3680 Vermilion Ct N4 City of Baku
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
R CEIVE
2 011
r
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 9)1 -b)<< Site Address: - 0 V4e.ftis/, "0„ ( h
Use BLUE or BLACK Ink
For Office Use
Permit*: /O I / I (�
Permit Fee: 5 ' on
J
Date Received:
Tenant: Suite #:
Name: Qr ' / 0b Phone: 944, - 9 - 2.
Address t City I Zip: SAr n
131 P
Address: Z 12-st Div,' 5 ,' o., S.+- ti
State: lftl r t Zip: c_r
Contact Aj A a�,
New Replacement _ Repair
Descri • tion of work:
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
Phone: ) (/ - 1 1933
License #: Sg fSTP1 -►1
City Y) o 4¢,' fow► l
Rebuild _ Modify Space _ Work in R.O.W.
Water Softener
Add Plumbing Fixtures ( Main I _ Lower Level)
Water Turnaround
I RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 if a 518" meter is required)
$105.00 Septic System New ($10.00 per as butt) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ 6S o
CALL BEFORE YOU DIG. Cal 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.aopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work wiU be in conformance wlh 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
accordan with the approved plan n the case of work which , which requkes a review and approval of ns.
pevi
Applicant's Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109933
Date Issued:04/15/2013
Permit Category:ePermit
Site Address: 3680 Vermilion Ct N
Lot:201 Block: 05 Addition: Centex Vermilion
PID:10-16935-05-201
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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Rachael T Rosonke
3680 Vermilion Ct N
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
Fram:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:18 #482 P.035/043
3(olo8t 3(0_1(Ji 3&19Lt 36"741 31;c
3bb't 3to13a , 34a gjq, 3(o$(o t 3(.Psa 1 3to9v Use BLUE or BLACK Ink
For Office Use /
APer
Clt o f EaEd
mits/: rllll Permit Fee: ✓ a ' a✓~ I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:. 1-3 11
Phone: (651) 675-5675 I I
Fax: (651) 675.5694 1 Staff. I
I I
n 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: v 21 20 3 Site Address: S60b -36qb.UeVlMi0V1 COW Nort l Unit#:
24 f
i Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work. -roof 74 yo Y L- 51rAi Ia
Construction Cost: 01, L 0 c Multi-Family Building: (Yes / No )
Company: 81ftIr UMIAChIX 1 MIIV1710Aeffi t Contact: 00e, R71I&A"01 F
Contractor. ; Address: 511-15 IVW"_ Al St. Sine ~ 103 City: M-ADIti PI'Ai n
State: M R Zip: &353501 Phone: 952." C142" 195"1
License U Lead Certificate NAT 7-(AIPL4 -0
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
i
Sewer & Water Contractor: Phone: i
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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,gopherstateonecall.ora
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.
Exterior work authorized by a building permit issued in accordance with the Minneso late Building Code must be completed within 180
days of permit issuance.
lot ~ x at S4leZt x
Applicant's Printed Name Appli r s Signat e
Page 1 of 3
Citi of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 012016
Use BLUE or BLACK Ink
For Office Use (�
Permit #: 1 3LI CI (0�
Permit Fee: loo . DO
Date Received. -' --,g4010
Staff:00
0
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: JI) C l l L Site Address: J G V V c'e. I )1 o" C4.�-i' fj•
Tenant:-S14(tve
Gcf4
Suite #:
Name:SiArt4L G'4 Phone: (o 11- )37- Co3(,y
Address/City/Zip: 3c„°1 Jeirw(Ir`e✓, ( ,4-pJ. ,,..s,r‘^-1 5Y1)2
Name: Av+"tj
Address: Y9 �1�/�o11._ Ay .5.: Jr 3ta City: S,, ttv (4. Au(
License #:
State: /41.4 Zip: SI -6-W- Phone:
Contact: v J LY (' ltd
Cr/-3(ic
Email qr.(Cnw.Yv"�S�✓r.�.(Iw.
New Replacementt� Additional Alteration Demolition
Description of work: _teQf..T
RESIDENTIAL
I. Furnace
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)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
=$ Co
TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
_$
=$
=$
Permit Fee
Surcharge
TOTAL FEE
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.
X (.1) A
I d' /4.14
Applicants Printed Name Applicants Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165711
Date Issued:11/17/2020
Permit Category:ePermit
Site Address: 3680 Vermilion Ct N
Lot:201 Block: 05 Addition: Centex Vermilion
PID:10-16935-05-201
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Sara L Gort
3680 Vermilion Ct N
Eagan MN 55122
(612) 239-6364
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature