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4028 Cedar Grove Lane Use BLUE or BLACK Ink � For Office Use � � � � � d �P�� ' Clt of�a a� I Permit#. � � � � � � 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166324 Date Issued:12/30/2020 Permit Category:ePermit Site Address: 4028 Cedar Grove Lane Lot:3 Block: 04 Addition: Nicols Ridge 2nd PID:10-50901-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Danitra Marie Easton 4028 Cedar Grove Lane Eagan MN 55122 (763) 300-6369 Professional Mechanical Services 19640 200th Ave Big Lake MN 55309 (612) 655-9101 Applicant/Permitee: Signature Issued By: Signature