EA180774 - Sewer & Water - Residential - Issued Date 03/20/2023 PERMIT
City of Eagan , , , Permit Type: Sewer& Water
3830 Pilot Knob Rd ,,�;; Permit Number: EA180774
Eagan,MN 55122 - EAGAN
(651)675-5675 ^ * E R 1 8 0 7 7 4
www.cityofeagan.com
Date Issued: 3/20/2023
Site Address: 1285 Deerwood Dr
Lot: 14 Block: 6 Addition: Birch Park
PID:10-14175-06-140
Use: * 1 0 — 1 4 1 7 5 — 0 6 — 1 4 0
Description:
Sub Type: Residential
Work Type: New
Description:
Meter Size Meter Tyne 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:
Bohn Well Drilling Company Christopher Perdoni
18190 Dairy Lane,Suite 101 3711 Hill Lane S
Jordan MN 55352 Eagan MN 55123
(952)445-4809
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.
Ad
Applicant/Permitee: Signature sued B,: Signature
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For Office Use
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EAGAN
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Date Received:
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Date: 02/07/2023 Site Address: 1285 Deerwood Drive
Property Name: Phone:
Owner
Name: License
Contractor
Phone: Email:
I Pipelayer Training Certification or Master Plumber License#:
Property Use: Type of Service: Type of Work:
Residential 0 Sewer&Water New
Commercial El Sewer Only Repair, Description:
Public Facility Water Only Disconnect
I understand that new water connections require a separate Plumbing Permit and associated meter fees.
|hereby acknowledge that this information iacomplete and accurate;that the work will uoinconformance with the ordinances and codes nrthe City o/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 inthe case v,work which requires oreview and approval ofplans.
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Applicant's Printed Name Applicant's Signature
FOR OFFICE USE ONLY
Fees: Required Inspections: Sewer Only
Sewer Permit($8OOO) $80.00 Sewer Air Test �
Water Permit($O0,UO) $80.00 Mandrel Test ------- �
S&VVRepair/Disconnect($OO.00) Sewer Lines Televised
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Sewer lateral Prev. Pd Verify Meter Configuration
Sewer trunk Prev. Pd. Water Only ------
Water supply&storage $1,812.40 Conductivity Test
Water lateral Prev. Pd. Hydrostatic Test
Water trunk Prev. Pd. Bacteria Test ------
City SAC ($139.00/SACuniV $139.00 Stand Pipe Inspection
Met Council SAC ($2.485/GAC unit) $2,485.00 Wet Tap ----- |
Treatment Plant($1 126.00/SAC unit)
State Surcharge $1.00 Additional Requirements:
Total: $51723.40 City R'O4mPermit X(if working inPOW)
County R'O4mPermit -----'
Plumbing Permit X
PRVRoquied X
383OPILOT KNOB ROAD | EAGAN. MIN 55122
(O51)675'5675 | FAX: (0S1)875'5004
If you have o hearing or speech disobi|ity, contact us through your preferred telecommunications e|oy service.