EA189268 - Sewer & Water - Residential - Issued Date 02/16/2024 PERMIT
City of Eagan , , , Permit Type: Sewer& Water
3830 Pilot Knob Rd % ': Permit Number: EA189268
Eagan, MN 55122
EAGAN(651)675-5675 �,_.,�
www.cityofeagan.com * E R 1 8 9 2 6 8
Date Issued: 2/16/2024
Site Address: 2109 Emerald Lane
Lot: 4 Block: 7 Addition: Cedar Grove lst
PID:10-16700-07-040
Use: * 10 — 16700 - 07 - 040 �k
Description:
Sub Type: Residential
Work Type: Sewer Only
Description: Repair
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: Surcharge-Fixed $1.00 9001.2195
SW-Sewer Permit Fee $80.00 6201.4532
Total: $81.00
Contractor: - Applicant - Owner:
Roto Rooter Daniel John 011ila
14530 27th Ave N 2109 Emerald Ln
Plymouth MN 55447 Eagan MN 55122
(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
r For Office Use—��——���I�—_��___
I Permit#: Gly/ I
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EAGAN
Permit Fee:
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I Date Received: I
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2023 SANITARY SEWER & WATER PERMIT
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Date J-1VSiteAddress: 9 { ry7 Q s`��, ( y
Property Name: Da i'1 / f l 1(C� Phone: go� �
Owner c
Address/-City/Zip: (0
Name: !ld ` C?° U f rv---- License#: _PM 6a 5y(yG "j.-7
Address/City/Zip: .. i -n ) -5,5-'(1-'12
Contractor ` 1 j
Phone: /r C 7] JJ�j ,Email: Kf`3.1
_ Pipeiayer Training Certification#: _ or Master Plumber License#: 'lrl 05
Property Use: Type of Service. Type of Work
P-Residential ❑ Sanitary Sewer&Water ❑ New
❑ Commercial P'Sandtary Sewer Only IR Repair, Description:C� d C; 1 :rl Stir N.� c7
❑ 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;
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 cajseJ of work which requires a review and approval of plans.
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Applicant's Printed Flame 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 T'
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 55112
(651)675-5675 i FAX: (651)675-5694 buil cihlcin,W cti�ggno ityofeaUi n.corn
If you have a hearing or speech disability,contact us through your preferred telecommunications relay service.