EA185881 - Plumbing - Fixtures - Issued Date 08/07/2023 PERMIT
City of Eagan EAGAN Permit Type: Plumbing
3830 Pilot Knob Rd ®�a��" +°a Permit Number: EA185881
Eagan, MN 55122 ®�a� -�a®
(65 1)675-5675 1111111111111 IN 11111111111111111111111111111 IN
www.cityofeagan.com * E R 1 8 5 8 8 1 *
Date Issued: 8/7/2023
Site Address: 1384 Lakeside Cir
Lot: 012 Block: 03 Addition: Ches Mar 1st
PID:10-17100-03-012
Use: * 1 D — 17 1 O0 03 - 0 1Z *
Description:
Sub Type: Fixtures
Work Type: Replace
Description: Lower Level
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:
Suburban Plumbing Brightwood Home Buyers LLC
8446 Yukon Cir N %Accounting Resource Group
Champlin MN 55316 601 Carlson Pkwy Ste 1120
(612)405-2794 Minnetonka MN 55305
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 sued B : Signature
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a For Office Use I
Permit#:
EAGAN
Permit Fee: I
I l
I
Date Received: l
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 I Staff:
buildinginspectionsa_citvofea.gan com L---------------
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 08/06/2023 Site Address: 1384 Lakeside Circle Unit#:
Applicant is: ❑ Owner ® Contractor
Name: Jordan Whitewater
Homeowner Address: 1384 Lakeside Circle city: Eagan
State: MN Zi : 55123 Phone: 952-446-5566 Email:
Type Of Work —New _Replacement _Repair _Rebuild Y/ Modify Space _Work in R.O.W.
Description of work:
Tankless Water Heater
Standard Water Heater Lawn Irrigation (_RPZ/_PVB)
DeSCCIpflUll Water Softener Add Plumbing Fixtures(_Main/✓ Lower Level)
Septic System Description: Basement rough in and finish
New Abandonment Connection to City Water from Well
Company: Suburban Plumbing Contact: Jack Sedlezky
PIUMbing Address:8446 Yukon Circle North City: Champlin
Contractor
State: MN Zip.. Phone: Email:55316 612-405-2794 suburbanplumbingmn@gmail.com
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.goi)herstateonecall.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.
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.
XJack Sedlezky X
Applicant's Printed Name App icant's Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final