4328 Nicols RdCITY OF EAGAN
3795 Pllot Knob Road Eugan, MN 55122 N2 4727
PHONE: 454-8100
BUILDING PERMIT ReceiPt # "
To be used for Est. Volue Date ' 19
Site Address Erect ? Occupancy
Lot ?? Block ?`? Sec/Sub. Alter ? Zoning ?
Parcel .#' Repoir ? Fire Zone
Enlarge ? Type of Const. '
W Name Caty :'y Gundezson Move ? .# Stories
z Address Ceri3rilve. Demolish ? Front ft.
'a?Ari ?+- Grncle ? Depth ft.
Ci Phone
°C Name _
0
F
?Q Address
?
? r;a,
Name
I hereby acknowledge thot I have read thi
the information is correct and ogree to
State of Minnesoto 5totutes and City of
Signature of Permittee
A Building Permit is issued to:
all work shull be done in a rdance with
Building Officiol 7 -
Fees
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner
Countil
and stote that gldg. aff. -
?nll?applicoble APC
Permit
$urcharge
Plan check
5AC
Water Conn.
I Woter Meter
Totnl
('`;' % ""' : ' on the express condition that
all appliwble Stote of Minnesoto Statutes and City of Eogan Ordinances.
Pen?it # Dab Isruad pwMIMM
Plumbing
Mechanicul
INSPECf10N5 DATE INSP. Rough-In Final
Footings
Foundation
Frame/ins.
Final
Plumbing
MechaniGOl Date Insa. Date Imp.
. _ ?
Remorks:
CITY OF EAGAN Remarks *- Cedar Grove Acr;ruion
Addition Cr_ AR GROVE #4 Lot q Blk 6 Parcel 10 16703 090 Ob
Owner Streei 4328 CedaY' AVenue 5tate_Eagan• 1"IN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1972 1,304.00 52.16 25 Paid
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STdRM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Conetrue6on Reauiremenls
• 3 registered sRe surveys showing sq. R. at lot, sq. fL of house; and all roofed areas
(20°h maximum lot coverage allowed)
• 2 copies of plan showing beam & window s¢es; poured tound design, etc.)
• 1 set of Energy Calculations
• 3 copies af Tree Preservation Plan if lot platted after 7/1/93
. Rim Joist Detail Options selection sheet (bidgs with 3 or less unils)
DATE ? /Dt VALUATION (EXCLUDING LAND) ??ro? Dd
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWI
TYPE OF YJORK
APPUCANT .?
ADDRESS ?
PAGER #
FIREPLACE(S) _0 1 _2 _3
PHONE # ?? 3-) 8F?-?/17
??ZIP CODE?
_ Fax # /?qs.?..l
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Caiculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
P1umUing System Includes:
Mechanical Contractor:
Mcchanical System Includcs:
Sewer/Water Contwctor:
Air Conditianing
_ Heat Recovery System
Phone #
All above information must be submitted prior to processing of application.
_??[s
I hereby acknowledge ihat I have read this application, state that the information is correct, agree to comply
all applicable State of Minnesota Statutes and City of Eagan Ordinances. I n? O? 3 l-a-C
uu
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Water Softener
Water Heater
No. of Baths
o???r
RemodeUReoairReaulremenls
• 2 copies of plan
• i set of Energy Calculallons for heated addih?on`s`
• isitesurveyforex[enoraddifions&decks -6 ?
• Indicate if home served by septic system for additions
Phone
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Phone #
Fee: $70.00
Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
O 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 20 Pool
? 27 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Mutti „
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy
Census Code t4 Z Y Zoning
SAC Units of Stories
Nbr. of Units D Sq. Ft.
Nbr. of Bldgs 1 Length
Type of Const W idth
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addifion)
_ Foundation
Drain Tile
? Roof _ Ice & Water _ Final
_ Franung
Fireplace R.I. Air Test Final
? Insulation
R` :;
If? - I
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
Plumhing
? HVAC
_ Other
_ Pool _ Ftgs _ Air/Gas Tests _
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By-? p_, Building Inspector
6ase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex rg'19 Lower Level
? 12 12-plex Plbg]Y or _ N
..,, ?
. i"
BUILDING PERMIT
CITY OF EAGAN
3795 Pilot Knub Reod Eagon, MN 55722
PHONE: 4548100
$6,000.
Sire Address 4328 Cedar Ave.
Lot 9 Block 6 Sec/Sub. CG 4
Parcet #
c Name Gary A Gunderson
z 4328 CedarAve.
3 Address
o ? agan 4 4- 06
s
Zu0
o?
?
Name _
Addreu
Name _
Address
I hereby acknowiedge that I hove read this applicotion and state that
the infortnation is torrect ond agree t0 c.omply with all applicable
State of Minnesota Stotutes d City of Enga rdinances.
Si t of P 'tt ?• ?e??
ReceiPt # 9496
,,,,,e Mar. 29,
78
Erect ? Occupancy I
Alter ? Zoning Rl
Repuir ? Fire Zone 3
Enlarge ? Type of Const. V
Move ? # $tories
Demolish ? Front -- lZ ft.
Grade ? DeDth 44 ft.
Aeerovula Fees
Asseument -
Woter & $ew.
Palice _
Fire
Eng.
Planner _
Council _
Bldg. Off. _
APC
Permit Ll.vv _
Surchorge 3.00
Plan check
SAC
Water Conn.
Wafer Meter
7otal 24.00
gna ure ermi ee ._ .
A Building Permit is issued to: Gar ' X A Gunderson on the exprea condition that
oll work sholl be done in uccgrdance wi all u ' able State ot Minnewta Statutes and Ciry of Eagan Ordinnnces.
i
Buildirg Official ?
N° 4727
EAGAN TOWNSHIP
BUtLDiNG PERMIT
Ownei ----,4G
Address (preseni) ._.,la.?........- ...._
? __.__.._ ....
Builder .....___""'
Addsess ._._.._....-__--
Sfoiies To Be
?-
_ Sireei, Road
used Fo: I F3
?'C.<?C?C? .I _
/ -
or oYher Descripiii
? ?? ? f J 1
DESCRIPTION
N? 127'7
Eagan Township
Town Hall
Dafe
...}_/??
.
Remarks
I ???uT
,L??
TION
E.J,J-4 ..3?'7
aaa[tion or Trac
?,-
?.C- L
This permii does noi auihorize the use of slreets, roads, alleys or sidewalks nor does if give the owner or his agenf
the zighffo create any situalion which is a nuisance ox which presenfs a hazard fo the healSh, safetp, convenience and
general welfare to anyone in ihe community. ' -
THIS. PERMIT feIVST IIE KEPT ON THE PAEMISE WHILE THE WORK IS IN PAOGRESS. '
y,
This, is io eertif f'?1.-r..-!?e_..-_-.has permission io erect a _ 'Ji%?`__--• -_.-5--.---....__....._. .,.. upon
the above described premise subjeat io the provisions of SheBuilding Ordinance for Eagarfownship adopfed'April 11,
1955. ?
._ Per ......... ly...___ .'..' ._......
____......_..
Chaisman of Tnwn BoaTd, . . $uilding Inspecfor
?
?
? ----------------
dp j?
? Pertnit#:
I
I Permit Fee:
I
? Date Received:
I
I
? Staff:
L__'_____________
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: _?)_a__?? Site Address: ?l32_9 1 V b WS M
Tenant:
Suite #:
RESIDENTIOWNER Name: IVl I(??'1,
?1511?1,Q, l?U????4? Phone: ?9 I'O? 6- Cv2-9 7
T
?2
_
Address / City 1 Zip: GL •?
CONTRACTOR Name: License #: r0 (710" PM
?HdfiipinR ,
Address:
5 ??q9
?
3
; . ..
?fi
i
6
Ciry: 3670 Dodd Rd. #1 OC) State: Zip:
aga , -
Phone: Contact Person: ?o .?. oi (2 Y1
TYPE OF WORK _ New ? Repiacement _ Repair _ Rebuild Modify Space _ Work in R.O.W.
Description of work:
PERMITTYPE RESlDENTlAL
V Water Heater Water Softener
???? v?
D
_ Lawn Irrigation Add Plumbing Fixtures I UJ
? RPZ / PVB) C_ Main _ Lower Level) ?MAk 0 7
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Piumbing Fixtures, Septic System Abandonment, Water Turnaround* (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 built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the Ciry of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to art wi t a mit; that the xrork will be in
accordance wifh the approved plan in ihe case of work which requires a review and approval of plans.???g?f? :..
i,?,/ 9
x?a?j?' Mf?A/1 ?.? x
Applicant's Printe ame ApplicanYs gnature
? y s .a
FOR OPFICE USE., ReviPwetl By', = Date
Requ,ued lnspections: , UnderGround ` Ro?igh lii ?? Arr Test =. Gas Test?' al `. 1
t-
>.. _
33( • £n.. .1.
?^ ?qj
to + ST31 RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
It 9 4. -1s
New ConsWdion Reauiremen5 RemodellReoair Reaui2ments INfice Use Onlv
3 registered sile surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Recd
(20% maaimum lot coverage allowed) 1 set of Energy Caiculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. i site survey for addiGons & decks Tree Pres Not Reqd
isetofEnergyCalcuWtions Addttion-indicatei/onsNesepticsystem _OnsiteSepticSystem
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Oehil Optians seledion sheet (61dgs with 3 or less units
Date?! S'`` 1
v ?
0
ConstructionCost ? q6b,610
Site Address L+ p
? UniUSte #
Description of Work J ?`?? ? ?•-V1?1(?AA'(.l?] ?C???'??V?-PO 0 1. ?`J
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 04") Telephone # ( (0SI ) lQ 6 (o ( 7
.
Contracror
Address 4 City
State Zip Telephone #(656?
COMPLETE TF9iS AREA 0NLY IF COPiSTItiJCYiNG A FiEW BUILl31rIG
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . ResidenUal Ventilation Category 1 Worksheet • Naw Energy Code Worksheet
(Jsubmissiontype) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Tele
2003
I hereby apply for a Residential Building Permit and actrnowledge that
that the work will be in conformance with the ordinances and codes c
s
is complete and accurate;
ear"ad! the State of MN
S:ati:tes; I ar.de:sYand tris is not a permit, but only an application fer z pe.^.nit, and work is nat ta start witheut 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.
A 4'? ? 1--C " WPS 0 l?l
Applicant Printed Name
?
Q?q
ApplicanY Si ature
:
?
,#
p
BU2LDIIdG PF.RMIT APPLICF#TION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculatioris.
To be used foz Valuation
Site Address:
Lot Bl.ock Sec. Sub. Parcel Number
q & igr Ce<?.?i?cC-? -41/ `?
Ocaner rC i^ ? rs 0? Te2ephone '7J- y/ JG L
Address 43 Zg' Lt cj,c ,. ?!e ,
Contractor
Address
Telephone
Arch. /Iing.
Address
Telephone
OFFICE USE
Erect
Alter
P,epair
Enlarge
Move
ner.olish
Cxade
Occupancy
Zpnittg
Pire Zone 3
Type of Const
H of Stories
Fmnt ?
Depth ti L
OFFICE USG
Date of Approval & Initial
FEES
Pezmit . _?l ?
Assessment
Vdater/Sewer
Police
Fire
Eng.
Planner
Council
81dg. Off.
A.P.C.
Surcharge s V
Plan Check
SAC
FJdteY Conn.
47ater h4eter '
TOTAL
PERMIT #
RECEIPT DATE: I 1? I b' c) I
R£SIDENTIAL PLUMB1N6 PEftMIT APPL[CATION
CITY OF EEIfiAN
3$30 fILOT KFOB RD
EAfiAN, MN 55128
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? 6ackflow preventer for irrigation system
SITEADDRESS: 24 J ?? \M Il w Is
OWNER NAME: : '0- v I? C O N-Cr TELEPHONE #:
INSTALLER NAME: r E-`?11?e tl?t? yyX) N TELEPHONE #:?? C`f lD 7-Y 6 0 V
STREET ADDRESS: Z 2 /0 Q 1 1 ? 1 U+REA CODE)
i N-? ?'O\ ) CITY: L-, G 1`1'Q V f I 1''z' STATE: wl 1--j ZIP:
Place a check mark next to the nermit work tvoe
New residential dweiling unit under wnstruction and not owner/occupied $ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water tumaround
V-?
?
?
9
? 9 S? YY"1't N
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 185.00
State Surcharge -- - $ .50
Ul
l ? , . '
t
.
To
a
Reminder: Schedule inspections of alterations, i.e. water heaters, water softeners, water turnaround, etc.
I here6y acknovAedge that I have read this application, state that the informatlon is correct, and agree to comply with all applicable Ciry of Eagan ordinances. It
is the applicanPS responsibility to noUTy the properry owner that the City of Eagan assumes no liability for any damages qused by the Cityduring its normal
operadonal and maintenance activities to the §cilides consWCled under this permit vAhinQW propertylrigtWf-yray/ease?IVnt.
SIGNATURE OF PERMITTEE Updated 9l01
.
/SI
;
yy/
a y'
/ , x d ,a
va
iZ L,%
y3-2 8 CEv??' /?v
.,
3y
dt" Sie-77.S(s' W- //9.7l' aee
?
S
/. 7_A4
Gt?gro ?2TFM0,o-??V'??'l
ae ar.l Ga.ic?e_=?Y_'4•s?•=.?$'L? 6a?
b ?!?-?-ia6'S
L`I' R o ,q D
?--- / y ? ---+---- I a ? ----?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123739
Date Issued:06/13/2014
Permit Category:ePermit
Site Address: 4328 Nicols Rd
Lot:9 Block: 6 Addition: Cedar Grove 4th
PID:10-16703-06-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Kevin R Codner
4328 Nicols Rd
Eagan MN 55122
New Windows For America
609 W County Rd E
Shoreview MN 55126
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature