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3468 Greenwood Ct SCity of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For:Ofiice U& Permit #: Permit Fee: 2/6' `J-5 Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / 1) 7 t 0 ( OSite Address: Li 6? ' =1:74 W M) r tb5=1 Tenant: Suite #: RESIDENT / OWNER Name: Ohl) t 2� /IA) E AJf Z Phone: 9,S-02 - X 3(-? r(4 Address / City / Zip: 7 v. (o e q iCf EN t1JOa,p QT Aid e/ h' Applicant is: is Owner Contractor TYPE OF WORK Description of work: aOVV pit✓T r- t 14 f 13/4Th( Construction Cost: / 0 1 Multi -Family Building: (Yes X / No ) CONTRACTOR Name: L u iJ .tc /C to m U /161,4s License #: 4.0 T7 ? / T 7 Address: ) 3` �I 9 G /0mA (A p City: /lf4 f�C I4Lj �/ State: PH il/ Zip: ,6-c-701-41 Phone:: [s -a- (/3J - ,7, b/ ! Contact: Email: 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 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 thatthey are trade secrets: CALL BEFORE YOU DIG. CaII 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 approv o/plans. x �/ g'A- Applicant's Signature x hAtItD A..0111/4) 7^eA7ST7L Applicant's Printed Name Page 1 of 2 2/�%(� / LOCC ' . S DO NOT WRITE BELOW THIS LINE %((p SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code # of Units # of Buildings Type of Construction y Fireplace Garage Deck Lower Level _ Porch (3 -Season) _ _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement _ Move Building Fire Repair Repair v6 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant 144/4-007 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Roof: _Ice & Water _Final Pool: Footings Air/Gas Tests _Final Framing Siding: Stucco Lath Stone Lath Brick Fireplace: Rough In Air Test _Final Windows Insulation Retaining Wall: Footings , Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: ' 4 (/ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL i)/ //,)/(3 0 Page 2 of 2 *' City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r())E©ElY17E 1111 (:l 1 2v,L r Use BLUE or BLACK Ink Permit #: C>\\p,e Permit Fee: •�S Date Received: Staff: 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:I 9 l 2 1 ° Site Address: 6/—ter(. ) , 64. S 1 Tenant: Suite #: RESIDENT / OWNER Name: Rai cs,V F(i'l 54(, Phone: 952 '- "i`gi - 7z/9 7 T 02- Address / City / Zip: -37410 ! 2_6 C / ° rta�'', 64u t f11w �1 CONTRACTOR Name: -�-)1"-- i /.0co-c License #: 6107' ?o `" f ril .9 q�',--, C, �7T'- City: ectrtv\,'tn� fo. Address: 2''11 // N L1 Phone: &.S 1 - �— 2—Vi 1 State: M Zip: _5302. Contact: i CS w -1 //JIJri° j / Email: TYPE OF WORK New Replacement _ Repair Rebuild X Modify Space Work in R.O.W. _ _ Description of work: ' PERMIT TYPE RESIDENTIAL Water Softener Water Heater L ' Add Plumbing Fixtures (_ Main / )< Lower Level) Lawn Irrigation (_ RPZ / PVB) _ Water Turnaround Septic System New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.000herstateonecall.org 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 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 plans. x j�a. �, e 1.,°04 - Applicant's Printed Name AppNcant's Signature FOR OFFICE USE Required Inspections - Under Ground Rough -In Air Test Gas Test Final RESIDENT / OWNER Name: Dave, .r tN > 4C r Phone: 95;2 • aroo - 9 295 Address / City / Zip: 3*■ �ty.00lwd 4-*. S. air,), MA) 5/L2 CONTRACTOR Name: li, Ate, 4L.C- , License #: y Address: 4 2071'5 t-R.t 44 21-1,, City: cCM +l1g State: MA) Zip: S 5 7 2 y Phone: (p.-/ ".1'/ " Q i 5 9 Contact: oC. -- 'V I :50C.-- Z Email: [n -d ay v e•et;r CL.G •!oM TYPE OF WORK New JK Replacement Additional Alteration Demolition Description of work: ep 4 Le Ale- 4- co tt NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement !c Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) Other " When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add - or alteration to an existing unit (includes $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ SS. CO TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation /removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value : x 1% _ $ Permit Fee - If the Permit Fee is less than Fee = Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010- $11,010 Permit = $ TO • FEE City otEapu Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name 2010 MECHANICAL PERMIT APPLICATION Date: /O /yf /p Site Address: 3 o 8 Green talded G4. S �a - akr x Applic s Signature L Use BLUE or BLACK Ink Permit #: c:1 1\p Z �� Permit Fee:07 Date Received: Staff: Suite #: CALL BEFORE YOU DIG. Call Gopher State One CaII 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.qopherstateonecall.org 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. ;F x J FOR OFFICE USE Reviewed By: Date: Required Inspections: _ Under Ground Rough In Air Test Gas Service Test _In -floor Heat _Fina Exterior HVAC Screening Inspection Aug, 1, 2012 12:35PM Sela Accounting Date: City of Eagan 3830 Pitot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675.5694 No. 1661 P. 2 Use BLUE or BLACK Ink For Office Use q7 Permit #: Permit Fee: (9L/11.1 `-7 Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION J 8 I /1 2- Site Address: 311(O2,3yby, 3964, `3'4 8 6reenwool Ct. S unit#: RESIDENT / OWNER Name: 5u xv 'y 1-1.e_1\4-5 ro.,:ii\\w M&5(OG e CPhone: (15, - &&3 I �-I a.3 3 j I ` 3A'ry Weis+ Par-.k�y iY��it� �� �Y�r'r Address/City/Zip: (.0 `i L / Erten Q.iZ:urk' , r)') r `.7 6 31) L/ Applicant Is: Owner X , Contractor TYPE OF WORK Description of work: re '4-'00 Construction Cost: Ids vel S--, DO Muth -Family Building; (Yes X / No • CONTRACTOR Company: r5 (.&. 2,(,0 "t t n 4- R 1C(, -I WI Contact: Kc.r t '-` Address: L-1(00 bccr,1 s; o r 6� v c6. city:iSt .(_,Ul.tts Pt rk. • State: IMY\ Zlp: S SLI I G.i Phone: G} 63;2.-9 15 -- -7 c)..P L License #: G 9- CAG 1 0 50 Lead Certificate #: IIIA T— . 5 03 cl — 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public lfyou 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 utility damage. Call 48 hours before you intend to dig to receive locates of underground Utilities www.goohettt eonecall.orq 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 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 requtres a review and approval of plans. xteriorwork authorized by a building permit Issued In accordance with the Minnesota Slate Building Code must he completed within 180 days of permit Issuance. x r y\ C ue r` -1-,-e Applicants Printed Name Applicants Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA141766 Date Issued:03/29/2017 Permit Category:ePermit Site Address: 3468 Greenwood Ct S Lot:4 Block: 06 Addition: Surrey Heights 1st PID:10-73000-06-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Kathleen Ghilani 3468 Greenwood Ct S Eagan MN 55122 Tr Exteriors 314 Fiddler CtSE New Prague MN 56071 (612) 240-1310 Applicant/Permitee: Signature Issued By: Signature