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1772 Meadowlark CtCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1772 Meadowlark Ct Lot: 0 Block: 4 Addition: Hillandale #1 PID:10- 32950- 028 -04 Use: Description: Sub Type: e - Air Conditioner Work Type: Replacement Description: Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Stephanie Merkel 1772 Meadowlark Ct Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA078020 05/31/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State For Office Use ~ _ '71 ~ City of Eaaall Permit U/ MAR 82 - Permit Fee: -l1r 0 ( 3830 Pilot Knob Road I r i i Eagan MN 55122 Date Received: _ Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: i2 J20t_L7_20,- 1iZ S/y2 Tenant: Suite RESIDENT / OWNER Name: p~121-`----------------- Phone: Address / City / Zip: _j.3 Applicant is: Owner Contractor TYPE OF WORK Description of work:.((` t?_¢1(~~c_~ 1~et _~1 s Construction Cost: 1" Multi-Family Building: (Ye __71N6 ±t) CONTRACTOR Name:1s1hi.._`/License _,20(' 3 1_-_7 5 Address: /~1r- _ JO3------------------- City: State: AA1 Zip: Phone: 5 Z~_ Contact Person: -"llt COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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. 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. Applicant's Printed Name Applicant's Signature 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 Deck Porch (Screen/Gazebo/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 *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation (2U0 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 Meter Size: Erosion Control Reviewed By: C/ Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review L. MCES SAC, City SAC Utility Connection Charge c.rfi` c t1 S&W Permit & Surcharge Treatment Plant Copies TOTAL DO NUT WRITE BELOW 7HIS LINE sue rrPE.s ? rmmaation n os-pw ?I"Ie: ? accessmy ewWng ? aoa ? Single Famlly ? 06plex O Fireplece ? Porch (3-season) Ll Ert. AIt. - MWti ;% 01 ot ffZ Plex D 07-plex 0 Qarage ? Porch (4seasun) 0 Facr. wtt_ - SF ? 02-Plex ? OB-ple: 0 Dadc ? Porch (screeNgazabolPw9ula) ? Yultl Misc. ? 09-Pmx ? t0-plex ? Lovrer Level O Slorm [)amage O aq~ ? tp-piex C7 Mixallanewus WORK TYPES O NeYr ? IMerior Improrament O 9ding ? Demdish BWIDing• O AAdltlon ? Yove Building 0 HerooF ? Demdbh Intarlor ? Altorelfon ? Flre Repeir O Witdors Q DemoBsh FoutWation ? FieplseortmR ? Egress WfiAOw X Water Damape ' Demoitlun (enlre Euilding) -9ive PGl hantlou[ ta app6cant DESCFiIPTtON• vawauon 106,0"- ? occupancy ac- 3 Nces systwn - nm„ Reviaw - ? ooae r?a, a? ? sac unns - ? (?_ 1 ppry, ? Zoning R-? Olty Vllater census oom 3Y swrrs Baoster Pump _ # of Unlts ? Sqwre Feet - PRV _ # Of BuOdirg3 / - Length Flre SDrlnklers Tyrpe of Canst. ? -J?lJ vAdul J REQUtREE) RaPECTKM FOOti11g! (116W bldQ) ?? (dock) ? Fppthgs (additlOn) - Foundntbn - Drain 7i18 i Rool: ?ICe 8 VYaRer ,Final ? Fmndng FImPlacs:_R.I. PUr Test _Finai ? tnauMdon FOeviewed B)r: _ $II9aiCOCk FlnaIfC.O. ? FinsI/No C.O. HVAC - OMrer. - Pool: _Footin9s AidGas Tesis _Finat ? Sidin9: _A6SWcao Lalh -Stone lath _9rick Mrindnws ? Retmnirig NfaO Building Inspector EA17iAL FEES: Beae Fse Su?cMarge ' P1an Reriew 3 MC/ES SAC cKy sac ucuny connecaon Cha.eB saw Aer+nn a surcnarge Yreatment Plarrt copie$ :L a? I" ea Totel page 2 of 3 OZ'd 0099-6Gb-£9L aeAnneg auen4 dL9:Z0 90 ZO 100 VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the Village of Eagan Surcharge: Ordinances Misc. Charges: Total: By Date Paid: Date of sp.: J a j ` �� Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: �� Surcharge: Permit Fee: By: � Misc. Charges: Date of Inspj.• .T j ' () Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA108355 Date Issued:12/03/2012 Permit Category:ePermit Site Address: 1772 Meadowlark Ct Lot:028 Block: 04 Addition: Hillandale 1st PID:10-32950-04-028 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - FIKRU S HAILEMARIAM 1772 Meadowlark Ct Eagan MN 55122 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature � Use BLUE or BLACK Ink - r------------------„ I For Office Use � . I � I � Permit#:�� clt of �� Q�( � � Y � � Permit Fee: C/vll•a � 3830 Pilot Knob Road � I Eagan MN 55122 � I Phone: (651) 675-5675 I Date Received: I I I Fax: (651) 675-5694 I I � Staff: � �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: i / IS ► Site Address: Tenant Name: �e �.�.p.,�.,`�,� �;�� (Tenant is: New/ � Existing) Suite#: Former Tenant: Name: v �-c s ct�,+,,,,`K�- X, c�� a � � Phone: Property Owner_ Address i cit i zi t �7 b , t�� v P�_ ? . t '�12, i '�'�� 3 t '� ��} t '� (, b � t '1 b I 1 , �2 � � t °l �yC)t 1'7 S�� 1�tv.��`w�r� C� Applicant is: Owner Contractor Type of Work ` Description of work: s!� . �,.��N� r i�w1 t.,�� Construction Cost:��.�� 2v�� `� Name: C� W�vr�� Cov.y�lLC��v� �icense#: C�3�S.� � Contractor � Address: �Z �'�'> �/�7�.��i,�a. Q�_ city: V; ��.::�� " State: � h Zip:_�S � �' � Phone: G SZ ^ �l' �� " �� v b ' Contact: he �'�'� �.� Email: .,� � ��i �.�- �-O �--.��.,� .� Name: Registration#: ' Architect/Engineer Address: City: State: Zip: Phone: ' Contact Person: Email: Licensed plumber installing new sewer/water service: Phone#: NOTE;P/ans and supporting documents that you submit are considered to be public information. Porfions of the information may be classified as non-public ifyou provide specific reasons that would permit the'City fo :conc/ude that the are traale 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:qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the w rk w I be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an ap c tion'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 r whi h requires a review and approval of plans: x �e �� gv� � t�e.�) x ApplicanYs Printed Name AppticanYs Sig Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA127354 Date Issued:09/30/2014 Permit Category:ePermit Site Address: 1772 Meadowlark Ct Lot:028 Block: 04 Addition: Hillandale 1st PID:10-32950-04-028 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Fikru S Hailemariam 1772 Meadowlark Ct Eagan MN 55122 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140328 Date Issued:12/08/2016 Permit Category:ePermit Site Address: 1772 Meadowlark Ct Lot:028 Block: 04 Addition: Hillandale 1st PID:10-32950-04-028 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 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Fikru S Hailemariam 1772 Meadowlark Ct Eagan MN 55122 (612) 251-1900 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature