4133 Meadowlark Pt40°'
City of Ea�ali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #:
Permit Fee: 0- oh
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite #:
RESIDENT / OWNER
Name: '' o `{-j,,c,tA 136e.te.vk Phone: S 1- i,M i - )..1Z
Address / City / Zip: 1-11-;--2) M�Yito(,ICS r.- `P-1- t.arti„, mit)-'51)---2..
Applicant is: k' Owner Contractor
TYPE OF WORK
Description of work: Metj 2 ,e, •e., DOO r 4-,
Construction Cost:Multi-Family Building: (Yes / No )
CONTRACTOR
r -C'
lJC
Name: 7H/1 Cii Deaf' License#:
i
Address: !� S . City:T
State: 0�� Zip: ("bs Phone: (6's ` J'L''�'3 ,-3 yiL j Li
C, tact: Email:
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
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 specificuld reasons that wopermit 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.
Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
x Bx✓te_Ln
Applicant's Printed Name
x
Applic:ture
Page 1 of 2
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA090015
07/01/2009
ePermit
Site Address: 4133 Meadowlark Pt
Lot: 1 Block: 1 Addition: Hillandale 3rd
PID:10-32952-010-01
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Quesetions regarding electrical permit
952-445-2840
Mike DeZiel
1612 3rd Ave NE
equirements should be directed to Mark Anderson, State Elec
cal Inspector,
Fee Summary:
ME - Permit Fee (Replacements)
Surcharge -Fixed
$50.00 0801.4088
$0.50 9001.2195
Total:
$50.50
Contractor:
DeZiel Heating & Air Conditioning, Inc.
1612 3rd Ave NE
Buffalo MN 55313
(612) 719-1049
- Applicant -
Owner:
Michael J Baden
4133 Meadowlark Pt
Eagan MN 55122
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
Applicant/Permitee: Signature
Issued By: Signature
4,11'' City of bp
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For Oftice Use
Permitx�
Permit Fee:
Dale Received:
2008 RESIDENTIAL PLUMBING UMBUNG PERMUT APPLICATION
:1-)/7~5) Site Address: | \ \ [.\|
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Tnnont1_ ��Y�
`
^
Suite #:
RESIDENT /0YVNGH
'
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---)"
(0.
Address / City / Zip
CONTRACTOR
/r2 \ \(`. \ \ ' \ - / \ /�
Nume��� ��[)�� \\�� �� LD`\`�`�—\hA`_
Address: ---)'-.Nt,, .A_?jt\-?_ ' \
�� >\ �
City: \lL-�����Y\ \ State\ �� \ Zip: c�_)�{�� iLr
Phone:\ ��l \ /_�_`
L�-�_�^�' ���v"' / �oniaoiPomon�`_�`u ' .
TYPE OF WORK
L
New yRep|uremeni Repair Rebuild Modify Space Work inRO.VY'
.
Description of work: `
PERMIT TYPE
'
RESIDENTIAL
^�
~ \mo�rneom,'^^ ��.�` r Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) (_^__ Main Lower Level)
_____
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater end Softener (includes $.50 State Surcharge)
'��\ ^�7 �
2�/ �
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$1UO.5USeptic System
$QU.5OFire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $136.00 i(o5/O^ meler is required)
New ($1O.00per oobuilt) (includes County fee and o.5OState Surcharge)
burned out vpp|ianoou.ducxwo,k.o�j(indodns*�50State Soonho,go)
TOTALFEES
/compand codeof the City of
Eagan; t'"' ' understand this is not a pv"nv, but only an application for opermit, and work is not to start without a permit; that mv°wx will be in
the requires a review and approva^tans.
\/ '
App icant's Printed Name
x
4»n|
ant's g, \"m
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
CITY OF EAGAN Permit No: Date:Size:
3830 Pilot Knob -Road Meter No:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Tainan {enter
Owner:
Site Address.
Plumber:
Conn. Chg:
Acct. Dep:_
Permit Fee:
Surcharge:
Tr. Plant
Meter: —
Misc.:—
Zoning:
No. of Units:
I agree to comply with the City of Eagan
Ordinances.
By
WATER SERVICE PERMIT < 13,1)
27-87
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road PERMIT NO.:
P.O. Box 21199
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagan
Ordinances.
By
_ Total:
Date of Insp.: e Date Paid:
Insp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
_ Misc. Charges:
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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154307
Date Issued:03/12/2019
Permit Category:ePermit
Site Address: 4133 Meadowlark Pt
Lot:1 Block: 1 Addition: Hillandale 3rd
PID:10-32952-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Nia Arradondo
2398 Schadt Dr
Maplewood MN 55119
Bws Plumbing Heating & A/c
7251 Washington Ave S
Minneapolis MN 55439
(952) 681-2615
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154410
Date Issued:03/20/2019
Permit Category:ePermit
Site Address: 4133 Meadowlark Pt
Lot:1 Block: 1 Addition: Hillandale 3rd
PID:10-32952-01-010
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Nia Arradondo
2398 Schadt Dr
Maplewood MN 55119
(763) 445-1713
Marks Plumbing Service & Repair
3500 Vicksburg Lane N, Suite 408
Plymouth MN 55447
(763) 354-2800
Applicant/Permitee: Signature Issued By: Signature
I-
For Office Use
t k Permit#: /- V6
6E AGA
L/
�E 6E
Permit Fee:
Date Received: 43830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 c C
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675- 4 f�PR 0 3 ,f Staff:
buildinginspections(@cityofeagan.com 'tai3
2019 RESIDENTIAL BUILD " ' MIT APPLICATION
Date: Site Address: L — yl I3> pi ea c oi-.l c Unit#:
Name: Phone:
Resident/
Owner Address I City I Zip:
Applicant is: Owner Contractor
Type of Work Description of work: • LC i4 2 Pi -c e:vle :1
Construction Cost: r CC' Multi-Family Building: (Yes /No
Company: f ? 1(^n S 4-e-4,/ Contact: l� r c.,•��/")
Address: /41 � 51/✓G ll
City:
Contractor ` y ,
State:irN:i Zip: .5-- /Z Z Phone: (6,51-Z/0 -/Cc(.Email: 1 1 .^ f i "'� t`, `/,
j�
License#: (G25-C'0/ tP 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: 52r ) - ?C1/S u 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 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.cityofeagan.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 not o start without a permit; that the work will be in
accor Trice with th approved plan in the case of work which requires a review and approv;`fia of'pla s.
rI
X :n
v,i\-) x
Applicant's Printed Name Applicant's Signature
ill
DO NOT WRITE BELOW THIS LINE / SS hreAdOW1A-0---.
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
Multi , 1 Deck _
cb 01 of Plex Porch (Screen/Gazebo/Pergola) _ Miscellaneous
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
on
_ _
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION ,¢
Valuation (i 349'0.. Occupancy 2L —3 MCES System
Plan Review Code Edition eil. 4 20 i!r SAC Units
(25%� 100%_) Zoning RD City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V9 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) y 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: vm m,t C iit , 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 2of3
r For Office Use 1
•�` +�+ Permit.: / % 76
C_
E At‘
Permit Fee:
'.n
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-56751 TDD:(651)454-85351 FAX:(651)675-5694 Staff:
tui Idinoinsoectionsecityofeaaan.com
2019 RESIDENT�IIAL BUILDING PERMIT APPLICATION
Date: t)131 I iq Site Address: 4132, 'l eod,w(rir1 P6sit Units:
Name: N I Q Ahead Mjfi Phone: IL/J- 446— 11(�j
Resident/ �{
Owner Address City/Zip: erkcja/A( "1
H 6'6 t jL
Applicant is: Owner .+ Contractor
Type of work Description of work: Pt 0 A vl (0 or, as -< t SCUM t i aAi 4
Construction Coat. 'J 6.61-170"/
Multi-Family Building:(Yes /No A
Company:\IOtt tt000.1( 1 hvAft i704,1h.aft* f O . Contact .Ak3191 CAVTA -d QtL rel'J
ContraCtotr Address: 23k Zai 9I .A. City: St. Ct Q rAd
State:I,�N Zip: (r22)1O` Phone�~230 I mac: 7tir(MAl C -C
Ucense# Lead Certificate alk 1s(fr.-41 21r/4- 2
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 A Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTA Plans and satppordng doewreerds.fret you submit are caialdersd to be public Information. Portions of the information may be
classitfed as non.prbl c ifyou provide specific ruche that would porn*the Catty to conclude that tyrsy are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email updale on the City's
website at www.cltvofeacaan.comfsubscribe.
Exterior work authorized by a building permit issued In accordance with the Minnesota Stab SuUding Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.aooherstQ pnecalt.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 theemapproved plana in the case of work whictm requires a review and approval of plans.
✓��� afald, e ` x -
Applicant' Printed Name Appl arra
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174835
Date Issued:02/22/2022
Permit Category:ePermit
Site Address: 4133 Meadowlark Pt
Lot:1 Block: 1 Addition: Hillandale 3rd
PID:10-32952-01-010
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 -
Nia Arradondo
2398 Schadt Dr
Maplewood MN 55119
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature