1084 Kirkwood DrRESIDENT / OWNER
Cagan, MN 55123
Name: 6512853189 lone:
Address / City / Zip:
CONTRACTOR
Name: ___ NORB OM PI UMBIN.G Ca,_ License #: O(' ( 5� FM
Address: (612) 8274033
City: 2905 GARFIELD AVE SO State Zip:
MINNEAPOLIS, MN 55408
Phone: Contact Person:
TYPE OF WORK
— New ,x Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work: replace/ Wai heafer
PERMIT TYPE
RESIDENTIAL
1 Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) ( Main _ Lower Level)
Septic System Water Turnaround
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 $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ �`
€ity of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Date: 1 o12.ce(
Tenant:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: _ Diana Scott
1084 Kirkwood Drive
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 pen 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.
x 'Jeyffr 'Jorb1 am
Applicant's Print Name
Date Received:
A• icant's Signeeure
Permit #: /Z
Permit Fee: 1.5*" 00
Staff:
L
Suite #:
FOR OFFICE U
CITY p. ,EAtfA k WATER SERVICE PERMIT
3 ` f Knob- 4C PERMIT NO.: 4644
MN 55122 DATE:
4/11/ 83
Zoning: RII No. of Units: 1/2 duplex
Owner: Blilie Construction Co
Address:
Site Address: 1084 Kirkwood Dr, L22 B2 CM East I
Plumber: David & David (Southtown)
Meter No.: Connection Charge: 450.00 pd
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 pd
1 agree to comply with the City of Kagan Surch4 1 , 50 pd
Ordinances. Charge 3" i 60000 pd meter
Total:
By 0/LI< SD/ Date Paid:
Dote of Insp.: 4' - Insp.:
CITY 09.1.AGAN SEWER SERVICE PERMIT
3795 f 11ot 'Road PERMIT - NO.: 5731
Eagan, MN 55122 i DATE: .. 4/ 11/83
Zoning: 1;TT ?
j `' }' . / N�. of Unfit; �.� lit duP.ley.
Owner. R11141 (`nnAiriirti;nn Cn J • I
Address:
Site Address: 10/14 Ri rktJDnri T)r I T.77 R) (M _.J _flaw- T
Plumber: .THAN (i/&` $V d- ESoutlrtewn) 1
I agree to eomp w 2/ 34396 , '' 1 100.00 pd
Ordinances. ` ... the City of Eagan Connection Charge: 425.00 pd
Account Deposit:
i
Permit Fee 1n
rg Sn d
By � , / Misc. Charges: P
Dote of IndlL) /el Total:
Insp.: %— ir- w b Date Paid:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175984
Date Issued:04/26/2022
Permit Category:ePermit
Site Address: 1084 Kirkwood Dr
Lot:22 Block: 02 Addition: Ches Mar East 1st
PID:10-17150-02-220
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
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 -
Emiliano F Monroy
1084 Kirkwood Dr
Eagan MN 55123
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature