EA181440 - Plumbing - Fixtures - Issued Date 02/22/2023 PERMIT
City of Eagan , ® Permit Type: Plumbing
3830 Pilot Knob Rd ®.�• . , Permit Number: EA181440
Eagan,MN 55122 •a•• •••' EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 8 1 4 4 0
Date Issued: 2/22/2023
Site Address: 1609 Norwood Dr
Lot: 15 Block: 2 Addition: Brittany 1st
PI13:10-15000-02-150
Use: * 10 - 15000 - 0Z - 150 *
Description:
Sub Type: Fixtures
Work Type: Replace
Description:
Meter Size Meter a 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:
Diversified Plumbing&Heating Inc Joseph M Tste Zitzmann
125 E Railroad St 1609 Norwood Dr
Norwood Young Americ MN 55368 Saint Paul MN 55122-272
(952)583-9646
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 slued B : Signature
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p I For Office Use } /�
1 Permit#: I —1 b
EAGAN
1 Permit Fee:
Date Received: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I 1
I
(651)675-5675 1 FAX:(651)675-5694 Staff: j
buildinainspectionsimcitvofeacian.com -----------
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RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 2/22/23 Site Address: 1609 Norwood Drive Unit#:
Applicant is: ❑ Owner 14 Contractor
Name:
�lomeownOr Address: City:
State: ZiD: Phone: Email:
777 7
Type of Work —New _Replacement —Repair Z Rebuild _Modify Space _Work in R.O.W.
Description of work: Lower level bathroom remodel
Tankless Water Heater
Lawn Irrigation l—RPZ/_PVB)
Standard Water Heater
neseription. Water Softener Add Plumbing Fixtures(_Main/�Lower Level)
Septic System Description: Lower level Bathroom remodel
New Abandonment Connection to City Water from Well
Diversified Plumbing & Heating Inc Lisa Puncochar
Company: Contact:
Plumbing Address: 125 E Railroad St City: Norwood Young America
Contractor55368 952-448-075E Lisa diversified h.com
State: MN Zip. Phone: Email. p
License#: PC667869 Expiration Date: 12/31/23
RESIDENTIAL FEES
$150.00 New Residential or Connection to City Water(includes State Surcharge)
$66.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$66.00 Lawn Irrigation(includes State Surcharge)
$66.00 New fixtures,adding, altering,or removing piping(includes State Surcharge)
$66.00 Septic System Abandonment(includes State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DICT. Contact Gopher State One Call at(651)454-0002 or v ww.aooherstateonecall.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 Lisa Puncochar x z. �uju.�G •
Applicant's Printed Name Applicant's Signature
SY .
RaVIO red gate:
Meter Slze,(if applicable):
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