWER TAP ACCOUNT GEPOSIT - SEWER ACCOUNT DEPOSZT ? WATF?? wAC` SAC TRUNK WATER ASSESSMENT . TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL ' $ ???~d ? AMOUNT PAIp/RECEIPT. #' -e,,l9? /g DOES UTILITY CONNECTION REQUIRE.EXCAYATION IN PUBLIC RIGHT OF WAY? C-] YES. IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE Pd0 E:NGTNEi.RING.DIVISIOC.. LIST F,S A CONIII- TION. SUBJECT TO TfiE FOLLOWING CONDITIONS: APPROVED BY: -- TITLE: DATE : Me s.m .m:pw ..w?lft .U. ak? ra IPL..*w weop!pt " w? " R+ sm.?s w?•? ra W-ge on m .? . ? ; _ ? ? i 2/84 , J , CITY OF EAGAN ? , :• ? ? APPLICATION FOR PERMIT ' SEWER AND/OR WATER CONNECTIODI " (PLEASE PRINT) 1) PROPERTY ADDRESS: LECAL DESCRIF'TION: ?? 'IP, (Lo t/$lock/ t?viszon or TcLx Parcel I.D. NLnnker) ' Il .1n .^^T^'!'1.T? ?._? . ... ;ear) ---- PRESaW ,IIf1N:/P.Tt0POSErJ USE: ?? R7,1) SINGLE FAMILY V -Z DUPZZ{ (TL70 UNITS) ? -3 TOWIdHOUSE (THREE + UNITS) ( iiNITS) ? R-4 APAFtr2=/C0NDCYv1INIUU4 ( UNITS) ? CQMVEE2CIAL/RE'PAII/OFFICE ? IMUSTRIAL ? INSTITUTIONAL/GO?ETFT 2) p,ppLlcAN'r (PLEASE PRINT) NAME:1 ?,?h?P - ?DREss : ? r n CITY, STATE, ZIP: (,?J PHONE: qRz - ? 3} p?MER NAME: PLEASE PRINT) ? FOR CITY USE ONLY ADDRESS• ? • . V?M? 3ennacuNCacr.nRivF EAGAN MlNN.55122 PLU BERS LICENSE: Active ' CITY, STATE, ZIP: '?+r, 452•1565 r,,,....--- Expired PHONE: PLUMBER LICENSE /1 001445M2 I? Hot of Record ? a ni ia '1) UC.'CUYANi'/a']DIER trLcaac rninl) NAME: ADD,tE SS : CITY, STA`I'C, ZIP: PHOCTE: _ 5) INpICATE WHICH PERMIT IS BEINC; RDQ[]ESTED: P-?&bNNEC'I'ION TO CITY SES^TER E?4NNECPION TO CITY WATER ? C7PItER (PL,EASE DESCRIBE) b 1 1NDICa'1`E ONE : 7) SIGMkIURE: ? PLEASE HOID APPROVED PERMIT FOR PICF:- BY ONE OF ABCJVE ?'\SE MAIL APPROVED PF?2MIT 'IC) 1. 2, 3, 4 ABWE (Circle one) DATE26 ??„( . . . . .. . , ? . . ? . . . . . ?P/1??#'N/ #? #alk UM 4Mfi?F?!F?! !P? a! ? 1!!f ..rt.r ..??5!???T'fM? iY? ?M!? ? ? ??? ?s F O R C I T Y U S E O N L Y • + PERMIT # ISSUED FEES : SEWER nERMIT ( INCLliDE SUP.C[lARGE ) WATER PERA12T (INCLUDE SURCIIARGE). $ G3. "^--? WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE COF.PORATION STOP) $ SEWER.TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT.DEPOSZT - WATER $ WAC $ SAC ' $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFTT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ ' OTHER $ TOTAL - $ _ ..?o-4/ "AMOUNT PAID/RECEIRT. #t1?Z/ /Gl DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN _ j PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGTNEERIDIG DIVISIOC;. LIST AS A CONDI- TION. SUBJECT TO TfIE FOLLOWING CONDITIONS: APPROVED BY: C>ee__? TITLE: DATE : ?e ?# Ri1. w ?. sA Naw rrt.r sa !A wi? /!? ?!'? wF/1! !r?',? !4+! Ini4!!'?1! ?11! r? wE?,?"'t si! !" . T.... _ , ? ? ._ . • -.. ? _ . 2/84 CITY OF EAGAN ? MU APPLICA'rI0[? FOR PERMIT /( SEWER AND/OR WATER CONNECTIODT " (PLEASE PflINT) 1) PROPERTY ADDRESS: T.rc^3nr• DE'SCFLZPTICN: s (Lot/B1ock/Subc?ivlss.on.or Tax Parcel I.D..Ntnnber) - 11 E.`L? _ _. '..l C=t"i!T ? - 1l^,? 10'_''l-`.?T^'i'\?T . i _ . . ._' .tL ......_._a.. :?j ?`??.`•i 1? i.....?t_.- a ...... L%'or._??:'e?; i-- PRESE.'V'.r --^i1IL%r,/P??()PQSED USE: ? R-1 SIlVQ,E FAMILY ` ? R-2 DUPL,E.'{ ('IiNb UNITS ) C3?R-3 Ta1N?EIOUSE (TIiREE + UNITS) UNITSI ? R-4 APAR'Il'2QVT/CONDONLTNILM ( UNITS) ? COMMERCIAL/RETAII,/OE'E'ICE p II`'DUSTRIAL ? INSTITCF!'IOPIAL/GOVERNMENT 2) APPLICFINI' . (PLEASE PRINT) NarE: AiL` (LL116 -IT GC tldl'l 0. ADDRESS: i CITY, STATE, ZIP: v 5z/a- PHONE: 3) pI,LJNIDER N11ME : (PLEASE PRINT) ? FOR CITY USE ONLY ADDFtESS: 360fJKENNFeECDRIVE EAGAN.MINN 55122 PLUMBERS LICENSE: [?] Active ' CITY, STATE, ZIP: 452•1$65 Expired PHONE: , PLUNBER LICENSE (/ 001445M2 , ? Not of Record ??_.CZ? a ni 1a yl l?L..I:U1FllV'1'/CA9NII2 trLcnac rninl) NAME: ADnrEss: CITY, STATE, 2IP: /FYP-7-?) PNONE: ` 5) INDICATE WHICH PERMIT IS BEING REQUESTED: Q' CbNNECTION TO CITY SETrlER [?V-'CONNBCTION `PO CITY WATEFt ? (7Pf1ER (PLEASE DESCFtIBE) e) uvutl.a'1? UN?: ? PI.,FASE HOLD APPRWEp pERMIT FOR PICIi- BY ONE OF ABOVE PL.EtVE MAIL APPROVEp PERMIT TO 1, 2.i) 4 ABOVE (Circl?one) _., . 7) SI&NANRE: DATE: 'e?l F?r ? ,lr? F O R C I T Y U S E O N L Y • ? PERMIT ? TSSUED ? FEES : SEWER PiRMIT ( I;VCLliDi: SUP,CI?P.RGE ) S /D.SJa WATER PEM4IT (TNCLUDE SURC[IARGE) $- I m a WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE COP.PORATION STOP) $ SEWER TAP ACCOUNT r,EPOSIT - SEWER $ ACCnUNT DEPOSTT ? WATFR $ ? ?o • ?'-ar ' WAC. $ .6;.?,-5`? o--tJ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER A.SSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ ' OTHER $ TOTAL $ ?D? ? -; AMOUNT PAID/RECEIPT [j / 9 DOES UTILITY CONNECTION REQUIRE EXCAYATION IN PUBLIC RIGHT OF WAY? YES IF YES, THE N A"PERMIT FOR WORK WITHIN E- ? NU PUBLIC ROAD WAY" MUST BE ISSUED BY THE ENGIIVEERING DIVISrOr:. LIST AS A CONDI- - TZON. SUBJECT TO TIiE FOLLOWING CONDITIONS: APPROVED BY : ? s?-.e) TITLE: DATE : ; r. ?x.it{?L:i.Jil Tl?::'1'1tiLt'm:v ?=Q. 7i_RDE114L_1-iRt; F'.I! EiiCIf4"i t'fi'} PF'CPARED D',' ?EL ?'?-- ??':,,: r.? ;? . i ti TF_F'---- ?",` .:i?lJTva'DE Ti;-- I1"'E .,,..,. : E Et DEt,,m EE?? ? ? ? a t: r,t371a -r ?T31I#y`_: A /r? dAz j- ------------`-:1 ii1P1cR ------------ 0 3_tT:_ZI,E- I Nvll,c r:flIL.... r ?tE'. .-. D_ ?i`t'+? ; ?l,REEw Lt'1 T?i iJls-L ?'.?=i'vi{;= ? - ? ?? ;, :1a T'tE31T!i t,± ErarIRE H1USE 'v'Ff;_uE? ?V Ei`IT?. --NU^1EER 0?=-- ? tY? : ' TrDQ?C? F-ILZti6 'FLOURS >`:.+EMTILRTION ;,tIPPL'3£iNCEu •P.cl7?'LE' ,. 'l)LiGTS :iLt3TEHT 5R I N "?TQTRr..S ?„' t ,- ., ---a??_?i:-!'---- - ?h--- i;-9 ?f'd ijA 0y 2 lli 34565. Ee A. G 6ilu? RMEWED ? DATE f H P, TtJN i,Fi}.ri . . "TC_i!-! =CI:.._ 0f'tS;PIU°=??Cird „ .. I"l:?i'?B tR't- '6 3'r'.. 16L. ;11i1?:1. -, - 4-1e 5 4_,. •c+il:?, ' i;_Us, 13 1+3 ,. _' :} i t . - 4 lff_.Vp ?9N 17F ii, 0. l2i311. 12ti?J. - _ 4780. ----- . . --- - c0716.,. ---- r,4 5 6 5a { i£ PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u]c Lo z N c Eagan, Minnesota 55122-1897 Permit Number: • 028005 (612) 681-4675 Date Issued: 06/ 21 / 9 6 SITE ADDRESS: 4154 MEflDOWIARK WAY IOT: 4 BLQCK: -? --2-" WILLANDALE AQDTTIQN #F2 P.I.N.: 10-32951-040-05 DESCRIPTION: 12?? RAKE & EavEs Permit Type MULTI. (MTSC.) ?tork Type RLTERATION ????? 434 ALT. RE5IDENTIAL f?=?= .:: ?. EV !?? ??? ? E ??' F t?a ?$ Vt» i.:IV?aaID" . «? I,t- a ?? ?mdx ?rae.? aa »c:ti:: REMARKS: INCLUDES 4154, 4156, 4158, AND 4160 MEADOWLARK WAY FEE SUMMARY: vALuaTZON Base Fee $137.25 Surcharge $4.00 7ota1 Fee $141.25 CONTRACTOR: - applicant - OVERHEA[l CONSTRUCTION 14606277 17259 N CREEK DR FARMZNGTON MN 55024 (612) 460-6277 $8qLYJPJ OWNER: LAKEWOOD GONDO A550C 4080 MEADOWLRRK RD S EA6AN MN " 9l11ICANT/PERMITEE SIGNATURE ISSUED B GNATURE ' ' ` CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements RemodellReoair Reauirements ? 3 regislered site surveys ? 2 copies of plan ? 