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4084 Meadowlark RdCity of Ea�ali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694- ��1 zio ! ri 4/& - 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: C� Y-71 i Site Address: c' 2- 1-M, rj-s \vrL l� M . /e, 4 ! ?Z. I � Use BLUE or BLACK Ink Permit #: 46/: Permit Fee: _ 35722/ 5 __ Date Received: Staff: Tenant: Suite #: RESIDENT / OWNER Name: ld> 1,10a ' L ;Sof . L 9 flLt-i64� 'hone 9 4"� 4) -2. ' O Address / City / Zip: �) 61 kNee e. k ' v -11°1 • ` , 1 �'Vivl._ . Applicant is: Owner Contractor TYPE OF WORK Description of work: `1C411 -70"U (�,.J. lie✓4;f L/ 4'.54411-4-i'1- . -C... j) Construction Cost: a) 16 , i Multi -Family Building: (Yes / No ) CONTRACTOR Name: L. /J Si-) LJ License #: .135 L cg 12 Address: 11 b61 ita 2-e{ AltI- ).-11t4,.( City: 1-11Leal1-e.-, State: Mn.) Zip: y Phone: QJ 3 —.)-1L -T1-11-/ Contact: 1_-4 r✓1 Email: Osco- % GJe -LLL : c 00'1 COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? 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 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.gooherstateonecall.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 th the aplgroved plan in the case of work which requires a review and approval of 4,1 Applicant's Printed Name x Afiplinature Page 1 of 3 CITY OF EAGAN Permit No: Date. 3830 Pilot Knob Road Meter No: Size. P.O. Box 21199 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 Ordinances. Meter: Misc • By WATER SERVICE PERMIT CITY OF EAGAN Permit No: Date' 3830 PilorKnob Road B/P No: Date. P.O. Box 21199 Eagan, MN 55121 Owner: Site Address: Plumber: MWCC: Zoning• City Chg: No. of Units: Acct. Dep: Permit Fee: I agree to comply with the City of Eagan Surcharge' Ordinances. Misc.: By SEWER SERVICE PERMIT 60. City of Eaaii Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 s r Use BLUE or BLACK Ink For Office Use Permit #: ,4 3a3 Permit Fee: /' S Date Received: 6013/ 13 Staff: 2013 RESIDENTIAL BUILDING PERMIT ( APPLICATION -` 1- LS Site Address: l(,I' - ilQgq - O8 - 1 o88 5. / (ei c')Ja/^f/ Name: La61,00001 - k )L&)V 614€ f 1& - Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: -f-Pop, CJC 7 Construction Cost: c2� CO Multi -Family Building: (Yes X' l Ms ) Company: /1)M J riQ%S 1'ty S/IA lAk- Contact: 5111A ,dire] / Address: 10701 `731M1 AtT. N City: /lope. GrO V . State: A) Zip: 66-3 5 Phone: C7(,3 -3a i -s ` g<1 0 Q 0 License #: /� Lead Certificate it: NAT— — (Q74"J(- / 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: IN©TE: Plans and supporting documents that you subs r ars ccrrrsldered to be pubi c In forma on. Portions o, the infor ra# a naJ be a%moi as non -publi 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.qooherstateonecall.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 StalBui� �r)j o �, must be completed within 180 days of permit issuance. x d2Of Applicant's Printed Name x Applicant's Sijriature Page 1 of 3 For Office Use t f t < t ( r ::::: / �7 4) .44 ect4 g` �c6 6� e: / 3/ Date Received: L _. 3 -/q 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ' 6 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5:s 1 ® Staff: buildinginspections(c�cityofeagan.com ` 3 "^A By 2019 RESIDENTIAL BUILDEF1T APPLICATION Date: Site Address: & — 4-1©GSL/ /I P e•J.2,41,k gd, Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor i Type of Work Description of work: 'E ( i 2 fit,c c : :� J k> Construction Cost: Ot.) Multi-Family Building: (Yes /No ti Company: 0 c-kr c..- `c.^!N S 4-Cu c f1%1-) Contact: (t 1;A PI;iz 4 Contractor Address: -Z/41 �!/�r- �l \ City: <YlI State:i/,%Thk;• Zip: I Z Z Phone: (( /'Z/0 -/Oc' Email: I l ^lith J ff 1 License#: (G'5-C'0/ 69 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? 7 Yes No If yes, date and address of master plan: 52r,-) 771 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.cityofeagan.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.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 no 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 approval'of Ola s 1 f / Applicant's Printed Name Applicant's Signature f DO NOT WRITE BELOW THIS LINE /oq ilk-6`� (_iAla 1 . / (-4 7 7 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 x 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 10 Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 310e . — Occupancy LIZ C. 3 MCES System Plan Review Code Edition .02/1 ZC I c SAC Units (25% 100%_) Zoning -P 7) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction r,$ Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) /'C 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: / 0 m m. k( y I- , 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:EA162002 Date Issued:06/22/2020 Permit Category:ePermit Site Address: 4084 Meadowlark Lane Lot:008 Block: 04 Addition: Hillandale 1st PID:10-32950-04-008 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 - Joshua Hayton 4084 Meadowlark Ln Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174519 Date Issued:02/02/2022 Permit Category:ePermit Site Address: 4084 Meadowlark Rd Lot:2 Block: 10 Addition: Hillandale 3rd PID:10-32952-10-020 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 - Meadowlark Investments Llc % Jacob Schwamb 1520 Clemson Dr Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature