EA181753 - Plumbing - Single Fam - Issued Date 03/17/2023PERMIT
City of Eagan
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Permit Type:
Plumbing
3830 Pilot Knob Rd
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Permit Number:
EA181753
Eagan, MN 55122---
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EAGAN
(651) 675-5675
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www.cityofeagan.com
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Date Issued:
3/17/2023
Site Address: 846 Bald Lake Ct
Lot: 5 Block: 1
Addition: Gardenwood Ponds 4th
PID:10-28803-01-050
Use:
* 1 0— 2 8 8 0 3— 0 1— 0 5 0
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: Tub to Shower
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 -
Affinity Plumbing LLC
13741 Louisville Road
Shakopee MN 55379
(952)913-7171
Owner:
James E Tarum
846 Bald Lake Ct
Eagan MN 55123--248
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
sued B . Signature
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®® I For Office UseEAU
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Permit #: 181753
Ag�'AN
I
Permit Fee: $65
Date Received: 3/17/2023
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 I I
(651) 675-56751 FAX: (651) 675-5694 Staff:
buildinainspections(McitvofeaQan.com------------------'
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3/17/23 Site Address: 846 Bald Lake Ct Unit #:
Applicant is: ❑ Owner 14 Contractor
Name:
Marie Tarum
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Brnbtirr�+s' 846 Bald Lake Ct Eagan
Address: City: g
MN 55123
State: Zi Phone: Email:
TY(� 41IQik
New Replacement _ Repair _ Rebuild _Modify Space Work in R.O.W.
Description ofwork: tub to Shower
Tankless Water Heater
` Lawn Irrigation (_ RPZ /_ PVB)
Standard Water Heater
De�riptlpn, ';, Water Softener Add Plumbing Fixtures (_ Main / Lower Level)
Septic System Description:
Connection to City Water from Well
New Abandonment
Company: Affinity Plumbing contact: Myah Gray
� 936 1st Ave E Shakopee
Nig Address: City:
rrrtrw MN 55379 952-529-651 Service@affinitymn.com
State: Zip: Phone: Email:
PC669066 12/23
License #: 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) 65.00
TOTAL FEES $
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.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 conformanceth tie 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 to st rt vitAout a permit; that the work will be In
accordance with the approved plan in the case of work which requires a review and approval I ns.
,tMyah Gray X
Applicant's Printed Name Applicant's Signature