4018 Pumice LaneCITY OF EAGAN Remarks
Addition _ CEDAR GROVE #7 Lot 32 Blk 2 Parcel ln 16706 320 07
Owner ?/?? (t<< -'- ? i'lA.l!k[; Street 4018 Pum1Ce Ix121e StateEagan, MN $5122
E'i I })pf I rl'.
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK S 1970 58,18 2.08 28 Paid
? SEWER LATERAL 1971 20
WATERMAIN
* WATERLATERAL 1971 1,615.00 80.75 20 Paid
WATER AREA
* STORM SEW TRK 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 280.00 5060 12-2-21
BUILDING PER.
sac 240.00 5060 12-2-71
PARK
EAGAN TOWNSHIP
? BUILDING PERMIT
Owneri •-...?.........:?-•??-o-...-c•-••-...........a.....-•-•--••••--••-•-••••---
----•
Addrets (Preseni) ..._. . 4..... ?•..??`.:".-'?
.._..
-••................... -.........
Buildet •-••••••••."c. ............................................................
Addrets .......•••••-• .................................•••-........_...:................_........:....
DE3CRIPTIDN
11T° 2619
Eagan Township
Town Hall
Date ?.?S ./?.............................
$lories To Be Used For Froni Depth Heigh! Est. Cos! Permi! Fee Remarks
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LOCATION
' 8trset, Road or other Deicription ot Location I Lo! Block Addition or Trsc!
N.
40 o -7 7
0
This permit does aot suthorise the use of streets, roads, alleys or sidewalks nor does it give the ownes or his agea!
the righ2 to creaie anp situa2ion which is a auisance or which presents a hazard !o the health, safety, convenience and
general welfare to anpone in the community.
THIS P.ERMIT MUST BE KEPT ON T?HE PRE,?III HILE THE WORK IS IN PROGRES§.
This ie io cestify, thal---?-?:?---...•=-••--•--._.. ?0:..... .----•-•....has permission to erec! a-••_?.???-i ................. ............. _upon
the above described premise subject to the provisions of the Building Ordinance for Eagan ownship adopted April 11,
1855. ;
...••••-......••• .......... ......••-•..:.......?c!.....1?::r;??.-.-:........... Per ........................6-0-................... .....................................................
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........ ..........................
Ghairmaa of Tnwn Soazd ? .,&rBuildinQ Inspectos
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TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO..' 163
The Board of Supervisors hereby grants to Cedar.t+roqe Canat?ruatian Co.
' p f i343 L'tJC1C0_r'd i3lVd "^'s•l.St'i, +.iOLl'Gt1 Jt. P31Ll 55075
a -MATLJG Permit for: (Owner) Same
4066 :11alite, 4088 eialite, 4018 Pumicp, c- 4 3/4- Jy=5-7 1
at 400j C3suzabard ;_.. 4092 ila7.ilue , pursuant to application dated
9/27/7 "1 .
Fee Paid: :100.00 Dated this 2nd day of
'4-rR5 s e
Decesaber
, 197 1.
Building Inspector
LC-
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r
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT N0. 1 74
.?_
The Board of Supervisors hereby grants to Cedar Cb?•ove Canstru,Ctian Co.
of 7343 cmcara Blva. &:,st, soutn !?t. Paul ,5075
a PLLMING Permit for: Owner) same
?-?Fa3-??e; 01 a Pumice
at e???2??'?'? , pursuant to application dated
9/2?/71
Fee Paid; `'190.00 Dated this 2Ud day of DWember , 1971
,..._.,_ •
2 -5o ka5 a c
sxm Building Inspector
SLA-1
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. 8. 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 selecfion sheet (bldgs with 3 or less units)
DATE
.19 -a;?_ rc., a-
(f
SITE ADDRESS Yr-\ I CrC.? ??_v Yti MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK ?rg t5--'F c?- ? I'd)'n R, FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS??? CITY STATE?S r-aZIP ?`O?I
TELEPHONE # y'S-?-$qa -60l ?CELL P NE # 2T-j-.)7a -7i9 FAX #
PROPERTY OWNER 1'? ) LJ ,?? TELEPHONE #
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RTTT,ES
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted D r?C?dU?Vo?
? ? _ IJ
• Energy Envelope Calculations Submitted
? AUG 2 2 2002
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
I hereby acknowledge that I have read this application, state that the i
with all applicable State of Minnesota Statutes and City of Eagan Ord
Signature of Applicant
Phone #
Phone #
mation is
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Submitted
VALUATION 1 ,?. O 0J S:OC)
Phone #
Lawn Sprinl
No. of R.I. I
RemodellRepair Requirements
• 2 cropies 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
?? ? • 1 ?
Fee: $70.00
t, and agreje to Omply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
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 ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
0 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 Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
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)
_ Insularion _ 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
Building Inspector
? l
EAGAN TOGaNSHTP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: Sentember 27, 1971 NUMBEg 918
QWNER: Cedar Grove Consfiruction Address 4018 Pumice Lane 32-2'7
PLUMBER Stein Plumbing_ TYPE OF PIPE Cast Iron
DESCRIPTION OF BUILD ING
Industrial Commercial Residential Multiple Dwelling No, of units
X 1
Location of Connections:
ConnecCion Charge 240.00 pd 12/2/71
Permit Fee 10.00 pd 12/2/71
. 0 pd 12 2/71
Street Repairs
Tota 1
Inspected by:
DaCe
Remarks•
$y
Chief Inspector
In consideration of the issue and delivery to me of the above perm3.t, I
hereby agree to do the proposed work in accardance with the rules and
regulations of Eagan Township, DakoCa CounCy, Minnesata
By Ceda e o s
Please notify when ready for.iaspection and connection and before any poreion
of the work is covered.
s
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVYCE CONNECTION
Date: September 27, 1971
Number: 758
Billing Name: CeBar Grove Construction Site Address: 4018 Eulice Lane 32-2-7
Owner: Cedar Grove Construction Co.
Plumber; Stein Plumbing Company
tion of Connection
Billing Address 7343 Concord Blvd, E.
Meter Size Connection Chg.2d0.00 pd 12/2/71
Meter No. pQrmit Fee 10.00 dp 12/2/77
s c
Meter Reading iMeter Dep.
MeCer Sealed: Yes lAdd'1 Chg.
NO ' Total Chg.
Building is a:
Resi.dence
tlultiple Ao. Units
Comrnercial
Industrial
Other
Inspected by
Date
xemarks;
, _ . . . . ..?._?,.r.:?. : - ? .
By:
Chief inspector
Ia consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulatfons of Eagan Township, Dakota County, Mianesota.
By:.Cedar Grove Construction Company
.A",????
Please aotify the above office whea ready for inspection and connection.
MASTER CARD
L I
LOCATION
OWNER
STRUCTURE AND
LAND USED AS -a !f_6?
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING ?
r
CESSPOOL - SEPTIC TAfVK
WELL
ELECTRICAL
HEATING ? 6 3
GAS INSTALLING
SANITARY SEWER
OTHER ?-
OTHER I ?
• Items
FOOTING
FOUNDATION
FRAMING
FINAL
ELECTRICAL
HEATING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER .
r?
LJ
COMMENTS:
Approved
(Initial)
Date
?Z .
•? .? i•, ?
?
A ../.'- /
-moo
•._ZA ..
Remarks Distance From Well
SEPTIC
CESSPOOL
TILE FIELD FT.
DEPTH
OF WELI
011*? ?
Violations Noted
on Back
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION RE4UIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTI 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
ail 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 prooerty inspected.
1-1 All IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
DATE
LI]
.
? 23
Use BLUE or BLACK Ink
For Office Use
City of Eap j Permit
I I
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-6694 1 Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1117113 Site Address: ~b -Unit
2
Name: _,v k a, (16,x Phone: (57- W S-41 e _ 31
Resident/
Owner Address / City / Zip: o i f nn
c-em 't -e I -A -C
Applicant is: Owner Contractor
I Type of Work Description of work: { 1-UC)4`1
Construction Cost: t `~S Multi-Family Building: (Yes _ /No
Company: &e Il r ✓ r^ )-v-4 6rS u(ez, ~e Contact:
Contractor Address: c1~-3 ~c.. /_r Y~CX City:
State: ✓W Zip: 57-5 3? 9 Phone: 475-J--, - tZ L - 9y' 19
License 3 5--/P-0 Lead Certificate . A1,47-13 X 3 Y-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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. o herstateonecall.or
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 ~ 4' S / . ~ 1/ ✓J Gt"C#\-./
X
Applicant's Printed Name Ap cant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132578
Date Issued:08/24/2015
Permit Category:ePermit
Site Address: 4018 Pumice Lane
Lot:32 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-320
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
John R Blom
4018 Pumice Lane
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138224
Date Issued:08/16/2016
Permit Category:ePermit
Site Address: 4018 Pumice Lane
Lot:32 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-320
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
John R Blom
4018 Pumice Lane
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139140
Date Issued:10/11/2016
Permit Category:ePermit
Site Address: 4018 Pumice Lane
Lot:32 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-320
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.
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 -
John R Blom
4018 Pumice Lane
Eagan MN 55122
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature