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3464 Greenwood Ct SRESIDENT / OWNER •} Name: 5uxvl• 1-1.e_ \ -� 5 re.v)i'N \�1�1 &5( OG ue C Phone: CIS�! -.&&3I�-IP -33 J n( ` Address / City/ Zip: (I.1 3 is CA h1 LA t "•~tr K,k ict y f Y��k� �� r! r C,:len Q. \rk' , r i r `.7 3ui Applicant Is: Owner ,X,_ Contractor TYPE OF WORK Description of work: re ' Construction Cost: Ids vc S DO Muth-Family Building: (Yes X/ No_) • 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. • 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