EA180418 - Plumbing - Fixtures - Issued Date 12/05/2022I' Wid I V I
City of Eagan
,
Permit Type:
Plumbing
3830 Pilot Knob Rd
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Permit Number:
EA180418
Eagan, MN 55122
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EAGAN
(651) 675-5675
111111111111
www.cityofeagan.com
* E R 1 8 0 4 1
8
Date Issued:
12/5/2022
Site Address: 4053
Meadowlark Curve
Lot: 053 Block: 04
Addition: River Bluff Town Homes
PID: 10-64300-04-053
Use:
*10-64300-04-053*
Description:
Sub Type: Fixtures
Work Type: Replace
Description:
Meter Size Meter ape
Manufacturer
Serial Number Remote Number
Line Size
Comments:
Fee Summary:
PL - Permit Fee
$59.00 0801.4087
Surcharge -Fixed
$1.00 9001.2195
Total:
$60.00
Contractor: - Applicant - Owner:
Minnesota Rusco Anita M Nuhring
5010 Hwy 169 N 4053 Meadowlark Cury
Brooklyn Park MN 55428 Eagan MN 55122
(952)935-9669
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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.
Applicant/Permitee: Signature
./i -A /2.7ge!-t/
ssued B :Signature
----------------
For Office Use
Permit #:
EAGAN �aow o®a/ �#►1 ,, I
I Permit Fee:
aCEIVE
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651) 675-56751 FAX: (651) 675-5694�� Staff: j
buildinainsaections(cDcitvofeaaan.com-----------------J
IT
RESIDENTIAL PLUMAPPLICATION
Date: 1 1 /28/22 Slte Address: 4053 Meadowlark Curve Unit #:
Applicant is: ❑ Owner 14 Contractor
Name: Anita Nuhring
Address: 4053 Meadowlark Curve Cit,: Eagan
Homeowner
State: MN zi : 55122 Phone: 612-986-4842 Email: nuhring@msn.com
Type of Work
— New V(Replacement _Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description of work: Direct replacement of existing shower wet space, wall surround, and plumbing fixtures.
Tankless Water Heater
Standard Water Heater Lawn Irrigation (_ RPZ / PVB)
V Add Plumbing Fixtures Main / Lower Level)
Description
(V(
Water Softener
Description: Replace bathtub
Septic System
New Abandonment Connection to City Water from Well
Company: MN Rusco Contact: Kelli Gugisberg
Plumbing Address: 5010 Hwy 169 N City: New Hope
Contractor State: Zip.. Phone: MN 55428 952-935-966 Email. kelli@minnesotarusco.com
. minnesotarusco.com
License #: PC749301 Expiration Date: 12/31/23
RESIDENTIAL FEES
$100.00 New Residential or Connection to City Water (includes State Surcharge)
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding, altering, or removing piping (includes State Surcharge)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Septic System Abandonment (includes State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DICT. Contact Gopher State One Call at (651) 454-0002 or www.nooherstateonecall.om for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you Intend to dig to receive locates of underground utilities.
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.
x Kelli Gugisberg X Ke&
Applicant's Printed Name Applicant's 6WIgddtum
FOR OFFICE USE
Reviewed'; By: DatE3:
Muer Size ,(If _appl3t{able}:
IRequired Inspections: Under C3roland Rough -In Air Test Gas Test Manometer Final