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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 ®® Ek M ® Amp—w AM j Permit#: 184487 AV AR ECEOVE Permit Fee: J I I I U�, F023 I Date Received: 6/9/2023 I N 0 9 2 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