EA183222 - Plumbing - Fixtures - Issued Date 06/01/2023 PERMIT
City of Eagan ® ® Permit Type: Plumbing
3830 Pilot knob Rd m®®0® ®®®®°® Permit Number: EA183222
Eagan,MN 55122 ®®®® ®®®® EAGAN
(651)675-5675 1111111111111111111111111111111111111111111111111
* E R 1 8 3 2 2 2
www.cityofeagan.com
Date Issued: 6/1/2023
Site Address: 1859 Carnelian Lane
Lot: 19 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-190 1111111111111111111111111111111111 IN
Use: * 10 — 16706 - 02 — 190 �K
Description:
Sub Type: Fixtures
Work Type: Replace
Description:
Meter Size Meter Tyne 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 Mario E Calderon
5010 Hwy 169N 1859 Carnelian Ln
Brooklyn Park MN 55428 Saint Paul MN 55122--290
(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
® ® ® r-------
For Office Use I
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®® ® ® ®®® I Permit#:
®® ®® ®® CEIVE '
Permit Fee: ;t 61
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MAY 3 0 2023 I I
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Date Received: I
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3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 8Y;
(651)675-5675 i FAX: (651)675-5694 Staff:
buildinginspections(&cityofeaaan.com -----------------'
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5/30/23 Site Address: 1859 Carnelian Ln Eagan, MN 55122 —Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Kathy Paulsen Calderon
Homeowner Address: 1859 Carnelian Ln city: Eagan
State: MN Zip. 55122 Phone: 651-387-5452 Email: kathycalerdon@outlook.com
Type of Work —New V( 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 C_RPZ/ PVB)
'
Description Add Plumbing Fixtures(_Main/ Lower Level)
p Water Softener
Septic System Description:
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 952-935-966 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 Si at re
FOR OFFICE USE
Reviewdd By: Date:
Meter Size(tf applicable):
Required Inspections: Under Ground Rou h-In Air Test Gas Test ManometerFinal