3642 Vermilion Ct N_
RESIDEN OWNER
v
ame: Phone:
Address / City / Zip: 4 3. ` ,2- e txv.,c C -
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
New X Replacement Repair Rebuild Modify Space _ Work in R.O.W.
_ ^ _
Description of work: _
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) ( Main Lower Level)
^
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Mi mum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
City of Eaall
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Dater 27 v Site Address:, - 2— ix 4N. \ cN N \v®
Suite #:
Tenant:
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecallorq
1 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 wit •ut a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval tans.
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
_ 1 r
Applicants Printed Name
et a CI) �.
FOR OFFICE USE
Required Inspections:
x
Applicant's Signa
Use
?
Permit #: J
Permit Fee: '
Date Received: ✓`�
Staff:
Reviewed By: Date:
Under Ground Rough -In Air Test Gas Test
Use BLUE or BLACK Ink
From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:15 #482 P.023/043
3 1 3La22-1 3(o a~ co 2~ , 3"02c6 . 3(030
J 3 a. r 3 (oA I -3 63(6' -3 (o Co 4 O 1 ~(to 4, Use BLUE or BLACK Ink
I For Office Use
I 2 I
City of Eapn Permit Permit Fee: J ac a S
3830 Pilot Knob Road 2
Eagan MN 55122 j Date Received: J j
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff: I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2 20 Site Address: (Q n,0-3(0`42 Vef rn 1 I 1 O VI C+ Unit
...~--..-,..,...w..-.. ~ Name: Phone:
Resident/
Owner Address / City / zip:
Applicant is Owner Contractor
Type of Work Description of work: rtr f00+ AMA Y L Si dl Construction Cost: D1 r O 00 Multi-Family Building: (Yes 1 No ) G
D Company: /7II~~( UlX ►Sfi(1~ ,~~(1 IY► e,~,(~ Contact: ~ I I~~~7i1~
Contractor ! Address: rJI~S Ina"--ft-Al St. Wit ~ 103 City: M-lDIG PI-1 l n
State: MR Zip: CJOJ 3501 Phone: 951- CHI- 195H
License _aCAP~1515 Lead Certificate N AT 209 Jpy'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: 1
Licensed Plumber: Phone:
s Mechanical Contractor: Phone:
I
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 rf 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.aooherstateonecall.orci
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 Late Building Code must be completed within 180
days of permit issuance.
x tluc d x
Applicant's Printed Name Appli s Signat e
Page 1 of 3
`f
a a i � For Office Use l 1 n
• •... .., , A Permit it: ,"' ( q q,5 I� `
Permit Fee: 1
ii
r e7
Date Received: �`��- <I
3830 PILOT KNOB ROAD l EAGAN,MN 55122-1810 FEB L L 2016 I
(651)675-5675 I TDD:(651)454-8535 i FAX:(651)675-5694 Staff:
build inainspectionst cityofeagan.com L j
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2/2 8 Address: 3632,3634,3838,3640,3842,9620,3622.3624,3626.962,3630 V , •• Court North
__..Site
Unit it:
` '' : Name: Gassen Company Management Company Phone: 952-922-5575
, 11ReladenAddress 1 City 1 zip: 6438 City West Parkway Eden Prairie MN 55344
Applicant is: Owner X Contractor /
Type ofnWorx.
Description of work: Attic Insulation
Construction Cost $15,000 00 X
Multi-Family Building:(Yes /No
i F
Total Construction & Maintenance Contact: Dane Meyeraan
Company:
6438 City West ParkwayEden Prairie
Contractor Address: City:
' State: MN Zip: 55344 Phone: 952-641-9300 Email: danem@totalconstruction.net
License#: BC718951
Lead CertMcate#: NAT-Fl 73204-1
If the project is exempt from lead certification, please explain why
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:
Fire Suppression Contractor: Phone:
NOM Plans and su
PPoring documents That you submit are considered to be public teflon Portions the information maybe
classified as non-public if ' rem that would• to that sur beds�.
You may subscribe to receive an electronic notification from the Cityof pro ,. e ri.an ni an
website at www.chvofeagan.com/subscribe.
Proposed ordinances by signing up for email update on
the City's
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU pig. 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. ,,, ..:.•h- 7 •n=t=U.or
•
I hereby acknowledge that this Information is complete and accurate;that the work will be-4 •• •..t- ce with the ordinan*- and codes of the City of
Eagan; that I understand this is not a penult, but only an application for a •- ,•l -"'Y work is not +*.lart without a •;. that the work will be in
accordance with the approved plan in the case of work which requires a revie. ; • approval of plans.
Applicant's Printed Name x.�.
))0)- t 3W31) `D(cMr, `telt° 'v(eY2. 13te a0/ 3(ea a/ 3 'Y� (o
DO °SOT WRITE BELOW THIS LINE3 it,--5-0 t, r ; 1 i O.,,1 ( n ,
~ SUBTYPES 3G2dV� 9
Foundation __ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family * Garage — Porch(4-Season) Exterior Alteration(Multi)
4 Multi __._ Deck i Porch(Screen/Gazebo/Pergola) Miscellaneous
_ 01 of_Plex — Lower Level _ Pool — Accessory Building
WORK TYPES
New Interior improvement Siding Demolish Building*
___ Addition _ Move Building _ Reroof _ Demolish interior
Alteration _ Fire Repair _ Windows — Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall 'Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation /S ao° Occupancy 1434 — R-3 MCES System
Plan ReviewCode Edition °l,d i, SAC Units
(25% 100% V) Zoning A- 3 City Water
Census Code g --1/ Stories Booster Pump
#of Units /A Square Feet PRV
#of Buildings / Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) 4.4 Final/No C.O.Required
Foundation Foundation Before Backfill HVAC„_Gas Service Test Gas Line Air Test
Roof:_Ice&Water 1.Finai Pool: Footings Air/Gas Tests Final
—
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding:_Stucco Lath Stone Lath Brick_EFIS
insulation Windows
Sheathing not; Retaining Watt:—Footings^Backfill_Final
—
4' Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
—
Shower Pan Other:
—
Reviewed By: i,�►�!/�. Building Inspector
r
RESIDENTIAL FEE
Base Fee Aa - a to S• SM
Surcharge
.(-
Surcharge 7-J0 _/
J
Plan Review / �1 / 7 s. s"-b
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3