3464 Greenwood Ct SRESIDENT /
OWNER
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Applicant Is: Owner ,X,_ Contractor
TYPE OF WORK
Description of work: re '
Construction Cost: Ids vc S DO Muth-Family Building: (Yes X/ No_)
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CONTRACTOR
Company: r 5(.CL C ,0 - Ac t Y1C A - e--I I lit Contact: Kc.rk 1-`
Address: L t WO xc - s; o r Q∎ i c6. cit St . Park.
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State: IMY\ Zlp: S JLJ I G.i Phone: G} 6 3)- - 9 15 -- - 7 c)-P, L
License #: G 12 UG \ 0 5 O Lead Certificate #: /1fA T -- 5 ()3i/ _ 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
sewer & Water Contractor:
Phone:
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 lfyou provide specific reasons that would permit the City to
conclude that the are trade secrets.
Aug, 1, 2012 12:35PM Sela Accounting
Date:
x
3830 Pilot Knob Road
Eagan IVIN 55122
Phone: (651) 675 -5675
Fax: (651) 675.5694
Applicants Printed Name
City of Eagan
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Permit #:
Applicants Signature
No. 1661 P. 2
Use BLUE or BLACK Ink
For Office Use
c/ 7
Permit Fee: (9 % i
Date Received:
Staff:
J
c/ I / 1 2— Site Address: 3 S /, 3964, `3'4 8 6reenwool Ct. S unit *:
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities www.goohgrrtteonecalIorq
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 1 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 ofworkwhich requtres a review and approval of plans.
xteriorwork authorized by a building permit Issued In accordance with the Minnesota Slate Building Code must he completed within 180
days of permit Issuance.
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160368
Date Issued:03/05/2020
Permit Category:ePermit
Site Address: 3464 Greenwood Ct S
Lot:3 Block: 06 Addition: Surrey Heights 1st
PID:10-73000-06-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Kari Miller
3464 Greenwood Ct S
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature