3485 Greenwood Ct SRESIDENT /
OWNER
Name: c7 • •mo S rel.,.it V'' • `mac C. Phone: r •15.:;! , q3 I - 11-3 j
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Address /City /Zip: (Q /j 3'3' CA. - 1 . 1/ 1C.1r K l (A -)&!+- m `\' r-- 1— � (\ t'_ r
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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_
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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
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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