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4078 Meadowlark RdCity 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 EA090540 08/06/2009 ePermit Site Address: 4078 Meadowlark Rd Lot: 3 Block: 9 Addition: Hillandale 3rd PID:10-32952-030-09 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Quesetions regarding electrical permit 445-2840 Larry Leacock 15966 Fennel Ct. equirements should be directed to Mark Anderson, State Elec cal Inspector, (952) Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 - Applicant - Owner: Kimberly Helgeson 4078 Meadowlark Rd 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 Permit No: Date. 3830 Pilot'dnob Road Meter No: Size. P.O. Box 21199 Reader No: Date. Eagati, MN 55121 Owner• Site Address* Plumber: Conn. Chg: Zoning. Acct. Dep: No. of Units. Permit Fee. Surcharge. I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter: Misc • By WATER SERVICE PER IT 3'7 CITY OF EAGAN Permit No: Date* 3830 Pilot Knob Road B/P No: Date' P.O. Box 21199 Eagan, MN 55121 Owner Site Address' Plumber MWCC. Zoning. City Chg: No. of Units. Acct. Dep: I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge' Misc • By SEWER SERVICE PERMIT City of Eaaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 335. 5. 00 Date Received: Staff: J �% 2013 RESIDENTIAL BUILDING PERMIT APPLICATION j�, Date: [ 4 J - LS Site Address: LSID) - � 7� —40 7 2l ✓ Qgo 5. / k )Q Name: 1-426100 00f K 1(,1)Y1 D'i4E f, SOO • Phone: Address / City / Zip: Applicant is: Owner Description of work: 41:2 Contractor Construction Cost: 45 Of) minor s�a r vac r p J 2s Multi -Family Building: (Yes /\ / ) Company: Aka) Gx-ter'iOrS Ay 5, 14 Address: 10701 Q3 id i4 State: Zip: 66,3(z,"..9 Contact: Phone License #: Q - 9 3 Lead SSE .'cell City: flip/E0 v£ 703-31s- R0 0 Certificate #: AMT— — (c7 / 1/!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: Sewer & Water Contractor: TE: Plans and supporting documents that you submit are -in ormatt otr:may be classified as non-public if you pro conclude that they area Phone: Phone: (MS 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.000herstateonecail.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 1 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 S days of permit issuance. . akOL Tzss Applicant's Printed Name »a aq x st be completed within 180 Applicant% Sign Page 1 of 3 City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA123519 Date Issued: 06/10/2014 Permit Category: ePermit Site Address: 4078 Meadowlark Rd Lot: 3 Block: 9 Addition: Hillandale 3rd PID: 10-32952-09-030 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. Jon Hantge 325 3rd Ave. Nw Hutchinson, MN 55350 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 - Applicant - Owner: Mikes RAnderson 4078 Meadowlark Rd Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature I-For Office Use 7 se � t � � � � � Permit#: / 60(/ EAGAN It f P rP Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-18104109, (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56$ • Staff: buildinginspections(@cityofeagan.com ©3 •r 2019 RESIDENTIAL BUILD E IT APPLICATION �Date: Site Address: II©7b 0-J0i-111'u/Lad Unit#: Name: .Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: • j4 (,/ r -42 1 Construction Cost: n7 (A: - Multi-Family Building: (Yes /No ) Company: 0 54 rc,Y\ l` n S Contact: l �,// n�' ZI 7// L C Contractor Address: '� /( City: 4-1it;) .> State:t "7J• Zip: t Z Phone: /001.EmaiL 1 / License#: 5-00 I L9 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: 5 P<,) Z.) 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 maybe classified as non-•ublic if ou •rovide s•ecific reasons that would •ermit the Cit 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.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 no o start without a permit; that the work will be in accordance with th approved plan in the case of work which requires a review and approvl of plaf �d x \ I �1�,� x ` Applicant's Printed Name Applicant's Signature i --6-/ DO NOT WRITE BELOW THIS LINE l C/O-X. 0&-1400/Aie-t-- a, / 7/6 g SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous ? 01 of JPlex I 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 39e S- '-- Occupancy _"126 —3 MCES System Plan Review Code Edition me 2-o t S- SAC Units (25%zn, 100%_) Zoning P) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V a Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Zo 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: i O Vs" in. le-h..//9- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174525 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4078 Meadowlark Rd Lot:3 Block: 9 Addition: Hillandale 3rd PID:10-32952-09-030 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 - Nathan Cross 4078 Meadowlark Rd S Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature