EA188679 - Sewer & Water - Residential - Issued Date 01/04/2024 PERMIT
City of Eagan , , , P Permit Type: Sewer& Water
3830 Pilot Knob Rd �;,.a, Permit Number: EA188679
Eagan, MN 55122 ••aFEAGAN
(651)675-5675 111111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 8 8 6 7 9 *
Date Issued: 1/4/2024
Site Address: 3930 Canter Glen Dr
Lot: 19 Block: 17 Addition: Bridle Ridge 1st
PID:10-14996-17-190
Use: * 10 - 1499E - 17 - 19 7 *
Description:
Sub Type: Residential
Work Type: Sewer Only
Description: Repair
Meter Size Meter Tvpe 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 Permit Fee $80.00 6201.4532
Total: $81.00
Contractor: - Applicant - Owner:
Valley Rich Nickolis&Andrea Werner
147 Jonathan Blvd N #4 3930 Canter Glen Dr
Chaska MN 55318 Eagan MN 55123
(952)448-3002
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
*'40
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For Office Use
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EAGAN
Permit Fee: i
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Date Received: I
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Staff:
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2023 SANITARY SEWER & WATER PERMIT
Date: 1/4/24 Site Address: 3930 Canter Glen Drive
Property Name: Nick Werner Phone: 651-216-7953
Owner
Address/CitylZip:
Name: Valley-Rich Co., Inc (Pete Nasvik) License#: PC643697
Contractor
Address/City/Zip: 147 Jonathan Blvd N, Chaska, MN 55318
Phone: 952-448-3002 Email: pete@valleyrich.com
Pipelayer Training Certification#: or Master Plumber License#:
Property Use: Type of Service: Type of Work:
® Residential ❑ Sanitary Sewer&Water ❑ New
Excavate and repair a sanitary sewer line In the grass.
El Commercial 0 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 1 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.
Pete Nasvik
X X
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: CityR-O-W Permit
County R-O-W Permit
Plumbing Permit
PRV Required
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651)675-5675 I FAX: (651)675-5694 buildinginspections(a)cityofeagan.com
If va, have a hearing or speech disability, contact us throuoh vour preferred telecommunications reiav service.