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