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3832 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 From: Adam Fiereck . Fax: (763) 400-4503 To: Fax: +1 (651) 675.5694 Page.4 of 4 .1 I118l2013 8:40 Use BLUE or BLACK Ink For Office Use I l I Permit I 0 v~ City fla d~ ~ Perrrsrf Fee. i 3830, Pilot Knob Road i 1~~~~~ ~ Eagan IVI 55122 1 Date Received. Phone. 651).675-5675 l ~ I Staff', _ Fax: (651) 675=5694 L 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:' Site Address: 7l ,`_l 1 1 I:l U Y -4 ~i U U 1 1 i Tenant. Suite _ Name: _._.....~.,.w_...__.._...-....._____~~___-_Photie: L ResidenttOwner Ctiyi l w~Addresa ~ dame: _ t kkWOM PI ~..ww...,....,w.., . +_Licensei f~ ..p._.-.._......,~,.~ - JIG OW Contractor address: City. State: N ZIP: !Y/ Phone: Contacf ~tY 1 Email: o Now Replacement epair Rebuild _ Modify Space- Work in R.©.W. r Type of Work Description of work: RESIDENTIAL j Water Heater I i Water Softener Permit Type C Lawn!Irrigaton RPZF_PVB) l _ Septic System _ add Plumbing Fixtures Main _ Lower Level) New _ Water Turnaround E } i I I' Abandonment I i RESIDENTIAL FEES: p $60.00 Water Heater, Water Softener; or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation.(includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,. Water Turnaround* (includes $5.00 State Surcharge) V ater Turnaround (add $200,00 If a 5 `8"meter is inquired) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) ~ tT7`► TOTArL FEES S (J CALL BEFORE YOU DIG. Call Gopher State One Gail at (651) 454-0002 for protection against. underground utility damage.. ..all 48, hours before you intend to dig to receive locates of underground utilities. www_g_opherstateonecali:org I hereby acknowledge that this informabun.is conplete and accurate.1hat the work will be in conformance with the ordinances and codes of the City of Fagan; ;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 approv^e'd' plan in the case of work which requires a review and approval of plans. X LlaM reC, X Applicant's Printed Name. Applicant's Ignature FOR OFFICE USE Reviewed By:; Date: Required Inspections: Under Ground . Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff.