EA180896 - Plumbing - Fixtures - Issued Date 01/10/2023 PERMIT
City of Eagan , ® ® , Permit Type: Plumbing
3830 Pilot Knob Rd �`.; 8 ;.', Permit Number: EA180896
EAGAN
Eagan,MN 55122
(651)675-5675
www.cityofeagan.com * E R 1 8 0 8 9 6
Date Issued: 1/10/2023
Site Address: 878 Lakewood Hills Rd S
Lot: 16 Block: 0 Addition: Lakewood Hills
PID: 10-44350-00-160
Use: * 1 0 — 4 4 3 S 0 — 0 0 — 1 6 0 *
Description:
Sub Type: Fixtures
Work Type: Replace
Description: replace shower valve,bathtub and valve,lav and
toilet
Meter Size Meter lyl2e Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Plumbing Permit Fee $64.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant _ Owner:
K2 Bath Design&Remodeling LLC Michael F&Peggy K Kennon
2710 Urbandale Ln N 878 Lakewood Hills Rd
Plymouth MN 55447 Saint Paul MN 55123-492
(952)393-5712
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 sZed B : Signature
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For Office Ucs�e/1Q(J I�, �
AM EK E I Permit#: 1"mIJCA ko
Permit FeeEAUAN
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l Date Received 1
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 1 I
(651)875-56751 FAX:(651)675-5684 l Staff: I
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buildinolnsoections(acitvofeaaan.com I----------------—
RES'IDENTIAL PLUMBING PERMIT APPLICATION
Data; 01/04/23 site Address: 878 Lakewood Hills Rd S Unit#:
Applicant is: ❑ Owner ❑ Contractor
Name: Peggy and Mike Korsmo-Kennon
Homeowner,, Address: 878 Lakewood Hills Rd S old, Eagan
State: MN : 55321 Phone: 651-324-1024 Email: korsmo@umn.edu
Type,of Work —New _Replacement _Repair _Rebuild _Modify Space —Work in R.O.W.
Description of work: replace shower valve, bathtub and valve, lav and toilet
Tankless Water Heater
Standard Water Heater Lawn Irrigation(_RPZ/ PVB)
D.es'drlptiOn� Water Softener Add Plumbing Fixtures(_Main/ Lower Level)
Septic System Description:
Connection to City Water from Well
New Abandonment
Company: K2 bath design (plumbing department) Contact: Dustin Reece
Pium'bing Address: 2010 E Center Cir.#100 cny Plymouth
Contractor MN55441 612-407-9440 dreece@k2bathdesign.com
State: Zip: Phone: Email:
License#: BC638895 Expiration Date:
RESIDENTIAL FEES
$150.00 New Residential orConnection to City Water(includes State Surcharge)
$65.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$65.00 Lawn Irrigation(includes State Surcharge)
$65.00 New fixtures,adding,altering,or removing piping(includes State Surcharge)
$65.00 Septic System Abandonment(Includes State Surcharge)
TOTAL.FEES$65
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)464-0002 or www.aonherstateonecall.orn 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 wig 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 app ai of pians.
,,Dustin Reece X
Applicant's Printed Name Applicant's Signature
FOR dFFICE USE _
Revteired`By, Date;.. .
Meter'Se(tf aPpiir�bie):
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