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3472 Greenwood Ct SRESIDENT / OWNER Name: ir- t ■ 'tc , s - 1 - 1,:ir\ t,l ( 66C) C. Phone: C)5 `. r C \`a Address / City /Zfp: � t.. ? ' (..d (,JeS+ 7 r Kt. ' . V �� �" 1� r. w E :ae Q -Lvr \- I m n 5 5 3 `J 1 / Applicant is: Owner X( Contractor TYPE OF WORK Description dwelt Ce..'C () C"" p Construction Cost v' Oct s Up Multi- Family Building: (Yes X_/ No ) • CONTRACTOR Company: 6 (4a_ t -'b - 1 o �i'll t. c-11 N Contact: <c;,r t i~ Address: t_1 [CO tE XC'r-A St Or g \ V d City: 51; . LCA 1 S Pa r - k_ State: VYlY\ Zip: 5 5LI 1 Lo Phone: Cl 6 1 5 -- dd L License #: C tit OD \ 0 50 Lead Certificate #: AM T- 5 03 -/ - 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 If you provide specific reasons that would permit the City to conclude that they are trade secrets, Aug. 1. 2012 12:35PM Sela Accounting 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 676 -5694 Applicant's Printed Name City of Eaau 2012 RESIDENTIAL BUILDING PERMIT APPLICATION No 1661 P. 3 Use BLUE or BLACK Ink For Office Use I / Permit #: / (J -66 5e) Permit Fee: 6- /,) • J�J Date Received: Staff: J Date: / I /I Z Site Address: 3470, 34 - 7Z, 3t17t/ Greenwood C-k S Unit #: CALL BEFORE YOU DIG. CaII Gopher State One Call at (661) 454 -0002 for protection against underground utility damage. Cell 48 hours before you Intend to dig to receive locates of underground utilities. ywv.gopherstateonecall-orq I hereby acknowledge That thls Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cl[y 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 will) the approved plan In the case of workwhich requires a review and approval of plans. e xterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. x a r \Y1 (1_9-JAT-SL._ Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170854 Date Issued:07/20/2021 Permit Category:ePermit Site Address: 3472 Greenwood Ct S Lot:5 Block: 07 Addition: Surrey Heights 1st PID:10-73000-07-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Eugene B & Elaina J Simkhovich 860 Great Oaks Trl Eagn MN 55123 (612) 308-5056 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173435 Date Issued:11/12/2021 Permit Category:ePermit Site Address: 3472 Greenwood Ct S Lot:5 Block: 07 Addition: Surrey Heights 1st PID:10-73000-07-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Angelina Jefferson 3472 Greenwood Ct S Eagan MN 55122 Mcquillan Brothers Plumbing & Heating Co 1711 East Highway 36 St. Paul MN 55109 (651) 292-0124 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173436 Date Issued:11/12/2021 Permit Category:ePermit Site Address: 3472 Greenwood Ct S Lot:5 Block: 07 Addition: Surrey Heights 1st PID:10-73000-07-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Angelina Jefferson 3472 Greenwood Ct S Eagan MN 55122 Mcquillan Brothers Plumbing & Heating Co 1711 East Highway 36 St. Paul MN 55109 (651) 292-0124 Applicant/Permitee: Signature Issued By: Signature