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3500 Greenwood Ct SCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Plumbing EA090817 08/24/2009 ePermit Site Address: 3500 Greenwood Ct S Lot: 2 Block: 12 Addition: Surrey Heights 1st PID:10-73000-020-12 Use: Description: Sub Type: Work Type: Description: e - Water Heater New Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Mike Skaja 2090 County Road 42 W. Bumsville, MN 55337 Fee Summary: PL - Permit Fee (WS &/or WH) Surcharge -Fixed $50.00 0801.4087 $0.50 9001.2195 Total: $50.50 Contractor: Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 - Applicant - Owner: Robert E Wershing 3500 Greenwood Ct S Eagan MN 55122 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature Issued By: Signature Aug, 1. 2012 12:36PM Sela Accounting Date: C!ty of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone (651) 675-5675 Fax: (651) 675-5694 No 1661 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Dale Received: Staff: 2012 RESIDENTIAL BUILDING PERNMIT APPLICATION VI /12 Site Address: 3y9L1,3y96 3I9 3560 6reenu.occ1 C+. S Unit #: RESIDENT I OWNER Name: Ui y - qJ\-NA- s V<.u..-.:0\ tike Gm(: C. Phone: (15.;,t - )3 l -11 a 3 a n I ( 'r- CG\a N r Address / City / Zip: to v 13 s %- ry L e!- Pct r-La y t -,:1_t„ P,c-aw-v e, , m t'N 6 5 3 (4 L/ Applicant is: Owner X Contractor TYPE OF WORK Description of work: re 'roc) C -- Construction Cost: i dZ U9 5.--, oo Multi -Family Building: (Yes X / No _) - CONTRACTOR Company: S e tcL _Roo -121 Yl c{ 4. Rtri C' eJ i V 'Contact: 1<-1Nq r^ ‘ 1". Address: 91000 tf",XCti SI o t' e \ v cL City: 5t r Lbt.v l S Pa 1—t( • State: yYYY \ Zip: tJ 5,-1 1(v Phone: q 6S-9 1 5 -- ,1, -, L License #: C- 12. hO \ 0 50 Lead Certificate #: AM T — P. 5 03 Lr — 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 Clty 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 Cal( 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.gooherstatennecail.orq 1 hereby acknowledge that this information Is complete and accurate; That the work will be In conformance with the ordinances end codes of the City of Eagan; (hat 1 understand this is not a permit, but only en application for a permit, and work Is not to start without a permit; that the work will be in accordance wilh 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 in ust be completed within 180 days of permit Issuance. x Applicant's Printed Name Applicant's Signature -ill 6--7a-60 Page 1 of 3 City of Eagan PERMIT 41' City of Eaan Permit Type: Plumbing Permit Number: EA150566 Date Issued: 07/16/2018 Permit Category: ePermit Site Address: 3500 Greenwood Ct S Lot: 2 Block: 12 Addition: Surrey Heights 1st PID: 10-73000-12-020 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater 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 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 - Applicant - Owner: Robert E Wershing 3500 Greenwood Ct S Eagan MN 55122 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA172674 Date Issued:10/12/2021 Permit Category:ePermit Site Address: 3500 Greenwood Ct S Lot:2 Block: 12 Addition: Surrey Heights 1st PID:10-73000-12-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Robert E & Lucille T Wershing 3500 Greenwood Ct S Eagan MN 55122 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature