EA185779 - Plumbing - Fixtures - Issued Date 08/03/2023 PERMIT
City of Eagana , $ Permit Type: Plumbing
3830 Pilot Knob Rd W�°��' ���, g EAGAN
Permit Number: EA185779
Eagan,MN 55122
(651)675-5675 1111111111111 IN 1111111111111111111111111 IN 1
www.cityofeagan.com * E R 1 8 5 7 7 9
Date Issued: 8/3/2023
Site Address: 1576 Mallard View
Lot: 9 Block: 02 Addition: Thomas Lake Woods
PID:10-76100-02-090
Use: * 10 76 10 (d - 02 090
Description:
Sub Type: Fixtures
Work Type: Replace
Description: toilet, sink, shower
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:
Janecky Plumbing Service Inc Cynthia Ann Living Trust Nadler
720 Pontiac Place 1576 Mallard Vw
Mendota Heights MN 55120 Eagan MN 55122
(651)454-9297
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.
.Ii�. :7,�••-cam
Applicant/Permitee: Signature rssued B : Signature
----------------
For Office Use
Permit#:
-EIVE 1 Permit Fee:
EAG A ..
0 J 2023 Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Staff--------------
FAX: (651)675-5694 13y:
(651)675-5675 —— -
buildinginspections@citvofeagan.com
. RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 08/03/2023 Site Address: 1576 MALLARD VIEW Unit#:
Applicant is: 0 Owner F-1 Contractor
Name
. NADLER
Fftmeowner1576 MALLARD VIEW city, EAGAN
Address:
State:
MN
late: Zi Phone: Email:
—New V Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
Type of Work
Description of work:
Tankless Water Heater Lawn Irrigation(_RPZ/_PVB)
Standard Water Heater Add Plumbing Fixtures(_Main/_Lower Level)
Description Water Softener Description:TOILET, SINK , SHOWER
Septic System Connection to city Water from Well
New —
A
b
a
n
d
on
ment
Company. JANECKY PLUMBING SERVICE, INC.
C
ontact:
DAV
ID JANECKY
Plumbing Address: PON IAC PLACE City: HEIGHTS
Contractor MN 5 120 651 4549297 davidjanecky@msn-com
State: zip! Phone: Email:
License#: PM Expiration Date: 12/30/23
RESIDENTIAL.
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 V� 0
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or wnvw 000herstateonecall-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.
XDAVID JANECKY X
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 j