EA187774 - Plumbing - Fixtures - Issued Date 11/02/2023 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd -® Permit Number: EA187774
Eagan,MN 55122 ••-- ••-� EAGAN
(651)675-5675 111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 8 7 7 7 4
Date Issued: 11/2/2023
Site Address: 1388 Chatterton Rd
Lot: 26 Block: 1 Addition: Chatterton Ponds
PID:10-16975-01-260
Use: * 10 16975 — QJ 1 - 260
Description:
Sub Type: Fixtures
Work Type: New
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: Owner: - Applicant -
John T&Sara J Berge
1388 Chatterton Rd
Eagan MN 55123
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
ca ► ied ��/ i
----------------
For Office Use
�k� i V, I Permit#:16-7
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EAGAN
Permit Fee:C)V
I
�� Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 Staff:
buildinginsgectionsacitvofeagan.com -----------------
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1013,1/1,3 Site Address: l X59 CL a KAV, f 6`) Unit#:
Applicant is: .CJ Owner ❑ Contractor
Name: S6�', 6`0e,
Homeowner Address: 139 CL,-krtori K.oc.� City: EAG-Ao
State: It) Zip: 5,173 Phone:65t 6�91111 Email: rS ���� cum.
Type of Work —New Replacement _Repair _Rebuild _ModifySpace _Work in R.O.W.
Description of work: (4le-�t �A Sjo Nor 6-400M
Tankless Water Heater
Standard Water Heater Lawn Irrigation(_RPZ/_PVB)
Description Add Plumbing Fixtures(_Main/_Lower Level)
p Water Softener
Septic System Description:
New Abandonment Connection to City Water from Well
Company: 15-e,� Contact:
Plumbing Address: City:
Contractor
State: Zip: Phone: Email:
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)
$65.00 Septic System Abandonment(includes State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.000herstateonecall.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 W 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 o ns
X 36 ►�2✓ 2 x
Applicant's Printed NaMe App' ant's Sign ture
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-in Air Test Gas Test Manometer Final