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