EA187099 - Plumbing - Water Heater - Issued Date 09/27/2023 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA187099
Eagan,MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com E
Date Issued: 9/27/2023
Site Address: 4275 Boulder Ridge Pt
Lot: 2 Block: 03 Addition: Boulder Ridge
PID:10-14800-03-020 ll
Use:
Description:
Sub Type: Water Heater
Work Type: Replace
Description:
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:
Benchmark Plumbing Inc Dennis Tste Thompson
5952 Asher Ave E 4275 Boulder Ridge Pt
Inver Grove Heights MN 55077 Eagan MN 55122
(651)755-8078
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
r------- ----i
For Office Use
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* � I I
Permit#: 1
EAGAN I
1 Permit Fee:
I q... 1 Date Received: t I
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 I Staff: ———-
buildinginspections(c-)citvofeagan com
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: Unit#:
Applicant is: ❑ Owner 0 Contractor
Name:
Homeowner Address: City:
State: Zip: Phone:,,—Z3- (2:5 Email:
Type of Work —New Replacement _Repair —Rebuild _Modify Space _Work in R.O.W.
Description of work:
Tankless Water Heater
Lawn Irrigation(_RPZ/_PVB)
x Standard Water Heater
Add Plumbing Fixtures L—Main/_Lower Level)
Description Water Softener
Description:
Septic System
Connection to City Water from Well
_New Abandonment
Company: Contact: — - -
Plumbing Address: LA, City:
Contractor �? Phone: / L
State:�Zip_rS 1 ' 'St57g Emai� t••� �^ ^ zs'c4� �—y�►/U
License#: 2� 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 gol)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.
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
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