EA189763 - Sewer & Water - Residential - Issued Date 03/20/2024 PERMIT
City of Eagan , , , , Permit Type: Sewer& Water
3830 Pilot Knob Rd EAGAN Permit Number: EA189763
Eagan, MN 55122 ""' """
(651)675-5675 , 111111111111111111111111111111111111111111111111
www.cityofeagan.com * E R 1 8 9 7 6 3 *
Date Issued: 3/20/2024
Site Address: 1038 Beatrice St
Lot: 3 Block: 3 Addition: McKee
PID:10-47750-03-030
Use: * 1 0 — 4 7 7 5 0 0 3 — 0 3 0 *
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:
Ouverson Sewer&Water Inc Michael S Zappa
PO Box 247 1038 Beatrice St
Loretto MN 55357 Eagan MN 55121
(612)751-6888
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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For Office Usee,(� I
a���►M, �,/'ts j Permit#:EAGAN I
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Permit Fee: I
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Date Received:
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I Staff:
L----------------
2024 SANITARY SEWER & WATER PERMIT
Date: 3/20/24 site Address: 1038 Beatrice St
Property Name: Mike & Robbin Zappa Phone: 612.396.2932
Owner Eagan, MN
Address/City/Zip:
Name: OUverson Sewer & Water INC License#: PB 807110
Cantra+ctor
Address/City/Zip: 915 Blue Gentian Road, Suite 100, Eagan, MN 55121
Phone: 612-751-6888 Email: kelli@linemysewer.com
Pipelayer Training Certification#: or Master Plumber License#:
Property Use: Type of Service: Type of Work:
14 Residential ❑ Sanitary Sewer&Water ❑ New
❑ Commercial 14 SanitarySewer Only Wye Liner
y �c.l Repair, Description:
r❑yy�� Public Facility ❑ Water Only ❑ Disconnect
11CJ 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.
X Kelli Ouverson
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) SanitaryLines Televised'
Sanitary Sewer,lateral Verify Meter Configuration
Sanitary Sewer trunk WatAr Only,"
Water supply&storage Conductiuity Test.
Water lateral 'Hy,,rostatic-Test!-
Water trunk Bacteria?est
City SAC($142.50/SAG unit) Stand Pipe Inspection
Met Council SAC($2,485/5AC unit) Wet tap
Treatment Plant($1,154.70/SAG unit)
State Surcharge $1.00 Additional Requirements:
Total: City R-O-W Permit
County i 64 Permit
Plumbing Permit
PRV Required
3830 PILOT KNOB ROAD I EAGAN, MN 55122
(651)675-5675 1 FAX: (651)675-5694 buildinginsaectionsacitvofeagan.com
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