2 copies of plans (inciude beam 8 window sizes; poured fnd. design; elc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? t energy calculations for heated additions ? 3 copies of tree preservation plan ff lot platted after 7N/93 required: _ Yes No ? DATE: ? 9X CONSTRUCTION COST: DESCRIPTION OF WORK:' L?? STREET ADDRESS: L q ?f L/ L31{f5?I L{-ISOO -LA LOT f ? 7 BLOCK S SUBD./P.I.D. #: a- PROPERTY OWNER CONTRACTOR Street Address• Name: Zd?e zdcl-"?;Ww Phone #: µS, .IRST City: ? State: Company: 44s::S?d Zip: Phone #: `??e vl °Z 77 License #: City:State:,,,? Zi Street Address:??Z ? a,04,- 4,2--- ARCHITECT/ Company: ENGINEER Name: Phone Registration #: Street Address• City: Sewer & water licensed plumber. change are requested once permit is issued. State: Zip: Penaity appiies when address change and lot I hereby acknowiedge 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: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Pian Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New o 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SMJ Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Capies Total: ? 11 Apt.lLodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pooi ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. MCIWS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Valuation: $ •. a 1 °k SAC SAC Units I? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 028008 06/20/96 SITE ADDRESS: 4154 MEADOWLARK WAY LOT: 4 BLOCK: 5 HILLANDALE flDDITION #Z P.I.N.: 10-32951-040-05 DESCRIPTION: : REROOF Bryuil:!?in:?,.Permit Type uil;ding- Wb?k Type x?.m. C en??Us ?Gatl?ie 6 ?G ;?.. ?x i ak?m ' 57QRM DAMAGE REPAIR 434 ALT. RESIDENTIAL s??f3 Q impf? E q? v??% REMARKS: INCLUDES: 4156, 4158, AND 4160 MEADOWLARK WAY L3 L2 L1 FEE SUMMARY: CONTRACTOR: - Applicant - OWNER: OVERHEAD CONSTRUCTIOM 14606277 LAKEWOOD CONDO ASSpC 17259 N CREEK DR MERpOWLARK FARMINGTON MN 55024 FARMINGTON PAN 55024 (612) 460-6277 ? T he"Peby ackn information_i 5tatuzsnii iledgei that T fia`ve -corre,et<aandaar_ee APPLICANTIPERMITEE SIGNATURE V CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construetion Reauirements RemodeVReoair Reauirements t 3 registered site surveys ? 2 copies,of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? i energy calcutations ? 1 energy calculations tor heated additions ? 3 eopies of tree preservetion plen if lot piatted efter 711f93 Bp required: _ Yes No ?- DATE: z e1? ?l? CONSTRUCTION COST:,2? DESCRIPTION OF WORK: "' STREET ADDRESS: ? 4 3_?{ ? s t. ? s p- Z ??s..?L(c.. 14fi t) Z LOT BLOCK S SUBD.IP.I.D. #: PROPERTY owNeR CONTRACTOR Name:4a?4 e c??am ? L...?.? i?'S"i k- Phone #: usr fINET Street Address, City: Z5&-Z? State: Zip: P h o n e #: T?? ( 2 7 Company: Street Address:f ?? ? ?c,?e ?r License #:1?.? , City: ?-?`?'L State: ARCHITECTI Company: ENGINEER Name: Phone #: Registration #: Street Address• City: 5ewer & wafer licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that f have read this application and state that the information is carrect and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No OFFICE USE ONL.Y BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 02 SF Dweliing ? 07 4-plex o 03 SF Addition ? 08 8-plex a 04 SF Porch o 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE 0 31 New ? 33 Alteraiions o. 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? 0 12 Multi Repair/Rem. o ? 13 Garage/Accessory ? 0 14 Fireplace ? 0 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MClWS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit 5NV Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ °k SAC SAC Units f (J S 0?4s? L-4 RESIDENTIAL SUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 13-0 5-7) New Construcfion Reouirements RemodeUReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% rraximum lot coverage allowed) 1 set of Energy Calculations ior heated additlons Tree Pres PWn ReW 2 copies oi plan showing beam & window sizes; poured found design, etc. 1 site survey for additians & decks Tree Pres Not Reqd 1 set of Energy Calculations Add'rfion - indicate if onsite sepNc system _ On-site Septic System 3 wpies of Tree Preservation Plan 'rf lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 ar less units u Date 63 Site Address /?j ? ?Construction Cost I _ L?'9 v Unit/Ste # Description of Work ('-41" ) Multi-Family Bldg Y_ N Fyreplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor Address State ZipS:?LCk? City Leza/ Telephone # C???` COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category Minnesota Rules 7670 CateQOrv 1 _ Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( ? I IEfY?Rho?ie? A I hereby apply far a Residenrial Building Permit and acknowled that the infoimation?s complete and accurate; that the work will be in conformance with the ordinances and es a fl?'?f e ?fTagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. t' Applicant's Printed Name Applicant's Signature OFFICE U5E ONLY Sub Types ? 01 Foundation K02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 07 05-plex ? 08 06-plex ? 09 07-plex ? 10 08-plex , 11 11 10-plex ? 12 12-plex ? 31 New ? 32 Addition >191, 33 Alteration ? 34 Replacement Valuation 1, Ol9 C7 ? Census Code ? SAC Units Nbr. of Units Nbr. of Bldgs Type of Const W idth Footings (new bldg) ? Footings (deck) _ Footings (addition) _ Fommdation _ Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 19 Lower Level ? 24 Storm Damage Plbg_Y or _ N (?G?vTa%,c ? 35 Int Improvement ? 38 Demolish (Inte(or) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered 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 T -7 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total _J. Od-Z-? fc907-,e2-q_ ??, ? ? Pi.UMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilm# Knob Road, Eagan 1VIn 55122 Telephone # 65I-E75-5675 FAX # 651-675-5674 Please complete far: Singie Family Dwellings_. Townhomes and Condos when pernuts are required for each unit Date 03 ? -- --- -- ? MCGINNIS, RONALD I Site Address I 4158 MEADOWLARK WAY Unit # EAGAN, MN 55122 ? (651)653-0151 ? Property Owner I, _?phone # ( ) ? -- ? ------- --- contractar NORBLOM PLUikZI13G CO. (612) 82'?-4?,"? --- - - Address City . State M(NA??AM9,° M-554Wip Telephone # ( ) The Applicant is _ Owner ? Contractor _ Other Septic System New Refurbished .. Submit 2 sets of plans and MPC license $ 100A0 Includes County fee. Additionai consul4ant fees may apply. Alterations To Existing Dwelling Unit, Inc3ud6ng _ Adding fixtures to lower levels or room edditions, excluding water softener and water heater $ 50.00 _ Abandonment of septic system • _ Water turnaround (+ 518" meter if needed -$121.00) Other. _ RPZ _ new installation ; epair _ rebuild I y; 30.00 _ Lawn irrigation system _ Water saftener X W'acer heater $ 15.00 x replacement _ additionai V 50 $ State 5urcharge , TotaJ - ? - 1"Y. EQ I hereby apply for a Residential Ptum'uing P? rr.!:t a.:u acknowledge that theli fn oarian•is-eornpiete'aad accurate; that the work will be in conformance with the ordinances and codes o1 the City of Eagan and :vith the Plembing Codes; that I understand this is not a permit, but oniy an application for a pernii, 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 reqi:ncs a review and approval of plans. Je_-? ?oCU(J,,,A Applicant's Printed Name Ap c s Signature 2004 RESIDENTIAL BUtLDING PEI{MIT APPLICATION -. , .:.. -- ` City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Ut::7 I Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage aliowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units RemodeVReoair Reauirements 2 copies of plan 1 set of Energy Calculations (or heated additions 1 site suNey for additions 8 decks Addifion - indicate rf on-sife septic system i ? ?S-1,1, 57 Office Use.OnlJ Cert of Survey Recd; Tree Pres Plan Recd ' Y. Ai,N Tree Pres Required _ Y_ N On site Septic System _ Y•_ N Date Q' l Z( l Site Address Qq Construction Cost J` t? /' DO ssraa Unit/Ste # Description of Work "?J • 0 WS jo d M ti-Famil ldg Y N? Fireplace(s) _ 0 _ 1 _ 2 Praperty Owner • ?6 Telephone # ( ?(jS? ) lUS O / /CY W Contractor , d ? Razoz, - • Address 5J8 State ?? ? ? City Zip Jr-S?J? Telephone # (gSZ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category Residential VenGlation Category 1 Worksheet • gy ? (4 submission type) New Ener Code Worksheet ? Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( „j Ll Telephone #? ? ') _rr_p ?nnc a. r Telephone # ? J I I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ??lah-s l l?? Applicant's Printed Name Applicant's ignatur OFFICE USE ONLY : 5ub Types . ? .?. .. ? ? -- . D 01 Foundation O 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg El 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi ? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-piex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish 8uilding* ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement `Demol?Gan !Entire Bldg) - G ive PCA handout to appiicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units 5tories Booster Pump # of Units Sq. Ft. PRV s # of Bld Length Fire Sprinklered g Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee 5urcharge Plan Review MClES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS FinallC.O. FinallNo C.O. Plumbing HVAC Other - Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco _ Stone _ Brick Windows _ Retaining Wa11 Building Inspector 32951 HILLANDALE #2 MEADOWLARK WAY 4122/ 10 32951 010 08 5-plex 4124/ 020 08 4128/ 030 08 4132/ 040 08 4136 050 08 4126/ 010 09 5-plex 4130/ 020 09 4134/ 030 09 4138/ 040 09 4140 050 09 4142/ 10 32951 030 07 3-plex 4144/ 020 07 4146 010 07 4148/ 10 32951 030 06 3-plex 4150/ 020 06 4152 010 06 4154/ 10 32951 040 05 _ _?4-plez - ? 41-Sb7 _ - 030 OS_ _ - ? ? - . 4158% 020 05 4160 010 05 4162/ 10 32951 040 04 4-plex 4164/ 030 04 4168/ 020 04 4172 010 04 41661 10 32951 040 03 4-plex 4170/ 030 03 4174/ 020 03 4176 010 03 8 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dweliings. Date ? /?E-2 /e? Site Street Address ? E? B ?gQ ?9 Unit # Property Owner Telephone # (??- `?9?`/1 y!1 I Contractor Telephone # O?M - ffY_'F'.36 Z Address Ja/ 61) City Stat,e&Zn2 Zip,?ff` The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) _Other. . 1 ?. J Water Softener _ Water Heater -- $ 15.00 replacement additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 i Total $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start withaut a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approve . ,Q CY ° App icant's Printed Name pplicant's nature - ? RESIDENTIAL ? BUILDING PERMIT APPLICATION ? CITY OF EAGAN 3830 PILOT KNOB RD - 55722 q? I 651-681-4675 U GI5 9 / C/ New ConstruNion Reauirements RemodellReoair Requirements • 3 registered site surveys showing sq. ft of lot, sq. fl. of house; and all rooted arr.as . 2 copies of plan (20% maximum bt coverage allowed) • 1 sel of Energy CalculaUons for heated addftions • 2 copies of plan showirg beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • t set o( Energy Calculations . Indicate if home served 6y septic system for add'Rions • 3 copies of Tree Preservation Plan if lot platted afler 711l93 • Rim Jaist Detail Optlons selection sheet (bldgs with 3 or less unils) DATE (/1 1) - D JOB SITE ADDRESS? IF MULTI-FAMILY BUILDI PROPERTY OWNER ' TYPE OF WORK APPLICANT ADDRESS 3131 PAGER # HOW MA Y UNITS? W? 9 ?? C LI4 i_,,,r'I? , VALUATION,?i`7 ? " - PIREPLACE(5) Y 0 _ 1 _ 2 PHONE#76.7- 7r7l7s3d G• _ ZIP CODE -'701 -" qSW? FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT GOMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechantcal Contractor: Mechanical System Includes: Sewer/Water Contractor: Air Condirioning Heat Recovery System All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state with all applicable State of Minnesota Statutes and City of Ea Sfgnature of ApplicaM CELL PHONE # 67I _ Water Softener ? Water Heaier No. of Baths Phone #: _ Iawn Sprinkler Fee: $90.00 _ No. of R.I. Baths Phone # Phone # 1?re7 ?? J r f ' corre t nd agree to comply a . Certificates of Survey Received _ Tree Preservation Plan F?e¢eived _ Not f?equired _ ?/ Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Poroh/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Stortn Damage ? 25 Miscellaneous ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 5iding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Daors ? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Occupancy Zoning Stories Sq. Ft. Length W idth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Plu Foundarion Drain Tile Roof Ice & Water Final Framing~ Fireplace _ R.I. _ Air Test _ Final Insularion MC/ES System City Water Booster Pump PRV Fire Sprinklered Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (newlreplacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaUC.O. _ FinaUNo C.O. _ mbing HVAC Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN #- /? ` z O ? 3830 PILOT KNaB RD - 55122 / ?'J 657 -681-4675 New Construction Reauirements RemodellRepair ReaufremeMs • 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas • 2 copies oi plan (20% maximum lot coverage ellowed) . 1 set of Energy Calculations for he+ated additiora • 2 copiess of plan showing heam 8 window sizes; poured (ound design, etc.) • 1 sita survey for exterior additions & decks • 1 sel of Energy Calculations • Indicate ii home served by septic system for additlons • 3 copies of Tree Preservation Plan if lot platted aiter 711193 • Rim Joist Detail Opdons selecNon sheet (61dgs with 3 or less uniks) 10 3zq,?? ozo o? DATE ^ GT " Wa VALUATION l'1 JOB SITE ADDRESS a? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ? PROPERTY OWNER rRi d 4 TYPE OF WORK 9-)/44 FIREPLACE(S) _ 0? 1_ 2 APPLICANT PHONE ADDRESS ZIP CODEs??? PAGER # CELL PHONE ? , o FAX #C?54)6-143 -01VT 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. Fce: $90.00 Y 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 MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULFoS 7672 - New Energy Code Worksheet Submitted Phone #: Water Softcner _ Lawn Sprinkler Water HeaCer No. of R.I. Baths No. of Baths Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 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 Lawer Level ? 12 12-plex Plbg_Y or_ N ? 31 New ? 32 Addition ? 33 Alteration )(1 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) Fina1/No C.O. _ Footuigs (addirion) Plumbing Foundation Drain Tile Roof Ice & Water Final Framing Fireplace R.I. Air Test _ Final Insulation - - Approved By Building Inspector 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 ? 20 Poal ? 21 Porch (3-sea.) ? 22 Poroh/Addn. (4-sea.) ? 23 Poroh (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bidg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered FinallC.O. HVAC Other _ Pool _ Ftgs _ Air/Gas Tests '_ Final _ Siding Stucco SWne _ Windows (new/replacement) ? 6 L y? ??4r ???53 ?? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 v Construcfion Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showirg beam & window sizes; poured found design, etc.) 1 set of Energy Calculations 3 copies of Tree P2serva6on Plan ii lol platted aRer 711193 Rim Joist Defail Options selection sheet (bldgs wRh 3 or less units) 4TE )B SITE ADD ?43, 56 (2, (?? RemodellReoair Requirements • 2 copies oi plan • 1 set of Energy Calculations for heated additions . 1 site survey lor exterior additions 8 decks . Indicate ii home served by septic system for additions VALUATION -f L C)OD MULTI-FAMILY BUILDING, HOW MANY U ;OPERTY OWNER C L . I PE OF WORK ? 'PLICANT )DRESS ? t ?o v \GER # ? NIEV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY =nergy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations 5ubmitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includes: Mechanical Contractor: Vlechanical System Includes: 5ewer/Water Contractor. Phone # Phone # Fee: $90.00 ree: $70.00 above information must be submitted prior to processing of application. ereby acknowledge that I have read this application, state that the information is correct, and agree to comply with applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of !rtificates of Survey Received CELL PHONE # _ Water Softener _ Water Heatcr No, of Baths fIREPLACE(S) ?7 0 1 2 3 PHONE # ?0&&cC5 ZIPCODE FAX # Phone #: Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System Tree Preservation Plan _ Not Required _ Updated 1101 OFFICE USE ONLY 01 Foundation 02 SF Dwelling 03 01 of _ plex 04 02-plex 05 03-plex 06 04-plex ? 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 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant iluation Occupancy MClES System :nsus Code Zoning City Water kC Units Stories Booster Pump )r. of Units Sq. Ft. PRV )r. of Bldgs Length Fire Sprinklered pe of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & WaCer Final Other _ Framing Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco _ Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector ise Fee ircharge 3n Review :./ES SAC ry sac ater Supply & Storage :W Permit & Surcharge eatment Plant imbing Permit :chanical Permit ;ense Search )pies her ital Use BLUE or BLACK Ink r. _..__-_______r..____ 1 For Office Use 411b~ City of Eatan i Permit #:I Permit Fee: q _)5.60. 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff. 1 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: % _"i►.l~LI o 1 Name: Phone: k Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: M)Yvf Sid i ~5 Construction Cost: Multi-Family Building: (Yes k / me ) Company:/VM (S:t(_1 J10fS Av S1 A Contact: S~E Affe-1( Contractor Address: 1® (0+ `7J ~ , A City: 1E QoV State: MA) Zip: 6~ J t0 Phone: O 1 License _!-tJ Lead Certificate ! V! - / 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 pennit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.-goaherstateonecall.ora 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 State lid! C Lucompleted within 180 days of permit issuance. x dw/- h53S X_ Applicant's Printed Name Applicant's gignatupl/ Page 1 of 3 r For Office Use eo� e ; 'Ø :::::e ' V : Date Received: r S 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675 j CEIVE Staff: buildinginspectionsacitvofeagan.com • APR 0 3 2019 2019 RESIDENTIAL , ILDING PE IT APPLICATION yr (�J Date: Site Address: L 1 P7 /j 1n� ft frit' kJl y Unit#: Name: Phone: Resident/ Owner Address I City I Zip: Applicant is: Owner Contractor Type of Work Description of work: AA—I� , r'r/.-c e Mc 2 r ,)- F l, - 0 k� Construction Cost: i��7 C�_ Multi-Family Building: (Yes I No ) Company: 054-rc O`nE,i-r. •' Contact: l 1,4- Pt:,i4 Contractor Address: Z/41 S 51/vi /I City: �PYje�v State:tYNN%• Zip: ZZ Phone: ((IS/'ZIO-/Oc' Email: ( 1r^f j�/ � ' erne/s License#: (L;25-00 I ( 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 basedon a master plan? Yes No If yes,date and address of master plan: rnr') Zvi S G/a /e rAieec1 774 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.citvofeaoan.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.ciooherstateonecall.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 accor ?nce with th approved plan in the case of work which requires a review and approva of-pla l InvJ'v x tf t Applicants Printed Name Applicant's Signature - DO NOT WRITE BELOW THIS LINE L// -'`7 �1' ct !i ) / /5z-7‘/7 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 _ ?c%Replace , _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation U19_ Occupancy Thii3 MCES System Plan Review Code Edition A. • c SAC Units (25% 100% ) Zoning lir City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length '2 Fire Suppression Required Type of Construction V6 Width REQUIRED INSPECTIONS V ' Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) x Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final ) .. Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: -1-7., , Building Inspector RESIDENTIAL FEES Base Fee �_ �/ Surcharge ,'�/"i[c'' Plan Review / '2 9 v MCES SAC1.10S City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174806 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4154 Meadowlark Way Lot:4 Block: 5 Addition: Hillandale 2nd PID:10-32951-05-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Hpa Borrower 2016-1 Llc 120 Riverside Plz S Ste 2000 Chicago IL 60606--161 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature