4168 Meadowlark WayCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4168 Meadowlark Way
Lot: 2 Block: 4 Addition: Hillandale 2nd
PID:10- 32951- 020 -04
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Brian J Wiese
4168 Meadowlark Way
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA084348
07/16/2008
ePermit
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
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
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4168 Meadowlark Way
Lot: 2 Block: 4 Addition: Hillandale 2nd
PID:10- 32951- 020 -04
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
Construction Type:
Occupancy:
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.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Brian J Wiese
4168 Meadowlark Way
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
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
Issued By: Signature
Building
EA090441
08/03/2009
ePermit
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
• • . yr. tAGAN
3830 Pilot Knob Road SEWER SERVICE PERMIT
P. O. Box 11199
Eagan, MN 55121 PERMIT NO.:
Z oning: DATE:
Owner: No. of Ur
:
Address:
Site Address:
Plumber:
1 ogres to comply with the City of Eogon Connection Cha
Or linonces.
rpe:
Account Deposit:
Permit Fee:
By Surcharge;
Dote of Insp.: Misc. Charges:
Dot Total:
Dote Paid;
Uh ;
Use BLUE or BLACK ink
For Office Use t
I I
City of Ea an ; Permit L~ a I 0
u I A49-
3830 0 b i Permit Fee: I
Pilot Knob Road 1 t
Eagan MN 55122 Date Received: )3 ;
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: Z,rtf I
I
ION
? i 2013 RESIDENTIAL BUILDING PERMIT (APPPLICAT~te
Date: Site Address: =11I~jC - q/ IO q - W 9'-7 /7 1' ( i
Name: t El~Y1 f' itJb~CL - Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: I~ &,ME Yl' )yvr si 1 ki f jes
Construction Cost: 0( o Multi-Family Building: (Yes X / No )
Company:lW w (%!OfS Aj SW _f AX- Contact: SfV' Affe-11
Contractor Address: 10701 `13 - A). City: AQ,(& 6-IDV£
State: MA) Zip:: ~ J(09 Phone: ~_~3 -3 is- 919' 0
License l_ J "tJ Lead Certificate NAT- ~2 2~110
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?
=t
i
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.gooherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State di C e u be completed within 180
days of permit issuance.
x ~&s x
Applicant's Printed Name Applic nt's Signat
Page 1 of 3
r For Office Use
•
�:� 4 ; i Permit#:
/6617`7/40
„4 ‘. E AG N
Permit Fee: / -S 0.6
�� Date Received: /
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 I FAX: (651)675-5694 �e Staff:
buildinginspections@cityofeagan.com APR 0E5'2019
20190RESIDENTIAL�- BUIL ' ERM APPLICATION
I I1II/
Date: Site Address: / 114 f h/ e- 1/c1/( /Jl y Unit#:
Name: Phone:
Resident/
Owner Address I City/Zip:
Applicant is: Owner) Contractor
T of Work Description of work: Pe t ie ' Y'�r '�r�}-
c(, 7
yConstruction Cost: r'?) OQ Multi-Family Building: (Yes I No k)
Company: 054-17) (U$/.' t- Contact: (1/* R//sJ
Address: Z/ i') 5(1 kadi (tee City: t-,-ss%J
Contractor
State: IN, Zip: 1042- Phone: 617-"Z-it) /Oct'Email:
License#: � D 0 ' (0 Lead Certificate#: .
If the project is exempt from lead certification, please explain why:
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:
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 they 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.gooherstateonecall.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 of to start without a permit; that the work will be in
accords erith the approved plan in the case of work which requires a review and approv I;df I, s.
Applicant's Printed Name Ap icant's Signature
DO NOT WRITE BELOW THIS LINE 11/ II (100)44( 1-71-) C / q 7c/O
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
— Multi ?A Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
/C1 01 of if Plex _ 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
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 36)o6 ,- Occupancy T.06-3 MCES System
a
Code Edition /�2 1 SAC
Plan Review � Units
(25%jt_ 100%_) Zoning `3 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction lie' Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
> Footings (Deck) Final I C.O. Required
Footings (Addition) v Final I No C.O. Required
Foundation Foundation Before Backfill 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: / / x/yam , 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:Plumbing
Permit Number:EA170525
Date Issued:07/08/2021
Permit Category:ePermit
Site Address: 4168 Meadowlark Way
Lot:2 Block: 4 Addition: Hillandale 2nd
PID:10-32951-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Brian J Wiese
4168 Meadowlark Way
Saint Paul MN 55122--177
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174528
Date Issued:02/02/2022
Permit Category:ePermit
Site Address: 4168 Meadowlark Way
Lot:2 Block: 4 Addition: Hillandale 2nd
PID:10-32951-04-020
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 -
Brian J Wiese
4168 Meadowlark Way
Saint Paul MN 55122--177
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature