4026 Cedar Grove Lane
Use BLUE or BLACK Ink
r
For Office Use I
Permit#: I
City of Ea(ion Permit Fee: a13.a~
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 10 /q/1-3
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date. I/ . Site Address: ~C~~~ ~ C'C ✓UJ ~ ~ <i~ ~1 _ Unit
1
Name:(, U G_el ;s ~°Cl I,t o-L I- c s t~ f C f z l 't Phone:
Resident/
~ 64
Owner Address / City / Zip: I t , c 1 ✓
Applicant is: Owner Contractor
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f
Type of Work Description of work: e, Vocr C t %4:2Z1, T
Construction Cost:Multi-Family Building: (Yes / No ) G'
Company: NJ tol f fx t c)o Contact:
Address: f ' j .~2 c I ; !r
r
Contractor City.
State: jR 1/l/ Zip: 5 '(F- L Phone: /¢6 3 170. 0 0
License #:1 Lead Certificate :1) 54~..r
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 classirted 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. ~`fa C L` / 't~ t L eQ~aV':7s~a
Applicant's Printed Name Applicant's Signat fe
Page 1 of 3
Use BLUE or BLACK Ink
� For Office Use � � �
� � d �P�� � '
Clt of�a a� I Permit#. �
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� Permit Fee: 1 � �
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: �
Phone: (651)675�673 1 staff: I
Fax:(651)675�694 � �
I.������.�..��r�������J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ����� l� Site Address: � ' � � Y' Unit#:
` Name: Phone:
Resid�ntf `
Clwner Adar�ss i c��y i z�P: ;
Applicant is: Owner � Contractor
.t.�P������ Description ofwork:.'(��1�11'�i��i('�Yl� D�_ �
Construction Cost:_��'ict`7�� Multi-Family Building: (Yes /No )
Company:l'�'�"�- ��G\�`�l� $ C�i';Ya'!ICXj1`��li�G �ontact:�,t�,,�('�1'l �,ol�-'"���6'�?3`5 �
� Address: �3'"J`J �"Zv��"�' ��'� �
Contractor City: 1-c��'r-�-c� �
State: �1,1J Zip: � e�� Phone: ��La'��g'D���EmaiL•
' License#: 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 Gity 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: �
N07E;Plarts and suppot'ting d�acumen#s�tat you submit�re ceanside�erl fa 6e p�rb#ic i�t'vt�r►��iart. Po�ns o� '
;the infarma�on may be ciassi�l as nan pu#!��if yau provid�sp�ific re�so�s fhat wa��c��erm�the C�ty tt�
conclttd+e thaf tt�e aEe fr�cfe s+�crets.
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.qopherstateonecall,ora
I hereby acknowiedge 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 onty an application for a permiY, and work is not ta start without a permit; that the work will be in
accordance with the approved plan in the case of v�rork which requires a review and approval af plans.
Exterior work authoriz�by a building permit issued ln accordance with the Minnesota State Building Code ust be completed within 180
days af permit Issuance. .
X�`���i('�.:���'�' x � ��
Applicant's rinted Name Applicant's Signature
Page 1 of 3
i
I
r For Office Use
::::t:,
731
E AG A Ci
Jti 1 n Date Received: I I
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 ' Zj:3
/
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-56M)! Staff: 51111
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 06/19/19 Site Address: 4024 - 4030 Cedar Grove Lane Unit#:
Nicols Ridge Summit Homes
Name: Phone:
Resident/ 7100 Northland Circle, Suite 300, Brooklyn Park, MN 55428
Owner Address/City/Zip:1.
Applicant is: Owner Contractor �,c; 177A ‘?
Type of Work Description of work:
replace entry stair treads and risers, install bracing for treads
Construction Cost: 7800.00 Multi-Family Building: (Yes ✓ /No )
, LLC Tim Keran
Company: Contact:
265 Fillmore Ave E St Paul
Contractor Address: City:
MN . 55107 651-334-6811 timkeran@hotmail.com
State: Zip. Phone: Email: timkeran@hotmail.com
#: CR593945 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:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor Phone:
NOTE.Plans and supporting- information documents that you submit are considered to be public information. Portions of the Dation may be
i classlAed asubbc f vide Nic reasons that would permit the City to conclude that.thiy 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'• -:- : ance '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, a • work is no to 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 a••royal of.
xTim Keran � ��A -
Applicant's Printed Name f• . r7-1.- I n- •�"`�
, - Li(),)G . ‘-f-oA -k-463`) / 57P -33cLa
DO NOT WRITE BELOW THIS LINE G e)Y-1 / 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
'les 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 _ Water Damage
_ Retaining Wall 'Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation f5 E 00 3 OccupancyMCES System
Plan Review Code Edition ; Wp v t f SAC Units
(25%_100% Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction y6----
Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
—
Footings(Deck) Final/C.O. Required
Footings(Addition) IX 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: 2,, , Building Inspector
RESIDENTIAL FEES f
Base Fee ,,�� {� �V�
Surcharge M ut pi?71t ' '`�
Plan Review t
MCES SAC 19 f 7 44 S ( P`1
City SAC
Utility Connection Charge
S&W Permit&Surcharge 01/*UiVitv'd
Ji 11 o
Plant f ,L.,,)
Ve
"3 e
( ,p,
a i
Radio Meter Read
Copies
TOTAL
Page 2 of 3