EA186495 - Plumbing - Single Fam - Issued Date 09/05/2023 PERMIT
City of Eagan , , ® Permit Type: Plumbing
3830 Pilot Knob RdAL dW116 AL
Permit Number: EA186495
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Eagan, MN 55122m��m
(651)675-5675 AUAN
www.cityofeagan.com * E A 1 8 6 4 9 S
Date Issued: 9/5/2023
Site Address: 1327 Shadow Creek Curve
Lot: 13 Block: 6 Addition: Dakota Path
PID:10-19540-06-130X"Nummalfflamm
Use: * 10 — 19S40 - 06 — 130 *
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: basement bathroom finish/RI
Meter Size Meter Tvoe 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:
Joe Nance Plumbing&Water Conditioning Sys LLC David Cherner
W12738 705th Ave 1327 Shadow Creek Cury
River Falls WI 54022 Eagan MN 55123
(715)821-1621
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 Issued By: Signature
-----------------
For Office Use p�
s� I Permit#: 'dUb I
10
E AGA N
Permit Fee:
I
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 Staff:
buildinginspectionsacitvofeagan.com -------------------
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: �J}Z Site Address: 170\7 juo,,) 6g r— e u p'Ve Unit#:
Applicant is: ❑ Owner ❑ Contractor
Name: v e— Ce r/1 t
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Homeowner Address: 132-7 � ��✓ �Ef/L city:
State: Zi Phone: Email:
Type Of Work —New _Replacement _Repair Rebuild Modify Spa _Work in R.O.W.
Description of work: Sf �N) l�G� /SA y�
Tankless Water Heater
Standard Water Heater Lawn Irrigation RPZ/_PVB)
Description Water Softener Add Plumbing Fixtures(_Main///�L9w' l
e,,rLevel)
Septic System Description: [r/- % L,4,
New _Abandonment Connection to City Water from Well
_
Company: Jc C 1A, 6 c'N 6— Contact:
Plumbing Address: W 101-7 3 U AN— city: ra"
ContractorZ� i 2/ (0�/
State: A- ,Zip: Phone: +S Email: JOC, 646Z 01 (w Ql�
License#: f l 7 J 1 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 locates4start
utilities.
I hereby acknowledge that this information is complete and accurate;that the work will be inith o "nances and codes of the City of
Eagan; that I unders this is not a permit, but only an application for a permit, and wort ou a permit; that the work will be in
accordance with the roved plan in the case of work which requires a review and approval x JUG 4 h rc— x
Applicant's P ed Name Applica
FOR OFFIC SE
Reviewed By: Date:
Meter Size(if applicable):
Required inspections: Under Ground Rough-In Air Test Gas Test Manometer Final