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3424 Highlander DrRESIDENT / OWNER Name: A 11 ! —.A, 44114 "FJ A . IL!', :. 4 40 _ t i r.1 —119A- %2 Address / City / Zip: r a /1 ♦ 0 i fyyl�L Applicant is: — Owner Contractor TYPE OF WORK i Description of work: /. L A!. . Ji i . � A • .. / / r UQ / 1 t . it 1 Construction Cost J �' Multi- Family :wilding: (Yes ! No ) CONTRACTOR _ Company:( Q J / /lL L/ Contact SA-111 V hay I N Address:'T 1w C Zda4st -e B a::.. City: Car Luis p -LIK, j // 3 h ".G _ State: r r (5 Zip: `t U1491 i, Phone: I S License #: /0 Lead Certificate #i: Ai / V s 4 -1 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 Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: 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: _ Phone: _ Phone: Phone: more Plans and supporting documents that you submit are considered to be public information : Portions of the information may be classified as non - public if you provide specific reasons that would permit the City to conclude that they are trade secrets. Jun. 8. 2011 2:43PM SELA ROOFING Date; 'Thigri City oJiaau Applicant's Printed Name 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 c+ ‘ Applicant's Signature 2011 RESIDENTIAL RI IILDIN(Z PERMIT APPLICATION Permit It No. 6530 P. 8 Use BLUE or BLACK Ink C / 1 /6S Permit Fee: /3 7y (9' Date Received: Staff: J l Site Address: ` .4. del • c.3`t - d CALL BEFORE YOU DIG. Gall 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.nonherstateonecail.or t t 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; that I understand this is not a permit, but only an application for a permit, and wog 's not to st- , without a per pit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv ,E.1 O JT Page I of 3 i ► - � 1K /TER ERVIE 47 �PERMIT� a t PMI N O " * ; 4 r 5� 1 Z2 DA ' e + a ' r N of U i drt 'M • L , "" , 1 .„ sit Char 2,-,,,,!- — e '� , sz� '" A ccoU De " "'6 ' r � E , Permit Fe e u p o s�� � to comp with the Cit of Eagan D ` ' P.: rgex z, rddnances tvl s c C harg es Q 4 > ` ; , T otal , ,-131C, , # " • �. . Da PQ id '` Ddt f lnsp r i i tr' SE INER S R VI P E R M IT 5IP Kno Rood - ( ' a Pvi 551 . l ° . Y 1 t .+ a r, w°c , on ng ' War . No of Un 1 w O w n r �< � �'t t o +i "i t" � d re ss:�,� , '? -. ° ; • .. 4, 4 - 11L1=1.= . er . fn v / " ` - + 1 ��tto��ltddres s � 1 3 } c um * r' :. . - w � 1 agree to comp with the City of Eaga Con nec ti o n Ch arge a p f.. z'r 8 `OQrd F Acco De posi t 4 ' -` �errf►t> Fe Su ehar�e' 1 a}g Misc Charg D ate o Insp.: i r Totall:`' `i � .� �`� � - - Dtite Pat4i� PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155859 Date Issued:06/05/2019 Permit Category:ePermit Site Address: 3424 Highlander Dr Lot:1 Block: 05 Addition: Surrey Heights 5th PID:10-73004-05-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Aleksandr Podberetskiy 3424 Highlander Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA156460 Date Issued:07/01/2019 Permit Category:ePermit Site Address: 3424 Highlander Dr Lot:1 Block: 05 Addition: Surrey Heights 5th PID:10-73004-05-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Aleksandr Podberetskiy 3424 Highlander Dr Eagan MN 55122 (952) 200-6936 Discount Windows Inc 12484 Alise Place Eden Prairie MN 55347 (952) 334-2694 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158300 Date Issued:10/08/2019 Permit Category:ePermit Site Address: 3424 Highlander Dr Lot:1 Block: 05 Addition: Surrey Heights 5th PID:10-73004-05-010 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 - Aleksandr Podberetskiy 3424 Highlander Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165418 Date Issued:10/30/2020 Permit Category:ePermit Site Address: 3424 Highlander Dr Lot:1 Block: 05 Addition: Surrey Heights 5th PID:10-73004-05-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Aleksandr Podberetskiy 3424 Highlander Dr Eagan MN 55122 (952) 201-3906 Rex's Remodeling 2449 Flag Ave South St. Louis Park MN 55426 (612) 327-7507 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172967 Date Issued:10/25/2021 Permit Category:ePermit Site Address: 3424 Highlander Dr Lot:1 Block: 05 Addition: Surrey Heights 5th PID:10-73004-05-010 Use: Description: Sub Type:Residential 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 - Aleksandr Podberetskiy 3424 Highlander Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature