EA180443 - Plumbing - Septic System - Issued Date 11/29/20221I UV t
City of Eagan
,
Permit Type:
Plumbing
3830 Pilot Knob Rd
,
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Permit Number:
EA180443
Eagan, MN 55122
EAGAN
(651) 675-5675
www.cityofeagan.com
* E R 1 8 0 4 4
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Date Issued:
11/29/2022
Site Address: 2970 Hwy 55
Lot: 002 Block: 055
Addition: Section 1
PID: 10-00100-55-020
Use:
* 10-00 100-55-020*
Description:
Sub Type: Septic System
Work Type: Abandonment
Description:
Meter Size Meter Tyne
Manufacturer
Serial Number Remote Number
Line Size
Comments:
Fee Summary:
PL - Permit Fee (miscellaneous) $59.00 0801.4087
Surcharge -Fixed
$1.00 9001.2195
Total:
$60.00
Contractor: - Applicant - Owner:
Northern Mechanical Contractors LLC Katie King Flood
1975 Seneca Road, Suite 100 2970 Highway 55
Eagan MN 55122 Eagan MN 55121
(651)789-2275
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
E AG A N
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 FAX: (651) 675-5694
buiidinainsoections(cDcitvofeanan.com
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For
-------For Office Use I
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Permit #: l 60 443
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jPermit Fee: 49
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Date Received: I
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Staff:
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RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 11/28/22 Site Address: Loan Oak Road & Hwy 55 Unit #:
Applicant is: ❑ Owner 0 Contractor
The Davis Group
Name:
Address: 33 S 6th Street, Suite 4650 City: Minneapolis
Homeowner
State: MN Zip: 55402 Phone: 6123884000 Email:
Type of Work
Replacement _ Repair — Rebuild _ Modify Space Work in R.O.W.
✓ New — —
—
Demo of site in preparation for new medical office building.
Description of work:
Tankless Water Heater
Lawn Irrigation (— RPZ / PVB)
Standard Water Heater
Description
Water Softener Add Plumbing Fixtures C_ Main / Lower Level)
✓ Septic System Description:
New ✓Abandonment Connection to City Water from Well
Company: Northern Mechanical Contact: Bob Wolf
Plumbing
Address: 1975 Seneca Road City:
Contractor
MN 55122 612.616.51 . bobw@northernmc.com
State: Zip..
Phone: Email.
License #: PC645358 Expiration Date:
RESIDENTIAL FEES
$100.00 New Residential or Connection to City Water (includes State Surcharge)
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding, altering, or removing piping (includes State Surcharge)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Septic System Abandonment (includes State Surcharge)
TOTAL FEES $ 60
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.000herstateonecall.ora for protection against underground utility
damage. Contact Gopher State One Call 46 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 Dian in the case of work which reauires a review and approval of plans.
Robert Wolf
Applicant's Printed Name
nyo signed 4 Robert Wolf
Ma C-
bertRobert Wo -i: NWolf'
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Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Meter Size (if applicable):
Required Inspections: Under Ground Rough -In Air Test Gas Test Manometer Final