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1772 Meadowlark RdDate: 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 From: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 2010-0 RS/Jl�rv7j03L A? BUILDING PERMIT APPLICATION JUL $ 0 EffiD Use BLUE or BLACK Ink kor Permit #; Permit Fee: /, p 7 f.-7 --e5 � Date Received: 7 °'© -/0 Staff: Date: 7/2-49/20/42 Site Address: /769 -17,2 ."1C e w /AA k R.1. ,ALS/ Tenant Name: rie dow/wrC kit>le, yr Uiee RJ (Tenant is: New / „ Existing) Suite #: Former Tenant: PROPERTY OWNER Name: /10,010w/.¢0,¢ £4 j1194 54 G„ ys, 6.10.,ny Phone: '9""2- 22f3- 4112 7 Address / City / Zip:. -%f' C.'6, L.,. -e514 P.,./t -.y, L wr,z P'- :>,•0. 6-3- 3 y}✓ f'14' Applicant Is: Owner X Contractor — TYPE OF WORK Description of work: h+,',.4,v itep/w..e..,cn 1.., ,Qa ,s/de/ „e/.. I ,t?,,®, ,, Pe4 ,5 Construction Cost: /'`/ .. /l'i. CONTRACTOR Name: ,4//5714 4n51,adi1m -01 4.410.,# License #: 204 j/d" 7S" Address: S/'f$ reacd enu/ Sd. 54014 /0 3 City: "'1../ /a e41,1 State: M4,- Zip:5',�"3s"9 Phone: (9.5-2) 1.5/2 - 7`✓s `' ye Contact: Gv//anyy �e,,,0d�.+ys�os.y Email: 44,#e /p/o�} a//4t'a,t. A 717. 1V2 7Vsy ARCHITECT / ENGINEER Name; Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: � x cNOTF'''fig andsuppor#rn,9 c oc ments` hat yo r su r tare conside d to bepubli v QfrrtatPo�t kPortions of� th q rmation ma � Yke cls�r�,�d as non pubU�,f�rou provrde,�A�rf#ic f-eaons ���tp►'�oulsi,,pant?rt�t�h� �i�r�o� t. ..w... .t. � onclude that, they,` are tra a secrets nt{ ., • i FV Fr;. .. 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.gpoherstateonecalforg 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 'Z -1549N ,p. c7,( 61.4 Applicant's Printed Name x Ap • ' ant's Sign Page 1 of 3 y -7 r/Dt s(7E-b DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family _ Garage Multi _ Deck _ 01 of Plex _ Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Porch (3 -Season) _ Porch (4 -Season) Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Porch (Screen/Gazebo/Pergola) — Pool Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation / 4/6-090 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 zcdroitoK tyrtdT Roof: lifer Finales ' Framing Fireplace: Rough In Air Test Final Insulation Meter Size: Reviewed By: RESIDENTIAL FE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL / 3"G 3* 6 t 04/84 Siding Reroof Windows Egress Window — Demolish Building* — Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Z3G – 3 MCES System Aco2 SAC Units 2- City Water Sheetrock Booster Pump PRV Fire Sprinklers _ Final / C.O. Required Al Final / No C.O. Required -.O' — Cid 146# /4'I/ HVAC Other: Pool: Footings _Air/Gas Tests Final Siding: Stucco Lath _Stone Lath _Brick he Windows Eik / /,vIr Retaining Wall: Footings Backfill Fina Radon Control Erosion Control Building Inspector Page 2 of 3 1 siding final for the entire bldg PARTIAL INSPECTIONS FOR EACH UNIT 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? 96o 111660u.)\)q-d_ ./k c( 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? City of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA100042 Date Issued: 07/12/2011 Permit Category: ePermit Site Address: 1772 Meadowlark Rd Lot: 005 Block: 03 Addition: Hillandale 1st PID: 10-32950-03-005 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Replace Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Perry Firkus 2650 Minnehaha Avenue Minneapolis, MN 55406 612-276-1680 Fee Summary: Valuation: 500.00 BL - Base Fee $500 $40.00 Surcharge - Based on Valuation $500 $0.50 0801.4085 9001.2195 Total: $40.50 Contractor: Crew2 Inc 2650 Minnehaha Ave Minneapolis MN 55406 (612) 276-1680 - Applicant - Owner: Diana J Olsen 1772 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 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454.5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: may 4, 1972 NUMBER 99) OWNER: Buare - Hillendale Bldg. f1 Address PLUMBER Weierka Excavating I Loc TYPE OF PIPE DESCRIPTION OF BUILDING ::tiuVy CaJt Iron ustrial Commercial Residential Multiple Dwelling No. of units 10 Connection Charge Permit Fee 10.00 14 14/72 •%0 14 :14/72 s/e Street Repairs Total Inspected by: 4 Date S y. 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 idoiu •f,c Ti�;tl:;liin:, ract;VuLit�`a, �Li1Y .w ci, 1:4:g41-1 55123 Please notify when ready for inspection and connection and before any portion of the work is covered. From:ALLSTAR CONSTRUCTION 19529427464 1,0/18/2012 .16:37 #614 P.009/010 *' City otEakan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: i 7 C1 Use BLUE or BLACK Ink For Office Use '% f / 56 Permit #: /r / / Permit Fee: // 6 Date Received: / / A Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address:/ G y / ?66 /7 L' / ) z % 7i` / • - r 7c.) og-2- Unit Si: RESIDENT >'/ OWNER Name: /1-24,..4. is/1- �4€ 77 r ria.. �, 7 Phone: 9r 2) 2,-..7-79 f Address / City / Zip: 3fl a. /�a,rf �k-� �a z ,.,�• :� �.1,i / 3/Y Applicant is: _ Owner ,C Contractor Construction Cost: * G d, eta Z J Multi -Family Building: (Yes / No ) Company: A/sf-a: 004afr7..r,7Sv� A-ta„.H a•,it LL Contact: Gail/ra4f/&,rs,' t,O CONTRACTOR Address: �1%S Z ;.•/ i./4;2444dl,rli./4;2444 J J4 e / City: 4,4,,��o _ P/4 1 ,,, State: /4a✓/9Zip: ��s---7 Phone: 95.-2- - 272-- 715y License#: %3e b3157( Lead Certificate #: /lint- Z®% r- 0 If the project is exempt from lead certification, please explai why: (see Page 3 for additional information) 7 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 the are trade secrets. 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.000herstateonecaliorq 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 penult issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. X LGL //.i, ,Y2 G i eT a 7r Applicant's Printed Name App ii cant's Sign Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Single Family Garage Multi &'L151,ti Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Addition Alteration Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Pool Miscellaneous 1. 6 (M4ifil-rai tenor Imp nrovement _ Si ng _ Demolish Building* Move Building _ Reroof _ Demolish Interior Fire Repair Windows Demolish Foundation `� , Replace 1 _ Repair /_" Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 1004, ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Framing-�" SOF Fireplace: _Rough In "‹., Insulation 1I Sheathing Sheetrock Reviewed By: Final Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test _Final Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test 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 Page 2 of 3 From:ALLSTAR CONSTRUCTION 19529427464 09/30/2013 15:19 #670 P.005/016 0(04, l'1ta' 11c08) 1174117 -ib , n15 City of Etall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ►-ria , 1-17a (16o t Il $`A Use BLUE or BLACK Ink For Office Use Permit#: 1 1 $lo^� Permit Fee: 4 • a C Date Received: °Ai 301 ,3 Staff: J f`�A �n 2-013 Site BUILDING PERMIT APPLICATION 1— 30 a Lo13 Site Address: 1149 C/v'L CI y ?0� r to un , Date: M�U� vV � 11/11 IC Unit #: Name: Meac1c N aVkGRt I � C/o • lilaSSP,n Compa Phone: Address / City / Zip: tr-i3� We_lt POlricvvouLli t- QX11?latrie1 MN 5c3yy Applicant is: Owner Contractor description of work: --To off and ye -roof- Ghd qd ( rig Construction Cost: $211131.y4 Multi -Family Building: (Yes K / No Resident/ Owner Type of Work Contractor Company: f Mt -al( t DnchttiOn Mt f ntiwc,Contact:.. lot ittISfaci Address: Gilt1S 1%10(10 Sile ,* IDS City: aw, "Plain State: MN Zip: 55 r Phone: %l- c L 2 _ 1L v -T License #: 15003119 Lead Certificate #: N n 1 1D9 109- 0 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 hat 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.00aherstateonecall.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 Smote Building ode must be com eted within 180 days of permit issuance, Applicant's nted Name x AppliQ`an>)'s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163814 Date Issued:09/14/2020 Permit Category:ePermit Site Address: 1772 Meadowlark Rd Lot:005 Block: 03 Addition: Hillandale 1st PID:10-32950-03-005 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 - Diana J Olsen 1772 Meadowlark Rd Eagan MN 55122 (651) 456-5690 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature