2130 Cedar Grove Tr
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use Q~ I
Permit V V
City of EaRd
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received: rj ;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 12C-Qdav- (L41102 Unit
Name: ' Lc'C~;S f L! ~f t.t i~c t (JI L liZ`1 Phone:
Resident/ , A >
Owner Address / City / Zip: /C'ct. L%
Applicant is: Owner Contractor
Type of Work Description of work: V00 V
Construction Cost: 0C/ Multi-Family Building: (Yes / No )
Company: gut.. kaS101'rifI(1 '/120 Contact: Leti_L ( tE=-! f S
Address:/ 3 L/ C` City: v r
Contractor
-c -7
A /C Zip: 1 4 Phone: j f ( _ t>
State:
License #:.,t' . 7-Z.3 Z 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 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.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
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.
{ e ? i
Applicant's Printed Name Applicant's Signat 1e
d Page 1 of 3
Use BLUE ar BLACK ink
� FarofFiceus i_!i___— i
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G�t� of�a� ; Permit#. ,
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� Permit F�< < `.� i
3830 Pilot Knob Raad
Eagz�t MN 551�2 j t�iteceiu+erl: �
Phone:(651�675-66T5 f j
Fax�(651)675�5694 I Staft I
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'-----------------�
201� �tESIDENTlAL BUILDIN� PERMIT APPt�GATiaW
uate: s�ce add�so��o�'�i�-�/o�.��o�/„�'J o�/��' u►��:
C°�. c�a✓� T,�i9��
Name: Phone:
ReSidetl't/
c�,�� Aa�ss��►��zP:'�1��1��.\a19�� �1���\�0 �eS��' °�'�. �C'�i�1 �1a�a�
Appiicant is: Ovw►er �Crnrtractor
Type Ot Work Descnption afwaric: e, '
Constnrc#ion Cos�t: �3�(�� Mul#i-Fam�y Bc�ng:(Yes /Na )
: Company: �-3f�tact:
COD�Ctt)C Address:���"��U�� S� City: ����
' State:��p:���J�J� Phone�" ��'a���ma�:�1 ' O�G,1'� o �l's�'��'11•���
License�: Lead Certifira�#�
If the project is exempt from tead certification, please explain why: (see Page 3 for additional it�formatian)
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:
Nt?TE:P#ans and suppcirfing do�umen�s fhat}+r�u s�r$t�i#ar�:c�r�,sitte�'��'b+e pu�ic ir�#r��ta�ior�: Fb�tiott,�s�f
the infnrmafion rnay be c�assified�s»on pubt]c if you�Oro�riate specific t����art�i�haf watrlal pRerr»it fl�e Cit,y�o:
conctude fih�t th� are�ade se�rets. :
CALL BEFORE YOU DIG. Cal)Gopher State One Call at(651)454-0Q02 for protection against underground utility damage. Call 48 hours
befare you intend tv dig to receive loeates of underground utilities. www.ggpherstateonecall.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 Ci#y of
Eagan; that 1 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 wilt� in
accordance with the approved plan in the case of work which requires a rsview and approval of plans.
Exterior work authorized by a building permit issued in a�ordanae with the Minn�ota State Building Code must be completed within 180
days of permit issuance.
.,,�� ., .
x� i/�� �� T.;�,����� X ,�`'�`��-�-�� �� .
Appticant� nF3 nted Name Applicant's Signature
Page 1 of 3
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I—
For Office Use ,\/EAGA
Permit#:
� ✓ 'f' ���
Permit Fee: a-1.1 1 I
EC1• Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Vie'
PIW
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)67 JUN 19 , Staff: i
r�
BY
et
2019 RESIDENTIAL BUILD ' E ' z I IT APPLICATION
Date: 06/19/19 Site Address: 2124 - 2130 Cedar Grove Traill Unit*:
Name: Nicols Ridge Summit Homes f Phone:
Resident/ I 7100orthland Circle, Suite 300, Brooklyn Park, MN 55428
Owner Address/City/Zip: Ny
I
! Applicant is: Owner i Contractor
Type of Work Description of work:
replace entry stair treads and risers, install bracing for treads i
i Construction Cost 7800.00 Multi-Family Building: (Yes L /No ) 1
Keran Home Services, LLC Tim Keran I
1 Company: Contact
265 Fillmore Ave E St Paul
Contractor I Address: City:
1State: MN zip: 55107 Phone: 651-334-68% Email: timkeran@hotmail.com
License#: CR593945Lead Certificate#: 1
If the project is exempt from lead certification, please explain why: I
2006 construction
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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer S 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 maybe
ciassithrd as non public if u p►ovide Hic reasons that mould rmit tihe C' to conclude that the 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. 1
I hereby acknowledge that this information is complete and accurate;that the work will be'. orm- •- with 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 not to -a , 'hout 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�n��ii
Tim Keran
Applicants Printed Name A 17 '`i"g =tore
• a.0-` . a-ta 6., )-t5 .) f3T)
DO NOT WRITE BELOW THIS LINE n a
SUB TYPES Ce 4 r (- t-o V c -1-1-
_ 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
4 01 of 4 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 E 00/a Occupancy 471C IS MCES System
Plan Review Code Edition ;i,., 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 ConstructionWidth
REQUIRED INSPECTIONS ��--''
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) X 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 T Final
—
Sheetrock Radon Control
—
Fire Walls Fire Suppression:_Rough In_Final
—
Braced Walls Erosion Control
—
Shower Pan Other:
Reviewed By: , Building Inspector
l
RESIDENTIAL FEES t_j
Base Fee L"
L f O tT
Surcharge ,V( 0 / L i
Plan Review
Ø( A4
City SAC fdr, irl I -
Utility Connection Charge
0S&W Permit&Surcharge � t G{
Treatment Plant ' ' V.
P\ %#1
1
Radio Meter Read
Copies
TOTAL
Page 2 of 3