EA181762 - Plumbing - Single Fam - Issued Date 03/24/2023PERMIT
City of Eagan®®®®
Permit Type:
Plumbing
3830 Pilot Knob Rd
Eagan, MN 55122
°°° ®®®®°
®®® ®®®®
EAGAN
Permit Number:
EA181762
(651) 675-5675
111111111111
www.cityofeagan.com
* E R 1 8 1 7
6 2
Date Issued:
3/24/2023
Site Address: 1205 Carlson Lake Lane
Lot: 012 Block: 004 Addition: Wilderness Park
PID:10-84250-04-120 11111
Use: *10-842S0-04-120*
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: Replace fixtures, move drains & vents - 3
bathrooms
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:
K2 Bath Design & Remodeling LLC Steven & Cherie L Weston
2010 East Central Cir St 100 1205 Carlson Lake Ln
Plymouth MN 55441 Saint Paul MN 55123-471
(952) 200-8375
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
� I I For Office Us®--------- I
I Permit #: Q l
jPermit Fee: to T
EAGANI
ECEIVE
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651) 675-5675 1 FAX: (651) 675-5694��e" I— Staff: -------------- J
buildinainsoections mcitvofeaQan.com 8
RESIDENTIAL PLUM 'WGIT4MM APPLICATION
Date: 3 -`20 _123 Site Address: 1 % /4e /i, Unit M
Applicant is: ❑ Owner ® Contractor
Name: _ ��'e ' _j
Address: / 205 e��1ST'- / /,-P /� City: f
�
Homeowner
State: I%N Zip: S/ a I Phone: 175�' 3'X3 Email:
Type of Work
%-New �K Replacement _Repair —Rebuild _ Modify Space _ Work in R.O.W.
Description of work: f!5%' ('7'�u��`S ��'(' v�✓a�H d- &H�
Tankless Water Heater
Standard Water Heater Lawn Irrigation L— RPZ / PVB)
Description
Water Softener Add Plumbing Fixtures Main / Lower Level)
Septic System Description:
Connection to City Water from Well
New Abandonment
Company: Contact:
Plumbing
Address: �201G 1 x•54 rfl �z'' C-%, . City: Pl,
Contractor1
State: MJ Zip: �`(� Phone: 320 2,3? *77`�Email: df -e -'1!9 j7RI-f - C"
License #: Re i� 3 65 S 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.ciooherstateonecall.oru 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 permft, 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.
`-1 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