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4146 Meadowlark Way
City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 5E? Use BLUE or BLACK Ink Permit #: 4:2\S c Permit Fee: Date Received: Staff: � 2010 MECHANICAL 1CHANI(CAL PERMIT APPLICATION Date:CA "l — I LI —10 Site Address: Li I LI(.Q i n Tenant: 2 -x-�—! T4-11 t-i-sLi Suite #: 1 -J RESIDENT / OWNER Name: ( Ov(,1 T A �(M� Address / City / Zip: '1 -4k -to �YIffi .N W CONTRACTOR Name: Address: Suite 120 City: Burnsville, MN 55337 � )L _ j State: Phone: BURNSVILLE HEATING & A/C, INC. 3451 W. Burnsville Parkway PhoneLP51 - y3y.. ICL WCC --- l SSI a�- License #: Zip: Contact: G u Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: PERMIT TYPE RESIDENTIAL NkFurnace Air Conditioner _ Air Exchanger Heat Pump Other telk New Construction Install Piping Gas Fyri ,111,11F COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: 5, $50.50 Minimum Add-on or alteration to an existing unit (includes $AQ State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $55 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ TOTAL FEE 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.aopherstateonecail.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 witb,the approved plan in the case of work which requires a review and approval of plans. x6\no Lreock_hci x C > , &orviJw r Applicant's Printed Name Applicant's Signature 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 EA090331 07/24/2009 ePermit Site Address: 4146 Meadowlark Way Lot: 1 Block: 7 Addition: Hillandale 2nd PID:10-32951-010-07 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Permit closed without required inspection(s). Letter sent to applicant on 1-6-2010. (pf) Quesetions regarding electrical permit requ ements should be directed to Mark Anderson, State Electrical Inspector, (952) Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 - Applicant - Owner: Zinovy Tashlitsky 4146 Meadowlark Way 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 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: FOitViC;P Use Permit #: Permit Fee: d- 73 Date Received: Received: LP ( Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION "2-) SiteAddress: Li \''•••• 2.•—/ Tenant: La \-\ A Suite #: RESIDENT / OWNER Name: $62., C\ --N Address / City / Zip: Phone: 4S -V-2.2 nmr - A e,L, Applicant is: is: Owner Contractor TYPE OF WORK Description of work: A\Th vcA =-3 Construction Cost: Multi -Family Building: (Yes / No ) CONTRACTOR Name: ‘.. Address: 14:1S4., \•""-X-7-12-- 1 City: \- \U_ License #: )6\ State: Phone: 161 (L, 12- -2-Z.1-1 A °VI-) Contact Person: \111N Zip: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category (Ai submission type) Minnesota Rules 7670 Category 1 • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Minnesota Rules 7672 • New Energy Code Worksheet 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information.Portions 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 x Applican s Signa ure Page 1 of 3 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. I agree to comply with the City of Eagan Surcharge. Ordinances. Misc. Charges: Total By ?IrZ ,iii • Dote Paid. Dote of Insp.: `` li1 Insp • • CITY OF EAGAN SEWER 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 - !,1.1 agree to comply with the City of Eagan Connection Charge. 25. �' Ordinances. Account Deposit. Permit Fee. Surcharge - By Misc. Charges. Dote of Insp.: Total. Insp • Dote Paid. Date: City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: ULQS . Permit Fee: 17035° Date Received: 131 I 131 t Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION -/1-13 Li/ Site Address: L1J9t - 'MN - yM f�. iAk Name: I..(.fhiAX) h fi W /1O//ML. 4S2X • Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: 4- fl / wont)/ sic i � r /SC / 7 Construction Cost:1. 000 / Multi -Family Building: (Yes X / Na ) Company: /14W Gieriors b y SAA Jam- Contact: S iN E kid J Address: 10701 Q3 ffl . )0. lig_�- City: n piE CIO j% State: fl{`U Zip: 5-53(05 Phone: J ,3 -3 [�-- C? ! iQ�0 0 License #: Tjl_ -(.J 7.3 Lead Certificate #: NA -r- 7' -/JO - / 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: y©u submit are considered to be public is ►aiiic if you provlde;specific reasons flat 1 t dtbey ane -trade sect 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.uooherstateonecall.orq 1 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 aBu ngpde mfist be completed within 180 days of permit issuance. x Applicant's Printed Name ii04092.1 Page 1 of 3 City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA127828 Date Issued: 10/15/2014 Permit Category: ePermit Site Address: 4146 Meadowlark Way Lot: 1 Block: 7 Addition: Hillandale 2nd PID: 10-32951-07-010 Use: Description: Sub Type: Fireplace Construction Type: Work Type: Gas Insert Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 - Applicant - Owner: Wayne R Thompson 4146 Meadowlark Way Eagan MN 55122 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 r For Office Use ,Fee a # EAGAN :::::e' /5 7 : Date Received: 3830 PLOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIVE (651)675-5675 I TDD: (651)454-8535 I FAX: (651)67 94 Staff: buildinginspections(a)cityofeagan.com APR 0 3 2019 i 2019 RESIDENTIAL =` ' . , MIT APPLICATION Date: Site Address: & - 1/"(o Me r'ei.J1;,/< ZA-Ii,7 Unit#: Name: / Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: Pt 14 :2 P r-C c'.'>- .rl.J- 1- PQ- lkl't-.j �r^'I( 40/a c u� k, Construction Cost: 00 Multi-Family Building: (Yes /No ) Company: C'S44-rc, l((A5 4" (� 1, i- P,%11N1 �/� vi:1?� Contact: �,� Address: Z I L, � � �����' '� ( \ G City: "�)i'v Contractor , i State:Xv • Zip: �y�ZZ Phone: �(/S/-i)O /OccEmail: (4 if.-, riL.11�J6- C,n+I, Cri, License#: ((25 ( o I tp Lead Certificate#: If the project is exempt from lead certification, please explain why: (- )7C!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? 1)" Yes No If yes, date and address of master plan: 50r ')v .r 20/a(".; L H /Zr vt.'c J 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.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.qopherstateonecall.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 accord nce with th approved plan in the case of work which requires a review and approvl of jpla s. t L / ,/�d x H:1T v�' x a t Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE q/Y 0) C I 1� (A)Cti47�, SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi f" Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool Accessory Building Q_. 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 -Sro®• Occupancy j2L `3 MCES System Plan Review Code Edition Ail 24) 1 c- SAC Units (25%X) 100%_) Zoning 4) City Water Census Code Stories Booster Pump # of Units Square Feet PRV #of Buildings _ Length Fire Suppression Required Type of Construction , Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) X Final/ 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 ?C.) Retaining Wall: 'Footings� Backfill -' Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan / Other: Reviewed By: I ' )/-11' )/-11 /M) 2; IC- `i4 , 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:EA154687 Date Issued:04/05/2019 Permit Category:ePermit Site Address: 4146 Meadowlark Way Lot:1 Block: 7 Addition: Hillandale 2nd PID:10-32951-07-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Wayne R Thompson 4146 Meadowlark Way Eagan MN 55122 (651) 357-3063 Warner Stellian Co Inc 550 Atwater Circle St Paul MN 55103 (651) 222-0011 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167097 Date Issued:02/23/2021 Permit Category:ePermit Site Address: 4146 Meadowlark Way Lot:1 Block: 7 Addition: Hillandale 2nd PID:10-32951-07-010 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 - Wayne R & Madelyn E Thompson 4146 Meadowlark Way Eagan MN 55122 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:EA174831 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4146 Meadowlark Way Lot:1 Block: 7 Addition: Hillandale 2nd PID:10-32951-07-010 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 - Wayne R & Madelyn E Thompson 4146 Meadowlark Way Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature