EA187756 - Sewer & Water - Residential - Issued Date 10/30/2023 PERMIT
City of Eagan , , , , Permit Type: Sewer& Water
3830 Pilot Knob Rd ,,�;,4 0,;°°, Permit Number: EA187756
Eagan,MN 55122 '" E A G A N
(651)675-5675
www.cityofeagan.com * E R 1 8 7 7 5 6
Date Issued: 10/30/2023
Site Address: 654 Witham Lane
Lot: 2 Block: 1 Addition: Woods of Witham Lane
PID:10-84850-01-020
Use: * 10 - 84eso — o 1 — oto *
Description:
Sub Type: Residential
Work Type: New
Description: Sewer&Water- SEE COMMENTS
Meter Size Meter Type 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.
*SAC,City SAC and&Treatment Plant to be collected on Building Permit*
Fee Summary: Surcharge-Fixed $1.00 9001.2195
SW- Sewer Permit Fee $80.00 6201.4532
SW-Water Permit $80.00 6101.4507
Total: $161.00
Contractor: - Applicant - Owner:
Siteworx Excavating CHRISTINA KRETMAN
2025 Gateway Circle 1239 COLETTE PL
Centerville MN 55038 Saint Paul MN 55116
(320)362-0977
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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For Office Use I
e j Permit* I $�- S 6 I
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EAGAN I Permit Fee: '
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I Date Received: I
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I Staff:
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2023 SANITARY SEWER & WATER PERMIT
Date: 10/20/2023 Site Address: 654 Witham Lane
Price Custom Homes612-298-2625
prbp@fty Name: Phone:
bwri�r 11110 Industrial Circle Suite E - Elk River, MN 55330
Address/City/Zip:
Name: Siteworx Excavating LLC License#: x'4212
2025 GatewayCircle #2 - Centerville, MN 55038
Contractor Address/City/Zip:
Phone: 763-202-3924 Email: cherrish@siteworxmn.com
2015-7754
� Pipelayer Training Certification#: or Master Plumber License#:
Property Use: Type of Service: Type of Work:
Residential V3 Sanitary Sewer&Water 0 New
❑ 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.
Digitally signed by Cherrish
Cherrish Emslander Emslander
X Cherrish Emslander
X Date:2023.10.20 12:44:08-05'00'
Applicant's Printed Name Applicant's Signature
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Prpted byr AN 10/ 12023„ plumbing Permit
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3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651)675-5675 1 FAX: (651)675-5694 buildinainspectionsCa)citvofeaaan.com
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