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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