EA181686 - Plumbing - Water Softener - Issued Date 03/13/2023 PERMIT
City of Eagan ° ° , , Permit Type: Plumbing
3830 Pilot Knob Rd °°° ° 'e Permit Number: EA181686
GAN
Eagan,MN 55122 •--• ••,oEA
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 1 6 8 6
Date Issued: 3/13/2023
Site Address: 3258 Valley Ridge Dr
Lot: 002 Block: 05 Addition: Robert Karatz
PID:10-41300-05-002 111111111111 IN 11111111111111111111111111 IN 11111111111111111111111111 im
Use: * 10 - 4 1300 - 05 - 002 *
Description:
Sub Type: Water Softener
Work Type: Replace
Description:
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:
Champion Plumbing LLC Tonya Kassian
3670 Dodd Rd.,#100 3258 Valley Ridge Dr
Eagan MN 55123 Eagan MN 55121
(651)365-1340
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 ssued B : Signature
-------,
w• ® I For Office Use I
I
I Permit#: 181686
EAC3AN
$65 I
Permit Fee:
Date Received:3/13/2023
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I
I
(651)675-56751 FAX: (651)675-5694 Staff.
buildinainsr)ections(&-citvofeaaan.com -----------------�
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: March 13th, 2023 Site Address: 3258 Valley Ridge Drive Unit#:
Applicant is: ❑ Owner 14 Contractor
Name:
Tonya Kassian
I�0111#3QWtt !`
Address: 3258 Valley Ridge Drive City: Eagan
Mn 55121 612.246.0045 N/A
State: Zi . Phone: Email.
d � _New V( Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
d Replace one 1 water softener
Description of work: p
Tankless Water Heater
Lawn Irrigation C—RPZ/ PVB)
Standard Water Heater
` Add Plumbing Fixtures )
001$41�� 46r�l � � Water Softener 9 (_Main/ Lower Level
' Description:
Septic System
Connection to City Water from Well
New _Abandonment
Champion Plumbing Rex Rogers
Company: Contact: g
3670 Dodd Road Suite 100 Eagan
F� Umblln „- Address: City:
Contracb� Mn 55123 651.365.1340 ermits chem ion pi net
State: Zip. Phone: Email. p P p g'
License#: PC000308 Expiration Date: 12/31/2023
RESIDENTIAL FEES
$160.00 New Residential or Connection to City Water(includes State Surcharge)
$65.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$66.00 Lawn Irrigation(includes State Surcharge)
$66.00 New fixtures,adding, altering,or removing piping(includes State Surcharge)
$66.00 Septic System Abandonment(includes State Surcharge) 65.00
TOTAL FEES$
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.00nherstateonecall.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 Rex Rogers X 74
Appyylican�4t''sM Printed Name Appl ant' Si ature
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