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.