EA184487 - Plumbing - Fixtures - Issued Date 06/13/2023 PERMIT
City of Eagan ® ® , ® Permit"':
Plumbing
Eagan,
Pilot Knob ®°eo® ®®®� • E Permit Number: EA184487
Eagan,MN 551222 °--® •®a•
(651)675-5675 111111111111 IN 1111111111111111111111111
www.cityofeagan.com * E R 1 8 4 4 8 7
Date Issued: 6/13/2023
Site Address: 1370 Lakeside Dr
Lot: 4 Block: 3 Addition: Ches Mar 1st
PID:10-17100-03-040
Use: * 10 — 17 100 - 03 - 040 *
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 Glen&Kathleen Lachapelle
5010 Hwy 169N 1370 Lakeside Dr
Brooklyn Park MN 55428 Saint Paul MN 55123-481
(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
1-A4 1011195 -----,
For Office Use I
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Permit Fee: J I
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U�, F023 I Date Received: 6/9/2023 I
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1
(651)675-5675 1 FAX: (651)675-5694 8Y; Staff: 1
buildinginspections citvofeagan.com -----------------�
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 6/9/23 Site Address: 1370 Lakeside Dr Eagan, MN 55123 Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Glen Lachapelle
Homeowner Address: 1370 Lakeside Dr City: Eagan
State: MN Zi . 55123 Phone: 651-331-6811 Email: hmmllach@comcast.net
Type of Work —New 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/ Lower Level)
p Water Softener
Septic System Description: shower
Connection to City Water from Well
New Abandonment
Company: MN Rusco Contact: Kelli Gugisberg
5010 Hwy 169 N New Hope
Plumbing - Address: City:
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.org 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 1'1*&:
Applicant's Printed Name Applicant's&%igr0ture
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections, Under Ground Dough-In Air Test Gas Test Manometer Final