EA188238 - Plumbing - Water Heater - Issued Date 11/28/2023 PERMIT
City of Eagan *ml
Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA188238
Eagan, MN 55122 EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 8 Z 3 8 *
Date Issued: 11/28/2023
Site Address: 4310 Garden Tr
Lot: 1 Block: 1 Addition: Carlson Acres
PID:10-16450-01-010 11111111111111111111111111 11M
Use: * 10 — 16450 - 0 1 - 0 10 *
Description:
Sub Type: Water Heater
Work Type: Replace
Description:
Meter Size Meter Tyne Manufacturer Serial Number Remote Number Line Size
Comments:
Fee Summary: PL-Permit Fee(WS&/or WH) $64.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $65.00
Contractor: Owner: - Applicant -
Austin Schumacher
4310 Garden Tr
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
Nag F----------------,
I For Office Use C3 d I
�0 1 Permit ft:EAGAN
�' •. .� .•
1 Permit Fee: I
1 I
Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 1 I
(651)675-5675{FAX:(651)675-5694 Staff: i
build inainspecctions cityofeaaan.com -- -------
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: '4Z Site Address: 7f D&r4 Tf-a 44�,� /�/5512.3 _Unit#
Applicant is: Owner ❑ Contractor
Name: y,6d—S 1 C 'e1"
Ibm�oWnE>rw Address: `7 (L/ Gcf'G��ij T�1,'� City:
d
State:
ZIP. X12 Phones 32Q'�1I3 �75Z Email: Q S
�1'yP Of�1110rk. —NewZReplacement// /—//Repair —Rebuild —Modify Space _Work in R.O.W.
;. Description of work: (kC��) l carr r'L wtitz�+
Tankless Water Heater
_Lawn Irrigation RPZ/ PVB)
Standard Water Heater
� 83Cti011 H� Water Softener _Add Plumbing Fixtures(�Main/Lowen Level)
Description:
Septic System
Connection to City Water from Well
New Abandonment
Company; Contact:
City:
Address:
Address'
" 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)
$66.00 Lawn Irrigation(includes State Surcharge)
$65.00 New fixtures,adding,altering,or removing piping(includes State Surcharge)
$65.00 Septic System Abandonment(includes State Surcharge)
TOTAL FEES$� Q
CALL BEFORE YOU DIG. Confect Gopher State One Call at(651)454-0002 or mm.gopherstgteonecall.oro for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
1 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
Fagan;that I understand this Is not a permit, but only an application for a permit,and work Is not to start ut a Pam . he work will be In
accordance with the approved pian in the case of work which requires a review and approval of pians.
Applicant's Printed Name A plicant s Signature
FOR OFFICE USE
Reviewed By: Data,
Meter Size(if applicable): A,
�ro
Required inspections: Under Ground Rough-In Air Test Gas Test: Manometer,,k.; Fines