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EA188501 - Building - Single Fam - Issued Date 12/20/2023Site Address: 4325 Nicols Rd Lot: 001 Block: 029 Addition: Section 30 PID:10-03000-29-010 Use: * 1 0— 0 3 0 0 0— 2 9— 0 1 0 Description: Sub Type: Single Fam Construction Type: Work Type: Demolish Building Description: Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary: BL - Demolition $94.00 0801.4085 Surcharge -Fixed $1.00 9001.2195 Total: $95.00 Contractor: - Applicant - Owner: PERMIT Herbert & Helen Adelmann P.O. Box 285 City of Eagan St. Paul Park MN 55071 Saint Paul MN 55122-491 Permit Type: Building 3830 Pilot Knob Rd Eagan, MN 55122 ,,�;; ;;.', EAGAN Permit Number: EA188501 (651) 675-5675 —► 1111111111111 IN 11111111111111111111111111111111 www.cityofeagan.com * E A 1 8 8 5 0 1 Date Issued: 12/20/2023 Site Address: 4325 Nicols Rd Lot: 001 Block: 029 Addition: Section 30 PID:10-03000-29-010 Use: * 1 0— 0 3 0 0 0— 2 9— 0 1 0 Description: Sub Type: Single Fam Construction Type: Work Type: Demolish Building Description: Census Code: - Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home may require smoke detectors in all bedrooms. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary: BL - Demolition $94.00 0801.4085 Surcharge -Fixed $1.00 9001.2195 Total: $95.00 Contractor: - Applicant - Owner: JM Hauling LLC Herbert & Helen Adelmann P.O. Box 285 4325 Nicols Rd St. Paul Park MN 55071 Saint Paul MN 55122-491 (351) 334-9371 This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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. Applicant/Permitee: Signature Issued By: Signature L-KI1 Z%i 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 Plan Submittal: buildinginspections(o�cityofeagan.com ---------------------- For Office Use II Building Permit #: ( 15 50 I 1 Building Permit Fee: $95.00 1 I I I I 1 Date Issued: 1 I 1 I Staff: I ---------------- -------� DEMOLITION PERMIT APPLICATION Date: 11/30/23 Site Address: 4325 Nicols Road Description of Demolition: Remove all structures, foundation, seal well, abandon septic system and backfill with final grade Anticipated Start Date: 12/11/23 Anticipated Completion Date: 12/30/23 a I Name: Dakota CDA Phone: 651-675-4467�� l Property Owner Address/City/Zip: 1228 Town Centre Drive, Eagan 55123 Contact: Lisa Alfson Email: lalfson@dakotacda.org � Name: JM Hauling LLC License #. IR715168 PO Box 258 St. Paul Park Demolition Address: city: Contractor State: MN Zip: Phone: 55071 651-334-9371 i Contact: Jody MCDaniels Email: jmexcavating712@gmai1.com STORMWATER MANAGEMENT REQUIREMENTS All building demolitions require a separate Stormwater Management Permit. 0 Please attach a Stormwater Management Permit application (pages 3 & 4) and Land Disturbance Plan. SEWER & WATER Will you be disconnecting from City sewer or water? ❑ Yes ® No If you answer "no," please proceed to the next section. If you answer "yes," a separate Sewer & Water permit is required. ❑ Please attach a Sewer & Water permit application to this permit submittal. ❑ Water meters must be returned to Utilities prior to Demolition Permit issuance. Please call (651) 675-5200 to coordinate water meter removal. SEPTIC ABANDONMENT Will you be disconnecting from a septic system? ® Yes ❑ No If you answer "no," please proceed to the next section. If you answer "yes," a separate Plumbing Permit is required. ❑ Please attach a Plumbing permit application to this permit submittal. 1 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 Plan Submittal: buildinginspections(o�cityofeagan.com ---------------------- For Office Use II Building Permit #: ( 15 50 I 1 Building Permit Fee: $95.00 1 I I I I 1 Date Issued: 1 I 1 I Staff: I ---------------- -------� DEMOLITION PERMIT APPLICATION Date: 11/30/23 Site Address: 4325 Nicols Road Description of Demolition: Remove all structures, foundation, seal well, abandon septic system and backfill with final grade Anticipated Start Date: 12/11/23 Anticipated Completion Date: 12/30/23 a I Name: Dakota CDA Phone: 651-675-4467�� l Property Owner Address/City/Zip: 1228 Town Centre Drive, Eagan 55123 Contact: Lisa Alfson Email: lalfson@dakotacda.org � Name: JM Hauling LLC License #. IR715168 PO Box 258 St. Paul Park Demolition Address: city: Contractor State: MN Zip: Phone: 55071 651-334-9371 i Contact: Jody MCDaniels Email: jmexcavating712@gmai1.com STORMWATER MANAGEMENT REQUIREMENTS All building demolitions require a separate Stormwater Management Permit. 0 Please attach a Stormwater Management Permit application (pages 3 & 4) and Land Disturbance Plan. SEWER & WATER Will you be disconnecting from City sewer or water? ❑ Yes ® No If you answer "no," please proceed to the next section. If you answer "yes," a separate Sewer & Water permit is required. ❑ Please attach a Sewer & Water permit application to this permit submittal. ❑ Water meters must be returned to Utilities prior to Demolition Permit issuance. Please call (651) 675-5200 to coordinate water meter removal. SEPTIC ABANDONMENT Will you be disconnecting from a septic system? ® Yes ❑ No If you answer "no," please proceed to the next section. If you answer "yes," a separate Plumbing Permit is required. ❑ Please attach a Plumbing permit application to this permit submittal.