EA181052 - Plumbing - Fixtures - - Issued Date 01/30/2023PERMIT
City of Eagan
Permit Type:
Plumbing
3830 Pilot Knob Rd
Eagan, MN 55122---
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••-• EAGAN
Permit Number:
EA181052
(651) 675-5675,
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www.cityofeagan.com
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Date Issued:
1/30/2023
Site Address: 4184
Knob Cir 109
Lot: 009 Block: 02
Addition: Knob Hill of Eagan
PID: 10-42500-02-009
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Use:
* 10-42500-02-009*
Description:
Sub Type: Fixtures
Work Type: Replace
Description: Bathroom(s)
Meter Size Meter Type 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:
Mad City Windows & Baths Carol L Wendland
5020 Voges Road 4184 Knob Cir
Madison WI 53718 Eagan MN 55122--288
(651)500-0514
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.
[ hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Stat(
of Minnesota Statutes and City of Eagan Ordinances.
ApplicantTermitee: Signature ssued B : Signature
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For Office Use I
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EAGAN 1
Permit Fee:
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Date Received: 1
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651) 675-5675 1 FAX: (651) 675-5694 Staff:
buildinginspections(a)cityofeagan.com----------------
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1/20/2023 Site Address: 4184 KNOB CIR EAGAN MN 55122 Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: CAROL WENDLAND
Homeowner Address: 4184 KNOB CIRCLE City: EAGAN
State: MN ZiD: 55122 Phone: 612-309-0250 Email: N/A
Type of Work
New V(Replacement— Repair _Rebuild — Modify Space —
Work in R.O.W.
—
I Description of work: REPLACING TUB WITH SHOWER
Tankless Water Heater
Lawn Irrigation L_ RPZ /— PVB)
Standard Water Heater
Description I Add Plumbing Fixtures C_ Main /_ Lower Level)
p I Water Softener
a
Septic System Description:
New Abandonment Connection to City Water from Well
I
Company: MAD CITY WINDOWS & BATHS Contact: LUPE OR BELLA
Plumbing Address: 2621 FAIRVIEW AVE N SUITE 2 city: ROSEVILLE
Contractor State: Zip.. Phone: Email: MN 55113 651-867-4388 Permits@madcitywindows.com
License #: PC775282 Expiration Date: 12/31 /2023
RESIDENTIAL FEES
$150.00 New Residential or Connection 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 $
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org 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 pla..ns��yy ,,rr�
xGUADALUPE VEGA x �Gi.,-td4&jam'' Veda,
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size (if applicable):
Required Inspections: Under Ground Rough -In Air Test Gas Test Manometer Final