EA185409 - Plumbing - Fixtures - Issued Date 08/01/2023 PERMIT
City of Eagan $ , ffi Permit Type: Plumbing
3830 Pilot Knob Rd �#; A p ;�° Permit Number: EA185409
Eagan, MN 55122 5(651)675-567EAGAN111111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 8 5 4 0 9 *
Date Issued: 8/1/2023
Site Address: 3949 Palisade Way
Lot: 17 Block: 9 Addition: Cedar Grove 8th
PID:10-16707-09-170
Use: * 1 J — 16707 - 09 — 170 *
Description:
Sub Type: Fixtures
Work Type: New
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: Owner: - Applicant -
Brady McManus
3949 Palisade Way
Eagan MN 55122
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 slued B,: Signature
culled �'�ll
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Date Received 4._ 1
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 1 FAX (651)675-5694 By: ; Staff:
buildinoinsoections aOcityofeagan com __---------
—--———
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: -3q 4g PW nck tv,, Unit p:
Applicant is ID Owner ❑ Contractor
Name nX)r/
Homeowner Address Q �Q Sti�� tGbr City q.2'r,
State& zip Phone: S�-ZG3- SG1 Email, )IDNIVOCkn 13 Ma.;ICCmM
Type of Work —New _Replacement —Repair X Rebuild —Modify Space _Work in R.O.W.
Description of work:
_Tankless Water Heater
Standard Water Heater Lawn Irrigation L_RPZ/_PVB)
_
Description _Water Softener _Add Plumbing Fixtures j Main/2 Lower Level)
_Septic System Description.
New Abandonment
Connection to City Water from Well
Company: In Contact:
Plumbing Address: City.
Contractor
State: Zip: Phone: Email:
License#: Expiration Date:
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,oopherstateonecall 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 pla s.
x �V NKC�(ILS x �
Applicant's P inted Name Applic Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final