Loading...
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 I�8 11j q Permit#: _, Agr- --w 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