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825 Wescott Square Use BLUE or BLACK Ink ------------------ I For Office Use I City of Galan I Permit#: I 3830 Pilot Knob Road Permit Fee. Eagan MN 55122 g 1 Phone:(651)675-5675 1 Date Received:I I Fax:(651)675-5694 1 Staff: 1 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/25/2016 Site Address: aS I�I��Q�j s LkZ-Q Unit M Name: Eagan Oaks Town Home Assn/ Phone: 952-238-1121 Resident/ c/o Personal Touch PO Box 52 3 Hopkins, MN 55343 Owner Address/city/zip: p Applicant is: Owner Contractor Type of Work Description of work: Garage door replacement Construction Cost: $1,152.64 Multi-Family Building: (Yes V( /No ) Company: Custom Door Sales, Inc contact: Amy Egan Contractor Address: 5005 Hillsboro Ave N city: New Hope State: MN zip: 55428 Phone: 763-535-0042 Email: aegan @customdoorsales.com License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression 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 that th?Z are trade secrets. 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.00gherstateonecall 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin ust be completed within 180 days of permit issuance. X RVy%V C, x Applican s PrQ6d Name ppli a 's Signafture Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA146375 Date Issued:10/23/2017 Permit Category:ePermit Site Address: 825 Wescott Square Lot:3 Block: 01 Addition: Eagan Oaks PID:10-22460-01-030 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 - Ellen M Bump 825 Wescott Square Eagan MN 55123 (651) 210-8112 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature