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1252 Duckwood Dr CITY OF EAGAN I WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: Owner Address: Site Address: Plumber: Meter No.: Connection Chorge: Size: Account Deposit: Reader No.• Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: ' Total: By Dote Pa id: Date of Insp.: cs Insp.: CITY OF EAGAN 3830 Pilot Knob Road SEWER SERVICE PERMIT P.O. Box 21199 Eagan, MN 55121 PERMIT NO.: Zoning: DATE: Owner: No. of Units: Address: Site Address: -- Plumber; 1 agree to comply with the City of Eagan Connection Charge: Ordinances, Account Deposit: Permit Fee: B Surcharge: Date of Insp.: Misc. Charges: I Total: nsp.: Date Paid: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123362 Date Issued:06/05/2014 Permit Category:ePermit Site Address: 1252 Duckwood Dr Lot:31 Block: 01 Addition: Crossroads Of Eagan PID:10-18700-01-310 Use: 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. Tony Boerner 2090 County Road 42 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Crossroads Ptnshp 1500 Mcandrews Rd W Ste. 100 Burnsville MN 55337 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature 11/29/2016 1 :01PM FAX 9529858836 Bulldog 110001/0007 rr� GS" Use BLUE o BLACK Ink ForOffice Use I Cf.11 Ci �N City of Eaaali Permit#: / Permit Fee: .2-7f3. cd 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5676 Fax:(661)675-5694 Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L. 11/29/16 S Address: 1252, 1256 DuCkwood Dr. -�� `�/ ���� `�� ( . Unit#: `` :' : ; ; Name: Crossroads Partnership Phone: 651-454-3352 ;Resident/ ,;+.:, 1500 McAndrews Rd W. Ste. 100, Burnsville, MN 55337 :':,o Tyne �;; ',:' Address/City/Zip: :;i: `"' Applicant Is: Owner X Contractor "' Description ofwork. Remove & replaced asphalt shingles X13: , Construction Cost ,, �,, ���0 Multi-Family Building:(Yes X /No_j '.'-` , Company: Bulldog Contractors, LLC Peter Retka ::' Contact: Address: 21663 Cedar Ave Lakeville >.Contr'actor:?.c;: City: {'' State: MN Zip. 55044 Phone: 651-253-8211 pretka bulldo roofs.corn� <;: Email: @ 9 . ;;a,..;,�;;.;.`,,. License#: 6C639635 Lead Certificate#: NAT-F162654-1 If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor. Phone: NOTE;Plans and supporting documents that you sutimlt.are considered to b'e.public'information: Portions"of the information may be.classified as-non-public if you provide specific reasons;that wou/.d permit the City,,to .. ` .. . . conclude.that they are bideSecrets. .. `1 CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4544002 for protection against underground utility damage. Call 4a hours before you Intend to dig to receive locates of underground utilities. www.000herstateonecalLorg 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 permit,and work is not to start without a permit; that the workk 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 Peter Retka *7%1 i; --- x Applicant's Printed Name Applicant's Signature Page 1 of 3