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4512 Mallard Tr S ï û ú þýý üòü ûýýïÿû þþë ó ýþþ ü þýø ùø÷öõó ù ó öõß õó ù â ùÜâ öõâ ø ù ßøë÷ áëßøë÷ ùÜ Ûâòø ý îîþ ùß â õúâßî ýýîîÿ ëôñóùÝè óÞðåéÿéîÿ ÷û ùø ôçåéãéã öñõ øôó õõ Ú ëô øë÷áç ßö÷ îîßþ ùéîâ ù â õâßîû âß ñýðýîîÿÙý ÷ö ê õõ ë ëõö õõ ÷ù â ù ø ïö û é õõ è ëù ø øöù ø SEWER & WATER PERMIT OFFICE USE ONLY OTT OF EACaA�! METER P PERMIT DATE 1113 / $ 9 3830 Pilo Knob Rd. Eagan, MN 55122 -1897 CTS # PERMIT # 11077 METER SIZE B.P. RECEIPT # C 4409 DATE 0 c t o be r ` 2,6 1989 ISSUE DATE B.P. RECEIPT DATE 11/2/89 �� , PRV , BOOSTER PUMP [ i il�� Illrrl�r�l� ir�rr■�rr,�.�rir i SITIF ADDRESS 4512 Routh Trail PERMIT REQUESTED tot 30 BLOCK 3 EEC/S Thos ld. Lake Woods SEWER WATER TAPS APPLICANT: Thomas T.pke DevP1opmer(t , Ltd_ ADDRESS: 6648 Rust iq Road s. t AM/IND _ 3 RESIDENTIAL CITY, STATE Prior Lake , Ml ZIP 55372 • 7 X • NEW _EXISTING PEE: 447 -24 -24 A Genz -Ryan Plumbing & Beating Lawn Sprinkler Meters are to be Installed PLUMBER; 1 �+ / 4 South Ko b e r t a 1 Ahead of tk>mestic Meters on Water .Line. ADDRESS: • = • it WILL NOT be •'vr n for Deduct -Meters. CITY, STATE Rosemount , MN ZIP 55068 j 441 -2424 AGREE TO COMPLY H. CIITY OF DER: Thomas Lake Development , 3�td /EAGAN ORDINANCES ADDRESS: 5548 Rustic Road S. E. orrv, STATE Prior Lake, MN ZIP 55372 PHA: 447 4 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 41 220 OR INSPECTIONS. FOR RM SEW l 1ERMITS TACT:. o e.4- Z 4 " D. 44 ( PERMIT Permit Type: Plumbing City of Eagan Permit Number: EA105910 Date Issued: 08/03/2012 Permit Category: ePermit Site Address: 4512 Mallard Tr S Lot: 30 Block: 03 Addition: Thomas Lake Woods PID: 10-76100-03-300 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Josh McGuire Comments: 1424 3rd St N Minneapolis, MN 55411 612-604-4285 PL - Permit Fee (WS &/or WH) $55.00 0801.4087 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Benjamin Franklin Plumbing Roxanne Nyborg 1424 N 3rd St. 4512 Mallard Tr S Minneapolis MN 55411 Eagan MN 55122 (612) 604-4285 X61 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA107300 Date Issued:10/04/2012 Permit Category:ePermit Site Address: 4512 Mallard Tr S Lot:30 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-300 Use: Description: Sub Type:e - Furnace & Air Conditioner Work Type:New Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952) 445-2840 Valuation: 5,500.00 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Roxanne Nyborg 4512 Mallard Tr S Eagan MN 55122 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature - - - - - - - - - - - - - - - - - For Office Use I tJ I I I Permit _ ~ I City of Eap I 1 Permit Fee: E-5 9' 9 • R S , 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: q - 1 l$ 1-3 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~t Unit Name: C7j®~'~ Phone: Resident/ J / . Owner Address / City / Zip: S, d r~. a y f Applicant is: Owner Contractor Type of Work Description of work: )ec-- roe) ` Construction Cost: 0 oo (CIO Multi-Family Building: (Yes / No ) Company: J 0 Contact: F_r, `e-C,0,(,, Address: Contractor ~ 7 r- J~ ~~4 ity: 1 16"iq State: P Zip: ~3_S_ 3 3 3) Phone: > - 63 License Sc, 6M 63~;_ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information I { 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 I 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 i 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- 1 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`d C k6 O/,-) x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166706 Date Issued:01/29/2021 Permit Category:ePermit Site Address: 4512 Mallard Tr S Lot:30 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-300 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Roxanne Nyborg 4512 Mallard Trl S Eagan MN 55122 (651) 503-2680 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170210 Date Issued:06/23/2021 Permit Category:ePermit Site Address: 4512 Mallard Tr S Lot:30 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-300 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Roxanne Nyborg 4512 Mallard Trl S Eagan MN 55122 Noah Acquisitions Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature