2128 Water Lilly LaneRESIDENT / OWNER
Name: d L ` V Phone: 1 :1"L l r
Address / City / Zip:
1 t, )r 0 L1
; J
CONTRACTOR
Name: Appliance Connections I ntense #:
1313 D niia C ' '�
Address: City:
Shakopee, MN 55379 ,
State: Zip:
X -44 . • ° i 3
Contact: Email: ••
TYPE OF WORK
New A Replacement Repair Rebuild Modify Space _ Work in R.O.W.
_ _ _ _
Description of work:
IIDENTIAL —
Water Heater Water Softener
PERMIT TYPE
Lawn Irrigation Add Plumbing Fixtures
(_,_:RPZ / _ PVB)
Septic System
( Main _ Lower Level)
Water Tumaround
New
>,
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water
Heater, Water Softener,
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment,
or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
`Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
,
Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter.is
New ($10.00 per as built) (inclwles
required)
County fee and $.50 State Surch4rge)
etc.) (includes $.50 State Surcharge)
TOTAL FEES $
bumed out appliances, ductwork,
4 11/ 1/ CllyofEa�all
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2010 RESIDENTIAL PLUMBING P ERMIT APPLICAILON
1 k 9 .2
"fit Site Address: 1? C��..
e ,VY\`L-
CALL BEFORE YOU DIG. Cali Gopher StateOne Call at (651) 454 -0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates efunderground utilities. www.aooherstateonecall.ora
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 il9'ra permit, and work it not to start without a permit; that the work will bq in
accordance with the approved plan in the case of mirk whictfl requires a review and approv f plans.
x 01
Applicant's Printed'Nam
Applic$ftt's Signature
th
Permit #: c
Permit Fee: S"5
Date Received:
Staff:
Suite #:
Use BLUE or BLACK Ink
FOR OFFICE USE
Reviewed By:
Date:
Required Inspections:" Under Ground _Rough -In _Air Test _Gas Test _Final
al p~►o2v~ , o~.lv~~t' i ~'~26, 02►o~lJ, Use BLUE or BLACK Ink
a ► 3n~ 30 W444`4- L'I Yl~ I For Office Use-------
I 2 q I
I ~
City of Eayn
( Permit Fee: (v39 •a5
I
'
3630 Pilot Knob Road I I 01
/
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 1
Fax: (651) 675-5694 I Staff: I 2
t-----------------I
BUILDING 2013 COMMERCIAL PERMIT APPLICATION
Date: Site Address: A u C f I t t
Tenant Name: g t ant is: New / Existing) Suite
Former Tenant:
Name: Phone:
Property Owner Address /City /Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
r l~~<
Construction Cost: <
<..,.TT~ .,-e....o,.aw.. .nom .e .a,.-..,
Name: License
°r .
Contractor Address - City: -
State: Zip: Phone:
Contact: Email: - i° P-
Name: Registration
rchitectlEngineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
NOTE. Plans and supporting documents That you subma are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 jeview and approval of plans.
Applicant's Printed Name Ap`Dlidant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174120
Date Issued:12/28/2021
Permit Category:ePermit
Site Address: 2128 Water Lilly Lane
Lot:203 Block: 03 Addition: Eagan Heights Townhomes 1st
PID:10-22425-03-203
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Justin R Garrick
2128 Water Lilly Ln
Eagan MN 55122--193
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature