3466 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
92/27/2013 05:56 9525622820 PAGE 021�8
Use BLUE or BLACK Ink
� ForOfficeUse` r ^---� I
I �
aECEivEo ; P��,���:��-� �
City of E��aIl �v � L Lv w � Permit Fee: ��� '�� �
363D Pilot Knob Road � . �
Date Received: 'i� I
Eagan MN 5b122 � I
Phone:t651)675-5675 � I
Fax;(651)875-569a I StaFF: r_�— �
' !���.-��....���� �J
2015 RESIDENTIAL BUILQING PERMIT APPLICATION
Date: 11/11/15 Slte Addr�ess: 3466 Greenwood Court � . Unit#:
e, •q';« ,�;.�..ay�l;�!t.•�.,
��;;�•,,, �;t�„��:,,,ir.,,��.�,:>,:>,;:�' . unknown
,:��`�;;.;;'r;.���;:,. :�'��:�;w":. Phene:
�'• ` :���` �;�r�" Bradley Richardson
Y,; ,.y,,��;�!,t;,:,..;, ti�u . Name:
o s;; .Y,:+
G:
��,1� "�� �Y �� �* M N 55122
r:�,�4•�R�'i. eiAtl;�:��+;;;;f, Eagan
k° a�r�.��-•��`>>';;`„�'� 3466 Greenwood Court, ,
r �j�''�j r;y,:y,• +v. Address/City I Zip:
(-'a'•a<�, ,. ���;,:�;'��;�.:
t�"���!��,='�;%':"'..;.,'6ta;*y�:' .
;h�,�+�•ti�.�`f�' ::�.���a�:'�'.�.1 ,i��r1 � .
i��;�. ����,:,.�w;.,.,.�,��;�,y, Contractor
::.x.,..y.�+,a`�'�^::�r;y�°�a`y�'fit,r:"'�•"�a,:i� APPlicant is: Owner
;.9...
!/:: A N#:7.�,i�/r.!i'w?'�i�s.'���y���l":�n .
b:�'
.(a�Ey'n,�..����'?`.M1;��r�d,vYr��3�ti�i
�za��.ti�':°�� ��° ���� �r�• Wate�prvofing/drainage re air
w i��.,;Xa....;,�.;�.
�<�,, �„,�+:•.:,-.,;,�: �a,�:;«;��� Descriptionofwork:
Tl�[���o'��'YI���k;,��;
;;;;;�nr.:s �';i��r°.�,;"�:�;:!� ;g,•t Xr
;,�,„�:"xY '�;";�'�«,e�;�"�::t•f.4� 24 g98_00 Mul#i-FamilyBuilding:(Yes /No�°""'h°"�e
„�°p�;'��g.�w:+: ;;,;�,;,w?3YG,,, Construction Cost; �
1.1'^���:� . �
,M�iJ���.,'�.,�.�1 /.���e:.i.�'M�10�,�Ir'�
,'x'`��'�;'t"a"�Y����Mu"1,�W`�''`,' Compeny: Foundation Re airs Inc, n act: Kari Johnson
�`, ,�,� a�r. •� Advanced Waterpro�fing 8� p � Co t
�,�.�y�`si;s:,•''.?.��,�r`�,:,i�:��y ,.
6'yQ.�}`p� k.�f'�„w4. •it4,, �k�,�t.7',��
�:k•Y��i••^!�+:CF.:�'�iei;:��:;��i:�rL?;t.e^':•;S
`��"`�"� ���'"`�"'��'`'J'�''�''����" Address: 12585 Rhode IslandRvenue City: Sevage
,�%f 1 �'2,o.c:.iy�
-.��ont�act�r:�;����
"R`�•-.��'""`��!^;^s�'�s''��%;''''� 140 kari advancedweterproofing.net
�;^��;��:,,��,�:��c.is°;;?��� '"'y" State: MN Z�P: 55378 Phone; 952-562=8 Email: �
4�, f.,, ,.. :.;, �%,:,r:,',4::a;�f` .,.�
::;;'';+}re`;;s�,l,.;�`i�i::i::.;,;•t:y.<.iiS•:..;::,t
�.:,.;z:r;tl�.: � ;.:,, .:. . � NAT-113770-1
Y�?.:yC�'�;'r�:����$,'�A:j!;i%F�,{�:�;+��'�,:�-:`f�; BC6349z7 Lead Certiflcate#:
s�,`;��,:; �»,;�,°':x:•h;"�%��r • Llcense#:
:�,r .,w.�:•,_;:'y
If the proJect is exempt from lead certification, please explain why: �
Built before 1978,but not disturbing mo�e than 20 sq.(t of painted surtace on�e exterior of home.
COMPLETE TWIS,AREA 4NLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the'City of EaBan Issued a permlt fo�a similar pian based on a mast�r plan?
Yes No If yes,date and address of master plan:
�Icensed Plumber: I'hone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contraclor: Phone:
't. .�„'; `Ci.1S'�0�;��;;:
•�;u;, .� :submlter`�.coi�slale�Y� �o:'b�:"ybli.c:'iiifq.',i�r'ia�lon,:tg',�Q: ,•„,
x.�NO.T�E .Pi.a":�;'arr.d.>i�u. �ortln� `�►our'inentS;tiiat•you. ,.�. .dx�,, ..�,,.;.,.��. ,.,,�.;,,,,, , .�y;N' {.h hr•�..n5,::.::
t4„r,. .,�.,.< .P,.P.,, ;,�9Y ,,;�,,. >;:> ,�a:, ,x.:. >.,.s,� i;r-..;,�,,..,, r. , ti .,,,.
':i:�M: .Y�l�.�b_:� ^.?i7'r,;7.;e; ..Y'F y�:.
.���.� ::t'i�si�aa`o�is�-�tt�t;�td:�i.d;-�er.n'i1f�f1�8:�.` .�O'�.�:,;�
,
,,,.. , . . :,.
...:la��sf led;``.;s,,�,.o�y.;ti�l�l.Jc�1#"�'ou-: 'r�i,vide;s ���,,.....: ..� .P: .�.. �:.,...�-�',,,..,
:,
"formafid '%de��c f s n ,�. r..s,< ,:.�•�, >,
;�:,,;��tifr�:.n :a.n�ni�Y. ...,. ..�... Y,.. ,:.� �., .;,:�>:,,,F.,.,,, _..,. ,,.,x�.
,..,:,a.,, rrr:., ,:;;v. , +�.u� ..,'>,."�".�,<,,:N...,:,
l'41:� / •�r `ro ^ �ti,��' .4'�
1. ,1.�..
J��.'ul'.� s J.�� ,.`f•''..•.;a.....µ.,.:L
�M9'...
�ex
�•�i�V
�+�u.a�Q�� �
�I V
Y.
@�:���/1A �8
s':'i'��r' O C U'C�
I:'k:t2� `�"�' 'si',:.'i�;' .R.., �C �'1 1
CALL BEFORE YOU D�. Call Gopher Slete One Call et(651i d5d-0002 for protection agelnst underground utlllry damage. CAII d8 hours
before you intend to dig to receive loca�es of underground utllitles. �/�aooherstateoneeall.orq,
I hareby acknowledge that thls informafion is Complete and aceurate;that the work will be in conformance with the ordin9,eces and cedea of the City of
Eagan;that I under8tand this is not a permit, but only an applicafion for e permit, and work Is not to start withdu!a permik;thet the wark will be In
accordance with the approved plan in the eese of work which requires a review and approval of plans.
Exterlorwork authorized by a bullding parmit issuod In sccordance wlth the Minnesota 3tate 6uilding Codo must be completod within 180
days of permit Issuanoe.
�
X KarlJohnson x
Appllcant's Printed Name ApplicanCs Sig ture
Page 1 aF 3
02127/2913 05:56 9525622820 PAGE 04/08
�
`� ��
� �� t� � (�� ��` DO NQT WRITE BELOW TH15 �.INE C e
SUB TYPES Exterior Alteration(Single Family)
Foundation � Fireplace � Porch(3-Season) ,_
�3ingie Family _ Ga�age �, Porch(4-Season) �
Exterlor Alteration(Multl)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) ` Misceqaneous
+ 01 of_.Plex „ Lowe�Level _ Pool _ Acces�ory Buliding
WORK TYPES ���r'� �" �����' �'`�" � 4 � '�������'` Demolisti euilding"'
N�,�, _ Interior Improvement ^ Slding .^
� Additlon _ Move Bufiding � Reroof � Demolish Interlor
Windows Demoliah Foundatian
�Alteration _ Fire Repai� _ =
Replace Repair _ Egress Window Water Damage
Retaining Wall 'Demolition of entlre building-glve PCA handout to applicant
DESCRIPTION �
Valuation ' Occupancy MCES System
plan Review Code Edltion SAC Units .�—
(25%_100%� Zoning _� City Water ^_
Census Code Storfes �, Booster Pump
#of Units Square Fe�t PRV
#of Buildings Length Flre Suppresslon Required
Type of Construction Width ^_
REQUIRED INSPEC IT ONg
Footings(New Buiiding) Meter SiZe:
Footings (Deck) Final/C.O. Requlred
Footings(Addltlon) � Finsl!No C.O.Requlred
Foundation HVAC_Gas Senrice Test Gas Lin�Air Test
Roof•_Ice&Water lFinal Pool:_Footings Air/Gas Tests ,Final
� Framing Drain Tile
Fireplace:_Rough In Air Test _Final �,, Siding:,_Stucco I.ath _Stone Lath _,Brick
Insulation Windows
Sheathing Retaining Wall:�Footings,Backflll^Final
Sheetrock Radon Control
Fire Walls Flre Suppression:_Rough In_Final
Braced Walls Erosivn Control
Other: � ,
Reviewed By: '"���,Buliding Inspector
RESIDENTI _ FEES �°�
Base Fee �'�'Y ����
Surcharge � �,�������
Plan Review � �, �" �'
MCES SAC �'`������
, ^�'� �
City 3AC ,,� �;�'��� � �
Utility Connection Charge � ��,.�� �'� �
38W Permit 8�Surcharge � �"(� � �
v�s'� "
T�eatment Plant ��g����
�
Copies /°�., � � �4� � �.
TOTAI. .��.5r'���,� �,,.��r� Paqe 2 of 3
� ���;��,� .
4i