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3433 Highlander DrRESIDENT 1 OWNER Name: . 11 ,/ irr'1,, „i, ' L . 14 .0 . i..f.a: h one; 9a CTG1 4 f r te t f Address / City / Zip: Cd l �,[ r icy ! Y(.+ :1 .yam IV dif Applicant is: Owner Contractor TYPE OF WORK Description of work: / / . It` , A. A t r 'i.r /rl _ L A._ !.. Construction Cost: 11 / W O a I. . Multi- Family Building: (Yes / No CONTRACTOR / /^ Company: T D if A C Contact t:L ' V �L ? C Address: ( , City: T: /Au/3 t tt State: 11 Zip: 5.54/ 6) Phone: l eic9— 62 f II License 5: (FM I C� l5 [) Lead Certificate #: A-/A 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: NOTE: Plans and supporting:document§ that you submit are, consideredto b.e public information; Portions of the information may be classified as nonpublic ~if'you provide specific reasons thef,would permit.the City to conclude that they are trade secrets. Jun. 8 2011 2:44PM SELA ROOFING Date: City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675 -5694 Applicant's Printed Name (r . 4 1?-93(0 Date Received: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION s l Site Addres i4 /4 . . ( `a A�, 1 `t 21 f ni No. 6530 P. 11 Use BLUE or BLACK Ink t.F.affFEG Permit #: Permit Fee: /33 Staff; CALL BEFORE YOU DIG. Call Gopher State One Gall at (651) 454-0002 for protection against underground utility damage. Call 4$ hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecalJ 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: that I understand this is not a permit, but only an application for a permit, and work is not to Start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval plans. x 444 ka uiw x Applicant's Signature Page 1 of 3 , �« �� c 2 N S: W ATER' SE, , IC ERMIT Y . J c * ; ... ? "`'fit „ Y Y } Knob Rod . -i tPEi ;SKIT e r ` �� °` fin 5 , `'� No 9.-,..--....- nitS ,,, � � . '' ' ' f -�, r r a #,z b• ft r '. ' � +e Andress s e: "' { ` �etr;No �Connectto nCharge ze A 4 Deposit, ;[deader `fy Permit Fee `. : � 1 g lee, to comply vi the •City of Eagan � Surcharge's `� n ' - Ordinances Mjsc Charges r �` �' z a - � s r -.--By ---- --- --, D4Ye pcsid s� " D at e . of lnsp . r '" ` , 'nsp �, a C A ` _ S EWER SERVICE PERMIT w 379 ' .Kn ob ``Roa • ARM NO ' t ,� � g ,5 122 'age 1. � mooning• • No. o Unit ner: s f ' dress , . $i re Address y� -. * ` ` cumber ' it. bn M ",,,,,,t..--,-s-'.. gr to comply with the City o Eagan - Lo n ction. : C harge z O Account D Permit Fee ' : I Surcharge ' g misc. C hprges i Dote of I nsp y # Tota M E .Insp /' '; Date P aid : i PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144004 Date Issued:07/07/2017 Permit Category:ePermit Site Address: 3433 Highlander Dr Lot:2 Block: 07 Addition: Surrey Heights 4th PID:10-73003-07-020 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 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ronald Nordstrand 1344 Cherry Hill Rd Mendota Heights MN 55118 Binder Heating & Air Conditioning 222 Hardman Ave N South St Paul MN 55075 (651) 457-8781 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use t f�1, Cit Ol LIl IlIl ::: ���Q(�: M a?-6, 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: s'l Phone:(651)675-5675 Fax:(651)675-5694 JUL 2 7 2017 Staff: L J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/z4-i 2 "7Site Address: ��t' 3 3 /1,17-4 ra Unit#: 0 Name: t°pnu ./OidSka.rcii/X_I$ ,, r�ri Phone: 6,37 zt7'r9 40,1400# y� ✓� ne Address/City/Zip: 3c/33 4y 4 -. i`" /.. icy„,( Applicant is: Owner V Contractor -- 4.40,0 Wo Description of work: tea 1 Cf�c� ! ¢�6a€t 1490 Z z..4.t1 'LYL Construction Cost: 3, 7,gZ) Mufti-Family Building:(Yes /No, ) Company: 1©14/ �o�tj�i�i)�r tA4- vi/, Contact: J 5a.d- &e& Contractor Address: 6 `7/3$' �: 4,-e-57 '4. aty City: 1;44fes.4,0et State:,/14/IZip: j 3 y9 Phone: Y 2-61//1 7Email:_j 4-104.5 Q 40R9fi r, sr't.. ,re f License#: (Jr-' 7x75-1 Lead Certificate#: 4/,4 / 1732®q-1 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public lnformat on ft pone of the Information may be classified as non-public If you provide specific reasons that would knit*eV*to conclude that they are trade secrets. 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.000herstateonecall.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; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Jay I tt/,vtvl x Applicant's Printed Name Appli ignature Page 1 of 3 4/Y DO NOT WRITE BELOW THIS LINE 4---/ `00d> SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) ,,, Single Family — Garage — Porch(4-Season) _ Exterior Alteration(Multi) �_°Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION 9 Valuation (0119 i) Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice&Water _Final Pool:_Footings Air/Gas Tests _Final )(. Framing ) 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan , , Other: �;`� Reviewed By: J , Building Inspector RESIDENTIAL FEES Base Fee (xlSurcharge 1M1' o UNC Plan Review ) &176/01 �' —10( MCES SAC b City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant RI rrj 9/ 0 (9 ) Copies TOTAL j Page 2 of 3