EA186537 - Sewer & Water - Commercial - Issued Date 09/06/2023 PERMIT
City of Eagan x , Permit Type: Sewer& Water
3830 Pilot Knob Rd Permit Number: EA186537
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Eagan, MN 55122 ®�«� ���> EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 6 5 3 7
Date Issued: 9/6/2023
Site Address: 3565 Kennebec Dr
Lot: 1 Block: 1 Addition:
PID:10-48320-01-010
Use: The Met Council * 1 0 — 4 8 3 2 0 — 0 1 — 0 1 0
Description:
Sub Type: Commercial
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(65 1)675-5646 to schedule inspections.
SW- Sewer Permit Fee
Fee Summary: $80.00 6201.4532
SW-Water Permit $80.00 6101.4507
Surcharge-$1.00 $1.00 9001.2195
Total: $161.00
Contractor: - Applicant - Owner:
Widmer Construction LLC Metropolitan Council Env Sery
9455 Cty Rd 15 390 Robert St N
Maple Plain MN 55359 Saint Paul MN 55101
(651)955-5062
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 Issued By: Signature
---------
` I For Office Use
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Permit Fee: 4 b I
EAGAN
Date Received:
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2023 SEWER & WATER PERMIT
Date: Site Address:
Property Name: / ci. ,�lrai✓ Cdr-,.c,'L Phone:
Owner ��
Address/City/Zip: ��"''��G /].c:uL �.r�s,�,� ��✓
Name: Gv��l�*— �- 5��vtr�"y �� License#:
Contractor
Address/City/Zip: S�3_S�
Phone;9��-��5=�0�,2 Email: c✓r, r/.c✓?Cf�ra�.z eo.,if •�r-r��-'c.� c G ��
Pipelayer Training Certification#: Va G✓W—,of % or Master Plumber License M
Property Use: Type of Service: Type of Work:
S.
❑ Residential Sewer&Water New
❑ Commercial ❑ 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 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. /
App ical nt's Printed Name Appli ant's Signature
FOR OFFICE USE ONLY
Fees: Required Inspections: Sewer Only
Sewer Permit($80.00) Sewer Air Test
Water Permit($80.00) Mandrel Test
S&W Repair/Disconnect($80.00) Sewer Lines Televised
Sewer lateral Verify Meter Configuration
Sewer trunk Water Only
Water supply&storage Conductivity Test
Water lateral Hydrostatic Test
Water trunk Bacteria Test
City SAC($139.00/SAC unit) Stand Pipe Inspection
Met Council SAC($2,485/SAC unit) Wet Tap
Treatment Plant($1,126.00/SAC unit)
State Surcharge $1.00 Additional Requirements:
Total: City R-D-W Permit
County R-OW Permit
Plumbing Permit
PRV Required
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651)675 6751 FAX:(651)675-5694 buiklinginsoections(c�cityofeagan.com
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