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4352 Nicols RdINSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: '' 1 1 "i N`} 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 /d -/(p 70 3- fJ SO - O Cv ' SITE ADDRESS: & ? APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: ui WInu FtFPI nf'F IaFttr ?. ? ? ? PermR No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Oate Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIH TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPIACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks * Cedar Grove Acquisitton Addition CEDAR GR0VE *4 Lot 5 Blk 6 Parcel 10 16703 050 06 Owner • / Street 4352 Cedaz' Avenue State Eaqan• 1'4N 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK * SEWERLATERAL 1972 1,304.00 52.16 25 Paid WATERMAIN • WATERLATERAL 1972 1r304.00 SZ.lfi 25 Paid WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK ? EAGAN TOWNSHIP NC 1179 BUILDING PERMIT yn?? Owner ---'?--.emYV`7rt?.--S:.. C ---Q--`---. Eagan Township Address (present) .. ................ Town Hall .. Builder .._.__...... -........ _--...__........... ..---- ....._...... .... .----- - ` -------... Dafe .... _.._.7.._(e?.?. . 7?.._........_..... Address `-- ------....------- .......... ................. _.... _........... ..... --...... ............. ' DESCRIPTION StoriesI To Be Used For I Front Depth Heighf Esi. Cosi PermiY Fee Remarks --?- -?- - --?-?-?------ ---I--- --- -- -- ---- - - - ??j -- ? ---------- -- I/? ---?42? _- - - --- /-1i?. ---- - LOCATION zsxreet, noaa or omer Descnption oi Locaison Lo! Elock Addition or Tract -?-y_.-o-,.Z-?.?-3; A?_ -- ?...?,. .;Z_, -? 0 .-70?z-35?_??__?.?- This permii does noi au2horize the use of sireefs, roads, alleys or sidewalks nor does it give the owner or his agent the right to cr¢ate any silualion which is a nuisanae or which presenis a hzzard fo the health, safefy, convenience and general welfare 2o anyone in the communi4y. THIS PEAMIT MUST BE KEPT 013 THFr PREMISE WHIL£ THE WORK IS IN PROGRESS. This is fo cenfity, lhaf.? ----- Cdhas permission io erec! a... up //. ? ? on . . ' ..'.... the above described nremise subjecf !o the provisiors of the Building Ordinance tor Eagan wnship ade? _ opled GApril 11, 1955. .........._.._...... ?.. ------- Per __.._... .?.<..`..?.v':......?? .9. .. . ........ ...... .. ....... Chairmen of Tnwn Board4 ?? Suild?n Ins eafor RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConsuuctlon Reauirementa • 3 repistered site surveys shovnng sq. ft. of bt sq. ft. of house; and all roofed areas (20% maximum lot wvera3e allowed) • 2 copies of plan showing beam 8 windaw s¢es: poured found design, etc.) • 1 set af Energy Calculatians • 3 copies of Tree PreservaGOn Plan H lot platted afler 7/1193 • Rim Joist Detail Options selection sheet (Wdgs with 3 or less unils) DATE -7- s - Z SITE ADDRESS 43 ?? ?t c.??a ? MULTI-fAMILY BLDG Y XN RemodeUReoair ReauiremeMs • 2 copies of plan , • 1 set af Energy Calculatlons kr heated addiGOns • 1 sde survey far extenor addM1ions & decks • Indicate if hane served by sepfic system for additiore ?q9 3? VALUATION TYPE OF WORK fiA-A-o-}? ?1491? )&- s( .ae. FIREPLACE(S) _ 0_ 1_ 2 APPUCANT ST. vA-c_,Le., Co?t?tqes;? d STREETADDRESS1 N164c? A.,4`7 CITY E/.c,Cu,-.e STATE1.1,,J_ZIP 4_?1"331 TELEPHONE #952-470-4403 CELL PHONE # bs'I-7?S-,r04-4 FAX # 952-`f7o - 44 i3 PROPERTYOWNER 1;1-C VA I W,JSC...LV> TELEPHONE# 7sL-6 9 3-Y4 .rd COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"PA RUI.ES 7670 CATGGORY 1 MINNESOTA RUI,ES 7672 (4 submission type) . Residential Ventiladon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Confractor: ___ Plumbing system includes: Mechanical Contractor. Nlechanical system includcs: Sewer/Water Contractor. Phone # / /.+ 7 Fee: $90.00 Fee: $70.00 Phone #II II I'?`I" ?? 1;? i{ I n n n o %nr? ?."""""_-"'"_".?L'!'""'" __"'."'-""_"'"---""""----'--'--'"""'.."""""-.."""""'"--'-.'""'"'-'_ '-""".?.- rce;' I I hereby acknowledge that I have read this application, state that the information irrect, and agree to comply with all applicable Stote of Minnesota Statutes and City of Eagan OrrJi ances. ? ( Signat ure of App aw ? ?/8Z'- OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths _ Phone # Iawn Sprinkler No. of RI. Baths _ Air Conditioning _ Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ . Updaled 4102 zlq S qT RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 cy 651-681-4675 ? a O • ? ? New Construdion Reaulrements RemodellRewir Reauirements • 3 registered site surveys showing sq. R. of lot, sq. fl. af house; and all roofed areas • 2 copies of plan (20Ya maximum bt coverage allowed) • 1 set of Energy Calalations tor heated additions • 2 copies o( plan showing beam 8 window skes; poured found design, etc.) . 1 s@e survey for e#erior additions 8 decks • 1 sel of Energy CalculaUons . Indicate if home served 6y sepGc system for additions • 3 copies of Tree Preservation Plan'rf lot platted afler 717193 . Rim Joist Delail Options seleclion sheet (hldgs with 3 or less uniGs) . DATE JOB SITE ADDRESS y.?S Z IV ! G ,f VALUATION cJ??lJIJ LGI IF MULTI-FAMILY BUILDING, HOW M A NY UNITS? PROPERTY OWNER ? / TYPE Of WORK `' ?{ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT CmC?,/yf ?;,,. h %d:/tgf PHONE# ADDRESS IJ7`8 /Ih cah?Jp 6W ,Js ? Ae ZIP CODE cSvr33_1 PAGER # CELL PHONE # W O-t 7S9 FAX # _?q lce? 9 S 2 _ ?96 ?-!/G NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mcchanical Systcm Includes: Sewer/Water Contractor: Phone #: _ Water Softener Waier Heater No. of Baths Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this appiication, state ihat the inf rrr with all applicable State of Minnesota Statutes and City of Eagan Ordi r}? r1'/ Signature of Applicant ?V Certificates of Survey Received _ Tree Preservation Plan Received _ Lawn Sprinklcr No. of R.I. BaChs _ Phone # Phone # Fee: $90.00 Fee: $70.00 uff?5 is correct, N7? Not agree to comply Updated 2002 CITY OF EAGAN ??? j5-' 31 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conslruetion Reauirements RemodeURepair Reavirements ? 3 registered afte aurveys ? 2 copies of plan ? 2 copies ot plana (include beam d window slzes; poured fid. design; ete.) ? 2 slte surveys (exlerior addRions 8 decks) ? t eneigy eslculations ? 1 energy calculations for heated addilions ? 3 copies of tree preaervalion plan H lot plalted efter 7/1193 required: _ rea _ No ?r0 ?/DATE: 42- /D - 9// CONSTRUCTION COST: U ' DESCRIPTION OF WORK: w?? ?.ep Iocie-M,?,qA, STREET ADDRESS: LOT ` Jf BLOCK ? SUBD./P.I.D. #: C,P/?f? AmtG?Y PROPERTY Name: 4OotuS ?r?Ue-I lre??? Phone#: OWNER u:, rine. Street Address:'-??05'a 113 1006 City: 'F-A? . ) State: A ` Zip:55fap- CONTRACTOR Compan .pr1i'l? 6?V Phone #: Street Address: 1l ? NT O License #: a o/o City: State: f/?ir? Zip•? ARCHITECT/ Company: ? Phone #: ? ENGINEER Name: ? Registration #' -? Street Address- ? City: Sewer 8 water licensed plumber: change are requested once permit is issued. State: - Zip: ? Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the info ation is correct and a ree to comply with all applicable State oi Minnesota Statutes and Cily of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-03000-010-29 DESCRIPTION: PERMIT PERMITTYPE: BuzLoiHG Permit Number: 031278 Date Issued: 12 / 16 J 9 7 449 NICOLS RD LOT: ? x BLOCK: (, -29" 9 E e:F f e N-9 o Cjc?,;?ncw qK4 (W I N D 0 W Buildin§,_permit Type Buil'ding Wo.r..k 7ype . . . . FL ,-?. REPLACEMENT) Cerrsus Cod_e ?S }h ..[:.' ' ' ..;.Y SF (MISC.) REPAIR 434 f1LT. RESIDENTIAL . ?- -t ?F„'?`r( il V1?`rp(?j }{ U z7Z +J REMARKS FEE SUMMARY: VRLUATION Base Fee Surcharge Total Fee $45.75 $.70 $46.45 $1.400 CONTRACTOR: - Applicant - ST. LIC OWNER: TIMBERLAND EX7EfEI0RS INC 19481151 2010140 CALLENIUS DAVE 9010 BRYANT AVE 5 4325 NICOLS RD BLOOMINGTON MN 55420 EAC,AN MN 55122 (612) 948-1151 (612)667-9068 T hereby ack:nowledye that I have read_this applicat3on and state that the infarmation .is car;r, eI ct aaid_ agta .ctrmply aritN a3.1 appL'soalalq. 5tate= af Mn: L ? Statutee afltl City `a'f Eagan 0 rdIPt6 ncesw APPLICANT/PERMITEE SIGNATURE .?Na U,r,l.i YhA ISSUED e SIG URE CITY USE ONLY PERMIT #: RECEIPT DATE: /-/O-0/ RE5?DENT1AL M£CHANICAL PERiblIT APPE.ICATION CITY OF ERfiAA S$SO PILOT KNOB RD f.lkfiAP buv 58182 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: O`( 15 10 l SITEADDRESS: "1352 MIChol5 Road OWNERNAME: TY'?VGL, -fOWYlSe*-)CA TELEPHONE#: I093-'9 (.50 (AREA dODE) INSTALLER NAME: STREET ADDRESS: CITY: .Wohlers Southside Htg. & A/C, Inc Dan Wohlers 5950 West 146th 5treet, Suite 106 Apple Va11ey, MN 55124 - ---- - -- - - STATE: 01?Mnn4 rV x vh kA #16Y wGVMJh W.YL! ?Vf?Y C15ol - -7 09 9 (AREA CODE) ZIP: New residential dwelling unit under constructionand not ownerloccupied $ 70.00 ? Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: i"P,q iQe-i° "?"U,YnaeP ? State Surcharge $ 50 Total $ 5?.510 Remdnder. Call for inspections. _ TELEPHONE #: ?A? 1 '? zool TTEE Updated 1/OI þ ý þýý üûøû ú ùýýüø ÷ý ßñ ôÛôë ð ßß ÿ þý÷ üûúùø ÷ ô ô ÷ôùø ó ö ÷ ô ô ã ôüØ ã ôùø ã ûé ûô ü ô óû ú ò óû ú üØ ý ù ô ô ñûùò ð÷ê ûôë ýãó ô í æêäêðä öù üûô ô íè æê ê õøôø ÷óò øø ùÖøø ü ñ ôë ñûùò ð÷ ðóò ûôë þ ãó Ý Üððð ô úù ö ë ô øø éô ôô ô øùö øø ú ü éã ü û ñùéþ ìô ê øø õ ô ü ûô û ùü ûô PERMIT City of Eagan Permit Type:Building Permit Number:EA162080 Date Issued:06/25/2020 Permit Category:ePermit Site Address: 4352 Nicols Rd Lot:5 Block: 6 Addition: Cedar Grove 4th PID:10-16703-06-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Sonia A Cervantes 4352 Nicols Rd Eagan MN 55122--191 (763) 645-7713 Estate Claim Services Llc 6701 Penn Ave S, Suite 201B Richfield MN 55423 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature