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4080 Meadowlark Lane           ùò û ú þýý  üûúüûøú     ÷ýý  üïìî ñ  ü ãâ  ýü þýõ  ô ñ  ôø÷öÞó üöô ñ  á Ûáø÷öá  ë   Þ ßêÞ  Û  ý àüáÝ  ã Þ á öüúáÞ  êîéô õòôñçå èþèþÿ ô÷  å èâèãâ  óñ õ ðï öö  Ù êî  üà  ó ãÞ èþá ó   á öüáÞ û áÞ ãã éãçãþ Ø ù÷ ó   ì ü öö  ü  ëê ü  êö÷ó  öö ù   ëáü    ü ð÷ëû í üè öö òê    üü ÷     VILLAGE OF EAGAN WATER SERVICE PERMIT 3/95 Piiot'Knob Road PERMIT NO.: Eagan, MN 55122 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 Village of Eagan Surcharge: Ordinan Misc. Charges: Total: / Date Paid: Date Insp.: f/ Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: B Misc. Charges:-- --s' Date of sp.: Total: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA116971 Date Issued:10/14/2013 Permit Category:ePermit Site Address: 4080 Meadowlark Lane Lot:006 Block: 04 Addition: Hillandale 1st PID:10-32950-04-006 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Leslie J Laidlaw 4080 Meadowlark Lane Eagan MN 55122 (612) 619-2947 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature . � Use BLUE or BLACK Ink r________________^ � For Office Use � � � Permit#: � �� � Clt of �a a� � . �� � Y � � Permit Fee: � 3830 Pilot Knob Road I I Eagan MN 55122 � � I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I I � Staff: � �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: f �IS � Site Address: Tenant Name: �e�d\�Q v..� \�.�- �:������ (Tenant is: New/ � Existing) Suite#: Former Tenant: Name: {° �c scl�+•...�n�- X, r��o �� � � Phone: Property Owner Address i City�Zip:xl d�t7 . �' ra�2, ►t c��� o 't ��� , 'iv��F. �t �7�t�, �( c��� ,�l ��� �i��(� , �� �. �� Appiicant is: Owner Contractor � Type of Work ' Description of work:__s�. Y•t7 !t �r�N� � �t w1 t-^� Construction Cost:�/�.LW � Name: C� Y�vr�.c�� �r� ` pv.��l��c.�w� License#: Contractor Address: Z �°7'� �/�'���,�,,,� U r. city: �; ,�q�,� State: �1 � Zip:_�S 3 r�' b Phone: G S� � ��� �— �ti � � Contact: %he �'�'� e� Emai�: .,. � ,� �nt� �O L_`�,�v..� Name: Registration#: �Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: 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 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the w k w I be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an ap c tionifor 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 r wh' h requires a review and approval of plans. X `� e ��-� gv� S �e`�) x Applicant's Printed Name ApplicanYs Sig Page 1 of 3 Use BLUE or BLACK Ink - For Office Use/ l ''' Cityo E� all Permit#: Permit Fee: �0 - C.-� c0 3830 Pilot Knob Road Eagan MN 55122 Phone: (651)675-5675 Date Received: Fax: (651)675-5694 Staff: L 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: Site Address: Tenant: Suite#: I 1i I Name: < � 7/ 6 LA- i d/4G(� Phone: I r Resident/Owner ( //, `�J�/f / / t t Address/City/Zip: 7 O go G'�"/ '4";e: 4L t/ eQG''4 ( 42 Name: d/A-55/L e ? }C!)/ �' Z-`C.�/-t)1 1nse Y/1769��-� 7. i 1 Contractor I �L5Z Address: t!� o /5' �4 City: C1--'1 ,.54#: 1 E State:4/11i Zip: ,53-3/e Phone: Za/r ^61/ -65--S5 i � J / � / c Contact: �l� �/`l��E'i�'/�i z'v Email: CL l.�55/Ce.- f G E r New '.Replacement Additional Alteration Demolition Type of Work L Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. :Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL < mace New Construction Interior Improvement t 1 Permit Type I Air Conditioner Install Piping Processed I t Air Exchanger Gas Exterior HVAC Unit — — Heat Pump Under/Above ground Tank ( Install/ Remove) i Other ' RESIDENTIAL FEES ' $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.011 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee 9 Surcharge=Contract Value x$0.0005 =$ Surchar e If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE i 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 wit approved plan in the case of work which requires a review and approval of plans �" / A. I r ,. 1,kz,YI f / et" xi.,./ ..d _ Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA163943 Date Issued:09/16/2020 Permit Category:ePermit Site Address: 4080 Meadowlark Lane Lot:006 Block: 04 Addition: Hillandale 1st PID:10-32950-04-006 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 - Beau Jacobson 4080 Meadowlark Lane Eagan MN 55122 (612) 751-2606 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature