3457 Highlander DrRESIDENT 1
OWNER
Name: . . _/_., d I , 1 Z) L i L/ Win e : /5r — --� 551
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Address / City / Zip: � � (GrfJ � A
Applicant is: Owner Contractor
TY OF WORK
Description of work: �_ #t4 Gt / .4 j • : �
V
Construction Cost: « r V (1 Multi- Family Building: (Yes y, No )
CONTRACTOR
Company: c XJL/4 � 6 6 Contact "LK- A Uf J V Il �.yl
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Address: 410 i City: S I i I2
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State: Zip: C "d`Y w Phone: L�`� 1' &a, / 1 rd)
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License #: IOSO Lead Certificate #: l \1 [1 I - X) ') ' O' - 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
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
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:
Phone:
Phone:
Phone:
NOTE: Plan an d supporting ocuraents that you.submit we considered to be public information: Portions of
the.inforrnation may be.classified as non-public ifyou provide specific reasons that would permit the.City,to
conclude that they are trade secrets.
Jun. 8. 2011 2:48PM SELA ROOFING
4 CityofEaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Date:
M V V1 ,
Applicant's Printed Name
2011 RESIDENTIAL BUILDING DI I M1T APPLICATION
x
Applicant's Signature
No.6530 P. 29
Use BLUE or BLACK Ink
Permit #: C /
Permit Fee: lY 33 '/
5 . Date Received:
Staff:
J
G d ;: ;:: & &, 3-16 / /um5 4 gi6
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 [abates of underground utilities, www.g.gpherstateonecali.ora
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 approv plans.
Page 1 of 3
40t. OF EAGAN WATER SERVICE PERMIT
.flpt nob Road PERMIT 1V0.:
*gin, MN 55122 DATE: ; , `.
Zoning: , ? No. of Units: 1
Owner` o x." t_t°;f ., GO id t :`t.liar>
Address:
Site Address: 34 ? Ei nl, rider rise . L4 -5 B25 :H4
f )"411 ).l i.(:iat €..
Piuxnber. ;
Meter No.: Connection Charge: 160 .i°'`
Size: Account Deposit:
Reader No.: Permit Fee: See 205:
agree to comply with the Village of Eagan Surcharge: '
Ordinances. Misc. Charges: ;
B / '�� Dote
Y Date Paid:
Date of Insp. . :,: - '74 Insp.: 1
VILLAGE OE EAOAN SEWER SERVICE PERMIT
3795 Pilo* Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
i I
Zoning: No. of Units:
Owner: 74.13 : "*, a 30,), _. + 401:8 a t = ? ;1..01a
Address:
Site Address: 3457 Highlands Pr. L4-5 IQ') H4
Plumber: Cot3o3id3ted
100.00 pd
1 ogres to comply with the Village of Eagan Connection Charge : - o d
Ordinances. Account Deposit:
alidf
Permit Fee: 3 a / t6A
Surcharge:
By: Misc. Charges:
Date of Insp.: Total:
Insp.• Date Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109212
Date Issued:02/19/2013
Permit Category:ePermit
Site Address: 3457 Highlander Dr
Lot:5 Block: 09 Addition: Surrey Heights 4th
PID:10-73003-09-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector,
952-445-2840
Michelle Hansen
308 SW 15th St. Ste 25
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Brian A Jones
3457 Highlander Dr
Eagan MN 55122
Upland Heating & Cooling DBA Aspenair
308 SW 15th Street, Suite 25
Forest Lake MN 55025
(651) 982-2626
Applicant/Permitee: Signature Issued By: Signature