3449 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
= WAT R SERVICE PERM IT
7. C ! � Kno 'Road . PERMIT Nb r -
't
Eago , MN 5 DATE: "� _.
*e'`on ` "� No H of Units. - a
OwneC:
..
Address ~ , „� "� ,� rt � # ��''
Site Addres 9 } y
4 Meter N Co nnection= Charg -
• Si Ac De
Reade ' fo P f ee " #'" I" -
1 agre to c omply with the City of Eagan S X
--_'Ordinances. Misc Charges ;
Total:
B ante Paid.
Da of I n , �' .. , I o
AGAN S EWER SERV 'PE
~Knob" Roa : .D ER NO 8
T t r! , ;j
t 8 awn NIN 5 5 1 22 l - , t _ j
f, Zoning: o of t '
Owne # ° ? r 1 +" ; ~
h Address` �` S
� S t o e c .. �a .� 9Crr 1
F Plu mb e r ' ~. [ a �'
N
;,i.ogree t c omply. w ith th C ity o f Ea Connec " Cha r e: ,
A cc ou nt .Deposit
Ordina : :
. .-. - e rirn ee
S u r charg e "` 3,
u By ; ; e
Date of Insp *Y T
ins, Date Paid: j
p.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140320
Date Issued:12/08/2016
Permit Category:ePermit
Site Address: 3449 Highlander Dr
Lot:6 Block: 01 Addition: Surrey Heights 6th
PID:10-73005-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Us Bank Trust Na Tste
13801 Wireless Way
Oklaholma City OK 73134
Heating & Cooling Design
1010 118th Avenue NE
Blaine MN 55434
(763) 291-8519
Applicant/Permitee: Signature Issued By: Signature
.. ,,,
Use BLUE or BLACK Ink
For Office Use t�
::e:
� �Clay of EaanO ,...1,‘
tP
3830 Pilot Knob Road /C,aO -)
Eagan MN 55122 L(3 i/ Date Received: 1
Phone: (651) 675-5675 Staff:
Fax: (651 - , L
2++''017 SIDENTIAL PLUMBING PERMIT APPLICATION
::± '
DION(2440 ,V 0`-' 15`-'t � Suite#:'ilin .
•
4F' ;51'! 1st }i,5t 71 jf;f l e( �L 113/
P °� �sk, q Name: .'I W: Phone
t. t ;; ig /l Address/City/
Zip: a ,l gy ,4 Ado bA ;/ %_i,, A I '�j
,1{,.1,'NfP:'•o-,5',•, llf at � : Name: 1 v �t W /I��L��/•. •J.i� It ;g License!. ./(-)C 1� -
tl?x! .,�,t Address: t\ 0 , . . City:%---‘4\\/ ./1_ V2('U( 1
f trap o1
� tt� t F
C �4 �('t ` t:,
1 1 J,/�� Phone: ( Jam/�' i' \ D-- .-L(
x
r�3 f� '�,t���a ��a t State: Zip: ,
'llfit a' {jy?r:rt ; �ri
Axa �r. �r " I � ,n,�
tCfii+ `,s'4 :-Ii4't,1 ` Contact: `�l/1' 1.R. M t' &elf -- Email: L. , ♦ 0_ cd tl( `'l.1W'Tf� 6Qy��
}*Ct}+ ` . . , rir; —New _Replacement _Repair _Rebuild Modify Space _Work in R.O.W.
Description of work:
jt 1-;'4" ,rt``yy.Nq,11 R,l't,' RESIDENTIAL
r s_ #° rgo t Water Heater
`",»kes t Ii`"�t3v�. '1'' Water Softener
�;;`9�, 9tf t` x�yf'.-wir ; Lawn Irrigation( RPZ/ PVB)
.0;tl. i„ ,IC �� f1 i iYSilqi Add Plumbing Fixtures ( Main/_Lower Level)
'4! "`y "i t,;,,,, ;,;�F� : —Septic System
arit
JtVVri iH'u `'" { _New Water Turnaround
�C x� `,,,:ill,r ,
,,$r6's rl�. ts. k;t..., _Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and 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. www.qopherstateonecall.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 th approve pl in the case of work which requires a review and approval of plans.
x e x I, 6 -1.7-/
App Ap ca Printed N me Applicants Signature
ZA1' r°�,.4_1?``t$4 "; ` . 110403100: i 'i,. ' ' �"tx�{sl+� ", r .f t : y , 4,10 e.. f .i < tt: s4 : r [its:y
� k. � ^v.. � V �
� yl ��. '�54arS F1�4� 5 � [ .t,. �1 iR,, yr i s- 1.is .yvbh ro xi�� ,.t t ftr{ 4if ® 9 ' a�f r L '''s` 9% Y. Hfey16` "h PrS t �5F_ R� . ,,,, �;�t'ii t,t"r �r���A�t,��,t ; rE t,� t r: �y� '�� zs� �szy f�nt+ ��€rt s'�; .—r s c r:"',..";���' 1 t .'a ' 3s t`f 3r r,.'..'i a t r, a s r !t`{ - N .1 : yt !3 � 1 ��t c�t� o1 � ��� 2 �.r'�'." � 3 �"-r�3 1 y , h } ,y I je�ij j �,_�
i-:e. re. g. . , ,'` =U, d'e :Grqurdt� 7rry=Rou h 1:00.-'7,,P P AI i' 0 ,'-�`4 1 1{!1 r.,a
%:`•:. �t `9 4.,;+i -; {i , . 4'! a 1 $.1 'a;3 4 t "9f t.,tF3 'esy.�,a, } t, ; 'lilt; !.'r;.ill
4�ss 'dd 3 t:..4-i til{1.1.'A,,e��,I;e.`tl .r'4 tt rg
.rYg� ,.r� }1:.{ +.�.7�� k`�,i` n/�}.u„�j,,,js r�� �. 4r��4'�`"'..�.si �$:t��, ,5"�'ny e;,'�7c.,i £3�ea, � tL .£�,-x t�p.�,a "tY may, 2r.t,G,i ,�s.�t�,::r ri yt u-:�t� ! y.� ::;
+.Met 891404 4ee ls10 >'X1 eriSizeY`t�.ts`t� 4i4- t'�y; Kadin'ReaCi r� ih rManorn tej:� ...4 {{ i '" sre ",t.titva '.3rd`tk:7.,:fi' ;,:,:.