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• �lUV �� �U U� � Permit#:----�—�a(L-C�-�1SL—. j
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3$30 Pilot Kttob Road � Permit Fee:_ ���- �
Eagan MN 55122 � �
Phone: (659) 675-5675 i Qate Received: `.����_ �
Fax: �651) 675-5694 j �
� Staff:_ �
�-------- --------I
2014 COMMERCIAL BUILQING PERMtT APPLlCATION
Date: Site Address� exp��' �t9�3— a3�p� 'J�—��07�
Tenant Name: (Tenant is: New/ Existing) Suite#:
Former Tenant;
Nams: Fhane:
Property Owner 1 3`-
Address/Gity f Zip: 7 - 3(��13'�(p���c��]_�i,, �� (� �
Applicant is: Owner �Contraetor
Type of}Nork Description o#work: QP �(''� � (
� �
Construction Cost: � ��
Name:����si�'1'UG��ti("�t"'3 �►�. Lic�nse#:_�-�� ��� �
Cantractar
Address �S�� 'r��� � � �P;.a'�°' Gity: ��� Q��,,. `
State:—��ZiP:s����"'i , Phone: `^� "�'J�, ° �J`�"� — '�(�'m"j',�.�
Contact: ���,,a,• e��(" EmaiL c�4"'(` � t� �'Vl� ,
Name; Registration#:
ArchitectlEngineer Address: city:
State: ZiP� Phone:
Contact Person: Emaif:
Licensed plumber insta(ling new sewer/water service; Phone#:
NOTE:Plans and supporting documents that you submit are considered to be puklic Informatlon. Portions of
the infarmafion may be classified as non-pub/ic if you provide speciflc reasons that would permit the City to �
conc[ude that the are�rade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651}454-0002 for protecfion agai�st undergraund uti{iry damage.
Call 48 haurs before you intend to dig to receive locates of underground utilities. www,gopherstateonecail orq
I hereby acknow{edge #hat this informatian is comptete and accurate; that the work wifl be in conformance with the ardinances and
�codes of the City of Eagan; that I understand this is not a permit, bui only an application for a permit, and work is not to start withou#a
rmit;that the work will be in accordance with the appraved plan in the case af work which requires a review and a,provaf af p4ans.
X ��arr� X
ApplicanYs Printed Name Applic 's Signat e
Page 1 of 3
Use BLUE or BLACK Ink
r-.__.__.___^_„-.____�
� For Office Use I
� � Permit#: � �� � �
C�t� of �a��� ; . . ��� �
Permit Fee. I
_ 3830 Piiot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: {651)675-5675 � ; ` � `� � �
Fax: (651)675-5694 ` �` � Staff: �
I �
2014 RESIDENTIAL BU(LDING PERMIT APPLICATION
Date: _l`'� ' )�--) Site Addrass: ��G► Unit#:
Name: V��r'��P fr J J�� �1'`C����f� Phone:��'�I - ��(dI
Resident/ '
Owner Adaress i c�ty i zip: � '� e — Q„�
Applicant is: Owner �Gantractor
Type of Work Description of work:� FVE E �-�'oa� � �O �s�����8 �t��i�
Construction Cost. Mu(ti-Family Buiiding: (Yes�/Nn��
Company: Contact: fY1'tt��,
Contractor Address: �^{.��� c�„ �c1C. t,� �}- City: ��,e�,�mn��
State: �r� Zip:��_ Phone:c4s�'g.�-1�-707�mail:_ r�1�',t�r C.t�'��"��,r�S�l>r"'L
__ License#� �;'7 �5�� l.ead Certificate#:_ /VL�-� ^°��'�'�,�"'�
!f the project is exempt from lead certifica�ion, piease explain why: (see Page 3 for additional information} �
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUlLDING
!n the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master p{an?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Ptans and supporting documents that you submit are cansidered to be pubiic information. Porfians of
the information may be ciassified as non-public if yau provide specffic reasans that woutd permft the City to
conc/ude that the are trade secrefs.
CALL BEFORE YOU DIG. CaA Gopher State One Call at(651)454-0002 far pro#ection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utifities. www.400herstateanecalLorq
1 hereby acknowiedge that this information is compiete and accurate;that the woric wiU be in conformance with the ordinances and codes of the City af
Eagan; that I u�derstand 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 wark which requires a review and approva{of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
_�, days of permit issuance.
. -
X r�r X_� �,
ApplicanYs Printed Na Applica s Sign re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155746
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 3675 Widgeon Way
Lot:3 Block: 01 Addition: St Francis Wood 3rd
PID:10-65902-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
R Vincent Crawford
3675 Widgeon Way
Eagan MN 55123
(651) 994-1761
Murray Construction Inc
10675 Jersey Ave
Chaska MN 55318
(952) 941-7075
Applicant/Permitee: Signature Issued By: Signature