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1759 Meadowlark CtRESIDENT / OWNER Name: I--ccs PI -e kk Phone: &/a - 4 / - 7e) 7'' Address / City / Zip: Sc, en CONTRACTOR Name: An y "/n.e. ,le LL C..-- License #: Address: r9 071, 5 (.4,11,/e,-, J? f it City: r..V\ 1 State: Al Zip: S22 (-/ Phone: 6° 57 ) Y - 6 4 / 39' Email: IA 6 an y .% , ->eg; r LLL , co^ s Contact: 7' TYPE OF WORK New X Replacement Additional Alteration Demolition Description of work: I2,(1�4c e , � ,No Iold' -7C /., rc e /le,.J • 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. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) Other _ ** When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add - or alteration to an existing unit (includes $5.00 State Surcharge) - 06 burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ 5 S — TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation /removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1 = $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010 - $11,010 Permit = $ TOTAL FEE ity atEapll Tenant: FOR OFFICE USE 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Required Inspections: Mph x \J o C- fi r,t Z Applicant's Printed Name 1 SEP 1! 2010 MECHANICAL PERMIT APPLICATION Date: 9 / 2 a h Site Address: l 7,0 4 L ju r k 6-4 x Ap Reviewed By: Rough In Air Test ` Gas Service Test Exterior HVAC Screening Inspection Use BLUE or BLACK Ink Permit #: O t Permit Fee: Date Received: Staff: 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.gopherstateonecall.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 withormit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Under Ground VILLAGE' OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood 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 es. Misc. Charges: Total: By Date Paid: Date f Insp.: ` f $' 7f 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: By: L C Misc. Charges: Date of Irk Jr � 7j Total: Insp.: Date Paid: � * '► Use BLUE or BLACK Ink r----------------� I For Office Use � � � Permit#: __�� O � T� I City of �a�� ; . . ,�,�, 3� ; Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: ' �� 1 I Phone: (651)675-5675 I I Fax: (651)675-5694 ?j � Staff: I I I 2013 RESIDENTIAL BUILDING PERM�T APPLICATION `�� 1 �� Date: �� 1 ` � �� Site Address: l 1�� (� �� q st,� �� Unit#: � ¢�: ` Name: I�,Q �� , Phone: [� ( 2 �j D S �D"0 � Resident/ � � �- � � �-- 1�(d�1 S 122, �-�� QykngC� �:� Address/City/Zip: ' � Applicant is: �Owner �Contractor : :. Description of work: � C�J[� /�, ��'[� Type o,f Work � - � `.' Construction Cost: Mul6-Family Building:jYes /No�) Company: �Q,. Contact: r t Confractor =; Address: I�J'i IVI�QdO�N�n�.i'� �;� ciry: �Q QYl �`` State:�.�Zip: ✓,��ZZi Phone: �^ � �� ."' License#: �..�� Lead Certificate#: ��Qf�� 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:P/ans,and supporting docur»e�ts#hat you submit are:consialered.,fo be'"publ�c rnfor�n�t�on Por#ions of the information may be c/assi�ed as non public if you provide speei�c reasons'thaf woul�perm�trthe C�ty to ��=concluafe f�rat.#hey are trade�seciets,.; ��` 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.qoaherstateonecall.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 State Building Code must be completed within 180 days of permit issuance. X r�ar� �el o Applicant's Printed Name App icanYs Signatu Page 1 of 3 ��5� ��dvw 1��-�- C�� ; . DO NOT WRITE BELOW THIS LINE / � �7 � 1`� SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family �arage Porch(4-Season) Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES � s�°' � �� ''�,,,.. _ 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 �� 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 Surcharge •�"`��,�� Plan Review ,�y , ��` � MCES SAC �1�� City SAC _ ,� � Utility Connection Charge � � �..-� �' �� ^�^°'""°'�""`� �� S8�W Permit 8�Surcharge � Treatment Plant �� .�� Copies TOTAL Page 2 of 3 B�CKHAWK ROAD ` 1 I�� / �� S �� l �-r� � ��`�' , _ � � __ , � � �, �' ;�; �� ,:. �; ;-�� „� m� �� , � � � 't c,�►M9� � I ' � I � � � � i A I A I A� A I A� A I � � O' O, O� O O O I p O O O� `�� L"" � � � � � � V V �l V CA � A I N I O W I O) iP N �O� . . . I _. . . � �\ I hleadewlark Lane �tt 5) � ti F A_ . i �(/ . . ' . . . � �' �. > �i ! 2 � A 1776 � S'"�� / � � ` � B 1774 177`3�A g 4 ��?�� L�' D C 1772 � - � � ! � 1771 � � o a 9 c �770 0 � . ' . � - . . B �76$ �� n �1769 '�`v � . . . II � B 1766 � � ; 1767 C � C 1764 � " 1765 C ' , o' � C 1762 m � 1_763 �3 'F i � � � 1 1 C � �L£a.��TM� � B 1760 # � � (� F t.:;.., . ,,. � A 1758 . ' `. . 1757 B �1,�i71�� , -� � � 1755 A . - ) � � �C� � � � � � � � �� I Meadowlarfc Court (#9) . . ? A t�. .A A .A A A A A ��'� - - • O o O O O .o o O o O � . . - " CD CO fD fD OO OO� 00 OD 00 V . �� . '��w�� . � ' " �l (J� W ...� cD �1 (h W -i tD ' . � � . , . : � D w C� C� C� (� C� (� oo D .. ' _ - �. " . . - - � . . � t— • • . �. , • �"''�� '�< 4'3 _ � - .. - . . �,�� _ i' , , .. ��.� x . . 1753 A . � ` . 1751 B ".� �16 � !114� � ��,.�� . : �: 1749 C , . ",'� (3 r�T� ' . n . n �, ' . F � 1747 C � �- � 1 �'�J d � ' � �/nMCi/�.N x 1745 C � _ tJ � o d "�"`"� ,. A o � . � a 1743 C r-- ' , _ 1741 C __ � 6�,� �C�� ° 1739 C � 1737 B \`r _ � J1�""'L. , / , 1735-�� q _ . / ��d��/''� � . � �� , __ , _ _ __ ___ . � _ _ _ _ , _ _ _,s � � Use BLUE or BLACK Ink r-----------------� I For Office Use I . � `� °] � ClbO1 L� �11 j Permit#: �u �S� / I y � � � � Permit Fee:� � �� I 3830 Pilot Knob Road RECEIVEp ' � Eagan MN 55122 � Date Received: .� � Phone: (651)675-5675 JUN 1 p ��14 I j Fax: (651)675-5694 � Staff: �� I � 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� L C� �-,�{ Site Address: �.�J �eG�p`i�} �r�� Unit#: � 1 5 ' Name: �-��-e��n ��' i�� Phone: Residentl : Owner Address/City/Zip: A licant is: Owner K� �l� Pp �YContractor Type Of Work Description of wor : i�I�iiNN 4�T11� �y "" .-- � • Construction Cost: �J" �L� Multi-Family Building: (Yes /No_� Company:�� t' 1M� �EfY1C�('�f'I�v1� Contact: .>'�r 1 G rl�=� � ��, •�— Address: � 1�� '�l�C�C;�0�...t.)Iclf� �:.._--�— Cit �� a�"1 Contractor Y� � � �ii�� ``' State:�� Zip: '" �i .2. Phone: ��i'-'�`l 3-`1��Email: G.rv1 u��S � '�/0.��O .Cc✓+^� License#: 2�� Lead Certificate#:�.Z �o3�'3tto�.yG$ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I�� 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:P/ans and supporting alocuments that you submit are considered to be public information. Portions of the information may be c/assified 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.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 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 b 'lding permit issued in accordance with the Minnesota State Building Code must be completed within 180 days o ermit issuance. � � x r G'�,'�� ._ '�r � �'._'� x ;��'i G�Y1 Of c�e� ct�� / � ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 l7� l 1'1�,C�.�,C��1�� ` DO NOT WRITE BELOW THIS LINE � � �S-��1 SUB TYPES Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Aiteration (Muiti) Multi Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous � 01 of�Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New �nterior 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 Y�� Occupancy � G"�3 MCES System "'` Plan Review Code Edition ,�,�'j SAC Units —^ (25%_ 100%�) ' • Zo�ing •R,� City Water � Census Code k3� Stories " Booster Pump '~ #of Units � Square Feet —" PRV i #of Buildings / Length �. Fire Sprinklers '� Type of Construction �_ Width �" REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) + Final/C.O. Required Footings (Addition) �i Final 1 No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In Air Test _Final � Siding: �Stucco Lath _Stone Lath _Brick Insulation Windows � Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee �3a� �i' Surcharge Plan Review �/ t MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant � Copies y TOTAL Page 2 of 3 .� � Use BLUE or BLACK Ink �_____--____�-.__-� I For Office Use 1 ' I � �� I Clt of �a a� � Permit#: � � � � �� I Permit Fee: � 3830 Pilot Knob Road � I Eagan MN 55122 � � I Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694 � I � Staff: � �-----------------� 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: I �I S � Site Address: Tenant Name: jM z �d\d v.., \�.Y� �;�� v+ g� Tenant is: New/ [� Existin Suite#: Former Tenant Name:_�c s cM.ti`n�- �, ��ei �� !1 Phone: Property Owner Address�Cit �Zi i �> �� , ! � y P� 3 � b �1, �7b'� l '� bS t '9( `3� 17b\ � 1'15 �1 l?S? �7SS Applicant is: Owner Contractor c�.�w�h� �,�—� Type of Work Description of work: SF� . �.. 1��r�N 1 h��,,�z�� ca� Construction Cost:��.�1i�' Name: C Kt V�vr�� C o v.i�''y c�� License#: (��5.� C COntraCtOr � Address: Z �'7`� �/�?��i rr� Q�- City: V; c�,'1`�� State: � h Zip: �S 3 �' b Phone: G S� " d �� " �� rv b Contact: %e �'�'� z.�. Email: .�. � .�1 �.�- �O L_�.�w� . 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 fhaf you submit are considered to be public information. Portions of' the information may be classified as non-public if you provide specific reasons thaf wou/d permit fhe City to : :conclude that theyare tratle 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 rk w II 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 tion`for a permit, and work is not to sta�t without a permit; that the work will be in accordance with the approved plan in the case of r whi h requires a review and approval of plans. x `✓�e � t�� g v� � ��e•^) x Applicant's Printed Name ApplicanYs Sig Page 1 of 3