EA187782 - Plumbing - Fixtures - Issued Date 11/02/2023 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd ,,• Permit Number: EA187782
Eagan,MN 55122 •-•• ••-• EAGAN
(651)675-5675 1111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com * E R 1 8 7 7 8 2 *
Date Issued: 11/2/2023
Site Address: 641 Witham Lane
Lot: 9 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-090
Use: * 1f0 - 18401 - 02 09 D *
Description:
Sub Type: Fixtures
Work Type: Alteration
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:
Minnesota Rusco Greg&Karen Svendsen
5010 Hwy 169N 641 Witham Lane
Brooklyn Park MN 55428 Saint Paul MN 55123--393
(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
F -----
e t I For Office Use
'7 G I
O �b02 1
�r ' I Permit#: 1
EAGAN I 1
®�.• ®!�� 1 Permit Fee: I
I 1
�j
Date Received: " I
I 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 I
651 675-5675 FAX: 651 675-5694 Staff:
( ) I ( )
buildinginspectionsacitvofeagan.corn ———————————
-----
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 10/31/23 Site Address: 641 Witham Ln Unit#:
Applicant is: ❑ Owner 14 Contractor
Name:
Karen Svendsen
Womeowrier Address: 641 Witham Ln City: Eagan
MN 55123 612-251-152Eg kdksvendsen comcast.net
State: Zi . Phone: Email:
New IV/ Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
7ype�ol�'1Nark — —
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
De3Crl tlOn Add Plumbing Fixtures(_Main/_Lower Level)
p Water Softener
Septic System Description: shower, sink, toilet
Connection to City Water from Well
New Abandonment
Company: MN Rusco Contact: Kelli Gugisberg
Plumbang. Address: 5010 Hwy 169 N City: New Hope
Contratnrr.,
MNkelli@minnesotarusco.com
952-935-966 kelli@minnesotarusco.com
State: Zip. Phone: Email.
License#: PC805612 Expiration Date: 12/31/23
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 X Ae&
Applicant's Printed Name Applicant's ggrikure
FOR oFf`ie�VS
die
r
...h Reviewedy. �I°� Date
Meter Size(tf appilcable r
Requtred'',Inspct rid . q', Uid
er,Gro�ihd Rough In Arr 7es� Gds Test" Mlanatneter'