4001 Pumice LaneCity of aaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r 'I,skgtf :fir
Permit Fee: ,
Permit*:C6/
bate Received:
Staff:
2010 RESIDENTIAL PLUMBING/PERMIT APPLICATION
Date: (N"vV/O /�+ Site Address: 400 1 J- "htc Q....
Tenant: Z.- &i-e'uKit
Suite #:
RESIDENT 1 OWNER
C7/EfljYY1 Phone:6 S7 ` ySa - 7'Q7$
Name: L."-' '
/
Address / City / Zip: rt4, c , LA.Yl...e.-/ ea j 0('l41/ -
CONTRACTOR
Name: /nelfc, //ei ei 1 ere 1 f2Bf License #:
Address: Rao— rix/CI 1 die.. L4_.`/. City:��T`". �Ct.e_J /
State: Al -/t/ Zip: '5 57f7 Phone: (i 57) L ? - 7-
/96
Contact: /2...a.. / /(iC/ $ Email: eJ8e@m-el)`7 roI 4141 f f
TYPE OF WORK
New ?i Replacement Repair Rebuild Modify Space _ Work in R.O.W.
_____
Description of work:
RESIDENTIAL
)C/ Water Heater Water Softener
PERMIT TYPE
Lawn Irrigation Add Plumbing Fixtures
(___ RPZ / PVB) (_* Main Lower Level)
_
Septic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water
Heater, Water Softener, or Water Heater mmi Softener (includes $.50 State Surcharge)
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(add $166.00 if a 5/8' meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 Slate Surcharge)
TOTAL FEES $ To. S``b
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.gopherstateonecall.orc
I hereby acknowledge that this information is complete and accurate; that the work will be in -.• ance 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 y •t to = - - permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and app
/SOLIn
Applicant's rinted Name
x
App
is Signatu
TOOL 1
1V3INvHsDNI,LVHH-02LLdtii
66LLt'6ZT49 XVd 5Z:£T OTOZ/OZ/80
Lily of ilapll
3830 Pilot Knob Road
C�nar+. MM►l GGl9?
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: to 13 i i o
301
Use BLUE or BLACK Ink
rcfi&iit is.
Permit Fee:
Date Ret.iveti:
'Igo
'7 g o /, v
Staff:
L
2010 MECHANICAL PERMIT APPLICATION
Site Address: L1D 6 I ft., i ,-
-n.
Tenant: Suite #:
IRESIDENT I OWNER
Name: 44,7-N (rie4-1.4m
Address / City / Zip: L/ 0 0 I
Phone: 11 Sl M 7 9 ?
CONTRACTOR
Name: , ,g . S and : i - License #: U 017- ),?-
Address: q3O c- %..;,ah43
b City: 1-iTj.� 6.4,4 .
State: 'PM Zip: S )1 ' ? Phone: 4graliiiiggiii - bg7 " 9 1 "q,Sa--
Contact: ".,�5-r/` t.'
Email:
TYPE OF WORK
New Replacement
Additional
Alteration Demolition
Description of work:
~ Roof tti<tte . hal eE pmt is r :to be scr erred by City
PERMIT TYPE
RESIDENTIAL
Furnace
Air Conditioner
_ Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Exterior HVAC Unit
Gas
_ Under / Above ground Tank (_ Install / _ Remove)
When installing/removing tank(s), call for inspection ivy Fire
Marshal and Plumbing inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ 50' CD TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank instailationfremovai OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
CALL BEFORE YOU DIG. Cali 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.aopherstateonecall.ora
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.
X ".!Than h e ) s r)
Applicant's Printed Name
Applicant's Signature
FOR OFFICE'
Required ins
, . _ _ .
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ? . . ? ? ? • ? ? , ? ?
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ?
(612) 681-4675
SITE ADDRESS: ' APPUCANT:
!. t lll?H (iM?ttVt` ! 161 ( i.'1 .' i lt'?+t :iiF??,
PERMIT SUBTYPE:
TYPE OF WORK:
i?t F'A 1 1
;
ItE '?.1 3< I t` 1 1 ttt! i' i<titti t I
INSPECTION DA • DA
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING OQ
/
ROUGH
PIUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition CEDAR GROVE #7 Lot 7 elk 1 Parcell0 16706 t)70 Ol
Owner)Uti\ Street 4001 Ptunice Lane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK e^j 1970 $$.18 2.08 28 Paid
* SEWER LATERAL 1971 20
WATERMAIN
* WATER LATERAL I 1971 1,615.00 80.75 20 Paid
WATER AREA
* STORM $W TRK 13 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 260.00 3304 3-8-71
13UILDING PER.
SAC 200.00
PARK
R CITY of EAGAN
BUILDING PERMIT
own.:
•-••- • .....................................................................................
Address (Presen!) ... q.a Ol ?.
....... . ?n .....cc?? .........................
...... ............ F - ?.:
Builder ..... .
........................................•••...••••••..._.........
Address ...... ...........::.?:r?-?.?.•?' "Yh-,?J .
..._... ......i ..............................................
DESCRIPTION
N° 3282
3795 Pilot Knob Road
Eagan, Minaesofa 55122
454-8100
a8:. .... -? ::...9..'.-.?.?' ..................
5tories To Be Used Fos Fron! Depth Heigh! Est. Cos! Permi! Fea Remarks
-??-°•-?---??- ?-? ? /? 3?- ?Soa,`% %S: `'?r' _
, LOCATION i 7. v a'
os
This permii does not aulhorize the use of streeis, :oads, alleys or sidewalks nor does it give the owaer or hfs agent
the righ2 to create any situsiion which is a nuisance or which presenis a hazard to the heallh, safety, convenieace aad
general welfare !o anyone in the community.
1'HIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, ihat.7- 9 ...... (?-.'?.................... has permissioa to erect a...ga:... .•-••••• ... ... ....................
the above described premise subject to the provisions of all applicable Ordinances for the Cify of Eaga
. ......................./J......•-•?--• ••.R...-•- •-.._...-••...••--.._. PE! ..........................................................
•-• •• --••--
??--J ...................-••..._
Ma r Builing Inspector
,os
. ? ,
-? ?
EAGAN TOWN S H I P
,
BUILDING PERMIT
Owner .-••-•S------- .-................
Address (Presenf) •-Z ......... &-••2--._...•••-•••••-•••••-•-....
Builder .....••• .................••-••...•-•--•-•.......••--•-•-•••••-•.-•-----•••-•--••-••-••--•-••.---
Add:eas ......••---• .............................•-•••-••-•-••......••••................•-•.._........
DESCRIPTION
2394
Eagan Township
Town Hall
nate ---. :?/ 9 /7/ ......................
Stories To Be sed For Fron! Deplh Heigh! Est. Cos! Permi! Fee Remarka
? J??e, _ ? _ ) -S?/? ?-o-d ?? • o-° /? ? ? ??..?.c?
3, LOCATION
Street, Roaei or otner yescripnon oi Locasion I Lo= I t3loc& I Additioa or Trac!
,c?.?.?.C-. ?f `;.?-? -- ?1 % , ? i,
This permit does aoi authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or hia agen!
the righ! !o create any siiuation which is a nuisance or which presen2s a hazard !o the heallh, safety, convenience and
general welfare 2o anyone in the com:nunity.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is !o cerlify, that....??v.? :.--•............ has permission !o erect a._. a_......_..•-- . _ . ......- --• • -•••--.__upon
the above described premise subjeci !0 the provisions of the Building Ordinance for Eagan owashiled April 11,
1955.
?
--•-.......-•---•-......_...•• ...... . ........... .•?• - ......................... Per •-••..........••••-• ........._.? ...p......
.. ........ ............•-
C irman o! ?wn Board Suildin Ias ec2or ??
`
CITY of EAGAN
y,
BUILDING PERMIT
oWn.: ..:. X7. ....2.........:-.:.....1.........................
w
Address (Preseai) ...?.a ?..I....••-O ..'..`.?
... ...... ..........................
Builder ............................••-..._..••••-•••••••-••••••••-......._..............•-•••-••.......
Addresa ................................••-.............................•••-•..........•••..._........
DESCRIPTION
., (.
N° 3250
3795 Pilo3 Knob Road
Eagan, Minnesota 55122
454-8100
DB:e ---...`.?.:'.! y.....? y---........
Slosies To Be Used For Front Depth Height Est. Cos! Permi! Fee Remarka
......? ? ............................... Per .._.......-•••-••-•-. k-'`? 0
•-••---•---•--..._....--°-------••••-•••-••...............
Mayor Buildiag Inspeclor
This permi2 does not authorize ihe use of streets, roads, alleys or sidewalks nor doea it give the owner or his agent
!he zight fo create any situation which is a nuisance or which presents a hazard fo !he health, safely, convenience and
general welfare !o anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is !o ceriify, that.... 1)V,••• .i?ac?e?Q:t?X.r-.••--•--......_..has permission io erect a ............ ..... ...•--••--•-• •,--......................_upoA
the above described premise subjeci to the provisions of all applicable Ordinances for the ty of Eagan
7-l-7
?•?G.
85 & 86
Cedar Grove ConstruCtion Co.
7343 Concord Blvd. E., South St. Paul iEe1TING ,s
4066 Atagnetite Point 16-5-7
Cedar 3rove Construction Co. 4001 Pumice Lane 7-1-7
March 3 d 51, 1971
$40.00 -($20.00 ea.) 8th 'March 71
7-/-7
c: of
91d.92
Cedar Grove Construction eo.
7343 Concord Blvd. E., South St. Paul PLUMBING
- -
Cedar Grovd Conatruction Co. ne 7-1-7
March 3 d: S, 1971
$40.00 ($20.00 ea.) 8th Maxch 71
0
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: s u rLo x NG
3830 Pilot Knob Road Permit Number: 025451
? Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 0 4/ 2 5/ 9 5
SITE ADDRESS: p • I. N ° ° 1 m-a. 6 7 0 6`0 7 0-01 APPLICANT:
LOT: 7 BLOCK: 1
4001 PUMICE L.ANE GENE'S HOME CARE & REPATRS
CEDAR GROVE 77M (612) 454-3402
PERMIT SUBTYPE:
SF (MISC.)
TYPE OF WORK:
REPAIR
pESCRTPTION (R00FTNG)
INSPECTION
RAMING D. .
RqUGH TN pLBG .A
OUGH IN H1"G FINAL
PERMIT
4 CrTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
4001 PUhIICE LANE
LQTo 7 BLCiCKa 1
CECIAR GROVE 7TN
P e I. N. e 10-16706--070-01
PERMIT TYPE:
Permit Number:
Date Issued:
?R'3 G 1-? G
BUILC?ING
025451
04/25/95
DESCRIPTION:
SF (MZSC. }
REPAIR
REMARKS:
FEE SUMMARY:
Base Fee
5urcharge
Tptal Fee
(RoaFrNG)
rmit Type
r k:, T .Y p e
WALuA-rxorv
$45a00
1<0t8
$4Ei.00
$2,000
CONTRACTOR: - Applacant - sr. GIC. OWNER:
GENE' S HQME CARE & FtEPAIRS 14543402 0002715 GLERUM LAWFiENCE
2017 Fl.IfdT L.N 4001 PUMIGE LN
EAGAN MN 55122 EAGAfd MN 55122
(612) 454-3402 (612)452--7975
APPLICANT/PERMITEE SIGNATURE
60(lp ??1Pl I ill„?l
iss D BYIsi r uRE 1-Z
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reauirements Remodel/Reoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (indude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
uired? Yes No
? ' - -
DATE: A`i°x' CONSTRUCTION COST:
DESCRIPTION OF WORK: oa"?e-?a
STREET ADDRESS: ;Z:Dm16--
LOT BLOCK SUBD./P.I.D. #: C
????
PROPERTY Name:
OWNER "MT
Street Address: 04
City:
CONTRACTOR COmpany:
Street Address: -WI:
city: 's6-'>'tfA021
fAAes Phone #:
FIRST
/ /"vrl'JlG? '04f+N r-,
State: ? Zip:
Phone #:
?0'.' go, License #:4715
State: Zip. s3?a.y
ARCHITECT/ Company:
ENGINEER
Phone #:
Name: Registration #'
Street Address•
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the informa6on is and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
i
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Presenration Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex
? 02 SF Dwelling ? 07 4-piex
? 03 SF Addition o 08 8-plex
? 04 SF Porch ? 09 12-piex
? 05 SF Misc. ? 10 _-plex
WORl4 TYPE
? 31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INfORMATION
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. a 17 Swim Pool
0 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
0 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning 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
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PL
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
MASTER CARD
0
LOCATION I tJN?LIC.E LA. 7-590 ? ? ? 'OOF --
OWNER 6AfLK-s &A/St
STRUCTURE AND ??'
IAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER -
flTHER
O7HER
Items
6 GOTWG
FdUNDATION
FRAMING
FINAL
ELECTRICAL
HEA7ING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Approved
(Initial) Date
'."1 "_rt'-
m
Remarks
Distance From We{I
SEPTIC
? CESSPOOL
TILE FIELD FT.
DEPTH
OF WELL
?
?Z -to
COMMENTS:
V
a
Violations Noted
on Back
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
i
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
11 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION Of CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTI FICATION -I certify that 1 have carefuliy inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUlLD1NG WSPECTOR
DATE
0
COMMENTS:
- . . 3
°1- 1 --1
-?
?
?
REVISIONS tv?;.tiPA f oChot?KF,' J. {6 4 ? {
6 L.A
,u,.,
NO. DATE BY ?`Pt
, AOUAiilUS i"C10L CU.,,
1G°C0 CEur;;2 A`lEt?UE SOUTH
2 ROSEP40UNT, P.11idNESC7A 55068
DRAWN BY SCALE MATERIAL
3 ?
CHK'D DATE ORAWING NO.
4
TRACED APP'D ?
S
?
?
`RliCi 78AE-01E-O?X11
uJ
i
MASTER CARD
LOCATION T?? ?l ' C? A /? O I /_- l- l
OWNER /1'10I ?r I / /? I AC II D I /Q iP
STRUCTURE AND
LAND USED AS Ae I
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
.
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
FOOTING
Items
FOUNDATION
FRAMING
FINAL
ELECTRICAL
HEATING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
COMMENTS:
Approved
(Initial) Date Remarks Distance From Well
SEPTIC
CESSPOOL
TILE FIELD FT.
DEPTH
OF WELL
Violations Noted
on Back
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
DATE
C? 23
..
0
EAGAN TOWNSHIP
3795 Pilot Knob Rosd
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: March 5, 1971 Number: 549
7-1-7
Billing Name: Cedar Grove Construction &te Address: 4001 Pumice Lane
Owaer: Same
Plumber; Stein, Inc.
tion of Connec
Meter
Billing Address 7343 Concord Blvd. E,
South St. Paul
Minnesota 55075
Connection Chg
3/8/71
Meter No.? iPermit Fee 10.00 pd 3/8/71
Meter Reading Meter Dep.
Meter Sealed: Yes Add'1 Chg.
' NO Total Chg.
Inspected by
Building is a:
Residence xxxx
tRultiple A`o. Units
Commercial
Industrial
Other
Date
Remarks;
8y:
Chief inspecCor
In consideration of Che issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagaa Township, Dakota County, Minnesota.
By: CEDAR GROVE CONSTR.UCTION COMPANY
Please notify the above office when ready for inspection and connection.
r
EAGAN TO[JNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE: Mareh 5, 1971 ?i NUMBER 708
(Lot 7, Block 1, Cedar Grove #7)
OWNEF.:Cedar Grove Construction Co. Address 4001 Pumice Lane
PLUMBER Stein, Inc. TYPE OF PIPE Cast Iron
DESCRIPTION OF BUIIAING
Industriall Commerciall Residential { Nlultiple Dwelling , No, of units
xxx
Location of Connections;
Connection Charge 200.00 nd 3/8/71
Permit Fee 10.00 vd 3,/8/71
Street Repairs
Tota 1
Iaspected by:
DaCe
Remarks:
$y
Chief Inspector
In consideration of the issue and delivery to me of the above permi.t, I
hereby agree eo do the proposed work in accordance with the rules and
regulations of Eagan Township, Dalcota?County, Minnesata
BSt CF.DA RO • ONSTRyiT('.TTON ('.OMPANY
?
Please notify when ready for.iaspection and conneceion and before any p tion
of the work is covered.
s -.
SEVERSON, SHELDON,
DOUGHERTY & MOLENDA, P.A.
SUITE 600
7300 WEST 147TH STREET
APPLE VALLEY, MINNESOTA 55124-7580
(952) 432-3136
TELEFAX NUMBER (952) 432-3780
E-MAIL bauerr@seversonsheldon.com
-?
TO: John y. r, Assistant City Engineer
FROM: Robert B. Bauer, City Attorney /17/1
DATE: March 16, 2004
RE: Cedar Grove - July Storm
Proj ect 815
Our File No. 206-19117
John, -
Enclosed for the City's records in connection with the above-referenced matter, please find the
following original documents:
A. Drainage and Utility Easement between Lawrence Glerum and Patricia
Glerum and the City of Eagan dated June 25, 2001 and recorded with the ?
Dakota County Registrar of Titles Office on June 20, 1003 as Docuxnent
No. 503749 (Easement No. 931); ?`-
B. Drainage and Utility Easement between Andrew J. Brown and Patricia
Brown and the City of Eagan dated June 20, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503751 (Easement No. 934); L,/p ^?---
C. Drainage and Utility Easement between Charles E. Barney and Delva
Barney and the City of Eagan dated June 15, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503742 (Easement No. 935); Vov? r?1
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D. Drainage and Utility Easement between George L. Hunnel and Debra K.
Hunnel and the City of Eagan dated June 14, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503748 (Easement No. 936); yp ?? ?u o,`l &e-
E. Drainage and Utility Easement between Robert L. Saalborn and Carol
Saalborn and the City of Eagan dated June 13, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503746 (Easement No. 93 8); qb
F. Drainage and Utility Easement between Dennis Fischbach and Jacquelin
Fischbach and the City of Eagan dated June 13, 2001 and recorded with
the Dakota County Registrar of Titles Office on June 20, 2003 as
DocumentNo. 503744 (EasementNo. 939);
G. Drainage and Utility Easement between Gerald Albright, Jr. and Theresa
Albright and the City of Eagan dated June 13, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503747 (EasementNo. 940);
H. Drainage and Utility Easement between Brent A. Bartsch and Kristen K.
Bartsch and the City of Eagan dated June 12, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503 745 (Easement No. 941); '?;? f ;;_<. ?•:??. ,fb: ?_
1. Drainage and Utility Easement between Bob J. Stein and Judy A. Stein
and the City of Eagan dated June 13, 2001 and recorded with the Dakota
County Registrar of Titles Office on June 20, 2003 as Document No.
503743 (Easement No. 942);
J. Drainage and Utility Easement between David J. Ryan and Caryl A. Ryan
and the City of Eagan dated June 12, 2001 and recorded with the Dakota
County Registrar of Titles Office on June 20, 2003 as Document No.
503750 (Easement No. 943); and 7 0
K. Drainage and Utility Easement between David Efteland and Brenda
Efteland and the City of Eagan dated June 25, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503741 (Easement No. 945). y 0y(3 AYre+!?s4
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DAKOTA ?U? Y
C ? ??EASURER-AUDpTORLG
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DRAINAGE AND UTILITY EASEMENT
THI5 EASEMENT, made this da}r Qf -? e. , 2001, between
LAWRENCE GLERUM and PATRICIA GLERtJM??t' ? r9&? edtS2s "Landowmer"), and
the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of
Minnesota, (hereinafter referred to as the "City").
WITNESSETH:
That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good
and valuable consideration? the receipt and sufficiency of which is hereby acknowledged, does
hereby grant and convey unto the City, its successors and assigns, a permanent drainage and
utility easement, over, across and under the following described premises, situated within Dakota
County, Minnesota, to-wit:
A permanent drainage and utility easement over the west 10' of
Lot 7, Block 1, Cedar Grove 7.
The grant of the foregoing permanent easement for drainage and utility purposes includes
the right of the City, its contractors, agents and servants to enter upon the premises at all
reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits and mains;
and the further right to remove trees, brush, undergrowth and other obstructions. After
completion of such construction, maintenance, repair or removal, the City shall restore the
premises to the condition in which it was found prior to the commencement of such actions, save
only for the necessary removal of trees, brush, undergrowth and other obstructions.
And the Landowner, its successors and assigns, does covenant with the City, its
successors and assigns, that it is the Landowner of the premises aforesaid and has good right to
grant and convey the easement herein to the City.
RECFiVED
JAN ? i. 2003
:.,,rtar iA t,+U ;:iv I Y
TREA9UMA,1ULNTOR
IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed
as of the day and year first above written.
STATE OF MINNESOTA)
)ss.
COUNTY OF 1 %,
?au-
LAVIRENCE GLERUM
,
PATRICIA. GLERUM
The foregoing instrument was acknowledged before me this Z-< day of
, 2001, by LAWRENCE GL RUM and PATRICIA GLERUM, h u s b a n d
and wife.
?:__
Not Public
APPROVED AS TO FORM: ?JA?MYE??RMEN ?TA 9
?
MY COMM(SSION IXPtHES ?
JANUARY 31, 2005
City Attorney's Office
Dated: Cj &v16 ?
APPROVED AS TO CONTENT:
cl"Z?
lic Wor De artment
Dated: ? -2- -01-0-
2
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, SHELDON, DOUGHERTY &
MOLENDA, P.A.
7300 West 147th Street, Suite 600
Apple Valley MN 55124
(952) 432-3136
(Easement #931)
( %'O6-' 91' 7 )
2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132873
Date Issued:09/09/2015
Permit Category:ePermit
Site Address: 4001 Pumice Lane
Lot:7 Block: 1 Addition: Cedar Grove 7th
PID:10-16706-01-070
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 -
Lawrence J Glerum
4001 Pumice Lane
Eagan MN 55122--293
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154149
Date Issued:02/22/2019
Permit Category:ePermit
Site Address: 4001 Pumice Lane
Lot:7 Block: 1 Addition: Cedar Grove 7th
PID:10-16706-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Lawrence J Glerum
4001 Pumice Lane
Eagan MN 55122--293
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature