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4004 Cedar Grove Lane Use BLUE or BLACK Ink � For Office Use ` � � �� 0 � Cit of�a a� i Permit#. j � � , � Permit Fee: �� 3830 Pilot Knob Road � Eagan MN 55122 j Date Received: � Pho�e;(651)675�b675 � I Fax:(6511675-5694 � Staff: 1 � I I....�.��.��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATtON c� e�da.r G��.�e t..� �a��► +r�N Date: t�'� l�"` �� Site Address: ��c�C� '" ��` ��{"��O�P Unit#: Name: Phone: Residentt Q�� Address 1 City/Zip: ! Applicant is: Owner Contractor Type Cf UVOr�C Description ofwork: e�c d..��ron�j V��.e.� ` Construction Cost� �0 C�O Multi-Family Building: (Yes /No_) ' Company: i c�.l t�`Contact: �('C �t�"'� ��_ _ �- Address: �J J.�' I�t�'f` �T • City: L--�"�-(-� CQt1�1'BCtOC �� , " State:��J Zip: �S�1_ Phone: CD i�"�'f t�°��Email: d° License#: Lead Certificate#: If the project is exempt from (ead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA UNLY 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 8�Water Contractor: Phone: Mt?TE':Ptans and supportin�;dacuments tft�rt you sub�mit are consider�al to be�t�blic i�#v�rmafior�. Pot�icrns o� t�1@ lilfQt71►.9'R�10li/ile'#j/bB C/8S5�f1�a'1S t!Q#t plf�1!'C;�f JlC?11�11'�V%t��S�i�.'C%ftC/`I@itSQtC1S'�i�l'f iAIQiIIt��i!@�Y�%t�f+B;.(il�j/f4 ` ; canclude tttat m� are�trad,e s+�criers. CALL BEFORE YOU [31G. Gall Gopher State One Call at(651)454-0002 for protedian against underground utility damage. Cai148 hours befor�you intend to dig to receive locates of underground utilities. www.popherstateonecall.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 City of Eagan; that ! understand this is �ot a permit, but only an application 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 cass of work which requires a review and approva!of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota 5tate Building Cade must be completed within 180 days of permlt issuance. . ,.:� x ��-f�� }�t�I't'lCc�1� x,/�G��'�_ .,�/ Applicant's Printed Name Applicant's Signature Page 1 of 3 ' i r EEET' ? * EAGA EAGANJI � p�,. Date Received: -(q-1 /_ 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JUN Iii( '' (651)675-5675 I TDD:(651)454-8535 FAX: (651)675-BY 9 e Staff: J 2019 RESIDENTIAL BUILDIN IT APPLICATION Date: 06/19/19 Site Address: 4000 - 4006 Cedar Grove Lane Unit#: WER,S ,; 'del' -5<ao 6, a Name: Nicols Ridge Summit Homes Phone: } Resident/ 7100 Northland Circle, Suite 300, Brooklyn Park, MN 55428 i Owner Address/City/Zip: P Applicant is: Owner ✓ Contractor Description of work: replace entry stair treads and risers, install bracing for treads Type of Work p i 7800.00 Construction Cost: Multi-Family Building: (Yes ✓ /No ) Company: Keran Home Services, LLC Contact: Tim Keran Contractor Address: 265 Fillmore Ave E cit,. St Paul MN . 55107 651-334-68% timkeran@hotmail.com R State: Zip. Phone: Email: timkeran@hotmail.com CR593945 License#. Lead Certificate# If the project is exempt from lead certification, please explain why: I 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? I Yes No If yes,date and address of master plan: ! Licensed Plumber. Phone: i I Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: I I 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 nonpublic If you rovide apecfic reasons that would ermit the-city to conclude that ffie1 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 in - • a « '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, and -•rk is not to st• hout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approal of� -• x Tim Keran /'`r" - ,,�►j Applicants Printed Name Ap•fit"-"'r ,to i . ��(), 4o�� L f , q� ( 73 DO NOT WRITE BELOW THIS LINE SUB TYPES ar6 r-ov-� (_.q ,,p 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 01 of-t Plex Lower Level T Pool Accessory Building 'K -- - — WORK TYPES _ New — Interior Improvement _ Siding _ Demolish Building' _ Addition — Move Building _ Reroof _ Demolish Interior _ Alteration Demolish Foundation — Fire Repair _ Windows _ Replace _ Repair _ Egress Window Water Damage — Retaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 0'3 Occupancy MCES System Plan Review Code Edition ii*11 u if SAC Units (25%_1 00% ) Zoning (0 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of ConstructionWidth REQUIRED INSPECTIONS �-t' Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVACService 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: ______424_,Building Inspector RESIDENTIAL FEES C Base Fee 007 1111111 Surcharge 141;a11-11' f e.2. Plan Review / �� MCES SAC 191 Z i S rill/P/1 City SAC Utility Connection Charge r 1/04/d S&W Permit&Surcharge 11 i Treatment Plant �L'r\ 41 Radio Meter Read Copies TOTAL Page 2 of 3