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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 � 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= x 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 � to No ofUm • U tc � 7/4 r3 Pa 1 li ,3 3 S►te Address: , k #t� plu mber ` a Me fer No Pe orge: " C horge. Si: ze : ,174 1 ftV Account De posit, 'pod! r No. Permit Pee. #;z d} . r t ogres to comply w ith the Ci of Eagan Su S t Ord inonees. l ul l •. ' " s c `Chorge�: j By- tol y Date Pu Dote` . 1nsp. r ' / . InSp, CITY o� SAN SEW SER VICE -,".1 :PERMIT '3 "(PI lot ;Kn ob Rood PERM N ` g M N 5 5122 DA TE Zon ing: " ~ 3 t lit)* D No. of Units t z i . 5(! Owner m "•. t. r '? =MS `' Addrass:,' `� """" : �, \ 1. C.---- `•" Site Acid !PI- .. " 1. _�a " n' ---4:- - - 'z * - "`s$ g ._`� Plumbed : ra ± v'' t 1 agree e tto eomptywith the 'of�g a n1 CQnnec ' n Cha rge`• ; a�.' Ord i n oAes. Acc posit t 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