3462 Greenwood Ct SCITY OF EAGAN Remarks
Rddition Surrey Heights lst Lot-. lk ?-S Parcel 10 73440 020 46
ow?erlf;'yl,t'4' _screet_3462 S. Greenwood Ct. 5tate Eagan, MN 55122
2 '_.C/2 /1'I Z' f' - -I N;E- ? l o ? ..•; %,--
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1973 3
WATERMAIN
* WATER IATEFIAL 1973 3
* WATER AREA & $tulj 1973 3
* STORM SEW4!5 1973 $801.00 $267.00 3 PAID
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $110. 00 7138 12-29-72
BUILDING PER,
sAC 240.00 7138 12-29-72
PARK
CITY OF EAGAN Remarks
Addition Surrey Heights lst Lot 3 Rik S Parcel 10 73000 030 06
Ownert>>Llj'?IL?- L l-Ci! :Li; '! .: Street 3464 S. Greenwood Ct. stace Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK
• SEWER LATERAL 1973 3
WATERMAIN
* WATER LATERAL 1973 3
ic WATER AREA &$tub 1973 3
* STORMSEWjokf 1973 $801.00 $267.00 3 PAID
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $110. 00 7138 I2-29-72
BUILDING PER.
sAC 240.00 7138 12-29-72
PAR K
CITY OF EAGAN
Addition Surre?
diitirtu4 rn'lliv't vl Sln+-P
Lot 1 Rlk 45- Parcel 10 73000 010 06
- street 3466 S. Greenwood Ct . State Eagan, MN 55122
Ai
Improvement
Date
Amount J
Annual
Years
Payment
Receipt
Oate
STREET SURF.
STREET RESTOR.
GRADING ,
SAN SEW TRUNK
• SEWER LATERAL 1973 3
WATERMAiN I
• WATER LATERAL 1973 3
?k WATER AREA
?1r STORM SEW 1973 801. 00 $267.00 3 PAID
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
I
WATER NN
co . $110.00 7138 12_29_72
SUILDING PER.
sac 240.00 7138 12-29-72
PARK
CITY OF EpGAN Remarks
Addition Surrey Heights lst Lat Z Blk 5 Parcel 10 73000 040 06
Owner?.?!(1i'11, 11 ?• tas d E Street 3468 S. Greenwood Ct. state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 14
WATERMAIN
I * WATER LATERAL 14
* WATER AREA
* STORM SEW
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 7138 12-29-72
BUILDING PER.
SAC
PARK
i
CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
Tobeusedfor FIPE F;EPAIk Est.Vatue $34,000 Date J1fNTi 37
Site Address 3465 G"REENWOQD iC't S
Lot ?I Block 6 Sec/Sub. S3MI5'"
Parcel No. IST
Name - _ RTSW MAT I 10M
Address 3466 G'RIFLSKD01% ' - CitY 7ALAI•1 Phone
, o Name ?1 J?1.1.
?? Address 39''?i AV'? evl=
? City - POLIS Phone 788-2411
Name -
Address
Phone
I hereby acknowlege 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.
Signature of Permitee
A Building Permit is issued to: gU ALL
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ,
OFFICE USE ONLY
Occuparvcy
Zoning
(Aclual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCG System
City Water
PRV Required
Booster Pump
APPROYALS
Planner
Council
Bldg. Off.
variance
Bldg. Permit
Surcharge
Plan Fieview
SAG City
SAC, MCWCC
Water Conn
Water Meter
Acc1. Deposit
5NV Permit
S.'W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
FEES
34b.4G
19. 5c?
363.So
PermN No. PermR Holder Dets Telephone #
WATER
SEWER
PLUMBING
H.V.A.C. ? . (?i? U IO 0
ELECTRIC Ell O
Inspectfon Date Insp. Comments
Footingsl
Foundafion
Framin9 J-o4,!_J _
Roofing y _
Rough Plbg.
Rou9h Htg.
Isul. L rjt.vfa ZA-kgw- v ss !? W
Freplace ?d L G C.iMd
Fnal Htg.
Fnal PIb9•
Const Meter Plbg. Inspector - Notity Plumber
Engr./Plan
81dg. Fnal ?/3 / ?y 1t1
Deck Ftg.
Dedc Final
Well
Pr. Disp.
CONTRACT
PRICE
Site Address
Lot ?: /
PLUMBING
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE 4548100
Phone
FEES
COMM./IND. FEE -196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLfES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
FOR:
BLDG. TYPE
Res. "I c-
For C
PERMIT # _
RECEIPT #
DQTE: _:
Oniy
Mul[. Add-an
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FDLLOWING:
NO. FIXTURES TOTAL
3 Water Closet -$3.00 $ 4' p J
? Bath Tubs - $3.00 (a • cra
Lavatory - $3.00 (, no
Shower - $3.00 r
Z Kitchen Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
? Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
PERMIT FEE: •?. Sv
STATES S/C: 1-.90
GRAND TOTAL: '. nn
-
t? Z?? . C `3830 PILOT
,
? Name
? Address '' <,4
c City 'y ;• y • _ , ` `_ l ? "Phone ? t 1
Name tL..':.-
? • '
c Address ?•'. _, l,, " _ { ; 1 +,
p Ciry Y1t l Phone
TYPE OF WORK
Forced Air ? 'LIU
L M BTU ;
Boiler M BTU ,
Unit Heater M BTU ;
Air Cond. ' M 8TU ,
Vent. CFM ;
Gas Piping Outlets # 1 ,
Other, ?
j FE y?E
S/C:
TOTAL•
?.,..,....t .. . . ,. ..
PERMIT #
iL PERMIT RECEIPT # y
EAGAN
D, EAGAN, MN 55122 DATE
54-8100 For Office Use Only:
BLDG. TYPE WORK DESCRIPTION
Res. New >11
Mutt Add-on
J:;omm. Repair
Other
FEES
EES.'HVAC 0-100 M BTU - $24.00
ADDITIpNAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
ODELS - 12.00
- 20.00
- .50
.,r)G 51GNATURE OF PERMITTEE
FOR: CITY OF EAGAN
6' 1i/bl7 9 ? 5lv5?
5602 i ?
Request Opf9 ? s
Z?
? Fire No R h-In Inspection
uiretl9
? Reatly Now
? Will NoLfy Inspactor
Wl
R
p yes pw ien
eeW
I licensed contractor ? owner hereby request inspection of above electrical work at.
ob dress (SIree4 Box or Raule No ) Gry
Secipn No Township Neme w No Range No. Cqunry ,
D
OcwpaM (PRINn Phone No.
Power 5upplier Address
Electn I Comr (Compeny Name) Cnmrac[ Lwrcs No.
y "r{..? ?
Mailing Address (Cmtraclor or Qwn M kiig InstallaM1On)
a
?.
Autlroraed Siqnatu onirecia/Owner Ma Ins[allat n) PhonaNumber
? X? 7
U
MINNESOTA STATE BOAPO OF ELECTRIC THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlwey 61Eg. - qoom S773 BE ACCEPTED BV THE STATE BOARD
1821 Univerelry Ava., 3t. Paul, MN 55104 UNLE55 PFOPER INSPECTION FEE IS
Vhom (612) 60241800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ? EB-00001-07
? ,
See Instruqions for wmpletmg this brtn on beck of yellow cnpy
7
p jas F; n 2 ' 'X' 73elow Work Covered by This Request
Ne% A d Rep ' TypeofBuilding AppliancesWired EquipmeniWred
Home Ranqe 7emporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air CondRioner
Other (speary)
Campute Inspection Fee Below: Contractor9 Remarks:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ,j s 0 to 100 Amps
Transiormers Above 200 _ Amps Abo 100 _ Amps
SignS Inspector5 Use Only TpTAL '
D
Irrigation Booms ? a ? ,j
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby RO1gh'" U -S
certify that the above inspection has
been made. Final ?ata -
OFFlCE USE ONLY
Thie request void 18 monMS Irom
Pr..T'SQIT N').: ?o
CIT`l 0^ PIIS(`r9N
Pilot Knob R,)ad
Ea.-an, N:inr:;so?a 55122
Tl;c Citir o; ?a?an h?-reby gra.ats to Lindsav Water. Condit?oninq
o° 4215 Cedar Ave. So., Eaaan ____._
John Hecimovich, Melvin Nelson, and ,
for: (Ot,mer) James Lenz
aWAter_5oftener 7
- - - -e
u 4p"-4p?;
, pursua_it to appa.ioantion daced 4/15/7E
,In de.ted this 26 ? Qay Of A83il
1- ,n s/c
._. ? +.- AJ. Parr;its:
?.i.i Tot;._.
Iiuil3ing Snaper.ED:
;1- 1
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100
BUILDING PERMIT
To be usedfor FIRE IZEPAIR Est. Value $39, 000
Site Address 3466 GREENWOOD CT S
Lot 1 Block 6 Sec/Sub SURREY HEIGHTS
Parcel No 1ST
W IName STEVE MATTSON
o Address 3466 GREENWOOD CT S
City EAGAN Phone
Name llU ALL
Address 636 39TH AVE NE
City MINNEAPOLIS Phone 788-9411
wW Name
?52 Address
aw City Phone
I hereby acknowlege that I have read this application antl srate that the
mformatron is comect arW agree to comply wnh all appbcable State of
Minnesota Statutes and City of agan Ordmances.
Signature of Permitee ? levz
A Bmlding Permit is issued ta: Du ALL
on the ezpress condrtion ihat all work shall be done in accordance wrth all
applicable State of Mignesota Stamtes and Ciry of Eagan Ordinances
Building Official
NQ 16722
Receipt # ? D ?)
oate JUNE 27 , 1g 89
OFFICE USE ONLY
Oaupancy
Zoning
(ACtuel)Const
(Allowable)
# of Sfones
Length
Depih
S F Total
S.F. Footprints
On Site Sewage
On Sne Well
MWCC System
Cny Water
PRV Reqwred
Booster Pump
APPROYALS
Planner
CounCil
BIdg.Off
Vanance
eldg Permn
Surcharge
Pian Review
SAQ City
SAQ MCWCC
Water Conn
Water Meter
Acct Deposit
S/W Permit
SM/ Surcnarge
Treatment PI
Road Unit
Park Ded.
Copias
TOTAL
FEES
344.0
0
19.50
363.50
. a-? ..
ToWrv or EecaN
3795 Pilot :tnob P,oad -
Eagan, Minnesota 55121
?
?
i:
PEUfIT N0. 243
The Board of Supervisors hereby grants to Cpn:,o.',3dwLW. Y1=bIng Ct
of 5; on a?_•.t. -ao;3.a? 3arnrrril3c. 311 55337
a PL'S'ei`?.iG Permit for: (Owner) &)U.w- 'p,'?c?,?S. j;j tke11 $495
?35?bo'j ? C?I'Z°2/7tJc?? C0
a? pursuanl' to application dated
$20,00 plus 050 9/0 9aoPs uriit
Pez Paid: CL DaCed this 2E'th day o£ 19?
$ ???,00 fi/C
Buiiding Ynspector
EAGAN TOWNSHIP
BUILDING PERMIT N? 2720
....... ............ _ .....--- --...._.................................................. Eagan
Ownex Township
Addrasa (Pratenf) ._.5...°..F'._L_.....?...... ?
... . ..................... .. Town Hall
Builder ..... A....1.!........
r ..............................................
' Dele .:?:. °?.. .......7 Z:....
Addsqs ..............................................................................................
DESCAIPTIDN
Storiaa
?
? To Bs Uoed For
T<-?.w?.-•-•----`?- ? F:on!
7 Daylh Hsighf Eel. Cot! '
G
?S? S?SL Permi! Foa
G
? ?•? Remarlts
?
This permit doas not auihorise the uca oi sleeele, roads, alleys or aidewalks nor does it giva the owaer or 6Is sgent
the xighi fo creaie anp aifualion which is e auisanee or which presenTS a hazard !o_ the henlfh, safetp, eoavenianee aad
genaral welfare to anyona in the eammunitp,
THIS PERMIT MUST BE KEPT ON THE PAEpIIg£ WHILE THE WOAK IS IN PROGAESS.
Tfiis •s to eerlifp. ......... has
? !hal. . _-. .... d"'[ !_....__........
?: permisaton !o esec!
the a6ove deseribed premise eubjeci !o the provisiona o! the Building Ordinenee for Eaowns ip a oplad yril LLI
1955.
...................... ...............JN!---..(.`.:4: S!-:::'-'._.. Per ----------------- -.- -------------'-?-'- 4L
.......................................
C aumen of Tnwn Board 'Z3 Suildiny Inspactoj?,
owass ........Z..
Address (present)
Builder
Addreae
CITY of EAGAN
BUILDING PERMIT
?... ?.?y ................?
1
9
.. ..? :............ ......../.... ..........
DESCRIPTION
w im
N4 3214
3795 PiloY Knob Raad
sagen, rRinneso:a ssiaa
454•8100
Dals .?.:...?.? :.?. ??..... ...............
To Ba Uced For Fsonf Deplh Heigh! Eel. Cos! rm!! Fae Asmarks
7
Thia permii doea not aulhorise the use of sireafs, roads, alleps or sidewalks nor does !t gida the owner or hfa agen!
the xigh! !o ereale anp situation whiah is e nuisanae or which presenls a beaard !o the heallh, sately, oonwniance and
general welfare !o anyone in the eommuniip.
THIS PERMIT MUST BE EP O T?PREMISE WHILE THE WORK IS IN PROGRE$
This is !o cerlifY, !hal. ?...._.?.L . .. ........................... haspermissioa !o oae?et a.....---.. .._lle??.... ...._npon
the above descri6edy? m?se subjeci 10 ! provisions af all applicable O ces for ! of Eagan.
.:..TX........... - /._ _ ......G-'.g............... .............................. Per •( - -` - - .?. ..?._ . ...........................................
? " ?Mayor Suildiag Inspecios
Eagan Township
Dakofa Counip, Minnesola
? Applacation Eor Bnildiag Permit
Type of building os work eoatemplaied. Cirele correct descripfioas.
?-
( Ras?denlial ? Commereial Induslaial Ofher----------------------------- .----------- ............... _....
_...
8uild Enlarge ?AIles Aepair Install Move Wzeck 02her....
Dimensions----S:ll 'y--,?.??:{......----.... Cost...?..:.-l..................
Defails or remazks..... ......................................................... -°----`--°--'----...------'--.....----`-°
Localion
f
PERMIT NO. .?....?L.?'?...._
Dafe
Number Streei LB'alween whaf csoss sireefs Size Esl. Valuation
i
Lot Blaclc Addii?on Rearxangement or Tsae!
'., ........._. . _'-
Owner ........ ._ .-.-l?? .-----.---•.°-°--.°---.--.------.......- Address .3.Y..`.?./....k.I)^.?.....:'.?f
::
Conicaefor I !?°l f):S' .T._. !?',?f ••? , ?,ewU.?
........._"'-.._..
....--.._...._°---.'-"----°----"_...-- Address ._-'-'-'-`-.....--_....?.:c._:? ._?`...
? The undersigned herebp makes apnlieafion for a permit fo
$ do mork as hesein apeeified, agreeing to do all wosk in slriaf
Toial fee collecfed. accordance wiYh !he building ordinance adopled April 11, 1955
bp !he Eagan Township Soard of Supervisors.
Permit fees are nof
refundable.
uigned
?
? /
TOWN OF EAGAN
3795 Pilot Itnob Road
Eagan, Minnesota 55121
PEIOIIT N0. 2L2
The Board of Supervisors hereby grants to A- gindtan• & sm.. 'r„n_
of 12n r:._ pattAr.a. st_ rn,l r.uKtt8
a HEAT.iZIG Pexmit for: (Owner) _Surrev Heig?+t.r,
at(3IL6.66-M Sauth (3Teemrood Coart , pursuant to application dated
Fee Paid: ¢80,00 Dated this 29th day of AUguat
2.00 s/o
Bui.lding Ictspector
.3
/ 3D,a)
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reouirements
3 reqistered site surveys showing sq. R. of IM, sq R of house; and all roofed areas
(20%mazimum lot coverage ailaved)
1 Soils Report rf proposed building is to be placed on disWrbed sal
2 copies of plan showing beam 8 window sizes; poured fountl design, etc.
1 sel of Energy Calculations
3 copies of Tree Preserva6on Plan it lot plattetl aftw 711193
Rim Joist Detail Op6ons sdectim sheet (bwldings vnfh 3 w less units)
Minnegasco mechanical ventlla6on form
RemodellReoair Reauiremenls
2 copies of plan showing footlngs, beams, joisls
1 set of Energy CalcuWtions (or heated addihons
1 site survey for addi6ons 8 decks
AddRron - intlicatedon-sife sep6c sysfem
O?ieUse onlv
c?,[l'0(Fs!ttV9y?Rg?d .3:._P!
SoiisReport.? .?_SN _N
:TieeP.?[esPlan;Recd?... ='Y -N
TreeP"reiReq.a"iretle??:"•!=!=_Y, `-_°`N
On-site 3epfic&ySl_em?.--_ _Y° ?,F!
Plans are considered public information unless You state they are trade secret and the reason.
Date 7
Site Address _,3ylo $ G/P?.G„wm?
?
Construction Cost lT 4220
?uUlf- SUV {? Unit/Ste #
Description of Work ?Ge
Multi-Family Bfdg JC Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner /'L-`je/e ?+.At Telephone#((aS/ ) ??6-S$7S
Contractor !'?S?Ps? ?OHsOots?ci
i
Address 7Z?S Bv?? i ?a?e
State 10111
Zip 5-5-2i`3''7 ??
City Go'i%*4
Telephone #(C/SL.) zS3 - Y9s8
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minneso[a Rules 7670 Cateeorv 1
(J subm?ssion type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calwlations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
SubmRted
In The last 12 monihs, has the CiTy of Eagan issued a permit for a similar plan based on a masTer plan?
_ Y _ N If yes, date and address of masier plan:
C?CE?n
D?C M
Licensed Plumber Telephone #(
Mechanicol Contractor JUL 2 5 2001 Telephone #(
Sewer/WaTer Contractor
Telephone #( ?
a Residential Buildine Permit and acknowled¢e that the information is complete and accurat
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
Applicant's Printed Name
Applicant's Signature
? 07 OSplex
? OS 06-plex
? 09 07-plex
? 10 OS-plex
? 17 10-plex
? 12 12-plex
Sub Tvpes
? Ot Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvoes
? 31 New
? 32 Addition
? 33 Alteration
H1
?.. 34 Replacement
DO NOT WRITE BELOW THIS LINE
? 13 16-plex
? 16 Fireplace
? 17 Garage
$O 18 Deck
? 19 Lower Level
? 20 Pool ?
? 21 Porch (3-sea.) ?
? 22 Porch/Addn. (4-sea.) ?
? 23 Porch (screen/gazebo/pergola) ?
0 24 Storm Damage
? 25 Miscellaneous
30 Accessory Bldg
31 Ext. Alt - Multi
33 Eut Alt - SF
36 Multi Misc.
? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs
•Demolltion (Entire Bldg) • Give PCA handout to applicant
DBSCI'IqtlOfl: WaterDamage_Yes
Vaiuation DDE) , o O Occupancy MCES System
Plan Review 100% or 25%
Census Code Zornng City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const V13 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) U$ G _ Sheetrock
Footings (deck) Ex: S? %?J Final/C.O.
_
_ Footings (addition) roo7 Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Fin al Pool Ftgs AidGas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace
R.1.
Air Test
F inal _ Windows
_
_
_
_
lnsulation Retaining Wall
Approved By: -77PA , Building Inspector
Base Fee
Surcharge
Plan Review
MC/E5 SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?13??07
ce vec-f. --o
>Eel Wa° ? ? ?
D j (ZT S
i--I?
Dakota County Real Estate Inquiry
•? Dakota County Real Estate Inquiry
Data Updated 7/1912007.
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3?60
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Intended for reference use only. This is not
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0 25 50 100
Feet
(4q ( S 2-
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
50
Date S 1 2-3, l0s
Site Street Address ''.?-?W ?.pXhujDW ? j Unit #
Property Owner D2,N115 ('Ac5a Telephone # (6a 6SX?S n
Contractor CY?- i-?17MhM.Wm1f1G1 ,°k' Qi( ArCWIQ?•Telephone #U& )-L2=J?Ao. I
Address (5C5 V-?[?J,fl ,A1Q- City sCy^ltl i State IIl ZipS S
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Tumaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
rota? g ?S.S?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
C?n,:Q. C??u?Q=- ;,- ?
ApplicanYs Printed Name Applicant's Signature
.? _iiCS
L-- -_
b(OlI MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephoue # 651-675-5675 FAX # 651-675-5694
Please wmplete foc Single Family Dwelimgs
Townhomes and Condos when pemilts are required for cach unit
1,2z,n
Date QR / _218_ / o ?)
Site Address a4 (o Z, S ?_, QAr" Unit #
rYw ? zz- !33 G
Property Owner _7SO V@ Telephone # ( (pJr' 1 ) L454-2YI I
Contractor
-
?
Street Address 2 e??'j L?-5??{- (N
City
State ,%_V--+ Zip _52?T(o?-O025 Telephone #( )-3 1Z.' `v`%2 4
The AppGcant is _ Owner -yContractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
fumace replacement
air exchanger
i
/?
. a
r conditioner
other
State Surcharge $ 50
Total $ ? G.?s'_o
I hereby apply for a Resident'al Mechanical Pernrit and acknowledge that the information is complete and accurate; that the work will
be in confonnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemut, but only an application for a permit, and work is not to start without a pemut; that the work will be in acwrdance with the
approved plan in the case of work wivch requires a review and approval of plans.
?--1 ? c.._-? C? • ?-e?c?ti ?? s-c?. ?+-r?n-,
Applicant's Printed Name ApplicanYs Signature
PLUMBING (RESIDENTIAL) jtll,5- 3-0
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Suigle Family Dwellings
Townhomes and Condos when pemilts are required for each unit
?, / 2-3
D3
D
afe
/
Site Address CANILLA, MICHELE Un[t #
3468 GREENWOOD COURT SOUTH
EAGAN, MN 55122
(651) 456-5e75
Property Owner phone #
Contractor NORBLOM PLUMBING CO.
(612) 827-4033
Address City
SO.
•
State 8Zip Telephone # ( )
The Applicant is _ Owner ? Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additlonal consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 00
50
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild ? $ 30.00
_ Lawn irrigation sys[em
_ Water softener X Water heater $ 15.00
X replacement _ adtlitional
II? ?? ?
State Surcharge MAR ?. -• i?
0 4 2003 ?i IJ I
v
$
.50
u
Total g IS. SO
By
I hereby apply for a Residential Plumbing Pemut and aclnowledge that the informarion is complete and accurate; that the work will
be in wnformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 requues a review and approval of plans.
Je-C-? I?orbl?vv?
Applicant's Printed Name App icanYs Signature
i
? iz?? y\?'?#??a??'?1?,?
\- s:Y LOCATION
OWNER
?
STRUCTURE AND
LAND USED AS ?
MASTER CARD
? .3 G 6Y? :?.?? 68
?
:
Permd ?
No. I
Issued sued To
Coniractor Owner
BUILDING_
PLUMBING
•-
CESSPOOL - SEPTIC TANK
WELL - - -
ELECTRICAL
- ?
HEATING _
• ?Y? - ?
? -
GAS INSTAILING I
SANITARY SEWER - -
OTHER
CITHFR I I I
Approved
Items (InitialJ
Date
Remarks
Distan<e Frcm Well
_
FGOTING I
/? - -
lk-? -
SEPTIC
FOUNDATION /'J' - 2r ?f. CESSPOOL
FRAMING _ _9 - 7?Li TILE FIEID FT
FINAL
ELECTFICAL i
-
I
HEATING _
GAS INSTAIIATION -
`
il -- ?-- - DEPTH
OP WELI
SEPiIG TANK? I
?
CfPOOI -
PLUMBI GI?-+
,?-' lie
„ _
WELL
SANITARY SEWER
- -- '
-- ?--- ? ) y
I Violations Noted _
on Back
COMMENTS:
EAGAN TpWNSHIP
3795 Pilot Kttob Road
St. Paui, Minnesota 55111
Telephone 454-5242
PERMIT FOR SF,WER SERVICE CONNECTION
DATE: July 283 1972
OWNER: Surrey HeightsBldg, #6
PLUMBER
i
7 ?
NUMBER 1068
??° ?'? ? ?° J a T-
Address 31? -64-66-68 so, Greenwood Court
TYPE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUIIDING
Industriall Commerciall Residential I Multiple Dwelling I No, of uniYs
Location of Conaections:
Connection
'7 y
Permit Fee 10.00 4,r G ,
. s c a
Street Repairs
Total
Inspected by:
Date
Remarks
By
Chief Inspector
In consideration of the issue and delivery to me of the abwe permit, I
hereby agree to do the proposed work in accordance with the rules and
regulaCions of Eagan 1bwmship, Dakota County, Minaeaota
By
Please notifq mhen ready for inspection aad connection and before any portion
of the work is covered.
'-??
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMLT FOR WATER SERVIC$ CONNECTION
Date• Ju]y 28, 19(2 gumber• 906
Biliing Name: Surrey Heights Bldg. #6 Site Addreas: 1+62 4-66-68 So. Greenwood Court
Owner• Gustafson & Associates gilling Address
Plumber;
Location of Connection Meter Size Coanection Chg. 0 00
3aT PO•?
Meter No. Permit Fee 10,00
.AgaG?f - -?•J?3G>o9- ?3-A6'?' y9
',e Meter Reading Meter Dep. ?
3?fGf' 6i.3/3lsy?/_.a??'?'OV`•-
Meter Sealed: Yes_ lAdd'1 Chg.
NO ITotal Chg.
Building is a:
Residence
Multiplexx no, Units
Commercial
Industrial
Other
Inspected by
Date
Remarka:
$25.00 kE-IIJSFECTIOPd FEE F'OR
1MPROPERLY INSTALLED METERS.
