4125 Durham Ct ° SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN 1',42/") METER # PERMIT DATE 03 / 18 /92
3830 Pilot Knob Rd. 12608
Eagan, , MN 55122 -1897 CHIP # PERMIT #
9 METER SIZE B.P. RECEIPT # C . 017811
ISSUE DATE B.P. RECEIPT DATE 03
DATE MAR 18, 1992
PRV ^ BOOSTER PUMP
SITE ADDRESS 4113 4115 4117 4119 4121 4123 4125 4127 DURHAM CT PERMIT REQUESTED
LOT 10 BLOCK 2 SEC /SUB DIFFLEY COMMONS
X SEWER. WATER: _ TAPS
APPLICANT: _ _ COMMJIND X— RESIDENTIAL ".
ADDRESS:
CITY, STATE ZIP X NEW EXISTING
PHONE:
Lawn Spriinkter Meters are to be Installed
PLUMBER: VALISY PLBG AJlead of Domestic Meters on Water Line.
ADDRESS: ; 610 CREEK LN Credit WILL NOT be given for Deduct Meters. `
CITY, STATE JORDAN MN ZIP. 55352
PHONE: 492 - 2121
i AGREE TO. COMPLY WITH CITY OF
OWNER: THE ROTTURW CO INC EAGAN ORDINANCES
ADDRESS:
5201 E ,RIVER ED
CITY, STATE FRIDLEY MN Zip 55421
P
E. / 557 -0304 SIGNATURE WHEN METER ISSUED
P S ' A OW T'WO � � R P
A E L W S FOR PROCESSING. LL 4954 -5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, ENGINEERING DEPT.
0611712014 15:06 Les Jones Roofing,Inc. �AK�528811009 P.011/020
Use BLUE or gI.ACK Ink
� For OHlce Use Y � , `^�� �
, � j Permlt ik �� ` � j
Clty of Ea�a� � � ��. ;
� Permlt Fee: �
3830 Pllot Knob Ftoad
�agan MN 56122 � Date Received: �
Phone;(661)675•5875 I I
Fax:(661)67G-�684 . 1 Steff: 1
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2014 RESIDENT�AL BUILDING PERMIT APPLICA710N
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pate: to � � Slte Address: y/Z/-�1iZ3-U/2S'-���7 �v�i1? (�i.�7�.. Unit#:
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'.1.�;;.;`,;,{�Vyni�r:l ;;,;;`` Addreas/City/Zlp: �D. �OU 212 5 /Nt�ElL�x+e.avd �Zl9�r1�!S: /�sf/ ✓�`6� 7{�
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:;��`<�,''' "`''��'�';;''>'7' " pplicantis: Owner X Contrector
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a;;,iK ;�>;�:� �°�"�' '�: �Icense�: /pS'6 D Lead certlflcate#: .UA�T `f O 3 �a-/
If the project is exempt from lead certlflcatlon,please explaln why: (see Page 3 for eddifional informatfon)
COMPLETE THIS AREA ONLY IF CONS1'RUCTING A NEW BUILDING
In the last 72 months,hae the Clty of Eagan(ssued a permlt for a slmllar plan based on a master plan?
,_,Yes _No If yes,date and address of inester plan:
Llcensed Plumbe�: Phone:
Mechanlcal Contractor: Phone:
Sewer&Water Contractor: phone:
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CALL BEFOft�YOU DIG. Cell Oophor 3lato Ona Call at(6b1)464-0002 for protecllon egalnst underground uUllty damage. C91148 h0ure
before you Intend to dlg l0 reCelVe IOCatee of under8►ound uUlllles. wv�y,gQnherelateonecell.om
I hereby acknowledge lhet thls lnformaUon ie complete end accurate;that the wvrk vull)�e In eonformenee wllh the ordlnanoaa and codea o/the Clty ol
Eagan;thal I undarstand Ihle le not e permtt, but only an appllcatlon fw a permll,and work le not to stert wlthout a permlt;that tho work wlll be In
acco�dance wtth tha approved plen In the case of work whlch requtres a rovlew and approvel of plens.
Exlarlorwork authortzed by d bullding parmlt Issued In accordanca wlth the MlnnesotA 8tate Bullding Code must be complot�d wlthln 180
daya of parmlt lesuence.
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Appllcent's Printed Name Appllcant's 3lgnature
Pege 1 of 3
02119/2014 12:34 Les Jones Roofing, Inc. �A��9528817009 P.0111020
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� Permit Fee: �
3830 Pllot Knob Road f EB 1 9 2014
Eegan MN 6G122 � Date Recalved• i
Phone:(651)675-5676 I �
Fax:(851)675�5894 . I Staff: I
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION �.-%'
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�n��•1.�ri;,�i t��'..��.F`�p�H� ���:. Applicant is: Owner �Contractor
,'r :"�r�.��'..M� .,..,��;^,;'�,'r D,.,, D /�
,1�,, � . '' � � �': Deacriptlon of work: /�cOf�E�-1VD !/,EPGA�.� L<aO�F � (.'�A�2A-trE �oo�..s
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?F,.•.:�.,�T�r�;,.�,��. ;.�,;,,.,^ Conatructlon Cost• �0 . Multl-Femlly Bullding: (Yes x /No_a .
:,� ��,� ,;..;�
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.•�%�.j��`ti : ., ` �,e7� si � /
� ��� ��' ��, .�. F '��:� Comnan�/ �6.5 �7`oN63 Rc.tOfs�/� /NG Contact C�E�r_s__ �D��N
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] r •:;��ki., C.�i`1�i!:�,r� .Xh.�;
.,:.,;,;;,,�,�"���:.:.,;a,,i;�.�;;���: l.lcense#: �.��oD I.ead Certlflcate#, .UA�7� `f 0 3 9.7-/
If the proJect Is exempt from lead certiflcation,please explain why: (see Page 3 for additional informaUon)
COMPLETE THIS AR�A ONLY IF CONSTRUCTING A�,W�BUILDING
In the last 12 months,has the Cl�y of Eagan Iseued a permlt for a slmllar plan baeed on a maeter plan?
� _Yes _No If yes,date and address of master plan:
t,tcensed plumber: Phone:
Mechanlcal Contracto�: Phone:
Sewer&Water Contractor: Phone:
.4;n/�!�,:Y.�� uv,�'�'�Mj^'''� f��Y`I,'.��'1j��,. vo. -��y,,,���.rc ;+a.� '.�u'!5���.I„'p. �':,l':�•..� {a.i ��� '5..�' ; r '�.Y.!' �d i.`d �ce♦ ;��Iy's�iv'1(,',J
R•.,}ar.c��.l����►?, (,��r��m' y�������;�►�,a� a����� .�,�-���.����s-a;��,r. ����y���Q�������'����,«� ���y�/�,.y�,���t+�t� ���a��;�e�o,���,
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CA�L BEFORE YOU DIG. Call Gopher SWte One Call�t(661)d5d-00o2 for prolecllon aQalnet underpround uGllty damage. Call 48 houre
before you Intend to dlg to recelve tocetes ot underground uQllUes. �r.gqp,�iqX�j�(Qoneeall.ora '
I hereby acknawledge that thls InformaUon Is complele and acaurate;lhet the work wlll be In confortnanca wlfh fhe arcllnances and coda8 01 tf�9 Clly of
Eagan; thaE 1 underafand lhls Is not a permlt, but only an appllcaUon for a permlt, and wortc IS nOt to Sla�t wlthout a parmlt; that lhe work wlll be in
eccordance wlth the approved plan In the caae of work whlch roqulres a revlew and approvai ot plane.
Exterlorwork authorized by a bullding permlt Issuad In accordance wlth the Mlnnasota Stata Bullding Coda must ha comploted Withln 180
days ot parmit Issuanco.
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AppllcanYe Printed Name Appllcant's Signature
Pege 1 of 3
02119/2014 12:34 Les Jones Roofing, Inc. �A��9528817009 P.0111020
Use BLU�or BI,ACK Ink
��or office uee �y � �
� C• ,� r- � j Permlt�: �-"'' ��� i
��� of�a�an �,�.C�:.���� � � ��a �
� Permit Fee: �
3830 Pllot Knob Road f EB 1 9 2014
Eegan MN 6G122 � Date Recalved• i
Phone:(651)675-5676 I �
Fax:(851)675�5894 . I Staff: I
�� I
���������������r....J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION �.-%'
�tii3, ��i,5, �iiy, �i�9
Date: a �`� � Slte Address: 't 2 S' rf �'"UnIE#:
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,.,s��;',.�<�°��+z�;?;�,.; `�'�'i Name: yo P�opa2rY Ga4zE. 6 NG. Phone:�vs�- srr,/- �'9y�
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�« r`;�;�j;iy,�`���..;�'�'` Address/Gty/Zlp: �O• �O u 212 � /NvE72�-o✓t lAt1`1r. /Ltit� 5'3� 7G�
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�n��•1.�ri;,�i t��'..��.F`�p�H� ���:. Applicant is: Owner �Contractor
,'r :"�r�.��'..M� .,..,��;^,;'�,'r D,.,, D /�
,1�,, � . '' � � �': Deacriptlon of work: /�cOf�E�-1VD !/,EPGA�.� L<aO�F � (.'�A�2A-trE �oo�..s
v �" . �•!�� 2
���' .�1�•����'�t�k`�
q» nr .1c srr+;��-'7'
��_;,wa t� .,� ,r� �
?F,.•.:�.,�T�r�;,.�,��. ;.�,;,,.,^ Conatructlon Cost• �0 . Multl-Femlly Bullding: (Yes x /No_a .
:,� ��,� ,;..;�
;� �,�, ;�: ,,, . ...
.•�%�.j��`ti : ., ` �,e7� si � /
� ��� ��' ��, .�. F '��:� Comnan�/ �6.5 �7`oN63 Rc.tOfs�/� /NG Contact C�E�r_s__ �D��N
��.�.(7 .)�..� r �' ..:Y:} _�\�. ..'{ 1� J'
�;"` �� v�.. ..��1Y.r��ti74` _ '
�` 'r p��, � . , � Addrees: q`l� W 80� Sl� .r�'b�✓
'?;�:���n�t�r�`��;"'�,;,�� ���v- �r��r
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e �`�'r"r`�" �.%�E��u�:�����q�'.' S�9�6:�ZIp-. �+� ��D Phone: g5.�— 7(0 7- 0�8/7
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] r •:;��ki., C.�i`1�i!:�,r� .Xh.�;
.,:.,;,;;,,�,�"���:.:.,;a,,i;�.�;;���: l.lcense#: �.��oD I.ead Certlflcate#, .UA�7� `f 0 3 9.7-/
If the proJect Is exempt from lead certiflcation,please explain why: (see Page 3 for additional informaUon)
COMPLETE THIS AR�A ONLY IF CONSTRUCTING A�,W�BUILDING
In the last 12 months,has the Cl�y of Eagan Iseued a permlt for a slmllar plan baeed on a maeter plan?
� _Yes _No If yes,date and address of master plan:
t,tcensed plumber: Phone:
Mechanlcal Contracto�: Phone:
Sewer&Water Contractor: Phone:
.4;n/�!�,:Y.�� uv,�'�'�Mj^'''� f��Y`I,'.��'1j��,. vo. -��y,,,���.rc ;+a.� '.�u'!5���.I„'p. �':,l':�•..� {a.i ��� '5..�' ; r '�.Y.!' �d i.`d �ce♦ ;��Iy's�iv'1(,',J
R•.,}ar.c��.l����►?, (,��r��m' y�������;�►�,a� a����� .�,�-���.����s-a;��,r. ����y���Q�������'����,«� ���y�/�,.y�,���t+�t� ���a��;�e�o,���,
�r:.5�'.1.�,� 4.,,i �y �� � �lr y(7 e .t. � si , „ /�/. y j��!�. 1, d / vy♦ n ��, ..� .•ae:L9�'l,.y,. �J���{', �`M;;�l��:. �ti
..y, � :�.i.Y:�`��; T�r .�'. .ti �I �•(, �^�1 ^ �`✓} 1�� �.\ �/N: .F..:11A�� � �;: � ��i�.n.��L .YI�� Jl. ..Ili
CA�L BEFORE YOU DIG. Call Gopher SWte One Call�t(661)d5d-00o2 for prolecllon aQalnet underpround uGllty damage. Call 48 houre
before you Intend to dlg to recelve tocetes ot underground uQllUes. �r.gqp,�iqX�j�(Qoneeall.ora '
I hereby acknawledge that thls InformaUon Is complele and acaurate;lhet the work wlll be In confortnanca wlfh fhe arcllnances and coda8 01 tf�9 Clly of
Eagan; thaE 1 underafand lhls Is not a permlt, but only an appllcaUon for a permlt, and wortc IS nOt to Sla�t wlthout a parmlt; that lhe work wlll be in
eccordance wlth the approved plan In the caae of work whlch roqulres a revlew and approvai ot plane.
Exterlorwork authorized by a bullding permlt Issuad In accordance wlth the Mlnnasota Stata Bullding Coda must ha comploted Withln 180
days ot parmit Issuanco.
x G1�-�2�s f��110�Rso�/ x /��� .G���*+�-�
AppllcanYe Printed Name Appllcant's Signature
Pege 1 of 3