EA188740 - Sewer & Water - Commercial - Issued Date 01/09/2024 PERMIT
City of Eagan , , , , Permit Type: Sewer& Water
3830 Pilot Knob Rd �_'a� Permit Number: EA188740
Eagan, MN 55122 •- EAGAN
(651)675-5675
www.cityofeagan.com * E A 1 8 8 7 4 D
Date Issued: 1/9/2024
Site Address: 4270 Lexington Ave
Lot: Block: Addition: ®®
PID:
Use: Higher Gound Education
Description:
Sub Type: Commercial
Work Type: New
Description:
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:
Total:
Contractor: - Applicant - Owner:
Minnesota Utilities&Excavating
13932 Lake Drive
Forest Lake MN 55025
(651)464-5532
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
For Office Use f
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Permit fee. I
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I Onto Rerceived j
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-----------------
2023
.-..------ - -..--2023 SANITARY SEWER & WATER PERMIT
Date, 12129/23 site Address: 4270 Lexington Ave South
PropertyName c
kJ � �.1,t.. a� y^- _ Phone: q`•1Q 94 O 1.
Owner
Address/City0p;
Name: Utilities & Excavating License#:
Contractor
AddresslCily/Zip: 13932 Lake Drive NE, Forest Lake, MN 55025
Phone: 651-248-0141 Email: charlie@mnue.net
_ Pipelayer Training Certification#: 8937 or Master Plumber License#:
Property Use: Typo of Service: Typo of Work:
❑ Residential ® Sanitary Sewer&Water ® New 9
® Commercial ❑ Sanitary Sewer Only ❑ Repair,Description: j!
❑ 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;
^at 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.
x Charlie Wilson x �/,OVA)
Applicant's Printed Name App icant'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 j FAX:(651)675-5694 buildinnin5pections( c7 ofeagan.com
If you have a hearino or soeech disability,contact us throuah vour preferred telecommunications relav service.
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