1384 Crestridge LaneCITY OF EAGAN Np ?$sO4
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 /
n I J ???{P'
BUILDING PERMIT Receipt u 02(??>> 7??
To be used for WOOD STOVE Esc Value $1, 000 Date DEC 7 , 199D-
Site Address 1384 CRESTRIDGE LN
OFFICE USE ONLY
Lot 7 81ock 1 Sec/Sub. BIIFFER H7L.L5
Parcel No occupancy - FEes
. i
Zon
ng -
w Name ELLIOTT FIAWK (Acfua1) Consi - BIdg.Permit 25.00
3z; Address 1384 CRESTRIDGE LN (Allowable) - Surohar
e - Sn
° City EAGAN Phone 851-4630 a oi Stodes g
-
Plan Review
603-9938 Lenglh _
o Name 59ME DepN - SAQ Ciry
,
0a Address S.F.TOtal - SAC
MCWGC
? Cify Ph0112 S.F. Foatprints ,
-
S Water Conn
ewage
On Site _
UQ
Name
On Site Well
- Water Meter
W w
Address Mwcc system -
Acct. Deposit
<w City Phone City Water _
i
d S/W Permil
re
PRV Requ -
I hereby acknowlege that I have read this application and state Ihat the Booster Pump - SMr Surcharga
information is covect and agree to comply with all applicable Stale ol
Mlnnesota StaNteS and f nanCe
Cit Treatment PI
??
Siqnature of Permitee APPROVALS qoad Unit
ELLIOTT HAWK
A Building Permil is issued lo:
Planner
- parkDed.
on the express contlition that all work shall be tlone in accordance with all Council
applicable State of Minne
tatules and
iry
f Eagan Ordinances.
s
o
ta S
C
o g?, pfi, _ Copies
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BuildingOflicial7'. y,IId11 L}Dl,??.j IILLI Variance - TO7AL 25.50
7_ 1.4,4
EACAN TOWNSHIP
r
BIJILDING PERMIT
Ownes ._....X.!...........a--.............................
Address (preseni)
Builder
----------------------- .-------- ........... ................... -..... ....
'- ---------
Address .......... ...::.--.-"--`........-'---------'---'----'
DESCRIPTION
N° 1255
Eagan Township
Town Hall
Date 5..?------°---
Sfories To Be Used For Fronf I Depih Heigh! Esi. Cosf Permii Fee Aemazks
-
I
? e._. •_ r . r
?? !L V oc7 ?r nl
? +.?' O e?
I n Lo !7? ? -
// " - LOCATION
sireex, xoaa ox oxner vescnp=ion ox Locanon I i.o= 1 nlocx i ' AGalIlOII or zzacx
This permif does nof aulhoxiae the use ot slreeis, roads, elleys or sidewalks nor does it give the owner or his agenf
the righf !o creafe aap sifuation whiah is a nuisance or whieh presenfs a hazard fo the healih, safelp, convenienae and
general welfare fo anyone in the commuaity.
THIS PERMIT MUST SE EPTO?N T?H.-,E,, ?PREMISE WHILE THE WOAR IS IN PROGRESS.
-
This is Yo cerYify, fhat....:...Ci?_ ........ .------------ has permission fo exeeS a... ......... . _.:..... ..... upoa
!he above desc:ibed premise subject fo the pxovisions of the Building Ordinanee for Ea?Township a pied April 11.
1955. Qj ,.?- , o //?1
._•..._.._....?.__4_.'..`-?..:..._....• Per ..._ .........................L?_?...:..._=f,-„...-'....... .......... ...........
Chairman of Tnwn Soard Building Inspector
CITY OF EAGAN ; 18604
I 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 : r
BUILDING PERMIT Receipt #
To be used for WOOD STOVE Est. Value ;1'000 Date DEC 7 , 1990
Site Address 1384 CRSSTRID(iE LN
Lot 7 Block I Sec/Sub. ?FFER KILLS
ParCel N0. Qccupancy
ELL101? HAt+'K zoning
¢ Name (AcluaQ Const
Z 1384 RESTRIDGE LN
AddresS
(Allowable)
o City EArAAN Phone 851-46 0 # oi stories
length
o Name ?? Deptn
,
?Q Address S.F. Total
cc
Ciry Phone S.F. Footprints
On Site Sewage
U¢
Name
On Site Well
W W
? Addr@SS MWCCSystem
a W City PhOne City Water
PRV Required
I hereby acknowlege that I have read this application and state that the Booster Pump
information is correct and agree to comply with alI applicable State of
Minnesota Statutes and Ci ance .
- ""- ,.ye.
Signature of Permitee ?-- APPROVAIS
ELLIdTI' HAWC Planner
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off.
Building Official ' - Variance
OFFICE USE ONLY
Bldg. Permit
Surcharge
Pian Review
SAC, City
SAG, MCWCC
water Conn
Water Meter
Acct. Deposit
S!W Permit
SNV 5urcharge
Treatment PI
Road Unit
Park Ded.
Capies
FEES
2S.p0 ?
.30
i
g. ?
Permif No. Permft Nolder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
inapection Date Insp. Comments
Foolings I
FoundaGon '
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace ? EJ ??
Fnal Htg.
Fnal Plbg.
Const. Meter Plbg. Inspeclor - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Dedc Final
Well
Pr. Oisp.
CITY OF EAGAN Remarks ?G? ? r?u?' ????? - ??j9 - / -?"' 1 •
Addition BUFFER ILLS ADDITION Lot 7 Blk 1 Parcel ` 10 15400 070 01
Owner L. ?- ' treet 1384-86 Crestridge Lane State Eagan, MN 55123
?
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 441 1974 under OT1 inal arcel
STREET RESTOR.
GRADING
SAN SEW TRUNK 19]1 under OT1 inal arcel
SEWER LATERAI
WATERMAIN
WATERLATERAL 1973 under OTl inal arcel
WATER AREA 1972 under OTl inal arcel
STORM SEW TRK 4 lO
STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN. 110. 00 5243 1-10-73
BUILDING PEF. #2429
SAC
PARK
INSPECTION RECORD ?
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
+:t+t 1 : 1. it I I ! '? ? ?, 4 .' ? ?f .r; .'s?f 3.• } .
I PERMIT SUBTYPE:
TYPE OF WORK:
Alill i r r rON ?
1,1 ,? li i I' I r c)id [ ktA'f 1
?
INSPECTION D• •
't c DA
Permit No. Permit Holder Date Telephone lt
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectfon Date Insp. Commerrts
Footings I
Foundation
Framing ?
Roofing
Raugh Plhg.
Rough Htg.
Isul. ?
Fireplace
Final Htg. .
Orsat Test
Finai Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final ?j IQ ?3-
/ xl
Deck Ftg.
Deck Final
Well
Pr. Disp.
?
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number;
Date Issued:
? Control No. 0738
Nlli! f11No
46896 i
6rta1/42
SITE ADDRESS: I o't 4 7 otocK e i
1384 CRESTR.t[18E LAMr
HlfFFER Fi.T 1. LS
APPLICANT:
AkISIAR CAMSt 1'NG
(612) 693-8318
- - -?
' PERMIT ?Y?T?YPF: TYPE OF WORK: pLtERAYIOM
I. DESCRIPTIAM Rt-ROC1PINCi
Permtt Ho. Permft Holder Dats Tewphone M
S1VN
PLUMBING
MVAC
ELECTRIC
ELECTRIC
InspeWon Oate Insp. Commerns
Footings I
Foundatbn
Freming
Roofin9
Rough Plbg. II
qpu9h Htg• II
Isul.
Rreplace i
Finel FMg.
Orsat TeBt
Ftnal Plbg. P1bg. Inspector - Noti(y Plumber
Const. Metar
EngrJPlan
Bidg. Flnal
? ,
Dedc Ftg.
Deck Finel
weli
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION
SITE ADDRESS:
LOT: 7 BLOCK:
1384 CRESTRID6E LANE
BUFFER HILlS
PERMIT SUBTYPE:
SF (MISC.)
1
ECORD
PERMIT TYPE:
Permit Number:
Date Issued:
KELLER, RANDY
(612) 438-2832
BUILDING
024585
09J21/94
TYPE OF WORK:
ADDITION
DESCRIPTION (BAY)
INSPECTION .A . DA
FRAMING ROUGH TN PLBG
ROUGH IN HTG FINAL
It
. •.?` ?
. ?? CASH RECEIPT
?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
,a - ?
onre
r •
i
}4",?
AMOUNT s " ?' J L
? CASN ?3 CHECK
DOLLARS
,oo
wa
BY
WhRe-Payers CoPY
Yelbv?oslin9 CoPY
PN*-FNe C.oPY
? I Permit No: 11 1 C? 5 pate. 1 t)-4 -8F
96 Road B/P No:
P.O. bUA I yg Date:
Eagan, MN 55121 ,?,.,,•,-?
1t
Owner.
Site Address:
MWCC:
Clty Chg: Acct. Dep:
Permit Fes: No. of Units:
I agree to comply with the Cfty o( Eagan
Surcharge: SQpr Ordinances.
By
SEWER SERVICE PERMIT
Thank You
This requesl void p?y
18 rwnths fr6+n
D39413
p? Required? ?? ?Ready Nuw Viil Notify InsOec-
? ? ? ? Yes [? No tor When Ready
@9'Ccensed Electncai Contractor I hereby request inspection of above
? Owner plqrtl n
-
Street Address, Box or Route No. -----_.. ....,.o. e.. o..
City
? ,?'37/?f?,DD•?* L?? ?? 6J? /?
ecuon o. Township Name or No. Range No. HCourity
Q 7#
y
OccuUant(PRINT)
Phone No.
Power Supplier Addre55
?/t??.o 1/? ? ?r?i!'?c y'3 ? ??-'' ?7 Y? ?'-?'??.s? .?,/`
Electrical Contractor ICompany Namel Contrar.tor's LicQnse No.
& K,v KA C 7 E3s'
Mailrng Address (Contractor or Owner Making Instailation)
l? o
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C
2
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.
o,)
.
1 S
L 9 G
2 FA^? H? ? S s/ z i
Au orrzed Signatu (Contractor Owner Making Installationl Phone Number
.??c o?N,nu vr tLtI:IRIGITY
Gr' ps•Midway BId9• - Room N-191
19 1 Universitv Ave.. St. Paul, MN 551Q4
Phone (612) 642-0800
Inis inSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
y/jREQUEST FOR ELECTRICAL INSPECTION ,. es-ooooi -os
11? See inslruclwns lor completing this form oa beck of yellow copy.
D 39 413 "X" Below Work Covered by Thrs Request
kow AdJ Rep. Type of Building Applfances Wired EquiVmenl Wired
Nome Range Temporary Service
Duplex Water Heater Liqhtin,y Fizhires
Apt. Building Dryer Electnc HeaUn
Commercia! Bldy. Furnrce Silo Unluader
Industrial Bld Air Condtioner Bulk Mllk Tank
Farm Othei veci v . mer ISnec,+vl
1.r Speci Y ther Other
N Fee ServiceEntrenceSize K Fee Feeders/Su6feeders b Pee Circuits
«j6 U to 200 Am s 0 to 30 Am S 0 to 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 q S
Swinuning Pool Above 100_Am s Above 100_Amps
Transformers Irrigation Boorns Partial• Othe ee
5igns Special Inspection s ?
;
Rerriarks S
.iC,/? ?air/1 A1 /1J ?G F //L GG
TOTAL F
I t ?
-i?
Rouph•in Date
I, the Elect
r Inspector, herehy
?
Final certify that the above
inspection has been
? made.
Thla request void 18 montM1S fram
6ZOl?
RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit
Date jd / (!2> j,
Site Address ?L/U
9mU Unit #
1 ,p
PropertyOwner ?11/ Cj T R
n??) L?_
Telephone #(Z>Sl )
Contractor I
(,?
Street Address S 7 S s: 2/ 7 t? City ?Un-.PJ? S
State Zip S_410 ?7_S Telephone # -] 7 S e
Bond Expires:
The Applicant is _ Owner /t ontrac[or _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner New Replacement
? other ? /?--?cJ
p 1\ (?'? c_Jj (? 1
State Surcharge $ 50
Total $
I hereby apply for a Residendal Mechanical Pemtit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Co , at I understand this is not a
e in accordance with the
permit, but ooly an applicauon for a pernnt, and work is not to start witzzi7
appcoved plan in the case of work which requires a review and approval oApplicanYS Printed Name -
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
/ 3830 Pilot Knob Road, Eagan Mn 55122
lo Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pemnts aze required For each unit
? ?,??
Date -p- / _? 1 ? ? Y?S?Y i ?'- ?• ?`A
Site Address Unit #
Property Owner Telephone #(?
C
Contractor (J ? Y-L( .
-----
Address ?? p??? ? / S(J??Ue City
State Zip Telephone # ((A't
The Applicant is _ Owner _YContractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional wnsultant fees may apply.
Altera ions To Existing Dwelling Unit, Including $ 50
00
Adding fxtures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
_ Water turnaround (+ 518" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system ? -"
,
_ Water softener _ Water heater
T 15
00
0 ?1 .
_ replacement _ additional
.50
State Surcharge
Total g OIM
I hereby apply for a Residenrial Plumbing Pernilt and acknowledge that the information is cornplete and accurate; that the work will
be in confoimance with the ordinances and codes of the City of Eagan and with the Plumbing Co t I understand this is not a
permit, but only an application for a permit, and work is not to star[ without a pernrit; that ork ' Ill be in accordance wiih the
approved plan in the case oF work which requues a review and approval ofplans. ?
Coaq G?rlsvV-N
Applicant's Prited Name Appl:cant Signature
RESIDENTIAL BUII,DING
Permit Application L?
?;5
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
C?Zda tofql o?
New ConsWction Reauirements RemodeVReoair Reauiremen4s Offce Use Onlv
3 registe2d site surveys showing sq. R. of lot, sq. 8. M house; and all roofed areas 2 copies of plan Cert of Survey ReW Y _ N
(200h macimum lot coverege allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Trea Pres Reqd Y _ N
1 set o! Energy Calculations AddiNon - inMkate Aon-site sepUc system Onsite Septic System _ Y _ N
3 copies of Tree P25ervalion Plan if lot platted after 711/93
Rim Joist Detail Options saleaion sheet (bldgs wBh 3 or less units
Date I? l 0 3 / 0 3 Coustruction Cost
Site Address / 3?f V C/',E'.$ f i-,'o4 t, ??'c n t Unit/Ste #
Description of Work fI)C"C
Multi-Family Bldg ` Y X N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( ?r5 ? ) L ? ? - r 5 3 S(
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONlY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
-i
Licensed Plumber
Mechanical Contractor
t',n 1?
OCT 0 3 2003
Telephone # (
Telephone #(
Sewer/Water Contractor
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
-'?, % /? - 11-la r,,C
Applicant's Printed Name
Applicant's Signature
OFFICE U5E ONLY
Sub Types ?
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 08-plex x 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New " ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
x 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Altera5on ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'oemolition (Entire Bldg) - Give PCA handout to applicant
Valuation p0 Occupancy ?^ 3 MC/ES System -
Census Code zoning ( City Water -
SAC Units - Stories ? Booster Pump ?
Nbr. of Units -? Sq. Ft. PRV
Nbr, of Bldgs ? Length Fire Sprinklered -
Type of Const ? Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaVC.O.
?F Footmgs (deck) ?L. FinallNo C.O.
_ Footings (addition) _ Plum6ing
Foundation HVAC
Drain Tile O[her
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Smceo Stone
_ Fireplace _ R.I. _ Air Tes[ _
_ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
7zp ?
Building Inspector
r ?z= ?' . .__, ? •
_ ,
` i'ti't -- Equity Title Services
? Suite 200 • 6800 FranceAvenue Somh • Edina, MN 55475 6 (612)925.68pp
- ?
?.
Legal Descrlption:
Propertyqddress:
GACST,Q-/ j O--c
00
`
P p,??,?n 3
I
1
?
?'-jL^zE
l0?
I
?? rr
c.cv?Z. tz
I?L9-?E Da'gcE I
"4
?
L -I
,0o
T4
?''--30 ?
"'The Iocallon ol the Improvemants shawn on thls drawing ere approxlmale and era baseel on arlsual Inspecllon o1 the premises.
Thobtdlmenslonoaratakanhomtherecordpletorcaunlyracwda.Thlsdrewlnpisforlnformalionalpurpoaeeandahouldnot u9 B9 fl 9UfV0y. II -
tloes not constllule a Ilablllty ol Ihe company end Is IntanOed far mortpape purposea only; `
Ers fait ?sael
I w.
PZAT DRAWtNG
(THIS IS NOT A SURVEI')
RESIDENTIAL MECHANICAL
Permit Applicatiou
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for. Single Family Dwellings & Townhomes and Condos when pemnts are required for each unit
Date q / A) / o3
Site Address ?3 gq (24 p S? h.l G? 41?i ?n Unit #
Property Owner cl Ii ,) Telephone # ( 6 5 70 yV
Contractar Sharp Htg S AC
StreetAddress 7221 UniveYSity Ave NE City Fridley
State MN Zip 55432 Telephone# (763 ) 572-0459
Bond #:? ?- Eapires:
The Applicant is , Owner ? Contractor _ Other
Add-on, modification or a]teration to eaisting dwelling unit $ 30.00
_ furnace replacement ,
i
_ air exchanger
?i air conditioner New ? Replacement
ather _ t ?
State Surcharge $ .50
Totsi $ 30. s-0
I hereby apply for a Residential Mechanical Pernut and acknowledge that the informarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applicarion 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.
Kevin Hanson
Applicant's Printed Name Alfpli anYs Signature
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWctron Reauiremenfs RemodeN2eoa'u Reauirements
3 registered site surveys showiig sq. R of lot, sq. R of house; and all rao(ed areas 2 oopies of plan
(20Y, maximum lot coverage allowed) 1 set of Eneqy Calculatlons frn healed aWiGOns
2 capies ot pWn showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks
i set of Energy Calculatans Additlort - iM'rate iloo-sife sepfk system
3 capies of Tree Preservation Plan if lot plat[ed after 711193
Rim Joist Dehail Optlons seleclion sheet (bldgs w0h 3 or less uniLs
???ct zli.8?a?
", ' ?? ?` ??' ''''?
L?-? .S?L3 /63,
Ofice Use Onlv Cerl of Survey Recd -- w,
Tree Pres PWn Reoi
_TreePresNolReqd LS,??g7a3
_ On-site Septlc Sysiem ?
W. 11 1111)-k '-q
Date R,i Construction Cost 7Y'/.
-qp
Site Address UniUSte #
Description of Work 2 3 ??872: s- /l/PI,J G'Q7
Multi-Family Bldg _ Y _ N Fireptace(s) _ 0 ? 1 - 2
Property Owner ?a;74 _C?/// ZZ Telephone # (?zj-/ } log?' ?i ?
Contractor Pf-'?
Address 1/gg City IS. ?-
State ll-;171LI Zip ,57!7 ?elephone # /(po) 7 ;i574/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catecorv 1 Minnesota Rules 7672
Energy Code Category , Residential VenUlaGon Category 1 Worksheet • New Energy Code Workshee[
(d submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
r, .
?r
Telephone #
I hereby apply for a Residential Building Permit and aclrnowledge that the ifarntationss-kamglgteAnd accurate;
that the work will be in conformance with the ordinances and codes of the rty of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
ase of work hich requires a review and
permit; that the work will be in accordance with the approved p[an ' t7?v
approval of plans.
licanYs Printed Name Applicant's Signature
App
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwe lling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage K 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screanlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
Fl? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
?_ 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacem ent •Demolitlon (Entire Bldg) - Give PCA handout to applicant
Valuation 3 D oa Occupancy Q'3 MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const V Y1 Width
_ Footings (new bldg)
Footings (deck)
X Footings(addirion)
4 Foundation
X Drain Tile
Roof c Ice & Water X, Final
? Framing - - -
Fireplace R.I. Air Test Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility,Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinallC.O.
? FinaUNo C.O.
Plumbing
? HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Siding Srucco Stone
_ Windows (new/replacement)
_ Retaining Wafl r
Approved By , Building Inspector
---- - - ------ - -------- - -
IZ 1C 3 ax/Sr 00 '2Mil'SeMAe1it
l Z 1<3a X Syoo M?; ?, rioa,Z
1 y X! Z X ?y o v K ?'? t v\ 4.-n1U D,2av^
,.,
I I
MEch¢J CT6ME R?P(4t I I
NIMPSOfd hPig W I PPI11C ? I
N9chect Softiu? Vo?sioo 1.9 I I
I I
I Ch¢ct¢d h?iDate I
I I
CW: Pas??
STnfE: BIMPSOG
KIE; P
CfMg f1PE: Siogle Padly
WE; 2-2S-MOl
Cv6m; PEZ
E?pd a _ §i
Yo¢ 9m? _ q
2,9B BPttPI ihao UP
h of Caoitl Caot. 61aki'hac
P?r'vot?[ P: Valv R: 6'ake r-Valce R
CPSIS96S 3i?
GI,S; Yoad kY?v, lc' G.C, ?ii
M CoT.1,§' hG'I J' 411,§' iRsul 7{!
6M: Yudprs or Gaors, EGove 6tade V
Wf(mMPuiiet, dSA eFPE
6V6C KefiR; Au Mititc¢t,14,9 E
4d,9 ?I.9
1y r? 1 u
?f? pr
11,? r? p 1c
q,7S4 1':
fEM MM; tN pmpased hmldirg desigo desaixi Nz? is
cousistat kth th=.6uildiN plaos, sp?cificafiou, ad bi c9colaticns
sktted wiW W? pemt applicafla?, sN ptcFosetl boiltliog has 6eeo
dtsigo¢d ta l2?t m2 11 uir?e?Ls e Miu¢sota 9?¢?g?/ ?
.
;I
Equity Title Services
Suite 200 • 6800 France Avenue South • Edina, MN 55435 •(612) 925fiB00
PLAT DRAWING
(THIS IS NOT A SURVEI)
Legai Descrlptlon:
PropertyAddress:
GAEST?1 -4 &-c 4!?„iE_
/o 0
I
?I
?
22-
9-nE
1?2
-L& „ G9?fcf
14
3or I 4
1 ?
?- ? - ?
,oo
?
"The locallon ol the Improvamants shown on thls drawing ere approxlmele and ere based on avlsual Inspectlon of the premises.
fie lot dlmanslans ara lakan Irom Iha record pial or counly records. Thls drawing Is lor Inlormatlonal purposes and should not
E7S 1091 (YSe) be used as a sunay. 11 doas nol constltuto a Ilablllty ol Ihe company end Is Intended lor morlgape purposea only."
.
14?a4l.W41
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
????
?3_?, q 0
SINGLE & MULTI-FAMILY 2 sets of lans, 3 registered site surveys, 1 copy of energy
calcs. c ;q;
1
COMMERCIAL 2 sets of
r.Qh4tactura1_b_st ctural plans, 1 set of
specifications, cop gy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work ?-?
Site Address: ??C!'P.SfUidAQ ?,N1
STREET ? SUITE tl
Tenant Name: (commercial only)
LOT 7 BLOCK ? SUBD. llle0.5 /Da. P.I.D. #
Descri tion of work: '? 7
The applicant is: ? Owner Ltp Contractor ? Other (Oescribe)
Name flaffik F-il)ott * C-(fil Phone M:?i qq3t,;?
Property LAST FIRST
Owner Address 138 ?( Cre3'tn?9v ?,n
STREET STE #
City Eaw state Mm, Zip
Company _RQy)&?, {?at2f' Phone (88 A?A
Contractor Address 6(? UQPrAtllimA %Y License q DI-Iq?Q Exp.
City HOSf7_ State Mllll z i p SS23?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber P.rocessing time for
sewer & water permits is two days once area has been approved.
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.
o I
?
d
Signature of Applicant: ??_
rNo.
Exitlblt
,
Legal Descrlptlon:
PropertyAddress:
? - ?
Equity TitBe Services
Suire 200 • 6800 France Avenue Soulh • Edina, MN 55435 •(612) 925-6800
/o 0
to?
?p ?,j - - - --1
1
?
,I ( T
I C.L1/EZ ?L
? ?y?E Do.,3, E I
' IN-
? i
?--- ?- . - J
?
,vo =30'
"The locetlon ol iha Improvements shown on ihls drawing are approxlmate and are based on a vlsual Inspecllon of lhe premises.
The lol dlmenslons are taken from the record plet or county records. Thls drawinp Is,lor Informatlonal purposes antl should not
ETS 1031 (9/88) be used as a survoy. It tloes not constlluto a Ilabfllly ol the company and Is Intenaod lor morlpage purposea only."
,
PLAT DRAWING
(THIS IS NOTASURVEI)
_k
CIT1F Of EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Datelssued:
1384 CRESTRIDGE LANE
LpT: 7 BLOCK: 1
BUFFER HTLLS
P.I.N.: 10-15400-070-01
DESCRIPTION:
(BAY)
Building?-P,ermit Type
Building Wdr_k Type
f ?
?y
i
? ! i .. . ,
v
SF (MISC.)
ADOITION
U.32319
q-2.9-0
BUILDING
024585
09/21/94
s, r C, -,
-? .-
? n
? Co lrrn LL?J1
?JJ
REMARKS:
FEE SUMMARY:
VALUATION $1,400
Base Fee $33.00
Surcharge $.70
Total Fee $33.70
CONTRACTOR: - Applicant - ST. I.IC. OWNER:
KELLER, RANDY 14382832 20017780 HAWK ELLIOTT
613 VERMILLION ST 1384 CRESTRIDGE LN
HASTINGS MN 55033 EAGAN MN
(612) 438-2832 (612)683-9938
I hereby acknowledge that Z have read this application and state that the
information is correct end agree to comply with all applicable 5tate ot Mn.
Statutes and City of Eagan Ordinances.
?
`
AP ICA7 ERN ITE GNATUFiE ' ISSUED`Br. SIGATU
I
PERMITti ! ?
RECEIPT DATE:
LOOE MSIDEftTiAL PLUM$INfi PEftMMTf APPLiCATION
CTPY OF EAfiAN
3$30 P1LOT KNOB RD
Ets,4[a, auv 55122
651-681-4675
Please complete for. single fa--'-
' ---"'---'-•---`-°^^^
bBCkflOti HAWK, ELLIOTT
1384 CRESTRIDGE LANE
EAGAN, MN 55123
SITEADDRESS: (651)683-9938
OWNER NAME: : ,
INSTALLERNAME; NOrb?dh'1 ??1a.W\?ol??l?
STREETADDRESS:
^^a ^^^-+^= oermits are required for each unit,
:EPHONE #:
' (AREA CODE)
TELEPHONE#: (OIZ'92'-7 "' -4033
SO Ll, i 4i (AREA CODE)
CITY: ?v1p LS. STATE:
MQ ZlP; 5540$
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply .
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING!
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water lurnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener X water heater $ 15.00
State Surcharge $ .50
Total ? $ 15.50
I hereby acknowledge [hat I have read this appliratioq state thal ihe information is correct, and agree to wmply with all appllcable City of Eagan ordinances. It
is the applicanPs responsibility to noti(y the property owner that lhe City of Eagan assumes no Ilabllity for any damages cau a;+auaal
operational and maintenance activitles to the facflities constructed under this permit within City property/righGOf-way/ease ?t 7?7?? mT r
PERMITTEE 11 II I FE??/el 8 2002
PERMIT ' Control No. O'7 3O
? CITY OF EAGAN ' o
3830 Pilot Knob Road PERIUIIT TYPE: suxLozne
Eagan, Minnesota 55123 Permit Number: 000461
(612) 681-4675 Date Issued: 0 7/ 01 / 9 2
51TE ADDRESS:
1384 CRESTRIDGE LANE
L07: 7 BIOCK: 1
BUFfER HILLS
DESCRIPTION:
RE-ROOFING
dui'iding PermiC 7ype
` Build3.ng`,Work Type
t
1
..d_.?
i
-
-? ?
,
. ,_
5F (MISC.)
ALTERATION
,
REMARKS:
U 1 Gf `7
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$90.00
$3.50
$93.50
CONTRACTOR: - APPlicent - S7.
ALLSTAR CONST INC 15935325 000
3315 N HWV 100
MINNEAPOLZS MN 55422
(612) 693-5325
;7,eee
HRWK ELLZOT
1384 CRESTRIDGE LN
EAGAM MN
(612)683-9938
I hereby aeknowladge that i haue {-ead CEr,is applieatiu,n and state that the
informat3on is corrsat and agree to camply w3th a.ll appXicabls State af Mn.
StaCutes and City of Eagan Qrdinances.
?
APPLICANT/ ERMITEE SIGNATURE
I
°?'fio? Irn .
SUED EYY S GNATU E
PERMIT N ,
REACTIYATE
r
?
CITY OF fAGAN
1992 BUILDING PERMIT APPLICATtON
681-4675
T 0eN o
SINGLE & MUITI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy af energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in Nhich re uest is made or lot chan e.is re uested once ermit is issued.
Date Yaluation of work (,_-)(?X7
Site
STREET SUITE y
Tenant Name: (commercial only)
LOT ? BIACR ? SUBD.
? P.I.D.
N
1
,
Descri tion of work:
The applicant is: ? Owner Contractor Other (Describe)
Name ?Aco,-t%t':- C=? Phone
Property LA5, FIRST
Owner Address
STREEi STE N
City State Zip
Company Phone
Contractor Address _'????`?? ? •-? ?c..?_a? ?00 License # Exp ? ?? q?s
City State YY» Z i p
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber . Processing time far
sewer 6 water permits is two days once area has been approved.
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.
Signature of Applicant: ?
,'
1990 BIIILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
1lU1.TIPLE DflELLZNGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUlATI0N5 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES YHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HDMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
VYCOd 9100e- Valuation:
Lot r Block I_
Parcel/Sub -L l'?Jpx' A i HA
Owner 17~K
Address 1381 CiPE3T7R1p6?' LN
City/Zip Code E6-11?(/ MnJ S572.3
Phone?h`?6P3?S?38 (-w?gSl-?ld3d
Contractor S?ly-
Address
City/2ip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Date :
EES
Occupancy
Zoning a? o?
Actual Const Bldg. Permit
Allowable Surcharge .50
tk of stories Plan Review
?Length SAC, City
?
Depth SAC, MWCC
I
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site aewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System
? Treatment P1.
ICity water _ Road IInit
'PRV _
? Park Ded.
Booster Pump Copies
_ SUBTOTAL ?O
APPROVALS Penalty
Planner _ TOTAL 5. 50
Council
Bldg. Off.
Variance
APRLICJATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
• `l o / S clc'O
_ ........... ..<.._.,......x......
. ,
i NDI'E: PAYPIIZU OF EEE AT TIME OF *
? APPISCAT2CY1 DOES NDT CON- y
* S1TN1E APPRGUAL OF PERPIIT. .*?
x r
; sNse¢-riau oF sENM uNn/OR waTM ;.
; iesrnc.rv?xzor?s waa, rur es scMr.m ;
; t?rm?r, ?+nuT tQ?s ae? nepxovm. ;
dtV ?iif:?xx???????»iw?:a??????+::wsw*?+?
oF ecagcan
n (PLEASE PRINT n
1) PROPERTY ADDRESS: 1J5 6 ?4 . ( /?
LI7GAL DESC22IPTION: . v`,' 7 47 /
IF EXISTING STRCCT[7RE, DATE OF ORIGINAL BUILDING PERMIT ISS[IANCE:
I Nbnt Year
PRESENT ZONING/PROPOSID LSE:
Q CONA7ERCIAL/RETAIL/OFFICE
Q INDT-ISTRIAL
a INSTITLrfIONAL/GOVERN14ENT
2) NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
( Lnits)
( Onits)
' R-1 SINGLE FAMILY
? R-2 DT-IPLEX (3tao L'nits)
? R-3 TOWNIOOSE (Three +.Upits)
Q R-4 APARTMENT/COPIDOMINICTI
3) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
MASTER LICENSE #
4)
Active
lj Expired
Not recorded
St Initia
ADDRESS: CITY, STATE, ZIP:
PHONE:
. . a . ?. .,
.5)
• n ? ??
25tONNECTION TO CITY SEWER a CONNECTION TO CITY WATII2 OUM
6)
*?***,?************,.**************?**?*****?*****.**************************,?***?*??**********.*****
,*k THE GOID COPYOF THE PERMIT WILL BE SENP DIRECTLY TO PUBLIC WORKS 7U FACIISTATE MEM PICK-liP. *
* PLFASE AU-OW 7W0 WORKING DAYS FOR PROCFSSING. SONIDONE FROM THE CITY WIIS. CoNfALT YOL IF TME *
* ARE ANY PROBI,IIMLS. *
+
*+****t**+******,t******,t*+,r**+*,r*+*******?*****,tx**t***+*?*,t**t*,t*t?*e+**?x*+***+*?****?+***,tx****?
/?e,?? - l"? !G -f?/
? ?J :?
FOR -CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
s G s?? . o n s
$ S
$ $
$ $
$ $
$ $
$ $
$ L ? 5 •.S Ti $
`/
1
SEWER PERMIT (INCLODE SURCHARGE)
WATER PERMIT (INCLUDE SCRCHARGE)
WATER METER/COPPERHORN/OC'TSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
-ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRONK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BEN°FIT/TR[:•NK WATER
WATER TREATMENT PLANT SDRCHARGE
OTHER:
TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PIIBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MLST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
SEWER CONNECTION CHARGES•
SAC
'ACCOUNT DEPOSIT
SEWER PERhIIT
TOTAL FOR SEWER AOOK-UP
WATER CONNECTION CAARGES•
SdATER CON1`ECTION
METER
TREATPIENT SURCHARGE
ACCOUNT DEPOSIT
WATER PERAfIT
PLUMBING PEf2PfIT
TOTAL FOR [JATER HOOK-UP
TOTAL FOR SL'WER & WATER HOOK-UP
650.00
15.00
10.50
675.50
550.00
67.00
204.00
15.00
10.50
12.50
859.00
?
/.? a v6,t g6Z7j9-t_? / 0.
$1,534.50
MINIMIJM PLUMBING CHARGE FOR COH4fERCIALS - 20.50
EAGFN 10WNSHIP
3795 Pilot Knob Road
St. Paul, Minneaota 55111
Telephone 454-5242
Co?i- `7
???r•64-k ?:,La
PERtUT FOR WATER SERVICS CONNECTION
Date: January 10, 1972 Number: 77$
Billing Name: Don Christenson
Owner: same
Plumber• Genz-Ryan
Meter
Meter N0.21753473 Pexmi.t Fee?
Meter Reading Meter Dep.6.00 PCL
Meter Sealed: Yes Add'1 Chg. 60.00 nd
1 /10/72
NO I Total Chg.
Building is a:
Residence xx
t4ultiple Ho,
Commercial
Industrial
Other
Inspected by
Date
Remarks:
Site Address; 3650 Pilot I{nob Road, Eagan 55122
Billing Address
`.??? rl? ? ^ ;;?.'??,??"' f?? ? ??? I.ILV??\.?•
By:
Chief Inspector
In conaideration of the iseue and delivery to me of the abwe permit, I
hereby agree to do ttm propoaed work in accordance with the rules and
regulations of Bagan Township, DakoCa County, Minnesota
Bq: ? GrX ?
G
Please notify the above office when ready for inspection aad connection.
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EACAN
3830 PILOT KNOB RD - SS122 ? 3o `J V
851-681-4875 -a-?
New Conshu Hon ReaWremenri Remod9l/Reoalr Reauire? ?
> J reglafereC alte wrveys elwwing aq, ft o( bl, aq. It. of hause
and gU roofed areaa (20% maximum lot eoveme albwedl
> 2 coples of plann (show beam & wintlow sizea; poured fnd deslgn; efcJ
> t aet o1 energy caicuiaflona
D 3 coplea W hee preaervaHon plan il lot platted aHer 7/1/93
DATE: q-Z6 - C) O
ob
2 copies ot plan
I set W energy calculallons tor heafed addiflons
i site wrvey 1or extedor atldiHona d decks
_T
CONSTRUCTION COST:
DESCRIPfiON OF WORK:
STREET ADDRESS: I 3stl,
LOT: 7 BLOCK: ? SUBD./P.I.D. #:
112
Name: L t 0 i T Phone #: (S0 633--9438
PROPER'fY Lad First
OWNER
Street nddress: ) 3q
City ti' stare: zip: S5~? ??
Company. Se(`( Phone #:
(area code)
CONTRACTOR
Sheet Address: Ucense # Exp.
Ciy Stata: Zip:
ARCHITECT/ - - -- -
*******?****+?***?**??***?***?***,c***?* Name:
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 795
DATE: 04/28/00 TIME: 08:05:23 RegishaHon#:
ID: _ Sfate: Z1p:
NAME: GAIL OR ELLIOTT HAWK
3210 9001 1384 CRESTRID L 30.00 j(:7( Phone#:
2155 9001 1384 CRESTRID L 0.50
ie Intortnation is cortect, a ngree to comply wilh an applicable Stafe
licant
USE ONLY
Total Receipt Amount: 30.50
c?CR128293 _ Not Required ?HJ
USER ID: JAN
._,_?y?+_****?**?**+*?*******?*******_
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex 1[ 18 Deck ? 23 Porch (screened)
p 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-piex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
WOR
,
? 31 New ? 36 Move Bldg. ? 43 Reroof
B 2 dition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATiON
SAC Code 0l # of Stories sq. ft.
No. of Units D Length sq. ft.
No. of Buildings I _ Width . Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES $ystem
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building _4KOk Engineering Variance
i
? 31 Ext. Alt - Mutti
? 33 Ext. AR - SF
0 36 MuRi
?
Permit Fee 30.015
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ /a00
SAC Units
% SAC
L
.aeit
G/?CST?? ? G--c
/o 0
!O ?
?I
I C.L'?/EZ
Equity Ti#le Services
Suite 200 • 6800 France Avenue Soulh • Edina, MN 55435 • (612) 925-6800
Doj3:. E
G9C415.E
11N-
I
-?
T4
?''=30'
"fie locallon ol the Improvemanls shown on thls drawlnp are approxlmate and are basad on e vlsual Inspecllon o( lhe pramlses.
fie lal dlmenslons ara laken Irom tha record plet or caunty recorOS. Thls drawfnp Is lor Inlormatlonal purposes and shoultl not
ETS 1071 (LBB) be used as e survoy. It tloos not consllluta a Ilablllty of Iha wmpany end Is IntenOed lor moAgape purposea only."
,
,Z/D /
Legal Descrlptlon:
Property Address:
PLAT DRAWING
(THIS IS NOT A SURVEI)
WAIVER AGRSEMENT
This Agreement, made and entered into on the (? ? day
of , 1993, by and between DONALD D. CHRISTENSON and
GEORGENE CHRISTENSON, husband and wife, (hereinafter referred to
collectively as "Christenson"); and ELLIOTT G. HAWK, (hereinafter
referred to as "Hawk").
WHEREAS, Christenson granted a drainage and utility easement to
the City of Eagan, Dakota County, State of Minnesota, by an Agreement
dated June 27, 1988, and recorded with the Dakota County Recorder's
Office as Document No. 877195. Said easement is over, across and
under certain real property owned by Christenson and legally
described as:
South 35 feet of Lot 6, Block 1, Buffer Hills, according to
the recorded plat thereof, Dakota County, Minnesota.
WHEREAS, Christenson petitioned the City of Eagan to vacate the
above-described easement;
WfiEREAS, Christenson and Hawk are the only parties benefitted or
subjected to the easement;
WHEREAS, Christenson has provided Hawk with a private easement to
benefit the property owned by Hawk.
NOW, THEREFORE, in consideration of the foregoing facts, the
parties hereto waive any rights to notice of hearings, hearings or
appeals relating to the vacation of the above-described easement by
the City of Eagan.
IN WITNESS WHEREOF, the parties hereto have executed this
Agreement on the date set forth above.
" ",v cem? i'„'--?=P?4: _
Donald D. Christenson
George#e Christenson
E iot G. Aawk
STATE OF MINNESOTA )
ss.
COUNTY OF l?-??G )
On this tl? day of , 1993, before me a Notary
Public within and for said ounty, personally appeared Donald D.
Christenson and Georgene Christenson, husband and wife, to me
personally known to be the persons described in and who executed the
foregoing instrument and acknowledged that they executed the same as
their free act and deed.
41-tdT'y Pl1b AAAA°/.nne.aeAeAA_e.«A
MARY S4VEPrSOiV
NOTARY PUBLIi.-M:'dNE50TA
? -•?'DAKOTA COUNTY
STATE OF MINNESOTA ? My Commission Expires Oct, 23, 1994
) ss. x ave?rsa?c???eaevv
COUNTY OF?' [
On this ? day of , 1993, before me a Notary
Public within and for sai?ty, personally appeared Elliot G.
Hawk, to me personally known to be the person described in and who
executed the foregoing instrument and acknowledged that he executed
the same as his free act and deed.
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, WILCOX & SHELDON, P.A.
600 Midway National Bank Building
7300 West 147th Street
Apple Valley, Minnesota 55124
(612) 432-3136
SKH/wkt
No y.Public
? MARY SINEPuSON ?
e >'
? NCTAFVPp3Lif ,.'.NESOTA
"DAKOTA COUNTY
- ? I y L?mmission Expires Cct 23, 1994
/?yOp a 70 Ol
WELL CONSTRUCTION AND ABANDONMEV-I' Permit No.
/ WELL PERMTT
89-9179
•'°?='• DAKOTA COUNTY YUBLIC HEALTH DEPARTD3ENT
ENVIRONMENTAL HEALTH SERVICESSECTION
? WATER QUALiTY MANAGEMENT UNIT
33 E Wentworth Ave, West SG Paul, MN 55118
Telephone:(612)450-2607
WSEREAS,p the
PERMITTES:
DBA: Associated Well Drillers
ADDRESS: 13160 Pioneer Trail
Eden Prairie, PIIJ 55347
has submitted a permit application, has paid the sum of seventy-
five ($75.00) dollars to the County of Dakota as required by
Ordinance Number 114 and has complied with all of the
requirements of said Ordinance necessary for obtaining this
permit to permanently seal the well or wells described herein:
An abandoned private water supply well is on a property now
served by public water supply. The well has a casing diameter of
4 inches and 160 feet depth. The well shall be cleaned of
equipment and debris, disinfected, neat cement pressure grouted,
and terminated at least 2 feet below grade.
The well is located in the municipality of Eagan on the property
/dvr-r-c?2 N.?c.s Ano Owner: Don Christensen Well Owner (.if_differentj-_?
Address: 3650 Crest Ridge Crt. Address•?1384 Crest Ridge_Ln.=`
Eagan, 1?7 55122 ?Eagan, 1??t 55122
Telephone: (612) 452-1061 Telephone:
NOA, THEREFORE, Associated_We11,.,Drillers is hereby pexmitted and
authorized to per?manently seal-the well or wells described and
located above`for-"tY?e period subject to all provisions of said
Ordinance, the Minnesota Water Well Construction Code and any
conditions attached on the reverse side of this permit form.
Given under my hand this 27th day of November 1989.
NON-TRANSFERAHLB C-'kwaC*?
ENVIRONMENTAL HEALTH SPECIALIST
ATTEST ?ia•icc.j
ENVIRONMENTAL HEALi'SUPERVISOR PUBLIC FIEALTH DIRECTOR
RECEIVED€UL
ZONING - NOTIFICATION OF INTENT
Foster Pamily Homes
Day.Care Homes
TO
21932
DAK 544
S^
I --)--
FROAt:Dekota County Social Services
357 9th Avenue North
So. St. Faul, MN 55075
APPLICANT
?- A? alo iU r6 'C_S rI-L_
(CitY)-lu- (StaCe) (Zip)
Number of Natural Children uader 18 in home: ?$1 2 3 4e5t' .
(circle.number)
Number of Foeter Children included in license:(O)1 2 3 4 3 b 7 '
7circle number)
Number of Natural Preschool Children in Aome:. n I 2 3 4 5
?circle aumber)
Number of Day Care CHildren included in license: 0 1 2 3& 5 6 7 8 9 10
(circle nwnber)
11ATE OP NOTIFICATION: br- 30 -p2-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126236
Date Issued:08/19/2014
Permit Category:ePermit
Site Address: 1384 Crestridge Lane
Lot:7 Block: 1 Addition: Buffer Hills
PID:10-15400-01-070
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Elliott G Hawk
1384 Crestridge Lane
Eagan MN 55123
(651) 983-9938
Craftsmans Choice Inc
26219 Fremont Drive
Zimmerman MN 55398
(763) 633-1390
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use r tQ
Permit#: l 537
l'ill'' City ofa�aft D.�
� Permit Fee:
3830 Pilot Knob Road t'.:,,, .� ' �- ko'l
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildinginspections@cityofeacian.com Staff: /Y7
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Cattd
n
10.31'
Date: C,- 2 5'/ 7 Site Address: /361/ c, 57"Rrj CiE L A/ Unit#:
Name: LG(D7`T /--(4,...4._)/-<' Phon 6& 0 5/9`9 7/6
Resident!
Owner Address/City/Zip: /3c7 �/���T✓ l L LIQ/
Applicant is: Owner Contractor
-I~ii cif WOt'k
Description of work: RL- Futevoic L/ AJC C� S,- !1
Construction Cost:_____ Multi-Family Building:(Yes /No_)
Company: �� Contact:
. Address: City:
t.i•riti ai ,tO /I'
State: Zip: Phone: Email:e`//07Th q # ke rrCKeTrilG( LC4r
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: o
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:
. eG`cumeiF��}
Phone:Fire Suppression Contractor: ; :;Fa„"
g,x a y.s4,# 'r( ' q '>a , 3, - Wtt ; F x a ,-;-•-:,,,,-.:-., 7.,- .,. o ;PlarS ad sppot - ' a : s : E I .1 � 0_iraforate�*r»* !�*a�s � �o0-k� t� s� 4 as , ti
are Made screts i
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.citvofeagan.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)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.
x L L L i.OT 7 lam'-4 ls(.) x ` f
Applicant's Printed Name Applicant's Signature
Page 1 of 3
4 DO NOT WRITE BELOW THIS LINE 'til3c)
SUB TYPES 1,7 --'( Q re,s 1-,-;4P,Z L.._.41^
__ Foundation Fireplace Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi 1 Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding — Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows Demolish Foundation
IReplace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation (9Occupancy 1 / MCES System
Plan Review Code Edition SAC Units
(25% 100%Y ) Zoning % City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction vb. Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
)( Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath _Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: '0, , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge 01)11/0041111
c
Plan Review
MCES SAC
City SAC f4)
n,� ' "
Utility Connection Charge (1)-11� (f� „3
S&W Permit& Surcharge
0 4 ti,),, 0 0
Treatment Plant `
Copies
TOTAL r ' t ' I " ,
Page 2 of 3
• I I-00 S'-'3 C7
. ' . ' , ' .• ' - ;..2../0 /
. . -
EquityTitle Services. . . . .. .. •,/,./
Suite 200•6800 France Avenue South•Edina,MN 55435•(612)925-6800
PLAT DRAWING
(THIS IS NOT A SURVEY)
Legal Description: G0 T 7 g[.0C-,e—
/
i/4-.(_,S. .,
Property Address: /fid'/ C`/c37-,e-,46-1 ; 6.- f79
G, CST / j &-c Z_4,\-iC
I /00
z\
_ 10I
...._ 1
_i
Pte '
wI 16n 3S
,.C"'"N.,(....,,
J-_ - .
II NI 1N
4/ fr OtWi2r1\47'
al-0E 1)0.'3`E[ di . n
I 01/t/01 )/1.711/
3®r I \
I
1 >
I
L.... _ ___I
...„..7. ______. I____ ______
/0 D
( 1(301
"The location of the Improvements shown on this drawing are approximate and are based on a visual Inspection of the premises.
The lot dimensions are taken from the record plat or county records.This drawing Is for Informational purposes and should not
be used as a survey.It does not constitute a liability of the company and Is Intended for mortgage purposes only."
ETS 1031 (9/88) . •
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160795
Date Issued:04/15/2020
Permit Category:ePermit
Site Address: 1384 Crestridge Lane
Lot:7 Block: 1 Addition: Buffer Hills
PID:10-15400-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Elliott G Hawk
1384 Crestridge Lane
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162953
Date Issued:08/06/2020
Permit Category:ePermit
Site Address: 1384 Crestridge Lane
Lot:7 Block: 1 Addition: Buffer Hills
PID:10-15400-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Elliott G Hawk
1384 Crestridge Lane
Eagan MN 55123
(651) 249-8710
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169146
Date Issued:05/17/2021
Permit Category:ePermit
Site Address: 1384 Crestridge Lane
Lot:7 Block: 1 Addition: Buffer Hills
PID:10-15400-01-070
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 -
Elliott G Hawk
1384 Crestridge Ln
Saint Paul MN 55123--100
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature