EA182863 - Plumbing - Fixtures - Issued Date 05/17/2023 PERMIT
City of Eagan , , , Permit Type: Plumbing
3830 Pilot Knob Rd ,,�;; ;;;, Permit Number: EA182863
Eagan,MN 55122 -- EAGAN
(651)675-5675
www.cityofeagan.com E R 1 8 Z B 6 3
Date Issued: 5/17/2023
Site Address: 1931 Covington Lane
Lot: 16 Block: 4 Addition: Berkshire Ponds
PID:10-13750-04-160 1111111111111111111111 Ell 11111111111111111111 11MAMM
Use: * 10 — 13750 - 04 — 160 *
Description:
Sub Type: Fixtures
Work Type: Replace
Description: new shower,sink,toilet
Meter Size Meter Tune 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:
Minnesota Rusco Brian A&Karen M Borchardt
5010 Hwy 169N 1931 Covington Ln
Brooklyn Park MN 55428 Eagan MN 55122
(952)935-9669
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 Isrued B : Signature
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® ® ® ® I For Office Use
®% ®® 4 ® 0 0 I Permit* 182863
mom
EAGA
C E I V E I Permit Fee: „ ✓ I
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��Y 2 2023 I Date Received: I
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 1 1
(651)675-5675 1 FAX: (651)675-5694 P�Y. I Staff: I
buildin4inspections(cDcitvofeagan.com -----------------J
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5/12/23 Site Address: 1931 Covington Ln Eagan, MN 55122 Unit
Applicant is: ❑ Owner 14 Contractor
Name: Karen Borchardt
HomeownerAddress: 1931 Covington Lane City. Eagan
State: MN 55122 Phone: 507-213-4011 Email: kmborchardt@gmail.com
Type of Work —New V1, Replacement —Repair —Rebuild —Modify Space —Work in R.O.W.
Description of work: Direct replacement of existing shower wet space,wall surround,and plumbing fixtures.
Tankless Water Heater
Standard Water Heater Lawn Irrigation (_RPZ/ PVB)
Description, ✓ Add Plumbing Fixtures �Main/V( Lower Level)
Water Softener
Septic System Description: shower, sink, toilet
New Abandonment Connection to City Water from Well
Company: MN Rusco Contact: Kelli Gugisberg
Plumbing Address: 5010 Hwy 169 N City: New Hope
Contractor State: MZip. Phone: Email..MN Zip: 55428 952-935-966£ kelli@minnesotarusco.com
License#: PC805612 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.
1 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 Kelli Gugisberg x 1`�g&: 04e 6a
Applicant's Printed Name Applicant's S' at re
FOR OFFICE USE
Reviewed By. Date'
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final