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3490 Greenwood Ct SRESIDENT 1 OWNER Name:' t -\ s T "i'N ume. C -&c'.c. '1& -&3H)-33 Phone: 3H)-33 (� m\ Address / City 1 Zip: to '-.1 L.�'r / L,Jes — 1 ir_ i y r:cl Qi tAvr■� , r) 5 5 '3 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. x r ✓� r T�, �' r x vw Applicant's Printed Name Applicant's Signature Page 1 of 3 c� 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 0 f Eaud 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 ~~~~4.~a, ~ ? I . ~ .J ~a~yc k ~ '.r i T»y~ ~f}F -;LU f S t'~~u n r~; 7 r , :i Y~<<14'`~ y§ 'Si§;}li, . 2` sl i r .i ~~}~~°I~s n i 1~.~ w i ai `,~.I~Mel folio n~~i i~~•r. p~~ ~ w s,~` ~ iy h~w,} a . J: ~ 1. f ~ tit, t~ ~"p~• ~,i t f ~o 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