1764 Meadowlark Rd
Use BLUE or BLACK Ink
ForOfficeUse
Permit g I~ ova--J-- j
City of Ea a
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff: II
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT/OWNER Name: Phone: .
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: A/,/ 5rjq4 last ~.I~ License
Address: City: ,rs j
State: Zip: -'r Phone:
Contact: 771 f91w 0/ L , #Lo 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.org
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name I~* ant's Signature
Page 1 of 2
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)
~C Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level Pool _ Miscellaneous
_ Accessory Building
WORK TYPES 24, 044%
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 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: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill - Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee Surcharge -
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
I
INSPECTION RECORD
j CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
I SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
? I , . .1 ; r,i ???r!
I -INSPECTION ., .
I?
tO tv % 1 0
Permit No. PermR Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Dete Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
IsuL ? ??jJT' %?Jf
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY O EAGAN HILI,ANDALE ADDNRPmarks
Addit;on???OWLARK RIDGE CO-OP' Lot 101 glk
Owner aZStreet 1764 MEADOWLARK ROAD
u_
02 _ 10-32950-101-02
EAGAN MN 55122
//1(L2/LVNN&IIA./C(l D1Ug.tt l UII1L ttl
Impcovement Date Amount Annual Years Payment Receipt Da[e
STREETSUAF. T1 inal rcel
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 Pa1d ilAde OTl inal TCCZ
* SEWEF LATERAL 1973 « ii
WATERMAIN
* WATER LATERAL 1973
WATER AfiEA Z. 1975 11.39 .76 1$
Park Donation i pl 1977 52.82 5.28 10
i * STORM SEW TRK. 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN HILLARDAI,E ADDRRemarks
Additibn(MEADOWLARK RIDGE CO-OP) Lot 102 Blk 02 Parcel 10-32950-102-02
owner ' i '' ' street 1766 MEADOWLARK ROAD State EAGAN MN 55122
1-131; hLn:/m,rin;? SS141 Bld¢_#1 Unit #2
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, OT1 inal pi trcel
STtiEET RESTOR.
GRADING
SAN SEW TRUNK OTlgiri2l p rcel
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1973
WATER AREA ^
13 1975 11.39 .76 1$
Park Donation 110' 1977 52.82 5•28 10
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER,
SAC
PARK
CITY OFp EAGAN gII,T,p1qDpLE ADflgRemarks
Addition IMEADOWLARK RIDGE CO-OP) Lot 103 Bik 02 Parcel 10-32950-103-02
owner Street 1768 MEDOWLARK ROAD State EAGAN MN 55122
Blde.#1 Unit #3
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, OT1g1212.1 p rcel
STREET RESTOR.
GRADING
SAN SEW TRUNK OT1g1II8 p rce
* SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA 1975 11.$9 • 1$
Park Donation yj)j 1977 52.82 5,28 10
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER.
SAC
PARK
CITY OF EAGAN ffiLIiANDAI.E ADDNRemarks
Addition_LME'ADOWLARK RIDGE CO-00 Lot 104 BIk 02 Parcel 10-32950-104-02
Owner street 1770 MEADOWLARK ROAD State EAGAN MN 55122
Qia.. 1?11 r1,,;+ 4 n
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. OTl inal TC01
STREET RESTOR.
GRADING
' SAN SEW TRUNK 1 original p TCel
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1973
WATER AREA 3 1975 11.39 .76 1$
Park Donation Uc 1977 52.82 5.28 10
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILOING PER.
SAC
PARK
CITY OF EAGAN HILLANDAI.L,• ADDRRemarks
Addition(1mEADOWT,ARK RTDGR LoY 105 aik n? Parcei 10_32950-444_1717
Owner Street 1772 MEADOWLARK ROAD State EAGAN PRN 55122
Bldg.#l Unit #5
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. OTl inal TC01
STREET RESTOR.
GRADING
SAN SEW TRUNK original rcel
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1973
WATER AREA Z(i 1975 11-39 .76
@ark Donation ii(v 1977 52.82 5.28 10
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF
Addition_
Owner
OP)-Lot 106 Bik 02 Parcel 10-32950-106-02
Street 1774 MEADOWLARK ROAD state EAGAN MI+I 55122
B1dQ.#1 Ilnit #6
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 0 original p TC@1
STFEET RESTDR.
GRAOING
SAN SEW TRUNK original p rcel
* SEWER LATERAL 11
WATERMAIN
* WATERLATERAL 973
WATER AREA ' A 1975 11.39 • 76 1$
Park Donation IIO 1977 52.82 5•28 10
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATEfi CONN.
BUILDING PER.
SAC
PAfl K
CITY OF EAGAN HILLANDALE ADDPTRemarks
Addition(MEADOWi.ARK RIDGE CO-OP) Lot 107 Blk 09 ,-Parcel 10_32950_107_09
Owner Street 1776 MEADOWLARK ROAD State EAGAN MW 55122
Rlcia_#1 Ifnit #7
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 8 OTl inal rcel
STREET RESTOR.
GRADING
SAN SEW TRUNK e original p rcel
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1973
WATER AREA I 197$ 11.39 •76
Park Donation l10 1977 52.82 5•28 10
* STORM SEW TiiK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN HILLANDALE ADDNRemarks
Addition (MEADOWLARK RIDGE CO-OP) Lat 108 Rlk 02 Parcel 10-32950-108-02
Owner Street 1778 MEADOWLARK ROAD 5tate EAGAN MN 55122
Rlcla_#1 ilnit #R
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. Uride OT1 inal rcel
STREET RESTOR.
GRADING
SAN SEW TRUNK de OTl inal TC61
* SEWER LATERAL ?i
WATERMAIN
* WATERLATERAL 1973
WATER AREA 1975 11.39 .76 15
ar ona ion 110 52.82 5.28
* STORM SEW TFiK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER.
SAC
PARK
CITY OF
Add itio n _
Owner_
ffiLLANDALE ADDNR
VLARK RIDGE CO-O]
Street
Lot 109 eik 02 Parcel 10-32950-949=02
MEADOWLARK ROAD State EAGAN MIlV 55122
B1dQ_#1 llnit #9
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. OT1 inal rcel
STREET RESTOR.
GRADING
SANSEW TRUNK aj? Ti inal TC@1
* SEWER LATERAL
WATERMAIN
* WATERLATERAL 1973
WATER AREA 21 1975 11.39 •76 15 ?0-S
Park Donation !"+ 1977 52.82 5•28 10 30
* STORM SEW TRK 1973
STOHM SEW lAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN $jLLANDALE ADDjlRemarks
Addicton.(MF.ADdWLARK RTDCF. ['(l-(]P) Loc 110 sik (12 Parcei 10_3295(1_11(1_09
Owner Street 1782 MEADOWLARK ROAD state EAGAN MN 55122
u7,1.. i11 11.,4+ fkln
Improvement Date Amount Annual Years Payment Recreipt Date
STREETSURF. OT1 inal rcel
STREET RESTOR.
GRADING
SAN SEW TRUNK OTl inal rcel
* SEWER LATERAL
WATERMAIN
• WATER LATERAL 1973
WATER AREA ,'J(j
Ilo 5.28 10
* STORM SEW TRK 1973
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
I
. ? ,
?
CITY OF EAGAN Permit No.:.;,? ?&Date, :?;l 5
3830 Pllot Knob qoad Meter No.: ,. r_•
P.O. Box 21199 - Size: .
Eagan, MN 55121 ReaBe: No.: Date: f•;'; ?'
Owner: ; R C Fp ? -0
Site Address: ? Jlc 7?LQ
Plumber: ?u?-t'
.. ,
SPRINKLER (water only) METERS ! L/ D l i B a
. i
ARE TO BE INSTALLED AHEAD OF 1 agree to comply wi the CI o aga
DOMESTIC METER ON WATER Ordinances.
LINE. CREDIT WILL NOT BE GIVEN
FOR DEDUCT METERS. gy ?
,
i r
12_? ?l,,,b?',, . 'PERMIT '//
j
t
E?AC;AN TOWNSHIP
BUILDING PERMIT
Owner __....-----°-.... &..:...
Address (Presen!) ...... 4:A::P?-
................... ............° °,""Y
Builder ...... V6.'s
?.. ......
.....----•--• -------°---........ .••••• ........ ........ ...
Address ............1?.:':t:`..?_.. _./?..?.u.. ....... :---.?..... .. _... J....
/ DESCRIPTION
1V'° 2632
Eagan Towaship
Town Hatl 0
4
Dale
... ..............._-•• .....................
Ssories To Be Used For Front Depth Heigh!I , Est. CosS Pe:mi! Fee Remarks
-#
- /?
I
/GG?Sa6
St
LOCATION Sr17.?S?
Siree3, Road r other Descriplion of Localion I Lo! ock Additioa or Trae!
This permi2 does aot avlhorize the use of-sireets, roads, alleys or sidewalks nor does it giva the owner or his agen!
the right !o cseate any siluaYion which is a nuisance or which presents a hazard !0 the health, safety, conveaieace and
general welfare to anyone in the community.
THIS PERMIT MUST BE K./E?PT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, thai......-4..rJ ..........................has pesmission !o erec3 Jr&? ....... -................................. _upon
the above described premise subject to the provisions of the Building Ordinance for EKgan Township adopled April 11,
1955. N,,
?..
..•• ............................. . .. . .
. . . ..... .- ? - . . .. .l`-?...-------. Per ---------.°.----•------°--°°-._l_1...?:°..°. ..................... ............
° 9 P ?
sirman of nwn Board 6 Buildin Ine ecto:
1 3 ?
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date ?
site Address mae W46Ry Rd unit #
Property Owner MA R G ? ?? ? ?k 1? Telephone # ( 651 O 782
Contractor hQ (,l( 46-
Street Address a(p (gs '75?? fff bi City KC???(nQ kj7-
State r 1 1 n? Zip L5 ? &/ Telephone #((ps(),34& -8 (7a ?
Bond Expires:
The Applicant is , Owner ? Contractor _ Other
Add-on or atteratiou to existing dwelling unit $ 30.00
furnace _ Additional _Replacement
air exchanger
? air conditioner _ New 7 2(Replacement
other
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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
approv8d plan in the case of work which requires a review and approval of plans. -
?u f] T n
Applicant's Printed Name Ap 'cant's Signature
J UL 1 4 2005
Ly_- ?
CITY USE ONLY
PERMIT #: q3730
RECEIPT DATE: ) - a' q r?a
2002 RUID£NTIAL MECHANICRI. PERMIT APPI1CATION
crrY og EAsM
_ : . - . 3830 PnoT xxos Rn
?A6iRA MF 551 g8
651-e81-4675
Please complete for: ? single family dweliings
townhomes and condos when pertnits are required for each unit
Date: I J?, 1? D
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
INSTALLER NAME: TELEPHONE #: [? ? '30 ? ' ? 8 3
STREETADDRESS:
CITY:
STATE: ZIP
Place a check mark next to the permit work type
Add-on, modification or alteration to existinq dwelling unit $ 30.00
• furnace repiacement
• air exchanger
• air conditioner
• other
__
Nature of work:
(&Lk--
- State Surchar e $ .50
JC7
?
. .. . Total - - - - - - - - - n
$
:(DV PERMITTEE
l l02
/V 3 a 9so oa/ a /
#1llanddle. Add n
MASTER CARD
• LOCATION owew,? LA/ee 4094vp ?
OWNER
STRUCTURE AND
LAND USED AS
? /Aa.r/T.oL.- /D D.Uv S
Permit
No.
' Issued Issued To
Owner
Contrector
BUILDING 71 ,fI(r?17r?r
/sa,?/ I
@e,v:r C6_
PLUMBING ? te4? 111
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL I
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
C?
•
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING ? SEPTIC
FOU N DATI ON ? CESSPOOL
FRAMIPIG ? TILE FIELD FT.
FINAL
ELECTRICAL I
i
HEATING DEPTH
OF WELL
GAS INSTALIATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL 1/. /QI1
SANITARY SEWER ?i .
Violations Noted
on Back
COMMENTS:
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: guILnzNc
3830 Pilot Knob Road Permit Number: 024984
Eagan, Minnesota 55123 Date Issued: 12 / 21 / 9 4
(612) 681-4675
SITE ADDRESS: LnTa 101 g L 0 C K a 2 APPLICANT:
1764 MEADOWLARK RD MEADOWLARK RIDGE LTD PTNRS
WILLANDALE (612) 546-8201
PERMIT SUBTYPE:
MULTI. (MTSC.)
TYPE OF WORK:
ALTERATION
pESCRIPTTON (FIRE WRLL)
INSPECTION ., • .ATE INSPTR.
FRAMING RODFIN6
INSULATSON FSNAI
REMARKS: INCLUDES 1766 1768 1770 1772 1774 1776 1778 1780 1782 MEflDOWLARK RD
LQTS 102 103 104 105 106 107 108 109 110
:
4 : . - PERMIT cUOI
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 4 9 8 4
(612) 681-4675 Date Issued: 12 / 21 f 9 4
SITE ADDRESS:
1764 MEADOWLARK RD
LOT: 101 BLOCK: 2
HILLANDALE
P.I.N.: 10-32950-101-02
DESCRIPTION:
_ (FIRE WALL)
Bu`ilding?.-Permit Type MULTI. (MTSC. )
Bwilding Wa,rk' Type ALTERATION
. ,?
;
?
, r.
i
?
ca t rI
4.? ? u Mu
REMARKS
INCLUDES 1766 1768 1770 1772 1774 1776 1776 1780 1782 MEADOWLARK RD
LOTS 102 103 104 105 106 107 108 109 110
FEE SUMMARY
VALUflTION $3,000
Base Fee $54.00
Surcharge $1.50
Total Fee $55.50
CONTRACTOR:
OWNER: - Applicant -
MEADQWLARK RSDGE LTD PTNRS
1660 5 HWY 100
MINNEAROIIS MN 55416
(612)546-8201
428
I hereby acknow.ledge that I have read this appiicatian and state that the
infarmation is correct and agree ta campLy with alI applicable State of Mn.
5tatutes and City of Eagan Ordinances.
?
AP I N/P ITEE SIGNATURE I U D Ef(: S A R
&Npa, ?,
J
4 .
?
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675 ?-
- _ •??' ??
SINGLE & MULTI-FAMILY 1. L ? .. `r . .
2 sets of plans, 3 registered site urveys,,lbcopyqof nergy
calcs. ?;?.,..
COMMERCIAL 2 sets of architectural & structura plans-- '"s??=a ^~
specifications, 1 copy of energy cal s'.
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 S2.250.00
Site Address: 1764 - 1782 Meadowlark Road
STREET SIITE #
Tenant Name: (commercial only)
LOT ? O
n BLOCK
i -1 SUBD. P.I.D. #
Descri tion of work: Install firewall in cavit behind garage wall per attached drawing
The applicant is: EkOwner ? Contractor ? Other (Describe)
Name Meadowlark Rid4e Limited Partnership Phone 546-8201
Property Last FIRST chris Sorensen
Owner
Address 1660 So. highway 100 428
STREET STE #
City Minneapolis Stdte MN Zjp 55416
Company Above Phone
Contractor Address License # Exp.
City State Zip
Company voqt Architectural Phone $35-5275
Architect/
Engineer Name _ Ed vopt Registration #
AddY'e55 8900 Penn Ave. So: (200)
City Bloaninaton State MN Zjp 55431
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once rea has been approved.
I hereby acknowledge that I have rea ?this ppli tion and state that the information is
correct and agree to comply it all pplica 1 tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: '
OFFICE USE ONLY
BUILDING PERMIT TYPE
? Ol Foundation O 06 Duplex O 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex A91.12 Multi. Misc.
? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex O 14 Fireplace
? 05 SF Misc. ,0 10 Multi. Add'1. O 15 Deck
WORK TYPE
? 31 New 40?33 Alterations ? 35 Tenant Finish
0 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) lst Fl. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
g
? Buildin
Engi
neering Variance
REQUIRED INSPECTIONS
? .Site fl Footing cQ?Traming
? Wallboard cgL Final O Draintile
s
0
? 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 ,.tn
Other
Total:
vatuect«,: S
?- . Ah
?t ?, '? •
?? ..
, •,. , ? `
^a
-...
,. . ;
O 16 Basement F9nish
O 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
E3 20 Pub11c Facility
? 21 Miscellaneous
O 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
5AC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
INSPECTIQN RECORD
CITYOFEAGAN PERMITTYPE: BuaLoTHG
3830 Pilot Knob Road Permit Number: 0 2 3 0 7 6
Eagan, Minnesota 55123 Date Issued: 0 3 J 0 819 4
(612) 681-4675
SITE ADDRESS: LQT : 101 g L 0 C K: 2 APPLICANT:
1764 MEADOWLARK RD SELA ROOFING & REMODELING
WSLLANqALE (612) 823-8046
PERMIT SUBTYPE:
MULTI. (MISC.)
TYPE OF WORK:
ALTEF2ATION
DESCRIPTION (RQOF'TNG)
INSPECTION
F12RMING .• .
ROOFING .A
INSULATION FINAL
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
SITE ADDRESS:
1764 MEADOWLARK RD
LOT: 101 BLOCK: 2
HILLANDALE
P.T.N.: 10-32950-101-02
DESCRIPTION:
,- ?_.. (aooFrNG)
B,btildin`g",-Permit Type MUI.TI. (MISC. )
B?uilding Wo\rk Type ALTERATION
i
?- ` - ,
_?-
C72--
3?????4
023076
03/08/94
REMARKS:
INCLUDES 1766 1768 1770 1772 1774 1776 1778 1780 1782 MEflDQWLARK RD
LOTS 102 0 04 105 106 107 108 10 110
FEE SUMMARY:
VALUATION $9,008
Base Fee $108,00
Surcharge $4,50
Total Fee $112.50
CONTRACTOR: - A p p 1 i c a n t -
SELA ROOFING & REMODELIMG 18238046
3233 HENNEPIN AVE S
MINNEAPOLIS MN 55404
(612) 823-8046
sT. Lzc. OWNER:
0001050 MEADOWLARK RID6E OWNEftS
4106 SKYLARK LN
EAGAN MN 55122
(612)933-4288
?
X hereby acknowledge that I have read this appliaatS,on and state that th.Q '
informatzan is correct and agree to comply with all appli.cable'State`'af Mn.
5tatutes and -O•ity pf Eagan Ordinancss. i
APPUCPiNTlPERMITEE SIGNATURE I SUED B3': SI NATU ?-
CITY OF EAGAN
2-3 0it 1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
r 1r?L YYY) l W I??,
5ite Address: °-'?-?
STREET SUITE #
Tenant Name: (commercial only)
IAT BLOCK ? SUBD. ? . P.I.D. #
trPrP
Descri tion of work: lf
r
The applicant is: ? Owner ?-Contractor ? Other (Describe) `
I
Name pM?,., ..??i1= F'.?L>4?_ JWr1?? /'?-e53 ?, Phone`fi??,_
Property LAST FIRST
Owner Address ` 1 ?4 '' l`- L j,_)
STREET STE #
C i ty o?, St at e 11/? Z i p°=
,- r
Company ?) Y?- Phone > ,-J?)u ?
Contractor Address r_ kc?c(?_«« ?'?J?L License # Exp.
State A''_? Zip? ?1
City ?
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Pracessing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
.,. ? .? .? ? .
B UIL DING PERMIT TYPE
_ .., .
11 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwg. ? 07 4-Plex E[ 12 Multi. Misc. O 17 Swim Pool
? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch 0 09 12-Plex 014 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facil9ty
? 21 Miscellaneous
WOR KTYPE koa? iy? /,)Fo /,?,OZ
Me ?? /07rk-
? 31 New J21 33 Alterations 035 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Planning
Engineering
REQUIRED INSPECTIONS
? Site
El Wallboard
Building
Variance
? Footing
? Final
? Framing
? Draintile
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code ?
SAC Code p 3
Census Bldg i
Census Unit ?
Assessments
? Insulation
O Fireplace
Permit Fee lDp vatuat;on: $/ ?aO
Surcharge y, Sv ?-
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ? ` ?
i? ? 3830 PILOT KNOB RD - 55122 I
651-681-4675
Reauiremenh
? 2 coples ot plan
DATE: 14 v &Z> CONSTRUCTION COST: fL `aQ ?
DESCRIPTION OF WORK: lFen-AQt5 I N?"i-AWTn1J ?DR4' IWAlamultf-famiry bldg., how many units?
Up F?rit ?t? ?-
IND? TE THE FOLLOWING EQUIPPAEPIT TO BE REPLACED A{dD BY WHOM:
Plumbing _ Homeowner cZr Contractor Name
F Mechanical _ Homeowner gE Contractor Name
"NOte: If somebody other than the homeowner is pertorming plumbing or mechanical work, they must apply forappropriate
permit. Only Iicensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS: I 7lG ,4 M'GADO ArM2K rc-bAD f??Ca AKj
LOT: 0 C' ? BLOCK: 4 ? SUBD./P.I.D. #:
-
Name: s?k,??6ni5i?, Phone #:
PROPERTY Last -? Firor
OWNER
StrestAddress: 174a4 1'Vl$F=Anr%0LA1E!-K V-CA?
City 1??State: mm Zip:
Company: Phone #:
(area code)
COMRACTOR
Sheet Address: License # Exp.
City State: Zip:
IE?E.CIEIV]ED
SEP 2 9 2000
.? ? ._
I hereby acknowledge fhat 1 have read fhis application, state that the infortnation is correct, and agree fo comply with all applicable State
of Minnesota Statutes and CiFy of Eagan Ordinances.
?M ?gr
Signafure of Applicant: <q ?f??=???l,is ,
? " (/
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 N
651-681-4675 Z(Y
Reaulrements
? 2 copies of plan
°o
DAiE: CONSTRUCTIONCOST: II, i.ap YeJ'
DESCRIPTION OF WORK: 4212.c ; wcglAf multi-(amily bldg., how many units?
INDICATE THE FOLLOVdIiNG EQUIPRAEfVT TO BE REPLACED APlD BV WHOPA:
_ Plumbing _ Homeowner gp Contractor Name
_ Mechanical _ Homeowner g[ Contractor Name
"Note: If somebody other than me 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: 1770 /11 e o-L cQ f ctr k RcQ. K-I't-a oLr61 ,?1?
LOT: ? BLOCK: ? SUBD./P.I.D. #: ?IA?A?e # 1? ___ __
Name: C d- r-ls' Phone #: ?S-(- ?0,? d l63
PROPERTY lasr / Fi t
OWNER
Str9et Address: 1 7 7(q ?"? e a o? o w 1 c?.v?C ?cQ.
Clty State: /V Zip:
- (area code)
ComIA:ddress: --,_ Pho -7.
CONTRACTOR
StreeLicense # Exp.
City State: Zip:
?
NOU O l 2000 ?
?
BY:
I hereby acknowledge that I have read this application, sFate mat the information is cortect, and agree to compy with all applicable State
of Minnesofa Staiutes and City of Eagan Ordinances.
Signature of Applicant:
CTfY USE ONLY
LOT ? BL ? PERMIT #:
SUBD. RECEIPT #: I 3 V`? ?
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date:_
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occuoied.
• HVAC: 0-1U0 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, addins to, or reoairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
+
New
_ Furnace
_ Air exchanger
Reminder.• Call for inspections
CITY OF EAGAN
3830 PII.OT IINOS RD
EAGAN MA7 55122
651-681-4675
_ A(teration _ Repair _ Other
_ Air conditioning
Other
S[TEADDRESS: /770 /Cl fJt
Fee
State Surcharge
Total
v
$ 30.00
$ 30.50
OWNER NAME: _?3rCcfit ?Q•? iS / PHONE #:
IN ?^
?y)g'V! l (? ?G{ 4?- ?i C PHONE#: (?A COpE)
STALLER NAME: /0 5 1 -?a ? O I Co3
,fIr? ?1,,, ?AREA CODE)
STREET ADDRESS: I?? V?t?IO?I C LS 1C(,a'T!Q `'? -
CITY: sa ,'2(i1(f STATE: ZIP: 1S-37
13
OF PERMITTEE
11 city oF eegan
PATRICIA E. AWADA
Mayor
PAUL RAKKF.N
PEGGYCARLSON
CYNDEE FIELDS
MEG TILLEY
Council Mcmbers
THOMAS HEDGES
CiryAdministraror
Municipal Center:
3830 f'ilot Kno6 Road
Eagan, MN 55122-I897
Yhone: 651.681.4600
Fax: 651.681.46t 2
TDD: 651.454.8535
Maintenancc Fxcility;
3501 Coachman Poinc
Lagan, MN 55122
Phone: 651.681.4300
Fax: 65 LC,81.43G0
TDD: 651.454,8535
www.cityofeagan.com
THE I.ONE OAK'1'REE
The rymbol of strength
and growdi in our
wcnnwniry
Apri19, 2001
Re: 1764 Meadowlark Rd
Firewall Repair
City of Eagan
Building Inspections Division
3830 Pilot Knob Rd
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 design when the
units were built.
Sincerely,
La--,i'
Richard Splittstoesser
1764 Meadowlark Rd
Eagan MN 55122
Dated:
. •
/of1? 041 • oi
EAGt1N TOWNSHIP
3795 Pilot Rnob Roud
St. Paul, Minnesota 55111
Telephone 454-5242
PERMT FOR WATER SGRVICE CONNECTION
Date• July 12, 1972
Number: $$9
Billing Name: Beure Hillendale Bldg. #7 Site Address: 1764-66-68-70-72-74-76-78-80-92
e ow ar o
Owner: same Billing Address
Plumber: Weierke Trenching & Excavating
Location of Connection Meter Size ' Connection Chg.
0`7 `9
Meter Nov?/ .2 0 Permit Fee 10.00
Meter Reading Meter uep? 2 2. 1S a9
Meter Sealed: Yea Add'1 Chg.
NO Total Chg.
Inspected by
Date
Buildiag is a: Remarks:
Residence .,,. . ,. , - i-, -, -? - -. " -? c?'. :
/:'._. _. , . ..._ ?._.?
Multiple x No. UnitslO Townhouses; ;- , ?? ?•- ?;
I....'i',.:? ._.,_. .i..?,.._.__? .._, ....,.
Commercial
Industrial By;
Other Chief Inspector
In consideratioa of the issue and delivery to me of the above permit, I
hereby agree to do tbe proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Weierke Trenching & Excavating
Please notify the above office when ready for inEpection and connection.
l
iot 1. Bki
I1i //a,,da./ w-
. ?
EAGEiN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE COA]I3ECTION
DATE: MaY 4, 1972
OWNER• Buere - Hillendale Bldg. #1 p,ddress
PLUMBER Weierke Excavating 1ry[pE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUIIDING
Industrial Commercial+ Residential Multiple Dwelliag No. of units
I I I xx I 10
Location of Connections:
Nt1NmER 993
Connection Charge
Permit Fee 10.00 pd 4/72
.58 pd 72 s c
Street Repairs
Total
Inspected by:
Date
Remarks•
By. Chief Inspector
In consideratioa 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 Toc•mship, Dalcota-CounCy, Minneaota
By.
Weierke Trenching & Excavating
C].i.ff Road., Eagan 5S123
Please notify when ready for inspection and connecCion and before any poreion
of the work is covered.
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Ylease complete for: single family dwellings & townhomes/condos when permiu are required for each unit
_? L,.
Date / C
SiteAddress 00Z. ,t#
U
o
PropertyOwner /v/ I/ (?n W;(/1Q4S Telephone#(kV )`Y5a-,2o2767
Contractor AO I (a.
Street Address oZo City OSC-' MOL1 hf
State Zip Telephone # (?`5? ) ?
Bond Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
je airconditioner _New ?Replacement
other
State Surcharge $ .50
Total $ ?l</• olYJ
I hereby apply for a Residential Mechanical Permit and acknowledge that the
be in conformance with the ordinances and codes of the City of Eagan and w
permit, but only an application for a permit, and work is not to start without
approved plan in the case of work which requires a review and appr o a:
'?`? M S?v£ .l'?S_Q?/I(?J? ??rr?inaTOr
Applicant's Printed Name ApX
information is complete and accurate; that the work will
ith the Mechanical Codes; that I understand this is not a
a permit; that the work will be in accordance with the
I SEP 1 9 2005 ?
ILu `
!r? ,
f?"- - _ --?
NOV-O0=2007 11:09
.
?
GRSSEN
Telephone # 651-675-5675 FAX # 651-675-5694 // jj,,
9529222004 P.02
?qle(go
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Wmmvam msdit? miMm fbrm, st: ?Fc-_? ?oejo 7 YF y
Plans are considered qublic informaiion unless vou state thev are trade secret and the reason
Date 11- crt/
Construction Coat ±S. OQ3.
Site Address
??? C.
pc??. Uait/SEe # 1-1p 4_
?? 55 2 L
Description ot Work __ ? •Lh?i u' !C)(? ?;dV W Q 6# 66C i1a4k, 'tD \MJetPra a?
Multit-Family Bldg X Y _ N Fireplace(s) Y 0` 1 _ 2
Property Orvuer 1Y 1C 4?il.il' Z +f kr,, Mk.? T*wv,, 6 Telephone #(?+ r) !??- 2 27 Q ?
Contractor &4SSPl1 1 dk?JC?llv? [.np?
Addreas !J2')C: J H???' ?. City '
Stste _ ?.1??G. An n Zip _ r; 5#jj _ Telephone #('Z ZS3
2 I^ r
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
Energy Code Category - Minnesota Reiles 7670 Categoiy 1 _ Minnesota Rules 7672
(?1 submission typej • Residerrtial VenHlation Category 1 Worksheet • f?w Energy Code Waksheet
Submitted Sulxn
• Energy Envelope Calcula8ons Submitlsd ?
In the tcut 12 months, has ihe City of Eagan issued a permit for a simifar plan based on a master p
_ Y - N If yes, ctate and address of master plan: zlvlo VIn
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #( ) V g 2007
Telephone # ( )
Telephone #( )
I hereby apply for a ResidentiaE $uilding Permit and aclcnowledge that the information is comptete and accurate;
that the wortc w[]1 be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but oniy an application for a permit, and work is not to start without a
pernvt; that the work will be in accordance with the approved plan in h case of work which requires a review and
approval of plans. ;
kk&/
Applicant's Printed Name C)Ukjf 5?V./.tC40Z? Applicant's Signature
4_ c m_ ? 7 oo Osysy
NQV-08-2007 11:10 GASSEN 9529222004 P.03
DO NUT WRITE BELOW THIS I.INE
Sub Tvoes
I] 04 Foundation ? 07 05-plex O 13 18-plex ? 20 Pool ? 30 AccessoryBidg
X 02 SF Dwelling 0 08 06-plex Q 16 Fireplace ? 21 Porch (3-aea.) O 31 Ext. Alt - Multi
O 03 01 of _ piex ? 09 W-plex I:I 17 Garage O 22 PordVAddn. (4sea.) O 33 6ct. Alt - SF
CI 04 02-plex Q 10 OS-plex O 18 Dedc O 23 Porch (saeeNgazebWpergola) O 36 Multl Misc
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Stam Damage
O Ofi 04-plex ? 12 12-pleac ? 25 Miscellaneous
Work Tvnes
O 31 New ? 35 irrt lmprovement ? 38 Demolish Interior O 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation 0 45 Fre Repair
33 Alteration 0 37 Demolish 8uilding* O 43 Reroof q 46 WindowslDoors
/ E3 34 RepfacemeM 'Demolidon (Errtfre 81dg) - Olva PCA handout to applWM
DescrI t? ion: Water oamage --4Yes
valuation 0---o
Plan Reviaw 1 0096 or 25%
Census Code
SAC Units
# of Units
# af Bidgs
7ype of Const
Occupancy MCES System
Zoning City Water
Siories Booster Pump
Sq. Ft. RRV
Length Fire Sprinklered
Width
? Footings (new bldg)
? Footings (deck)
Footings (addifion)
G Foundation VKT{4,l1 1011(V?IN-
Thain Tile
Roof Icc Bc Water Final
REQUIREll INSPECTIONS
_ Sheetrock
Finat/C.O.
? FinallNo C.O.
v HVAC
Otlher
Pool Ftgs Air/Gas Tests Final
? fmn-tin8 Siding _ Stucco Leth _ Stone Iatd _Brick
_ Fireplace _ R.I. _ AirTest _ F'snal _ Windows
711-- Insylation _ Retaining Wall
Approved 8y: Building Inspedor
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utitiry Connection Charge
S&W Permit 8 Surcharge
Treatrnent Plant
Licenae Search
Copies
Other
??'
?
Total
From:;ALLSTAR CONSTRUCTION 19529427464 07/20/2010 11:32 #054 P.0021002
I
I
i
Use BLUE or BLACK Ink
l--
tt I Permit O; I
b~ of Eanan
I Permit Fee: / 07r--75
3830 Pilot Knob Road
Eagan MN 55122 bete Receved:
Phone: (651) 675-5675
Fax: (651) 675.5694 i staff:
4-
1j, RSlhniTi6
2010-E~ W1 1AL- BUILDING PERMIT APPLICATION
i
Date:1=-f-~ Site Address: _ZZ6'Y- z ~C e w t~ f 1~~. L~
Tenant Name: ~1t dew/wrc Q,gjr, a:6&04) (Tenant is: _ New I , Existing) Suite M
Former Tenant:
PROPERTY OWNER Name: 1''1&Ao4
owA&,k ell~ a G„ys.,, ~a«" r Phone: ''v"",?-.25.f - _22 7
I
Address / City / Zip: 4 g/ z"s- j y~/
f
Applicant Is: Owner Contractor
i
TYPE OF WORK Description of work: tvo. ow 44 /«-e,,__ f~Aa S"'t
.S
Construction Cost:
CONTRACTOR Name: *161,4e 6"-5 r W License 20,6 ,71$- 7,C a
Address: _ S'1115" 7.%4,,j ol^w/ 54. /0 3 City: ~-1.0,f4e eA,-/4
State: 4?Al Zip: 5'5"3 "9 Phone: `~5'.? `J ~ 7`✓5'y
Contact: Email: G~ e 7.f 7. V2 71ezr y
s
I
ARCHITECT ! Name: Registration #
ENGINEER
Address: _ City:
State: Zip:_ Phone: E
Contact Person: Email
Licensed plumber installing new sewerlwater service: Phone
rNQTE ~la~~,~lfafsu~por#rri,~~a~v~r~ments`,~h"at'yo~r ~~~~~arre`cor~~rtle~tl to'p~,,,;iukli,~v,~Qfrr~tatPo~t kPo7lt~on~ nf, r:
thfl~~~n~~atlcttr~aYk~ ct,~~r~,~d as Eton pu~U~~rf~r~ou pic>Y~de~~R~,~d#ic f-ea~o~s ~~~~~tp►~roulsi,:,permrt~t~h~ Ci~r~o~ , ,
t~Jt3t>tf1E' `ate traiafi~~L~ri?tS Via{ u r
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.ggpherstateonecall.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, I
Applicant's Printed Name T^ Ap an#"s Sign e
Page 1 of 3
DO NOT WRITE BELOW THIS LINE1
SUB TYPES
_ Foundation _ Fireplace - Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck - Porch (ScreenIGazebo/Pergola) - Exterior Alteration (Multi)
01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement - Siding _ Demolish Building*
Addition - Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation /yam tt~'a Occupancy MCES System
Plan Review Code Edition (~j7 SAC Units
(25% 100%~ Zoning _ City Water
Census Code 3y Stories - Booster Pump
# of Units /p 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 -'Of"Gk- ~t~nlGN veyi%
Foundation HVAC
Drain Tile cdr~~c/G (y~dT Other:
Roof: Final-," Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick r~H
Fireplace: -RoughIn Air Test -Final Windows 9.4cN 6w1r w/ro4iL
Insulation Retaining Wall: _ Footings _ Backfill _ Fina
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEW I
Base Fee l 31,G
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
I siding final for the entire bldg
I~
PARTIAL INSPECTIONS FOR EACH UNIT
1764 (East end) 1774
roof (flat roofs over garages only) roof (flat roofs over garages only)
roof deck (prior to new membrane) roof deck (prior to new membrane)
deck (on top of membrane roof) deck (on top of membrane roof)
windows windows
smoke detectors smoke detectors
water damage? water damage?
