4521 Mallard Tr SCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4521 Mallard Tr S
Lot: 4 Block: 3 Addition: Thomas Lake Woods
PID:10- 76100 - 040 -03
Use:
Description:
Sub Type: e - Fumace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952- 881 -9000 Crystal.Gemuenden @Se
viceExperts.com
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Patricia A Oberle
4521 South Mallard Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$30.00 0801.4088
$0.50 9001.2195
$30.50
Issued By: Signature
Mechanical
EA074668
08/09/2006
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
x .. -t r F � i * z ' ,t `:* s
t:747.4,`: � c a ,£.yam, '�� �- � s�, '*'" c nm • � x S �, .� �., �' � x
.4 # .1`43 , 0* - ktf. 4 :;'' . '' . a , 3 d:..: ^�: ; v ` - g r'''+5 x a ' ° ,, ' 4 ,
::it '*'-' ":'' .-. - :'1""5 -, ''''.i ' it.';',,, ,,c'' . , e,..- , t,..,......", , ,..'2,..' , '.. ?"`°a;...;''',."-, .: .:-‘‘.:-.'"'".;::: ''...,,, r. ' .,,,."..; , P: .•,;"•,:7i. 0:14;,.. :,..=,,v,;;;40, NC
`¢ a �, e t ti
?. --'gas -4~ 'i.' ' ,* ¢' t"`'`&' 'mot," :+'az 4`c bS 'a y`
i i 5 Y � c 4 `' 3. ' �q+
A? , gt ' : '" sx7 NF "% � ' ' .�^ �*,*' xE* L i e e c s
$ a, c l''';, i ` s j 3. ) € *: ' .tea ' ::-.'",7=;,-‘, 'z `• .$1 "x , z as R, : '7"": 1:17:'
ii4 -sx. t � .3t 4•,i- 4 . R.'r r* F 2 u3 2 .44,'.-.-'S'
k � ` z. rt`i s 7.4, A`2 t 4 .+ v ' d �'' $ ,sue
w `= . > ,.Wa°c '� ;r"5r ' -a 3, yr'8 .: �< i ,: sir- t '• --- z
t s=
T x w- . .--,. ` - ,�' F x a a 4, : T '
� . v "
y> �'. `% . � ,. _ +aa p r � � . � :#'. �r�" � � - uarr fit. 4`. c ,� . ��'
'fi£ "' - .v �`' y s•, ' '"' a ,„ r 'f.. ; n .k "'} '`* h' "�
� ^ V i f � ° .� � r y ~✓ � .� 'tz� „� � . - .
o < < "1-4 ,,,, k 7s a '! 'sv, ZtV ''k- "r a§ .: 4 'L` :v k 4 ' t f ,..`'�{ : ,g am.;: ,'
Cx V . g r Plf‘ h �e y0. : .. 4:w �A
# f k 3
,x�7- '-z t � i : — ''' ', � � ,. r j -i " + .r fi - --'-'-l' P s c am - s #?l
e
i3
� � <•:L+„ , ma x _ -. w,r t' . .,. ;e _ ., . - °� -
r _ _ _ _ _ _ _ _ _ _ _ _ _ _
I For Office Use j
o1 L'(] r 77~~ LQ Permit#:
City Q11 I ^ I
I Permit Fee.
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit
Name: hone:
Resident/
Owner Address / City / Zip: IyAt /J*,- Jr, c a t2 i
Applicant is: Owner Contractor
Type of Work Description of work: F-C- rot) j'"
Construction Cost: 3(R+' 1 000 Multi-Family Building: (Yes No )
f l
Company: 1/~dGCj C'p:°) 7~~rs Contact: a``'
? ~
Contractor Address: J oc F-J, L) toy: Lc~'j~Cf
3 3
State: Zip: G-1s, Phone: /r 63 0e)
License SG 639 6 J'~;_ 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
1 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:
_ I
Sewer & Water Contractor: _ _ _ _ Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions
1 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.qoDherstateonecall.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.
x FC67 L~ &-1 c k60 1-)
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170314
Date Issued:06/28/2021
Permit Category:ePermit
Site Address: 4521 Mallard Tr S
Lot:4 Block: 03 Addition: Thomas Lake Woods
PID:10-76100-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Catherine L Tste Rausch
4521 Mallard Trl S
Eagan MN 55122
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature