3443Highlander DrRESIDENT /
OWNER
Name: LL!.J ad/ ., 1 - 7; 1I. L 'i d - / Phone: A ga 5t.
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Address / City / Zip: 00 o� . ,
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Applicant is: _ Owner Contractor
TYPE OF WORK
1
Description of work: " L* . �. /. A. •
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Construction Cost: l 1 O di • - Multi- Family Building: (Yes I No J
CONTRACTOR
Company: A €.6qc 1146r Contact: 4 ;/l)Vlt. f i i
Address: �OO EME L i LV 0 V Cit - L41,61 P!' " .-1� -.-'
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State:! 1-li I Zip: / t 5' i Phone;
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License #: IOW OW Lead Certificate # [ : 9 td� � 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_therare trade secrets.
Jun. 8. 2011 2:45PM SELA ROOFING
City of Eap,all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
€'fir VAN LC /0,5
Applicant's Printed Name
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Sate: 744
icant's Signature
Eiji :PAW
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Permit 0; 6 9q6
Permit Fee: t
Date Received:
Staff:
No. 6530 P. 17
Use BLUE or BLACK Ink
J
Site Address: SAS? 1 4 ' C r 6 x1 Unit 3J `-' g
CALL BEFORE YOU D1G, 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.oro
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 out a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval • - ns.
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177909
Date Issued:07/25/2022
Permit Category:ePermit
Site Address: 3443 Highlander Dr
Lot:2 Block: 04 Addition: Surrey Heights 6th
PID:10-73005-04-020
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Edward L & Pamela A Ashby
3443 Highlander Dr
Eagan MN 55122--130
Schwantes Heating
6080 Oren Ave N
Stillwater MN 55082
(651) 439-3331
Applicant/Permitee: Signature Issued By: Signature