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3682 Vermilion Ct N02/23/2012 THU 16:15 FAX 4 0' CityofEaaau 4.4 11 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675.5684 Date: aja3 1 Construction Cost 1 f1 bl:) Mitt' sate. Applicant's Printed Name For Office Use Permit #: Permit Fee: Use BLUE or BLACK Ink RECEIVED FEB 2 4 2012 20fRESIDENTIAL BUILDING PERMIT APPLICATION 10 / Ms Address: 86Na tiet"nn►1\\C \ Cr �.� Unit 8 `�' ( � l Hama:._ 1( ac�i ti �l� � � r Phone: (f.1 aaB LQ Address / City / Zip: 3Le /Contractor rn�11«�'� Co1Nr IJ , I�c.c3e11, , rnA4 5�►.a� Applicant le: ' Owner J Contractor Description of work: ng`c r yv w SP e I ale( `5 MUM- Family Building: (Yes / No ✓ ) Compan Cgl_rNc TT n> Address: 3t. ii∎t`1tIY1rf Ir1ri. A. City: (Y1 P L. °.,5 state: nnt.t Zip: ' y Cllr Phone: La I e9. is1- i ( L Llcenae #: .V.f1 x ; )s% Applicant's Signature Contact: 1(Vl i (he l le Ike,( Lead Certificate t/: 1i A.1" A - j 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 perrrilt 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: Sewer & Water Contractor: Phone: CALL BEFQRE YOU DIG. CaII Gopher State One Call at (851) 454=0002 for protection against underground utility damage. Call 48 hours before you Intend to,dlg to receive locates of underground utilities. ywrw.goojlersrateonecalLorq I hereby acknowledge that this Informatton Is complete and accurate: that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand title 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. Extorlor work authorised by a building permit Issued In accordance with the Minnesota State Building Code must be ctimpleted within 180 days of permit Issuance. 1®002/004 Page 1 of 3 02/23/2012 THU 16:16 • §UB TYPES Foundation Single Family Multi 01 of _ Pion Accessory Building WORK TYPES New Addition Alteration Replace Retaining Well RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Penult & Surcharge Treatment Plant Copies FAX 3J (� , ve efrt ` ' r C l_ AI l � g DONOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation Plan Review (25 % 100% / Census Code Al 3 if # of Units / # of Buildings / Type of Construction n REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _ Rough In Air Test _ Final Insulation Sheathing Sheetrock Reviewed By: lex ? M10 TOTAL Porch (3-Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window *Demolition or entire building — glee PCA handout to applicant I,Bc- R•3 koo7 1? Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers la003/ Meter Size: Final / C.O. Required —rte. Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air /Gas Tests Final Siding: _Stucco Lath Stone Lath _ Brick Windows Retaining Wall: _ Footings _ Backffll Final Radon Control Erosion Control Building Inspector 3 446) 9..e `" - /Oc" 9' Page 2 of 3 þýý üõü ûýýðñ é å å òéøí Þæ å å þýø ÿþýüûúïþø öøüûúáì ãïø ãøÿÜãøüûúãþ÷þøøÿøáþíýøùíáþíýøÿÜ ø ý î òø ãá àÞæ åå øíïßíþÝèê ê à ÷û ÿþø øïèê êå éþ ê öðô øóò úú ÿìøþíýãøø îæÞåéøíòá òøãá ãáåå ßàÞæÝ åå øýûì äø úú ÷øíøøøíúûì úúýÿ ÷ãÿþòû÷îøê úúëøíÿþøþûÿþø 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