3784 Vermilion Ct SFrom:ALLSTAR CONSTRUCTION 19529427464
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CityofEaao
09/03/2013 10:10 #482 P.008/043
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee
1!339(2
11E,;L
Date Received: _ / 3 i1
C _al
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 211 2013 Site Address: 319-3181v VtITh IIDh COM' Sauth Unit #:
Resident/
Owner
Contractor
Name:
Phone:
Address / City / Zip:
Applicant is: Owner Contractor
Description of work: rt Anc1 YC- SI ct,l
Construction Cost: 4101, 000 Multi -Family Building: (Yes / No )
Company: / lStAir COMMAChOin Minmelehetrt Contact: ciot tt11S tEA
S
Address: 511455 Ir1dUAStY1�l St• W1 *103 City: M�piL Ply I n
State: M t`1 Zip: �$35°t J Phone: 952.-91-12,-11-19-4
License #: X31515 Lead Certificate #: N 1q T - 204 (py —Q
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
1
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 & 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.000herstateonecall.orq
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 • tate Building Code must be completed within 180
days of permit issuance.
x Jot 1-1 74 I s+e zi d
Applicant's Printed Name
x
Applit s Signat e
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
Permit Type: Plumbing
Permit Number: EA135493
Date Issued: 03/18/2016
'City O ERF Permit Category: ePermit
Site Address: 3784 Vermilion Ct S
Lot: 304 Block: 04 Addition: Centex Vermilion 2nd
PID: 10-16936-04-304
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota
State Building Code).
Fee Summary:
PL - Permit Fee (WS &/or WH) $59.00 0801.4087
Surcharge -Fixed $1.00 9001.2195
Total: $60.00
Contractor:
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 604-4285 X61
- Applicant -
Owner:
Constance J Wooley
3784 Vermilion Ct S
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature