EA182548 - Plumbing - Underground Sprinkler System - Issued Date 04/28/2023 PERMIT
City of Eagan EAGAN Permit Type: Plumbing
3830 Pilot Knob Rd ®®°;m ®®e®, Permit Number: EA182548
Eagan, MN 55122 °®®® ®®
(651)675-5675 111111111111 IN 11111111111111111111111111111
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www.cityofeagan.com * E A 1 8 2 S 4 8
Date Issued: 4/28/2023
Site Address: 4558 Lake Park Ct
Lot: 5 Block: 2 Addition: Lake Park Shores
PID:10-44200-02-050
Use: * 1 0 — 4 4 2 0 0 — 0 2 — 0 S 0
Description:
Sub Type: Underground Sprinkler System
Work Type: New
Description: PVB
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: Owner: - Applicant -
Mary J Wescott
4558 Lake Park Ct
Eagan MN 55122
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
LIVI -----------------
For Office Use
®® ® ® ®®® AM 1111M M I Permit* 1$25
EAGAIN
Permit Fee: V00 I
I
I Date Received: 1
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 I I
651 675-5675 1 FAX: 651 675-5694 Staff:
I
build nainsoections(Mcitvof agan.com -----------------�
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 4/28/23 Site Address: 4558 Lake Park Ct unit M
Applicant is: Owner ❑ Contractor
Name: Rick Stewart
Holmeowner Address: 4558 Lake Park Ct City: Eagan
state: MN Zi : 55122 Phone: 6129108779 Email: rick.rainylake@gmaii.com
Type Of Work New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work: Install lawn irrigation system and backflow preventer
Tankless Water Heater
Standard Water Heater Lawn Irrigation(—RPZ/Z PVB)
Description Add Plumbing Fixtures L_Main/_Lower Level)
P Water Softener
Septic System Description:
New Abandonment Connection to City Water from Well
Company: Self Contact:
01ti mbling Address: City:
Contractor
State: Zip: Phone: Email:
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.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.
Digitally signed by Richard Stewart
x Rick Stewart xRichard Stewart Date:2023.04.2810:01:19-0500'
Applicant's Printed Name Applicant's Signature
FOR OFFICEUSE
Reviewed By: Date:
Muer Slze(if applicable):
required lnepections: Under Ground' Rou'h-Cn Rir Test Gas Test Mtioitteter Final