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3444 Highlander DrRESIDENT 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 a : � � a R F S ERVI C E PERMIT r. 7 9 ot�no Ro < ` : P 4 ,. of N X55122 x f 3 DAT t op '4' 3� c z` , ' ,r r o. a� Its ' , ,rc Paz -,,_,,,r.:,:-.-',-,,... � w rie r " s- �- 1��X.s' ,:-.:=:'-'"1-t."`;`;'..7':':=''''':- z -' rt *' � ° = y ` ite Add ress , a J.,.:.''.' s: ` {� *7` ' `� ; 4 e . iopt Mg ter N on nect�on Ch 2 w ` :' ze s '` = , Ac count De posit ._.., ,_....,, .,.„ .. ,, Lt a SwF+ Reade No , j' e rmit Fe ` i s as ., - . y g t, a � Og r ee to co with the City o E agan Su r char g e Ord i n ance* r ' r `°M'ISC `, Cha - � T o t o l y By _ / - e F o l d ,2,` Dat o s p / Insp gg� ,�vi. ..� qq� b. ..8x. .� 5 ▪ . 2' ."- 'Y a-' v. :en S. � .ice S ER V ICE PER IT C i' O F= EAG AN ,..'--.,;:,:::,''''-',..'.'2, y �+ p r - 3 7 '` otu no :Roa r s 'ms PE i ii,E R Y*1 © ' , : • an, :3 512 2 aFDA 'x `_. Tonin - - No of Unitts ' O w ners • Add r e ss ' - Site „ A d dre s s 'ta = , p lu mber ,� t z a j�ee to eo W irth t he City o f ▪ Eag ` Conn ' nrg, „.t. it Charge d . ' Acco D e po s Atdmanae r ▪ Pe rmit fee ( r�- i Surcharg , Bye ,..h,4 IC,' Chage Dote of Insp Total ":::4.11,0.: sp mote Poid a : � � a R F S ERVI C E PERMIT r. 7 9 ot�no Ro < ` : P 4 ,. of N X55122 x f 3 DAT t op '4' 3� c z` , ' ,r r o. a� Its ' , ,rc Paz -,,_,,,r.:,:-.-',-,,... � w rie r " s- �- 1��X.s' ,:-.:=:'-'"1-t."`;`;'..7':':=''''':- z -' rt *' � ° = y ` ite Add ress , a J.,.:.''.' s: ` {� *7` ' `� ; 4 e . iopt Mg ter N on nect�on Ch 2 w ` :' ze s '` = , Ac count De posit ._.., ,_....,, .,.„ .. ,, Lt a SwF+ Reade No , j' e rmit Fe ` i s as ., - . y g t, a � Og r ee to co with the City o E agan Su r char g e Ord i n ance* r ' r `°M'ISC `, Cha - � T o t o l y By _ / - e F o l d ,2,` Dat o s p / Insp gg� ,�vi. ..� qq� b. ..8x. .� 5 ▪ . 2' ."- 'Y a-' v. :en S. � .ice S ER V ICE PER IT C i' O F= EAG AN ,..'--.,;:,:::,''''-',..'.'2, y �+ p r - 3 7 '` otu no :Roa r s 'ms PE i ii,E R Y*1 © ' , : • an, :3 512 2 aFDA 'x `_. Tonin - - No of Unitts ' O w ners • Add r e ss ' - Site „ A d dre s s 'ta = , p lu mber ,� t z a j�ee to eo W irth t he City o f ▪ Eag ` Conn ' nrg, „.t. it Charge d . ' Acco D e po s Atdmanae r ▪ Pe rmit fee ( r�- i Surcharg , Bye ,..h,4 IC,' Chage Dote of Insp Total ":::4.11,0.: sp mote Poid Use BLUE or BLACK Ink r________________i I For Office Use I I Permit 1 non City of EaKd Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 1 Date Received: I Phone: (651) 675-5675 I I Staff: Fax: (651) 675-5694 L _________________I 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 300 Site Address: L a Tenant Suite Name: Phone: 5~ ResidenVOwner _ Ca av) jjZ ~ 1 Address/ glty /Zip: 16,\n!Qjj~ec LE. e~. Name: License : Contractor Address: City: State: Zip: Phone: i Contact: Email: s Type of Work New _ Replacement _Repair -Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL ti Water Heater " Water Softener Lawn Irrigation ~ RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) 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. wwvw.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in co formance 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 of to s without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap rov I of p1 x r, x Applicant's Printed Name Appli ant's ig a FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153107 Date Issued:11/21/2018 Permit Category:ePermit Site Address: 3444 Highlander Dr Lot:4 Block: 03 Addition: Surrey Heights 7th PID:10-73006-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Michael Smieja 3444 Highlander Dr Eagan MN 55122 (612) 803-5679 Mnp Mechanical Llc 452 8th Ave SW Lonsdale MN 55046 (952) 513-2161 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164580 Date Issued:10/02/2020 Permit Category:ePermit Site Address: 3444 Highlander Dr Lot:4 Block: 03 Addition: Surrey Heights 7th PID:10-73006-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Michael Scott Smieja 3444 Highlander Dr Eagan MN 55122 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature