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3122 Alden Pond LaneDate: Tenant City of km 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 - 5675 Fax: (651) 675 -5694 RESIDENT! OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE 2011 RESIDENTIAL PLUMBI P MI PLICATION / Site Address: -? t Suite t!: Name: ( lot..M y e>k Phone:65)" 3 3 — 7 b �_ Address / City / Zip:3 �^ p . `` r n , ,55 - 0.) Name: MILBERT COMPANY INC.dba CULLIGAN WATER , �+ Address: 1801 50Th ST EAST City .' IN`KER GROVE liGTS State:' MN . Zi 55 P hone: . 6S,1 ::44-2241 Contact BELL. MIL.BE t:i • Email: Nevi Replacement _ Repair _ Rebuild Modify Space _ Work Iq.R.O.W. Description of wiorli• RESIDENT/AL Water Heater ,Water Softener ' Lawn trrigatign ( RPZ / PVBj Add Plumbing Fixtures Main / _ Lower Level) , Septic S . Water Turnaround New . _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater Softener (includes $5.00 State Surcharge) • $35.00 Lawn Irrigation Onckides $5.00 State Surcharge) 855.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround• (includes $5.00 State Surcharge) `Water Turnaround (aid $166.00 if a 5/8" meter is required) $105.00 Septic System Reif (610.00 per as built) (Includes County fee and 65.00 State Surcharge) 695.00 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes 65.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. CaII 48 hours before you intend to dlg to receive locates of underground utilities.• iretzgognentatemessil I hereby acknowledge that this Intlxmat1on Is complete and accurate: that the wodc will be In conformance with the ordinances and codes df the City of Eagan: that I understand this is riot a permit but only an application fora permit, and work le not to start without a permit; that the work will be in accordance with the approved plat) in the case of work which requires a review and approval of a x � V / Ifr 4 is% kle 1 ha , .C Applicant's Printed Name Applicant's,Sl Use BLUE or BLACK Ink i Permit ft: Permit Fee: Date Received: L. Staff: J SEAVER WATER PEMINV SEON1Y . �OF EA AN PER1 T [ 10/11/89 3830 Pik tab RBI: 014 P.C). Boie2f199 Wi4TER fiMff SEWER PERNift * ;E, M1�f`5512 METER # RECEIPT READER # . RECEIPT DA'TE4, ' 9 MR S&W ItESEirr #0961 ISS PEAK. — BOOSTER PUMP SffE ADDRESS ' 3J Z, ; , _ . < . nana. . PERIIRT 1 i S'f LOT ` __BLOCK Ct4 Gf #B '� APPLICANT'. 4' ion I T . TAPS <. # l �.t�::. 4 §3 . - ;3' ADDRESS. s $• B _ ___ C OMM/ ND 1- IC N TIAL CITY , STATr '' .� ZIP . ���, PkIC3NE: " t, VE Vtif - EXISTING' PLUMBER in+ '14erbfyrtital ADDRESS 106 .. I AGRItE TO COMPI„Y WITH CITY - OF EAGAINORbJ*NCES: . HUED i'fY, STATE ► 5511 - SIGNATURE Wilet :PHONE: 6364(14) - PLAAS ALLOW Tye �, t ' vs SSSIG . FOR i SM SEViER PERSWT NTACT PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170824 Date Issued:07/19/2021 Permit Category:ePermit Site Address: 3122 Alden Pond Lane Lot:18 Block: 01 Addition: Alden Pond PID:10-11225-01-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: 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. Contractor:Owner:- Applicant - Alden Pond Apartments Llc % Town Management Llc 3330 Dundee Rd Ste S1 Northbrook IL 60062 Residential Heating & Air 7454 Washington Ave S Eden Prairie MN 55433 (612) 724-1899 Applicant/Permitee: Signature Issued By: Signature