3425 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
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YtL1.A#E OF BAGAN
SEWER SERVICE PERMIT
3795 Pilo K4b Rood` --- -- . , ;
Eapn, MN X5122 PERMIT NO.:
DATE:
Zoning: '
Owner: _ 4 +¢s 1 No. of Units:
Address: •
Site Address: Y
Plumber: > �;
F agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit:
• Permit Fee: ' ° •
t Surcharge:
By: Misc. Charges:
Date of Insp.:
Total:
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147105
Date Issued:12/11/2017
Permit Category:ePermit
Site Address: 3425 Highlander Dr
Lot:2 Block: 04 Addition: Surrey Heights 4th
PID:10-73003-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Douglas J Fortin
3425 Highlander Dr
Eagan MN 55122
(651) 239-7955
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174937
Date Issued:03/02/2022
Permit Category:ePermit
Site Address: 3425 Highlander Dr
Lot:2 Block: 04 Addition: Surrey Heights 4th
PID:10-73003-04-020
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
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 -
Douglas J Fortin
3425 Highlander Dr
Eagan MN 55122
Paul Bunyon Plumbing Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature