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4527 Mallard Tr S
S i #CE USE L 1 � i T; 1 C)ATE 08' /o �;_ {3q CC1 rut. WA't R PERAAi'1' #. IV PE# 1 ' 7 t). BOX N 5 o �" P -- CE1PT G 92 , Eagan RE D :: B.?' RECEIPT DA's /0719th t& TER S$ E DATE X PRY BOOSTER PUMP `, Tv, a. ��' e4,5 2 7vuth .1i "= rd 'raa�l PERK EQUE:b ,SITE ACft� " ' LO ° : 2 a T t s ake T ©ods , ucmT him► s L -ce velc pr t,.'Ltd SEWER W►'FE 'TAPS .Arr l . 48 u tic i. .- S' , _ u. sl`ATE p r i"8 . T k .- z . 55372 c HO D E I. -PHONE 1)47-2'4 8E . z a # ii b`n Heating _ CRESS 1474- - � aT 4 th - o t" tail f A TC � fOsg n p 55fl6$. . a s ItM E A T E 423 =11 4' 2 f tetif • .NER T * ta - � 3E ' '1,0 !}ellt L . � 1 .. gs , r �' �'N a BQ STA E 447 �'�" 1 �. e • S IP 5 5372 ° 4 2 � . . • t 0,t ` • e 1� . C GiINEER DEP": PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110697 Date Issued:05/22/2013 Permit Category:ePermit Site Address: 4527 Mallard Tr S Lot:6 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-060 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Max R Wagner 4527 Mallard Tr S Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature - - - - - - - - - - - - - - - - - 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 f- -, " .!--'-'" For Office Use 1 r 4 ' d A `'` Permit ft: D L.. '} .,`r ,tr N l�CEiPermit Fee: 620 �� :l;' w Date Received: %-/t - I 9 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 SEP 1 0 2019 (651)675-56751 TDD: (651)454-8535( FAX: (651)675-5694 I Staff: buildinginspoctions a{�,cityofeagan.com I • 2019 RESIDENTIAL PLUIVIBING PERMIT APPLICATION riA 45�' S l�APAAAJ-IAt_ tJ5 1aa.uato: � it�e Address; ��' Tenant: zoAk f/" Suite#: r { ,,.. Name: ` - is ( _7 ,: ; Phone: / r ,t ._ = , r.ir�, •� � f Address/City /Zip: . 4 ' . –7.t7.-;.7","7. 7•71 --------- . :,'10 • Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376 Address: 1801 50TH STREET EAST Cit INVER GROVE HEIGHTS C:'rgr:acao:r, • y' . . State:__AN Zip: 51077 Phone: 651-451-2241 S 1 _. BILL MILBERT Contact: Email' gloria.abas@culllgan4water.com • New ____Replacement Repair Rebuild Modify Space Work in R.O.W. Typ:e';of-�VV:o'rk --- — Description of work: Water Heater . Lawn Irrigation•(^RPZ/ PVB): `• ` y Water Softener Add Plumbing Fixtures (-�Main/_Lower Level)Deseip .n _ Septic System Description: New _Abandonment Connection to City Water from Well RESIDENTIAL FEES �--__.... ..._._._,_. .._..__�.. ....._y�___._w......._._.__....._..___.— _....—............ • $60.00 Water Heater,Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well" + $290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges !.. . _...._..._..._._.....TOTAL FEES $ 60.00 CALL�BEFOREEYOU+DIG. Call Gopher State Ono Call at(651)454-0002(or protection against underground utility damage, Call 48 hours beroecyou-_.... intend to dig to receive locates of underground utilities. www.gopherslaleonecall.orq 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 wobslto at www.cityofoagan.comisubscribo. 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 - Fagan; thal 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 ... • EçorcieIi the approved plan I I e case of ork which requires a.review and approval of Ian . .•i c: 11 r �� 4. ar6(..1 i X Applicant's Printed Nal e Applicant's Signature - Page 1 of_2• PERMIT City of Eagan Permit Type:Building Permit Number:EA167939 Date Issued:04/05/2021 Permit Category:ePermit Site Address: 4527 Mallard Tr S Lot:6 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-060 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 - Max R & Bonnie K Wagner 4527 Mallard Trl S Saint Paul MN 55122--256 (651) 452-7839 Sandau Construction 9025 Hwy 101 W Savage MN 55378 (952) 403-9100 Applicant/Permitee: Signature Issued By: Signature