Sy:
Chief Inapector
In consideration of the issue aad delivery to me of the above permit, I
hereby agree to do tk?e proposed work in accordance aith the rules and
regulations of Sagan Township, Dakota County, Mianesota.
By:
Please notify the above office whea resdy for in.pection and connection.
5
1989 HITILDIAC PERHIT APPLICATION
CTTY OF EAGAN
SINGLE FAMZLY Di1ELLIPGS
1?12?
MAILTIPLE DIiELLINGS
2 3ET3 OF YLANS 2 36T3 OF PLANS
3 Efi13ISTERED SITE SIIR9EYS EEGIST6RED SITE SDRVESS -
1 SET OF EIiEAGY CALCS. (CHECH WITH BLDG DIV.)
1 SET OF SHERGY CiLC3.
MULTIPLfi DYIELLINGS RENTAL ONTTS F08 SALE WfITS
COlSSEACIAL
2 S8T3 OF 1RCHTIECfURAL
8 STRUCTQAAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF EBERGI CALCS.
1 OF tlBIT3
60TEt 1DDRESSE4 FOE f11AHSR L.EPfS - COATRICTOR/HPlH?OMiFEB lUST DESIGNATE fiAICB iDDRESS
IS DESIRED. BO CH9NGE5 WII.L BE 11LLOIiED ONCE SOILDIAG PEHlIIT IS L4SOED..
SEWER 8 RATER PEAMIT FEFS lHD ACCOiTNT DEP0.SIT F6ES NI1.L HE INCLDDED UTITH THE HOILDIN(i
PEAlSIT FEE. PAOCESSING TIME FOA 3Ei1ER liiD li9TEA PEtglITS I3 TWO D6YS OdiCE 1 PEAMIT HAS
HEEN COMPLETED INDICASIPG A LICEtiSED YLUlIDEA.
PENALTY APPLIES WHENs PERHIT IS NOT PAID FOB IN 3AME MONTA IT IS REQUESTED.
LOT CHANGE I3 REQUESTED ONCE PERMIT IS ISSOED.
To Be Used Forr6" 20pp12L. Valuation: O Aate: 6°17° fo
Site Address 3Y46 .1d'pw11yf?bec/A?
LoL ? Block I,
O
Oecupaney
Zoning
Actual Const
Allowable
9 of atories
Length
Depth
S.E. Total
FootprinL S.F.
ParcellSub , ,(IUTI1?s,1 4n,IL1,l-" 'A,t
?I`
Owner Skvt /?l?}?7?so 2--
iddreas
City/Zip Code
Yhone
Contractor Du 44 L
Address 1,,36 39 "? ?? ?/?
City/Zip Cade ( W7i.+- w S^S yI6
Phone 76"
dreh./Engr.
Address
City/Zip Code
On site aewage
On eite well ?
MS1GC Syatem !
City vater _
PAV required _
Booster Pump _
iPPROVaL3
Planner _
Couneil
Bldg. Off.
9ariance
fy?
Bldg. Permit 3"",g?
Surcharge 194
Sc
Plan Review
SAC, Citp
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
SJK Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SIIBTO'PiL
Penalty
?QTILL
Phone #
CITY USE ONLY
LOT BL ? RECEIPT #: p 7 5?p O
SUBD. 1RECEIPT DATE:
1998 MECHANICAL PERMIT (RESIDENTIAL)
CSTY OF &AGAN
3830 PI7AT IQdOH RD
EAGAN NAi 55122
Dste: ??v 1??? o f(612) 3 81-4675
w-w
Complete this section on[v if you are installing HVAC in single fanuly, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6A0
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
"Install furnace _ Install air conditioning
_, Install air exchanger, i.e. Vanee system, etc. _ Other
Minunum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge
Total: ?ZtJ. 3~
SITEADDRESS:
OWNERNAME: M"?y MA??COw, PHONE#: ? ?-SbC7S
INSTALLER NAME: WCv1Z-e'A ?VA-C PHONE#: g M- g99 tr
STREET ADDRESS: 40 6I J SAC. Y !' i'ekn d?? cN `I 'J II
CI7'1':
f- /-?J ?,
JS/FORMS BlD/MECH PERMIT ([tES) - 1998
STATE: /n h.
3a ?? 2004 RESIDEPITIAL MECHANICAL PERMIT APPLICATI0I?I
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. smgle family dwellings & townhomes/condos when permits are requved for each unit
?3bs'=
Date 4l / a(o / aaay
3 q (o j?
dd Gre'al 6<
V,9 ? ?
U
5 it #
ress
Site A ,
•
. n
ert
Ow
P
l ' i tC ! ( f a Tele
6one # ( ,?57 ) I ? v ` JV / .5
rop
y
ner
., p
1
Contractor A7 0/ • ?
i
5P yh
`'
?' • Se
OJIT?
Street Address C
ty
l ,
?
?/ -
State ? /? • Zip 5,<0606 Telephone # ( ?7.?! ) ?? ' O /? ?O
Bond #: Expires:
4
-
The Applicant is _ Owner
Conhactor _ Other
r
Add-on or alteration to existing dwelling unit $ 30.00
lc"? furnace -Additional _Replacement
air exchanger
i
diti
\41;?'
t
N
R
l
rcon
a
oner _
ew _
ep
acemen
other
State Sureharge '\ ?? ?' ?? J?, ry '??J?`'• \? ? $ .SO
.?
Total
, Y?
D?W
,1 "
?
I hereby apply for a Residential Mechanical Permrt and aclmowledge that the informarion is complete and accurate; that the work will
be in conformaace with the ordinances and codes of the City of Eagan and wi Mechanical Codes; that I understand this is not a
, but only an application for a permit, and work is not to start witho a p anit; that the work will be in accozdance with the
app o ed plan in the se of work which requires a review and approval of c
ae ?e ? 1
ApplicanYs Printe Name J pplicanYs Signature
Aug, 1, 2012 12:35PM Sela Accounting No.1661 P. 2
Use BLUR or BLACK Ink
For Office Use
City of Eap 1 Permit ~ I
1
Permit Fee:
3830 Pilot Knob Road
Eagan IVIN 65122 1 pate Received.
Phone: (651) 675-5675 1 I
Fax: (651) 675.5694 I Starr' I
1....--.,.,,._.--_-`__-_-...._.....J
l l 2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3 9 (~z 3yby 3VU 3y6 8 6y-eenwool C unit#:
Name: 5%,LYYt'\/ t~gtcg-k5 ~Uvii~1~~111t✓ USGOC Phone: (15-1-~31-G 33
RESIDENT I
OWNER Address/ City] Zip: i 9 weF * 1'4tr C. ~JCt V
Q.iZ:ur~ _ YYl r) Applicant Is: Owner -,X- Contractor
TYPE OF WORK Description of work: Ce ~C co
Construction Cost; one ()q S . O(~ Multi-Family Bulldffng: (Yes / No_)
Company: r~ C'~~ 2bo A3 Ica K%WnC4e_11 v'~ Contact: '
CONTRACTOR Address: L1lCU e~ V c6 City: 5t uU ,k,S P rL
State:Irny'\ Zip: 1~ JAI I Lv Phone: 9 ~J -9 1 5 - ,I P L
License G 12 yU 105 U Lead Certificate AIA T~ 5 U 3 Ll - 1
If the project is exempt from lead certification, please explain why: (sac) Page 3 for additional information)
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:
NOTE: Plans and supporting documents thatyou submit are considered to be public Information. Portions of
the Information may be classlfled as non public If you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464.0002 for protection against underground Willy damage, Call 48 hours
before you intend to dig to receive locates of underground utilities. onec Il.or
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; (hat 1 understand this Is not a permit, but only an application for a permit, and work Is not to start W(hout a permit; that the work will be In
accordance with the approved plan In the case ofworkwhlch requires a review and approval of plans.
Exteriorwork authorized by a bullding permit Issued In accordance with the Minnesota Slate Building Code must he completedwllhin 180
days of permit Issuance, 11
x Y~Y-r `t 7~ e t' x
Applicant's Printed Name Applicant's Signature
Pape Iof3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159166
Date Issued:11/25/2019
Permit Category:ePermit
Site Address: 3462 Greenwood Ct S
Lot:2 Block: 06 Addition: Surrey Heights 1st
PID:10-73000-06-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
William E Bump
3462 Greenwood Ct S
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159755
Date Issued:01/15/2020
Permit Category:ePermit
Site Address: 3462 Greenwood Ct S
Lot:2 Block: 06 Addition: Surrey Heights 1st
PID:10-73000-06-020
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.
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 -
William E Bump
3462 Greenwood Ct S
Eagan MN 55122
(651) 239-8519
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature