4112 Durham CtCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD Control No. 0962
PERMIT TYPE: t}u 11 to r NIN
Permit Number: 001 244 /
Date Issued: 08 / 19 /911
SITE ADDRESS: 10I F Is
411" nUIRKRM C r
n1 ff1 EY COM"U"s
PERMIT $UBTYPE:
I? t ac 1? APPLICANT:
INC "OTTLUNA fro tMC
(613) 671-8364
TYPE OF WORK:
NEW
INSPECTION TYPE
-1 1 S rill DATE INSPTR. INSPECTION TYPE
4 I r't Ill I No DATE INSPTR
iN"If1 A'rrOM PINAI
f 1RFV11 Aft
Nf°MAFtIK tMt LUp>F3 4.114. 4116, 41191, 141:315, 4130. 414*. i 41.42 OUlt"AM CT
,ti t W CONTRAC-rOR VALLEY P186
Permit No. PNmlt Holder Deft Telephone #
S/W
PLUMBING fi• - 9is'v
HVAC , f
ELECTRIC
ELECTRIC
hopection of" hop. Commef to
Footings I ?d l
Foundation
I
Framing
Roofing
Rough Plbg.
Rough ri VIP 3?-3 G
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg 30 - Noft M-ber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Dec* Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: + , „ 1
! 1 1 li+I1?F#fiM C #
it ( I I t I 'F l t}tlltlflM!;
PERMIT SUBTYPE:
TYPE OF WORK:
#+ 1 # t 1 #.? 't N 11
Of FAIR
INSPECTION DATE INSPTR. • TYPE DATE INSPTR.
t tttl?.11 i h! ;) ? t; I 1 P?Irs1
Rf MA#?1"; 1 N1". 1 IIJOU S r 4114. 4116. 4110 01,11RHAM CT
41-36. 413.4. 44140. 414. 1111011AM ; .1
r?
II
PERMIT TYPE:
Permit Number:
Date Issued:
t 6 ` f 11 " K - APPLICANT:
,11, ;; 1 I ttr? . I + fVt
186-
6,\3, OU
fN")
Permit No. Permit Holder Date Telephone N
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
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Kertifcate of cccnpancV
Mtv of Wagan
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuanceNhis structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Uae Classi6wtioo: 8-PLEX Bldg. I'lermh Na 1287
Occupancy Type Zoning Distrfd ?Coust.
T& FVrMM OD
Owner of Building AdBass
B .. Addieas 4112 D[Ji?IAM COURT
18, 4 136.
0 Mg
X12/4/42
- F Date:
Building Official
POST IN A CONSPICUOUS PLACE
REQUEST FOR ELECTRICAL INSPECTION
111244 , See msiruchons for completing this loan on hack o1 yellow Wpy
.'X" Betew Work Covered by This Request
mepx,
?,.- EB-00001-08
/683 S 9
e Ado Rep. Type of Budding Appliances Wired EgwpmentWired
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 ,r // 0 tc 100 Amps
Transformers Above 200 Amps Above 00 Amps
Signs Inspectors Use Only. OTAL
Irrigation Booms !
D
Specia
l Inspection &
Alarm/L;OmmUfllCatlOn THIS INSTALLATION MOR CTED IF NOT
0
Other Fee COMPLETED WITHIN H .
I, the Electrical Inspector, hereby Rough-m / Care -
certify that the above inspection has
been made. Final Data
OFFICE USE ONLY
This request void 18 months trom
K 2 2 14? 77
Reguesl Date fire gh-in Inspection
uired?
?Reatly Now ?0'W1I Nohty Inspector
Yes C No When Ready?
I Clicensed contractor D owner hereby request inspection of above electrical work at:
Job Atltlress
(Street Bpx or Route o 1 City
J
Section No
t Township Name or No Range No Co?
(PRINT)
Ocmpa Phone No
Power ter ? I ? Q Address
Electric ontracmr (Cam n IN t Contractor§ License No
C ooSBi
Mailing Address (Contractor or Own r Making Installation)
Authonied Signature (Comracton ner Maki stallation) Phone Number ???
h3 --3
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave.. St Paul. MN 551114 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION Ee-cooot 3
? see inspections for completing this form on back of yellow copy
Yom.
7211-
K jW2 i /?
X" Below Work Covered by This Request •?? '
New 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 (specify) Contractors Remarks'
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Cirou s/Feeders Fee
Swimming Pool 0 to 200 Amps / 0 to 100 Amps 414
Transformers Above 200 Amps bove Amps
Signs Inspector's Use Only ! ,. T AL
ro
Irrigation Booms '
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE NNECTED IF NOT
Other Fee COMPLETED WITHIN 1 ONTHS.
I, the Electrical Inspector, hereby Rough-in ?/ Date .- ?^y
certify that the above inspection has
been made. Final oa
OFFICE USE ONLY
This request void 18 months from r?!
Z'1 s 6111-k 75 ar- ?
76
Rep eat Date Fire N R n+n Inspection
R puired7
Ready Now 0. Will Notify Inspector
Wh
R
d
?
-? r?•+ S i] Yes L?eNo en
ea
y
I licensed contractor :D owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No) - City
/ o 1) v er
Section No Township Name or No Range No County
OccupaR (PRINTI Phone o
e L Scat i c/
Power Supplier Address'
Electrical Contractor (Company Namel Contractor§ License No
u ?GFC le" od ??
Mailing Ann, 1 Mractor or Owner Making Installation,
Aut ignature onlractor/Owner ?king Installation) Phone Number
MINNESOTA STATE'BOARD OF ELECTp11ITY 0 THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave, St Paul. MN 55100 QCCle UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
f001,7:53D
d-7-5
REQUEST FOR ELECTRICAL INSPECTION
11 See mstrudnns for completing this farm on back of yellow copy
.. "X" Below Work Covered by This Request
E64)0001 -()8
New Add ep Type of Building Appliances Wired EgmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other. (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Rerl hh
Compute Inspection Fee Below:
is 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 Inspectors Use Only: TOTAL
Irrigation Booms ?-,,j b
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN IS MONTHS.
I, the Electrical Inspector, hereby Roul Date
certify that the above inspection has
been made. Final
o
r i?j-s!3
OFFICE USE ONLY
This request void to months tram
A? 3
K -19, ,3? low °D,
Request Oate
,( Q
U r Z Ire No Rau - Inspection
qgq p
Yes a No ?-..!
? Ready Now p .rill Nobly InspecLOr
When en Ready?
Licensed contractor I] owner hereby request inspection of above electrical work at:
Job Address (Street. or Roule No) n
D /(d LV-t??- City
Section No Township Name or No Range No. Coupy,
Occupan (PRINT( Phone No
Power Sup GD -
' ? Address
Eledncal ntr clot ICOmpany e) Contrecror§ License No
Ciao3No
Mailing dress tContracbr or ner Making Installation)
Authorized Signature IContr tor.Ow along Installs on) Phone Number
3
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 Unleeralty Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0806 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION °.!
,, "y' eaooom os
j( li See instructions for completing this form on back of yellow copy J i?% ?D ???p
K 123$` ,
"X" Below Work Covered by This Request.'
New Add Rep. Type of Building AppbancesWired Equipment Wired
Home Range 17 Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other,(Specity)
Comm /Industrial Furnace
Farm Air Conditioner
Other (specify) ConlractorS Remarks
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fes # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ¢ d
Transformers Above 21 _ Amps Above Amps
Signs Inspector's use only. TAL '
Irrigation Booms
-? 1
?pl s
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED D SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby
f Rough-m
r Date ????,qy
certi
y that the above inspection has
been made Final
r ate ,{'
L (/"
OFFICE USE ONLY
This request vom 18 months from
K 11239 077 3
Request Dat- e?Q^ 9
9 ire No. n-in spechon
e Yestl ? No
Ready Now W Inspector
When en Ready?
I licensed contractor Downer hereby request inspection of above electrical work at:
Job Andress (Street Box ute No I
4 7
41 LJA41 (]
J/?
1 City
Section No Township Name or No. Range No CouglN
Occups PRINT( Phone No.
Power Stier Address
Electr I?COmre<tpr (Company Name) Connector's License No
Mailing Acores. (Contractor r owner Making Installation)
AuNoriiec Signature co t actoa0 ne Making Instal ory - Phone Number
Q?3 38)0
MINNESOTA STATE BOARD 0 (CITY THIS INSPECTION REQUEST WILL NOT
1921
University BIG.. . - St Room 5- BE ACCEPTED THE STATE BOARD
1821 Ave., St. Paul, MN 173 N 5518a UNLESS PROPER R INSPECTION FEE IS
Phone (612) t8t216a2-OBW ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
J A ^ tio See instructions for completing this form on hack of yellow copy
•LJ ?,.(J {?„l? X" Below Work Covered by This Request
J^:Ce4?4 EB-0pDm-08
New Md Rep Typeoi Budding AppltancesWlred Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other lspacnyl 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 t0 Amps
Signs Inspectors Use Only: 7AL' sV
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if
Rough-in
%r? f Dete /(`
D
cert
y that the above inspection has
been made. Final
(J YJo' F -L-
OFFICE USE ONLY e
This request voio to months from
Request 6iui
p
0 Z- Fire No Ro Inspection
Re dt
1es ,': No
O Reedy Now PY; WA1 Nottly Inapeclor
When Ready'
Ie-151icensed contractor ? owner hereby request inspection of above electrical work at:
Job Aduress IStreat 'Z Route No I
413F Crly
Section No
1
Township Name or No
1
Range No
COUOtk
Occupa PRINT) Ph0ne No.
Power Su ///? Atldress
Electric Contractor (Company Name)
_? ConhactorE License No
G/?ao 38?
Mmhng A ress ICOntractor or Own r Making Installalionl
Aulhor¢ed Signature IConvaV Owner M In Inelahabnl Phan umber
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlgga-Midway Bldg. - Room 8.173 BE ACCEPTED BY THE STATE BOARD
1521 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED
K11237
REQUEST FOR ELECTRICAL INSPECTION
III See instructions for completing this form on back of yellow copy
"X" Below Work Covered by This Request
T¢???R2 E&00001-Oa
t72,
?4y
New Add, Rep - Type of Building Appliances Wired Equipment Wired
Home Range 17 Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) contractor's Remarks
Comprute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps b 0 to 100 Amps O
Transformers Above 200 Amps Amps
Signs Inspectors Use Only.
? TOTAL
?
Irrigation Booms • J
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH .
I, the Electrical Inspector, hereby Rough-in oats ,
1
certify that the above inspection has
been made Final •?
!? r
OFFICE USE ONLY -
This request mid 18 months tram
K9a 1
2 36
a O X78`3
?
CW-V
Re utist Date -
Z rte No 0 b-in nspeobon
qeg
G No
? Ready Now CrWill Nobly Inspector
When n Ready'
I lensed contractor 0 owner hereby request inspection of above electrical work at:
Job 4 Address 1 , et BoXOr Route No I /I
I/?1r'•^. City
Section No Township Name or No Range No Co
Occup 11PRINTI Phone No.
Power S Irer f. Address
Eleclnc Contractor (Compan(y Name,
UG2?- Contractor's License No
C,4 6C)3 P
Metrn Address (COmr80tor or Owner Making
n Installation)
I?
Authorized Signature ICont ctonCv`r akmg Install oN
. Phone Number
3- s/0
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
K 11236
REQUEST FOR ELECTRICAL INSPECTION
ill See instructions for completing this form on back of yellow copy
"X" Below Work Covered by This Request
ff F EB-00001-08
I
y /o7J83
Z
New SStld ke?, Type of Building Appliances Wired EgwpmentWued
Home Range 7 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 # CrcuitslFeetlers Fee
Swimming Pool 0 to 200 Amps r 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspector's Use Only QTAL
Irrigation Booms ? a '
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-.n Date
F,nai a o
; ( (O Zld'?
OFFICE USE ONLY ? ?' ?GL/yj?
This request void 48 months from
Request 0 to ' R
_ ^ .Z
`t Flre ou -ln Inspection
Re rtetl?
.a'Ges ? No
? Reedy Now III None Ins'
When Ready
I -licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Stbreet. or Route No I
D
41 City
SecLOn No Township Name or No Range No County _ //^ qL
Occupa IPRINTI Phone No.
Power Srpplier s 0 - Address
ElactncdI q)ractor )Company Na erg 1
(GnXps, Contractors License No
C Do 3dl
Mailin Adtlrees ICantraCipr or O ner Making Installation)
Aulho,ed Signature (Conlr o1(Own along Installto Phone Number
4?.3-3F
MINNESOTA STATE BOARD OF E(ECTRICITY U THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave. St Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 662-0500 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION x "` s Eaooool-os
i
C
r?
L See mstrucnons for completing this form on back of yellow copy
' t Q// 7;; r3
A / U
uB Below Work Covered by This Request
X .»
New Audi ep Typeol Bui)dmg 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 (specify) Contractors 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 00 _ Amps
Signs inspectors Use Only
Irrigation Booms G? •OU
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M THS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Final Data
OFFICE USE ONLY /?•
This request v kd 18 months tram ?? ?i`?
K 11 3 4 0 2 7"
Repuest Date `-
"F " '
_ O ? l Z Fe ug -ln InspeIXlpn
eq lretl'+
1§s 0 No
Pearly NowfTwactor
When Ready?
I,-4censed contractor ED owner hereby request inspection of above electrical work at:
Job Address (Street tBpx or Rcuts Na 1
4111,
1
/
. City
Section No Townnss
hhii
p
Name or No. Range No Co nn
Occupa (PRINT) Phone No
Power ?u?'\p\phar Address
EleCln< CRmractor ICompan ame) Conlr8mor5 License No
0400 36 /
Madm Address )contractor or Ow r Making Installation)
Aulhofoed Signature ICOmram ?O along Install l 1 Phone Number
????81v
MINNESOTA STATE BOARD OF iLECTRICITY Of THIS INSPECTION REQUEST WILL NOT
GriggssMldway Bldg - Room 5-173 V BE ACCEPTED BY THE STATE BOARD
1321 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(612)602-0800 ENCLOSED
!V-AO?-
K 11234
REQUEST FOR ELECTRICAL INSPECTION
? See inslruotrons for con-ce4ng this form on back of yellow copy.
X' Below Work Covered by This Request
EB-OW01-08
.,a Sep. Type of Building ApphancesWired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other ispeofyl contractors Remarks'
Compute Inspection Fee Below*
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o 0 to 100 Amps gd
Transformers Above 200 -,Amps A
_ Amps
Signs Inspectors Use Only TOTAL
Irrigation Booms ?? j oZ `?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER IS ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO (
I, the Electrical Inspector, hereby
if
th
t
h Rough-in c. ; o J??y
cert
y
a
t
e above inspection has
been made. Friel Dare
OFFICE USE ONLY
This request void to months from
11 3 3
Req.e i-D Q
Q _ U
- ` Z Fve N oug -in Inspection
,red
pr%s G No
? Ready New If 'Will Notify Inspector
When Ready)
I,;?Ilcensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street Z or Route No I Tt Qy
Section No Township Name or No Range No CoywN
/?Lp-?j?-
Occu nt tPRINT Phone No
Power Beppller ?n Address
Electnc Comraaor (Company Name)
7QC Contractor's License No
C40
Mailing Address (Contractor or Owner Making Installation)
Authorized Signature IContr onowne ;king Installation) Phone Number
46 3-3 Pic)
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grnggs-Midway Bldg - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55184 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6428808 ENCLOSED
1233
REQUEST FOR ELECTRICAL INSPECTION
li? See instructions for completing this form on back of yellow copy
'X" Below Work Covered by This Request
dr?e 6 E&OeMi-e
a?? o9?P93
ew Add Rep Type of Building Appliances Wired Equipment Wired
Home Range 17 Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Omer Ispecityl Contractors Remarks.
Compute Inspection Fee Below.:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps Q O tc 100 Amps 0
Transformers Above 200 _ Amps Amps
Signs InspeeorS Use Only b OTAL
Irrigation Booms /
W4 •? a'rd
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 S.
I, the Electrical Inspector, hereby Rough-in
e Date
a)
certify that the above Inspection has
been made. Final to
OFFICE USE ONLY
This request void 18 months from
/08399
Requ st Date
1:3 ` R No R g -ln Inspection
R,e?c'?ed9
au yes C No
?Ready N. dflAl Notify Inspector
When Ready?
?21ICensed contractor Downer hereby request inspection of above electrical work at:
Job Address (Street or Ro?? ? Q
Seclmn No Township Name or No Range No Co
Occup IIPRINT Phone Na
Power S?pyplp,\her Address
Elects I ContractoraCompany N ) Contractors License N.
C o L)
Madfng AOdre55 (Gom&actor Or Owner MakMg )nstaNaljor,
Authonled S r,I7 a IGOntldptOO ner M n Installehonl Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Origgs•Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 Unimmily Ave, St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
SITE ADDRESS Unit # Permit # /°52ff7
L ?s B Sect./Sub. "a-A +?
INSPECTION INSPECTOR DATE COMMENTS
aNTvs? RW 1'°l?19L q[/$-/k- Iy- /2 - Ya .
.'.?• 0°[3-98 ? ow ,P?'.
-sk/-
n I A '01 yr9 W 36 - 3 P- Vo - S 2
W4 146Z -
p
/ICJ is
?6?Z ?o?u
-3Y eln rofdL 6d 1(/ 2
NSU PIP L J[ f-
INSPECTION INSPECTOR DATE COMMENTS
1 ? S' yi/a - v1 111- 1114 -t/lejr
? , -9 « 41136 - y1dr y/yo- y/yam
ALSO RUMES: 4114, 4116, 4118,!4136, 4138, 4140 S 4142 DUTUIM COURT
Address: 4112 DURHAM COM Lot 15 Blk 2 Sec/Sub DIFFLEY OMMNS
These items were/were not complete at the time of the final inspection.
Date: 12/4/92 Yes No
TnqPPctnr-
Final grade (6" from siding) 1/
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas I?
Sod/seeded grass
Trail/curb damage
Porch i/
Basement finish 1/
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.
.?,ow..
