1329 Crestridge LaneC!ty of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Date: Site Address: Unit #:
RESIDENT /
OWNER
TYPE OF WORK
CONTRACTOR
Applicant's Printed Name
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Name: /11,
Address / City / Zip: t 32 7
Applicant is: Owner
Description of work:
Construction Cost: 61'
Company: 461/1„..,-4r
Address: g Z 712 :0 -, GJ / G
State: A- Ifs— Zip: ; 3 (I
License #: g G I f 't 73
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XContractor /y/ /G ?r'�� / 321 / 3 3 / / 33 3 /3 3 )' r
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Phone: 6/2 _. l - g j C7
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE: Plans and supporting documents that, you submit are considered to be public i
the information may be classified a nori'- pudic if y ou p toy/de specific reasons
c onclude that they 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.gopherstateonecall.orq
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 Building Code must be completed within 180
days of permit issuance.
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Use BLUE or BLACK Ink
For Office Use
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Permit #: 37(1.-75
Permit Fee:
Date Received:
Staff:
Phone: G 5 3 -1 -18 2 9
Multi - Family Building: (Yes k / No )
Contact: r ( Y�
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Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126902
Date Issued:09/15/2014
Permit Category:ePermit
Site Address: 1329 Crestridge Lane
Lot:4 Block: 01 Addition: Hidden Oaks
PID:10-32750-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
M Kathleen Vandeputte
1329 Crestridge Lane
Eagan MN 55123
New Windows For America
609 W County Rd E
Shoreview MN 55126
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126952
Date Issued:09/17/2014
Permit Category:ePermit
Site Address: 1329 Crestridge Lane
Lot:4 Block: 01 Addition: Hidden Oaks
PID:10-32750-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
M Kathleen Vandeputte
1329 Crestridge Lane
Eagan MN 55123
New Windows For America
609 W County Rd E
Shoreview MN 55126
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature