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1566 Mallard ViewCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA091356 09/29/2009 ePermit Site Address: 1566 Mallard View Lot: 3 Block: 02 Addition: Thomas Lake Woods PID:10-76100-030-02 Use: Description: Sub Type: e - Fumace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) Surcharge -Fixed $50.00 0801.4088 $0.50 9001.2195 Total: $50.50 Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 - Applicant - Owner: Allan E Hassinger Tste 1566 Mallard View Eagan MN 55122--255 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 Issued By: Signature 201i0612013121:111" mu n 1 1 {.1 LY 111 r.ADAn » 651975 5694 Clly of Ragari 3530 Pilot Knob Road Eagan MN 55122 Phone: (661) 675-5675 Fax: (861) 676-6694 rPA P111 nnl—V/n—nnV/A r 1. V 11111 /11111 P 3/4 tiara BI.uE or BLACK Ink For Office Use Permit ix: /6 59/ / Permit Pse: 60-00 Date Received; Staff: 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION � bate: 2 d") 1 Site Address: IA.: 1 r Tenant: Suits if: J phone: 1, 9.4 CL. RESIDENTIAL Water Heater 1 Lawn Irrigation (_ RPZ / PVB) Septk System New Abandonment RESIDENTIAL FEES; Water Softener Add Plumbing Flidures (, _ Mein I.�__. Lower Level) Water Turnaround 540.00 Minimum Water Heater, Water Softener. or Water Heater and Softener (Includes $5.00 State Surcharge) $60.00 Lawn Irrigation (Includes $6.00 State Surcharge) 560.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes 55.00 State Surcharge) 'Water Turnaround (add 5189.00 If a 5/8" meter Is required) $106.00 Septic System New ($10.00 per as bulli) (Includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEF9RE YQIJ DIG. Can Gopher State One Cal at (801) 454.0002 for ptotectton against underground utility damage. C911 48 hours before you Intend to dig to receive locates of underground utilities. www.gpbherstateonecall.orp I hereby adcnovAedpe that Dips incarnation is complete and accurate; that Ute work III be in conformance vIth the ordinances and codes of the City of '' tat onty.an-appiication..ter-a-Para theia pwmlt-thef-4he-watts-vAl-be-in-- - I:MVO£cv1 the approved plan In the case of work which requires a review and appnUVal of pi Xiii Appllcanre Printed Name Applicarjt Signature ' ` l � 1 5 ; r ,A 1, , tir � ✓ �Ng�� �T1�ia � / � �' • ..i ! r.y 47 ! e/r 1 .). ,�,! I✓ r� 1, .Y� 1�1i1�� :KEN*:Itit�' aloha' • ;UngerGround , Rough�ln ,,r ;AIrTest �a fest :�Ino1111l�""` 111; 2012-04-3016:40 651975 5694 Date: City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Resident/ Owner For Office Use Permit #: 114 818 Permit Fee: _75_41_1_a___ Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Name: 1 S 6 ) /S6i /cC / /S(a hone: /Address (City /Zip: ti_e EAja `.s S -s- f,23 )1 Contractor Applicant is: Owner Type of Work Description of work: ' Construction Cost: Contractor Company: OJ/c 1 CO A'frk-c f tia Address: 3 3 690 Ec/lA)11 t'p 0,Ai oci State: J P Zip: G -s" 3 3) Phone: (D/ Multi -Family Building: (Yes )( / No ) Contact: Re,er F>"� kry EcV/AJt ly-'6.10o License #: BC- 63163S -- 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: Mechanical Contractor: Phone: Phone: Sewer & Water 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. 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 w gopherstateonecall.orq 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 wit 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. 4 `dC k60f•—) Applicant's Printed Name Applicant's Signature Page 1 of 3 11