946 Wescott Tr Unit 103 09/20/2017 12:15 FAX 6514510531 BEISSEL WINDOW l‘a 001
Use BLUE or BLACK Ink
For Office Use „--* C,
City of aaa rmit#: / / 1Q ( 3
3830 Pilot Knob Road
Penult Fee: Tv 3
Eagan MN 55122 Date Received: / -'o-O ../7
Phone:(651)675-5675
buildinginspections(2citvofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l -16 '1 -7 Site Address: 9 (I. Q SC b i 1 �1
q I Unit#: /03
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Lund Acquistions
Phone: 651-269-4779
OWner 946 Westcott Trail #103
tlmr,' .,$: Address/City/Zip:
Applicant is: Owner X Contractor
Replace 1 patio door- no size change
Description of work: 9
2600.00
Construction Cost: Multi-Family Building: (Yes X/No )
c : Contact;om an Beissel Window & Siding Sue LaMeyer
P Y
Address:
1635 Oakdale Avenue City: West St. Paul
MN 5511$ 651-451-6835 susie al@beisselwindows.corn
Stat®: Zip: Phone: Email:
' , w License#; CR-006453 Lead Certificate#: NAQT-31739-2
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:
P$ n andN.Supporting•do.cutpenrs'that•you.subniit'aie considere'd.to be public:inform®loi ;' d s. f•t?Vie ';.::•.:.,:";;'':"
:in rmatiion may be t lassified•as••non-public.if you provide specific reasons that wouldperirait ifhe.0(dy,to'conclude-that'they•_
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeaoan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher state One Call at(651)4540002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.aocherejateonecall.oro
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 en 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 o plans.
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Applicant's Printed Name Ap'`p'IIicant's Signature
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