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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 F » . , ,: '', - I£ P T . -,: ^c e .... h .. DATE aL 2 p ;k ` i,{ : -'te "O ° ., v _ 4y _ 3 k ; a � ' • �;+? . Z a P. 1 i r a .4 $ + a _: . . �, - w � ,il' , , t - " 'A e e - ° l- tM ..k., -` u...- r ,� 8:i"' w- , Perin ` � -. w $ . t , . T 3 . � . � � Re . v �ritiF .tire lf?�p of <� u9ae ...Su ,�,,��si F' � ` arge • '' .,- �- : . —. £ t i�i.r \ ,,.iViisc Char es: ,5 Y ,If7 A . D x7. te.A c 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