4539 Mallard Tr S SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 09/04/90
3830 Pilot Knob Rd.
Eagan, MN 55122 -1897 CHIP # PERMIT # 11613 '
METER SIZE B.P. RECEIPT # C.% 74 /(
(
DATE Aug 27, 990 ISSUE DATE B.P. RECEIPT DATE 08/31/90
PRV BOOSTER PUMP
SITE ADDRESS 4539 South Mallard Trail PERMIT REQUESTED
LOT 10 BLOCK 3 SEC /SUB Thomas Lake Woods
X SEWER X WATER TAPS
APPLICANT: Th • - L_ - ) s ! 1s - • ' '
COMM/IND X RESIDENTIAL
ADDRESS: 6648 Rustic Rd. S. E.
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
PHONE: 423 -1144
AGREE TO COMPLY WITH CITY OF
OWNER: Thomas Lake Development, Ltd. EAGAN ORDINANCES
ADDRESS: 6648 Rustic Rd. S. E.
CITY, STATE Prior Lake, MN
P Zip ' 55372
NE: ��
L A 447 -2424 SIGNATURE WHEN METER ISSUED
ALLOW `Vu I O P O E SSIN G. A 454 -5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. �� f)
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
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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:Plumbing
Permit Number:EA140896
Date Issued:01/30/2017
Permit Category:ePermit
Site Address: 4539 Mallard Tr S
Lot:10 Block: 03 Addition: Thomas Lake Woods
PID:10-76100-03-100
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Barbara J Graycarek
4539 Mallard Tr S
Eagan MN 55122
(651) 686-8196
Keith Nelson Services Llc
PO Box 25205
Woodbury MN 55125
(651) 739-1048
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174494
Date Issued:02/01/2022
Permit Category:ePermit
Site Address: 4539 Mallard Tr S
Lot:10 Block: 03 Addition: Thomas Lake Woods
PID:10-76100-03-100
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Barbara J Graycarek
4539 Mallard Trl S
Saint Paul MN 55122--256
Boevaag Plumbing Inc
P.O. Box 1257
Prior Lake MN 55372
(952) 292-1511
Applicant/Permitee: Signature Issued By: Signature