4030 Pumice LaneCITY OF EAGAN Remarks
Addition CEDAR GROVE #7 Lot 21 Blk 2 Parcel 10 16706 210 02
Owner V C.'C- Street 4030 PLmt1Ce L1ne State Eag? , MN 55122
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 I971 20
WATERMAIN
* WATERLATERAL ii-L 1971 1,615.00 80.75 20 Pa d
WATER AREA
* STORM SEW TRK 13 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 260.00 3445 4-16-71
BUILDING PER.
sAC 200.00 3445 4-16-7
PAR K
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
„ 11, ! 1 ?;i
INSPECTION RECORD
PERMIT TYPE•
Permit Number: . Date Issued:
' ,).j . .11 tii APPLICANT:
l.t1Nt. ?.tt') - Ilr;i iI .
4 ?• t : } 4 ',11 4 i
TYPE OF WORK:
INSPECTION .A • .•
6+'4Mf+ttM::i: :yF:F'HEtAYf: F'tkplii`- Alai Iii1ltlihf_1) l;jit AN'i' !'LiIM1iLNti 1114 t'If`1 11"11A) 1J01"1
-1
I
Permit No. Permit Holder Date Telephone #
S/W
PLUMBIIvG
HVAC
ELECTRI 6//&
ELECTRIC
Inspection Date Insp. Comments
Footings I
L
Foundation ? m?e- _
Framing
Roofing
Rough Pibg.
Rough Htg.
isui.
» T
rl ?
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector-Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
d EAGAN TOWNSHIP
BUILDING PERMIT
Owner ----?-••-•%'.ti'..."_`.............................. ••-••--.......•---•
Address (Present) ...... -V/1 ...-•-•................. .......
Builder ......•-• .............................................•-.._.....•-•-•••..._..--•-•--.._..••••---
Address ......................................
............ ..............................
DESCRIPTION
N°
Eagan Township
Town Hall
2420
Date ??.1..' ..7? .....................
5tosies To Be Used For Frons Depth Height Esi. Cos! ' Permit Fee Remarks
n ? J
" LOCATION
Stree2. Road or other Description of Localion I Lo! I Block I Addition or Traci
? 7 q9 :?y,??.e?-,?',---• ? ^ ?'? 8' 96 .40 ''' ? " °
This permit does not suthoriae the use of streels, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard !o the healih, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON HE PREMISE W?HILE THE WORK IS IN PROGRE S.
This is 3o cerfifp, 3haL_._?c. __._?"wF?r?:..has permission to erect a.... ........ ^'e `; ?....... ` upoa
....... .... ......•-•...?" :.._
!he above described premise subject to !he provisions of the Building Ordinance for Eagan Townip adopted April 11,
1955.
• -••..._......
.......................... .__ ......•• --• '.---.........--•-•-•-•-. Per .-••.••••••--•••---!`_:.__"""" V........_._...--
•-••-••••-.......:
Chairma of Tnwn Board? .?'3 Building Inspector
C, ?.
TOWN OF EAGAN
3795 Pilot Knob Road
St..Paul, Minn. 55111
PERP41T N0. um "
The Board of Supervisors hereby grants to'.:e?3ar GTova Construction Co'.
of 734m3 vc?.card Blvd. F,?So. St. Paul 55075 a
"-.:A fI?.G Permit for; (Ocaner) CedaT Gtove Conatruction at
4085 Cinnabar Drtve, 273? Carr,?elian Laneo 4.??ct an?
27-56 20-9s 2;.- ?;i _ y;7_ `z- pursu'ant to application dated
Aoril 13, 1971
Fee Paid: $b0e0O Dated this i6tih day of ?°pril , 1971
Building Inspector
REGIUEST FOR ELECTRICAL INSPECTION
?????? ? See instructions tor completing this form on back of? Ilow copy.
'X" Be/ow Work Covered b This Request
? EB-00001-08
?-??
??' 2,51
ew Add FR.p.T T- Type of Building AppliancesWired EquipmentWired
Home Range - Temporary Service
Duplex • Water Heater ElectriC Heating
Apt. Buiiding Dryer Load Management
Comm./Industrial Furnace Other (Speciiy)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Amps
SignS Inspector's Use Only: TOTAL
Irrigation Booms LLP? i 'S 0
Special Inspection QY-%
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN TH ?
I, the Electrical Inspector, hereby
if
h Rough-in Date,
cert
y t
at the above inspection has
been made. Final Da Clj?
OFFICE USE ONLY
Thi§ request void 18 months from •
/
y- ,S?SCvS/
/
K 6
r4/6
°?
?
RDate ` 1 ?
s, ??s ? .
?
? Fire No. Roug -In Inpsectidn Required
(Vou must call inspector when ready) Inspection Other Than Rough-In
0 Ready Now ? Will Notiy Inspector
?
I
' Yes ? No Date Ready
?
f 0 licensed contractor.Alowner hereby request inspection of above electrical work at:
Job Address (Street. ??or Route No.)
1'?
?
d
? City
a
)
?
L4 rr \ r'_ C
..
r
f t3 3 0 f
G A A
r
Section No. Township Name or No. Range No. County
Occupant (PRI T) Phone No.
Lo'rles C e ` 5 o n ''{S ?- 'q
Power Supplier Address
Electrical Contractor (Company Name) Contrector's License No.
S' 4= 'Z_ 1
Mailing Address (Contractor or Owner Making Installation) - -
S
Aut rized Signatur (Contractori wner Ma ?ng Instaliation)
? ?one Number
? r
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 . BE ACCEPTED BY THE STATE BOARD
1827'University Ave., St. Paul. MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: g u ac LaIn, G
3830 Pilot Knob Road Permit Number: 024516
Eagan, Minnesota 55123 Date Issued: 09/ 12 / 9 4
(612) 681-4675
SITE ADDRESS: L p T: 21 B L 4 C K: 2 APPLICANT:
4030 PUMIGE LaNE DENNacsoN cw?RLEs
CEDAR GROVE 77M (612) 454-4300
PERMIT SUBTYPE: TYPE OF WORK:
5F ,aDpx-rroN NEw
INSPECTION
FOOTINGS .. .
FRAMING .A
INSULATION FIREPLACE
FTNAL
REMARKS: 5EPARATE PERMI7S ARE REQUIRED FOR ANY PLUMBING QR El.EC1"RICAL WORK
?? ?. < - a ,_._. __ , .. . ..__?.d,_ _. ._.. ?. . . ?
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
t k-5 1'b I
PERMIT TYPE: B U I L D I N G
Permit Number: 024516
Date Issued: g g/12/g q
SITE ADDRESS:
P.I.N.: 10-16706-210-02
DESCRIPTION:
PERMIT
4030 PUMTCE I.ANE
LOT: 21 BLqCK: 2
CEDAR GRqVE 7TH
8,fYi1d€ hy1-...P e rm i t T y p e
144,rk' Type ;?
SF ADCIITZQN
NEW
2- t% t i? on
REMARKS:
SEPARATE PERMITS ARE REQUIFtED FpR ANY PLUMBZNG QR EI.ECTRICAL WORK
FEE SUMMARY:
VALUATIOIV
Base Fee
Plan Review
5urcharge
7ata1 F'ee
$189.00
$122.$5
9.08
$320.85
$18,000
CONTRACTOR:
OWNER: - Applicant -
DENNISQN CHARLES
4030 PUh9ICE L.N
EAGAN MN 55122
(612)454-4300 •
41
t e .
I , hre.by a?knQwlikdc?e avse._ r.?ad, t,a.;s 0.PRl i?ci??X Lqn ,aar.d.=s tato t h a t ,Ithye
3,nformatiQn as f`carreat ind agroe tq comply with all applicable State of Mn< :
5tatu??s ah d' Cfty crf Eagarr rd1n6 n6es}
^ APPLICANT/PERMITEE SIGNATURE " ISS ED : SI NAT RE
?
?
CITY OF EAGAN '
1994 BUILDING PERMIT APPLICATION
681-4675
IAr J?
m`-/Y q??
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si e surveys, 1 copy f energy
calcs. 5EP 0 8 1994
COMMERCIAL 2 sets of architectural & struct C3.1_.pJanS,..LsEt_
specifications, 1 copy of energy .
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 9 Val uati on of work
Site Address:v36 ?Ul n?tI CG /y) N. Z-
STREET SUITE #
Tenant Name: (commerci al onl y)
LOT Z? BLOCK Z SUBD. -
7'?.
Cca l P.I.D. #
?.
Descri tion of work: R p 1'D 1 7'i 0 AJ
The applicant is:_?E]] Owner 0 Contractor ? Other (Describe)
NameNN1SaN C0 n pPhone L16?4? qq_S?'r
Property LAST FIRST ,A,
Owner .??
Address 'Y"6 3 d T, ?,U tvi t Cl? ? N-
STREET STE #
City .&)9 GY,10-) State ?N, Zip
Company _ S Phone
Contractor Address License # Exp.
City State Zip
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 has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: CX? IC/1
? l
OFFICE USE ONLY
?
BUILDING PERMIT TYPE y
"'?•> :+?-? «??a, ?.
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwg. El 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
El 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
0 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
Z 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL tNFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
Un
APPROVALS Census
dt
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
O Wallboard
?l Footing
c? Final
A Framing
? Draintile
?
v-
a 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 P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuati«,: g lf?' , ocg----
flp X 2-0 zv n 7, z Y o
SRC %
SAC Units
9
3 { `+)
f
OWNER: ?
SITE ADDRESS:
CITI[ OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' CONPUTATION
° fL-1 fiaJ 6 A 0 A=-i
COIiTRAC?OR: DATE: PHONE: ?41?` .? ?
Determine xorking square footage of each:
1. Total exposed wall area sq. ft. x.11
2. Total roof/ceiling area ... ??? sq. ft. x.026
?
U¢r_.,9 .? ??I
Total ezposed Wall area above floor
a. Total wall window area ............................ " "?
b. Total door area ................................... ".?''? ;?-
c. Total sliding glass area .......................... -- ?
d. Total fireplace wall area .........................
e. Total wall framing area (average 10%) .............
f. Tota 1 net wal l area abov e f loor .....:............. ??! f'j
g. Total rim joist area ..............................
-
?
Total exposed foundation area ?
h. Total foundation window area .......................
i. Total net foundation area above grade.............. -
Determine 'U' value of each Wall segment:
a.
b.
c.
d.
e.
f.
8•
h.
i.
x ' U'
x ' U'
x ' U'
x ' U'
x ' U'
x fU'
x ' U'
x ' U'
x ' U'
3 . ................................................... Total = .
? .
If item 03 is the same as or less than item 01, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area _ q ?
J. Total skylight area ............................... -?u?->-y
k. Total roof/ceiling framing area (average 10%) .....
1. Tota1 net insulated roof/ceiling area .............. "`
?
OVER
, ? ...
?
, .
' Determine 'U' value for each roof/ceilfng segment:
3. 1-, _IT=. X IUI
F. ?.
k. x 'Ut
x 'U'
4 . ...................................................... Total =
0. 0
If total of #4 is the same as or less than #2, you have met the intent of SBC
6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items #3 and #4 shall not be greater than the sum of Items #1 and 02. 1. + 2. =
3. + 4. _
2
• LOCATION
OWNER
STRUCTURE
LAND U ED ASD ? s G{S ! ?W • r??/`
Permit
No.
Issued Issued To
Contractor Owner
BUILDING AP& f
0
PLUMBING -
-?
-
?s _
Y • 17 •'/
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING '0O
GAS INSTALLING
SANITARY SEWER 213 7
OTHER ?
OTHER
•
Items Approved
(Initial)
FOOTING ?
FOUNDATION ?
FRAMING
FINAL
ELECTRICAL
HEATING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
?
?
COMMENTS:
MASTER CARD
Date Remarks Distance From Well
SEPTIC _
•'` • - CESSPOOL
( TILE FIELD FT.
DEPTH
OF WELL
_r .-
. 7 .
Viofations 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.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
F NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
i
? REINSPECTION REQUIRED
DATE OF REINSPECTION
.
REINSPECTION REVEALED
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
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
BUILDING INSPECTOR
COMMENTS:
DATE
23
tf
1
EAGAN TaTdNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTYON
Date: April 7, 1971 Number: 576
21-2-7
Billing Name: Cedar Gr_ove Co,nst_ Co. Site Address: 4030 Pumice Lane
Owner: Same
Plumber: Stein, Inc.
Location of Connection
Billing Addressr7343 Concord Blvd. E.
South St. Paul, Minn.
55075
Meter Size
Connectioa Chg.
4/16/71
Meter No.? lPermit Fee 10.00 pd 4/16/71
Meter Reading,Meter Dep.
Meter Sealed: Yes lAdd'1 Chg.
NO ! Total Chg.
Building is a;
Residence Xxx
tRultiple Ilo. Units
Commercial
Indus tria 1
Other
Inspected by
Date
Remarks:
By:
Chief Inspector
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 Township, DakoCa County, Mianesota.
By: CEDAR GROVE CONSTR.UCTION COMPANY
Please notify the above office when ready for inspection and connecCion.
? r
EAG114 TOWNSHTP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE: April 7z 1971
?.._.
OWNER: Cedar Grove Const. Co.
NUMBER 737
(Lot 21, Block 2, Cedar Grove #7)
Address 4030 Pumice Lane
PLtIMBER S t e int Inc.
?_.__. .._..._`
TYPE OF PIPE Cast Iron
DESCRIPTION OF BUIIDING
Industrial{ Commerciall Residential
Location of Connections:
Conaectioa Charge 200.00 pd 4/16/71
Permit Fee 10.00 pd 4/16/71
Street Repairs
Total
Inspected bq:
Date
Remarks:
Multiple Dwellfng ' No, of units
By
Chief Inspector
In consideratioa 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 Tox-inship, Dalcota?CounCy, Minnesota
By CEDAR GROVE CONSTRUC?,ION ('0 p N
Please notify when ready for.inspection and connection aad before any poreion
of the work is covered.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4030 Pumice Lane
Lot: 21 Block: 2
PID:10- 16706 - 210 -02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Diane Moyer Home E nergy Center 15200 25th Ave N #128 Plymouth, MN 55447 763 - 476 -1990 dmoye
r@homeenergycenter.com
Fee Summary:
Contractor:
Home Energy Center
2415 Annapolis Lane #170
Plymouth MN 55441
(651) 766 -6763
Addition: Cedar Grove #7
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Charles Dennison Jr
4030 Pumice Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Mechanical
EA076860
03/05/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105868
Date Issued: 08/01/2012
Permit Category: ePermit
Site Address: 4030 Pumice Lane
Lot: 21 Block: 2 Addition: Cedar Grove 7th
PID: 10-16706-02-210
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Legacy Restoration LLC Charles Dennison Jr
10650 Cty Rd 81, Unit 101 4030 Pumice Lane
Maple Grove MN 55369 Eagan MN 55122
(763) 354-7660
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143522
Date Issued:06/19/2017
Permit Category:ePermit
Site Address: 4030 Pumice Lane
Lot:21 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-210
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Charles Dennison Jr
4030 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:Plumbing
Permit Number:EA170391
Date Issued:06/30/2021
Permit Category:ePermit
Site Address: 4030 Pumice Lane
Lot:21 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Jennifer Schaffner
4030 Pumice Ln
Eagan MN 55122
(507) 269-9940
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172379
Date Issued:09/28/2021
Permit Category:ePermit
Site Address: 4030 Pumice Lane
Lot:21 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Jennifer Schaffner
4030 Pumice Ln
Eagan MN 55122
(507) 269-9940
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176464
Date Issued:05/17/2022
Permit Category:ePermit
Site Address: 4030 Pumice Lane
Lot:21 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Jennifer Schaffner
4030 Pumice Ln
Eagan MN 55122
The Window Store Inc
2924 Anthony Lane Suite 115
Minneapolis MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature