EA180656 - Plumbing - Fixtures - Issued Date 12/13/2022PERMIT
City of Eagan o , , Permit Type: Plumbing
3830 Pilot Knob Rd ,,.;� % ;: , Permit Number: EA180656
Eagan, MN 55122 EAGAN
(651) 675-5675 111111111111
www.cityofeagan.com * E A 1 8 0 6 5 6
Date Issued: 12/13/2022
Site Address: 1179 Timbershore Lane
Lot: 4 Block: 03 Addition: Timbershore 4th
PID: 10-76503-03-040
Use: * 1 0— 7 6 5 0 3— 0 3— 0 4 0
Description:
Sub Type: Fixtures
Work Type: Alteration
Description: Basement bathroom add.
Meter Size Meter Tyne 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:
Pure Plumbing LLC Property Renewal LLC
780 19th St 1179 Timbershore Ln
Newport MN 55055 Saint Paul MN 55123
(651)500-6068
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
sued B : Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
bui IdinainsoectionsO-cityofeaQan. com
For Office Use ---------
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Date Received: I
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Staff.. I
I_________________-
2022 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: k'l' n -at'). Site Address: 117 R "h �L
Tenant:
Suite #:
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.citvofeaoan.com/subscdbe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.000herstateonecall.ora 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 plan .
Applicant's Printed Name Applicant's Signature
Name: V G"eS M& , I-ASoV\ Phone: 61 a - L'i i `-� - 3 %'I `//
Resident/Owner
Address/ City /Zip: C(0, (0, awy%e e
��rM�� "M19-4 �JYJ
Name: License #:
Address: --� O o C � City: /\,)e -j90 rk
Contractor
State: J16N Zip: SS(�S Phone: sl-sco- 1006g
Contact: �v\, Email: �� `Ee kw\o� r"N)Q � C:oyv-,
Type Of Work
— New — Replacement — Repair — Rebuild ) Modify Space — Work in R.O.W.
Description of work: �&Aar S®lY12Y�c1 .2UVv� C— +M %k -i 0ln
Tankless Water Heater
Lawn Irrigation (— RPZ / — PVB)
Standard Water Heater
Add Plumbing Fixtures (___ Main / X Lower Level)
Description
Water Softener
Description: tow Yemcw* VoqA\ywvv\
Septic System
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$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 or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $300 for Meter and $205 for Radio Read = $565
*Sewer & Water Permit also required for connection charges
TOTAL FEES $
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at
www.citvofeaoan.com/subscdbe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.000herstateonecall.ora 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 plan .
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections:
Meter Related Items:
Reviewed By: Date:
Under Ground Rough -In
Meter Size Radio Read
W
Air Test Gas Test Final
Manometer Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651) 675-5675 1 FAX: (651) 675-5694 buildinainsaections(&-citvofeagan.com
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