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1570 Mallard ViewPERMIT TE, WATER PtIT*,10 8 -METER SITE ESS 1570 LOT _BLS APPUCANT: Thom ,ADDRESS:. 6648 ' Rus t±c Road $ arc SWW4TE `,'ria La zip 55372 PHONE. 447_2424 :ard. _ i eta s Lake Lak# Dvi patent,. Ltd. tiaER C en z --Ryag Pmb .ng H �AQORES 1.4745 .SoDth Rembert ' nazi M 1AGR ' OC Y CIVi STATE Ros emouit �N N 1p 5068.... : EAGA f PHONE: 42 3'* 1141 �.oia$ Lake ` i ve'1opment , ,,Ltd . NESS 48 tic R H. L. l'rior La i' - 553:/"1 , STATE 44,-24Z4 , Clly of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use `131 Permit #: 110 �r\ I Permit Fee: 469� JD'f Date Received: Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION 13 � Ac v �-4v\IMO!1 Date: ` �� Site Address: � y ( \ son. Tenant: Residentl ®wn- Name: Address / City / Zip: 1. 5170 q l![. _ y t4e4- J Suite #: J Phone: &V —LC.? •-OTSI Name: MILBERT COMPANY INC dba CULLIGAN WATER License #: 063031 -WC Address: 1801 50TM STREET EAST City: INVER GROVE HGTS State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: �lfteplacement Repair — Rebuild _ Modify Space _ Work in R.O.W. ork: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Plater Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (Includes $5.00 State Surcharge) $60.00 L awn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Arid Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *1,6 iter Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. CaII 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.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 th approved plan in the cas of work which requires a review and approval •f plan-. x.A_StAtlitii/A .kir" 11.11 Applicant's Signature City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA112536 Date Issued: 08/16/2013 Permit Category: ePermit Site Address: 1570 Mallard View Lot: 6 Block: 02 PID: 10-76100-02-060 Use: Addition: Thomas Lake Woods Description: Sub Type: Residential Work Type: Replace Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Heather Brockman 21210 Eaton Ave Fee Summary: ME - Permit Fee (Replacements) $55.00 Surcharge -Fixed $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 - Applicant - Owner: Karyl M Wilson Tste 1570 Mallard View Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature City of Eaaall 3830 Pilo Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Use Permit#: `� $` 1 Permit Fee: 54q.a� Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Name: j - g , iS7co / s--)„, /,C751 Phone: / J4 //44 U° e rte° Eat A3 s-s'1�_� Address / City / Zip: Applicant is: Owner )( Contractor Type of Work Contractor Description of work: ' t17�' , ` `�� Construction Cost: °OC) Multi -Family Building: (Yes X / No ) Lli/JC n inr.� Contact: f ' F✓'c `kcal) Address: 3300EC)'%R-� 6OroL?e A 6 iy: L0//i Lc State: / IP Zip: �) Phone: aol- Company: License #: SG 63/ 63S— 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of 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. 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.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. 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 Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170043 Date Issued:06/17/2021 Permit Category:ePermit Site Address: 1570 Mallard View Lot:6 Block: 02 Addition: Thomas Lake Woods PID:10-76100-02-060 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (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 - Peggy L Thomas 1570 Mallard Vw Eagan MN 55122--255 Hessian Plumbing Services Box 22172 Eagan MN 55122 (651) 681-8252 Applicant/Permitee: Signature Issued By: Signature