EA189267 - Plumbing - Water Heater - Issued Date 02/15/2024 PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA189267
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EAGAN
Eagan,MN 55122111111111111
(651)675-5675 '^ * E R 1 8 9 2 6 7
www.cityofeagan.com
Date Issued: 2/15/2024
Site Address: 3235 Hill Ridge Dr
Lot: 095 Block: 07 Addition: Robert Karatz
PID:10-41300-07-095
Use: * 10 - 4 1300 - 0 5D
Description:
Sub Type: Water Heater
Work Type: Replace
Description:
Meter Size Meter Type 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:
Champion Plumbing LLC Justine Anderson
3670 Dodd Rd.,#100 3235 Hill Ridge Dr
Eagan MN 55123 Eagan MN 55121
(651)365-1340
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.
App licant/Perin itee: Signature Issued By: Signature
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For Office Use
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Permit C)
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NRk M
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EAGAIN I Permit Fee: $ 57—
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 1 FAX: (651)675-5694 IStaff:
bui!djnginspectionscc� ityofeagan.com —— — I
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RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: February 15th, 2024 Site Address: 3235 Hill Ridge Drive
Unit#:
Applicant is: El Owner 0 Contractor
Name: Justine Anderson
Homeowner Address: 3235 Hill Ridge Drive City, Eagan
State: Mn Z.— 55121 Phone: 612-600-653,: Email:
Type of Work New Z Replacement _Repair _Rebuild —Modify Space _Work in R.O.W.
Description of work: Replace one (1 ) gas water heater
Tankless Water Heater
V/ Standard Water Heater —Lawn Irrigation (_RPZ PVB)
Description Water Softener —Add Plumbing Fixtures(—Main/—Lower Level)
Septic System Description:
—New —Abandonment —Connection to City Water from Well
company, Champion Plumbing Contact.*
Plumbing Address: 3670 Dodd Road City: Eagan
Contractor state: Mn 55123 651-365-134C r
Zip: Phone: :mail: permits@championplumbing.net
License#: PCO00308 Expiration Date: 12/31/2024
RESIDENTIAL FEES
$160.00 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 $65.00
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.qoDherstateonecall.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 Tanner Eckhoff
Applicant's Printed Name pplica is Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: _Under Ground _Rough-In Air Test Gas Test Manometer —Final