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3662 Vermilion Ct N From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:14 #482 P.020/043 3t-oA4 3(P4to t --,2> (o Je% 3 (P&-b 3e5a , 3(051 3125ut 3~~a , 3t~~ca0I ~to(42t 3(o(o41 -j(o(o(n Use BLUE or BLACK Ink I For Office Use 2G j Permit ✓ I j City of Eajan I I Permit Fee: 1 , • 3830 Pilot Knob Road ry Eagan MN 55122 j Date Received: -1 151 -3 1 Phone: (651) 675-5675 I p,~ 1 Fax: (651) 675-5694 1 Staff: I~ y 1 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 3 Date: Site Address:%M=3 LvWp V-rm i Ion Unit Z'o I _ Ci -~.,....,,.M,~,... ~ Name: Phone: --~.a... x~.~ Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor of Work Description of work. rou A T p A t~- S i o f M ype Construction Cost: I OC Multi-Family Building: (Yes No ) Company: N ISt71r C41AJVU&W1 Mav 21 fta nt Contact: _ox h A slt l Contractor Address: 15145 II 1WV►JI f 1711 St. Mit # 103 City: M-AD►/ KA i n State: MR Zip: Cl;53_5 I Phone: 952- Om?.- IH5H License BCAPAI5 15 Lead Certificate l~! V-I1Dy-0 P If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I 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: t 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 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.aoaherstateonecall.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 Minnesota tate Building Code must be completed within 180 days of permit issuance. x~ lue t~ 74 I s+C31d x Applicant's Printed Name Appli i's Signatullre Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:14 #482 P.020/043 3t-oA4 3(P4to t --,2> (o Je% 3 (P&-b 3e5a , 3(051 3125ut 3~~a , 3t~~ca0I ~to(42t 3(o(o41 -j(o(o(n Use BLUE or BLACK Ink I For Office Use 2G j Permit ✓ I j City of Eajan I I Permit Fee: 1 , • 3830 Pilot Knob Road ry Eagan MN 55122 j Date Received: -1 151 -3 1 Phone: (651) 675-5675 I p,~ 1 Fax: (651) 675-5694 1 Staff: I~ y 1 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 3 Date: Site Address:%M=3 LvWp V-rm i Ion Unit Z'o I _ Ci -~.,....,,.M,~,... ~ Name: Phone: --~.a... x~.~ Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor of Work Description of work. rou A T p A t~- S i o f M ype Construction Cost: I OC Multi-Family Building: (Yes No ) Company: N ISt71r C41AJVU&W1 Mav 21 fta nt Contact: _ox h A slt l Contractor Address: 15145 II 1WV►JI f 1711 St. Mit # 103 City: M-AD►/ KA i n State: MR Zip: Cl;53_5 I Phone: 952- Om?.- IH5H License BCAPAI5 15 Lead Certificate l~! V-I1Dy-0 P If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I 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: t 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 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.aoaherstateonecall.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 Minnesota tate Building Code must be completed within 180 days of permit issuance. x~ lue t~ 74 I s+C31d x Applicant's Printed Name Appli i's Signatullre Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA178667 Date Issued:08/29/2022 Permit Category:ePermit Site Address: 3662 Vermilion Ct N Lot:304 Block: 05 Addition: Centex Vermilion PID:10-16935-05-304 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Sharon K Steiner 3662 Vermilion Ct N Eagan MN 55122--314 (612) 414-5355 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature