4140 Nicols RdCITY OF EAGAN Remarks *CedLar Grone Acquisition
Addition CEDAR GROVE 0 Lot 9¢ n-r 10 Blk 2 Parcel 10 16700 100 02
Ownerh ''• Street 4-140 f'AvBnma State PgLJan?p MN ?51?12
kv?i??i
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1,304.00 52.16 25
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CaNN, u
BUILDING PER.
SAC L?
PARK
EAGAN TOWNSHIP
BllILDING PERMIT
N° 86'7
Eagan Township
Town Hall
Dale 1116.1'__..................
DESCRiPTiAN
Stories To Be Used For Froni Dep1h Fieighl Esl. Cos3 Permi! Fee Remarks
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or
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This permif does nof auihorize ihe use of siree3s, roads, alleye or sidewalks nor does it give.ihe owner or his ageni
the right !o creafe any siiuafion which is a nuisance or which presenis a hazerd !o the healSh, safely, convenience and
genexal welfare !o anyoae in the communify.- . , THIS PEAMIT MUST BE KEPTrp/N? TH?E PR?EMISE WHILE THE WOAK IS IN PROGRESS. -- - This is fo oerfify, lhaf...?:.....t?it"t!. .... . .....___. has permission fo erecf a........ ?..
.. ............ ........------- .. "... ".....' .... . . _ .
the above described premise subjeci to ihepzovisions of the Building Ordinance for gan Townshi adopfed April 11,
1955. ..:................... .A..?._.....L.? P.er .......-.'___._...... [!? j. ?.."'...G'?_`--`-"?_ .
Cheirman of Tn.wn Board .- < Building Inspector
4 ' g.
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
?(e C) 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
$'? 0,06
New Construction Reauiremenis RemodellRe ir Re uirements CSFficet7se?nN
3 registered sile surveys showing sq. fl, of bt, sq. fl, of house; and all roofed areas 2 copies of plan Cea1 d$*uYef' R?cd Y` sl
(20°6 mmimum bt wvemge allowed) 1 sel of Enerqy Calculatiore for heated additions t4pViisPl9?f 2?lACtl
F'
!!ed
u
? N` _I?;
Y- h1
2 wpies of plan showing beam & window sizes; poured found design, etc. . t site suroey for adddions & decks re9
Iree
,
Si _
t sel of Energy Calculations Add'dion - ind'rcate 'rf onsife septic system DtfsYE 3epNCSyStem
3 copies of Tree Preservation Plan if lot plafled afler 71153
Rim Joist Detail Options selection sheet (bldgs wilh 3 or less un0s
Date 30 ! Construction Cost .? U
Site Address y iy o N kC O?-s IC O A O UniUSte #
f- n3 s'S 1 z. z - 9 0
Description of Work koop
Multi-Family Bldg _ Y X N FSreplace(s) _ 0_ 1 K 2
Property Owner Q O b2 u`? ly ?R e-v Z- Telephone #(C.s() '(540 q 03'
Contractor 1\N e r
Address _? `
City (:;-?2N
State Zip Telephone # (`JS
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Miimesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Restdential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope CalculaBons Submitted
Have you previously constructed a building in Eagan v
fee applies.
Licensed Plumber v?
Mechanical Confractor
Sewer/Water Contractor
SEQ
plan? _ Y _
/ Telephone #(
? elephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without 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.
/I o (er7- !-Y' /C eTz
Appiicant's Printed Name
At?¢ /-1A'er
Applicant's Signahue
2004 RESIDENTIAL BT1II..DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
<1 -7 O,d?
NewConsWdlon Reauiremenls RemodeVfteoairReauirements allsa'(1n
3 regisfered sife surveys showing sq. ft of bt, sq. tt of houu; and all roofed areas 2 copies W plan ?t o'
(20% rreximum lot coverage allowed) 1 se[ of Eneyy Calculations for heated additions Tiee P?t'Re°Y KN
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey far addNOns & decks fes'R uuBA ?? ?'" ?• N
isetofEnwgyCalwla6ons Add'?ion-indlcafeifon-sResep6'csystem ¢C?si?g?j?, ? EMN
3 copies of Tree Preserva6on Plan'rf bt platted after 717193
Rim Joist Detail Options seleclion sheet (bldgs wAh 3 or less uni5
Date ?_ /
1v l N
° l
ConstrucHon Cost 52x?0
Site Address 411? 0 Unit/Ste #
OI r)
Description of Work 11,-`5tM? z - 6 l 5/?
M
lti
F
il
Bld Y
N K2
1
l
0
Fti
u
-
am
y
g _ _ _
ace(s) _
_
rep
Property Owner ao m, 1 ?/.?; ?i!5 Telephone #(
Contractor
Address 3?357 U.): R%.11 t3 City
State Zip ?P Telephone # (111) LIP
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Ivfinnesob Rules 7670 Cateeorv 1 Minnesoh Rules 7672
Energy Code Category . Residential Ventilatlon Category 1 Wwksheet • New Energy Code Worksheet
(4 su6missiontype) Submitted Subml@ed
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Pemut and aclmowledge that the informarion is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a
pernut; that e or 11 b in acc ance with the approved plan m the case oi work wtucn requues a review ana
approval of 1
Applicant's Pried Name Applicant's Signature
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
Permit ' I
City of Ea R~~
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: f Site Address: Unit
Name: Z Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Description of work: _ _l -t-e ~ to r
Type of Work
)
Construction Cost: jj Multi-Family Building: (Yes / No
f Company: Y6, !,-l e cl / Contact: i~ (.cJc✓f [
Contractor Address: o`er ~ 1-7 414e A45 City: gf='
s c`, r
State: ~ Zip:Phone: ~d' ~!7 -31
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 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:
MNOTE: 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.
_...j
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.gopherstateonecall.org
I 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 I understand this is not a permit, but only an application for a permit, and work is not to start without 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 permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x Y r x
Applicant's Printed Name A cant's Sign re
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use
l*b City of Eapft Permit#:
Permit Fee: '361,5, Z�
3830 Pilot Knob Road RECEIVED ..3-/Z-l
Eagan MN 55122 Date Received:
Phone: (651)675-5675 MAR 2��7 Staff: !
Fax: (651)675-5694
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
X. � �
3'�
Date °'" '� Site Address: ��y� /Cd1� c�', �a /�/Y �� LUrnt#
I Name: 4//4A/ ity F. ie Phone: id 75 1
Resident!
owner Address/City/Zip: �IIh'() /t/: )/5 Id- f4,- P'd/'✓ SS/ZZ
Applicant is: Owner 1"
Contractor
Type of Work Description of work: �dd_ on hil
10rLr� '" /2 X/
yp
Construction Cost: Multi-Family Building: (Yes /No )<- i
Company Contact:
,
I 3
Address: City:
Contractor
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
I
Mechanical Contractor: Phone:
i
Sewer&Water Contractor: Phone:
i
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
Ithe information maybe 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. 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.gopherstateonecall.orq
I 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 I understand this is not a permit, but only an application for a permit, and work is not to start without 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 permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x ,,/e1/7,1—ii J s - x0/4..--1/4- -7- --------....
A
Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE H'\ c c
SUB TYPES ] go l v V S cCk
_ Foundation Fireplace x 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 Plex Lower Level Pool Accessory Building
WORK TYPES
?p 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 ' I Z,760,- Occupancy BIZ c- I MCES System
Plan Review Code Edition /IM 20 l S SAC Units
(25%_ 100%)G ) Zoning \-2- –\ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length I Z ' Fire Suppression Required
Type of Construction v' 3 Width I q'
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
X Footings (Addition) ) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test /Gas Line Air Test
)0 Roof: zO Ice &Water >4 Final Pool:_Footings _Air/Gas Tests _Final
XFraming 30 Minutes 1 Hour Drain Tile
Fireplace: 4Rough In �DAir Test 10 Final Siding: Stucco Lath _Stone Lath _Brick EFIS
X Insulation Windows
Sheathing Retaining Wall: _Footings_ Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
XBraced Walls Erosion Control
Shower Pan Other:
Reviewed By: / O In 'g-17/A- , Building Inspector
RESIDENTIAL FEES
Base Fee I If iX i Z ` ' /f 0 (f• /‘71•
Surcharge
Plan Review ? 6 .0 5 • /-74.•
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
u.°Rv EY 11-11 (0147
REVIEWED
By: T
Date: 3-2-z -I
Eaga Building Inspections Division
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