4018 Cedar Grove Lane
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use1 I
Permit
City of Ea
Rd~
Permit Fee: aC~ -
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: Q
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date Site Address: L 1-✓i~v'+u Unit#:
Name: & I ' G+!~ L rS =`kC.~ I,( 0_11. I ~ P I ( - e
Phone:
Resident/ / y t , 4 >
Owner Address / City / Zip: 1 ~C) `t a C. P C?t i p t"(? I iLV ~_o 14'e--1-1 t zz / `e L
Applicant is: Owner Contractor
t f r r' / d
Type of Work Description of work: t?wVIOC
t L'
Construction Cost: Multi-Family Building: (Yes / No )
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: Z
Company: h( PE's to i'rifI c, 1 C ruu J Contact: L I ~ & S e~ P ~
jj / 4 {
Contractor Address: k3 AC el' E'-1 City:
State: I Zip: - Phone: y `70 C e
License ' t Lead Certificate 4~C6 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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X i-C1 v' x e~&`G-L11/ LA' /
Applicant's Printed Name Applicant's Signat 'eA
Page 1 of 3
Use BLUE or BLACK ink
------------------.
� For 4ffice Use, �
. � � ����� 1
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� Permit Fee: �,�g.� �
3830 Pilot Knob Road
Eagan MN 55122 j Oate Received: �
I
Phone:(651?675-5675 � I
Fax:(651)675�5694 I Statt: I
I �
L������������..����J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _ �1 r"7•���� Site Address: "' (3 '" 0 '�'�y°' �Unit�:
Name: Phone:
ReS�d@11t1
�nrner add�ss i city i z�P:
Applicant is: Owner Contractor
Type!�f WC�NC Description of work:��iC�i�l1n ��r-ti1(�,�, t���
Constnaction Cost: Multi-Famity Building: (Yes�i No_}
Company: 6 � � Con�t ct:_1�1e�r1�, t101�.,1���"'O?i�5
Ck'1tl#i'�CtOC, Address: �I��J�J ��1��"��" �� c�ry: l_bY^���
state:J�LJ zip: ��J3� Phone: �Dl`c�.����5^���mail:
' License#: Lead Gerti�cate#:
If the project is exempt from lead certification, please explain why: {see Page 3 for additional information)
COMPLETE THIS AREA UNLY IF CONSTRUCTING A NEW BUILDING
fn the last 12 months,has the Ciry of Eagan issued a�rmit 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:
NQTE;Pfans and suppori�ng dv�umen#s th�t}rou submif��ccrnsTdered tc�be pu�rlic i�ftr�ma�vn. ;l�i�rt��ns of !
the inf+ormafion�y b�c�a�si�ed as na�n publlc if you proaiat�sp�ific r�as�ns?�h�f wdulql P�e�»i��he CrYy to
cor�c/r�de thaf ftt� ar�er trade s�t�t's.
CALL BEFORE YOU DIG. Cail Gopher S#ate One Call at(651)454-0002 for protection against underground utility damage. CaN 48 hours
before you intend to dig to receive locates of underground utilities, www.popherstateonecall.oro
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
accardance 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 i80
days of permit issuance.
e
0
X . a�-�ti t�;a�-��y�,, X�� L.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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I.
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r For Office U Sit°
Permita: .3.?
EAGA
*....c., Permit Fee: DI 1 °I'
:::R
(651)675-5675ITDD:(65 )454-855IFAX: (651)67 3
8y
2019 RESIDENTIAL BUILDI MIT APPLICATION
Date: 06/19/19 Site Address: 4016 - 4022 Cedar Grove Lane Unit#:
Nicols Ridge Summit Homes7 � �� ��� 9` �
Name: 9 Phone:
Resident/ 7100 Northland Circle, Suite 300, Brooklyn Park, MN 55428 i
Owner Address/City/Zip:
Applicant is: Owner i Contractor
—
replace entry stair treads and risers, install bracing for treads
Description of work:
Type of Work I
g
Construction Cost 1 V00.00 Multi Family Building:(Yes /No ) l
Keran Home Services, LLC Tim Keran i
Company: Contact
Address: 265 Fillmore Ave E city: St Paul f
Contractor I
MN . 55107 651-334-68f� : timkeran hotmail.com I
State: Zip. Phone: Email.
CR593945 i
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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?
Yes No If yes,date and address of master plan:
Licensed Plumber. Phone: /
i
Mechanical Contractor: Phone:
I
r,
Sewer&Water Contractor: Phone: I
l
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 nonpublic If yoo,erovide specific reasons that consthermit the Cit to conclude that tha 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 wi. .-- in conf. an 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 :nd work is of , s • without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and :pproval s :-:,, '
/xTim Keran x
Applicant's Printed Name / • , 'sl"' Signa
DO N'OT WRITE BELOW THIS LINE N '7' o �D ` 1-(6)� /' ` `,3
'
SUB TYPES C da ( G r!'v.._L'•'(
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage T Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
Y01 of"f`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
Replace _ Repair _ Egress Window Water Damage
RetainingWall
*Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation t 00/a Occupancy MCES System
Plan Review Code Edition V f SAC Units
(25%_1 00% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of ConstructionWidth
REQUIRED INSPECTIONS yr—)
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) <}' Final/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_Final
—
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
—
Braced Walls Erosion Control
Shower Pan —
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base FeeOPV
SurchargeM V�'l l✓ I-rL- i, 'ti .-
Plan Review /y / '�
MCES SAC ( J 664
116)
City SAC N I
Utility Connection Charge
0(*.ji" i. (// 0 0
S&W Permit&Surcharge a s
4 (Treatment Plant ( r ‘../ j i 1
Radio Meter Read
Copies
TOTAL
Page 2 of 3
I—For Office Use
o
% i ••• Permit#: ' T743
E AGA N
• e:
n _
EC
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
E I VE Date Received: G �s
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56 JUN 0 5 2019 Staff:
buildinoinspectionsCcr�.cityofeagan.com
2019 RESIDENTIAL BUILZINSPERMIT APPLICATION (9111'\0\
5/30/19 4018 Cedar Grove Ln
Date: Site Address: Unit#:
Rob Zieper 612.369.1428
Name: Phone:
Resident/ 4018 Cedar Grove Lane, Eagan, MN, 55122
Owner Address/City/Zip: '1
Applicant is: Owner 6/ Contractor fJ 1 I (a J. P(166---
Water
l (7 Water damage restoration
Type of Work Description of work:
$26,000.00
Construction Cost: Multi-Family Building: (Yes /No )
24 Restore Sean Hawkins'
Company: Contact:
6615 141st Ave NW Ramsey
Contractor Address: City:
M 55303 763.753.8080 Sean@24restore.com
State: Zip: Phone: Email:
BC301371 NAT-39617-2
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
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 non-public if you provide specific reasons that would permit the City to conclude that they 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 www.cityofeagan.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 lans.
x h(Ckc4e1 l�ti( x f/
Applicant's Printed Name Applicant's Signatu e
f
VV 111%11 ■•1\11 L 1.01 .I•• 111110 LII•I
SUB TYPES
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
C 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
Replace _ Repair Egress Window j'0 Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Z bi35 3. Occupancy "RG-3 MCES System
Plan Review Code Edition meri l r SAC Units
(25%_ 100% 1C ) Zoning pp City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction if‘3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Al Final/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
}D Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
P Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: (o IAA 'M:t-yol– , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3