4088 Durham CtRESIDENT / OWNER
N ame: Cr II Gvla, m , Phone: (Q57 9 3 1 - 7 9 7y
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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-
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Address: / 6 goo- /U e l" h a J d o A G O r e , City: ,�Jl d 6 0 i A e- .,
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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
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Applicant's Printed Name
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Applicant's Signature
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Permit Fee: 6.d -:o
Date Received: 3 -if-AP
Permit #:
Staff:
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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^-----------.)
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� C�ty of Ea�an � Pe�"#: . ,
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� Pertnit Fee: �
3830 Pilot Knob Road
Eegan MN 66122 j Date Recelved: j
phones(651)675-6675 I I
Fax:(6g1)676-6694 . � S�� �
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2014 RESIDENTIAL BUIL.QING PERiVI�T APPLICATION
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Date: ���7 � siteAddress: �,/v9y-�/096- �/09�' C�r2►�+�►� Gou;�r' un�t#:
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`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:
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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.
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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