Loading...
3421 Highlander DrRESIDENT OWNER ! Name: , 1 1 -b-, / 1' I I ne: " _ Address / City / Zip: c ' 34 1-1151utadtlix, Applicant is: _ Owner Contractor TYPE OF WORK Description of work: �, .,.[�1 Construction Cost: 7' l`�/, gv Multi- Family Building: (Yes/ No _) CONTRACTOR Company :Lla ROW/A/6 Contact :45MA V /V V 1 el-LE LOWS k 1 Address :41I 660—r W D City: f�`t'Ti State: j Zip: (S,641 6 Phone: 6 - (pa._..-. 1 q rg}/ License*. 060106D Lead Certificate #; t/7- 13i `" / 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: Plansoand supporting.docunients that you submit are considered to be publicinformation. 'Portions of the information maybe classified as non - public if you provide specific reasons that would permit the City.to conclude that theyare trade secrets. Jun. 3. 2011 2:42PM SELA ROOFING City of Eaau Date: x 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 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.gooherstateonecall.orq 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: I understand this is not a permit, but only an application for a permit, and work is not to sta without a p it; that the work will be in actor with the approved plan in the case of work which requires a review and approval . ans. 674 VittwiNa,6 pplicant°s Printed Name No. 6530 P. 5 Use BLUE or BLACK Ink F,,or.fice UE1 � � � Permit #9 Permit Fee: .//33 Date Received: Staff: � J 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 34M / f 3. i . / soi l ° C < Site Address: 1 nit #- Applicant's Signature Page 1 of 3 OF EAGAN 'WATER SERVICE PERMIT Knob Road t t PERM' NO.: " 55122 DATE: t No. of Units: E .s ;-- ref- :A(1dre86: a i ber:v4 y - 1,..tt t t.. r «'k r:.. rt: tr , . :... No • : ` ° Co nnection Charge: f - , x . • P -`t j Account Deposit: X54'414 ti:. wader ATo.: Permit Fee: r t "agree to comply with she Village of Eagan Surcharge: .# `t'3 rig" Ordinances t t Misc. Charges: Total: By „ Date Paid: Date of Insp.• � �'�/ ! ec___ _ . s� VILLAGE, OF EAGAN SEWER SERVICE PERMIT 3795 pot Knob Road PERMIT NO.: Eagan, MN 55122 i DATE: Zoning: t No. of Units: Owner: Address: 1 Site Address: t, Plumber; .�•; • 1 °grim to comply with the Village of Ragan Connection Charge: F Ordinances. Account Deposit: Permit Fee: Surcharge: By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: Use BLUE or BLACK Ink P For Office Use ,+L` , , 4 / p JJ �* .�� * � '3�*y Permit#: / . 7y a Permit Fee:11: 4:::* ...."„A 0;) 171,; 4 I P.•11 yet+ N uv Date Received: (7 3830 Pilot Knob Road I Eagan MN 55122 ' Staff: s� Phone:(651)675-5675 I Fax:(651)675-5694 a uildin.ins+ections tacitfeawan.nom Ui 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date 4 1 : Site Address: `"'" ) _I ' '', .-- , . Unit 6: Name: S i " _ Phone: Resident/ Owner Address/City/Zip: -34-.21 BILL°' � ' Extakfv., cAtu �c1 Applicant is: Owner Contractor 41 �� el y Type of Work iii i Description of work:." ") (o-1\" ,.k# t Construction Cost. t? Multi-Family Building:(Yes—/N* ) 'i r w a Company: :. Ata{ "i: ¢i Plot"t1fie 1 6ontact: ^s ' -3 City: a r c r " Contractor Address: M ., , , � � State: Zip: Phone: �. '13°)Email.� , ,v� ,,,;Jt.ty:,1,f' a ,, License#: G I. * Lead Certificate#: iq 1 F/7 3 at - If the project is exempt from lead certification, please explain why: A/0 pfkr....7--- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan Issued a permit for a similar plan based on a master plan? ____Yes t o If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: _ I Fire Suppression Contractor: Phone: NO7E:Plans and supporting documents that you submit are considered to be public lnfonnatian. Portions of the Infottechonn maybe classified es ttotegPlo if .=u qoulde Nk reasons '•• would .-reuif the Ci to conclude that**"are fade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at •chyafea an.comistrbscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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, .=°ww qp erstateorasa;alLer I hereby acknowledge that this information is complete and accurate;that the wo, .= in conformance wi "the ordin.a«:s and codes of the City of Eagan; that I understand this is not a permit, but only an application for a .- ' it, and work is not to start thout' . ">l rmit;that the work will be in accordance with the approved plan in the case of work which requires a revi-, and approval of plans. x DANS ildtclJ41111 Applicant's Printed Name - :natu,,' Page 1 of 3 (�I�/r,j /k(iry/i �i /it rL �2 i- � ` > �o�j DO NOT WRITE BELOW THIS LINE SUB TYPES ` Foundation Fireplace _ Porch(3-Season) ____ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) — Multi __ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level ` Pool — Accessory Building WORK TYPES __ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building Reroof — Demolish Interior _ Alteration Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION -, $ , Valuation °/ Occupancy MCES System Plan Review Code Edition �4IS SAC Units (25%_100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of BuildingsLength Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) , Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test _ Roof: Ice&Water __Final Pool:_Footings _Air/Gas Tests Final yj Framing 4 30 Minutes 1 Hour Drain Tile �~ Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES .6 pfiv v ",/), __ , __ Base Fee (,,,, ar/ ' (Ira ir Surcharge Plan Review — ..4� MCES SAC City SAC Utility Connection ChargeLitiox 5v 1 ,, ),,,,70. S&W Permit&Surcharge Treatment Plant Copies � ... a..._! E1'9- li,0 0 TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166825 Date Issued:02/08/2021 Permit Category:ePermit Site Address: 3421 Highlander Dr Lot:1 Block: 04 Addition: Surrey Heights 4th PID:10-73003-04-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Nick Koegel 3421 Highlander Dr Eagan MN 55122 (651) 233-6425 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature