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4088 Durham CtRESIDENT / OWNER N ame: Cr II Gvla, m , Phone: (Q57 9 3 1 - 7 9 7y l r 1 5 Address / City / Zip: g ° 12 ., 0 Gl-1- k 0- /►'l d CONTRACTOR Name: ,_ i1 E ' �� c . y .e',t,. -n ill ( fC .Qi` -License #: ,� - --e- / Address: / 6 goo- /U e l" h a J d o A G O r e , City: ,�Jl d 6 0 i A e- ., — 7'' �V State: 1,i Zip: 57 3'7 Phone: ,S 7- 7� Contact 1 16 he-rt 5;e- Fe- r' Email: TYPE OF WORK New A/ Replacement Additional Alteration Demolition Description of work: � C.14/ ✓ CS5T 110 g6 NOTE: Roof mounted and ground m mechat ical equipment is re ulred to be screened:by C ity Code. Please contact the Mechanical Inspector for informs ion on perm d screen methods. PERMIT TYPE RESIDENTIAL 1 /Fumace COMMERCIAL _ New Construction _ Interior Improvement Air Conditioner — Install Piping _ Processed _ Air Exchanger Gas Exterior HVAC Unit _ Heat Pump , _ Under / Above ground Tank ( Install / _ Remove) _ — Other **When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) y $.50 State Surcharge) $ - `` ' TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation /removal OR State Surcharge) surcharge is $.50. increases by $.50 for each - $2,000 Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% = $ Permit Fee - If Permit Fee is less than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001 = $ TOTAL FEE 4 111 Cityofa�all Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 - 5675 Fax: (651) 675 -5694 x P, r Applicant's Printed Name x /t %41 Applicant's Signature r 5 w 7 s Permit Fee: 6.d -:o Date Received: 3 -if-AP Permit #: Staff: L 2010 MECHANICAL PERMIT APPLICATION Date: 3 ' ' 1 0 Site Address: 4 S 1� ' 4J b Q.1? - a G- i r f A G V a- Itt /ry Use BLUE or BLACK Ink Suite #: 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.qopherstateonecall.org 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 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. 0611712014 15:07 Les Jones Roofing,Inc. ffAX�528817009 P.014/020 Use BLUE or BLACK Ink ( Forofficeu9e^-----------.) . � l �3���� � � C�ty of Ea�an � Pe�"#: . , � � �a � � Pertnit Fee: � 3830 Pilot Knob Road Eegan MN 66122 j Date Recelved: j phones(651)675-6675 I I Fax:(6g1)676-6694 . � S�� � �____^_____�.�����J 2014 RESIDENTIAL BUIL.QING PERiVI�T APPLICATION HO8�1- �108�- �0�8-WO 4v- yo�y� Date: ���7 � siteAddress: �,/v9y-�/096- �/09�' C�r2►�+�►� Gou;�r' un�t#: �.I,�` ..,.�,�,,��:•. .:....:.: ....�. '�'^,l•,,,.���,:..�;i;%'.Y':�� ��,'�v;.+:�r_ Yr�- • ,,;" •: �: :.���.;`..,' ,��;`�-�����;;':� Name:you P�eoPe�2rY c,a-�.E �n�c.. Phone: �057- �.��/- 99�1�p '.;: "���r.-���,�<�:�,: ... ;, -- ;�����:;�i�:�id�ntf-s'�-��:', ' i :�„-. ,;.. ...... ,,:,, <;.�,,�,�°r��� r,,:,; ;ss+,,� Addre9s/City/Zip: 'P o• Bou 2►2 5 /NV�n..C�,z-mvd �it4tllt � �6' �� ,.�,,�;; �.i. ;';;':<�, .-;..:.,�� ; ; ���,��• ��w��f+;;w,;;;;!��'�;-"'.�?''" � '�y_`;��, Applicant is: Owner X ConUacto� ;:.., ����•���;;i�;:::::,,;.i,;�,.::;'. ,;;:�;.�;;: ,T„1,,�,,:.:y:. ;,,,�.,,�. p� ; ,4 �• `' � ��' '�', Description of work: [��MD!/ i9yt/O !l-E�L�-� /`/D/it/� ;�T.y��s���'V�i`�Qr�,, - ..,:�,,.,...:�;: �!� =:'r:-, ..,. ,�" l9 ?!�/ �r r;';'-» ;;�a;.,;; ;,,�': -`•;,: Constructlon Cost: , � Multi-Femily Building:(Yea x /No� ,c.. .�,;:i�:;?a�;:� �;•i;;�`�'> ��4�t��lt / . ;"i '`%'i�';���� `"'`'`��: Company._�E5 �ToNE3 EiDOfJ�/h- /NG Contact:Gs�ie�r s �NO�so;� :�:-� i::�:;-;,.;.�;,.`;.�;:;:�':h� � ;'a:;,.�::;:;,:i;:.,'•:•:,'•;.�,f;,,��,:, ...� ;� :.'1�.�Ih.,3`.':.1�����'.,fJ���i�ii::.:���••�.1�): � ,:,�.,:,.., �<�. ,...4r,<;.��.';��, Aaaress: 9Y� W. 8a �r�Lg� cicy: Bca�u,�rrbn/ ��_���- o�iit�';rt¢r;';,:;;, <::,���,. -�;.�;,, �:���:�:_���� '�::�:,+�,. =.-��:;;�;:'.��'�:�'� ..�;:':,`'�� .:;,:�, State: �l/�/ 2ip: .�,��2D Phone:�,�A— 7(0 7�a?.?/9 > - ;;.,�(':�r'�`�r�?.::r„�':;= ...,., ;i,. ;:� ••,.�.��.:';k.':;'.;; :: "'e.�;` �;it��;:'i�i1G,.: • .�1;" ;� `t,.; `��:;;%� L►cenee#, ���o� Lead Certificate#: .v,4T `f 0 3 7.?-/ If the proJect!s exampt from lead certlflcaflon, please explain why: (see Page 3 for addltional fnformatlon) COMPI,ETE THIS AREA ONI.Y 1F CONSTRUCTING A N�W BUILDING In the last 12 months,has the City of Eagan Issued a pe►mtt for a similar pla�based on a maeter plan7 _Yes _No If yes,da6e end addrese cf maeter plan: Llcensed Plumber: Phone: Mechanlcal Contractor: Phone: Sewer 8�Water Contractor: Phone: .J:�: i.��� .:��:,• �Y1J,. ...'M. ..:>` :�..: ..�r�:�Na _rr. -I+�,.. ' `..t y� _ i�n�n �p ,a.��.,�t,�l��$',h; , �'�¢�I:;,r'ie.d4id;Fiq����,�h�t�.y,ou,�S1�b���,a'r��cp�s"�;�;���b'��i��,��lj�,f�l'ar��{/c��� �P(-��i��o�s�o� �4i� t�r ,:':i0.�e C ;s:� J� a e �x.� .o d �,E .1..., 1�. !' .y. LI• + �J. T dr- ,p�• .�v�. ,. 1 � � S�L� �j/ °''�`���f►�4�fii,��l�n��fi��!���,�lass f(e�� ��'�.Q�'.p,u.;�j��:l��r� � r�� 1�t�i?� '�H��j�`e��b at,�i�r�i�� :$��i��,��. �+.�� c�{�„� ,. .`.,, j ,f„ � j ;� �rl.r,_�.,..,�`'�'M .,,,;.i�.�,.,�,�.•i.�, .,,c...,. ,...;�,�,:, !,.rfi•,'%�.n,.,k,S+,�tl:.":£. + 'q,P ..�..., ..,. ,.�a,.��.t;'�t�.tG•.,,,, ;,,:" :n:,�.. .,L�,x�.�r�:?r! :��7;,:'� .i �„� ; f. ��r.���,. .xi�; +=�a,a 3; /,,' �' ..� d y�,��� '�i�i.�•> 1 � I� •a�.�+i:;a�n,r�. ,{.j�,, j� :;,' v,� „�.<t;:.t., ''�;k. �E ��a..G`p Q�U,O.��!A,a��. �,E�, RS,a�'�.���,/?!t�/,": ���:r9.. �"i ti �,,,•,�. 5(:;,Rj r,��f- �i .� „r '�GS 'i'�f.::u:x� ,•i: .i CALI,BEFORE YOU DIG. Cell Gophor Steta Ona Call at(661)46d-0002 tor protecllon apalnst underground udllty damape. Ce1148 hours befora you Intend lo dlp lo receive locatea ot underground utlqtlea. www.aooherslateonecall.ora I hereby acknouwedae thet thle Informetlon le complete end accurete;lhat the worlc wlll be In conformance vullh the orcllnancea end cod88 ot the Clly of Eapan; lhat I understand thle Is not s permlt, but only sn appltcatlon for a pertnit,and work Is no!lo slart wlthout e permll;l�at Ihe work w111 be In eCCOf�d�nCe with lhe epproved plan In the case of work whlch requlres a revlew and approval ol plane. �Xterlor work authorizad by a bul►ding psrmlf Issuod In eccordance w[th the Mtnnasota 3tate Bullding Code must be Completed wlthln 180 daya of permlt leeuenca. G� �s nrDEQsa X ��� GG�=�4 Appllcant's Prl�ted Name Appllcant's Slgnature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148474 Date Issued:04/02/2018 Permit Category:ePermit Site Address: 4088 Durham Ct Lot:107 Block: 04 Addition: Diffley Commons PID:10-20450-04-107 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 - Adoude A Akue-akoiete 4088 Durham Ct Eagan MN 55122 (612) 226-9199 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature