EA189248 - Plumbing - Fixtures - Issued Date 02/14/2024 PERMIT
City of Eagan Permit Type: Plumbing
Eagan,
Pilot Knob Rd ,-•�-� � ••� EAGAN
Permit Number: EA189248
Eagan, MN 55122 •-•• •-®m
(651)675-5675 111111111111 IN 11111111111111111111111111111111
www.cityofeagan.com * E R 1 8 9 2 4 8 *
Date Issued: 2/14/2024
Site Address: 3602 Widgeon Way
Lot: 7 Block: 2 Addition: St Francis Wood
PID:10-65900-02-070
Use: * 1 0 — 6 5 9 0 0 — 0 2 — 0 7 0
Description:
Sub Type: Fixtures
Work Type: Alteration
Description: Bathroom
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:
Minnesota Rusco Melvin R&Rose J Smith
5010Hwy 169N 3602 Widgeon Way
Brooklyn Park MN 55428 Saint Paul MN 55123--112
(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
114 f For Office Use I
0 I cella Oce
I Permit#: �
I
EAGA N
Permit Fee:
Date Received: I
I �
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i
(651) 675-5675 1 FAX: (651)675-5694 Staff:
buildinginspections(aDcityofeapan.com -----------------J
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 2/14/24 site Address: 3602 Widgeon Way Eagan, MN 55123 Unit#:
Applicant is: ❑ Owner 14 Contractor
Name: Melvin & Rose Smith
Homeowner Address: 3602 Widgeon Waycity: Eagan
state: MN Zir): 55123 Phone: 651-994-0211 Email: mrsmith735@q.com
Type of Work —New Y/ Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
i
Description of work:
Direct replacement of existing shower wet space, wall surround and plumbing fixtures.
I
Tankless Water Heater
Standard Water Heater Lawn Irrigation (_RPZ/_PVB)
Description Add Plumbing Fixtures L_Main/_Lower Level)
p Water Softener
Septic System Description:
New Abandonment
Connection to City Water from Well
MN Rusco � � Kel I i G ug isberg
Company: Contact:
I Plumbing Address: 5010 Hwy 169 N City: New Hope
Contractor State: Zip. Phone:MN . 55428 952-935-966 Email.. kelli@minnesotarusco.com
License#: PC805612 12/31/25
Expiration Date:
RESIDENTIAL FEES
$150.00 New Residential or Connection to City Water(includes State Surcharge)
i $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 K �u
Applicant's Printed Name Applicant's SMnafdre
FOR OFFICE USE
Reviewed By: Date:
Meter Size (if applicable):
Required Inspections: Under Ground Rough-in Air Test Gas Test Manometer Final