851 Wescott SquareRESIDENT OWNER
Name: Phone:
Address City Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: AA c f -t- RC---- RcO
Construction Cost: t i Multi Family Building: (Yes No
CONTRACTOR
Name: L-14 CI‹.. Sc t Ol t 6 7 L t 61
Address: 1770 t C q 't"--1) 0
City: 6Oe,Y,, f4c State: )1 )1 Zip: :S 0 e �.�7
Phone: 6s t c n
Contact Person: �^R C
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer Water Contractor:
Phone:
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 they are trade secrets.
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
5 au/IRE-
Date: Site Address:
Tip
Tenant:
R (L. &u i.'tc: -5 -'r
Applicant's Printed Name
f
f' L r `Suite
x
Applicant's Signature
For Office Use
fi
Use BLUE or BLACK Ink
Permit
Permit Fee:
Date Received:
Staff:
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecall.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.
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161619
Date Issued:06/04/2020
Permit Category:ePermit
Site Address: 851 Wescott Square
Lot:004 Block: 001 Addition: Wescott Square
PID:10-83730-01-040
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 -
Elizabeth M Abera
851 Wescott Square
Eagan MN 55123
Champion Window Company Of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574-2054
Applicant/Permitee: Signature Issued By: Signature