4092 Durham Ct use tsLut or t3LAGK Ink
I For Office Use
Permit City of Ea w
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:' l~
Phone: (651) 675-5675 j staff:
Fax: (651) 675-5694 L ____--I
2013 RESIDENTIjjA~L PLUMBING PERMIT APPLICATION
Date: Site Address: T~
Tenant: /I ✓t s^ V c-t rr-~-P/ Suite
Resident/Owner Name: l iD'q V~~ ~v Phone: ci~
Address / City / Zip: S5-1"
Name:
&9 ~,l~- l Z-L~ License T C 6 7
Contractor Address: &4y:
State: / L t Zip: Phone:~o~
Contact: Email:
Replacement _Repair -Rebuild - Modify Space _ Work in R.O.W.
Type of Work New
Description of work:
RESIDENTIAL
' Water Heater
Lawn Irrigation L_ RPZ PVB) Water Softener
Permit Type
Septic System Add Plumbing Fixtures C Main Lower Level)
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.gopherstateonecall.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 7=:~7 x
Applicant's r
inted Nara Applica i ature
FOR OFFICE USE Reviewed By: Date:
Required Inspections:: __Under Ground -Rough-In Air_Test--- Gas Test_ -Final
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA113884
Date Issued:09/09/2013
Permit Category:ePermit
Site Address: 4092 Durham Ct
Lot:109 Block: 04 Addition: Diffley Commons
PID:10-20450-04-109
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.
Scott Newgaard
640 W. 92nd St
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 -
Connie S Vannote
4092 Durham Ct
Eagan MN 55122
Bloomington Heating & Air
640 W 92nd St
Bloomington MN 55420
(952) 884-3552
Applicant/Permitee: Signature Issued By: Signature
0611712014 15:07 Les Jones Roofing,Inc. ffAX�528817009 P.014/020
Use BLUE or BLACK Ink
( Forofficeu9e^-----------.)
. � l �3���� �
� C�ty of Ea�an � Pe�"#: . ,
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� Pertnit Fee: �
3830 Pilot Knob Road
Eegan MN 66122 j Date Recelved: j
phones(651)675-6675 I I
Fax:(6g1)676-6694 . � S�� �
�____^_____�.�����J
2014 RESIDENTIAL BUIL.QING PERiVI�T APPLICATION
HO8�1- �108�- �0�8-WO 4v- yo�y�
Date: ���7 � siteAddress: �,/v9y-�/096- �/09�' C�r2►�+�►� Gou;�r' un�t#:
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�: :.���.;`..,' ,��;`�-�����;;':� Name:you P�eoPe�2rY c,a-�.E �n�c.. Phone: �057- �.��/- 99�1�p
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<;.�,,�,�°r��� r,,:,; ;ss+,,� Addre9s/City/Zip: 'P o• Bou 2►2 5 /NV�n..C�,z-mvd �it4tllt � �6' ��
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��w��f+;;w,;;;;!��'�;-"'.�?''" � '�y_`;��, Applicant is: Owner X ConUacto�
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; ,4 �• `' � ��' '�', Description of work: [��MD!/ i9yt/O !l-E�L�-� /`/D/it/�
;�T.y��s���'V�i`�Qr�,, -
..,:�,,.,...:�;: �!� =:'r:-, ..,. ,�" l9 ?!�/ �r
r;';'-» ;;�a;.,;; ;,,�': -`•;,: Constructlon Cost: , � Multi-Femily Building:(Yea x /No�
,c..
.�,;:i�:;?a�;:� �;•i;;�`�'> ��4�t��lt /
. ;"i '`%'i�';���� `"'`'`��: Company._�E5 �ToNE3 EiDOfJ�/h- /NG Contact:Gs�ie�r s �NO�so;�
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,:,�.,:,.., �<�. ,...4r,<;.��.';��, Aaaress: 9Y� W. 8a �r�Lg� cicy: Bca�u,�rrbn/
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=.-��:;;�;:'.��'�:�'� ..�;:':,`'�� .:;,:�, State: �l/�/ 2ip: .�,��2D Phone:�,�A— 7(0 7�a?.?/9
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`t,.; `��:;;%� L►cenee#, ���o� Lead Certificate#: .v,4T `f 0 3 7.?-/
If the proJect!s exampt from lead certlflcaflon, please explain why: (see Page 3 for addltional fnformatlon)
COMPI,ETE THIS AREA ONI.Y 1F CONSTRUCTING A N�W BUILDING
In the last 12 months,has the City of Eagan Issued a pe►mtt for a similar pla�based on a maeter plan7
_Yes _No If yes,da6e end addrese cf maeter plan:
Llcensed Plumber: Phone:
Mechanlcal Contractor: Phone:
Sewer 8�Water Contractor: Phone:
.J:�: i.��� .:��:,• �Y1J,. ...'M. ..:>` :�..: ..�r�:�Na _rr. -I+�,.. ' `..t y� _ i�n�n
�p ,a.��.,�t,�l��$',h; , �'�¢�I:;,r'ie.d4id;Fiq����,�h�t�.y,ou,�S1�b���,a'r��cp�s"�;�;���b'��i��,��lj�,f�l'ar��{/c��� �P(-��i��o�s�o�
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°''�`���f►�4�fii,��l�n��fi��!���,�lass f(e�� ��'�.Q�'.p,u.;�j��:l��r� � r�� 1�t�i?� '�H��j�`e��b at,�i�r�i�� :$��i��,��. �+.�� c�{�„�
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:;,' v,� „�.<t;:.t., ''�;k. �E ��a..G`p Q�U,O.��!A,a��. �,E�, RS,a�'�.���,/?!t�/,": ���:r9.. �"i ti �,,,•,�. 5(:;,Rj r,��f-
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CALI,BEFORE YOU DIG. Cell Gophor Steta Ona Call at(661)46d-0002 tor protecllon apalnst underground udllty damape. Ce1148 hours
befora you Intend lo dlp lo receive locatea ot underground utlqtlea. www.aooherslateonecall.ora
I hereby acknouwedae thet thle Informetlon le complete end accurete;lhat the worlc wlll be In conformance vullh the orcllnancea end cod88 ot the Clly of
Eapan; lhat I understand thle Is not s permlt, but only sn appltcatlon for a pertnit,and work Is no!lo slart wlthout e permll;l�at Ihe work w111 be In
eCCOf�d�nCe with lhe epproved plan In the case of work whlch requlres a revlew and approval ol plane.
�Xterlor work authorizad by a bul►ding psrmlf Issuod In eccordance w[th the Mtnnasota 3tate Bullding Code must be Completed wlthln 180
daya of permlt leeuenca.
G� �s nrDEQsa X ��� GG�=�4
Appllcant's Prl�ted Name Appllcant's Slgnature
Page 1 of 3
06/1712014 15:08 Les Jones Roofing,Inc. �AX�528817009 P.0181020
Use BLUE or BLACK Ink
� For OfflCe U6e �
, • j Permlt#: ` � I
Clt� of�a�aIl � � �
� Permlt Fee: � �
3830 Pitot Knoh Road
Eagen MN 65122 j pele Recelved: j
Phone:(861)675-6876 � �
�ax:�ss��sy�-�s9a . � s��: �
� i
�____.__.�..����������d
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
y/y�!—S//�f6���-y/.S?3 un�t#:
Date: �7 &Ite Address: �l 0 9�- yo 9 �ro9� --yo 9P p�a�r �
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::.;;,;.�,,.�::� ,... .. .� -� Name: yo p�eoPe�2rY Ga-�E �e►c.. Phone: 6s�� �.��
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�`1,�:'.�:'>��'$I,C+i9r(1.�/'i�t,%?'�:. k 6� 9�0
;;?:t.''%.'��.b�l�l��'.'� '��,; Address/City/Zip: R�. BO 2l 2 5 /Nti61Z�x�-�✓� �i/t/r3: /ust�
':E-�:;;'���•'ry�';a�;;f�:;; '',;�����;� Appllcant Is: Owner X Contractor
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. ,�<•3.,��. . ; ,;a�;�;�.;,::•. DescrlpUon of work:
��;;%'�1'j!.�?;e;;:�'�,1f,UQrlc;::_
r., ;�.�,, ,•,i<:':`;� �y;. G
;�' � �'"� �'� Construction Cost: � �S Multi-Femily Building:(Yes x /N4�
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`.:r r;"�,I�'I�'�;1;'�;:,r(,!t�Jf:':;?�.�I•,:•.��./ N
,�''..i.\�,.�;�� �;.r;';a'�"°:;;: Company_ d ES pQ/}��'._R L�F<A/�. /NG Contack Gs�ier s f1-�vao2so
. , r� , ���Y�1•'�1.,. . ' , _ __
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\ 1�' J1CF,��" .�,y'' � � l/'ty. !/LG/4IlZC�N
? , , ,��r� ,��� � �^: Address:
<,::';,�;4�!.#��,.,:,:�r�; s>
�,;. ';-,,::t:::; :�.;° _::;��,',.�;�' Sfate: A�n/ Zip: .�.fr�20 Phone. 951— 76 7�a8/7
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�;;z'��'-;�i,`;`i�;��`;;.c'`;.: Llcense#: 6.�(0� Lead CerNflcate#: .U�4r '�O 3 9�—/
If the proJect Is exempt from lead certlflcatlon,please explain why: (see Page 3 for addltlonal Information)
COMPLETE THIS AR�A ONt,Y IF CONSTRUCTING A NEW BUILDING
In the laat 12 months,has the Clty of Eagan(ssued a permlt for a almllar plan baeed on a maeter plan?
Yes _No If yes,date and address of maeter plen:
Llcensed Plumber: Phone:
Mechenlcal Contractor: Phone:
Sewer&Weter Contractor: Phone:
,.. �„ ]� y ,�r�/((, 1� A Y� ,:.., .,
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� �rSA i..�. "If�Y�4�;� !};�4;{�,�F.� �wr ;�ii�:i.;:.;X��u; �:�,r "�/�/r/.r7�,,/�.t{{v�s3/,�.e „� .h�. .,J, y��c.fy/�?yl,y< .?;i"'�,�.��p%'t•i'.!`.,�.!. _'!'�{�`i r�y� aF,i "��i
.
� .J rt �� �. • ��� 'd��� ,�yN�' �..l�:,�,'i'y .�Y,Y4,��`�•fa.5.� X .��.�C,}�;I�C�??�.. 1 �CYr�Q
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CALL B�FOR�YOU DIG. Call Gophar Stale Ona Call at(66t)A64-0002 for protecUon agelnst underground utlllly demage. Ca1148 hou�s
befora you Intend to dlg to recelve locates of underground u�lllles.
I hereby acknowledge thet thls Intortnatlon Is camplete and accurate;thet lhe Work wlll be ln Conformence wllh the ordlnances and codes of the City of
Eepan;that I underelend lhle le not e permlt, but only en appllceUOn for a permlt, and work le not t0 atart wUhout e parmlh lhal the woric wUl be In
accordanee wlth the approved plan In the ease of wo�k whlch requlres e revlew entl approvel of nlane.
Exterlor work autho�lzed by d bullding permlt Issuod In eccordance wlth the MlnneeotH State�ullding Code must be compleled wlthln 980
deys of permlt leeuance.
.
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AppltcanYs I'rinted Wame Appllcant's Slgnature
Page 1 of a
02/1912014 12:37 Les Jones Roofing, Inc. �N{�528817009 P.0181020
Use BLUE or BLACK Irik
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� For OHlce Uso �
i
, • j Permil#: `°� �� I
C�t� of ���an �i l.i�°��� ' �
� Pertnlf Fee: �
3830 Pllot Knob I�oad � Date Recelved: �
�agan MN 66122 F�B � � 2�')j� � I
Phone:(651)676.6676 I steff: I
Fax:(651�676-5694 . � �
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20�4 RESIDENTIAL BUILDING p�RMI�P�ICAT�ON
� �i/�!�/ �iyG, yiy8, �isa�
pate: �Cl Site Addr�e: S/D� O �! Unit#:
7a�..-i°�`;;;;�����i•".'?'„t;!%�''i'r.'�� . v.g f m
�:�� �r,� �.; ,.6. yo P�eoP�rY �E� l.NG. Phone•
:,'s';;;qw;l4�;�r;�, ..:;a,7:,,.(����,Gak:; Name: G !<S�- �S7/- 94�/�
;�"�`���}}}����`�d�h�l� ,: ./
�;y'���Y.��n��:�T4.�,��� Addreas/City/Zip: p�. 6S0k 212 5 /NVElZ.�-o✓1 �z!„44!±C: /uit� 6�5� 7�
�nt'�i''�p�, �f� ,�,.:�ur:;i:;: .�'�
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'��:•�+��9�b,t�°"��• '�¢`�`a�'���?'�� Applicant Is: Owner /� CrOflli'OCtOf
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y,• `:�' '� �`•,�' � .i�. i-,y
`'' '' �l�'�'��'�� '� �`�� Descriptlon of work:
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>�', ,;M ''�E. r;;.:
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,,,n�,,,,t:.. ,� . . ,....,.
'�;,:.;�, „�:,. ';;; -_;�, Consvuction Cost: 3� �9 �r Mulq-Famlly Bullding: (Yas x J No�
..T.F.t eJ��,uY
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�:;'�;,;��:.^ '�.viti, ,..�: �?�.���:� Company� �ES �ToNE3 RGOf`i1/b- /.vG Contact:Cuie�s ,�dU2.soN
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s � ,1����.�r r. LlGPQZG! _ �
�ti;�r� �' '' �'�^�r:� Address: 9�/ W. �d S°lR�T' Clty:
�,y,��`o��;�a���p�����
�a„r� �l d'��.:A�a pL'11,j�� y(��'sI,� ' �/` ' �1 ^
a`,if,1u'1�Jfi3y.� 7i��.r,.:r,,G..`o3('.��° J^tfltA:� �t�zlP: .7J �.C� Phone: .9�5.�� 7�0 �"01��7
�^;��C�.Y :'.I::I1]'...:t�nfil' .. :.:���.
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':?;'7�'�;.:i;;;tt'a;��'s;�;,�,a�...a;�'�> Llcense#: �Sr(o� Lead CerUflcate tF: .UA�T �f0 3 7.7—/
If the proJect is exempt from lead certiflcatlon, please explein why: (see Page 3 for addltional Information)
COMPLETE THIS AR�A�NI.Y IF CONSTRUCTING A�IEW BUILDING
In the laet 12 months,has the Clty of Eagan tssuad a permlt for a sfmllar plan baaed on a master plan? ',
��
_Yes _No If yes,dete end eddress of master plan: I
I.fcensed Plumbe�: Phone: �
Mechanlca(Contractor: Phone:
Sewer&Water Contractor: Phone:
,� . ! ( ''u . � �:A' �wtuatil�ai D� �w i� .V^..
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� � i„� : ..�i .. ( ..'.. jY .14 ...,rr:..�TIJ��?7�1 .� �S`� /j.T�. i�:i 11 \ 'S.'f•".�.�b�tl.•l� r`'�.�� 'n�1� i�V b'Q��L. J��%:
.\. .C�%�i:.ti�6::: ...!•. ;1 �`. �� .�� � :A... J.
CAI,�,B�FORE YOU DIG. Cell Oopher 9tate One Cell et(661)464-0002 tor proteCGon daainet underground utlllty damage. Call48 houra
bAfOre you Intend lo dlg to recelva IoCelee Ot tN1d81'�rO11114 Ulllples. www.aooheratsteonecall.om
I hereby aaknowledge thet thie Informellon le complele anQ pccurele;lhat the work wlll be In con/orrnence wilh the obinenCes end codee Of the Clty of
Eagen; (hat I underatand thle le not e permlt,but only an appllcaUon(or a pennll,and work le not to start vulthout e permit;thel the work will be in
accordance wilh the approved plan in the ceee of work whlch repuiree a roview and approval of plane.
�Xterlorwork authorized by e bullding permit 186Ued(n ecCOl'danCe With the M1111196otA&lale Bullding Code must be completed w(fhln 180
dey5 of pArmit lasuanco.
x G/f-,2rs f�ND�?2sd� /'���� .G�c���-�-��
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Applicant'e Printed Name Applicant's Signature
Page 1 of a
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147802
Date Issued:02/06/2018
Permit Category:ePermit
Site Address: 4092 Durham Ct
Lot:109 Block: 04 Addition: Diffley Commons
PID:10-20450-04-109
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Connie S Vannote
4092 Durham Ct
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
EFor Office Use
° ° ° reg EAGAN. /( F(3
°' 't f'°e..e MAR 2 6 2018 ::::e:
(o V .er V
ZZ
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Date Received: J'02 ({
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694
buildinginspections m aC�citvofeagan.coStaff:
L .,
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:3!13 ke I Site Address: 47f)',CP–J')w4 .. 0 -Art— / 57,2":
Tenant: 0 ' Yiakiv\_ IVc.tv Suite#:
e,id ® `, Name: .�' `� ,Nlt /3, Phone: �a �� i r
''''EEFFjj}}��.', 1. Address/City/Zip: --)414.4„),,,,,,, -�
`: , Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376
,�'` 7 Address: 1801 50TH STREET EAST
k� o a �_ City: INVER GROVE HEIGHTS
* � k State: MN Zi 55077 651-451-2241
Its k a't ` „ P Phone:
` _ Contact; BILL MILBERT Email: gloria.abas@culligan4water.corn
410,
f ,y-,,,-,5'', .,••eVkIC _ —New Replacement _Repair _Rebuild Modify Space Work in R.O.W.
°f Description of work:
RESIDENTIAL
�T0r 1
� � %s ' pet ..ri ' h, Water Heat
er
..�f } i - Lawn Irrigation( RPZ/ PVB) X Water Softener
t��,ermit ype<
n x-VOtil.' � „ Septic System !Add Plumbing Fixtures( Main./ Lower Level)
,t. rX , t . New Water Turnaround
A1= "' `X� r _Abandonment
RESIDENTIAL FEES: -----
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 If a 3/4"meter is required)
$115.00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES$ 60.00
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.gopherstateonecall.orq
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.citvofeanan.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 approved Ian in the( ase of wor which requires a review and approval of plans.
xW1(tt eip)
l\(\ & � c
Applicant's Printed Name Applicant's Signature
F,OR�O,,-F3,FIC.E,USE� ��{ Y�.�� ' ;2 i�V'"? ��3, 1:41':-.� � '£�"s �.' isI �'•?��,t �x ! f sg7�* 'rF ''x � 'T P
r� �'R "7 � 'S.. &z t. .;f. z> h. `tp R0 ie ed By.t. d `i ri4 { a«` ` ¢a�"�.«'h a ___ >
'sr..t. ' a �- ' }� `..:� tdzs { i' `ae Date -2wr �t
:} fit. x ` t#' a , ;_ , ? s
Re ued i s 'za r� �h £t *; r
c i n p: t ons � � U ,; G atone ,' , zYt '` a . t� { � _ k
f 1 ,� s t� Rota, n r �AIr4Tf'f "�
"4170g4 , �`,z 4 a '4� • d� �' a :s u * G eSt' 4xt +sFinal�,? .
1Meter/Related, Items. V zMeter,Size, .-..i.:,-44-,ea.- o met r ` � 54
,, . . _ Read �a f�lanot,..,.e ;��Stafj �,�$ ,..��` z �_ AF�
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148685
Date Issued:04/16/2018
Permit Category:ePermit
Site Address: 4092 Durham Ct
Lot:109 Block: 04 Addition: Diffley Commons
PID:10-20450-04-109
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Connie S Vannote
4092 Durham Ct
Eagan MN 55122
K2 Bath Design & Remodeling Llc
2710 Urbandale Ln N
Plymouth MN 55447
(952) 393-5712
Applicant/Permitee: Signature Issued By: Signature
For Office Use 1f
, Ire ] ( t�30 (-
,it: � � ��, l
Ese i��Fg O
�`.y0 Pennil Fee: 1)---3,
Incl
a'^� Date Received:'- 4—/*
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 t�� I %
(651)675-56751TOD:(651)454.8535 FAX: (651)675-5694 Staff: I/��
oie
buildinoinsoectionsCeicitvofeaoan.com MAD L _�\\9 q
2018 RESIDENTIAL BUILDING PERMIT APPLICATION '�
Date:
3/19/2018 Site Address: Unit#:
4092 Durham Court ' , 1
m:M ,r
r''` ' ,,' `,, ,n-,/,),` { Name: Connie Van Note 651-247-3288
Phor5
t
I,
4092 Durham Court (2
4;1,--,- 'i, Address/City/Zip:
�'' P 111'1 i : Applicant is: Owner X Contractor
Description of work:
Up date upstairs hall bath fixtures
IN Construction Cost $8,100.00 Multi-Family Building:(Yes X I No_)
<<i : K2 Bath Design Damon Lee
,;±;, Cg ompany: Contact:
u ,G� , Address: 2710 Urbandale Lane N City: Plymouth
i•" 'I` ` til" ,/
` __ p. 55447 612-226-4442 dlee@k2bathdesign.com
it +., =, State: Zip: Phone: Email:
1,- = T` License#: BC638895 Lead Certificate#: NAT120063-2
If the project is exempt from lead certification, please explain why:
Built in 1992.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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.citvofeanan.comfsubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.000herstateonecall.orq
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 wilt be In
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Damon Leex / ,,
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
doL DLL,- 4, iLlelzJ
SUB TYPES
Foundation __._ Fireplace ^ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage Porch(4-Season) _
le
Exterior Alteration(Multi)
_ _ Deck
�_ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
V 0 ofPlex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New — Interior Improvement _ Siding _ Demolish Building'
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair + Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION of
Valuation 5 •) r Dom. Occupancy -7-7L -3 MCES System
Plan Review Code Edition min 2 o r 5- SAC Units
(25%_100%P_j Zoning ? D City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings -74-73.--
Length Fire Suppression Required
Type of Construction v 73 Width
REQUIRED INSPECTIONS
— Footings(New Building) Meter Size:
Footings(Deck) Final,/C.O.Required
Footings(Addition) 77 Final/No C.O.Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests Final
'Y Framing 30 Minutes__1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath Bride EFTS
Insulation Windows
Sheathing Retaining Wall:_Footings Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other: •
Reviewed By: / tb//YI inflC/yif ,Building inspector
RESIDENTIAL FEES
Base Fee '
Surcharge _ /2/i'.4 / 4//v ,y) fe -e,
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant,
Copies X. -' 6"C
TOTAL
Page 2 of 3