3770 Vermilion Ct S
From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:10 #482 P.008l043
3-16 00 311 a , -3-7-74
3-77& 3-7a o , 3'18Z , 3'18 A , 3 i g Use BLUE or BLACK Ink
For Office Use I
City of EaLaIl j Permit
I ' 1 c~ I
3830 Pilot Knob Road Permit Fee: F 1 ~a• oc,J
Eagan MN 55122 ?j 1 2
~ Date Received: t?`
g -t-.~„' I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: _ j
I l
20113 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2 I ZO 3 Site Address: 3 I W Y1" 318 ~,t~I O~ C ~U S )Ul t yl Unit
Name: Phone:
Resident/
Owner Address / City Zip:
Applicant is: Owner Contractor
R
Type of Work Description of work: I -yoo+ -And Yr- SIcif
Construction Cost: 4 107, 00 0 Multi-Family Building: (Yes / No
Company: A CoV►SiY►aGi' W1 MIh71lJ CW Contact: R-A ~ t o1 ,
Contractor ; Address: 5145 1DORA"A St SUi3e # 103 City: -M-x. P1,A i n k
State: M_Zip: 161'035 1 Phone: 952'"142, Nea 4
License M 9CAtp 1515 A' - V'110 .
Lead Certificate #:,y 1q-T
i 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:
Licensed Plumber: Phone:
Mechanical Contractor:
Phone:
Sewer 8 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.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota tale Building Code must be completed within 180
days of permit issuance.
x~ lot. ~ -aI s+e Zl d x
Applicants Printed Name Appli r s Signat e
Page i of 3
Use BLUE or BLACK Ink
I For Office Use 1
Permit #
0
of Ci Eae N 1 Permit Fee: 0
~ y ~
I
3830 Pilot Knob Road l I
Eagan MN 55122 3 1 103 i Date Recel ed:
Phone: (651) 675-5675 OC~ I Staff: j
Fax: (651) 675-5694
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
t I ~n j 0~
Date:.( ~ ems` l Site Address: ?DD
Tenant: ' i Suite R FF
Name: 1~C~t Phone:
Resident/Owner
5 a ~1
Address /City / Zip: 55
r Nam . i License L
UV)P ED
Contractor Address: CRY:
State: Zip: Phone: D D~
i i
Contact: Ay Email:
Type of Work - New Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL H~
Water Heater
Water Softener
Lawn Irrigation RPZ / PVB)
Permit'Type
Septic System Add Plumbing Fixtures Main Lower Level}
(
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
)
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES
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 gopherstateonecall.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.
Q~
JZ1~ ~1Z x
X ~,A
Applicant's Printed Name App cants Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In Air Test -Gas Test -Final
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