1535 Greenwood Ct NAug. 1. 2012 12 37P Sela Accounting No.1661 P. 14
Use BLUE or BLACK Ink
Date:
C!ty of 8a�a�
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675-5694
For Office Use
Permit #;
/0
Permit Fee:,./ -1;^)-
`7 ")72)
Date Received;
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
c' I /1 - Site Address; 1531j1533, ,1531 Greenwcocc �fi. (1 Untt #:
a
RESIDENT /
OWNER
Name: (3W(t..y W.etgh} 1-4,-)4 iy e C.�.`.a&()C_ Phone: /)`3 -&31-113 3
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Address/City/Zip: toLj;S" LFT\ Wel* C, - �`�� (\ -1rc�r
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Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: Ce `rbC)
p
Construction Cost: 1 (0
(.)9 S. 0n Multi -Family Building: (Yes l� I No
CONTRACTOR
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Company: S c'�lrt` I< ,U y� Ytc) 1`�trY1CC�'e� 1 ✓i 1 Contact: 1`0-4'"c i~
Address: Li t0(3 �.XC_ � SI Or gl v cL City: Si'_. , LblAIS Pai—i,
State: YY1Y\ Zip: 5 5.11 (v Phone: CI 63;-1—q 15 -- -7 a;7.- C
License #: C 1Q UD 1 0 50 Lead Certificate #; NAT " a a U 3 it — 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.
CALL BEFORE YOU DIG, Call Gopher state one Gail et (651) 464.0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www,gonljgeonecall.orq
I 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 undersand 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 end approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x ck r \ Yl �" -r �l� ►r
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA135774
Date Issued: 04/04/2016
Permit Category: ePermit
Site Address: 1535 Greenwood Ct N
Lot: 4 Block: 03 Addition: Surrey Heights 1st
PID: 10-73000-03-040
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
- Applicant -
Owner:
Gregory A Miller
1535 Greenwood Ct N
Eagan MN 55122
(651) 686-4948
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.
Applicant/Permitee: Signature
Issued By: Signature
Date:
Clly ot8agan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
For Office Use
Permit #: /,03
C
Permit Fee: 4 0 - o6
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
-3//(o
Tenant:
Site Address: /635 6 tell/% 674-i C'-
Name:
7V7,/e 0
Address / City / Zip:
Phone:
Suite #:
J
535` eer-2wo i
Name: 07 (eS .� P/0")7. License #: rtLJ q3 / Ce /
Address: 787 / /. c City: a 7)
State: MIL) Zip: ?j /U Phone: 6.-S7 C7 7 6 -.CV
Contact: Email
New 'eplacement — Repair RebuildModify Space ^ Work in R.O.W.
Description of work: �641 X4/6 " S� D W11 6-44--'
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $
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.qopherstateonecall.org
I 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 pla
tCfri
Applicant's Printed Name
x
4PIPP
City of Eaau AUG 2 3 2016
3830 Pilot Knob Road �►s p..;
Eagan MN 55122,
Phone: (651) 675.5675 r"g0'
Fax: (651) 675.5694
Use BLUE or BLACK Ink
For Office Ueer'
Permit #: / % / I �7'Y1 , 7G6
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /611(0 Site Address: /S3S 111renu-,cd C4 A%
Unit #:
1
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Name: c rf2GMatz - /Yli fler Phone: 9S -?3, - 0339
Address / City / Zip: Jam. E1"PGIn L t 01 C+ A/ , A.,�1n l
Applicant is: Owner Contractor
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Description of work: -14 ReleYlari 414. Sw s'47, IRAr1 +r' dellciiii
Construction Cost: ,57 1/O 0 Multi-FamilyBuilding: (Yes X / No )
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Company: Contact: e—
Address: l�i(OC?
iU G�LLIGr�ii'@ City:
State:/±d Zip: 53721 Phone: gra-n- .3 5/00 Email: eil411414ca4 i•Co►yl
License #: �0�004' Lead Certificate #: kT -esc 1—�
JU `r
If the project is exempt from lead certification, please explain why:
/304.7-i,) 72 R-3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
Yes No if yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
"NOTE: Plans and supportJng documents that. you submit are conslderedto'be publlc'lnforinatlon: "Portion of ‘ 1
tho lnforma (o'n may be classlfied,as non-public If you provide specifle reasons that would per nit the C►ty, to •
w....,,.,.,.a<;:;:,,,,i;:kg,Ni,,.,,., ... ,. ... conclude, thet.,they<ers:trade secrets,....................,....,..,..,,.,.......,,...,.,.,..,..,.........,...........,,.,.,,,,,. , ..
CALL BEFORE YOU DIG. Call Gopher State Ono Call et (851) 454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www aoolterstateonecall,or4
I 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 pormlt Issued In accordance with the Minnesota State Building Code must be completed within 180
days o ermit iaeuence. _ 1
t.
Applicant's Printed Name
x
Applicant' nature
Page 1 of 3
8/2'd t769SSL9TS9:01 OS2t71682S6 00SM19:WOdd OS:80 91;02-22-911lj
/6"35 64.6c-iitmod 04. N‘ /ze-q7
DO NOT WRITE BELOW THIS LINE
SUB TYPES
FountlatIon
Single Family
Multi
jt 01 ofY Flex
WORK TYPES
New
Addition
tAlteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%_
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season) _
_ Porch (Screen/Gazebo/Pergola) _
Pool
Interior Improvement
Move Building
Fire Repair
Repair
_ Siding
Reroof
Windows
_ Egress Window
Occupancy /
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice &,Water _Final
Framing ...1,30 Minutes 1 Hour
Fireplace: Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building'
_ Demolish Interior
_ Demolish Foundation
— Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Boostor Pump
PRV
Fire Suppression Required
Meter Size:
Final ! C.O. Required
Final / No C.O. Required
HVAC Gas Service Test
Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill Final
Radon Control
Fire Suppression; _Rough In _Final
Erosion Control
Other:
Reviewed By: Building Inspector
RESIDENTIAL FEES
Baso Foo
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
, ?.--
;Ifo ,3',rH Q /,&
Page 2 of 3
8'2'd t769SSL91S9:01 0S2t4682S6 00SM1S:WONJ tiS:80 9T02 -22 -ere