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4129 Meadowlark PtC!ty of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: - I O - c D AUG 1 2 2009 LJ Permit #: 06 .35 Permit Fee: Date Received: Staff: 2009 MECHANICAL PERMIT APPLICATION Site Address: GI 1 Tenant: Suite #: RESIDENT / OWNER Name: (;,_.,^(\ \ Ls( Phone: "157- ' 0 \ LL c 5q' Address / City / Zip: 1 5(9 Ly Ylea(.Ei 1 1R - CONTRACTOR ( Name: { C-)A"Ca C.0 C in..�''u"( License #: 6(��C o24 t� Address: Li L.,3J _� C�U� f 1r• . t .:A R � (oc, City: I jPA J `it State: ifyApi Zip: J3L`Z.J— Phone:1 (oT - 7 �.�-- 6- lb Contact Person: -7-2)&30r\ TYPE OF WORK New Replacement Additional Alteration Demolition Description of work:- V'c AL c, vv: A t C. '' e .n NOTE Both roof mo rated and City'Meese groin , ted ¶ !csI equip rat con , I ort or ation on �..."d. . so ing a hour.• PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Install Piping Processed Air Conditioner Gas Exterior HVAC Unit Air Exchanger Heat Pump Under / Above ground Tank ( Install / Remove) **When When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Other RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ 5D, So TOTAL FEE $90.50 Fire repair (replace burned COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% = $ Permit Fee - If Permit Fee is Tess than $1,000, = $ State Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 $ TOTAL FEE 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 approval of plans. App icant's Printed Name xSk Applicant's Signature FOR OFFICE USE Required In h In ; Air Test Gas :Exterior<HVAC Screening inspecti CITY OF EAGAN Permit No: Date. 3830 Pilot Knob Road Meter No: Size. P.O. Box 21199 Reader No: Date. Eagan, MN 55121 Owner Site Address. Plumber: Conn. Chg: Zoning. Acct. Dep: No. of Units: Permit Fee. Surcharge. I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter Misc By 4jt (13—f? WATER SERVICE PERMIT 0/4 'S7 CITY OF EAGAN S SEWER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO •l Eagan, MN 55121 DATE* I Zoning. No. of Units. Owner: ses Address. Site Address. Plumber I agree to comply with the City of Eagan Connection Charge. Ordinances. Account Deposit• Permit Fee. Surcharge* By Misc. Charges. Date of Insp.: Total. Insp.: Date Paid. 11011City otEkau /11 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: (\ 430 Permit Fee: —1 1 0 g5 Date Received: t 113 /13 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Q Date: ! -1 -' Site Address: 4/ id - LIO5 - y 1o29 1-1)33 i'f th a,aP j J Name: %.f,(WQ001 K )k)Y1 i` 1QP [ I' C - Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: + OW /intrell�l^ S{O l Y E Multi -Family Building: (Yes ^ 1 Vito Construction Cost: '* O/ 000 Company: A 2t) &IeriOrs nb)t S JI J! _,f4t). t'. Contact: 5-6E ) f fPJ J Address: 10701 Q Yikr. )0 • City: / l a }k Gro v State: e Zip: 5� r 3(05 Phone: "ic,3 -31S' 8470 / 0 License #: C 6- /7-S Lead Certificate #: NAT- (,7'//.O - 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: ubmit ere considered,totbe pubfic information Portions o on -public it yotl 3V G idud e that they are 1 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.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 St Sul ng 5e ;' ust be completed within 180 days of permit issuance. x at/ZOL ) s Applicant's Printed Name Page 1 of 3 City of Eagan PERMIT 411' CityofEaan Permit Type: Plumbing Permit Number: EA134224 Date Issued: 12/03/2015 Permit Category: ePermit Site Address: 4129 Meadowlark Pt Lot: 2 Block: 1 Addition: Hillandale 3rd PID: 10-32952-01-020 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 - Applicant - Owner: Christa Silver 7536 Carnelian Ln Eden Prairie MN 55346 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. Applicant/Permitee: Signature Issued By: Signature I- For Office Use o , E AG A N e a e r Permit#: F E P Cc Ec �6 i3O Permit Fee: eeey� Date Received: s 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5 APR O 3 n 1� Staff: buildinginspections m Ca)citvofeagan.coe----- J BY 2019 RESIDENTIAL BUIL ID 1 %- • = f IT APPLICATION Date: Site Address: 1 n79 ,/716d.2+vi�f/< Pernh" Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor T e Of Work Description of work: PLC.i4 2 r`,,-c i:yie,1.J- Yp _ k) Construction Cost: / CC' Multi-Family Building: (Yes /No ) / '1 ,, ) Company: )c1r'G,� 1 �S a-`'vc.N,i� Contact: l I ,� ' Y '/'1"-` Contractor Address: (�/Z-13 �iii/1' (I ; - City: -`-'0/' State:ir�• Zip: c- �Z Z Phone: ('1�'Z)0 -/��Cc.Email: lam.-, f '.1 JO c- 6,Y-Ne%, Lek,,, License#: (615-0D I Lead Certificate#: If the project is exempt from lead certification, please explain why: (''7(--r'(ra 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? l Yes No If yes, date and address of master plan: 5-Pr.-v.') - 706 L u X4',4-i it d 771 Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 no o start without a permit; that the work will be in accord nce with th approved plan in the case of work which requires a review and approvar of Oai. , , '''✓1 a x /'t x ( 1 l;r, 1 V G4 / Applicant's Printed Name Applicant's Signature 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 NQ Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous t0 01 of 2Plex 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 Y Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 13�B0 Occupancy „11-2 L 3 MCES System Plan Review Code Edition /Al/1.20 I5 SAC Units (25%'0 100%_) Zoning P-D City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction U„3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: ( Footings (Deck) Final/C.O. Required Footings (Addition) f� Final/No C.O. Required Foundation Foundation Before Backfill C HVAC Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: T // ,ft-/i xt- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174518 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4129 Meadowlark Pt Lot:2 Block: 1 Addition: Hillandale 3rd PID:10-32952-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Krystal R Jimerson 4129 Meadowlark Pt Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature