2122 Cedar Grove Tr
Use BLUE or BLACK Ink
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Permit
City of Ea Ed~ t~
Permit Fee: .
3830 Pilot Knob Road
Eagan MN 55122 Date Received: ;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: V1)i I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: f Site Address: 1 l~ C cCCiV~ 6°vt~'i✓~ t'LI ' Unit
1 c,
Name: , ti ' GC~f C.SC~ wt t vi ( t~?1 G~1 Phone:
Resident/ A o
Address /Ci "/,/cc / Zip: 1 ~c
Owner ` t 6fi ct [ S _3C t i/t L
Applicant is: Owner Contractor
1
T of Work Description of work: g e-Voce: `f i. i `c~ r~~~iat ! `Z / t' ✓ - .
Ype
{
Construction Cost: Multi-Family Building: (Yes / No )
Company: ),h/t- L&S'foi/cI f 0e, t C7uContact: ~v': fL t ,((=J ; I
Address: 1 ?316 lee N Li 0, 4 City:
Contractor
State: s!~ Zip: Phone: ✓ 7C
License , / _Z 2 Lead Certificate 6
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 o permit issuance.
AIZ
Applicant's Printed Name Applicant's Signaft e '
Page 1 of 3
Use BLUE or BLACK Ink
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� For Office Use ;
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Permit Fee: �
3830 Pilot Knob Road p
Eagan MM 5512Z j Date Received: j
Phone: (651)675-5675 1 Staff: i
Fax:(651)675-5694 � �
L�_�.._����__�___��J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:�Il(� ' �1�8���� 'o�� �� Unit#:
.E D TlZA-fc...
' Name: Phane:
Resident/ ''a� lst-���-a� - ��aa � � � o�
((�yng� Address/City/Zip: g
' Appiicant is: Owner �Contractor
.�xp�o,���� Description of work: ��51� '
Construction Cost: L��� Multi-Family Building: (Yes /No_)
Company: � 51� 1 �o'i�tact:_I v�Q,Y 1'� C t a�'4"r7v
Address:�,��� �� J� -� City: ��J�'��� �
:Cantractur ,
State:�Zip:�� Phone: ��������v��iL �� 1G 1�1a���V CJ����a��
` License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) j
i
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:
5ewer&Water Contractor. Phone:
1VOTE:Pfans and supporting docurt�etrts that yQU submit are con�tqt�red t�be pt�blic in�rtna�r�n. Ft►�ns o� :
the i►rfarmat�ion may be classifed as rtr�n-publi`r if yar�prov�de spec�c ceascens�ha►t�nc�td�rmit Lhe t�:�ty ta
cor�clude tha!tt�s ,��aie secr�fs.
CALL BEFORE YOU DIG. Call Gopher State Ohe Call at(651)454-000Qfor protedion against underground utility damage. CaA 48 hours
before you intend to dig to receive locates of underground utilities. www.pooherstateonecall•ora
I hereby acknowledge that this information is camplete and accurate;that the v�roek will be in conformance with the ordinances and codes vf the City of
Eagan; that I understand this +s not a permit, but only an applicatian 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 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 Buildin�Code must be completed within 180
days of permit issuance. �
X���-�- (�f.� ���1/ X �"
Applicant's Printed Name Ap ant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r-----------------
I For Office Use
Permit#:��
City of Ea R�a
I I
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651)675-5675 I I
Fax: (651)675-5694 i Staff:
-'7 2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / Site Address: 19 � � '� �w oL 7✓`,_ Unit#:
:t
. Name: �U hz"i L1 Phone:
Address/City Zip: �� V�ut ✓�z t �o� � ! 2
Applicant is: Owner Contractor
. . Description of work:
Tyke o
Construction Cost: Multi-Family Building:(Yes /No )
Company: 1.?cz Contact: ✓Cl �/C
COtitr#1CtOr Address: P 0, ��7 K, � City: (,LAY
/ l' S � ��c I to
State: ( Zip: Phone: Lea '7 �7 Email r�
� M x 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 �1 supporting dcctt ub' ere, �siderealm rma`Fo
the in rt maybe ci o"', t'ed yp l� ;h fic r I de r
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 St ing Code must be completed within 180
days of permit issuance. i r
x x f
Applicant's Printed Name Appli ant's Signatur
Page 1 of 3
r For Office Use
* E AGA N :::t::
� 'e
flECEIVe, Date Received: -/q -/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810JUN 1 g �, � P(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
BY:
2019 RESIDENTIAL BUILDING PERM T APPLICATION
Date: 06/19/19 Site Address: 2116 - 2122 Cedar Grove Traill _Unit#:
��-,�. . . -.a. .. .x_. W... ..-. _ .,.
tl Nicols Ridge Summit Homes -2i74 i-9// Phone:
e i coo Y- ---9/-2
Resident/ 7100 Northland Circle, Suite 300, Brooklyn Park, MN 55428
Owner I Address/City/Zip:
Applicant is: Owner 1 Contractor ___ ___ _.,,, ., ,, , 1
f_.,..
Type of Work Description of work:
replace entry stair treads and risers, install bracing for treads 1
LConstruction Cost: 7800.00 Multi-Family Building: (Yes ✓ /No )
. ..... .. , mn__ �
Company: Contact:r_.
Keran Home Services, LLC Tim Keran
265 Fillmore Ave E St Paul t
Address: City:
Contractor I
State: MN Zip: 55107 Phone: 651-334-68f� Email: timkeran@hotmail.com
I
i Certificate#:
License#• ,.�...�__.,� Lead Certi�F_�.R.-�,� ,.�,.��_x� �,,--...�,...3._,..�-- -��_
If the project is exempt from lead certification, please explain why: ;
2006 construction I
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: I
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
i
Fire Suppression Contractor. Phone: I
NOTE•Plans and supporting documents that you submit are considered to be public information. Portions of the Information maybe
L classified as nonimublic if you ravide specific reasons that would permit the City to conclude that their 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 •_ • conform• ce 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, • 4 work is no • • art without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and •.rove • -•• ' r 7
xTim Keran 'Lid j
Applicant's Printed Name Ap•,rr ""S gnatu7-40111."--
'DO NOT WRITE BELOW THIS LINE ``�i 0"k It , :(2.-Ak � ---- C Sle-S
SUB TYPES ca jar C roY( 17`
— 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
y01 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 0 la Occupancy MCES System
Plan Review Code Edition ` ip- f SAC Units
(25%_100°x6 ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction -W----) Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required I
Footings(Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood j
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:a 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 f�1
Base Fee Ci.o0v
Surcharge M utE- fla
Plan Review /� t%'/ ��'r
MCES SAC ( J( VI
City SAC I J
ftifi. •.Y I L'
Utility Connection Charge
06(/V#e
,
i' V CI 0
S&W Permit&Surcharge
r9 f
Treatment Plant 1, r i � L 1
Radio Meter Read
Copies
TOTAL
Page 2 of 3