4104 Durham Ct 06/17/2014 15:07 Les Jones Roofing,Inc. �AX�528817009 P.015/020
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3830 Pilot Knob Road
Eagan MN 55122 � Dale Received; j
Phone:(851)675-5875 1 I
Fax:(661)67'6-6694 . i Sta(f: I
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2014 RESIDENTIAL BUILDING PERMIT APPt�ICATION
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�" ''' ��� '''�'`�`��{� �"' Applfcent is: Owner x Contrector
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.`�,'�r>n''i�Y•�Y'0�S`,�4,N Construction Cost 2 �Lf �� Multl-Famlly Bullding:(Yee x /No�
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,'���� �- -�" l.lcense#: �vS�� Lead Certlficate�: .UA�T ''f 0� ��-�
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If the proJect Is exempt from lead cerNflcatlon,please explain why: (see page 8 for additionel information)
COMPLE7E THIS AREA ONLY 1F CONSTRUCTING A NEW BUI�.DIN�
In the laet 12 monEhe,hae the Clty ot Eagan Issued a permlt for a simllar plan based.on a master plan?
_Yes _No if yes,daE�and address of master plan:
Llcensed Plumber: Phone:
Mechanlcel Contractor: F'hona:
Sewer&Water Contractor: Phone:
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CALL B�FORE YOU DIG. Cell(3opher 5tate One Call�t(651)d64-0002 for protectlon aealnst u�erground utlaty damage. Cel(48 houre
bekre you Intencl to dlg to recelve loceles of underground utll(tles. www.aoohe�tateonecall.or�
I hereby acknowledge Ihat lhls Inlormellon Is complele and accurate;that lhe woric vulll be in conformence with the ordinancea end codea of Ihe Clty ot
Eegan; thet 1 underetand thie Is not a permlt, but only an appllcatlon for a permlt, and wo�k Is not to etert wlthout e pertnic; that Ihe work HAII be In
accortlan�rvith the approved plan In the caee of work whlch requlros a revlew and approval of plans.
Exterlor work euthoNzed by�bulldlnp permlt 186ued In accordanco with the Mlnnosota Stete Bullding Code must ba completed witbin 180
deys of pormit Igguance.
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Applicant's Printed Name Applicant's Slgnature
Page 1 of 3
02119l2014 12:36 Les Jones Roofing,Inc. �AK�528817009 P.0151020
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• j Permit#: �� j
Clty of �a�a� •— �f � Pertnit Fee: � �� " '
3830 Pllot Knob Ftoad ��C�����
Eagan MN 66122 6 � 9 2Q�� � Data Recelved: i
Phonec(651)67B-5676 FE i Steff; �
Fex:(661)675-5684 . � �
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2�14 RESIDENTIAL BUILDING PERMIT APPI,ICATION
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Date: � f 9 / Slte Address: �� �� I �z� !�� v Du ccuR'L"'Unit�:
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�y,�:.��,'.LL`�'' �M"" � ° :��' Applicant is: Owner x Contrector
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�:. � ;�,.,.,�;,�, .�:,;; .;�� Conetructlon Cost: Multl-Femlly Bullding:(Yes !No�
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''�.,�j`>tij-�•:•'"�":,:t,,`��,� Company: ,�ES �T'aN�3 R[�f�Nlt- /•vG ConEac�t: Cs�ier s fl-�o���/
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.�' t '`�,��'���'r�� Llcense#: ro.��o� Lead Certiflcate#: AJ�4T h`O 3 7.7�-/
s '�2.,-�u','�_.
If the project is exempt from lead certiflcatlon, please explein why: (see Page 3 for additional information)
COMPLETE THIS AREA ONI.Y IF CQNSTRUCTING A NEW BUILDING
In the(ast 12 months,hae the Clty of Eagan Issued a peRnit for a slmilar plan based on a master plan?
� Yee ,�No If yes,da0e a�d address of ineeter plan:
Liceneed Plumber: Phone:
Mechanlcal Contractor: Phone:
8ewer 8 Water Contractor: Phone:
"i a �w� -a, ti c c-• .� ,1, N ..
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CALL BEFORE YOU DIG. Cell Gophe�Stata One Call at(661)464-0002 for protectlon agalnet tmderground ulillly damege. Call 48 hou�a
before you intend to dig lo rocelva locates of underground uUliliee. www.aoohereteteonecall.ora
I hereby acknowledge lhal thls InMrmatlon is complete end accurate;that the work wll)be In con(ormance with the ord�nencea and codea of the Clty of
Eaeen;that I understand thls la not a permlt, but only en eppllcatlon tor e permit,end work Is net to slart wlthout e permlt;thal ine work wlll be In
accordence w�th 1he epproved plan In lhe caae oFwork which requlres a reWew anC approval of plans.
Extarlor work authorized by a bullding parmit Issusd In eccordence wlth the Minnasote Slala Bullding Code muat ba completad wlthln 180
dsys of permit leeuenCe.
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Applicant's Printed Name Applicant's Slgneture
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151479
Date Issued:08/27/2018
Permit Category:ePermit
Site Address: 4104 Durham Ct
Lot:121 Block: 04 Addition: Diffley Commons
PID:10-20450-04-121
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Lisa Knoof
12241 Fillmore St Ne
Blaine MN 55434
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature