4110 Meadowlark RdCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA096066
Date Issued: 09/22/2010
Permit Category: ePermit
Site Address: 4110 Meadowlark Rd
Lot: 5 Block: 7 Addition: Hillandale 3rd
PID: 10-32952-050-07
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:
Valuation: 775.00
PL - Permit Fee (WS &/or WH) $50.00
Surcharge -Fixed
$5.00
0801.4087
9001.2195
Total: $55.00
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Lynn S Stillwell
4110 Meadowlark Rd S
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
CITY OF EAGAN Permit No: Date.
3830 Pilot Knob Road Meter No: Size.
P.O. Box 2119 Reader No: Date.
Eagan, MN 55121
Owner:
Site Address.
Plumber:
Conn. Chg: Zoning.
Acct. Dep: No. of Units.
Permit Fee.
Surcharge. I agree to comply with the City of Eagan
Tr. Plant Ordinanc,.
Misc • B f/1Z/1/.Meter:
yLit
WATER SERVICE PE IT
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21193
Eagan, MN -55121
Zoning
No. of Units:
Owner:
Address:
Site Address:
Plumber:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE•
I agree to comply with the City of Eagan
Ordinances.
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge*
By Misc. Charges:
Total:
Date Paid•
Date of Insp.:
Insp.:
41'
City of Eaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: f1 -1d
3QI
Permit Fee:
Date Received: 61/13113
13/13
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-1I - IS Site Address: 'PO- LON - 1-11a- sli0g"- (/10 S. 1'% tek K,
Name: G,(J<'FIG° { }L)Y1 11D14i_ &co, Phone:
Address I City I Zip:
Applicant is: Owner
Contractor
Description of work: -f12)2 O7 f t2J
Construction Cost: r 4r
Company: Aka) &4erIfllS E'1 5M1� J1W.
Address: E0701 ` 3 . A-)• city: nope_ Gro��
Wikvi S Eoli iq y
I�S
Multi -Family Building: (Yes / des )
Contact:
Shv Are/
State: AIM Zip: 6J 3105 Phone: `1G3 -31,-c- p / �0 0
Lead Certificate #: N41- i, / 1//0
License #: I�� 6-93 7-S
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:
IOT :Plans and suPPti►dng documents that you subr it are considered Lo be public it rmation. Pa
of ti rr►ati » irtay be classifred as non-publ/c rtyou_
ude that they are .trade seer .
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.gopherstateonecaliorq
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
agan; 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 uil ing de ust be completed within 180
days of ermit issuance.
x C�i%t _ x�r
Applicant's Printed Name Applicant' Sig ature
0- 6' ' i It %qK
Page 1 of 3
r For Office Use /
tt k „ ,r, EAGA
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A,, .% Dat
1/PDate Received: _ / C
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 '�i iT 0 3 ”-n II
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675- :s4
Staff: 00
buildinoinspections(@cityofeaoan.com Y
2019 RESIDENTIAL BUILDING PE MIT APPLICATION
Date: Site Address: t. 1 — �)�D 5' nu c1, ,, I e%L g Unit#:
Name: Phone:
Resident/ !!!
Owner Address/City/Zip:
Applicant is: Owner Contractor
P
fi7�
Type of Work Description of work: L(.1'• •pi,c c':ries.1 )-
ykJ
Construction Cost: n`7 DC' " Multi-Family Building: (Yes /No )
Company: 03--/-re., �.^n S 4- iHi,.) Contact: (t 1;,-‘4-- Y %k
Contractor Address:
Z/41 ) 5(/✓6- 'a•(( J , City: �"�lfJ
State:frtii• Zip: �l 7Z Z Phone: ((57-2I t? -/OCtEmaiL (f h.-f /J-`,c-, v(KV'/, C,,,'r.
License#: (t25-0'0I tD 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?
Yes No If yes, date and address of master plan: SPr,�) 70/ G u /4K,',�`<J 7Y1
1
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 maybe
classified as non-public if you provide specific reasons that would permit the Cit 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.citvofeadan.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.000herstateonecall.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 o start without a permit; that the work will be in
accordance with th approved plan in the case of work which requires a review and approva of pla i.
01,'nf IJ i I " 1X `'� x C.G t
Applicant's Printed Name Applicant's Signature
Pi _
LINE L / �' UDl - I� . / ��6 �c
DO NOT WRITE BELOW THIS L 1\116A-GO
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
2. 01 ofPlex 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
rReplace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation Jr 3 fDQ - - Occupancy _Ti2L-3 MCES System
Plan Review Code Edition IA II 20 15- SAC Units
(25% lc) 100%_) Zoning P.) City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 1/3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) ( 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
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: ) t) /' l 'J/7 if , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174515
Date Issued:02/02/2022
Permit Category:ePermit
Site Address: 4110 Meadowlark Rd
Lot:5 Block: 7 Addition: Hillandale 3rd
PID:10-32952-07-050
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 -
Mary Beth Martin
4110 Meadowlark Rd
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature