4130 Durham Ct
Tk), J-60* x -73`7
_ Use BLUE or BLACK Ink
For Office Use
I
of Ea~11 j Permit
City ~
~Q 1p 1
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 I 1
Date Received: 1
Phone: (651) 675-5675
I
Fax: (661)676-5694 1 I
1 Staff: I
- - - - - -
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
L ,
Date: (C Site Address: gg Njty V _ M,
Tenant: Ve L,1 4- Y 1 ff Suite
Resident/Owner Name: kf L4 RYf1e`°1. If 66L l' Phone: $ Address / City / Zip: im k) U~ ~1 1. r
Name: Ono ota k0cf-1 m ~ bd,y- License 21Z02651
Contractor Address: ICI `rf Vf,-V i girl City: ! '
~ 1 ` 1 ;
l X
State: I Ak\k Zip: 'S51253-Phone: 51- 4-31 - q 4-1
Contact: Email: k&rt.(.yrcP~cIr-soi@c)PIAhG(}dfour. cam
_ New A Replacement Additional -Alteration Demolition
u ''1 c-
Type of Work Description of work: 13
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.
RESIDENTIAL COMMERCIAL
Furnace _ New Construction _ Interior Improvement
Permit Type Air Conditioner _ Install Piping _ Processed
_ Air Exchanger _ Gas _ Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) t3%
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) = $ Permit Fee
*If the project valuation is over $1 million, please call for Surcharge = $ 5.00 Surcharge`
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.clopherstatoonecall.org
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 of plans.
x K~ f✓ i~1 q r~ C 1rL2 ~S C sYl x ZL,4~ C
Applicant's P nted Name Applicant's ig ature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
06/17/2014 15:07 Les Jones Roofing,Inc. �AX�518817009 P.017/020
Use �LU�or BI.ACK Ink
� ForOffICeU9e`� ` ^'^f—^�
. . ' j Permit#: �✓� ` � 1
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��: �
`���������������_J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
�iza- y��� � y�ay�c/iab— cf�28'
nete: I? / srte AadreS$; y13D-��3� - 4��,��1 l'�v�2�,� Co�,� un�t�:
.:,:, ..,.. ;:,,�..;.,::
,..�;r`:';'r'fl'.t:'.,���'��/�.!��'�',ic��:�`� Name. �0 P�eopd2ry �R�Ei � �y
"i,...�;•r .�,�,: �'�, •., NG. phone: /oSl� S� 7�yq
�,a:;`;:"�;J,��:S'ISI.s,I1�/;;��'�`'�;;
`�;��i,>`'::���.�W`f��l'';;,' '<��'- Address/Clty/Zip: 'P o. 6o x 2�2 5 /Nv�Cx,e.ov� �ZlQ,�►� lt� a�'�' 7�
;c. .,,..,;�;: T
i�`;.i,-�.��;?i��-;?t:.H1,:'.': -;.`�''1`�'.
;'�, �?,f, ���' �,n` .�c,�,�`,;? AppUcant is: Ow�er x Contractor
, . . ;.",'i� �;,�,.��,..,\r.,�c::c
Y� 4 � i �; �7.�."'
.t � `�,� s;t�; � ,; Descrlpdon�fwork: �C�Lt012r/�D ��P�,�t.� �/D!./V�
., ���;���'``W'��'.1�;:..; 8�/
:�.> : :.;,.. :,; ;,
�:A;. ',J=:`�''�:,;;,�` :��;;;; --<> Conetructlon�oet: ��0. Multi-Family Bullding;(Yas x i No`)
;:;,;, ";;;:'::.. .,:.:;�::: ;,.:::;'.
�,, �,,��.;;:;; . ,.,:
`.�,,,.,:%r,. .?,�,:.�;;:;�,:;?;`�,.,,;;;:. /
+ ; � ;� , s Company:__�ES �7'oN6S RaO��//r /NC. Contact C�iea s ,�a�so�/
., :� � �
.... ,,-..;:�;:,,•:;t..�;.,,:;;ir.;,..:..i
�`�iN,'�I'�,N),,,.r.li�,\�.�:�_.;;•��:1_,.�s,4��`.
� `�"` "�'� Address: 9Y l (N, g4� 9Y�� Clty: �GOt�a�
;,;,,,Cx0,11t,����.r-�•;.� � --
,,..;::,;�E; , �;�' �;,:;;:,:
�;,r�;,` c��::�°��;;;:.`;�::;;;,;�� State:,�_Zlp: ,f,f�k�?D Phone: 95�- 76 7•e78/9
, ;� ,�y;f<:i,.���.,;_;::{;
vril� ,^�^/�:� ..'�'tf!.1��.��•,1�'
�'�.� �;��;�i,,::�� Ucense#: /��o� l.ead Certlflcate#: .U,4T `f 0 � ��—/
;;�-^ -
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:
:;;,�N��T ��PI n� "�l;�u �..o' ii ;.b"�. .��i ;f �f;�:o��,; f°"r�;�:°h •s.. .:,• .r.���� p��c;r`°�...,��a l� :::. �:Ytl3 s=.��. T,
;. ,,���„ ;��_�,�,, ;�;,��;�,�•�:��� -,:�'�!,� ..;��F ��;��', .;►,;�`,k,ijiil�, ,,��,�:,,;F>�l,-,:-.;,��: ;�;;�'.,.Mn.or.r� ��t�, .��, � �.�F
F '�he�nf.��ii�a�i�nr�►'��y!��q`a(a��l�;�d'�;3!►,�ny,R„u��ia��f;�/.ou�':F�,���tsl�.t��fru;�l;e��a�,¢h�;rt��t l�/��/,��,$�1/�-t��'�C(fj�`ti�b -����
: ��7:'C i� (�!� � �•�ti.�r� e,� 1 t< <1�� ' c �y.,y ��i Mi�i 11�`�,; y� � �e�y �` s4t( y, �yw� j a •:
''�� ,�..t. �a e i.. ��Y:�.. � ` '� ' : :�..v ... ';'' .0�.{1Q�F/4�!.�,i,4��N!� .';�.�:�T/'A�I�'��i.k��.r� �"( .� �41 i: �lM1.: �� .�� +r�'�t�,�,�Y�
� I
..�.. � x1` a �, ,� �, .S. r,
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.
x G<F2rs f�M0�2s'd�/ 1�"�.s� G�s.�-��-�°
x
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
•-----------------
� For omce Uso �
• j Pamtit#: ' ����I
City of Ea�aIl � '- � � Permlt Fee:,_,��— i
��..C����CQ
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 . � �
`����.�____---___—J
2014 RESIDENTIAL BUILDING PERMI�PPL,ICATION
ti�ao, y�aa, v�ay, y�a�
Date: l� ` Site Address: Yia�� yi3o, yi��, H/ f /,�U.2HrPsrt Cod.C7'' Unit#:
a�.;.' � , ,.�>,..; ,�;<,:..,`.
r��;,�;;; ,;� �. ..
�:D�� ���NI�`'•I'f�/�N'y:�•�l�;�w;: Name: �10 P�eoPr�2ry c�.��NG• Phone: �sr- ss+� �'9yy
�` ;i y' ) �
'f� i�� e� �AV , �/�� �^� /�
.J7.'l •��"y,��K�.,. �/!/S. /�'NV r7 �P
.>yiv���l•h�� �fp ` '�:� Address/Clty/Zip: �D• �OK 2l 2 ✓� /NVE12.�-0✓1 �_ � 9
:. M�.:.�. ���„�-��,�,.;
...:; •�,. �. ,'�'; '� "
',ti�Y^�' a'r ,
N,����;�"�''.,�:,:'�'���.,;.:�a����t ApplicanE is: Owner x ConU'actor
yr,�; ��� ;.w,.q`,`,'.'z Fi �✓ �o
i� m'.�'�� �9.,; v�y:'r,.(;, •':� A'�/i�'' �.5
�� ,�. ��r. Description of work: ��M� � ��%�'� � { � �
����/yps���1tl��i'��;?•
p��Y�r ��'��'`�,;.' �' � '�'� Constructlon Cost: �f ��D� � Multl-Famlly Bullding: (Yes x /No�
,:2'' � ':.. �'�*.�:it'1� '�r;�'
I'N ��,�y �,t �
;.�r �+��,� r �`..�,�,.�,N,'��'�; Compeny: �ES �TaNE3 Rao,�ln/fr /NG Contact:Ca�e�r� �Dr�2so
.. � ,a:: ... ° ,,fj..��,, ;��
!Yt� I'. �J � 1�` ••1 ' `:�
,;, <�r:..r, r,.;, •. : � � �D� '�'� Clty: ,BG�A?�G�.t�IrTT�i✓
� A- r�' �,� address:.9�! IN.
� .�.>���,�i.X��I1a; tQn-,,
v,rP:1. ...: " ��.� r
:"� 4.. �,p�s.,�"�'��i°�;,iJy`� state:�Zlp: .�.f��fE2o Phone: 9�SA- 76 7-a8/�
E.�, r.;� ., ..: �� �.
:�' ";ry' �'• y ;;�A�
;,.,F`e' ,^; ,��,;�,.,� 6��'; �f O 3 ��
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:
i �+� `� ! - c y� .pr. �' :� w � �r 1. w qu, �y.
7f.�J��aFr��c;�:.� �.�d�..a, �A�.�'- � �y` ��.����'�34n��U''�N� Gi� ,r' �i�. ,i��0 .,.ep, i �/,Ot ,���P��l fy,�`i
'i Y•����� ^��f��i"'�'Ir.y��� {���RI�� ua 1 �.�a�4�ikl�vj��blrqd��� �`Gc��r�o�1�Y�� f�� ���n5,,����y��y�t7/������(�e;��'t'y�p`�:�,�
� .�P.��'-,�.,iia��1�. '•` ��'";� .,.i.�i i. �r O�ll]!4�?�ti .�t��. ��� .�. i,. 1„.. S,r,'i. �7�e�'�....,M .:E,,,�!'��� d�'.�� s�� .:a
t
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.
X Gµ�e�s �4�r0�2sa�l x �
Appllcant's t'rinted Name � Appticant's Slgnature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131068
Date Issued:06/01/2015
Permit Category:ePermit
Site Address: 4130 Durham Ct
Lot:138 Block: 04 Addition: Diffley Commons
PID:10-20450-04-138
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Brent J Metcalf
4130 Durham Ct
Eagan MN 55122--214
(813) 390-7627
Benjamin Franklin Plumbing
5720 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature