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4120 Durham CtCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD Control No. 0851 PERMIT TYPE: "to 1 U01 H Permit Number: 001101, Date issued: 0 7/ 2 3/ 9 2 SITE ADDRESS: l O T : 16 i 41 <,41 011RHAM C1 01 1 1. 1 1' V I UMN(1N" PERMIT;,§YPTYPE: APPLICANT: INN ROT11LUNf1 co INC (612) 611-0304 TYPE OF WORK: Ilew INSPECTION TYPE .DATE INSPTA INSPECTION TYPE DATE INSPTR. [ lilt 1 I NI, . FitAM] M?? IM`.>Ul AY IOV4 F THAI I i li f t i i:+ i O L100 0, 1f?'114-711 Cp9Q)75 114 MlAkk.'?; tNA:l I10FS 41:'.' 4J '4 4 1."t, 4 1."H 4 1:CIA 44 134 DO G'f saw VAI l l Y 1111 Fi Permit No. Permit Molder Deb Telephone M S/W PLUMBING Q? ?G? ?fo2 HVAC ELECTRIC ELECTRIC Inspection Deb Insp. Comments Footings I Foundation Framing Roofing r Rough RV. Rough Mtg. /Jr Isul. Fireplace pp DK? F 77 Final Hit. O w Test Final Plbg. Pibg. Inspector - Notify Plumber Const Meter EngrJPlan Bldg. Final 4 2- !/ Deck Ftg. Deck Final well Pr. Disp. %tMf icate of cccuoanc4 aft of Wagan of ei" 3*0ection This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use cassirkation: 8-PLEX sag. Permit No. 1102 Occu -Y Type Zoning District Type cone. Owner of Budding T& Rorn m co nc Address 5201 E RIM RD, MUM M 4120 DLMW OM DHTM I oulitY L s s amm 10/07/92 INUUM: 412 , + 4126, 4128, 4130, 4132, 14134 WWM r,?UECf POST IN A CONSPICUOUS PLACE J 64073 REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request °!"ZI Ee-ooool.o e , 7oz 1 a, /D e Add Rep Typect Building Appliances Wired Equipment Wired Home f Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other Ispealy) Coniractor§ Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200Amps Abo 100_Amps Signs Inspectors Use only TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. I, the Electrical Inspector, hereby in Fough - a w 6h 5r 1, 6 i- certify that the above inspection has been made Final Date OFFICE USE ONLY This hippest void 18 months from K 11167 Request Date - C 2 l ne No Ro h- Inspection Req dv s ? No ? Ready Now Will Notify Inspector When Ready'+ I; "censed contractor 0 owner hereby request inspection of above electrical work at: Job Address (Street Box or 13-) uN City Section No Township Name or No Range No Cougtq? Occupa PRINT) Phone No Power SU%P, Address E(emncal mractor ACoi me) Contractor's pLi ense No C po391 Mailing Address (Contractor or Own Making Installation) Authorized Signature lCOnvacton ner g Installaton) Phone Number ay, MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 54T BE ACCEPTED BY THE STATE BOARD 1621 University Ave. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSED Q REQUEST FOR ELECTRICAL INSPECTION °4 `-- E9-00001 c ? See instructions for campl^m9 this form on back of yellow copy -1 1.6 7 "V Below Work Covered by This Request 44_x.. New Add Rep Type of Building Appliances Wired EqufpmentWned 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 # Circuds/Feaders Fee Swimming Pool 0 to 200 Amps /.S-- 0 to 100 Amps O 1'ransformers Above 200 Amps Ab ve-100 _ Amps Signs Inspectors Use Only TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE ED DISCONNECTED IF NOT Other Fee COMPLETED WIT MON I, the Electrical Inspector, hereby Rough*in o ?? q certify that the above inspection has been made. Final 23 e f OFFICE USE ONLY This request win 18 months from REQUEST FOR ELECTRICAL INSPECTION 11168 See nsvochons tor. umpleLng.1h,s loan on back yellow COPY •,?• X" Below Work Covered by This Request New Add Rep. Type of Building ApphancesWired EgmpmentW,red Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other(spec,fy) Contraclor§ Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Orcuas/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 44 Transformers Above 200 _ Amps Ab 100 Amps $IgOS Inspectors Use Only TOTAL - _rv Irrigation Booms 6x - (/%L/O Special Inspection x Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN H f I, the Electrical Inspector, hereby Rough-,n 6/ct:? M4 Oate /' certify that the above inspection has been made. F,nal i is 6. OFFICE USE ONLY Tms reguest vo,tl 1a montha from K1116$ S.;i- Request Date Fire ough+n Inspection egmredo ? Ready Now eWill Notify Inspector Q p D ^ 7 ' r Z 'es ? No When Ready? Incensed contractor -7) owner hereby request inspection of above electrical work at: Job Address IStreet Box , `gk ute No City `v 413 Section No Township Name or No Range No Co Occup t(PRINT, Phone No. Power Su Irer Atlclass fJ?? CA QJd[ LCC? Electnc `41Lt (Company ame) Contractor§ License No CA (90,31F( Mail; ddres5 (Contractor or ]Ter Making Installation, Authonzetl Signature ICOnvac r wne ng Ins[allaLO Phone Number 41413-- 3gnlD MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Griggs-MlCwey Bldg, - Room SA73 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 842.0800 ENCLOSED g?o2 g? REQUEST FOR ELECTRICAL INSPECTION e"°,t" EB-ooom-0eq ? Seemshuctmns for completing this form on back of yellow copy aT'. ?rq 1 /o-2a r9 Gd? X" Below, Wrnyc Bovered by This Request 0 ,J 64G75 N%", 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) Contractorls Remarks Compute Inspection Fee Below: # Other Fee at Service Entrance Size Fee # Cutuits/Feeders Fee Swimming Pool ( 0 to 200 Amps $ 0 to 100 Amps Q Transformers Above 200 Amps 100 _ Amps Signs Inspector's Use Only TOTA Irrigation Booms L Special Inspection (P a ?. Alarm/Communication THIS INSTALLATION MAY BE ORDER D DISCONNECTED IF NOT Other Fee COMPLETED WITH( NT f I, the Electrical Inspector, hereby Rough-in Oate certify that the above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months from J?64675 Request Dale 7 -`;z ? 1 7- Fre 1,16' 'Ro m Inspection Re u etl? ea ENO ? Ready Now ?hll Nobly Inspector When Ready' 1/7 licensed contractor El owner hereby request inspection of above electrical work at: (N A Job Atltlress (Street. Box or outs No I I A Ity Section No Township Name or No Range No Cou Occupa (PRINTI Phone No Power Su?a Atltlress Electrical fa/a Contractors License No c ill 3,? 1 Mailing Atltl ess ICOniragor or Owner Making Installation) Authorize Signature ICornracton ner Ma mg stallationl - , Phone Number 3-3 MINNESOTA STATE BOARD OF ELEC (CITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room S-173 BE ACCEPTED BYTHE STATE BOARD 1821 University Ave., St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 6424800 ENCLOSED S1a/yr'c;k_ REQUEST FOR ELECTRICAL INSPECTION 6 " E&eW01-08 ?y ? See instructions for completmg'Mis form on back of yerow copy erg 9 11151 X" Below Work Covered by This Request 1, ' New Add Rep -, Type or Bulldmg Appliances Wired EquipmentWlred Home Range 7 Temporary Service Duplex Water Heater Electric Heating Apt, Building Dryer Other (Specify) Comm /Industrial Furnace Farm Air Conditioner Other Ispecifyl Contractor's Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool O to 200 Amps 0 to 100 Amps Transformers Above 200-Amps 00Amps Signs Inspectors Use Only TOTAL Irrigation Booms Yt O Special Inspection _ Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough--in Fmsl Vcg" , r Date Date ` OFFICE USE ONLY _ J This request void 18 months from K 11151 Request Date ;z 7-R Z, Fse No Ro -in nspectlon R retlo Yes C No r7 Ready Now..6'WIII Nmlty Inspector When Reatlyo I /icensed contractor ] owner hereby request inspection of above electrical work at: IF Job Address (Street Box or Rote No) A% L,4 U ? 4) U? Qty Section No I Township Name or No Range No coon Occupa (PRINT) Phone No Power Su r _ ? 4n' ?J Atltlress Eledr¢aI tray r ICgmpany Nam) Contractors License No 34I Mailing Atltlress (Contractor or Owner Making Installation) Autr iietl Signature IConlractorrO ner k Ins[allatwm Phone Number 0 3- 3?/v MINNESOTA STATE BOARD OF ELE16TRICITY v 0 THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 662-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION EEB-0n0001 Ae ? $ee instructions for completing this term on beck of yellow copy i?Ei ?[/ / p? 83 (G 11165 6 "X" Below Work Covered by This Request ew 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 Ispealy) 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 Inspectors Use Only TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHJN,18MOhITHP. 1, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Finai Date .r/jg oat OFFICE USE ONLY s This request void 18 months from /o7aks $66 00 Request Date q ?f Fire No ,R n Inspection Re u- ? s ? No ? Ready Now?C?T. I Notify Inspector When Ready? Ixllcensed contractor 0 owner hereby request inspection of above electrical work at. Job Adddas ((Sttre8,et, BISA to N City Section No Township Name or No Renge No CoWty 51 lX N N/gb`?/???¢a_- Occupa )PRINT) N o Phone Power 5 leer Ca_ Adtlrass Electrical yr toF lCompan met Contractor's License No ? 0 3a? Mailing dress (Contractor or Owner Making Installation) Authorized Signature IContract on caner ing flatiol il Phone Number 63? }g?v MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 Uniyersdy Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ° EB-ooomoe y" 9 ? See inslruWOns IortompfdAnglhis form on back of yellow copy. 7 ,,2 C7 ? 11166 X' Below Work Covered by This Request 3`44' New] Add Rep. Typeofeudding AppliancesWlred Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other Ispecifyl Contractors Remarks Compute Inspection Fee Below. is Other Fee # Service Entrance Size Fee # Circubs/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 A Transformers Above 200 Amps ve id'o mps Signs Inspectors Use Only L Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATIO BE Elf DIS NNECTED IF NOT Other Fee COMPLETED WIT ,MO I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final y De OFFICE USE ONLY This request void 18 months from } /o7?ns K 6?/(D / ( UT -0 ?CP? Co ReRues[ Date Q' 9--7-q 2s rta No a h- Inspection R wredl r. No ? Ready Now Jill Notdy Inspector when Ready? I ?200censecl contractor D owner hereby request inspection of above electrical work at: Job Adores ISlreet or Route I O City Section No Township Name or No Range No CnyrXy Occu IIPRINTI Phone No, Power S leeer, ®? ?j ?? Adtlress Electr¢al/Qon ompa ame)ame) Contractor's Lu;ense No Marlin dress IConVaclOr or Ow er Mang Irmallabor) Authorrzeo Sgnature (Contra Own r nin installs .V A ) Phone Number el? 416, 3 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Roam S-170 Y BE ACCEPTED BY THE STATE BOARD 1821 University Ave, St. Paul MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (812) 802-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ry Ee oooot-o 1ia/94- 8r, Iii, See insWCtions for completing this form on back of yellow copy s "X" Below Work Covered by This Request J64074 ew Adtl 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) r Contracior5 Remarks Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Orcuils/Feeders Fee Swimming Pool ) 0 W200 Amps J,S O 0 to 100 Amps O Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only. TOTAL Irrigation Scorns }` aID I Special Inspection ? [L " Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. 1. the Electrical Inspector, hereby Rough-,n e certify that the above inspection has been made. Final oat _G/ / OFFICE USE ONLY This request vpd is months from ?' "AL o/ia/ 7?- J 64074 i , ? 11611i?16, rs °r1l;` Request Date - 7? 4 Z Fire N R ,h n Inspection red? ?es ? No ? Ready Now pyVill Nally Inspector When Ready' I Olicensed contractor ? owner hereby requ st inspection of above electrical work at. Job Address (Street Box or R to No) Cry Section No Township Name or No Range No Couryy? _.yy Occupa (PRINT) Phone No. Powers her Address Electrical ruractor (Corn any Name) ve ` Contractor's Licensee No C i S/ Mailing Address (Contractor or Owner Making Installationt Authorized Signature iContractorrOw r Man Installation) Phone Number 103-3gro MINNESOTA STATE BOARD OF ELECTRfCITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)6d2-0800 ENCLOSED ?/?' Ya- 6 0 7 3 ?U7?G5rY Request Date fire No R -in nspeceoa IrF,I 'iii 7e ? No 0 Ready Now F]a/JIII Ni Inspector When Ready? I I21icensed contractor 0 owner hereby request inspection of bove electrical work at: Job Address (Street Box or Ro No I Z 0 city Section NO Township Name or No Range No. Coupty Occupant(FAINT) i Phone No Power SUpph L^ //^ td ? Ee? Address Electrical M7 y Name) (D" ConbaClota License No c am 3g I Mailing Address (Convador or Owner aking Installation) Authorized Signature (COnlrador%O er M nsiallaeom ._ no Number 4b3'3g/o MINNESOTA STATE BOARD Of ELECTrICITY r r/ THIS INSPECTION REQUEST WILL NOT GriggsMitlway Bldg. -Room S-1T3 / BE ACCEPTED BYTHE STATE BOARD 1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (812) S12-0800 ENCLOSED SITE ADDRESS y4351 ? Unit # Permit # L /b 8 12- Sect./Sub. as n+? INSPECTION INSPECTOR DATE COMMENTS Ll-G -3rq ? ,• ?''' Lam' ?l 2G N 91 22-2 4#26 G+-?J l?"" yl3/ Yl1o - 3 Y ,a 4 ?s-aY-33-3e P • ` '. ? n -3,-?tl ?+/?S- 3o -3?- a-W 3 INSPECTION, INSPECTOR GATE COMMENTS u4- Pv -? - on'75 3 - v, - 2- !/ y a G vi ! - v- - 3 z /3b- 3 1 CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 ?2 8 e `ice PATE AMOUNT s j ] V C' ?L ?rt L-L'LQ.? 4T. ne) DOLLARS CASHV dXcHECK 41z-0-4154 leticr' I/ 5Z FUND OBJECT I I I AMOUNT G Thank You BY C021038 y m PW*-FM Clpy 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 oaaq :15 New Construction Requirements RemodetlRenair Requirements ft Use'bnly 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 Cart of §brv?y.Re"d"?" = i;Y "t_- N (20% maximum lot coverage allowed I set of Energy Calculations for heated additons T wp;ii,RI,In.Recd;` 2 copies of plan showing beam & window sizes; poured found design, etc. I site survey for additions & decks i2e Pros R uR`ed' - :'" Y ..? N l set of Energy Calculations Addrifon - rdicate N on-site septic system On-site 8ep'hc'Sy'sbemi,.--Y'=N 3 copies of Time Preservagon Plan if lot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 a less units) Minnegaseo mechanical ventilation form Date / "t0 / 06 Construction Cost /3, 6ata Site Addres H I ZO 417Z L11- 2-q 4l Zts Lit LS y 13c y 13 2 k l 3 Unit/Ste # fl.c-114 - C7- Description of Work ` COP A---D / - e?L•= Multi-Family Bldg "L< V _ N Fireplace(s) _ 0 _ 1 _ 2 S C 6 T? Property Owner QUpe`2 t ti c.. ?/ Qq 1 ?- Telephone # (V:J f /0 Contractor L Address -Z'Z-7 C/?p ro City State Zip S S7-1 y Telephone # (1[61) ZS-( ' U 9't O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeory 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 Telephone #( Mechanical Contractor Telephone # ( J Sewer/Water Contractor Telephone #( T 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 NIN 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 the-qase_pPwork w ' requires a review and approval of plans. t nV-) ilyl (.? L IV-) Applicant's Printed Name 1 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 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. 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 ? 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 Description: Water Damage _ Yes 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) - Sheetrock Footings (deck) - Final/C.O. Footings (addition) - Finat/No C.O. Foundation _ HVAC _ Drain Tile Other _ Roof Ice & Water Final Pool _ Ftgs _ Air/G as Tests -Final Framing - Siding _ Stucco Lath _ Stone Lath -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 03a' 2005 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 / )5 / os ' Site Street Address JV) 3,;t j-,I h(?rh C; • Unit # ? - Property Owner L"?'? y )d ff gr Telephone # (1051) 3?6 036 Contractor H f ( otwofy-s Telephone # (1:1731) 36S_1_,?140 ;y Address Rej City r_0 C4 an State Zip The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). -Septic System Abandonment -Water Turnaround (add $125.00 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 State Surcharge $ .50 Total $ 15= 5 0 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 with the approved plan in the event a plan is required to be reviewed and approved. , l?r? s yr age Applicrinted Name Applicant's Signature ?( V11 JUL 2 2005 650.- \ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT BUILDING 001102 07/23/92 SITE ADDRESS: VALUATION DESCRIPTION: BulfTiing Permit Type 8-PLEX B•uilding,aWork Type NEW ' UBC Occupanr,,y R-1 M-1 Construction-Type -IV,N V- IHR Zoning I PD R-4 Building Length 112 Building Width 69 Square feet 11,700 IJ ?.4 t $1,364.00 $886.60 $153.50 $5,600.00 100 8 $8,004.10 REMARKS: --tt C O_'?;T_Q20?'q- eG,Q ,36? INCLUDES 4122 4124 4126 4128 4130 4132 4134 DURHAM CT S&W - VALLEY PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal CONTRACTOR: - THE ROTTLUND CO INC 5201 E RIVER RD FRIDLEY MN (612) 571-0304 4120 DURHAM CT LOT: 16 BLOCK: 2 DIFFLEY COMMONS PERMIT TYPE: Permit Number: Date Issued: $307,000 MISCELLANEOUS LOT CHANGE COPIES Total Fee $11,670.50 $50.00 1.00 $19,725.60 pplicant - ST. L 15710304 00013 55421 WNER: THE ROTTLUND CO INC 5201 E RIVER RD FRIDLEY MN (612)571-0304 55421 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. Sta tes and City of Eagan Ordinances. 1 APPLICANT/P ATURE 1G1 ??ISY SIGNATURE Control No. 0851 INSPECTION RECORD Control No. 0-851 CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 001102 Eagan, Minnesota 55123 Date Issued: 07/23/92 (612) 681-4675 SITE ADDRESS: LOT: 16 4120 DURHAM CT DIFFLEY COMMONS PERMIT SUBTYPE: B--PLEX BLOCK: 2 APPLICANT: THE ROTTLUND CD INC (612) 571-0304 TYPE OF WORK: NEW INSPECTION TYPE FOOTING .DATE INSPTR. INSPECTION FRAMING DATE INSPTR. INSULATION FINAL FIREPLACE REMARKS: INCLUDES 4122 4124 4126 4128 4130 4132 4134 DURHAM CT S&W - VALLEY. PL' ' A t7 ' A PERMIT # CITY OF EAGAN ?? SM REACT1VATF = 1992 BUILDING PERMIT APPLICATION 681,a-,4?i675 /6," SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of mo th -in which re guest is made or lot change is requested once permit is issued. Date l ?? l I r S d Valuation of work 3 d 0 0 + t Site ddress: 9?a0 ?f 112 412y 4•++0-g /26 41?? 4136 ?1J3 4 {j STREET SUITE N Tenant Name: (commercial only) LOT J_? BLOCK SUED. P.I.D. # O Description of work: cp w f The applicant is: Owne t?Contract+ur ? Other (Describe) Name Phone S7f - 03 ay Property LAST IIRST Owner Address e? n s 1 ?, Q e r 3o( STREET STE / City State Zip S5 ¢i Company Ce Phone a -7 1 0 ,3 04 Contractor Address 5?oi l;wsA f l?.r License #0oo1335 Exp.33-31? City ,m State 14 Zip - S514_21 Company ` Z. Phone ? 71 ^ 0 3 64 Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once are has been appr ved. I hereby acknowledge that I have read this application and state that?the informatioh is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: i Vic,. -&-`-4 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS Basement sq. ft. 1st F1, sq. ft. 2nd F1, sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Site ? Footing ? Wallboard ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee V.lustim: Surcharge Plan Review License MWCC SAC City SAC Water Conr. Water Meter Acct. Deposit S/W Permit S/W Surchargge Treatment P1. Road Unit Park Ded. Trails Ded. Co , _ ) o Other LOTClgq,n?t Sc. ,o Total: , ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units SITE - ,?a L-Dl J-Auw. I ?v? VN ? I EXTERIOR ENVELOPE AVERAGE "U'l- COMPUTATION CONTRACTOR DATE PHONE Determine working square footage of each. 1. Total exposed wall area . . s ft q. . x 2. Total roof/ceiling area ? I2 sq x U ft OZC, . , . _ 3. . Total floor/zerb- area IIT? . sq. ft. x Total exposed wall area above floor = I 1 l??f a. Total wall window area . . . . . . . . p b. Total door area . . . . . . . . . . c. Total sliding glass door area . . d. Total fireplace wall area e. Total wall framing area ( average 10%). C? J +4,f . 7 f. Total net wall area above floor . . . / mj ZaI g. Total rim foist area . . . . . . . . (, mj Total exposed foundz_ic n area = h. Total foundation window area . . . . . i. Total net foundation area above grade. . Determine "U" value of each wall segment. a. R2-,6 7 x,U„ 0,,!-tf - 42•(02 C. x „U, d. x U„ e. lCr?, 4 0 / h . _ x „U„ i . x ,,.,,l Su?cTOTAL - TOTAL 2 3.7 5 8t ? S.c I G .Z If item A is the same as, or less than item #1, 'you have met the intent of ssc 6oo6 (c) 2. i ? " 11 (g'Kl V l c. tom/`- t Total exposed roof/ceiling area -71 Z J. Total skylight area l r-?> U wt k. Total flat roof/ceiling frs_ming area . . . . . . -7 1, 2_ 1. Total net insulated flat rcof/ceiling area . . . Lr R M. Total vault'roof/ceiling framing area . . . . . . n. Total net insulated vault roof/ceiling area . Determine "U" value for each roof/ceiling segment i , x full e k. -7-/ - x Ul 0, 027 = 1 . QZ 1. qG ?), }? x ,U:i f 4.09 m. x l u = r.. x llul 5 . . . . . . . . . . . . . . . . . . Total= ( C'.0 L` total of #5 is the se-me as, cr less than „2, you have met the intent of :,r 6oo6(c)l. Total eYmosed ?o a-ea 0. Total 4-1- (average .10%) . . o. Total net insulated area . . . . . . 1 3 G, J? Determine "U" value for eac flocr/cant. segment 6 . . . . . . . . . . . . . . . . . . . .Total= 4 ,G+ J If total of 016 is the sa-ae as, or less than 93, you have met the intent of 53C 60o6(c)3. FS^I T i DU=LDIirG EVVELOPE DESIGN To utilize the total envelece _ysz method, the values established by the of items A,, n5, and #6 shall nct ce greater than the swza of items a!, r2, - ra 3• - 1. lgII G?, 2. L. -75 S? 3. C c C C C ?9jjs lALL}h- =-P ? ??•-?i? rLNI o / -- C,-?a l--_ -- e= - J - O-4.J o ^Z s --? --UAWI GA(GI, -ricN-:?7 (6rNT,). -rFf\ML hIPcU. IN?ILA?I?N LoMPO H f%rf?i 12 au•(?;im Alp F w ==5% lNSU?A?i?? /2' GYP t? 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Ip, .... .N PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 9 2 4 (612) 681-4675 Date Issued: 06/17/96 SITE ADDRESS: 4120 DURHAM CT LOT- 16 BLOCK: 2 DIFFLEY COMMONS P.I.N.: 10-20450-133-04 DESCRIPTION: STORM DAMAGE Permit Type STORM DAMAGE Ut,prk Type REPAIR ? de=,TX. 434 ALT. RESIDENTIAL A ??rcaF? .a ar - . =: Fie ??"9z aim ?k ur REMARKS: INCLUDES: 4122, 4124, 4126, 4128, 4130, 4132, 4134 DURHAM CT FEE SUMMARY- CONTRACTOR: - Applicant - ST. LIC.OWNER: OU ALL SVC CONSTR INC 17889411 0003178 HOMEOWNERS ASSOCIATION 636 39TH AVE NE 4120 DURHAM CT COLUMBIA HTS MN 55421 EAGAN MN (612) 788-9411 Z her=eby eck:iTewZ?th 1nfOY!R1a'C"t}CI :iS CO`('??"e C' r StaG4ttes .and C,a.???ti? ?aa APPLICANT/PERMITEE SIGNATURE 46 r 46d` This applioitltr#T 0 st*t'0 th bhp ?? with al a el e, ?: QTi1F??Y s.?, r a ' 1G'a bst. 4" S tA t $f_fl'f 'iii -v r inance$; ?-' I S' w ?.. 4 ?- ISSUE : SIGNATURE `l ?7 G a CITY OF EAGAN 3830 PILOT KNOB B RD RD - 55122 \ 199 BUILDING PERMIT APPLICATION (RESIDENTIAL) +?'? 681-4675 ?' New Construction Requirements Remodel/Reoair Requirements 3U'Irt? ? 3 registered site surveys ? 2 copies of plan n 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions t 3 copies of tree preservation plan if lot platted after 7/1/93 required: Yes1 No DATE: ??LI 1 G CONSTRUCTION COST: K), I if DESCRIPTION OF WORK: STREET ADDRESS: I LOT lo BLOCK 9J122,yf2q,0qi2(O?412$ Z SUBD./P.I.D. #: _ PROPERTY Name: OWNER Street City: WT Phone FRET State: Zip:- CONTRACTOR Company: OU AU mom, --695 t AVENUE NE COLUM91A HM MN 5"21 Street Address: Malan 61%ZM- City: State: _ ARCHITECT/ Company: ENGINEER Name: Phone #: Q License #: :3179 Zip: Phone #: Registration # Street Address* City: Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the infnf ZDorrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: U&t-q= OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received - Yes No No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool o 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 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 t\.. • hj •'" • ? . ..E'ngirieermg y MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units L? sL CITY OF EAGAN ? PLUMBING PERMIT SUBD. (612) 681-4675 Ptl (7 RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY RECEIPT DATE S ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST ADD ON REPAIR _ OWNER NAME: F?b A `"'1 cl SITE ADDRESS: q k ? 0 "3-4 INSTALLER: VAr?c.? ? k 6, CJ -Z ? c . ADDRESS: u{O Ce. t<l( L, CITY: To. c? A_ ZIP: ?5 3 Z ? PHONE OF PERMITTEE TOTAL av - dY - 2?V a? - STATE SURCHARGE .50 TOTAL: S 1 Gy, 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 a $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: 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 (SIGNATURE) S CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT qp ?.3 l / y o? yQ?O M?C?#,ANTG1!.I;sE'?RT DATE: s ?-- MST NI PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE ] TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. --------------------° ------------------------------ ------ WORK DESCRIPTION FEES NEW CONST ADD ON REPAIR OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS:- CITY: PHONE #: DWELLINGS & $15.00 24.00 6.00 3.00 50 GOMMERCrAL/INDUSTRIAL;' 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 --------------- CONTRACT PRICE: '?o20. d 00 OWNER NAME: V V O SITE ADDRESS: J£S iJF_LoC?J LOT: ///"" BLOCK SUBD. , LO INSTALLER: INC. ADDRESS : 9303 Plvm ivth AYe No Golden Valley, MN 55427 CITY: ZIP: PHONE #: s/ °Z //(P (e FOR CITY OF EAGAN ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: SIGNATURE OF PERMITTEE ZIP: --------- ---------- -- (75-5)-c-7---a-_/ ? °p /' S0/ FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ 9,1& dp STATE SURCHARGE $ J U TOTA 1 ' SG !:? (SIGNATURE V1120, ec v.fl7- ** ** * PIONEER * engineering.. Certificate of Survey for: The Rottlund Company, Inc. .8 UNIT VILLA DETAIL Scale 1"=30' I IL.LJ 32.042' 0 24.083 24.083 - 32.042 °o ° °0 a ri ^ rn ^ r•i N N _ • 18.67 10.38 10.38 0 ? 0 18.67 w o ? 8.67 7 0 m 6.67' 6.67 ° ad 6.67 7 00 i ^ b .00 6.75' 6.75' . o n a 1.0. n - 0' { n 16 A B B A Io.ao' S y ro.oo; ,- P R O P O S E D C 0 N D 0 M I N I U M - U d 'x , • is o' a no:oo A B B A 1. 0' ' M 00' 6.75' 6.75 7.00' n . ' 6.67 ° 6.67' 3 < 6.67 • 6.67 ° . o 7 o 10.3 ' u 18.67 ° p O O O O IM ^ N 32.042' 24.083' ^ 24.083' r'1 32.042' "I .. _..- N 89'6'9'40'x. 12 4.25 e 5.s ORI?EWAY 'O 8$I.? A B B A v ?o i ql? P R 0 P D S E D 217 ON D 0 U I NI UM I M p 'A fry ? o T lob A B B A Z w b` g2 I 1 ? - ,ye!•, bb153 a - /` ?t• S• t 1 DRIVEWAY- 1 37.50 c;BBO /28. 99 9; ?? / ?A 9E: 9 e(. 81#59' 40. 6, 1Jy •D Denotes Existing Elevation --? z-- •43@4) Denotes Proposed Elevation ?GAW ANGINEERI G D,ppTT Denotes Drainage & Utility Easement PROPOSED H4U5E ELEVA7{ON Denotes Drainage Flow Direction cowry. Fl E - --o- Denotes Monument Slab Elamtlon: 886.0 - - e- Denotes Offset Hub Hearings shown are assumed L LOT. 16., BLOCK - 2 DIFFLEY COMMONS axarA COUNTY, MINNESOTA 1 MnbY cony that ibis survey, On" a ret)Or t we?t pp???f'ed by Dr nda my direct apsrvitlm • thst I tro duty Ref 4mod tend 9urmor t ,t th the tam of the Sme of M11111 o. Oead 1%%zXev of A.D. to CZ-1 Scale: lit,* -601=1 a08[RT etItICN ... EG. N 1 e9l LANDS RVEYOr -CIVIL ENGINEERS 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681.1914 ® 91123.19 ñü ð÷ø þýýüûúïú û ùüüýýøû þ ääíææûóó íï ääí þý ÿþýüûú÷õ à þüûú ÷ ÷õ à öõàëúó ãþ þ íäíåþúû ß ÿòþ óú çó ó òþ ó ý ó éæ õõú æ æ ó ý úéæ æ úæ é ýóè òþ ýûõ æóûó é ùêäâêììéïì éíìï öù ÿþ ê éïð é ðï Þþä é õô óò úú ÷õ ø üþ Ûùþ ïäïçöÚ í þ ó ûóþ öïïíí öïï í ñáäîíï í ýûõç úú æ ó óúûõúúýÿ æ ÿþ ûæå é úúà óÿþ þûÿþ 06/17/2014 15:07 Les Jones Roofing,Inc. �AX�518817009 P.017/020 Use �LU�or BI.ACK Ink � ForOffICeU9e`� ` ^'^f—^� . . ' j Permit#: �✓� ` � 1 C�ty of�a�a� � Pertnit Fee: � . � � 3830 Pllot Knob Road � � Eagan MN 65122 j Da1e Recelved: � Phone:(651)675-6675 I 1 Fax:(6G1)675-6694 , � S��: � `��_J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �iza- y�� y�ay�c/iab— cf�28' nete: I? / srte AadreS$; y13D-��3� - 4��,��1 l'�v�2�,� Co�,� un�t�: .:,:, ..,.. ;:,,�..;.,:: ,..�;r`:';'r'fl'.t:'.,��'��/�.!��'�',ic��:�`� Name. �0 P�eopd2ry �R�Ei � �y "i,...�;•r .�,�,: �'�, •., NG. phone: /oSl� S� 7�yq �,a:;`;:"�;J,��:S'ISI.s,I1�/;;��'�`'�;; `�;��i,>`'::��.�W`f��l'';;,' '<��'- Address/Clty/Zip: 'P o. 6o x 2�2 5 /Nv�Cx,e.ov� �ZlQ,�►� lt� a�'�' 7� ;c. .,,..,;�;: T i�`;.i,-�.��;?i��-;?t:.H1,:'.': -;.`�''1`�'. ;'�, �?,f, ��' �,n` .�c,�,�`,;? AppUcant is: Ow�er x Contractor , . . ;.",'i� �;,�,.��,..,\r.,�c::c Y� 4 � i �; �7.�."' .t � `�,� s;t�; � ,; Descrlpdon�fwork: �C�Lt012r/�D ��P�,�t.� �/D!./V� ., ��;��'``W'��'.1�;:..; 8�/ :�.> : :.;,.. :,; ;, �:A;. ',J=:`�''�:,;;,�` :��;;;; --<> Conetructlon�oet: ��0. Multi-Family Bullding;(Yas x i No`) ;:;,;, ";;;:'::.. .,:.:;�::: ;,.:::;'. �,, �,,��.;;:;; . ,.,: `.�,,,.,:%r,. .?,�,:.�;;:;�,:;?;`�,.,,;;;:. / + ; � ;� , s Company:__�ES �7'oN6S RaO��//r /NC. Contact C�iea s ,�a�so�/ ., :� � � .... ,,-..;:�;:,,•:;t..�;.,,:;;ir.;,..:..i �`�iN,'�I'�,N),,,.r.li�,\�.�:�_.;;•��:1_,.�s,4��`. � `�"` "�'� Address: 9Y l (N, g4� 9Y�� Clty: �GOt�a� ;,;,,,Cx0,11t,��.r-�•;.� � -- ,,..;::,;�E; , �;�' �;,:;;:,: �;,r�;,` c��::�°��;;;:.`;�::;;;,;�� State:,�_Zlp: ,f,f�k�?D Phone: 95�- 76 7•e78/9 , ;� ,�y;f<:i,.��.,;_;::{; vril� ,^�^/�:� ..'�'tf!.1��.��•,1�' �'�.� �;��;�i,,::�� Ucense#: /��o� l.ead Certlflcate#: .U,4T `f 0 � ��—/ ;;�-^ - If the proJect Is exempt from lead certification,please explaln why: (see Page 3 for addltlonal informatlon) COMPI.ETE THIS AR�A ONLY I�CONSTRUCTING A NEW BUILDING In the laet 12 monthe, has the City of Eagan Issued a permlt for a elm)lar plan baeed on a maeter plan? �Yes __ IVo If yes,de6�end address of inester plan, Licensed Plumber: Phone: Mechanlcal Contractor: Phone: Sewer&Water Cohtractor: Phona: :;;,�N��T ��PI n� "�l;�u �..o' ii ;.b"�. .��i ;f �f;�:o��,; f°"r�;�:°h •s.. .:,• .r.�� p��c;r`°�...,��a l� :::. �:Ytl3 s=.��. T, ;. ,,��„ ;��_�,�,, ;�;,��;�,�•�:�� -,:�'�!,� ..;��F ��;��', .;►,;�`,k,ijiil�, ,,��,�:,,;F>�l,-,:-.;,��: ;�;;�'.,.Mn.or.r� ��t�, .��, � �.�F F '�he�nf.��ii�a�i�nr�►'��y!��q`a(a��l�;�d'�;3!►,�ny,R„u��ia��f;�/.ou�':F�,��tsl�.t��fru;�l;e��a�,¢h�;rt��t l�/��/,��,$�1/�-t��'�C(fj�`ti�b -�� : ��7:'C i� (�!� � �•�ti.�r� e,� 1 t< <1�� ' c �y.,y ��i Mi�i 11�`�,; y� � �e�y �` s4t( y, �yw� j a •: ''�� ,�..t. �a e i.. ��Y:�.. � ` '� ' : :�..v ... ';'' .0�.{1Q�F/4�!.�,i,4��N!� .';�.�:�T/'A�I�'��i.k��.r� �"( .� �41 i: �lM1.: �� .�� +r�'�t�,�,�Y� � I ..�.. � x1` a �, ,� �, .S. r, CALL BEFORE YOU DIG. Cell Oophor Steto Ono Call et(661)464-0002 for pro►ecllon ageinet untlergrountl uGlity dama8e. Call 48 houre before you Intend lo dip to recelve locatee of underground ut�lltlee, www.aoohereteteonecell.ora I hereby acknowledae lhat thie Informedon le complete and accurate;lhal Ihe work wlll be In vonformence wllh lhe ordlnences and codes of tAe Clty ot Eagen;thet I underetend thle le not a pemntl, but only an eppllcation for a permit, end work le no1 to atart without e pe�mlt; that Ihe work wNi be In accarcfencewllh the epproved plen in the cese ofworkwhich reputree a review and approval of plene. Exterlor work author►zed by a bullding parmtt Issued In accordance with the Mlnnesota State gulidlne Code must be completed withln 180 days of permlt Issuance. x G<F2rs f�M0�2s'd�/ 1�"�.s� G�s.�-��-�° x Appllcant's Printed Name Applicant's Sia�ature Page 1 Of 9 02/1912014 12:37 Les Jones Roofing,Inc. �A�9528817009 P.0171020 Use BLUE or BLACK IHk •----------------- � For omce Uso � • j Pamtit#: ' ��I City of Ea�aIl � '- � � Permlt Fee:,_,��— i ��..C��CQ 3830 Pllot Knob Road Eagan MN 6b122 j Date Recelved: j i'hone:(651)6yG-G67G FEB 1 � �Si�I� i s�a�: i Fax:(657)675�694 . � � `��.�____---___—J 2014 RESIDENTIAL BUILDING PERMI�PPL,ICATION ti�ao, y�aa, v�ay, y�a� Date: l� ` Site Address: Yia�� yi3o, yi��, H/ f /,�U.2HrPsrt Cod.C7'' Unit#: a�.;.' � , ,.�>,..; ,�;<,:..,`. r��;,�;;; ,;� �. .. �:D�� NI�`'•I'f�/�N'y:�•�l�;�w;: Name: �10 P�eoPr�2ry c�.��NG• Phone: �sr- ss+� �'9yy �` ;i y' ) � 'f� i�� e� �AV , �/�� ^� /� .J7.'l •��"y,��K�.,. �/!/S. /�'NV r7 �P .>yiv��l•h�� fp ` '�:� Address/Clty/Zip: �D• �OK 2l 2 ✓� /NVE12.�-0✓1 �_ � 9 :. M�.:.�. ��„�-��,�,.; ...:; •�,. �. ,'�'; '� " ',ti�Y^�' a'r , N,��;�"�''.,�:,:'�'��.,;.:�a��t ApplicanE is: Owner x ConU'actor yr,�; �� ;.w,.q`,`,'.'z Fi �✓ �o i� m'.�'�� 9.,; v�y:'r,.(;, •':� A'�/i�'' �.5 �� ,�. ��r. Description of work: ��M� � ��%�'� � { � � ��/yps��1tl��i'��;?• p��Y�r ��'��'`�,;.' �' � '�'� Constructlon Cost: �f ��D� � Multl-Famlly Bullding: (Yes x /No� ,:2'' � ':.. �'�*.�:it'1� '�r;�' I'N ��,�y �,t � ;.�r �+��,� r �`..�,�,.�,N,'��'�; Compeny: �ES �TaNE3 Rao,�ln/fr /NG Contact:Ca�e�r� �Dr�2so .. � ,a:: ... ° ,,fj..��,, ;�� !Yt� I'. �J � 1�` ••1 ' `:� ,;, <�r:..r, r,.;, •. : � � �D� '�'� Clty: ,BG�A?�G�.t�IrTT�i✓ � A- r�' �,� address:.9�! IN. � .�.>��,�i.X��I1a; tQn-,, v,rP:1. ...: " ��.� r :"� 4.. �,p�s.,�"�'��i°�;,iJy`� state:�Zlp: .�.f��fE2o Phone: 9�SA- 76 7-a8/� E.�, r.;� ., ..: �� . :�' ";ry' �'• y ;;�A� ;,.,F`e' ,^; ,��,;�,.,� 6��'; �f O 3 �� y;,`,. ��;1y�- �:�,.:�, Ucense#: ��o� Lead Certlflcate#: .U.47- -/ (f tha project is exempt from lead certlflcatlon, please explain why:(see Page 3 for addltlonal Information) , I COIVIpLETE 1'HIS AREA ONI,Y IF CONSTRUCTING A NEW BUILDING In the last 12 monthe�hae the Clty o(Eagan(ssued a permlt for a almllar plan baeed on a master plan? � _Yea No If yes,date and address of master plan: Llcensed Plumber: Phone: Mechanlcal Contractor: Phone: 8ewer&Water Contractor: Phone: i �+� `� ! - c y� .pr. �' :� w � �r 1. w qu, �y. 7f.�J��aFr��c;�:.� �.�d�..a, �A�.�'- � �y` ��.��'�34n��U''�N� Gi� ,r' �i�. ,i��0 .,.ep, i �/,Ot ,��P��l fy,�`i 'i Y•�� ^��f��i"'�'Ir.y�� {��RI�� ua 1 �.�a�4�ikl�vj��blrqd�� `Gc��r�o�1�Y�� f�� n5,,��y��y�t7/��(�e;��'t'y�p`�:�,� � .�P.��'-,�.,iia��1�. '•` ��'";� .,.i.�i i. �r O�ll]!4�?�ti .�t��. �� .�. i,. 1„.. S,r,'i. �7�e�'�....,M .:E,,,�!'�� d�'.�� s�� .:a t CALL BEFOR�YOU pIG. Call Gopher Stale Ono Call at(661)464•0002 for proleGlon agalnst undetground uQllty damege. Catl 48 houre before you Inlend lo dlg to recelve locates of underground utUltlee. www.aaohereteleonecall.oro I hereby acknowledge(het thls[nformatlen Is complete and aocurate;thet the wo�k wlll be In contortnance wllh the ordlnancee end codee of the Clty oF Eegen;thet I understand thls la nol a permlb bul oNy en eppltcetlon for a permlt,and work Is not to atan wlthout a permlt;that lhe work wtll be In accardance wtth the approved plan In Ihe caee of work whlch requlree a revlew and approval of plans. Exterlar wark fluthortzed by a butlding parmlt lssued In accordence wlth the Mlnneaofe Steta Bullding Coda must ba completed wlthln 180 days of parmlt 199uance. X Gµ�e�s �4�r0�2sa�l x � Appllcant's t'rinted Name � Appticant's Slgnature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA133168 Date Issued:09/25/2015 Permit Category:ePermit Site Address: 4120 Durham Ct Lot:133 Block: 04 Addition: Diffley Commons PID:10-20450-04-133 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Cassandra J Faulkner 4120 Durham Ct Eagan MN 55122--214 (651) 270-3190 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature