4141 Durham Ct SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 02/28/92
3830 Pilot Knob Rd.
Eagan, MN 55122 -1897 CHIP # PERMIT # 12584
METER SIZE B.P. RECEIPT # C. /7
ISSUE DATE B.P. RECEIPT DATE 02/28/92
DATE 2'-26-97 X PRV _. BOOSTER PUMP
SITE ADDRESS 4129 4131 4133 435 4137 4139 4141 4143 DURHAM CT PERMIT REQUESTED
L O T _ 9 BLOCK ` 2 SEC /SUB Di f f l fly Cnmennnm X SEWER X WATER _ TAPS
APPLICANT: The Rottlund Coo Inc.
ADDRESS: 5201 E. River Road = COMM /IND ..X RESIDENTIAL
CITY, STATE Fridley, Mn. zip 55421 X NEW . — EXISTING
PHONE: 571 -0304
•rinkler Meters are to be Installed
PLUMBER: Valley Pluming A - •fi Domestic Meters on Water Line.
ADDRESS: 610 Creek Lane - * ILL NOT = ven for Deduct Meters.
CITY, STATE Jordan, Mn. ZIP 55352
PHONE: 492-2121 i l . _
c ° T • CO ° LY WITH CITY OF
OWNER: The Rottlund Cj_ jne^. EAG r R IN NCES
ADDRESS: 5201 E.River Road
CITY, STATE Fridley, Mn. ZIP 55421
PHONE: 571-0304 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING, CALL 454.5220 FOR INSPECTIONS. FOR STORM
SEW PERMITS, C NT T E _ ERING DEPT J /l.
5 /eC y C (4 do
06/17/2014 15:06 Les Jones Roofing,Inc. �A��9528817009 P.0101020
Use BLUE or BLACK Ink
i Fo�o�n�.ugaA ---��--i
. ' � Permlt#: � �� � �
C��y of �a�aIl � � �
� Permlt Fee; ��' �
3830 Pllot Knob Road
Eagan MN g612z j Dete Recelved: j
Phone:(661)675-5675 I 1
�ax:(661)875�6694 . I Staff: 1
I 1
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2014 RESIDENTIAL BUILDING P�RnniT APP��cATION
Nia4- 4�3�- �/33° �i3.�— Sf/37
�ate: � I Slfe Address:_�,_�/.��"Sfl�if/- �/�3 pv�t�i coUR�:r" ��ic#:
< � � '� '� Neme: �!o P�eoPe�rY ��,� �NG. Phone: G���- S'st/ 9y''/y
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;:;.- ..,'.j�y�j��?;. Address/City/Zip: �O. �o k 2�2 5 /NV��x�¢.�o✓� �a�s11� /Llic/ 8"S� 9(�
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�`�'��� �,;;':,`�4''�'�";'�' ��� Applicentls: Owner x ConfracMr
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; :+�,� �'Y�� ` ��Y•� z;• Description of work: lG6Nt0l�� f�"►'ll�I Pl.REE S<O/Nl�s.
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.,�.���,�-.;':-�r;:,:�:�;;: Construcdon Cosr Z� �✓'r Muld-Famlly Bullding:(Yes x /No^,.,,) �
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' ;o' +;; ` :'r�� Compeny: �E,S ,ToN�' ,RlXJfs�J6- /NG Contac�Csset s �NOE72so�
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;,�� �,r , :,, ,,, adaress: 9�� W. 80"'` s°r� city: Bco�,�rz�.✓
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',;°, '"�',;.',,�`•' ''�:r s''��'�1`:w,,? State:_ l��Zip:_,�.f4�2o Phone: gSA— 76 7-a?819
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''��,�:''� ` .':'-`'�`.,'� ucense#� lv�`�D Lead Certlflcate#: .lJ�4T `fO 3 9.�-/
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If the proJect is exempt from lead certlflcatlon,please explaln why: {see Page 3 for additional informatlon)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A J�,�,I,�,p_ 1j�S�
In the last 12 months,has the Clty of Eagan Issued a permlt for a slmllar plan baeed on a master plan?
_Yes ____No If yes,dete and address of inester plen:
Llcensed Plumber: Phone:
Mechanlcal Contractor: Phone:
Sewer 8,Water Contractor: Phone:
0!T I 'r,ls n ��� �i� ;alqc �,� h s:b It��l'e b: �d� �i�B11���llif.:o�'" �'t! n► ns
�`'�`4:�. .�siQ,a <� �'ws P� nlni�►:� ..,.�� .�:�"a�"Y��, �' �.,r ��.��,.�:�,,, xb ,,.,,, ..�,..Q, '�`,���q ;��,`:,
s�.L „� � ,jy,� ,• ,�� � 7 1_r.�„ �ut �.�. � �. �r ,w � �";
��;�;,tbje"iiti'fal��i�itio��/7►'a(�,:; '���1'A,�'�s./�/��I"��,��?sn;bu�"1%: ,>�r o,�;�/J '.1�j�l���nec�a:,►'e� ��ns••�ftiat;hl�iul,�li�i.�,'�lrili�t t,�l�Clt�/�;b�,
�..�.�.. . ,.i�e^�.�.�;�..,.,i�'.... ;1,,;�S.,i�.�.�.. ,,:�! .�t<.•.'K;:i�.,..{.�.��. �,g�,� �r,. �y� f y7�.,vi../:'.�.;.Y. ��1:1�;'� ��.. :�A.t.. .'Y+GfrH,� i�u:..:i).r.
p I t. �,7+ ,+, ..�:i M/� /� 4� �/�p Cjj�p* e �p�i ..rn C>P'�, '+i 'I'(
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CALL BEFORE YOU DIG. Call Gophar Stete Ana Cell al(661)464-OOOx fo�protecGon egelnst underground utlllly damege. Call 48 hours
before you Intend lo dl�to recelve locatea of underground uUlltles. wyy�r,�Qpheretaleonecell.ora
I hereby ecknowledge thet thls Informatlon Is complete and accurate;lhal the wo�k wlll be In contormance wtth the ordlnancee and codea of the Ctty of
Edgan; thet I undereland thls Is not a permlt, but only an appllcatlon for e permll, a�d work(8 not to stert without e pemtlt;thal Ute w�oAC will be In
eccaNanae wllh ihe approved plen In the caae of wrxk whlch requlres a rovlew and approval of plane,
Extarlor Work authorizod by a bullding parmlt Issuod In accordanca wlth tha Mlnnesota State�ullding Code mu9t be Completad wlthln 180
days of parmlt 19suance.
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Appllcant's Printed Name Appqcant's 3lgnatu�e
Pege 1 oP9
0211912014 12:34 Les Jones Roofing, Inc. (fAX�528811009 P.010l020
Use BLU�or BI.ACK Ink
� For Offlca Uee ^r I
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� C• i Pertnil#: I
ity of�a�aIl �����y��� I pertnit Fee: � � �
3830 Pllot Knob Road FEB 1 9201� � Date Recelved: �
Eagan MN 5b122 I I
phone:(6G1)676-G67C � �
Fax:(651)675.5694 . � S��: �
�_____—������..�...��J
2014 RESIDENTIAL BUILDING PERMiT APPL�cAYION �.�-��-�y'
y/29. �/8/, yi�9, y/��
Date: � 31ta Address: 3 'f S� �f v ?'Dnit#:
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,,����;:��<.'��c,,��.`,fi',, ;: Neme:,�o ,P2aP�2rY G�4,z.Ei 6 nrc.. Phone: 651� �,�y �Yq
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>�.r,•r%,����r i �::� Address/City/ztp: 2l 2 5 N �a�t/`/1: �� �� �
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�y�°"��'`� .;;��:�,� :�';,�• Applicent ie: Owner �Contractor
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A:P4�ti,Y.w�f'��AI; .:a:��; Description ofwork:l�GfOl/EA�A/l�/1.��'GA�L[oDF " G.�47LA-C�Lc �oo�s
N(Y�P �,, .e�'.iP`r. �3
a���°•. . .��`,,;,;,, .�:,.,,`,;��:� Constructlon Cost:� �� ��s 7. �� Multi-Family Building:(Yes X /No_,,,,�
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,.,r.a'.�`;�'�' '�x!!?;�';. ;,;;���'9� Llcenee#: �o� Lesd CertiBcate#: .11�4T `f o� 9.�—/
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If the project is exempt frorn lead certificatlon, please explain why: (see page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUII.DINS�
In the last 12 monthe,has the Clty ot Eagan leeued a permlt for a slmllar plan based on a master plan?
� _Yes No If yes,date and addresa of mast9r plan:
Llceneed Plumber: Phone:
Machanlcal Contractor: phone:
8ewer&Water Contractor: phone:
5�,�• ,'-1 `•���J���"�� �'�`„� •,. ��. �;�.. I. ���y� ''��U�.S��,h`I/��..::l�:�r°��n.�r.dy •w•ik"�,r��pF�����: � ��� l.,' .d. �..��y f'�' :
r�..-�c•����}'�/��}J''��T�t,�S�',�Y�iy+`.� .��1I��8:Yf4�`������ ,.��.,j���/i1'�d"y�;��,.�d�;���r� �:��,�n;, ���.`.��.�}��,�T'��:.�i��!� ,�a���,�,.J.�i:�t��,:Y.,r
i Y,�G`th. �.y,*.t''r..1°�� � ` �.`�+.�,�'IFIT�i ,1 5 ,"4.ii � ?^• -v i �• ,..,�}' �t�uS`"-•. :Gd..:JT� v�.�,�.�: 1�I:��S:��y�
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CALL BEFOR�YOU DIG. Call Gopher Stata One Ca11 at(661)464-0002 for protec�on eealnst urnierground utlllty damepe. Cab as noure
before you Intend to dlg(o recelve locates W underground utllNles. www.nonhetstataonecall.om '
I hereby acknowledge the�l thla Intormetlon Ia complete and accurate;thet the work wlll be In coMormance wlth the oMlner�es and codea or the Clly of
Eagan;thac I underatand lhls Is not a permlt, but only en appllcatlon for e permlt, end work le not to stert wlthout a permlt;thel the work wlll be In
accordence wtth the approved plan In the case ot work whloh requlres a revtew and approvel oF plana.
Ext•rtor work authorized by a bullding permlt Issuad In accordance wlth the Mlnn�ota 9tata Bullding Code must be completed wlthln 180
days of permlt leeuance.
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Appllcant's Printed Name Appllcant's Slgnature
Pege 1 of 3