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EA188110 - Plumbing - 01 of __-plex - Issued Date 11/20/2023 PERMIT City of Eagan EGAN Permit Type: Plumbing 3830 Pilot Knob Rd ,��; ®;,a�, Permit Number: EA188110 Eagan, MN 55122 `-•• -- A (651)675-5675 11111111111111111111111111111111111111111 IN III www.cityofeagan.com * E R 1 8 8 1 1 0 * Date Issued: 11/20/2023 Site Address: 4644 Ridge Cliffe Dr Lot: 4 Block: 11 Addition: Johnny Cake Ridge 2nd PID:10-39801-11-040 [oil 1111111111111 1�111 111111111 11T 111111111111 M 111111 11111WE Use: * 1Q - 3980 1 - 1 1 - 040 * Description: Sub Type: 01 of_-plex Work Type: Replace Description: Fixtures 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 Judith M Fusco 5010 Hwy 169N 4644 Ridge Cliffe Dr Brooklyn Park MN 55428 Saint Paul MN 55122--275 (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 ----------------- For Office Use I \ I Permit#: Permit Fee:E AL`7hA '1L I I I I Date Received: I 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I (651)675-5675 1 FAX: (651)675-5694 Staff: buildinginspectionsoC cityofeagan.com -----------------� RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 11/17/23 site Address: 4644 Ridge Cliff Dr Eagan, MN 55122 Unit#: a Applicant is: El Owner 0 Contractor t Name: Judy Fusco Homeowner Address: 4644 Ridge Cliff Dr city: Eagan I State: MN z 55122 Phone: 651-414-115 Email: judy.fusco@ag.state.mn.us Type Of Work- —New -�( Replacement —Repair _Rebuild —w Modify Space _Work in R.O.W. Description of work: Direct replacement of existing shower wet space,wall surround, and plumbing fixtures. _ Tankless Water Heater Standard Water Heater Lawn Irrigation (_RPZ/_PVB) t Description Water Softener V/ Add Plumbing Fixtures(_Main/— Lower Level) t Septic System Description: tub, sink I � New —Abandonment Connection to City Water from Well _ Company: MN Rusco Contact: Kelli Gugisberg Plumbing Address: 5010 Hwy 169 N city: New Hope Contractor State: Zip. Phone:MN 55428 952-935-966 Email. kelli@minnesotarusco.com 1 i License#: PC805612 12/31/23 Expiration Date:..m .... ,�,,,,.u�,�,u,�. ���.� 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 Ag& Applicant's Printed Name Applicant's Sfgnkure FOR OFFICE USE Reviewed By: Date: Meter Size(if applicable): Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final