EA186799 - Plumbing - Fixtures - Issued Date 09/13/2023 PERMIT
City of Eagan ° , , Permit Type: Plumbing
3830 Pilot Knob Rd ,��;� �,;.'® Permit Number: EA186799
Eagan, MN 55122 EAGAN
(651)675-5675 111111111111111111111111111111111 111M
www.cityofeagan.com * E R 1 9 6 7 9 9 *
Date Issued: 9/13/2023
Site Address: 4132 Meadowlark Lane
Lot: 027 Block: 03 Addition: Hillandale 1st
PID:10-32950-03-027 11111111111111111111 U
Use: * 10 - 32950 - 03 - 027 �K
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: - Applicant - Owner:
Minnesota Rusco Steven M Wentzel
5010 Hwy 169N 4132 Meadowlark Ln
Brooklyn Park MN 55428 Saint Paul MN 55122--172
(952)935-9669
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
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Permit#: _,
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IA A N Permit Fee: llo C7
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 1 FAX: (651)675-5694 Staff:
buildinginspections(o_)cityofeagan.com -----------------J
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date- 9/1/23 Site Address: 4132 Meadowlark Ln Eagan, MN 55122 Unit#:
Applicant is: F-1 Owner 0 Contractor
Name: Steven Wentzel
Homeowner Address: 4132 Meadowlark Ln City: Eagan
State: MN Zin. 55122 Phone: 612-889-023Email: brutus834@yahoo-com
Type of Work New V/ Replacement —Repair —Rebuild —Modify Space —Work in R.O.W.
Description of work: Direct replacement of existing shower wet space, wall surround, and plumbing fixtures.
Tankless Water Heater
Lawn Irrigation (_RPZ/_PVB)
Standard Water Heater Add Plumbing Fixtures(—Main/_Lower Level)
Description Water Softener
Septic System Description:
Connection to City Water from Well
New Abandonment
Company: MN Rusco Contact: Kelli Gugisberg
Plumbing Address: 5010 Hwy 169 N City, New Hope
Contractor state: MN Zip: 55428 Phone: 952-935-966Email: kelli@minnesotarusco.com
License#: PC805612 12/31/23
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.gopherstateonecall.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-Kelli Gugisberg XA,&a lu_a��
Applicant's Printed Name Applicant'oigUature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer —Final