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4529 Mallard Tr SRESIDENT / OWNER Name: r) yc-j / U Sow Phone: ;-$ /-� �Z'�c 2 P& 7 � /� /l Address / City / Zip: % SZ S / // c� fr. A- CONTRACTOR Name: (AL /y �„ ss ,9 /. Z,d� License #: ft.S /Y Address: p ? / ✓e✓Iyti, 7 4 a City: .1 , State: / Zip: Phone: (� 57 G !� `) - Z 4.S ,S---S- �� 7 Contact: Email: Pi m 1 / s'/Y, ca TYPE OF WORK _ New Replacem nt Repair Rebuild Modify Space Work in R.O.W. _ _ _ _ _ Description of workZ' 5 // ,0U,t 7,945-0 i G/ PERMIT TYPE RESIDENTIAL Water Softener Water Heater Add Plumbing Fixtures ( Main / _ Lower Level) Lawn Irrigation ( RPZ / PVB) Water Tumaround Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) �►'^�'" ©O TOTAL FEES $ C� v 41 C!tyofEa�afl Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: c � Site Address: XS AL. . x m q Q0.15 Applicant's Printed Name x C/v Applicant's Signature r For Mee Use / Permit #: ?gr. L Permit Fee: V 55 00 Date Received: Staff: 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 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. Use BLUE or BLACK Ink Suite #: FOR OFFICE USE Reviewed By: Da Required Inspections: Under Ground Rough -In Air Test , _, `Gas T est y , _Final ò þ þýüýû ÿÿ þýðýü ûþþÿÿñüî þû ì ýý ö ì ÿ ÿø úùø÷ ï ðà ùø÷ ö ø÷ ï ÷ý ÷ù øý øüæ ùü à ùà ßù÷ýø Üü úÛùý é ù øý øüæ ùü ÿ ð ÷ ÷ ÷ ðýû ý ù ÷ óæýý ýðýý ê ù ý ý ÷ý ùð÷ ê ý é ä Ùäììêìêì ÷û úù äêâê â ëýùý ûê öîõ øôó ÷÷ý ô ó à ý öýø ÷ ìâÜýñý ôò ýóý òý÷ í á òô ýòô è åìâì øýó ü ý ýá ý ý÷÷ýýý ý ð ý ýýü ÷øó ýý÷÷ý úý ðò ýúýù ýàøðþýüýß ý ê ÷÷ýæ úüýù ù øúüýù SEWER & WATER 'PET OFFICE USE OMI.Y CITY.OF EAGAN PERMIT DATE 08/09/90 3830 Pilot Knob Rd. ' WATER PERMIT # - SEWER PETIMIT # 11572 P.O. Box 21199 METER # B.P. RECEIPT # C 85 Eagan, MN 55121 _ READER # B.P. RECEIPT DATE 08 0T 90 METER SIZE ISSUE DATE .. 1 PRV — BOOSTER PUMP SITE ADDRESS 4529 S Du th R T r a Z P ERMIT REQUESTED LOT 8 BLOCK 3 SEC /SUB Thoma Lake Woods APPLICANT: • • a1 a - , - 1 - • 011 - r' • SEWER WATER _ TAPS ADDRESS: 6648 Rustic Road S. _ COMM/IND _ RESIDENTIAL CITY, STATE Prior Lake, MN Zip 55372 PHONE: 447 -2424 _ L P+IEW ___ EXISTING PLUMBER: Gen7_Ryen Pl & He ti no t ADDRESS: .14745 Snirth RnhPrt T 1 e REE TO COMPV VIM CITY OF CITY, STATE ROA emexint , RiN ZIP 55068 g ORDIN : a PHONE: .43 - 1144 7 . . I �.�" ' At/ OWNER:. Thnmas Lak BevP1 opment, Ltd. T ADDRESS: 6648 Rustic` =:R ,d S . E . , .; ,e " l W 1 METER R UED CITY, STATE Pr L4ke , MN' . ZIP '55372 PHON 447 -2 24 j am/ 7 SE ' LOW 0 • • , - = DA c FOR PROCESSING.' FOR STOi S R PERMITS, CONTACT y ENGINEERING DEPT. o • 3 / / A ` - - - - - - - - - - - - - - - - - For Office Use Cit of EIa p Permit#: r I J I Permit Fee: _ F244l~- p~s I 3830 Pilot Knob Road I Eagan MN 55122 Date Received:] Phone: (651) 675-5675 I 1~ lJ I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address::1 ~ Unit Name: ~/S oc 7 LIS- a qS-2 ~~f'hone: Resident/ f , . Owner Address/ City/ Zip: S. , A-e" l . r a ei^_} s ~a Applicant is: Owner Contractor Type of Work Description of work: ec rot) 06>0 Construction Cost: 3Multi-Family Building: (Yes No ) .i~ Company: l Vp~) Y' e~S Contact: let''`s Contractor Address: 3;? 0o jjl,1 r t)~~` ity: State: Zip: Phone: al, 630, License SC- 631639- Lead Certificate 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: j Licensed Plumber: Phone: i Mechanical Contractor: Phone: i I Sewer & Water Contractor:_______ _ Phone: NOTE: Plans and supporting documents that you submit are considered to be public information.Portions of-- i the information may be classified as non-public if you provide specific reasons that would permit the City to iI 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.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 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~t> k6 d j~ x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA138238 Date Issued:08/16/2016 Permit Category:ePermit Site Address: 4529 Mallard Tr S Lot:8 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-080 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Wayne Tste Thompson 656 Meadow Lane Albert Lea MN 56007 (651) 307-1035 Aeshliman Plumbing Inc. 307 Jackson Ave. Suite #4 Elk River MN 55330 (612) 290-8959 Applicant/Permitee: Signature Issued By: Signature