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1594 Mallard View P For Office Use Permit Cit of Eap 3830 Pilot Knob Road Permit Fee: 3Q Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: / 2200j09 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ` //'C/ l Site Address: Tenant: Suite RESIDENT / OWNER Name: J y~ O 7' Phone: Address /City/ Zip: CONTRACTOR Name: /Y~q Pei L t License Address: L City: 7d State: Zip: ` Phone:q3Z Wt-1 '377 Contact Person: 6'~ ///2J TYPE OF WORK New _Replacement _Repair -Rebuild - Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / PVB) Main - Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge),. TOTAL FEES $ 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 witho a permit; that the work will be in acco ce with the approved plan in the case of work which requires a review and approv I lans. Applica 's Printed Name li is Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: __Under Ground _Rough-In Air Test _Gas Test -Final • CITY OF EAGAN Permit No: Date: 3 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: — -- Eagan, MN 55121 Owner — Site Address: Plumber. Conn. Chg: Zoning: Acct. Dep: No. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eagan Tr. Plant Ord' =s. Meter. 2 ( 7, Misc.: _ B l' WATER SERVIC ;. • ERMIT CITY OF EAGAN Permit No: Date: 3830 Pilot Knob Road B/P No: Date: P.O. Box 21199 Eagan, MN 55121 Owner: Site Address: Plumber: MWCC: Zoning City Chg: No. of Units: Acct. Dep. I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: Misc By SEWER SERVICE PERMIT - I For Office Use I r 7~ Cit of n Permit `I Z7 3 I I Permit Fee: a 5 I 3830 Pilot Knob Road I l Eagan MN 55122 Date Received: Q Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 l Staff: 1 I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:: / Unit Name: qs- Phone: Resident! Owner Address /City /Zip: /y`/tip d Vrc. C,.1 Applicant is: Owner A( Contractor Type of Work Description of work: ro0 Construction Cost: 000 Clio Multi-Family Building: (Yes No ) lell"i Company: Contact: Address: ty: Contractor ~N r Jc ity: a State: P Zip: JP ~ Phone: 63 License SG CM 63Lead Certificate Fthe 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: I - - Licensed Plumber: Phone: t l Mechanical Contractor: Phone: I Sewer & Water Contractor: Phone: I 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 ora 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~ty/`6 c bdf~ x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151502 Date Issued:08/28/2018 Permit Category:ePermit Site Address: 1594 Mallard View Lot:18 Block: 02 Addition: Thomas Lake Woods PID:10-76100-02-180 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 - Douglas M Steven 1594 Mallard View Eagan MN 55122 (612) 309-0309 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature r For Office Use 4: i i f Permit#: E AG N Permit Fee: f� �I0 Date Received: )U'�)U-I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections u(�.citvofeagan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: i L ? 1 26 I%ite Address: £c 4 vIALLA,(2-T7 \it E Tenant: Suite#: Resident/Owner Name:� ll Phone: Address/City/Zip: � L-- Name: M kivA l LL 5 ( 4 6 License#: `toc- 610 1`1 R0(L`' 1 (L (L>Yr r L ( Contractor Address: City: 1((,,..��� 1 State: Zip: cc —c Phone: 5 I 9 (o lfo Z( Email: 1 Contact: M k AL�1r (. �i Lct� ( I` C 9 vv,()It' `co r/-\ Type of Work —New )eReplacement Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: i ©L-7 1 o Tankless Water Heater Lawn Irrigation( RPZ/_PVB) Standard Water Heater Add Plumbing Fixtures( Main/ Lower Level) Description Water Softener Description: Septic System New Abandonment Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges / j 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.00pherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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.ILAA I Applicant's Printed Name Applicant's Signature Page 1 of 2 ` 1 , / ,LA. ED I— For Office Use �c ',% i : °,0 Permit#: l D/ i..4%. • `. .. ., E AGA N NOVO 1 2019 Permit Fee: tr);)--(`'l Date Received: 1- I - 1 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Cv \\,91) (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: // buildinoinspections(&citvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION C� ���``I Date: Site Address: �` / �jUnit#:Q] Name: �) I\V-C Phone: l!?t V�Q 1 6861 Resident/ Owner Address/City/Zip: ItS1(,) 1`I)cMt‘ic Ow) Applicant is: Owner ,( Contractor lj Type of Work Description of work: �j P\OIR6 c}- 3 A( IC' 1" Construction Costil..as Multi-Family Building: (Yes �a� 'llt /Naos' ) Company: O e ]___LP Contact: C' J,X) Contractor Address:�.d,''ao ��.�1 ,6(I\ way City: 5Or i 04 State: Zip:Kl h i1 a Phone:11/0! 11.l\4Email: G Rt.1'-L 6) f ietN►` " Ali` License#: i),.0,00 it © Lead Certificate#: If the project is exempt from lead ce Alk ifica$ion, pleas- -.• -•' why: ti ) f mos I / f--K .. \-) 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 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. 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. 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in confo' -,,� • �� al -- and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work i not'/.r -o , %•erm ; that the work will be in :°° rdance w h the appro d plan in the case of work which requires a review and approval of•I-n // �Vsd� x 4' Applicant's Printed Name Applican Signature DO NOT WRITE BELOW THIS LINE i - r( J'114 ne,r) V ,,L// ' O SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES i New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration _ Fire Repair Windows Demolish Foundation )( Replace _ Repair Egress Window Water Damage _` Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation J CO Occupancy ' j MCES System Plan Review Code Edition ,j SAC Units (25% 100%X_ ) Zoning %. ' J City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ', I Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition Final/No C.O. Required Foundation F undation Before Backfill J` HVAC Service Test Gas Line Air Test_Hood Roof:_Ice &Wat r _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_ EFIS Insulation Windows Sheathing Retaining Wall: _ Footings_ Backfill_ Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pant Other: Reviewed By: L . , Building Inspector RESIDENTIAL FEES Base Fee /5 -j/ Surcharge Plan Review fl y ,J1, MCES SAC City SAC Utility Connection Charge r l, 0 0 '''') S&W Permit& Surcharge AQ/" Treatment Plant ii(fM/ l Radio Meter Read Copies ) X l TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165647 Date Issued:11/12/2020 Permit Category:ePermit Site Address: 1594 Mallard View Lot:18 Block: 02 Addition: Thomas Lake Woods PID:10-76100-02-180 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures - Kitchen & laundry room - Gas line to range 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 - Douglas M & Tammy L Steven 1594 Mallard Vw Eagan MN 55122 Plumbing Services Inc 7938 N Shore Tr Forest Lake MN 55025 (763) 783-9080 Applicant/Permitee: Signature Issued By: Signature