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3679 Vermilion Ct N From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:16 #482 P.026/043 3 C~ ~ 1, 3(P lo°l t 3 CQ11 s 3 rat `3 , 3 ~Pi7 5 13,h-I-] Use BLUE or BLACK Ink I For Office Use I I ~~3 s^a 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 I ~ I 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. x ~luc ~t 741 s+e z d x Applicant's Printed Name Appli t s Signat e Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151990 Date Issued:09/21/2018 Permit Category:ePermit Site Address: 3679 Vermilion Ct N Lot:912 Block: 04 Addition: Centex Vermilion PID:10-16935-04-912 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Bradley J Ayers 3679 Vermilion Ct N Eagan MN 55122 (612) 636-4001 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature