unit D O�t 2 2014 12: 05PM Crest Exteriors 651-463-8095� P, 7 � �
Use BLUE oP BLACK Ink
� For Offlce Use �~^ �
' � Permit ii: �� I
C�ty of Ea�a� � Permil Fee: / ! t��� �
3830 Pllot Knob Road j `� '�?- �� I '
Eagan MN 55122 I Oale Received: i I,
Phone:(651)676-5676 j Siaff: I
Fax:(651)675•5694
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:'� SlteAddress; �. i Unit#:
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Name:V , � Phon : �
ResldeYnt/ . � � r
. Q°.�`,ner Address/City I Zip: i
_;;�: :� ,:,,��.. . Applicant is: Owner ConUactor
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�T�/��-�.�: Descriptlan of woAc;
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��" �� • Consfruction Cosk� O� Muiti-Family Building:(Yes�/No�
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p y; ontact
'G�`"'t�ac�Qr. Address:����� I 1Q__� �\1�f City: ��
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� State:�Zlp-,� Phone: ��mall:l.! S � �� .r��'rl�t
Ucense#:���U�'�-t����L� _lead Certlflcate#:
IF the project is exempt From lead certificatlon, please explain why: (see Page 3 for additional information)
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COMPLETE THIS A A ONLY IF CONSTRUC7ING A NEW BUILDING
In the last 12 months,has the Cfty of Eagan Issued a permit for a slmllar pian based on a master plan7
_Yes _No If yes,date and address oF inaster plan:
Licensed Plumber: Phone:
Mechanlcal Contractor; Phone:
Sewer&Water Contraetor: Phone;
NOTE:PI'n and s� ,orhn��.. "�ro-'e'"ts'tliat:"oU su t ��" �lonsi' reG(�`o� pu lic InformatJon. Poriions of
�t�ie irifo�ai��'�lie cra`ssif��,edt �(,• ^:�rov , s .$t�yould permit ilie-Clty�o
, �;,�, •�qn atthQ � � �'�`"
CALL BEFORE YOU DIG. Call Gopher 9tste One Call a�(s51)464•0002 for prolectlon agalnsl underground utlllty damage. Cali 46 hours
befole you Inlend lo dig to recelue locales of underground ulililles. www.aooherslaleoneca�l.orn
�hereby acknoWledge thal thls informalion is coinple(e and accurate;Ihat lhe worlc will be In conFormanCe wilh Ihe ordlnances and codes ol Ihe Clly oF
Eagan; Ihal I undersland thls Is nol a permit,but only an BppllcaUon(or a permil,and work Is nol to s1aA withoul a permll; Ihat Ihe work will be(n
accordance with the approved plan in lhe Csse of work whlch requires a review and approval oF plsns.
Exterinr work autho%Xed by a bullding permlt issued in accordanea wlth the Mlnneeote ate Bullding Code must ba completed within 180
days of parinit Issuance.
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1 ��
Applicant's Printed Name App ca t's Signatu e
Page 1 0(3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155693
Date Issued:05/30/2019
Permit Category:ePermit
Site Address: 3617 St Francis Way D
Lot:042 Block: 05 Addition: St Francis Wood 4th
PID:10-65903-05-042
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 -
Sharon Holst
3617 St Francis Way D
Eagan MN 55122
(651) 454-1749
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156940
Date Issued:07/25/2019
Permit Category:ePermit
Site Address: 3617 St Francis Way D
Lot:042 Block: 05 Addition: St Francis Wood 4th
PID:10-65903-05-042
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Sharon Holst
3617 St Francis Way D
Eagan MN 55122
(651) 454-1749
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature