4129 Durham CtCASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE f 19
pECEIVEa [(? / !
AMOUNT
8 DOLLARS
100
? CASH )C7 CHECK
BY
C I ` r 4 VYhile-PeY?9 COPY
Yevow---pq Copy
Pink-FM Copy
Thank You
CITY OF EAGAN ?,,
r } ' '3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 L,201 6% 1
4? PHONE: 681-4675
BU'+LDING PERMIT{ Receipt #
To be used for S-PUX Est. Value $308,000 Date FED 28 1992
Site Address 4129 4131 4133 4135 4137 41 4141 4143
Lot Q- Blo -I- ec/Subp
Parcel No.
Name -- THE ROTTUMD CO INC
w Address 5201 E RIVER RD ST2 301
City FRIDLEY HN Zp 55421
Phmn 57t-0304
Name _
Address
-
# 0001
I hereby acknowlege that I; have read this
information is correct and iagree to comp
Minnesota Statutes and City of Eagan Ordir
Signature of Permitee'
A Building Permit is issued to: THE ! ROTTLUNiD CO 211C
on the express condition that all work shall'be done in aCcordano with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R_ I, r I FEES
1,258.00
Zoning PD R-4 Bldg. Permit
(Actual) Const V 1-HR cage 153.50
(Allowable) V 1-111 Plan Revlew 817 0*0
* of Stories _Z.
Length 1 L2- License
Depth 69 SAC, City 800400
S.F. Total 11 = MCWCC S, 600.00
SAC
S.F. Footprints 6:800 ,
On Site Sewage Water Conn S,94M-00
On Site Well
X Water Meter
MWCC system
City Water X Acct. Deposit
PRV Required X S/W Permit 30.00
Booster Pump S/W Surcharge • 50
Treatment pi 2 2 400.00
APPROVALS Road Unit 3,040.00
Zip
that the
State of
Planner -
Council
• Bldg. Off.
Variance
Park Ded.
Copies
TOTAL 19.499.00
Permit No. Permit Holder Date Telephone #r
s/W
PLUMBING
WAC / Z S --
ELECTRIC (0 ??
? 5 ? ? ?? loly
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing Er!' -?
Rough Plbg. Z
Rough Htg. ??'`! a? (/[ -?G l?
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Fig. 5
Deck Final
Well
o 0
Pr. Disp. 3? J J?" I O'er
3, Y, av
DSO
17
/38a 67"2,w
* •' • i
(Urtifiratt of (Orrupaury
eitp of (tagan
3r;rhnrttt of suft" Jarrow
• F
?his Cerdrwak issued pursuant to the requirements of Section 306 of the Uniform Adl&ng
Code certifying that at the time of hruance this structure was in compliance with the wrious
on*nawes of the City regukdng building construction or use. For the following:
Lin a..?r SF DWG/GAR ft. Penuk Nm 20161
R PDIR4 v I-HI?
OcpV-7 Type um wrruw MW' MA E ff, nMEY
Oww a ewa:e
a AaaR. i slily L9, B2, DIFkIL7( DVS
Date: 6/24/92
POST MIA CONSPICUOUS PLACE
EWER & WATER PERMIT OFFICE USE ONLY
ITY QF EAGAN METES # ? f` r PERMIT DATE 02/28/92
3839 Pilot Knob Rd. 15P3 Z 12584
Eagan, MN 55122-1897 CHIP # PERMIT #
I METER SIZE le SL°N 5 u s B.P. RECEIPT # tL?
ISSUE DATE -7 " gZ B.P. RECEIPT DATE 02/28/92
DATE 2-?h-A?
PRV , BOOSTER PUMP
SITE ADDRESS 412 k2:31 4133 4135 41.37 4139 4141 41,43 DURHAM C1
? LOT 9 BLOCK 2 SEC/SUB n if ] y C Batons
I
r APPLICANT: The Rottlund Co. Inc.
ADDRESS: 5201 E. River Road
CITY, STATE Fridley, Mn. ZIP 55421
f PHONE: 571-0304
PLUMBER: Valley Plumbing
ADDRESS: 610 Creek Lane
CITY, STATE Jordan, Mn. zip 55352
PHONE: 492-2121
r
OAER: The Rottlund Co- Inn-
-ADDRESS: 5201 E.River Road
CITY, STATE Fridley, Mn. ZIP 55421
I PHONE: 571--0304
PERMIT REQUESTED
% SEWER X WATER TAPS
COMM/IND _X_ RESIDENTIAL
X NEW - EXISTING
L n prinkler Meters are to be Installed
A ead f Domestic Meters on Water Line.
edit ILL NOT bakiven for Deduct Meters.
Y WITH CITY OF
SIGNATURE WHEWMETER ISSUED
ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
JER & WATER PERMIT OFFICE USE ONLY
Y OF Fk3AIV METER # PERMIT DATE 02/28192
Pilot Knob Rd.
CHIP # 12584
PERMIT #
an, MN 55122-1897
Z RECEIPT #
B
P
E
METER SI .
.
RECEIPT DATE 02/28/92
P
B
ISSUE DATE .
.
E 2-26-92
X PRV -BOOSTER PUMP
ADDRESS x_4-01 5X137 4139 4141 4143 M 4W Cr PERMIT REQUESTED
9 BLOCK ? SEC/SUB Di ley COMMA X SEWER X WATER _ TAPS
LICANT: The Rottlund Co. Inc.
5201 E
River Road
- COMM/IND RESIDENTIAL
.
RESS:
, STATE Friel y, Mn. ZIP 55421 X NEW - EXISTING
NE: 571-0304
L n § prinkler Meters are to be Installed
MBER: Valley Plumbing A ead f Domestic Meters on Water Line.
RESS: 610 Creek Lane dit ILL NOT givdn for Deduct Meters.
STATE -7ordarl, Mn. ZIP 55352
iNE: 492-2121
I A E T CO PLY WITH CITY OF
,ER: The Rottlund Cc, Inc EAG OR+ IN LACES
RESS: 5201 E.River Road
(, STATE Fridley, Mn. ZIP 55421
)NE: 571-0304 SIGNATURE WHEN METER ISSUED
:ASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
VER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN
'3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0201 61
PHONE: 681.46 75 C
BUILDING,PtRMFT L) 15 ??
Receipt #
To be used for 8-PLEX Est. Value $308,000 Date FEB 28 192
Site Address 4129 4131 4133 4135 4137 4139 4141 4143
DURHAM UT OFFICE USE ONLY
Lot 9- Block _2 Sec/Sub FEES
Parcel No. Occupancy R-1
-1 1
258
00
n
-
Zon
PD R RR=4
Zon
n ,
.
?9- PerrriR
g
i
i
g
Name THE ROTTLUND CO INC (Actual) Const V 1-HR Surcharge 153.50
uj Address 5201 E RIVER RD STE 301 (Allowable) V 1-HB_ Plan Review 817.00
# of Stories ?
O City FRIDLEY MN Zp 55421 Length 14-2-1 License
Phone 571-0304 Depth 4-9-1 SAC, City 800.00
Name SAME S.F Total 11,3(M
6 SAC, MCWCC 5.600.00
, $QQ
S F. Footprints
Address e
On Site Sewa Water Conn 5, 400.00
g
My Zip On Site Well Water Meter
Phone X
MWCC System
Acct. Deposit
o Water X
Cit
U License # 0001335 y
PRV Required X S/W Permit 30.00
1 hereby acknowlege that
la read t his application and state that the Booster Pump S/W Surcharge . 50
Information is correct and to comply wit all applicable State of
p
Minnesota Statutes and CI gan Ordman Treatment PI 2- 400.00
Signature of Permdee APPROVALS Road Unit 3 - 040.00
THE 0 LUND CO INC
A Building Permit is issued to:
Planner
Park Ded.
on the express condition that all works I be done in accordance with all council
applicable State of Minnesota Statutes and City tty of Eagan Ordinances. Bldg. 011. Copies
Building Official ?I L1mI?ll.1 ] Lk Variance TOTAL 19,499.00
6 7 y
1050.2-1
J3 856 9
9? oe? ?°O
5
Request Date t E a Rough-in Inspection
R
d,
ady Now ?II Notify Inspector
3 - ( Z
1 epwre
. Fes J No When Ready?
i 2licensed contractor p owner hereby request inspection of above electrical work at:
Job Address (Street, -9 or Route No
? City
41x9 YJr?
??
Z4
?
S
ecticn-NO Township Name or No Range No -
OGE
Occup t(PRINT)
`/,' Phone No.
Powers her
150-?//? x- . 0121 . Address
Electrica o?haclo;(COmpany Namel Contractors License No,
4a4r:z -3
Mailing Address Contractor or Owner Making Installation)
Authorized Signature (Contractor,ner M Vi Installation) Phone Number
-? 9?o?-3gro
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-170 BE ACCEPTED BYTHE STATE BOARD
1821 University Ave., St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0500 ENCLOSED
a/?/sue
J- 35656
REQUEST FOR ELECTRICAL INSPECTION
I• See instructions for completing this form on back of yellow copy.
"X" Bellow Work Covered by This Request
EB-000010
4 /OSo ?
ew Add Rep Type Of Building AppllancesWired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Budding Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other (specify) Oontradors Remarts
Compute Inspection Fee Below
# Other Fee # Service Entrance Size Fee Ctrcu@s/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transformers Above 200 _ Amps j 100 _ Amps
Above
Signs t
Inspector's Use Only _ TOTAL
Irrigation Booms .SS
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final {
44 Date
OFFICE USE ONLY
This request void 18 months from
J 3 5 1',? /G Ls 1Z
Request pave Fire N Inspection
3 a -?? A a ? Ready Now 1,Z Win Notify Inspector
Wh
R
'
n es C] No en
ea
1 ,'ficensed contractor ? owner hereby request inspection of above electrical work at:
Job AddressI deel. Box or Dote No) City
357
Section No, Township Name or No Range No Co
Occupa (PRINT) Phone No
Power ier r7 yt,,
ue
19A , Address
Electric Contractor (Company Name) ContraMOrS License No
?L a I2-3
Mailing A tlress ICOnlrador or Owner Making Installation)
Authonzetl Signature ICOnirac;or ner afing Inslalla0 n Phone Numbar
63-3Slo
MINNESOTA STATE BOARD OF EIJ=CTRICITY r THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S- 3 BE ACCEPTED BY THE STATE BOARD
1821 University Ave, St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(812)542-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
J 3 5 5 • Sea In ruot ons for completing this form on back of yellow copy,
")r" Below Work. Covered by This Request
64M,`?+T? E-00001-08
New Add- 'e Type of Building ApphancesWired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm /Industrial Furnace
Farm A or Conditioner
Other (specify) Contract Remarks
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps D 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 -Amps
Signs Inspectors Use Only TOTAL
Irrigation Booms
Special Inspection
Alarm/COmmumdatlOn THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHI Ol
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rougn-.n R
Final P
z7 4 Date
Date J, ?y
OFFICE USE ONLY ?-"
This request void 18 months from
J35854 9 c6.s
Request Date
^
Q Fire No ouin nspecnon
Req uetl
? Ready Now yfrll Nearly Inspector
?
3 ^
G( I ,? es C No When Ready?
I icensed contractor ] owner hereby request inspection of above electrical work at:
JO Address (Street. Box or Rou o) Qty
4/j/
/?/ T ?\-JAS
Section No Township Name or No Range No County
Occupy (PRINT) Phone No.
o
Power Su Add...
19
\l
\
Electr?ca ont
n
t cto?r (Company Name) Coniractor5 License No
'? 11Z -3
Mailing A ess IGOntragor or Owner Making Installanonl
Authorized Signature (Contractou er Mahi In lallauon) Phone Numher
MINNESOTA STATE BOARD OF ELECAICITY r THIS INSPECTION REQUEST WILL NOT
Orlggs-Midway Bldg - Room 5173 BE ACCEPTED BY THE STATE BOARD
1621 Unlverady Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0600 ENCLOSED
y REQUEST FOR ELECTRICAL INSPECTION ''"`,
EB-o00m-ea
? See instructions for c0ordstria this form on back of vellow coov F ?i
J 3 5 8 5 4 X" Below Work Covered by This Request
New Add Rep '- TypeofBwlding ApphancesWired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Other lspecayi Contractor's Remarks'
Compute Inspection Fee Below.
# - Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps S 0 to 100 Amps
Transformers Above 200 Amps j Alacriies 100 Amps
Signs Inspectors Use Only TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 ONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-,n (
Final
1 Date
Date i
OFFICE USE ONLY
This request void is months from
J-3585Y,q
Repuest Date
1 cs ?
M6 Fire No. oug n spection
R¢yul
es [I No
L] Ready Now /ill Natty Inspector
hen en Ready'
LB'ficensed contractor D owner hereby request inspection of above electrical work at:
s (treet.Box or RN
3 Cily
FNo Township Name or No Range No. Cau
Occup (PRINTI Phone No
Power Su liar Atltlress
Electric Co?ilracto[ ICOmpan Name) Contractors License No
?z 3
Maiing ress IConlrador or Owner Making Installation)
Aulhonzetl Signature ICOnhamo?/ r Maki In tallaoon) PM1One Number
MINNESOTA STATE BOARD OF ELECTRICITY f THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg - Room S173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
J-3 8.5 3.
REQUEST FOR ELECTRICAL INSPECTION
? See instructions for completing this form on back of yellow copy.
"X" Below Work Covered by This Request
EB 00001-08
New Add Rep. Type of Building Appliances Wired
• Equipment Wired
Home Range -
7 Temporary Service
Duplex 1
Water Heater Electric Heating
Apt. Building Dryer Other (Speafy)
Comm./Industrial Furnace
Farm Air Conditioner
Other (sps.M Contractor's Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Stze Fee # C"c" S'reeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Amps
Signs Inspectors Use Only f TOTAL
`
Irrigation Booms ,
/
J
1 ?? a S
'
Special Inspection Y
y
r
Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 MONTHS.
I, the Electrical Inspector, hereby
if Rough-in Date j ,. ?J ??
cert
y that the above inspection has
been made. Final
' oa
OFFICE USE ONLY
Tho request vmd 18 months from
J13 25
Request Data R ougRU.lnspeptlon?
R
tl
? Ready Now ?Wlll Notify Inspenor
eg e
3 ^ ' yes (7 No when Ready?
I licensed contractor 0 owner hereby request inspection of above electrical work at:
Job Address (Street Box Route No Clty
4 3
Section No Township Name or No Range No. cou%y
Occups (PRINTI Phone No
Power uppli
//
\\ Atltlress
? ?
ff
YY?\))
..
//1I
Elednc
C
o
n actor ICOmp ny Name) ContrdctorS Lmensa No
a z -3
Mailing A ress (OOntrador or owner Making Instatlatron) '
Authorized Signature ICOntradodD Br 1 ki InStalldhpn) _ PhOre Number
4163-
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlggs-MlAway Bldg. - Room 5-173 V BE ACCEPTED By THE STATE BOARD
1821 University Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Pirrone (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ° Es-00001-08
J 11 2 5 Sea inairuchona com"O"ng "'6 form on back of yellow co" 6 s?3
°??
"X" Below Work Covered by This Request
New (add. Rep ' Type of Building Appliances Wired EgmpmentWired
Home Range f Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Other (spsoty) 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 a 100 _ Amps
Signs Inspector's Use Only
6 TOTA 7
Irrigation Booms '
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD D DISCONNECTED IF NOT
• Other Fee COMPLETED WIT MOWS/
I, the Electrical Inspector, hereby Rough-in c Dater
? / 3-
certify that the above inspection has
been made. Final oat
OFFICE USE ONLY
This request void 18 months from
J 1 3 3 2 a /ors
Rer?uesl Date
3 - 9 li Flre -m Inspection
Ired+
yes ? No .,.[''
? Ready Now p Krill Nobry Inspector
When Ready'
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street 8o Route 3 N 1 V° w tad City
Searon No Township Name or No Range No COON"
Cccupa PRINT)
J Phone No
Power Su ?(/nI ?
G? Adtlress
ElechsaLrac or I:pany Na el Coniort License Nc
431/Z -
MaJini ss (Contractor or Owner eking Installation)
Authorized Signature (ContraClpr/0 r M n Inslallabon) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY 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
Phcne(612)642-0800 ENCLOSED
_ - REQUEST FOR ELECTRICAL INSPECTION E6-ooom.oe
11 /? (? See instructions for completing this form on back of yellow copy`
LJ P 4 "X" Below Work Covered by This Request ., . l/
New Add Rep Type of Building Appliances Wired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other dpecity) Contractor's Remarks
Compute Inspechon Fee Below,
# Other Fee # Service Entrance Size Fee # Cireuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 00 _ Amps
Signs Inspector's Use Only TOTAL/
S9
Irrigation Booms
CC" 7
(p"
. Special Inspection
t
Alarm/Communication ODISCONNECTED IF NOT
THIS INSTALLATTTTTTTTT Y B R
Other Fee COMPLETED W M
I, the Electrical Inspector, hereby Rough-m Date
r ?3
e that the above inspection has
been en made. Final r Date ?! 0 , y
0
OFFICE USE ONLY
This request void 16 months from
j ?? ?6 6 _.
3
?
J 13 8 2
?
lo(S13
Request Date Fire p ugh-m Inspection
egwretl?
? Reedy Now 01ml Navy Inspe or
W
When en R
d
?
3 ^ ? Yes ? Na ea
y
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Boat or a No) city
Section No Township Name or No Range No Co
Oxup (PRIN 1 Phone No.
Power Supoe I /(d 4 Address
Elec[nca oetr ctor (Company Name) contractors License No
4a4)z-3
Marling dress (Contractor or Owner Making Installation)
w
Authorized Signature IContr ors w r Making 1 tallanonl _
---- ?
__- Phone Number ,7p
? J v p
MINNESOTA STATE BOARD ICIT THIS INSPECTION REQUEST WILL NOT
Griggs-MIdway Bldg, . - St Room 5-173 BE ACCEPTED EY THE STATE BOARD
1821 U
1811 University Ave, St. Paul. MN N 55104 UNLESS ESS PROPER INSPECTION FEE IS
Plrone (611(642-0800 ENCLOSED
0a I?2 _ REQUEST FOR ELECTRICAL INSPECTION
i
?? see msirudioos for completin3 GB/}? see msiruclioos for completing this form on back of yellow copy
J X" Below Wore, Covered by This Request
a.xe
?'^.? EB-00001-OB
.?t l06 S?
ew Adtl Rep. Type of Molding Appliances Wired Equipment Wired
Home Range -7 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 s ( 0 to 100 Amps
- Transformers Above 200 -Amps Above 100 -Amps
Signs Inspector's use Only TOTAL
- Irrigation Booms p
66-
Special Inspection
' AlarmlCommunication THIS INSTALLATION MA E ORDER DISCONNECTED IF NOT
' Other Fee COMPLETED WITHI NT
I, the Electrical Inspector, hereby Rough-in , Oate {^^..?; _(/
certify that the above inspection has
been made Final Oate rd,
--
OFFICE USE ONLY
This request void 18 months from
oil S 0 ?
J 35852 a
Request Dale Fire No -m Inspection
Iretln 0 Ready Now E Will Nobly Inspector
es U No When Ready'
1,?rficensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (Street, Box Route No) Qty
413-7 1j
Seca on No Township Name or No Range No Cou
Occupa PRINT, Phone No
PDwer Supph AGtlress
Elecmcal n ?Compao amel Contractors Incense No
Mailing A ress (Contractor or Owner Making Installation)
I-A
Aulhpr'ad Signature IC.h".ctor wner M un Inalallali0nl Phone Numbe
r
- -
V I,
MINNESOTA STATE BOARD OF ELECTRICITY V-0 l THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St Paul. MN $5104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
C" REQUEST FOR ELECTRICAL INSPECTION EB-00001-08
see mstructmns for comolevng this form on back of yellow copy.
• - M2 "X° Below Work Covered by This Request ?;
e Add Rep Type of Building Appliances`Nired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Budding Dryer Other (Specify)
Gomm./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 t00 Amps
• Transformers Above 200 _ Amps _ Amps
Signs tnspecmr5 Use Only
GU TOTA
/ .So
Irrigation Booms ?? , Ip
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
' Other Fee COMPLETED WIT M0VVV r
I, the Electrical Inspector, hereby Rough-m Date, !? r
certify that the above inspection has
been made Fmet i i ?•.
(,fc.s L Da
OFFICE USE ONLY
Ttys request void 18 months from
Ji a b6s?
Request Date
R
.?' -3t Fire No qh- r soeipten
un n
es El No
? Ready NoweOWiI Notify Inspector
When Ready?
I &<censed contractor ? owner hereby request inspection of above electrical work at:
Job Ad
41,13 dre. (Street Bo or Route N )
a?v W
City
Section No Township Name or No Range No. County
Occupa IPRINT) Phone No.
Power Su err Address
Electric onv cto 4Com?pa+nny Name) C.nbactori, License No
Mating Ad ss IGOmractor or Owner Maki Installauonl
Authorized Signature IContractorlOwn Makm Installauonl Phone Number
- 3 PE,
MINNESOTA STATE BOARD OF ELECTWorry THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Ptene 4612) 6A2-0800 ENCLOSED
Z REQUEST FOR ELECTRICAL INSPECTION Ee-oooofae
a
See msiructmns for completing this form on back of yellow copy
J ? 595 "X" Below Work Covered by This Re-quest
e Add Rep Type of Building ApphancesWired EgmpmentWired
Horne Range el 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 Sze Fee # Circuas/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 -Amps ova Amps
Signs tnspedors use Only TOTAL
?
Irrigation Booms 6 -r
Special Inspection
- Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 TH I
1. the Electrical Inspector, hereby Rough-in Date/J
certify that the above inspection has
been made. r!77
OFEICE USE ONLY
This request void 18 months tram
DATE: FEB 28, 1992
FtE: 4129 4131 4133 4135 4137 4139 4141 4143 DURHAM CT (ROTTLUND)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SWE ADDRESS 10q- 41M L a• Unit #/? /n?_ Permit # G 1(°
L ( B Sect./Sub. ?/?) °? uT?°'`? "?^"'?
IV d
INSPECTION INSPECTOR DATE COMMENTS
3S ¢GP Y
13gt 3/ 3 37 3 411
bra-.-? 5 s-892
el-/-PI - /z9
v,
i
f?s'?9?
d ia9- /1/3
1"O - ;-
a89? y137 - y/ -r 7 - yiy -
M '/l-2g 3
11-
i?f al?? 11dP51 ou_ ?r/aq? yly
INSPECTION INSPECTOR DATE COMMENTS
479 37 3.39. y.
r
r [
CASH RECEIPT.
CITY OF EAGAN I
3830 PILOT KNOB ROAD I
EAGAN, MINNESOTA 55122
DATE / 19 g-_
I
" ?.(I (I Zt_ zC [ s?2 L.ytc
AMOUNT $ L'
?l ?L ?LC 91?C -LC?C?? ?Z ge. A-D
DOLLARS
? CASH
HECK [
-912-1?1 - 4/43c?h?i,l,I C'
(4-13 7)
FUND
OBJECT
Thank You
BY -t Ue -L,
C 019449 Whoe- paym C?p„
7.0141
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
FEB 2 7 RECD
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 month in which re nest is made or lot chan a is requested once ermit is issued.
Date 2 / 2(?- / ri Z_ Valuation of work x--71 ? .Cor?
Site Location: 41129,4131 y133, q13s-y137 ?113F1? 1y11yJ?13 DI1$HAM COURT
STREET STE #
Tenant Name: '-T6. ?4i > it?C
LOT 9. 1 BLOCK SUBD. 9D(f Qe-j Cr?N?s22?ts. P.I.D. #
Description of work: / - -_'L_?„ t
1
1
The applicant is: Q Owner 5a Contractor, ? Other (Describe)
iur Phone
Name -Thy 0711/[,? a . /
Property LAST FIRST
Owner Address ?5-2v1 F Rlyr4 ?p«c-P
STREET STE #
city rr State Zip se021
Company --/jc 1z 1I/-'I'd 6'? - /?70- Phone 577l-off`{
Contractor Address ?2?/ E. f2iuP.{ 1%ou License #13
ok
city ,?11wH State 44, Zip S5g2.1
Company ?yYlA- Phone
Architect `
Engineer r
',,-, -Ch,ca ?F• Registration # Ila?cm
Name X23 I
Address --U vv. UA:lL Fie
City V"oia, State Mh. Zip
Sewer & water licensed plumber Oaff-eu IL j!24 Processing time for
sewer & water permits is two days once a a has been 'approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
I ,
BUILDING PERMIT TYPE
? 01 Foundation
? 02 Single Family
? 03 Two-family
? 04 Multi-fam. T.H
? 05 Apt. Bldg.
WORK TYPE
IX 90 New
? 91 Addition
? 92 Alterations
OFFICE USE ONLY
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 93 Remodel
? 94 Repair
? 95 Tenant Finish
GENERAL INFORMATION
Occupancy R-1 M__1
Zoning Pp R_y
Const. (Actual) -3 HR
(Allowable) jz I.HR
# of Stories 2
Length I1 -2.,
Depth V/'
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
? 14 Comm./Ind. Rem.
? 15 Public Fac.
? 96 Move
? 97 Demolish
? 99 Undefined
S.-- I'
? 16 Agricultural/
? 17 Building Move
? 18 Demolition
? 20 Miscellaneous
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
MWCC System YES
City Water YO;
PRV Required y? s
II o o Booster Pump
gpD Fire Sprinkler
Census Code 1_0
SAC Code 63
? Framing
? Draintile
? Insulation
? Fireplace
vetuetion: $ 3c')a
Permit Fee 1 Z-58 . o D ono
Surcharge 115315
0
Plan Review P51'7,DO
License
MWCC SAC 45C_ C) 0, C,a
City SAC €3c0,0v
Water Conn. SLf Do, 00
Water Meter
Road Unit 3py?, tie??e
Treatment Pl. ?4oo,ca
Road-Uftq 9`?.w Pepoi t -40,00
Park Ded.s?. 5/? ,so
Trails Ded.
Copies
Other
Total
Assessments
SAC % 100
SAC Units p,
EXTERIOR .ENVELOPE AVERAGE "U" COMPUTAT1urf _T
OWNER
SITE ADDRESS
CONTRACTOR DATE
Determine working square footage
1. Total exposed wall area ..... 21040, J
2. Total roof/ceiling area ..... I C= cC?-C
t
PHONE J 7/-O :tJ'4
)f each.
sq. ft. x 2LZ.-75
sq. ft. x X026 =
Total exposed wall area above floor = A -7 2J
a. Total wall window area ............................ (,4•CD
b. Total door area ................................... ?,C)
C. Total sliding glass door area ....................... ??•O
d. Total fireplace wall area ..........................
e. Total wall framing area (average 10%) ................
f. Total net wall area above floor .....................
g. Total rim joist area .............................. 2 19 .71
Total exposed foundation area = G
h. Total foundation window area - .
i. Total net foundation area above grade ............... C
Determine "U" value of each wall segment.
n
b. <=7n 0
x
lu-
-7
c. x, Flu- .47
d. X 'Full
e. X flu,,
TT X Flu-,
J
g. 21G,? X „N„ _ C7
h. X "U"
xllu'l
3 ......................................Total
U
If item 0 3 is the same as, or less than item #1, you have met the intent
of SSC 6006(c)2.
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Total exposed roof/ceiling area =
7-,,l o.-nor .nnF /n oiline araa = 10614,(0
j. Total skylight area .............. ;.......
k. Total roof/ceiling framing area ......... ` .
1. Total net insulated roof/ceiling area ...... rU ` c
Determine "U" value for each roof/ceiling segment.
j. X 'lull
_ -?
k. - - G X IIUll _
1. ' X "U"
4 ..................................... Total = L ,?
If total of 114 is the same as, or less than 112, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items 113 and 114 shall not be greater than the sum of items #1 and #2.
3. + 4. _
ROOF/CEILING
Vented Heat fLow
up
FIG. (ES
R=v<<1__c
Const?tin
1. Interior air film O.GI
2.
3. FiPc./rc=(A` nit>c C :; •aU
U.G
4. Exterior air film (still)
Total V 39•SfU
0•G1
1. Interior air film ,S
2. S/S" C-`/' 13 "L l
4. Exterior air film (still
Total ?? -- ??'? t/
.vented
Y.eat floor up
FIG. ilG. .'...
"3 U.61
I,--{u?') v 1. Inside air fil:a
en •91Li°;.1••::::•'.':-- 4, 0.17
?. `} Outside air film
??'=%---'?}.'? ••:'• • ?? Total
tOt7-VII"LE0 Note: use additional sheets if more spaco is
needed for details and calculations.
' . 1(eat
flow up
WALL SECTIutlS
1'E: Use lOZ of opaque wall area for
frame construction
rage 3 of 4
Construction R-Value
1. Interior air film 0.68
.2. '/Z "G 5' F'. 1; C' D . Y S
3. 2X`/ 57y05 /( ",
.4. 3/y'1 FIJ/J 2f SN7G G <'!J
5. S/rf„?G,prdoav? c<)/p 5/JJ//oG /r 2 O
6. Exter-nr air film 0.17
Total u =12?8?C
U = OW,
1. Interior air film 0.68
2. 1/1 n G Yf? /3/F/,), ,,y5-,
3. L W4 LL /;r.S Cl / j, UU
4. 3/v'' FOA,.., 5t/7C-
5, 5/cp"J2EU<dODU (/?Y' S1n/1'. 'E- /.7U
6. Exterior air film 0.17
Total R = 2 1.5-0
U= .UY7
1. interior air film O.Go
2. SrpE awir(r /f S c L / ,, vU
3. 2 v ._.. r7 /,ii
4. 31N u/= e)A . g H i' C- . !i U
5. '6/41 /IL:pcvCO/J
6-Exterior air film 0.17
Total R = ?7,°1 3
U- ovvL(
1. Interior air film 0.68
2. IAI-
3, t}'rW/4F cU?-L cv/rR/3000/c , yy
4. _
5.
6. Exterior air film 0.17
Totala
v= e one
r raft'X
FIG. 114 r fir(
1(t o
f ?- ' x x w
G. 93 FY- `F A`(F
EXTERIOR -ENVELOPE AVERAGE "U" COMPUTATION
???7 L?mnrd?
73 - c9N?
OWNER `r??r ? , / %. (?` L F-r C.
SITE ADDRESS
C
1
CONTRACTOR ?s=\ (= DATE PRONE G?7 - ??
Determine working square footage of each.
1. Total exposed wall area ..... / V? sq. ft. x .l/? = 2? •=
2. Total roof/ceiling area ...... (O 2Z sq. ft. x rO2(7 = 1(c.[ I
Total exposed wail area above floor = '? f= J
In
7
a. Total wall window area ......... ....... ....... ... .
b. Total door area ................ ....... ............. v < C
c. Total sliding glass door area .. ....... ..............
d. Total fireplace wall area ...... ....... ............
e. Total wall framing area (average 10%
f. Total net wall area above floor ....... .............. 1? 17i?
g. Total rim joist area ........... ....... ............. i
Total exposed foundation
area = r
'-
h. Total foundation window area ... ....... ..............
i. Total net foundation area above grade . ..............
Determine "U" value of eac h wall segment.
a. ?C-•7 X -u- .4-7
r
X „U„ 4? _ l loG2
C. ,
d. - X "Un
e. r X ..U,.
X 'lull
g, Lam' X „U„
h. - X "U"
i. x )Tull
3 ...................................... Total = 'ilk
If item # 3 is the same as, or less than item U1, you have met the intent
of SBC 6006(c)2.
'ities Digital Quali
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Total exposed roof/ceiling area =
Total gross roof/ceiling area =
j. Total skylight area
k. Total roof/ceiling framing area ....41?....._F•7 Z
1. Total net insulated roof/ceiling area ...... IIC?.??
Determine "U" value for each roof/ceiling segment,
j. X 'lull _
X 'lull
4 ..................................... Total
If total of 114 is the same as, or less than 112, you have met the intent of
SSC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items 113 and 114 shall not be greater than the sum of items 111 and 112.
1. + 2. _
- '
3.
PROOF/CEILING
Construction R-V,illc
Interior air film 0.G1
2. 5/Y c ;ri'r sf
4. Exterior air film (still) U.G
Total /. - 3`1 StU
Vented
L Heat flow
up
FIG. IES
J Heat flow up .-vented
F1 G.
FO) r j) F<D
S?
1 i 2
• fiO.I-VENTED
' Kent
flow up
F.T.r,. @7
1. Interior air film 0.61
------------
2. S/F' C-.. 131 7' S "
3 2
.
4. Exterior air film {5t411 ?'• r
Total.
1. Inside air film 0.61
2. '
3. '
4. 0.17
5. Outside air film
Total
Note: Use additional sheets if more space is
i:eeded for details and calculations.
wHLL 51:c'1ious
NUTE:' Use 10% of- opaque wall area for
frame construction
14ALL
FIG. ill
FIG. „z ?C
. lC
II??
f.pSe-al
I I: ?_I h ?, •
ti
-EATIC
•o.
XJ -41
.ISM •r - F
• ?s I
C
u ?f
!G. 03
-I---
!2?1 . 1,? 77
ruye J of 4
Construction R-Value
1. Interior air film 0.68
2. YP. L,.C-D- .'!S
3. zx? 57[ 05 /6-
4. 7 e-
5. ??/"l7 E'OttiCCV? Gt) /' 'v /Al G.- / . 2 O
6. Exterx>r air film 0.17
Total k =12,`•
1. Interior air film 0.68
2.
3. FUL L W,q L L , : a < v L , ; UU
4. 3111
s . s`/u „j2 E/Jsa?oU,? L.a N g -nit c- / , 7 G?
6. Exterior air film 0.17
1,
Interior air film Total R = 2 1,5-0
0.60
2. 4-
3. ?V. 17/?!
5. 5/cf'r17L?06v001J
6. Exterior air film 0.17
1.
Interior air film Total/? =22,c,3
U= over/ L/
0.68
3. Ef "t,?,O E_= c U?-c c y/c r /3t. vC /c e `1 `?
5. -
4. -
6. Exterior air film 0.17
Total P • - v= a o?rcr
?. , e r 4
FIC. Ito = k
rrc ,? O
W x
F=iC WALL
A .. PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 027918
(612) 681-4675 Date Issued: 06/17/96
SITE ADDRESS:
4129 DURHAM CT
LOT: 9 BLOCK: 2
DIFFLEY COMMONS
P.I.N.: 10-20450-076-04
DESCRIPTION:
" _.,, STORM DAMAGE
0'ildin-g,,'Permit Type STORM DAMAGE
('Building Work Type REPAIR
r Census Code 434 ALT. RESIDENTIAL
t
f
j - \
=°#
.,tQ
REMARKS:
INCLUDES: 4131, 4133, 4135, 4137, 4139, 4141, 4143 DURHAM CT
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LIC.OWNER:
DU ALL SVC CONSTR INC 17889411 0003178 HOMEOWNERS ASSOCIATION
636 39TH AVE NE 4129 DURHAM CT
COLUMBIA HTS MN 55421 EAGAN MN
(612) 788-9411
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
J
1??cIJ
APPLICANTIPERMITEE SIGNATURE ISSUED BY IGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reauirements Remodel/fteoair Reouirements 4 E?
3 registered site surveys
2 copies of plans (include beam 8 window sizes; poured fnd. design; etc)
1 energy calculations
3 copies of tree preservation plan if lot platted after 7/1/93
required: Yes No
DATE: 6 Ili q(,
DESCRIPTION OF WOF
STREET ADDRESS:
LOT 9 BLOCK
Z SUBD./P.I.D. #:
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
PROPERTY Name:
OWNER WT
State:
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Phone #:
Zip:_
Phone #:
License #: 3 118
Zip:
Phone
Registration #:
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. /? n
Signature of Applicant: ? y? _r„w??1 J ??cr?_ ?r('r uQ ll? L-
OFFICE USE ONLY
rmer
Street Address:
City: State:
CONTRACTOR Company: Ou AU i11ERVI m t
tie 39th AwthM
WLUMt31A MTS.. MN 55421
Street Address: ?h awy ? our
City: State: _
ARCHITECT/ Company:
ENGINEER
Name:
Street Address*
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No
rlV.IQTDI IrTlr)M rr)CZT-
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
? 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 EngineerMd
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
SNV Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FEES
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--------------
WORK DESCRIPTION
NEW CONST T?
ADD ON _
REPAIR
OWNER NAME: ?\ ICI,-r?
SITE ADDRESS: yAOA- -k OuA\A CC
LOT: I BLOCK , SUBD., 1c71/?
?J 1
INSTALLER: //?/ ??,ty P1?1 U Z c
ADDRESS : l9 ( U C C L2 c
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
COMMERCIAI IND"rAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
TOTAL:
FOR CITY USE ONLY
PERMIT #
RECEIPT # /O'/ 570
DATE: 3 91'0-
DWELLINGS 6
-------------------------------
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
_ SHOWER 3.00
WATER CLOSET 3.00 a 1-
BATH TUB 3.00 a ?-
LAVATORY 3.00
KITCHEN SINK 3.00 '30
LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00 ?y -
ROUGH OPENINGS 1.50
OTHER _
_ WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.OQ
\ U-6
SUBTOTAL $ 00
ST. SURCHARGE ALA jU .50
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY: 7?0rA A - ZIP: 13 ?^'
FOR CITY USE ONLY
PERMIT #
RECEIPT SS
DATE: I= -/1--
RSIDNxxAI:.`. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR
OWNER NAME:
SITE ADDRESS
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:-
CITY:
PHONE
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
K"Yxpopmwu
ZIP
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $
STATE SURCHARGE: .50
TOTAL: $
SIGNATURE OF PERMITTEE
00161 tGIAL/NDUSTRIAL;, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: ?,(
OWNER NAME: P?r) ??f }._-.71?
SITE ADDRESS:-ti -13 ? ((f?.?U/R.
LOT: BLOCK a SUBD. 4ry?
INSTALLER:
rsni%L nea. cx w wt 2--..-
ADDRESS: 9303 Plymouth Ave. No.
Golden Valley, MN. bbUf
CITY: ZIP:
PHONE #: -I
FOR:
CTT" OF EAGAN
FEES
____________________________
cno°ox a = ayo°°? ?o
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE. r) q0 cql
CONTRACT PRICE x 1% $ c
STATE SURCHARGE $Inp-
TOTAL: $ Q"1 . 50
(SIGNATURE
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 30 a
.a a 1 S Telephone # 651-675-5675 FAX # 651-675-5694
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 - Cart of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for healed additions _ Tree Pres Plan Recd
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks -Tree Pres Not Reqd
l set of Energy Calculations Addition - indicate iron-site septic system -On-site Septic System
3 copies of Tree Preservation Plan it lot platted after 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date / O / 03 Construction Cost ?? S O
Site Address U z o 4 S0 o y d rj 'Z Unit/Ste # 9
Z - ZZ 1f ??cdiirrn Cf 6/26
Description of Work __ 7tot r e f ?c ?o o r ?G?a r /C 4a, ?R n ec
Multi-Family Bldg _ Y_ N / Fireplace(s) 0 1 2
- - -
W ,=
`??1UM
Property Owner /
y
S? a T/ Ste ii•kt e <le 2 Telephone # ( 6Si) SS ?- }9 fL 9
(7. ?'?le C.o..r/oNS
Contractor SR°A?I?NB & REM
A
Address EDEL
Na,j
4100 EXCELSIOR BLVD.
City
State
UIS
PARK, MN 5WJ6
G 11111056 /
Telephone At (dl Z)
5'Z 3 b'? 6
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Category 1
(J submission type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
_ Minnesota Rules 7672
• New Energy Cade Worksheet
Submitted
Telephone # (
Telephone # ( )
Telep?ole#?(?
C
I hereby apply for a Residential Building Permit and acknowledge that thdFinformation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City d-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.
Applicant's Printed Name Applicant' ignature
6/Z - Z qc) . 77?/
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 _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
Footings (deck) - Final/No C.O.
_ Footings (addition) - Plumbing
_ Foundation _ HVAC
Drain Tile Other
_
Roof
Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final
_
Framing - Siding _ Stucco _ Stone
Fireplace
R.I. Air Test Final _ Windows (new/replacement)
_
Insulation - - - Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
Pioneer Engineering °U t avaa r-. vi
• 7?. 2422 ErrtErprlx Drive
* PIONEER WtOSVIwEyOai•OVILGwQNCdLy Mendota Heights, MN 55120
*e>ngirieering.. ?anvnrr+wl+a•LnrlmcwcewwimYa 1612)6B1-1914
>k# **
Certificate of Survey for: The R o t tl a n d ..Company , Inc._
8 UNIT VILLA DET_,AA
Scale r30'
112,25'
K)
A E3 E3 A
t?5 ?eY 9.& °
112.25`
i
i
S 89.59'40' W 3 ?2 !!
179.58' .i?70$, ?; E r'
{',. \ , Ort?`tYMY J 'gyp ! t %
?l g 191 -I• fr Ij Q !r?
!? iii88S ? y R r ?C-1
f i3•r 1 S31_ IS f+? ? j ? ?f
U m.ta i
r
, s A?, >
Oin , ;r / A B 9 A Q u oil
Nn y??y l ,' P0.0P p3Ep 1 Q Vqa 1
4oN WWRO i CONuouts Ida ?, NSMt
Y. .m ht ml
A B B A O t
0 ?, pq1. l l ' S G t
MTV V I 1 T \'
? ? 1 t \
1 I OptytYAV 1 5?1p '?,'\ `,
J 1'
159.58' s ? ,
lw
• BY A-
iEI®va#iaii? F t?7' [tY u W o 1Y/ p If 1115 L S fl?" L
•® Denotes Proposed Elevation
---- Denotes Drainage $ Utility Easement PROPQSED HOUSE ELEVATION
?- Denotes Drainage Flow Direction Garage Floor
ter- Denotes Monument Slob Elevation: -?.
-= Denotes Offset Hub Bearings shown are assumed
LOT 9 _, BLOCK 2 DIFFLEY COMMONS
D4WA COUNT'/. #AkNMTA
1 hereby c ily the tbls surrey, pion w miwt ? vrrn?,,?pacd by" o, under ?+Y d?*ect wpe.viaioM1 aM that 1 em duiv Ropimmil land Surwyw
undtr the laws of the ante of MbMtlota. Dated tlMa??ue? Ge c day of ?•V?W A-D, 19121-
Scale: lb-IL -60,00' QEQ d-six RIG. NO. 34691
32.042' 24.483 _ ?.4.083' 0 52.042 0
0 0 0
r;
M
N - N
"' te.u7 0.
o 7n.ya q
'° 25 1 97
8. " ?
6.B T _ 6.67 i
i
v
? e
r7
a t
?
-
t
or --q
P R O P O S E D
O N D Q M I N I U M
'
ro 4
A
B
B
q ,.a
1
5.75 6 75' 7
?
I I .
o
o 0
N 52.042' 24.Q83'
24.083' ?
32-d42' N
91123.19
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 02/28/92
3830 Pilot Knob Rd.
Eagan, MN 55122 -1897 CHIP # PERMIT # 12584
METER SIZE B.P. RECEIPT # C. /7
ISSUE DATE B.P. RECEIPT DATE 02/28/92
DATE 2'-26-97 X PRV _. BOOSTER PUMP
SITE ADDRESS 4129 4131 4133 435 4137 4139 4141 4143 DURHAM CT PERMIT REQUESTED
L O T _ 9 BLOCK ` 2 SEC /SUB Di f f l fly Cnmennnm X SEWER X WATER _ TAPS
APPLICANT: The Rottlund Coo Inc.
ADDRESS: 5201 E. River Road = COMM /IND ..X RESIDENTIAL
CITY, STATE Fridley, Mn. zip 55421 X NEW . — EXISTING
PHONE: 571 -0304
•rinkler Meters are to be Installed
PLUMBER: Valley Pluming A - •fi Domestic Meters on Water Line.
ADDRESS: 610 Creek Lane - * ILL NOT = ven for Deduct Meters.
CITY, STATE Jordan, Mn. ZIP 55352
PHONE: 492-2121 i l . _
c ° T • CO ° LY WITH CITY OF
OWNER: The Rottlund Cj_ jne^. EAG r R IN NCES
ADDRESS: 5201 E.River Road
CITY, STATE Fridley, Mn. ZIP 55421
PHONE: 571-0304 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING, CALL 454.5220 FOR INSPECTIONS. FOR STORM
SEW PERMITS, C NT T E _ ERING DEPT J /l.
5 /eC y C (4 do
06/17/2014 15:06 Les Jones Roofing,Inc. �A��9528817009 P.0101020
Use BLUE or BLACK Ink
i Fo�o�n�.ugaA ---��--i
. ' � Permlt#: � �� � �
C��y of �a�aIl � � �
� Permlt Fee; ��' �
3830 Pllot Knob Road
Eagan MN g612z j Dete Recelved: j
Phone:(661)675-5675 I 1
�ax:(661)875�6694 . I Staff: 1
I 1
�----------------�
2014 RESIDENTIAL BUILDING P�RnniT APP��cATION
Nia4- 4�3�- �/33° �i3.�— Sf/37
�ate: � I Slfe Address:_�,_�/.��"Sfl�if/- �/�3 pv�t�i coUR�:r" ��ic#:
< � � '� '� Neme: �!o P�eoPe�rY ��,� �NG. Phone: G���- S'st/ 9y''/y
�y`: y� ;. . . �; a ---
:!li:' �� ��.'WP�I���..^ I ./
.'�,''I�'•::.t�... . .
;:;.- ..,'.j�y�j��?;. Address/City/Zip: �O. �o k 2�2 5 /NV��x�¢.�o✓� �a�s11� /Llic/ 8"S� 9(�
,���:,. ,. . ;�� .
;�::::..::. ......':�::;,.;�;;;�;
�`�'��� �,;;':,`�4''�'�";'�' ��� Applicentls: Owner x ConfracMr
:''1. :j.;., ::�;�i.
�.�....T:�w:�,��:`�Y: 1'i..n.:'�..:.,^�;ry, .
A!'��� !� ��5�;�1:<./�J i��:�� /�
��9��1 � n �.� �
; :+�,� �'Y�� ` ��Y•� z;• Description of work: lG6Nt0l�� f�"►'ll�I Pl.REE S<O/Nl�s.
•.`r Y N�;KQ�f?1�1(O�K';;;
;f:� ..;,,.;,,; ,;�,;:::. ::,�. ��,�. 52.
�.,I,Y
.,�.���,�-.;':-�r;:,:�:�;;: Construcdon Cosr Z� �✓'r Muld-Famlly Bullding:(Yes x /No^,.,,) �
;,���:s'.:::,,�;,;.;,1 :;�,:;;,:,:::,';,';`
�Y )
' ;o' +;; ` :'r�� Compeny: �E,S ,ToN�' ,RlXJfs�J6- /NG Contac�Csset s �NOE72so�
,�^I.;..l./11�. ��.�:I';1."j?:����y�''''''1 Jr' _ - f _
' Y' S1)
;,�� �,r , :,, ,,, adaress: 9�� W. 80"'` s°r� city: Bco�,�rz�.✓
,..,�..:�:�ntra�tQ;r: =;.
',;°, '"�',;.',,�`•' ''�:r s''��'�1`:w,,? State:_ l��Zip:_,�.f4�2o Phone: gSA— 76 7-a?819
'`` :•;;:�. ,�`I;,.�:�;,:....
:t�`::- >;` �,l'^`;��..i�-s,:.��.,...�;;;;��
.�:,,�;y�.,.. .;. : �.....
''��,�:''� ` .':'-`'�`.,'� ucense#� lv�`�D Lead Certlflcate#: .lJ�4T `fO 3 9.�-/
•;f:11.;:, ..�5•.
,... ,..� ,. .,
�•,..,, .. „
,,:. -. ..•,. _
{.r,;
If the proJect is exempt from lead certlflcatlon,please explaln why: {see Page 3 for additional informatlon)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A J�,�,I,�,p_ 1j�S�
In the last 12 months,has the Clty of Eagan Issued a permlt for a slmllar plan baeed on a master plan?
_Yes ____No If yes,dete and address of inester plen:
Llcensed Plumber: Phone:
Mechanlcal Contractor: Phone:
Sewer 8,Water Contractor: Phone:
0!T I 'r,ls n ��� �i� ;alqc �,� h s:b It��l'e b: �d� �i�B11���llif.:o�'" �'t! n► ns
�`'�`4:�. .�siQ,a <� �'ws P� nlni�►:� ..,.�� .�:�"a�"Y��, �' �.,r ��.��,.�:�,,, xb ,,.,,, ..�,..Q, '�`,���q ;��,`:,
s�.L „� � ,jy,� ,• ,�� � 7 1_r.�„ �ut �.�. � �. �r ,w � �";
��;�;,tbje"iiti'fal��i�itio��/7►'a(�,:; '���1'A,�'�s./�/��I"��,��?sn;bu�"1%: ,>�r o,�;�/J '.1�j�l���nec�a:,►'e� ��ns••�ftiat;hl�iul,�li�i.�,'�lrili�t t,�l�Clt�/�;b�,
�..�.�.. . ,.i�e^�.�.�;�..,.,i�'.... ;1,,;�S.,i�.�.�.. ,,:�! .�t<.•.'K;:i�.,..{.�.��. �,g�,� �r,. �y� f y7�.,vi../:'.�.;.Y. ��1:1�;'� ��.. :�A.t.. .'Y+GfrH,� i�u:..:i).r.
p I t. �,7+ ,+, ..�:i M/� /� 4� �/�p Cjj�p* e �p�i ..rn C>P'�, '+i 'I'(
� ���`i�.:t'�I,xU.J'`�..4„ .I'li��iR. ��N�,yl�R. ':�,• :O�r��l�,-1T��Y��1{!.. iY�7C I�!Y..1.1",'�l��4:.�� �•:��YI' `;,`�fii..�i��i.a���f�:�!°ii':� ?�;�.(1, ;J; l
CALL BEFORE YOU DIG. Call Gophar Stete Ana Cell al(661)464-OOOx fo�protecGon egelnst underground utlllly damege. Call 48 hours
before you Intend lo dl�to recelve locatea of underground uUlltles. wyy�r,�Qpheretaleonecell.ora
I hereby ecknowledge thet thls Informatlon Is complete and accurate;lhal the wo�k wlll be In contormance wtth the ordlnancee and codea of the Ctty of
Edgan; thet I undereland thls Is not a permlt, but only an appllcatlon for e permll, a�d work(8 not to stert without e pemtlt;thal Ute w�oAC will be In
eccaNanae wllh ihe approved plen In the caae of wrxk whlch requlres a rovlew and approval of plane,
Extarlor Work authorizod by a bullding parmlt Issuod In accordanca wlth tha Mlnnesota State�ullding Code mu9t be Completad wlthln 180
days of parmlt 19suance.
x Gf�',��5 f�Af��ZSO� ��� .G!6��
x
Appllcant's Printed Name Appqcant's 3lgnatu�e
Pege 1 oP9
0211912014 12:34 Les Jones Roofing, Inc. (fAX�528811009 P.010l020
Use BLU�or BI.ACK Ink
� For Offlca Uee ^r I
. Z,. ,
� C• i Pertnil#: I
ity of�a�aIl �����y��� I pertnit Fee: � � �
3830 Pllot Knob Road FEB 1 9201� � Date Recelved: �
Eagan MN 5b122 I I
phone:(6G1)676-G67C � �
Fax:(651)675.5694 . � S��: �
�_____—������..�...��J
2014 RESIDENTIAL BUILDING PERMiT APPL�cAYION �.�-��-�y'
y/29. �/8/, yi�9, y/��
Date: � 31ta Address: 3 'f S� �f v ?'Dnit#:
":�.:�::"1.�� ,1Y .�ka.�.....�`'i�F��:�. .
` .1n�:� �'r .A'tiGyy `�`Y�;
,,����;:��<.'��c,,��.`,fi',, ;: Neme:,�o ,P2aP�2rY G�4,z.Ei 6 nrc.. Phone: 651� �,�y �Yq
•:N{� /`4����'.a . /
„xy,.,.•�'R�•• I.�'�+z,� ��. �� � V�_�D✓� 7
>�.r,•r%,����r i �::� Address/City/ztp: 2l 2 5 N �a�t/`/1: �� �� �
;'t. +; y :�r,:•�-,; ��,,,;.•
+•, .,y„��, �. � ,,
�y�°"��'`� .;;��:�,� :�';,�• Applicent ie: Owner �Contractor
; >' �%;?�� . �,., .,t.,�:;
^•" ,.;� •}"{ p� �� � p n
A:P4�ti,Y.w�f'��AI; .:a:��; Description ofwork:l�GfOl/EA�A/l�/1.��'GA�L[oDF " G.�47LA-C�Lc �oo�s
N(Y�P �,, .e�'.iP`r. �3
a���°•. . .��`,,;,;,, .�:,.,,`,;��:� Constructlon Cost:� �� ��s 7. �� Multi-Family Building:(Yes X /No_,,,,�
,. ... ,..
,,,.,, w�
�.rn:;..,�.,c- �, ' ' '"�;�
. . ,
� Y�� .s�'.r,,ti`Y�,l��� ";,, o p y �E5 �`oN63 RGb�A/`r /NG COnteCt:GNR�s
;.,°' � �a'�, �VDE7250�
, ...y,�Y�....�,.:A�� C m an _ --
•.,�� ';,����'���L�...
�� �.�a'��-h:ll�'°,,,��,:;i����° �'��vf1r; � ! Ci� OI�Q/Z/LA�'�N
�,• :� � ' �� �a��:9K r w. �a sr�� �:
i��T�?olt.�'a�f�r;�,�`a�
?> ;�-��wC ��:�•,��', :
;a..�. ��N,;�f--�;�;< � ,, gtata:�Zlp:�,f.f�2D _ Phone: 9�S� 7G 7-a8�7
;;;�t�;;��a„ " �;> •;��'. . �
.Y.•� '
,.,r.a'.�`;�'�' '�x!!?;�';. ;,;;���'9� Llcenee#: �o� Lesd CertiBcate#: .11�4T `f o� 9.�—/
�`;��k
If the project is exempt frorn lead certificatlon, please explain why: (see page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUII.DINS�
In the last 12 monthe,has the Clty ot Eagan leeued a permlt for a slmllar plan based on a master plan?
� _Yes No If yes,date and addresa of mast9r plan:
Llceneed Plumber: Phone:
Machanlcal Contractor: phone:
8ewer&Water Contractor: phone:
5�,�• ,'-1 `•���J���"�� �'�`„� •,. ��. �;�.. I. ���y� ''��U�.S��,h`I/��..::l�:�r°��n.�r.dy •w•ik"�,r��pF�����: � ��� l.,' .d. �..��y f'�' :
r�..-�c•����}'�/��}J''��T�t,�S�',�Y�iy+`.� .��1I��8:Yf4�`������ ,.��.,j���/i1'�d"y�;��,.�d�;���r� �:��,�n;, ���.`.��.�}��,�T'��:.�i��!� ,�a���,�,.J.�i:�t��,:Y.,r
i Y,�G`th. �.y,*.t''r..1°�� � ` �.`�+.�,�'IFIT�i ,1 5 ,"4.ii � ?^• -v i �• ,..,�}' �t�uS`"-•. :Gd..:JT� v�.�,�.�: 1�I:��S:��y�
.
.
�> ,�. .,,�... :,,�..�..�. ,� .>:. t. '. „� .x�..�. .u5" !u.�re,�. �'�_,1�� ,xl �. �{�r,�4a.:�`�`r
�'" .���t �. :a, �,,.� t., �.
CALL BEFOR�YOU DIG. Call Gopher Stata One Ca11 at(661)464-0002 for protec�on eealnst urnierground utlllty damepe. Cab as noure
before you Intend to dlg(o recelve locates W underground utllNles. www.nonhetstataonecall.om '
I hereby acknowledge the�l thla Intormetlon Ia complete and accurate;thet the work wlll be In coMormance wlth the oMlner�es and codea or the Clly of
Eagan;thac I underatand lhls Is not a permlt, but only en appllcatlon for e permlt, end work le not to stert wlthout a permlt;thel the work wlll be In
accordence wtth the approved plan In the case ot work whloh requlres a revtew and approvel oF plana.
Ext•rtor work authorized by a bullding permlt Issuad In accordance wlth the Mlnn�ota 9tata Bullding Code must be completed wlthln 180
days of permlt leeuance.
X G�fk�s f�NDE72s0�✓ x�,�, .G��-�er�`'°g�—�'��
Appllcant's Printed Name Appllcant's Slgnature
Pege 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145567
Date Issued:09/14/2017
Permit Category:ePermit
Site Address: 4129 Durham Ct
Lot:076 Block: 04 Addition: Diffley Commons
PID:10-20450-04-076
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Elsen
336 Weymouth Ave
Elgin IL 60124
(651) 592-5645
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147860
Date Issued:02/12/2018
Permit Category:ePermit
Site Address: 4129 Durham Ct
Lot:076 Block: 04 Addition: Diffley Commons
PID:10-20450-04-076
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Elsen
336 Weymouth Ave
Elgin IL 60124
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature