3686 Vermilion Ct N
Fram:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:18 #482 P.035/043
3(olo8t 3(0_1(Ji 3&19Lt 36"741 31;c
3bb't 3to13a , 34a gjq, 3(o$(o t 3(.Psa 1 3to9v Use BLUE or BLACK Ink
For Office Use /
APer
Clt o f EaEd
mits/: rllll Permit Fee: ✓ a ' a✓~ I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:. 1-3 11
Phone: (651) 675-5675 I I
Fax: (651) 675.5694 1 Staff. I
I I
n 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: v 21 20 3 Site Address: S60b -36qb.UeVlMi0V1 COW Nort l Unit#:
24 f
i Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work. -roof 74 yo Y L- 51rAi Ia
Construction Cost: 01, L 0 c Multi-Family Building: (Yes / No )
Company: 81ftIr UMIAChIX 1 MIIV1710Aeffi t Contact: 00e, R71I&A"01 F
Contractor. ; Address: 511-15 IVW"_ Al St. Sine ~ 103 City: M-ADIti PI'Ai n
State: M R Zip: &353501 Phone: 952." C142" 195"1
License U Lead Certificate NAT 7-(AIPL4 -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
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:
i
Sewer & Water Contractor: Phone: i
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,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.
Exterior work authorized by a building permit issued in accordance with the Minneso late Building Code must be completed within 180
days of permit issuance.
lot ~ x at S4leZt x
Applicant's Printed Name Appli r s Signat e
Page 1 of 3
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
� �.�3.�� ,
Clt Of �� �Il ; Permit#: I
Y � I v v� I
� Permit Fee: �
I �
3830 Pilot Knob Road �
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: �
�-----------------I
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: �d � l,S� Site Address: ���!� l��l���'^-l�r �r�
Tenant: Suite#:
� �� �'� Name: ��'C� �C�7-�i�L�--'fC� Phone:lo«-�c�1 ��.3�1'
Resider�t�Owt�+er
Address/City/Zip: ��Q'�' �
��-/� l"L� ,� a3 5�� /�"�jvSF a-!1
Name: `1�� License#:/�''-�D o3'�/3y
C�tt��'�G�O�' Address: ��_-�i 6�`�' �'v' City: �. sT/ +��
State: �i✓ Zip: .�$��'7 S Phone: �..�j ��j"�}�6 �
' Contact: ���D���°� Email: �---"""
� T�/pe�Df 1N�Ck- �� —New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work:
RESIDENTIAL
� Water Heater
� � � �� � Water Softener �
Lawn Irrigation�RPZ/_PVB)
Q��������e 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$210.00 if a 5/8"meter is required)
$115.00 SeptiC Svstem New(includes County fee and State Surcharge)
TOTAL FEES$
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.qopherstateonecall.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.
X �?,�-�/'//� �.�4�t�� '�� X
Applicant's Printed Name Applicant's Signature
fOR OFflCE 1�SE Reviewed By: Da#e:
Required Inspections: Under Ground Rough-In Air Tes# ; Gas Test Final
11�leter Reiated ltems: Meter Size ftadio Read ; Manorneter 5taff: