1744 Meadowlark Rd
city j Permit # F (O 7
of EaRaR
Permit Fee: S / o 1
( 7 4~ !
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 staff. l
.......J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /I I " Zc3Site Address: q
11 17r, Z l
Tenant: Suite
r .
RESIDENT / OWNER Name: k tAde - r5 e rte 6-,.s,,t e: 2:gL 23'x„ 'W27
Address / City / Zip: 6 41.3?' z~04, G✓ , ~c~~ k boz,yG _ .A2.•L 4'
Applicant is: Owner Contractor
TYPE OF WORK Description of work: -di , e,a
Construction Cost: 74 OmP nu Multi-Family Building: (Yes _)r,- l No
CONTRACTOR Name: 1151nl# •~sfy~ .cn /G16•dtT License 'ZC ~3lS"?
Address: City. 11,44f>s ?/Or,w el5~-
State: M y Zip: :5~Z3 f2 Phone: 1~5 2. Z,-,i-er,
v
Contact: 7rr/ 64f IAIA1 Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
-Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be 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,gopherstateonecall.or-a
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans. -
X/~.Sr~sr/ Q l titer X
Applicant's Printed Name Appl' is Signature
r' Page 1 of 2
--7 7 -f
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace Porch (3-Season) Storm Damage
_ Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family)
Multi r Deck Porch (Screen/Gazebo/Pergoia) _ Exterior Alteration (Multi)
01 of ` Plex _ Lower Level i Pool _ Miscellaneous
Accessory Building
WORK TYPES b Fn Mw SY4-
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition ` Move Building _ Reroof _ Demolish Interior
Alteration Fine Repair _ Windows _ Demolish Foundation
Repla Repair Egress Window Water Damage
_ Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ _ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests Final
Framing Siding: wStucco Lath -Stone Lath Brick
Fireplace: -Rough In Air Test Final Windows
Insulation Retaining Wall: _ Footings _ Backfili Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review F Rr
MCES SAC ) f
City SAC 19
~r
Utility Connection Charge
SSW Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
r _
,Froc ALLSTAR CONSTRUCTION 19529427464 10/01/2010 10:29 #146 P 0021025
st/ J
J\v \ __Use BLUE ~or BLACK Ink
~ I
City of 1 Eap'\ ~ y Permit 5 7„.: k " I
j Permit Fee:
3830 Pilot Knob Road ~c
Eagan MN 55122` Date Received:
Phone: (651) 675-5675 / I I
Fax: (651) 675-5694 P 1 staff:
-4e
I
2010 COMMERCIAL BUILDING PERMIT APPLICATION
Dater /Z,,Q/Z) Site Address: i?Y'~; l~ybi f9 /~5~r /75 2, / 7SYr / 5-4 178,
Tenant Name: A (Tenant is: New / >10 Existing) Suite M
C/o &'t4s"s.
Former Tenant:
PROPERTY OWNER Phone: (~r? )Z.t 3 ,V9,Z -q
fin/ 5 3 y y
Address /City /Zip: y3 G° l✓e~ 's
Applicant is. Owner Contractor
TYPE OF WORK Descri tion of work: 5"/n Sze.
p I 'e" a c r u/r n cl r J t` 4'-Y J nlr.~t clr.L~:r'
Construction Cost: ! 6 o&j-
CONTRACTOR Name: /jhnr end l~Tsa[ ps. ~Z(c e..,~ t G t _ license Z063f575-
Address: Ef _ LA. Ld 3 City:
State:-dQA,/_Zip: y~S ~S Phone:
~2
Contact:, Email: cr lt.til S{r ~7'Z
ARCHITECT / Name: Registration
ENGINEER
Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing ne~„yv sewer/water service: Phone
1Jt7E: Puns and suppbr(J douliresLftetMyou' .a mif)are consered to b•e public infbrma zsh. Porf)on of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conjj;,,tude that the gwil !y 4sgrQ4*.
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.oopherstateonecall.grg
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 view and ap roval of plans.
X t~ GG />~ri /~L L/TZ C7lf / X dA Z& >
Applicant's Printed Name Applicant's Signatu
Page 1 of 3
1-7 Vc/ gea-CAS
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
4- Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
_ 01 of _ Plex Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES j Vo-o vw~ /1(w Z _ New _ Interior Improvement _ Siding _ Demolish Bull~
- Addition T Move Building _ hoof _ Demolish Interior
_ Alteration _ Fire Repair Windows _ Demolish Foundation
Repi _ Repair _ Egress Window ` Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition w SAC Units
(25% 100%q Zoning City Water
rens~Code 3a Stories Booster Pump
# of Units Square Feet PRY
# of Buildings Length Fire Sprinklers
Type of Construction -b~ Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final/ G.O. Required
Footings (Addition) 4-1 Final/ No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: _ice & Water -Final Pool: -Footings Air/Gas Tests Final
Framing Siding: Stucco Lath Stone Lath -Brick
Fireplace: -Rough in Air Test -Final -7K Windows
C insulation Retaining Wall: _ Footings Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
r,/
Plan Review
MCES SAC~~
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
INSPECTIO
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
, ,I,t 1,i? ;ri111uf i?:<t
? ?: ? i I r.i?.I??;.,f ?
PERMIT SUBTYPE:
it?i i, I t i,l i I
I I t./;11 { Idl,
( fa•.;lll ri 1 1 iiN
TYPE OF WORK:
I IHili
nI r: trqI t0 N
! 1 I 1i f I-4111 I)
IN1.:1f1C}p•? 1!4lititt IiF.0 11 f.;' ii, .r! 111 i1,7: 1 i40 lib: Mt'AUOiJ1.A Rk 1+t3
? n!'-. ryii.?li+ t 769'f tr?'. ?iiai, (6*% rl?5rc ?{49?? rltf4
I ?.
RECORD
PERMIT TYPE: ''" I
Permit Number: '' ' 'p '1HY'
Date Issued: ' ' /°' ? r o ?
APPLICANT:
I iii.i i f ii ;1 P6Ft8
0 1
Permit No. Permlt Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspeetion Date Insp. Comments
Footings I
Foundation
Framing
Aoofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final a
Deck Ftg. f? .6
Deck Final
Well
R
Pr. Disp.
? INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
I 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
1 J j 4
SITE ADDRESS: I„ l „ , APPLICANT:
rti AiM1.111ki,r
PERMIT SUBTYPE:
, ,
TYPE OF WORK:
,. , ,. .
Pnir
i H I '?'l I n ta-r? ?, E?
I I I N 1 ,
I I 1 IN 11f++
?.-. i-:b:'. A';fl'!1k Afl 1'I i;Ml i ((i 11I 1)Illf:'1 It fM
O{t 1' II IMR 1 NI r ldni
7
I:1+IFi,U tH f'I 1'F
PermR No. Permk Holder Data Telephone A
ELECTRIC 3g??
PLUMBING
HVAC
Inapectlon Data Inap. Comments
FOOTINGS
FOUND
FRAMING
7
kte
ROOFING
ROUGH
PLUMBING
PLBG
AIF TEST
ROUGH
HEATINd
GAS SVC
TEST
INSUL
7
GYPBOARD
r
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL ? l? Q I• • Q ?
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN ffiLLAIQDALE
Addition (MEADOWLARK RIDGE
Owner
Street
Lot 401 gik 02 Parcel 10-32950-401-02
MEADOWLARK ROAD State EAGAN MN 55122
R1(la #d ffnit 41
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. • al p ircel
STREET RESTOR.
GFAOING
SAN SEW TRUNK OTl inal rcel
+t SEWER LATERAL n
WATERMAIN
* WATER LATERAL 1973
WATER AREA 7
!CI 5.28
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PARK
CITY OF EAGAN HIIaI.ANDALE ADDNRemarks
Addition (MEADOWLARK RIDGE CO-OP) - Lot 402 elk 02 Parcel 10-32950-402-02
Owner Street 1746 MEADOWLARK ROAD State EAGAN MN 55122
Rlrirr #A Il,,;+#7
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. OT1 inal TC81
STREET RESTOR.
GRADING
SANSEW TRUNK original p rcel
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1973
WATER AREA •10 .76
ID! 5.28
* STORM SEW TRK 1973
STOflM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER.
SAC
PARK
CITY OF,EAGAN $ZLLAIYDALE ADD1YRemarks
Addition ?MEADOWLARK RIDGE CO-OP) Lot 403 Bik
1748 MEADOWLARK ROAD
Ownr Street
RlArt #A flnit #Z
02 Parcel 10-32950-403-02
- State EAGAN MN 55122
Improvement Oate Amount Annual Years Payment Receipt Oate
STREETSURF. OT1 inal pi trcel
STF E ET F ESTO R.
GRADING
SAN SEW TRUNK OTl inal rcel
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1973
WATER AREA Zll 1 .76 I-S
Park Donation 1977 52 82 5•28 10
* STORM SEW TRK 1973
? STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
SUILDING PER.
SAC
PARK
CITY OF F,AGAN ffiLLANDALE
Addition _
Owner
OP Lot 404 Bik 02 Parcel 10-32950-404-02
Street 1750 MEADOWLARK ROAD State EAGAN MW 55122
Rlrlo_#d Ilnit #d
Improvement Oate Amount Annual Years Payment Receipt Date
STREETSURF, d OT1 inal rcel
STREET RESTOR.
GRADING
SAN SEW TRUNK OTl inal rcel
* SEWER LATERAL i+
WATERMAIN
WATER LATERAL 1973
WATER AREA 0 ,76
a 110) 5.28
* STOfiM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
?UILDING PER.
SAC
PARK
CITY OF ?4GAN HILLANDALE
Addition (MEADOWLARK RIDG]
Owner
Street
-Lot 405 elk
1752 MEADOWLARK ROAD
OZ Parcel 10-32950-405-02
- State EAGAN MN 55122
Rlcla_#d ifnit #S
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. OT1g1I13.1 arce
STREET RESTOR.
GRADING
SAN SEW TRUNK origina p rce
SEWEF LATERAL
WATEFMAIN
WATER LATERAL
WATER AREA 20 1975 11.39 • 76
Park Donation !D! 1977 52.82 5•28 1
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PARK
CITY OF AGAN gILLANDALE ADDNFmarks
Addition ?ADOWLARK RIDGE CO-OP? Lot 406 Blk 02 Parcel 10-32950-406-02
Owner Street 1754 MEADOWLARK ROAD State EAGAN MN $5122
RlAn #d flni+ kF.
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
amaiie
r
' a
ircel
fr SEWEfi LATERAL n
WATERMAIN
* WATER LATERAL 9173
WATER AREA ? 1975 11 . 39 .76 1$
Park Donation 1C1 1977 52.82 5,28 10
* STOFiM SEW TRK 1973
STOFiM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
CITY Of GAN gTjd,ANDpLE pDDNFter?arks
Addition MEADOWLARK RIDGE CO-OP J Lot 407 plk 02 Parcel 10-32950-407-02
Owner Street 1756 MEADOWLARK ROAD State EAGAN NIN 55122
Rlr7n 1kA Iln;+ }k7
Improvement Date Amount Annual Years Payment Receipt Oate
STREETSURF. OT1 inal rcel
STREET RESTOR.
GRADING
SANSEW TRUNK OT1 inal rcel
* SEWER LATEFAL ir
WATERMAIN
* WATER LATERAL 1973
WATER AREA 213 ,76
a 110; 5.28 10
* STDRM SEW TRK 1973
STORM SEW LAT
CUfiB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF ?AGAN giLLANDALE ADD1Pa
Addition _
Owner
oP-)?---Lat 408 gik 02 parql 10-32950-408-02
Street 1758 MEADOWLARK ROAD State EAGAN hW 55122
R7.1.. JkA iT.,4*1k4
Improvement Date Amount Annual Vears Payment Receipt Date
STREETSURF. OI'i 1II81 rcel
STREET RESTOR.
GRADING
SAN SEW TRUNK made * original p C81
} SEWER LATERAL
omr-
WATERMAIN
* WATER LATERAL 1973
WATER AREA 2r3 1975 11.39 .76 15
Park Donation 110) 1977 52.82 5•28 10
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STFiEET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF GAN $jLLANDAjE AI)DIfiemarks
Addition MEADOWLARK RIDGE CO-OP) - Lot 409- Rik
1760 MEADOWLARK ROAD
Owner Street
Rlr4n kd Tlni+ @O
02
10-32950-409-02
State EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipi Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ri inal Cle
iF SEWER LATERAL
WATERMAIN
* WATERLATERAL 1973
WATER AqEA 1975 11.39 .76 15
Park Donation /o 1977 52.82 .28 10
1F STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEF CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN HILLpRDALg ADDffterRarks
Addition ?MEADOWLARK RIDGE CO-OP J Lot 410 „ik
1762 MEADOWLARK ROAD
Owner Sireet
Bldg.#4 Unit #10
02 Parcei 10-32950-410-02
_ State EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. la ! OTigi5181 CCl
STREET RESTOR.
GRADING
SAN SEW TRUNK pp j,ng,l C@1
# SEWER LATERAL
WATERMAIN
? WATER LATERAL 1973
WATER AREA Z! 1975 11.39 .76 1$
Park Donation /0) 1977 52.82 .28 10
? STORM SEW TRK 1973
STORM SEW LAT
CUfiB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAfl K
0
y r 856
? oyw
7
'1
1;2?
Reques Date
1
?
1- Fire No. Rou -In Inspection Required
(Vou call inspeclor when ready)
mur Inspection Othar Than ough-In
? Ready Now il Notify nsp tor
y
/6 Yes ? No Date Reatl
IKlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (Street, Boz or Route No,) City
m, E.a v I?? ?G N
Seciion No.
7ownship Name or No.
Range No.
Counry
I I D,,4- )e_DT1q
Occupant(PRINT) Phone No.
Power Supplier Adtlress
Eledrical Contractor (COmpany Neme) Contractor's License No.
F_1_r=? ? cu- c?- Da aa
Malling Atldress (COntractor or Ownar Ma' in tallaiion)
`
? ?
10.
OSP6ldQu f.
7
Authori ignatur (ConlrectodOwner Maki Installation) Phone Number
& !5
BOARD ICI7Y
T
INSPECTION
r2 9
M
t
P
e
8 ( 1 1 1
h
R
E
S
FO
O
111
8
Un
e si
y Av
,St
5510q
ul, MN IIII ( I I III I (I I I I I 11 OP
R INSP C
ON
EE
?
P
one (612) 642-0800 I LOS PR
N
? REQUEST FOR ELECTRICAL INSPECTION ,?a? EB-00001-00
See instruclions tor completing this form on back of yenow copy. ?I i // ? 9
X Below Wgrk Covered by This Requesf ?'Y' ? ?
Ne Add Rep. Type ot Building Appliances Wired Equipment Wired
X' Home Range Temporary Service
Du lex Water Heater Electric Heating
Apt. Building Dryer Load Managament
'. Comm.llndusirial Furnace Other (Specify)
Farm Air Conditioner
Other (specity) Contrector's fiemarks: I_ i Im- f F_ r-- p,,?1 P, ?? )Z&k R 44.?
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 00 Amps
Transformers Above 200 Amps e j8Q -Amps
SI nS Inspectors Use Only: TOTAL jb
Irrigation Booms C Q ? k?Q ?-
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
t th
b
i
i Rouqn-in Date '?
cer
y
a
e a
ove
nspect
on has
6een made. F;nai oate • L
OFFICE USE ONIY
This request void 18 months from
,
EAGAN TOWNSHIP
BUILDING PERMIT
?..:
ownez ----- ......^.-?:./--••L--`-'. ---° ------••_---°°--...-°°----...-°----°
Add:ess (presen!) ? 3 y? o ,- .?
•--°---...•• ........ -....-• .........
-------°---------........
.
Builder .....r?'?_?rr...•_-?l`•%`-?-?--?---°-------?-.-?.e--=
- --•---- --•
Address ............................
......................•-• ....-•--------.......•••--•---........_...._
DESCRIPTION
N° 2635
Eagan Township
Town Hall
Date '-? /?/
.............................................
5toriea To Be Used For Fron! Depth Height ?'P s?a;ni! Fee Remarka
yl`??i6 I?FJ?3S 6
LOCATI01(3 L E•°zJ
?
8lreel, Road or olhes Description of Loealion o! Block Addilfoa oz Traef
This permit does noi authorise the use of atreels, roads, alleys or afdewalks nor does it give the owaer or hfs agent
the :igh! !o c:eate anp situsiion which is a nuisance or which presents a haaard !o the health, safely, convenience and
general welfare !o anpoae in the communilp.
THIS PERMIT MUST SE KEP?TJ, O?N?TH?E PREMISE WHILE THE WOAK IS IN PROGRESS. ./
This is !o eerYifp. !hal--••••--••••G!?==•........... d-V ................... has permission !o erect a-- ••-.... ...7-.._.....•••••• .............•_-°°••..upon
the above described premise subjec! !o the provisioas of the Buildiag Ordinance for 'E Township adopled April 11,
1955.
... . ......... Per ........................................ ....•-
..... ............................ .. ?.:....... ??...:`..:: ? ..?.?---.:..............----
hairman 0 Tnwn Soard ZS Su[lding Inspec2os f?
i S.SO
nQ?? 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.
o6
SCROGGINS, RONDA
Date
1762 MEADOWLARK ROAD
Site Street Address EAGAN, MN 55122
U111t #
(651) 686-5683
Property Owner , .,ephone # ( )
NORBLOM PLUMBING CO.
contractor
827W"
3 Telephone #( ?
0
Address `
City State Zip
MINNEAPOLISt M
N P540
Th
A
li
t i
O
?
_
e
pp
can
s:
wner ontrac or Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener andlor water heate r--complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener X Water Heater $ 15.00
_ new ? replacement.
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ?S. 50
I hereby apply for a Residential Plumbing Permit and acknowiedge that the information is complete
and accurate; that the work wiil 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 Co 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.
?)OTbl"
Applicant's Printed Name
Ap ip nt's Signature lUN :. 4 2005
?--_ ---__. _- _-)
***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 718
DATE: 09/22/00 TIME: 11:44:15
ID: NAME: THOMAS E OR MURIEL DONNELLY
3210 9001 4138 MEDOLRK LN 125.25
2155 9001 4138 MEDOLRK LN 3.00
3210 9001 1744 MEDOLRK RD 125.25
2155 9001 1744 MEDOLRK RD 3.00
3210 9001 1762 MEDOLRK RD 125.25
2155 9001 1762 MEDOLRK RD 3.00
Total Receipt Amount: 384.75
CR137804
USER ID: JAN
?91
,
2000 BUILDING PERMIT APPLICATION (CQMMERCIAL)
CITY OF EAGAN
651-681-4675
12S?z5
Foundation Onl New Construction Interior Im rovement.
• Structural Plans (2 sets) . Architectural Plans (2 sets) • Architecturaf Plans (2 sets)
+ Civil Plans (2 sets) . Structural Plans (2 sets) • Code Mafysis (i) •'
• Certificate of Survey (1) . Civil Plans (2 sets) • Pro]ect Specs ('I set)
• Code Analysis (1) " • Landscaping Plans (2 sets) • Key Plan (1)
• Project Specs (1) • Code Malysis (1) " . Master Exit Plan (1)
• Spec. Insp. & TesGng Schedule " . Cerbficate of Survey (1) • Energy Calcuiations (1) not always"
• Soils Report (7) . Spec. Insp. & Testing Schedule (i) " • Elec. Power 8 Ligh6ng Form (1) not always"
• Meter size must be established . Meter size must be established . Meter size must be established - if applicable
• Project Specs (1)
i . EnerOY Calailations (1)
1 • Electric Power & Lighling Form (1)
1 . Master Exit Pian (7) 1
1 • Fire Protection Plan (7) •` 1
1 . Soils Report (1) 1
• MCIES SAC determina6on letter • MC/ES SAC determination letter • MC/ES SAC determination letter
call 651-602-1000 cali 651-602-1000 call 651-602-1000
VVllldld pU1lWlly njbNCCUwis wr sampie
Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - cail 651-215-0700 for details.
DATE: 1 ? WORK TYPE
DESCRIPTION O
TENANT NAME:
FORMER TENANT NAME:
SITE ADDRESS: 1/`T-? MPG)4L N//,q I'JeY4C0T (33 I BLOCK 3 SUBD
PROPERTY
OWNER
?
_ NEW _ REMODEL CONSTRUCTION COST: ?
First
State:
Zip:
Company: bh l7 CC ID Phone #: ( (O( °7 ) /07 2- ????
COIVTRACTOR
Street Address:-Iq ?/
City ?Tl? State: Mn Zip:
ARCHITECTI
ENGINEER C;ompany:.
Nazne:
Last
Street Address:
City
Phone#: ? a / Gr 1W - 5-5-25?
Phone #:
Name: Registrafion #:
F'
Street Address:
?
City State: Zip:
? ?
-_- ..-___ - - - ?
Liceosed plumber installina sewer/water: Phone #:
Meter Size:
I hereby acknowledge that I have read this applicaGon, state that the information is cortect, and agree to compiy with all applica6le State
of Minnesota 5tatutesand City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE pNLY
BUILDING PERMIT SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
WORK TYPE
? 31 htew
? 32 Addition
? 33 Alterations
0 34 Repair
[J 35 Tenant Impr
? 36 Move Bldg.
GENERAL INFORMATION
Census Code
SAC Code
No. of Units
No. of Bldgs. -
Const. (Actuat)
(Allowable)
UBC occupancy
? 37 Demolish Bldg. ? 43 Reroof
? 38 Demolish (Interior) ? 44 Siding
? 42 Demolish (Found) ? 45 Fire Repair
? 46 Windows/Doors
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
_ sq. ft.
MISCELLANEOUS INSPECTIONS
O Gas Service Test ? Heating
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Qualiry
Other
Copies
Suilding
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
? Insulation ? Plumbing ? Stucco/Stone
_ Engineering Variance
VALUATION:$
% SAC
SAC Units
Meter Size
,
?
Total
IN5PECTIQN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: L 0 T: 401 B L 0 C K:
1744 MEADOWLARK RD
HILLANDALE
PERMIT SUBTYPE:
MuLrz. (Misc. )
BUILDING
024986
12/21J94
2 APPLICANT:
MEADOWLARK RIDGE L7D PTNRS
(612) 546-8201
TYPE OF WORK:
ALTERATION
DESCRIPTION (FIRE WALL)
INSPECTION .• . .A
FRflMING ROOFING
I•NSULATSON FZNAI.
REMAF2K5s INCLUpE5 1746 1748 1750 1752 1754 1756 1758 1760 1762 MEADQWLflRK RD
L07S 402 403 404 405 406 497 408 409 410
u . . . PERMIT ck'WO
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: s u zLo z NG
Eagan, Minnesota 55123 Permit Number: 0 2 4 9 B 6
(612) 681-4675 Date Issued: 12 / 21 / 9 4
SITE ADDRESS:
1744 MEADOWLARK RD
L.OT: 401 BLOCK: 2
HILLANDALE
PeI.N.: 10-32950-401-02
DESCRIPTIOId:
?-" ?_` (FIRE WALL)
uildin`g'-Permit Type MULTT. (MI5C.)
uilding Wo.rk Type ALTERA7ION
? ?.
....?
i_.
.?
a-;
? ? ?
?I " 1 Q? '????- C
?
? -??
REMARKS
INCLUDES 1746 1748 1750 1752 1754 1756 1758 1769 1762 MEADOWLARK ftD
LOTS 402 403 464 405 406 407 408 40 410
FEE SUMMARY
VALUA7ZQN $8,000
Base Fee $54.00
5wrcharge $1.50
Total Fee $55.50
CONTRACTOR:
OWNER: - APplicant -
MEADOWLARK RIDGE LTD PTNRS
1660 S HWY 100
MINNEAPQLIS MN 55416
(612)546-8201
428
I hereby acknow].adge that I have read this
. information is correct and agree to comply
Statutes and Czty of Eag,an prdinances.
L ? -
APPLICANT/ IT S GNATURE
application and state that the
with all applicable State afi Mn=
?
ISSUED BY' SIG UR-
i4qlc
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
? ?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site sur e's,t4?y4Qe gy
calcs. ?
1'j
COMMERCIAL 2 sets of architectural & structural p?ans, I set of
specifications, 1 copy of energy calcs .:i --- -- -----
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3} lot change is requested once permit
is issued.
Date 12 ? 15 ? 94 Valuation of work $2,250.00
Site Address: 1744 1762 Meadowlark Road
STREET SUITE I1
Tenant Name: (commercial only
LOT BLOCK a SUBD.
d l.G(?C?r•,dC_rvC,?_? P.I.D. #
Descri tion of work:Install firewall in cavit behind arage wall per attached drawing
The appl icant is: Ek Owner O Contractor ? Other (Describe)
Name Meadawlark Ridge Limited Partnership Phone 546-8201
Property LAST FIRST Chris sorensen
Owner
Address 1660 so. Highway 100 428
STREET STE #
C l ty Minneaoolis Stat2 MlV Z i p 55416
Company Above Phone
C0nt1'BCtOt' Address License # Exp.
