EA189033 - Plumbing - Fixtures - Issued Date 02/02/2024 PERMIT
City of Eagan ® Permit Type: Plumbing
3830 Pilot Knob Rd ;,a 4,;g,, Permit Number: EA189033
Eagan, MN 55122 `-• EAGAN
(651)675-5675 1111111111111111111111111111111111111 iii
www.cityofeagan.com * E A 1 8 9 0 3 3
Date Issued: 2/2/2024
Site Address: 612 Mcfaddens Tr
Lot: 13 Block: 1 Addition: Lakeview Trail
PID:10-44330-01-130 IHM111 11111 IHI 11111 HE 1111111[lip
Use: * 10 - 44330 - 0 1 - 13 (x *
Description:
Sub Type: Fixtures
Work Type: Alteration
Description: Kitchen sink,dishwasher
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: - Applicant - Owner:
Full Moon Plumbing LLC Derek J&Nicole A Boeve
3876 Upper 205th St W 612 Mcfaddens Trl
Lakeville MN 55044 Eagan MN 55123
(763)614-7456
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.
m Applicant/Permitee: Signature Issued By: Signature
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For Office Use I
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I Permit#: J oI
EAGAI
Permit Fee: ` v
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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
buildin.ginspectionsa( cityofeagan.com -----------------J
RESIDENTIAL PLUMBING PERMIT APPLICATION
2/1/24 612 McFaddens Trail
Date: Site Address: Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Derek Boeve
Homeowner 612 McFaddens Trail Eagan
Address: City:
M N 55123
State: Zi : Phone: Email:
Type Of Work —New _Replacement _Repair _Rebuild V Modify Space _Work in R.O.W.
a
Description of work: New Kitchen sink, new dishwasher, lower kitchen sink drain
Tankless Water Heater
Standard Water Heater Lawn Irrigation (_RPZ/_PVB)
Description Add Plumbing Fixtures(_Main/_Lower Level)
p Water Softener
Septic System Description:
New Abandonment Connection to City Water from Well
Company: Full Moon Plumbing LLC Contact: Dustin Coon
Plumbing Address:
9876 Upper 205th St W city: Lakeville
'
Contractor State: Zip: Phone:MN 55044 763-614-74 Email. dcoon83@gmail.com
_
PC803975 12/31/25
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)
NOTAL FEES $
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or wvvw.gor)herstateonecall.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 wit t 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.
XDustin Coon X
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