3669 Vermilion Ct N
From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:16 #482 P.026/043
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City of Permit
I Permit Fee: 11 5a
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:.
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
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2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ZI 1'013 Site Address:
1~0(~~ VeY~y1I~1DY1 COUP N
Unit#
OW :
Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: rL-rouf a~~c1 YL sIc Vin
Construction Cost: Multi-Family Building: (Yes /No
)
Company: ffid71ruC0YlStYtA~i lOl~l MZ1W ahq& Contact;
Contractor Address: 51451109ft-Al St. Wit # 103 City: PIA I n
State: M R Zip: (5`5 Sol Phone: 951- 0 12^ 1'15'1
License #:IS l5 Lead Certificate t#:1y_T1T
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:
i Sewer 8 Water Contractor: Phone: t
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 fhe 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,-aopherstateoner-all.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 tate Building Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name Appli t s Signat e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA121541
Date Issued:04/07/2014
Permit Category:ePermit
Site Address: 3669 Vermilion Ct N
Lot:902 Block: 04 Addition: Centex Vermilion
PID:10-16935-04-902
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Neil Olson
P.o. 29292
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Federal National Mortgage Assoc
14221 Dalls Parkway
Po Box 650043
Dallas TX 75265
(651) 287-3677
Neil Heating & A/c, Inc.
P.O. Box 29292
Brooklyn Center MN 55429
(763) 535-1217
Applicant/Permitee: Signature Issued By: Signature