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
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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
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ADDRESS 106 .. I AGRItE TO COMPI„Y WITH CITY - OF
EAGAINORbJ*NCES:
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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