EA184982 - Plumbing - Fixtures - Issued Date 06/29/2023 PERMIT
City of Eagan , , Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA184982
Eagan, MN 55122 ®m®® ®®®®
(651)675-5675 111111111111
www.cityofeagan.com * E R 1 8 4 9 8 2
Date Issued: 6/29/2023
Site Address: 807 Promontory PI
Lot: 9 Block: 4 Addition: The Woodlands
PID:10-75875-04-090
Use: * 1 0 — 7 5 8 7 5 — 0 4 — 0 9 0
Description:
Sub Type: Fixtures
Work Type: New
Description: remodel master bath
Meter Size Meter Type 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:
Benchmark Plumbing Inc John Daniel Deprey
5952 Asher Ave E 807 Promontory PI
Inver Grove Heights MN 55077 Saint Paul MN 55123--229
(651)755-8078
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
------i
For Office Use--- I
e i �i I Permit#: 194-99?)9
IPermit Fee:
EAGAN
I 1�
Date Received: 12 12Z5 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 I
(651)675-5675 1 FAX: (651)675-5694 Staff:
buildinoinsoections(&citvofeaaan.com -----------------,
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: `� Site Address: Unit#:
Applicant is: ❑ Owner .Contractor
Name:
Homeowner Address: City:
State.2& Zi Phone: Email:
Type of Work —New _Replacement —Repair _Rebuild XModifySpace —Work in R.O.W.
Description of work:
Tankless Water Heater
Standard Water Heater Lawn Irrigation(—RPZ/ PVB)
Description Water Softener Add Plumbing Fixtures(—M in/ Lower vel)
Septic System Description:
New Abandonment Connection to City Water from Well
Company: ontact: �0- —(—
Plumbing Address: r �l�e_ , City: T L3 1�f
Contractor State: zip:" Phone: `- 5r il: o L
License#: -3,z®� - Expiration Date:
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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.Qoaherstateonecall.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�� 'z
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final