EA183133 - Plumbing - Fixtures - Issued Date 05/31/2023 PERMIT
City of Eagan • , , , Permit Type: Plumbing
3830 Pilot Knob Rd •',•' •�, - EAGAN
Permit Number: EA183133
Eagan,MN 55122 ••
(651)675-5675
www.cityofeagan.com * E R 1 8 3 1 3 3
Date Issued: 5/31/2023
Site Address: 3898 Thames Ave
Lot: 2 Block: 2 Addition: Coventry Pass
PID:10-18400-02-020
Use: * 10 - 18400 - 02 - 020 *
Description:
Sub Type: Fixtures
Work Type: Replace
Description:
Meter Size Meter Tae 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 Scott H&Stephanie Stelman
5010 Hwy 169 N 3898 Thames Ave
Brooklyn Park MN 55428 Saint Paul MN 55123--390
(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 ssued B : Signature
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r For Offlce Use I
•®® i o °®°
Permit#: 183133
I
Permit Fee:
EAGAN
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 nginsoectionsl'a)cityof agan.com -----------------�
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5/24/23 Site Address: 3898 Thames Ave Eagan, MN 55123 Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Scott Stelman
Homeowner Address: 3898 Thames Ave City: Eagan
state: MN Zip: 55123 Phone: 651-276-482E Email: scstelman@gmail.com
Type of Work —New z 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
Lawn Irrigation(—RPZ/ PVB)
Standard Water Heater
Descri tion Add Plumbing Fixtures W Main/ Lower Level)
�' Water Softener
Description: shower, sink, toilet
Septic System
Connection to City Water from Well
New Abandonment
Company: MN Rusco Contact: Kelli Gugisberg
Plumbing Address: 5010 Hwy 169 N City: New Hope
Contractor MN 55428 952-935-966E kelli@minnesotarusco.com
State: Zip. Phone: Email.
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.aopherstateonecall.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 Kelli Gugisberg X
Applicant's Printed Name Applicant's g ure
FOR OFFICE USE
Reviewed By: Date:
Meter Size{if applicable).
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer` Final