EA181380 - Plumbing - Fixtures - Issued Date 02/16/2023PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd •,.; % ;°°, Permit Number: EA181380
Eagan, MN 55122 ••- •• EAGAN
(651) 675-5675 '^
www.cityofeagan.com * E A 1 B 1 3 B 0
Date Issued: 2/16/2023
Site Address: 4084 Cashell Glen
Lot: 003 Block: 003 Addition: Wenzellst
PID:10-83570-03-030
Use: * 10-83570-03-030*
Description:
Sub Type: Fixtures
Work Type: Replace
Description: new toilet, shower base/controls, 2 vanity faucets
with drains
Meter Size Meter lype 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:
Affinity Plumbing LLC Bradley H & Ashley A Schulzetenberg
13741 Louisville Road 4084 Cashell Gln
Shakopee MN 55379 Eagan MN 55122
(952) 913-7171
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
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810_'"-�
(651) 675-5675 1 FAX: (651) 675-5694
buildinoinsoectionsOcitvofeaaan.com 6Y�
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For Office use
I Permit #:
181380
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jPermit Fee:
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2/16/23
Date Received: I
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Staff: ------ J
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 2/16/23 Site Address: 4084 Cashell Glen Unit #:
Applicant is: ❑ Owner 14 Contractor
Name: Brad Schulzetenburg
Address: 4048 Cashell Glen City: Eagan
Homeowner
State: MN Zip. 55122 Phone: 651-387-93 Email:
Type of Work
—New Z Replacement _Repair _Rebuild z Modify Space _ Work in R.O.W.
Description of work: Install new toilet - Shower base- Shower controls with valve - Delta- 2 vanity faucets with drains -
Tankless Water Heater
Lawn Irrigation l— RPZ / PVB)
Standard Water Heater
Add Plumbing Fixtures (� Main / Lower Level)
Description
Water Softener
Septic System Description:
Connection to City Water from Well
New Abandonment
Company: Affinity Plumbing Contact: Myah
Plumbing
Address: 936 1st Ave E city: Shakopee
Contractor
MN 55379 952-913-717 . Service@affinitymn.com
State: Zip.. Phone: Email.
License #: PC669066 Expiration Date: 12/23
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) 65.00
TOTAL FEES $
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gooherstateonecall.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 rdinances 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 sta ho 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 s
xMyah Gray X
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