3458 Highlander DrRESIDENT/
OWNER
Names, GL�IL . G !. l� t r. !) Phone: /501 5 L A
Address l City 1 zip: AO 1 ' '
d L J CJ(. , !
Applicant is: Owner )(/ Contractor
TYPE OF WORK
. _/
:` A .„ ,. 4 l_./ 40 • A A �..�
Description of work.Z?JL. A
, (/( IMP I
Construction Cost: l l - ( 0 0 6 - f Multi- Family Building: (Yes ) ! No )
CONTRACTOR
Company:: ( 122 1Tl kJ r Contact LAim V4mitaizie
A V City: . a It P/ / -'
1 L.0
State: Zip: (55/ 16 Phone: ( 1— ICJ % t / 7
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License* OM/ 060 Lead Certificate it: r td' /-W — 6O `t ' —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 at master plan?
yes, date and address of master plan: _-
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 non - public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
Jun. 8. 2011 2:49PM SELA ROOFING
4 City atEta
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675 - 5694
Applicant's Printed Name
For_Otfi,U
Permit#:
Permit Fee:
Date Received:
Staff:
No. 6530 P. 32
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: �f l s E ` 51569 `-` 8 .t ni
Use BLUE or BLACK Ink
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage.
Can 45 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.oro
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 y laps.
x (54-Ln V,4AJV 1 &f=
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App icant's Signature
Page 1 cos
A AN WAT � ERVIC -.
P ERMIT...
�� Knob Road pERM l 7 O.. 1 ,2 S/ ,
404(-44..4-: N 35122 DATE: H tt �
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r t ogres to comply w ith the Ci of Eagan Su S t
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Ord i n oAes. Acc posit
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B y \'� Sur r e:
M isc. C.= .es. '
Dote of Insp.: " — -�' " 'Total: id
Insp.: _ _---• " A `P Date Pa
j
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA141105
Date Issued:02/16/2017
Permit Category:ePermit
Site Address: 3458 Highlander Dr
Lot:031 Block: 07 Addition: Surrey Heights 7th
PID:10-73006-07-031
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Kara A Hanselman
3458 Highlander Dr
Eagan MN 55122
(952) 454-2425
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature