EA187500 - Sewer & Water - Residential - Issued Date 10/16/2023 PERMIT
City of Eagan , a , Permit Type: Sewer& Water
3830 Pilot Knob Rd Permit Number: EA187500
Eagan,MN 55122EAGAN
(651)675-5675 ,..-.®
www.cityofeagan.com * E A 1 8 7 S 0 0
Date Issued: 10/16/2023
Site Address: 2042 Flint Lane
Lot: 5 Block: 6 Addition: Cedar Grove 3rd
PID:10-16702-06-050 1111 1111 WMEEMM
Use: * 1 0 — 1 6 7 0 2 — 0 6 — 0 5 0
Description:
Sub Type: Residential
Work Type: Repair
Description: Replace sewer w/pvc pipe from house to blvd
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Com►nentS: 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:
Triple E Water and Sewer LLC Robert C&Valerie D Todd
5232 Hanson Ct N 2042 Flint Ln
Brooklyn Center MN 55429 Saint Paul MN 55122--284
(763)207-8068
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
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ffi r For Office UseAlk
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Permit Fee: 4A N
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Date Received: 1
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I Staff:
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2023 SANITARY SEWER & WATER PERMIT
Date: 10/16/23 site Address: 2042 Flint Lane Eagan, Minnesota 55122
Property Name: Matt Lennander Phone: 651-335-2972
Owner Address/City/Zip: g 2042 Flint Lane Eagan, Minnesota 55122
Name: Triple E Water�and Sewer License#: P B710895
Contractor Address/City/Zip:
5232 Hanson Ct N Crystal MN 55429
Phone: 763-207-8068 Email: terra@eee-ws.com
Pipelayer Training Certification#: or Master Plumber License#: EM063708
Property Use: Type of Service: � Type of Work:
I V] Residential ❑ Sanitary Sewer&Water ❑ New
❑
Replace sewer with PVC sewer pipe from house to BLVD Commercial � Sanitary 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.
Terra Rid Digitally signed by Terra Ridgeway
X Terra Ridgeway X ewa g y Date:2023.10.16 08:44:13-05'00'
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE ONLY
Fees; Required Inspections: Sanitary Sewer Only
Sanitary Sewer Permit($80.00) Sanitary Sewer Air Test
Water Permit($80.00) Mandrel Test
S&W Repair/Disconnect($80.00) Sanitary Lines Televised
Sanitary Sewer lateral Verify Meter Configuration
Sanitary 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-O-W Permit
County R-O-W Permit
Plumbing Permit
PRV Required
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651) 675-5675 1 FAX: (651)675-5694 buildinginspections(a)cityofeacian.com
If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.