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3426 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 *? 4 F IT i { ` Y ° � �a6 PER 1' �r4 �`¢ .- t a � � 4 .- ' `" l''.7 of txta� A ,� ax e dr ess I bbet ' 1 ) t f �-" *"t` Y s , ,t A • ete ? : Conne Charge " Acco =Depo ea der 'Permit F,ee :1 bgre to co mply with th Cit of Eagan Sur c harg e s#9• " y fit" Ordina Mist Charg •Total` By / Da a Paid D ate 'of `In '' _� / Insp w 1 CIT F MEAGA W��ItCE PERMIT i "k: ; 87 5 clot K n ob Rood , " • - +` DATE '' MN � 55 T22 * � .. ' � - , =`Eg ' f Zorn g N o. of Units ^s :n 't.;-4-. ` , 4V n6f i, • ' I- -''''P''''''''', 7 3 s a Address :. ' ,,Site :7-'•=7S.,', ` - � ` 4. - IC bgree to comp wi ts+ t he City, E Con nection be.' # A c c ount D x r - `,Qrd . , Permit Fee ,I Surc harge �` B Mist C harge st Date of Insp Tota 17 , ,., tr ,; ;54-'" ' — ' , Qate a n Use BLUE or BLACK ink r-----------------� I For Office Use � ' �� ���3�� � Pertnit#: �( (� /''� f�/ I / � �,� � '^' ""� �'�-+"'�i `i�/ � I Permit Fee: �l�. � � � � I 3830 Pilot Knob Road � ���J� � � Eagan MN 55122 AUG 2 1 2014 � Date Received: t Phone: (651)675-5675 � � � Fax: (651)675-5694 �3Y:_�.. � �a�� L----------------- 2014 RESIDENtIAL PLUMBING PERMIT APPLICATION Date:_4���!�� Site Address: r `-1 � `�`'\�. � �� Tenant: ��\ ` Suite#: � � �. �.� � ' � Name: (. Phone:��1`l � "l�l `��� � ��i�!'1����iV��1" ; . � Address/City 1 Zip� � � . . , GZ.� � �� �, 1Y1�1 �5�l� � � ��.� .� � (�/'�, ; � Name: L License#� �1`"l�� ��� � � �� c �'�. � �.� L � � ; ; Address: � t���,� � City: ,�L��,�_�� � ������� � � s State: l�J� Zip: l ` Phone�� ; > / ,C1�-�1�� � � � � Contact: � \�-�� ��Email: �. � �, _� � ��.� � .� ����� _New �Replacement _Repair _Rebuild _Modify Space _Work in f2.O.W. � �� ,, � Description of work: �� � ��� � �; � ` RES(DENTIAL � � � � Water Heater � ` t � �awn frri atiort RPZ/ p�/8j � ` �ater Softener � �li���"�1'��- 9 (— � � Add Plumbing Foctures�Main 1_Lower Level) � Septic System � � New Water Turnaround � � ; — u � ' � _Abandonment ���5�� � � �,:�.,�-�.. ,- � ,���.� �.�_��,�- ,��,�<:.� RESIDENTIAL FEES: £ � $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes�5.0o state Surcharge) } � $60.06 ��wn i�t'igati�n�inciu��s$5.00 rr�ir.;rnur:�.ate S;:�char�e) r �? $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround*(includes$5.00 State Surcharge) � *Water Turna�ound(add$200A0 if a 518"meter is required) � � $115.00 SeqtiC SYStem New($10.00 per as built)(includes'County fee and$5.00 State Surcharge) al'� � � � TOTAL FEES $ �� � � �:�.�£-�.,,��.�.�,�.�, ����, �.,�,,��,,,� 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. wvvw.gopherstateonecall.ora 1 hereby acknowledge that this information is complete and accurate;that the work will be in conformar�e 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 work is not to start without a permit; tMat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X � `��r� ���hc���..._ X Applicant's Printed Name Applic t's Signature ; , ; ��t������� � : 1����+�1�#t��' ��x ; , ��u�r��l����+�s� : �.,w������� ,�,_R���i� . ��`�st �a�'�"�" .�_��a�: 1�1����el�c��� �l���+��= ��dr���a�! ; ����` ,' � , . . _.. . . ..,. . .; . _... ' . . . :.. . �.t,,., .. . . PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139589 Date Issued:10/31/2016 Permit Category:ePermit Site Address: 3426 Highlander Dr Lot:3 Block: 05 Addition: Surrey Heights 5th PID:10-73004-05-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Kuang M Rhoads 15 Red Fox Rd St Paul MN 55127 (763) 218-6141 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature