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4084 Meadowlark Lane
City of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA096155 Date Issued: 09/28/2010 Permit Category: ePermit Site Address: 4084 Meadowlark Lane Lot: 008 Block: 04 Addition: Hillandale 1st PID: 10-32950-008-04 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: Chad Bettin 906 First Street South Waite Park, MN 56387 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $55.00 Contractor: Bettin, Inc 906 1st St. S Waite Park MN 56387 (320) 251-2505 - Applicant - Owner: % US Bank Minnesota Housing Finance Agency PO Box 1030 Minneapolis MN 55480 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 C!tyofEag,au 41011° 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK ink For Office Use permit #: /2/6 ' r !. Permit Fee: D / Date Received: I Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / a 10 " N Site Adkiress: '1 D H Ave ti, L.i,..- trd'd um*: RESIDENT / OWNER Name:- 3' ° 5�+. v 'u- Ii' Phone: 4-78 _ 3 ? - 7.417 4. Address /City /Zip q6 r 1 Ace 4_ 0-w.Owner Contractor Description of work: alitZkigt 01.6"-' PAit_Ar.e.4rRaw:, r/260i, Construction Cost." 2 7 5-0, O® Multi -Family Building:FV �/ No l t o Vo �" N TYPE OF WORK CONTRACTOR Jvtat/ SS/ company o t 0,0msiriketiovt orc MN .1 nc Contact: David ' 1 ' Address: Witt ` VS+tc. 5 city ?rl v- Lt44.1 state: Rt Zap: _ S'"))".12-- Phone: 12 --6t0 t9 - "� t j - License* 20561043 Lead Cernfloate8: I F the project is exempt from lead certification, please explain why: (see Page 3 -for additional information) 134) / r / N ? 9 11,e- f CAV 4.044,440 Jt Udi 40i-- i- A i s roti- J 4L — or 41-4.t. OS- 19,,.Mh - s'o rhz - r Ln COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING lathe fast 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: Ucensed neither: Phone t Mechanical Contractor Phone Sewer & Water Con r NOTE: Plans and supporting documents that you sr the information may be ohtssifisd as non-public if you of CALL BEFORE YOU DIG. Ca# Gopher State One Calf at (639 ) 454.0002 for protection against underground utility damage. Cat 45 hours before you intend to dig to receive locates of underground utilities. www .gopherstateonecall.orq I hereby adatowledge that this affirmation is complete and accurate; that the work wi8 be in conformance with the ordinances and codes of the City of Eagan; that 1 imderstand the is not a pea , but only an appftcation for a pea and work is not to start without a permit; that the wort will be in accordance with theapproved-plan in the case of work which rem a review and approval of plans_ Exterior work atthorized by a building permit issued in accordance with the IlAnnesota State daysof penult issu e. Code must be completed within 180 k-14110)/ Signature Page 1013 SUB TYPES foundation Single Family Multi .t. of of latex Accessory Building WORKTYPES New Iii NOT WRITE BELOW THIS UNE 4'r Adder Alteration _ ReplaceRepair Retaining Wag _ Fireplace Garage Deck Lower _ Porch (3 -Season) Porch (#3e r) Porch ) Pool Interior Impro-eme- Move Bincgrig Fire Repair DESCRIPTION Valuation Plan Review (25% 100% //r Censer Code # of Units # of Buildings Type of Construction13 ._... Siding Reroof Windows Stonn Damage Exterior Altwatlon (Sing* Family) Exhn for Atiettiaaer (NanM) insceganeous Demolish Binding* Demofistrtnterfio i Demolish Foundation _ E -Window *DemoMfon of arsine bum -give PCA handout to appkont Occupancy X77 61, - 3 MCES System SAC Wits R-3 City Water Booster Pump PRY Fine Sprinklers Code Edition ,Zco7 Zoning Stories Square Feet Ltmgth Width REQUIRED INSPECTIONS Footings (New Building) — Footings (Deck) Footings (Addition) Foundation ©rain Tile kowe Roof: Ice• & Water ,Final Akkc4 Framing Fireplace: _Rough In fir Test _Final Insulation Meter Size: Final / C.O. Required ir Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings _Air/Gas Tens Fal Siding: _Stucco Lath Stone Lath Brick ,- Windows ?a >'/i3 ti Retaining Wall: Footings Backfill Anal Radon Control Erosion Control , Budding Inspector Base Fee Surcharge Plan Review MCES SAC City SAC IJtiiity Connection: Charge SBW Perml-SSurcharge Treatment Plant Copies TOTAL / 3 2, €q( F44* ito/4 O,ick /30 /Pt pay ..3 5-00 47 f / 66 Page 2°13 41,11'• City of Eagan Mike Maguire Mayor Paul Bakken Cyndee Fields Gary Hansen Meg Tilley Council Members Thomas Hedges City Administrator Municipal Center 3830 Pilot Knob Road Eagan, MN 55122-1810 651.675.5000 phone 651.675.5012 fax 651.454.8535 TDD Maintenance Facility 3501 Coachman Point Eagan, MN 55122 651.675.5300 phone 651.675.5360 fax 651.454.8535 TDD www.cityofeagan.com The Lone Oak Tree The symbol of strength and growth in our community. October 28, 2011 Taylor Made Construction 6648 Rustic Rd SE Prior Lake, MN 55372 RE: 4084 Meadowlark Ln, water damage repair Dear David: This letter is in regards to an addendum of permit # 101668 for 4084 Meadowlark Ln. Upon reviewing the plans, additional charges and inspections are required. Please see the reissued permit (enclosed) and detailed fees to be collected below. Fees must be paid prior to any inspections. Fee Type Amount Due Base Fee $46.75 Plan Review $30.39 TOTAL $77.14 & otl t Q?5 Thank you in advance for your attention to these matters. If you have any questions in regard to the additional permit charges or this letter please contact Building Inspections at (651) 675-5675. Sincerely, Peggy Fleck Clerical Technician Cc: Jeff Wheeler, Building Inspector Addendum -1 Permit #EA101668 Address: 4084 Meadowlark Lane, Eagan, MN 55122 Remove 3/4" decking and replace with new 3/4" t&g plywood. Replace 5-2x6 roofjoist with 5 -LVL 5 1/2" roofjoist. Remove bad drywall and install new 5/8" drywall on ceiling and walls in garage. Total cost -$800.00 BY: GYRBD. REQUIRED 2_11. ALL COMMON WALLS TO ROOF DECK. IF GYP.BD.CEILING, BEAR!NG NAL S MUST ALSO BE PROTECTED Wail GYP.BD. DATE: /a JL BUILDING ;-'1:;Pi.::::CTIONS DIVISION City of Eagan Cash Receipt Receipt Date 10/28/2011 Receipt Number 173822 CK#10178/TAYLOR MADE CONSTRUCT AMENDMENT 101667-101668 0801.4085 109.25 AMENDMENT 101667-101668 0720.4222 71.02 AMENDMENT 101667-101668 Total Receipt Amount 180.27 141961 8:11:21 TAYLOR MADE CONSTRUCTION OF MN, INC. PAY TO THE ORDER OF 6648 RUSTIC ROAD SE PRIOR LAKE, MN 55372 (952) 440-8510 W,1&iora aieStateSank 16677 DULUTH AVENUE SE P.O. SOX 369PPROP LAKE MN 55372 75-905-919 0 cd 0 nt haikat cod J 6(d-ie1os MEMO l �11G'(P 7 94` /9/ 6g II'0 10 17811' 1:09 19090 5 5e: 111,04 3 713.1150 VILLAGE OF EAGAN WATER SERVICE PERMIT 3/95 Piiot'Knob Road 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 Misc. Charges: Total: / Date Paid: Date Insp.: f/ 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: B Misc. Charges:-- --s' Date of sp.: Total: Insp.: Date Paid: City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: A-cis:a< 2014 COMMERCIAL BUILDING PERMIT APPLICATION Date: 1 Q IS / l Site Address: Tenant Name: rke v - +\-Q v.. ` % 14'11) 2 Property Owner Architect/Engineer (Tenant is: New / is Existing) Suite #: Former Tenant: Name: {° tc r'\ f.o I'Y 04 t Phone: Address / City / Zip: x(Q-)10, 4V 12, 4 *0 1 >1 , IN2.-1 ka , 'i\1-) F> D }-2 i 1( �4/ 4 Applicant is: Ownjjer Contractor Description of work: S 'L ..r.1 t ! e 4 F N j l r r t Construction Cost:-t/r•LVV Name: C Kt YIN Vs^% v� V� �'' \ ` p v.`� i v j w'-• License #: Address: kA/4.0\) ice State: h Zip: SS 3 or. City: Phone: G6ti b Contact: he 14-k%eve1,gt .( Email: (p W-kv,a.��A. ‘1..e •�� V1/44- A -O L Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Licensed plumber installing new sewer/water service: Email: 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the w codes of the City of Eagan; that I understand this is not a permit, but only an ap permit; that the work will be in accordance with the approved plan in the case of x V\.\- v� t e',.) Applicant's Printed Name x Applicant's Sig I be in conformance with the ordinances and for a permit, and work is not to start without a h requires a review and approval of plans. Page 1 of 3 EA 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 (651) 675-5675 J TDD: (651) 454-8535 J FAX: (651) 675-5694 buildinginsoectionsr7a citvofeaoan.com 0 6zuk qo I & (�j 2019 RESIDENTIAL BUILDING PERMIT APPLICATION I— For Office Us o'77.b Permit .�: i Permit Fee: Date Received: Staff: Date: - 14-1— Site Address: LD& (9 !' (c-ij✓c'i-azk- Unit#: /476W)6/441-21/4- C i � i (¢� Phone: Name: Resident/ Owner Address / City 1 Zip: I Applicant is: Owner ,: Contract .y i Description of work: w! v'CC-C 4 64 fi(7' ' "' ' � ?tat Type .of Work r _ t Construction Cost: ,00 4,444,/ Multi -Family Building: (Yes L/No ) i ''---✓etz 46- f ofZC Contact: 3— `P1 Dov) Ste^! i Contractor Company: Address: /7215 zest,( C/lzet City: 1-41-57-5 State:/M'iA ./ Zip: .S 3 Phone: 65/"Z78 Z�kmaii: i 're; r� e re, es -ti ex-1er l'w I lir/ - License #: (3 C( 3 3 3 3 4 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: i 5 Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor, Phone: NDTE: Piens end supporting documents Met you submit ere considered to be public information. Portions of the informaeon may be ciassifred as non-public i'fyou provide specific reasons that would permit the City to conclude that they are trade secrets.__ ,.... v 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.cityoteapan.cotnleubscribe. 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) 454-8002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities_ www.gopherslateoiiecali..org 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 with11; that the work will be in accordance with the approved plan in the case of work which requires a review and app r r.....:,_- . ns x fir/ �EViO50^-1 x Applicant's Printe acne Applicant - ig . tura DO NOT WRITE BELOW THIS LINE Z/c 7(7 7W1a2%t (leE I 76 6, SUI; TYPES OA ettC10 0L,4 -12`C L IA 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 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 Plan Review (25% 100%_) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Occupancy MCES System Code Edition SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Suppression Required Width 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:SStucco 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: , 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