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