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
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EAGAN
Permit Number:
EA188501
(651) 675-5675
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www.cityofeagan.com
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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
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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��
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Property Owner Address/City/Zip: 1228 Town Centre Drive, Eagan 55123
Contact:
Lisa Alfson Email: lalfson@dakotacda.org
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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.