3630 Vermilion Ct N
From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:15 #482 P.023/043
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City of Eapn Permit Permit Fee: J ac a S
3830 Pilot Knob Road 2
Eagan MN 55122 j Date Received: J j
Phone: (651) 675-5675
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Fax: (651) 675-5694 1 Staff: I
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2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2 20 Site Address: (Q n,0-3(0`42 Vef rn 1 I 1 O VI C+ Unit
...~--..-,..,...w..-.. ~ Name: Phone:
Resident/
Owner Address / City / zip:
Applicant is Owner Contractor
Type of Work Description of work: rtr f00+ AMA Y L Si dl Construction Cost: D1 r O 00 Multi-Family Building: (Yes 1 No ) G
D Company: /7II~~( UlX ►Sfi(1~ ,~~(1 IY► e,~,(~ Contact: ~ I I~~~7i1~
Contractor ! Address: rJI~S Ina"--ft-Al St. Wit ~ 103 City: M-lDIG PI-1 l n
State: MR Zip: CJOJ 3501 Phone: 951- CHI- 195H
License _aCAP~1515 Lead Certificate N AT 209 Jpy'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: 1
Licensed Plumber: Phone:
s Mechanical Contractor: Phone:
I
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 rf 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.aooherstateonecall.orci
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 Late Building Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name Appli s Signat e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136369
Date Issued:05/09/2016
Permit Category:ePermit
Site Address: 3630 Vermilion Ct N
Lot:407 Block: 05 Addition: Centex Vermilion
PID:10-16935-05-407
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 -
Teresa Bartz
3630 Vermilion Ct N
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature