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4160 Meadowlark Way ÿ ýüüûúþúùþ øûûüüÿþöûîóí â í ýü þýüûúùõøâø õøûúùô øùõøâø ïøþÞïøûúùïýæýøøþøôýòüø òôýòüøþÞ ü Ýøå ãä ÿò øòîõþ÷àøõâìêééëä òø þýøðø èêéíé í áýëé ñð ïî ùù öðòù ýòü þýâ ãä éÿÜëãïøõú ïô ïô îãìãë ðøüú ððçøðùùððæøòøø øòùúðùùüþ æïþýöúæ åøé ùùà øòþ ýøýúþ ýø CITY OF EAGAN , SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Edyan, MIST 55121 DATE: Zoning: No. of Units: Owner: — — Address: Site Address: Plumber: Meter No.• Connection Charge: Size: Account Deposit: Reader No.• Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: B Date Paid: Date of Insp. : r Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner: Address: Site Address: 1 1 Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.• Total: Insp.• Dote Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA113065 Date Issued:08/28/2013 Permit Category:ePermit Site Address: 4160 Meadowlark Way Lot:1 Block: 5 Addition: Hillandale 2nd PID:10-32951-05-010 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 - Susan L Hansen 4160 Meadowlark Way Eagan MN 55122 (952) 233-4389 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. _..__-_______r..____ 1 For Office Use 411b~ City of Eatan i Permit #:I Permit Fee: q _)5.60. 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff. 1 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: % _"i►.l~LI o 1 Name: Phone: k Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: M)Yvf Sid i ~5 Construction Cost: Multi-Family Building: (Yes k / me ) Company:/VM (S:t(_1 J10fS Av S1 A Contact: S~E Affe-1( Contractor Address: 1® (0+ `7J ~ , A City: 1E QoV State: MA) Zip: 6~ J t0 Phone: O 1 License _!-tJ Lead Certificate ! 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 pennit 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 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.-goaherstateonecall.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 lid! C Lucompleted within 180 days of permit issuance. x dw/- h53S X_ Applicant's Printed Name Applicant's gignatupl/ Page 1 of 3 r For Office Use ee ' `e t i tr ::::: 01 E AG N ee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I ECEItE (! pII (651)675-5675 TDD: (651)454-8535 I FAX: (651)675-569, r Staff: buildinginspectionsacityofeagan.comAPR O 3 2019 1.4 t I1, 2019 RESIDENTIAL BU : a k ' ERM`1T APPLICATION Date: Site Address: L / loo Me:, c ,Jtcfik Li z 1 Unit#: l Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: PcL/4 ; ',(?,'AC c'Mc:r' Construction Cost: CO Multi-Family Building: (Yes /No ) Company: 05-4- , `(_^ S vi f,-) Contact: l %,�4' PG,/kJ Address: 21"f 3 �jjf✓C- (I J , City: l‘•Yjtv Contractor / /( / State:it\I• Zip: I I Z Z Phone: (15/-Z h-/ OCEmail: ( ln�f /I J c� u fiNe!/, eft",'. License#: (e5-00 I lO 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? Y it Yes No If yes, date and address of master plan: V(r 706 cAlee 774 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 may be classified as non-public if you provide specific reasons that would permit the City 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.citvofeauan.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.aopherstateonecall.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 no o start without a permit; that the work will be in accorpiance with th approved plan in the case of work which requires a review and approve of pla s. Applicant's Printed Name Applicant's Signature ' DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi X Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ 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 _ x Replace _ Repair _ Egress Window _ Water Damage (_`Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION lh,(..I3MCES Valuation n A Occupancy / System Plan Review Code Edition A, J SAC Units (25%x 100%_) Zoning to City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length 12 Fire Suppression Required Type of Construction 116 Width rJ,�` REQUIRED INSPECTIONS •+ ` Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) x Final/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 I 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: 17/ , Building Inspector RESIDENTIAL FEES Base Fee / 0 Surcharge 0 c' Plan Review / 3 f o v MCES SACy3PNiT V City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 EIV - Date I- For Office Ur -. I Permit#: /6/ 7 Permit Fee: / 2 .--:,-„ Date Received: / ,7 :4 - 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 SJUCN Staff: i'- huildinarnspections(Wcitycfeagan com 4 BY' 2020 RESIDENTIAL BUILCANG-PERIVII-T APPLICATION Date: i? —/ — 20 SiteAddress: 60 /liendoo, /411,4 4,e,,-4 / Unit#: I Name: Phone: ;.. Resident/ Owner Address/City I Zip: Ili 6 0 /7e.4 do 4.4-.. 4 Cr te A 1 Applicant is: Owner Contractor I ",-• I Type of Work Description of work (:_--fa//-- 0 - ('CV)CI26-16 .*/1-2_C• V—_(\ilEtdiq I --.... 1 IConstruction Cost: Multi-Family Building: (Yes /No ) L,,.... Company: ‘,.o c 7i6t,,„ C6 pi C 1,"ta re..._ Contact 4' 90 3 /41 i Y/4C-L C L. led City: 6.,,- e3 Pi'-e-ii Addressn .410 0.0,7 r 1 Contractor * State:Pit) Zip 57-5-471 3/Phone:952 --2 3,— 942612 6 re, A- C.,....ts74.00"" I c. )-e le , ; ‘ License#: Lead Certificate#: --- - - ' -- — - If the project is exempt from lead certification, please explain why: f f 1 r _ 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: l Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: i , Fire Suppression Contractor: Phone: , 1 I Nora Plans and supporting documents that you submit are considered to be public Information Portions of the information may be . classified as non-.ublic ff .i t•rovide .ecific reasons that would. .t the Cl to conclude that th- 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 Citys website at www.citvofeattan.cornisubscribe. 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. vwm,qopherstateonecall o n 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. 11.,) Applicant's PribstO Name Applicant's ' ature DO NOT WRITE BELOW THIS LINE &NO D /I1dou ) C /&/' -7 SUB TYPES _ Foundation — Fireplace _ Porch(3-Season) — Exterior Alteration(Single Family) _ Single amily — Garage _ Porch(4-Season) — Exterior Alteration(Multi) .._ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ 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 13 Occupancy [!�j MCES System Plan Review Code Edition T J ii� SAC Units (25%_100% Zoning ` City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ((1, Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) 1 Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof: Ice 8 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 V ,Building Inspector RESIDENTIAL FEES Base Fee 2/ � � v Surcharge Plan Review MCES SAC r �PG��' '� v '�City SAC Utility Connection Charge SSW Permit S Surcharge 61- 1Arl-- ''‘ir Treatment Plant Radio Meter Read Copies TOTAL Page 2of3 PERMIT City of Eagan Permit Type:Building Permit Number:EA174830 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 4160 Meadowlark Way Lot:1 Block: 5 Addition: Hillandale 2nd PID:10-32951-05-010 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 - Susan L Hansen 4160 Meadowlark Way Saint Paul MN 55122--177 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature