EA189089 - Plumbing - Fixtures - Issued Date 02/27/2024 PERMIT
City of Eagan $ , d Permit Type: Plumbing
3830 Pilot Knob Rd ,^�� � � � w EACIA,
Permit Number: EA189089
Eagan, MN 55122(651)675-5675
www.Cityofeagan.com * E R 1 8 9 0 8 9
Date Issued: 2/27/2024
Site Address: 2105 Copper Lane
Lot: 13 Block: 5 Addition: Cedar Grove 4th
PID:10-16703-05-130
Use:
* 10 —MIS 7 D 3 — O 5 — 1 R
Description:
Sub Type: Fixtures
Work Type: New
Description:
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 -
Ruben J Mera Mieles
2105 Copper Ln
Eagan MN 55122
I
is 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
rted.
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
t f For Office Use I
t t I I
'' + 1 Permit#:EAGA
EC E I V E1 Permit Fee: S
I
3830 PILOT KNOB ROAD I 1
EAGAN, MN 55122-1810 FEB 0 6 202q I Date Received: 1
(651)675-56751 FAX: (651)675-5694 1 P
buildinginspectionsCa�citvofeagan com 8Y. Staff: I
RESIDENTIAL PLUMBING PERMIT APPLICATION
Date*_t_—QS'-2,a 4 Site Address:
Unit#:
Applicant is: %Owner ❑ Contractor
Name:_ l`;. � C'.✓1 i ' l �.d''�L
Homeowner Address: ��_1 aoL7p QV- L(U
city:
State: Zi C I Phone: - 3S - ail: �/ 1 �Y
log
Type of work New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work:
Tankless Water Heater
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:
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.gopherstateoneca11.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 G?� _n
Applicants Printed Name x
FOR OFFICE USE Applicant's Signa ure
Reviewed By: Date:
Meter Size(if applicable):
Required Inspections: Under Ground Rough-In Air Test Gas Test Manometer Final