EA188620 - Plumbing - Single Fam - Issued Date 01/05/2024PERMIT
City of Eagan • , ' Permit Type: Plumbing
3830 Pilot Knob Rd•-•- -,. , EAGAN Permit Number: EA188620
Eagan, MN 55122 •-
(651) 675-5675 1111111111111 IN 11111111111111111111111111111 IN
www.cityofeagan.com * E R 1 8 8 6 2 0*
Date Issued: 1/5/2024
Site Address: 4662 Aspen Ridge Cir
Lot: 3 Block: 2 Addition: Oakpointe of Eagan 2nd
PID:10-53776-02-030
Use: * 1 0— S 3 7 7 6— 0 Z— 0 3 0
Description:
Sub Type: Single Fam
Work Type: Alteration
Description: New bathroom in lower level
Meter Size Meter Tyne 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:
Owner:
Noel Thomas Nelson
4662 Aspen Ridge Cir
Eagan MN 55122
- Applicant -
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
Its 1yl'-,
w i t r
M � t t
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(c-)cityofeagan.com
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For Office Use n
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Permit Fee:
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Date Received: I
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RESIDENTIAL
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RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: f '20 L.Site Address: -Unit #:
Applicant is. � Owner ❑ Contractor ��`� S 2�
Name: ` C'Ilk �r_1
Address:44+ k'"2 City ,
Homeowner
State: A Zi 2.2- phone: Z`JL Email:
Type of Work
?( New _Replacement _Repair —Rebuild _ Modify Space _ Workijn R.O.W.
%
Description (L
of work: C
Tankless Water Heater
Description
Standard Water Heater Lawn Irrigation (_ RPZ /_ PVB)
Add Plumbing Fixtures (_ Main /Lower Level)
Water Softener
-5
Description: .
Septic System
New Abandonment Connection to City Water from Well
Company: Contact:
Plumbing
Address: City:
Contractor
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)
$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 !'4 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 o ans
X - �13 C t Ls -
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Applicant's Printed Name Applic nYs Signatu
FOR OFFICE USE
Reviewed By: Date:
Meter Size (if applicable):
Required Inspections: Under Ground Rough -In Air Test Gas Test Manometer Final