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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: | \ \ [.\| ^ ~^�_` Tnnont1_ ��Y� ` ^ Suite #: RESIDENT /0YVNGH ' ��\�_�Z.\ -a^ ---)" (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