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1735 Crestridge Lane. ,.._ . ... ..... _ : ... ;.;.... CITYOFEAGAN N? ;? 9377 ' ? 3830 Ppot Knob Road, P.O. Box 21•199, Eagan, MN 55121 BUILDI G PERMIT PHONE: 454-8100 ??7 N Receipt # ? Te be uwd }er . ROOFING Est Volue $1880 Date A UGIIST 8 ,1 q 84 Sitea,ddress 1735 .CRESTRIDGE LN Erect ? Occupancy R3 Lot 2 elock Z Sec/Su6. RIDGEVIEW ACRES Remodel ? Zoniny R-r- Percel No. Repair IM Type of Conrt. V Enlarge ? No.Stories. a Name , JOHN ZICARELLI Move ? Lenqth Address $AME Demolish ? Depth City Phone 452-0533 Grade ? Sq. Ft. . Approrab Fees Name ROBERTS ROOFING ?? Address 14709 W BLiRNSV7LL•F. PKWV ? cttv URNSVT .T.Fbnone894-4148 ? _. Neme _ Address City _ Phone ' ,I hereby ockrawledga fhat 1 have reod this applicotion and state that the inlormation Is.torrect dogree to wmply wifh all oppiicable ?.Sfote o4 Minnesot6 $totAf a d 'fy Eogon•Ordirqnces. ajuda SiOnature of Pertnitte A Building' Permit Is.issued t OBERTS OOFING all work sholl tie_dorre in acm once wil al? a lica e St Builditg.Off{Nol . . . . Asseument Woter 8 Sew. Police Firc Eng. Vlonnar Council Bldg. Off. APC Var. Date Permit ?a1•vv $urchorge 1.00 Plan check SAC Water Conn. Worer Meter Raad Unit Parks Total ? ? ? • ? ?+ _ on the express condition thol and City a4 Eagon Ordinances. , BUILDING PERMIT Te be wed for i20 Site Add?ess 1735 Lot L Block Parcel No. W Name JOHN ; Address ? b ..:... g Na,,.1e ROBERTS ROOFING ?? q?,ess 14709 W BiJRNSVILLE PKWY F lcity BURNSVILLF?none $94-4148 Name Phone I hereby acknowled9e thot I hove read this opplication ond the inlormation is wrrect and ogree to comply with oll State of Minnesotc $totutes'and City of Eogon Ordinant Sipnaturc of Pe?mitt. /1 Building Pe?mif is issued to: 4At work sholt be dons in accordonce with oN cppficable St ?- .; 7 Buildir?p Official 7- ? ? . CITY QF EAGAN j_:% : 93 "77 3830 Pilot ICnob Rosd, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Erect Remodel ? ? Occupancy kt3 Zoning Repair 99 Type of Const. Enlarge ? No. Stories Move 0 Lerqth Demolish ? Depth Grade ? Sq. Ft. Assessment Woter & Sew. Palice Firo Eng• Plonner Cowxil Bidg. Off. APC Var. Date on the exprcss condition thos Stotutes and City of Ea9on Ordinonces. . ?_ Permit fMo. Psrmit Holdx Date Pfum6inp H.VA.C. Elactric SMtemr Inepection Dste Inap. Other Footings Foundation Framiny Rauyh Plbp. Rouqh HVAC Inwlation Finsi Pibg. Final HVAC Final Cwt/Ox. Water Desaibe Lotation: VYsll ` Sewer Pr. Disp. CITY OF EAGAN Remarks Addition Ridge View Acres Lot 2 Bik 2 Parcel 10 64000 020 02 ownerClare?.xF '-' HiIdo tiusFb +.1 << Street 1735 Crestridge Ln. 5tate Eagan, MN 55122 J Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ;7_- 1977 1418.20 141.82 10 850.92 C005505 7 29 80 STREET RESTOR. GRADING 5AN SEW TRUNK o 30 PAID '30* SEWER LATERAL 2 PAID WATERMAIN *WATER LATERAL 20 WATERAREA P id ith w t T onnecti n 9 7 STORM SEW TRK 1983 561.00 37.40 15 561-00 STORMSEW LAT ? 4$9.46 C005505 7/29/80 GURB & GUTTER SIDEWALK ? s STREET LIGHT WATER CONN, $320.00 9037 9-17-73 BUILDING PER. sac 260.00 9037 9-19-73 PARK Receipt ?-1-?5 PLUMBING PERMIT CITY OF EAGAN Fil1 in numbered spaces Type or Prini legibly Date ? 2.Installation 3. Job Address 1;; Permit No. 'f' Fee `? . C_; L s/c , ?(: Tot. -C _, 1 4. Owner l?'-tl( ,N 5 5. Contractor ? i : ?.1avi'al??ll dV?? YJ s. Address 702 Excelsicr Ave. F. HopkiRs, F1i?na - c_3 5Z-'?'3 7. City State 4- I b;,;J ZiP 8. Building Type: Residential X Cnmmercial ? Institutional ? 9. Work Description: New ?I Add ? Alter ? Repair ? 10. Describe (?! . r'1_4 I -L f No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory $oftner ShO'^er Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes goverping his type of work. .? Signed : for ' Rough Ffnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 EAGAN TOWNSHIP BUILDING PERMIT DESCRIPTION N° 907 Eagan Township Town Hall Dale 2`0/?-rfG . __ .. L .. ............... ..- 5iories To Be Used For Fron! Depih Heighf Esi. Cos! Permi! Fee Remarks ?S'e.ri ?.S, LOCATION Sireel, Road or oSher Descripiion of Locaiion Lo3 Block Addilion os Trac! This pexmii dces nof authoxize the use of sYreefs, roads, alleps or sidewalks nor does ii give the owner or his ageni the righ! So crea2e any siluaiion which is a nuisanee or whieh psesenis a hasard !o the healfh, safefy, convenience and geaesal welfare Yo anyone in the eommuniip. THIS PERMIT MUST BEg?g EPT ON '£HE P,R£MISE WHILE THE WOAK IS IN PROGRESS. This is fo cerlify, Shaf...Y..:.....?<H---......................has permission !o erect a...............:?:........ ._ _....... .....------ upon !he ahove /d/esaribed premise subjec! 30 the provisions of the Building Ordinance fox Eagan Townsh opied April 11, 1955. ??-'`? .............................................. ......i-"=- B--'-................. Per _......_..........._..... ? -- ............ Per Ch _?:? '... ___'...__9... airman of Tnm? oard Buildin Inspecios tLS ? -? TOWN OF EAGAN 3795 Pilot Knob Roacl ;:agan, Minnesota 55122 The Board of Supervisors hereby grants to nev° HeF:ti.tlg & Air Gondi,tiariiug Co. Inc. o f 13075 Planeer Trai}., Eden Prai.rie, P^IN 55343 PERMIT N0. 177 Zfdguta-') a He4ting Permit for: (Owner) iiue, I er at 17e, r'-"'='%`'Jage Lanpa , pursaant Yo application dated 2!?3l72 . Fee Paid: Dated this 2.5th, day of . s . i+ ebruary , 197? . Building Inspector ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN I ) Repair: Enlargee Move: Demolish: Grade: To Be Used For: k-cd??/1? Valuation?? . ? Site Address: v Lot: 01? Block:-Z Sect/Sub:??eJ Erect: Parcel #: ? ares Remodel: Owner: 2:e A r Q L.L,. Address: / 72{' G rPr?` Gr ????P Lti City/zip Code: rV,., _ ?- Phone 63-3 Contractor: Address: City/Zip Phone # : _ k 9y - Arch./Eng: ' Address: City/Zip Code: Phone#: INCLUDE 19 SETS OF PLANS, Q CERTIFICATES OF SURVEY 0 SET OF ENERGY CALCULATIONS Date:_!? L . ? • • Occupancy: R-3 Zoning: Y_ Type Of Const: ? $ Stories: Length: Depth: Sq. Ft.: _ n `\ , ?Assessments: , Water/Sewer: Police: Fire: Engr.: Planner: Council: Bldg. Off.: APC: Variance: ? Permit: Surcharge: Plan Rev.: SAC: Water Conn: Water Meter Road Unit: Parks: EA?GAN TOWNSHIP BiJILDING PERMIT Owner? '-"---"----.- -------------------- ---.-.__._. Address (preseni) ------- )--? .... ... Builder .--'- /4v?=__-"'-°'--`-----'-'------_..-------------------- Address ........ DESCRIPTION N2 7ot Eagan Township Town Hall Da2e .?.. .......'.... /"""--- Siories To Be Used For Fronf Depih Heigh! Esl. Cosi Permi! Fee Remarks - Eha-*ir --man Per ------'-'-"---'---------------...--------------------'--`----`-- Chairman of Tnwn Board ? Building Inspeetos This pezmii dces not auShorise the use of sireeYS, roads, alleys or sidewalks nor does it give the owner or his agenf the righlfo areate any siivaiion which is a auisance or which presenis a hazard fo the healih, safety, convenience and general welfare fo anyone in the communilp. TFIIS PEAMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS. Thia is fo cerYifY, ihaf----------------------------------- ----------------------------- has permissioa !o ereci a----------------------------------------- ............ -------- upoa the above desexiAed premixe subjeci fo the provisians of the Building Ordinanee for Eagan Township adopYed Apxil 11, 1955. WAYER SERdlCE PERAAIY vaLnce oF Eacaa - -- RA93T NO.:._ _.131---- _..- PG 3795 Pilot Kno6 Road ?ATe, -- Eogan. MN 55122 j . _- No. of Unils'. ---------?--? Lnnink? R-i- Uwnet - _ ? - - - ? Richarsl E. Klain. __ -/ - - - -- - ndare,s - 1735 Cresttid9e_I -- AnO--- siie naales, _ & ching e =CAva-t-'A9_ - _ -_ ft vi?,rt,,r: _ Weierke Ar - - n Ghazge320.00_,R_d - t M,ter Ne- 22$13732 io Connec .._- 15.00 pd_ 5/8 Rock. - AccountDePosit:?- Sizc. 475486 __. Rcader No.: - - ??- Pemu[ Fee: - ----?--"-- -p -- - ? to comply with the Village of Eagm Surcharge: ------- i ogree $-54-g? --"- Misc Chazges: --- Qrdinances. y? fG ? / ?? . __- ?- Total: llate Paid ?- - ._- gY ? _: ? • Insp.: _ -- - - Oate of sp : 02i24/93 14:26 DHKOTA COUNTY-iJESTERN SERU. CTR. Ordinance No. 114: WELL AND WATER SUPPLY MANAGEMENT MUNICIPAL NOTICE OF WELL PERMIT APPLICATION 001 bAKQTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT WATER AND LANI] MANAGEMENT SEC710N 14955 Galaxie Avenue West, AppIC Valley, MN 56124 Telephpne (612) g91-7011 - Facslmlle (612) 891-7031 DATE: .ZJ Z4- T1ME: z,'36 nM Pnn SENT: FaxyC MaliOther? TO: TirLe OZ. FROM: ? L okJ ? til ,,< ? RF-FERENCE: Pz"'U't 13-90 3S? weu. PEFIMir . NOTICE; The Water and Land Management Section of the Dal<ota County Environmentel Management Department has recelved the following permit apptlcatlon(s) for the well(s) described. ' 1f yau require furthet revEew of this application(s) or if you have any questions or concorns about it, contact the Environrrmental Spectalist listed above or our office at teiephone (812) 891-7077, If there is np response from your offiCe wfthin 4 hours (exCluding Weokonds an8 holidays), Water and Land Management staff will assume that you have no objections lssuance of the permit{s), Please note that pormlt issuance is always cvnditianed vn the permit appllcant's observance ot and compliance wlth ali applicablo laws and codes. A copy of the well permitisy will be forwarded to your ofiice when complated. bESCRlPTION; . PROPERTY:OWNER k?I??1Q'iYY1 In$G!'i'CAL_ WELI11f airreren,) LOCATION OF WELL(S): ADpRC$5 r755 PUBLIC LAND 5URVEY COORDINATES:_Uh_UF_UF OF SECTION R.`W., MUNlqAAL1TY: taC?? PROPfH7Y ID N0. Ia k40,a(] Q?Q WELL CONTRACTOR: Mo(A.&Yt.IGe.-• LICENSE N0. 976pD9 APPLICATION REGEIVkD _P,,r? SU6CONTRACTED T0: PERMIT 7YPE; N[W CONS7RUCTI N FtL•CON57RUC1'ION R6PAIRINO Psrmit Raquiied) PERMAN[N1' SEALINGANNUAL MAINTCNANCE: TC-MORARY CAPPING RECLAIMED-USE REGSSTERBD-USE nRIMARY USE OF WELL(S) ? CAStNG bIAME7CR ?r INGliES; LENGTH ?FEEf; WELL DEPTH ??S FEET; AQUIFER f A(/7I'jMS A1,,•,{-!? CpMPLEI'ED: OP[N HOLE SCREENC•D. ; ANTlCIPA7Ep DfiILLING/SEALING DATEII(Known):_ ?-1 04- T""" COMMENTS; R-94% 612 891 7031 02-24-93 02:24PM P001 #1 vvECL axn WELL PERMI'r AKOTA COUNTY ENVIItONMENTAL MANAGEMENT DEPARTMENT WATER AND LAND MANAGEhIQqP SECITON - 14955 Gd.ide A?saoq App1e VaIle9,1?W 53124 . Tdep6anp (612) fl?11-7011 Permit No. 93-9035 AHEREASi the NON-TRA2ISFERABLE PERMITTEE/DBA: Malenke Water Service, Inc. ISSOED TO# 27600 ADDRESS: 10550 Co. Rd 81, St. 206 REVIEWED BY RS Maple Grove, MN 55369 has submitted a permit application, has paid the sum of one hundred eight dollars ($108) to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to permanently seal the well described herein: One abandoned well with a casing diameter of four (4) inches, depth of three hundred thirty five (335) feet and completed in unconsolidated drift will be permanently sealed. The well shall be cleaned of equipment and debris, disinfected, neat cement pressure - grouted and terminated at least two feet below grade. The well is located in the municipality of Eagan as follows: Well Location: Property Owner and Well ownar and Address (if different) Address (if different) R. William Inserra 1735 Crestridge Lane Eagan, MN NOW, THEREFORE, Malenke Water Services, Inc. is hereby permitted and authorized to permanently seal the well described and located above for the period February 1993 to February 1994 subject to all provisions of said Ordinance, the Minnesota Water Well Construction Code and any conditions attached on the reverse side of this permit form. Given under my harid this 23rd day of Feb 1993. ATTES ENVIRONMENTAL SUPE OR ENVIRONMEN MANAGEMENT DIRECTOR mmnesoia weu ann oonng WELL OP BORING LOCATION MINNESOTA DEPFRTMENT OF HEALTH Sealing NO. H 2957 6 CountvName WELL ANO BORING SEALING RECORD Minnesota uniQue No. DAKOT9 Minnesofa 5(afufes. CRapfer 1031 orW-series No. ILea.e barw 1 ri ,ro-I Township Nama iovmsmp No Range No Secton No. Fmcuon (sm Ig.7 Dete Sealetl Approvimata Date Well EAGAfl 2 ?' ) L ?-- i J ? ? S 02/25/93 orBoringConsvucietl z 'f . J ?a Q ra Numericai Sheei Aderess or Fire Nu ber anp Gly oYWell or Bonng Locauon 33$ 1735 CRESTRIDGE LANE, EAGAX, N?i 57122 u. oePih 130o,esearn9 0r[9inaioewn it. SM1Ow exacl lrcalion ol well or bonoq Sketch mTp otwell or boring Slalic Water Lavel RACCwale m sxtion gritl wi1h X localion. sM1Owing propedy lines. tl l ? Appioximale s. antl bm tlmgs. N roa -? --' _?- -? ?SingleAquiler0 MWtiaquJer 145 R belowb?W aboveland sutlace - - - CASMGlVPE W E Sieel ? Plastic ? Tile ? Other - i S A i Io 3-35 k. OpenHOlelrom lo ft. Screenimm _-?I 1 ""'?` - 1 I OBSTPUCTIOIUDE8NI5lfILl ? ObsVUCtpn El Debns ? Fill PHOPERTY OWNER'S NAME WILLIAM & Kitt1 IN5Ex&A Typeol tlebrislobsUUClion Mailing AMress il tliRerent Ihan proOehY atltlress Intlicaled ab0ve. OOSWCtIONDBbnslFili remave0? ? Yes ? N. PUMP fiemavad ? Not Presenl ? Other CASING GEOLOGICALMATERIAL COLOR HARONESSOF MOM TO FORMATION Diameler Dep?h Se? in oversize ?ole? Arvmlar space initially grwted? II nol known, intlreate estimaletl lormation log trom nearby well or boring. 34 ia vom 4 ro 336 n. ? Yes JNO ? Yes ? No ? unkrwwn in. irom la k. ? Yes ? N. ? Yes ? No ? Unknown in. irom to k. ? Y. ? N. ? Yes ? Nn ? Unkiwwn METHOD USED TO SEAL ANNUTAR SPACE BETIVEEN 2 CASINGS, OR CASING AND BORE HOLE: No AnnWar SOace Exists ? Annular space gmuted with nemie pipe ? Casing Pedordlion/Removal in. fmm lo fl. ? Perfoaied ? Removetl in, from lo il. ? Perloratetl ? Removetl Type oi peAorator ? OIhM GHOUTING MATERIAL GmutlngmatenalNEAT i+CYtGNT Irom Z t0 33J k. yards 29 bags Irom to tt. yattls _ bags REMARKS. SOUFCE Of OATA, OIFFICULTIES IN SEAUNG irom ro X. yartls _ Oags DAKJtA COf3NTY 2EQGI4°D NEAT CE.`tENT hom to h. yards _ bags FOR DRIFT FORMATI6H..•. pNSEALEOWELLSANUBORINCaS Other unsealetl weli or borinq on OropeM1y? ? Yes M N. IICENSED OR REGISTERED CONTRACTOF GEHTFICATION This well or bonnq was sei accor0ance witM1 Minnesota Rulas, Chapler 4725. The information contained in Nis repotl is Vue lo flie Oast oi my knowletlge. MALFVKE G'ATER SERYICES 27600 1 ConfracloiBusinewName , Gicenseof RegislralionNo 02/25/93 PID# 10-64000-020-02 aw7ddep?esenlahv?T , oa?a ltY?(7Y MALENKE / JESSB MALE?fYE LocnL coPr c H n S B p ealirg Well or Name o/ Penon o ng a;k HE01434-0t ,? 02i24i93 14:26 DqKOTR COLINTW=WESTERN SERU. CTR. 001 flrdinance No. 114: WCLL ANU WATE% SUF'PLY MANAGCMGNT MUNIGIPAL NOTICE OF WELL PERI1II17 APPLICA71aN DAKQTA GOUNTY ENVIIiONMFNTAI, MANAGEMENT DEPARTMEN7 WATER AND LANb MANAGEMENT SEC710N 14•955 Galaxie Avenue West, Apple VaNey, MN 56124 Telephpne (612) 891-7011 - Fscslmlle (612) 891-7031 ' DATE: .Z' 24 '1"IME; 2.;30 qM pM SENT: FadC Mall- Other^ To: C? r(tor9- /W~u Sch4x?0 Z 1?8i - vI? FROM: ?Ow/ J ? '??ti+.?? REFLFiENCE: ?-/uv?.ct R3-9o 3S- wELL Peq 17 N0, NQTICE; The Water and Land Managemont Section of che qaltote Covnty Environmentel Managemerit Department has recelved the following permit applicaClon(s) for the wall(5) described. If yau require furcher review of this appticatlon(s) or if you have any quostlons or concorns about it, contact the Environmental Spacialist listed abave or our office et telephone (812) 891-7071. !f there is na response from your offlce wlthln 24 haurs (excluding Weokands anH hoildays), Water and Land Management staff wtll assume that you have no obJections Issuance of the permit(s), plebse note that pormit Issuance is always conditioned vn the permiC appllcant's observance of and campliance with ap applicable laws and codes. A copy of the wel) permit(s) will 6e farwarded to your ofiice wtien comploted, DESCRIPTION; ? pROPERTY;OWNEfl ? Wl??f/.l/YI'1 1179e"k- WELlfll Uif}crem? LOCATION dF WELL($): qDpAL•$5 _ J7,5, PUBLIC LAND SURVEY GODRDINATES;_Uh_UF?UF_OF SEGTION 45,T&5IV., R.`W., MUNICIPALITY: ?GiqGiv. PROPEIi7Y ID N0. /0 ?D 4(j?{') D?vp (F??•?7"??--• WELI. GONTRACTbR; A4 WLt1'tlGe, LICENSE iJO, e76oDO APPLICATION REGEIVkD? ? 11 oll'? 3 SUBCONTRACTtb TR: PC-RMIT 7YP£: NCW CONS7RUC71 N RGCONSl'RUCl'lON fiEpAlR(NO Permit Roqulrod! PGRMANCNI' SEAI.{NGANNURL MAWTCNANCE: TEMpORARY CAPPING REGLAIM£D-USE ,KJ ftEGISTERED-USE PIiIMARY US[ OF WELLRSI - CASIN6 bIAME7[R INCIIES; LENGTH _ 1 7 fE[T; WELL DEPTH ff-3S FEET; AnUIFEFi pi cw?t-hCUMPLE7Eb; DP[N HOLE SCREENL•p. • , ANTICfPATEO DfiILLING/SEAIING DA1'EiII Known): --'--?--? -F-?--- COMM[NTS: R=94% ?612 891 7031 02-24-93 02:24PM P001 #1 /l // /.oz /?l"/ , (sCd" M nnesota well antl bonng ^ wELL OP BOHING LOC noN MINNESOiA DEPARTMENT DF HEALTH Sealing No. , ? ? H J ComiY Name WELL AND BORING SEALING RECORD Minnesaa v^ique No I OT e No Minnesofa Slatufes. Chapler 1031 °e W?Br f A BA x irevivir' Township Name Township No. Range No. Section N. " Fractiiw (sm. .Ig.) Dale Sealed .. Appro?imete Dale Well ????'??????ed ' EAGAfl J 1 1 ? ? / ' ' ' 02/25/43 . ,< ,e w Numericel SVeel NtlGress or Fire Number antl COy ol Wetl or Boring Location 335 1135 CRESTRIDG$ LAgEt EA6Al1* M9 55122 IL DeplhBelore5¢aling OrigivalDe4th K. ShowexacllxalionofwEllorhoring Skelchmapolwellorboring 5laticWalcrLevel JjACeura(e in seclion gritl wAn -X". location. showinq propetly lines. ? AppmRinietb roatls. antl boiltlings. N ?SingleAquiler El Multiaquiler ?nbelaw+?-abovelendsutlace I - I -?- -?- CASINGLYPE - W emik leel ? Plastic ? Tile ? Olher - i I . . .. QQ( ' S ? . to II. Screen Irom lo ?^+r- ft. Open Hole Irom H-rm?k-?I - . OBSTRUdTIONNEBRIS/FILL .. ,. ? ? Fill De0ns ? Obstructbn PROPEqTYOWNEN'SNAME WILLIAN & Kitty INSERRA Type ot tlebrism6iVOCtion Mailing Pedress il dilferenl Ihan propeny address intlicaletl a0ove. ? ObshucUONDebtla/FllI rertwvetl? ? Y¢s N. PUMP ' Removed ? Nd PreseM ? Other CASING ' GEOLOGICALMAiEPIAL COLOIi HARONESSOi FOHMATION FROM TO ' ' ' " - t l m A i e nitkiry grou n +mar specc ?iemeter Depih Sel in aversize fiole? II not known, indicale eslimated brmalion log irom neaiDy well or boring. .?n , ,.y y? 34 in lran 0 to 3`? fl. ? Vas V No ? Yes „G Unknown 1 . ia lran to M. ? Yes ? No ? 1'ef ? No ? Unkarown mJrom lo fl. ? Yes ? No , O Vea ? No ? Unkmwn NEiHDO USEU TO SEAL ANNULAR SPACE BETWEEN 2 G1NN65, OH C1181NG RNO BdNE HOLE: '.... No Annular Spece Exisls . ' , . .. ? Annular space gmuted wiM Iremie pipe ' . ' ,-1 ' - . . . LJ Casing Perfaralian/Flemoval in, fmm 10 fl. ? Pedoreied ? Removed ,. io fmm ta ft. ? PedMeled ? Remaved Type ol padorabr . . . . . ? O?her . .. . . ._ ? .. :. . . . ? ?. : .. .., ,' . GROUTINOMAIEPIAL . GroutingmatenallEAT CC?r1'+irr Irom ` to 935 ry__ yerdi . Z!..: pee5 1rom to tt. yeMa - Ue9s REMFRKS, SOUPCE OP DATA, OIFFICULTIES IN SEALIN6 ' irom•.- lo 8. _ YaMe - ba9s BAROtA fAU[iTY BFQDI&ED NS1T CENSiiT b egs Irom 1o R? yeks FaR narFr FcrWrrON.k M? UNSEAIEU WELLS ANO 90FING3 Othar unsealeA well or boring on prcpeny4 ? Ye3 M Nb . ,. , ,,, . , ... , ,.. . ` . , . . LICENSEO OH qEGISTEREDCONTHACTOR CEHTIFlCRTION t, This well or bonng was sealed'm accoNance with Minnesote Rulas, Cheptei 4725. ihe inlor'vialidn conisinad in Iliis repon is Ime lo Ihe besl ot my knowleEg6. xracao Conbedor Buainess Neme - } -Licanse w Regisfrenon No. .. ,'"// • • A. ? '`, n.? : ..:,:. V 7 PID# 10-64000-020-02 nzed ePresen Nve - Da?e N PfALHA[E ! JE5SE FIALE?g$ ?? CO" •^ H 29576 S B . ealirg Well ar onnB _ .._,,.. ... . , ,.. Name o! Person HE0148401 EAGlaN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454•5242 PERMIT FOR SLWER SERVICE CONNECTION DATE• 12/29/72 OWNER: Richard E. Klein PLUMBERWeierke Trenching & Exc [J[Mgg,R 1409 Address 1735 Crestridge Lane n7-c.?) let4Et)/[..1 w TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILAING Industriall Commercial' Residential Multiple Dwelling No, of units Location of Connections: Connectioa Charge 260.00 pd Acct. d,?p.Opaia 12.20 Permit Fee ? 0 P / 9/72 .50 P 72 SCreet Repairs ToCal Tnspected by: DaCe Remarks• By Chief Inspector In consideratioa of the isaue snd delivery to me of the above pexmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan To?-mship, Dakota County, Minneaota By. _(/ .? d1 ?e? Weier e Trencbing & Exc. Please notifq whea ready for inapection and conxiection aad before any portion of the work is covered. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION \ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConstructionReauiremenGS RemodellReoairReauiremenLS ORas.:UseOnlv 3 regstered site surveys showing sq, ft. of lot, sq. fl. of house; and all roofed areas 2 capies of plan Cert nf SuiyeylRecd _ Y _ N (20% maximum lot coverage aliowed) 1 set of Enertgy Calculations for heated additions Tree Pres pIaF1 Recd' _ Y _ N. 2 copies ol plan shovring beam &window s izes; poured found design, etc. 1 site survey foradd'Aions & decks Tree Ptes R6yuired _ Y _ N lsetofEnargyCalculadons Addi6on-indiceteilon-sdesep6csystem . 4n-siteSepticSystem _Y _N. 3 copies of Tree Preservation Plan if lot platted afler 7/1193 Rim Joist Detall Opilons seledion sheet (bldgs with 3 or lass units Date Y / ) / /_O? Construction Cost 0 U Site Address ?? 35 ('i ???-iTRi p&'rn:? Unit/Ste # L-7- Description of Work P(jY BASSMEWT Multi-Family Bldg _ Y'?4 N Fireplace(s) _ 0 >,1 _ 2 Property Owner FA() ul?fT L E CL,SOIv Telephone # ( ? ) 6f{G2 •_S??'?3`f? Contractor J'S" :S ,/ ,T:Z- Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv l Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionrype) Submitted SubmiUed • 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. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone Telephone I hereby apply for a Residential Building Permit and acknowledge that the info tion is com#1u8,afid accurate; that the work will be in conformance with the ordinances and codes of the Cit e of NIlV 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. PA ULC l ra CS L_,Sa I'J Applicant's Printed Name ApplicanYs Signature OFFICE U5E ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibq,?vor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 ? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 ? 34 Replacement 'Demolition (Entire Bidg) - Give PCA handou[ to appticant ? Valuation Occupancy MCES System _ Census Code Zoning /-I City Water _ SAC Units Stories ` Booster Pump _ # of Units Sq. Ft. - PRV _ # of Bidgs Length ? Fire Sprinklered _ Type of Const Width _ Footings (new bldg) _ Footings(deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final ? Framiitg - Fireplace _ R.I. _ Air Test _ Final ? Insulation Approved By: _ Base Fee v ? Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Suroharge Treatment Plant License Search Copies Other Total ? 30 AccessoryBidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinallC.O. ? Final/No C.O. Plumbing ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick Windows _ Retaining Wall Building Inspector ? 2004 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/condos when pemilts are required for each unit 3? Date (1 / 0p / a y' Site AddresO T-5 SckGST 2 I pri. rc (•-•1N W E Unit tt Property Owner Rnt V(.e ?? C ('S Ohi Telephone #((7 Contractor Street Address City State Zip Telep6one # ( ) Bond #: Espires: The Applicant is V. Owner _ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger air conditio er New Replacement ? other ?-• State Surcharge $ .50 Tocal $ 3?. SU I hereby apply for a Residential Mechanical Permit 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 ffie Mechanical Codes; that I understand t}ris is not a permit, but only an application for a permit, and work is not to sCart without a permit; that the work will be in accordance with the approved plan in the case of work which requues a review and approval of,plmvs, (,E71 CZ- 0 0 A) ? Applicant's Printed Name Applicant's Signature 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dweilings. ??? Date /0 l /Y I -22co L1 Site Street Address i Unit # Property Owner Telephone #V,51 53a Contrector Telephone # ( ) Address City State Zip The Applicant is: ?(Owner _ Contractor _Other Alterations to existing dwelling ZAdd fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" me.?ter?is r?equired) Other. 6O?.GR.''?? ? A ??'- $ 50.00 Water Softener _ Water Heater _ replacement _ additionai $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total b $ 0.0 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and pppr_oved. I-?PVL.?l 7-E aLSdA) ApplicanYs Printed Name Signature ?? OCT 1 8 2004 "I ?? ?? 6r) 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conswction Reauirements 3 registered site wneys shoWing sa. ft. of lot, sQ. ft. of house; aM all roofetl areaz (20%mazimum lot coverage allowed) 1 Soils Repan'rf proposeC building is to be plxed on disNrhed soil 2 copies of plan showing 6eam & windax sizes; poured tound design, etc. 1 set of Energy Caiculauons 3 copies M Tree Presenatim Plan'rf lot platteG after 711193 Rim Jasl Detail OpGOris selection sheet (6uildings with 3 or less uni6) Minnegasco mecfianical venfila6on form RemodeUReoair Reauirements Qffice Use Onlv 2copieSOfDlanshowinqfoo6ngs,beams,joists Cert otSurveyRecd Y N 1 sel ot Energy Calculalims for heatetl aCdi6ons Shcs Report _ Y_ N 1 site survey for additions & decks Tree Pres Pian Recd Y N Addigon-irWicateifon-sdesepficsysfem TreePresRequired Y _N On-site Sep6c System _ V_ N Plans are considered ublic information unless ou state the are trade secret and the reason. D•rte _9 / 27 /0-) Construction Cost Gqc? 6 SiteAddress _173S- wl,a-? RR?Q. /-7• UniUSte # Description of Work Multi-Family Bldg _ Y 2? N Fireplace(s) _ 0 _ I _ 2 PropertyOwner Q'rtvf42 0(10h Telephone#(?J/ Contractor RICK'S ROOFING & SIDING INC. Address ?.?.?.rB?1611TAN, AAN 66712 City State 651-633-6395 Zip Telephone # ( ) COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minneso[a Rules 7672 Ene?gy COde Category . Resitlential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Su6mitted • Energy Envelope Calculations Submitted In the lasi 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, dafe ard address of mcster plcn: _ Licensed Plumber ielephone #( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone #( ? l 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; 1 understand this is not a permit, but only an application for a permil, 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. sl oar7 l??vlr,po la le,' - ? Applicant's Vrinted Name Applicant's ignature A ? AUG 2 8 2007 RECORD OF COMPLAINT Date Ould II ' Complaint taken by -?ffl Type of buflding w1d$hfial Name Address 173 Legal description - Phone number Complaint _ WAPn 1n I0?a I@NPl Action taken Comments Signature vlLt4GE o� Eg iAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 1310 Eagan, MN 55122 DATE: 9/20/73 Zoning: No. of Units: 1 Owner; Richard E. Klein Address: Site Address: 1735 Cres tridge Lane Plumber: Neierke Trenching & Excavating Meter No.: 22813732 Connection Charge :320.00 pd Size: 5 / 8 Rock. Account Deposit: 15.00 475486 posit pd Reader No.: Permit Fee: 10.00 pd 1 agree to comply with the Village of Eagan Surcharge: . 50 pd Ordinances. Misc. Charges: 8.50 pd 6-7 < Total: By L ' L ��L c..- - w _ Date Paid: Date of Insp.; Insp.: DESCRIPTION OF BUILDING Industrial Commercial Residential Multipl Location of Connections: Co Pe St To i In . Da T Re �City atEagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use I 51 Permit #: Perm Fee: 105-)C Date Received: Staff: L 711(,/3 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: r �� Address / City / Zip: Applicant is: Description of work: Construction Cost Company: J Owner Cy --e51-1-1 ctn-e Phone:IJ t "VS EA7 Contractor Lock r Q() Multi -Family Building: Contact: _/No 4() Address: City: State: Zip: „„ Phone: License #: lJ� ! Lead Certificate #: 1 Y 1T` 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 information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to rm conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali 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 1 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 approvf plans. Exterior work authorized by a building permit issued in accordance with the Minn days of permit issdance. Appiicants''Printed Name completed within 180 Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA143025 Date Issued:05/30/2017 Permit Category:ePermit Site Address: 1735 Crestridge Lane Lot:2 Block: 2 Addition: Ridge View Acres PID:10-64000-02-020 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Amy Casperson 1735 Crestridge Lane Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175004 Date Issued:03/07/2022 Permit Category:ePermit Site Address: 1735 Crestridge Lane Lot:2 Block: 2 Addition: Ridge View Acres PID:10-64000-02-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Amy Casperson 1735 Crestridge Ln Eagan MN 55122--114 (612) 559-5007 Budget Exteriors 8017 Nicollet Avenue South Bloomington MN 55420 (952) 887-1613 Applicant/Permitee: Signature Issued By: Signature