3828 Vermilion Ct S
From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:09 #482 P.002/043
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; 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
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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.
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Applicant's Printed Name Appli a s Signatull e
Page 1 of 3
Use BLUE or BLACK Ink n/I
For Office Use
V
City ofEaall
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Permit#:Permit Fee: 60-00 I
3830 Pilot Knob Road //-
4-16Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
Fax: (651) 675-5694
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 11/10/2016 Site Address: 3828 Vermilion Court South, Eagan 55122
Tenant: Suite#:
Resident/Owner / -
Name:Name.
Mary Ihlen Phone: 612-668-0473 work
Address r City/zip: 3828 Vermilion Court South, Eagan, 55122 ( //763'-
Culligan dba Mit.-rt Corn.. License#:
1111
Contractor
Address: 1801 50th Stree City: Inver Grove Heights
State: MN N zip; 5 Phone: 651-451-2241
Contact: Kelly H..eley an: kelly.haseley@culligan4water.com
Type of Work r New I( Replacement Repair Rebuild _Modify Space _Work in R.O.W.
Description of work: Water Softener
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation(_RPZ/_PVB)
Permit Type Add Plumbing Fixtures( Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround(add $280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$60.00
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.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.
1\4 =try hen f/, l0 •ao/(c)
Applicant's Printed Name Applica Vs Sig ature
FOR OFFICE USE Reviewed By.: . Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff: