825 Wescott Square Use BLUE or BLACK Ink
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I For Office Use I
City of Galan I Permit#:
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3830 Pilot Knob Road Permit Fee.
Eagan MN 55122
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Phone:(651)675-5675 1 Date Received:I I
Fax:(651)675-5694 1 Staff:
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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.
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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