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
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» 651975 5694
Clly of Ragari
3530 Pilot Knob Road
Eagan MN 55122
Phone: (661) 675-5675
Fax: (861) 676-6694
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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
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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
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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
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