3479 Greenwood Ct SCITY OF EAGA111 Remarks
,addicion' Surrey Heights lst Lot 2 Bik 14 Pefcei 10 73040 020 14
Owner ?' ?? ? ld 1- Street .3479 S_ GrePmmnnri Ct _ State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
alk SEWER LATERAL 1973 3
WATERMAIN
* WATER LATERAL 1973 3
* WATER AREA & Stub3 1973 3
* STORMSEWIM 1973 801.00 $267.00 3 PAID
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. $110.00 713$ 12-29-72
BUILDING PER.
sAC $240.00 7138 12-29-7
PARK
CITY OF EAGAN Remarks
addicion' Surrey Heights lst Lot 3 sik 14 Parcel 10 73000 030 14
owner h}a(I?1"Ptt" (JniL_tlLS2! frl}?-% Street 3481 S. Greenwood Ct. scate Eagan, MN 55122
A It_ '
Improvement Date Amount Annual Years Payment Receipt Data
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1973 3
WATERMAIN
ic WATER LATERAL 1973 3
9c WATER AREA ubS 1973 3
4e STORM SEW 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.
s,ac 240.00 7138 12-29-7
PARK
CITY OF EAGAN Remarks Y , " • //, 11-1
Addition' Surrey Heights lst Lat 1 Rik 14 Parcel 10 73000 010 14
state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1973 3
WATERMAIN
* WATERLATERAL 1973 3
* WATER AREA & Stub3 1973 3
* STORM SEW 1973 $801.00 $267.00 3 PAID
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sAC 8 12-29-72
PARK
CITY OF EAGAN Remarks
Addition Surrey Heights lst Lot 4 Rik 14 pa,cel 10 73000 040 14
Owner Street 1489 S_ (:rPPnwnnd .t _ State Eagan, MN 55122
??, ;1'?r? t i ?• ? ?,.-?d?? G?em; ? Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1973 3
WATERMAIN
• WATER LATERAL 1973 3
? WATER AREA
1973
3
4e STORMSEW 1973 801.00 267.00 3 PAID
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $110.00 7138 12-29-72
13UILDING PER,
sac 240.00 7138 12-29-72
PARK
GAS WORK
1072 Payne Ave. STANDARD 410 W. Lake St.
St. Paul, MN 55101 Minneapolis, MN 55408
651l772-2449 L6HEATING+? 612/824-2656
& AIR CONDITIONING
A Blue Dor Service Co. EQUIPMENT INFORMATION
LAST ?L-Z,1 ll5DIV F I RST ADDRESS 3 y?S' Gr-? -?n ??e? G.?-- :5 ,
CITY ZIP /Z?Z,
HM PH r/- r- o s"` WK PH
TECH / c.L. DATE 7- .;I/-.9y'-p
TYPE
MAKE
MODEL t? 0???1(r- ?.
SERIAL p
INPUT
ORSAT TEST RECORD
C02 °k METERED INPUT Cfh CHtMNEY TYPE ??cJ
02 °k LIMIT SETTING ° FLUE SIZE in.
CO % PILOT OUTAGE S2C CONNECTOR SIZE S/ Itl.
NET STACK TEMP 2 ? TOTAL CHIMNEY INPUT va btuh
PERMIT #
? lLUMBING PERMIT RECEIPT ti -? - -71
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address • ?'
Lot X-4
Block /A/
Sec/Sub
i
_
..,
? Name ' ' -
,
m
?o Address
c Ciry Zt Phone
.'
? Name ?
c Address ' - i i `•?
p City #..r 14 Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.OQ
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
-i?-- ? i j_ . . ? : ?t ; , ?..r.? ?.;
l
SIGNaTURE C?F PERMITT E
('
EAGAN -2 -n / -
BLDG. TYPE WORK DESCRIPTION
Res. - ?? New
Mult. Add-on
Comm. iaepei? /?
Other ` (• ' °'
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $100 ?
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki!chen Sink - $3.00
Urinai/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
J-Water Heater - St 50
Whirlpool - $3.00
11_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE STATE S/C:
D.,GGRAND TOTAL:
?., d. ... ...
- • - jo 2300o ada /?'-
SuJ„u c? J64eJ_ " / 5Y/?
J
WON OF &AGAPI
3795 Pilot &iob iioad
Eagan, Minnesota 55121
PERMIT N0. 236
The Board of Supervisors hereby g:ants to Va11eY HeatSng & Al.x'
Conditiming Co. og 233 Strees Lane, Apple Valleqr, MN 5508
a HEATING Permit f-or: (Owner) &'reW HaiBhts
3?t?Z2-Blt So • Greetnrood Ct s j, _ _ • UraftWbod • , ' 98-3500
at ge_ 6re=ood Ct., XC441-8345 30., purauant to application dated
2p (Ireeaxood Ct., 1522- -26-28 No. Greeaswod Ct.
_ Assguat 29- 1272
Pee Paid:_Ihpp,pp Dated this 22nd day of 11u8ust , 19 72.
10.00 s/C
Buill:ng Inspector
/A?
TOt^iN OR EAGAN - - -
3795 Pilot lCnob P.oad - - ! •
Eagan, Minnesota 55121 ` I -
I .
PERMIT N0. 243 -' ? -
The Board of Supervisors hereby grants to ConSO'.i.daCcJ. Y7.U6b?,' COe
of ;;";.-'Y _?o:ui. a=`3'tille. ^L^T. 55337
I
a FZl3i?TTi•iG PSo 1Groen O?wner) S1z'?.f;oi€;i7LN 1?:a?'D• ir? 'L'1?11 015 i
- ? d ur
ac purauant- to application dated I
,=soQ j,]l118 e50 6/(Y 9A4t1 L1C1it ?
ree Dated this 26$Z day or' .ia.:,;r ? 19Z.
$ ?.:?.W s/C ?
;
?
i
Building Inspector
EAGAN TOWNSHIP
BUILDING PERMIT
owne: .............. ................... .........................
Address (PzesenY)
.............. _. _...... _ _.".".. _'....?. _..?....-.'7
Builder ---------- ?`-'---=.... .- -.--A?`?.....---.--.--......_..
Address
N° 2'722
Eagan Township
Town Hall
a8:e . S-.z'?-7i
................................
8torias Ta Be Used For Froni Depih Haighi Esi. Cos! Pesmit Fee Remarka
I + S
s ?
? (? 2?0-?-, v-?-.-•--a.c ..1..:-?? d 1 L? ?(? 3 9-
This permit does nof aulhoriae the use of sireels, roads, alleys or sidewalks nor does it give the owaes o[ his egent
the righ! !o cseale anp sifuatioa which is a nuisance or whiah presenls a hasard !o the 6ealih, eafety, eonveaienee and
general welfare !a anyone in the communiip. THI$ PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRES? .
This is Yo aertify, !hal._?.__-?"-0--'??_Z._?-..-.-!.._..._.has permission !o erec! a_?.(.1i.?,,...,.,. _ .-..; .:_?puo
the abova described premise subjec! !o the provisions of the Building Ordinanee for Eagan Township adopYed April 11,
1855. /??"
.'-"""'_..."-------•.----L!.1??;?_..?.................................. Per ....---..._...."-'-'_""'_N:r!:: E.......f1=-'
Chairman of Tnwn Soard Buildin Ias eelos ?r
-E
• 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
T ( Telephone # 651-675-5675 FAX # 651-675-5694
C'-?t.?.c.?v (0 0 tj S
4?r1?•? ?
New Conslruction Reouirements RemodellReoair Reouirements
3 regislered site surveys shaxing sq ft of U. sq. ft. of house; and all roofed areas 2 copies of plan W,4??Y?+?:?:•,
(ZO% maximum lot cove2ge allowo 1 set of Energy Calculabons for heated additions TreL.PiesElariftacd':
2 capies of plan showing 6eam & window sizes; poured fourd design, etc. . 1 sile survey fa adddiom 8 decks tie6:#'2sReguired::: N
. :. . .. .
lsetofEnergyCalculal"rons Add'Rion - indicatedon-sitesephcsysfem atk3i?e?S9ptiaSySleiYfY*:_N
3 copies of Tree Preservation Plan if lol platled aHer 711193
Rim Joist Detail Options selection sheet (bldgs wtlh 3 or less uniis
Date /u / 7L 9 I? Construction Cost ????-a?
SiteAddress 3Y7 ?j 16.ren?_C?c j 6rif So // IIniUSte #
Description of Work 2a4: v r 4 r
Multi-Family Bldg ,+' Y_ N Flreplace(s) _ 0_ 1 _ 2
Property Owner Telephone #( 1?`} ) y a1- E-"Jf
Contractor %i t <rs
Address /J Y? s 3f {{ Alf-t Al CiTy
State rI'/,w. Zip I r y y/ Telephone #( ?/g )) ia
.#7,?a y r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Mnnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Workshee[
(J su6mission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan
fee applies. ?
Licensed Plumber
Mechanical Contractor ?\11 `
a similar plan? _ Y _ N If so, 2557o plan review
Telephone #(
Telephone #(
Sewer/Water Contractor
Telephone # (
I hereby apply for a Residential Build'ing 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 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.
-t/ rt?
Applicant's Printed Name
?
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Ait - Mutti
? 03 07 of_plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? DS 03-plex ? 'I 1 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding
? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'DemolRion (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code
I ? Zoning City Water
SAC Unfts Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinkiered
Type of Const ? Width
REQUIltED INSPECTIONS
Footings (new bldg) FinallC.O.
? Footings (deck) ? FinaUNo C.O.
_ Footings (addilion) _ Plumbing
Foundation HVAC
Drein Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ RI. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building inspector
$20,
fH l??r'?- ?`??J?r?
LoCATIoN r ..._. h. t '*
OWNER
STRUCTURE AND
LAND USED AS ?
MASTER CARD
3 y7?' -
. --?... , /
8.6 .
/ ) 9 Xtii ? !?
Permif I
BUILDING
PLUMBING
No.
/ z ?2- I
Issued
?-- ---_ ssued To
I_ Conirattor , Owner
_i
CESSPOOI - SEPTIC TANK ,
?
N?ELL
ELECTRICAL I I
HEATING ?? ^ I
GAS INSTALLING i I
SANITARV SEWER t I
j
`
OTHER
OTHER I I I ,
Approved
Items (Initial) Date Remarks Disiance From Weli
'GOTING - ? SEPTIC
FQUNOATION CESSPOOI
PFAMING ? TILE PIELD FT
FINAL
ELECTRICAL
DEPTH
HEATING OP WELI
GAS INSTALLATION i
SEPTIC TA K?-"
INfIEIID
?.
PLUMBING ?" ?,y _? -. ? /? , '
WELL
---_
SANI7ARY SEWER
?, ?_ -
?• ? -
,
--- ?
Violations Noted
I on Back
COMMENTS
DAT&: July 28, 1972
PERMIT FOR SEWER SSRVICE CONNECTION
OWNER:Surrey Heights Bldg. #9
PLUMBER
DE.SCRIPTION OF BUIIAING
Industrialt Coffiercial
Location of Connections:
EAGlaN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minne3ota 55111
Telephone 454-5242
Residential ` Multiple Dwelling I No. of units
Total
?
J7V2
NUMB? 1071
Address 479 87-A3-85 so. Greenwood Court
TYPE OF PIPE Heavy Cast Iron
Connection Charge$960•0??./??
T-7
Permit Fee 10.04?
Street Repairs
Inspected by:
DaCe
Remarks•
By.
Chief InspecCOr
Ia consideratioa of the issue aud deliverq to me of the above pexmit, I
hereby agree to do tfie proposed work in accordance with the rules and
regulations of Eagan Toemship, Dalcota County, Minneaota
By
Please notify when ready for inspection and connection and bafore any portion
of the work is cwered.
F?
EAGF.N TOWNSHIP
3795 Pilot Knob Road ?
St. Paul, Mianeaota 55111
Telephoae 454-5242
PERtUT FOR WATER SERVICE CONNECTION
Date: Jul,Y 28, 1972 Number• 909
Billing Name: Surrey Heights Bldg. 9 Site Addresa 3479 81-83-85 So. Greenwood Court
Owner• Gustafson Associates
Billiag Address
Plumber:
Location of Connection
:za/??C:76 y- 3a?1?8e?
?3s??3- -za ?3 Z9'7 0
3re?C.l .2a/36 77i°3"a`? G 8 /
Inspected by
7-?-.
Meter No. ?Pexmit Fee 10.00
. 0 ?s??a-
Meter Reading Meter Dep.
Meter Sealed: Yes_ I Add'1 Chg.
NO ' Total Chg.
Building is a:
Residence
i2ultiple xx A'o. Units 4
Commercial r
Industrial
Other
Date
Remarka:
Size
$25.00 RE-IfVSPECTiOfJ FcE FOR
IMPROPERLY 1N3TALLED METERS.
By:
Chief Inspector
In consideration of the isaue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Sagan Townahip, Dakota County, Minnesota.
BY:
Please aotity the above office when ready for inspection and connection.
'3
CITY USE ONLY
LOT __j BL ? PERMIT #:
susD. Su xECEirr a: 13 5 I`b S
RECEIPT DATE: ?-?j- 0c)
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGA2I
3830 PILOT XNOH RD
EAGAN Mi 55122
? l
Date• Ito 651-681-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownerloccuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
$ 30.00
6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State 5urcharge .50
Total $
Complete this section on/v if you aze remodelin¢, addine to, or reoairine an existing single-family dwelling,
townhome, or condo. Piease indicate if it is a new item, alteration, or repair.
_ New _ Alteration /\ Repair , Other
Fumace
? ?
Air exchanger
Reminder: Call for inspections
? Air conditioning
Other
Fee $ 30.00
State Surcharge---- 0
Total 30.5
S[TE ADDRESS: J?( U 1 r_"?v LI'li (_?? k?
OWNER NAME: ? PHONE #:
fCFIQj&IEAli98GlIQ61RIXM4`11T7,....,CO (ARE?
INSTALLER NAME: 41OWE6f WcEBiREEt PHONE #:
(nnFn cone)
STREET ADDRESS: 694H4W
CITl':
b73r(o
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
& 7Q7s
?
New Consimction Reamremenls RemodeVReoair Requiremenis diftce Use'OnW
3 registered site surveys showing sq ft of IoL sq R of house; and all wofed areas 2 copies of plan Cerfof 5urreyRecd ; ? ._Y'_A1
(20% maximum lot cwerage allowec) 1 set of Energy Calalations for heated additions dree Pres?Plan ReCd .' Y_N_
2 copies of plan showing 6eam & window sizes, poured found design, etc 1 site survry for additions 8 decks iree Pres Requued Y N
lsetofEnergyCalculahons Addifion - indicateifon-sifesepficsystem Omsit856pTicsysl8ro _Y_,N
3 copies of Tree Preservation Plan if lol platled aNer 711f93
Rim Joist Detail Options selection sheet (bldgs wrth 3 or less unAs
Date l 70 l v 1 Construction Cost
SiteAddress 3y93 t llltc.,,.ovoJ 6 if .ro- fA/ Unit/Ste#
Description of Work 72&
j.f;2- D zf c--?'
Multi-Family Btdg d Y _ N Fireplace(s) _ 0_ 1 _ 2
Property Owner !f? /? Telephone #( y?? ) Sd?- • Js7??
Contractor i!/hylC ,(3 ??vr
Address J 3Y et ,r 3 s'? /Yi. City
State /5'/n Zip Sr Telephone #( 6/a) ?z o- G 5' 9?i
COMPLETE THIS AREA ONLY IF
Energy Code Category - Mlnnesola Rules 7670 Categorv 1 _
. Residential Ventilation Category 1 Worksheet
(q submissian type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Confractor
Telephone #(
Telephone #(
N If so, 25% plan review
II IJ? L?: U?S
Sewer/Water Contractor Telephone #( I rl ??
? ?\"J v 2 - 2004 I
I hereby apply for a Residential Building Permit and acknowledge that the informarion is com?te and accl rate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and tTie Stat?o?' 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.
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Warksheet
Submitted
ApplicanYs Printed Name Ap icant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 13 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01of_plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 DS-plex 9 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding .
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
r 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy P_ r'3 MCES System
Census Code 43Y Zoning ? City Water
SAC Unfts Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const YY_ Width
REQUII2ED INSPECTIONS
Footings (new bldg) FinaUC.O.
? Footings (deck) ZO FinaUNo C O.
_ Footings (addition) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice& Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows
_ Insulalion _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
11-754
File Edit View Tools Applications Help
(R rhK' peyna X° 0 R I?&aPDI a 1*1 1NOI
ilding I Esgan Developmetrt I Permits I Connection
Esgan AssesslSales ?EaganPropertyEagsn Zoning
i t ., ................................................
Tax Pin Zip Code
107300001014 55122
House # Street Name Unit
3483 GREENWOOD CT S ? F-
Addition # School District Owner Change
10 73000 0000 19900511
Lot ! Block 5u6division Name
114 SURREYHEIGHTS 1STADQ
Legal Description
?INTEREST ATTRIBUTABLE TO COMMON ;nl
AREA KNOWN AS OUTLOT A EX BEG NE y-l
COR LOT 2 BLK d S ON E LINE LOT 2 26 FT L?
Section Township Range qtr•Qtr #
16 027 23 13
3483
>.I
GREENWOOD CT 5
Farcel data upd,3ted August 27, 2004
?
Aug. 1. 2012 12:36PM Sela Accounting No.1661 P. 9
Use BLUE or BLACK Ink
For Office Use
j Permit f1
City of Eap
Permit Fee:
3630 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone. (651) 675-5675 I I
Fax; (661) 676-5694 1 Staff:
~
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
-,411 31
Date. 1 Z Site Address:322, -W 36?i5L--Greerw.)oc~a 0-+-S Unit lE:
Name; a.l,.?C. Phone: 1.)5.~1,~'31 1a3
RESIDENT 1 ` .
OWNER Address /CitylZip: ~kj~j"S ` LA_%-
'LJLr
Applicant Is: Owner Contractor
TYPE OF WORK Description of work: ('eY'Qp
Construction Cost: I UC? S_- UCH ll Multl-Family Building: (Yes ~ /No Company: l0 _q h Q 4- Il~i~ LIAIJ I vicl Contact: cZr t 11
CONTRACTOR Address: LjICU b?CC-0 St o t'' V c~ City: ~t louws Pat-(<-
State: lY' h_ Zip; 5 5-11(", Phone: GI CJw~q 1 5 c2~), L
l(censa C: L2 0010 50 Lead Certificate aA T~ L33 t/ - I
If the project is exempt from lead certification, please explain why: (see 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 inaster plan?
Yes -No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phones
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be publfc Information. Portions of
the information may be classfffed 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 Call at (651) 4540002 for protecllon against underground utility damage. Call 48 hours
before you Intend to dig to recatve locatea of underground utilities, www_ciopherstateonacall.org
(hereby acknowledge that this information Is complete and accurate; that lne work will be in conformance with the ordinances end codes of the City of
Fagan; that 1 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 100
days of permit Issuance.
Y -lar ty)r~t~, r x
Applicant's Printed Name Applicant's Signature
Q _ Cl C~ __'7 Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136499
Date Issued:05/17/2016
Permit Category:ePermit
Site Address: 3479 Greenwood Ct S
Lot:2 Block: 14 Addition: Surrey Heights 1st
PID:10-73000-14-020
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.
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 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 -
Federal National Mortgage Association
14221 Dallas Parkway Ste 1000
Dallas TX 75254
(612) 559-6093
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160270
Date Issued:02/27/2020
Permit Category:ePermit
Site Address: 3479 Greenwood Ct S
Lot:2 Block: 14 Addition: Surrey Heights 1st
PID:10-73000-14-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Nicole Ancrum
3479 Greenwood Ct S
Eagan MN 55122
(612) 559-6093
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature