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4519 Mallard TrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4519 Mallard Tr S Lot: 1 Block: 3 Addition: Thomas Lake Woods PID:10- 76100 - 010 -03 Use: Description: Sub Type: e - Fumace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952- 445 -2840. Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952- 881 -9000 Crystal.Gemuenden @ServiceExperts.com Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Surcharge -Fixed ME - Permit Fee (Replacements) Total: 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 Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $0.50 $30.00 $30.50 Owner: Darlene A Maeder 4519 Mallard Tr S Eagan MN 55122 -2560 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Issued By: Signature Mechanical EA076304 12/29/2006 ePermit SEWER & WATER PERMIT E OPI Y CITY EAt I a METER # PERMIT DATE 06/21/90 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # = PERMIT # 11463 METER SIZE B.P. RECEIPT # G 8452 DATE June 12, 1990 ISSUEDATE B.P. RECEIPT DATE 06/20/90 X.. PRV ..,_. BOOSTER PUMP 3 5 SITE ADDRESS 4519 Soit.th Ma 1 1 a r4 Tra i 1 Y PERMIT REQUESTED LOT_ 1 BL _ . OCK.,SEC/SUB. Thara Lake Woods APPLICANT: Thomas Lake Development, .Ltd: WATER — TAPS SEWER ADDRESS: 6b413 Rustic Road b. E. — COMM /INO X RESIDENTIAL Prior" Lake MN .„,.,,..3/2 `C ITY, STA TE R NEW EXISTING P '447-2424 PLUMBER: Genz -R LUth n Plumbing & Heating. Lawn Sp r i nkler,Meters are to be Installed 147 x5 Robert Trail Ahe ad of Domestic Meters on Water Liter SS: WILL floT be given for Deduct Maters. Cl1Y,STATE 10semount, MN zip 55°68 , - PHONE: �s / ?' CiREE TO COMPLY WITH CITY OF B IER: Thomas Lake Development, Ltd . % GAN oftbtuAticEs ADDRESS: 6648 Rustic Road .. E. Prior Lake MN 5Y: 12 CITY, STATE ZIP PHONE: ''171113,, � SIGNATURE WHEN MEYER ISSUED PLEASE ' * � : . , ►, , , c t • . ,. ; - • MIL CALL 46i-5 FOR . FOR ORM ;SEWER CONTACT I G � ' 6 --5G leio 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:Plumbing Permit Number:EA170258 Date Issued:06/24/2021 Permit Category:ePermit Site Address: 4519 Mallard Tr S Lot:1 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener 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 - Darlene A Maeder 4519 Mallard Trl S Eagan MN 55122--256 (651) 242-1809 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170259 Date Issued:06/24/2021 Permit Category:ePermit Site Address: 4519 Mallard Tr S Lot:1 Block: 03 Addition: Thomas Lake Woods PID:10-76100-03-010 Use: Description: Sub Type:Residential Work Type:Rebuild Description: 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 $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 - Darlene A Maeder 4519 Mallard Trl S Eagan MN 55122--256 (651) 242-1809 Hero Plumbing Heating & Cooling Inc 10900 Hampshire Ave S Minneapolis MN 55438 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature