3490 Greenwood Ct SRESIDENT 1
OWNER
Name:' t -\ s T "i'N ume. C -&c'.c. '1& -&3H)-33 Phone: 3H)-33
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Address / City 1 Zip: to '-.1 L.�'r / L,Jes — 1 ir_ i y
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Applicant Is: Owner ,, Contractor
TYPE OF WORK
Description of work: le- fC CC> C
p
Construction Cost: 1 off' D9 �� S - 00 Multi- Family Building: (Yes / Na )
CONTACTOR
Company: �� CAA_ 2L�O - \4 11(1 C e-1I1 I Contact: 1`ar''
Address: L {lCO r1 S'1 0 Q 1 V L J City: < Lbi." Pa 1"'l_
State: I Zip: 5 SLI I (v Phone; C 6 J - l 5 -- - 7,1D.
License is C - l C)C)1 U 5 0 Lead Certificate*: /JA T -- & 5 03 L/ —
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
in the last 12 rnonths,
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 the are trade secrets.
Aug. 1. 2012 12:36PM Seld Accounting No.1661 P. 5
Use BLUE or BLACK Ink
City of Eaall
3830 Pilot Knob Road
Fagan MN 55122 Date Received:
Phone: (651) 675 -5675
Fax: (651) 675 -5694 Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Por Office Uee
Permit #: /69 ' -e,5
Permit Fee:
J
Date; VI I / I Z Site Address: 39 S'6 3y8$ 3'/91) 3(4'9 Z., Greenwood C+. S Unit #:
CALL BEFORE YOU DIG, Call Gopher State One Call at (661) 464 -0002 for protection against underground utility damage. Call 48 hours
b efore you intend to dig to receive locates of underground utilities www.g ohersta eonecall.orq
1 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 IVlinnesota State Building Code must be completed within 180
days of permit issuance.
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Applicant's Printed Name
Applicant's Signature
Page 1 of 3
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Jun 24 2013 7:48AM BRUCKMUELLER PLUMBING INC 6516882160 page 1
Use BLUE or BLACK Ink
I For Office Use i
AR I
Permit 0: I ~O
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FM I I
Permit Fee: ~L
3830 Pilot Knob Road 261.. ~ Eagan MN 55122 I Date Received:
i
Phone: (651) 675-5675
Fax: (651) 676-5694 L S-- - ___---___I
INFLOW & INFILTRATION PERMIT APPLICATION
_L/ _Plumbing / Sewer & Water
Date: ' a y'1 oZ Site Address: 3LIgo e eenwooC-j Coat SOLAA
Tenant: Suits
Name: Grl'Lln coaAtlf d Phone: 6,5J- 325- 773/
RE~31D~ t~2~`R.
1 Address / City / Z►p: 6()eenW40001(Ockr4" 15VCA 1, ElzGl~t~ 55/9,a
Name: t`t t ('(c njei 4 f l et- Pl y) bt A g, ,Cne. License Pr1'1
Address: g~l o?~'t')I~c~ f 1/Yf ~t Lt CTVC/1t,t City: 4~LtG7aZr7
k State: Phone:
' P
Contact: rz Sri C, eir`' "(.t Email: h m
or-
PLUMBING
(Within the building envelope) SEWER 8 WATER (Outside the building envelope)
TY PEk i►rSump Pump Repair Repair
t 4 Ftr~
Other:
Other:
Description of work: Pri a !5101Mlo 17LL(rYt abi AC LJO (nor-le._
[FEES
60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE >Z 00 "
"Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaaan.conV nflow, or City Hall at 3830 Pilot Knob Rd.
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.gooherstateonecall.org
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 h the approved plan in the case of work which requires a review and approval of plans.
x
A scant's Printed Name Ap`" icant's Signature
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA148207
Date Issued:03/13/2018
Permit Category:ePermit
Site Address: 3490 Greenwood Ct S
Lot:5 Block: 10 Addition: Surrey Heights 1st
PID:10-73000-10-050
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 -
Brian B Coatney
3259 Evergreen Dr
Eagan MN 55121
(651) 325-7731
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature