1256 Duckwood Dr CITY OF EAGAN WATER SERVICE PERMIT
• 3830 P4ot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: «
Zoning: — No. of Units:
Owner: —
Address:
Site Address:
Plumber: — Meter No.: _ Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply w City of Eagan Surcharge:
Online Misc. Charges:
/ C �-- -�
Total:
By - Date Paid:
Date of I nsp.: I nsp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Rilot Knob Road PERMIT NO.:
P. O. Box 21199
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
. ^� nr)
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.• Total:
Insp.: Date Paid:
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
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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;
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x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155354
Date Issued:05/13/2019
Permit Category:ePermit
Site Address: 1256 Duckwood Dr
Lot:32 Block: 01 Addition: Crossroads Of Eagan
PID:10-18700-01-320
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
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