3702 Vermilion Ct SFrom:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:13 #482 P.017/043
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Use BLUE or BLACK Ink
City of Eaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For Office Use 4x
Permit #: t 1 3a ct
Permit Fee: 1 15 a ' a -
Date Received: 41, / 13
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
0121
Date:y' 2 112-015 Site Address: 3100 - 3112 V trmi lion COurt Sovtty► Unit ti:
s Name: Phone:
Resident/
Owner
Address / City / Zip:
Applicant is: Owner Contractor
Description of work: rt, -roof And Yr; -Si ctlI
Construction Cost: $ 1 000 Multi -Family Building: (Yes / No _J
Company: AlicUte
iYt 1 t4tOirl MiAYmce C t Contact: Jot 1 tM,�AO
Address: 5t14S \ �V► il0 St. Suit #✓ 103 City: tv►1P11/ PIA in
State: NI IA ��Zip: 63S4:1 Phone: "152'" % 2 1L54
License #: �C) D3►CJ 15 Lead Certificate #: AT 2041104-0
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:
Sewer & Water Contractor: Phone:
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
w_Yconclude that they are trade secrets.^�s r r.. ---.
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.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 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 • • tate Building Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name Applis Signat e
Page 1 of 3
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 0 8 2016
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: rr)qIb Site Address: 31'0'). V ti ( C'kV flP4
Tenant:
Suite#:
Name:
Phone:
Name: Hilbert Company Inc Oa Culligan Water License #: WC641376
Address: «1.801 50th St East City: Inver Grove Hgts..
Stater Mn Zip; 55077 Phone: 651451-224
Contact: William R Milbert
Email:
_ New Replacement _ Repair Rebuild Modify Space _Work in R.O.W.
Description of work:
RESIDENTIAL
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 Tumaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 518" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) /�
TOTAL FEES $ t / 0.0 , O O
Water Heater
Lawn Irrigation (_, RPZ / _ PVB)
Septic System
New
Abandonment
XWater Softener
Add Plumbing Fixtures ( Main / Lower Level)
Water Tumaround
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.00pherstateonecall.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 1 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
acco • ance with the proved plan inthe cas. 'fwo hich re•uires a review and approval of plans.
Applicant's Pr' ed Name
(U1f(Applicants Sgnatu
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