The URL can be used to link to this page

3966 Pumice Laner ' CITY OF EAGAN 3795 Pilof Knob Road Eagan, MN 55142 N2 4476 ' PHONE: 454-8100 BUILDING PERMIT ReceiPt # 7'05 To be used for ;:; ; r 7 sE? Date ..,.t )yF?: T ; yi 19 . . Site Address "•"'6 `,t,-lict! :'T•7 Erect 0 Occupancy ? k t Bl L f;c; 5 $ c/S b Alter C] Zoning oc o e u . Repair ? Fire Zone Porcel # _ Enlarge ? Type of Const. _ z Name k f y 1 ? Move # Stories 3 Add LR Demolish ? Front 26 ft. ress- City Phone Grade ? Depth ft. ? N Approvals Fees p ame ZV ?a Address • " .-, rv,, ? _r;$-975O Nome Address Phone Assessment _ Water & Sew Police Fire Eng. Planner - Council _ Permit 2I-00 _ Surcharge Pian check SAC Water Conn. _ Water Meter I hereby acknowledge that I have reod this opplication ond state that gldg. Off. - - the information is correct and agre to comply "th all g APC pplicoble Totol ?State of Minnesota St tu ss an ' C' y Eagan rdinanc?s. ? Signature of Permitfee.? A Building Permit is issued to: _- - - on the express condition thot all work shall be done in accordance with all applicable $tote of Minnesota Statutes and City of Eo,an Ordinances. Building Official " = , -- Permit # Dute lowd PweMtN Plumbing Mechonical INSPECTIONS DATE INSP. Rough-In Find Footings Date Insp. Date Insp. Foundation Plumbing Frame/ins. Mechanical Final z Remarks: CONTRACT PRICE: ? Site Address ? Lot Block ? Name _ 'g;.; c??a Address c City c Name ? Address o .-??'?,c? ciry TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other ?...-,..?. .. .-,..-.m?. ?... __ . . _ PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 1? 7v" ? PHONE: 454-8100 BLDG. TYPE WORK DESCRIPTION ?Sec/Sub Res. Y New ?J?',,?. Mult. Add-on Comm. Repair Phone Other v,z EES RES HVAC 0-100 M BTU _$24 00 T'? r? ti'? `" . . - s`ji" ?%'• 't?• ADDITIONAL 50 M BTU - 6.00 Phone d' (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkilA1T) - 1 50 EA . . COMM/IND FEE - 1% OF CONTRACT FEE /vOa M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 M BTU REMODELS - 12.00 M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 CFM (ADD $.50 S/C IF PERMIT PRICE GOES ? $ BEYOND $1,000) ? FEE: . ? <1 ? , ? S/C: E 8 u TOTAL: _,, u? ..__::r. _,. .. ........_.._.. ..... FOR: CITY OF EAGAN CITY OF EAGAN Remarks * Cedar Grove Accxuisition ij f Addition CEDAR GROVE #5 Lot 18 Bik 7 Parce1 10 16704 180 07 OwnerLDYvlLS fu.?j??i?st?eet 3966 Pwaice Lane State Eagant MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1967 100.00 5.00 20 Paid SEWERLATERAL 1967 508.00 25.40 20 Paid WATERMAIN * WATERLATERAL 1972 82.00 2.28 25 WATER AREA STORM SEW TRK ?j 1974 70.00 4.66 1$ STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. #1531 2-67 SAC 200.00 452 10-25-67 PAR K CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4476 ? PHONE: 454-8100 DING PERMIT APPLICATION $5 BU? 000 ReceiPt # 7305 . 9 . To be used for Gara e Date September 7gk 19 77 Site Address 3966 Puatice Ln Erect Occupancy t 18 Bi k L CG 5 7 S c/S b Alter ? Zoning o oc _ e u . Repair ? Fire Zone Parcel # _ Enlorge ? Type of Const. ? e Robert Blokzyl Move ? ?# Stories 3 L Add 3966 Ptunice Ln Demolish ? Front 26 ft. ress cit Eagan Phon454-7413 Grade ? Depth p 24 ft. w N ^ Approvals Fees Zo ume --Mal 2S-Qat-agE 03 Address 4500 L.Tnda1 p Nn. u? I Citv Phone 588-9750 Name _ Address Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to omply w?F all applicoble Stote of Minnesota ?u?s?pncj/CiEagan ?Or inang Assessment _ Water & Sew. Pol ice Fire Eng. Planner Council Bldg. Oft. - APC Permit 21.00 _ Surcharge 3.00 Plan check SAC Water Conn. _ Water Meter rorai 24.00 Signature of PermiWel/ L''Lf/ A Building Permit is issued to: \MileS r8 e on the express condition that all work shall be done in ac ?rdance with II pplic le State of innesota $tatutes and City of Eogan Ordinances. Building Official ° EAGAN TOWN S H I P BUILDING PERMIT Owner .__.....---... ....... Address (present) ••,.--•-•-•-•-----•---•----------•--•-•--.._._.....•--••-------•---•••-•-•--•- Builder ------------•-•••--•---••--•--••-•-•-•--•--•--••-•-••--•-•--•-•----•--------•---------•----- ... Address .---•---•--•------••---•-•---••-••-•••••••-•.................................................. N° 1533 Eagan Township Town Hall Date ---`-?&l(?-7------------------------- Stories To Be Used For Front Depth Heigh! Est. Cosi Permit Fee Remarks v LOCATION Siree3, Road or other Descripiion of Locaiion I L03 Elock ' Additfon or Traci This permit does not suthorize the use of sireets, roads, alleys or sidewalks nor does it give the owner or his agenf !he right to create any situaiion which is a nuisance or which p=esents a hazard !o the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE/I PREMIDSEWHILE THE WORK IS IN PROGRESS, „ This is !o certify, that__?...... .__.has permission fo erec! ........ ..................... .........upon !he above described p=emise subject to the provisions of !he Building Ordinance for Eag ..Township adopt April 11, 1955. ........................ ............ Per ........... . . ? __.... . -----..................... •???/?--••--•---•?....:.? .--• -•••-•?i?`-??-"-_-`- •--=- Chairman of Tnwn Board ? Building Inspector 'l•,e_ .? PERMIT # r 2002 ftES$DENTIAL PLiT???? ?ERM$'f APPLICATION *-)k- Please complete for: RECEIPT DATE: ctTY OF EAsAv S$SO PILOT KNOB QD EAcAN, MN 55122 651-6$1-4675 ? C7? z s? ---1?- single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system /? - -icJ5 " ? ? -7 SITE ADDRESS: 3W6 / U /CC- OWNER NAME: a?v.S??C/7d?(/ TELEPHONE #: ?O?'Z- .???? 72?'Z (AREA CODE) INSTALLER NAME: TELEPHONE #: ?"(-777-7e5?0` (AREA CODE) STREET ADDRESS: CT , CITY: ,fYl??wi?dD STATE: 1711411U - ZIP: /Q /41 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ? Adding fixtures to lower levels or ro m Hiti?onexcluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new instal lation/repair/rebu ild $ 30.00 _ lawn irrigation system Replacement/additional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 ? S ? Total $ `- I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the ficilities constructed under this permit uuthin City propertyay/eas nt.` SIGNATURE OF PERMITTEE 1/02 , New Construction Reauirements • 3 registered site surveys shawing sq. ft. of lot, sq, ft, of hause; and all roofed areas (20% maximum lot coverage aliowed) • 2 copies of plan showing beam 8 window sizes; poured found desgn, etc.) . 1 set of Energy Calculations . 3 copies of Tree Preseroation Plan 'rf lot piatted after 711/93 • Rim Joist DetaH Options selection sheet (bldgs with 3 or less units) RemodeVReoair Reauirements • 2 copies of plan • 1 set of Energy Calculadons'for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions DATE \c??- VALUATION ???? o a ? o Q O JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER S? tcNckc? ?oSVb o?T? TYPE OF WORK FIREPLACE(S) ,_ 0_ 1_ 2 APPLICANT PHONE#l(%-51 ?!'?°TI ZIPCODE S5 \ oq ADDRESS T?' A ? ? P ??, _?_5 '? ?l \ m ?-??, s r PAGER # CELL PHONE # FAX # k1.56 -t-i ??- x 1 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilatian Category 1 Worksheet Subm tted - Energy Envelope Calculations Submi DR?? I) U _ MINNESOTA 1tULES 7672 JUN O`? 2002 - New Energy Code Worksheet Submitt ? Plumbing Contractor: Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge fhat I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan dinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 _ Water Softener _ Water Heater No. of Baths _ Lawn Sprink4c'r= _ No. of R.I. Baths ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ piex ? 04. 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? < 32 Addition - 33 Alteration ? 34 Replacement OFFICE USE ONLY ? 07 05-plex ? 13 16-plex ? 20 Pool 0, 30 AccessoryBiCg ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 0 09 07-plex ?17 Garage x 22 Porch/Addn. (4sea.) ? 33 Ext. Ait - SF ? 10 08-plex 18 Deck ? 23 Porch (screened) ? 36 Multi ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage ? 12 12-plex Pibg Y or _ N ? 25 Miscellaneous 124'm, O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 13 36 Move Btdg. ? 42 Demolish (Foundation) 0 45 Fire Repair ? 37 Demolish (Bldg)" 0 43 Reroaf ? 46 Wndows/Qoors *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy f'27, 22 MC/ES System Census Code ??Zoning - City Water SAC Units ic? Stories ! Booster Puma Nbr. of Units Sq. Ft. PRV - Nbr. of Bldgs ? Length Fire Sprinklered ? Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. Footings (deck) FinaUNo C.O. ? Footings (addition) ; - _ Plumbing Foundation HVAC ? Drain Tile . ` Roof Ice & Water Final Other Framing? _ Pool i_ Ftgs Air/Gas Tests _ Final Fireplace ? R.I. VAirTest ?Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By?_?.? , Building Inspector Base Fee----------------- --- ? ? ? ??- -----?--?---------------- - _ ?? Surcharge Plan Review MC/ES SAC / City SAC Water Supply & Storage ?. S&W Permit 8 Sureharge Treatment Plant Plumbing Permit Mechanical Permit' " ? ?? ?" ?' License Search Copies • ??? ?M? a.? ?. . y ? Other ? ??L.. ? ?- Total ? MNcheck COMPLIANGE REPORT Minnesota Energy Code ? Permit # I MNcheck Saftware version 2.0 Minnesata.Department of Public Service 1-612-296-5175 I-800-657-3710 1 Checked by/Date ? I i COUNTY: Dakota STATE: Minnesota ZQNE: 2 CONSTRUCTION TYPE: Single Family DATE: 6-7-2002 UATE OF PLANS : ?/-3I07- <Z'iMai•j 4 L?NJ! &0SWUr-Yi'1` TITLE: 3°tLs? tl-Jrn«f- LN. F-1AAvJ M?u . j 5122 COMPLIANCE : P13SSES Requixed UA = 126 Your Home = 118 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------- CEILINGS -------------- 475 -------- 38.0 --------------------- 0.6 ----- 14 WALLS: Wood Frame, 16" O.C. 747 19.0 2.0 39 GL,AZING: Windows or poars 140 0.350 49 CRAWL: 36.0" ht/36.0" bg/36.0" f,nsul. 224 14.0 16 COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other ealculations submitted with the permit app2fcataion. The proposed building has been designed to meet the requir ments of the Minnesota Energy Gode. Builder/Aesigner '?'1 0 - I3ate 1 / lYl Q / \D? / /. . _. . _.. . ._ _. . _..! A ? , a i ? ? ? ? ' I 1 --. . . .. ... ? A°''rn r N' ? µ???' --e?-- r? --? I n I ? I i ' i i Y 3m ut, 7-+4 k I r Vvf 0-0 :2o'D rr" .. .. ,r ? Date BUILDIi'?G PERMIT P..PPLIC11TI0'?1 LOT ELOCK d ADDT TlOi•1 PAFiCEL & SECTIOP3 HT3T1BEI2 IF' Ui1PLI3TTED ?DREss o? PARcEL PU tli( I G c- ? ja- ?U ,C- ZOi3IOG OCCUPMICY USE ESTIttiiAi`ED COSt C) Of•7TE;2 PQ '1J i=(? ?? C1 [ Z TELEPHOI?tE 110. ??? ? ?DREss COIdT?..?`?CTOR 64 t?A- G- ? TELEPHOIIE :10 . ??/ At?i3aE55 '7 ?? (:-, > 14' (? U ?C) Note? Include sa.te planp building plans, and energy calculations vaith is application Signed ;?;%`? OFF'ICE USE VALUATIOi? SAC WA^tER CO'tTi\'F,C^IOL1 t1??'Lk 1=iETER EiUZLDING PERt•1IT FEE SURCHARGE F; F pzAr, c¢:Ecx FEE PAFaIC DEI?ICATIM:I FEE OTHER TOTFyL* APPROVALS. ASSES$i4E":'T CLERI{ BUILIIIidG DEPT. POT,ICE I7EPT. T7ATEd2 & Sm. iER DEPs. FTRE, DEPT. PAi2K DEPT. `?+• , SLAB LOCATION AN.D BUILDING PERMIT SLIP Name 61-0,il???-- r ? Address Home ' City or Vi ( lage Ph ne ?? 31-r Work -7 ? Home ?/ ? Nome Phone 6-6 ? ? Days ?' ` "2' 1Z Evenings V Salesman Garage Size 5? Countour of Lot Gradual Steep At Garoge Site Flat ? 1< Slope Slope Permit to be obtained by: Miles ? Customer Permit No. Lat No. l? Block No. 7 Addition 65;i`-ie! Lo# Size ? l... lfL.J ?' ? ? I'? J--?? `? I N jcu ? 1m 1X 7 ? o. , io t ? ? Check here if alley i_r',', Paved 71. Not Paved Widrh u Office Copy [; Cement Copy ? ?NiN; 4 ?.. _ city of eagan MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 231 1993 SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS) This memo is to inform your department to begin to invoice the energy costs at the single family rate effective August 1, 1993 to the property owners in Cedar Grove No. 5 Addition. BIoCk 1, Lots 1-22 22 Biock 2, Lots 1-19 19 Block 3, Lots 1-11 11 Block 4, Lots 1-16 16 Block 5, Lots 1-25 25 Block 6, Lots 1-22 22 Block 7, Lots 1-25 25 Block 8, Lots 1-5 5 Biock 9, Lots 1-2 2 Block 10, Lots 1-23 23 Block 11, Lots 1-14 14 Block 12, Lots 1-9 9 Block 13, Lots 1-15 15 208 The City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. v ? 0- &I., ' 9Z Edward J. Kirsc t Sr. Engineering Technician cc: Mike Foertsch EJK/je /¦ ir t ¦ I ea II Retail Banking Group First National Bank of Minneapolis 120 South Sixth Street, PO Box A512, Minneapolis, MN55480 Telephone 612 370-4141 r ? ? ? . r ? _A September 30, 1971 Town of Eagan 3795 Pilot Knbb Road St. Paul, Minnesota 55111 FtE : 3966 Pumice Lane /n " -7 St. Paul, Minnesota Our Loan # 1-1-2963 Gentlemen: Enclosed is our check for $525.00 which is the amount withheld at the time of the closing of the sale of the above propetty. As the assessment is higher than 1 1/2 tiaes the estimated amount, Robert B. McDaniel will send a check for $82.00 directly to you to cover the balance. Kindly send a receipt to my attention covering the $607.00 when full payment has been received. Thank you. Yours very tsuly Daphne McAlister Real Estate Loan Department CC: Robert B. McDaniel 1103 East 63rd Apt. 2 Tulsa Oklahoma 74105 DM:lp ENC. ?. 2007 RESIDENTIAL MECHANICAL PERmiT aPPLicATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & 2ownhomes/condos when permits are required for each unit Date(e_/ .?/ 01 Site Address ??(o& )(t m i C' e-, ?e--- Unit # Property Owner ?"a) ?p Telepltone # (?S] Contractor C-- Street Address City ?j '1?d?tX State Zip Telephone # Bond #: 41?3 Expires: , - .- ----- . The Applicant is Owner ? Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) 90.00 This fee applies when eztensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 ? furnace _Additional ZReplacement New air exchanger ? air conditioner heat pump other State Surcharge ?" $ .50 , (? -?--- 15 2007 _ ?d $ 1jC?? rotal KAUG 0 . _ . , _. _ ? =-- - - - I hereby apply for a Residential Mechauical Pernut and acknowledge that the_ ? a? omplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechaiiical Codes; that I understand this is not a. pernut, but only an application for a permit, and work is not to start without a '• lat.the work will be iii accordance with the approved plan in the case of work which requires a review and approval of pla ? 0, ? .01 • ??? - ? ` I Applicant's Pnnted Name App cant's Sign ire , City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3966 Pumice Lane Lot: 18 Block: 7 Addition: Cedar Grove 5th PID:10- 16704 - 180 -07 Use: Description: Sub Type: e- Siding & Windows/Doors Work Type: Siding & Windows /doors Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 6,000.00 Contractor: Talon Woodworking Inc 17350 Interlachen Dr NE Ham Lake MN 55304 (763) 862 -5696 BL - Base Fee $6K Surcharge - Based on Valuation $6K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: $132.75 $3.00 $135.75 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. Owner: Blokzyl J Bosworth 3966 Pumice Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing 0801 9001 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. Issued By: Signature Building EA089524 06/04/2009 ePermit ô ü û ú ÿþþ ýýû úþþüùïï øì ÿð àê þÿ ý ÿþø ùø÷öõ ñ ð øöõ ôöõ ñ õ õâø áà û ð ø ð ïøõ ö îû ùíø õ õ õ ú ø õ óò ÷ ç þ ø õ ÷ ø õ ç ð ÷ß íø ÷ö ó û ö ç æÿÿç ÿçÿ ÷ú ùø û è ø æç åçå è ø ïúç öùõ øóò õõ ñ ÛöÝ ó ï ïåþþø ê ëé ïü û ëé äþïãÿþ þåþ ÷ö ó û ê õõ û õöó õõ ÷ ù ë ù ø ðöü û ç õõ ò ùû ø öùû ø PERMIT City of Eagan Permit Type:Building Permit Number:EA113913 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 3966 Pumice Lane Lot:18 Block: 7 Addition: Cedar Grove 5th PID:10-16704-07-180 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Blokzyl J Bosworth 3966 Pumice Lane Eagan MN 55122 (651) 454-7413 1 Derful Roofing & Restoration 2973 S Nova Rd Pine CO 80470 (303) 984-7663 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA147167 Date Issued:12/14/2017 Permit Category:ePermit Site Address: 3966 Pumice Lane Lot:18 Block: 7 Addition: Cedar Grove 5th PID:10-16704-07-180 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Blokzyl J Bosworth 3966 Pumice Lane Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature