EA185810 - Sewer & Water - Residential - Issued Date 08/04/2023 PERMIT
City of Eagan , , Permit Type: Sewer& Water
3830 Pilot Knob Rd ���;�m +�",.aa Permit Number: EA185810
Eagan, MN 55122 e--• ---
(651)675-5675 EAGANffffFm
www.cityofeagan.com * E R 1 8 5 8 1 d *
Date Issued: 8/4/2023
Site Address: 1641 Mallard Cir
Lot: 28 Block: 1 Addition: Mallard Park 2nd
PID:10-47251-01-280
Use: * 10 - 47251 — (1J 1 — Z8fd *
Description:
Sub Type: Residential
Work Type: Sewer Only
Description: Repair
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: Surcharge-Fixed $1.00 9001.2195
SW-Sewer Permit Fee $80.00 6201.4532
Total: $81.00
Contractor: - Applicant - Owner:
3 Sisters Underground James A&Annette V Dahlberg
16935 58th St NE 1641 Mallard Cir
Elk River MN 55330 Saint Paul MN 55122--254
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 slued B : Signature
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► I For Office Use I
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0 185810
1 Permit#:
EAGAN
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Date Received:
8/4/2023
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� Staff: I
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2023 SEWER & WATER PERMIT
Date: 8-4-23 Site Address: 1641 Mallard Circle
Property Name: Tony Strandberg Phone: 651 -434-04480
,ow ner Address/City/Zip: 1641 Mallard Circle, Eagan MN 55122
Name: 3 Sisters Underground DBA Brothers Unci License PB803298
#:
Contractor
Address/City/zip: 16935 58th St NE PB
Phone: 763-245-9960 Email: Service @ brosundergrou nd.com
Pipelayer Training Certification#: 9422 or Master Plumber License#:
rProperty Use: Type of Service: Type of Work:
K.1 Residential ❑ Sewer&Water ❑ New
❑ Commercial Sewer Only Excavate m cleanout access up in yard and repair.1seUbroken piping.
Repair, Description:
❑ Public Facility I ❑ Water Only ❑ Disconnect
❑ I 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 X-
-Applicant's Printed Name Applicants Signatur
FOR OFFICE USE ONLY
Fees: Required Inspections: Sewer Only
Sewer Permit($80,00) Sewer Air Test
Water Permit($80.00) Mandrel Test
S&UU Repair/Disconnect($80.Q0) Sewer Lines Televised
Sewer lateral. Verify Meter Configuration
Sewer trunk
Water Only
Water supply&storage Conductivity Test'.
Water lateral Hydrostatic,Test
Water trunk Bacteria lest
City SAC($139.00/SAC unit) Stand Pipe Inspection
Met CaUncil SAC(�2,485/SAC unit) Wet Tap
Tredtment PIant($1,126.Op/SqC unit)
State Surcharge" $1.00 Additional Requirements:
Total: City R-OM Permit
County R`-0-W Permit
Plumbing Permit
PRV Required
3830 PILOT KNOB ROAD i EAGAN, MN 55122
(651)675-5675 1 FAX: (651)675-5694 buildinginspections ancityofeagan com
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