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1590 Mallard View
RESIDENT / OWNER Name: Vi th tot JO. /l/" t/` Phone: (P5 C9 0 8 1a-1 Address / City / Zip: ° 0 1 — O. l . , fi.,, CONTRACTOR Name: Ar -C a #: pliancQ S InC City \ \ Address: 1313 n . . a nita O State: Zip: ShakOPeepnAN 55379 Contact: ' ' 952 , P - 4803 TYPE OF WORK New kReplacement Rebuild _ Modify Space _ Work in R.O.W. _ _ Repair _ Description of work: RESIDENTIAL , ..... , Water Heater ,Water Softener (/( - PERMIT TYPE Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main _ Lower Level) _ Septic System Water Tumaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing 'Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) , Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) (add $166.00 if a 5/8" meter.is required) New ($10.00 per as built) (inojudes County fee and $.50 State Surchirge) ■ burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) r TOTAL FEES $ 1f ✓� 111 City of Eaall Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x ,: Appl ant's Signature Use BLUE or BLACK Ink 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6 15 ` � V Site Address: V Q Permit Fee: 56. ' 6 0 Permit #: Date Received: / l',�f Staff: CALL BEFORE YOU DIG. Call Gopher State Call at (651) 454 -0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates /of underground utilities. www.gopherstateonecall.ora 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 1 r"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 whittl requires a review and approval of plans. x J I l i e Applicant's Printed Nam Suite #: Reviewed By: ° ` Date: Required Inspections: Under Ground _Rough _ Air Test _Gas Test _Final FOR OFFICE USE CITY OF EAGAN Permit No: Date: 383E Pilot Knob Road Meter No: Size: P'0. Box 21199 Reader No: Date: Eagan, MN 55121 Owner: Site Address: Plumber: Conn. Chg: Zoning: Acct. Dep: No. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter: ((�� 9 g Misc By ,e;:a t1) /L /d WATER SERVICE PERMIT COP • • CITY OF EAGAN Permit No: Date: 3830 Pilot Knob Road B/P No: Date: 'P.O. Box 21199 Eagan, MN 55121 Owner: Site Address: Plumber: MWCC: Zoning' City Chg: No. of Units: Acct. Deb: I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: Misc.: B y SEWER SERVICE PERMIT r - - - - - - - - - - - - - QQ 1 i~ Q I For Office Use I City of Ea aPermit#: I I I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: l Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I ~ I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit ~ -8L ~6 f Phone: Residentl Name: Owner Address /City /Zip: XA/ " A!La/ 6C L,/ Applicant is: Owner I Contractor Type of Work Description of work: F-c i''Ot) Construction Cost: ©0Q ( 00 Multi-Family Building: (Yes / No ) Company: co 111A'r,,0~6ra Contact: G..i F✓~~ `Oti~O,~ d ! Contractor Address: 3? 00 FIV, r J r ity: &A, Ja State: V' P Zip: G-'3- 3 Phone: all - / 6-6300 License Sc, 631(739- 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: { f I Licensed Plumber: Phone: Mechanical Contractor: Phone: I Sewer & Water Contractor: ~ Phone: [-NOTE: Plans and supporting documents that you submit are considered to be public information.-Portions of -4 the information may be classified as non-public Y if you provide specific reasons tho t would permit the City to I conclude that they are trade secrets, j 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. wvAV.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. xJ~7 L.) L { bG<~ x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA131055 Date Issued:05/29/2015 Permit Category:ePermit Site Address: 1590 Mallard View Lot:15 Block: 02 Addition: Thomas Lake Woods PID:10-76100-02-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Patricia Ryan 1590 Mallard View Eagan MN 55122 (612) 741-0846 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144556 Date Issued:07/31/2017 Permit Category:ePermit Site Address: 1590 Mallard View Lot:15 Block: 02 Addition: Thomas Lake Woods PID:10-76100-02-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Patricia Ryan 1590 Mallard View Eagan MN 55122 (651) 770-5570 Window World Twin Cities 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172337 Date Issued:09/27/2021 Permit Category:ePermit Site Address: 1590 Mallard View Lot:15 Block: 02 Addition: Thomas Lake Woods PID:10-76100-02-150 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Patricia Tste Ryan 1590 Mallard Vw Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature