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3967 Pumice LanePERMIT # ?q?0 d MECHANICAL PERMIT ??D ? ?=' CITY OF EAGAN RECEIPT # ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: `- CONTRACT PRICE: PyoNe: 454-8100 . Name ig Address City BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on ? Comm. Repair ,.,• ?•- Other ? Name _Z? c Address p City ;. TYPE OF WORK Fo'rced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other M BTU $_ M BTU $_ M BTU $_ M BTU CFM $- FEE: S/C: TOTAL: ? FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEFiiIAIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SI6NATiJRVJffF_PU I E FOR: CITY OF EAGAN CITY OF EAGAN Remarks *;edar Grove Acquisition Addition DAR E 5 Lot 22 elk 6 Parcel 10 16704 220 06 Owner L ? Street 3967 Pumice IxZA2 State ?gan, MN 55122 ? Improvement Date Amount Annual Years Payment Receipt Date S7REET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ?jZ 1967 100.00 $.00 20 Paid SEWERLATERAL 32 1967 460.00 28.00 20 Paid WATERMAIN * WATERLATERAL 11, 1972 607.00 24.28 25 437,04 A 06941 10-15-78 WATER AREA S70RM SEW TRK Z 1974 70.00 4.66 15 Paid STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sac 200.00 725 4-16-68 PARK E 27879 REQUEST FOR ELECTRICAL INSPECTION .c-. Es-00001-06 III, See instructions for completing this form on back of yellow copy. W: F,704?12 "X" Below Work Covered by 7his Request evy Add ReD• Type of Building Appliancea Wired Equipment Wired Home Fange Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electrii; Heatiii Commercial Bldy. Fumace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Sper.ify) ther Specify Other Other omUUte lnsnection Fee Below Jf Fee ServiceEntranceSize M Fee Feeders/Subfeeders # Pee Circuits 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 qmpy 31 to 100 Arnps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Booms ' Partial-'Other Fee Signs Specialinspection S ?? TOTAL F Rerr?irks 'Q'S ??! /'/ ? / Rough-in Date 1, the Electncal 'Inspector, hereby rtify that the above Final /? /? t inspection has been / / ? / / . , ? made. rhin raauest void 18 months from This request void 2?/QQ n?? 18 months from ? ?j1/ot ??'' ?J E 2 7 8 7 9z " /2 6, Ak,,e- Reque33 Date ' No. Fire Rough-in Inspection Required? I?Ready Now [] Will (Votify. Inspec- ?, g ?Yes o tor When Ready Wucensed Electrical Contractor 1 hereby request inspection of above ? Owner electricai work installed at: Street Address, Box or Route No. City E co a ection o. 1 wnship Name or No. - Range No. 1 County?kO Occupant (PRINT) J-;4 Phone No. Sa '-JS G i Power Supplier A (Company Name) ? Contractor's License No. as? ? - c C 117?1 W4 , li.t, c'..EJc,Je.c r,,Jc. o Mailing Addre s(Contractor or Owner Making Instailation) 1$ I. P i'?.., >>- Authorized gnamre (Contractor/Owner Making Installation) ? Phone Number MINNESOTA STATE BOAHD OF ELECTRICITY THIS INSPECTION REQUEST WILI NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1827 Universitv Ava.. St. Paul, MN 55104 Phone (612) 642-0800 ENCLOSED. EAGAN TC]WN S H 1 P BUILDING PERMIT Owner ...... -•?--'i`--??_... ...............•- Addrest (P:esen!) ...-,4 --------- :!4, •--......... ---.......... -/ -•----------• --- ---- Builder ...........................••-•-•-......_........-•---•-•• •--- - Address .............................................................. -------.._..-• ................• DESCRIPTION N° 1'757 Eagan Township Town Hall D a t e ??/ c. /G. ?' -•-•-.......................................... 5iories To Be Used For Fron2 Depth Heigh! Es2. Cos! Permit Fee Remarks ? 3 LOCATION Street, Road or oiher Description of Locaiion ? Lo! I Block ? Addiiion or Traci X- I, ' ? s-•- ?-?`-"-? ?- This permit does not suihorize the use of s2reefs, soads, alleys or sidewalks nor does it give the owner or his ageni the righ! !o creafe aap situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare !o anpone in the community. THIS PERMIT MUST BE KEPT ON THy?EPREMISE WHILE THE WORK IS IN PROGRESS. ?""'r'?•- ----.has permission to erect a-•-?•_ ?'`-•-•. ? ?-• -l? -!-=--•-- •• - - ---- • -• ?............... ....... ....... . . . upon This the is above !o cerlify, described tha! -•-- premise subject 2o the provisions of the Building Ordinance for Eagan ownship ad '!ed April 11, 1955. •°•--.....- •- •+r+:-?----- - --c^................... Per ............... E;i•? frE,r_.--.....?;lx??'" g• -• ?-l.?-•? -•---•°• ? i •--••••-• •••-•-••••--•••- 19 ChairmQfn of Town Board f Buildin Inspeclor ?_ - ?. ryIIi?u'!?,I(? , ? ? y _ cifiy of eagan TO: DIANE DOWNS, UTILITY BILLtNG CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNIClAN DATE: AUGUST 239 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. Block 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 Biock 6, Lots 1-22 22 Block 7, Lots 1-25 25 Biock 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. 91'4/ZtZ/1Q__&4 ,r Edward J. Kirsc t Sr. Engineering Technician cc: Mike Foertsch EJK/je EAG114 TOWNSHIP 3795 P31ot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNEC^tiON DATE: April 15, 1968 OWNEF.: Cedar Grove Const. Co. PLUMBER Stein, Inc. NUMBER %15 ' 121 Address 3967 Pumice Lane TYPE OF PIPE Cast Iron D ESCRIPTION OF BUILDING Industriall Commerciall Residential l r2ultiple Dwelling I No. of units X Location of Connections: 1 Connection Charge Permit Fee Street Repairs Tota 1 Inspected by: DaCe Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above pexmit, I hereby agree to do the proposed work in accordance with the rules and regulati:ons of Eagan TocJnship, Dakota County, Minnesota Stein, Inc. By Plpase rotify t,hAn ready for inspection and cor.nection ar.d before any portion oi tha wcrk 3.s covered. DBteSeptemhPr 19 178 Fier/Vath THE SPRILdG COMPAPIY Betty 4285 Sheridan Avenue South Minneapolis, PfiJ 55410 F.e- Address 3967 Pumice Lane FiuyerASeller Fier/Vath Gentlemen: We request the following information pertainin,_, to pending andlor special assess- ments: All that tsact or parcel of land lying, and being in Dakota County, Minnesota, described as follows: Lot 22, Block 6, Cedar Grove #5 Plat 16704 Parcel 220-06 District 10 This is to certify that I have sxamined the records in the office of the City of Eagan , Dakota County, ?tinnesota, and find that the above described tract or parcel of land has the followinn improvements: Main trunk sewer Lateral sewer S torm seu,*er GTater main Street sprinkling 3treet grading Curb and guttex Alley grading Sidewalk Garbage collectfon Tarring streets Street paving Alley paving I further cextify that accordin;; to the records of said office, the following as- sessments appear uapaid: KIidD OF ' 0}ZIGINAL TOTAL APIOUNT UNPAID SUII- IP'PROVEMENT RUrdS BEGINt1ING ArqnTJrTT SEQUE?IT TO CURR.EIVT YEAR Water Lateral 25 Yrs. 1972 607.00 437.04 I faxrthex certify that according to the records of said office the following im- provements are contemnlated or pending after having been approved and are now in the process of planning ar completions RIND OF APPROXIPiATE DATE APPROXIMATE CQST IA1PROi/EPIENT OF COP4PLETION OF INiPROVETIEPIT NONE ? ? _ , y° ? City of an S r?i'':°l f 454-8100 ? Signature Phone Noo Zt 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan "jD '_7 3830 Pilot Knob Road, Eagan MN 55122 ? Telephone # 651-675-5675 FAX # 651-675-5694 l? ? "'70 New Construction Reauirements RemodeURepair Requirements Offce llse Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Gert of Survey, Recd '' _ Y; _ N (20°/a maximum lot coverage allowed) 1 set of Energy Caiculations for heated additions Tree Pres Plan Recd Y', _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System', _ Y!_ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bidgs with 3 or less units Date Q` l . Constructio Cost Site Address Unit/Ste # Description of Work g LgAU ?Q,l,,. S ?? U(1l?U?t?U? ? ? ? ??? ?? B?ld AM F amil Y"• ??? Fir ace(s)0 y g ?? Property Owner ? Telephone # ( ?? ? S Contractor , 4 v ? (;Q • • Address 558 ?J City State Zip Telephone # (gs Z) ??'S' ? (yU! / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category ? Minnesota Rules 7670 CategorYl _ Minnesota Rules 7672 F • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( 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 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. . GtX i .?. VoKs ? . o4)_ Applicant's Printed Name Applicant's ignature OFFICE USE ONLY 5ub Types :1 01 Foundation ? 02 SF Dweliing ? 03 01 of _ plex ? 04 02-piex ? 05 03-piex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacerrient',, Valuation Census Code SAC Units ' # of Units # of Bldgs Type of Const Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex C7 13 16-plex ? 20 Pool ? 30 Accessory Bld'g ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 T Ext. ASt - 4Aulti ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or _ N ? 25 Miscel4aneous ? 35 Int Improvement ? 38 Demolish Inte(or ? 44 Siding ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair ' ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors DemalEtion.(Entire Bldg) - Give PCA handoutto applicant Occupancy MGES System f . Zoning City Water ° Stories Booster Pump ' REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool , Ftgs _ Air/Gas Tests Final _ Siding , Stucco _ Stone _ Brick Windows _ Retaining Wall , Building Inspector City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3967 Pumice Lane Lot: 22 Block: 6 Addition: Cedar Grove 5th PID:10- 16704 - 220 -06 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935 -9669 Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Owner: Jacob C Horry 3967 Pumice Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Building EA087076 10/24/2008 ePermit I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Issued By: Signature ù ÿ þ þýý üû ûùù øýý÷ëú ôé á ö èñ áâá þýô ýüûú ùà î üú ù ÷ ú ùàù ùßü ãö ÿ ü óüù õÿ ýôü îñ ù ùù î þñ òü òñ ù ìï î û ð ý ü ù ûüî ù ð ûòí ôü û ì ÿî ò ñò ð êðèðè óø ýü ñ ÿ ë ü êðçðçè ë ü þð òÿñùÿ ôðï ùù å ûß çáâüò ÿ æäèè ñ û ìÿñ ñ ñ ùù ñ ñî ò ÿ òù ìñ ùù ûý îæ ý ü î ÿ ó ð ùù ï òýÿ ü ýÿ ü 4,10,' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED MAY U 1 2012 r Use BLUE or BLACK Ink For Office Use /) Permit#: /OL/0/� Permit Fee: ,, It / Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: it 5.1 - Site Address: 3411.1 Turr►+`tt tad . Unit #: Name: ILIA) t'eK:„l Address / City / Zip: 3q`'? {%M Phone: 451•L4 9.83$S Li. EAalow 55122 Applicant is: ,/` Owner Contractor Description of work: reerflr K 14, • Orteiikrnt Construction Cost: x`400 om Multi -Family Building: (Yes / No )( ) Company: Contact: Address: City: State: Zip: Phone: 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: 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.qooherstateonecall.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 s tc4e19.1.1 Applicant's rinted Name 61--//11(-6- � - '1 DO NOT WRITE BELOW THIS LINE /0/ SUB TYPES Foundation )( Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Walf`J Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool DESCRIPTION Valuation Plan Review (25% 100%) Census Code #ofUnits '` # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In Air Test _Final Insulation Sheathing Sheetrock Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding tie Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation, Water Damage *DemolitiotrOftntire building =lgixePCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _ Siding: _Stucco Lath Stone Lath Windows Retaining Wall: _Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector Final Brick 92 5 floOr 17111-_-)"_/ ei(71 0 0 Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA130240 Date Issued:04/14/2015 Permit Category:ePermit Site Address: 3967 Pumice Lane Lot:22 Block: 6 Addition: Cedar Grove 5th PID:10-16704-06-220 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 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 - Jacob C Horry 3967 Pumice Lane Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature