EA187954 - Plumbing - Fixtures - Issued Date 11/09/2023 PERMIT
City of Eagan A'A..
, ° Permit Type: Plumbing
3830 Pilot Knob Rd ° Permit Number: EA187954
° °°Eagan, MN 55122 ••:e
(651)675-5675 EAGAN iiiiiiiiiiiiiiiiiiiiiillillillillillillillin
www.cityofeagan.com * E A 1 9 7 9 5 4 *
Date Issued: 11/9/2023
Site Address: 890 Park Knoll Dr
Lot: 3 Block: 2 Addition: Park Knoll
PID:10-56725-02-030
Use: * 1 �D - 56725 — GJZ — (ZJ3 (1 *
Description:
Sub Type: Fixtures
Work Type: New
Description: replace tub and sink
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 Gordon T&Diane L Olson
5010 Hwy 169 N 890 Park Knoll Dr
Brooklyn Park MN 55428 Saint Paul MN 55123-490
(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
----------------
o I For Office UseAlk I
0 Aa Permit#:AV IL
I
Permit Fee: tUr I
QCEI ' 1
Date Received: 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-18101 I
NOV 0 7 2023 1 ,
(651) 675-5675 1 FAX: (651)675-5694 Staff:
buildinginspections(a)cityofeagan com -----------------
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:�11/7/23� 890 Park KnoII�Dr Eagan MMN 55123~W�m�� m� �
t Site Address: Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Thomas Olson
Homeowner Address: 890 Park Knoll DrEa
city: an g
I
State: MN Zig: 55123 Phone: 651-357-411C Email: tolson515@gmail.com
Type of Work — New Replacement _Repair _Rebuild —Modify Space _Work in R.O.W.
Description of work: Direct replacement of existing shower wet space, wall surround, and plumbing fixtures.
TanklessWater Heater.�,,,u„ �,,,���,�,. ��„�,m��, ,�,��,m,,,,u,�...��,,,�„�u„uuu�,,uu�,u��,�„ruu„��,��,,,,,��„����r�„�
Lawn Irrigation (—RPZ/ PVB)
Standard Water Heater
Descri tlOn t Add Plumbing Fixtures (—Main/_Lower Level)
p I Water Softener
Septic System Description: bathtub, sink
m�.
New AbandonmentConnection to City Water from Well m
I
Company: MN Rusco Kelli Gu isb
) t P Y� Contact: ger g
g Plumbing Address: 5010 Hwy 169 N city: New Hope
Contractor
MN . 55428 952-935-966 kelli@minnesotarusco.com
State: Zip. Phone: Email.
License#: PC805612 12/31/24
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.g_opherstateonecall.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 Vu
Applicant's Printed Name Applicant's Vgnure
FOR OFFICE USE
Reviewed By: Date:
Meter Size (if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final