City State Zip
Company vogt Architecttsal Phone 835-5275
Arc h itect/
Engineer Name ? ?ogt Registration #
Addr2ss 8900 Penn Ave. So. '(200)
City Bloanington State m ZjP 55431
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply w' all a licabl State of Minnesota Statutes and City of
Eagan Ordinances.
,
Signature of Applicant: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 13 06 Duplex 0 11 Apt./Lodging
O 02 SF Dwg. ? 07 4-Plex fia:?12 Multi. Misc.
? 03 SF Addition O 08 8-Plex 0 13 Garage/Accessory
? 04 SF Porch O 09 12-Plex O 14 Fireplace
? 05 SF Misc. 0_ 10 Multi. Add'1. O 15 Deck
WORK TYPE
O 31 New GL.??3 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual
l Basement sq. ft.
(Allowable lst F1. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of 5tories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED IN SPECTIONS
O Site EI Footing 43?Framing
? Wallboard dErFinal 0 Draintile
?
i
0
O Insulation
O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Yaluatian: aSa -
P-
AY . ? ? ..
?
O 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
O 21 Miscellaneous
O 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
5AC 96
SAC Units
***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 718
DATE: 09/22/00 TIME: 11:44:29
ID:
NAME: THOMAS E OR MURIEL DONNELLY
3210 9001 4138 MEDOLRK LN 125.25
2155 9001 Z,1138 MEDOLRK LN 3.00
3210 9001 1744 MEDOLRK RD 125.25
2155 9001 1744 MEDOLRK RD 3.00
3210 9001 1762 MEDOLRK RD 125.25
2155 9001 1762 MEDOLRK RD 3.00
Total Receipt Amount: 384.75
CR137804
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (COMMERCIAL)
--- CITY OF EAGAN
651-681-4675
120.25
-6 v
Foundation Onl New Construction Interior Im rovement
• SWctural Plans (2 sels) . Architectural Plans (2 sets) • Architecturai Plans (2 sets)
. Civil Plans (2 sets) • Structural Plans (2 sets) • Code Analysis (1) "
• Certificate oF Survey (1) • Civil Plans (2 sets) • Project Specs (1 set)
• Code Analysis (1) •' . landspping Plans (2 sets) • Key Plan (1)
• Project Specs (1) . Code Analysis (1) '• • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always••
• Soils Report (1) • Spec. insp. & Testing Schedule (1) " • Elec. Power 8 Ligh6ng Form (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be established - if applicable
• ProjectSpecs (1)
1 • Enercgy Calculations (1)
1 • Electric Power & Lighting Fortn (1) '• 1
1 . Master Exit Plan (1) 1
1 . Fire Protection Plan (1)
1 . Soils Report (1) 1
• MGES SAC determination letter • MClES SAC determination letter • MGES SAC determinaUon letter
call 651-602-1000 call 651-602-1000 call 651-602-7000
-- concacc tsunaing inspections for sample
Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - ca11651-215-0700 for details.
DATE: 0 WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST:
DESCRIPTION OF WORK: kQ tn 6U-6 e elmfj' 1-44A y/ S4" CGp wCc l?
TENANT NAME: P[ 6ln/fQ h K ? d9 e?? 6G..F SUITE #:
FORMER TENANT NAM
SITE ADDRESS: ?/ lP ??? a?OV?[c'? P?? LOT l'+ BLOCK 3 SUBD
Name: Phone#: ( /,7 o7c )
PROPERTY
OWNER
CONTRACfOR
ARCHITECT/
ENGIIVEER
Last
Street Address:
City
Company:vv
Zip:
Phone #: ( CQIq ) / °( a'-?a? d
Street Address: '.15 ( '/ ri o(? ` C<<Y ?S State: Zip:
'Company:
Name:
Street Address:
Ciry
First
State:
,
1 J
Licensed plumber installina sewer/water: Pt
MeterSize:
Phone #: (
Registrarion #: _
Zip:
#: L?
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appiicable State
of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant: -1?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 Commercial/Industrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
WORK TYPE
? 31 New ? 34 Repair ? 37 Demolish Bldg. ?
? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ?
? 33 Alterations ? 36 Move Bldg. O 42 Demolish (Found) ?
?
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 ? Insulation
APPROVALS
Planning Building Engineering
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S1W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION:$
% SAC
SAC Units
Meter Size
43 Reroof
44 Siding
45 Fire Repair
46 Windows/Doors
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
? Plumbing ? Stucco/Stone
Total
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: P. I. N . ` 10- 3` 950-0q m `° J APPLICANT'
•
LC1T: 41 BLOCK: 2
1762 MEfl[JUWLHRK RD SE12VP120
I4ILLflNC1ALE (612) 925-0558
PERMIT SUBTYPE: TYPE OF WORK:
sF (Mxsc. )
QESCRTP7ION
au I LoiNG
0 21 670 5
11j13/95
RFPATP.
(FIRE DAMAGE)
INSPECTION .. . .ATE INSPTR
FRAMING
FtOUGII TN PL66 .
ROU6H IN HTG FINAL
REMfiRKS: A SEPARA7E PERMIT IS REqUIRED FOR flNY ELECTRICAL OR PLUMBING WORli
,r •;
. . f;. or. ? T,?
P n.
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERIVIIT
PERMIT TYPE:
Permit Number:
Date Issued:
1762 MEAL7ClWLARK RD
LUT: 41 8LOC1<o 2
H]:Lt.ANDAI_E
P,I.N.: 10-32950-040-03
DESCRIPTION:
(FIRE OAMAGE)
B,Oil- cf fn'6? ,P er m.i 't 7 ype SF ( M I S C.)
0?uil.da.ng LJ?a?rk Type i2EPAIR
S?? ... ? ? ... . -eE..n
b [?.
?M.
p c e?
t? . ,d ma ?' pM
_ r_ €s
?tM
• ?{ ?
?? Wlq
BUTLDING
026706
11/13/95
REMARKS:
A SEPARAI"E pFRMI7 ZS REQUIRED FOR ANY FtECTRICAI_ QR Pl.UMBING 6JC7RK
FEE SUMMARY:
vALuaI-zoN $1e,e00
Base Fee $237.25 COPTES $4.50
Plan RevieW $83.04 Tara;L i=ec: $3:32,79
Surcharge ?? $-8_.s0
Subtotal $328.29
CONTRACTOR: -- APpa.icar,t - sr. G.zc. OWNER:
SERVPRtJ 19250658 0005399 IONG CARA
6309 CA1+IBRTDGC 1762 MEflL7UWlAHK RD
MTNNEAPOLIS MiV 65415 EIAGAN hIN
(612) 925-0658
I _ I hereby acknowledge that ;C have read this apFLlicatzcrti and stata that the
lnformaGson i"s eorr'e'c.t and a'qr?e - to eki? pl.y v.r1t-h all' app?;i c?ial,e Mn": F'..
?. ; S.???utes, and tity zf.;?ag,an; Ordi,naqc"_ ,
L
? S(L???
APPLICANT/PERMITEE SIGNATURE ISSUEQ BYI SIG ?ATURE
?? ?
CITY OF EAGAN iLtiot 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 ragistered sRe surveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window sizes; poured fid. design; etc.) ? 2 ake surveys (exterior add'Rions & dedcs)
? 7 energy calaletions ? 1 energy calwlations for heated add'Rions
? 3 copies oi 7ee preservadon plan ii lot pletted after 7M193
roquired: _ Yes _ No
DATE: E? l9'S? _ CONSTRUCTION COST: I?? I?,? U
4e s.«.w£
DESCRIPTION OF WORK: ECe ?L)DYI
STREETADDRESS: ? /cg-rrL_jVI('.U cy-k,-J l
v
LOT BLOCK SUBD./P.I.D.
PROPERTY Name: QA? g. Phone
OWNER °"5'
Street Address- 1?? J, b-A 1L Of
City: l.ar\ State: tvko Zip:
CONTRACTOR Company: ? ?'? v) Phone #:
Street Address: (0-?09 ?m mbr i? License #:
City: iM? ? State: ?V?vJ Zip:
ARCHITECT! Company: Phone #-
ENGINEER
Name: Registration #•
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this appliption and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
e
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ti ? iJ 0 8 199.9
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
?
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
0 02 SF Dwelling ? 07 4-plex
a 03 SF Addition ? 08 8-plex
0 04 SF Porch o 09 12-plex
0 05 SF Mis,c. 0 10 _-plex
WORK TYPE
0 31 New a 33 Alterations
0 32 Addition G-?34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
0 13 Garage/Accessory a 20 Public Facility
0 14 Fireplace ?a= 21 Miscellaneous
0 15 Deck
0 36. Move
0 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
MClWS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg i
Census Unit d
Engineering Variance
? .?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Watec Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatrnent PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies .? ?
Total:
Valuation: $ /
6DVo "
% SAC
SAC Units
4*STORM DAMAGE PERMIT APPLICATIDN (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
RMuirem e n 651-681-4675 ?
> 2 copies of plan
DATE: CONSTRUCTION COST:
?
DESCRIPTION Of WORK: ;/yV?O/,,4It multl-famity bldg., how many units? ?C)
IN TE THE FOLLOWING EALI?ENT?BE REPLAC D A \ BY WHOM: ? ?r
? Plumbing _ Homeowner gE Contractor Name ??'? V
_ Mechanical _ Homeowner 0 Contractor Name
"Note; If somebody other ihan the homeowner is performing plumbing or mechanical work, they must apply for appropriate
permit. Only Ifcensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS:
LOT: ?Z BLOCK: ? SUBD./P.I.D.#: ?f1?IL?11G4tI{. ??
Name: \ Phone #:
PROPERTY iast Firsf
OWNER StreAt Addfess: \O?A l4 ?i.\ ?` QC'
-- ?
Clty State: Zip;_? --Z? (c-3 o?
?Company,,? Phone #:
CONTRACTOR
(area code)
Street Address: License # Exp.
Ciiy
State:
Zip:
? JAN 3 2001 D
1 hereby acknowledge that I have read ihis applicaHon, state that the information is correct, and agree to compty with all appliCable State
of Minnesota Statutes and City of Eagan Ordinances. ---
,
Signature of
2000 STORM DAAAAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 f C--
? 651-681-4675
Reauiremenh C? I C? - 0 ( JI
? 2 copies of plan
DATE: - /!?- - U () d?CONSTRUCTION COST: ?_7 S?
'L...s..x_
DESCRIPTION OF WORK: IE'15 LA -i?- ?vaclc ?OGSPvw•.7fIf multi-family bldg., how many units?
INDICATE THE FOLLOWINlG EQUIPRAENT TO BE REPLACED AND eY WFfORA:
_ Plumbing _ Homeowner Q Contractor Name
_ MechaNcal _ Homeowner Qg Contractor Name
`*Note; If somebody otherthan ihe homeowner is performing plumbing or mechanical work, they mustapplyforappropriate
permit. Only Iicensed plumbing contractor or homeowner may complete plumbing work.
STREETADDRESS: 1??$ O?IeG-?WIG?IC ??A
LOT: d 3 3 BLOCK: U? SUBD./PJ.D. #: `-? ?`C?? v?--C?cz l? ? l
Name: m A eSQ C-r'l SoV'i RTPhone#: (OSI
PROPERTY Last First
OWNER
Street Address: 14? ?A ow Ic
city
Sfate:
AN
zip: V?' ( Z 2
Company: Phone #:
(area code)
CONTRACTOR
Street Address: _--- ' License # Exp.
City
State:
Zlp:
1 hereby acknowledge fhat I have read this applicalion, sFate that the information is correct, and agree to comply wifh all applicable State
of MinnesoM Stalutes and City oF Eagan Ordinances.
Signature of Applicanf: ? ?
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
?1301 ?
Reauirements
? 2 copies of plan
DATE: `"i - ZZ - 00
?
CONSiRUCTION COST: -) D v O
DESCRIPTION OF WORK: !?446Ei?06C*:,-.j I 0S i„1L • If multi-family bldg., how many unifs? o ()
INDICAiE YHE FOLLOWING EQUIPffiEiilY YO BE REPLACED AND BY WHORA:
>4 Plumbing t/ Homeowner gg Contractor Name
Mechanical _ Homeowner gg Contractor Name "P*-44-C.Fi
"Note: If somebody other than the homeowner is performing plumbing or mechanical work, they mustappiy for appropriate
permit. Oniy licensed plumbing contractor or homeowner may complete plumbing work.
STREETADDRESS: I 7?i; (d t44E?AQ6(.r.?L.A Vl? _ Q_-0 , C7/-7A N
LOT: 35 BLOCK: y,3_ SUBD./P.I.D. #: t11 I I (I ) dQ Ir. ?
Name: 12Phone#: LUS? ??3 foS -0Cj?JCj
PROPERTY I.ast First
OWNER
Sheet Address: [752
City
?GPvk)
State: I "t? Zip: SIS-I ZZ
Company: ??L r Phone #:
(area code)
CONTRACTOR
Street Address: License # Exp.
City
State:
Zip:
_'?VT7, ?
I hereby acknowledge that I have read this application, state that the informaHon is correct, and agree to compty wHh all applicable State
of Minnesota Staiutes and City of Eagan Ordinances.
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Signaiure of Applicant: ? '` -1 ?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? OS 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.)
? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 18 Deck ? 23 Porch (screened) ?
? 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 apFlicant
GENERAL INFORMATION
No. of Units
No. of Buildings
Const. (Actual)
(AI lowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
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
? 31 Ext. Ak - Multi
? 33 Ext. Alt - SF
36 Multi
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN JC/
3830 PILOT KNOB RD - 55122
651-681•4675
Reauiremenis
? 2 coples of plan
DAiE: ? CONSiRUCTION COST: S-00v
DESCRIPTION OF WORK: I'-' -C? fl% +) C 14 /o R c\A 'uaSe rncr?lf multl-family bldg., how many units?
Fw(NCAA-9- 1 wc?Tec Saf-FnWter }aeq?er' Wac?,I,e.r I DryPr re pl4c-eaf
IfdDICPaTE THE FOLLObN9iU'G EQQlOP61AEfU4Y0 BE E2EPLACED,AfdD BY WFBORA:
_ Plumbing _ Homeowner gr Contractor Name
_ Mechanical _ Homeowner 2E Contractor Name
°'Note: If somebody other ihan 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: 175-V 90,q
,
LOT: BLOCK: Z-) SUBD./P.I.D. #: li? + I I Qyi r] acJ6 4-
PROPERTY
OWNER
Name: 'V#)L!' Phone tk5?'c?00_7
Last Pirsr
streer
1L-
Ci1y c-, G? r1 State: t/Y) /V Zlp:
Company:
CONTRAC70R
Street Addi
City _
Phone #:
(area code)
License # Exp.
State: Zip:
I hereby acknowledge that I have read this applicafion, state that the information is correct, and agree to comply wilh all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signalure of Applicant:
/?/ - C:?"- -
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
0 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
? 17 Garage
? 18 Deck
? 19 Lower Level
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 Bidg.
? 36 Move Bidg. ? 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
? 31 Ext. Alt - Multi
? 33 Ext. Aft - SF
36 Muki
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
I 3830 PILOT KNOB RD - 55122
651-681-4675 ?j f ?
Reauirements
Name: (SM&, MGYIUj Phone#: 65 (
L[tst First
? 2 copies of plan
DATE: ?-- 10 CONSTRUCTION COST: c??---
DESCRIPTION OF WORK: ?( b?d de2?? yPpp'r If multi-family bldg., how many unlts? 1b
INDICATE TBiE fOlLOW1iVG EQUIPMER9T TO BE R@PL4CED AND BV VVFOOM:
_ Plumbing _ Homeowner Qr Contractor Name
_ Mechanical _ Homeowner gg Contractor Name
Sheet
"Note: If somebody other than the homeowner is pertorming plumbing or mechanical work, they must apply for appropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS:
LOT: 01: BLOCK: C)? SUBD./P.I.D. #:
PROPERTY
OWNER
CONTP.ACTOR
City state: VON zip: ?? a2
Company:
Phone #:
(area code)
s? - l (' d (D
Sheet Address: License # Exp.
City
State:
I hereby acknowledge thak I have read this applicafion, state that the information is
of Minnesota Stafutes and City of Eagan Ordinances. I I _
Signaiure of Applicant:
Zip:
agree to cornply wNh all appGcable State
AuG 10 2000
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. AR - Mufti
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 af _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Pibg _Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)* ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45. Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 WindowslDoors
" 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
II?,? /^n 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
. t 651-681-4675
Reauiremenfs
O/ O O?• O
? 2 copies of plan e ? ?
(/ DATE: ?"" I T?'00 CONSTRUCTION COST:
DESCRIPTION OF WORK: I( multi-family bldg., how many units?
IPlDICATE THE FOLLObbING EQUIR1AEiNY YO BE REPLACED AidD BY Wh90Nl:
Plumbing Homeowner or Contrqctor Name
? Mechanical ? Homeowner Qr Contractor Npme
"Note: If somebody otherthan the homeowner is performing plumbing or mechanical work, they mustapplyforappropriate
permit. Only licensed plumbing contractor or homeowner may complete piumbing work.
STREET ADDRESS: I3S-G YY)40.d(3,4C„?L Poci C(,
LOT: ? BLOCK: SUBD./P.I.D. #:
PROPERTY
owNER
CONTRACTOR
Nq c'+C.dO, Marl
Last First
-- ?
street nctdressA -2 f -4
Ciiy
(Gv? (L
Phone #: (:;? f-( - 7`"63 ` J9ib
/
State: Zip:
-?j
Company: l?c ? T Phone #:
(area code)
Street
City
State:
License # Exp.
Zip:
RECEIVED
AU G 14 2000
BY: ?YV1
I hereby acknowledge ihat I have read ihis application, state that the information is cortect, and agree fo comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances. ? ?
Signature of
OFFICE USE ONLY
? -
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
?. 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ?
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 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
Width
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
? 31 Ext. Att - Multi
? 33 Ext. Alt - SF
36 Multi
- V, o
pc'2 Vv i`& ? (l t t-4 drp,,,,,
d
- ,btc,'P, cc,Acue.L?? C(,r ? re Aoq
- Qe P[cUe. UAV?03??
? `??l,Y N cif V
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
?- ? cj 651-681-4675
Reauiremenfs
?
? 2 copies ot plan ?I J - C) J
DATE: R131M CONSTRUCTION COST: '?"?000
DESCRIPTION OF WORK: Aoa« 4sC.,-e4AE.,*r e- I( mulfl-famity bldg., how many units?
-I SA-P?IO?k lz4Sci411an
INDICAYE YBiE FOdLOWING EQUBPRAER'IY TO BE REPLACED AND BV W6-00M:
_ Plumbing _ Homeowner Qe Contractor Name
_ Mechanical _ Homeowner gr Contractor Name
"Note: If somebody other than the homeowner is performing plumbing or mechanical wortc, they must apply for appropriate
permit. Oniy Iicensed plumbing contractor or homeowner may complete plumbing work.
STREETADDRESS: I bo /CC€ao;74
LOT: BLOCK: Q3 SUBD./P.I.D. v?- CIILx
PROPERTY
OWNER
Name: Phone #:
Last First
SheetAddress: ?7?0 /N?4?uw?G?k Aoo44*?7
Clfy ?QSgn State: /44 4-/ Zip:
Company:
CONTRACTOR
Street Addi
City
Phone #:
(area code)
License # Exp.
State: Ztp:
1 hereby acknowledge that I hwe read Fhis application, state that the information is correct, and agree to compty wilh all applicable State
of Minnesota Stahrtes and Ciry ot Eagan Ordinances.
I&
Signature of Applicant:
Auc - 3
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? OS 06-piex
? 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 Ect. Aft - Multi
? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 19 Lower Level ? 24 Storm Damage
Plbg _Y or_ N ? 25 Miscellaneous
? 20 Pooi ? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)* ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 WindowslDoors
* 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 DAMACE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
651-681-4675
Reauirements
? 2 copies of plan
DATE: z?/SIG? CONSTRUCTION COST:
DESCRIPTION Of WORK: If multl-family bldg., how many units? ?
IPIDICATE TME FOLLOWIPdCv EQIDIP'r1flERT 80 BE REPLACED R,AID BV 1A16iOM9:
_ Plumbing _ Homeowner gl Contractor Name
_ Mechanical _ Homeowner g[ Contractor Name
"Note: If somebody other than the homeowner is performing plumbing or mechanical work, they must apply forappropriate
permit. Only Iicensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS: I?G7 /11?Yl?u/l?BP? .eaAo
LOT: BLOCiC: SUBD./P.I.D. #:
Ndme: WYh)tNavds'? ?/ L?/ <l- Phone #: 6!?71 -lee -6e48
PROPERTY Lasr / Firsf
OWNER
Street Address: /?Z /?'I?F,I?v??,sr2/L ??
City ?9?AV State: /AW Zip:
Gat--2b: 6s-/ - 2zo -o?zz
Company: ?,/}/.l?r?/?t? ?S/csaJ Phone #: 6rl - G81 - ?zz
(area code)
CONTRACTOR
Street Address:?s ?S' ?hxA2?l wA-?/ License #2?01--j1<;q/ Exp. V5/ ??
Cify State: /w. 21p: t5t/z-a - zzZZ
?CRn
FEB 1 5 2001 D
I hereby acknowledge thai I hpve read this appiication, state that the information is correct, and agree to comply wilh all appliCable Stafe
of Minrresota Statutes and City of Eagan Ordinances.
Signalure of Applicant:
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ? J
14 0 ? 651-681-4675 ? C?
Reaulrements
ci
? 2 coples o( plan
DAiE: 1?1-gl'z7cl) CONSTRUCTION COST: 1 R, U U 0
DESCRIPTION OF WORK: --(ti Ylf multi-fdmily bldg., how many unltsT _
IPIDICATE THE FOLL0IA?ING EQUIPMEMT TO BE REPLACED AND 6V WIiOM:
_ Plumbing _ Homeowner g_r Contractor Name
_ Mechanical _ Homeowner Q Gontractor Name
"Note: If somebody other than the homeowner is pertorming piumbing or mechanical work, they mustapply forappropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS: ? 7 &a ?<`?G?;c?('•rt-c?l!
G
LOT: BLOCK: ?J SUBD./P.I.D. #:
Name: ? 4 P h o n e #: lio,5 7 'lo 9 7!?/
PROPERTY last FIrst '
OWNER
Street Address:
Ci1y State: ?1?11 Zip:
Company: 6u? ::4- , Phone #:
CONTRACTOR
(area code)
Street Address: license # Exp.
City
State: Iip:
=RRT14:CF-,jVEj)
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signalure of Applicanh t-?,
00
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding
? 33 Alteration ? 38 Demofish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Demolition permit - Give PCA handout to applicant
GENERAL INFORMATION
No. of Units
No. of Buildings
Const. (Actual)
(AI lowable)
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
Cl'fY USE ONLY
, .
LOT BL PERMIT #:
SUBD. N I J(fnda k RECEIPT #:
RECEIPT DATE: II? I?O O
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN A4J 55122
Date: C) a 651-681-4675
? ( I (?
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownerloccuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section onlv if you are remodeline, adding to, or repairin¢ an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New ? Alteration _ Repair _ Other
? Furnace _ Air conditioning
_ Air exchanger _ Other
Fee $ 30.00
State Surchazge 0
Total 30. Sb
Reminder: Cal! for irrspectiotts
SITE ADDRESS: 127 y??G??/A_DW ?Gr{?IG..,_?
OWNER NAME: _ _DII J V(Ol ??/?J PHONE #: _V169- - ?,?J1115- '7I?-?
INSTALLERNAME:16bbK/?S C?oWh SrGlf 14-1 PHONE#:(????-y3?"""'2217
STREET ADDRESS:
CITY:
Ve Va ll?e v STATE:
S GNATURE OF P ITCEE
L BL
SUBD.
APPROVED BY:
, INSPECTOR
, , .
PERMIT #:
RECEIPT#: RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT IQdOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DP.TE:
WORK TYPE: New consauction Instali U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspeciion by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of coniract price OR $30.00 minimum fee, whichever is greater.
Underground tanlc removaVinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNERNAME: PHt7NE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE: ZIP:
CITY USE ONLY
SIGNANRE OF PERMITTEE
C[TY USE ONLY
V
LOT BL ? PERMIT #: `7 a ?j ? (
SUBD. H Ma04at. ? I RECE[PT #: .
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT FQiOB RD ? ?
EAGAN IT 55122 i11
J?o 651-681-4675 s 'IT
Date• ??
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
$ 30.00
6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge .50
Total $
Complete this section onlv if you are remodeline, addin¢ to, or reaairins an existing single-faznily dwelling,
townhome, or condo. Please indicate if it is a new item, atteration, or repair.
_ New Alteration _ Repair _ Other
ZFumace _ Air conditioning
Air exchanger
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRE55:
OWNER NAME: PHONE #: ..,4? - ?
-
INSTALLER NAME: ?X 0,n J ? PHONE #: (?ce?
? (AREA CODE)
STREET ADDRESS•
C[TY: STATE: y . ZIP:
RECEIVEI? T
AUG 17 ?000 [GNATUREOF ERMIT'I'EE
BY:
L BL
SUBD.
CITY USE ONLY
APPROVED BY: , INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (CONMRCIAL)
CITY OF EAGAN
3830 PILOT RNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: all commercialihindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior lmprovement Remove U.G. Tank
_ Processed Piping
Whea installing/removfng underground tank, ca11 651-681-4675 for Inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%= $
State surcharge
TOTAL
SITE ADDRESS:
$
(Base Fee)
calculate at $.SO for each $1,000 Base Fee
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl):
WAS THERE A PREV[OUS TENANT IN THIS SPACE? _ Y_ N. NAME:
INSTALLER:
ADDRESS:
CIT'Y:
PHONE#: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
' I I CITY USE ONLY
'LOT 3 41 BL V
SuaD. I-?1?IQr1dA?$ # (
Other
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN i
3830 PILOT IQdOB RD
' EAGAN MN 55122 i ?
Date: z 651-681-4675
Complete this section onlv if you are instalting HVAC in a single family dweiling, townhome or condo under
construction and not ownedoccupied.
• HVAC: 0-100 M B T U
ADDITIONAL SO M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
Fee
State Surcharge
Total
Complete this section only if you aze remodelinu, addin¢ to, or reaairin? an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
^ New Alteration _ Repair _ Other
ZFumace X Air conditioning
_ Air exchanger
Reminder: Cal! for rnspectiorrs
SITE ADDRESS: ?
OWNER NAME:
1NSTALLER NAME:
STREET ADDRES5:E?
CITY: -;4?? Tn )
c
PERMIT #: I ?q7-??
RECEIPT #: .
RECEIPT DATE:
$ 30.00
6.00
State Surcharge .50
Total $
$ 30.00
50
rxorrE #: cz f!?' /
(AREA CODE)
PHONE #: ?-
(AREA CODE)
REC7,1VFD
At1G 2 '? 2000
BY:
?
STATE: 11?' ZIP: _5?0:::;-)
, , . .
?
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (CODMERCIAL)
CITY OF EAGAN
3830 PILOT EQdOS RD
EAGAN, M+T 55122
651-681-4675
Please complete for: ali commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior lmprovament Remove U.G. Tank
_ Processed Piping
When installing/removing underground tunk, call 651-681-4675 for inspection by fue marshal and
plumbing inspectos
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, rvhichever is greater.
Underground tank removaUinstallation = minimum fee .
Contract price: $ x 1%_$ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME ([MPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN TH1S SPACE? _ Y_ N. NAME:
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
PHONE #: -
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
? , . • CITY USE ONLY
LOT 3 6 BL V PERMIT #:
SUBD. H1 I 10Vl dtAI-6 _?- l RECEIPT #:
420 b
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: ? ? f 0 ?40
?
?}p Y VY? IJa YVIQ?
Un (;hara?p I
Complete this section onlv if you are installing HVAC in a single family dwelling, townho r
construction and not owner/occuaied.
• HVAC: 0-] 00 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge .50
Total $
condo under
Complete this section onlv if you aze remodelins, addiniz to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
)k
_ New ? Alteration
(Le p1 PC&eAAM-r -
Furnace
Air exchanger
_ Repair _ Other
FkGDY?> \oL`.-`il V-!1
Air conditioning
Other
Fee
State Surcharge
Total
Reminder: Call for inspections
$ 30.00
.50
$ 30.50
SITE ADDRESS: I-16`4 rlJ
OWNER NAME: PHONE #: G2 ?J 1 - ???
(AREA CODE)
INSTALLER NAME:`'- v? 7- PHONE #: t nr-;?-
(AREA CODE)
STREETADDRESS:IqJI? ? IL-ol?t' 'T?LL-
CITY: " vi:?M I nr STATVI 'v ZIP: ?SO
CITY QE EAGAN
3830 PILOT IINOB RD
EAGAN MN 55122
651-681-4675
10 2000
L BL
SUBD.
APPROVED BY:
anr usE oNLY
INSPECTOR
PERMIT #:
RECEIPT#: _
RECEIPT DATE:
2000 MECHANICAI. PERMIT (COMMERCIAI.)
CITY OF EAGAN
3830 PILOT RNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: all commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 65I-681-4675 for inspection by frre marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1% _$ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL
SITE ADDRESS:
$
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT BL ? pERMIT #:
SUBD. [hII pdp It', ,# RECEIPT #:
RECEIPT DATE: I f ??D O
Qooo MEcHAvic?? PERMrr (REsinENTIAL)
????eAN
3$30 Pll.OT KNOB iiD ??O hn
EA&ikN bIN 5518E r? ? ?
Date: 651-6$1-4675
E?Qwtia -e.
Complete this section onlv if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Compiete this section oLilv if you are remodelinQ, adding to, or replacing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
_ New
? Furnace
? Air exchanger
U?1Pf CrO ti
IL Replacement
Other
Air conditioning
Other
Fee
State Surcharge
Total
$ 30.00
.50
$ 30.50
Reminder: Call for f nal inspection.
SITE ADDRESS: -7 ? ? ?'??UCf?(A? f ar2K I?o a?
OWNER NAME: PHONE #: [r) /-?/? - & 'Ce
cnxFn cooe)
INSTALLER NAME:
PHONE #:
(AREA CODE)
STREET ADDRESS: K L/j
CITI': STATE: /-/t//L) ZIP:
OF
, , -. .
CITY USE ONLY
L BL PERMIT#:
SUBD. RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
8000 MECiiANICAL P£fiMIT (COMMERCIAL)
CITY OF Ek6AN
3$30 P1LOT KNOB RD
ElkfiA1V, MN 5518E
651-6$ I -4675
Please complete for: all commercial/industrial buildings
multi-famify buiidings when separate permits are not required for each dweliing unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLI):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
PHONE #: -
(AREA CODE)
CITY: STATE: ZIP:
SIGNATUR.E OF PERMITTEE
CITY USE ONLY
LOT 31 BL 3 PERMIT
sc,sD. ?fiIlaVIdale, 41 RECEIPT #:
4Q07
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OE EAGAtd
3830 PILOT IINOB RD Y
EAGAN MN 55122 ? t1 1? r?
/,+,+IO[U 0 651-681-4675
Date: ??I
N
ar
Da nn
I
Complete this section anlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-] 00 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
50
$
Complete this section onlv if you aze remodeline, addin?toor reaairin? an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New X Alteration _ Repair _ Other
14 Furnace
Air exchanger
P.a{?\ACSZVneriT _
Reminder: Call for inspections
SITE ADDRES3: moo
_ Air conditioning
Other
Fee $ 30.00
State 5urcharge .50
Total $ 30.50
OWNERNAME: C PHONE#:(p?J_-q(),; - f?`zZ-
?O (AREA CODE)
INSTALLER NAME: UC 1n 7- ?i .?1 PHONE #: -
(AREA CODE)
STREET ADDRESS: U?I ?-I S
C[TY: 1 C_?LVYI?L?Y? I STATE: ZIP:_??S6 L?
' A .
SIGNA
10 2000
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECAANICAL PERMIT (CONaMRCIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EA6AN, r!!d 55122
651-681-4675
Please complete for all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
When installing/rernoving underground tank, call 651-681-4675 for inspection by fare marshal and
plumbing inspecdor.
Description of work:
Fees: 1°/a of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinstallarion = minimum fee
Conhact price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS aNLI):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
PHONE #: -
(AREA CODE)
STATE:
ZIP:
S[GNATURE OF PERMITTEE
l
• ' CITY USE ONLY LOT ? BL PERMIT #:
SUBD. RECEIPT #:
RECEIPT DATE:
2000 MECiiAN1CAL PERM1T (RESIDENTIAL)
CITY OF £AfiAN ?nn
3830 PILOT KNOB fiD r
I? ?/ ?
EAfiAN M1V 55128
1-4675•S iD ?
Date: MU I U () fp , , i ) .r- r?
Complete this section oh[v if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occapied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
? 30.00
6.00
State Surcharge .50
Total $
Complete this section onlv if you are remodelinQ, adrling to, or renlacing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
_ New ? Replacement _ Other
X Furnace ?` . V O? Air conditioning
Air exchanger
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for f:na! inspection.
SITE ADDRESS: _n `p Z,. ?
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
5? s?- U.J
z- Z..
PHONE #:
(AREA ODE)
PHONE#: b5 - ???! '' CoG?'.,..5
CITY: STATEi ' V? Z1P: 554 (4C)2JL
If '
??UgI ?G,'I?r! aS &ATIURE OF PERMITTEE,
v ~
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHAIVICAL PEitMIT (COMME{tCIAL)
CITY UF EA6A1V
3$30 PILOT KNO$ EtD
EA6A1V. MN 55188
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATL:
WORK'I'YPE: New construcHon Install U.G. Tank
Interior Improvement Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, cal! 651-681-4675 for inspection by fire marshal aitd
plumbing inspeclor.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x 1% _$ (Base Fee)
State surchuge calculate at $.50 for each $1,000 Base Fee
TOTAL- $
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl):
WAS THERE A PREVIOUS TENANT iN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE: ZIP:
CITY USE ONLY
SIGNATURE OF PERMITTEE
? °1 RECEIPT#: 43SJfJLO
SUBD. RECEIPT DATE: -O O
PERMIT #
2000 PLIJNBING PERMIT (RESIDENTIAL)
CITY OF EAGP.N
' 3830 PZLOT I4708 RD
F.AGAN, MIIJ 55122
651-681-4675
Please complete for. D single famiiy dweliings '
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTl1R Ec r . ?..
--- ----
Alterations to existing dwelling - minimum fee
Describe: c?a,n iT TOTAL
$ 30.00
8ath tub $ 3.00 x =
$
Floor drain 3.00 x = g
Gas i ing ouUet ' minimum -1 3.00 x = $
Hot tublspa 3.00 x = g
Kitchen sink 3.40 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurGished " requires MPC lit. 75.00 X = $
SeptiC System ahendonment 30.00 x = $
RPZ oew installatioNrepairlrebuild 30.00 x - $
Rough opening . 1.50 x = g
Shower 3.00 x = g
Underground sprinkler ifdwelling is underconsWctian 3.00 x = $
Underground sprinkler ff existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construetion 5.00 x = $
Water softener if existing dwelling 30.00 x = g
Water turnaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
TOtal
Reminder. Cali for lnspections cf alterations, i.e. water heaters, water softeners, etc.
----- ---------
I hereby aeknowledge thet I have read this
applicstion, state that tlie information is correct, and agree to comply with all applicable City of E2gan ordinances
It is the applicant's responsi6ility to notify the property awner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and maintenance activities to the facilides wnstruded under this permR within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME: 1 f I Ir' Qt( )I l.J TELEPHONE #:
STREET ADDRESS: J?Q. X (a YYl (?l
GL
qq? ??
?- I'
t0 E)--IA 44C)
CITY: STATE: ?l ZIP:
SIGNATURE OF PERMITTEE
L
BL ? CITY USE ONLY
RECEIPT #:
SU13D. 1 1 I ?I ? F? Gt G{,? P ? ? RECEIPT DATE:
PERMIT# 4IJ Q-"? g?)
2000 PLTJbMING PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PIIAT IINOB RD
EAGAN, bII7 55122
651-681-4675
Please complete for: D singie family dwellings
? townhames and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FiXTURES
C6f Y
M
-
Alterations to existing dwelling - minimum fee
Describe: .r i v ? ???.
$ 30.00 ?
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping oudet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry trey 3.00 x - g
Lavatory 3.00 x = $
Septic System new/refurbished • requlres MPC lie. 75.00 X = $
Septic S Stem abandonment 30.00 x = $
RPZ new installationlrepaidrebuild 30.00 x = $
Rough openin . 1.50 x = $
Shower 3.00 x = g
Underground sprinkier if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = g
Water softener if dwelling under constructlon 5.00 x = $
Water softener if existing dweiling 30.00 x = $
Water tumaround 30.00 x $
State Surcha e .50 -> -> -> g .50
Total _> $
Reminder. Caif for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------------------------------•-----------------------------------------------------------------------------------------• •-------
I hereby adcnowledge thac I have read this application, state that the infortnation is coned, and agree to compry with all applicable City of Eagan ordinances.
N is the applicant's responsi6ility to notity the property owner that Ne City of Eagan assumes no liability for any damages caused by the City dunng its
nortnal operetional and maintenance activRies to the faciiRies consWcted under this pertnR within City property/right-ot-way/easement.
SITE ADDRESS: / 7Sv OD-9ekJG,4?e IG ?? 7!}l? fW ?Z z
OWNER NAME: : TELEPHONE #: f(i-?, 6?? -6???D
(AREA CODE)
INSTALLER NAME: TELEPHONE#:C-7G-3J -S-??
STREET ADDRESS: 2?OU C fiWloG! 5 -#- Y(J (AREA CODE)
CITY: ST TE: 0 IP:
SIGNATURE dF PER TTEE
cirr usE ONLY i
L ? BL RECEIPT#: 1 3? ` a?P
SUBD. RECEIPT DATE: oo
PERMIT# d U Sp?
2000 PLZJMIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT FQdOB RD
EP,GAN, MAi 55122
651-681-4675
Please camplete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
Y i•j f 11
Alterations to existing dwelling - minimum fee
Describe: $ 30.40
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pi in ouNet " minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new(refurbished • requires MPC lic. 7$.00 X = $
SeptiC System abandonment 30.00 x = $
RPZ new installatioNrepaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under consYrudion 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dweliing under construction 5.00 X = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 -> -? -> $ .50
TOtal _> $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------------------------- --•--•------•--------------•---------------------- -----------------------------------------------
1 hereby adcnowledge that I have read this appliption, state that the infortnation is eortect, and agree to eomply with all applicabie City of Eagan ordinances.
It is ihe appiicanYs respansibility to naYrfy the property owner that the City of Eagan assumes no Ilability for any damages eaused by the City during its
nortnal aperational and maintenance adivities to the facilities consWcted under this permit within City property/right-of-way/easement.
SITE ADDRESS: t 1 ? II
OWNERNAME:: 1/4-llf A TELEPHONE#:
( EA CODE}
INSTALLER NAME: TELEPHONE #:
STREET ADDRESS: ??W l l? ? 1?L? ? 1 L?) ??ODE)
CITY: UI 1axi1 1 STATEI 1 1n ZIP: Z
SIGNATURE OF PERMITTEE
CITY USE ONLY
' C '?? BL RECEIPT #:
SUBD. 1-Yt 1? a?? l RECEIPT DATE:
PERMIT# 'C 2-
2000 PLUIvMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOH RD
EAGAN, MN 55122
651-681-4675 U Y ?
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G2s piping outlet Y minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished ' requires MPC Ilc. 75.00 x = $
Septic System ahandonment 30.00 x = $
RPZ new installationlrepair/rebuild 30.00 x = $
Rou h opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under consVuction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge .50 --> ----> -> $ .50
Total -> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------
--------
I here by acknowledge that I have read this application, state that the infortnation is corred, and agree to compty wRh all applicable Ciry of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement.
SITEADDRESS: l ?M V' P-Qc(D-vCC+^?L Aqd
OWNER NAME: : LIlIGY11A?2? G?-? TELEPHONE #:
^' (AREA CODE)
INSTALLER NAME:
TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
CITY:
STATE:
SIGNATURE OF
??-- CITY U5E ONLY
L
?Q?
SUBD. / !lI??GV?P1 A I
,
RECEIPT #: ?S a
?
RECEIPTDATE: ?3'
PERMiT # V
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT FINOB RD
EAGAN, 2•IId 55122
651-681-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflaw preventer for underground sprinkler system
FIX7'URES
EACH #
TOTAI
Alterations to existing dweliing - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished • requires MPC Ifc. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installationlrepairlrebuiid 30.00 x = $
Rough openin 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkCer if existing dwelling 30.00 x = $
Water cfoset 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener if exisUng dwelling 30.00 X = $
Water turnaround 30.00 x $
State Surchar e .50 -> -> -> $ .50
TOtai -> -> -> --->
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
?--------------------------------------------------•------------------------------------------------------------------------------------
• , - state -
- that the infortnation is correet, and agree to compry with all applicabie City of Eagan ordinances.
I hereby acknowledge that I have read this - application -
It is the applicanYs responsibility to notity the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
nartnal oparetional and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :Nno 11--?Pmaj2P TELEPHONE #: ?,_05 I ?'K-? Y?- L0 iO
_ (AREA CODE)
INSTALLER NAME: l Qu*r TELEPHONE #: ?{p? I
STREET ADDRESS: L1?? CQ yY'? ?, ? ?" ?? ? ? ? CODE) 44C)
--
CITY: wI LSTATE: Mn_ ZIP:
? c iy 3?-4?hnl
SIGNATURE OF PERMITTEE
*dtV oF eagnn
PATRICIA E, AWADA
Mayor
PAUL BAKKEN
PEGGY CARLSON
CYNDEE FIF.S.DS
ME(; TILLEY
Council Membcrs
THO.MAS HEDGFS
CiryAdmin;strator
Municipal Center:
3830 Pilot ICnob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
Faac: 651.681.4612
TDll: 651.454.3535
Maintenance Facility:
3501 Coachman Point
Eagan, MN 55122
Phone: 651.681.4300
Fax: 651.681.4360
TDD: 651.454.8535
?.cityofeagan.com
THE LONE OAKTREE
The rymbol of strcngth
and growth in our
community
February 8, 2001
RE: 1744 MEADOWLARK LANE
FiREWALL REPAIR
CITY OF EAGAN
BUILDING INSPECTIONS DIVISION
3830 PILOT ICNOB ROAD
EAGAN MN 55122
TO WHOM IT MAY CONCERN:
As a result of water damage from the July 7, 2000 storm, I did restore the firewall
betweeri my unit and the adjoining unit to its original design when the units were
built.
Sincerely,
i
dJ+,.
Jane Ohland
1744 Meadowlark Rd
Eagan MN 55122
Date: -;;2 ^ ??o - G7
February 8, 2001
cety oF eagan
PATRIC[A E. AWADA
RE: 1754 MEADOWLARK RD
Mayor FIREWALL REPAIR
Pnvi. sA-,xFrr CITY OF EAGAN
BLTILDING 1NSPECTIONS D1V1S10N
PEGGYCARISON 3830 PILOT KNOB ROAD
CYIVDEEFIELDS EAGAN MN SSIZZ
MEC TILLEY
TO ?VH(?M iT M.qY C'ONCERN?
C;ouncil Members As a result of water damage from the July 7, 2000 stoim, I did restore the firewall
Txo" HEUCEs between my unit and the adjoining unit to its ariginal design when the units were
CiryAdministrator built.
Sincerely,
Municipal Cenxer:
3830 Piloc Knoh Road athy Sommers
Eagm, tvtN 55122-1897 1754 Meadowlark Rd
r1,one: 651.681.4600 ? Eagan MN 55122
Fax: 651.681.4612
TDD: 651.454.8535
Date:
Maintenance Facility:
3501 Coachman Point
Eagan, MN 55122
Phone: 651.681.4300
Fax: 651.681.4360
TCiD: 651.454.3535
www.cityofeagan.com
?
THELONEOAKTREE ¢ Q
The symbol of strength F E B 14 21001
I
and growth in our ?
communiry ? ? ?
*dtV oF eagan
enrx[cIA E. nwAnA
Mdyor
Pntn.s.vcxEN
PEGGY CARLSON
C,1'NDEE FIELDS
MEG TILLEY
Council Members
THOMAS HF.BGES
City Administrator
Municipal Center:
3830 Pilot Knob Road
Eagan, MN 5 51 22-1 89 7
Phone: 651.681.4600
Fax: 651.681.4C,12
TDD:G51.454.R535
Mainrenance Faciliry:
3501 Coachman Point
Eagan, MN 55122
Phone: 651.681.4300
Fax: 651.631.4360
TDD: 651.454.8535
www.cityofeagan.com
THE LONE OAK'1'REE
The symbal of strcngrh
and growth in our
comnwniry
February 8, 2001
Rl;: 1756 MEADOVVLARK RD
FIREWALL REPAIR
CITY OF BAGAN
BUILDING iNSPECTIONS DIVISION
3830 PILOT KNOB ROAD
EAGAN MN 55122
TO WHOM IT MAY CONCERN:
As a resulC of water damage from the July 7, 2000 storm, I did restore the firawall
between my unit and the adjoinulg unit to its original design when the units were
built.
Sincerely,
Manuel Grados
1756 Meadowlark Rd
Eagan MN 55122
DBte:
*dtV oF eagctn
PATRI(:IA h:. AWtli)A
Mayur
1'AUL RAKKEN
rr:ccY caaLSoN
cvNDr:h hiEl.Ds
M LG'1'11.1.EY
Coimcil Mcmbers
rHohi,as HH.DcES
Ciry Administraror
Municipal Center:
3830 Piloc Knob Road
Eagan, MN 55122-1897
Yhonc: 651.681.4600
Nax: 651.681.4612
'I'DD: 651.454.8535
hlaintenance Facility:
35111 Cnadiman Poin[
Eagan, MN 55122
Phone: 651,681.4300
F:u: 651.681.4360
I'llD: 651.454.5535
www.cityofeagan.com
THE LONE OAK"I'1tEE
'171c syiulxol ul strengtli
:uld growdi in our
wmmunity
Jannary 30, 2001
Ms Jane Ohland
1744 Meadowlark Rd
Eagan MN 55121
Dear Ms Ohland:
According to City records, your home was damaged during the July 7, 2000 rainstocin.
While performing an inspection for phunbing repair at 1746 Meadowlark Road, 1 noticed
that your side of the firewall was constructed incorrectly. Firewalls between units inust
be rebuilt to original construction standards. You failed to install sottndboard or
iusulation as you can see from the enclosed photograph. This does not meet the required
wall assembly and must be changed accordiug to U1e attached diagram. The correct wall
assembly must be verified and approved by the City's Inspections Division. Please cali
me at 681-4683 upon receipt of this letter so we can discuss this matter.
Our records also reflect that we have been not been contacted by you for the required
inspections on your townhome. Please call 681-4675 to schedule inspections for the
following:
• framing, if applicable
. insulation
• sound board
• sheetrock
• appliance replacement
• final
Your anticipated cooperation in restoring your home to safety standards is greatly
appreciated.
Sincerely,
,
? 72v-j?--" oyp?
J. Craig Novaczyk
Building Inspector
cc: Meadowlark Ridge Townhome Association
Ms Kara Mower, 1746 Meadowlark Road, Eagan MN 55122
city oF eagan
I'AI'RICIA E. AWA[)A
tvtayor
1'AUL RAKhEN
PEGC;Y C'ARLtiON
(:YNDE1: FIELllti
MEG'11LLI:Y
Council Members
THOMAS HEDGFS
Ciry AcLniniaYrator
Mwiicipal Center:
3830 I'ilu[ hnuh ltoad
liagan. MN 55122-I897
Plione: 651.681.4600
F:u: 65 LG81.4G12
"I'Dll: 651.454.8535
Maintenance Facility:
3501 Couchman Poinc
Gagan, MN 55122
Phone: 651.681.4300
F:u: 051.681.4360
"I'Df): 651.454.8535
www.ciryofeagan.com
1"HG I.ONE OAK "1'REE
"Ilie symlxil ofsrrengrli
viJ growth in our
January 30, 2001
Mr Jonathan C Marsden
1748 Meadowlark Rd
Eagan MN 55122
Dear Mr Marsden:
According to City records, yow home was damaged during the July 7, 2000 rainstorm. In addition to the
removal of moisture and mold, firewalls between units nuist be rebuilt to original construction standards.
Enclosed for your inforniation is a drawing of the original wall assembly. The correct wall assembly must
be verified and approved by the City's Inspections Division.
Our records retlect that we liave been not bee? contacted by you for the required inspcctions on your
townliome. Please call 681-4675 to schedule inspections for tlie following:
• Yraming, iPapplicable
• insulation
• sound board
• sheetrock
• appliance replacement
• final
Your anticipated cooperation in restoriug your home to saf'ety standards is greatly appreciated. lf you huve
any questions, please contact me at 651-681-4683.
Sincerely, J?-
J. Craig Novaczyk
Building Inspectar
cc: Meadowlark Ridge Townhome Association
conununiry
O e ? ?
?FI ? W
,
city oF eagan
1'AI'RIC1A G. AWADA
M;ryor
PAUL [iAKIiGN
1'ECGY (°RL tiON
c:YNnr:E rIEi.Ds
M E( ; TILLEY
Council Members
"I'FIOMAS HGUCF'S
City Adminisvacur
MuniciEial Centcr:
3830 Pilor h'nob Road
Eagan, MN 55122-1897
1'hune: 651.681.4600
F:ix: 651.681.4612
"!'DD: 651.454.8535
Mainrenance Faciliry:
3501 C0ac6roan Point
Eagan, MN 55122
Phone:651.681.43b0
Fax: 65 LC81.43C,0
TDD: 651.454.8535
www.ciryofeagan.com
THk'. LONE OAh"CREE
Thc symlwl ufsrrengrh
:uid gruwdi in uur
January 30, 2001
Mr Neil Hoadley
1750 Meadowlark Rd
Eagan MN 55122
Dear Mr Hoadley:
According ro City records, your home was damaged dw-ing the July 7, 2000 rainstonn. In addition [o the
removal of moisture and mold, firewalls between units musc be rebuilt to original constniction standards.
Enclosed for your information is a drawing of the original wall assembly. The correct wall assembly must
be verified and approved by the City's Inspections Division.
Our records reflect that we have been not been contacted by you fbr the required inspections on your
townhome. Please call 681-4675 to schedule inspections 1'or the fol?owing:
• framing, if applicable
• insulation
• sound board
• sheetrock
• appliance replacement
• final
Your anticipated cooperation in restoring your home to saFety standacds is greatly appreciated. I£ you have
any questions, please contact me at 651-681-4683.
Sincerely, ?
?
J. Craig Novaczyk
Building Inspector
cc: Meadowlark Ridgc "Cownhome Association
cunmiuniry
11 city oF eagan
13AI'IUC1A G. AWAL)A
Maynr
PAUL BAKKIN
PI:CGY CARLSON
('YNllEt: PIGLDS
M EG"I'ILL.EY
C:cwncil Members
"FHO.MA-S HEDGFS
Ciry Adminiscraiur
Municipal Cen[er:
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phonr. 651.681.4600
Faz: 651.681.4612
1'DD: 651.454.8535
Maincenance Facility:
3501 Cuachm:m Puiut
E:igan, MN 55122
P6omc: 05I.081.4300
Fax: 651.681.4360
"fDD: 651.454.8535
?nv.cityofeag:m.com
"1'HE LONF OAKTRLG
176e symlwl ofsuengrth
and growch in our
January 30, 2001
Ms Kalyn L Anderson
1752 Meadowlark Rd
Eagan MN 55122
Dear Ms Anderson:
According to City records, your home was damaged during the July 7, 2000 rainstorm. Iu addifion to the
removal of moisture and mold, tirewalls between units must be rebuilt to original construction standards.
Enclosed for your infonnation is a drawing of tlie original wall assembly. 1'lie correct wall assembly must
be verified and approved by the City's lnspections Division.
Our records reflect that we have been not been contactcd by you for the required inspections on your
townhome. Please call 681-4675 to schedule iuspections for the following:
• framing, if applicable
• insulation
• sound board
• sheelirock
• appliance replacemenl
• final
Your anticipated cooperation in restoring your home lo saFety standards is gready appreciated. If you have
any questions, please contact me at 651-681-4683.
Sincerely?
L Craig Novaczyk
Buildiilg Inspector
ec: Meadowlark Ridge Townhome Association
cunmiumty,
*dtV oF eagen
PtiI'RICIA E. AWADA
Mayor
PAUI. BAI:KEN
PEGGY (AIZISON
c:YtvDF:r: t=iEi.Ds
MEG 7'ILLEY
C:ouncil Mcinbers
THO1vfA5 HF:DGES
Ciry Administratur
Municipal Cencer:
3830 Piloc Knob Road
F.agxn, MN 55122-1897
P6une: 651.681.4600
F:u: 651.681.46I2
TDD: 651.454.8535
Maintenance Facility:
35111 Coachman Yoin[
Eagan, MN 55122
Pliunc: 651.681.4300
F:ix: 651.681.4360
1'DD: 651.454.8535
www.ciryofeagan.mm
THELONEOAKTREE
"f6e rymlxil ofsvengch
:md growrh in our
Janttary 30, 2001
Ms Kathy Sommers
1754 Meadowlark Rd
Eagan MN 55122
Dear Ms Sommers:
According lo City records, your home was damagcd during tlie July 7, 2000 ruinstoriii. ln addition to the
removal of moisture and mold, lirewalls between units must be rebuilt to original construction standards.
Enclosed for your inYormation is a drawing of the original wall assembly. The correct wal? assembly must
be verified and approved by the City's Inspections Division.
Our records reFlect that we have been not been contacted by you for the required inspections on your
townhome. Plcase call 681-4675 to schedule inspections for the following:
• fraining, if applicable
• insulation
• sound board
• sheetrock
• appliance replacement
• final
Your anticipated cooperation in restaring your home to safety standards is greatly appreciated. If you have
any questions, please contact me at 651-681-4683.
Sincerely, ?
J. Craig Novaczyk
IIuilding Inspector
cc: Meadowlark Ridge Townhome Association
cummumry
*citV oF eagan
PA'l'1tICIA E. AWAL)A
Mayor
PAUI. I1AhKEN
PEGC;Y C:A12lSON
CYNI)EE FILiLDti
MEC'I'IL1.E1'
Cuimcil Members
"fHOMAS HF:DGES
CiryAdministrator
Municipal Center:
3830 Piloc Knub Road
Exgan, MN 55122-1897
Phune: 651.681.4600
Faa: 651.681.4612
I'llD: 651.454.8535
Mainteuance Facility:
3501 Cuachman Puint
Eagan, MN 55122
Phone: 651.681.4300
Faz: 651.681.4360
TDD: 651.454.8535
www.ci[yofeagan.com
'I'H F, LON F. OAK T'REE
16e symhol uEsvength
amd gruwdi in uur
7anuary 30, 2001
Mr Manuel Grados
1756 Meadowlark Rd
Eagan MN 55122
Dear Mr Grados:
According to City records, your home was damaged during the July 7, 2000 rainstomi. In addition to the
removal of moisture and mold, firewalls between units must be rebuilt to original constnictiou standards.
Enclosed for your infomiation is a drawing of the original wall assembly. The correct wall assembly must
be verifled and approved by the City's Inspections Divisiai.
Our records reflect that we have been not been contacted by you for Uie required inspections on your
townhome. Please call 681-4675 to schedule inspections far the following:
• framing, i£applicab]e
• insulation
• sound board
• sheeri'ock
• appliance replacement
• final
Your anticipated cooperation in restoring your Iiume to safety standards is greatly appreciated. If you have
any questions, plcase contact me at 651-681-4683.
Sincerely,
J. Craig Novaczyk
Building Inspector
cc: Meadowlark Ridge Townhome Association
canmimity
11 city oF eagan
PA I'RICIA E. AWpllA
Mayor
PAUI. BAKKF.N
PF.( ;GY (:ARI SON
(:YNDEf: FIELL)5
MEG'17LLEY
Cunncil Members
THOMAS HEDGF_S
Ciry Administramr
Municipal Cenrer.
3830 Pilot Knob Ruad
Eagan, MN 55122-1897
Phone: 651.681.4600
Fax: 651.681.4612
"I'DD: 651.454.8535
Mainrenance Facility:
3501 Coachman Point
Eagan, MN 55122
Phone: 651.681.4300
Fax: 65 LC,S 1.43C,0
TDD: 651.454.8535
www.ciryofeagan.com
TH E LON E OAK T12F E
Tlie syTnlx>I of srrength
and growth in cwr
cnmmuniry
January 30, 2001
Mr Todd A Bagley
1758 Meadowlark Rd
Eagan MN 55122
Dear Mr Bagley:
According to City records, your home was damagcd during the July 7, 2000 rainstorm. In addition to the
removal of moishire and mold, firewalls between units must be rebuilt to original constniction standards.
Enclosed for your information is a drawing of the original wall assembly. The correct wall assembly must
be verified and approved by the City's Inspcctions Division.
Permits to repair your home as a resu]t of storm damage are free-of-charge. If you have not applied for a
perniit, you may call 651-681-4675 and request that an application be mailed to you or you may come in
during norcnal business hours of 7:00 a.m.- 430 p.m. Monday through Friday and fill out an application.
Ouce you have applied lor a permit, you may schedule an inspection for your home.
Your anticipated cooperation in restoring your liaue to safety standards is gready appreciated. If you liave
any yuestions, please contact me at 651-681-4683.
Sincerely,
JL
J. Craig Novaczyk
Building Inspector
cc: Meadowlark Ridge Townhome Association
4 41?
city oF eagan
PA I RI C1A E. AVVAllA
Mayor
PAULBAKhEN
PEGGY CARISON
CYNUI?l{ FIF.1.Dti
MEC'1'1L11.l'
(:uLmcil Membcrs
"IHOMtLti HEDCCti
C:iry Adminisnaror
Municipal Ccnccr:
3830 Pilot Knub Road
h:agan, MN 55122-1897
Phone: 651.681.4600
F:ix: 651.681.4612
"1'Dll: 651.454.8535
Mainienxuce Paciliry:
3501 Coaclunan Noint
Fagan, MN 55122
Phune: 651.681.4300
F:uc: 651.681.4360
TDD: 651.454.8535
www.ciryofeagan.com
THE? I.ONF.OAK'I'REE
"11ir rymlwl nfsTrrngdi
and gruvn6 in uur
cummunity
January 30, 2001
Mr Christopher Pesch
1760 Meadowlark Rd
Eagan MN 55122
Dear Mr Yesch:
According to City records, your Itome was damaged during the July 7, 2000 rainstorm. In addition to the
removal of moisture and mold, tirewalls between units must be rebuilt to original construction standards.
Enclosed for your inforination is a drawing of the original wall assembly. The correct wall assembly must
be verified and approved by the City's [nspections Division.
Our records reflect that we have been not heen contacted by you for the required inspections on your
townhome. Pleasc call 681-4675 to schedule inspections for the following:
• framing, if applicable
• insulation
• sound board
• slieetrock
• appliance replacement
• final
Your anticipated cooperatiou ul restoring your homc to safety standards is greatly appreciated. If you have
airy questions, please contact me at 651-681-4683.
Sincerely,
/
J. Craig Novaczyk
Building Inspector
cc: Meadowlark Ridgc Townhome Association
city oF eagan
PAI'IUCIA E. AWADA
Mayor
PAUL I3AKKCN
YE:GGY C:AIZLSON
CYNDEE F7EI.DS
MEG "I'II.LEY
Cnimcil Mcmbers
'1'HOMAti HEDC;ES
Ciry Adminiscracur
Municipal Cen[er:
3830 Piloc Knob Road
F.agan, MN 55122-1897
Phone: 651.681.4600
Fax: 651.681.4612
'I'DD: 051.454.8535
Maintenance Facility:
3501 Cuadmian Nuinr
F.:igan, MN 55122
1'6une: 651.681.4300
F;ix: 651.681.4360
'fDD: 651.454.8535
www.cityofeagan.mm
1'HE LON E OAK TREE
The symbol of s[rcngdi
and grntwh in our
cummunity
January 30, 2001
Ms Cora Long
1762 Meadowlark Rd
Eagan MN 55122
Dear Ms Long:
According to City records, your home was damaged during the July 7, 2000 rainstorm. In addilion ro the
removal of moisture and mold, 1'irewalls between units must be rebuilt to original constniction standards.
Enclosed for your information is a drawing of the original wall assembly. Tlie correct wall assembly nuist
be verified and approved by lhe City's lnspections Division.
Our records reflect that we have been not been contacted by you for the required inspections on your
townhome. Please ca11 68 1-4675 to schedule inspections for the following:
• framing, if applicable
• insulation
• sound board
• sheetrock
• appliance replacement
• tinal
Your anticipated cooperation in restoring your home to safety standards is greatly appreciated. If you have
any questions, please contact me at 651-681-4683.
Sincerely, ?
?
J. Craig Novaczyk
Building Inspector
cc: Meadowlark Ridge'I'ownhome Association
a
EAGAN TDWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
?- ?
PERNIIT FOR WATER SERVICE CONNECTION
Date: July 123 1972 Numbe'r: 892
Billing Name•Beure-Hillendale Bldg. #4 Site Address; 174+-46-4$-50-52-54-56-58-60-62
Owner: same
Billing Address
Plumber: Weierke TrencTuing & Excavating
Meter Size
"
?? D Conaection chg. 1 ?
c
?
Meter No.;Z/U Permit Fee 10.00
50
?
Meter Reading MeCer ? 292.71
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence
,- • n:12ulCiple X Ro. Units 1 Tawnxhouses a';)' '' '„'., • -'''
AJ.
Commercial li"
Lndustrial By;
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the ru3es and
regulatioas of Eagan Township, Dakota County, Minuesota.
sy:
Weierke Trenching & Excavating
Please noCify the above office when ready for inspecCion aad connection.
q
e
EAGIjN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephoae 454•5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: S/4/72
OWNER•Buere-Hillendale Bldg. #4
PLUMBER Weierke Trenching
?st /. f3K/
?r llahder./e
NUMSER cZ2A
Address
TYPE OF PIPE Hesvy Cast Iron
AESCRIPTION OF BUILDING
Industriall Commercfall Residential I Multiple Dwelling I No, of units
xx
Location of Connections:
70
Connection Charge
Permit Fee 10.00 pd 4472
. 0pd5/472
SCreet Repairs
Total
Inspected by:
Date
Remarks•
$y
Chief InspecCOr
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Tocanship, Dakota County, Minnesota
BY
Weierke Trenching
Please notify when ready for.inspection aad connection and before any portion
of the work is covered.
/D 3a9so 10a1 oi
/?1 /la nakLfa AVn
MASTER CARD
• LOCATION Me arloW Il e. y
OWNER Pvye e ?
STRUCTURE AND Tu i
IAND USED AS O
Permi}
No.
Issued Issued To
Contractor Owner
BUILDING
PLUM8ING q4 ? T
F?0 dQ
CESSPOOL - SEP71C TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLWG
SANITARY SEWER
OTHER
OTHER
C I
0
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
-?
HE.4TING
??D• !? DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER -Ll., 1'
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOIATIONS
•
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSiRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFO AND DESCRIBED AS FOLLOWS:
F-I NON-COMPLIANCE. BUILDER DOES NOT
WTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
pATE OF REINSPECTION
CE RTI FICATION -1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
onre
•
0
?? 23
February 8, 2001
RE: 1750 MEADOWLARK RD
FIREWALL REPAIR
CITY OF EAGAN
BUILDING INSPECTIONS DNISION
3830 PILOT KNOB ROAD
EAGAN MN 55122
TO WHOM IT MAY CONCERN:
As a result of water damage from the July 7, 2000 storm, I did restore the firewall
between my unit and the adjoining unit to its original desigi when the units were
built.
Sincerely,
Neil oadley
1750 Meadowlark Rd
Eagan MN 55122
F I ?
JUL 1 3 2004 Date: :1 '" I z- 0 1
RESIDF,NTIALBUILDING
Permit Application
City Of Eagan
" 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Reauirements RemodeUReoair Requirements Oftice Use Oniv
3 iegistered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Rerd
(20% maximum lot coverage allowed) 1 set o( Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured (ound design, etc. 1 site survey tor additions & decks Tree Pres Not Reqd
1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted afler 711193
Rim Joist Detail Options seledion sheet (bidgs with 3 or less units
Date __-_ /_ ZD -- --i
ConstrucYion Cost Cp i QUQ
Site Address ZT5 $ Unit/Ste #
Description of Work ?Ae?j}a} OYU ? Wj,ATj,?) Ag
0 p
Multi-FamilyBldg ? Y_ N O I
Fireplace(s) _ 0 _ l _ 2
PropertyOwner ,L- 4,, &
? ? Telcphone#(6cS"?) ??f(p ?9SG -- -
Confractor
IJClild6wo ?
Address ?J~
State m Zip 'f2??QL Telephone #(lp,rn 063,
COMPLETE THIS AREA ONLY !F~,CONS
Mi '7670 Cate or
Energy Code Category nnesota Rules I
(J submission type) • Residential Ventilatio10 ?ry orks
Submitted , ,
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is coinplete and mcur.ilr;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the Stair c,l MN
StatLrtes; I uilderstand this is not a permit, but only an application for a permit, and work is not to start wiihnul a
permit; that the work will be in accordance with the approved plan in the case of work which requires a revic\v and
approval oi' plans.
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Su6mitted
Telephone #(
_T I`'? -
npplicant's Printed Name Applicant's Signature
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 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
O 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alterafion ? 37 Demolish (81dg)* ? 43 Reroof 5i:'?46 Windows/Doors
? 34 ReplaCement *Demolition (EnGre Bl dg) - Give PCA handout to applicant
Valuation 0?f 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) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
--------------------------------------------------------------------------------------------------------------------------------------------------------------
Base Fee /aJC. 05
Surcharge '3. 06
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total 1 a 17, 05
32950 HILLANDALE
MEADOWLARK COURT
1755/ 10 32950 011 04 (10 unit bldg. - bldg. #7)
1757/ 012 04
1759/ 013 04
1761/ 014 04
1763/ 015 04
1765/ 016 04
1767/ 017 04
1769/ 018 04
1771/ 019 04
1773 020 04
1758/ 10 32950 021 04 (10 unit bldg. - bldg #8)
1760/ 022 04
1762/ 023 04
1764/ 024 04
1766/ 025 04
1768/ 026 04
1770/ 027 04
1772/ 028 04
1774/
029
04 ?
1776 030 04
4079/ 10 32950 031 04 (10 unit bldg. - bldg. #9)
4081/ 032 04
4083/ 033 04
4085/ 034 04
4087/ 035 04
4089/ 036 04
4091/ 037 04
4093/ 038 04
4095/ 039 04
4097 040 04
2
From:ALLSTAR CONSTRUCTION 19529427464 10/18/2012 16:35 #614 P.003/010
~U
Use BLUE or BLACK Ink
1 For Office Us`e~ I
j Permit #:/0 City of Eagan I Permit Fee: p -
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 y 1 Staff. I
U i ~It I I
44
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
o
Date: d Site Address: 7y4 l'J ty ? i7~2,j7' 6e 0GLUnit#: (f
Name: i L.Jl"~ od 01 -P ~ C/o r1"6 /~&4 Phone: ~S 2) Lf7- yr- rx
RESIDENT/ OWNER Address/ City /Zip: 1g °/3R az k arfi
Applicant is: Owner Contractor
l oe ~
TYPE OF WORK Description of work: 7112."',- a2f_- 4 Zac)Z re-01,0e- Iley..A w, Iwo SeL
Construction Cost: # G V, g6 J J Multi-Family Building (Yes / No
Company: /Isfw~ l cn ~>rrs c~io~~.u L Contact: '9 oA'i"
Address: 1/ yak i lrr :,l I >!rss.( f ,
//1,~i~f y~
CONTRACTOR Je /d ~i City: -
~ -
State: Zip: s~3 `7 Phone:
License 0 C f f 5-7 5 Lead Certificate /6*r- zoo/ 6
If the project is exempt from lead certification, please expl in why: (see Page 3 for additional inform ion)
(Ai 3~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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.gooherstateonecall_org
I hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance. F
X_- Ili /~1!1 6'e''6 G 14r (1 O/
X xel
Applicant's Printed Name App icant's Sig ture
Page 1 of 3
W l ~D~O NOT WRITE BELOW THIS LINE 116 -7
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi ~&LOvllu ;a Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES A-orIM LIZ, fgTz7r~
New tovveemlenrt _ 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 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%~- Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
' Roof: Ice & Water
Final Pool: -Footings Air/Gas Tests -Final
11 Framing 'L. A - - Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee -
Surcharge U `
Plan Review
MCES SAC
City SAC t.
t
Utility Connection Charge h
S&W Permit & Surcharge
Treatment Plant
Copies
l)
TOTAL l
Page 2 of 3
From:ALLSTAR CONSTRUCTION 19529427464 09/30/2013 15:22 #670 P.014/016
1-7441 1146, V1481 1-7co 11-152
1154, 1-156, (00, (02 Use BLUE or BLACK Ink
For Office Use ~j (~V 1
j Permit I 1 ✓ -7 City of Eajan ; Permit Fee: 40e). oo
3830 Pilot Knob Road I 2 I
Eagan MN 55122 Date Received: v~
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:j I
I I
2013 RESIDENTIAI'L` BUILDING PERMIT APPLICATION
Date: 1 ` ?)0 Site Address. 0 U ~ 11iinit
Name: V R 1. C/O* i U CWM4 Phone:
Resident/ ( N ~3
Owner Address /City /Zip:
Applicant is: Owner _L Contractor
Type of Work Description of work: `To & QM YP -rA Md S1W M
Y Construction Cost: 9 BO 192-1. Zg Multi-Family Building: (Yes / No
Company: AlMny tonskychon W ntULContact: ~ ~e
Contractor Address: V91L 1WY ft al Sted_,* tQ~) City: -mapl2 PAM
State: MN Zip: 55:16 t Phone: JZ" CHI- 11 ✓9
License RIP31151(✓ Lead Certificate Iy A7- 10%9 - D
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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.aooherstateonecall.ora
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized bys building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X_ x
Appl'°canCs anted Name A li ant's Sig ature
Page 1 of 3
11/16/2016 10:14 9525622820 PAGE 02/08
•
101' NUse BLUE or BLACK Ink
For Office Ur
City of Eagan Permit#:
D ID
3830 Pilot Knob Road Permit Fee: L'
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)075-5694 Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/16/16 Site Address: 1744 Meadowlark Road
Unit*: -
....,;'f: ::4•.,: Jodi Jensen
Name:
•'�•v�;�.te5)dgrit%':;..� Phone: 651-295-1142
;Owner,;•:,:; . Address City/zip: 1744 Meadowlark Road, Eagan, MN 55122
,• ''': Applicant is: Owner X Contractor ,) --....L
:::::j.:': 'Ve .. ,,`ri •` Description of work, Interior drain tile (50 feet) see attached description
Type:0:W'o'1"1t;;;.
Construction Cost $6,279.00 Multi-Family Building:(Yes_!No
`" "��:?,:i:I,''`"' Company; Advanced Waterproofing&Foundation Repairs Kari Johnson
' ` Contact
;.::;'`.`' :•''''.' *; ' 12585 Rhode Island Avenue
CO'riitr ct'0r:.'`:;.': Address: Cis,; Savage
MN 55378 vancew
'�,` '�� State; zip: Phone 952-562-8100 Email: kartadd
@ aterprooflng,net
LicenseBC634927 NAT-11
# Lead Certificate# 3770-2
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:
NgTEs"P/8`ns,ands3upp""
•:.:..;,,:::,.:,,;,. 0rt/rig deco,'ruin,*:thot;'y!ou•submit;are'c0iisidexietl'`t61512' '0b11010fA 10, ""fir
the.information ma ,ba:classi A „f• pe) l7,Pq'r lb i t?nf::
;,:;,..:'!:.f.','..:
,.Y, Elia/'as•**;,00101.0.b,•00de.s`010:0.'ea isi�'s'ttiat,:`0 ,< ,
,•. . . . . .. 'coliis/ti'die'that'they Are•trade.inlets::'.':?, ."','
CALL BEFORE YOU DIG. Cat Gopher State One Call at(651)454.0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www,gopherstateonecall.orq•
I hereby acknowledge that this information is complete and accurate;that the work will be In conformance with the ordinances and codes of the City of
Eagan;that I understand this Is not a permit, but only an application for a permit, and work is 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 Buildin! •, st be completed within 180
days of permit Issuance.
• I.%Kari Johnson
Applicant's Printed Name Ap 7 -,:n s Sign i ure
Page 1 of 3
11/16/2016 10:14 9525622820 PAGE 03/08
111Itc(IL c-- - woc), 0
Y DO NOT WRITE BELOW THIS LINE
SUB TYPES
` Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) — Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
..Z 01 of Jlex — 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 ontira building-give PCA handout to applicant
DESCRIPTION
Valuation if 6 Z 1 9•^ Occupancy 4-- / MCES System
Plan Review Code Edition /114 20/S SAC Units
(25%,100%./...) Zoning 2-3 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V 3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) 10- Final/No C.O.Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:___Ice&Water _Final Pool: Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour k Drain Tile
—
—
Fireplace; Rough In _/41r 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: 'TO oft v1l%k-1 y lar ,Building Inspector
RESIDENTIAL FEES
Base Fee cc) 4j'-;?.t. fi ?Lely 2 e.*5-r i,,i 09-i(
Surcharge t'9 r✓4S; i}-✓1at1-71-F 44/►Pll 74 s=Pc CszEin,l 5144C.e-
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies 41 K ; d 4
TOTAL
Page 2of3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150887
Date Issued:07/27/2018
Permit Category:ePermit
Site Address: 1744 Meadowlark Rd
Lot:031 Block: 03 Addition: Hillandale 1st
PID:10-32950-03-031
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Jodi M Jensen
1744 Meadowlark Rd
Eagan MN 55122
(651) 295-1142
Jake The Plumber
255 Roselawn Ave E, #43
St Paul MN 55117
(651) 212-5253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151418
Date Issued:08/23/2018
Permit Category:ePermit
Site Address: 1744 Meadowlark Rd
Lot:031 Block: 03 Addition: Hillandale 1st
PID:10-32950-03-031
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Jodi M Jensen
1744 Meadowlark Rd
Eagan MN 55122
(651) 295-1142
Conditioned Air Inc
3432 Denmark Ave, Suite 251
Eagan MN 55123
(651) 688-3444
Applicant/Permitee: Signature Issued By: Signature