4108 Durham Ct 06/17/2014 15:07 Les Jones Roofing,Inc. �AX�528817009 P.015/020
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C'""� O������ I Pertnit Fee: �� ,�' I
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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.`�,'�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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152684
Date Issued:10/25/2018
Permit Category:ePermit
Site Address: 4108 Durham Ct
Lot:123 Block: 04 Addition: Diffley Commons
PID:10-20450-04-123
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Joseph Healey
4108 Durham Ct
Eagan MN 55122--214
(518) 421-4559
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature