EA187184 - Plumbing - Fixtures - Issued Date 10/03/2023 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd ®aa�a' %,®e', Permit Number: EA187184
Eagan,MN 55122 - --w® E A
G A N
(651)675-5675 1111111111111
www.cityofeagan.com * E R 1 8 7 1 8 4
Date Issued: 10/3/2023
Site Address: 3760 Ridgewood Dr
Lot: 003 Block: 003 Addition: Windtree 7th
PID:10-84476-03-030 111111111111111111111 HIM
Use: * 1 D - 84476 — (03 - 03 D *
Description:
Sub Type: Fixtures
Work Type: Replace
Description:
Meter Size Meter Tvpe 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 Edward.l Florez
2010 East Central Cir St 100 3760 Ridgewood Dr
Plymouth MN 55441 Eagan MN 55123
(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#: I
EAGAN I
I Permit Fee:
I
I
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I j
(651)675-5675 1 FAX: (651)675-5694 Staff:
buildinginspectionsa-cityofeagan.com ——————--—————————J
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 09/30/2023 Site Address: 3760 Ridgewood Dr. Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Ed Florez
Homeowner Address: 3760 Ridgewood Dr. city: Egan
State: MN zi : 55123 Phone: 651-470-22 Email
Type of Work —New V( Replacement —Repair —Rebuild _Modify Space —Work in R.O.W.
Description of work:
Tankless Water Heater
Standard Water Heater Lawn Irrigation(—RPZ/—PVB)
Description,, Add Plumbing Fixtures(—Main/—Lower Level)
Water Softener
Septic System Description: Replace bathroom fixtures
Connection to City Water from Well
New Abandonment
Company:
K2 Bath Design Contact: Dave Glieden
Plumbing Address: 2010 East Center Circle city: Plymouth
Contractor.
State: MZip.. Phone: Email.N 55441 320-237-877 davemg5@live.com
License#: PC638895 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 $65
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 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 1 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.
XDave Glieden X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date
Meter Size(if appEicable):!=
Required.Jnspectons: Under Ground Rough-In '; Air Test' Gas Test Manometer Final