3477 Greenwood Ct SRESIDENT /
OWNER
Name: `3u ►qt -et t 0_,..)i,\nt.)•m� a .x,() C_ Phone: ( 15v ) . • 4?3 i • -I D..3 3
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Address / City / Zip: 6 3 2" CA - 1 - y LA) C'!+ 1 ar -k c y �� t \,te r,
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Applicant Is Owner X
TYPE OF WORK
[[ Contractor
Description of work: re rc() 1 -
Construction Cost: 1 D9 S DO Multi- Family Building: (Yes l( /No_)
CONTRACTO
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G 2 \ a � 1 Contact: Kar
Company: fir' -lC.l„ L7U °7` 11c- d- ( c 1 i'"
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Address: L- 1[00 tXCC�■ s ol'• ea1V ct, Cit 5"'i R t'-' k
State: YYl V\ Zip: J J`-) I to Phone: Cl C J ° 1 S -- - 7 4)0
License #: C 1Q (00) 0 50 Lead Certificate #: MA 1 a 5 03 i/ " I
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 slinilar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Sower & 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
City of kap
3830 Pilot Knob Road
Eagan MN 65122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Date: / 1 / 1 2 - Site Address:397/ '477 6reenwo4 S Unit ft:
G- r -N
Applicant's Printed Name
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Applicant's Signature
Permit #:
No. 1661
Use BLUE or BLACK Ink
For Office Use /0 /
/�J 5 ~� 1
Permit Fee:
Dale Received:
Staff:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. Call 98 hours
before you intend to dig to receive locales of underground utilities. www.00pherstateonecall.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; (hat 1 understand this Is not a permit, but only an application for a permit, and work Is not to start without a penult; 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 Issuance.
Page 1 of 3
j4c1
For Office Use I
t ` � , ::::e( Z '
7
D . Date Received:
/o—3--JQ
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 F2EC EIVF D
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(5cityofeagan.com • OCT S 1 2019
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
10/31/2019 Site Address: 3477 Greenwood Ct S Unit#:
•
Name: Teresita Thacker Phone: 763-269-9822
Resident/ 3477 Greenwood Ct S/Eagan/MN/55122
Owner Address/City/Zip: g
• Applicant is: Owner ✓ Contractor
Description of work: tub to tub, prefab walls and valve
Type of Work (4,
4512.00
Construction Cost: Multi-Family Building:(Yes /No
Company: US Patio Systems Contact: Amy Sawicki
Contractor
Address: 218 N River Ridge Circle City: Burnsville
State: MN Zip: 55337 Phone: 952-314-988 Email: asawicki@usbathsystems.com
License#: BC661813 Lead Certificate#: F119453-2
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: 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 it ou rovide s ec tic reasons that would ermit the Cit to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.comisubscribe.
Exterior work authorized by a building permit issued in accordancewith the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call al(661)454.0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. wmv.gopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be 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, a 4 :irk is not to tart without a permit;that the work will be in
accordance with the approved plan in the case of work which requires a review and ap s I'of plans.
•
xP\fY)Uit 1
Applicant's d Name
Applicant'. Si,na ure
3'/77 (),QQA/1 ,,obod cis i .�
. DO NOT WRITE BELOW THIS LINE
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
Alteration _ Fire Repair _Fire Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
RetainingVilall *Demolition of entire building--give PCA handout to applicant
DESCRIPTION
Valuation .2OO' Occupancy t MCES System
Plan Review Code Edition i�.) ice SAC Units
(25%_100% NJ ) Zoning #t City Water
Census Code r /("` Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
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 Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:^_Ice&Water _Final Pool: Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
Ni, Insulation Windows
11 Sheathing Retaining Wall:_Footings Backfill—Final
Sheetrock Radon Control
1, Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: \ , Building Inspector
RESIDENTIAL FEES
Base Fee tk
Surcharge '.
Plan Review , t
MCES SAC rei 17
City SAC
Utility Connection Charge
S&W Permit&Surcharge \ i ,2 I 0 V eo
Treatment Plant �J
Radio Meter Read .-,''6„ :
(/
dS . _ /
Copies Q / ,)
TOTAL
Page 2 of 3
f For Office Use
i ; ,� Permit l �g//O 0 �',�.
•f•, AG
Permit Fee: (Q
OCT 31 2019 Date Received: /0-3/-/?
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(cr�citvofeagan.com ---'
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 10/31/2019 Site Address: 3477 Greenwood Ct S
Tenant: Teresita Thacker Suite#:
Teresita Thacker 763-269-9822
Resident/Owner Name: Phone:
• Address/City/Zip: 3477 Greenwood Ct S/Eagan/MN/55122
Name: US Patio Systems License#: PC708206
Contractor
Address: 218 N River Ridge Circle City: Burnsville
State: MN Zip: 55122 Phone: 952-314-9885
Contact: Amy Sawicki Email: asawicki@usbathsystems.com
Type of Work —
New Replacement Repair —Rebuild Modify Space Work In R.O.W.
Description of work: tub to tub, prefab walls and valve
Water Heater
Lawn Irrigation( RPZ/—PVB)
_Water Softener
Description Add Plumbing Fixtures( Main/—Lower Level)
Septic System
Description:
_New
Connection to City Water from Well
_Abandonment
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 New fixtures, adding or removing piping(includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential(fee collected with Building Permit) •
$115.00 New Septic System(includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and$190 for Radio Read=$540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
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. vanv.aeoherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeanan.com/subscribe.
I hereby acknowledge that thiss information is complete and accurate; that the work will be 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 Is not to st; without a permit; that the work will be in
accordance with the proved plan In the case of work which requires a review and approv• 4 fans.
x n� c 1kteb x
Applicant's)inte Name Applicant s //.nature
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