4097 Durham CtINSPECTION DATE INSPECTOR COMMENTS
_
A-G /'
t o col C?
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All
- ???
SITE ADDRESS " 6 1. Unit # Permit ? yp
B Sect/Sub.
it/
INSPECTION DATE INSPECTOR OTHER
FRAMING
ROUGH PLBB.
ROUGH HTG.
INSUL
FIREPLACE
FINAL NTG.
FINAL PLGG.
UNIT FINAL
CERT/OCC-
CASH RECEIPT
CITY OF EAGAN ,
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ' I 19
wariso -f t ,
AMOUNT
& DOLLARS
too
CASH CHECK
k(4 -t
FUND OBJECT AMOUNT
i.,.
BY
C n ?? VVhde-Payers Copy a
Yesow-?os*q coot
Pink-FUe Copy
Thank You
1 ,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITTI)DRESS: L OT
4 a DURHAM CT
1) 1 I L 1. E Y c uMMow,
PERMIT SUBTYPE:
MAII I I f AM - f . 11 .
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
I1
APPLICANT:
TILE RDTT L UND CO INC
(61:7-) 671-9304
TYPE OF WORK:
Control No. 0047
"I I nLMN
000149
03/11/9
NEW
INSPECTION
i qkO 1141 INSPECTION TYPE
I I:AMIMf3 DATE INSPTR.
IN`JU1 r?I 1c1N FINAL
F I.RFPI AFE
4111 100 j-' 3&-f 1
-' 3 ??'' X12 - ?o
U -7
p
--„ 7c 5 Fr
3 7X 92:
a a
Nf" MARV S - 1 MC I. )OF. 5 4099. 4101. 410:3., 4 1 0r+, 41.07. 4109. AND 4111
Z/ v 9 -
F -4110 ! 14'
l,2
'5l0-6 w •r ,?? SSIA ?
L 4'05 °
d K f3SF7Q i
?'(L
DURHAM I:I
¦
¦
Permit No. Permit Holder Dift Telephone #
S/w &Q pp 'J
f Ids _
`PLUMBING (s
HVAC
ELECTRI G
ELECTRIC
Inspection Date Insp, Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg. ,y
y ?_? y , rl!(
Rough HN.
/3 9l
41. 1
y• 7- ?% / r- p 1 y
Y/?rl?i- y f yo s? ?I a/ y/? Qiv
os?
Fireplace ,? ya 9 7- Xr! i
Final Htg.
Orsat Test
Final Plbg. ?? pector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
77
Deck Ftg.
Deck Final
well
Pr. Disp.
ys v - 5?lI yam'' ,> a:, '
-tye?(o
CITY OF EAGAN
3830 Pilo, Knob Road
Eagan, Minnesota 55122-1897
j612) 681-4675
SITE ADDRESS: I 1 rl 1 q
I SIT
.; , I„I III i1 rh i T
I i 11 t '. ?rpMr?N',
PERMIT SUBTYPE:
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
e4hf9 16y:' I APPLICANT:
1 1 I I l t'H t
I, I t oil I „'i r riN,, VR IN(
46121 ;88-c4411
TYPE OF WORK:
IMI1 tr1NU
0.17920
06/17 /96
RV VA II?
of: ?f RX11,1' t"N ":: I [ARM DAMAW
INSPECTION INSPECTION TYPE
:. ,; j , ; DATE INSPTR.
r „11,,11 ! rd i f I I HAI
RU,14AWKS- INC I Ut1FG: 4099. 4101 . 4183. 4104.15. 41013, 4111 00RNAN CT
5-?a ou
,0)
Permit No. Permit Holder Date Telephone k
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
R-r.. ? i
(Str#ifira#r of (Orrupaury
Citp of (Cagan
iip=bM 4 witildtttg 31"M rttm
T his C&Wficg& issswd punmw m dw regrdumwnu of Section 306 of the U»iform BuiOng
Code cer iyyhT that at the dw of imance this structure mu in conipUmm a with the mrions
ordinances of the City regr<kdng bur7ft consftedon or um For the fallowing.
iLeClnrYada? K1LTI-FA4 T.H. aft. !lmkmm 44
00-PUIL7 TM R I /M I z,", ni PD/R4 TW COM V I HR
Owsw or
tidr
5201 E RIVER RD, FRIIJLEY Irpip 11. B2, DMM Q2t2fi-
Dw 7116/92
POST IN A CONSPICUOUS PLACE
ti r
SEWER & WATER PERMIT , OFFICE USE ONLY
CITY OF EAGAN METER #S? PERMIT DATE 03/18/92
3830 Pilot Knob Rd. CHIP # aZ 7/ 7/6 I PERMIT # 12609
Eagan, MN 5512-1897 METER SIZE B.P. RECEIPT# C 017811
ISSUE DATE 1p ' ZG'p 1- -- B.P. RECEIPT DATE 03/17/91)
DATE MAR 18, 1992
PRV -BOOSTER PUMP
SITE ADDRESS 4097 4099 4101 4103 4105 4107 4109 4111 Q1IIW Cr PERMIT REQUESTED
LOT 11 BLOCK 2 S=C/SUB DIFFLEY COMMONS
X SEWER R WATER -TAPS
APPLICANT:
ADDRESS:-
CITY, STATE
PHONE: -
PLUMBER: VALLEY PLBG
ZIP
ADDRESS: 610 CREEK LN
CITY, STATE JORDAN MN ZIP 55352
PHONE: 492-2121
OWNER: THE ROTTLUND CO INC
L ADDRESS: 5201 E RIVER RD
CITY. STATE FRID EY MN Zip 55421
COMM/IND X RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORXA
SIGNATURE WHEN ETER ISSUED
CALL 454-5220 FOR INSPECTIONS. FOR
SEWER
SEWER & WATER PERMIT OFFICE USE ONLY 03/18/92
CITY*OF EAGAN METER # PERMIT DATE
3830 Pilot Knob Rd. CHIP # PERMIT # 12609
Eagan, MN 551,22-1897 C 017811
METER SIZE B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE 03/17/92
DATE MAR 18, 1992
PRV -BOOSTER PUMP
SITE ADDRESS 4097 4099 4101 4103 4105 4107 4109 4111 DURM CT PERMIT REQUESTED
LOT II BLOCK 2 SEC/SUB DIFFLEY COMONS
SEWER R WATER _TA
APPLICANT:
ADDRESS:-
CITY, STATE
PHONE: -
ZIP
PLUMBER: VALLEY PLBG
ADDRESS: 610 CREEK LN
CITY, STATE JORDAN MN Zip 55352
PHONE: 492-2121
OWNER: THE ROTTLUND CO INC
ADDRESS: 5201 E RIVER RD
FRIDI.EY tQq ZIP 55421
COMM/IND X
X NEW _ EXISTING
Lawn Sprinkler Meters are to be Ins
Ahead of Domestic Meters on Water
Credit WILL NOT be given for Deduct M
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
CITY, STATE
PHONE: 571-0304 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR
SEWER PERMITS, CONTACT ENGINEERING DEPT.
?? J 35873szi., 66 so
Requesl Date
` Z Fire NO Rough-m n7:0,
Requl v
es
an Re
Cl Ready Now i NNall Inspector
hen Retly?
I,2-ficensed contractor ? owner hereby request inspection of above electrical work at.
Job Address (Street. Box o cute No I
?s Cry
Section No Township Name or No Range No County
fl
Occupant RINT) Phone No
Power Supper( J Address
Eledncal nlradgr (Company eryam I
n
ng
b
/
? Conlraclor5 Lwenae No
Mailing Address (Contractor or Owner
r
MMakin
g
slallalmn)
e
1
7
Aulbgroad Signature ContrectoOOwn Making Inst IlatmM Phona Number
MINNESOTA STATE BOARD OF ELECTRICITY L. THIS INSPECTION REQUEST WILL NOT
Onggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St Paul, MN 551" UNLESS PROPER INSPECTION FEE IS
Phone(612)692-0800 ENCLOSED
L
92 REQUEST FOR ELECTRICAL INSPECTION
? See msirucpons for com
ens form on back of
letin
ellow copy
°p1" e;
e?'.....?
ea-oooot.ae
_
^ J 358 7 3 p
g
y
- `X" Below Work Covered by This Request a ' /0161,03
ew Add Rep Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
CommAndustrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps / Amps
Transformers Above Z00 Amps Above Amps
Signs Inspectors Use Only TOTAL
Irrigation Booms / s o
to
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-lo Da
certify that the above inspection has
been made Final
f
OFFICE USE ONLY
Th, usst vord 18 months tram `
?L L(
J 35870<< ??- 6 bs-a3
Request Date
4 ^ G L
r Fire NO ugh-in echon
Required'+
j 47 es ? No
? Ready Now ? ill Notify Inspector
When Ready?
I,2?11ice6sed contractor ? owner hereby request inspection of above electrical work at:
Job Address ($treef. Box or oute No I
) DS City
E.I
Section No Township Name or No Range No GouPy
OCC.Pec?JPRINT) Phone No.
Power Supplier
Address
Electrical C nlrap 1( c Name)
Ue? Contra?cto is License No.
Mating Address (Contractor or Owner Makin, Installation,
v
Authorized Signature Gomactoner a ng Installati
"I - Phone Number
/// 7 \
MINNESOTA STATE BOARD OF ELECTRICITY t Y
Griggs-Midway Bldg. - Room S-173
1831 University Ave., St Paul, MN 55104
Phone (613) 6434800
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BYTHE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
REQUEST FnR ELECTRICAL INSPECTION
( ? ? See m5irucLOns?pmpletmg this form on back of yellow copy RR"il
J 3 5 8 7 0 "X" Below Work Covered by This Request
EB-00001-08
If b k T3
ew Add Rep, _ Typeof Building ApphancesWoed Equipment Wired
Home Range 7 Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other (Wecily) Contractors Remarks:
Compute Inspection Fee Below:
# . Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps /S /( 0 to 100 Amps Q
Transformers Above 200 Amps Above 100 Amps
SIgnS Inspepors Use Only OTAL .
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rough-in
{ Date ^???
Certify that the above inspection has
been made. Final D L
J
OFFICE USE ONLY
This request vmo 18 months from
J35669?
Request Date Fire No Regh-m Inspection
gmretle
?T4ea ? No
? Ready Now III Notify Inspector
When Ready?
I 01ficensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Box oute No
'V ?k/YJ
City
Sedion No Township Name or No r o Co?
Occupant RINT) Phone No
Power 01,e, //ff Atltlress
Eleclncal C nlraclor (Company Name)
u_ Contractor's License No
c,4 oa 3 g
Mailing Atl ress (Contractor or Owner Making Installation)
Authored Signature Conlraclor/Ow r Makin In lationj Phone Number
MINNESOTA STATE BOARD of ELECT CITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. -
Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St ., 51. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) (BR)6CP-08011 ENCLOSED
'J 353
REQUEST FOR ELECTRICAL INSPECTION
li See instructions for completing this form on back of yellow copy
X" Be19w WqgppOovered by This Request
eTM! emoo^8/1-08
e dd ReIN Typeof Building AppllancesWired EgwpmentWirad
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Somm./Industrial Furnace
I Farm Air Conditioner
Other Isyecityl Contractor's Remarks.
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only TOTA
L S0
Irrigation Booms .(J /
b6 -
Special Inspection (Q (D
Alarm/Communication THIS INSTALLATION MAY BE OR R CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in //?` Date f QP?/
certify that the above inspection has
been made. Final
OFFICE USE ONLY
This request void 18 months from
J358 0y/r -2
Request Date
Q
Z F)e No Roug In Inspecaon
Requlretl?
? Ready Now f]V?111 Nobly Inspector
wh
R
?
d
/ s ? No en
ea
y
I Plicensed Contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street Box Dr to No)
4
U`lq /1
.1
- City
, Z I
Section No Township Name or No Range No Ca n
Occupan PRINT( Phone No.
1
.a
Power Su er? Lklk- Address
Eledncal nlrador (Company Ndme) CommdOr`s Ucense No
C? D l ?l
Mailing Ae0 ess (contractor or Owner along Inslallaoonl
Authorize' Signature (Contractor/ er M ing stallabonl _ Phone Number
10-3ssla
MINNESOTA STATE BOARD OF ELECTRICITY s THIS INSPECTION REOUEST WILL NOT
Gngga-Medway Bldg, - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., Sl. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)602-0800 ENCLOSED.
I1IC J? REQUEST FOR ELECTRICAL INSPECTION
f? J ( , ? See instructions for completing this form on back of yellow COPY
L?s
J 35867 X" Below WA Covered by This Request 76?•??
E13-00001 .08
/C W3
New Add Rep - Type of Building AppliancesWued Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuda/Feeders Fee
$wtmming Pool 0 to 200 Amps S Q 0 to 100 Amps
Transformers Above 200 Amps Amps
Signs Inspector's Use Only ^ TOTAL J
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Rough-in
till a ..?
certify that the above inspection has
been made. Final Date
OFIRCE USE ONLY
This request void 18 months from
U b3dS
358 1. ? -z "??- a z
Request Date Fire ido Rough-In nspeclw
Requued'x
? Ready Now Ill Nobly Inspector
- P
4 Nes ? No When Ready?
i censed contractor O owner hereby request inspection of above electrical work at:
Job Andress (Street. Box oule No)
-
& Clty,
Z
d
7
t t?
Seiuon No Township Name or No Range No Caul
Occupant RINT) Pho a No.
Power S. ier Address
n
LPL
Electrwal C actor (Corppany Name) Contractor's Lwense No.
Mailing Adores (Contractor or Owner M king Installation)
Autnonzen Sgnature (ConlramonOw r Ma mg nslallauon)
_
; Phone Number
4? 3 - 3V6
,
I
- -
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mi"ay Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
P"ne (612) 642.0800 ENCLOSED
IY 1Y REQUEST FOR ELECTRICAL INSPECTION 6 Ee-00o0f-os
I ? See msfru Dons for completing this form on back of yellow copy
"X" 8e/ow Work Covered by This Request >
New Adtl Rep Type of Building AppllancesWlred EquipmentWlred
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps / I b 0 to 100 Amps 4b
Transformers Above 200 _ Amps 100 -Amps
Signs, Inspectors use Only. TOTAL
Irrigation Booms
O? SO
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-,n
Final ., Date
oafa-??
OFFICE USE ONLY
This request void to months from
/0 653
J 3587 Z1 ,- C*/
Request Die
, Fire No Roughen In mn
Rredn
O Reatly Now Will Nor h, t Instructor
'
4
_ es G No When Ready
Incensed contractor ? owner hereby request inspection of above electrical work at:
Job Address tStree1, Box or ute No 1 City
z4 `1 0?t?t
Section No. Township Name or No Range No Cyagy
Occup (PRINT) Phone No
Power lie, Mdress
Electrical G tractor ICpmpany Name) Contractors License No
Mailing Ad ss IOoniraclor or Owner M ing Installation)
Authorized Signature (Contractor r M in stallaron) Phone Number
MINNESOTA STATE BOARD RICITy THIS INSPECTION REQUEST WILL NOT
eway Bldg. St Roden m 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University university Ave., St Paul, MN N 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) M2-08(10 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION `1? ee Doom os
,? - ? See instructions for completing this form on hack of yellow copy
? i
V 55,83 2 "X" Below Wprk Couered by This Request :i/
New ASd Rep Typeof Bwidmg ApphancesWired EgmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Budding Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks
Compute Inspection Fee Below.
# ' Other Fee # Service Entrance BQe Fee # Circurns Feeders Fee
Swimming Pool 0 to 200 Amps S" Amps
0 to '
Z)
Transformers Above 200 _ Amps _
Above 700 _ Amps
Signs Inspectors use Only p TOTAL
Irrigation Booms
/„1,Q SO
Special Inspection i,E'rn
Aldrm/Communication THIS INSTALLATION MAY B ED DISCONNECTED IF NOT
Other fee COMPLETED WITHIN IS CWTHS. r ,
I, ttie Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in 1-h-1 1
F: 17
Final r
o oa
Date /yy
OFFICE USE ONLY
This request void 18 morms from
'P 4?' 6 J(?b5 - )-il,
J35666
Request Date G?
-
? - Fi u9m nspecbon
do
? Ready Now 4
eclor
?
(
. 1
- s
? No W?n Reedy
o
I censed contractor IJ owner hereby request inspection of above electrical work at:
Job Address (Street. Box ut, No)
o City
LC
Section No Township Name or No Range No
T"
Occupa (PRINT) Phone No
Powersy\0fP?ye\r /^/ Address
Eletbwal 0qc r ICpmpany Name) Contractors License No
e/? 00 s
Mailing Address (Contractor or Owner Making Installation)
Autnonzed Sgnature IContran,,1Own Maki I lallahon Phone Number
(03 -3?t a
MINNESOTA STATE BOARD OF ELECTRLCITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-l73 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Plasma, (612) 6420800 ENCLOSED
-'J3566
REQUEST FOR ELECTRICAL INSPECTION
? See instructions for completing this form on back of yellow mpy
X" Below Work-Covered by This Request
a pOgm-a8
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other Isyecifyl Contractors Remarks
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Gircuds/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps 14
Transformers Above 200 _ Amps 1
ve Amps
Signs Inspectors Use Only DTAL
Irrigation Booms
Special Inspection IIIIYYYY
Alarm/Communication THIS INSTALLATION MAYBE ORD SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S. ?q j?
I, the Electrical Inspector, hereby
if Rougn-.n ?? °?
c '/1?
F
cert
y that the above inspection has
been mode. Finaf
t Date
,r JG?y
OFFICE USE ONLY
This request void is months from
2-
?s
a3
4,, 6 6
J 353 8
Request Date ire o oug" Inspro" n
S, .d,
G Ready Now Rtlill Notify Inspector
_ L
( Z yes C No When Ready?
I Pficensed contractor ? owner hereby request inspection of above electrical work at:
,lob Accir ISireeL Bor or le No I City
Sedon No Township Name or No Range No Co
Ocoupom ( INTI Phone No.
A
Power Sugpper . Address
Electrical C rac^or (QOtnpany Namel Contractors License No
?o3?r
Met, A ress (Contractor or Owner Making Installation,
Aumonzea Signature (Contra ctonOw Makin Ins Iletion) Phone Number
3-390
MINNESOTA STATE BOARD OF ELECTRICITY ( THIS INSPECTION REQUEST WILL NOT
Grlggs-Midway Bldg, - Room Sm173 BE ACCEPTED By THE STATE BOARD
1821 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6!2-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ° Ea-0ooot-oe
See msiru sons for completmg this form on back of yellow copy e a'
J'35868 "X" Below.WorkLbvered by This Request .: D(?
New Adcr Rep. • Typeof Budding Appliances WVed Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other(speolfy) Contractorb Remarks
Compute Inspection Fee Below,
# Other Fee # Service Entrance Size Fae # CircuitsfFeeders Fee
Swimming Pool 0 to 200 AMPS J,r /0 0 to 100 Amps
Transformers Above 200 Amps ve 100 Amps
Si
nS Inspectors Use Only TOT
9
irr i ation Booms L
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE NECTED IF NOT
DISCIF
Other Fee COMPLETED WITHIN 18JAONTHS.
1. the Electrical Inspector, hereby Rough-in Dp?_ 5'_rf"]
certify that the above inspection has
been made Flnai
OFFICE USE ONLY
This request void le months from - 7
Address•4097,99,4101,03,05,07,09, L I 11 Blk2 Sec/Sub DTFFf.FV S
These items were/were not complete at the time of the final inspection.
at : 7/16/92 Yes No Tnqpprtor,
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway ?-
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish v
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. I
White - City copy Yellow - Resident copy Pink - Contractor copy
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
., .--
C) CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
\? 1 \\ EAGAN, MINNESOTA 55122
' DATE
n
rxo?
AMOUNT S /
g DOLLARS
Sao
? CASH CHECK
A! P
r; ! 1
AMOUNT
FUND OBJECT
Thank You W..
BY
C 019623 yal
P,,k--FUa C-R
??A 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
IQ CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings
II
l Date /_?a !?
ilI
-
Site Street Address V7 7 L C 11aw) 0 Unit #
ill
Property Owner r( Ul )q (/l
( )
Telephone #
Contractor Telephone # ??l )
Address City
-ju State Zip _s?
III The Applicant is: _ Owner tractor -Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100 00
Per as-built S 10 00
Alterations to existing dwelling S 50.00
Add plumbing fixtures. This lee includes installation of a water softener andlor water
heater at the same time. If you are installing onyy a water softener and/or water
heater, do not complete this section, move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $130.00 if a 518" meter is required)
Other
I•
-
Water Heater
Water Softener $ 15 00
-
-
new replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ 50
T
l $ I ?° O
ota
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes, that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance nth the approved plan.. in the event a plan is requi?d to b reviewed and approve
Applicant's nntedTTJJame s g lure
r PERMIT Control N 0047
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 000049
(612) 681-4675 Date Issued: 03/17/92
SITE ADDRESS:
4097 DURHAM CT
LOT: 11 BLOCK: 2
DIFFLEY COMMONS
DESCRIPTION:
Building-Permit Type
Building Work Type
UBC Occupancy
Construction Type
Zoning
Building Length
Building Width
Square Feet
MULTI-FAM. T.H.
NEW
R-1 M-1
V 1 HR
PD R-4
112
69
11,700
REMARKS: ('_ C i 1<1I 1 _
INCLUDES 4099, 4101, 4103, 4105, 4107, 4109, AND 4111 DURHAM CT
FEE SUMMARY:
VALUATION $307,000
Base Fee
Plan Review
Surcharge
SAC
SAC `k
SAC Units
Subtotal
$1,364.00
$886.60
$153.50
$5,600.00
100
8
$8,004.10
CITY SAC
WATER CONNECTION
S & W PERMIT
S & W SURCHARGE
TREATMENT PLANT
ROAD UNIT
Total Fee
$800.00
$5,400.00
$30.00
$.50
$2,400.00
53.040.00
$19,674.60
CONTRACTOR: - Applicant - ST. DINNER:
THE ROTTLUND CO INC 15710304 0001 35 THE ROTTLUND CO INC
5201 E RIVER RD 5201 E RIVER RD
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
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 Mn.
Statutes and City of Eagan Ordinances.
L 1 47" -
? aA I
APPLIC NT/P RMITE SIGNATURE 'ISSUE 8 . SIMR
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
LOT: 11 BLOCK: 2
4097 DURHAM CT
DIFFLEY COMMONS
PERMIT SUBTYPE:
MULTI-FAM. T.H.
Control No 0047
BUILDING
000049
03/17/92
NEW
INSPECTION TYPE
FOOTING „ INSPTR. INSPECTION
FRAMING DATE INSPTR.
INSULATION FINAL
FIREPLACE
REMARKS: INCLUDES 4099, 4101, 4103, 4105, 4107, 4109, AND 4111 DURHAM CT
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
THE ROTTLUND CO INC
(612) 571-0304
TYPE OF WORK:
d4
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
MAR 1 3 RECD
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which request is made or lot change is re nested once permit is issued.
Date / - / !?z- Valuation of work r6o
Site Location: 40g" 4004 4101 4105 410 4109 4104 4111 fi?,xhnm Pt
STREET STE 0
Tenant Name: 7Ae t^ 6444 d /1 Z22,C
LOT BLOCK SUBD.7>i,Q-ej P.I.D. #
Descri tion of work: - L/Lmj'?
The applicant is: tp-Owner '® Contractor ? Other (Describe)
Name '71\+e A4? e5e'p• //7d-• Pho ne Z;?21-005-c`l
Property LAST FIRST
Owner
Address ?2ol
STREET STE Y
City 1__J-,'1'{"4 • Staten . Zip E?q2/
Company 'Z/ 144 Phone ra21 -09
Contractor
?iyP.( Licens
Address ?2c?1 jr7
e #
City ?r ?d1 State Zip ??s-IZ/
Company #lZd1 Phone
Architect/
Name 'Tiim Registration
# {/Z(?--7
Engineer
Address 12? /? 'Thi rr?•
City {?{?? State ?/?/l. Zip
Sewer & water licensed plumber 1) L11 Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
n
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 Single Family
? 03 Two-family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem.
? 15 Public Fac.
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
? 90 New ? 93 Remodel ? 96 Move
? 91 Addition ? 94 Repair ? 97 Demolish
? 92 Alterations ? 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy Q?
1 Basement sq. ft. MWCC System
Zoning
ConstActual ) 4
1 1st Fl. sq. ft.
2
d F1
f tj City Water
PRY R
i
d
18K_ n
t.
. sq. 71 equ
re
(Allowable) R, Sq. Ft. total //900 Booster Pump
# of Stories z Footprint Sq. ft. &91vo Fire Sprinkler
Length 72-2 On-site well Census Code
Depth to On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
Site
? Wallboard
Footing
''Final
Framing
? Draintile
O
O3
Insulation
Fireplace
AiCC SAC
SAC x
x
SAC Units
Fees:
Permit Fee 13 (, ly
Surcharge /53 so
Plan Review
License
City SAC ?-
Water Conn. Syoo
Wi ter-Metei--N,ucc s-Geo
Road Unit 3 o yo
Treatment Pl. 2y ov
Rv d--dRft 90
Park Ded.x.f„,. -
Copies _
Other
Total:
Valuation: : 309 000
EXTERIOR ENVELOPE AVERAGE "Ull COMPUT'ATWN _ T
SITE ADDRESS
CONTRACTOR L/=DATE PHONE J 71"-7t '?)4
Determine working square footage of each.
1. Total exposed wall area ..... 2090 C) sq. ft. x .//? = 2 L?.fib
= 2
2. Total roof/ceiling area ..... I?Ctq . O sq. ft. x #02 6
Total exposed wall area above floor = l-7 2-5
a. Total wall window area (n4.CD
b. Total door area .................................... . U
C. Total sliding glass door area .......................
d. Total fireplace wall area ...........................
e. Total wall framing area (average 10%) ................
f. Total net wall area above floor 14=.1,0
g. Total rim joist area 21?.f1
G
Total exposed foundation area =
h. Total foundation window area ........................
i. Total net foundation area above grade ...............
Determine "U11 value of each wall segment.
a. G4•o X (lull
n`+((
b. (?//L? ]. pX 11}11 . O? = 2
L. n? 'FulT --47
d.
e. 1 L
f.
g. 2?? 0
h.
X Ifull
X "}II
X IIUII 042 = 6'01
X I,Ull q,?Z
X Ili ll
1
f
i. .L/? • X (lull
3 ......................................Total
If item 0 3 is the same as, or less than item O1, you have met the intent
of SBC 6006(c)2.
Total exposed roof/ceiling area =
Total gross roof/ceiling area = /Q cl-?' Q
j. Total skylight area ............... .;.......
k. Total roof/ceiling framing area '. ....... [? c
1. Total net insulated roof/ceiling area ...... ?O = c
Determine "U" value for each roof/ceiling segment.
X „U. _
j•
^)
k. X "till
1. X "U" V L =
4 ..................................... Total = '[ 7Lx
If total of #4 is the same as, or less than lit, you have met the intent of
SBC 6006(c)l.
To utilize the total envelope system method, the values established by the
sum of items 03 and #4 shall not be greater than the sum of items #1 and #2.
+ 2.
3. + 4. _
ROOF/CEILING
lt_va 1_iw
Cons t? ion
`
Interior air film 0.61
3. F t P>(. /r c.= L nF. 1i .; t- L
U.G
4. Extezior air film (still)
' v= .vas
Venced
Heat flow
up
FIG. Ik5
i
vented
Neat flow up•
FIG.
3
i 2 ..
• 2;021-41'1?'TED
Neat
flow up
jt='lZfliv? .
Interior air film 0.61
2 5- /S " C- ` P 13 ![ /
. r
4. Exterior air film (still ?.
7
y
Total
I
U.61
Inside air film
2.
3. '
n.
5. Outside air film Total
Note. Use additional sheets if more spaco ie
needed for details and calculations.
IJAI.L :; I:l;'1'l U1rS
JTE: Use 10't of opaque wall area for
frame construction
T .
%SIC
QA LL
FIG. 111
r5eral
,.,:dn11
LT,
e.
?J
L •
eaye d of 4
Construction - R-Value
1. interior air film 0.60
.2. ??Z I'GYP C,IC%D. "1-
3. :ZY / 57y05 /-/o 3 5
4. 31v"FUr7?./
..
5. 5?//7 E'D4/OGYI Lt) /? 5/U/ J!. G- / i 7 U
6. Exterior air film 0.17
Total 2 =I2 FE
1. Interior air film 0.68
3. FULL WALL -5 VL / 3. UU
4. 3/v" FIM > -5 ?c 6 OD
5. s/?nnE/J<rlou? L/.?ns//J/r?G- /,?U
6. Exterior air film 0.17
Total 2 = 2 I.SU
v= ..UY7
1. interior air film O.GS
2. SrOEr.?/7rC /FUSEL / ?..UU
3. 2 X ?. r7 I A'7
/: S v
4. 6)A f.
5• I,,? L?
•S/rf L-Ocv00/J ri11? S/I:/x:C /r
6.- Exterior air film 0.17
Total g
U= ovLI L/
1. Interior air film 0.68
2. Fu?^' I/NLL'/.' X' IN;vL /U, 00
3. /f IIG?/O E'CU/`-L cvR R/3C Ut/c .L/Y
4. _
5. l
6. Exterior air film 0.17
Totall2 -/ r'2
• 1 6 •
i r • • 4
r 1
/Ill
6
=
r?1
Flc i14 k ` ./Ir
., 1(t v
.l
Al
r X I r?l
FMIE WALL
;G. 93
L "'
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER !`? .. . _L -r C. .
SITE ADDRESS
CONTRACTOR Ss `A (= DATE PHONE
Determine working square footage of each.
1. Total exposed wall area ..... sq. ft. x 2C?
2. Total roof/ceiling area ...... 62-2, sq. ft. x r02& = I(,.(
Total exposed wall area above floor = c = •?
a. Total wall window area ...?
b. Total door area .................................... ^F .?
c. Total sliding glass door area ......................
d. Total fireplace wall area
e. Total wall framing area (average 10%) ................ 15 ..?
f. Total net wall area above floor 13
g. Total rim joist area ...............................
Total exposed foundation area = '-
h. Total foundation window area .......................
i. Total net foundation area above grade
Determine "U" value of each wall segment.
a. X „U„
=J?
b. -? X
C. o? • V X "U"
.,4-7 = `d
d. I X "U"
1 v '
e. X ..U..
. .
X "Un
^L0 [i X „U„
g•
h. X "U"
i. tea, X "Un
3 ......................................Total =
11"71 •S
If item 6 3 is the same as, or less than item O1, you have met the intent
of SBC 6006(c)2.
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Total exposed roof/ceiling area =
-- -7
Total gross roof/ceiling area =
j. Total skylight area
k. Total roof/ceiling framing area
1. Total net insulated roof/ceiling area ..... 11(0.??
Determine "U" value for each roof/ceiling segment.
X nun _
(
?-
'l
ll ^?
y
k. X u
r . •?, _ X lull UZ? _
1.
Total = 1 :?
4 ............. ............ .... .... ....
If total of 114 is the same as, or less than 112, you have met the intent of
SSC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items 113 and 114 shall not be greater than the sum of items 111 and 112.
1.
3. '" + 4.
ROOF/CEILING
3
Var,
l) (-{z)
Vented
L Heat flow
up
FIG. 05
Hear flovJ up -vented
FIG. 46.'
u
R=va1o
Cons l n
1. Interior air film 0.G1
3. FI P,(Lk f--LAr `. !1/iL L -'+ •-'G
4. Exterior air film (still) U.G
.?- Total L". 3`).SsU
Lj . C> > S
0•G1
1. Interior air film
2. 111i, C-. 1' 134:
4. Exterior air film (still _
Total.
0.61
1. Inside air film
2.
3.
4. 0.17
5. Outside air. film Total ?-
fi02(-VLHTED Note: Use additional sheets if more space is
1:eeded for details and calculations.
Hear
flow up
Fir,. t 7
WALL SLl: TUNS
MUTE: Use 102 of opaque wall area for
frame construction
BASIC
raye j of 4
Construction R-Value
1. Interior air film 0.68
2. 117 "(f, y- P C, C- L) uS
3. 2 )er 57 c-10 5 /!- "O/c
4. 7e-
5• 5?/''/7COrC/CGYJ L/-)/° •`ie- /, 2 U
6. Extermr air film 0.17
Total ? =12
1. Interior air film 0.68
2. 112 'r G S?V l'/?- ,. Y j
3. FULL tr,<JLL
4. 31 y'r FtV4111 5i.:
5. 5/?.F "f2 E/J=o?oOL) L.a 1? 5 %n /: G- ! , 7 G?
6. Exterior air film 0.17
Total R = 2 1. S-0
V-_.UY!
FIG, 114
I(f t? Qf (rl
1. Interior air film O.G8
3. 7X_ 17/zi
.r
5. .S/cf 'r?EOcvC'C%/J ?.? Y? t //: •:,C- I, 7 G?
6. Exterior air film 0.17
Total jz _ -22,°r j
U= ovY L/
1. Interior air film 0.68
2. FOiM [/ •!'['i'f2' /n•5vL /0,00
3, y" cv/rr>13coc[c vycr
4.
5.
6. Exterior air film 0.17
Totalk -) /.2
• v- ev?ci
' . r d • r ,. . \ 4
i
? 6 _ / 111
W / x x ((/
3G. A3
__ Ir y. oaf
0
.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
027920
06/17/96
SITE ADDRESS:
4097 DURHAM CT
LOT: 11 BLOCK: 2
DIFFLEY COMMONS
P.I.N.: 10-20450-092-04
DESCRIPTION:
STORM DAMAGE
p?bilding?Permit Type STORM DAMAGE
uilding a, rk Type REPAIR
Census Cod' 434 ALT. RESIDENTIAL
REMARKS:
INCLUDES: 4099, 4101, 4103, 4105, 4109, 4111 DURHAM CT
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LIC.OWNER:
DU ALL SVC CONSTR INC 17889411 0003178 HOMEOWNERS ASSOCIATION
636 39TH AVE NE 4097 DURHAM CT
COLUMBIA HTS MN 55421 EAGAN MN
(612) 788-9411
L_
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 Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE
IS D BV: SIGNATURE
7 y a U CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Naw ?onst ?clion Recuirements
Re odeVReoair Recuirements
8 a4vJt
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
i
? 1 energy calculations tions
? 1 energy calculations for heated add
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: Yels _L No
DATE: 2 ? NSTRUCTION COST:
O
C
?? f, '•,A"Q
l
t
w
R ?,?^
,
y
" %4w'Q"
DESCRIPTION OF WORK: IF
x
+_
STREET ADDRESS: 109 7?40q?1)1141 031y105;aI0'41LO9AIISf dl/1?A?»1 ll9Wyl
I Z I
D
#
BLOCK
LOT SUBD .
.
:
./P.
PROPERTY Name: Phone #:
OWNER u.T FIRST
Street Address*
City: State: Zip:
CONTRACTOR Company: DU AEY%N Phone #:
M, MN 55
COll1M81A HiE. MN 55421
788
94111
se #: 3119
Li
Street Address: -
, (612) cen
City: State: Zip:
ARCHITECT/ Company: Phone #-
ENGINEER
Name: Registration #'
Street Address-
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
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.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received - Yes No
Tree Preservation Plan Received - Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? i
A
4 I
I
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Permit Fee
Surcharge
Plan Review
License
MCANS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Engineering
Valuation:
Variance
S
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
CITY USE ONLY (3 a ?7D
L rBL RECEIPT #:
SUBD. .?t t V 'uf C6, &I ?V)BVI cJ RECEIPT DATE: -0c)
PERMIT#
8000 PLUMBIN6 PMTP (RESMENTIAL)
crrYOF $Aem
8850 PU.OT KNOB V
EALEM, MN 55122
651-e81-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray .00 x = $
Lavatory -00 x = $
Septic System new/refurbished 'requires MPC Iic. .00 x = $
Septic System abandonment 030.
00 x $
RPZ new Installation/reair/rebuld .00 x $
Rou h o enin .
50 x $
Shower .00 x = $
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener If existing dwelling 30.00 x = $
Water turnaround 30.00 x ----
State Surcharge .50 > $ .50
Total _> __> _> _.> $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
EACH
l hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance adivi :es t0_St1e fa?+lttie_s-SArts141Cte9-Under tttis..uemtit within City property/rightof-way/easement.
SITE ADDRESS:
OWNER NAME: :
OTOOL, TAMARA
4111 DURHAM COURT
EAGAN, MN 55122
(651) 666-6452
INSTALLER
STREET ADDRESS:
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
CITY: NO!ffiLam PugslNt3 Co` STATE: ZIP:
(812) 8?7-`W"
29M OARFIhLD AVE. SOV '
111NNEAPOLIS, MN 55" SIGNATUR PERMITTEE
L BL 02 CITY OF EAGAN
PLUMBING PERMIT
SUBD. fXe?t HoscA (612) 681-4675
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY
RECEIPT # /0 Jo77
DATE
ALSO. FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME: C\o tt 10 J d
SITE ADDRESS: Hpon 1101 tU3 tom lu, 1 J 1U 9,
III Qvr?A- CJvr-t
INSTALLER: ff \Wy" eb (J L?c_
ADDRESS: \01 0 C ACL?& L a x
R
CITY: 7" A Ar ZIP: <;J 4 a
COMPLETE THE FOLLOWING:
NO. FIXTURES EA.
REPAIR/ADD ON 15.00
_ SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
_ OTHER _
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
TOTAL
T
A4-
all -
01-1 -
l
STATE SURCHARGE .50
TOTAL: S I (oY . S c
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #: _
INSTALLER:-
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
PHONE #: 'A'0 -aka
CITY USE ONLYO
L BL _91 --- RECEIPT
SUBD. till DATE:
(/V U
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD qq
EAGAN, MN 55122 Y
(612) 681-4675
Please complete for: all commerciallindustrial buildings.
? multi-family buildings when separate permits are not required
for each dwelling unit.
DATE:
- 3--x',6 CONTRACT PRICE:
WORK TYPE: NEW CON RUON
SW '-km-
INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: r-welt- rpm' 40+ = a ?-
FEES: $25.00 minimum fee 2[ 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of r i fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
TELEPHONE #:
INSTALLER: ±=Gk Zd-le_
ADDRESS: '121V - 3S' `3
CITY: s a STATE: .?! ZIP:5sPHONE #:
SIGNATURE: XI MATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
L BL RECEIPT
SUBD.
DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE #:
INSTALLER NAM
STREET ADDRESS:
CITY:
STATE: ZIP:
PHONE #: (
1851 - l??y
RE$IOENTIAI::s
----
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:-
CITY:
PHONE #:
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $
STATE SURCHARGE: .50
TOTAL:
$
SIGNATURE OF PERMITTEE
FEES
ZIP:
COMMFRi TAL%INDUSTkTA? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: I/ BLOCK SUBD. ??
(/V U
INSTALLER: FLARE P 9 A/C. M
ADDRESS: 9303 Plymouth Ave. No.
Golden Valley, MN. 55427
CITY
PHONE #:
ZIP:
----------------------- ---- ----
FEES ?c?? X 8 ' awl ?d-1,
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PEK%1IT FEE.
PROCESSED PIPING a $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $ c L-0_
STATE SURCHARGE $"!50
TOTAL:
C SIGNATURE)
FOR:
CITY OF EAGAN
\- Cq rj) Cwt, LA 1 of , O3, 05, 0q, G9
(5pley-
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
.......:............ ..........
M?OPIAN1CA2i' 1';;??
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
.....J.
---------------------------------------
Cott-1?1
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 3v 2 s
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodellReoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd
1 set of Energy Calculations Addition - indicate Bon-site septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 2! d l 0 3 Construction Cost j S U U- O U
Site Address /a
^ 2 O Y-S O 0 c! -Z.
??? a
v
2/isFi?1 ?' Unit/Ste #
1C
Description of Work /
c
7?? ! 07 7 ?oI r/ / p t
/? /e /` e Sc e? cJ / ee
Multi-Family Bldg
Z Y _ N Fireplace(s) -
!N ?u 0 _ 1 - 2
Property Owner S,e 794 -57 e / NLLGkz Telephone # (A/) SS 41- *99
0t G e-, /" H7t
Contractor
Address
State 4100 EXCELSIOR BLVD.
ST. LOUIS PARK, MN 55416
r^ ""^^,^`^ "If City
b'Z 3. ?? y[
Telephone # (6!2 )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
r
Fr
l I I? I II
. j
I '
II
I hereby apply for a Residential Building Permit and acknowledge that tlie,3information-is_compldte and accurate;
1 j__ that the work will be in conformance with the ordinances and codes of the -City o£ Eagan and the State of MN
Statutes; 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.
L? /WC/G1?iru/'ye
Applicant's Printed Name
Applicant' ignature
C(Z Z 9o - 7771
OFFICE USE ONLY
Sub Types
1-.
' i
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
Footings (deck) Final/No C.O.
- Footings (addition) _
_ Plumbing
- Foundation HVAC
Drain Tile _ Other
Roof _ Ice & Water _ Final - Pool
Ftgs
Air/Gas Tests Final
Framing _
_
Siding
Stucco
Stone _
- Fireplace _ R.I. -Air Test - _
Final - _
_
Windows (new/replacement)
- Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122[
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date to
4
o c? U
it #
Site Address
- n
Property Owner (mil Q yt 4 -1 ? ez, Z Telephone # (C S? ) ??C) '
Contractor
STAND CONDMONING
T
410 WEST AKESTREE
n
g
Street Address
miliNEaM_ I .-.- MN r%-r%4 City
612.824.2656
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
\ furnace -Additional Replacement
_ air exchanger
air conditioner -New -Replacement
other
State Surcharge $ .50
$ -So
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start witho ermit; that the wo be in accordance with the
approve plan in the case which requires a review and approval o laps
,PFot Applicant's Printe Name Applicant's ture,
,t
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
- New Construction - Underground Tank _ Install -Remove **see below
- Interior Improvement - Install Piping - Processed -Gas
Nature of Work:
**When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installationlremoval
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If permit fee is $1,000 or less, add $.50 =:> $ State Surcharge
If ea rmit fee is over $1,000, add $.50 for
every $1,000 grmit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
Applicant's Printed Name
Applicant's Signature
Approved By: Inspector Date:
-IUV 7
2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
please complete for: single farruly dwellings & townhomes/condos when permits are required for each unit
Date 5 /
?
/
?
4U I -1- k f )1
u
it #
1
LU
n
l l ' n
Site Address
IJ
Property Owner F ?Q r i c t" Telephone # ( )
Contractor Grf)0fi 1 i r
pp?
Z L S 1 Sk W Ci
?? e r A Dt
tin t
ty P
Street Address
State Zip Telephone # (SoS ) u Z ` 3 $ O-L
Bond Expires:
The Applicant is Owner Contractor Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
r furnace -Additional 4 Replacement - New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 p 2s, q?
Ant-on (:?rr)W- _ 0.A
Applicant's Printed Name Applicant's Signature
2007 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buddinas when seoarate Dermits are not required for each dwellrne unit
Date /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction _ Interior Improvement _ Install Piping _ Processed _ Gas
_ Under/Above ground Tank _ Install _ Remove
When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector
Nature of Work:
Permit Fees $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
$ State Surcharge
To calculate surcharge
If Permit Fee is less than $1,000, surcharge is 50 cents.
If Permit Fee is> $1,000, surcharge increases by $.50
for each $1,000 Permit Fee (i.e. a $1,00142,000 Permit
Fee requires a $1.00 surcharge).
$ Total Fee
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 and with the Mechanical Codes; 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.
Applicant's Printed Name
Approved By:
Inspector
Required Inspections: - U.G. R .I. - Air Test
Applicant's Signature
--------------------------------- --
Date:
Gas Service Test _ Infloor Heat _ Final
J?J?'Kl
2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 7 1 5' / e7 Tamara O'Toole
4111 Durham Court
Unit #
Site Street Address
Eagan, MN 55122
6516866452
one #
( )
Property Ownerr
? /
?(Gf
Telephone # (G IZ) YZ7-4033
i?9
Contractor Al 11 l4l"
A?
/
/
Address 2cfOS Utvfi[?d City //'/' of State Zip sfyOg
The Applicant is: _ Owner X, Contractor -Other
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50:00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. It you are installing only a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
_ Water Softener Water Heater $ 15.00
new replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
$ .50
State Surcharge
$
Total
?L...? ?L... i..r..n.., ?4inn ie I mmnip tp and ncr:uirate. thattbe
I hereby apply for a Residential Plumbing Permit and acrcnowiauyc UEa, Lll? •- --•••; 4laSe
work will be in conformance with the ordinances and codes of the City of Eagan and th e yl
t a mit and work will be lUUl
understand this is not a permit, but only an application for a pe it, work is not to start withou I
accordance with the approved plan in the event a plan is requ' to be re 'ewed and approved. JUL 0 8 2007
Applicant's Printed Name p licant's Signature
* PIONEER
* e17g
11L.LJ
32.042' 24083 2+.083'- 3-042 0
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17
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18.87' 7026 ta.x o Id.dY °1 b
6,6 c e m .o 0 6.6 y
n 7.00' m 04
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' 6.57 N 7.00
s 6 7
, 6.75 c
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i'v 33.Da2'
24.083" n
24.08 „j
32.042' r'
2421 Enterprise Crit
Mendota Heights, MN 55120
(612) 681-191+•Fax 681-9488
625 Highnay 1C Northeoat
eloine, MN 554-34-
(612) 783-1880•Fax 783-1883
Certificute of Survey for The R o t t l u n d Company, Inc.
8 UNIT VILLA DETAIL
Scale 1 "=30r
I-
r
4
I,
t!
i'
i
LAND SURVEYORS • aVIL
to PLMNIAS . U OstM
S $9'39'55'
230.76'
w ?NT/
O 1 ,
1
'
I
l
to 1
i
'
l
t \1?
I - 52.3L'
940.0 Denotes
Dao Denotes
Denotes
Denotes
-a- Denotes
15'8
A f 6
H u r o n
A f 8
12.25' •. I
Y ! 11
w QptE n,'
6 ?
NN
OPoVEWAY M ND ? -
t >n
1A
to •?lt`?
9 :A
n,.
8 1 A
CRn1:WAY K?
187.25'
S a9.59'40' w
Existing Elevation
Prolacsed Elevation
Drainage & Utility Easement
Drainage Flow Direction
Monument
N
It ? ? 0? Q
v?
DO ? )' (1
124.34®°.E`.; CJ
<A
PROPOSED HOUSE ELEVATION
Garage Floor
Slab Elevation: 582.5
E_ Denotes Offset ub Bearings shown are assumed
LOT 11 BLOCK 2 DIFFLEY COMMONS
DAKOTA COUNTY, MINNESOTA
I hereby "roty that thif survey, plan tv report w prepared by me or under my direct nlparvl,(on and that I am duty Reyirtared Lard Surveyor
under the laws of the State of.W.newta. Deted this I'ZTI _ day of W45-A A.D. 1941 L
?/ f?r? ? ?, Foy
?• n n 1 a • 11nch _? n f ROBERT 8. Stf" '. REG. NO. 1-691 14 P1123 - C21
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4097 Durham Ct
Lot: 092 Block: 04 Addition: Diffley Commons
PID:10- 20450- 092 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
e- Fireplace
Gas Fireplace (new)
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Improvements to the home may requ
concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Pennitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
$90.00
Owner:
Kari J Ulland
4097 Durham Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA089718
06/16/2009
ePermit
SEWER & WATER PERMIT p >,y, OFFICE USE ONLY
1. CITY OF EAGAN • �'0 METER # PERMIT DATE 03(18/ 92
3830 Pilot Knob Rd,
Eagan, MN 55122 -1897 CHIP # PERMIT # 12
METER SIZE B.P. RECEIPT # C 017811
DATE MAR 18, 1992
ISSUE DATE B.P. RECEIPT DATE 03 / 17 / 92
PRV _. BOOSTER PUMP
SITE ADDRESS 4097 4099 4101 4103 4105 4107 4109 4111 DIARIAM Cr PERMIT REQUESTED
LOT _ 1 BLOCK 2 SEC /SUB
DIFFLEY COMMONS
—X SEWER , WATER _TAPS
APPLICANT:
ADDRESS: --- COMM /IND AL._ RESIDENTIAL
CITY, STATE ZIP X
NEW _ EXISTING
PHONE:
PLUMBER' VARY F�$G Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.=
A DRESS: 610 CREEK LN Credit WILL NOT be given for Deduct Meters:
CITY, STATE JORDAN MN ZIP; 55352
RHONE: 492- 212
AGREE TO COMPLY WITH CITY OF
OWNER: THE ROTTLL INC EAGAN ORDINANCES
ADDRESS: 5201 E RTVE�R „R0
CITY, STATE FRT N it MU ZIP 5421
PHON . 4 "` SIGNATURE WHEN METER ISSUED
P 1.1.0W LOW TW
d 71 44 3
+ O WA NEt ovapA ..
P
�f ..
SING. CALL 4 154-5220'F011 INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
06/17/2014 15:06 Les Jones Roofing, Inc. �AX�528817009 P.012/020
Use BLUE or BLACK Ink
�----------------
� For Oflico Use �
. ' j Permlt#: ����� I
C�ty o� Ea��Il � � .� ;
� Pertnit Fee: �
3830 Pllot Knob Road
Eegan MN 55122 � Dste Recalvad: j
i'hone:(661)676-5676 I I
Fax:(6b1)67b-669a . I Staff: I
1 I
`��������������..........J
20'14 RESIDENTIAL BUILDING P�RMIT APPLICAI'ION
�l0�'7- llO J`�9- �110/ � zl/0 3 � �/�D�
��te: � 1� l SlteAddress:,�/D'?- 5�/oQ— y/1�_ Dv�.¢� Cav�a►-__unic#:
�� ,f, ° �,� , Name: yo P�OPE�T�I GA'l��. LNG. Phone: l.s�- �,f"� 9�'y9
,;�.`,�;_;�.�i��;i d e n tl,�.:-,:�.,
°>�;:::.��ii��ler';' Address/City/Zip: �O. �O� 2� /NV�2.Gz�-eva � � �'33� 9�
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`�;�1:�.�.�'��,�.G(,'J. . :��_�1 /♦ Ci0n�8Ci���
,;�. "-`;.' - Applicant Is: Owner
i„i""i` t;.; (.�F•� ��±;�r;
y:�';.,.� , .:�-f;���.:`�.�`:�i.��.:t.�.i�li'��,Y �
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;�;��J'�` `F' �'` ' " �'� Deecrlpdon otwork: ��LLD!/� A�• ��'�L�'G� c31Dlit/�
� �.... ,�,,� ... ., ,...,, ....
�.� 'g"d.{�?�d�.
;;I:yR r�:�-;
;:,,;.:. ,,:.;:v,:.�•.i;;z:�.. �,., �
���'�'�� ;,,,.=" � Construction Cost: Zq ✓� y Multi-Famil Buildin Yes x /No
•��' ;s ';'�� Y 8� ( �
_�,�^�,.:;�r:'�:��'r:.,�:r.�", :,,,
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` ° i �` �: '' Company: �E'�S �ToN�
, �; . ,,� ,��f?n/Lr- /NG Contack Gi./.e.r s �Dp2so�
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- ;;:,;°.:;_���-.�;:;.:::,:.�:;;>;.,:.��.,; ada�s�: 9�I �v. �o"� .s�a.�%' c�ty: 8���,✓
;,::.
;tc,a�:t�a�to r-;°�';�
�,;�;'v; ;�;;;'`�:'�J=' ,;���: state:_ !�zip: .f,�'�2a Phone: 9�5�- y6 7-0?8/1
�.(:4_i`jy'dY`,%'�i�,.:',;� 'j�',���,
J � . .,�
'R r License#: �,�(o� Lead Certificate#: .!lA�� �Q 3 �a-/
,, ti -
If the proJect ls exempt from lead certlflcatlon,please explain why: (see Page 3 for addiElonai information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In Ehe last 12 month6,has the Clty of Eagan Issued a permlt for a simllar plan based on a master pian?
� _Yes _No if yes,date and address of master plan:
Llcensed plumbe�: phone:
Mechanlcal ConEractor: Phone:
Sewer&Water Contractor. Phone:
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CA�,,B��OR�YOU bIG. Cell Gopher State One Call at�661)454-0002 tor protectlon agalnat underground uGUty damage. Ceh A8 hours
Defore you Intend to dig to recelve locates ol underground ut�ltlea.
I hereby acknowledge lhat thls Informetlon Is complete end accu►ate;lhat lhe work wlll be in conformance wilh the ordlnances end codea of the Clty of
Eapan;lhat I underslafld (hla le not a permit, but only an appilcatlon for a permit, and work Is not lo statt wlthout a permlt; thet the wark wlll be In
eccordance wlth lhe approved�lan In the case of work which roquirea e rovlew and approval of p1a�a.
Exterlot'work authorized by a buliding permlt 166ued(n accordanca wllh tho Mlnnesota 3lata Building Codo must be complolod wllhln 180
deye of permlt Issuance.
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AppllcanYs Printed Name Appllcant's Signature
Page 1 oi 3
02l19/2014 12:35 Les Jones Roofing,lnc. �AK�528817009 P.0121020
Use BL.U�or BLACK Ink
' � For Offlca U9e—^—^-----�
� • �LC���iO j Pemtlt#: ��� j
C�ty of�a�a� �� � ��- ;
� Pamltt Fee:
3830 Pitot Knob Road FEB 1 9 2Q�� � i
Eagan MN 65122 � Date Receivad:
Phone:(851�675�5675 I Staff: 1
Fax:(651)67g.669a . � I
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2014 RESIDENTIAL BUILDING PERMIT APPLICAT'ION
Ho97, �FO�i9 4l0/, 4�03 `�
Date: � SlteAddre99: °IIOS M/o'� 4f0 / ^Onit�1:
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. �e•�..�y`�'���i•��'�..�'��;4:`'4k��`��;�� Llcense#: �,�/cD Lead Certlflcate tk. N�� �� � I���
If the project is exempt f�om lead certlflcatlon,pleese explein why: (see pege 3 for�dditional infom�►etion)
COMP4.ETE THIS AREA ON�.Y IF CONSTRUCTING A NEW BUII�DING
In the last 12 months, has the C(ty of�agah lssued a permit for a similar plan based on a master plan? .
� �Yea _No If yes,date end eddrese of maste�plan:
Llcenaed Plumber: Phone:
Mechanlcal Contractor: Phone;
Sewe�&Water Confractor: phone:
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CALL BEFORE YOU D1G. Ca(I Oophor Stato One Call et(661)464•0002 for profectlon agelnet undergrountl uUltry damaae. Cell 48 hours
before you Intend to dIp to recelve locetes of underpround uUlltles. www.aooher�tateanecau.ora
I hereby ecknowledae thet thle Informatton le complete and acxurale;fhat the work will Oe In conformance wlth the orcllnancea end codes of the Ctry of
Eagen; thet I underetand thte le not a penn�t, but only an appllcallon for a permlt,and work Is not to etart wlthout a qermlt; lhal lhe work w111 be In
accordence wlth the approved plan in the caae of work whlch requlres a revlew end epproval of plans.
Extar�or work authortzed dy a bullding parmlrleeued In accordance wlth the Mlnnesota State Bullding Code must be completed wlthtn 180
days of permlt Is9uanca.
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Appllcant's Printed Narne Appllcant's Slpnature
Page 1 af 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156110
Date Issued:06/17/2019
Permit Category:ePermit
Site Address: 4097 Durham Ct
Lot:092 Block: 04 Addition: Diffley Commons
PID:10-20450-04-092
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Kiaran P Mcgee
4097 Durham Ct
Eagan MN 55122
(425) 306-4024
J Carver Construction Inc
1345 Schletti St
St. Paul MN 55117
(651) 645-5488
Applicant/Permitee: Signature Issued By: Signature