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