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4025 Pumice LaneCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD I C°"tr°'"°. ? PERMIT TYPE: "11x 1. n i r0a Permit Number: 001783 I Date Issued: 1111,2192 SITE ADDRESS: ILQTa 3 4026` " PGMTCr tANE t. V!?AR 'A'ROVE Y'TN Ht. oc K: t APPLICANT: Flttt;'f LANdMAl2K BLt1R9 (612) 699-3136 PERMIT SUBTYPE: TYPE OF WORK: ;F (MI ';i; AClllIi'xQlt - pE3CR IPTION ATTAG11F111) AA.RAQF Pertnk No. Permit Holder Date Telephone ii S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Commenta Footings I /? ?/? q l - '2 .S Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Pibg. Inspector - NotHy Plumber Consl. Meter EngrJPlan ? /a . Bldg. Final Deck Ftg. Deck Rnal Well Pr. Disp. . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ' SITE ADDRESS• APPLICANT: ' •tv?. ?, t•itMlc;i' 1. ANU 11111 IMd. F ?i ! t+Aii t3R1?VE. l 111 ! 6 :t? )wi 9 - l! 1.6 F L ? PERMIT SUBTYPE: TYPE OF WORK: { r•A lP `? 1?t .:.? t•:1lI ??ri`a t1t 110 F 1PlN Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Inap. 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 BSMT R.I. BSMT FINAL DECK FfG DECK FINAL . . ? CITY OF EAGAN 10 71 •? ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 • BUILDING PERMIT Receipt Te be wwA fer Est. Volue -? ., 6!_• ?? Dote 19 Site Addresa 4 0 1`-= a?L1j' - C=4. _; r.t`4 Erect Q>. Occupancy Lot j Block .L Sec/Sub. .? `raUi i;}2\i 7 Remodel ? Zoning Repair ? Type of Conn. Parcel No. Addition ? No. Stories ? Name r T T ?.., ±t-. Move ? li D h ? Length W ; Address ?J0011.1?' emo s Int Impr. ? Depth Sq. Ft. b City Phone r? " Install O . ? APProvab Fees Name Addresa Assessment Permit ? City ? Phone Water 3 Sew. Surcharge Polite Plan Review Name Fin SAC ?? Address En9. Water Conn. tW City Phone Plonner WaterMeter Road Unit I hercby ocknowledye thot 1 how read this opplicotion ond state that gldg. Off. Tr. PI. the inlormotion is torrett and ogree to tomply with oll applitoble APC parks State of Minnesota Stotutes and City of Eoqon Ordinances. Var. Oate Copies $ipnotum of Permittee Total A Buildinq Pertnit Is issued to: on the express condition Ihot oll work sholl be done in xcordonte with oll applicable State of Minnesota Stotutes ond City oF Eopon Ordinances. Buildlnq Officlol Pe?mit No. Permit HoWs? Dow Telephons ? Plumbinp H.VA.C. ENctric SoRensr Irupeetion Date Insp. Other Footings 1 7 Footings 11 7 ? ?v Foundation Framirtg Roofing Rough Plbg. Rough Htg. Insul. Fireplace Final Htg. Final Plbg. Flnai ? 5> Cort/Occ. Water WsC?ibs Locstion: Well Sewer Pr. Dfsp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 rhvNE: 454-8100 BUILDING PERMIT ??Ii .?.?'?/ }:?• lri'(OUNI) Te w w?d ier Est. Volue $.? ? 5u4 Re«ipt # Date . • ? - ' ' : , 19 Site Addresa 4025PUP11Q LN Erect ? Occupancy CED GxV 7 Lot 3 Block 1 Sec/Sub Remodel ? Zoning . Repair ? Type of Conat. Parcel No. Addition ? No. Stories CHARLI?. BAR??EY Move ? Length W Name Demolish ? Depth ; Address b City S?? Phone 452-2163 Int Impr. ? Install K1 Sq. Ft. MANN' S PQ0LS Aporovoh Feei Name Addresa u 5425 165TH ST Assessment Permit $ t? ? ? City Phone 426` 0807 Water & Sew. Surcharge I 5() ? Police Plan Review Fire Address Enq, City Phone I hereby acknowtedga that I haw rood this applicotion ond stote that tF?e informotion is correct ond a9ree to comply with oll opplicable State of Minnesota $tatutes and: Lity of Eagan Ordinonus. . , i 5ipnotum of Permitfee ??? r: ? ? Fc: ? A 8uilding Perrriit Is issued ro: r oll work shall be done in acwrdance with oll opplicoble Stats of Mii Plonner Council Bldg. Off. 7 1 Q/8? APC V D SAC Water Conn. Water Meter Road Unit Tr. PI. Parks ar. ate I Copies r ? Total ` on tM txprcss condition that sota Statutes ond City o3 Eapcn Ordirances. Buildinq Offitiol Parmit No. Psrmit Holda Date Telaphons i? Plumbinp H.VA.C. Ekctric Sohener Irnpeetion Data Insp. Othsr Footingsl Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Insul. Firoplaca Final Htg. Final Plbg. Final CeryOcc. Water Dswibe locstion: Well v Sewer ? Pr. Disp. ?J ? CITY OF EAGAN Remarks Addition CEDAR GROVE #7 ,Z Lot 3 Bik 1 Parcel 10 16706 030 Ol Owner fi?.?':' ' i 1 i i; _ r Street 41[jp? Pum1Ce LdAe State EagZI1, MN 55122 'i Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 58.18 2.08 28 Paid * SEWER LATERAL 1971 20 WATERMAIN * WATER LATERAL 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. 300.00 6026 7-3-72 BUILDING PER. sAC 260.00 PARK CITY OF EAGAN No 10 510 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 gUILDING PERMIT PHONE: 454-8100 Receipt ?t Te bo wod ier DECK Est. Volue $ 5, 6 0 0 pate JULY 3 I 9 85 SiteAddress 4025 PUMICE Lr1 Erect EX Occupancy CED GRV 7 Lot 3 Block 1 Sec/Sub Remodel ? Zoning . Repair ? Type of Const. Parcel No. Addition ? No. Stories CHARLIE BARNEY W Neme Move ? D li h ? Length emo s Depth ; Address SAME Int Impr. ? Sq. Ft. b City Phone 4 5 2- 2 1 6 3 Install 13 DECKS PLUS O Aporovols Fees Name 3545 E 9 4 TH ou Assessment Permit 5 6. 5 0 Address u? City INV GRV Phone 455-7616 Woter 8 Sew. Surcharge 3. 00 Police Plan Review eg Name P Fire SAC ?? Address Eny. Water Conn. t W City Phone Plonner Water Meter Council Road Unit 1 hereby ocknowledge that I hove reod this opplicotion ond stote that gldg. Off. Tc PI. the in(ormotion is correct and ogree to comply with all applicoble APC Parks nce s. Stote of Minnesoto Stotutes and City /??Q iM07 Var. Date Copies $59.50 ,?,? Siqnoturo of PermitteeG+"' ---"' " Total A Building Permit Is issued to: DECKS PLUS pn }he exp?ess conditlon tha+ all work sholl be done in occordance wit lico4le_ St of nesqto Statutes ond City o3 Eoqcn Ordinances. Buildinp Officiol CITY OF EAGAN N ° 10 5 3 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # . ABOVE GROUND $2?500 Te be uwd ier ,,,,,Nr Est. Volue Dote JULY 10 1 q 85 SiteAddress 4025 PUMICE LN Erect ? Occupancy Lot 3 Block 1 Sec/Sub. CED GRV 7 Remodel ? Zoning Parcel No Repair ? Type of Const. . Addition ? No. Stories Narrie CHARLIE BARNEY Move ? Lenyth Z S?E Demolish ? Depth ? Address Int. Impr. ? Sq. Ft. City Phone 452-2163 Install o N MANN' S POOLS Approvob Fees _ Zu u? ? ame Address 5425 165TH ST City HUGO phone 426-0807 Name _ Address City _ Phone hereby ocknowledge that 1 hove read this opplication ond stote that he information is torrect and ugree to comply with oll applicoble ote of Minnesoro Stotutes an ity of Eagon Ordinonces. nuture of Permittce Iding Permit is issued o: kANN' S POOLS •k sholl be done in occordonce v?yi?h all applicab e Stat of,Mir Assessment Permit $ 3 8. 5 0 Water 8 Sew. Surcharge 1.50 Police Plan Review Fire SAC Eng. Water Conn. Plonner Water Meter Countil Road Unit Bidg. Off. 7/10/85 Tr. PI. APC Parks Var. Date Copies Total on the exprcss cw+ditlon thoo sotc Statutes and City oF Ecqon O?dinonces. ? Official ? EAGAN TOWNSHIP BUILDING PERMIT owner ---------... ./..?:-.-c ---/-?...... -•-----••--• --•------------- Address (presen!) .._........?••-?••---.V...?:4-4:?-:?........................ Builder .................... .?c-?y..•-.------•-.•-••-------•--...--•.--•--•- --• Address .................................. -................. .--•----•-•-•--••--•.....---•-------•-•-.. DESCRIPTION N° 2'768 Eagan Township Town Hall Date 7-/° -7 Z-- Sio:ies To Be Used For Front Depth Height Est. Cosi Permi! Fee Remarks 1 j O 9 ?a.s a?, 47a fv11 ," This permit does not suihorize the use of streela, roads, alleys or sidewalks nor does it give the owner or hia agen! !he righl !o cresie anp situation which is a nuisance or which presents a hazard !o the health, safety, convenience and general weifare !o anyone in !he communitp. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is 2o certify, tha!..... ?._..._?r:•....... has permission to ereci a_..IL___ ._4???. ......... ..upon !he above described premise subjeci !o !he provisions of !he Building Ordinance for Eaga?n Towaship aQop2ed April 11, 1955. LOCATION k:? '-, cqta - Stree2, Road or ofher DescripYion of Location I Lo! Block Addition or Tsac! 7 •--•--•-•••--•-•-•--• ---•--•---• --••••--•---....... .....-••--•-•.. Per ................... ----••-•-N?-?.'?? .....__?'?i?:c•; ..:-.!... Chairman of Tnwn Board Buildinq Inspealor -8 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: GeoSSaJ*('e BUILpZNG 027285 04/12/96 SITE ADDRESS: 4025 PUMICE LANE LQ7: 3 BI.qGK s 1 CEDAR GROVE 7TM P.I.-N. e 10-16706-030-01 DESCRIPTION: (RpQFING) errnit Type T Y P e sF (MxSc.) REPAIR 434 ALT. RESIC?EIVTIAL ? a REMARKS: $6g P,I 0Y! FEE SUMMARY: Base Fce surcnarge Tatal Fee VALUA7ION $112.25 $3. P1 f9 $115.25 CONTRACTOR: - F1 p p 1 i: c a n t - 5 7. LxC.OWNER: SHZNGI.E Ct2EEK CqNS7" 19391116 2003063 BAF2NEY 5109 BAKER RD 4025 MINNETQNKR MPk 55343 EAGAN (612) 939-1116 APPLICANT/PERMITEE SIGNATURE CHARLES PUMICE LN MN -& `&;d I AJ . ISSUED B : I ATUR CITY OF EAGAN 3830 PILOT KNOB RD - 55122 diq ItfI996 BUILDING PERMIT APPLICATION (RESIDENTIAL) . 681-4675 Remodel/Regair Reauirements ? ? ? ? 3 registered site surveys 2 copies of plans (inctude beam 8 wlndow sfzes; poured fid. design; etc.) 1 energy calculations 3 copies of tree presarvation pian if lot platted aRer 7/1193 required: ,_ Yes _ No DATE: g- 1-19 - 5 6 ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST: DESCRtPTION OF WORK: .. ? e ? ? ? ? ? ? gy-' F STREET ADDRESS: C A ?? ?--- LOT ? BLOCK SUBDJP.I.D. #: ? PROPERTY Name: C??V ) '?e S Phone #: OWNER • LAS* `MST Street Address: VUL CA-I'e- City: State: Zip: CONTRACTOR Company: S?? ?ti cl ?c??' CGn Sf Phone #: 7 3 S 1 rl g Street Address: S-1 D? 134--e.- 9 l0 License #• -2 UU 3 U?3? C;ty; v? 0n i? _ State: Yv?v? zip: ARCNITECT/ Company: ENGINEER Phone #: Name: Registration #• Street Address City: State: Zip: Sewer & water licensed plumber: Penaity applies when address change and tot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. /- Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes No No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? OZ SF Dwelting ? 07 4-plex ? 03 SF Addition o 08 8-plex 0 04 SF Porch ? 09 12-plex 0 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? 0 14 Fireplace o 0 15 Deck ? 36 Move ? 37 Demolition WN-1< ?° ` •? ? ?_? ??. ? . .'"°'?-'? 6'A.n,. •`? : 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/WS System Main level sq. ft. City Water sq. {{. Fire Sprinklered sq. {{, PRV sq. ?. Booster Pump sq. Census Code. Footprint sq. ft. SAC Code Census Bldg Census lJnit Planning Building Engineering Variance Perrnit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit ; S/W Surcharge Treatment PI. Road Unit Park Ded. ' Trails Ded. ' Other Copies Total: % SAC SAC Units . LOCATION • • OWNER ,t.P , -A14 zS , MASTER CARD --7 JIKVI.IUKC NIVU ?\?j ?? LAND USED AS • < Permit No. issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER a OTHER OTHER • Approved ' Items (Initial) pate Remarks Distance From Well FGOTI1NG SEPTIC FOUNDATION ,,, . '? CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING ! `-' OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ? •? • ? WELL SANITARY SEWER .. y- • Violations Noted on Back COMMENTS: 1. ; - , 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. a ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? 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. ? REIPlSPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPECTION ? CERTI FICATION -1 certify that I have carefully inspected the above in which 1 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 23 , - ? ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY aL{ ? 1 SET OF ENERGY CALCULATIONS / Ta Be Used Far : Valuation : D D, Qo Date : IT Site Address : lfGa„??Ou /h . C L OFFICE USE ONLY r Lot: ? Blaek ? Sect/Sud-?- Erect Occupancy ? Remodel Zoning Parcel # ? Repair ? Type of Canst Addition # af Stories Owner Move ? Length Demolish Depth Address Int.Impr. Sq Ft Install City/Zip Cade ----------------------------------- Phone r Contractar Address S:y2.? City/Zip Cade ?p 5 S 0 2 Phane ?ol 6 ° 0 Areh./Engr. Address City/Zip Code Phone # APPROVALS FEES Assessments Permit Water/Sewer Surcharge Palice Plan Review F?re SAC Engr ? ? Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 ? APC Parks ? Variance Copies TOTAL 7-Q Q ? .. 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL COKTRACTORS MUST BE LICENSED idITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For : Valuatian Ps-8 Date : Site Address: ???? P(JMJC6- Lat : .?- B1aGk ( Sect/ Sub Parcel # Owner ??A f- LI C T3Aa"??i Address 4c) D. -e,7 p U m ? c- c- City/Zip Code 4eAGAj Phane _ A S 4 a 6 6-s Contraetar -Dee-.K Address e City/Zip Cade wLea 6,aox Phone ? ? I C Arch./Engr. Address City/Zip Code Phone # OFFICE USE ONLY Erect x ? Occupancy Remodel Zoning Repair ? ? Type of Const ? ? Addition # af Staries Move ? Length ? Demalish Depth Int.Impr. Sq Ft ? Install APPROVALS FEES Assessments Permit Water/Sewer ? Surcharge Palice Plan Review Fire SAC Engr Water Conn Planner Water Meter Council? Road Unit Bldg Off ? Treatment P1 APC Parks Variance Copies TOTAL y-?SU EAGAN TOtJNSHTP 3795 Pilot Kriob Road St. Paul, Minnesota 55111 Telephone 454»5242 PERMIT FOR SEWER SERVICE CONNECTiON DATE : ? NUMBER 1055 ?....?.._. OWNER: );??0?4_Addresi 3? < PLUMBER TYPE OF PIPE .. .?.v? DESCRIPTION OF BUILD ING Industrial{ Commerciall Residential Multiple Dwelling I No. of units Location of Connections: Connection Charge 260.00 pd 7/3/72 Permit Fee 10.00 pd 7L3/72 .50 pd 7/3/72 Street Repairs Tota 1 Iaspected by: DaCe Remarks: $y Chief Inspeetor In consideratioa of the issue and delivery to me of the above perm3.t, I hereby agree to do the proposed work.in accordance with the rules and regulations of Eagan Township, Daltota -Couaty, Minnesota By Please notify when ready for_inspection and coanection and before any poreion ot the work is covered. Date Bill Owne P1um 3 Address ling Address-k: ? ?. > Yh n ??o?s tion of Connection Meter Size Connection Chg.300.0? O pd 7/3/72 Meter No. Permit Fee 10.00 pd 7/3/72 --?---- . 1/72 Meter Reading MeCer Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Building is a: Residencexx Multiple Ao. Units Commercial Industrial Other ? Date Itemarks: Bq: Chief InspecCor In 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 regulations of Eagan Towitship, Dakota sy EAGAPT TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Number: 886 3-1-7 Plea3e notify the above office whea ready for inspection and connection. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD I Control No. 1295 PERMIT TYPE: Bu ILn ING Permit Number: 001,783 Date Issued: 11,f 1. 2/92 SITE ADDRESS: Lp Te 3 4025 PUMICE LAiVE cEDAR GRavE 7rH E3 L. OC K - .1. APPLICANT: FTRST LRNDMAF2K BLDRS (612) 699-3135 PERMIT SUBTYPE: TYPE OF WORK: ?? (MISc, ) ADc?ITIaN CIESCRIPTIfJN ATTACHEO CARAGE r PERMIT Controi No. 1295 C1T'Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: B u:r.L D .r.nG 001783 1.1 f L?../92 SITE ADDRESS: DESCRIPTION: 4025 PUMI(:E L_ANE L.CJ7< 3 BLQCiC4 1 CEDAR GROVC 7'T"H ?e se` (Mxst:o) ?DDxTION M- 1 v-- N 1s 36 ff? ??? aa?? ? ??? ? m :? UMI? . 21 ? ? REMARKS: ? ?? t ? - ? FEE SUMMARY: E3ase FPe Surcharge Tota1 Fee UALISRTIDN $117e00 $122 o fb? $10, ?00 CONTRACTOR: --- ? ? ? licant -- STa LICOWNER: FzRsT ?ANc?MARK BLaRS 1.6993135 0001992 BaRNEv cHRRLEs 611 sNELLxNG AVE s 4025 PuMIcE Lr! ST rAtJl_ MN 55116 EAGAN MN 55122 (612) 699-3135 (612)452--2163 APPLICANT/PERMITEE SIGNA?k'1R > PERMIT # CITY OF EAGAN REACTIuATE`1992 BUILDING PEIIMIT APPLICATION jqj.3 681-4675 . Jizz.,?10 ,. ? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy -calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set ofi`- specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date r?? / ? /?? Val uat i on of work _ ?o O(Ala .'2? S i t e Address4102pzelwl?? ,Z/(. STREET SUITE ! ?enmi.F NaipP; i^um!!?rniil n7tly?. LOT ? BLOCK !5! _' SUBD. Wa. P . I . D . # 1 /0 -/? '? 0 3 , 0 - t q7,0?v- Descri tion of work: .DD /e/ -('v - a X The appl i cant i s: O Owner IV Contractor ? Other (Describe) Name -??t14,..? 01Phot-,e h°SZ - 2I,K PCOpErty ., LAST _j FIRST Owner Address 6 /%ni C16 ?.AnVe STREET STE A? City _ .Q n,/ State XMI Zip Company Phone -,/ Contractor Address o'?. f-r n-C2 License # l9 ' Exp.? City _ ?' • L. State lkf" Zip .S'. Company ? Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area as 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 Minnesota Statutes and City of Eagan Ordinances. Si tu f A li gna re o pp cant: OFFICE lJSE ONLY BUILDING PERMIT TYPE O OI Foundation ? 06 Dupiex 0 11 Apt./Lodging O 02 SF Dwg. ? 01 4-Plex O 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex 13 Garage/Acc:essory ? ? 04 SF Porch ? 09 12-P]ex 14 FirePlace ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck WORK TYPE ? 31 New O 33 Alterations O 35 Tenant Finish "4 32 Addition O 34 Repair O 36 Move GENERAL INFORMATtON Const. (Actual) Ve N (Allowable) - UBC Occupancy m Zoning # of Stories Length ? B Depth ? v APPROVALS Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REG1UtRED INSPECTIONS A ? Site ;?Final ooting ?raming O Wallboard El Draintile . , '-t1u16 Basement Finish 0 17 Swim Pool ? 18 Comm./ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility 0 21 Miscellaneous O 37 Demolisfi MWCC System City`Water PRV Required Booster PumP Fire Sprinkier Census Code SAC Code ??? L4 As mr- Assessments op - ? Insulation ? Fireplace Permit Fee , Surcharge Plan Review "license ? MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge :Treatment Pl. Road Unit Park Ded. Trails Ded. Cop ies Other Total: a ? vslua:ion: $-1-- ? 1 SAC % SAC Units ?..??.o?..?.....t:_.» 3_?m..?._.?.:?.,,:_;.._?._.L...i..w....:_t.._.vd,w_?..?_.M_,?,?.,:?...?...._ ... ?_ s???..?,.._..??_,...,_?.?.....??.,.:...Li,_1 ? ,? . ;' _ ? ? >. ?. < . f SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. SUITE 600 7300 WEST 147TH STREET APPLE VALLEY, MINNESOTA 55124-7580 (952) 432-3136 TELEFAX NLJMBER (952) 432-3780 E-MAIL bauerr(crseversonsheldon.com TO: John G r, Assistant City Engineer FROM: Robert B. Bauer, City Attorney /?/' 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 inatter, please find the following original documents: A. Drainage and Utility Easement between Lawrence Glentm 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 Document No. 503749 (EasementNo. 931); vUO° ? .""`"? 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); LI& o 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); . > ? D. Drainage and Utility Easement between George L. Hunnel and Debra K. Hunnel and the City of Eagan dated Juiie 14, 2001 and recorded with the Dakota County Registrar of Titles Office on June 20, 2003 as Document No. 503748 (Easement No. 936); E. Drainage and Utility Easemeiit between Robert L. Saa.lborn 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. 938); yp ?4-L 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 Registraz of Titles Office on June 20, 2003 as Document No. 503744 (Easement No. 939); L/p 5,)L.A,,, e.4; 4 5! 4aw'-;'.--.- 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 Registrax of Titles Office on June 20, 2003 as Document No. 503747 (Easement No. 940); yb? /?{r-y?? ?-17.: ?- i? ?? • 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. 503745 (Easement No. 941); / ;1, Q ..7'?, ,,:- ?.:?„• ?- f2?,_ ? I. 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 Registrax of Titles Office on June 20, 2003 as Document No. 503750 (Easement No. 943); and 476 E 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 C) yo A m P+F• ? s? ??. -e- cD-?r;?'S n ' ? ? ? :,• ? ?._ 2 LLI ? Zo = gca a I.- ? I O ? 1- - ?2 , W S LL cc? IIJ W U m W W Z W I.C) s z ? aac o LL 0 Q z, -? r?Fo V CE ? ^ U Z W= ? y W yj Y? F2 ? ? 2 1 LV ¢C ? s+I Z LL U J =W u. I-a- F" ?? tW?- V ? ? W 3 O O2 w0 WQ LL W a u w Z Q y Q = ~ W 0 U G- Z ti LJ m c.`?? U • 0~C ' F- _j W O C u=i Z t i) U Q o°o 0 °> o LLI LL a °z c=i ? ¢ ? O W ? 2 W cc ? Z 0 0 J w CL 0 ? DRAINAGE AND UTILITY EASEMENT 503742 ????? ?ranED '?KO-f? ?UWY ^ ? ?:EkaSUR?F3-?1J D9TC?R THIS EASEMENT, made this a of j v? k- , 2001, between CHARLES E. BARNEY and DELVA BARNEY/(iere?iia e e to as "Landowner"), 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 3, 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. RECEIVFn `lAN 9 1 ?003 a c;uu« . r TREAg11REfi-AIJptTOR IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as of the day and year first above written. E CHARI,ES E. STATE OF MINNESOTA) )ss. COUNTY OF VA BARNEY The foregoing instrument was acknowledged before me this 1??, day of 2001, by CHARLES E. BARNEY and DEI VA BARNEY, husband and w e. ?? ? Public APPROVED AS TO FORM: ??ob WaFc E. FRUECF(Ti . IC -MINNEM `SSION EXPIRES .. • •.:jA:iY 31, 2005 City Attorney's Office Dated: APPROVED AS TO ONTENT: pm-'Z?? Public Works Departrnent Dated: ,/2--.2?} THIS INSTRUMENT WAS DRAFTED BY: 1 ( SEVERSON, SHELDON, DOUGHERTY & MOLENDA, P.A. 7300 West 147th Street, Suite 600 pple Valley MN 55124 952) 432-3136 Sdsenent #935 ) 206-19117) - - ----------i ? se0€fce??llse I ? Permit #: ? Permit Fee: ? Date Received: ? . / ?. { Staff: i ?------_--- 2008 MECI-lANIGAL PERMIT APPLICATION Date: _ jr /.3/b ? Site Address: P,,t i GE-L.N Tenant: Suite #: RESIDENT / OWNER Name: Phone:? Address / City / Zip: ??•.?` ?Cr iY( / C? ?- N CONTRACTOR Name:Osv Al2 License # L-y- _6-q?o -2 Address: l0 ??AE<gf/c " cytJ ST" City: TrrvF? State: A(N Zi : p Phone:6D57'5?X%- W 77 ContactPerson: TYPE OF WORK New J_ Replacement Additional Alteration Demolition ?/ - - Description of work: Avjro G ° h rooi°`?orirrfecf?anatgrau?rd maunted?tne?hanrcaf e u? ?nf r? re u?r?d "fo<? ,: q P 9 . ? b,exscreen?d`bjr°?ity?Cocfe R?ase contac# fhe Mecira??caftrrspector?orarte}?`of the ; ?. - Ptaerners,.far?nfarmatra??or?° etmittedscr.eer??n ?etfr?als _ ??, , ,. ?';_x'` RES/DENTIAL COMMERC/AL PERMIT TYPE ? Furnace _ New Construction _ Interior Improvement Air Conditioner _ Instali Piping _ Pro cessed _ Air Exchanger _ Gas _ Exterior HVAC Unit * HVAC units must be screened _ Heat Pump Under / Above round Tank g install ( Remove) Other When installing/removing tank(s), call for inspection by Fire Marshal and Piumbin Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (inciudes $.50 State Surcharge) $90.50 Fife f@p8i1' (repiace burned out appliances, ductwork, etc.) (inCludes $.50 St1te SurCharge) $ _?O -S0 TOTAL FEE COMMERC/AL FEES: $70.50 Underground tank installation/removal 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 $.50 for each =$ State SurCharge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTAL FEE , nereuy acnnomeoge ina[ mis inrormauon is ccmpiete ana accurate; that [he work will be in contormance wrth the ortllnances antl cotles ot tne Gity ot tagan; tnat I understand this is not a permit,. but only an application for a permit, and work is not to start without a permit; fhat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X X Appticant's Printed Name ?Applicant's Signature FO?;OFF(GE USE ? 4 ? ? .R?v?ewe?By EYate Requ?retl Inspections ° Ltntler Graund ??: ?toirgh In .;:_Air 1'est ' Gas S?rv?ce Test ,_In floor{Heat ?` Fina? ?' y' .a,,,. _.. ,?...,, ?._,.N :,. ? .....?.. - Date: City of kap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 c(-40!81 r Use BLUE or BLACK Ink For Office U ej� Permit#: 100 56 C Permit Fee: - 92. VO 6 /ill Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Name: Site Address: E -L VA 13A LJ Address / City / Zip: `"i 0 Z c V �"� (C L EA ,4/j 5Y122_ Applicant is: Owner Contractor Phone: Unit #: Description of work: f2 0-0 p - Construction Cost: Company: S_0 - c Multi -Family Building: (Yes / No X) 2z VlcAk�+: V L A - Address: 9 3 l ria c7H (,vei( A U -e City: P4(i L State: J Zip l ( Phon License #: Z 0, 6.3730/ e: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered. the information may be classified as H concortlu-pdublic rt:.thf you y aprovretideade specific=r e thar ublictinformation, , P,ortions asons; that would, perms( the' i CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.gobherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and apprpval of plans. Applicant's Printed Name x Appli a is Si • nature Page 1 of 3