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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 t XContractor /y/ /G ?r'�� / 321 / 3 3 / / 33 3 /3 3 )' r g dv/ 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. c x r r Use BLUE or BLACK Ink For Office Use I /e&0(-7(i _ c' 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� l - ;" pp cant's Signatur Gam? 6"9`%` 557 a' Mt .vim' ., formation. Portions of ould permit the City to 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