1264 Duckwood Dr C!TY OF EA .y: o, l WATER SE V CE PER11AF(
3830 Pilot Knob Road
P. O. 8o* 21199 PERMIT NO.:
Egan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.• _ Permit Fee:
1 ogres to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By - ' Date Paid:
Date of Insp.: <� � '� Insp.:
CITY OF EAGAN SEWER 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:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
B _ Surcharge:
Y -- --- -- Misc. Charges:
Dote of Insp.: Total:
Insp.:, Dote Poid:
4111'.
C!tyofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: /// �Q / 3
Permit Fee: 2'd Vil
Date Received: (o/'lo
Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 6/rA3 Site Address: 4.75/
Tenant:
Suite #:
Name: � S �����s / A $ Phone:
Address / City / Zip: /69/Z:974/./.19,1.,214/ c
Name: /Ia WALGCm4/N6-
d
Address: 770///S4/y1/l�iy 1
License #: <3695-3
City: /t i/,% !�
o� i /,A .-R,? 7 �-a lt'
State: — Zip: � / 3 Phone:
Contact:
Email:
New Replacement Repair AY<build
Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation tRPZ / PVB)
Septic System
New
Abandonment
Water 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 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water 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. 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
ac ..ance with the appy ved plan in the case of work which requires a review and appr. .f plans.
Applicant's Printe
/1,4i/1�
x
Applicant's Signati e
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132848
Date Issued:09/08/2015
Permit Category:ePermit
Site Address: 1264 Duckwood Dr
Lot:1 Block: 01 Addition: Crossroads Of Eagan
PID:10-18700-01-010
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.
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 -
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 : 12PM FAX 9529858836 Bulldog Z0001/0007
Use BLUE or BLACK Ink
For Office Use
J —7 I
Cityof Eataft Permit#: /10
3830 Pilot Knob Road
Permit Fee:
Eagan MN 55122 Date Received:
• Phone:(651)675-5675
Fax:(651)675-5694 Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/29/16 Site Address: 1264, 1268 Duckwood Dr. 60C.' -z6°7
C� os� CS
• Unit#:
C-71;
•
Crossroads Partnership
Phone. 651454-3352
:':•ResidohV•.,;.;�:,•:
address,city/zip: 1500 McAndrews Rd W. Ste. 100, Burnsville, MN :55337
Applicant is: Owner X Contractor
', Description of work: Remove & replaced asphalt shingles
:;Type•of Work-;
_' ;'.•` Construction Cost 0 Multi-Family Building:(Yes X /No . )
Company: Bulldog Contractors, LLC Contact: Peter Retka
21663 Cedar Ave
C,oritracto r'' Address: City, Lakeville
..'; State: MN zp: 55044 Phone: 651-253-8211 Email: pretka@bulldogroofs.com
Lead Certificate ii NAT-F162654-1
License#: BC639635
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'documentsi that•you sub'niltWre.considered to be public information Portionsof
the Informationmay be classified as•non public if yojr provide specific reasons•that would permit*City;to.
conclude that they are trade secrets: ' • '
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4544002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locales of underground utilities. www.noaherstsjteonecall.oro
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 Peter Retka
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155223
Date Issued:05/06/2019
Permit Category:ePermit
Site Address: 1264 Duckwood Dr
Lot:1 Block: 01 Addition: Crossroads Of Eagan
PID:10-18700-01-010
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