4150 Durham Ct 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 �
<`r , .,•�:.. .,;;
:`.��'`'>i�:'�::�::��;;%''r�''`i`,.
_ .::.:. :.......�::,,,.. �.'�9
::.;;,;.�,,.�::� ,... .. .� -� Name: yo p�eoPe�2rY Ga-�E �e►c.. Phone: 6s�� �.��
� `'> •,:;;;�;�;�,;.,,;;�. .,,;;.�;.;
�`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
,,,..
�-.,�..,:�;;°.;4+r.�,<;�,�;,•: ,'..:.;^�,
�•,':; ,:,, .,.;,��,.�,...:,,�.,��,:,,. r�� �^�
:r',;;�.�; .., .�..u: %(.�/�O� �Il�/�D ��G�� d.r1�/iP/ET.
�s;• '°. , : .-�•�`��':•.�,::..,.,;
. ,�<•3.,��. . ; ,;a�;�;�.;,::•. DescrlpUon of work:
��;;%'�1'j!.�?;e;;:�'�,1f,UQrlc;::_
r., ;�.�,, ,•,i<:':`;� �y;. G
;�' � �'"� �'� Construction Cost: � �S Multi-Femily Building:(Yes x /N4�
"����� .''r6� :.�,<,:r:\:r"
`.: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.,. . ' , _ __
;����:.:�i�4.,I�1��:�1::.i.,4,�"}'�i i?",.;'.i�r q
\ 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
s,_�����• �:r:;�> ;..;.< ..:�:,.
�'r;�,::k�;:�"�jr y;�'9,C��;'I;ii?"` .
�;;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� ,:.., .,
u:;y,�!�O:T �,7 �.. - .�y� ra �"'�'�','• ''�;'[ �L��: �,U�.PYL[ I ba :'�� IlI ...s,...�� •� aLI I � Q� a'a ;O��,��R� "A f.
....: .,�,,..:.�� � y,� / n-
,, :,�.. P4 �:, �/� ,(�,���1,�►,• .�.. ,.���.,�1�...3�'0. .�1 �.,..� �►,� �� +��,��� .N,, A���(.,.C!�-C n;.r; ..1, .,t..
,�,� '��i')" � r� � � .;c)'� zvN,�l�, i v., 6 nf� .:` :i:�V9.� ��t l,��r4�� h iF �
_�� ' ;4 ,, �. -,�.w�_�, g�._:; � e.�,.,ea���tI ..�.;�Iha�':, ,1� �:`t -I '
'( � a� @;,, ,,„�,.
�.;:�'jr ;r�1�`ot'i�i��`rA�ir'1ia ,kk�e�.�(���,� �$,'",�1�.�-�u�&�lp;�f:yo'u; r'���_;d. ,t,.l� `f' �§`;Q�..,.� ,��,�!��? ,►�.'�.�:.:� ,.�1�'�.�', �
� �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
,�.:...�;r, .y !. �le �•.� ..,i., 1� ••i,,�. �. ';1•.
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.
.
x Gµ,2rS F�MO6�?50� x G��=�,/-�'�a`
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
r_�����___�������
� 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 . � �
�...���������.+�.��.�..�J
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:;: .�'�
y ��.' �;:i'�, t,e�_::
���';� ii"iqir%ry�'. .e i��;:� �; v .
'��:•�+��9�b,t�°"��• '�¢`�`a�'���?'�� Applicant Is: Owner /� CrOflli'OCtOf
,,,t,��.,�,�.��,.-:.� ...�; e��.s�' '
y,• `:�' '� �`•,�' � .i�. i-,y
`'' '' �l�'�'��'�� '� �`�� Descriptlon of work:
�ti , ,„. ,� .
� .� �����0.�'�.�'`}
>�', ,;M ''�E. r;;.:
�; .
,,,n�,,,,t:.. ,� . . ,....,.
'�;,:.;�, „�:,. ';;; -_;�, Consvuction Cost: 3� �9 �r Mulq-Famlly Bullding: (Yas x J No�
..T.F.t eJ��,uY
����� ''�i'.:.J.`I y�/..�.. ...,�,r•�
�� r•.�d.. yiil.:.l�'�.:::. � /
��.�: . i' C����.���i:v,..w� : .i:t:••',1
�:;'�;,;��:.^ '�.viti, ,..�: �?�.���:� Company� �ES �ToNE3 RGOf`i1/b- /.vG Contact:Cuie�s ,�dU2.soN
��b ";?;�i'��'(�; i�iP��ji"hi::•.�T S=� .
:r,4�:;.... �, a�.' {?;.,..;�,;X• � Q� �
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' .. :.:���.
;v; `2:';�r; 'ia c;�;H'?�ir;x:ii
.ri'�+�. is
':?;'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^..
• � �.' w ��i ��1•1 .
•�1
V� �
,�...�
g �f '1 `:i'.
�
�� � S �%!f dA� s �� � '�'� i �S lr� a i3 c �.
... , ,�p��r�. #, . g� �i�� :: :� ���. �,,p .l;�.,Y,rr� :+� n.. .,
. .
._ s
�:� '�ar�.� .i. 1� .a ,y�..Q, �.i•� �,. ? .I � .++�:.''^�1`�1...� ` 'ti.� � ."��. ,.Y .;�'.'"'.i;M ,b �I��:.,
''Y,n• �, f. �Y b ,+ 1.,. �f�:d,.,s�ori.yp��r��,:ritili�';[�.��iG r`4.�',�(��>��:��fli�� -hs;��� � ,;a(f,�di.;I@, l��r; �4�tY' o ��'`;
•��.1���1� �i�>z���•'���i'�',.� t.� nt! ':Y`((n8,..��, i"`i...,'�.�'�`�'RW� ��;�. '�/t, ry ry��y;.��y tPJ,��9 �y �yy pF•,�1,�.,. .G� ���: � �i ,1. J4��,�,
. .
.�, t�� ,, .. s.� I ,:r.� ..a �'ti ' C 4� ����. �hT ����``� �JA °��"' x i. -,t ' Y�6 �ti. �� �t v .. A`o
',. ^, /.� v (�p�( �[� �;`
� � 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���-�-��
x
Applicant'e Printed Name Applicant's Signature
Page 1 of a
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132157
Date Issued:07/28/2015
Permit Category:ePermit
Site Address: 4150 Durham Ct
Lot:148 Block: 04 Addition: Diffley Commons
PID:10-20450-04-148
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Laura K Gullickson
4150 Durham Ct
Eagan MN 55122
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138225
Date Issued:08/16/2016
Permit Category:ePermit
Site Address: 4150 Durham Ct
Lot:148 Block: 04 Addition: Diffley Commons
PID:10-20450-04-148
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Laura K Gullickson
4150 Durham Ct
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177380
Date Issued:06/28/2022
Permit Category:ePermit
Site Address: 4150 Durham Ct
Lot:148 Block: 04 Addition: Diffley Commons
PID:10-20450-04-148
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Laura K Gullickson
4150 Durham Ct Unit 148
Saint Paul MN 55122--214
(651) 994-1288
Clearwater Plumbing & Heating
19260 Mushtown Rd
Prior Lake MN 55372
(952) 440-3779
Applicant/Permitee: Signature Issued By: Signature