3413 Highlander DrRESIDENT 1
OWNER
Name: 166 Q W ,/W Y 1 ne %rayg -57 7
Address 1 City t Zip: (340/ (546 M /561( tJl JIM 31 . r 1
Applicant is: — Owner Contractor LLJJ��
TYPE OF WORK
Description of work4 1!A ' ! / "�i.1101. • L iZ ._,� I r.,. •
IF gir
Construction Cost O4 . 0 /IL Multi-Family Building: (Yes / No )
CONTRACTOR
Company: Rcorl 1V r Contact: J 44 Irk , y
Address: lot 1 W City: 5 . Jj 1'"L (
/
State; rtC.9 55 x'`! Zip; Phone: /el (- `7 69,96r/ !.
License #: OD ` Lead Certificate f#: // t ^ Vc 4 —
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor.
Sewer & Water Contractor:
Phone:
Phone;
Phone:
NOTE: Prins and supporting.documents that you.submit are considered-to . be public inforrnation. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
8. 2011 2 :42PM SELA ROOFING
*City oi6api
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
x ►,44/61 Uk-AA110
Applicant's Printed Name
of X936
N o.6530 P. 2
Use BLUE or BLACK Ink
Permit # 9
• s Permit Fee: g a
Date Received:
Staff:
/ j 2011 RESIDENTIAL BUILDING PERMIT APPLICATIO �
Y L Site Address: _ ij �( f ( 3 01 i �� { }! ni #'
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in oonformance
Eagan; that I understand this is not a permit, but only an application for a permit, and work is riot tO Start
accordance with the approved plan in the case of work which requires a review and approv-• plans.
err. .di A .-1 _
plicanr's Signature
the ordinances and codes of the City of
flout a per 't that the work will be in
7
Page 1 of 3
VILLA OF EAGAN
WATER SERVICE PERMIT
wslikit Knob Road PERMIT NO.: 2r11 f •
4 . MN 55122 DATE: 11/fl‘./7"'F >
Zoning: r I No. of Units: 1
Owner: r ° :. t,: d a 1 L , o
Address,:
E - ' _1 Ili `11 f r , . " , ' ?�' 4 Fc1 'i1' a.
Site Address. ry
Plumber: s-{; j c t '' 1 u i- . y t, (_,
Meter No.: Connection Charge:"
Size: Account Deposit:
ry
Permit Fee: { ' ° r
Reader No.: _ r) r ' �
1 agree to comply with the Village of Eagan Surcharge: � + r) c !? 'Ito r
Ordinances. Misc. Charges:
Total:
By / Date Paid: • Date of Insp.. f" Y -7( Insp.:
VILLME OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: : `' ' " 3
+Eagan, MN 55122 DATE: /
Zoning: No. of Units: 1
Owner: ; `
Address:
l '1 :Y :w 1 r - is liJ P1 v7 }�
Site Address: -
Plumber: j , :: tin: .
r‘
1 agree to comply with the Village of Eagan Connection Cha?gd: •
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: �� ' Date Paid:
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140702
Date Issued:01/17/2017
Permit Category:ePermit
Site Address: 3413 Highlander Dr
Lot:2 Block: 01 Addition: Surrey Heights 4th
PID:10-73003-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
John J Larkin
3413 Highlander Dr
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature