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1766 Meadowlark Rd
Date: City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For OffrceUse Permit #: 7'40.249 Permit Fee: • - J49 Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION 7&11 (iernrw koAk Site Address: Tenant: Suite #: RESIDENT / OWNER Name: 72///11701,4 G 91= G f %J6l Phone: Address / City / Zip: Applicant is: Owner ')(Contractor TYPE OF WORK Description of work: Construction Cost: L3Lj4. � Multi -Family Building: (Yes / No ) CONTRACTOR Name: 71/_,L. 5T$ C_ t ri S.% license #:. 04. ?,/5.---#7,r- (Oa / 5.---7s' SF Address: Y1 q � �--Oc r S� City j 1r.71, ' State: /7%`4/ Zip: S35 9 Phone: Contact: 111F. Email: 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: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classifiedias 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 CaII 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 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. Applicant's Printed Name Ap • ' ant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage >C Multi Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New / Interior Improvement Addition _ Move Building Alteration _ Fire Repair )C Replace Repair Retaining Wall ` Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Insulation Meter Size: Reviewed By: J Cv Siding Reroof Windows Egress Window Storm Damage _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required ?C Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings Backfill — Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 06) Page 2 of 2 PROPERTY OWNER Name: /10,010w444 £-4y i VO4 54 G„ ys•n 6.-", Phone: '15,- 2f3 -- 4 II 27 Address / City / Zip: ..._6 V ' C. // 4...-.5,4 AP /t . . c p, > Applicant Is: Owner X Contractor — TYPE OF WORK Description of work: 84+,',.+4,5 rQcp /«..e,,., f,, ke ,s /wee ,.. /a I ,t?,,®, ,, Pe4 ,5 Construction Cost: .. / CONTRACTOR Name: ,4//5r44 4n dibes - 4•+74.• License #: 2 .3/f 75" Address: S /'f$ 7 as 14 Sd. 54,1 1 / 3 City: „^'1.., 4 / State: /144,- p: 5',x"3 "9 Phone: (1.52) 1.5'2-- 7`/ry Go / /en I°'Te, grows�o7/ Contact: Email: G4 a ealia.. 42 'f2.1 7' ' ARCHITECT / ENGINEER Name; Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing NOTE P!a 11$ , and •suppor the info r=matio n may new sewer /water service: Phone #: d ocumen t s h at'yo r su mit are ed t oLbep ublicvn o rmatio�t k Po pion be classif as Eton pa ' : 1, f they a f de 7ecre Frorn:ALLSTAR CONSTRUCTION 19529427464 07/20/2010 11:32 #054 P.002/002 *'Cily of Etta 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax. (651) 675-5694 201 0 -0 Applicant's Printed Name Tenant Name: r1t dow /wrC ,Qrol 7 Uite:).) JUL $0!'C'D RS /Jhv741- BUILDING PERMIT APPLICATION Former Tenant: x Ap • ' ant's Sign Permit #: u 7� Permit Fee: /, -f o7/ — /� Date Received: c=„D© Staff: 'f Use BLUE or BLACK Ink Date: 7/ Site Address: /769 -W17,2 Ale Ale, w 444 . R'(. .&O #"/ (Tenant is: New / „ Existing) Suite #: 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.gpoherstateonecali.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 2 ,p . 6r/61,4 Page 1 of 3 SUB TYPES Foundation Fireplace Single Family _ Garage Multi _ Deck _ 01 of Plex _ Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation / 4 /6 - 0 9 0 Occupancy Plan Review Code Edition (25 % 100% ) Zoning Census Code X39 Stories # of Units /p Square Feet # of Buildings / Length Type of Construction - 73 Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile zameoit G fit' T Roof: lifer Finales ' Framing Fireplace: Rough In Air Test Final Insulation Meter Size: Reviewed By: RESIDENTIAL FE y -7 rD s67E- Interior Improvement Move Building Fire Repair Repair 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 / 3 " G ?•= N/� Porch (3- Season) _ Porch (4- Season) 3* 6 t 04184 Porch (Screen /Gazebo /Pergola) — Pool Siding Reroof Windows Egress Window Building Inspector Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous — Demolish Building* — Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock _ Final 1 C.O. Required Al Final / No C.O. Required -.O' "146a HVAC Other: Pool: Footings _ Air /Gas Tests Final Siding: Stucco Lath _ Stone Lath _ Brick he Windows kiitcli & vIr — Retaining Wall: Footings Backfill Fina _ Radon Control Erosion Control Page 2 of 3 1764 (East end) roof (flat roofs over garages only) roof deck (prior to new membrane) deck (on top of membrane roof) windows smoke detectors water damage? 1766 roof (flat roofs over garages only) roof deck (prior to new membrane) deck (on top of membrane roof) windows smoke detectors water damage? 1768 roof (flat roofs over garages only) roof deck (prior to new membrane) deck (on top of membrane roof) windows smoke detectors water damage? 1770 roof (flat roofs over garages only) roof deck (prior to new membrane) deck (on top of membrane roof) windows smoke detectors water damage? 1772 roof (flat roofs over garages only) roof deck (prior to new membrane) deck (on top of membrane roof) windows smoke detectors water damage? 1 siding final for the entire bldg PARTIAL INSPECTIONS FOR EACH UNIT 96o I K <( 1774 roof (flat roofs over garages only) roof deck (prior to new membrane) deck (on top of membrane roof) windows smoke detectors water damage? 1776 roof (flat roofs over garages only) roof deck (prior to new membrane) deck (on top of membrane roof) windows smoke detectors water damage? 1778 roof (flat roofs over garages only) roof deck (prior to new membrane) deck (on top of membrane roof) windows smoke detectors water damage? 1780 roof (flat roofs over garages only) roof deck (prior to new membrane) deck (on top of membrane roof) windows smoke detectors water damage? 1782 (West end) roof (flat roofs over garages only) roof deck (prior to new membrane) deck (on top of membrane roof) windows smoke detectors water damage? EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454.5242 PERMIT FOR BOWER SERVICE CONNECTION DATE: MAY 4, 1972 NUMBER 99s OWNER: Beare - Hillendale Bldg. f1 Address PLUMBER b+alerka Excavating TYPE OF PIPE 11 ;;;vy Cant Trur. DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units XX 10 Location of Connections: Connection Charge Permit Fee 10.00 c 4 1,/4/PC. • 3 1 :./4/72 VG Street Repairs Total Inspected by : .S Date s y 7"1*. 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 BY .vi:ic'1'4 Ti4C::;11i4 - .ct.vaLin CLuY .wc.ci, .w&;11 52,123 Please notify when ready for inspection and connection and before any portion of the work is covered. From:ALLSTAR CONSTRUCTION 19529427464 10/1812012 .16:37 #614 P.0091010 Use BLUE or BLACK Ink For Office U✓sJe//~ 4~] j Permit -7 I City of Eakan 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: ` I g ` Phone: (651)675-5675 1 I Fax: (651) 675-5694 Ir" T.~ r,. Staff: 11 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i7 Site Address:/ Gy / 766,174Y 1 ) z / 71 i v 75Z- Unit#: U Name: /~e~ c ~D r'N, l (~a.. /,o pis Phone: OJ .2 Z1 f~ ~1 4~f RESIDENT) OWNER Address / City / Zip: r~~g,(b r~>/c ~~a Gl- ~Hv/~~~Y Applicant is: _ Owner Contractor Description of work: .92 relolooc (o ,t? l TYPE OF WORK Construction Cost: 6,p, 006z J J Multi-Family Building: (Yes /No Company: /ai/sfa: GoarfrA~c7Sv~ ~tta„~~z~.a~~.f ALL Contact: CONTRACTOR Address: __Q 1/" ~Zv d1, tha'.•l -L i city: _ ,J,440- J State: Zip: Phone: ~S - 71s y License C i f7 Lead Certificate tr,~'7 Y- 0 If the project is exempt from lead certification, please explai 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: NOTE. Plans and supporting documents that you submit are considered to be public informardon. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.oooherstateonecall.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 penult issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. X Lfp IR J'!'AG ' , ~ x Applicant's Printed Name App icant's Sign tune Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi ftLtovi D Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES ,~Cl ~ Aiorlm 1~ ' ~ 1 I !1 -~J ~New tovement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation `Y'., 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%4) 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: 'ICNIce & Water Final Pool: -Footings Air/Gas Tests -Final Framing° 0 ' f Siding: -Stucco Lath -Stone Lath -Brick f w ' 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 Surcharge w, Plan Review f MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant i { Copies rq/ TOTAL # Page 2 of 3 From:ALLSTAR CONSTRUCTION 19529427464 09/30/2013 15:19 #670 P.005/016 0 (04, 11 tai 1 1`1 ro S, ►-~-t a, 117 a 11-7 4 i 17-7 (D I I', ` l', 6 (I~'1 Q -F Use BLUE or BLACK Ink f l U I or Office Use I j Permit 1 S a j lity of Wan I Permit Fee: 1 3830 Pilot Knob Road I I j Eagan MN 55122 j Date Received:!A fan 1 %-3 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff:4 I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION , ``A, -7 3y n a W1'~\ ~13 Site Address: I-1kH eUC1c~w1Uylc Q - to L,n Date: "1 Unit Name: MfadOWWk Ric It CIO • b S ,h CUYYITT Phone: Resident/ _ ~ 4 ~3 Owner Address /City /Zip: lApplicantis: Owner _kContractor Type of Work description of work: 7my * and YP -rO Ghd s d (ffl Construction Cost: 521,131 L44 _ Multi-Family Building: (Yes f No Company: All by (DnftCJQn MOnM& LLGContact: L] e t )Md Contractor Address: VII -iCJ MM1 f Ial SAW-1412) City: IV Qlt Bain State: MN Ziipp: -5CJ216f Phone: gCJZ" H2 r 1"I CA- License __C~a3►515 Lead Certificate 1V 1'f 1 2~~ U1y' 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: 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.oooherstateonecall.oro 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 S to Building ode must be com eted within 180 days of permit issuance. x t IUP t il~I>~u x t Applicant's Printed Name Appli n s Signature Page 1 of 3 �f���''�3 Use BLUE or BLACK Ink � ' � ���j � � For O�ce Use � �1�� 0�����Il � � � � Permit#: I ,/ I 3830 Pilot Knob Road 1l�� � t p� � Permit Fee: � Eagan MN 55122 G `''`��•� � � Phone:(651)675-5675 � Date Received. ! — � Fax:(657)675-5694 AUG 0 5 2015 I � Staff:� � ------------------' 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with ali commercial applications. Date: Site Address: Tenant: Suite#: Name: C��. � e ' �� Phone: ULSt�2��"��JS 0 Address/City/Zip: �; ; ��,VVu�L- " Name: , Q I"i U r �I'[ "�� � License#:_ � I � U b C.Q S '� Address: ���� U �� I � ��5��►rl ST City: S State:��Zip:��� phone: f 0��' `7" 7 - �� � �ontact: Emai�:COlSS i P.1�'Cx��� DYl eYl.t�1,C1�'�t.!'!r'�CCJV�t _New ��Replacement _Additional _Alteration Demolition Description of work: RESIOENTlAL COMMERCIAL , N Furnace _New Construction _Interior Improvement �� A i r C o n d i t i o n e r _Ins ta l l Piping _Processed _Air Exchanger _Gas _Exterior HVAC Unit _Heat Pump _UndedAbove ground Tank (_Install!_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or aiteration to an existing unit(includes$5.00 State Surcharge) (��, $100.00 Residential New(inciudes$5.00 State Surcharge) _$ 'V TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank instaflation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 -$ Surcharge* ***If the project valuation is over$1 miilion,please call for Surcharge _$ TOTAL FEE 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 applicafion 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 �� 1� � t�f�� X ^ Applic nt's Printed Name Appiicant's Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT Permit Type: Plumbing Permit Number: EA138942 40111b City Date Issued: 09/28/2016 of} Permit Category: ePermit Site Address: 1766 Meadowlark Rd Lot: 002 Block: 03 Addition: Hillandale 1st PID: 10-32950-03-002 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 - Applicant - Owner: Maria Ferreira 1766 Meadowlark Rd Eagan MN 55122 (651) 405-0783 1 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