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