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4537 Mallard Tr S SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 09/04/90 3830 Pilot Knob Rd. CHIP # PERMIT # 11614 Eagan, MN 55122 -1897 d / METER SIZE B.P. RECEIPT # C q h �T 1 DATE Aug • 27 , 1990 ISSUE DATE B.P. RECEIPT DATE 08/31/90 PRV — BOOSTER PUMP SITE ADDRESS 4537 South Mallard Trail PERMIT REQUESTED LOT 11 BLOCK 3 SEC /SUB Thomas Lake Woods _L SEWER WATER TAPS APPLICANT Thomas Lake Development, Ltd. ADDRESS: 6648 Rustic Rd. S. E. COMM /IND X RESIDENTIAL CITY, STATE Prior Lake, MN zip 55372 X NEW EXISTING PHONE: 447 -2424 Lawn Sprinkler Meters are to be Installed PLUMBER: Genz -Ryan Plumbing & Heating Ahead of Domestic Meters on Water Line. ADDRESS: 14745 South Robert Trail Credit WILL NOT be given for Deduct Meters. CITY, STATE Rosemount, MN zip 55068 4 `w —�� PHONE: 423 -1144 1 AGREE TO COMPLY WITH CITY OF OWNER: Thomas Lake Development, Ltd. EAGAN ORDINANCES ADDRESS: 6648 Rustic Rd., S. E. CITY, STATE Prior Lake, MN ZIP 55372 447 -2424 SIGNATURE WHEN METER ISSUED PL , L •� TW • WOR D AYS' FO • r CEssI CALL 454 -5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. (.P r - - - - - - - - - - - - - - I For Office Use j Permit City of Ea ~ I I I Permit Fee: Ii .as I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: I 3 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I -----------------I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit . S' s Nam e. qS`3 Phone. Resident/ Owner Address / City / Zip: 1 d ~r 1 ,G~f a Applicant is: Owner Contractor Type of Work Description of work: h-G r'o0 Construction Cost: J ooo &0 Multi-Family Building: (Yes / No ) Company: Contact: /1t'`v FEI- 6 IN 01 Contractor Address: vc ity: LO'/~C( State: N Zip: Phone: alc~ 6 Oe License SC 63 ` 63 J Lead Certificate e e project is exempt from lead certification, please explain why: (see Page 3 for additional information) Fth 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: I Mechanical Contractor: Phone: Sewer & Water Contractor:_ _ Phone: i NOTE: Plans and supporfing documents that you submit are considered to be public information Portions o--f- J 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 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 issuances. x x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144412 Date Issued:07/25/2017 Permit Category:ePermit Site Address: 4537 Mallard Tr S Lot:11 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-110 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Betty Ann Sandison 4537 Mallard Tr S Eagan MN 55122 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA158667 Date Issued:10/24/2019 Permit Category:ePermit Site Address: 4537 Mallard Tr S Lot:11 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Betty Ann Sandison 4537 Mallard Tr S Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160298 Date Issued:03/02/2020 Permit Category:ePermit Site Address: 4537 Mallard Tr S Lot:11 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-110 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 - Betty Ann Sandison 4537 Mallard Tr S Eagan MN 55122 (651) 454-1721 Sandau Construction 9025 Hwy 101 W Savage MN 55378 (952) 403-9100 Applicant/Permitee: Signature Issued By: Signature