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3440 Highlander Dr*CAI of 3830 Pilot Knob Road Eagan MN 55122 Phone: (651)675-5675 Fax: (651) 675-5694 Date: - 1 TIMM* JU1 • 0 Permit ft Porn* Fee: Date Received Stet 2010 MECHANICAL PgRiill APPUCATION Site hitches*: AIR Olt P I-Veie bst Use BLUE or BLACK Ink Suite * RESIDENT 1 OWNER CONTRACTOR TYPE OF WORK PERMIT TYPE Name: 4 9- 4 -teC . Address / / Zip* t Phone: 3St-k 310S Name: License t THE SNELLING COMPANY, INC. Adchess: 1400 CONCORDIA City: stew STzfiAUL, MN 55104 Phone: 651-646-7381 Contact Email: New Fteplacement Additional Alteration Demolition Description of work: NOTE Root impended and ground mounted meehanicidogidontent is required to be sou by City Co ck,. please contact the liteclundoel inapeotior tor infoilitalon on per screening methods. RESEPEWITAL 5f ulnace srcondliow _At XhSr Heat PIM — o COMMERCIAL New Constructfte Interior bnprovement 1 NAM Roamed Ges Exterior HVAC the Under / Above grcurrid Tank ibmove) " Whin Installkeymmoving WW1 cal for inapedion by Fie Marshal and Plembingyispector FESIDENTIAL FEES: 955.00 /OM= Acki-on or alteration to an existing wit (kminden WOO Sc) See-00 Fire repair totAnco loaned out madames, ductwork, Om) (hutitities 16.00 ebb Sumhaltilli) ■•••••/, TOTAL FEE COASIERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ X IS $55.00 Mien= (inokides State Swanage) - Ulm asstfss is lass than SKIM% oluolornis b1 - Ifthe fMuff1s 110,010, embargo increases by =Mr each 0,000 Pond Fos (Le. a 110.010411,010 Pen* Fee require* a $5.50 surcharge) g Pennft Fee g &scheme 1 TOTAL FEE ALL BEFORE Call Gopher State On Cid at Meg 45441002 for protection against raidequound demo. Cali 48 hours before you intend to to receive locates of underground dines. www.gopherstateoriecalLorq 1 hereby acknowledge that Ns inibrination is complete and accurate; that the wadi wili be Eagan; that 1 orickirsbnd this is note pew* but only an implication bra pent and work Mil lit 1pproved plan kr the of wodoMich requires a review and award dorms. X -‘t•-k t V-ke, Applicant's Pf1111110 with the adman and codes of the Cliy of a pennft wtil Win accordance FOR CWFICE USE Redeemed Ets Date: Requked Inspections (hider Ground Rough In Air Test Gas Service Test In4loor Heat _Rod Exterior HVAC Swooning inspection RESIDENT t OWNER Name: f .11 _: sl. 9 At/AY?) - Gum l i iLe ne:15 - l aa- 55 0 c o r Address / City / Zip: r 0 Fri 1 / / / O * 1 II Applicant is: Owner _, Contractor TYPE OF WORK Description of work: " ' i /.yi Il t 1 _. d Pill, I Construction Cost: 40 Multi - Family Building: (Yes i I No ) CONTRACTOR _ Company: ccah 146 r1 Contac / 1 V d,k U. il. Address :4 6 De g D City: t,t,s State: Zip: (664 1( Phone: Lp fa P3 1 - -G /C G a , License #: a)61060 Lead Certificate #: NM 6 " A5064" 064" If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the lest 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 nonpublic if you provide specific reasons that would permit the City.to conclude that they are trade secrets. _^ Jun. 8. 2011 2:46PM SELA ROOFING 4 111 ' City of Eagli 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: b tit C/4 • L� 34 Anit #: x (9 V 1 l Applicant's Printed Name Applicant's Signature No. 6530 P. 20 Use BLUE or BLACK Ink Wegr.W.Pr Permit #: 9 Permit Fee: 1,31/. as Date Received: Staff: GALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 - 0002 fot protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gpphersteteonecall.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 : rt without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approy.of plans. Page 1 of 3 � Tr',- k,�k., f -» � 'n ,„....4„-,-„,(,z..._,. �.�� § #""' # � . `�„�. " t ` + 1 22 €' - `` ` . , 4 z , . , .- ' - fee • = �. -� 1 sz :,,,..114 , x ' "R ' v+x 7x ,, U r � . ' X 7 'rr't , z, "`-, Jte Ad ares�4 'SS � � � c''. is �' " ' xa' `!!x a '3` k .B3 �Iu m `ber $� k�..„0.,,,:i.,- ► �.f,, 3 k: ' ' G k ` s ' �� M eter�',N © u } r1+i1 i l�: � • v --. Connectuo ►ze a y a ▪ #' J - t a- y e No i ' c h -_ Perrn►t F ee•. - • t I agree to co mp ly` w it h the C.ty of Eagan - i Surcharge '� ' - *' ▪ - cos, x i a` a pr dinan Mist Ch : �' � ' , Total: By — ;. : [?qt e Pa1 �. Ante of ' lnsp / I x -:;,:..?.-,!.':-1-,7'I' p` , -• ` £ k � ,EWER SERVICE PER 3 µ 1 ob Rood. � €PER IT N 7 , T I f t t 5 s V T '-: x- r g • • IQ of its s. ► tr� Mdre . ; ite Address . V lixmbar v t , - 1 1 s+gre e � ly with th Cit Ea • C o n ne c tion Cha fr A 'De p o sit: r Permit -Fee ¢ 4 i ':, =., Surcharges '-,'„:----7.-- ' ` By # Mist . Charges: a g' Date of 1nsp A Total ` Insp '- 6*^ rd • Date Paid PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165157 Date Issued:10/20/2020 Permit Category:ePermit Site Address: 3440 Highlander Dr Lot:3 Block: 03 Addition: Surrey Heights 7th PID:10-73006-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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, Mark Anderson at (952) 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 - Laurel E Johnson 3440 Highlander Dr Eagan MN 55122 (952) 261-4998 Boys Mechanical Inc 490 Villaume Ave, Suite 300 South St. Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature