EA188994 - Plumbing - Fixtures - Issued Date 02/16/2024 PERMIT
City of Eagan \ , , , Permit Type: Plumbing
3830 Pilot Knob Rd E AG A N Permit Number: EA188994
Eagan, MN 55122
(651)675-5675 am I
www.cityofeagan.com * E R 1 8 8 9 9 4 *
Date Issued: 2/16/2024
Site Address: 1404 Kingswood Ponds Rd
Lot: I Block: 2 Addition: Kingswood Ponds 1st
PID:10-42050-02-010
Use: * 10 - 42050 - 02 - 0 10 *
Description:
Sub Type: Fixtures
Work Type: Replace
Description: Add Bath
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: - Applicant -
Komal K&Anuja Sharma
1404 Kings Wood Pond Rd
Eagan MN 55122--287
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
r----------------,
- I For Office UseI Permit#:EAkilD AL—ft N
.. I ��I Permit Fee: I
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-56751 FAX: (651)675-5694 I Staff:
buiIdinginspections ca cityofeagan com I --------
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1/29/24 Site Address: 1404 Kingswood Ponds Rd, Eagan, MN 55122
Unit#:
Applicant is: 14 Owner ❑ Contractor
Name: Komal Sharma
Homeowner Address: 1404 Kingswood Ponds Rd, Eagan
City:
State: MN Zip: 55122 Phone: 6086203122 Email: komal_sharma@hotmail.com
Type of Work —New _Replacement _Repair _Rebuild V/ Modify Space _Work in R.O.W.
Description of work:
Tankless Water Heater
Lawn Irrigation(_RPZ/_PVB)
_Standard Water Heater VO 00'
Description Add Plumbing Fixtures(_Main/_Lower Level)
p Water Softener —'
Septic System
Description: add bath
New Abandonment Connection to City Water from Well
Company: Self- Same as above 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 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.
XKomal K Sharma X "
Applicant's Printed Name Applicant's Sign ture
FOR OFFICE USE
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final