1063 Duckwood Dr Unit 100City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA101306
Date Issued: 10/03/2011
Permit Category: ePermit
Site Address: 1063 Duckwood Dr 101
Lot: 130 Block: 04 Addition: Lexington Place 2nd
PID: 10-45051-04-130
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
952-435-2442
Fee Summary:
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:
Cynthia 0 Hayes
1063 Duckwood Dr Unit 101
Eagan MN 55123
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
41,111
City of EaQali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: /; e) 3
Permit Fee: 60.
Date Received: 1— 7 / t 2
fY1�..f
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: / C"2---((< Site Address:/tY cAi l_ /� -' -- L 22 ) 00
Tenant:
Suite #:
Type of Work
Name:
Phone: (9 1 a — co J 0055
Address / City / Zip: S Q., ti St-- ho.( l4 63 a)U 0 44 /00
Name: �i e-°- //A ' ' fa• 7‘..,5 License #: ��� � G'
Address: 2 6 3 2 7l b �C City: �-^� k %7l e_
State: ni...53:-.4`4‘ Zip: Phone:
Email: ?Ci/l
Contact:' ((
New rC Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
IWater Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
"Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $
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.copherstateonecall.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.
x
1- cZ s
Applicant's Printed Name
FOR OFFICE USS Reviewed'
Required Inspections: Under Groun. d Rough -in
Meter -Related Items .Meter Size Radio Read Manometer` Staff:
Applicant's Signature
Date:
as Test Final
City of Eagan
PERMIT
411' CityofEaan
Permit Type: Mechanical
Permit Number: EA134567
Date Issued: 12/29/2015
Permit Category: ePermit
Site Address: 1063 Duckwood Dr 100
Lot: 129 Block: 04 Addition: Lexington Place 2nd
PID: 10-45051-04-129
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
ME - Permit Fee (Replacements) $59.00 0801.4088
Surcharge -Fixed $1.00 9001.2195
Total: $60.00
Contractor:
Grant Heating & Air Llc
19700 Embers Ave
Farmington MN 55024
(651) 226-0515
- Applicant -
Owner:
Shiela M Milleon
Po Box 724
North Beach MD 20714
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