3434 Highlander DrRESIDENT 1
OWNER
Name: ... /: e, rz 014 . / .D & L I II ./ ^hone:`/ — I901 —' c i
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Address / City / Zip: 1 �` / . +� 4i_. .
Applicant is: Owner A. Contractor
TYPE OF WORK
Description of work: , iz s Imo, / / L t 1 / +
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Construction Cast: f t f � ' Multi- Family Building: (Yes / No )
CONTRACTOR
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Company: j hi 6 Contact: f
Address; 4LO0 f./ 10 - City N. LO J
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State: ZIP: �' phone: life t / 4eR_3 - 11g7
License #: 0 Lead Certificate # AJ n'/4 : r - 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
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: 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 2:45PM SELA ROOFING
City of EaQaIl
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 676-5694
Applicant's Printed Name
Applicant's Sign i re
No. 6530 P. 14
Use BLUE or BLACK Ink
Permit Fee: T'33L1 a5
Date Received;
Staff: _
2011 RESIDENTIAL BUILDING PERMIT
APPLICATION
Site Address:C 4 , R • (5S lab ` .:
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.00phera_tateonicall.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 p# plans.
Page 1 of 3
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Use BLUE or BLACK Ink
---------,
RECEIVED i For office use I
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�' NOV 0 9 2015 i Pe�'"t#: �3��� �� i
I�� O� �'"'�"� � Permit Fee: . � I
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3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: — '— �
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Phone: (651)675-5675
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Fax:(651)675-5694 i Staff. _ i
------------------
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ������J Site Address: ��✓-f�' � �l� C V ► � Unit#:
Name: �(. Y"�-�/� In� Phone:��I'7� J`"D ���
xResidentf ] ;� � -- 55�12�� � �
' =QWtI�P �:: Address/City/Zip: �� �C��1�C�l��F"��� �.il/1�� ���C{�� ��
Applicant is: Owner �Contractor
�� � ���� Description ofwork: ���'��,� 1��� �1����'f �"- �� �(.'lYl G�QS I���
Type�f V11ork���
Construction Cost: ``��,0O� Multi-Family Building: (Yes�i 1 No )
Company: Y_:����'�-� (;� �'�U�� -� J7� �J Contact: ll. �� ''��I
r� ^
Cantr�c�or �L address: 12Z 1,'� � �t city: �C�S'll t�G�J
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' `` State: M��Zip: �C,�(�"5 �Phone:li'�I"�I� 1'��7�Emai1: Vl����'�l`� 1����ei-��LV✓��� [G'YY,
"= License#: i� �� � �3 Lead Certificate#:
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#hat you sub►nit are'considered,�o be pubfic-infor►natian Porf►�iis of
�he information may be cfassified as r�tin-public if yau prov�de sFe�iftc reasons tltat wauCd perm�.the�ify to
:" �onctude that Ehe arg�raaM�secrets:
CALL BEFORE YOU DIG. Call Gopher State One Gall 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.qopherstateonecall.org
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 �i l��� �"G(��. X �1��
Applicant's Printed Name Applicant's Signature
Page 1 of 3
. _
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179420
Date Issued:10/04/2022
Permit Category:ePermit
Site Address: 3434 Highlander Dr
Lot:3 Block: 02 Addition: Surrey Heights 5th
PID:10-73004-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Charlotte L Fleming
3434 Highlander Dr
Saint Paul MN 55122--131
Champion Window Company Of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574-2054
Applicant/Permitee: Signature Issued By: Signature