EA187947 - Sewer & Water - Residential - Issued Date 11/07/2023 PERMIT
City of Eagan
Sewer& Water
3830 Pilot Knob Rd Permit Number: EA187947
Eagan, MN 55122 EAGAN Permit"':
(651)675-5675
www.cityofeagan.com E A 1 8 7 9 4 7
Date Issued: 11/7/2023
Site Address: 1037 Beatrice St
Lot: 29 Block: 2 Addition: McKee
PID:10-47750-02-290 [DIII�IIIIIIIIIIIIIHMIEE]UL[IHMHM
Use: 1 (d - 47750 - 02 - 290
Description:
Sub Type: Residential
Work Type: Sewer Only
Description: Repair
Meter Size Meter LTe 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 Pen-nit Fee $80.00 6201.4532
Total: $81-00
Contractor: - Applicant Owner:
Roto Rooter Donald G&Constance Lee
14530 27th Ave N 1037 Beatrice St
Plymouth MN 55447 Saint Paul MN 55121--140
(763)519-3977
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
ForOffice—
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EAGAN t Permit Fee:
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Date Received:
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Staff:
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2423 SEWER & WATER
Date: -7-,;Z J Site Address: 6
Property Name: Co r'. 1i. 1't �, ,�' "�' _Phone: �� 1" 4.16 Y- � � ' 0
Owner as 'S
Address/City/Zip: �.7�"�-�..- I"` L C E-'_ 4
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Pipelayer Training Certification/#: or Master Plumber License
Property Use: Type of Service: Type of Work:
Residential El Sewer&Water :El New
® Commercial 4asewer Only 91 Repair, Description: LGA t h e 1- � 1w, t
® 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) 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.
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Applicant's Printed Name Applicant'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-O-W Permit
County R-O-W Permit
Plumbing Permit
PRV Required
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651)675-5675) FAX: (651)675-5694 buildinginspectionsOcitvofeagan.com
If you have a hearing or speech disability, contact us through your preferred telecommunications relay service.