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�
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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
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