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EA189605 - Sewer & Water - Residential - Issued Date 03/12/2024 PERMIT City of Eagan , , , , Permit Type: Sewer& Water 3830 Pilot Knob Rd •��;•� %;:, Permit Number: EA189605 Eagan, MN 55122 EAGAN (651)675-5675 www.cityofeagan.com * E R 1 8 9 6 0 5 Date Issued: 3/12/2024 Site Address: 2096 Emerald Lane Lot: 1 Block: 6 Addition: Cedar Grove 1st PID:10-16700-06-010 1111 111111111111111111111 1111M Use: * 10 — 16700 - 06 - 0 10 * Description: Sub Type: Residential Work Type: Sewer Only Description: Repair 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 Frances Dipaola Tste Bornman 14530 27th Ave N 2096 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 For Office Use— — I 0 Alk .ra Permit#: n� MM I I Permit Fee: _ I Date Received: 1 I I Staff: r------------------� 2024 SANITARY SEWER & WATER PERMIT ._ w Date: 3/12/2024 site Address: 2096 Emerald LN . :Ow:n rty Name: Fran Bornman — �612-481-7435�� � ��� Phone: er 2096 Emerald LN Address/City/Zip: Name: Roto Rooter License#. pC644621 Contractor Address/City/Zip: 14530 27th ave N Plymouth MN 55447 Phone: 763-286-8291 Email: blaine.weiss@rrsc.com 1453 1 Pipelayer Training Certification#: or Master Plumber License# PM05865I — rrv� w, Property Use: Type of Service: Type of Work. Residential ❑ Sanitary Sewer&Water ❑ New i i ❑ Commercial ® Sanitary Sewer Only ® Repair, Description: Repair and install CIPP liner ❑ Public Facility ❑ Water Only ❑ Disconnect . .v„a .. . . ._.. . _.mw ❑ 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 Vwith 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 jtwitt 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. xBlaine Weiss - Applicant's Printed Name Appllnature FOR OFFICE USE ON Fees: Required`Inspections: Sanitary Sewer Only Sanitary Sewer Permit($80.00) Sanitary Sewer Airiest Water Permit($80.00) Mandrel Test S&W Repair/Disconnect($80.00) Sanitary Lines Televised Sanitary Sewer lateral Sanitary Sewer trunk Verify Meter Configuration Water supply&storage Water Only Conductivity Test Water lateral Water trunk Hydrostatic Test Bacteria Test City SAC($142.50/SAC unit) Stand Pips.inspection Met Council SAC($2,485/SAC unit) Wan Tap Treatment Plant($1,154.70/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 (6a1)675-5675 FAX: Y 51 t575-5894 build i ectiar)s c i_k afc aq i�_c orn If you have a hearingars each disability,contact us Clirou h cur referred toiecomrnunications relay service.