EA187176 - Plumbing - Apartments - - Issued Date 10/03/2023 PERMIT
City of Eagan , + • Permit Type: Plumbing
3830 Pilot Knob Rd �R -® +•;+', Permit Number: EA187176
Eagan, MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com * E R 1 8 7 1 7 6
Date Issued: 10/3/2023
Site Address: 1700 Four Oaks Rd 339
Lot: 339 Block: 01 Addition: Coachman Oaks
PID:10-18100-01-339
Use: * 10 18 100 0 1 - 339 *
Description:
Sub Type: Apartments
Work Type: Alteration
Description: Bathroom Remodel
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:
K2 Bath Design&Remodeling LLC Nancy L Heinzen
2010 East Central Cir St 100 1700 Four Oaks Rd Unit 339
Plymouth MN 55441 Saint Paul MN 55121--188
(952)200-8375
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
Permit#:
F�. AGAN. Ef I 1
� Permit Fee: ill✓ I
,
Date Received: I
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I j
(651)675-5675 i FAX:(651)675-5694 I Staff:
buildinginspectionsCa)_cityofeagan.com I------------------ '
RESIDENTIAL PLUMBING PERMIT APPLICATION
I 9/29/23 1700 Four Oaks Road 339
Date: Site Address: Unit#:
Applicant is: ❑ Owner 10 Contractor
Name: (Nancy Heinzen
Homeowner Address: City:
1700 Four Oaks Road Eagan
Mn '"�" 6123106510 nhemzen@gmail.com
State: Zip. ` Phone: Email.
t Type Of Work —New ✓ Replacement —Repair —Rebuild —Modify Space —Work in R.O.W.
Descr cion of Work: Tub to shower conversion/same footprint
P
Tankless Water Heater
_Lawn Irrigation(_RPZ/—PVB)
Standard Water Heater —
9 Add Plumbing Fixtures Main/—Lower Level)
Description _Water Softener
Description:
# _Septic System
Connection to City Water from Well
New Abandonment
Company: K2 Bath Design and Remodeling contact. Tom Jackson
2010 East Center Circle#100 Plymouth
Plumbing Address: City:
Contractor MN 55441 6512479625 tjax@k2bathdesign-com
l State: zip: Phone: Email.
63889512/31/23
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) 65.00
TOTAL FEES
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www, oopherstateonecall.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.
1 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.
Thomas Jackson
x —
Applicants Printed Name Ap nts Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test !Manometer _Final