4006 Cedar Grove Lane
Use BLUE or BLACK Ink
r
For Office Use 1
Permit*
City of EaEd I Permit Fee: 3 I
y I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 10
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 1 Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: r Lr Site Address: Wc -W06 C ett~y 64yue . &t-u((_ Unit
C m
Name 6) iLel . s -1C~~I,iG4l y- ( t L` Phone:
Resident/ r p > f
Owner Address / City / Zip: SO t(,
Applicant is: Owner ` Contractor
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-
Type of Work Description of work: ~~.~~'~(~IT 1-4/1 ! ~2 rlt✓
Construction Cost: Ji Multi-Family Building: (Yes / No )
Company: Ne- iL' t S Viii' f `f ( c' Contact: u` ( fc I f [=J ; 1 f
Contractor Address: / e G` cl- city: `C-
State: Zip: Phone: j 3 7.;~.~'9f Y
M/,/
License 1 ( .Z 2 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 information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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. }
x -
Applicant's Printed Name Applicant's SignatL e fi
Page 1 of 3
Use BLUE or BLACK Ink
� For Office Use ` �
� ���� 0 �
Cit of�a a� i Permit#. j
� � ,
� Permit Fee: ���� �
3830 Pilot Knob Road �
Eagan MN 55122 j Date Received: �
Pho�e;(651)675�b675 � I
Fax:(6511675-5694 � Staff: 1
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2014 RESIDENTIAL BUILDING PERMIT APPLICATtON
c� e�da.r G��.�e t..� �a��► +r�N
Date: t�'� l�"` �� Site Address: ��c�C� '" ����` ���{"��O�P Unit#:
Name: Phone:
Residentt
Q���� Address 1 City/Zip:
! Applicant is: Owner Contractor
Type Cf UVOr�C Description ofwork: e�c d..����ron�j V��.e.�
` Construction Cost� �0 C�O Multi-Family Building: (Yes /No_)
' Company: i c�.l t�`Contact: �('C �t�"'� ��_
_ �-
Address: �J J.�' I�t�'f` �T • City: L--�"�-(-�
CQt1�1'BCtOC ���� � � �,
" State:��J Zip: �S�1_ Phone: CD i�"�'f t�°���Email: d°
License#: Lead Certificate#:
If the project is exempt from (ead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA UNLY 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 8�Water Contractor: Phone:
Mt?TE':Ptans and supportin�;dacuments tft�rt you sub�mit are consider�al to be�t�blic i�#v�rmafior�. Pot�icrns o�
t�1@ lilfQt71►.9'R�10li/ile'#j/bB C/8S5�f1�a'1S t!Q#t plf�1!'C;�f JlC?11�11'�V%t��S�i�.'C%ftC/`I@itSQtC1S'�i�l'f iAIQiIIt��i!@�Y�%t�f+B;.(il�j/f4 `
; canclude tttat m� are�trad,e s+�criers.
CALL BEFORE YOU [31G. Gall Gopher State One Call at(651)454-0002 for protedian against underground utility damage. Cai148 hours
befor�you intend to dig to receive locates of underground utilities. www.popherstateonecall.org
1 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 ! understand this is �ot a permit, but only an application for a permit, and wrork is not to start without a permit; that the work will be in
accordance with the approved plan in the cass of work which requires a review and approva!of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota 5tate Building Cade must be completed within 180
days of permlt issuance.
. ,.:�
x ��-f�� }�t�I't'lCc�1� x,/�G��'�_ .,�/
Applicant's Printed Name Applicant's Signature
Page 1 of 3
'
i
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146089
Date Issued:10/09/2017
Permit Category:ePermit
Site Address: 4006 Cedar Grove Lane
Lot:4 Block: 01 Addition: Nicols Ridge 2nd
PID:10-50901-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Susan L Quisenberry
4006 Cedar Grove Lane
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156207
Date Issued:06/20/2019
Permit Category:ePermit
Site Address: 4006 Cedar Grove Lane
Lot:4 Block: 01 Addition: Nicols Ridge 2nd
PID:10-50901-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Susan L Quisenberry
4006 Cedar Grove Lane
Eagan MN 55122
(651) 278-2775
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
r EEET' ?
* EAGA
EAGANJI � p�,. Date Received: -(q-1 /_
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JUN Iii( ''
(651)675-5675 I TDD:(651)454-8535 FAX: (651)675-BY 9 e Staff:
J
2019 RESIDENTIAL BUILDIN IT APPLICATION
Date: 06/19/19 Site Address: 4000 - 4006 Cedar Grove Lane Unit#:
WER,S ,; 'del' -5<ao 6,
a Name: Nicols Ridge Summit Homes Phone:
} Resident/ 7100 Northland Circle, Suite 300, Brooklyn Park, MN 55428
i Owner Address/City/Zip:
P
Applicant is: Owner ✓ Contractor
Description of work: replace entry stair treads and risers, install bracing for treads
Type of Work p i
7800.00
Construction Cost: Multi-Family Building: (Yes ✓ /No )
Company: Keran Home Services, LLC Contact: Tim Keran
Contractor
Address: 265 Fillmore Ave E cit,. St Paul
MN . 55107 651-334-68% timkeran@hotmail.com R
State: Zip. Phone: Email: timkeran@hotmail.com
CR593945
License#. Lead Certificate#
If the project is exempt from lead certification, please explain why: I
2006 construction
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?
I
Yes No If yes,date and address of master plan: !
Licensed Plumber. Phone:
i
I
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone: I
I
Fire Suppression Contractor. Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as nonpublic If you rovide apecfic reasons that would ermit the-city to conclude that ffie1 are.,trade secrets-
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
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.
I hereby acknowledge that this information is complete and accurate;that the work will be in - • a « 'th 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 -•rk is not to st• hout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approal of� -•
x Tim Keran /'`r" -
,,�►j
Applicants Printed Name Ap•fit"-"'r ,to
i
. ��(), 4o�� L f , q� ( 73
DO NOT WRITE BELOW THIS LINE
SUB TYPES
ar6 r-ov-� (_.q ,,p
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
— Single Family ` Garage — Porch(4-Season) __._ Exterior Alteration(Multi)
_ Multi _ Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of-t Plex Lower Level T Pool Accessory Building
'K -- - —
WORK TYPES
_ New — Interior Improvement _ Siding _ Demolish Building'
_ Addition — Move Building _ Reroof _ Demolish Interior
_ Alteration Demolish Foundation
— Fire Repair _ Windows _
Replace _ Repair _ Egress Window Water Damage
— Retaining Wall 'Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 0'3 Occupancy MCES System
Plan Review Code Edition ii*11 u if SAC Units
(25%_1 00% ) Zoning (0 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of ConstructionWidth
REQUIRED INSPECTIONS �-t'
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVACService Test Gas Line Air Test_Hood
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: ______424_,Building Inspector
RESIDENTIAL FEES C
Base Fee 007
1111111
Surcharge 141;a11-11' f e.2.
Plan Review / ��
MCES SAC 191 Z i S rill/P/1
City SAC
Utility Connection Charge r 1/04/d
S&W Permit&Surcharge 11 i
Treatment Plant �L'r\ 41
Radio Meter Read
Copies
TOTAL
Page 2 of 3
t
r For Office Use
Permit#: /610131 10131
1 < EAGAN Permit Fee: 0---1 1.1 1
eeeilli Ar Date Received: 6-(..) ,/q —/9
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 i
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675- JUN .
9 staff:
$/,pry J
2019 RESIDENTIAL B15 ER IT APPLICATION
Date: 06/19/19 Site Address 4008 4014 Cedar Grove Lane unit#:
I Name: Nicols Ridge Summit Homes t
Phone: g
Resident/ 1 7100 Northland Circle, Suite 300, Brooklyn Park, MN 55428 1
Owner 1 Address/City/Zip:
; 4 4 Applicant is: Owner ✓ Contractor
VDescription of work: replace entry stair treads and risers, install bracing for treads
Type of Work i I
I Construction Cost: 7800'00 Multi-Family Building: (Yes ✓ /No ) '
Keran Home Services, LLC Tim Keran 1
Company: Contact:
Contractor 1
Address: 265 Fillmore Ave E cis,_ St Paul
1 State: MN Zip: 55107 Phone: 651-334-686i Email: timkeran@hotmail.com
i CR593945 I
License* Lead Certificate#:
If the project is exempt from lead certification, please explain why: I
2006 construction i
_._r__r : .___, V _ z �_ a_ - . ----------------1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I
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: 11
3
Licensed Plumber: Phone: I
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone: I
1
Fire Suppression Contractor. Phone:
NOTE Plans and supporting documents that you submit are considered to be public Information Portions of the information maybe
classified as nortlic if you pr2vidtHecific reasons that wrou/wno d ermrt the C/t r to conclude that gm are bade secrets.
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
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.
I hereby acknowledge that this information is complete and accurate;that the work will be i • :-.lance wi • e ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, a ; irk is no to M. without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and ..proval
xTim Keran / ♦_,
Applicant's Printed Name Appli•-fes''•• attire 'mom
• DO NOT WRITE BELOW THIS LINE �(�U r f( `b / C ���' V2-331
SUB TYPES C-1_d ar 6 ra c CB r`''`"
— Foundation _ Fireplace _ Porch(3-Season) T Exterior Alteration(Single Family)
_ Single Family ` Garage _ Porch(4-Season) ^ Exterior Alteration(Multi)
Multi _ Deck _ Porch(ScreenlGazebo/Pergola) _ Miscellaneous
01 of 4Plex r 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
Replace _ Repair _ Egress Window Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation qi 00 '3 Occupancy124,S___ MCES System
Plan Review Code Edition t °1 y SAC Units
(25%_100% Zoning Q City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction76----- Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) X Final I No C.O.Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood
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 T Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
—
Braced Walls Erosion Control
Shower Pan —
Other:
Reviewed By: ft ty- , Building Inspector
RESIDENTIAL FEES ,��
Base Fee /
Surcharge t4 1l 1 191 r� !r"
Plan Review / .�
MCES SAC �6 �'
City SAC 111✓✓✓ „41 I`
Utility Connection Charge
S&W Permit&Surcharge 1� P\id f
Treatment Plant ',t
' ,../
Radio Meter Read
Copies
TOTAL
Page 2 of 3