4118 Nicols Rd. 'n7?QW'<.'.r :a.:. . - • • .... -""T^F.: .. . ... . a » _a.,?rr: , oy,5yi4C:..:a .- -,- . .. . ._ .. . - . . , .,
CITY OF EAGAN 17527
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 - ?;
BUILDING PERMIT
To be used for RB-SIDING Es
Site Address e
Lot S Block
Parcel No.
W Name C??S fiATYt BI.D
? Address 4118 NICOI.S RD
° City EAGAN Phone 454-7265
,o Name AWE• IMC
;Q Address 3700 wNNAPOLIS LN
lx City pLMUTH Phone 553-0020
Name _
Address
Clty _
Sec/Sub.
Receipt #
;6,600 Date FE8 20 , 19 90
Phone
I hereby acknowlege Ihat I have read this application and state hat the
information is correct and agree to comply with all applicayl ate of
Minnesota Statutes and C4ot Eagan Ordinahces. /
Signature of Permitee - - - l? /1 ??` ? >''Yf ?`'?`
A Building Permit is issued to: +?nKL. im:
on the express condition that all work sha11 be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building OHicial ,. _
Occupancy
Zoning
(Actual) Const
(Allowatlle)
# or stories
Length
Depth
S.F. Total
S.F. Footprinfs
On Site Sewage
on s+te wen
MWCC Syslem
City Waler
PRV Required
Booster Pump
APPFOVALS
Planner
Council
Bldg. OH.
Variance
OFFICE USE ONLY
FEFS
90•00
3.50
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MCWCC
Water Conn
Water Meter
Acc1. Deposit
S.'W Permit
SM! Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
V.Y . sU
Permit No. Permit Holder Uate Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Dale Insp. Comments
Footings I
Foundation
Framing
Roofing
Fiough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htq.
final Plbg.
Consl. Meter Pibg. Inspeclor - Notify Plumber
Engr.IPlan
Bldg. Finai C Q l?fa h
Deck Ftg. T tj /? C' b ?1 f,e
Deck Final
Well
Pr. Disp.
crnr oF Fr?GaN
3795 Pilof Kno6 Road Eagae, MN 55122
PHONE: 454-8100
BUILDING PERMIT ReceiPt
To be awd Fer Fef Vnluo . I7ntP
$itB Addre55 -
Lot 57-_ 81xk ?
Parcel #
a, Neme
W
Z wJ,
/'?[J?Jress
9 .... , lij.l
°C Name
O
Address '.`?t,^r-'?:?, _
r i-:... •' 1_?."02L .1115
Name
Ered ?
Aiter ?
Repair p
Enlarge ?
Move ?
Demolish ?
Grade p
Occupancy -
Zoning
Fire Zone _
Type of Const
# Stories -
Front
Depth
ft.
ff.
Approvah Fees
Assessment Permit
Water & Sew. Surcharge
Police Plon check
Fi re SAC
Eng. Water Conn.
Plonner Water Meter
C 'I R d U 't
ounu oa m
1 hereby ocknowledge that I have read this application and state that gldg. Off. "
the informotion is correcY and agree to comply with all opplicable APC Totol
State of Minnesota Statutes and City of Eagon Ordinances.
Signuture of Permittee - ? - _
A Building Permit is issued to: on the express condition that
oll work sholl be done in occordance with oll opplicable Stote of Minnesoto Statutes and City of Eagan Ordinonces.
Buitding OFficial
N°_ 6005
Perwit # Dale Ioqed PersiliM
Plumbing
Mechanical
INSPECTIONS DATE IPLSP.
Rough-In
Finol
Footings Dote Insp. Date Insp.
Foundation Plumbing
Frame/ins. Mechanital
Final
Remorks:
PERMIT # ?? • 'y`? ?'?
MECHANICAL PERMIT
RECEIPT #
4 ,
GITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
J1
CONTRACT PRICE 600 . ou PHONE: 454-8104
Site Address gMG. TYPE WORK DESCRIPTION
Lot Block •? Sec/Sub
? v, Res. ? New
? Name Mult Add-on
?<`?' ?
'9 ? ? - ?'?? Comm. Repair
?e a .
-
Address
c CityPhone Other
Name
, FEES
RES. HVAC 0-100 M BTU -$24.00
c Address
y? ? ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
p Ciry Phone I
CONSTRUCT
ON)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE
Forced Air ? M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - AlL ADD-QN 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ? I BEYOND_ $1,000)
Other $
FEE • o . ?---
R S?
S/C: • r?' N F
TOTAL /`
y-
" FOR: CITY OF EAGAN
..__. .. . . .._. , i-, ... .. _ _ . .
CITY OF EAGAN Remarks * Cedar Grove Accluisition
Addition CEDiAR GROVE # l Lot 5 Blk 2 Parcel 10 16700 05f) 02
Owner -), Street 4118 AVBritl@ State Eag?, MN 55122
i 1
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, J 985 1266.9% 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWERLATERAL 1972 1,344.00 52.16 25 Paid
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
EAGAN TOW'NSHIP
BIJILDINC; PERMlT
Owner 4'?.........
Address (Present) ........................
Builder ..........................
Addxess .---------------,
r.
DESCRIPTION
N° 762
Eagan Township
Town Hall
Date
S7oeies To Be Used For Froni Depih Heighl Esi. Casf Permif Fee Remarks
l
o' LOCATION
?71 -t I dr-ZA?,U -
This permii does not auihorise the use of streefs, soads, alleys or sidewalks nos does it give the owner or his ageni
the xighf to creaYe any silualioa which is a nuisance or whieh presenls a hazard !o the healih, safely, convenience and
general welfaxe !o anyone in the communify.
THIS PERMIT MUST B5 KE T ON THE PREMISE WHILE THE WORK IS IN PAOG2lESS. ?
This is !o cerfify, ihaY_'__.:..'.dti!!?'._...??.._..s.........'._......has pe:mission io ereaY ? -_....'l..'.'__.._.""."_."_'_. ...... ............ upoq
the above desccibed remis ubjec ! p visions of the Building Ordinance for Eagan Township dopied April 11,
1955.
'_...........
...... % - ?._._ ------- Pex ---------------------- ------'-- --u/-'--' _
Chairman of Tnwn Board ` Building Inspeclor
/
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PII2MIT APPLICATION 1 set of energy calculations.
oa p fi
'Ib He Used For? ra/., F,o,g? Valuation ?-, `- Date Q-/-p ?
site Adclress: S/l/8 dnaq,e XjF , OFFICE USE ONI,Y
I.ot slocx a sec./siab. C? Erect occupancy M
Parcel #: Alter Zonin9 - !
gepais?- Fire Zone
Owner: L "?(!lL:e ,?7F/FC.O ??e - TYPe of Const.
Move # Stories
Address: !,/?fA Denolish _ Front ? ft.
City/2ip Code: ??laArU ??/e2?.- Grade Depth ft.
Pnone #: 4?s5? 7a(as
Contractor: OCddr/ess: itYzip Cocle: A12/GyFlf'L/J SSSi.? 3
Pnone #:RC 9- 3oa ll Ad Q- 2 V35
At'ch. /Etig. :
Address:
City/Zip Code:
Phone #:
APPFtOVALS FEES
e-
Assessaients _
Pexini.t _!i?
Water/Sewer Surcharge ?
Polioe Plan Check
Fire SAC
En9, Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
nYI'AL ?
?-
?l?G,
?
-
.
?
CITY OF EAGAN
? - 3795 Piloe Knob Raad Eagan, MN $5122 N? 6005
PHONE: 4548100
B
ILDI
U
NG PERMIT APPLICATION Receipt #
To be uaed hr GARAGE REPAIR Est. Value 455.00 Date 8-1 iq 80
Site Address 118 ' Ave.
r
'
?
?
! Erecr ?
- Occuponcy M
Lot
Block ?
$'
?/Sub.
or- qlter ? Zoning R1
Portel # Repair ? Fire Zone
Chuck Hatfield
Nom Enia.ye ? Type ot Const.
--
w
Z e
4118 Cedar Ave Move ? #-Stories
o .
Address
Demolish ?
Front NA
{
. Eagan, Mn 454-7265 _
t,
C
Phona Grode ? Depth NA fr,
o Name Paul A. gUllderson Approvals Fees
gr Address 6720 Upton Ave. S.
Ci f' Phone
Name
?Z
_j3 Address
U
a W Ci Phone mw?
I hereby ocknowledge thut I have reod this applicotion and stote that
the informotion is correct and ree to comply with all opplicable
State of Minnewto Statutes yd-City of E g n O nces.
Sigrroture of Permittee
A Butlding Permit is issued to: Paul A. Gunderson
cll work shall be done in ac ance with 9y11-qpplicable State of Mfi'
Buildinp OfHcial
Assessment _
Woter & Sew.
Police _
Fire
Eng.
Plonner -
Counc7l _
Bldg. Off. DF
APC
on the express condition thot
Statutes ond City o4 Eagan Ordinances.
Permit 5. C)0
Surcharge _ 50
Plon check
SAC
Water Conn.
Woter Meter
Road Unit
Total 5 _ 50
. ` CITY OF EAGAN NO 17527
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-6100 /1
1 `7
? 1 z
BUILDING PERMIT
Receipt # ?
v
l0
Tobeusedfor RE-SIDING EscValue $6,600 Date FEB 20 ,1 g 90
Site Address 4118 NICOLS RD
Lot S Block 2 Sec/Sub. CEDAR GROVE 1ST OFFICE USE ONLY
PBfCBI NO. Occupancy - FEES
Zoning -
W Name CHARLES HATFIELD (ACtuaq Const Bldg. Parmit 90.00
Addre55 4118 NICOLS RD (Allowahle) -
- 3
50
o Surcharge .
City EAGAN Phone 454-7265 sofstories -
Plan Review
Length _
o Name Ar1RE, INC Depih - SAQCity
$? Address 3700 ANNAPOLIS LN S.F.TOtal -
SAC,MCWCC
? Clty PLYMOUTH phOne 553-0020 S.F.FOOtprims -
yyalerConn
On Site Sewage -
?
m W Name on sice weii
- Water Meter
?g AddfOSS MWCCSystem -
02 Acct Deposit
c W City PhOnB City Water -
5/W P
mil
PRV Required er
_
I hereby acknowiege that I have read this application and stata that i?h .. Booster Pump - SNJ Surcharge
informafion is wrrecl and ee lo compl yih all applica?ol
Minnesota Stalutes and C. f E
a
ga
n Ord? a ces. 7reacment PI
/
h
.,
Signature ol Permitee APPROVALS Road Unit
A Building Parmil is issued lo: AMRF., TN(' Plannar - park Ded.
on the ezpress condition that all work shall be done in accordance wilh all Council
applicabla State of Minneso
[a StaWtes an
d City of
Eagan Ordinances. Bldg. Oif. _ Copies
?
J
I
V
i 93.50
?_1?U1lA, i mJ
6uilding Oflicial
? Variance - TOTAI
1989 BOILDING PERMIT APPLIC9TION - CITY OF EAGAN
SINGLE FAMSLY DWELLINGS
11§291
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATFS OF SURVEY, 1 SET OF ENERGY CALCULATIONS
HOTE: ADDRESSFS FOR COANER LOTS - CONTRACTOA/HOMEOWNER M[iST DESIGNATE i1HICH ADDRE55
IS DFS IRED. PO CHANGFS WILL BE ALLOWED ONCE Hf1II.DING PEAMIT I3 ISSQED.
MfJLTIPLE DWELLINGS EENTAL IINITS FOR SALE UNITS # OF IINITS
INCLODE 2 SETS_OF PLANS, CERTZEICATE OF SIIAYEY - CHECg iiITH BLDG. DEPT.# 1 SET OF ENERGY
CALCULATIONS
COM4MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: LG'Co???e luat ion: (C/57/?. Date:
?
?
,,?"/
Site Address 'l1'f/`?`CO? ou.?•
OFFICE OSE
ONLY
Lot ? B1ock ? Occupaney ??
?
'\
Parcel/Sub A? fim M +
Zoning
Actual Const
'
Bldg. Permit
OwnerG-? Allowable
0 of stories Sureharge
Plan Review
? Length SAC, City
MWCC
SAC
Address Depth ,
City/Zip Code G'r, lldL-, ? J S.F. Total
Footprint S.F. Water Conn
Water Meter
Phone
On site sewage_ Aect. Deposit ?
S/W Permit
On site well S/W Surcharge
,r??
?
Contractor ?/?'?Q x?-
MWCC System _ -
Treatment P1.
City water Road Unit
k Ded
P
PRV required _ .
ar
/ oster Pump _ Copies
TOT9L ?o
City/Zip Code
? COZ ?
?
? 9PPAOYALS
-
°
c
c
Phone Planner 0
--.
Couneil
Arch./Engr. R Bldg. Off.
7- Variance
Address Council
City/2ip Code
Phone #
NOTE: Sewer & Water Permit fees and acc ount deposit fees will be included in the building
permit fee. Processing time for a ever and vater permits is tvo days onee a licensed
plumber bas applied for a permit a t City Hall.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
'-?--? ---? ci ? 3830 PILOT 5- 55122
651
n Reauh
D 3 reglstered sMe sarveys showing aq. R. of lot, sq. ft. of house
and gll roofed areaa (207, maximum lot coveraae allowed)
? 2 coples of plans (show beam a window :Izes; poured ind. design; etc.)
D 1 asf W energy calculaHOns
? 3 copies ot free preservalion plan C lot plaked after 7/1/93
ql 5 1oq
SlgnaFure of Applicard:
DATE: I CONSTRUCTION COST:
DESCRIPTION OF I
STREEf ADDRESS:
0?? I ?? _-? O,
Remodel/Reoalr ReaulremeMa ?
2 eopies W plan
1 sM W energy calculaffons for healed addMlons
7 sMe survey tor enlerior addHbro R decW
I -I, 1VJV?v
LOT: jE?_ BLOCK: D- SUBD./P.I.D. #: GYU \1 -e-? I%
PROPERTY
OWNER
Name: (IOri ? J°1a Lt 0` Phone #:
laal Firsf
Streef Address: y ? I
City LC? ?jjn State: Zip:
Company: rlQ, I.QnSY ? KJI91 ? Phone 0:
(area code)
CONTRACTOR pp ?H ('G ?CJ
Sheet Address:,?ao W' ( A y S? • ucense#'?oc v a 7Exp. 33+?i
Cify 1? loorti i ov-, State: Zip: SJYR)
ARCHITECT/
ENGINEER Company: Name:
Telephone #: crea code ( )
Shee't Address: Registration #:
Cily , State:
Sewer 3 water Ilcensed plumber (reaulred for new conshuction onlvl:
?enalfy applies when address ehange and lot change Is requesfed once permR is isaued.
1 hereby acknowiedge thal I have read thls applicaNon, state fhaf the
State of Minnesota Stafutes and CNy of Eagan Ordinances.
Certificates of Survey Received _ Yes
Tree Preservatiori Plan Received _ Yes
Iip:
comply with all applicabl
OFFICE USE ONLY
No
_ No _ Not Required
2008 RESIDENTIAL PLUMBING PERMIT.APPLICATION
Date: b? SiteAddress: Sw1 YVi 0l,s
Tenant:.
RESIDENTIOWNER I Name:
Address I City / Zip,
Shoua Xiong -
4118 Nicols Road -
Eagan, MN 55122 Phone:
6512263232
? _ __ _ _ _ _ ___ _ ____ _ -
I
j Permit #: --jF?? I
I Permit Fee:
I ?
? Date Received: ?
I I
? Staff: ?
L_________________
Suite #:
License #: D ll/ 15Li(
CONTRACTOR I Name:
TYPE OF WORK
PERMIT TYPE
RESIDENTIAL FEES:
Address; LZ-I U? G I Llil `I?l L'tLt, fTV YJ 751) .
City: State: P" Zip: 5540,F
Phonel lYM (?v ' Tm ContactPerson: VeSS
_ New X Repiacement
y..?
Description ofwork:
REySlDENTIAL
„ Water Heater
Lawn Irrigation
? RPZ / _ PVB)
_ Septic System
New
Abandonment
Repair _ Rebuild _ Modify Space _ Work in R.O.W.
_ Water Softener
Add Plumbing Fixtures
(_ Main _ Lower Level)
W ater Turnaround
$50.50 Minimum Water Heater, Wafer Softener„or Wafer Heater and Softener (includes $.50 Sfiate Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround' (includes $.50 State Surcharge)
*Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as 6uilt) (includes County fee and $.50 State Surcharge) '.
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) C? O
TOTAL FEES $ SO, ?-
I hereby acknowledge that this informatlon is complete and accurate; that the urork wtll be in confortnance 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 rk Is not to start without a permit; fhat the work will be in
accordance with the approved plan irt the case of work which requires a review and ap ova fp ans. '
X ? )ei?Fre.t?1 L. N loYblorrL X
Appli,canYs Printed me A icanYs Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4118 Nicols Rd
Lot: 5 Block: 2 Addition: Cedar Grove 1st
PID:10- 16700 - 050 -02
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Signature Home Services
758 Reaney Ave.
St. Paul MN 55106
(651) 731 -1147
PERMIT
City of Eaan
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Shoua Y Xiong
4118 Nicols Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA088939
04/29/2009
ePermit
Use BLUE or BLACK Ink
-I--------- I
Amok- - l For-lute-
Use
My Permit # a of E S
Permit Fee:-
Pilot Knob Road t
3830
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 i I
Fax: (651) 675-5694 1 Staff:
2013 RESIDENTIAL. BUILDING PERMIT APPLICATION
Date- =9~ Site Address:Llu N > cv lS- - 12 - _ -Unit
777,77-77,77,
LV i Phone: Name_ ~S / 2 Z 6 3 Z
Resident/
Owner Address I City t zip:
Applicant is: Owner Contractor
Type of Work Description of work; ! f'
Construction Cost- &4C' Multi-Farriiiy Building: (Yes ! No )
Company: Contact: c ~w acs ,
Address:
Contractor City L- a
State: i Zip: fi t e t-i `t Phone
License t_ 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 plaster 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. Tali Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cafl 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 vviii 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 Wthout 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 pennit issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance,
xx
Applicant's Printed Name Applicant's Signature
Page 1 of 3