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3822 Vermilion Ct S From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:09 #482 P.002/043 ft2 i MA t 3$te, ~)Wj H2Di X62?- 8 aIA , 3 82b , 829 , 830, ~j $32 i ?j g + Use BLUE or BLACK ink An. I For Office Use I AML I ; Permit g: t 133 4 City of Eajan . 1 Permit Fee:* 152 P-5- 1 3630 Pilot Knob Road Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 I Staff:) I I t d 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: v 2 ( 20' Site Address: _MMI - 3 I &640n CDUtt SOL t 1' f Unit ft: Name: Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: YOof And YL- sl d(m Construction Cost: tr~ { I Multi-Family Building: (Yes No ) Company: -A&W C 1S IeW MlklAotAft Contact _ A1ft7i1li «i Contractor Address: 5145 Ir1(~LVISIYI A S$. $UTA 103 City: A2011/ P17t i n State: Zip: V3.3 I Phone: tJ2' - f~2 1 ~15~1 License F W31151 Lead Certificate NAT- ICAIDL4-0 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 i 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: I Licensed Plumber: Phone: Mechanical Contractor: Phone: p Sewer $ Water Contractor: _ Phone: E NOTE. Plans and supporting documents that you submit are considered to be public information. PoWonS of the information may be classified as non-public if you provide specific reasons that would permit the City to M^ r s ~rx t M conclude that they are trade secrets.r~~_M_ CALL BEFORE YOU DIG. Calf 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.oooherstateonecall.oro 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. x 74kSc31 x Applicant's Printed Name Appli a s Signatull e Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA148028 Date Issued:02/28/2018 Permit Category:ePermit Site Address: 3822 Vermilion Ct S Lot:107 Block: 04 Addition: Centex Vermilion 2nd PID:10-16936-04-107 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Sarah A Stevenson 3822 Vermilion Ct S Unit 107 Eagan MN 55122 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. it"I( 1408 NORTHLAND DRIVE,SUITE 310 • MENDOTA HEIGHTS,MN 55120 • (952)881-9000TEST RECORD ADDRESS 3522 V e-Mitt" ( S. CITY C`7/1 OCCUPANT C1-2 1 L 54{UuiJo. OWNER B SOLD BY I INSTALLED BY /`�>�"'- MAKE 1,44#6 L 0< MODEL M U!(8000 014511‘1/1SERIAL NO. /7 18 Cl 7 �/C7 . INPUT C/ gaX THERMOSTAT (141/1 t VENT SIZE �/ �� 1 j VALVE 4 61 7 C r r e)4/5 f S TYPE OF LINER 51< LIMIT (]]�1LINER SIZE S LIMIT SETTING I R" FILTERS: SIZ i ter' +l �` f NUMBER FAN SETTING Li? 1010"..441 1^0 `^ { PILOT TYPE 1/51 TEST TAG V"e 5 /� IGNITION MODEL '- . / LIGHTING INST. `r? PILOT TIMING W51 'Ij r/ i 1)-S" DATE TESTED 0,PRESSURE L/ ` PERCENT CO2 J INPUT CFH LIC PERCENT 02 ° / COMPANY TESTING �e ���.��� {- STACK TEMP. S . r PERCENT CO 1/Q�' "VI NAME OF TESTER FORM 235(REV.10/10) ✓ FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177295 Date Issued:06/23/2022 Permit Category:ePermit Site Address: 3822 Vermilion Ct S Lot:107 Block: 04 Addition: Centex Vermilion 2nd PID:10-16936-04-107 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: 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 - Sarah A Stevenson 3822 Vermilion Ct S Unit 107 Eagan MN 55122 (651) 283-5145 Sedgwick Heating & Air Conditioning 1240 Trapp Road, Suite A Eagan MN 55121 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature