4107 Durham Ct SEWER & WATER PERMIT p >,y, OFFICE USE ONLY
1. CITY OF EAGAN • �'0 METER # PERMIT DATE 03(18/ 92
3830 Pilot Knob Rd,
Eagan, MN 55122 -1897 CHIP # PERMIT # 12
METER SIZE B.P. RECEIPT # C 017811
DATE MAR 18, 1992
ISSUE DATE B.P. RECEIPT DATE 03 / 17 / 92
PRV _. BOOSTER PUMP
SITE ADDRESS 4097 4099 4101 4103 4105 4107 4109 4111 DIARIAM Cr PERMIT REQUESTED
LOT _ 1 BLOCK 2 SEC /SUB
DIFFLEY COMMONS
—X SEWER , WATER _TAPS
APPLICANT:
ADDRESS: --- COMM /IND AL._ RESIDENTIAL
CITY, STATE ZIP X
NEW _ EXISTING
PHONE:
PLUMBER' VARY F�$G Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.=
A DRESS: 610 CREEK LN Credit WILL NOT be given for Deduct Meters:
CITY, STATE JORDAN MN ZIP; 55352
RHONE: 492- 212
AGREE TO COMPLY WITH CITY OF
OWNER: THE ROTTLL INC EAGAN ORDINANCES
ADDRESS: 5201 E RTVE�R „R0
CITY, STATE FRT N it MU ZIP 5421
PHON . 4 "` SIGNATURE WHEN METER ISSUED
P 1.1.0W LOW TW
d 71 44 3
+ O WA NEt ovapA ..
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SING. CALL 4 154-5220'F011 INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
06/17/2014 15:06 Les Jones Roofing, Inc. �AX�528817009 P.012/020
Use BLUE or BLACK Ink
�----------------
� For Oflico Use �
. ' j Permlt#: ����� I
C�ty o� Ea��Il � � .� ;
� Pertnit Fee: �
3830 Pllot Knob Road
Eegan MN 55122 � Dste Recalvad: j
i'hone:(661)676-5676 I I
Fax:(6b1)67b-669a . I Staff: I
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20'14 RESIDENTIAL BUILDING P�RMIT APPLICAI'ION
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,;�. "-`;.' - Applicant Is: Owner
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'R r License#: �,�(o� Lead Certificate#: .!lA�� �Q 3 �a-/
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If the proJect ls exempt from lead certlflcatlon,please explain why: (see Page 3 for addiElonai information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In Ehe last 12 month6,has the Clty of Eagan Issued a permlt for a simllar plan based on a master pian?
� _Yes _No if yes,date and address of master plan:
Llcensed plumbe�: phone:
Mechanlcal ConEractor: Phone:
Sewer&Water Contractor. Phone:
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CA�,,B��OR�YOU bIG. Cell Gopher State One Call at�661)454-0002 tor protectlon agalnat underground uGUty damage. Ceh A8 hours
Defore you Intend to dig to recelve locates ol underground ut�ltlea.
I hereby acknowledge lhat thls Informetlon Is complete end accu►ate;lhat lhe work wlll be in conformance wilh the ordlnances end codea of the Clty of
Eapan;lhat I underslafld (hla le not a permit, but only an appilcatlon for a permit, and work Is not lo statt wlthout a permlt; thet the wark wlll be In
eccordance wlth lhe approved�lan In the case of work which roquirea e rovlew and approval of p1a�a.
Exterlot'work authorized by a buliding permlt 166ued(n accordanca wllh tho Mlnnesota 3lata Building Codo must be complolod wllhln 180
deye of permlt Issuance.
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AppllcanYs Printed Name Appllcant's Signature
Page 1 oi 3
02l19/2014 12:35 Les Jones Roofing,lnc. �AK�528817009 P.0121020
Use BL.U�or BLACK Ink
' � For Offlca U9e—^—^-----�
� • �LC���iO j Pemtlt#: ��� j
C�ty of�a�a� �� � ��- ;
� Pamltt Fee:
3830 Pitot Knob Road FEB 1 9 2Q�� � i
Eagan MN 65122 � Date Receivad:
Phone:(851�675�5675 I Staff: 1
Fax:(651)67g.669a . � I
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2014 RESIDENTIAL BUILDING PERMIT APPLICAT'ION
Ho97, �FO�i9 4l0/, 4�03 `�
Date: � SlteAddre99: °IIOS M/o'� 4f0 / ^Onit�1:
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�r��.`;h`:��";��;°:�.�-,; ��i;�r, qpp�lcent is: Owner x Contrector
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NJ`.�t '� :.:A��`'.=�,;t°�;��"��;F State: �In/ Zip: .�.f'�f20 Phone: 9�5�- y6 7-a819
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. �e•�..�y`�'���i•��'�..�'��;4:`'4k��`��;�� Llcense#: �,�/cD Lead Certlflcate tk. N�� �� � I���
If the project is exempt f�om lead certlflcatlon,pleese explein why: (see pege 3 for�dditional infom�►etion)
COMP4.ETE THIS AREA ON�.Y IF CONSTRUCTING A NEW BUII�DING
In the last 12 months, has the C(ty of�agah lssued a permit for a similar plan based on a master plan? .
� �Yea _No If yes,date end eddrese of maste�plan:
Llcenaed Plumber: Phone:
Mechanlcal Contractor: Phone;
Sewe�&Water Confractor: phone:
;�� CiXI i��i' '� �i�`4:`�F�`(,�zd• o�oc3.r,�► _1,,��:, u��' l�' ty' tC. 1�1� �d�r ` ' , �;
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CALL BEFORE YOU D1G. Ca(I Oophor Stato One Call et(661)464•0002 for profectlon agelnet undergrountl uUltry damaae. Cell 48 hours
before you Intend to dIp to recelve locetes of underpround uUlltles. www.aooher�tateanecau.ora
I hereby ecknowledae thet thle Informatton le complete and acxurale;fhat the work will Oe In conformance wlth the orcllnancea end codes of the Ctry of
Eagen; thet I underetand thte le not a penn�t, but only an appllcallon for a permlt,and work Is not to etart wlthout a qermlt; lhal lhe work w111 be In
accordence wlth the approved plan in the caae of work whlch requlres a revlew end epproval of plans.
Extar�or work authortzed dy a bullding parmlrleeued In accordance wlth the Mlnnesota State Bullding Code must be completed wlthtn 180
days of permlt Is9uanca.
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Appllcant's Printed Narne Appllcant's Slpnature
Page 1 af 3
p Lot aAtie eau, 1,077 e/ucca. c44,1, levy
For Office Use
/SI) 737
ermit#: t,t11
Permit
EAGAN PFee'
-,,, ---- rzzev". Date Received 3 3/--/Y'
z.,INIzD 7
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 j TOD (651)454-8535 I FAX:(651)675-5694
buildinginspections(acolvoleadan corn JUL 31 2018 L Staff ________,....,
2018 MECHANICAL PERMIT APPLICATION
El Please submit two (2)sets of plans with all commercial applications.
I Ai*..1
Date: 7)3/ 1 2:-0/ E.' Site Address: / ir / 0.t-tt e, PI a ct,at irt E et e<X" MA/ 6370g.„).
Tenant: Suite#:
,.....
Name: Oi.i.,ci.:3 Yr tr (,...CL 5'c't A rX '5' Phone
Resident/Owner
Address/City/Zip I/ i 07 0 1.4 41,42.ter C-41 A rr 4:4 a rt 44 iti 53'12?
Name. a,i e 44 e c tici et lc-GI I License#
Contractor Address. A a 0 LAI e 5 t $-/ Clirt iii City: /13 I 00 ill i Ylyi-or‘
1 ,
State: 44i/ Zip: 5*5 Li X 0
Phone: Gi c 2 - Era"Li - i 6, 6 i
Contact: r0 44 PO Ct lek Email: I.A 0-et iei 0 le Fri e cah a coryl
...._J
-
New i\". Replacement Additional Alteration Demolition
Type of Work , Description of work:
NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
1 RESIDENTIAL i COMMERCIAL '
X Furnace New Construction Interior improvement
Permit Type _
. ,„,.Air Conditioner I install Piping Processed
1 Air Exchanger
1 Gas Exterior HVAC Unit
.............
Heat Pump i Under/Above ground Tank ( Install I Remove)
Other i
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge ,w '
DO
,AP
$100.00 Residential New,includes State Surcharge .$ . TOTAL FEE
_. .,
COMMERCIAL FEES'
Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal,includes State Surcharge ;.,-.$ Permit Fee
r.$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge r.,$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvoleacian.com/subscribe.
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 appIan in th.case of work which requires a review and approval of plans.
x 0 d , ‘.‹. 11,
Applicant's Printed Na u- Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening