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1735 Meadowlark Rdr)lC??` ? ?-/ CITY OF EAGAN 3795 Pilot Kno6 Road Eagon, MN 55122 N2 6502 PHONE: 454-8100 BUILDING PERMIT Receipt To be wed for Est. Value Date , 19 Site Address Erect ? Occupancy Lot 10 Block Sec/Sub. " Alter ? Zoning Parcel # W I Name ^L- ; Address b ?p Nome _ ?U Address Assessment Permit ~ Ci pho? Water & Sew. Surcharge ? Police Plan check F W Name Ftre SAC ?? t Address Eng. Water Conn. <W Ci phone Planner Water Meter Council Road Unit I hereby ocknowledge that I have read this application ond state that th i f ti i t d t l ith ll li bl Bldg. Off. n orma on s correc an agree o comp y w app ca e a e $tate of Minnewta Statutes pnd City of Eogon Ordinunces. APC Total Signuture of Pertnittee A Buildirg Permit Is issued to: on the express condition thot oll work shall be done in accardance with ail applicable State of Minnesota Statutes ond City of Eagon Ordinances. Building Official Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Feas PennM # DnM Hwsd PmsitMe Plumbing Mechanical INSPEtTIONS DATE INSP. Rough-In Final Footings Date Inap. Date Inap. Foundation Plumbing Frame/ins. Mechanical Final Remorks: CITY OF EAGAN jiTLLARDALE ADDRFema Addition /l MEADOWLARK RIDGE CO-OP ---- ?_.. Owner Street Lot 501 Bik 01 Parcel 10-32950-501-01 1753 MEADOWLARK ROAD State EAGAN MN 55122 Rlda_#10 ifnit #1 Improvement Date qnnual Years Payment Receipt Date STREETSURF. OT1 inal rcel STREET RESTOR. GRADING SANSEW TRUNK OT1 inal rcel * SEWER LATERAL PM" ?i WATERMAIN * WATEii LATERAL 197$ WATER AflEA Z 1975 11,39 . .76 15 Park Donation I 121 1977 52.82 5•28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF qAGAN 11ILI,pIQDALE ADDNRe Addition (MEADOWLARK . RIDGE CG-OP Owner Street -Lot 502 Blk 01 Parcel 10-32950-502-01 1751 MEADOWLARK ROAD C,,,a EAGAN MN 55122 Rldv.#10 Ilnit #2 Improvement Oate Amount Annual Years Peyment Receipt Date STREETSURF. OT1 inal rcel STREET RESTOR. GRADING SANSEW TRUNK OT1 inal rcel * SEWER LATERAL WATERMAIN * WATEF LATERAL 1973 WATER AREA 1975 11.39 •76 Park Donation r01 1977 52.82 5.28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STFEET LIGHT WATER CONN. 6UILDING PER. SAC PARK CITY OF E,AGAN HILLANDpLE ADDft ReTarks Addition MEADOWLARK _RIDGE _T CO-0'P l.ot 503 Blk 01 Parcel 10-32950-503-01 Owner Street 1749 MEADOWLARK ROAD state EAGAN MN 55122 a1.1R #in ii,,;r ttz Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. OT1 inal rcel STFiEET RESTOR. GRADING SAN SEW TRUNK original p rcel * SEWER LATERAL WATERMAIN * WATERLATERAL 1973 WATERAREA Z 1975 11,39 .76 15 Park Donation llcl 1977 52.82 5.28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN *HILLAIqDALF,' pDDNqemarks Addition(MEADOWLARK RIDGE CU=OP: ) Lot 504 elk 01 Parwl 10-32950-504-01 owner Street 1747 MEADOWLARK ROAD State EAGAN MN 55122 Blde.#10 Unit #4 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. @ OT1 inal TC81 STREET RESTOR. GRADING SANSEW TRUNK original p TCCZ * SEWER LATERAL WATERMAIN * WATER IATERAL 1973 WATER AREA 13 1975 11.39 .76 15 Park Donation NOt 1977 52.82 5.28 10 * STORM SEW TRK 1973 STOfiM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF AGAN •HILj.p1QDALE ADDN emarks Addition ?ADOWLARKRIDGF 'CO-OP? _ Lat 505 alk 01 Parcel 10-32950-505-01 Owner Street 1745 MEADOWLARK RAOD Stace EAGAN MN 55122 Rlrla #10 (Tnit #S Improvement Date Amount Annual Vears Payment Receipt Date STREETSURF, e OI'1 inal pi trcel STREET RESTOR. GRADING SANSEW TRUNK original p TC81 * SEWER LATERAL WATERMAIN * WATER LATERAL 1973 WATER AREA 3 1975 11.39 •76 $ Park Donation l/oi 1977 52.82 5•28 10 * STORM SEW TRK 1973 STORM SEW LAT CUFB & GUTTEFi SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF Addition_ Owner 506 street 1743 MEADOWLARK ROAD Rlrln_#1(1 nnit #Fi 01 parcel 10-32950-506-01 - State EAGAN MN 55122 ' Improvement Date Amount Annuai Years Payment Receipt Date STREETSURF. OT1 inal TC@1 STREET RESTOR. ap, GRADING SANSEW TRUNK original p rcel * SEWER LATERAI. WATERMAIN * WATER LATERAL 1973 WATER AREA 3 1975 11.39 •76 15 ' Park Donation /01 1977 52.82 5•28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UIlDING PEF. SAC PARK ffiLLANDALF Jt.aux RIDGE CITY OF AGAN'HILLAIQDAT.F Addinon T4EADOWLARK RIDf Owner -Lot 507 Blk 01 Parcel 10-32950-507-01 1741 MEADOWLARK ROAD EAGAN MN 55122 Rlrlo_#1(1 Ilnit #7 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. Ti 17181 rcel STREET FESTOR. GRADING SANSEW TRUNK OT1 inal rcel * SEWER LATERAL n WATERMAIN * WATER LATERAL 1973 WATER AREA 3 197$ 11.39 .76 1$ Park Donation 1L) 1977 52.82 5.28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN'HTLLARDALE ADDftR?marks Addition (kEADOWLARK RIDaiE. CO-OP ) - Lot 508 gI k O1 parcel 10-32950-508-01 ' Owner Street 1739 MEADOWLARK ROAD State EAGAN MN 55122 Bldg.#10 Unit #8 Improvement Date Annual Years PaYment Receipt Date STREETSURF. T1 inal rcel STREET RESTOR. GRADING SANSEW TRUNK OT1 inal TC@1 * SEWER LATERAL WATERMAIN * WATER LATERAL 1973 WATER AREA 11 9 11.39 .76 15 Park Donation 110t 1977 52,821 5•28 1 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN' HILLANDALE ADDNRerRark Addition l MEADOWLARK RIDGE CO-OP 41 - Owner Street _ 509 glk 01 parcel 10-32950-509-01 ARK ROAD State EAGAN MN 55122 Bldg_#10 [Init #9 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. OT1 inal rcel STREET RESTOR. GRADING SANSEW TRUNK e ori inal rcel * SEWER LATERAL i? WATERMAIN * WATER LATERAL 1973 WATER AREA 2( 1975 11.39 .76 1 Park Donation tfi)l 1977 52.821 5.28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OAGAN' FITLLARDALE ADD14Re,`narks Additfon MEADOWLARK RIDGE CO-OP Lot 510 Ik p 01 Parcel 10-32950-510-01 ! - Owner Street 1735 MEADOWLARK ROAD State EAGAN MN 55122 Rlda_#1(1 tlnit #10 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. OTl inal rcel STREET RESTOR. GRADING SAN SEW TRUNK roginal a cel * SEWER LATERAL WATERMAIN * WATER LATERAL 1973 WATER AREA ZI 1975 11.39 •76 Park Donation 1977 52,82 5•28 10 * STORM SEW TRK 1973 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 6UILDING PER. SAC PARK ! CITY of EAGAN BUILDING PERMIT Ownsr ire ? ? ..................... Address sens) ?!./.?....??'?G.......? . ... - • ..... ' Buildez .................. ?1..1. .?......... .................................. . Address DESCRIPTION ? .. [, N2 3416 3795 Pilot Knob Road Eagan. Minnesola 55122 459•8I00 Dala ........ Storias To Be Used For Fron! Depth Heigh! Esl. Coa! ' Permi! Fee Ramarks ) v I I ? LOCATION ?(jb J iLy 3treet. Road or other Deseripsion of Loca! on I Lo! Block Addition or Trac! 1,0 ,.349so ? -- , This pe i! does noi au3horize the use of slreets, roads, alleys or sidewalks aor doas it give the ownoz or his agent the righi Yo erease any situation which is a nuisaace or which presenis a haaard to the health, safetp, eonvanianea aad general welfare to anyone in the commvnify. THIS PERMIT MUST 8 T HE P EMISE WHILE THE WORK IS IN PROGRESB. This is to certifp, ihal ..............-°--------..has permission to erec! •-..-------- _upon the above described p ise subjecf to the provisions of all appli e s for i!p of Eagan. ? ..•••••_.. 7 ...-•-- •---- .••. --'.:-....................................... Pes ........:....... .................. Mayor Buildiny Inspeclor i?''A , `0 CITY Of EAGAN 379-Pilot Kao6 Road Eagan, MN 55122 N? 6502 PHONE: 454-8100 BUILDING PERMIT APPLICATION ReceiPt .# 7 To be used for B2CZY'OOril Wd11 Zil?'944P $400.00 Date 1/27/81 19 Site A?ddress 17?+?a???l,dri''1{ ?- Eiect ? Cccuponcy Lot / L' ?- 1 ` Block Q( Sec/$ub. t+? 4-lkcku ?- ?-- Alter ? Zoning Parcel # oc NGme wauaca r?i.?ii ? Address 17 MEa dY ? Ci Eagan phone 452-7190 cc o Nome to be selected , Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front _ ft. Grode ? Depth ft. Approvals Fees u Address Assessment Permit D ' ?- ? F" Water & Sew. Surcharge Ci Phone ? Police Plan check Name Fire SAC Address Eng. Water Conn. aW Ci Phone Planner WaterMeter Council Road Unit I hereby acknowledge that I hev ad this opplication and state that Bldg. Off. the information is correct ond a ee to comply with oll applicable 0 State of Minnesota Statutes City of Eagan Ordi APC Total - ' SignMure of Permittee A Building Permit is issued to: on the express condition thot all work shall be don ?n cnce with cll appli le State of Minnesota Statutes and . City of Eagan Ordinances. Building Official ?11 ? -'?? ?/'? , ? y3 Be cV C, _?, C?AL (,D ,o- j bk t,. CITY OF EAGAN /o BUILDING PERMIT Used For Z??k? a`-"e`-`?Valuation Site Address: l//r-c;c/a Lot Block Sec./Sub. Parcel #: Owner: :Q t-'+'SC? nJ Address : %75 3 t1'\ P a u(,v j li t k ?<. City/Zip Code: ri 5 5/.? 2 Phone #: V - m Contractor: "CLi UP Sr Ar"e'6-y Address: City/Zip Code: Phone #: Arch. /Eng. . Address: City/Zip Code: Phone #: sF- 10 Include 2 sets oi plans, 1 site plan w/elevations & 1 set of energy calculations. ? Date ! -/ 4? --"P/ APPLICATION OFFICE USE ONLY Erect Occupancy _ Alter -? Zoning Repair Fire Zone Enlarge Zype of Const. Move # Stories Demolish Front Grade Depth APPROVALS FEES ? Assessments Pezmit y Water/Sewer Surcharge Police Plan Check Fire SAC Eng. Water Conn. Planner Water.Meter Council Roarl Unit Bldg. Off. APC .?; 'POTAL SEDGWiCK HEATtNG & AIR CONDtT10NiNG CO. HEaTING JOBNO 64 8910 WENTWORTH AVENUE SOUTN • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS Z2Y3 Z?'-/MldOl.? l-,4n-K KD CITY OCCUPANT SOLD BY OWNER L ?/,J'J 5CtE,2- ? ?f ?? ? -' u INSTAL.LED BY ?, MAKE MODEL ?O ?U kJ VA 2-7 C/ SERIAL NO. INPUT 6,6 '/ 11 THERMOSTAT Y ? VENT SIZE ? VALVE +, W LIMIT ?? ? kL %"1 ..- LIMITSETTING FAN SETTMG PILOTTYPE IGNiTION MODEL Zvhn-,)7e' PILOT TIMING -7? ?i PflESSURE 3y`S ?` PERCENTCOZ /? ?0 IMPUT CFH 46 PERCENT OZ p S7ACK TEMP. 331 c PERCENT CO eI? TYPE OF LINER U" CJI^N?`T LINER SIZE FILTERS: SIZE I`L X Z?X? f NUMBER -2, WIRING TEST TAG LIGHTWG INST. DA7E TESTED ?.. COMPANYTESTING NAME OF TESTER FORM 235 (fiEV. 11/89) FORM DISTRIBUTION: WHITE CAPV, JOB FlLE YEILOW COPY - CITY RECORD OF COMPLAINT Date 7- I I - C) G Complaint taken by Type of building In ?)- ?a ?? > Name - N t. ;? N Address -E? 1 7 y H- I-7 6Z I.egal description Phone number '0 Complaint _"A L _S U ?., j . Actiontaken /o&,dre-ci c.-+ fL,,cL+-',a?s ,?j& s?,,,u c 4,,.til )0,-,-4 a., Nu 4 2 c:f COIIIII]GIItS ," >' w z a I ,.. s+ +u 3 ??? s+ I ,,1 I ` n la "s -L,,,,, t-a- . l?u....d u•v trc i c..N ?l (7 1? +v ?'e w?o?..< <?.et-f raL? ?U?[? e,w? ? 0- 1? ?i- J ?,CC k1 I ..,.5)gI13IUfC . ? C? _.,.._.....,.... 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. -?u I S-- S-o ?t ? Date y'1 / ! . (? ? n Site Street Address 17 ?- ?('_Ot G?U ? --El.VK l?C'I Unit # Prope"rty Owner :EV_0eS + WO?IrYl?-.? a,?5? ? Telephone #(??? Q,31 ? H.P. pIpEWORKS Contractor 670 DODD ROAD Telephone #( ) ?5t Address EAG ' City State Zip The Applicant is: _ Owner V Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener andlor water heater --complete next section if installing these appliances). Septic System Abandonment Wafer Turnaround (add $125.00 if a 518" meter is required) iOther: Water 5oftener ? Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total . $ ?C5• J? 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 without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ?n lV'\?j 4u'1 ? N A d?lA a Ut, , P4 n rr n[t[1 ?? Applicant's Printed Name Applican 's S gnature (J ? U? APR 1 8 2005 t,TTY OF {'.rtGA?,.I ? " '? ' , ?. . L.,r.A::1 r..H.1.1::. ". ,? . ...?'??? r.t . '?"! lr?l ? i:.:tl`5.?.1',p.? _ N?..„ 343 Y:fiXE; f7S/2//97 1 .I.lai,l._°. :i.409:iO2 1 T D I',:t:)i._P' T.'!...:1:X : 320 900:!. :l%a`.:i MEADfli,l.Li?yf;K iR4„'r`; ].1?..1. .. ., . :'L? f.i? ???l.:.; :' 3.50 .. 1. :. . ., ..t}nv 'r;_rl;a:'. F?er:`.2'!.pl; ;`-1tYiC!..ltlt;. :I.2;3.25 CRf1B008-3 '..1SEii .(.i.ls NANt".Y ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT ? PERMIT TYPE: Permit Number: Date Issued: BUILDIMG 939683 08/25/97 SITE ADDRESS: 1735 MEADOWLARK RD LOT: 510 BLOCK: 1 HIl.LANDALE P.I.N.s 10-32950--041-04 DESCRIPTION: MULTI. (MISC.) ftEPAIR 43A A'L7. RESIDENTTAL ?e?_?,?,?9 ?No n ak l3.o' j?g ?? "? wr'21 ? ,t?.- ?-? ?a ? r,?? REMARKS: INCLUDES 1737 (LOT 509) 1789 (LOT 508) 1741 (LOT 507) 1743 (LQT 506) 1745 (LOT 505) 1747 (LOT 504) 1749 (L07 563) 1751 (LOT 502) FEE SUMMARY: VRLUATION $7,000 Base Fee $124.75 Surcharge $3.50 Tota1 Fee $128.25 , CONTRACTOR: - A p p 1 i c a n t - 5 T . L I C OWNER: BLIX CONST CO 19443268 0007933 HALVERSON BLAISER GROUP 5021 VERNON AVE 7800 METRO PKWY EDINA MN 55436-2102 BLqOMINGTON MN 55425 (612) 944-3268 (612)851-3194 APPLICANT/PERMITEE SIGNATURE (RonwzNG) rmit Type r,,h TYPe hu Rej,I 11 V.? ISSUED Y: S NAT RE 300 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 41j. Z ?JI CITY OF EAGAN - - 3830 PILOT KNOB RD - 55122 681-4675 New Construction Reauirements RgmodeVReoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 eopies oi plans (Include beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions 8 dedcs) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 eopies of tree preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: CONSTRUCTION COST: (T / (3 G DESCRIPTION OF WORK: F TEw-2 ?i?-F ??cizo-C F ? 7 iF- i -7 s'3 mt" e wL-14. ,ti 1 L i a ft- 1) STREET ADDRESS: m (: vt`6) Bc-i L vr I2 l,e k b c-? f oww LOT _fSl ? - BLOCK SUBD./P.I.D. #: 1A(???J,#,, PROPERTY Name: Pftl- ?tW-s?W 64-m S Ek C Z° J (2 Phone #: OWNER StreetAddress: 2M &-rrz? 14akwi ?f?Sr &?- 3a 6 City: ?---crpYr- iP,/ 6- nr N State: m?-j Zip: CONTRACTOR Company: ?o zF E"X 0-0n(5j phone #: Street Address: 5'03f U6-7ex/an) License #: 0? q 3 3 City: State: Zip;t))`f3G•Naj- ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licer.-ed plumber (new construction only): and lot change are ?equested once permit is issued. Penalty applies when address change I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt.ILodging o a 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? a 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New o 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPFcOVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Engineering Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Valuation: $ 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code, SAC Code Census Bldg Census Unit Variance / 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 ? Reauiremenfs ? 2 copies of plan DATE: CONS RUCTION COST: ? ? ?t T?'? ` lc?waLI If multi-(amlly bldg., how many untts? 74 DESCRIPTION OF WORK: ?"m?rivY ?n /M?'?-'AZGdl?fory IPIDICATE THE ROLLOWIBdG EQUIPiiAENY YO BE REPLACED AND 6Y WH0RA: _ Plumbing _ Homeowner gq Contractor Name _ Mechanical _ Homeowner ge Contractor Name *'NOte: If somebody other than ffie homeowner is performing plumbing or mechanical work, they must apply forappropriate permit. Only Iicensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: /11/4- /YlVA-?k/441eK RGf10 LOT: BLOCK: SUBD.IP.I.D. #: Name: f?Y/rYl Phone #: GS/- ?/SZ -?/ II PROPERTY wst Fus- OWNER Street Address: City State: Zip: Zz Company: ?'H?7tit d?3'i4xJ Phone #: PSy (area code) CONTRACTOR 4 Street Address: License #ZGZ ! Exp. City ?i/lv? State: ?- Zip: ??`Z?-ZZZZ D?C?9C?0?071[1 ? FEB 1 5 2001 IIJ I hereby acknowledge that I have read this application, state that the informaHon is correct, and agree to compiy with all applicable State of Minnesota Staiutes and City of Eagan Ordinances. Signature of Applicanh 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 n ? 1 651-681-4675 1 v ? Reauiremenh ? 2 copies of plan ,ob DATE: -r)r) CONSTRUCTION COST: ?S Uf? U•? ? i vt LC?.k' tl h DESCRIPTION OF WORK? IJ-11 1/ If multi-(amity bldg., how many units? Jl? ItdDICP+TE THE FOLLOWIWG EQUIP0AE6Y(T YO BE REPL4CED AfVD BV WHOM: _ Plumbing _ Homeowner gs Contractor Name _ Mechanical _ Homeowner gr Contractor Name °'Note: If somebody other man the homeowner is performing plumbing or mechanical work, they must apply for appropriate permit. Only Iicensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: ZZ7 LOT: ?3 a BLOCK: O? SUBD,/P.I.D. #: PROPERTY OWNER CONTRACTOR Name: 4?/0_ Phone #: ??S J" I'7 y-,/?? Z Last Firsf Streef Cly ,?QCi'on State: /nJ? Zip: Company: Phone #: (area code) Street Address: License # Exp. Ciry 21p: o AUG 2 9 2000 State: I hereby acknowledge that I have read this application, state that the information is correct, and agre of Minnesota StafuTes and City o( Eagan Ordinances. Signalure of ;: i M n OFFICE USE ONLY BUIIDiNG PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ect. Alt - SF ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 19 Lower Level ? 24 Storm Damage Plbg _Y or _ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Demolition permit - Give PCA handout to applicant GENERAL INFORMATION No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV - ' 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN Q 3830 PILOT KNOB RD - 55122 651-681-4675 -7 .?i 1_ 1 F ? 2 coples of plan DATE: II ;a! o CONSTRUCTION COST: ???? ? DESCRIPTION OF WORK: ?l?-t??F,?VAC'jMe ??If mulH-famtly bldg., how many units? INDICATE TF4E FOLLOWINC EQUIPP/iENT BO BE REPO.ACED AND bY WBiOM: _ Plumbing _ Homeowner Q Gontractor Name _ Mechanical _ Homeowner Qe Contractor Name "Note: If somebody omer than the homeowner is performing plumbing or mechanical work, ihey must apply for appropriate permit. Only licensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: IOT:v ?)y BLOCK: SUBD./P.I.D. #: IA C'1 v`,CX?`-? i Name: dn Phone #: lJ? 1 p??_I n,??? PROPERTY Last ?- Flrst OWNER ? I ??l_J Sheet Address: Clty FA6 A-)?]l State: 21p: Company: Phone #: (area code) CONTRACTOR Street Address: License # Exp. City State: Zip: JUL 2 8 I hereby acknowledge that 1 have read this applicafion, state fhat the informafjon is cortect, and agree to compty wffh all applicable State of Minnesofa Statutes and City of Eagan Ordinances. ? Signature of Applicant:11 ?? o C) -- -- - - - -- - - --- '?1?1.?P?G o.? G_ ??.i?.?6?? i.?J _ ?+? ?l _ _ . .. ?O-D , , ??? --_ _ - - --- - - - - ?? - - - _ , -- ----- ---- , - - ?.._ - -- - - - -_ ._-- ---- - --- , - --- - --- , - G?ug6 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan $/ ;? 2 ? 3830 Pilot Knob Road, Eagan MN 55122 ?J? t zlr?- Telephone # 651-675-5675 FAX # 651-675-5694 ?? J?f-N New Construction Requiremenis RemodellReoair Reouirements Oifiae Use Ohlv 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ceri o# Survey Reed Y N (20°k maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Trea P(es;Plao fiecd Y _N, 2 wpies of plan showing beam & window sizes; poured found design, efc. 1 siie survey for additions & decks Tree fira?5 R equited : Y tJ 1 sel of Energy Calculations Addition - indicate if on-site septic system Onsile SepGc Syslem ! .... v _N 3 copies of Tree Preservation Plan ff lot platted after 711/93 Rim Joisf Detail Options selection sheet (61dgs with 3 or less units -- Date '` (5 / 1 Site Address 17 /?4' Construction Cost lP /? ? d l'? / V 51 Re QcbVVIq PK Rd Unit/Ste # Description of Work V•) `{ r1d_Aj_VJS ? ?Dliti1 ) d C)ZW 5 Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ? eQ &Q' Yf Wn Telepnone #(65 1) M3-135 Contractor Address H State lo-56 -7' , nd City Ya r Zip 5i?7)_ Telephone # (q5? - COMPLETE THIS AREA ONLY IF CQI Energy Code Category MlLmesota Rules 7670 Cateeoxv 1 ? . Residential Ventilation Category 1 1N (? su6mission type) Submitted . Energy Envelope Calculations Subm DFC 1 s-2oo4• Have you previously constructed a building in Eagan with a similar plp fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor BUILDING Energy Code Worksheet N If so, 25% plan review Telephone # ( ) Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of 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. Telephone # ( >,A C _S Applicant's Printed Name Applicant's gnature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea. ) ? 33 Ext. Alt - SF ? 04 02-plex _ ? 10 08-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 Plbg_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 Building` ? 43 Reroof ? 46 Windows/Doors ? 34_ Replacement 'Demolition (Entire Bldg ) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units 5q. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUi3o C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests Final _ Framing _ Siding _ Stucco _ Stone ____ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , 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 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when pennits are required for each unit 7 o, S6 V&S4-elC " Date// //1 / 05 SiteAddressMe .qdOW/!AY`lG ?d • Unit!# PropertyOwner AM!/ ? 1?'?Pn50Y1 - Telephoae#(6/a. )?W".0131 Contractor /4QNi fA Street Address o2(p t21r 145? Sf, W. City ?OSem0u0 T State Zip 5,5047e Telephone # (66 Bond Egpires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to eaistiug dwelling unit $ 30.00 X furnace _Additional A Replacement _ New air exchanger air conditioner heat pump other State Surcharge $ .50 Total $ ?• ? I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is complete and accurate; that the work wili be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a pernrit, and work is not to start without a permit; tfiat the work will be in accordance with the appmved pian in the case of wark which requires a review and approvALefjptan§. , /_9 Nav,U 5'eversan, I-( vAC eoo?z?nAor f? App icanl t's Printed Name App 'ant 'gnature 2005 C011AHRCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciallindustrial buildings multi-family buildings when sepazate pernuts are not required for each dwelling unit Date Site Street Address Uuit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Eapires: The Applicant is _ Owner _ Contractor _ Other Work Type _ New Construction _, Underground Tank _ Install _Remove **see be%w _ Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: *"When installing/removing underground tank, call for inspection by Fire Marshal and Plumb)ng Inspecfor PeTOlit F¢E5: $70.50 Undergiround tank installation/removal $50.50 M'u?unum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee $ State Surcharge If ermit fee is less than $1,000, add $.50 If permit fee is more than $1,000, surcharge is $.50 for every $1,000 owed. $ Totat Fee t nereny appiy ror a C:ommercial Mechanical Pemut and acknowiedge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Apprwed By: Applicant's Signature Inspector Date: Required lnspections: _ U. G. - R.I. - Air Test _ Gas 5ervice Test _ Infloor Heat _ Final / ? -- -- ----------- ? I j Pertnit #: 2573 Z (o j i Permit Fee: ? ?U •? ?v ? ? Dale Received: ? 1-2? I I Staff: ? I I ---------------- v J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:1? 6do Site Address: I5 ?PvT*dJ oi., ay) Tenant: ';?!J 4 4 ]? 4?A Suite RESIDENT / OWNER Name: ??i gcl 2 ?? ?N ? Phone: Address / City / Zip: tj -773 .1,1?A?O w CRR, u- ('?/ pp?g 2 ti MPa aoZ- Applicant is: _ Owner ? Contractor TYPE OF WORK Description of work: Construction Cast: Multi-Family Building: (Yes No CONTRACTOR Name: 5 itJ License #: 69ael y'7 -/ Address: _7 OY _?Sr City: C DIState: YYt ti Zip: 552? Phone. ,?z) -ySS 5- Contact Person: e rr`-? I ry\, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category submined sunmined (4 submission type) • Energy Envelope Calculations Submined In the last 12 months, has the City of Eagan issued a permit tor a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plum6er: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor: Phone: !1lOTE: Pfans a"nd suppartkigWQCUrtrerefs fhat.yau subinlf are cbnsid6red to be puEirictretormatPortions of the informa#iorr may !e c/asstfled as n4n•pu{illo ff yotr prnvide speaiflc Eeosons fhat would-permit the Clty to cmictr?rd?,thattfrey, aiii frarde°secrefs I hereby acknowledge that this infortnation is complete and accurate; that the work will be in conformance with lhe ordinances and codes of the Ci1y 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 s roval of plans. accordance with the approved plan in the case of work which require X? ?A tv-,,, X - ApplicanYs Prinfed Name AppiicanYs ' nature Page 1 of 3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 lew Construction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. fl, of house; and all roofed areas (20% maximum lot wverage allowed) 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 Joisl Detail Options seledion sheet (bldgs with 3 or less units) )ATE / 7X oo / IOB SITE ADDRESS I 7 72 F MULTI-FAMILY BUILDING, HOW MA UN 14 'ROPERTY OWNER , _.. _ _ _. . 'YPE OF WORK,?'` ? " kPPLIGANT ?DDRESS ? ?? ? Y?eC?n2 Q?,e • 'AGER # CELL # 7,1 /t5?? FAX# NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Inclucies: Mechanical Contractor: Mechanicid System Includes: Sewer/Water Contractor: Water Softener _ Water Heater No. of Badis Air Conditioning Heat Recovery System RemodellRepair Reauirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exRerior additions & decks • Indicate if home served by septic system for additions ? ?l ? ,VALUATION /' o?/v ° _ Phone Lawn Sprinkler No. of R.I. Baths Phone # Phone # Fee: $90.00 Fee: $70.00 kII above information must be submitted prior to processing of application. hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with iII applicable State of Minnesota Statutes and City of Eagan Ordinances. c Signalure of Applicant ;ertificates of Survey Received _ Tree Preservation Plan Receifed _ Not Required FIREPLACE(S) _0 _1 _2 _3 _ PHONE # (aZ 33I - ZIP CODE 5-5 Updated 1/01 OFFICE USE ONLY ] 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 7 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ] 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ] 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 7 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ] 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ] 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ] 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repait ] 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ] 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant /aluation Occupancy MC/ES System ;ensus Code Zoning City Water iAC Units Stories Booster Pump Jbr. of Units 5q. Ft. PRV Jbr. of Bldgs Length Fire Sprinklered -ype of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) Final/No C.O. _ Foorings (addition) _ Plumbing _ Foundation HVAC Drain Tile Roof _ Ice & W ater _ Final Other _ Framing _ Pool Ftgs Air/Gas Tests Final _ Fireplace _ R.I. _ Air Test _ Final _ _ _ Siding Stucco Stone _ _ Insulation _ Windows (new/replacement) Approved By 3ase Fee iurcharge 'lan Review AC/ES SAC ;ity SAC (Vater Supply & Storage >&W Permit & Surcharge "reatment Plant 'lumbing Permit Aechanical Permit .icense Search ;opies )ther i otal Building Inspector Ve�:.AGE "OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: fi Plumber: Meter No.• Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: Total: By , Date Paid: Date of Insp.: r 7' / nsp.: VILLAGE * OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: � Use BLUE or BLACK Ink �___--_--____.__--^. iFor Office Use�� i � � Permit#: (� � CltV of �a a� � . . a � " � � Permit Fee: �� 3 8 3 0 Pi lo t Kno b Roa d � I Eagan MN 55122 � � Phone: (651) 675-5675 i Date Received: i Fax: (651) 675-5694 � � � Staff: � �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: I ��S � Site Address: Tenant Name:_ �e��Q v..� \�� 1l�:�g��,� (Tenant is: New/ � Existing) Suite#: Former Tenant: Name: {' �-e a.cM��n� X, o'\�� Phone: PropertyOwner Address/City/Zip: j7�'3 , ��51, I '>>(�A , �-��}'7 1 ��IS � �`� �(3 . 1 ?�`� ►'�'?q �`13 7 , � �3�' Applicant is: Owner �Contractor �� k� o� �� _Type of Work Description of work:�'I� . •�.��e �r�N� h i��,,,�t.,�� Construction Cost�� S.2� � Name: C� 1�vr�� i`1�� C o v.��1��c��v� License#: �3�..�� Contractor , Address: Z O7'� V�1��-o,� Q r. City: �/, ��.'.�� State: �1 h Zip: �S 3 �' b Phone: G SZ " � �� " �� `v b � Contact: %he �'�'� �.� Email: � .^� v.�- �o L...�i�� Name: Registration#: Architect/Engineer Address: city: ` State: Zip: Phone: ' Contact Person: EmaiL Licensed plumber installing new sewer/water service: Phone#: NOTE:P/ans and supporting documents that you'submit are considered to be public information. Partions of ` the informatiori may be classified as non-public if you provide specific reasons that wou/d permit the City fo conc/ude that they are traale 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the w rk w�I be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an ap c tion�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 r whi h requires a review and approval ofplans. X `✓�4 ��-� g v� � �eY.) X ApplicanYs Printed Name ApplicanYs Sig Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA138932 Date Issued:09/27/2016 Permit Category:ePermit Site Address: 1735 Meadowlark Rd Lot:041 Block: 04 Addition: Hillandale 1st PID:10-32950-04-041 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John D Bond 400 Countrywide Way Simi Valley CA 93065 (952) 884-1848 Stephen P Donnelly Co 5200 W 74th St Edina MN 55439 (952) 884-1848 Applicant/Permitee: Signature Issued By: Signature I—For Office Use• �-- i 7 5%a-- • ' • P ermit% E AG N ).<1 + Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections@cityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6'771 Site Address: // D 1,4ric p- I G -# Unit#: Name: Re-001,),--4 k-945-5-6 (477°'\•) (477°'\•) Phone: esit ent/ ;owner Address/City/Zip: /735, 37 , 37 /`/f / Y 3 ,q5, `l 7 `/? , s/ , 5 3 Applicant is: Owner K Contractor A Type of:wor�C. Description of work: 44-77( ,/ SoN /NS7A-t-L- �� ON G 4 G E S Construction Cost: ��j�, Multi-Family Building: (Yes /No ) Company:____C---170C-4:-.)77/../G ,CriZto12 5 Contact: .J I^^ 2)41/IV S°'`J Address: /72/3 /fz t-E y C/lze-e City: // ,1 -5 Contractor 7 /15/ _[State:/Lr" Zip: 5503 3 Phone: 657 Z7�iZ3Email �n-�rer /09 eSier-ierSt'' . c'-- License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber:. Phone: Mechanical Contractor: Phone: 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 ifyouprovide 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.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to tart without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and app • • • •lans. JAI' esl Applicant's Printed Name Applic. Signature r For Office Use t %i i• • ♦ Permit#: / / 6- - 6 C(- ii....\ht I,,,,, EAGAN ♦��.� ••moi /..,, ,_ 0 Permit ee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsecityofeagan.com J 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: :3" �� Site Address: t 735 te Wot-g-114 /FW Unit#: Name: i"7 61i( 4-,-50cfr� Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: Rim- i` Tvm5E r'o rK g Construction Cost: Multi-Family Building: (Yes /No ) Company: EVEZ(.}{5`T lnl G Ger SIL 5- Contact: --.1\ ^'• DI v/° 7 is ???E--5C-8/ CaCLE Cit /(4-577'`i Gr Contractor L Address: / Zy fes, C. ,"- State: � Z�6 a ear r SI-A) cx �-- . -fl ( 1r n State:MN Zip: 5-033 Phone: CJ( Email: �" License#: f3C.13333( Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: 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 of 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.citvofeasoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accord with t approved plan in the case of work which requires a review • appro'- of p - . jc t--.. jAyr os"--"- x X ' Applicant's Printed Name - =nt's Signature r For Office Use •ii RE `+ D Permit#: � /�_3 EAGANSEP 0 5 2019 Permit Fee: ��•�� Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections a(�.citvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION V v Date: 'd r'11 Site Address: /735- 4400/4/ 4gie 7204V Unit#: Name:_ y Phone: Residents binmer Address/City/Zip: Applicant is: Owner X Contractor •, Type;of lurk Description of work: /7o T 7?E74if' / y D4M4t6E ST o , PL-4-16S, # /Y€E2s Construction Cost: c2 o27 Multi-Family Building: (Yes /No ) Company: EV��STinl G EXTeZ( '/ 1 Contact: V �t V,9sb� Contractor Address: /72/v /I Sc � Cf(LCL6 City: 4-ST7 S5- MN Zip: G5o 3 3 Phone: 6 51-Z7i-1zd('Email: INtD +Z r I� State: f asf' ` 7 e'er r s,.,n, r"0-. License#: 1 C G-?3 3 3 Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber:. Phone: Mechanical Contractor: Phone: 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 maybe classified as nonpublic if you provide specific reasons that would permit the City to conclude that they are trade sectits. 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.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to st,• .; ••ut a permit; that the work will be in accordareNgwith the appr ved plan in the case of work which requires a review and approval of•lans. x 3t+711 es V ro 519/\) Applicant's Printed Name Applic - r nature C-7-75-3 DO NOT WRITE BELOW THIS LINE r' ) 3 GdLikkr / -3 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 4 01 of 39 Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition Move Building _ Reroof _ Demolish Interior Alteration Fire Repair _ Windows _ Demolish Foundation • Replace _ Repair _ Egress Window _ Water Damage Retaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation __Q_4 (9'0 Occupancy 5 MCES System Plan Review Code Edition j i , 4,4 5 SAC Units (25% 100%\ic) Zoning !i City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) yFinal/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 \it 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).." , Building Inspector RESIDENTIAL FEES Base Fee Surcharge O t Plan Review MCES SAC ft-(1/ Pt° City SAC Utility Connection Charge S&W Permit&Surcharge 0 (9 V Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 Received 10/23/2020 Affidavit State of Minnesota, County of Dakota water damage permits My current legal name is James K Davidson, and my current occupation is President Of Everlasting Exteriors, Inc.. I am presently 39 years old, and my current address of residence is 17218 Presley Cir, Hastings, Minnesota 55033. After framing inspection all 19/32" OSB wall sheathing was installed with 7/16" crown staple 2" in length at pattern of 3" around perimeter and every 6" in the field. . I hereby state that the information above is true, to the best of my knowledge. I also confirm that the information here is both accurate and complete, and relevant information has not been omitted. Signature o dividual 10-23-20 9 permits permit # Address 157753 1735 Meadowlark Rd 157755 1737 Meadowlark Rd 157756 1739 Meadowlark Rd 157757 1741 Meadowlark Rd 157758 1745 Meadowlark Rd 157759 1747 Meadowlark Rd 157760 1749 Meadowlark Rd 157761 1751 Meadowlark Rd 157762 1753 Meadowlark Rd Notary Public Title And Rank Date Of Commission Expiry WALMNO SURFACES GREATER THEN 30" ABOVE AREA BELOW REQUIRE GUARDRAILS MINIMUM 36" HEIGHT AND DESIGNED -jC,HTHAT A4" SPqRE WILL NOT PASS VffiWjLMt4C s OFk i t 6- gg or- -6 Crwtkl LAY 10 lK w4avx0l riw IN i PL A f JP pAq ?Lg TIN L V;.A w !R(Wk I q 016 -rc, To — 7m gang m the residence FIRE