3706 Vermilion Ct S
From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:13 #482 P.017/043
t1.oo, 3-7oa, 3-7o41 37o(o, -7o8 , S71 D
37 ►;2, 3-114 3-7 Ib 31 IS I 377x0 , 3~aa
Use BLUE or BLACK Ink
For Office Use
I I
ermit 3xx Q ~J "T 1 Permit Fee: 115V A51
City of Eap P
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: _ ~ 1
I 1
d 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: y 2) ~'0►3 SiteAddress:31o~-3112 Vtr►milio~n Ulurt So~_t_t~ Unit:
~-ame:~~.....: ,.......,.._._,,.~.....,~,..__...,,.m,,.-,..,..a-...~__...>.~....-,~- Phone: Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Description of work: _I(L-roof Y~ - s1 Get
Type of Work
Construction Cost: I)-7 Multi-Family Building: (Yes /No Company. iffiI'SUt/ C MIUChIN1 MZI{ IQUftt Contact:_ !y "Isfti
Contractor. Address: Nth Ind~u►S~Yi-AI St. Wit* ►u3 City: WADI& PI-Ain
State: MR Zip: 553501 Phone:
License 11J Lead Certificate .N AT ' 2091Py -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:
i Mechanical Contractor: Phone:
ri f
k1 Sewer & Water Contractor: Phone: [
F NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
I the information maybe classified as non-public if you provide specific reasons that would permit the City to I
conclude that they are trade secrets. i
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.aonherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesot5f tate Building Code must be completed within 180
days o
lot, f permit issuance. p
x ►1 -alS tl.ot x
Applicant's Printed Name Appli a s Signat e
Page 1 of 3