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4086 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: 4/ 1-7 I 10 Site Address: 61 2- 1-M, r&-& \vtL l� a U /e, 4 ! ?Z. I r Use BLUE or BLACK Ink Permit #: 46/: Permit Fee: _ 35722/ 5 __ Date Received: Staff: Tenant: Suite #: RESIDENT / OWNER Name: ld> 1-10a 'r L 5k' . 0 6:A4 � 'hone" 9 4-4- 4) -2. - D6O Address/City/Zip: .<5--)D1 kNeee-11\h(`JO • `&, L L '"Vi, -L Applicant is: Owner Contractor TYPE OF WORK Description of work: '-1-e41/70-fl (�,.J. lie✓4.;4 LI 4 '.541,1%1 14 �h y) t Construction Cost: a) - 1 r; , Multi -Family Building: (Yes / No ) CONTRACTOR Name: `S /J Si-) LJ License #: .1.). 51_ cg 12 Address: 11 b61 ita 2-e{ Alt I- ).-11t4,.( City: like a l 1 -e. -d State: Mn.) Zip: y Phone: QJ 3 -.)-1L -Till"/ Contact: 1_-4 r✓1 Email: 041,G,- e. L< GJe l -ALL- : c w'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 Cali 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 1 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 Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA101749 Date Issued: 10/25/2011 Permit Category: ePermit Site Address: 4086 Meadowlark Rd Lot: 3 Block: 10 Addition: Hillandale 3rd PID: 10-32952-10-030 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: 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. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Champion Window Company of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 - Applicant - Owner: Kathryn L Pearson 4086 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 21199 Reader No: Date. Eagan, MN 55121 Owner- Site wnerSite 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: MiscBy WATER SERVICE PER CITY OF EAGAN Permit No: Date. 3830 Pilot Knob 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: Ordinances. Surcharge* Misc By I agree to comply with the City of Eagan SEWER SERVICE PERMIT 60. C!tyofEaaii 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 #: 1 3a3 Permit Fee: /' S Date Received: 60 13/ 13 Staff: 2013 RESIDENTIAL BUILDING PERMIT ( APPLICATION -` 1- LS Site Address: l(,I' - ilQgq - O8 - 1 o88 5. / (ei ctoJQf^f/ Name: La61,00001 -kWh 614€ f 1& - Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: -j-eo (CC Construction Cost: o� 00 Multi -Family Building: (Yes X' l Ms ) Company: /1)M J riQ%S 1'ty SAA lAk- Contact: 5111A ,dire] / Address: 10701 `731M1 AtT. N City: /lope. GrO V . State: A) Zip: 523 05 Phone: C7 ,3Q51f3 1�-snf ` g<1 /0 0 #: License /� Lead Certificate #: fV �ffi' (;21110 - 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 corrsldened fo 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.goaherstateonecall.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 1 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 c12 of_ Applicant's Printed Name x Applicant's Sijriature Page 1 of 3 I—For Office Use c ° f � Permit#: /5(400(4 n E AG N C� C B i,• Permit Fee: �JI Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ? I (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5:' J sLc Staff: v J buildinginspectionsa,cityofeagan.com ');• � 2019 RESIDENTIAL BUILDING IT APPLICATION Date: Site Address: Lj(? (� $ , t=dg .jIt,%e Pc+ . Unit#: Name: Phone: Resident/ Owner i Address/City/Zip: Applicant is: Owner Contractor / Type of Work Description of work: Put_�• ' r ,-c r':Yu! ( ,a> Construction Cost: b') CC' Multi-Family Building: (Yes /No ) Company: ( i4.rG; L'(A5- 't Nf) Contact: (I I) //14 Contractor Address: Z/LI ) f/ (I \ City: '�f State:tT IV• Zip: c'571 Z Phone: V,/�2It) -/OC CEmail: 1 ��:,/- / i cN u(r\c+%, License#: lG`5 CO I (0 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: 5''Pr\^'� - 2et�,� ti /fir•g,,iekr,/ T/-1 t 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.citvofeaqan.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 approva of Oas. 7 x J vi x ('s Applicant's Printed Name Applicant's Signature 40 c,(0 )11)09-100D1149--J4_ c/a) , 0 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 7 Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of APlex 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 3' 't • Occupancy :1-26-3 MCES System Plan Review Code Edition 014 Zo IS- SAC Units (25%i`c 100%_) Zoning F17 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V 1 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: )O 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: ) Q Y' /Y) I( �y , 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:Plumbing Permit Number:EA155221 Date Issued:05/06/2019 Permit Category:ePermit Site Address: 4086 Meadowlark Rd Lot:3 Block: 10 Addition: Hillandale 3rd PID:10-32952-10-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Emil B Pearson 4086 Meadowlark Rd Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature