2122 Water Lilly Lane
Use BLUE or BLACK Ink
1-----------------i
alt 0 Ea I Permit /,0
Y 1 Permit Fee,
3630 Pilot Knob Road I - 1
Eagan MN 55122 I 1
1 Date Received: 11-6 Phone: (01) 673-3675 l I
Fax: (651) 675=5694 l mL
L.----------------J
2011 RESIDENTIAL PLUMBING PE MI APPLICATION
Date: ' tP v~ Site Address:
V_ L11- I M pi
Tenant: Suite Ilk
RESIDENT 1 OWNER Narne: Phony 15
Ad&eas / Clty 1 Zl .
(~t 1t(
42,1
r
CONTRACTOR Name; MILBERT COMPANY INC.dba CUU1GAN WATER
Address: 1801 SOT" ST EAST City : DAM GROVE,HGIS
State. Zip: 55.077' Phone. 65.1`.'4,5f-2241
Contact: BILL.MILBa"•II Email:
TYPE OF WORK _ New _ Replacement _Repair -Rebuild _ Modify apace _ Work M.R.O.W.
Descrl tlon of Work:.
PERMIT TYPE RESIDENTIAL
Water Heater .Water Softener
Lawn hrlgaOQn RP2 PVB) Add Plumbing Fixtures Main / _ Lower Level)
• -4. Septic System Water Turnaround
..''-New
Abandonment
RESIDENTIAL FEES:
$53.00 Minimum Water Heater, Water Softener, or Water Heater nA Softener (Includes $5.00 State Surcharge)
335.00.Lawn Irrigation anclddes $5.00 State Surcharge)
$55.00 Add Plumbing Flxtutes, Septic System ebandonment, WaterTumaround' (Includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 Ifr516' meter Is required)
$105.00 Septic System V_MX ($10.00 pores bum) (Includes County fee ind S5.00 State Surcharge)
$8 3.00 Fire Repair (replace bum" out appliances, ductwork, eta) (Includes 35.00 State Surcharge)
TOTAL. FEES;
CALL BEFORE YOU M. Cap Gopher State One Call at (651) 434-0002 for protection against underground utllHy damage.
Call 45 Hours before you Intend to dig b rwoW locates of underground Willies: www.oooherstateonecall.om
I hereby advwwlsdge Mat this knfmatlon Is oomplets and aceursts; lhat the work will be In oordorma @ with the ordinances and codes of to City Of
Eagan; that I understand this Is a permit, but ony'an appileitioni'far a p"ll, and work Is rcpt to start wllhout a pgonlg that #0 work will be In
accordance with an oppnwed pla In the case of work wNch niquirss syeview and a [of
'
W I f R l~► L 1 ~tZ
Applicant's Printed Name App ca, a n
al p~►o2v~ , o~.lv~~t' i ~'~26, 02►o~lJ, Use BLUE or BLACK Ink
a ► 3n~ 30 W444`4- L'I Yl~ I For Office Use-------
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City of Eayn
( Permit Fee: (v39 •a5
I
'
3630 Pilot Knob Road I I 01
/
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 1
Fax: (651) 675-5694 I Staff: I 2
t-----------------I
BUILDING 2013 COMMERCIAL PERMIT APPLICATION
Date: Site Address: A u C f I t t
Tenant Name: g t ant is: New / Existing) Suite
Former Tenant:
Name: Phone:
Property Owner Address /City /Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
r l~~<
Construction Cost: <
<..,.TT~ .,-e....o,.aw.. .nom .e .a,.-..,
Name: License
°r .
Contractor Address - City: -
State: Zip: Phone:
Contact: Email: - i° P-
Name: Registration
rchitectlEngineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
NOTE. Plans and supporting documents That you subma 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. www.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 jeview and approval of plans.
Applicant's Printed Name Ap`Dlidant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152506
Date Issued:10/18/2018
Permit Category:ePermit
Site Address: 2122 Water Lilly Lane
Lot:206 Block: 03 Addition: Eagan Heights Townhomes 1st
PID:10-22425-03-206
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Particia Steele
2122 Water Lilly Lane
Eagan MN 55122
(952) 237-3204
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature