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4128 Meadowlark Lanep��nG�G r -�c.ti co o of ° -1. /rlf ? teit/ . /-Y t 9 TnG ° 'v ' ' P14 T flaps fvf°/ Robert B. Tafa% Executive Vice President COO, GAF Materials Corporation Allstar Construction, Inc Member Since 2005 has achieved the exclusive status of Only 3% of the roofing contractors in the U.S. have achieved Master Elite' status! Based on their uncompromising commitment to the highest standards in sales, service, and installation, they have pledged to insure that each r \ customer receives their "best and safest choice" in roofing. GAF -Elk License # ME10034 Valid Through 07/01/2010 azv,_ John Fisher Senior Vice President of Marketing GAF Materials Corporation Keith Senders, Vice President Sales. Steep Slope GAF Materials Corporaton PROPERTY OWNER Name 4 . _ • - • „ . Phone: �.!'J z 5 - W2.7 Address / City / Zip: ( v Y 3S i 4 l ✓ - t . / i.. . • 1,4J S S'"3 yr Applicant is: Owner Contractor — TYPE OF WORK Description of work: , / c u r Construction Cost: ,it'' /g 7.2 9 ' / / CONTRACTOR Name: A / /c/p Co 4Srle‘4, 77 p— Air, i10 #: ,,e ?/ 5 - '7� Address:i YS ,.70-C/�- deal. S „ir..� c ../0 3 City: ,!q4 "4-4 /- State: /h1 Zip: f$ 1 57 Phone: 0 9 va - 7'S' Y , Contact ( / /da Pr Email: ° j ARCHITECT / ENGINEER ( y y Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing � ,F ►1 4. ' r y /� .i5 L '"1('/�}� fN f; "ff,� a info m .et JM s .. �}f }"L �'�,ws Yr „�.�. � i.� � new sewer /water service: Phone #: ry ,° n ' ° i J `f $ j� _ •J��]� °�° r • ° ° b4 af y y v' y� Q 3Q` F 2. Y {� i@ - {'�'hFi+� � 'G - - "�16 6"n yc R 'Y 4 M1 S� /L'�Lf[/ � g !"r`S�C. I,y ° 3.� 1ha' m�y. 4'. �'"Yvre,:...a�'sfx�'.4.��R��K. .7�f!. .. J• =(Ii�a ��i��.S?:!'S�Tl�F.. �$a z'� .�... .. 5 ' -,... yr y e t From:ALLSTAR CONSTRUCTION 19529427464 07/13/2010 10:26 #041 P.001 /001 Gity orEaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675 -569 JUL 13 CDI Use BLUE or BLACK Ink Perrnit #: 9 / �� , Permit Fee: 4 q ° o o C Date Received: — . 7r 0 /Jf 2 Staff: itit � � CA It C c 2010AXIMMEEL. BUILDING PERMIT APPLICATION p 2 / Date: 713/2 -0 r0 Site Address: We -- Y/ 3.6- mE400 NA. /} rc !.fr./e rJL 7A Tenant Name: /Moat, 0.14 A-e X1' .a) 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.00pherstateonecall.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 r w and approval of plans. x / % Applicant's Printed Printed ame (Tenant is: — New / Existing) Suite #: Former Tenant: Applicant's Signature Page 1 of 3 t/le firy SUB TYPES Foundation _ Fireplace _ Single Family — Garage Multi _ Deck f 01 of 0 Plex _ Lower Level Accessory Building WORK TYPES New _ Interior Improvement Addition _ Move Building _ Alteration _ Fire Repair Replace Repair _ Retaining Wall DESCRIPTION Valuation Plan Review (25 %_ 100% Census Code # of Units # of Buildings Type of Construction Reviewed By: /4 cv 13q /0 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: -lee-&-Weter Final Elf. vivy' Framing Fireplace: _Rough In Air Test Insulation Meter Size: RESIDENTIAL FE S Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL DO NOT WRITE BELOW THIS LINE 13/ Al/ /1 Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window *Demolition of entire building - give PCA handout to applicant rRc -3 goo? R -3 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation — Water Damage MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required _ Final / No C.O. Required DrdFt &$ v/ky r HVAC Other: Pool: _Footings Air /Gas Tests __Final Siding: _Stucco Lath _Stone Lath Brick Final AL Windows ea UiYi j"' Retaining Wall: _ Footings Backfifl Final Radon Control Erosion Control , Building Inspector 91 .t3 e = ?6- Page 2 of 3 • EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 5/4/72 Buaxe NUMBER 995 OWNER: kru - Hillendale Bldg, #3 Address PLUMBER TrencY H a n Cast TYPE OF PIPE v3 Trop DESCRIPTION OF BUILDING I:xluatrial Multiple Dwelling No. of units — cx 10 Location of Connections: Connection Charge Permit Fee 10.00 i.ui 5/4/72 —753- 7 — .7 , 71717 - 0711— Street Repairs Total • Inspected by: Date c: . Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota Sy , iei ke 1'rdnchide Lfy when ready for inspection and connection and before an .k is covered. any Portion From:ALLSTAR CONSTRUCTION 19:5294274,64 10/18/2012 16:36 #614 P.007/010 Use BLUE or BLACK Ink ~C For Office Use city of Ea~a o n Permit / 0 7 ~ Permit Fee: c7 3830 Pilot Knob Road ~J Eagan MN 55122 Date Received: / Phone: (651)675-5675 I I Fax: (651) 675-5694 1 Staff: , ' 2012 ' 2012RESIDENTIAL BUILDlN,G PERMIT APPLICATION CA Date: m i7/t SiteAddress:X/z~ y,ZZ, Yrzy yizd. fizy'si a;y 3~ yl3ia 13b y Unit Name: J1'✓i_~ 'r. .~ca LXr? /~i rr" Phone: Z 417- c RESIDENT / ' OWNER Address / City / Zip: _lv l3B / rte ..,.1'• ix A"I, / Applicant is: Owner Contractor 01- TYPE OF WORK Description of work: 7e, „7~ r,~n_ +'TCe t 5 Z k ititdttu+~t gp ,S,.L4 Construction Cost: 0 ( d, ,f6'Z. Multi-Family Building: (Yes ! No Company: /~i1a(~%%oa~lreco~ A~d~~~L<< Contact Crc~~fa~foir, Address:/ yS~~k ilr, ~•i _~haE~ Jk~e /0 7 City: 1'/J& CONTRACTOR State: Zip: S2jL_,~ S_7 Phone: 7 ,4",S License T.3C 6'315.75 Lead Certificate _ LOG/ y'- p If the project is exempt from lead certification, please explain wh : (see P ge 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: 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. 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_aooherstateonecall.ora 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 Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name App icant's Sign lure Pagel of 3 4( 7Z( I~NOT WRITE BELOW THIS LINE I k-- b SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi ,y` L Deck - Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of- PI ex _ Lower Level _ Pool _ Miscellaneous - Accessory Building WORK TYPES '„n' ,~j New tovement ng _ 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 Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%- Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -<Ice & water Final ~ Pool: -Footings -Air/Gas Tests -Final Framing- Siding: -Stucco Lath -Stone Lath -Brick ' Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee l` Surcharge' Plan Review' MCES SAC A City SAC Utility Connection Charge t. _ S&W Permit & Surcharge / Treatment Plant Copies, TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108627 Date Issued:12/24/2012 Permit Category:ePermit Site Address: 4128 Meadowlark Lane Lot:025 Block: 03 Addition: Hillandale 1st PID:10-32950-03-025 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Patricia E Kofski 4128 Meadowlark Lane St Paul MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature From:ALLSTAR CONSTRUCTION 19529427464 09/30//2013 15:21 #670 P.011/016 4120, 4Ml, AVDA t 4122 i gt28 A1720 t 4132 l A 134, A 1361 A 1 JU Use BLUE or BLACK ink l For Office Use _ I I S Clt of Eap Permit Permit Fee: J1 a~ 1 3830 Pilot Knob Road p Eagan MN 55122 Date Received: 1 Q l Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: t I 1 ~A ~n 12f,013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1- 1 013 Site Address:, `I Z V WWQ /Vk V- 1,n - Unit Name: M?UC~UGIY k RIM 00 • L=h l,OrnD_ Phone: Resident/ _ p Owner Address /City/Zip: 1PL28 ?M(Mi MN ~ :3 Applicant is: Owner __k Contractor Type of Work Description of work: 7Tta_4 V_11 n! nd re `ro Wad Construction Cost: g 31~ V~1 1 Multi-Family Building: (Yes _J\ / No Company: AlmaY t MSft V CtM IV Q „=',LLC,Contact: l ~e t1std Contractor Address: 51y5 1tfJ1t I lal S_qi DJ city: WAPIC W(Cl State: MN zip: _%26 p Phone: '1 J2-" _Lit_ lL4yH License -~iCt031515 Lead Certificate N A 1 I M+ V 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: i 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 they 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.aot)herstateonecall.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 B ilding Code mu Mt be completed within 180 .4 days of permit issuance. x x Applicant's Printed Name- App c nt's Sig _ature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147827 Date Issued:02/08/2018 Permit Category:ePermit Site Address: 4128 Meadowlark Lane Lot:025 Block: 03 Addition: Hillandale 1st PID:10-32950-03-025 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 - Patricia E Kofski 4128 Meadowlark Lane St Paul MN 55122 (651) 214-2417 Hoffman Refrigeration & Heating 5660 Memorial Ave. N Stillwater MN 55082 (651) 439-5770 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155175 Date Issued:05/01/2019 Permit Category:ePermit Site Address: 4128 Meadowlark Lane Lot:025 Block: 03 Addition: Hillandale 1st PID:10-32950-03-025 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Patricia E Kofski 4128 Meadowlark Lane St Paul MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature