1527 Greenwood Ct NRESIDENT)
OWNER
Name: iuYrt'� VA r q *s T[a,i� w ly R2LC>G Phone: r •�5. - ?3 I - I 1 3 3
/ J � 1 . � 1� -G \!� c� r
mY V.
Address / City /Zip: (o 13 $ a\- �PSf c - 1 V
Applicant is: Owner . Contractor
TYPE OF WORK
Description of work; Cc' CC*
Construction Cost 1? Dci • UU Multi - Family Building: (Yes / No _)
CONTRACTOR
Company: S c' -Ck, 2bo ni 4- &vrlcde.)1 ✓ Contact Kgrr j1
^ 1
Address: L ((CU F:XCr,A Sl a g\ i 1 J City_ 5t ( L At3 Park_
State: 'jY\Y\ Zip: S 5k-11 `v Phone: Cj 6 d.. -c l 1 5 -- - . L
License #: C 1 ()C01 0 50 Lead Certificate #: AfA 1 — a 5 (33 i / ` 1
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 the are trade secrets.
Aug. 1. 2012 12:37PM Sela Accounting No. 1661 P. 13
Date:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone; (651) 675 -5675
Fax: (651) 676 -5694
Applicant's Printed Name
For Office Use
Permit*:
r+7
Permit Fee:
Use BLUE or BLACK Ink
bate Received:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
8 /1 /1
Staff:
Site Address: 15 9 Greenwood C�h ( unit #:
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. www.gooheratateonecall.org
1 hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of tha City of
Eagan; That 1 understand Ihis 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 (he 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 150
days of permit Issuance.
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA118317
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 1527 Greenwood Ct N
Lot:2 Block: 04 Addition: Surrey Heights 1st
PID:10-73000-04-020
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.
Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Kara Sundet
1527 Greenwood Ct N
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature