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4500 Mallard Tr S
EA-SH RECEIPT C1TY OF EAGAN l 3830 PILOT KNOB ROAD\ • ? & DOLLARS ; ,w ? CASH [?CHECK ? ?? ? , `-((k?tEf?L?(J? . FUND I OB.IECT I I I AMOUNT Thank You sv PA C 4161 V"--palf- COPY Yelbw-PosNng CopY Pir*--File Copy EAGAN, MINNESOTA 55122 SEWER & WATER PERMIT CITY aF EAGAN 3830 Pilot Knob Rd. Eacjan, MN 55122-1897 DATE Zy , 1989 SITE ADDRESS " LOT ` LOCK SEC/SUB' :6 APPLICANT: ADDRESS: 1 ?7. i . :s . CITY' STATE ZIp PHO?E: 14 . PLUNTBEA: ? . . . ADDRESS: CITY, S7?ATE .. . - _ , . . ZIP " PHONE: ' OVUNER: ' e ;.1 e V ? u . , . ? . ADORESS: ? - CIIY, STATE ZIP 7 - PHONE: ? OFFICE USE ONLY METER # CHIP # METER SIZE ISSUE DATE PERMIT DATE 10113 / t;':: PERMIT # 11026 B. P. RECEIPT # - 61 :9 ) B.P. RECEIPT DATE 1011171i ' G9 Xx- PRV - BOQSTER PUMP PERMIT REQUESTED sX SEWER ,. WATER _ TAPS COMM/IND _ RESIDENTIAL NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ? ? ?.T:' .%?Il ?.•-?!i?G? 1G:1r:J1?_s? ? I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PI.EASE ALLOW TWO WORKING DAYS FOFi PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 i'ilot Knob Rd. Eagah, MN 55122-1897 DATE .ber 29, ! ?-Lki OFFIC E USE ONLY -7 METER #??7.Z7??_ PERMIT DATE 1 ; CHIP # f /- ;2 7 7-?(/ PERMIT # METER SIZE B.P. RECEIPT #" 1.31 ISSUE DATE B.P. RECElPT DATE xx pRV - BOOSTER PUMP - SITE kDDRESS ' ??" r i ra LOT BLOCK SECISUB - ' a" La '`e APPLICAWT: __ ?_? ._ : ?,_ v•. _. o N ?. e n t, _ u. ADDRESS: ` ::nar; S. L. CITY, STATE ZIPY' 112 PHONE: - 24 Z'T ' PLUMBER: 't1x-Ky,2,n kl; & Heating ADDRESS: ', f45 Sciith ;( ? Trail CITY, STATE ur' t, ZIP '? ?' b PHONE: i. -OWNER:rllomas Laice i7eveiupmPnt, Ltd. ADDRESS' u?48 hu Y t i c Ro n(?. .. ZIP-'~ PHONE: - PfRMIT REOUESTED ? SEWER ? WATER _ TAPS COMM/IND '- RESIDENTIAL •'? NEW - EXISTING Lawn Sprinkier Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be gFven for Deduct Meters. ??rf ?l1L IiCX/1/ ?f?!? fC=i ???iLr C.? I AGREE TO COMPLY WITH CITY OF 1AGAN ORDjNANCES P SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOIi STORM I SEWER PERMITS, CONTACT ENGINEERING DEPT., SEAMER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DA7'E SIT2 ADDRESS ' ?" Ma i i a r d T r?: LOT' BLOCK SEC/SUB l?°=?a s La K e APPL' ICANT: ! o a . ADDRFSS: ? .: :a .. CITY, STATE ? ZIP PHONE: . v PLUMBER: ?%_:P T'=t' wribing & iie t ADDRESS: CITY, STATE ZIP PHONE: OWNER: ADDRESS: 7' 4' u s CITY, STATE ` ' L z, *_- a t?. •: ? , . , > ,? I .: ZIP PHONE: OFFICE USE ONLY METER # PERMIT DATE i 0/ 13 04 CHIP # PERMIT # _ 7.10 5 METER SIZE B.P. RECEIPT # - C 4161 ISSUE DATE B.P. RECEIPT DATE y BppSTER PUMP PERMIT REOUESTED SEWER _ WATER _ TAPS - COMM/IND "?x RESIDENTIAL .- NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. .? ` I AGREE TQ COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLFr4SE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. EagaA, MN 55122-1897 . DATE= ; ?- ":i ue r _ OFFICE USE ONLY METER # 36 a- PERMIT DATE I u/ 13 / 8" CHIP # PERMIT #E METER SIZE B.P. RECEIPT # C 4161 ISSUE DATE B.P. RECEIPT DATE _294'RV _ BOOSTER PUMP ' SITE ADDRESS '' "', • ,'• ? n ;IaI 1 clt- ,-' 1 r. a i 1- T4:cLs:? z: ?.ai.ce Woo, ?3 LOT LOCK SEC/SUB APPUCANT: -?ia5 LaKe Development ? ADDRESS: '0 (14 IR u I c: R o a d S . L . CITY, STATE ` i ` ,`' - `I{ e, : ' ZIP L PHONE: ' PERMIT REDUESTED SEWER _ WATER _ TAPS COMM/IND - RESIDENTIAL NEW EXISTING Lawn Sprinkler Meters are to be Installed I PLUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: -"Credit WILL NOT be Oven for Qeduct Meters. CIIY, STATE ZIP .: > `1;: ? • PHONE: I AGRE TO COMPLY WITH CITY OF OWNER: EAG RDINANC S ADDRESS: . •- _ ? ;. i;, s? ; _ . 5 . r, , - - CITY, STATE ' ," ` _. _`? , '" "` • ZIP PHONE: SI NATURE WHEN METER ISSUED PLEASE ALLOW T1N0 WORKINCi DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMRS, CONTACT ENGINEERING DEPT. I SEWER & WATER PERMIT CITY OF EAGAN 3830,Pi1ot Knob Rd. Eagain, ARIN 55122-1897 DATE? Ly8i METER # CHIP # METER SIZE ISSUE DATE OFFICE USE ONLY PERMIT DATE 10/ 13 f f's`4 PERMIT # 11 f 2 4 B.P. RECEIPT # : 4161 B.P. AECEIPT DATE 10/ 10/89 XX- PRV _ BOOSTER PUMP SITEADDRESS ?'••? ' <<=1?rd Trail LOT_BLpCK- SEC/SUB APPLICANT: • = '?? ?e 1 ? ?u: :; ;? ?: c . ADDRESS: 103 6. ? . . CITY, STATE , . ZIP ' PHONE: PLUMBER: -,??-Ry- & :ea*in ADDRESS: ' `, i + 5 S o ? , •. - ! _ . ; i_ CITY, STATE ZIP 57)5 aNntiG. . OWNER: _ ihoiatas i,aze DE'V@iGl)IIl@ilL' i rd ADDRESS: S. i: CITY, STATE . ZIP PHONE: PERMIT REQUESTED - SEWER `L WATER _ TAPS COMMlIND ?? NEW ` RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Instalied Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF fAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SENfER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY DF EAGAN 3830 Qilot Knob Rd. Eagan, MN 55122-1897 DATE`? SITE ADDRESS 14 5j r':a 11 a r d 'I ra i 1 LOT '-BLC3?K -' SEC/SUB 1l' Djna s L a'.: e?,d APPLIC/1NT:11.omas 1_ax;. i3cvelvnnent, Lr_d. ADDRESS: '-? h P,us t i r oy, E. CITY, STATE' ZIP PHONE: PLUMBER: 6-'j?:,?-11van Piuu?ning & Iieatirig ADDRESS: /=}D ?'.oaerL Ti-ai1 CITY, STATE ZIP ? ?' ?• ?" PHONE: OWNER: _ ADDRESS:_ CfTY, STATE PHONE: _ r?o,,: La 41-L42 4 J OFFICE USE ONLY METER #?{3f 13 0 5k PERMff DATE 10/ 13I8`) CHiP # & I !V 3/ Y? 3 PERMIT # 11024 METER SIZE B.P. RECEIPT #-C 4161 ISSUE DATE -?' 1s . 96 g,p, RECEIPT DATE 121ln/A9 1I 8 ;; PRV - BOOSTER PUMP PERMR REQUESTED x SEWER _ WATER - TAPS - COMM/IND _ RESIDENTIAL - NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be Qiven for Deduct Meters. - t, A.11.? I.X?,i/iL`r:? ? I AGREE TO CaMPLY WITH CITY OF ZIP METERISSUED PLEASE ALLOW TWO WORKlNG DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER 3 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE 989 OFFICE USE ONLY METER # CHIP # METER SIZE ISSUE DATE PERMIT DATE 1 0/ 13 / 85 PERMIT # 11 ?.: ! B.P. RECEIPT # Y161 B.P. RECEIPT DATE ?lo,/ 10/ 89 _ BOOSTER PUMP SffEADDRESS -' ? ?uC?i Mal laa?d LOT BLOCK SECJSUB riOp':a 3 APPLICANT: l??wlas Laicd Deve lopu tc? . ADDRESS: '',48 Rustic Roae S. _?. CITY, STATE ZIP PHODIE: PLUMBER: ?:Jiz Plun¢biug a kieatinR ADDRESS:'i1+745 CITY, STATE ZIP .i ? v ?? .-) PHONE:` .? :? ` 1 • ? OWNER: ., ;te Dc V.. ? t - ADDRESS: ` CITY, STATE .JZIP PHONE: PERMIT REGIUESTED - SEWER _ WATER _ TAPS - COMM/tND _ RESIDENTIAL X NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. i I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER 3 WATER PERMIT CITY OF EAGAN 3830 Pibt Knotr Rd. Eagan, MN 55122-1897 OATE September 29; 1989 JOFFICE USE ONLY METER # 3S/ -30 (? Sr PERMIT DATE 1 G/ 13 / 89 CHiP# o/ s? 3 79 PERMIT # 11023 METEfi SIZE ? d?? B.P. RECEfPT # C 4161 ISSUE DATE B.P. RECEIPT DATE 10/ 10/$9 _ BOOSTER PUMP SfTEADDRESS 4500 SQUCi? iXallard Trai1 LOT-,- BLOCK 3 SEClSUB Thnmas Lake Woeds APPLICANT: '1 homa s La1cd :. ?. 0 pzaeii c ADDRESS:- 0 648 Rus t i c ' S, CITY, STATE ?'r i ox ,?tr? ZIP 55-? 1.. PHONE: 447 - 3 " -?- PERMIT REQUESTED ? SEWER WATER _ TAPS ,. - COMM/IND -' RESIDENTtAL X NEW _ EXISTING PLUMBER: ? ? n z-hya n P 1 uztb i n.? & Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. ADDRESS: i' r 745 5 c?_t th Ro b e r t Tr 2 i.l - Credit WILL NOT be given for Deduct Meters. CITY,STATE c:ose:noun, , rlN ZIP55066 PHONE: OWNER: rnomas La'ce llevelopment LLd ADDRESS: ???b RustiC t'2oac' - E. CITY, STATE 2r i or : iir ZIP 55 372 PHOfVE: 44 7 - _ .. . CITY OF METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEMIER PERMITS, COWACT ENGINEERING DEPT. . CfTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 SITE ADDRESS: ? 1, 1 . I 1 II??I?iA'• i Ai?"I L??iij?i?: PERMIT SUBTYPE: 1N F L 1-5.t, , , i APPLtCANT: iIi ;?i ri 1.1'i i Ilt I I wt IEst_?f ?t?dL1•M]7?'.?t TYPE OF WORK: ijl :,1 k 1! I 1 "14 ON RECORD PERM(T TYPE: Permit Number: Date Issued: t I N At N I 1.1 ( ItA', ) -1 Permit No. Permit Holder Dete Telephone # S/W PLUMBING HVAC E L E C T ev ELECTRIC Inspection Uate Inap. Comments Footings I Foundation Framing Rooting Rough Pibg. Rough Htg. Isul. Fireplace f? ? ? ? A;e Final Htg. Orsat Test Final Plbg. Plbg. Inspector- Notity Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. P8? ? CITY OF EAGAN 17156 ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILQING PERMIT Receipt # To be used for 1 OF 4-PLSX Est. Value =689000 Date OCT 10 , 1989_ 5ite Address 4506 $ MALLARD "1'R . Lot 33 Biock 3 Sec/Sub. ?g Z•A1? OFFICE U5E ONLY Parcel No. occuPancy R-3 M-1 FEES PD Zoning cc Name THMM LAKE DEVEIAP!]SNr. LTD (Actual) Const V N Bldg. Permit 496.00 W o Address 6648 BUSTIC RD SL (Allowable) v? ? ? Surcharge • City pRiOR IAKE Phone "7"2424 +rorscortes 2? OO . Plan Review e Length F Name SAM Deplh ??-- -3AC City 100000 t . Q O Address S.F. Total - 575 00 ? U SAC. MCWCC . ? ? CIIY Phone S.F. Faotprints _ Water Conn 5W.00 On Site Sewage _ ? W W Name on sae wen t W M 90.00 ' w s= AddfBSS MWCC System - ater e er 3 00 Acct Deposit 0. ` i W City Phone Ciry Water Jq( ? . 2O•? PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the BoosterPump - SnNSurcharge 1000 information is correct and agree to comply with all applicable State of Minne ot St i t d Ci i f E 00 228 s a a u es an ty o agan Ord nances. Treatment PI ' Signalure of Permitee APPROYALS Road Unit 340*00 i A Buiiding Permit is issued to: ??DSy I'? Planner - Park Dad. ? on the express condition that all work shall be done in accordance with all Council ? applicabte State ol Minnesota Statutes and Ciry of Eagan Ordinances. gldg, pry. _ Copies Building OHiciai _ ? Variance - TOTAL 2,742' 00 Permit No. Permit Holder Date Telephone N W, TER SEWEFt PLUMBING vZ?01 H.V.A.C. pn I 'OV /1. l.?-/C.Q.. EIECTRIC ,? w ? ,Q . aaJ 1 /.? 0 1-17 C) ? Inspection Date Insp. Comments Foolings I j Foundalion F??irig 3 9U Roorng Rough Plbg. Hough Htg. <- I U //?.3 ? UU Is,l. ? 3 ? ?? Freplace Fnal Htg. 7 Final Pibg. ConsL Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. final 7 ,u Deck Ftg. Deck Fnal Well Pr. Disp. PLUMBING PERMIT For Office Use Only . . CITY OF EAGAN PERMIT # ? ?? ? ?' ? CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #? ?' ? y PRICE PHONE 45481 O0 DATE: Site ddr '?/??[rlRp ? • BLDG. TYP WORK D CRIPTION $c/Sub ? j? c?? rt ? ?kf Mult. Add-on I Name G? /'hv , COmm.• Repair ? v•x Add Other c res City 0"' m DVA( 07V Phone T/ Y RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - - NO FIXTURES t 00 G W t Cl $3 TOTAL $ ose - . a er Name Bath Tubs - $3.00 m c Addre Lavatory - $3.00 ? r City lflfl Phone Shower - $3.00 ?- ? I wtchen Sink -$3.00 -- UrinaVBidet - $3 00 . FEES QF CflNTRi4CT FEE ' - GOMMANQ FEE - 196 Laundry Tray - $3.00 T F1oor Drains -$1.50 : . APT. BLDGS. - COMM. RATE APPLIES - ` ?- Water Heater -$1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whiripool -$3.00 ?- ?- MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50 / I MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener -$5.00 (ADD.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00 Private Disp. - $10.00 Rough Openings - $1.50 r `- ??? II Z 7 UV SIGNA"E OF PERMITTEE PERMIT FEE: I STATES S/C: ? FOR: CITY EAGAN GRAND TOTAL: =?`>?- I • . .' . CONTRACT PRICE: Site Address Lot Block MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 ? Name ? Address ? ' ` c Ciry Phone ? ? Name ? : • ti _ c Address - p Ciy ? Phone - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other ` -- M BTU M BTU M BTU M BTU CFM 1 FEE: S/C: TOTAL• BLD(i. TYPE Res. Mult Comm. Other PERMIT # RECEIPT # DATE: - For Office l WORK DESCRIP'TION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPL.IES TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C iF PERMIT PRICE GOES BEYOND $1,000) 4,( i 'I? SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN 4?.. .a?? ?-'??-' AU vtij= CITY OF EAGAN 0 r4 17157 ° • 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 r PHONE: 454-81 00 BUILDING PERMIT Receipt # y To be used for 1 0F 4"pLEX Est. Value $74s000 Oaie OCT 10 1989 Site Address 4504 S HIILLARD TR Lat 34 Block 3 Sec/Sub. THOMAS LM WWD OFFICE.USE ONLY Parcel No. ?? ?i ocoupancy FEES PD W Name T?S ????P'??¦ 1.? Zoning (Actual) Const v? Bldg. Permit 522,? o Address 6648 EIUSTIC RD SE (Allowable) V-N 37,00 surcharge CitY PRI?? ? Phone "7-2424 # ot Stones 649 PlanReview 261•00 . Length F Name S?Q Depth ?" City SAG i?'? = v¢ Address S.F. Total - , 575 00 SAC, MCWCC • Clty Phone S.F. Footprints - r Conn W t s??? ? On Site 5ewage a e uW W Name On Site Well [ M W 40.00 W i? AddfeSS ? MWCC System ater e er ? ? ' ¢ _ ? Acct. Deposit . au+ City Phone Citywater ? 2?? ? PRV Required S/W Permit I hereby acknowlege that I have read this appiication and state that the Booster Pump - S/W Surcharge 1•00 information is correct and agree to comply with all applicable State of Mi St t C 228 00 nnesota atutes and i y ot Eagan Ordinances.,, .?; 7reatment PI ? Signature of Permitee ` APPROVALS Road Unit 3W•00 A Building Permit is issbed to: THOW LAIM DV, LTD Pianner - Park Ded. on the express condrtion that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Off. _ Copies Building Otficial Variance - TOTAL 29734.00. Permit No. Permit Holder Date Telephone # wafl?R so 7 SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date tnsp. Comments Footings I Foundation Framing Rooling Rough Plbg. Rougn krg. Isul. Fireplace "??S ??t?'? s ???d - Final Htg. Final Plbg. r- ? Q • ?(?j ? Const. Meter Plbg. Inspector- Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Wel( Pr. Disp. ?' i - ' -v -- . .. . 1 ?}.. , ? . . . ' ._ _ . ., , ! PLUMBING PERMIT For Of?iqe,l}sy Q{?ly CITY OF EAGAN PERMIT # ? ? / ' ? CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# ? PRICE PHONE 4548100 DATE: Sit@ ??di?SS ?J • /) I I /i,` ?-' l/?-'. §LDG`T1(PE WDRK DESCRIPTION . 41 Name s 71 ? .,- (s ,rl).L ? Address ? City Phone Name - rT, /? c,'.???t ' ? Add res 'v -:JT 11114 L? p . ? City IV- 0) Phone yl FEES COMM./IND. FEE - 196 4F CONTRACT FEE APT. BLDGS. - COMM: RATE APP4JES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Mult. Add-or Comm. Repair Other RES. PLBG. aNLY - COMPLETE THE F OLLOWING: NOr FIXTU RES 3 00 ?--W Cl TOTI $ oset - $ . ater Z-Bath Tubs - $3.00 -? Lavatory - $3.00 T"- Shower - $3.00 ? Kitchen Sink - $3.00 - UrinaUBidet - $3.00 Laundry Tray - $3,00 - -7 Floor Drains - $1.50 T Water Heater - $1.50 . , r...,. .,......, -? Gas Piping Outlets - $1.50 (MtNIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 -? Rough Openings - $1.50 PERMIT FEE: - - ? STATES S/C: GRAND TOTAL: ' z' . . CONTRACT PRICE: Site Address Lot Biock MECHANICAL PERMIT CITY OF EAGAN 3634 PILOT KNOB ROAD, E1?GAN, MN 55722 ? Name ?- 49 m Address c Ciry y.- Phone^4 tti ? a o-j ? ? Name ' ,r-`, .a: -_ •?_? ' IS c c Address O Ciry ' , ? Phone t-•'J 2?- ? TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuUets # Other ?-" MBTU M BTU M BTU M BTU CFM ? BLDG.TYPE Res. ?-? Mult Comm. Other PERMIT # _ RECEIPT # _? DATE: For Office Use WORK DESCRIPTION New l -? Add-on Repair FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHpUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS MINIMUM C(JMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) $24.00 6.00 1.50 EA. - 12.00 - 20.00 - .50 ? ? FEE ? J SIGNATURE OF PERMITTEE ' S/C: TOTAL• ??" ?I FOR: CITY OF EAGAN . ..., .,?.. T'•? -.g.? ??-3tALZ MIT CITY OF EAGAN ' 4 1715 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 4.. ? PHONE: 454-8100 BUILDING PERMIT Receipt # ? ??16,I To be used for 1 OP 4-PI,EX Est value $68.000 Date OCT lA 1 g? Site Address 43OT $ MALLARD TH Lot 36 Block 3 Sec/Sub17l01MA6LAXE MODB Parcel No. W Name '??s ? Dg1BLOP?IT. LTfl o Address 6648 RUS?IC RD SE City PxIOx 1.AKE Phone "7-2424 Z? Name s? ouQ Address ? City Phone Name _ Address ? Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with tl applicable State of Minnesota Statutes and City of Eagan Ordinance • 5ignature of Permitee??/;'= A Buiiding Permit is ed to: THOW 1'UE DBV, LTD on the express condrtion that all work shall be done in accordance with all applicable State of Minnesota Statutes ar.d City o1 Eagan Ordinances. Building Official FFICE USE ONLY Occupancy R-3 M-1 FEES ? Zoning PD ' 1 (Actuaq Const V-N Bldg. Permit a?•00 i (Allowable) V"N Surcharge 36,00 ? ; # of Stones Plan Review ? ?"•00 Lengih • 1 100•00 Depth SAC. City i S.F.TOtal - SAC,MCWCC STS•OO i S.F. FootpriMs - ? On Site Sewage _ ?Nater Conn U0.00 ; On Site Well Water Meter ?•? ? MWCC System ? ? Acct. Deposit ??? ? Clry Water xx ' 20.00 PRV Required S, W Permit i I Booster Pump - SM! SurCharge 1?? ? Treatmenl PI ? Z28•00 i APPROVALS Road Unil g?•? ? Planner - Park Ded. Council BIdg.O1f. _ Copies Variance - TOTAL 29742.00 ? ? Permit No. Permit Holder Oate Telephone # WATER ?L? ,?, SEWER PLUMBING /Y H.V.A.C. ELECTRIC zYz Inspectlon Qate Insp. Comments Footings I D Foundation Framin9 Roofing Rough Plbg. Rcwyn Hiq. is,i. VId Freplace Fnal Htg. jf Fnal Plbg. - Const. Meter Plbg. Inspedor - Notity Plumber EngrJPlan 81dg. Final Deck Ftg. Deck Final Well Pr. Disp. m4rf ?, . PLUMBING PERMIT For Office Use Only CITY OF EAGAN PERMIT # A L ? CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 I RECEIPT # PRICE PHONE 4548100 / DATE: ? Site Add?ts , 1-11 Add c City City, •I •-•- - •,•-s- •--- Phone FEES COMM.AND:=FEE - t9G OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.lFEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S!C PER EACH $1,000 OF PERMIT FEE) Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N?} FIXTURES OTAL `? Water Closet - $3.00 ?- $ Bath Tubs - $3.00 ? ?? Lavatory - $3.00 ?, 4: ? Shower - $3.00 ?- ?T Kitchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 -?--Floor Drains - $1.50 - f S Z--j - Water Heater - $1.50 ? ? 5 V Whirlpool - $3.00 ? Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERM1T) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ? 77;U Rough Openings - $1.50 PERMIT FEE: ?v STATES S1C: GRAND TOTAL: L 7. ![? . PERMIT # . . • MECHANICAL PERMIT RECEIPT # ? CITY OF EAGAN i 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: r CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: ' Site Address t__ '' "' X'%- ') `-. BLDG. TYPE WORK QESCRIPTI ON Lot Block Sec/Su b Res. New ' ' ? Mutt. Add-on - m - - Name ,.. Addr . : ti. - •. ,;_ • Comm. Repair c ess City ? '.-??• .? ? , Phone --t =,'._, Other ?. FEES F ? Name RES. HVAC 0-100 M BTU - $24.00 c Addfess ADDITIONAL 50 M BTU - 6.00 Q City `. - Phone''- '?l '1 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI'n 50 EA - 1 . . . TYPE OF WORK COMMIIND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIOENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU ? MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # f•'?. -? BEYOND $1,000) Other FEE $ ? ? ? SIGNATURE OF PERMITTEE S/C: TOTAL• FOR CITY OF EAGAN : + i T H? _14R3gA? UNIT CITY 4F EAGAN 40 17158 ?. 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt #????1167! To be used for 1 0r 4-PLEx Site Address 4500 g Lot 3s Block 3 Parcel No. Value =74,000 OFFICE USE ONLY cc Name THOM" IAKE DEVBLOPMEIff , L?D 3 Address 6648 BU5?IC RD SE ° Citv PRIOR LAKE Phone "7-2424 Name _ Address City - Name _ Address Phone 1-Wi1i I City Phone I hereby acknowlege that I have read this application and staie that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , :. SignaWre of Permitee ??f ? % ? ?:'' ?'?i,' .: ?`l• Y ? A euilding Permit is isyiied to: _THOM" I.AKE Wy+ LTU on the express condillon that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building fllticial L Occupancy Q 3Atn-1 FEES Zoning -M ? (Actual) Const VN Bldg. Permit ? 322.00 (Allowable) V m Surcharge 37.00 # or stories 64@ Plan Review ? 261.00 " Length D ? Q 100 00 epth SAC, City 0 S.F.Total - SAC. MCWCC s?s•?Q S.F. Footprints - sW• 00 On Site Sewage _ Water Conn On Si[e Well Water Meter 90.00 MWCC System ? 30,pp City Water ? ?? Deposit . PRV Required xx S/W Permit 20.00 Boaster Pump - SNU Surcharge 1•00 Trealment PI 228.00 APPROVALS Road Unit 30+00i Planner Park Ded. Council BIdg.Otf. _ COP1eS Variance - TOTAL 2o784.00 ' Permit No. Permit Holder Date Telephone A? WATER C r. SEWER PIUMBING n Zy`? ??3 O , H.V.A.C. ELECTRIC Inspedion Date Insp. Camments Footings I Foundation Framing Pt/L • GLVG ??" - Rooting R«,gh Plbg. 3?- Ro„9h Ht9. 3,rQ ls,l. 3;z' Sc ?S F???lace _ c D.5 ?? 4AQ??,;e - o2- Fnal Htg. -?-, Fnal Plbg. ' Const. Meter Plbg. Inspector - Notdy Plumber ErgrJPlan 81dg. Final ? 6 9D ? Deck Ftg. Deck Final Well Pr. Disp. CONTRACT PRICE Site Add?re?,s,g Lot ?0 ? Name _ ? Address c City - Name_ ? Addres? ? cay , PLUMBING PERMIT For Office U,?Qply CITY OF EACAN PERMIT #''l`' '? y 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # ;; () `?1t PHONE 454-8100 DATE: ?L' WORK DEWIPTION _.. LL?'y 7it BLDG. TYR Res. New ub Mult. Add-on Comm. Repair , ,, ,. ? Other r FEES COMM./IND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PEFiMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) RES. PLBG. C1NLY - COMPLETE THE FOLLOWING: NO.?. FIXTURES 0 ""` TOTAL $ " Water Closet - $3.0 -r Bath Tubs - $3.00 y Lavatory - $3.00 ?. Shower - $3.00 ' T? 6" Kitchen Sink - $3.00 UrinaVBidet - $3-00 _ 7, . 9 Laundry Tray - $3.00 -? T' Floor Drains - $1.50 - - Water Heater - $1.50 ? ? T Whiripool - $3.00 -? Gas Piping Oudets - $1.50 -?? ? (MINIMUM -1 PER PERMII) Sofbener - $5.00 Well - $10.00 Private Disp. - $10.0O jp- Rough Openings - $1.50 = PERMIT FEE: ?STATES S/C: GRAND TOTAL: T.H. FOR-SALE UNIT LOTS 33 -36 HOLll CO PE$ S&W BUILDING PERMIT To 6e used lor 1 Site Address 4506 S MALLARD TR Lot 33 Block 3 Sec/Sub. THOMAS LAKE WOOI Parcel No. w Name THOMAS LAKE DEVELOPMENT, LTD 37: Address 6648 RUSTIC RD SE 0 City PRIOR LAKE phone 447-2424 o Name SAME ga Address ? City Phone W W Name ?? Address <W CityPhone I hereby acknowlege that I reatl [his application and state that the mformation is correcl a agre lo comply wi / apph able Stale of Minnesota StaNtes a F City ofL?rdina es Signature ot Permrte ? A Butldinq Permn is iss to: THOMAS LAKE DEV, LTD on the express condi66fi that all work shall be tlone in accordance with all applica6le State of M.?innesota S./?tatutes and wCyi,ty,o/t Eagan Ordinances. 'IJ 01-Q ? 1.luf? I 1 I I?11 Builtling Official CITY OF EAGAN N2 17156 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 //??/// Receipt # ?-- ? 4-PLEX EscValue $68,000 Date OCT 10 OFFICE USE ONIY Occupancy R-3 M-1 FEES Zoning PD (ACluap Const V-N Bldg. Permil 496.00 (Allowabie) V-N Surcharge 34.00 # olstones - 248 00 Length 64' Plan Review . Depih 10 SAC, City 100.00 s F rotai - snc, nncwcc 575.00 S.F Footprmts - On Site Sewage _ water Conn 580.00 On Sue Well - water Metei 90.00 MWCCSystem xx 7[7[ Acct Oeposn 30.00 City Water PRV Reqmred XX SIW Permrt 20.00 Booster Pump - S/VJ Surcharge 1.00 Treatment PI 228.00 APPROVALS qoad Unit 340.00 Planner - park Ded. Cauncil BIdg.Ofl. _ Copies Vanance - TOTAL 2,742.n0 HOLD CO PER S&W T H R- ALE UNIT CITY OF EAGAN LaTA -3 NO _ 17157 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55127 BUILDING PERMIT PHONE:454-8100 Receipt p Tobeusedfor 1 OF 4-PLEX Est.value $74,000 Date OCT 10 1989 Site Address 4504 S MALLARD TR Lot 34 Block 3 SeGSubTHOMAS LAKE WOODS Parcel No. w Name THO a.a F D V 0 NT, LTD o Address 6648 ROSTI RD E City PR OR .A F phone 447-2424 o Name S/+? I ?Q Address ? Crty Phone ?? Ww Name rx ; Address a W Ciry Phone I hereby acknowlege that I have read ihis applica6on and state Ihat the informanon is correct gree to compty wRh atl app cable Slate of Minnesota Stalutes a Ci E gan Ordin ce f A_ Signature ol Permitee A Bmlding Permtl is is ed to: THOMAS LAKE DEV, LT? on the express condivon that all work shall be done in accordance with all applicable State ot.M/?innesolap StalNAes aynyd? City ol Eagan Ordinances. 8uildingOfliaal ,Je4???_r.1,.?1?A.1 ?II?CI OFFICE USE ONLV Occupancy R-3 M-1 FE ES Zoning PD (ACtual) Consl V-N Bltlg Permtl 522.00 (Allowable) V-N Surcharge 37.00 N ofStories Length - 64' Plan Review 261.00 Depih 30' SAC, Ci1y 100.00 S.F.7otal - SAC, MCwCC 575.00 S F. Footprints - On Site Sewage _ Water Conn 580.00 On SRa Well _ Water Meter 90. DO MWCCSystem 7C7C XX Acct_ Deposn 30. 00 Qry Water PRV Reqmred XX S'W Permrt 20.00 Boosler Pump - S/W Surcharge 1. ?0 Treatment PI 228.00 APPROYALS Road Unit 340.00 Planner - park Ded. Cauncil Bldg. Ofl. _ CoOies Variance - TOTAL 2+784•00 HOLD CO PER S&W T.H. FOR-SALE IINIT CITY OF EAGAN O Lors. a3-3? N_ 17159 3830 Pilot Knop Road, P.O. Box 21-799, Eagan, MN 55121 , PHONE: 454-8100 ] 1 BUILDING PERMIT Aeceipt p c l / To be used for 1 OF 4-PLEX Est. Value $68, 000 Date OCT 10 , 19-&9__ Site Address 4502 5 MALI.ARD TR Lot 36 Block 3 SeGSubTHOMAS LAKE WOODS Parcel No. W Name THOMAS LAKE DEVELOPMENT LTD a Address 6648 RUSTIC RD SE City PRIOR LAKE Phone 447-2424 Q Name S? ga Address ? City Phone Ww Name W ?,- ? Address aW City Phone I hereby acknowlege that I have read this application and stafe that Ihe mfamaUon is corre 71d ree to compwith apphcable Stale ol Minnesota Statutes f Eagan Ordnanc, Si9nNre f PermiteA Bwlding Permit is0AS AKE DEVLTD on the xpress contlall work shall 6e tlone m accordance wilh all applicable Slate ot Minnesola Statule7s and City f Eagan Ortlinances Building Ofhaal -hpjOl fA I?? . OFFICE USE ONLV Occupancy R-3 M-1 FE FS 2oning PD (nctuap Const ?!-N Bldg Permn 496.00 (Allawabla) V-N Surcharge 3?F.00 # ol Stories z48 00 Lengih 64' Plan Review . Depth SAC, City 100•00 S.F Total - SAC, MCWCC 575.O0 S.F Foolpnnts - On Sde Sewage , 'Nater Conn 580.00 OnSneWell WaterMeter 90.00 MWCCSystem XX 30 00 CAyWater XX Acct Deposrt . PRVReqwred XX SIWPermil 20•00 8ooster Pump - SNY Surcharge 1.00 Traatment PI 228.00 APPNOVALS Road Unil 340. 00 Pianner - park Ded. Council _ BIdg.01f _ Copies Varianw - TOTAL L,742.n0 HOLD CO PER S&W LoTg 30R??ALE uNI'r CITY OF EAGAN N2 17158 " 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 I PHONE:454•81 00 i/ BUILDING PERMIT Receipt # / e 7` ?/ To be used for 1 OF 4-PLEX Est value $74,000 Date OCT 10 1989 Site Address 4500 S MALI,ARD TR Lot ? 81ock 3 SeGSub?HOMAS LAKE WOODS oFFICE USE ON?Y P8fC21 N0. Occupancy R-3_M-1 FEFS Zoning -M w Name THOMAS LAKE DEVELOPMENT ? LTD (qcmal) Const I-N Bldg. Permit 522.00 3 Address 6648 RUSTIC RD SE (qnowable) V-N 37 00 p Suroharge . City PRIOR LAKE Phone 447-2424 a oi smries - 64' Plan Remew 261.00 Lenqth $ Name SAME Deplh 30? SAQCiI 100•00 0 p Address s F Total - y 575 00 ' ' snc. MCwcc . CIIy Phone S F FootpnMS - w Conn t 580.00 On Sire Sewage _ er a ? °w Name on sceweii M t W 90.00 _w iz Addf055 MWCCSystem - xx ater e er 0 00 Acct Deposit . aw City PhOne Ciry Water XX xx 20.00 PRV Required SIYJ Permil 1 hereby acknowlege Ihat 1 have read Ihis app6rallon and sta[e lhal Ibe eooster Pump - S/W Surcharge 1.00 informa[ion is correcl ree to omply wrth all a phca6le Sta[e of c , Minnesola Statutes d Cdy Eagan Ordmances , Treatment PI 228.00 d SignaWre of Permite AP7ROVALS i Road Unit 340 _ 00 A 8 THOMAS LAKE DEV, LTD wlding Permit is is to. Planner - ? / Park Ded on the express condi thal all work shall be done in accordance wdh all Counal - applicabie State of Mmnesota Statutes and Ctly ot Eagan Ordinances. gld9 pry _ j Copies p Buildmg Oflicial tmiq "VA 1 !,d Variance - . TOTAL 2.784.O0 ? CASH RECEIPT 0' CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? CASH ly' CHECK { r? ? ?. C 4161 Whft-PaymOWy .OJO.-POBUN CA" s oauAs Thank You ?.?? aY 0 CASH RECEIP"F ? 0 CITY OF EAGAN 3830 PIlOT KNOB ROAD ,e ?- T<?li 8 DOLLARS O CASH 1? ?m yyCHECK t l? ? ? -I?? I II1 ? 1 ? M? ? I rw 10 J i V `?? ? - `f ? L ? S I ? ?. rl? '?a ( ? `I' n y , ? C 4161 WhW??Cwj Y91bw--Pwtln9 Cqpy . P4Yi-fW COp/ EAGAN, MINNESOTA 55122 Thank You gY ?.? 0 CASH RECEIPT 0 CITY t3F EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? CASH yrCHECK { ; ? 'r?;?f`,: f.h, Ci 41 & 1 WhN,-Pa,- CWY YOqOw-POWQ COpy a.alve r a oouaRs Thank You ay ? ?? 10/25/2007 THU 11:15 FAX 952 767 1900 GENZ-RYAN ? .r: • i?. APRLtANCE ?. PERFORMANCE ? £ TEST Attacb to ges One adjacenf fo regula(ar Neating Contractort7wvZYanl , Name of Tesier ? •.5 ,' Date ?c{? ?- JobAddressu'?fin Heating Coniraotor ?CA??--tZ??nn? ; Name of 7ester (?5 Date 1C9-1?t?0?7 Percent OZ PercerK CO ? Percent C02 I,)& ` StackTemp ??a-- Combustion air is atlequately sopplled per UMC Sec. 606 , ??- inpui ?1f? 00'J ? Zooziooz 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhumes/condos when pemiics nrc reyuired fbr each unil Date 1 0/ 0 2/ 0 7 Site Address 4500 MALLARD TRL 5 Unit # Property(hvner GERALDGIEFER Telephane#(651 ) 8941686 Contractor GENZ-RYAN Street Address 2200 W HWY 13 City BURNSVILLE State MN Zip 55337 Telephone t! (g5Z ) 767-1000 Bond #: 9z8298827 Expires: 8/14/08 The Applican[ is _ Owner X Contractor _ Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90 00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existiog dwelling unit $ 50.00 X furnace _Additional x Replacement _ New air exchanger X air conddioner heat pump other State Surcharge $ .50 Total $ 50.50 I hereby apply for a Residen6al Mechanical Permit and acknowledge that the infbrma[ion is complete and accura[e; that the work will be in conformance with the ordinances and codes of the City oF Eagan and with the Mechanical Codes; that I understand this is not a pertnit, but only an appGcation for a pennit, 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 plaps.7 _ I--1 ( KIM RENVILLE ' / Applicant's Printed Name pli anYs Si na ?c5oa? 2004 FtESIDEPdT1AL PLUMBIPIG PERIV71T APPLICATIOPB Il;5.VD CITY OF EAGAN 3330 PILOT 6Ch10B RO.4D, EAGARI iVIN 55122 691-675-5675 Please complete for modifications to existing residential dwellings. q,I 0 d Date / !? ?? ( ? ? ??? 2 (2 ?L -- v. 1?l Site Street Address U Gl I I? Unit # Pra e t O -t` VAH pct I? 1 p r y wner , Telephone #( ) Contractor ir7? A r) T l h # e ep one Address _Citv f.ik 54ate.41 kl_ Zipi?E? The Applicant is: _ Owrner ? Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: &ater Softener W t H t 00 $ 15 _ a er ea er _ . x replacement _ additional Lavun lrrigation new _ repair _rebuild $ 30.00 S4ate Surcharge . ? ? JUN 2 3 2004 g .50 Totai By $ I?• ? i hereby apply for a F2esidential °lumbing Permit and acknowledge that the information is complete and accurate; that the vvor!< vvill be in conformance with the ordinancas and codes of the City of Eagan and the plumbing codes; that i understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the vent a plan is required to be reviewed and approved. - ?? q uti ?7 I I S l: C?t?,?%? pplicant's Printed Name AppiicanYs Signature ? COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Name: Foundation Onl New Construction Interior Im rovement • Structurel Plans (2) sets • Nchitecturel Plans (2) sets • Architecturel Plans (2) sets . Civil Plaos (2) • Struclural Plans (2) • Code Analysis (1) " . Certificate of Survey (1) • CIvIIPlans (2) • Project5pecs (1) . CodeAnalysis (7)" • LandscapingPlans (2) • KeyPlan (i) • ProjectSpecs (1) • CodeAnalysis (7)" • Master Exit Plan (1) • Spec. Insp. & Tesling Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" . Soils Report (1) • Spec. Insp. 6 Testing Schedule (1) " . Elec. Power & Lighting Form (1) not always" • Meter siie must 6e established • Meter size must be eshablished • Meter size must 6e established - if applicable • ProjedSpecs (1) 1 • EnergyCalculations (1) *• 1 1 • Electric Power 8 Lighting Form (1) *" 1 1 • Master Ecit Plan (t) 1 L • Emergency Response Sfte Plan (1) 1 + SoilsReport (1) d • MClES SAC determinatlon letter • MGES SAC detertnination letter • MGES SAC determination lef[er Call 851-602-1000 call 651$02-1000 call 651-602-1000 Food a beverage or ioagmg tacnities - submrt pian to MN uepartment ot Heann. cau tiol-n au tuu ror aecans. Contact Building Inspections for sample. Permitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: !2 - ?? 0'- WORK TYPE: _ NEW X REMODEL SITE ADDRESS: G? CONSTRUCTION COST: JGI Sr? S, 1)94 /l*,vt _7Z2. TENANTNAME: TAr')743 1-4-L ?& L„2 //'0"ri,4-5. SUITE#: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OFWORK7etYr" ?(- PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER City: R"-? /20, r ._ Last State: Phone #: L ?3 3???5 4ScAo ?-kSOa ysoa 4 SO'-l Company: /?//J/`l?t5T G?? r i???? s Phone #: (lj!? - ) StreetAddress:$7!14 q?? 4-- City: 11+1Y_ State: Company: Street Address: Name: City: State: Licensed plumber installing new sewerlwater Phone #: Zip: z,p: !;y 311 Registra6on #: ? Phone #: EP 0 5 2002 I hereby acknowledge that I have read this application, state that the information is corr t, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 1?9c Updated 7l02 First MAL * pion ? eng r * ?J ? ap0 „o a?. ., •°°p? / ;r Is 6;2?? j' Ir (612) 681 -1914 ificate of 5urvey (or: "? ? ??O COUN" ?? NOME5i ? ?.. - ?. ;m ? ? ? ? Z b ?° a N ? I SF ao a ° m ?' v o ' \ bo ` ? a i 000 E? ? ? 1,h o+1? . e . ? ? ?? ?s °'?x/; ? • 'e ? ?M ? ?s ?f rre7 ? M 0 9e l..oT o ? ? aMo ? M1u ° Ly "; Dd te GA?? ?- . soo.o Denofes e ¦ 9a?.o _ benofes p U[notes C Denofe.s I \ q, Lor p? Le7' 34 I Elivcilron oor ? E(evqfion > (Ulility tpsement e Flow `Arr?,?is ( . ? . a ? I o ? o 1 ie ? F i /Z ? 2422 Enterprise Orive Mendota Hefghts, MN 55120 ? S e \ 9a?- 1 ' ? LoT 35 m \~_ ? ? ?4p EAGAN REVIEWEb ?? . ?'- nvc7r ac''v'airOi7 ° ( Top of"Black flevafion= Garn?e Slcrb rlevalion= 49 Z, S o Denofes monUmenf BPUrwnt's showrt are assumed Sub.iect fo Easemenfs oi'record LOT 33, 34,35N, BLOCK 3, THOMAS LAKE WOODS OAKOTA COVNTy',MrNNe50T.q 1 hereby certily that thb furveY. Dlan or raport wef pr erd bY?" o?r dar mr direcl wpervicion end thal 1 em duly Repiitered Land Surveyot under ibe laws of ihe Staie ol Minnnota. Oated ihisday olA.D. 1987- - SCa/e: 1 Ln` ° 40? z 631 88DoO2,ty?-`c POBERT B. SIKICN L.S. REO. NO. 11E 1 vv _-" e ? ??( , ?. ? ? -,4004 SINGLE FAMILY DfiELLIHG3 Y%. 1989 ffiTILDIIia PERMIT APPLICATION CITZ OF EAGAN lALTIPLS DSiGLLING3 COMMERCI9L 2 SETS OF YLAN3 2 9ST9 OP PL6N3 2 36T3 OF ARCHIYECTURAL 3 HEaISTERED SIT6 S08YEYS REf3ISTSABD 3IiE 30RYEI3 - 6 STROCTORAL PLA143 1 9ET OF ENERGY CALC3. (CHEC[ TiI'fH BLDG DIV.) 1 3Sf OF SPECIFIC9TION3 1 3ET OF ENSHG2 CALC3. 1 SET OF ENEAG! CALCS. MULTIPLB D5i6LLING3 AENf?L DNITS FOR SALE UNTT5 X t OF DNITS 1 of 4 NOTEs ADDRFSSES FOH COANBR LO'f3 - C019THACTOH/HOMEOSiNER li03T M4I6NAi8 VSICH ADDAESS IS DE4IHED. NO CHANI3FS RILL Bfi ILLOHED OPCE BiIILDINO PERMIT IS IS30ED.. SEiIER 6 WITEA PERMIT FEES 1AD lCCOUAT DEPQ9IT FBF3 WII.L BE INCLpDfiD iRTB THE BOILDIN6 PERMIT FEE. PROCE43INfi TII4E BOR 3EfiEA AND ii9SSA PERMIT3 I3 TWO DAY3 ONCE A PERMIT HbS BEEIi Wt+PLETED INDICATIRC 9 LICBFSED PLOlBEIi. PENALTY APPLZFS iiIiENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CRANGE IS REpUESTED ONCE PERMIT ZS ISSUED. ? tses To ee usea For: Multi Family valuati.on: $7-3? oate: 09/29/89 sste Address 4500 South Mallard Trail Lot 35 Block 3 Parceiisoe Ihomas Lake Woods owner Thomas Lake Development, LTD bddress 6648 RustiC Road S. E. City/Zip Code Prior Lake, MN 55372 Phone 447-2424 cootractor Thomas Lake Develop. LTD. Address 6648 RustiC ROad S. E. City/Zip Code Prior Lake, MN 55372 Phone 447-2424 Arch./Engr. Address City/Zip Code 7yI ODOr UFFiCS USE Oaoupaney R3 M-I Zoning PD Actual Const V-N Allowable v -n/ # of atories Length Depth 3D' S.F. Total Footprint S.F. On site sewage On site well MWCC Syatem v City water ? PRV required ? Booster Pump ` Leeaoveis Planner _ Council Bldg. Off. ??o f4 Varianae FEES Bldg. Permit 522.00 Surcharge 3 7.Oa Plan Review Z.lo 1.00 SAC, City 100•00 3AC, MWCC 6'75•00 Hater Conn 5-80-00 liater Meter 40•00 Aeet. Deposit 3o.a? S/N Permit 20,00 S/N Sureharge I,Co Treatment Pl. ZZg,,Oo Hoad Unit 3YO, cn Park Ded. Copies SOBTOTAL Penalty sorec ? . 5? w Phone 0 -.•l ,. NAME: THOMAS LAKE DEVELOPMENT, LTD. ADDRESS: 4500 SOUTH MALLARD TRAIL LOT: 35 BLOCK: 3 PHASE II PRICE YES SQ. FT. SQ. FT. TOTAL GARAGE ? 1 Q$14.36 440 $6,318 40 MAIN FLOOR/BASEMENT 1 $48.68 1144 $55,689. 92 SLAB MAIN FLOOR $53.68 1144 $0. 00 SECOND FLOOR $38.94 520 $0. 00 UNFINISHED BASEMENT 1 $10.00 1144 $11,440. 00 FINISHED BASEMENT $13.00 1144 $0. 00 BATH BASE/2ND FLOOR $1,000.00 0 $0. 00 FIREPLACE $1,000.00 1 $0. 00 GLASS PORCH $25.00 144 $0. 00 SCREEN PORCH $20.00 144 $0. 00 DECK $8.00 120 $0. 00 $73,448 32 i 0 BINGLE FAMILY DW6LLIBGS 2 SET3 OF PLANS 3 11fi6I3TERED 3ITS SDNVEYS 1 SET OF ENERUY CALC9. 1989 HQILDIAf3 P6AMIT APPLICATZON CITY OF EAGAN M&ILTIP DHELLIN 2 9ET8 OF PL9N3 REdI3TSRED SITB 30AVEl3 - (CHECB iTITA HLDG DZV.) 1 SET OF ENEBG2 CALC3. COlP1ERCIAL 2 SET3 OF AACHTiECTURAL 6 SRROCT9AAL PGAN3 1 SET OF 5PECIFICATIONS 1 SET OF ENEIiGT CALCS. MULTIPLS DHELLINC3 RENTAL 0llIT3 FOS SALS OIiITS X # OF 08IT3 1 of 4 110TEf lDDRESSE4 YOH COA9&A LOT3 - COATRtCTOR/HOMEOWNEH !lOST DE4Ifi8ASE iTHICH 11DDRFSS IS DFSIR£D. NO CHAN4ES WII.L BE dLLOWED OACE HUILDINf1 PERMIT IS I530ED.. 3EfiER 6 NATEA PEAHIT FE83 AND ?CCOUNf DEP03IT FS83 fiILL BB IRCLIJDED i1ITH THE HUILDING PEffi!Tf FEE. PROCE33INf} TIME FOR 3EWEA gND AbTBR PB[MI15 IS TAO DAY3 ONCE A PEAMIT HAS HEE6 COMPLETED IIQDICETING A LICENSED PLSRBER. PENALTY APPLZFS F1fEN= PE[iHIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED DNCE PERMIT IS ISSIIED. To Be usea For: Multi Family Veluations WqT? Date: 09/29I89 site Aaaress 4502 South Mallard Trail (1B/IX-?D urric:a tue Oooupanoy Q-3 M-1 Zoning PD Actual Const y- y Allocrable V -N / of atoriea Length Depth S.F. Total 30' Lot 36 Biock 3 Parcel/Sub Thomas Lake Woods o,mer Thomas Lake Development, LTD. naares9 6648 Rustic Road S. E. City/Zip Code Prior Lake, MN 55372 Phone 447-2424 contractor Thomas Lake Develop. LTD. Address 6648 Rustic Road S. E. Citq/Zip Code Prior Lake, MN 55372 Phone 447-2424 Arch./Engr. Address Clty/Zip Code Footprint S.F. On site sewage On site well MWCC System ? City water ? PRY required ? Booster Pump ? APPROVALS Planner Council Bldg. Off. 19 Variance _ FEES Bldg. Permit yft.DO Surcharge ? Plan Review 7_48.on SAC, City 0 100.0 sac, Mwcc ri. Q? Nater Conn sa.o•oo ilater Meter Gp. 00 Acet. DeposiE -30•oo s/x earmtt ,30.00 S/w Surcharge 00 Treatment P1 . ZZg.oo Road Unit 5C40.00 Park Ded. Copies 30BTOTAL Penalty TOTAL 'Il S? VV Phone 0 NAME: THOMAS LAKE DEVELOPMENT, LTD. ADDRESS: 4502 SOUTH MALLARD TRAIL , LOT: 36 BLOCK: 3 PHASE II PRICE = YES SQ. FT. = a? SQ. FT. TOTAL GARAGE ?c L QP?== 1= $14.36 440 $6,318. 40 MAIN FLOOR/BASEMENT $48.68 1144 $0. 00 SLAB MAIN FLOOR 1 $53.68 1144 $61,409. 92 SECOND FLODR $38.94 520 $0. 00 UNFINISHED BASEMENT $10.00 1144 $0. 00 FINISHED BASEMENT $13.00 1144 $0. 00 BATH BASE/2ND FLOOR $1,000.00 0 $0. 00 FIREPLACE $1,000.00 1 $0. 00 GLASS PORCH $25.00 144 $0. 00 SCREEN PORCH $20.00 144 $0. 00 DECK $8.00 120 $0. 00 $67,728.32 SINGLS FAMILY DfiELLI9GS 2 SET3 OF YLANS 3 REGISTERED SIYS 808VEY3 1 3ET OF ENERGY CALC3. 7989 BITILDIA6 PEAMIT APPLICATION CTTY OF EAGAN 1#1145 01 MULTIPLS DiiSLLINCS 2 3fiT9 OF PLAHS REaI3T8RED 3ITE SOR4EY3 - (CHECB iTITH HLD(f DIV.) 1 3ET OF F.NEflG2 rALC3. COMASEACIAL 2 SETS OF ABCHI2ECTURAL 6 STROCSVAAL PLAN3 1 SET OF SPECIFICATIONS 1 3ET OF ENERGY CALC3. MULTIPLH DWELLING3 RENTAL UNIT3 FOR 31LE DNIT3 X ! OF IINIT3 1 of 4 lTOTBs ADDRFS3+L9 POfl CORNEx LOT3 - CONTRACTOR/HOKEOWHBH MOST DE4IGNATE WSICH ADDAESS IS DESIRED. 80 CHANGFS WII.L BB ILLOWED OACfi B9ILDINfi PERMIT I3 ISSiJED.. / SEIiER 6 WITEA YERMIT FEE3 lND ?CCOiJNT DEFQ9IT F6E5 WILL BB IpCLUDSD HITH THE-HUILDIN6 PEEMIIT FSE, PROCE43ING TIME FOR SEfiEA lPD WAT6R PEAHITS IS TWO DAYS ONCE A PEAMIT H14S BEEN COMPLETED ffiDIC9TINa A LICENSED PL"ER. PENALTY APpLIFS yHEH: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CAANGE IS AEQUESTED ONCE PERMIT IS ISSUED. VPT " 2 1989 To ee uaea For: Multi Family valuation: 57O7sc Date: 09/29/89 site naaress 4504 South Mallard Trail t7y'coo OFFICS O31 Oecupanoy R'3- 1x14 Zoning pD Actual Const V-N Allovable y-/J # of stories Length 6H' Depth 30` S.F. Total Footprint S.E. LoL 34_ Block 3 Parceiisub Shomas Lake Woods or,mer Thomas Lake Development, LTD. Address 6648 RuStiC Road S. E. city/zip coae Prior Lake, MN 55372 Phone 447-2424 contractor Thomas Lake Develop. LTD. Aaaress 6648 Rustic Road S. E. cityizip coae Prior Lake, MN 55372 Phone 447-2424 Mch./Engr. Address Ctty/Zip Code On site sewage On site well MWCC System ? City water v PRY required L- Booster Pump - eeeaoveLs Planner Council Bldg. OfP. Varianee FEES Hldg. Permit 522. Sureharge 217,q? Plan Review Z,Col.PO SAC, City 100•00 SAC, MWCC ,5rS•pD Water Conn 5f30.00 Water Meter o m Acot. Deposit 30.00 S/W Permit Z0,00 S/W Sureharge 1,00 Treatment Pl. ZZ$.07 Road Unit 3yo. 00 Park f7ed. Copies soeTOreL Penalty TOT4L Sd- V? L-? Phone 4 4 NAME: THOMAS LAKE DEVELOPMENT, LTD. ADDRESS: 4504 SOUTH MALLARD TRAIL +b LOT: 34 BLOCK: 3 PHASE II „ PRICE -T--------_°_ °_ YES °____ SQ. FT __ . __ SQ. FT. _______ TOTAL --- GARAGE - 1 --- $14. 36 440 $6,318. 40 MAIN FLOOR/BASEMENT 1 $48. 68 1144 $55,689. 92 SLAB MAIN FLOOR $53. 68 1144 $0. 00 SECOND FLOOR $38. 94 520 $0. 00 UNFINISHED BASEMENT 1 $10. 00 1144 $11,440. 00 FINISHED BASEMENT $13. 00 1144 $0. 00 BATH BASE/2ND FLOOR $1,000. 00 0 $0. 00 FIREPLACE $1,000. 00 1 $0. 00 GLASS PORCH $25. 00 144 $0. 00 SCREEN PORCH $20. 00 144 $0. 00 DECK $8. 00 120 $0. 00 $73,448 32 _-'11k 4, SIN6LE F9MILY DiiELLI8G3 2 3ET3 OF PLdNS 3 REfiI3TEAED SITB 3QRYEYS 7 SET OF ENEH(iY C1LC3. 1989 BITILDIAC PERMIT APPLICATION CITY OF EAGAN ILTIP I D{iS 2 3ST3 OF PLANS AE(3IST6p@D SIiE SONVEY3 - (CHECS fTITR BLDG DIV. ) 1 SET OF E6ERGS CdLCS. COM4SERCIAL 2 3ETS OF ARCHI2ECTUHAL & STROCTtlAAL PLANS 1 SET OF SPECIFIC9TIONS 1 SET OF EIiERGT CALC3. NULTIPL6 DHELLINGS AENf9L UlIITS FOH SELE ONITS X f OF DKITS 1 of 4 NOTEs 1DDRFS3E9 FOB CDRNSA LOT3 - CDHTRiCTOR/HO1+160WNER HOST DESI(iNA'fE HHICH ADDRE4S I3 DE32AED, NO CHANf3E5 AILL BE lLLOWED OiCE BOILDINti PERMIT I3 I33IJED.. 3EWEH 8 pATEA PEAHIT FEE3 ?ND lCCOUN! DEP0.4IT FfiES WILL BE IRCLIIDED itITH T9E HUriDINa PEANIIT FHE, PROCFSSING TIME FOR SEWEA AND WATBR PEAHITS I3 TAO DAYS ONCE A PEAMIT HAS BEER COMPLETED INDICATING A LICEA3ED PLUlBER. PENALTY APPLIES fiHEN: PEEtMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS AEpUESTED DNCE PERMIT IS ISSUED. 'Po Be usea For: Multi Family Valuation: ?2$-32 Date: 09/29/89 site Address 4506 South Mallard Trail Lot 33 slock 3 parceiisub rhomas Lake Woods owr,er Thomas Lake Development, LTD Address 6648 RUStiC RoBd S. E. City/Zip Code Prior Lake, MN 55372 Phone 447-2424 cootraator Thomas Lake Develop. LTD. naaresa 6648 Rustic Road S. E. City/Zip Code Prior Lake, MN 55372 Phone 447-2424 Mch./Engr. Address City/Zip Code 6S/ODO OFFICB OSt Ocaupancy P.-3 Nl- I 2oning 'PD Actual Const V- N Allorrable y-/q # af atories Length ?- Depth 30 , S.F. Total Footprint S.F. On site aeuage On aite well MWCC System ? City water ? PRV required -7 Booster Pump _ eeeaovus Planner Council Bldg. Off. tE::"/Q Yarianoe FEES Hldg. Permit 496.00 Surcharge zy,ao Plan Review ?,?fg,oo SAC, City 100.00 SAC, MWCC $-U 1 00 Wat¢r Conn S Eb.oo Rater Meter o 00 Acet. Deposit 30.0o six parmit ao.oo S/W Surcharge l.ao Treatment P1 . 228,,W Road Unit Vo,oo Park Ded. Copiea 3i1BTOTAL Penalty TOTAL Phone 0 _. , i . . NAME: THOMAS LAKE ?EVELOPMENT, LTD. ADDRESS: 4506 SOUTH MALLARD TRAIL LOT: 33 ' BLOCK: 3 PHASE II PRICE YES SQ. FT . SQ. FT. TOTAL GARAGE ? 1 $14. 36 440 $6,318. 40 MAIN FLOOR/BASEMENT $48. 68 1144 $0. 00 SLAB MAIN FLOOR 1 $53. 68 1144 $61,409. 92 SECOND FLDOR $38. 94 520 $0. 00 iINFINISHED BASEMENT $10. 00 1144 $0. 00 FINISHED BASEMENT $13. 00 1144 $0. 00 BATH BASE/2ND FLOOR $1,000. 00 0 $0. 00 FIREPLACE $1,000. 00 1 $0. 00 GLASS PORCH $25. 00 144 $0. 00 SCREEN PORCH $20. 00 144 $0. 00 DECK $8. 00 120 $0. 00 = G$67,728. 32 INSPECTI4N RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILpiNG 022717 12/13/93 SITEADDRESS: Lor: se BLOCK: 4502 MALLARD TR S THOMAS LAKE WOODS 3 APPLICANT: HEAT-N-GLO FIREPLACES (612) 890-0758 ? PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIP7ION (GflS) --k-CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Datelssued: 4502 MALLARD TR S L07: 36 BLOCKc 3 TNOMAS LAKE WOODS BUZLDING 022717 12/13/93 DESCRIPTION: .,? (GAS) Bu?ldi ngZPermit Type Building Wb?rk Type ? ? L ? / d FIREPLACE NEW ??n -_I? ?L`1 (???1?? REMARKS: FEE SUMMARY Base Fee $25.00 Surcharge Total Fee $25.50 CONTRACTOR: - flpplicant - sT. LIC. OWNER: HEAT-N-GLO FIREPLACES 18960758 0002960 STUART TIM 3850 W HWY 13 4502 MALLARD TR S BURNSVILLE MN 55337 EA6AN MN 55122 (612) 890-0758 (612)454-8082 I heraby acknowledge that Z have read this application and state that the 9.nformat,ion is carrect and agree ta comply with all applicable State of Mn. Statutes and City pf Eagan Ordinances. ? Rs1:?L APPLICANT/PERMITEE SIGNATURE ,ISSUED B: SI NATUIi t nt11 PERMIT I REACTIVATE _ PERMIT ! 22111 cirY oF eacaN 1993 Btj1LDING PERMIT APPLICATION 681-46T5 Z S, SINGLE & MULTI-fM1ILY 2 sets of plaos, 3 registered slte surveys, 1 copy of energy calcs. ' COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of • specifications, l copy of energy calcs. Penalty applies: 1) when permit 1s typed, but not picked up by last working day of month- s requested once permit d or 3) lot change 1 h i dd _ ange ress s c in which request is made, 2) a is issued. Date Ya uation of work ?? Site Address: STREET SU3TF 9 Tenant Name: (commercial only) lAT , q (._ SLOCK '3_ SUBD.?{I, _rU1n?a L+ I(??, (, ),_ J. . ?J tu0DL1?? P.I.D. N ' Descri tion of work: hwb IZIA ) The applicant is: ? Owner ? Contractor ? Other (Describe) 1 Phone ? ?'f'-<Qn Name j Property LAS, fIasT Owner Address u?fil? LOAd-?t,?- ? SiREET STE Y ?ity ?J State ZiP Z lt?llp -4-B'l Phone 6 "1L''e7A Company Contractor Address(J) iJ1b11 License d /0 Exp. _ ?1-3 Lity ? (1'tk/ State kh ? Zip 1;5 Company Phone Architect/ Name Registration Engineer Address City State ZiP Sewer 8 water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is licable State of Minnesota Statutes and City of ith all a l pp y w correct and a9ree to comp Eagan Ordinances. ? Signature of Applicant: '?j(n y CITY U3E ONLY LBL V RECEIPT#: 97'70?- SUBD. -? RECEIPT DATE: 1998 PLZJtYIDING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT EINOB RD EAGAN, MN 55122 (612) 661-4675 Ptease complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Wa!er Gloset 3.00 x - Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Oudet ` minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ` for dwellings under construction 5.00 X = Water Softener " tor existing dwelling 20.00 x = U.G. Sprinkler ' ior dwelling under const. 3.00 = ? U.G. Sprinkler `forexistingdwelling 20.00 Alterations * to existing residence 20.00 = 1116 9 F---- Water Turn Around 20.00 = Private Disposal System ' MPC rc. 75.00 = (new and refurbished systems) Private DiSpoSal SyStemS' Abandonment 20.00 = STATE SURCHARGE 50 TOTAL a U • 5-z ----------------------•-------------------------------------------------•----------------------? ----------•------ I hereby acknowledge that I have read this appliwtion, state that the infortnation is coned, and agree to comply wilh all applicable City of Eagan ordinanees. H is Me applieanPs responsihility to notify the property owner that the City of Eagan essumes no liability for any damages wused by the City during its nortnal aperetional and maintenance aQivities to the facilities construc[ed untler this pertnit within City praperty/nght-of-way/easement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: )2) r STREET SIGNATURE 04ERMITTEE TELEPHONE #: y S' r6l o°it? s 3 C2 :cJe/ ?)2? . _[)-- STATE: ZIP: -?T-& v v JSIFORMS BLAGlPLBG PERMIT (RESIDENTIAL) 1998 &A• ??P?ivm..cq l1°'s/5(v 1993 q","/""' "v'? E / ?". #~- ?? /W//o'?/ '?'I1 - e? MECHANICAL PIItMIT (GOMPEOFMW CTI'Y OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMNERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTI-IER MULTI-FAMILY BUILDINGS WHEN SEPAtZAiE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: APR 8 1993 NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: CONTRACT PRICE: $ - Iml()o a? a,u? CoRd?fi FEES :% oF POid'I'Ri'?CT rEE PROCESSED PIPING MINIMUM FEE: STATE SURCHARGE TOTAL SITE OWNER NAME:???,I? l??{A?GL.?'T TELEPHONE #: ? TENANT NAME: (IMPROVEMENTS ONL1) INSTALLER: Richmona 5 aons ciec., w6, uu- e, ADDRESS: ,idcn Valley rtta, & air cd ro, r.?.r,.nv 15423 CITY: ' S?` STATE: ZIP CODE: TELEPHONE / SIGNAT RE OF PERMITTEE CITY $25.00 $-25-b?- ? / ,? $.5( 0 FOR EACH $1,000 OF ..?EIZMTT f'EE. ..........:... . ,? ?l? /s Sv !l-- A/G 2007 RESIDENTIAL PLUMBING PERMir nPPUCaTioN CITI( OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 oL»..u .....nnlelu fn? .....AiFireti....o M. nviM;nn mc:.Innti?l '#ucllinnc Dete 1 I r Site Street Address Unit# - -- ? --- ---- - ---- ----- - -- -- -- - - ? Property Owner le ? Telephone # 1 ------- Contrador Telephone # (GS% ) %sv / ?7 G Address`o?ZS ?i 1?Pr P.• i?? _ C J_??------.-- Stati?._ zpP5-fh?- __-.____-___._-___ The Applicank is; _ Owner $ Occupant K Licensed Plambiqg Contrector Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Indudes County fee ; 100.00 Per as-built $ 10.00 Fre Repair (replace 6umed out fiutures, etc.) ?$ ,g?p pp This fee a lies when extensive lumbin re airs are made to a buildin . Akeretions to ex[stlng dwelting $ 50.00 _ Add piumbing fiMures to main level lower level. This fee includes installation of a water softener andlor water heater et the same tlme. ff you are installing on a water sof[ener and/or weter heater, do nr,t compiete this section; move to the neM secFon and place a cherkmark nent ko the appliance(s) yoia are installing. _Septir. System Abantlonmerrt ^ Water Tumaround (add $136.00 if a 518" meter is required) Other Water Softener _ Water Heater $ 15 00 - ^ew _ replacement L awn Irrigatfon ,_RPZ APVB new _`repe?lr -rebulld $ 30.00 tate Surcharge I $ 50 otal T f. $?v I hereby apply for a Residential Plumbing Permit and aGcnowled th t th ' work will be in conforrnance witb the ortlinances and codes of the Cit ?no} Eatron is complete and accurate; that the understarM this is rrot a pertnR, but ony an applip? ?. a Y agan and the plumbing codes; that I aco Uance with the Permit, worlc is nM to start Mrithout a permk and work will be in I pproved plan in the event a ptan is required be rev? d nd approved. ApplicanYs Pri ted Name ? ApPOcanYS Signahue g 003-7 2007 RESIDENTIAL MECHANICAL PERMIT APYLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & rownhnmes;cundos whcn permits nm rcyuired tiir each unit ?SC).s-o C?'& C?< Date 0 9/ 2 4/ 0 7 Site Address 4502 MALLARD TRAIL Unit # Property (hvner MARY DAHL Telephone #( 651 ) 687-9739 Contractor GENZ-RYAN Street Address 2200 W HWY 13 City BURNSVILLE State MN Zip 55337 Telcphone #( 952 )_Z67_1000 Bond #: 929z9$$27 Expires: 08/14/08 The Applicant is _ Owner X Contractor _ Othet Fire repair (replace burned ou[ appliances, duclwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 X furnace _Additional x Replacement _ New air exchanger X airconditioner heat pump other S[ate Surcharge $ .50 Total $ 50.50 i hereby apply for a Residen[ial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permi[; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl/an/s.J KIM RENVILLE / /\Vm ApplicanYs Printed Name 'AprplYcant's Sit-na r--------------_--- 4500 i For Office Use 45 9 0 l 1 9~8 5 ~a t 0 J 10 ; Permit City of Eaprl Permit Fee: q . 05 1 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~f Unit Name: 41'5 0~ 01 6 S0( Phone: Resident/ Owner Address/ City/ Zip: , 114,1d" / a~t~N 1 Applicant is: Owner Contractor Type of Work Description of work: ec r'O1) 3~, ©0Q r CIO Construction Cost: .j~ Multi-Family Building: (Yes No ) Company: 11J/"!''zC/~Contact: L~~e ~0r [ ,1dt Contractor Address: jAJ ity: &/!!~J f State: Zip: 33 Phone: 63 Or) i License SC.- 6M 63'5- Lead Certificate If the 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: ' Licensed Plumber: Phone: I Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: I NOTE: Plans and supporting documents that you submit are considered to be public information. Portions ofp the information may be classified as non-public if you provide specific reasons that would permit the City to i 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. w"m.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 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. xzt> &_116 k6011-) x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176672 Date Issued:05/26/2022 Permit Category:ePermit Site Address: 4500 Mallard Tr S Lot:35 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-350 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - William M & Stephanie A Trevis 4500 Mallard Trl S Eagan MN 55122 (651) 353-6230 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature