3973 Pumice LaneCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
:' ,! : llliri?I r
? 1 11A1+ 1',6:1+11i !> i li
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
i I? I -, << ? ? i,}t k: ,-, APPLICANT:
Ll1Ni: r, . ?I t'l`, 1 t
14 / ol i1 1,
TYPE OF WORK:
1111 ',t V1111 1 i)N
f3lt t 1 14 i tJit
{A ..' oS 9 61 4y
Ibi /) S,t4q
Ar I I VnriON
i i I I 1? f. ','-: tl! Nitill;l )
INSPECTION DA • DA
isE'9 ? 0?? !
?rr1lt??f1 11`J ?! I ?, ! f1r4'
? . . . . .. . . x, . ?. . . ?
?.. . . ? , . . ... ?. ? ?i., .r ???' , . . . .. . . ? ?? ?
- - - - - - - ---- - - - - - ----- - --- - - - - - - - - - - - - - - -
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Fltg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
(
u«i <e
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks * Cedar Grove Acquisition
Addition CEDAR GROVE #5 Lot 21 Bik F+ Parcel 10 16704 21,0 Q(
Owner A'a F ir i' Street 3973 Pumice I,aA@ State Eag?, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK L 1967 100.00 5.00 20 Paid
SEWER LATERAL 1967 484.00 24.20 20 Paid
WATERMAIN
* WATERLATERAL ? 1972 607.00 24.28 25 Paid
WATER AREA
STORM SEW TRK 17
3
1974
70.00
4.66
15
P2,'1d
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 200.00 452 10-25-67
PARK
CITY OF EAGAN
3795 Pilot Knob Rood Eagon, MN 55122 N2 4477
PHONE: 494-8100
.
BUILDING PERMIT ReceiPt #
•
,
;_,
To be used for ""?' Date - 19
Site Address sar?1I C:?? I..Ll
' `
Erect ?
Occupancy
Lot ` p Block Sec/Sub. 5- Alter ? Zoning _
Porcel $k _ Repair ? Fire Zone _
Enlarge ? Type of Const. -
a Name }
s L t 2. 43
-= = ?
Move .# $tories
W
Z
3 Address
,
'
Demolish ?
Front ft.
o :=, a?t
` ?
?
?+-.P Grade ? Depth ft.
City Phone -
? Name Approvals Fees
?Q Address `'?' _= Y sdrz Assessment _
0? 5g8_?TSi}
Cit Phone Water & Sew
F
?W
Name Police
Fi
W w re
F
??
Address -
Eng.
¢ W Cit Phone Planner _
Council -
I hereby acknowledge that I have read this application and state that gidg. Off. ?
the information is correct and agree to comply wi all applicable
'
f
?
' APC
r- inanc
Eagan ,
it
of
State of Minnesoto Statutes and Sc
Signature of Permittee
'° A =r• -
Permit
$urcharge
Plan check _
SAC
Water Conn. _
Water Meter
I Total 24.00
A Building Permit is issued to: Mlz es Gc?Tag{: _ on the express condition that
all work shall be dona in occordance witli all applicable State o4 Minn^sota Statutes and City of Eogon Ordinonces.
Building Official -- --- - -
Permit # Date Issuad PwmItM
Plumbing
Mechanical
INSPECTIOMS DATE INSP. Rough-In Final
Footings Date Insp. Date Inap.
Foundation Plumbing
Frome/ins. Mechanical
Final ? y3- 7
,. . _ . . ..
HOUSE HEA7ING TEST RECORD1.'211
ADDRESS - APT. FLOOR CITY SUSURB `
OCCUPANT ` ; ;-r ? `'' ?'•:' 01MER
MEAT LOSS DATE MTG. INST.
SOID SY INSTALLED BY
EI•ctrisel wak br Gos Lin. Bp
T1fPE 0F HEAT GA FA ,4?_Hw STEAM SPACE HTR. _
UNIT HTR. OTHER
GAS DESIGN CDNVERSION _
MAKE MAKE OF BURNER
Mod ? l 6Ao d?l ?,,.•
AAe=. BTU Ratina -
INPUT - -1AAKE OF FURNACE. -??
AAodel '
CONTROLS
THERMOSTAT Moot Pluy
Volv? .? -
Limit
Limit $eHiny -
?
Fan Srttinq
Pilor Trpe
Pilo? AAok•
Pilot hbdGl
?': ?
Vont Sis•
KIND OF LINER SIZE NONE
Oroh Hood L A,, Rpvlavor
M?
FiItNS Si:•_%?'- / ?!uw?
?
Q,irnn.r Loeorion Inside ?C- Oursid•
aimn•r Consrrvetion ',s\ ?=•<:` ` `F',a
Spillage
Srnek• Bomb wirin9
Pilot Timing D?aft
Teat Tao
L.W. Cut Off Dow Pressw• Liqheino Inst.
P»ssw• ' ?- Porcent C02 ? Daa Toatod
Inout CFH PNUnf 02 ? Comyanr Testinq
j . q!? •?
Srock TamP. Pwcant CO ??? Nanw of Tostw ?f? - R¢"?: -
Certifi?:ate of Compentency_ #
EAGAN TOWNSHIP
BUILDING PERMIT
Owner N
•-.......
•• ......... ..........?t?`ff"?`?. -• --=--
--- - •-------'---•---•--•--•
Address (preseni) •-?:?/..G•-.,.?•-••-•- -•...- --^-?^-°
---- ----••-• --•-•-• •---
Builder ...............
Address --•- .-••--•••••••••••••---.---•-••.•---•••-•-••--•-••••------------.-
-•----•--••••••---......
DESCRIPTION
N° 1573
Eagan Township
Town Hall
Date .... _!..!.?..??.1----.-----.--.
53ozies To Be Used For
. Fron! Depih
- Heigh! Est. Cos! Permi! Fee Remazks
G ,?--?? . --- -
??, r---r
- -- -- - ------ - -
Slreet, Road or
This permii does not suihorise the use of sireels, roads, alleys or°sid&dialks nor does it give the owner or his ageni
the righ2 !o creste any siiuation which is a nuisance or which presents a hazard !o the health, safe2y, convenience and
general welfare to anyone in the communily.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certif !ha! ? ?
y e-?•-?i-•-da•`-^-'°--r--?t-..................has permission !o ereci a•••-?•..?l:G?. ?J • • - •s':-?:.:'? -.. < .......... upon
!he above described premise subjec! !o the provisions of the Building Ordinance for Eagan 7ownship ad6pted April 11,
1955.
/??C.? ?
• .• !?.•--•- --, ••--- •••--••--•---•---...---•-••----..._..
haii an of Tnwn Board
......................
A =-A,
LOCA
Per ----•-•.-.....-••-??y,?•L.f-••-••E/=--?:'e•?-C ?'?-?? .............
.. r•-••••-••-•-•• .............
< BuildinQ Inspector
,?. .._ _
Requested by:
.TAMF,,,SF AIINKF.R
ATTnRNFY AT T„AW
330 ,S,, WAl kPr WaY7. Mn 55391 City Of E3g3ri
Attention 3795 Pilot Knob Road
Eagan, Minnesota 55122
Date July 21, 1976 -
LEGAL DESCRIPTI(7N SEARCH
Ehclosed herein is the legal description which you requested for the
f ollow-ing:
ADDRESS
NOTE: The above address has been assigned by the City of Eagan.
LEGAL DESCRIPTIUN
ADDITION Cedar Grove 5
I,OT 21
BLOCK 6 _
PARCEL 10-16704-210-06 SECTION Section 20 '
WAIVER•
Neither the City of Eagan or its emgloyees guarantees the accuracy .
of the above information which was requested by the persan or persons
indicated. Nor does the City or its employees assume any liability for ,
the correctness thereof. In consideration for the supplying of the indi-
cated information in the above form, and for a11 considerataon of,any
nature whatsoever, any claim against the City ar its employees rising therefrom is hereby exorQSSly waived.
- k
?
JAMES E. BUNKER
ATTORNEY AT LAW
930 9. WAIKHR
(LAKE HT. & WAIKBR)
WAYZATA. MtIVNff90TA 85391
July 20, 1976
City of Eagan
3795 Pilot Knob Road
Eagan, Minnesota 55122
Gentlemen:
Herewith enclosed please find my check in the sum of $2. 00 to
cover the cost of supplying this office with the legal description
for property located at:
3973 Pumice Lane
Eagan, Minnesota 55122.
T6tBPMOro6
a73-"+s
AR6A CODH 612
Please supply the above information as soon as possible. Thanks
for your courtesy.
Sincerely,
/
? 1 i 5 ' O?d So
to .
JEB / jw
Encls.
James E. Bunker
Attorney at Law
city oF aagan
June 20, 2000
Paul Klinger
3973 Pumice Lane
Eagan, MN. 55122
RE: Building Permit # 41293 issued 6/20/00
Lot 21, Block 6, Cedar Grove #5
Dear Mr. Klinger:
PATRICIA E. AWADA
Mayor
PAULBAKKEN
BEA BlOM9UIST
PEGGY A. CARLSON
SANDRA A. MASIN
Council Members
THOMAS HEDGES
City Administrotor
A permit to build a deck of your home was issued to Daves Custom Carpentry. Inspections
required are:
• footing, prior to pouring concrete;
• final when complete
It is the responsibility of your contractor to call the City of Eagan for these inspections. For
your protection, we are recommending that you withhold final pay`nent until you have verified
that the City has approved the final inspection.
Please call 651-681-4675 weekdays between the hours of 7:00 a.m. and 4:30 p.m. with any
questions you may have in this regard.
Sincerely,
Jan Severson
Office Supervisar
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
EAGAN. MIfYNESOTA 55122-1897
PHONE: (651) 681-4600
FAX: (651) 681-4612
TDO: (651) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
Equal OpportunHy Employer
W W W.CI1)/OfAOgQ11.COf1'1
MAINTENANCE FACILITY
3501 COACHMAN POINT
EAGAN. MINNESOTA 55122
PHONE: (651) 681-4300
FAX: (651) 681-4360
TDD: (651) 454-8535
2000 BUtLDING PERMIT APPLICATION (RESIDENTIAL)
ciTr oF EAcaN
3830 PILOT KNOB RD - 55122
651-681-46,75
?
r?G--0v
? ? ?? $? ?
QwmcAel/Reeair RAauiremenls
> 3 regiatered site wrveys showing sq. ft. of lot, sq. H. o( house 19
and g,I rooted areas (2996 maximum lof coveroae aitowed)
> 2 copies of pians (show beam & window sizes; poured tnd. design; etc.)
? 1 aet of energy calculalfons
> 3 copies of h fion plan if lot plaffed after 7/i/93
DATE: DESCRIPTION OF I
STREET ADDRESS:
LOT:
SbU. go
C???d 6?I3 oa
"tYl
2 copies of plan
i set of energy calculaflons tor heated addiiloru
t site wrvey for extedor additiona & decka
CONSTRUCTION COST: a/g a 0
/` /?
Ncme:?c?/ /If (??,e /'i?f fA1 Phone #:
PROPERTY LqEf First
OWNER ? ?????
Street Address: 3? 7J
City ?P-?-AJ _ State: 1'?/10 • Zlp:
i v
. Company:,.??( ?!lC?dl1'I L° & / Phone
(area code) CONTRACTOR
Sheet Address: a? ?? 6"0" L/l/ • Llcense #daQ` Exp ? 02DO
city -O • ?- ??4-? ? stat?: _i?i I • zip: .? ; s d .57""
ARCHITECT/
ENGINEER Company:? 11-60 Name:
Telephone #: (
Street Address: Regishation #:
City
State:
Zip:
Sewer/water licensed plumber (if installina sewer/water): Phone #: (----)
I hereby acknowledge ihat I have read this application, state that ihe infomnatio correct, a ee to compty wi`th aa a e State
of Minnesota Stafutes and City of Eagan Ordinancea
Signature of Applicant:
Certificates of Survey Received Yes
Tree Preservation Plan Received Yes
OFFICE USE ONLY
No No Not Required
BLOCK: ?_ SUBD.lP.I.D. #: CA a r Gr o v e. ??
OFFICE USE ONLY
,
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex O 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 02 SF DweNing ? 08 06-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of _ plex ? 09 07-plex 't 18 Deck ? 23 Porch (screened) O 36 Multi
? 04 02-plex O 10 08-plex 0 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Pin9 Y or_ N? 25 Miscellaneous
? 06 04-plex [3 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' 0 44 Siding
? 33 Alteration ? 38 Demolish (Interior) 0 45 Fire Repair
Repair
0 34 ? 42 Demolish (Foundation) ? 46 Windows/Doors
, * Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 0/ # of Stories sq. ft. '
No. of Units c? Length sq. ft.
No. of Buitdings Width Footprinfi sq. ft.
3L
Const. (Actual) Basement sq. ft. Census Cade
(Allowabte) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building _,J-2LN Engineering Variance
Permit Fee Valuation: $ o?op
• Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P(.
Park Ded.
Trails Ded.
Other
Copies °7 5
Total:
SAC Units
% SAC
SLAB LOCATION AND BUILDING PERMIT SLIP
,.
'Z??0 Nome 1;I"71A)
Address
City o? Village Mome ?/
Wo?k Q Phone TZ/ S?
Phone ?`?? 93 O O HO^1e Home
Days Evenings
Salesmon y?«c Garaae 5;,,. ..27_ -
Countour of Lot Grcdual
At Gvroge Site Flat Steep
? Slope 51ope
Permit to be obtained by: Miles ?
Cu stomer
Permit No. Lot No.
Brack tvo.
Addition
Lot Size
STREET
1-?"'.-' ? 9l -A
I4T i
,,?.¢,e cA
,a?'rP9l? i
e
i°
?
. ..
?N
d
0
j Office Copy Cj Cement Capy
L1 C.heck here if alley F-1 paved '-I Not Poved Width
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B u r Ln z NG
3830 Pilot Knob Road Permit Number: 024105
Eagan, Minnesota 55123 Date Issued: 0 7/ 13 / 9 4
(612) 681-4675
SITE ADDRESS: Lp T: 21 B L 0 C K: 6 APPLICANT:
3973 PUMICE LANE SASS CON57 INC
CECJAR GROVE 5TH (612) 474-4568
PERMIT SUBTYPE:
SF (MISC.).
TYPE OF WORK:
AL7ERATIQN
DESCRIPTZON (EGRESS WIN[lQW)
INSPECTION .A . .A
FRAMZNG ROUGM IN PLBG
ROUGH IPI HTG FINAL
? .
.? e; 3 PERMIT c?7.G.? 03
CITY OF ??4GAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: B U I L D I N G
Eagan, Minnesota 55123 024 105
(612) 681-4675 Date Issued: 07J13 /g q
SITE ADDRESS;
3973 PUMICE LAiVE
LqTs 21 BL.qGKs 6
GEqAR GRpVE 51"M
P.I.N. s 10-16704<--210-06
DESCRIPTION:
(EGRESS WIIVpQW)
ermit Type 5F (MISC.)
0.rk Type ALTERATTON
?
OtV
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Tatal F'ee
%.viv l nm%. I vn.
sass caNsT xNc
180 GEqR6E 5T
ExcELsxaR MN
(612) 474-4568
$45.00
1.00
$46.@0
$2,000
- nNNa.a.uari 1- - Of. Ly4. VYYIYGII:
14744568 0003505 KLINGEFt JUI.IE
3973 PUMICE LM
55331 EAGAN MN
(612)683-0187
fiNI?
APPLICANT/PERMITEE SIGNATURE ISSUED SINNATURIE
i
c. . ?. ?\. 4 •
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
W;V 4-a
SiNGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structurai plans, UVED
specifications, 1 copy of energy calcs.
0 8 14!?4
Penalty applies: 1) when permit is typed, but not picked up by last wo ?-e??nofitb
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ?u4 '73"" Valuation of work
Site Address: 3?7? lu'pt<te L
STREET SUITE #
Tenant Name: (commercial only)
LOT ._J-1 BLOCK SUBD. P . I . D . #
Descri tion of work: it'
The appl i cant i s: ? Owner econtractor ? Other (Describe)
?'` -,! u L Phone C9.3 - Of87
Name
Property -
IAST FIRST
Owner Address ??73 Za?-
STREET STE #
City State Zip 6'?S'l-7a
Company ePhone -'17%-
,
Contractor Address d Gc-daqp- d',),e. License #35'?:3 ? Exp.
City State Zip S',?-33 (
Company Phone
Architect/
E11gi11@eP Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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 Mi ta Statutes and City of
Eagan Ordinances. ?
Signature of Applicant: ''?---
OFFICE USE ONLY :_ •
?,
BUILDING PERMIT TYPE
O 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basemen't Finish
O 42 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
1:1 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
JD-05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE ?f ?c? ?'
are?_ - ,., ` ?. ?•?.??
?
_, _
? 31 New ?@ 33 A1terations Q 35 Tenant Finis h D 37 Demolish
? 32 Addition _0 34 Regair 0 36 Mave
GENf RAL INFORMAfiiON
Const. (Actual) Basement sq. ft . MWCC System
(Allowable) Ist fl, sq, ft. City Water
UBC Occupancy 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 3v
Depth On-site sewage SAC Code oi
Census Bldg ?
APPROVALS Census Unit o
Planning Building Assessments
fngineering Variance
REQUIRED INSPECTIONS
? .Site ? Fo oting 91 Framing ? Insulation
El Wallboard ,a Fi nal 0 Draintile ? Fireplace
Permi t Fee vaiuat;«n: (n n
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road llnit
Park Ded.
Trails Ded.
Copies _
Other
Total:
SAC %
SAC Units
SLAB LOCATION AND BUlLDING PERdfT SLiP
. .
Nnme
Addross
Cify or Village
work a o
Phons
Selesmon
N / ss???? GUlTh`
Home
Evenings =
Countour of Lot Grcdual Steep
At Goroge Si1e Flat Slope Slope
Permit to be obtoined bY: Miles x Customer
Permit No. Lot No. _-71 Block No.
Addition -Itt=$? Loi Size
STREET
?
?
i
i
?
N
I
f
?
-i
?
I
1q '
V
?
Home
Days
Home ?-/
Phone S-
Gorage Size
K 6
17 1?1 10
LDT ? ??`'
? Check here if olley 0 Paved Not Paved
? B.o.N
?ls-s I9T . I
.P?.I?e a?
?
?
e
l?
. ..
' N
L
?
?Ln
j t7
1
'J
o
t
1
Width
j Office Copy [] Cement Copy
GITY OC"
i:,`ASH:I:N::F?y ,:Is lERM:CtJ.AI... Nt7a 699
DATE:;t (J"r'/r.?'ii'9`?3 T:CMi=:: i0p50:1.J.
:[Dn
NAMEn JUL.3:F Ft . Itl...INGE::R
:3210 P001. 3973 l"'tJM:i:C:C" l_.N 97,.'..?
205 9001 ;.39'i,':3 Pl.JM1:C:E:: L_M 2a00
TC}t7:1. 4's:ece:i.pt AmOur7t,°, 9905
Ck';:l :I. 42.`:?L)
UsER :r.D; JriN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
'
Q 3830 PILOT KNOB RDN 55122 `? ??
3 ? 1 ? ? 651-681-4675
New Construction Reauirements Remodel/Repair Reautrements ?-??
? 3 registered site surveys showing sq. ff. of lot, sq. ff. of house
and cil roofed areas (20% maximum lot coveraae cllowed)
? 2 copies of plans (show beam 3 window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
? 3 copies of tree preservation plan ft fot platted affer 7/1 /93
DATE: -7 ' ? ? - fl ?
DESCRIPTION OF W4RK: 10 -k-KJ (S
Name: ? ? k p?t?? Phone #: U? 5-1
last 43 first
STREET ADDRESS: f'" . C, L--
LOT: BLOCK: SUBD./P.I.D. #: C DA U\l
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address: -11 `7 :f2 i` U Yvit L-0 Ly,)
City ca::g? State: kl`l ? Zip;
Company: 5-e- ? ?
Phone #:
(area code)
Street Address: License # Exp.
City
2 coptes of plan
1 set of energy calculations for heated addffions
1 sMe survey for exterior oddffions b decks
CONSTRUCTIAN COST:
State: Zip:
Company: Name:
Telephone #: area code ( )
Stree`fi Address: Registration #: _
City
Sewer 8 water licensed plumber (reauired for new construction onlv
State:
Zip:
Pena Lapplfes when address change and lot change is requested once permit is issued.
I herF.?"t>y pcknowledge that I hcve read this application, state thaf the tnformation is correct, and cgree to comply wffh all applicabl
State'of Minnesota Stctutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Yes No
Tree Preservation Plan Received Yes No Not
?
?.
-0
equired___T
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 40-plex O 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 Porch/Addn. {4sea.
0 03 1 of _ plex ? 08 6-plex ? 13 16-piex ? 1$ Deck ? 23 Porch (screened)
? 04 2-p(ex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Fool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant lmpr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove 0 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Width Footprint sq. ft.
APPROVALS
Planning Building
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee -L - a--? Valuation:
$
07
Surcharge ? - 0
Plan Review
License
MC/ES SAC ;
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge ?
Treatment PL
Park Ded. ?
Trails Ded.
Other
Copies
Total: 9 q. a-4?
SAC Units
% SAC
,
1
MEMO
- city of eagan
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNlClAN
DATE: AUGUST 23, 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
Block 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
Block 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 1,5
208
The City is currently being billed by Dakota Electric for streetiighting in the above listed
subdivision.
Edward J. Xirsc t
Sr. Engineering Technician
Cc: Mike FOertsch
EJK/je
I
CITY OY EAGAI3
3830 PILOT KNOB ROAD
' EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT #
RECEIPT #?D3 ?S
DATE:
??????1;??4?:' PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
. .. ............:. . . ... . . . . .. . . . . . . . ....
?? ???????? ??????????????? ??? TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ------------------------------------------
WORK DESCRIPTION FEES
NEW CONST
ADD ON
REPAIR
OWNER NAME: Russ Wagner
SITE ADDREBS: 3973 Pumice Lane, Eagan, MN 55122
r nT • 021 gT n!;u 49 CLTRTI , "Zi„ Zave_
e
INSTALLER: Dependable Indoor Air Quality
ADDRESS: 2619 Coon Rapids Blvd
CITY: Coon Rapids, MN ZIp: 55433
PHONE #: 757-5040
DWELLZNGS &
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ 15.00
STATE SURCHARGE: .50
TnTA I,? / n $ 15.50
S?GNATURE OF PERMITTEE
ia/?tl 9 r9?.?J?'-?? ?
`i,??'"?-??`?
PLEASE COMPLETE THIS Pi)RTION FOR ALL COMMERCTAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, ANLi MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH D'WELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS: _
LOT: BLOCK SUBD. _
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
ZIP:
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
AAOG'l?'?vclLD PiDiV.P.. _ .Cj25. vv$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112888
Date Issued:08/26/2013
Permit Category:ePermit
Site Address: 3973 Pumice Lane
Lot:21 Block: 6 Addition: Cedar Grove 5th
PID:10-16704-06-210
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.
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 -
Elizabeth M Paul
3973 Pumice Lane
Eagan MN 55122
(952) 451-9616
North Lake Contracting
777 East 7th Street
St Paul MN 55106
(651) 487-0000
Applicant/Permitee: Signature Issued By: Signature