3600 St Francis Way B
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Oet 2. 2014 12:05PM Crest Exteriors 651-463-8095 P• 2
Use BLUE or BLACK Ink
-----------�------
� For oftice Use �
' j Pemi111F: ��� / /� j
City of Ea�a� I peRnit Fee: ���� �
3830 Pilot Knob itoad � / �
Eagan MN 56122 � Date Recelved: / �
Phone:(6b1)676-6676 I i
Fax:(6b1)676•5694 I Slafi: 1
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:�� Site Address: � Unit�:
Name:CI��Zn����a t l�K.� PhonA:lYJI 1 J��� (11,��
Resldent/ I �
Owner Address l Cily I Zip: C
Applicant is: Owner Conlraclor
Type of Work Descriplion of work:
ConslrucGon Cost:��� b� MuIG-Family Building:(Yes�/No�)
Company: J �l��J, L��_� Conlact: f--lit 1 1�/
Contracfor Address� ��] � l�I� ���- Cicy:
State:�Zip���� Phone: ��mail:�Q,S��►]�S r�i�,rc�-r�.t
License#:������ Lead CeRiflCate#:
If lhe project is exempf from lead ce�tiFication, please explain why: (see Page 3 for additional informalion)
� , �
COMPLETE THIS A A ONLY IF CONSTRUCTING A N�W BUILDING
In the last 12 months,has the Clty of Eagan issued a permit for a similar plan hased on a master plan7
`Yes _No IF yes,date and address of master plan:
Llcensed Plumber: Phone:
Mechanlcal Contractor: Phone:
Sewer 8 Water Contractor, Phone:
NOTE:Plans and supportln,g,docum�nts thRt you subm/t ere constdgred!o be pub►lc.lnformetion. PorfJons of
the jnformation,may be classifled as�iion public if,you provide�peclilc reasbns fhaf would pe►m/t ihe C/ty to
� ��'con�lir�e that�[he are trade secreb, �
CALL B�FORE YOU DIG, Ca�l Gopher Slate One Cell al(661)464-0002 for proteclion agaiml underground uliliry damage. Call 48 hours
be(are you inlentl lo dlg lo retelve Iocsles ot underground uGlilies, www,vooherslaleonecall.oro
I hereby acknowledge lhal Ihls In(ormatlon Is complela and accura�e;(hat Ihe work will be In conformanGe wilh Ihe oldinances end codes of the City of
Eagan; Inal I undelsland lhls IS nol H pemlil, bul onty an applicalion for a permil, and worK is nol lo slarl withoul a permil: Ihal Ihe work will be in
accordance wilh Ihe approved plan in Ihe case oF work which requires a revlew and approval of plans.
Extarlorwork authorized by a bullding permlt IssuAd In accordance wllh the Mlnnesota Slate eullding Code must be compleled wilhin 180
daye of permil IseuanCe,
x ���\�� � � x ,
AppllcanPs Prin ed ame9 Appli nt's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152711
Date Issued:10/26/2018
Permit Category:ePermit
Site Address: 3600 St Francis Way B
Lot:026 Block: 05 Addition: St Francis Wood 4th
PID:10-65903-05-026
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patricia A Young
3600 St Francis Way B
Eagan MN 55123
(218) 393-2286
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
For Office Use 1
_
F....di: /.5-V 7.f-- 71
EAGAN ,
POMA Foe; 6 -C,*, - —7
Date Reservist 1
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 I
(651)875-5675 1 TDD;(651)454-8535 1 FAX(BSI)675-5604 Staff il
13.;.1411:121NR9tratiCtri$etAjearrAtilitlft cry11 .... ... ...4
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Data. Site Address: 36,t)0 St• I:(4 - ORI Unit It
i
i
, I NaMe: '--- - i '`i.-: 1 ( 4... . ,I. . - i`k 4.)a, Phone: ‘‘1 -0) ‘s ;
; Resident/
Owner j Address i City/Bp: J(c,(--)4.:7) A — r1^", 3 N • F. 4-.1..-, (...." ),.-•
Applicant is. Owner .,\-C. ontractot .
Description
ype of 11M7rkF--- ---7 --
T __j...„... j
lcAmstr0000ncost. ....,_i , __.. 0 C.-;' -2-- Multi-Family&Ming,(Yes I No
t
Company: -71-1-Z. tc-0 0 .-4, v--5, '" Ai 1:...- k Contact 0 t•1/4,--- C rsr-ei tel.6Cr.4.,t--• 1
Address ¶1 10 c .., 4,:i kk,,, ;..IY`--v-- 6 iv A ikd -'" - - CitY. /...,4,k -C..-
Co actor , 1
, i-3- v 1
SU"' /-‘ 4" ZIP S -.1:.LY. z . Pohe. i-S /- / ? / • Email. ,-5 I A.- t''- -j -; f' .1,, s Al %., ;2 .c
1 License ii. . - L i s'.. t* i q Lead Certificate*, 4 1 11 i _ 4. ;)-.) 4 - i
_
..„...--
If the project is exempt from feed certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A pIEW BUILDING
In the last 12 months,has the City of Eagan issued a porn*for a&Snider plan based on a master plan?
_ —
Yes No If yes,date and address of master pain:
Licensed Plumber: Phone:
Mechanical Contractor Phone:
Sewer&Water Contradkor Phone:
Fire Suppression Contractor Phone:
MOTE:Plaid and suppolIng documents*Wyou subeditors coneldensi to be pubic behtmellon. Parbene ofI to e taletatelitsh my be
dowelled es non-oublo ff re Feet*'mite meow mat weekt pelmet the aly Ilis ononaltidt MP"WV are bees ooteete.
You may subscribe to receive an elects:Mc notification from his City of proposed andminces by Mph*up for as amain matt on the Ctrs
webs's'at itwri cit comistdiscgat
Exterior work authorised by*btaldhig pima issued bt w000rdwitati with the tithwateota PA*Building Code must be competed linden lid
days of permit issue.
raL.BEFOOM YOU QR. Call Gopher Stale One CM at(551)4844002* prolix:bon against underground utility&maw Call 48 hours before you
intend to(%)to receive locates of widow:mind utilities 166167001erS1ateOreciaLQU
I hereby acicroitedge tat the irdocniation ie complete end eccurees:tisk the work will be in conktonance wth the ordinerwas and codes of the Cky or
Eagan,that I understand tie W not$pent*, but only set appicadion for a permit, and work is not to start withoit a pent*,that the work.wit be in
ecowderve rah its approved pan in the cruse id wort which requires a review end approved o.±01204,_ __
A1.4)1.:„..,-, Sv-.....-T.4 .. 1.—
Applicantle Printerd Name Applicants Signature —-- -—
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