EA188347 - Plumbing - Single Fam - Issued Date 12/05/2023 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob •, EAGAN
Permit Number: EA188347
Eagan,MN 551222 •--• ••-•
(651)675-5675 .E—..,,
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www.cityofeagan.com * E R 1 8 8 3 4 7 *
Date Issued: 12/5/2023
Site Address: 4135 Lexington Way
Lot: 3 Block: 1 Addition: Fox Forest
PID:10-27478-01-030
Use: * 10 - 27478 - 01 - 03 (x *
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: Whole House Remodel
Meter Size Meter Tvpe 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:
Lakeview Plumbing Peter M&Janice L Ramstad
7915 Cooper Avenue 4139 Lexington Way
Inver Grove Heights MN 55076 Eagan MN 55123--151
(612)805-6270
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.
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Applicant/Permitee: Signature Issued By: Signature
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For Office Use �1
Permit#: U l I
EAGAN
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Permit Fee: I
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
(651)675-5675 1 FAX: (651)675-5694 Staff: I
buildinginspectionsOcitvofeagan.com -----------------J
RESIDENTIAL PLUMBING PERMIT APPLICATION
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Date: 12– 5– ,?3 Site Address: H135 �8X►°nq rte Unit#:
3
Applicant is: ❑ Owner ®Contractor
Name: 'e+er
Homeowner Address: 413-5 GLA" l Fbi+ Way City:
State:—A Zip: 5 fi 0*23 Phone: Email:
Type of Work X New _Replacement —Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work:
Tankless Water Heater
Lawn Irrigation(_RPZ/_PVB)
Standard Water Heater
Description :9114 Add Plumbing Fixtures(_Main/_Lower Level)
� Water Softener
Description:
Septic System
Connection to City Water from Well
New /� Abandonment ,> )
Company: t�/I G v i ew r I(v m4 t.A!4 !T V)C Contact: Ir A-1 /
Plumbing Address: 71,115 eycpee Ae City_ -T,4v er 45✓vye � s
Contractor 1
State: Mr Zip: S5076 Phone:412465"62740 Email: Ia�er��yplvr��ir�q 1 »e reSM.G 1i+
License#: PM0 d da50 Expiration Date: i 3 aDail
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.00pherstateonecall.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.
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
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of plans.
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Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final