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EA178168 - Sewer & Water - Residential - Issued Date 09/20/2022City of Eagan , , , , Permit Type: Sewer &Water 3830 Pilot Knob Rd Permit Number: EA178168 Eagan, MN 55122 �- -- EAGAN (651) 675-5675 ^� www.cityofeagan.com * E R 1 7 8 1 6 8 Date Issued: 9/20/2022 Site Address: 2107 Silver Bell Rd Lot: I Block: 1 Addition: PID: 10-41401-01-010 Use: *10-41401-01-010* Description: Sub Type: Residential Work Type: New Description: Meter Size Meter lype Manufacturer Serial Number Remote Number Line Size Comments: Please call Utilities at (651) 675-5200 for water turn ons, shut offs and meters. Please call Engineering at (651) 675-5646 to schedule inspections. Fee Summary: Total: Contractor: - Applicant - Owner: Poppitz Construction Timeless Homes LLC 3640 Edgehill Rd 2401 Wilson Ave S Chaska MN 55318 South Saint Paul MN 55075 (612)369-1110 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 ssued B : Signature VA 4U0019 Site Address: 7 iJ� ✓LZ ZZ .HE •_.,EAGAN Name: Phone: Owner ----------------- For -------For Office Use I II Permit #: 1.1 16 � I I I Permit Fee: i Date Received: I I Staff.L2PI ----=------- — ---� 2022 SEWER & WATER PERMIT raid wj 16n101 � 202Z Date: Site Address: 7 iJ� ✓LZ ZZ Property Name: Phone: Owner Address/City/Zip: Name: 1,31 A ( GG t i , r. License #: Contractor Address/Cky/Zip: 6 �� .1,, � f! � Q Phone: 61;? — Email: I�P7 y eg opppi tL Can Pipelayer Training Certification #: b 3 6 Z or Master Plumber License #: Use: Type of Service: Type of Work: ,IPrloperty 7a=tiv Residential Sewer & Water 12 New ❑ Commercial ❑ Sewer Only ❑ Repair, Description: ❑ Public Facility ❑ Water Only ❑ Disconnect ❑ 1 understand that new water connections require a separate Plumbing Permit and associated meter fees. 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 7 O 1+-k— Applicarift Printed Wime Fees: Sewer Permit ($74.00) Water Permit ($74.00) S&W Repair/Disconnect ($74.00) Sewer lateral Sewer trunk Water supply & storage Water lateral Water trunk City SAC ($131.50/SAC unit) Met Council SAC ($2,485/SAC unit) Treatment Plant ($1,065.50/SAC unit) State Surcharge Total: x Applicant's gn atpfe FOR OFFICE USE ONLY Required Inspections: Sewer Only Sewer Air Test $1.00 Additional Requirements: Mandrel Test Sewer Lines Televised Verify Meter Configuration Water Only Conductivity Test Hydrostatic Test Bacteria Test Stand Pipe Inspection Wet Tap City R -OW Permit County R -O -W Permit Plumbing Permit PRV Required 3830 PILOT KNOB ROAD I EAGAN, MN 55122 (651) 675-56751 FAX: (651) 675-5694 buildinginsoections(&dtvofeaaan.com If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.