White - City copy Yellow - Resident copy Pink - Contractor copy
44
ILo\
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodeVReoalr Requirements usA't3'hN
3 registered site surveys showing sq. ft. of lot, sq ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists CEr(otSoiv`ey. ReCd;?,,;.f "efY',-: N
(20% maximum lot coverage allowed) 15et of Energy Calculations for healed additions :7iee1?lps?lanR"°` »-t;: Y'' N_
2 Copies of plan showing bum & window sizes, poured found design, etc, 1 she survey for additions 8 decks Tree P eS Re'quaerl, x , ". Yr'' N
l set of Energy Calculations Addition- indicate ilorrsfte septic system On-'di Se tic'Sys[em,z _Y?---N
3 copies of Tree Preservation Plan if lot platted after V1193
Rim Joist Detail options selection sheet (buildings with 3 or less units)
N innegasco mechanical ventilation form
Date / _Z4D / trio Construction Cost /3, o?zD
Site Address ?lII2 (911% 41(41' y1 b/ L{f 3k y/?((J? C?(t( Z Unit/Ste #
4it(Q
?
7
n/?
CT-
Description of Work Ott A-+,O
Multi-Family Bldg 'LC V _ N Fireplace(s) _ 0 - t - 2
Property Owner Rupe 2 n/ K.- Telephone # (ui) SSy-
Contractor O)'LI(-LK lwdl%-t^?V
Address ZZ7 C qp?0 Rp
i A L
city
/Yl ti
State Zip S/ f y Z S(-
Telephone # ((PS -f) )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Category 1
• Residential Ventilation Category 1 Worksheet
submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building 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 State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is t to start without a
permit; that the work will be in accordance with the approved plan in thertse ork w ' requires a review and
approval of plans...
Applicant's Printed Name s 'enatu
r- A.
DO NOT WRITE BELOW THIS LINE
Sub Types
? 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 EM. Aft - 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 Stone Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Budding* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage
Valuation
Plan Review 100% or
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
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
Yes
25%
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
Sheetrock
_ Final/C.O.
_ Final/No C.O.
_ HVAC
Other
Pool _ Figs - Air/Gas Tests _ Final
Siding _ Stucco Lath _ Stone Lath -Brick
Windows
Retaining Wall
Building Inspector
1o9-2 ?
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
IT j(
New Construction Recuirements
3 registered site surveys showing sq. ft. of lot, sq ft. of house; and all roofed areas Remodel/Repair Reoovements
2 copies of plan Office We Otdy
Ced ot5unrey:lloot
_..Y.'".;.: N
:.:
(M maximum lot coverage allowed) 1 set of Energy Calculations for heated additions £reePres,P16 Recd= Y N,
2 copies of plan showing beam & window sizes, poured found design, etc
i 1 site survey for additions & decks Trge Pros Reyuire;J_ _,.. '
cSyst
m ?
6
S
p .,.., YN
N
l set of Energy Calculat
ons Addition - indicate if on-site septic system e
.:
6
5ite?
9
ii
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date r/ (] / J?
Construction Cost
Site Address CT Unit/Ste #
Description of Wark
G
sJ r? ,? ??? ?e
Multi-Family Bldg
_ Y ! T? Fireplace(s) _ 0 _ 1 _ 2
?h
Property Owner // 1 e1,4Ni--- k, v j / ZO4J Telephone
Contractor 5 S e .v cl Ora iwd
Address l(y 3 S ?lJ ?lrt?.?3ly ?? city (p )ZP
State r
Zip Telephone # (e,57) f-3 J'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 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
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building 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 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 planes.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 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_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# 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 _ Brick
_ Fireplace _ R.I. - Air Test -Final _ Windows
- Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
( qol&
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
S 76), =
New Construction Requirements Remodel/Repair 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 Can of Survey Recd _Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y -N
1 set of Energy Calculations Addition - indicate ]/on-site septic system On-sne Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date Construction Cost 47 ZW
Site Address ?(p bghoe x" Unit/Ste #
e
Description of Work
Multi-Family Bldg _ Y .--N Fireplace(s) _ 0 _ 1 _ 2
Own
r
rt
P S S hone f--F7
J Tele
rope
y
e p (
p p
?
Contractor P' d ylalwc
Address City GJ Zoe
State 4ml Zip rJ Telephone # 6y2) 57-44_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Cade Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building 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 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. /11 Fn FP ( nF ?nFfl IT r-
L1
Applicant's Printed Name
Applicant's Signature
1s _
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 05-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 Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footings (new bldg)
- Footings (deck)
- Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice& Water _ Final
- Framing
Fireplace _ A.I. -Air Test -Final
Insulation
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
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco - Stone - Brick
Windows
Retaining Wall
Building Inspector
'.ities Digital
? 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.
& e-, .
61-
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
srow
AMOUNT S S J ??
y DOLLARS
m
CASH 'gJ CHECK
C021559
W.r P.,« C.vr
Y.ow--P08" C." qxv
Pink-fM CAVY
Thank YouY Z /6- --7 ?
PERMIT
GITY'OYF EAGAN
3830 Pilot Knob Road
?C Eagan, Minnesota 55123
(612) 681-4675
Control No. 0962
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
001287
06/19/92
SITE ADDRESS:
4112 DURHAM CT
LOT: 15 BLOCK: 2
DIFFLEY COMMONS
DESCRIPTION:
r. .
,tuildi,jn,g Permit Type 8-ALEX
Building`iprk Type NEW
UBC Occupan?oy R-1 M-1
F Construction 4ype V--1 HR
Zoning PD R-4
Building Length 4 112
Building Width 69
':._I }{ J
REMARKS: (? (-) 2 Lam' /-E I
INCLUDES 4114, 4116, 4118, 4136, 4138, 4140, & 4142 DURHAM CT
S & W CONTRACTOR - VALLEY PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$1,364.00
$886.60
$153.50
$5,600.00
100
8
$8,004.10
$307,000
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
$3.040.00
$19,674.60
CONTRACTOR:
THE ROTTLUND CO INC
5201 E RIVER RD
FRIDLEY MN
(612) 571-0304
- Applicant - ST. LI
15710304 000133
55421
OWNER:
THE ROTTLUND CO INC
5201 E RIVER RD
FRIDLEY MN 55421
(612)571-0304
301
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.
S a utes and City of Eagan Ordinances.
Ik ) 61'tq , C?4
ISSUED 13Y: IGNATURA
INSPECTION RECORD Control No. 0962
CITY OFEAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 001287
Eagan, Minnesota 55123 Date Issued: 08/19/92
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 15 BLOCK: 2
4112 DURHAM CT THE ROTTLUND CO INC
DIFFLEY COMMONS (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
8-PLEX NEW
INSPECTION TYPE
FOOTING ,DATE INSPTR. INSPECTION
FRAMING DATE INSPTR.
INSULATION FINAL
FIREPLACE
REMARKS: INCLUDES 4114, 4116, 4118, 4136, 4138, 4140, & 4142 DURHAM CT
S & W CONTRACTOR - VALLEY PLBG
F
.
PERMIT A
REACTIVATE
1zI'l
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
Z!4,1?14. 0
APPLICATION .,
AUG 1 3 RECD
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
talcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy talcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re guest is made or lot change is re guested once permit is issued.
Date 6 / 1z l 77 Valuation of work
`?36r1,oo6
/y
Site Address:_ :4 z_.- ¢/-¢Z ,a4 J12lya, L'U kJ---
STREET 4II y/ y1160jimej gj3eeu 41343?y1y0? SUITE M
Tenant Name: (commercial only)
LOT `j BLOCK _zL SUBD. P.I.D. M
Description of work:
The applicant is: Q Owner Contractor ? Other (Describe)
Name 6 Phone_ el7l--e3o L-t-110
' A2
Property _
.
LAST FIRST
Owner ,rte
Address _ ,580 i el/
??1/ trn
STREET a STE k
City State INZ11 Zip 55nL;;?
Company Phone ,57/- Ddb SG
Contractor Address ,12a/ 3b/ License # 6GY?1335 Exp. 3-31sL
City State 1W Zip 6-vY4zz
Company Phone
Architect/ '
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days nce are ha een appro ed.
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: -
U
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
Ri 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
)<08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
Const. (Actual) V- 1H P, Basement sq. ft.
(Allowable) R 1st Fl. sq. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
it of Stories
-
- Footprint Sq. ft.
Length 7
17-- On-site well
Depth C.41 On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
t
IA( ,q.00
gA6.bo
/ A Sb
? O6
0o
14801QOI?-
so, o0
.90
Z W00, 00
3040.00
Vet mtion:
s307, o 0 D
License -
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
!'?4lk ,A q%
A
-1 64aseaient Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System vim
City Water Yt
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code 7_0?T-
Assessments
SAC % I1)o
SAC Units -R
I v 1-N% hll -!?LLJ
PLP%V--1-j =? vl"4.
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
"rN,5 PoTSL)NO C-V
SITE ADDRESS ?-OT I5j $LOGk 2 0 D IFFt-Ey COMMONS
CONTRACTOR DATE PHONE
Determine working square footage of each .
I 1 L
t
0
f C
1. Total exposed wall area . sq.
. f
. X 4
2. Total
roof/ceiling area .
. sq..
ft. x 7?
D,aZL =
r? LQ". 4'1?
3• Total floor/zaxrb: area 2`F'?7 sq. ft. X
R 2?
Total exposed wall area above floor =
a. Total wall window area. . . . . . . . .
b. Total door area . . . . . . . . . . . I
c. Total sliding glass door area . . . 55
d. Total fireplace wall area . . . -
e. Total wall framing area (average 10%). . 5 y
f. Total net wall area above floor . . .
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. 51.-1 x „U„ p, 4 CP = 3? • g
b. 3 .1 1 x „u„
„
„ 0-?
r7
V'2
C. l x U = _
,
is x
x pull,
„u"
D
/ 3,71
e.
f. X38 4d- x „u, 4 = yR.GS
h . -- x "U" _
i. x "U" _
SUBTOTAL
6
TOTAL = / 7. /
If item N6 is the same as, or less than item Nl,'you have met the intent
of SBC 6006 (c) 2.
Total exposed roof/ceiling area _ 14
j . Total skylight area . . . . . . . . . . . . . . .
k. Total flat roof/ceiling framing area . . . . . .
1. Total net insulated flat roof/ceiling area . . . 4 7 a
m. Total vault roof/ceiling framing area . . . . . .
n. Total net insulated vault roof /ceiling area r
Determine "U" value for each roof/ceiling segment
-? x ..u" = _-_
k. x .,u.. r,, f 1 = Z. 4-
1. x "u" d. o ZL=
m . x --
n. x „u..
5. . . . . . . . . .Total= Z ?. ?6\
If total of #5 is the same as, or less than 9'2, you have met the intent of SBC
6oo6(c)l.
Total exposed floorfleant. area
G^A P- C-1-0 • Z4? ?j
0. Total floer?een% - framin reg (average .10%) . . `
ID. Total net insulated area
Determine "U" value for each floor/cant. segment
fl ull
= -7
77
6. Total ,
If total of #6 is the same as, or less than Y3, you have met the intent of SBC
6oo6(c)3.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum.
of items A, t15, and '6 shall not be greater than the sum of items #1, P2, and
#3.
1.
I q1- ?Z
2. 24,4`1 3. -7.04 = 22S.G15
5. 6. `7.77
o?
C
C'2-
Cs.F-1 WA
0,
J
o,-CFi-- --
Or 0L7
O
c
.,4
11211
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?44.?
0.45
D-0Z2
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-MAMt, Wrtu. @ I Nit l l-A?ioN
LoMPoNt,r??i
i
o??M AIF- FILM
?{?ATriIN?
==5%i ??1y° G1P, r
L71?IG'w- Fjw,
R - VALU E
o, 45 -
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- PL-m- view.
GOMPoNt?N lS
o_UT??oE AiRf?Ltl.
?q??h1?INls.
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C''
C
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L-.
C
F-VALLIE5
2 •OU _
-7•-Ire. ---
p
U ^ 1 p. Gc9.
F-ft-%L
-G?1?1 P?. ??U+= 0,12 X o.ot?9) -t-?p,S? X o•o ,3> = 4. D4
U-V I U ?, GF1,,1,0LA
C
2
3
C
C
-lblslbr, hlr2- FiL-M
.1011 ?'j I Njt.l i-.
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-?c??tP?.'u? =(o,loXo.?59)t??.q ?c,czq??o,c;2 I _
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DE•I•AILEO PEPORT FOR ENTIRE HOUSE
Frcpare d Pot-.,
it'rra:;arGci Uv e
-f hl- Ftc14 C 1 W'1d [. U:a pulrr'Y fiG17lUV
F lnra HLy. 8 A;G
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rrk:k>Xk ?3K.?k #+X';tr4#„aX+w?xaT1T a?xkxK'IFkxxa##*#dxxx#xxx?ci#t#*rAx*e
j1_81 C' NORTH fJls'-!his EI= SOU 711 s'=-10 Q ;JJi;:IS'1- H0MRZ TOTAL
_ _,,,,....,_..._.._..__..._, .. .._...,...___....__..__............_._._ .............__..... ---------_-------
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Air Charges/Ha;,tr Sw-:r')g MUIt. 1.00
i(ro:k -1'[J.131 ::GCIlII La' i._...:itJ !.:e,L. !; ?!L!H ;t.Jil•;: x'^ *
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In fiItration Load 402 Venti1a t.tc,n Lroa'7 OLC
nlt4 t Pleat Lnss C. S--I-:=ty Eft"'! 2,50^
EXTERIOR EYVELOPE AVERAGE "U"- COMPUTATION
SITE
CONTR
2. Total roof/ceiling area.. .I sq. ft. x
3. Total area ?1T7 sq, ft. x G
2
V1 t-4-14-
Determine working square footage of each.
1. Total exposed wall area . . T ' sq. ft. x 0, ( -
Total exposed wall area above floor = 1 j liC;
a. Total wall window area . . . . . . . . { rL , (P.7
b. Total door area . . . . . . . . . . .
c. Total sliding glass door area . .
d. Total fireplace wall area . . .
e. Total wall framing area (average 10%). . J +1sf.7(.
f. Total _
net wall area above floor . . . / ]2
g. Total rim joist area . . . . . . . . . [ • ?J
Total exposed foundation area =
h. Total foundation windcw area . . . . .
i. Total net foundation area above grade. -
Determine "U" value of each wall segment.
e. f 2., G -7 x "u" 0, ?rli = 4 2 • (0 2
b. 3 E. -7 [ x I,Ull p, 13a = ?- 34.
C. x II}}lI _
d. 1 x 1lull
e. /.T?. (.. x I,UII ?rG ?l _ /`7,
ff- /3Z17, cPL x "UI,
G
r;
,
O- x 'lull f
„
7 T
-
J
L. q G
h. x I.u.?lI
i. -? x H`V'll 1. -
SUBTOTAL -
4. TOTAL 7
If item 14 is the same as, or less than item ,Y1, 'you have met the intent
of sac 6oo6 (c) 2.
^?? _ rnuaL
Total exposed roof/ceiling a_-ea -712,
J. Total skylight area
k. Total flat roof/ceiling framing area . . . . . -71, Z_
1. Total net insulated flat roof/ceiling area . . . LLrJ ,
m. Total vault roof/ceiling framing area . . . . . .
n. Total net insulated va, t roof/ceiling area . . . -
Determine "U" value for each roof/ceiling segment
J. x „U' _
k.- -7-I?x "U'l ?. oZ-7
= l.4Z
1. x "U"
M. _ x U _
n. x ',U.,
. . . . . . . . . . . . . . . . . .Total= L .? 1
5
If total of c5 is the same as, or less than °2, yoiu have met the intent of S7C
6oo6(c)i.
Total ezoosed - area
0. Total - - fr--,•^p?a ea (wierage .10°n) 4
p. Total net insulated
area . . . . . . t 3 G, S
Determine "U" value for eac flcor/cant. segment
o. c.? x -U„ r fi t( = Q, j?
p. x "U" e,G
6
. . . . . . . . . . . . . . . . . . . . . . .Total=
If total of V'6 is the same as, cr less than f3, you have met the intent of S3C
6oo6(c)3.
P•I T-- == nU_LDING ENVELOPE DESIGN
To utilize the total e r-elcze s?stem method, t.^.e values established b the
of items r04, k5, and #6 shall be greater than the swa of items ffl, r-.2, and
#3•
4. I2 ?,-7 5. ?? ?? 6. -r,?3 = ?4 :'L
C
O
U
u.=p;1(? -:FILM
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u _? ?' ? G, 027
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Cities Digital Quality Control
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• DETAILED R(.PUF•fT FOR ENTi1-il_ t•UJU'
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._. PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 9 2 3
(612) 681-4675 Date Issued: 06 /17 /96
SITE ADDRESS:
4112 DURHAM CT
LOT: 15 BLOCK: 2
DIFFLEY COMMONS
P.I.N.: 10-20450-125-04
DESCRIPTION:
STORM DAMAGE
Building.Permit Type STORM DAMAGE
j•Building, lWgrk Type REPAIR
L
` Census C"cde`"'434 ALT. RESIDENTIAL
y
s
REMARKS:
INCLUDES: 4114, 4116, 4118 DURHAM CT
4136, 4138, 4140, 4142 DURHAM CT
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LIC.OWNER:
OU ALL SVC CONSTR INC 17889411 0003178 HOMEOWNERS ASSOCIATION
636 39TH AVE NE 4112 DURHAM CT
COLUMBIA HTS MN 55421 EAGAN MN
(612) 788-9411
I hereby acknowledge that-I have read thisrapplication-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
ISSUED SI NATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 ( r
New Gonstrudon Requirement=_ Remodel/Reoair Requirements ?../ u4r t4
? 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)
? t energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Ye _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: W
STREET ADDRESS: a I I2,y I I? )? I (Io?I 11$ rUl I3Io f I I I_ gT (?I?;'IIy2/U? m
LOT 15 BLOCK Z SUBD./P.I.D. #:
PROPERTY Name: Phone #:
OWNER M,,.
Street Address:
City: State: Zip:
CONTRACTOR Company: 01L
J?X-AVEPIUL WE
t?OltiYBtA MIS MN 5tS42t
Street Address: Alliftn :1
City: State: _
ARCHITECT/ Company:
ENGINEER
Name:
Street Address:
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
Phone #:
License #: ?) w
Phone
Zip:
Registration #:
State:
Zip:.
Penalty applies when address change and Ict
I hereby acknowledge that I have read this application and state that the ME=
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 ? 11 Apt./Lodging ?
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ?
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SAN Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
J
I
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
fl-
CITY USE ONLY
L BL qtiE #: 67- 3
SUED. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122 17 «q
(612)681.4675 J
Please complete for: ? all commercial/industrial buildings.
multi-family buildings when separate permits are IlQt required
for each dwelling unit.
DATE: CONTRACT PRICE:
Y'ht nom.?
WORK TYPE: NEW CO ST RUC TI.OcN INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ? $25.00 minimum fee gr 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS: '-//3 _? y/'-/0 ,Dvr{ occ
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
TELEPHONE #:
INSTALLER: %'e -Zlo-- k - ; x9C
ADDRESS: y9 /9- -3
CITY: S krr'?c g STATE: Mly ZIP:,
PHONE #: ???? slv
SIGNATURE: J/, a4"_
IG URE OF PERMITTEE CITY INSPECTOR
L BL
SUBD.
CITY USE ONLY
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
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
TOTAL
.50
SITE ADDRESS:
OWNER NAM
PHONE #:
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: ZIP:
PHONE #: ( )
SIGNATURE OF PERMITTEE
CITY OF EAGAN
B ?- MECHANICAL PERMIT
SUBD. (612) 681-4675
RESIDENTIAL
RECEIPT #
DATE 8 0?
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER: ADD-ON A/C ADD-ON FURNACE ?
SITE ADDRESS: ADD ONMEMODEL (EIIISTING
CONSTRUCTION ONLY) $ 15.00
INSTALLER: HVAQ 0.100 M BTU 24.00
PHONE #: ADDITIONAL 50 M BTU 6.00
ADDRESS: GAS OUTLETS - MINIMUPi I @ $3 EA.
CITY: ZIP: SURCHARGE: $ .50
SIGNATURE TOTAL: $
NO PERMIT REQUIRED FOR DUCTWORK ONLY!
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIALINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT. /a? , l?j?/P , 66 „$O
WORK DESCRIPTION:
J CONTRACT PRICE: D o v
1% OF CONTRACT FEE. FEES
02 /0, OQ
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE.
$
PROCESSED PIPING - $25.00
MINIMUM FEE - $25.00 $
, SCI
OWNER: TOTAL $
SITE ADDRESS:
TENANT:
SUITE #:
INSTALLER-
ADDRESS: Golden Valley, MN. 55427
CITY: ZIP: ...
PHONE #: CITY SIGNATURE:
SIGNATURE:
x/34-, y1.iP, yi,a t yi
V//J, Y//Y Yii(o, ?f/r If
L16 BL r CITY OF EAGAN CITY USE ONLY _
PLUMBING PERMIT
SUBD. t? (612) 681-4675 RECEIPT 07 Y?
DATE
rsnrwv??r? r
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
NEW CONST REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00 a?(^
BATH TUB 3.00 arc
J- LAVATORY 3.00 ?l
OWNER NAME: (
+ KITCHEN SINK 3.00 -;L
y^1
I
? LAUNDRY TRAY
HOT TUB
SPA 3.00
3
00
SITE ADDRESS: ,A, ?. / .
WATER HEATER 3.00
FLOOR DRAIN 3.00 <<
INSTALLER:
Cc> ?'r GAS PIPING OUT.
(MINIMUM - 1)
3.00
7 W?-
ROUGH OPENINGS 1.50
ADDRES ?. _ OTHER _
_ WATER SOFTENER 5.00
CI ZIP: PRIVATE DISP. 15.00
_ U.G. SPRINKLER
TURNAROUND
W 3.00
00
15
PHONE . .
STATE SURCHARGE .50
SIGNATURE OF PERMITTEE TOTAL: S 0-- s"
COMMERCIAL
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
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
* PIONEER
? engineeri
LAND PLANNERS
CIVIL
2422 Enterprise Drive
Mendota Heights. MN 55120
.612) 681-1914•Fox 681-9488
625 Highway 10 Northeast
Blaine. MN 55434
;612) 783-1880•Fax 783-1883
Certificate of Survey for: The R o t t I u n d Company, Inc.
8 UNIT VILLA DETAIL
Scale 1"=30'
32.042' b 24.083 _ 24.083 0 32.042
0
o
C1
0 0
n
N [V
67 o 10.38 10.36
- .67 `? o
°-
° 6 a
'.
66.67 w
6.67 y
7 -
6
75'
6
75' 8 7.00
x
N1 r . . o M
r
A
To
OP OSED
C O N D O M I N I U M •.
m M
• r
M
M t
e N A B B A 1.00
r7 o 5 r
00' 6.75' 6.75'
7.00'
ro
N
.
°
6.67' o :16 67-
' 6.67 0 0
6 0
' 8.67 'n
v 0
1 o c
' <
18.67
°
° 16
10.38! 10.38
wi
p 0
0
0
?
' r n'1
N 32.D42 24.083' 24.083' 32.042'
S 89'59'39' W
56.35'
?'• Al
\A
z 6x.7 4Y
ofQ T
0
\ N y
0
O(JI pas9
f0 ,? o \
y ^P?? lr1
? •9
6
u "
\
L ®INEERING DEF
rOO
e
rJ
q
. e3.s
\??
i
8 rr
7r
\\ r
q
to
N 20.54'
89'59'39' E X (8x.5
(PC!
N 9 tD
A9 m
i
156.59'
N 89'40'04' E
• 900.0 Denotes Existing Elevation
oo.o Denotes Proposed Elevation
--Denotes Drainage & Utility Easement PROPOSED HOUSE ELEVA110N
Denotes Drainage Flow Direction Gora a Floor
-o- Denotes Monument Slab Elevation: 883.7
-$- Denotes Offset Hub Bearings shown are assumed
LOT 15, BLOCK 2 DIFFLEY COMMONS
DAKOTA COUNTY, MINNESOTA
I hereby certify that this survey, plan or report was pre red by mes?r under my direct supervision and that I am duly Registered Land Surveyor
under the laws of the State of Minnesota. Dated this day of A.D.
q (-n I P' 1 inch =F n tmt ( of, B. S"'CH L.S. REG. 0.1.891
91123.25
06/17/2014 15:07 Les Jones Roofing,Inc. �AX�528817009 P.016/020
Use BLUE or BLACK Ink
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. ' j Pertnit#: ���� j
C�ty of�a�a� � Permlt Fee: ,� �
3830 Ptlot Knob Road I �
Eagan MN 55122 � Dale Racelved: �
Phone:(651)875-5675 I 1
FBx:(661)676-6694 . � S�� �
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2014 RESIDENTIAL BUILDING P�RIWIT APPLICA710N
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Date: �7 � Slte Address:U/3b��/�S-!�/Yo-�1i�y� ���n�l (.�,a� _Unit#:
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,5y�;;,�'�::.�`�'�*�.:,`;�', �'','�"r�- Applicant Is: Owner X Contractor
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; �",� ?��" ' `:�" Construction Cost: � y?7. Multi-Family Building:(Yes x /No�
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;��- � �� Llcense#: lor��o D Lead Cerflficate#: .lJ,4T' `f p 3 7.�-/
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If the proJect Is exempt from lead certificatlon,please explaln why:(sea Page 3 for addltiona)informatian)
COMpLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 monthe,hae the Clty ot Eagen leeued a pennit for a slmllar plan based on a maste�plan?
Yes _No If yes,date and address of master plan:
Llcensed Plumber: Phone;
Mechenlcal Contractor: Phone:
Sewer 8 Water Contractor; Phone:
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CALL.S�FOR�YOU DIG, Gell Oopher State One Call at(681)464•000�tor protectlon�galnst underground uUllty damage. Call a8 hou�s
before you Inlend lo dlg to recelve locafee of underground ulllltles. www.aoohare�ateonecell.ora
I hereby adcnowledge that thle IMonnellon le complels and eccurete;that the work wlll be In confortnance wllh the ordlnances end codea of the City of
Eegen;that 1 underetand lhls(e not a nermll,but only en eppllcatlon !o►a permlt, and work Is nat to atart wlthout a permlt;ihal the work w111 be in
eccordance with 1he approved plen In the ceee of work whlch roqulros a revlew and approval of plana_
Exterlor Work autho�lzed by e bulldtn8 pemtlt leeu9d In flcCOrdance wllh!ho Mlnnasots Steta Bullding Codo must be complaled wlthln 180
days of permlt 188uanca.
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AppltcanE's Printed Name Appllcant's Slgnature
Pape 1 of 3
02/19/2014 12:36 Les Jones Roofing,Inc. (FAK�528817009 P.0161020
Use BL.UE or BLACK Ir�k
� For Offlce U9Q^� �
I
. ' j Permlt#: ���� I
C�ty of �a�aIl , I Pertnil Fee: �l � �
3830 Pllot Knob Road
R�C�# J�D � �' �
Eagan MN 65122 j Dale Recelved: �
Phone:(6g1)676-G676 ��B � � �o�� I i
Fax:(651)675-5684 . � S�K� �
. I 1
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2014 RESId�NT1AL gUILDING PERMyAPPLICATION
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Date: � � Site Addreas: y/ /'1D �/ J Gat�- Unit!!:
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�� ��r�n��?.���>,;�i^„`' Neme: yQ P20p�T`� GA�'Er 6NG. Phone. /va"'7� S.S�/ p��l�f
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`v�t ?���Q�%���j' ::'� `�� AddreSS/Clly/Zip: �O• 80� 212 5 /NVE)Z.C��ovd � �� 9�0
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°'' '���`�`�'�� '�,(�p '��° Appflcant 18: Owner x Contrector
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�6 ,� `,�;�;'� � �=,:- Description of work: � �/ �
����ip:���'f'VI�o:C�, ''
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��'���N�;,"` " � r"`��'' 'a ConetructlonCosr � 7�` � y Multi-Famii Bulldin Yes x !No
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;,.; �j c�' r� ��r y� Compeny: �E5 �ToNb3 RGOf��1/G- /•vG Contec�Csri¢�s ,�-,vDp2so�/
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4j '� �a ��`��,:T';�� �' Address: K/ W. �D� ��'� Clty: �a�tu.�.✓
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�.,�•� �� ��v' '`�;;; • � State:�2ip: ,�,Sr��O Phone: �5.�- 7(v ab'/9
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���Y"'';.� �,,;,�,.,�;�',,*. Ucense#: lp.��o� Lead Certlflcafe#: .U�T `fo 3' ?.�-/
)f the proJect Is exempt from lead ceKlfication, please explain why: (see Page 3 fo�additio�al i�formation)
COMPI,ETE THIS AREA ONLY IF CONSTRUCTING A NEW BUIL�INC
In the la9t 12 months,hea the Clty of Eagan Issued a permlt for a almllar plan based on a master plan?
� Yes _No If yes,date and eddress of inester plan:
Llcensed Plumber: Phone:
Mechanlcal Contrector: Phone:
Sewer&Water Contractor: Phone:
;��, aX� t� .,l � �o; �.�'h1- ►�{t;�+fh -"G;�. %�iL,S :+'� ��rr '" �} bs`� ibYf'"�r �I'" r� o}�y�t "s"fzt
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r � .�I i..,��"'�?;�„ a .i �d� �„A,,��`%¢� �'�. .I�fC; .s, � .a. � r„ '�'"h� ��qtii°�'�a 'Y,.�_'„' 4;�, "1�
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CALL 6� OR�YOU DIG. Cell C3ophar 9tata One Call at(651)4a4-0002 for prolectlon egetnat undarground uUllly damape. Cell 48 houre
beforo you Intend to dlg to rocelve iocates M unde�ground uUlllles. www.amohereteteoneceu.oro
I heroby ecknowledge that thls InPormallon le complete and eccurate;that lhe u+rork w111 be In conlormance wllh the orcllnences and codes of the Clty of
Eapan; lhat I unde�stand thls la not a permlt,but only an appllcadon tor e pe►mtt, and work le not to etart wllhout a permlt; thal the work wlll be In
eccordance wlth the approved plen In the caee M work whlch requlree a revtew end approval ot plane.
Exterlor work authorized by a bullding permlt Issued In accordance wlth the Mlnne6ota State Bultding Code must be completed wtthln 180
days of permlt Issuance.
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Appllcant's Prtnted Name Appllcant's Stgnature
' Page 1 of 8
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152607
Date Issued:10/23/2018
Permit Category:ePermit
Site Address: 4112 Durham Ct 125
Lot:125 Block: 04 Addition: Diffley Commons
PID:10-20450-04-125
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.
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 -
April Turitto
4112 Durham Ct
Eagan MN 55122
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature