EA181535 - Plumbing - Single Fam - Issued Date 03/02/2023 PERMIT
City of Eagan , , Permit Type: Plumbing
3830 Pilot Knob Rd `o' S ®.' Permit Number: EA181535
Eagan,MN 55122 •- •• EAGAN
(651)675-5675
111111111111
www.cityofeagan.com * E R 1 B 1 S 3 S
Date Issued: 3/2/2023
Site Address: 1041 Kettle Creek Rd
Lot: 20 Block: 2 Addition: Lexington Square
PID:10-45075-02-200
Use: * 1 0 — 4 S 0 7 S — 0 2 — 2 0 0
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: standard WH and new bath
Meter Size Meter Twe 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:
..Benchmark Plumbing Inc Janet Hoekenga
5952 Asher Ave E 1041 Kettle Creek
Inver Grove Heights MN 55077 Eagan MN 55123
(651)755-8078
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
® ® r j For Office Use---2------
II I Permit
10 EAGAN j Permit Fee: _
I
�+ I
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 I Staff: ___J
buildinginspections(&citvofeagan.com (--------------
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:Jr -,K Site Address: f / � `a,��-- - Unit#:
Applicant is: ❑ Owner bi=lsContractor
Name: 111104 Ak��p
Homeowner Address: city:
State:AffAzi Phone' -- a
Type of Work —New _Replacement _Repair _Rebuild Modify Space _Work in R.O.W.
Description of work:
Tankless Water Heater
Standard Water Heater Lawn Irrigation L—RPZ/ PVB)
Description Water Softener Add Plumbing Fixtures in/ X Lower Level)
Septic System Description:
New Abandonment Connection to City Water from Well c
�4
Company: Contact:
Plumbing Address: �'� // 2- City:
Contractor V�,, /�
State� Zi _ hone: Email:
aj e>7411
License#: T Expiration Date:
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 plans.
Applicant's Printed Name Applican�1..I.natu r
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final