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3451 Highlander DrRESIDENT OWNER I Name; C it 11.f 1u .ti j 1Q L/J hone: /. r 10r ci f7; Address I City / Zip: � `bl -3(t'& Cf 'f; 1 Vi folv ill 010 V IF Applicant is: Owner Contractor TYPE OF WORK Description of work; / / 11 1 A . i s /. / 47i ." - ! � IP • Construction Cost: .E� a Multi - Family Building: (Yes i I No ) CONTRACTOR Company: Sai4 iAJ Contact: 64-444 V /1! rte S 5 A - II • SA) l _ r i.i I!! • City:: . L ( Address; State: Zip: ,5 ! Phone: gj — �[P C '� 2 ,i #. Ai License v Lead Certificate #: A. A50( I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, 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: _ _ Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor. Phone:. Phone: Phone: NOTE: Plans and supporting.documenits that you : subf ° it are considered to be public. lnformation: Portions of the informatlon may be. classified as non - public. if you provide specific reasons that would permit the City to conclude that they.are. trade secrets. Jun. S. 2011 2:47PM SELA ROOFING Date: City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675 -5694 x c ''t V /`t VD6L0 Applicant's Printed Name �b5 Applicant's Signature Permit # Permit Fee: No. 6530 P. 23 Use BLUE or BLACK Ink Date Received: Staff: 2011 RESIDENTIAL BUILDING .l Z PERMIT APPLIC N Site Address.345 .1 /� r� .) A nts #. P 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.aor herstateoneall.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 piens. Page 1 of s Ci T ®F k EA GAN ° WA ,' ER S ER V I CE' PEIiN b R f y s Y l ' i K nob`x" to a d u 4 PERMIT i N O.: , - g tr11 5 5122 ; DATE ' )f Zo s # No of Uni {a • Owner: t$ 3 F y t f., -.- ,- 1 A ddress z- �, bi te d dre ss Plumber a. a a ^ t t � t Meter No C onnec t i on Charg 4 ' • s • Size Ac count D epo sit a Keo No f P e rm i t Fe 1 agre to . comply with the City of Eagan` Su rcha rg e .0,:i., ; O rdinan ces. Mist _ :To tal : ` B Y `rt Date ,Paid Da te of" lnsp w Insp. � S EWE R SE R VICE; PE { ' tr Y�' EA _ '3 5 Pilot ° Kno b b ad LT �O. . , - `� D ' L MN . 55 1 2 ,� � Zoning J - No._o •�Jni , Owner =e 3: ,3 ,_, . Y 3 . £ . Adress. _Z, � Site 8�r�ss• 1 Plumber a € .fi% ` 't rs t ,. ' it 1 ag ree t o comply wi th the City of Eagan Connection Charge: Ordinances - Accou Deposit z k t'e iv ' . F ee d Surcharge: T — " BY l isc`ate Date of lns : t T ota l . Date Pa i 55 z PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA168754 Date Issued:05/03/2021 Permit Category:ePermit Site Address: 3451 Highlander Dr Lot:1 Block: 01 Addition: Surrey Heights 6th PID:10-73005-01-010 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, 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 - Niurka Castellanos Perez 3451 Highlander Dr Eagan MN 55122 (952) 994-0485 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature