EA182796 - Plumbing - Underground Sprinkler System - Issued Date 05/10/2023 PERMIT
City of Eagan , ® Permit"':
Plumbing
3830 Pilot Knob Rd ®a®m® ®®®®® Permit Number: EA182796
Eagan,MN 55122 ®®®® ®®®® EAGAN
(651)675-5675 111111111111 IN 1111111111111111111111111111111
www.cityofeagan.com * E R 1 8 2 7 9 6 *
Date Issued: 5/10/2023
Site Address: 1504 Pinetree Pass
Lot: 4 Block: 2 Addition: Pinetree Pass 6th
PID:10-57665-02-040
Use: * 1 0 — S 7 6 6 S — 0 2 — 0 4 0
Description:
Sub Type: Underground Sprinkler System
Work Type: Replace
Description: replaced vacuum breaker on irrigation line
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-RPZ/PVB/Lawn Irrigation $64.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: - Applicant - Owner:
Diversified Plumbing&Heating Inc Gregg L&Jennifer Jade Ewing
125 E Railroad St 1504 Pinetree Pass
Norwood Young Americ MN 55368 Eagan MN 55122
(952)583-9646
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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o ® ® I For Office Use I
®®00 1 Permit#: 182796
EAGAN 1 I
Permit Fee:
I I
..� I Date Received: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I
I
(651)675-56751 FAX: (651)675-5694 Staff:
buildinainsoections(Mcityofeaoan.com -----------------�
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date. 5/9/23 Site Address: 1504 Pinetree Pass Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Jennifer Ewing
Homeowner Address: city:
State: zi : Phone: 860-805-735E Email:
Type of Work —New V( Replacement —Repair —Rebuild —Modify Space —Work in R.O.W.
Description of work: Replaced a vacuum breaker on an irrigation line
Tankless Water Heater
Lawn Irrigation(-I(—RPZ/—PVB)
Standard Water Heater
Description Add Plumbing Fixtures�Main/—Lower Level)
p._ Water Softener
Septic System Description:
Connection to City Water from Well
—New —Abandonment
Company: Diversified Plumbing & Heating contact: Lisa Puncochar
125 E Railroad St
Plumbing Address: city: Norwood Young America
Contractor ' State: MZip.. Phone: Email.N 55368 952-448-075E . Lisa@diversifiedph.com
License#: PC667869 Expiration Date: 12/31/23
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.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.
X Lisa Puncochar X za-cr 104"0aC1W-41
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Motor Size(if applicable):
Required Inspections: Under Ground Rough-in Air Test Gas TestManometer Final