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3423 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 [AGO E PERM. a, 122 . S 113 e' 7 F o i No OE, t3zrita , t a , ' A ' r . F ri „tee: Con - ctioi1 Charge Accoun r . #,'_ Permit Fee: * ' - cart .� •. 1 ogtea fb -• ` e Village of Eagan Surcharge: ` '. rfi. Misc. Charges: • Total: • By 4 Date Paid: Date of Insp. Insp.: $EW R ERVL .. . PER MIT' NO. 1 ''"`' q µ$ � `� , . , Road DATE: a 1 r 1 �t Si 12Z. .R: '1,A: - ,, , INTo.. gUflit�€: s 0 �, ..4 = s8 -. . r° ' , - Ittr r i ti P . 1 > PiY with Viii g of ! Conaecti Charg t S :}} 4. ' .,,.. Account deposit o (; ! .P Peri t Fee: .. ' :Surcharges v Misc. "charges: ' ; , IS4t of 1nsj 4. Total: „ ` C PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA150375 Date Issued:07/05/2018 Permit Category:ePermit Site Address: 3423 Highlander Dr Lot:3 Block: 04 Addition: Surrey Heights 4th PID:10-73003-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Michael Chemino 3423 Highlander Dr Eagan MN 55122 Mnp Mechanical Llc 452 8th Ave SW Lonsdale MN 55046 (952) 292-9238 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA164159 Date Issued:09/21/2020 Permit Category:ePermit Site Address: 3423 Highlander Dr Lot:3 Block: 04 Addition: Surrey Heights 4th PID:10-73003-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - Michael Chemino 3423 Highlander Dr Eagan MN 55122 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature