4012 Cedar Grove Lane
Use BLUE or BLACK Ink
For Office Use
~A ll II I
Permit
41 City of EaWan -13.431 I
Permit Fe eC
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL (BUILDING PERMIT APPLICATION
Dafe rf Site Address: 1,ti `e C-04 e Unit
/ jName:, 'Gc~IC:_;S 'FCJe 14 V1 iEC t C Gad Phone:
Resident/
Owner Address/ City/ Zip: ?/00 A~&L (k o " I - 6 t -J (.yC~ ~df ( ' ~ .t t l t ffe L/,
Applicant is: Owner Contractor
~ .
Type of Work Description of work: f 1 plc. phi ± f t' - E
Construction Cost: i~ Multi-Famil Building: Yes / No
S ~
fCompany: etas orif16t I Contact: ~ ~~uf: ( fL ! d(:''
Contractor Address: 6 e 16 City:
State: )(4-
A p: L4 Phone:
License ( TZ 2 Lead Certificate ~M- - 1
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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. a
X x `v,~
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK ink
� For Office Use—^-------�
• � ����7 �
C�t� of�a�a� � Permit#: � �
� � �
� Permit Fee: ,�' �
3830 Pifot Knob Road
Eagan MN 55122 j Date Received: �
Phone:(651�675�i675 I staff: i
Fax:(651)6755694 � �
I_�__�_�_�.___�____J
2014 RESIDENTI14L BUILDING PERMIT APPLICATION
Date: �'�,�� `� SiteAddress: ���'� ��'�"��f�'�(���{ C�'atLk.f ��'"�. L�Unit#:
Name: Phone:
R@Si{letlt/
Q���r ` Address!Cit�r/Zip:
' Applicant is: Ov►mer �Contractor
T�/�� Ofi WOI'�C Description of work: jZS�S�a•-�yt R C'*f c3 r'1'�'S C�S Y1�U
' Construction Cost: �� Multi-Family Building: (Yes /No )
Company: 1M �� S l c�4n� ��n cyc�.Q. �wG L _Z Cantact: W�C�It 'Pt ci"f k�t.J
Address:'�3�"S �tJ��✓'%�' S'� f City: C.o�it�C,,,�
�UCt�t"'dGtOK � ;.
���� �
: State: ►�Zip:� Phone:,�p i1 �y 1`�� Email:
'' License#: Lead Certificate#:
If the praject is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA QNLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued s permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone: �I
Mechanical Contractor: Phone:
Sewer 8�Water Contractor: Phone:
NOT�:Ptans ar�d supporring docaments thaf yau submit are cor►sidere�d fQ be pe�l�lic�nfiarm,atian. Pr�rt�ions t�f
the informaticu�may be c/assi�ied as non:publ�c i#yau:provide sp�cific rcasa�r��f�haf Hrc��!ld p�ermit th+��ify t�►
�onclud�that th�'are trade secrets. ':
CALL BEFORE YOU DIG. Call Gopher State Ooe Call at(651 j 454-0002 for protection against underground utility damage. Call 48 hours
befare you intend to dig to receive locates of underground utifities. wvwv.aopherstateonecall.ora
I hereby acknowiedge that this informat+on is complete and accurate;that the work will be in conformance with the ordinances and eodes 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 witfiout a permit; that the work will be in
accordance with the approved plan in the case of v�nork which requires a review and approval of plans.
Euterior work authorized by a building permit issued in accordance with fhe Minnesota State Building C�le must 6e completed within 180
days oi permlt issuanca
X v��-�- P��c+k��✓ X ,�.
Appticant's Printed Name � Applicant's Signature
Page 1 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