EA180724 - Plumbing - Water Heater - Issued Date 12/20/2022PERMIT
City of Eagan , ° Permit TI rpe: Plumbing
3830 Pilot Knob Rd °°' Permit Number: EA180724
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Eagan, MN 55122 ��-• ••••
(651) 675-5675
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www.cityofeagan.com * E R 1 8 0 7 2 4*
Date Issued: 12/20/2022
Site Address: 3252 Valley Ridge Dr
Lot: 069 Block: 07 Addition: Robert Karatz
PID: 1041300-07-069
Use: *10-41300-07-069*
Description:
Sub Type: Water Heater
Work Type: Replace
Description:
Meter Size Meter kpe 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:
Champion Plumbing LLC
David Shores
3670 Dodd Rd., #100
3252 Valley Ridge Dr
Eagan MN 55123
Eagan MN 55121
(651)365-1340
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.
1 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
ssued B :I Signature
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For Office Use
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PermitEAGAN #:
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1 Permit Fee:
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651) 675-56751 FAX: (651) 675-5694 Staff:
buildinQinspections(cbcitvofeaaan.com — — — — — — — — — — — — — — — — —
2022 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 12/20/2022 Site Address: 3252 Valley Ridge Drive
Tenant: suite #:
Resident/Owner
Name: David Shores Phone: 651.454.8052
Address / city /zip: 3252 Valley Ridge Drive Eagan, Mn 55121
Name: Champion Plumbing License #: PC000308
Contractor
Address: 3670 Dodd Road Suite 100 city. Eagan
state: Mn Zip: 55123 Phone: 651.365.1340
Contact: Rex Rogers Email: permits@championplumbing.net
Type of Work —New Z Replacement _Repair —Rebuild — Modify Space — Work in R.O.W.
Description of work: Replace one (1) gas water heater
Tankless Water Heater Lawn Irrigation (— RPZ / — PVB)
Standard Water Heater
Add Plumbing Fixtures i_ Main / — Lower Level)
DescriptionWater Softener
Septic System Description:
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)
$116.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $300 for Meter and $206 for Radio Read = $565
*Sewer & Water Permit also required for connection charges 60.00
TOTAL FESS $
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www.citvofeanan.com/subscrlbe.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.uooherstateonecall.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 Rex Rogers x
Applicant's Printed Name Applicnt's Ig ture
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651) 675-56751 FAX: (651) 675-5694 buildinoinsoectionsOcitvofea aQ n.com
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