3688 Vermilion Ct N
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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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120960
Date Issued:03/06/2014
Permit Category:ePermit
Site Address: 3688 Vermilion Ct N
Lot:205 Block: 05 Addition: Centex Vermilion
PID:10-16935-05-205
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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
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.
Contractor:Owner:- Applicant -
Jennifer A Baechler
3688 Vermilion Ct N
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature