4544 Mallard Tr S SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN # PERMIT DATE 09/12/90
3830 Pilot Knob Rd.
Eagan, MN 55122 -1897 CHIP # PERMIT # 11637
METER SIZE B.P. RECEIPT # Cy 0 /
DATE S ept . 4, 1990 IS S U E DATE B.P. RECEIPT DATE 0/12/90
R PRV _ BOOSTER PUMP
SITE ADDRESS 4544 South r D Tra PERMIT REQUESTED
LOT i 3 SEC /SUB Thomas Lake Woods
X SEWER X W TER TAPS
APPLICANT: Thomas Lake Development,- Ltd.
ADDRESS: 6648 Rust Rd Rd. S S. E E. C OMM /IND X RE SIDENTIAL
CITY, STATE Prior Lake, MN
ZIP 55372 � NEW EXISTING
PHONE: 447 -2424
Lawn Sprinkler Meters are to be Installed
PLUMBER: Genz – Ryan Plumbing & Heat Ahead of Domestic Meters on Water Line.
ADDRESS: 14745 South Robert Trail . 4 Credit WILL NOT be given for Deduct Meters.
CITY, STATE Rosemount , MN ZIP 55068 PHONE: 423 -1144 A iii t TTT1,/�p
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
/ `• - ' 41 - -- � /
PC • ALL • '' _ 0 h • R G DA ' FOR PROCESSIN . CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. C#ffp
r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I For Office Use
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Permit
City of Ea
I Permit Fee. 'rJ C1 i
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: g
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Ad/dress: Unit
Name: Phone:
Resident/ ~ j~ /
Owner Address / City / Zip: A / e-/ d
Applicant is: Owner X Contractor
Type of Work Description of work: er__ D'Ot'
3/111 , 06>0 " &0
Construction Cost: 3 Multi-Family Building: (Yes No.. )
Company: Contact: C
Contractor Address: A"V An-,;' L Vim &1^,J a
State: / Sc ip: G7 Phone: License c 639 (raJ'~;_ 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:
1
Licensed Plumber: Phone:
I I
Mechanical Contractor: Phone: I
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information.-Portions of T-
I the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets. I
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 ca dC k60 /1) x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140688
Date Issued:01/13/2017
Permit Category:ePermit
Site Address: 4544 Mallard Tr S
Lot:14 Block: 03 Addition: Thomas Lake Woods
PID:10-76100-03-140
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Lowell Tstes A Bahrke
4544 Mallard Tr S
Eagan MN 55122
(651) 454-6722
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use
::::e:
City of Eaaol �rj d
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651) 675-5694 L Staff:
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:5 Z-7` 1 —1 Site Address: q T l h 4 LC plop 7ZelLe_
Tenant: Suite#:
Resident/Owner Name:L ..0 rn (C. �sige Phone:
Address/City/Zip:
Name: FRE KK h ((W j rt C License#: CI 7 Y¶1 t2"
ContractorAddress: C(05- led �'1- C City: M6A 5 TtP
State: N I,/ Zip: 5.533 Phone: �51 7 55.- °
9 vP G 6 Gr.atC. cc
Contact: Email: -A/
Type ofr _New *Replacement _Repair _Rebuild _Modify Space _Work in .O.W.
WokDescription of work((-E I L e C T0t(.6l) i 5+k `si61Z 2- v I vcj
RESIDENTIAL
Water Heater
Water Softener
Lawn IrrigationL_RPZ I_PVB)
Permit Type Add Plumbing Fixtures( Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$
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.aopherstateonecall.orq
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.
x x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USEr Reviewed By
W@ late' H
Required Inspections: Under Ground Rough-In 4, ;Air est Gas Test Fina
a.
.Meter Related Items: ' Meter Size ; Radio Read ... Manometer Staff:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167158
Date Issued:02/25/2021
Permit Category:ePermit
Site Address: 4544 Mallard Tr S
Lot:14 Block: 03 Addition: Thomas Lake Woods
PID:10-76100-03-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
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 -
Lowell A & Kathleen M Tstes Bahrke
4544 Mallard Trl S
Eagan MN 55122
(651) 454-6722
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature