EA189070 - Sewer & Water - Residential - Issued Date 02/05/2024 PERMIT
City of Eagan , R ® ® Permit Type: Sewer& Water
3830 Pilot Knob Rd ,-•,,,� 4e®®�� EAGAN
Permit Number: EA189070
Eagan, MN 55122 °--- •��°
(651)675-5675
www.cityofeagan.com * E R 1 8 9 0 7 0
Date Issued: 2/5/2024
Site Address: 2983 Pilot Knob Rd
Lot: 2 Block: 1 Addition: George C Williams
PID:10-29100-01-020
Use: * 10 - 29100 - 0 1 - 020 *
Description:
Sub Type: Residential
Work Type: Sewer Only
Description: in yard-replace up to 10'
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.
Fee Summary: Surcharge-Fixed $1.00 9001.2195
SW-Sewer Permit Fee $80.00 6201.4532
Total: $81.00
Contractor: - Applicant - Owner:
Roto Rooter Daniel.i&Angela M Wolf
14530 27th Ave N 2983 Pilot Knob Rd
Plymouth MN 55447 Eagan MN 55121
(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
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Date Received:�r I
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Staff:
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2023 SEWER & WATER PERMIT
Date: �` ~f Site Address:1;� i t ( � 1
Property Name: n q e o ( Phone:6- 1 . 4a .L 4-
Owner
Address/City/Zip: cl 3 t c� i k a0 b
Name: �p 4 �patl �' License#: p61 (StSWiaS �
Contractor Address/City/Zip: l LYS<3e) 7 h L � �' (,� ,r,p i� t y-o i�
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Phone;"7G�3S1�, �i?1v� ,(5 Email
Pipelayer Training Certification#: or Master Plumber License#:
Property Use: Type of Service: Type of Work:
Residential ❑ Sewer&Water ❑ New ii
❑ Commercial Sewer Only Ej Repair, Descriptions CC, t n Ic,r-( �C()1 cutin Aa 1b
R,,r(J f- c e vi 5c'h.q-1inIe4,-01 v
❑ 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.
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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/SAG 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)675-56751 FAX:(651)675-5694 buildinainspegtionsncilygfeagaan.com
If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.