1766 1776
roof (flat roofs over garages only) roof (flat roofs over garages only)
roof deck (prior to new membrane) roof deck (prior to new membrane)
deck (on top of membrane roof) deck (on top of membrane roof)
windows windows
smoke detectors smoke detectors
water damage? water damage?
1768 1778
roof (flat roofs over garages only) roof (flat roofs over garages only)
roof deck (prior to new membrane) roof deck (prior to new membrane)
deck (on top of membrane roof) deck (on top of membrane roof)
windows windows
smoke detectors smoke detectors
water damage? water damage?
1770 1780
roof (flat roofs over garages only) roof (flat roofs over garages only)
roof deck (prior to new membrane) roof deck (prior to new membrane)
deck (on top of membrane roof) deck (on top of membrane roof)
windows windows
smoke detectors smoke detectors
water damage? water damage?
1782 (West end)
1772 roof (flat roofs over garages only)
roof (flat roofs over garages only) roof deck (prior to new membrane)
roof deck (prior to new membrane) deck (on top of membrane roof)
deck (on top of membrane roof) windows
windows smoke detectors
smoke detectors water damage?
water damage?
From:ALLSTAR CONSTRUCTION 19529427464 10/1812012 .16:37 #614 P.0091010
Use BLUE or BLACK Ink
For Office U✓sJe//~ 4~]
j Permit -7 I
City of Eakan
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 Date Received: ` I g `
Phone: (651)675-5675 1 I
Fax: (651) 675-5694 Ir" T.~ r,. Staff: 11
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: i7 Site Address:/ Gy / 766,174Y 1 ) z / 71 i v 75Z- Unit#: U
Name: /~e~ c ~D r'N, l (~a.. /,o pis Phone: OJ .2 Z1 f~ ~1 4~f
RESIDENT)
OWNER Address / City / Zip: r~~g,(b r~>/c ~~a Gl- ~Hv/~~~Y
Applicant is: _ Owner Contractor
Description of work: .92 relolooc
(o ,t? l
TYPE OF WORK
Construction Cost: 6,p, 006z J J Multi-Family Building: (Yes /No Company: /ai/sfa: GoarfrA~c7Sv~ ~tta„~~z~.a~~.f ALL Contact:
CONTRACTOR Address: __Q 1/" ~Zv d1, tha'.•l -L i city: _ ,J,440- J
State: Zip: Phone: ~S - 71s y
License C i f7 Lead Certificate tr,~'7 Y- 0
If the project is exempt from lead certification, please explai 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 informardon. 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.oooherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be In
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building penult issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
X Lfp IR J'!'AG ' , ~ x
Applicant's Printed Name App icant's Sign tune
Page 1 of 3
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 ftLtovi D Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES ,~Cl ~ Aiorlm 1~ ' ~ 1 I !1 -~J ~New tovement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
`Y'., 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%4) 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: 'ICNIce & Water Final Pool: -Footings Air/Gas Tests -Final
Framing° 0 ' f Siding:
-Stucco Lath -Stone Lath -Brick
f w
' 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 w,
Plan Review
f
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant i {
Copies rq/
TOTAL #
Page 2 of 3
From:ALLSTAR CONSTRUCTION 19529427464 09/30/2013 15:19 #670 P.005/016
0 (04, 11 tai 1 1`1 ro S, ►-~-t a, 117 a
11-7 4 i 17-7 (D I I', ` l', 6 (I~'1 Q -F Use BLUE or BLACK Ink
f l U
I or Office Use I
j Permit 1 S a j
lity of Wan I Permit Fee: 1
3830 Pilot Knob Road I I
j
Eagan MN 55122 j Date Received:!A fan 1 %-3
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:4 I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION ,
``A, -7 3y n a W1'~\ ~13 Site Address: I-1kH eUC1c~w1Uylc Q - to L,n
Date: "1
Unit
Name: MfadOWWk Ric It CIO • b S ,h CUYYITT Phone:
Resident/ _ ~ 4 ~3
Owner Address /City /Zip:
lApplicantis: Owner _kContractor
Type of Work description of work: 7my * and YP -rO Ghd s d (ffl
Construction Cost: 521,131 L44 _ Multi-Family Building: (Yes f No
Company: All by (DnftCJQn MOnM& LLGContact: L] e t )Md
Contractor Address: VII -iCJ MM1 f Ial SAW-1412) City: IV Qlt Bain
State: MN Ziipp: -5CJ216f Phone: gCJZ" H2 r 1"I CA-
License __C~a3►515 Lead Certificate 1V 1'f 1 2~~ U1y' V
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a 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.oooherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota S to Building ode must be com eted within 180
days of permit issuance.
x t IUP t il~I>~u x t
Applicant's Printed Name Appli n s Signature
Page 1 of 3