1540 Greenwood Ct NAug. 1. 2012 12:37PM Sella, Accounting No. 1661 P. 12
Date:
City of Evan
3830 Pilot Knob Road
Eagan MN 66122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit*
Permit Fee:
Date Recelved:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
'j I / 2- Site Address:153B,I940,1 SQ., r1Sq) „woo c+. (i unit#:
-A
RESIDENT /
OWNER
Name: jCrYYt y iA.e►J\k-s 1r�,:%l-.\w me a:.:60 G Phone: (15.-.I -&3 1 •H I a 3 a
i\�_LL.-k-stme r^
Address / City / Zip. G 3 ii Ll'L/ '3F'j1 QIA-‘.C__Yl /
c' [ 1
Applicant Is: Owner )( Contractor-��� n ptZ ��v-\ , �� . L L/
TYPE OF WORK
Description of work: re `coo F"
Construction Cost: I ? [ i S—, DC.) Multl-Family Building: (Yes X / No )
•
CONTRACTOR
Company: SalC1- f Z(O VI 4.WY) t' ct 1 tici Contact: Karl im
Address: ' -I t CO f xtr-C�1 St or g 1 V cl, City: 5t , LoLA ' s R I" k.
State: 7Y\Y\ Zip: 55,11G, Phone; C) CJ6,/-oi 15 - -7 ca.
License ff: C- 12• 001 U 5 U Lead Certificate #: A%A T.— - a J C) i l — 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes 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:
_No
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOM 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 protide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 454-0002 for protection against underground Witty damage. Call 48 hours
before you intend to dig to receive locates of Underground uliiilles, wvnv.00pherstateonecall.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 1 understand this Is not a permit, but only an appltcatlon 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.
xteriorwork authorized by a building permit iesued in accordance with the Minnesota State Building Code must be completed within 160
days of permit Issuance.
x �l \ r Ca. et -- f
Applicant's Printed Name
Applicant's Signature .
Page 1 of 3
02/03/2016 06:54 9525622820
4110'City afkali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 032016
PAGE 02/07
Use BLUE or BLACK Ink
Imo
For Office Use
Permit #: - Ol
Permit Fee: / 7,134
Date Received: 3--1— 1
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Dat61 1/23/2016 Site Address: 1540 Greenwood Court N
Unit #:
..:, ..:..,.,;., ,. �,.....
, :,.-�,•'w�;�<��>:,�:�:;,;' ,;;
,,: -: "•i,,,:' :<, ::..
, ' ,: <, • , . ;. . >
"` ; SI en ,
4s., - ...e1'` ; ; :`
•«;....i;;, ,4 ..;:<r';
�°.�,^s� '�:°a���-
612-3 - 9
Name: Simon ea& Te & LeA-VAk�nw4NO-t" Phone: 84 182
1540 Greenwood Court, Eagan, MN 55122
Address / City / Zip:
Applicant is: Owner 1� Contractor
•
f.,;,w"``
r; ., ;, ;?vSsyc'
,;;,, ,,;,,;, ,,;<.'
; :
Egress window - see attachment
Description of work:
$3,105.00 14'
Construction Cost: ' Multi -Family Building: (Yes / No
rontlreow-
;:4' • `' '.;it;;.:.;-"
Advanced Waterproofing & Foundation Repairs, Inc. Kari Johnson or Ryan Lamoureux
Company: Contact:
Address: 12585 Rhode Island Avenue city: Savage
MN 55378 952-562-8100 office@advancedwaterproofing.net
State: Zip: Phone: Email:
BC634927 NAT -113770-1
License #: Lead Certificate #:
If the project is exempt
Yes, Less than
from lead certification, please explain why:
6 sq ft. of painted surface will be disturbed.
In the last 12 months,
Yes No
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?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor.
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
:.O,TE: 'Pla►ls,.and s, pporting,;q►o'currents ;that'you submit'' ere. considered to be. public• informatlon::"'Po 'tlons*
nformaf►o n;.m'ay;'be'classifi d as,cion-pub'lic;If:you.Rroyrde spiOie reasons that wouIii'pernlif'the.`Citii,ei,
'. ,... '`.., ,1,".;; .. :conelude.that 'theyace trade-secnets:. .• ..
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.gooherstateonecall.orp
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 permit Issued In accordance with the Minnesota State Building Code must be completed within 160
days of permit issuance.
X Kari Johnson
Applicant's Printed Name
02/03/201.6 06:54
SUB TYPES
Foundatlon
_ Single Family
Multi
01 ofPlea
WORK TYPE
New
Addition
Alteration
_ Replace
Retaining Wall
9525622820i -(D y f
�e-e-✓� W:��>c,, 'f ` 1V
DO NOT WRITE BELOW THIS LINE
_ Fireplace
_ Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
_ Interior Improvement
_ Move Buliding
_ Fire Repair
_ Repair
DESCRIPTION
Valuation �4av
Plan Review
(25%_ 100%jl7
Census Code
# of Units /
# of Buildings
Type of Construction
Pool �.
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
- Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
/ca3
? +I
TOTAL
Siding
Reroof
Windows
Egress Window
PAGE 03/07
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
c.
R.-3
MCES System
SAC Units
City Water
Booster 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:
, Buliding Inspector
Page 2 of 3
City of EaaH
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
ECVVED
vi;s Q 7S
Use BLUE or BLACK Ink
For Office Use
Permit#:
Permit Fee:
Date Received: -✓— 1 I CQ
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ,1-310/ l)b Site Address: 5O (/PO/1 Lt�1TUb/ (�7 OV
- - Unit #:
Name: c /71-091
Resident/.
Owner
/e4a-/>nlClrt-o- ` Phone:
Address / City / Zip: /'5110 Greed -rated A-)
Applicant is
Owner Contractor
Description of work: je,f)ac,h..1 lotSketi c i a/14 Uk
Constructio Cost: 3 4b 4 o Multi -Family Building:
Company:
Address:
State:
License #:
Zip:
Contact:
City:
Phone: Email:
Lead Certificate #:
3 If the project is exempt from lead certification, please explain why:
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
Fire Suppression Contractor:
Phone:
NOTE: Plans and supporting documents that you submit-ito be public information. ` Portions of
the information may be classified as non-public if youprovide specific reasons that would permit the City to
ter.. conclude that the are trade secrets.
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.gopherstateonecall.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 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 Minnesota Sta a Building Code m ,be completed within 180
days of permit issuance. / t�sf
x Sirmdy-, 7,4 hoz/4,4 0.74 ---
Applicant's Printed Name x
A. • i - is nature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
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
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
XFraming
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
12/
Siding
Reroof
Windows
Egress Window
•
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster 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:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3