3978 Pumice LaneCITY OF EAGAN Remarks * Cedar Grove AM isition
Addit`'CEDAR GRUVE #5 Lot 1A Bik 7 Parcel?LO 16704 160 07
Owner?f Street 3978 Punlce IxZne State EagdI1. MN 55122
a;:31.J I,+,, J ..
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 7jZ 1967 100.00 5.00 20 Paid
SEWER LATERAL 1967 484.00 24.20 20 Paid
WATERMAIN
* WATER LATERAL 1972 fjQ']. QQ 24.2$ 25 Paid
WATER AREA
STORM SEW TRK 1974 70.00 4.66 15 Paid
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sa,c 200.00 452 10-25-67
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
?3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ,
(651) 681-4675
, s t i +> ?? c.+ ;•
SITE ADDRESS: ;f, l. I,, ?? 101, h e APPLICANT:
i. ANr . , .
aS.':-.e?r1rs4
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .. . ..
,,,,)t In 't I,., I
? ?+ ..
Permit Hoider Date Telephone #
SEVJER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCrivirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG • ? ?, LJ
N
[DECK FINAL
CITY OF EAGAN
_ 3795 Pilot Knob Rood Eogan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be wed for Est. Value Dote , 19
Site Addreu Erect
?
Occuponcy
Lot B lack Sec/Sub. Alter ? Zoning
Porcel # Repolr ? Fire Zone
Enlorge ? Type of Const.
Name Move
Q
i
St
W or
es
Z
? Address Demolish ? Length
Ci pho? Grode ? Depth Sq. Ft.
o
Name Approvals Fees
??H
/lddress
!- r:...
Name _
Addreu
Assessment _
Water & Sew.
Police
Fire
Enp.
Plonner
Council
Permit
Surcharge
Plon check
SAC
Woter Conn.
Woter Meter
Rood Unit
I hereby acknowledge that I hove read this applicotion and state that gldg. Off.
the information is torrect and ogree to comply with oll oppliceble
State of Minnesota Stotutes and City of Eo9on Ordinances. APC Total
Sipnoture of Permittee
A Building Permit Is issued to: on the express condition thrn
oll work sholl be done in accordance with oll epplicable State of Minnesoto Stotutes ond City of Eogan Ordinances.
Buildin9 Offitiol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
E
H.V.A.C.
Well
Water
Disp.
Sewer
Electric
Inspection Date Insp. Other
Footings
Foundation
Framing
Rough Plbg.
Rough HVAC
Inwlation
Final Plbg.
Final HVAC
Final .
?tr ' 3
Water Describe Location:
V11e11
Sewer `
Pr. Disp.
EAGAN TOWN S H I P
BUILDING PERMIT
f
Ownet .....
: . ° _ .... ?
•-------------------- ? ... •- --? •--•-----••--••--•-------------
Address (presen!)
-/?---•
Builder
, ---.................................
--------------••-•--.._....-•---•-•••--•-•-•--••------•- ---
Addre,ss ••••-.----•••-•••
-•-•••••-••---•-•.......-•---...--•--•---•••-----------------------------••--
DESCRIPTiON
N° 1532
Eagan Township
Town Hall
Date ._f/li./?,?7 -----...---•--•--•---..._
5t_ ories To Be Used For _ Fron3 Depih _Height Est. Cosi Permii Fee Remarks. -
? - -- -
LOCATION
Streei, Road or other Descripiion of Localion I Lo3 Slock ' Addiiion or Trac!
?t' ?b>/?` ?1 lmi • ,? ,? °S
This permii does noi authorize the use of sireets, roads, alleys or sidewalks nor does if give the owner or his agent
the riqht to create any siiualion which is a nuisaace or which presenis a haaard to the health, safetp, convenience and
general welfare !o anpone in the community.
THIS PERMIT MUST BE KEPT O?N THE P?MISE WHILE THE WORK IS IN PROGRESS.
This is !o certify, lhai-4 --?-->---io-----•---•--................... has permission !o erect a_15_._._.+??.'_ -•,•---..ypon
the ahove described premise subject io the provisions of the Building Ordinance for Eagan 1'ownship adopled pril 11,
1955. ,
. ..........:....••••-•••-..... .... 1...................................... Per .................... C-4 ......•--
Chairmaa of Tnwn Bo d -••--••••--??
Building Inspector
(
0
CTTY OF EAGAN Include 2 sets of plans,
?v
/VUIIDING PERMIT APPLICATION
1 site plan w/el.evations &
1 set of energy calculations.
Zb Be Used For ?'?`1p 2,A£? ?-"' Valuation d Date
site Aaaress: 3L,7X AcIrnI cE- ZAniF' oFFzcE usE orLY
Lot Block sec./sub. C' Erect Occupancy
Parcel # : ?O - 167 0 4¢ - / 6 O - p 7 Alter Zoning
Repair Fire Zone-
,
Owner: G!J ?U/UJ??.?'So?.J Enlarge TYPe of Const.
Address: 3??? ?('Cc' og-N ? N1ove
Demolish # Stories
Front ft.
City/Zip Code: 4??9,19N 2, Grade Depth ft.
Phone # : R3 6 ? APPROVALS FEES
Contractor:
Address:
City/Zip Code:
Phone #:
Arch. /Eng. :
Address:
Gity/Zip Code:
Phone #:
Assess[tients Permit
Water/Sewer Surcharge
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council F2oad Unit
Bldg. Off.
APC
.r?
TOTAL ?? ''??
?
?
a
r
.
?
?
CITY OF EAGAN
?,. 9796 Pilot Knob Rood Eogon, MN 55122 ?NO 7609
? PHONE: 454-8100
43UICDING PERMIT Receipt .#
To be used for STORAM SfIFD Est. Vclue $400 Dote 11-1 _ 19-82-
Site Address 3978 Pumu-c' Ln Erect
$X
Occuponcy
Lot 16 Block 7 Sec/$ub. C.G.S Alter ? Zoning
Parcel # 10-16704-160-07 Repoir p' Ftre Zone
Enlarge 0 Type of Const.
W Nome Paul W. GLII1dEY'SOri Move p # Stories
; Address Sanie Demolish p Length
b Ci 55122 Phane 454-8302 6rade ? Depth Sq. Ft.
?
Name SP]
f
Approvals
Fees
? o
.
~
o? Address
Assessment
Permit ?-?-•50
' u? Cit Phone Water & Sew. Surchorge •50
?? Police Plan check
?Z Nome Fire SAC
(D Address Eng. Water Conn.
U
<W Ci Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this opplicotion and stbte that gldg. Off.
the intormotion is correct and ogree to c mply with oll opplicoble
APC 1 2
??
T
t
l
State of Minnesota Statutes City o ogon Ordinonces. _
o
o
Signature of Permittee
A Building Permit is issued to: on the express condition that
all work sholl be done in eccorda S with oll opp le Stote of Minnesoto,)$tatutes ond City of Eogan Ordinonces.
Building Officiol zi?n l,/"?-?r_?d' ?.s? ? r 4
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION $59000. Receipt #
To be used for Garage Date
N2 4477
7306
, 19_--7 7
Site Address 397$ mice Ln Erect [3c Occupancy
Lot 21 Block b Sec/Sub. CC S Alter ? Zoning
Parcel # Repair ? Fire Zone _
Enlarge ? Type of Const.
? Name Brad Martin Move ? # Stories
Z Address 3978 Pumice Ln Demolish ? Front 28 ft.
O
Eagan 452-4215 Grade ? Depth 22 2 ft.
Cit phone
Approvols Fees
o Name
ov Address 450 s
?-a??e
0 L.?dg Nn-
Assessment
Permit 21.00
u? Cit Phone 588-9750 Water & Sew. Surcharge 3.00
Police Plan check
F
FW Name Fire SAC
?? Address Eng. Woter Conn. _
¢ W Cit Phone Planner Water Meter
Counci I
I hereby ocknowledge that I have read this application and state thaY
the information is correct and agree to c mply wi all applicoble
Stote of Minnesota Stat and ty o agan r inan?
Signature of Permittee
A Buiiding Permit is issued to: MILE'.S GS'C8 e
all work shoil be done in occord ce wit*1a1-l appiica le State of Minn
Bidg. Off. _
APC
Toral 24.00
on the express condition thot
Statutes and City of Eagan Ordinances.
Building Official
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?/A
? 6q
New Construction Reauirements RemodeVReoair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y N
(20% maximum lot coverage allowed) 1 set of Energy Calculations 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 Not Reqd Y N
1 set of Energy Calculations Addition - indicate if on-site septic sysfem On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan 'rf lot piatted after 7/1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date._ 2-u ?j
Site Address Uqlk p01'V! ?'l[A L,(J{q. Construction Cost &D4l'"
Q UniUSte #
Description of Work (/1/r)'1 c- 6 VI/
J
Multi-Family Bldg _ Y_ N
Fireplace(s) _ 0 _ 1 _ 2
Property Owner ? L" ,/i c?g Y) n S rnC ?elephone # ( 0?
Contractor Windo" l 1
Y??
nc P o-F rn sV ? I rxC..•
.
_
Address " t q (} I ,l t) ? Clc?i_??
State m Iv' ? City ?,(''"ril
Zip Telephone # ( us O q
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categor? Minnesota Rules 7672
Energy Code Category
• Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar pian? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
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.
GI-G ?? ? ? X ?
Applicant's Printed ame Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ piex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt -' SF
? 04 02-plex ? 10 08-piex ? 18 Deck 0 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
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 Other
Roof _ Ice & W ater _ F inal _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
-------------------------------------
-----
------
-
-- _
--
-------------
- Approved By
------------------------------------------------ , Building Inspector
-------------------------------
Base Fee -
- -
---
---------- ----
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
C_C? qcfq RESIDENTIAL BUILDING ? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
% ]lo _CRD
New Construction Reauirements RemodeVReoair Requirements Office Use Oniv
3 regisfered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverage ailowed) 1 set of Energy Caiculations for neated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Energy Calculations Addition - irMicate i( on-site septic system _ On-site Septic System
3 copies of Tree Preservation Pian if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date Zo/ (?3 Construction Cost
5ite Address S ?l ?K /94 u1,,G? 4?4, Unit/Ste #
l12L)
Description of Work
Multi-Family Bldg _ Y? N Firepl ace(s) /Z0 _ 1 _ 2
Property Owner Telephone #( bS`f C'2J?J?
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Categorv 1
• Residentiai Ventilation Category 1 Worksh
(?1 submission type) Submitted n ?
• Energy Envelope Calculations Submitted ? I C
I II
Licensed Plumber
?
Mechanical Contractor
Sewer/Water Contractor
Minnesota Rules 7672
: `Ne - ergy Code Worksheet
"L " Ll 1 luu?m?ed
? ) r,??' ?
? 2 'Ja
'_ = Teleph- one
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 ardinances 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.
Applicant's Printed Name
&, 6z,
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-p4ex ? 20 Pool
? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex U!( 19 Lower Le el ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg? or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
'15 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replac2ment *Demolition (Entire Bldg) - Give PCA handout to appticant
Valuation ` 0D O
Census Code
SAC Units
Nbr. of Units U
Nbr. of Bidgs
Type of Const
_ Footings (new bldg)
? Footings (deck) .
_ Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
Framing? ?
Fireplace _ R.I. ! Air Test _ Final
3/ Insulation
Base Fee
Surcharge
Plan Review MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Occupancy )0,::3 MC/ES System
Zoning ? City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinkiered
Width
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
1f Plumbing
? HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retauung Wall
fo- 2-3-0 Approved By ? ? , uilding Inspector
S
J??C(
PLLTMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
?s? `sno
Date 4 / m / 03
Site Address 3'?'/ -7f P?cu!!?- ??c.. ??6Ai? ?? ??/2 Z Unit #
Property Owner "14vi"? Telephone #(?S-?
Contractor
Address City
State Zip Telephone # ( )
The Applicant is ? Owner Contractor Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Egisting Dwelling Unit, Including $ 50.00
Adding fixtures to lower levels or room additions, excluding water softe ner and water heater
! Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild
$
30.00
_ Lawn irrigation system
Water softener Water heater
15.00
_ replacement _ additional
State Surcharge .50
Total $ '?-
I hereby apply for a Residenrial Plumbing Permit and acknowledge that the information is complete and accurate; that the wark will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pernut, but only an application for a pernut, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. ? -,-*>
f??li'?/? ? ?fi!-c?/? ?..C? ' _.. 1
Applicant's Printed Name Applicant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
l? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstruction Requirements
• 3 registered site suroeys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% mauimum lot coverage ailowed)
• 2 copies of pian showing beam 8 window sizes; poured found design, etc.)
. 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE
RemodellReoair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additians
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION * "e6- '
SITE ADDRESS MULTI-FAMILY BLDG _ Y ZN
TYPE OF WORK ns`ln? FIREPLACE(S) ?0 _ 1_ 2
APPLICANT '5r/<'u cit
STREET ADDRESS CITY STATE 10'4" ZIP S'Sl 2-2
v
TELEPHONE # 65I -fqY-q 2?F CELL PHONE # FAX #
rR•PERTY •WNER 14 L?-L, TELEPHONE #.??-
-?
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ v1INNESOTA RULES 7670 CATEGORY i MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Y__
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes
Sewer/Water Contractor:
Water Softener
Water Heater
Y No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
` Air Conditioning Filu'141- .?70.00
Heat Recovery System °r
-------------------------------------------------------------------------------- ----? g -----------
I hereby acknowledge that I have read this application, state that the inf ----------
or orrect, and a ree to comPiY
with all applicable State of Minnesota Statutes and City of Eagan Ordinan e.? ?
Signature of Applicant
-------------------------------------------------------------------------------------------------------------------------------------------------------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
O 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-piex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 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 Muiti
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof 0 46 Windows/Doors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy
Census Code Zoning
SAC Units Stories
Nbr. of Units Sq. Ft.
Nbr. of Bldgs Length
Type of Const Width
_ Foorings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water Final
_ Framing
_ Fireplace _ R.I. Air Test Fina
Insulation
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests
_ Siding Stucco Stone
1 _ Windows (new/replacement)
_ Retaining Wall
Approved By
Base 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
Final
Building Inspector
?/ 1 q y 6j? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE
JOB SITE ADD
IF MULTI-FAMILY BUI
P?OPERTY OT
T P?
APPLICANT W ti
ADDRESS
PAGER #
:, HOW MANY UNITS? "
i MQ- ? I n t
G,? it-t c Q (y\s
tvl-\
CELL PHONE #
RemodellRepair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
. 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
5
VALUATION??XT 1 D?
.
,15
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Sut
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the i formation is co t, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Orrd? an `'
Signature of Appli
V
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Phone #:
Water Softener
_ Water Heater
No. of Baths
Lawn Sprinkler
No. of R.I. Baths
Phane #
Air Conditioning
Heat Recovery System
F;°EPLACE(S) _ 0 _ 1 _ 2
_ PHONE#??";?_ W3<4_7(o
? ? ZIP CODE 3S?'RS
FAX # f ???60'6?0St3
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Bnosier Pump
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 Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Keview
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
?? ??? __?
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Recuirements
• 3 registered site surveys showing sq. it of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage alfowed)
. 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Calculations
. 3 copies of Tree Preservation Plan if lot platted after 7/1l93
. Rim Joist Detail OpGons selection sheet (bidgs with 3 or less units)
DATE ( I (?I oZ
JOB SITE
3q-78 A,- 1?-
??--??
I - i L - C) I
RemodellRepair Reauirements
• 2 copies of plan ?
. 1 set of Energy Calcula6ons for heated additions
• 1 site survey for exterior additions & decks
. Indiqte if home served by septic system for additions
VALUATION
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Tl?raJ d?'?C'1H4r
TYPE OF WORK EintS?L43 FIREPLACE(S) 0_ 1_ 2
APPLICANT S?ff/h-0K PHONE# G5-1-99q-97-69
ADDRESS .•??? ?cs C6?? ZIPCODE
PAGER #
CELL PHONE #
FAX #
SS/'ZZ
rtEw RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
Plumbing Contractor.
Plumbing System Includes:
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor.
Mechanical System Includes:
Sewer/Wcter Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that 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 Ordinances.
`
Slgnuture of Applicant
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
0 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ piex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex K19 Lower Level ? 24 Storm Damage
0 06 04-plex 0 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. - ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bl dg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units ?9f Stories Booster Pump
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 _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ 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 & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
4k.
?
. ?
?
qlo?
41atPi : (' ? ! '-7 /
BUILI7IY3G PERMIi p,PPLICA',CIM1
Lar aLOCx ? ADDiTzo?T ?
Pe3RCEL & SECTIOiJ NUM33ER IF UiIPLATTED
AJT DRESS OF PAitCEL v{/????J
? 4 jt/ C
?.Oi3I;:IG OCCUPAATCY USE
EsTLo;ia,En cosT
or-T,.rE;l B 1 N TELEPxo14E iNTo..
A
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COIaTP.ACTOR & I ? 1= J G /f 14) A 6'40 TELEPHOPIE TTO .
ADUaZESS Li T Li d `?` ?/' ? ? /?'!i? ? ??
tlote °
Include site plano building plans, anc3 energy calculations vaith this
application
Signed Gra a-L"
OFF'ICE USE
VALUATIOi?
S?,C
WA't'E:t COi3,3EC^I0;:1
1,4ATE R f:M, TER
EiUILAING PFI?t-?IT FEE
SURCHAARGE FEE
PLAri CEMCK FIENZ
PARIC DEDICATI014 FEE
OTHER
TOTAL*
?
v "
APPROVALS.
ASSESSiM`'Y'E' CLEtZK BUILAIiJG DEPT. POZICE DEPT.
T.•:IATER & 5EP7E;R DEPT. F I?L DEPT. PAI3K DEPT.
? -? 6M
SLAB LOCATfON AND BUIl.DING PERA' T SLIP
t?
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Name-Yp
J/fM /LJfiti.T%
A ddres s_._t2?
Home
CitY or Village Phone 7 Z? TLf >
Work FC)0 ,? 93 c O Home Home
Phone t
Days Evenings
Solesman ??«c Gcrage Size r
Countour of Lot Gradual Steep
At Goroge Site Flat ? SIoAe Slope
Permit to be obtcrined by: Miles ? Customer
Permit No. Lot No. Block No.
Addition Lot Size
STREET
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PERMIT
C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE: Bu a? LDINC
Permit Number: 034196
Date Issued: 12 / 0 g/ 9 8
SITE ADDRESS:
:3978 PUMTCE LAi4C
1.t11"; 16 BLOGK o 7
GEDAR GROVE #5
P.IviV> 0 10-16704-160-•07
DESCRIPTION:
?._.INt;LuDES RAmP
dirtg?' P,?ermit 1"vpE fJECK
c3 yfl 104 rt W d*tk T yp e IV E W
434 ALT< RESICIFiVTIFsL
? ? ? ?? ?? ?? ????
?d? g? ? g,? ?„ "6 ? %$? ???9??
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cREMARKS:
Pl_AN REUTEWFD l3Y CRhIG iVCJtlRGZYK.
FEE SUMMARY:
F3a se r-ee $50e 00
Surcharqe _$.^5@
Tota.l. Fee $u0<50
CONTRACTOR: -- Aoplican t, - s 1. t_ ic, OWNER:
R/W CONSTRUCTIQN 18224484 20025749 ULSQN MRRK
5 115 6u BI_.AIS?ELL AVENUE ..?'i 3978 PlJh1ICE Lf1NE
M 'EAPOLIS MPd 5541.9 EAGAN MN 55122
t ,?') i322-?iW84 ((?5?.)45E-'335T
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? hereby ackrtawledqe, th.a t ? #ja ve? rd tiri?F appk?catica+l and q,??5,e that, the
in ?'c??m???t?n'' ?.'?? c`€?r r&??"??'`?r???.??e?'t~e e4,'?ta°'c?i?piy w1th- a1,? ap'pl??able' atate 'of Mn6
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APPLICANT/PER TEE SIGNATURE UED BY: SIG ATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? .'?. CITY OF EAGAN
. 3830 PII.OT KNOB RD - 55122
? -3 ?-4 681-4675
I
New Construction Requirements RemodeURepair Requirements
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan H lot platted after 7/1193
required: _ Yes _ No
DATE:
? 2 copies of plan
? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST;
DESCRIPTION OF WORK:
STREET ADDRESS: lP?.v?.,..u.sz? C-?'_`
LOT: BLOCK: ?I SUBD./P.I.D. #: G) v-d v
Name: Phone #: ??o ' S 3 S 1
PROPERTY Last Fint
OWNER .
Street Address:
Cih' t--\ State: V--) ? Zip: ? S ( a ?--
Company: lF? L3 el--5?-L Phone
CONTRACTOR
Street Address: License # 5 -7
City U,-,State: Zip:
ARCHITECT/ ' ) Q
ENGINEER Company: Phone #: (o? e, Name: Registration #:
Street Address: ?a? ?• ??ix?.? ? ? ?. .-? , r
City State: ? Zip: O`i'
Sewer 8 water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infirmation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. _
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex O 11
? 02 SF Dwelling ? 07 4-plex O 12
O 03 SF Addition ? 08 8-plex ? 13
0 04 SF Porch ? 09 12-plex ? 14
? 05 SF*Misc. ? 10 _-plex O 15
WORK TYPE GU?}? 9,
Apt./Lodging ? 16 Basement Finish
Multi Repair/Rem. ? 17 Swim Pool
Garage/Accessory ? 20 Public Facility
Fireplace ? 21 Miscellaneous
Deck
? 31 New ? 33 Alterations ? 36 Move
?O 32 Addition 0 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) ? Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning -I sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit ?_
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit -
S/W Permit
S/VV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
I?"i:! p?qkl?jlq i
NI
?.
MEMO
-city of eagan
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
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
Biock 4, Lots 1-16 16
Block 5, Lots 1-25 25
Biock 6, Lots 1-22 22
Biock 7, Lots 1-25 25
Block 8, Lots 1-5 5
Block 9, Lots 1-2 2
Biock 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 currentiy being billed by Dakota Electric for streetlighting in the above listed
subdivision.
/.*-.' /I In?-??.,
Edward J.'Kirscfit - -
Sr. Engineering Technician
cc: M;ke Foertsch
EJK/je
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117522
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 3978 Pumice Lane
Lot:16 Block: 7 Addition: Cedar Grove 5th
PID:10-16704-07-160
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
Kevin L Schimek
3978 Pumice Lane
Eagan MN 55122
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143037
Date Issued:05/31/2017
Permit Category:ePermit
Site Address: 3978 Pumice Lane
Lot:16 Block: 7 Addition: Cedar Grove 5th
PID:10-16704-07-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 L Schimek
3978 Pumice Lane
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature