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
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For Office Use I
\ I Permit#:
Permit Fee:E AL`7hA '1L
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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)
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Septic System Description: tub, sink
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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