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3485 Greenwood Ct SRESIDENT / OWNER Name: c7 • •mo S rel.,.it V'' • `mac C. Phone: r •15.:;! , q3 I - 11-3 j `. Address /City /Zip: (Q /j 3'3' CA. - 1 . 1/ 1C.1r K l (A -)&!+- m `\' r-- 1— � (\ t'_ r L�.:ll i -der. PickvA�_ , m)-) , 5 ;HI Applicant Is: Owner Contractor TYPE OF WORK Description of work: re 'COD Construction Cost: 1 o 0 . 00 C) S Multi- Family l3uiid (Yes / No _) CONTRACTOR Company: �� c- CL- I ne' RO �l 11 <4 ( 2 nnbar-111 Contact: Kc t 11 Address: 1 - 1100 t .xct - St o t'' �� v c City: t j C1A t3 nil irk_ • State: YYIY\ Zip: 5 EY-11 G., Phone: C I 6)- 15 -- - 7 c)--- C License #: C I2 DO 1 0 5 0 Lead Certificate #: AM T -- P- 5 ()3 L/ — 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 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 Date: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 1 /1 2 - S(te Address: _ it 7-3 7 4 " `¢ / < i' 3 - (. 'e/g —Greer . l r th rt� , �' r Applicant's Printed Name Applicant's Signature / )- 9 1 G � - -1 ]r� - lam No. 1661 Use BLUE or BLACK Ink For Office Use Permit 11; Permit Fee: c2 , Date Received: Staff: Unit #: CALL 13E1=ORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Cali 48 hours before you Intend to dig to receive locates of underground utilities, www_gopherstaleonecall.orq ( 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 appllcallon for a permit, and work is not lo start without a permit; that the work will be in accordance with the approved plan In the case of work whloh requires a review and approval of plans. Exterlor work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180 clays of permit Issuance. Pagel of 3 J cc PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153401 Date Issued:12/17/2018 Permit Category:ePermit Site Address: 3485 Greenwood Ct S Lot:4 Block: 14 Addition: Surrey Heights 1st PID:10-73000-14-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Christopher J Barse 3485 Greenwood Ct S Eagan MN 55122 (612) 257-3373 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature