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4111 Durham CtCity af 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 Permit #: Permit Fee: Date Received: Staff: f1 2010 MECHANICAL PERMIT APPLICATION Date: 11 1 1 n Site Address: L7 11 ' D t J h 6./y) C+ Tenant: Suite #: J RESIDENT / OWNER Name: "Vet M t t— A QC7 O 1 Phone:41. r— Okl—'C`Ci5 Address / City / Zip: y 11 1 ()LAC h uM C CONTRACTOR Name: 5+ 1) . t.A.- PI Lt Mb ; , q License #: // Address: (o -tJJ(7 v r(�d Ave_`� City: .& I State: M A) Zip: S.S. I C Phone: b I 2 U`'j Z o O Contact: 3C e-1 r C e r il: TYPE OF WORK PERMIT TYPE New X Replacement Additional Alteration Demolition Description of work: 1C. j 14, L "L f(Ar n & G e - RESIDENTIAL Fumace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbin, Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ G®,50 TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR $50.50 Minimum (includes State Surcharge) - If Permit Fee is Tess than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Pennit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee = $ Surcharge $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of, underground utilities. www.aoaherstateonecalt.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I' understand this is not a permit, but only an application for a permit, and work is not to start wittput 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. xA.. Applicants Printed Name x. App round ;Rough In Air Test _ ni lon SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd, Eagan, MN 55122-1897 DATE MAR 18. 1992 SITE ADDRESS 4097 099 4101 41C LOT BLOCK 2 SEC/SUB OFFICE USE ONLY METER # PERMIT DATE 03(18/92 CHIP # PERMIT # 12609 METER SIZE B.P. RECEIPT # C 017811 ISSUE DATE B.P. RECEIPT DATE 03/1 7/92 — PRV _. BOOSTER PUMP 4105 4107 4109 4111 =VAN 01' DIFFLEY COMMONS APPLICANT: ADDRESS: CITY, STATE ZIP PHONE UMBER: VALLEY F�EG 610 CRICK LN JO t it Ztp 55352 g,ORESS: • CITY, STATE PHONE. OWNER: ADDRESS: 492-2:2.1 THE Rorrynlb CO INC 5201 E RIVER „RD CITY, STATE FRIM Y ani PHON 571- ZIP 55421 PI.'7 5E AtU.OW�TWO W NI SEWER PERMITS, CONTACTENI DEPT. PERMIT REQUESTED, —X SEWER COMM/IND XNEW X WATER _ TAPS RESIDENTIAL — EXISTING Lawn Sprinkler Meters are to be Installed Alread of Domestic Meters on Water Line; Credit WILL NOT be given for Deduct Meters 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED SING. CA 454-5220 EFOR INSPECTIONS. FOR STORM op City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA108194 Date Issued: 11/26/2012 Permit Category: ePermit Site Address: 4111 Durham Ct Lot: 093 Block: 04 Addition: Diffley Commons PID: 10-20450-04-093 Use: Description: Sub Type: e -Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 - Applicant - Owner: Tamara M Otool 4111 Durham Ct Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature 41,1110' CityofEaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: WV0130 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee W Date Received: 0G+" V V+" 9 - 1 H 2) Staff: J 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION `r2 /, Site Address: 4\\\DkAf J Suite #: � Ver 4-4. ' t Address: tI ( 0 0.)01. cense #: City: :4A --PiA u 4 New .Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: HC N(j' Lot\ RESIDENTIAL _„Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (_ Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ Lib ° CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.clopherstateonecall.org 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval =f plans. x Applicant's Printed Name 06/17/2014 15:06 Les Jones Roofing, Inc. (FM528817009 P.012/020 1111011. Gity of Eaaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 676-5676 Fax: (651) 675-6694 - Use BLUE or BLACK Ink For Office Use Permit #: 1?--q4-1S Permit Fee: 1 0 / Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION f1o�7-'af9- e/lo/r z//O3— 4/ifir/ S D I (71 l'( Site Address: i/D'?- ¥/o 9- 9/1i DV .¢� Cath /— Unit #: '.,t f YL, ;/ :=:• , " . CsidC.hU J '; 'Owper; ": , i''`. ` ' ���• `� •' Name: yo PeOPPt?TV G qtr L Ne-• Phone: 657-�.f-4/ 'y9 , Address / City / Zip: Re). Box Zi 2. 5 /N�S72. - 4't b) AY6 ' 24 Applicant Is: Owner X Contractor •<J -pe rt- • k b•,.= , Description of work: hE/tD//& fly /POPG.4CE c34Jld�1 Construction Cost $29, 358. '' Multi -Family Building: (Yes x / No ,< :1 •;'',;';`' :`.; , .',,....�; ... . tca�.>k�a�tor *i:.. "= , R r• .ti ti s DpLsoA Contact h'ea 4 Company: Ars 1%DNNY RGvf?i1/6 hue. G' Addrese• 9'I I W 8D r71 "7-)2.E'%- City: �czu� .✓ State: l4/J zip: -ire 20 Phone: 952 - 74, 7 - ag/7 License #: 65-669 Lead Certificate #: k44 'FQ 3 1 A - / , , If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes _No if Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Phone: Phone: Phone: `,N t, , ' ly hs; d.. K - b . l � b aK t� :Arf #13, " %t* 91` * B : o" n,,0: , /_,10:0''.0* 1°'' ':�.: /}�,�,Ditto' OW"_ �.. ,i+. t�� . .n. ,ls �,� Y�.n� /T2=���.: h .,,v , � ,...*�., ,.��,,,j _ ���b .4��,�., �, /r!� 5� Y.,..::.,: �,;�:::; r : �a��. '.l '4.: '1 , !�!.'1.1-�•r, 1.: q�:11?y� ./� .�. ..I�''Yi, S.. •:7'. .C' i1:i' ( 1 1�:..* 4 >. , '�Jll�. •:In .1: •al.,` h- ''' Cgs'lniMori /010, 1 a({�y/�';� ofA sr�/�re(� � /� 't1- , t�b�l/"�:lt p 'ay'ld �s `tiii .q.,0 ` t o; .0441 ?� it':}y/1 le �lV�;:tio "` ia; .��.y ! . 7+� i vZ�., •..••.,.•:��4 ;.7r' `Y nl'-';. !,/.y/ �• .,k• '�.4! .� � ..rc�C?e r���.[, qy��. ry,:, '°r'7 o. .,I •n!6 .<:1.�Y: :a.. '„ , 1 1+: `C ua �,.. .�.�C.. l"'ir aFI�"„ 'f '�'•" R. •] �" v.E.�`. .Sl.`.5. .^,,; .I:.i"�. ;y..� .�' :; •a:�i. '..:1. :Y:;.rl �1W:: ::1.'.a..- '.+�, { 'i 4!.,'`.: l '4:x1 .N"".. :Pi's:[., _ .1 .._,.en .G'. `. ra:. Y;j4„!'9lfS °f'.`, .w, r., 'V!a`n;• �.�P:i511,X7 li�7T�PlS2.Tf;S��1!"1�.�X '��_:.:.. 4.; e F 1 y/Jj%j �( L}%�p p��/rf%���•/pny A �y /��l. 71� . .... `i I,s°•` CALLBFFQRE YOU DIG. Cell Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Cell 48 hours before you Intend to dig to receive locates of underground utfltles. www.eooherstateonecall.orq I hereby acknowledge that this Information Is complete end accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this le riot a permit, but only en application for a penult, 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. Exterior work authorized by a building permit Issued hi accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x CiMis /4uD672COil Applicant's Printed Name Applicant's Signature Page 1 of 3 02/19/2014 12:35 Les Jones Roofing, Inc. (FAX)9528817009 P.012/020 4110lie Cly of Gain Date: 3830 Pitot Knob Road Eagan MN 65122 Phone: (651) 6755675 Fax: (661) 67643694 RECEIVED FEB 1 9 2014 Use BLUE or BLACK Ink For Office Use Permit #: '51 ' Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION 1 �II `l y°q?, 4444: 0 �iq 4/0% 14' 3 / I Site Address: e4r/0%, M,o 1, 4 f 0 j 4/ // Z�G c91,71-4^Onit #: J F'. . tt1en ;; ,r��.`; ": 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 1 6 2015 Use BLUE or BLACK Ink For Office Use Permit #: 1 Permit Fee: COO • CO - iDate Received:l t0— Staff:( 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 1/1//2 /SO l5 Site Address: 41(1 J/(A•( Tenant: INAEULAIL 0.1.'1471311_ Resident/Owner { Name:�t'`G✓t/k U Suite #: Phone: (aS I - (, -(, t j L Address/City/Zip 9 (( � ISN 5612.2 Name: MINNEAPOLIS -ST. PAUL PLUMBING, HEATING & AIR License it: MB003372 Address: 640 GRAND AVE. City: ST. PAUL State: MN RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal I *If contract value is LESS than $10,010, Surcharge = $5.00 "If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please cat for Surcharge Zip: 55105-3402 Phone 651-228-9200 @I K. VO•ava Email: PERMITS@MSPPLUMBINGHEATINGAIR.COM New Replacement Additional Alteration Demolition Description of work: .A.1.1444,,Q,1 .PJB 1y...Ce✓tAl,;.w 1,57-64 �ti NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted'screening methods, RESIDENTIAL /Furnace New Construction interior improvement V Air Conditioner _ Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Aboveground Tank g (__ install _/_ Remove) Other COMMERCIAL TOTAL FEE Contract Value $ x .01 Permit Fee Surcharge* TOTAL FEE hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; (hat I understand this is not a permit, but only an application for a permit, and wo k is not to start without a pejmz. ; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ��Ccv.Ntk , Jo?ave.. Applicant's Printed Name FOR OFFICE USE Required Inspections: Underground Reviewed By: Date: Air Test Gas Service Test _--__ in -floor Heat Final HVAC Screening