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3469 Greenwood Ct SRESIDENT/ OWNE Name: `ivuort'f 1 1\- S l ra.,..)4 k o me a ` . 0 C. Phone: 4 )5:;2 - &.3 I - 1;.13 >' (MV-t. CC\:; -} 0t� r Address /City /Zip: 611 3;5 C\, - k1 (,c-) c?! QAA._‘.. £ ' Applicant Is: Owner Contractor n p � \`Y \ � M 5 r 3 t J ( - / TYPE OF WORK Description of work: re 'Coo t� Construction Cost: 1 r. U • ST DC) Multi - Family Building: (Yes _,Y,_ / No ) CONTRACTOR Company: (5 c' -1C1, LDo 1 11 r d• R IVY)LXCi'r I t ✓kCi Contact: '`CVc 4 Address: LIICO 1 - C--1 St O lam' eD 1 V cl, City: 5t , LOW Peek I"k State: yY\N Zip: 5 5)1 G., Phone: q CJ� -C1 1 5 -- -) 1 --- License #: G I2. (X)1 0 5 0 Lead Certificate #; NA T .-- a J 03 Lf/ - 1 If the protect 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 if you provide specific reasons that would permit the City to conclude that they are trade secrets. Aug 1, 2012 12:36PM Sela Accounting No 1661 P 7 City of Eaall 3830 Pilot Knob Road Eagan MN 66122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Use BLUE or BLACK Ink For Office Use Permit #: / c L ° S E -67 Permit Fee: ,' - Date Received: Staff: J I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / I / 1 2 - Site Address: 310 , 345 3(/0 3V (,9 Greenwood C+. S Unit #: CALL BEFORE YOU DIG, CaII Gopher State One Call at (051) 454 -0002 for protection against underground utility damage. Call 45 hours before you Intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 1 hereby acknowledge that this Information Is complete and accurate; that the work wilt 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. Exteriorwork authorized by a building permit fsgued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x `r \ Y1 C? t `�1 V- Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink �----------------- � ForOffice Use � i �� I � Permit#: I Cit of Ea Il � . � 3�,� � � � Permit Fee: ��° I 3830 Pilot Knob Road i Eagan MN 55722 j Date Received: 1�' �'i�� I Phone:(651)675-5675 I �1 I Fax:(651)675-5694 I Staff: �� ----------� e;j� s ------- r+ 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ��'�� l \�ti�1�,!,, Date: �l ��/ �� Site Address: 34 6 9 Greenwood Ct S Unit#: �'r�1 Name: Jessica Zastoupil Phone: 612-816-6164 Address/City/Zip: 3469 Greenwood Ct S, Eagan, MN 55122 Applicant is: X Owner Contractor Descriptionofwork: Lower Level Modifications Construction Cost: $2 0 0 0 Multi-Family Buiiding:(Yes /No_X� Company: self Contact: Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: 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: Sewer&Water Contractor: Phone: 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.aopherstateonecall.ora 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 State Building Code must be completed within 180 days of permit iss ance. X C 51 CGL C�� C-(�� ( X Applica Printed Name App ig at re Page 1 of 3 3�f �°I C��a� �� S la� �� DO NOT WRITE BELOW THIS LINE ` I SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) � Multi _ Deck _ 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 � Aiteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION C� Valuation 3�0� Occupancy 12�� MCES System Plan Review Code Edition ��5��' SAC Units (25%_100%� Zoning �_ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final �L Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone tafh =Brick � Insulation Windows _ Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control . Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector - - - RESIDENTIAL FEES Base Fee _ _ Surcharge � � .S � 1�,n�S i � �,n � � "�_� - Plan Review �� MCES SAC �� City SAC Utility Connection Charge S&W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r________________i I For Office Use � �j� l I �� O{'�� Permit#: �`.:' 1 � ,� y � � � ��. c� �. 3830 Pilot Knob Road � Permit Fee: Eagan MN 55122 � I Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 j Staff: � �-----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: Z � s Site Address: 3��y v��-�c"'f,� �`� �OC�-� �� /�� Tenant: T��s't-`'� Z�,�-D u� '� 1 suite#• �� ' ��;� � � ` >lo -1vl�Cy �y _ � Name: �CS S� C Ga. Z�LS'�t7 i�� Phone: Cfo l Z- � Address!City/Zip: � � � � �n 1,�U uo� L'� �� '� s�� ZZ-- '�_ ��, �,: �„ �/ ��' . y Name: I�i�'yc,�� -� �U S� �Yl C.... License#: ��-�(�� / ��9 � Address: Z Z �� r �-1 l Y'0 C✓t e l� p Y Ciry: � �'c�L y �.� � � �� - State: �� Zip: � ��7 Phone: 7� ��` �3� � ��y S �� 7(�3 t-l��r S � �luS� ��i�c ' YUG�vc�,Cc� � ��_�� fi:}, c,� Contact: 7�� Email: �� —� �� .� F New Replacement Additional �,Alteration Demolition �� " �F- �� - Description ofwork: Y»bv �.S 1iv� 3 c�Y CY v�r1�— �� ''�� u o �a� q � = - . ��.�..:' -} ��,� .�`�-.��le��, t r .�� n c.a_� +p - o � � _ r � w� � _ . a �.a. � � �� r �_ t � �� RESIDENTIAL COMMERCIAL � �t°aa `�, '14 ��:i ��Gf�s�� _Furnace New Construction Interior Improvement � Air Conditioner Install Piping Processed t' t '� �?@ — � � ""� � _Air Exchanger Gas Exterior HVAC Unit �#"��'�� ,�� ° �� y _Heat Pump _Under/Above ground Tank �Install/_Remove) � ; �' Other �Y�/C ✓ E � °.�'r�i��;= � _ - �: RES►DENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee "If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge" *"If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 ""*If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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. X l� v��c � � r�`�e.- � X �� - Applicant's Printed Name ApplicanYs Signature � - �.,_ �.,. . w. �.� ,a _�3 � ._ _ . _ _ 3 _ __ . F�?R�(�PF .. , , � � � � � .�x . � z „ ir �. R� ui c�; ;� _ _ . , _ - � ...�;�U��t��ct�.� °�;ou,-�� n,�, -Air�esE .. £.::�s� ,> -.- t m. . - `_�a- r. _ a Use BLUE or BLACK Ink r-----------------+ I For Office Use � ' � Permit#: ��-� � � j Clty of �a�a� � j�. h � � Permit Fee: _ I tf �.�� 3830 Pilot Knob Road I � I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: � I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION . � Date: � � � � � �� Site Address: ��'�� I 1.:��'��.-��8�� Unit#: � �� , '� c� �l . �� `��" ,=m� Name: �S�i C� �c�,�� Phone: `�� /1"� � � � Res�de`ntl f� �/ � j � �� , � � �OWtI@I'� �� Address/City/Zip: � � � `F� t ��P_,r�_�'W�zr� �y--,j�4"`� �� ''"��,�> �� ,..,� ,�,�� Applicantis: Owner �Contractor ��_.�� ;� � � �; > '�,, ,,,�n` � ��- Description of work: ��'�� SS� �ti °`�`�'�� `Type of Work� � � � ) --�� _„ � � ;� � Construction Cosfi / �"��G• � Multi-Family Building:(Yes " /No ) � � � � �/�� '��'�� _ �� Company: �� `�� cx--i� Contact: C�e � - !,� �� 1 . � �� ,�� ,�Z z�a � '' ' �� Address: —' i City: �(�i�h� Contractor� I / �SS � � ; State: Zip: ��3�'�� Phone: (d ��, ��E�FnaiL �� /� ' License#:_�1..�(p��I�� Lead Certificate#: � f ��D � 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: Sewer 8�Water Contractor: Phone: ��NQTE�Plans antl support�ng a�locuii�ents fh�t��raur�subrr�►f are�cons clered ta�be p�ubl� �rn OrmBt�o P� s of ;; ��the�rnfo�mation�may be+c/assr��as�n�on publ��f yau��i ov�tl�s�ec��reasons#ha��would ermr�t fhe��C� :a �� _� �� :� � � '�'�* �`` :� . _.w� �� :�a�`� . _.:�`��con�lude#Iia�tfrey,are trade�ecr�is ,.,,�,. . � ,:� r�,� r � CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 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 State Bui ' g Co s be completed within 180 days of rmit issuance. X <�C��- � V��lJ�.-/� _ x ApplicanYs Printed Name Ap�ilicant' ' n ur Page 1 of 3 4,111 City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: ! Zs -30/ Permit Fee: 6e- OC Date Received: Staff: �y 2016/RESIDENTIAL PLUMBING PERMIT APPLICATION�7 Date: 3-.3-'4) O 'p Site Address: 3969 04 L� e,t uJ of (, S Tenant: �J S 7,l!� !9 S O t..c / L Suite #: @SI ® � w Name: St`_' SS/ GA- GT' A-34-0 a ,p I ' L Phone: Address / City / Zip: 3 /6 9 g,t er°) a) 07L t Contract � Contract ;; . ,... Name: w C< ye._ S ph., yh (b- l/t1 License #: 0 Joh.9/ fill Address: 30(2 �0 c�4/9 /C /) City: �4� _ _ % 0 State: % J i1/ Zip: 5 - 2 Phone: 6 / 02 F -D / 6 6 L/ 7 Contact: -1W f .5 Email: ale /ZS f j C,f.5 CC . 4 Typl�gf Work %New Replacement Repair Rebuild Modify Space Work in R.O.W. — / // / I / / // Descriptione-1✓S-fi�l A/� �/as-t ', ace/- /i� � /��G /UES priil�- of work:. "Ty is RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ /— PVB) `� Add Plumbing Fixtures ( Main / JC Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) 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.gopherstateonecall.orq 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. Applicant's Printed Name X App icant's Signature c arse( City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use I Permit #: I /� Permit Fee: C)` c c CP Date Received: I Staff: L j 2016 MECHANICAL PERMIT APPLICATION Please submit two (2) sets of plans with all commercial applications. Date: ‘;--9--1 Site Address: gq421 C/s0x,41 Tenant: Suite #: Resident/Owner Contractor Name: Zezie-€ �241.A2— o 0 / Phone: (� -S/6-04,y, Address / City / Zip: 3'1/6(4 6 i Name: p {//ee.4 ,/ �cC+/j1°‘"'.11License #: �/ f Address: t38 �,jpy- rsi'..., City: State: /Y V Zip: t' , Phone: kl/ (�,g 5s" ),} Contact: Email: �G✓CJZJ New �Replacement Additional Description of work:77 .s' 4 5) Alteration Demolition NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Permit, Type -Furnace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas Interior Improvement Processed Exterior HVAC Unit Under/Above ground Tank ( Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ X''T4) TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge Contract Value $ x .01 = $ Permit Fee _ $ Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE 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 plin the case of work which requires a review and approval of plans. x App icant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Underground Rough In Reviewed By: Date: Gas Service Test In -floor Heat Final' HVAC Screening