4122 Durham CtPERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108502
Date Issued:12/12/2012
Permit Category:ePermit
Site Address: 4122 Durham Ct
Lot:134 Block: 04 Addition: Diffley Commons
PID:10-20450-04-134
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
952-435-2442
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Sharon A Boeck
4122 Durham Ct
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
06/17/2014 15:07 Les Jones Roofing,Inc. �AX�518817009 P.017/020
Use �LU�or BI.ACK Ink
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C�ty of�a�a� � Pertnit Fee: � . � �
3830 Pllot Knob Road � �
Eagan MN 65122 j Da1e Recelved: �
Phone:(651)675-6675 I 1
Fax:(6G1)675-6694 , � S��: �
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION
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�'�.� �;��;�i,,::�� Ucense#: /��o� l.ead Certlflcate#: .U,4T `f 0 � ��—/
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If the proJect Is exempt from lead certification,please explaln why: (see Page 3 for addltlonal informatlon)
COMPI.ETE THIS AR�A ONLY I�CONSTRUCTING A NEW BUILDING
In the laet 12 monthe, has the City of Eagan Issued a permlt for a elm)lar plan baeed on a maeter plan?
�Yes __ IVo If yes,de6�end address of inester plan,
Licensed Plumber: Phone:
Mechanlcal Contractor: Phone:
Sewer&Water Cohtractor: Phona:
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CALL BEFORE YOU DIG. Cell Oophor Steto Ono Call et(661)464-0002 for pro►ecllon ageinet untlergrountl uGlity dama8e. Call 48 houre
before you Intend lo dip to recelve locatee of underground ut�lltlee, www.aoohereteteonecell.ora
I hereby acknowledae lhat thie Informedon le complete and accurate;lhal Ihe work wlll be In vonformence wllh lhe ordlnences and codes of tAe Clty ot
Eagen;thet I underetend thle le not a pemntl, but only an eppllcation for a permit, end work le no1 to atart without e pe�mlt; that Ihe work wNi be In
accarcfencewllh the epproved plen in the cese ofworkwhich reputree a review and approval of plene.
Exterlor work author►zed by a bullding parmtt Issued In accordance with the Mlnnesota State gulidlne Code must be completed withln 180
days of permlt Issuance.
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Appllcant's Printed Name Applicant's Sia�ature
Page 1 Of 9
02/1912014 12:37 Les Jones Roofing,Inc. �A�9528817009 P.0171020
Use BLUE or BLACK IHk
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� For omce Uso �
• j Pamtit#: ' ����I
City of Ea�aIl � '- � � Permlt Fee:,_,��— i
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3830 Pllot Knob Road
Eagan MN 6b122 j Date Recelved: j
i'hone:(651)6yG-G67G FEB 1 � �Si�I� i s�a�: i
Fax:(657)675�694 . � �
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2014 RESIDENTIAL BUILDING PERMI�PPL,ICATION
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Date: l� ` Site Address: Yia�� yi3o, yi��, H/ f /,�U.2HrPsrt Cod.C7'' Unit#:
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�� ,�. ��r. Description of work: ��M� � ��%�'� � { � �
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p��Y�r ��'��'`�,;.' �' � '�'� Constructlon Cost: �f ��D� � Multl-Famlly Bullding: (Yes x /No�
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y;,`,. ��;1y�- �:�,.:�, Ucense#: ���o� Lead Certlflcate#: .U.47- -/
(f tha project is exempt from lead certlflcatlon, please explain why:(see Page 3 for addltlonal Information) ,
I
COIVIpLETE 1'HIS AREA ONI,Y IF CONSTRUCTING A NEW BUILDING
In the last 12 monthe�hae the Clty o(Eagan(ssued a permlt for a almllar plan baeed on a master plan?
� _Yea No If yes,date and address of master plan:
Llcensed Plumber: Phone:
Mechanlcal Contractor: Phone:
8ewer&Water Contractor: Phone:
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CALL BEFOR�YOU pIG. Call Gopher Stale Ono Call at(661)464•0002 for proleGlon agalnst undetground uQllty damege. Catl 48 houre
before you Inlend lo dlg to recelve locates of underground utUltlee. www.aaohereteleonecall.oro
I hereby acknowledge(het thls[nformatlen Is complete and aocurate;thet the wo�k wlll be In contortnance wllh the ordlnancee end codee of the Clty oF
Eegen;thet I understand thls la nol a permlb bul oNy en eppltcetlon for a permlt,and work Is not to atan wlthout a permlt;that lhe work wtll be In
accardance wtth the approved plan In Ihe caee of work whlch requlree a revlew and approval of plans.
Exterlar wark fluthortzed by a butlding parmlt lssued In accordence wlth the Mlnneaofe Steta Bullding Coda must ba completed wlthln 180
days of parmlt 199uance.
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Appllcant's t'rinted Name � Appticant's Slgnature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA127769
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 4122 Durham Ct
Lot:134 Block: 04 Addition: Diffley Commons
PID:10-20450-04-134
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Janel Behrends
122 West 3rd S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Sharon A Boeck
4122 Durham Ct
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
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