EA187754 - Sewer & Water - Residential - Issued Date 10/31/2023 PERMIT
City of Eagan , , , , Permit Type: Sewer& Water
3830 Pilot Knob Rd Permit Number: EA187754
Eagan,MN 55122 °••' '•'° EAGAN
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(651)675-5675 * E R 1 8 7 7 5 4
www.cityofeagan.com
Date Issued: 10/31/2023
Site Address: 4070 Dodd Rd
Lot: 1 Block: 1 Addition: Woods of Witham Lane
PID:10-84850-01-010 1111111111111111111111111111111111111111111111111111111111111111111111111
Use: * 1 0 - 8485 (0 - 0 1 - 0 1 )K
Description:
Sub Type: Residential
Work Type: New
Description: Sewer Only
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: City SAC(01 Unit) $139.00 9376.4681
Surcharge-Fixed $1.00 9001.2195
SW- Sewer Lateral Charge $0.00 9376.4611
SW-Sewer Permit Fee $80.00 6201.4532
SW-Sewer Trunk $0.00 9376.4611
Total: $220.00
Contractor: - Applicant - Owner:
Krueger Excavating Inc JOSHUA P&IRENE K BURBUL
P.O.Box 729 4070 Dodd Rd
Prior Lake MN 55372 Eagan MN 55123
(952)447-8335
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.
1 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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Permit Fee:EAGAN
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I Date Received:
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2023 SANITARY SEWER & WATER PERMIT
Date: 9-28-23 Site Address: 4070 DODD Rd
Josh Burbul 763-273-3732
Name: Phone:
E�Wtn '
Address/City/Zip:
Name: Krueger Excavating Inc License#: PB645581
oontractow
. Address/city/zip: 4070 Dodd Rd
Phone: Email: )r-ip—IL -°�C" X CCLVOI:f LVt9�.
Pipelayer Training Certification#: PB645581 or Master Plumber License#:
Property Use: Type of Service: Type of Work:
Residential ❑ Sanitary Sewer&Water V] New
❑ Commercial 14 Sanitary Sewer Only ❑ Repair, Description:
❑ Public Facility ❑ 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.
Tracy Krueger
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Applicant's Printed Name Applica ' Signature
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3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651)675-5675 1 FAX: (651)675-5694 buildinainspections(�cityofeaaan.com
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