EA182006 - Plumbing - Single Fam - Issued Date 04/03/2023 PERMIT
City of Eagan ® ® ® ® Permit Type: Plumbing
3830 Pilot Knob Rd 1k E Permit Number: EA182006
Eagan,MN 55122 ®®®® ••®® EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 2 0 0 6
Date Issued: 4/3/2023
Site Address: 4014 Haven Woods Ct
Lot: 5 Block: 1 Addition:
PID:10-32090-01-052
Use: * 10 - 32090 - 0 1 - 052 �K
Description:
Sub Type: Single Fam
Work Type: New
Description:
Meter Size Meter Tune Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Plumbing New Residential $149.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $150.00
Contractor: - Applicant _ Owner:
Air Mechanical Camille L Abrams
16411 Aberdeen St NE 3816 Ridge Dr N
Ham Lake MN 55304 Eagan MN 55123
(763)434-7747
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
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For
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For Office Use% E I
® �t1 Permit* I LVV
Permit Fee:A C"�7 A N
I I
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
651 675-5675 1 FAX: 651 675-5694 Staff:
build nginsr)ections(cDcityof aaan.com -----------------�
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 4/3/23 Site Address: 4014 Haven Woods Ct Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: SD Custom Homes
WotI � t1 >r : Address:
City:
State: Zi Phone: Email:
V/ New Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
Type"pf 1A orM� — —
Description of work: Plumbing inside of new home
Tankless Water Heater
Lawn Irrigation(_RPZ l PVB)
Standard Water Heater
`' Add Plumbing Fixtures Main/ Lower Level)
+�Scrtp#�� Water Softener
Septic System Description:
Connection to City Water from WellNew Abandonment
Company: Air Mechanical Contact:
16411 Aberdeen St NE Ham Lake
'ItM flbing Address: City:
Colntra�kolr mn 55304 763-746-375 ebunkholt@airmechanical.com
State: Zip: Phone: Email:
° PC645558 12/31/23
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)
$65.00 Septic System Abandonment(includes State Surcharge)
TOTAL FEES$ 150.00
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.aor)herstateonecall.ora 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 Erik Bunkholt X Sun &&7
Applicant's Printed Name Applicant's Signature
.I��vi+awed . UatB
Meter,Size(if app1icab)e)
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