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