4090 Durham Ct 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�"#: . ,
� � �a �
� 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#:
�.I,�` ..,.�,�,,��:•. .:....:.: ....�.
'�'^,l•,,,.���,:..�;i;%'.Y':��
��,'�v;.+:�r_ Yr�- • ,,;" •:
�: :.���.;`..,' ,��;`�-�����;;':� Name:you P�eoPe�2rY c,a-�.E �n�c.. Phone: �057- �.��/- 99�1�p
'.;: "���r.-���,�<�:�,: ... ;, --
;�����:;�i�:�id�ntf-s'�-��:', '
i :�„-. ,;.. ...... ,,:,,
<;.�,,�,�°r��� r,,:,; ;ss+,,� Addre9s/City/Zip: 'P o• Bou 2►2 5 /NV�n..C�,z-mvd �it4tllt � �6' ��
,.�,,�;; �.i.
;';;':<�, .-;..:.,�� ; ; ���,��•
��w��f+;;w,;;;;!��'�;-"'.�?''" � '�y_`;��, Applicant is: Owner X ConUacto�
;:.., ����•���;;i�;:::::,,;.i,;�,.::;'.
,;;:�;.�;;: ,T„1,,�,,:.:y:. ;,,,�.,,�. p�
; ,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;�
:�:-� i::�:;-;,.;.�;,.`;.�;:;:�':h� �
;'a:;,.�::;:;,:i;:.,'•:•:,'•;.�,f;,,��,:, ...�
;� :.'1�.�Ih.,3`.':.1�����'.,fJ���i�ii::.:���••�.1�): �
,:,�.,:,.., �<�. ,...4r,<;.��.';��, Aaaress: 9Y� W. 8a �r�Lg� cicy: Bca�u,�rrbn/
��_���- o�iit�';rt¢r;';,:;;,
<::,���,.
-�;.�;,, �:���:�:_���� '�::�:,+�,.
=.-��:;;�;:'.��'�:�'� ..�;:':,`'�� .:;,:�, State: �l/�/ 2ip: .�,��2D Phone:�,�A— 7(0 7�a?.?/9
> - ;;.,�(':�r'�`�r�?.::r„�':;= ...,.,
;i,. ;:� ••,.�.��.:';k.':;'.;; :: "'e.�;`
�;it��;:'i�i1G,.: • .�1;" ;�
`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��$',h; , �'�¢�I:;,r'ie.d4id;Fiq����,�h�t�.y,ou,�S1�b���,a'r��cp�s"�;�;���b'��i��,��lj�,f�l'ar��{/c��� �P(-��i��o�s�o�
�4i� t�r ,:':i0.�e C ;s:� J� a e �x.� .o d �,E .1..., 1�. !' .y. LI• + �J. T dr- ,p�• .�v�.
,. 1 � � S�L� �j/
°''�`���f►�4�fii,��l�n��fi��!���,�lass f(e�� ��'�.Q�'.p,u.;�j��:l��r� � r�� 1�t�i?� '�H��j�`e��b at,�i�r�i�� :$��i��,��. �+.�� c�{�„�
,. .`.,, j ,f„ � j ;�
�rl.r,_�.,..,�`'�'M .,,,;.i�.�,.,�,�.•i.�, .,,c...,. ,...;�,�,:, !,.rfi•,'%�.n,.,k,S+,�tl:.":£. + 'q,P ..�..., ..,. ,.�a,.��.t;'�t�.tG•.,,,, ;,,:" :n:,�.. .,L�,x�.�r�:?r! :��7;,:'�
.i �„� ; f. ��r.���,. .xi�; +=�a,a 3; /,,' �' ..� d y�,��� '�i�i.�•> 1 � I� •a�.�+i:;a�n,r�. ,{.j�,, j�
:;,' v,� „�.<t;:.t., ''�;k. �E ��a..G`p Q�U,O.��!A,a��. �,E�, RS,a�'�.���,/?!t�/,": ���:r9.. �"i ti �,,,•,�. 5(:;,Rj r,��f-
�i .� „r '�GS 'i'�f.::u:x� ,•i: .i
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
Use BLUE or BLACK Ink
For Office Use
(MC
� � x Permit#: /52-qq-S
City of Lapp ci ` jot
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675LS 1/4
Fax:(651)675-5694 Staff:
1... J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
10/31/201'8 Site Address: 4090 Durham Court Unit#:
_ = Name: Bruce Thiemann Phone: 612-743-5211
:Resd_entl- 4090 Durham Court Eagan MN 55122
Address/City!Zip: g
__ - ____ Applicant is: Owner X Contractor
Type of Wolk:
Description of work: replace tub with shower pan, valve, surround
Construction Cost: 4634 Multi-Family Building:(Yes X /No )
US Patio Systems WendyRache
Company: y Contact:
==Contractor.. .__
Address: 218 N River Ridge Circle City: Burnsville
- MN 55337 952-314-9885
wrachet'a�uspatiosystems.com
---=- State: Zip: Phone: Email:
____ License#: BC661813 Lead Certificate#: F119453-1
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:
NOTE:-Plans:and supporting documents'that you submit are_'considered to me:public information Portions=of
-t a information,maybe classified as non public if you provide specific reasons that would permit theCityto__.;=
-- _conclude:that:the •are.trade.:secrets. _ "`
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. mw.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 approval of plans.
Exterior work authorized by a building permit Issued in accordance with the Minnesot. State Building Code must be completed within 180
days of permit issuance.
X Wendy Rache x I I , P0' I
Applicant's Printed Name - Applicant's Sig ature
Page 1of3
DO NOT WRITE BELOW THIS LINE /
SUB TYPES C 4 C D(,z i'i 4 (±,
__ Foundation _ Fireplace — Porch(3-Season) __ Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
;K 01 of_Plex Lower Level _____. Pool Accessory Building
WORK TYPES
New _ Interior improvement Siding Demolish Building*
_ Addition Move Building Reroof Demolish Interior
,2` Alteration Fire Repair • \ Windows Demolish Foundation
Replace T Repair _ Egress Window -7-0Water Damage
Retaining Wall `Demolition of entire building—give PCA handout to applicant
DESCRIPTION �
Valuation 79±0_ _/.°O Occupancy MCES System
-.1 ---#3-
Plan Review Code Edition SAC Units
(25%,_,100% y) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V6 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) 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
, Framing 1 30 Minutes 1 Hour Drain Tile
Fireplace:/ Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick EFIS
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:
2 Reviewed By: ,Building Inspector
RESIDENTIAL FEES
Base Fee
N.
Surcharge a
Plan Review ` ,
MCES SAC '
City SAG i 1'''
Utility Connection Charge
S&W Permit&Surcharge 9 9 a 0
Treatment Plant
Copies
(IA tviik I
TOTAL
(1,
Page 2 of 3
Use BLUE or BLACK ink
For Office Use
Clts ' ',,�*" �9
t f /'
YOi � '� �.�1� Permit#: / � h
aha OCA Permit Fee: 40
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
Fax: (651)675-5694 L
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 10/31/2018 Site Address: 4090 Durham Court
Tenant: Suite#:
'ResidentiOwner
Name: Bruce Thiemann Phone: 612-743-5211
Address/city/zip: 4090 Durham Court Eagan MN 55122
name: US Patio Systems License#: PC708206
Contractor
Address: 218 N River Ridge Circle city, Burnsville
State: MN zip: 55337 Phone: 952-314-9885
Contact: Wendy Rache Email: wrache@uspatiosystems.com
Type of Work --New V Replacement _Repair _Rebuild Modify Space Work In R.O.W.
Description of work: replace tub with shower pan, valve, surround
RESIDENTIAL
Water Heater
Lawn irrigation( RPZ/—PVB) Water Softener
Permit Type V Add Plumbing Fixtures(`e Main/_Lower Level)
Septic System
- New Water Turnaround
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.
Cali 48 hours before you Intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 appro'. of plans.
x Wendy Roche
Applicant's Printed Name Ap. lc= t = Si a ature
FOR OFFICE USE : : _:::.1 Reviewed By ::::: Date:;..:
Required.Inspections Under Ground Rough In Air Teat Gas Test Final
Meter Related items: Meter Size Radio Read Manometer Staff :..::