4031 Pumice LaneRemarks
Addition CEDAR GROVE #7 Lot 7 Blk 1 Parcel 10 16706 020 Ol
Owner_ Street 4031 Pum1Ce LaAe State_Eagazl, MN 55122
1. . (
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 58.18 2.08 28 P
* SEWER LATERAL 1971
WATERMAIN
* WATER LATERAL ? ti 1971 1,615.00 80.75 2 P].
WATER AREA
* STORM SEW TRK 1 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300.00 026 7-3-72
BUILDING PER.
SAC 260- 00 6026 7-3-72
PAR K
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
,.,
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
?t?r:
f litJi
TYPE OF WORK:
if j . i , ., 1 i 1: i 1
F,i ?I P A I i;3ra
i'"; h: Vi f 1 1 1
INSPECTION DATE INSPTR. INSPECTION TYPE D•
I
J
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Flnal Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final I 2 ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
REQUEST FOR ELECTRICAL INSPECTION
? 11ee instructions for completing this form on back of yellow copy.
M 60334 "X" Below Wnr.kCovered by This Request
0 ???. es-ooooros
_ . , ?,9?/
?;as?s:
New Add Re . •'T;{3eofBuiiding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
I 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 Above 100 Amps
SignS Inspector's Use Only: TOTAL
Irrigation Booms
?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final Date
o«sY
OFFICE USE ONLY
This request void 18 months from
? ?/03344?p _
/
Request Date Firel?lo. ough-in Inspection NOTICE: You Must Call Electrical Inspector
? ? ?. ? /r? ?y ? Required? If A Rough-In Inspec[ion
? ? es ? No Is Required.
I4licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route o.) City
5103l Z-44q. f;Qe,4*
Section No. Township Name or No. Range No. Counly
Occupant (PRINT
xl?C1_ W4YIr Phone fJo.
Power Sup lier
?? Address
/,r-"g
Electrical ontractor (Company Name)
2t 2'0vt .?'lccf 7G " t.. Contractor's License No.
C4 8 z C?1?
Mailing A ress (Contractor or Owner Making Installation)
?? L
?C ' aW /-C '"`wY
Autho?ignatur (Co actor/Owner Makin Installation)
?,_ Ph?e Number ?
Z 2 - ?1
MINNESOTA STATE BOARD OP ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
76 lo
TO'.'N OF EAGATI
3795 Pilot Knob i:oad
Eagan, Minneaota 55121
PERNlIT N0. 221
6aO 0/
The Board of Supervisors hereby grants to Cedar Grove Construction Co.
of 7343 Concord Blvd. E., South St. Paul 55075
a HEATING permit r•(Owne same
?f$7 f Carne L e, e, e ian ice LaneN Ja?e ane, Jade e, K0% 'eimoni?te Lane, ?? Carne i
41an' L4ane,? ?
ai I??@1ltp LnnP, R• Lil12?Pumic :_I.?_. Pursuant to application dated
6/27/72
Tee Paid: $220.00 Dated this 3rd day of Juy
s c
p 1972
Building Inspector
i0
TO' IN Or^ EAGAI'
_1795 Yilo4: Knob .oad
Eagan, Tiinne:;ota 5512 1
PER1riIT N0. 2 34
The Board oi 'O'upervisors hereby grants to Cedar Gr.ove Coristruction Co. 4
of_ 731tI) Ccncord Blvd. E., South St. Paul 55075
? PLITMBIPD Pe rmi t ? ? . s ame
i ?' T
?c? L? en? Ja?e'
,
5
Lane? ?t .
?ade ane, L;U ?
?e e, ,?
i.mon,?te Lane,
e, (,lan. ?e? 4054 ?-
?? arne ian Lane
I L
to Tan Y x. l
i.?;;? F'?,?;A Tan? , p??suant
to application ,
dated
ti/27/?2
Fee Paid: $220.00 llated this 3rd d8y of J&ly _
,
?1972
s c.
750 ---
Building Inspector
id
I EAGAN TOWNSHIP
BUILDING PERMIT
Owner ---...-•...... ...... C.:_
-----•----•-
Addreas (preseni) ................ ...?.••••-?°:?-4:?.-•••••--•--•-•-••---•••
Builder ................... _!42-4--!^..............................................
Address .---- -•-------••--•...--•--••••••-•---• ...............••-•-•••---••---•-••-•---•••-•••---
DESCRIPTION
N° 2'768
Eagan Township
Towa Hall
Date -•7- / v- 7 Z-
•............................................
Siories To Be Used For Fron! Deplh Heigh! Est. Cos! Permit Fee Remarks
LOCATION k -?! ,, ")
Stree=, noaa or otner vescripsion os LOCaiion I Lo! Slock Addilion oz Tsac! This permii does not sulhorize the use of stree2s, roads, alleys or sidewalks nor does it give the owner oz his agen!
the righ! !o create anp silusiion which is a nuisance or which presents a hazard !o the heallh, safetp, convenience and
general welfare !o anyone in the communily.
THIS PERMIT MUST SE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This ia 2o cerlifp, lha2................
--??•....... has permission to ereci a-•-El.--• ?--•°--j..? .------••••-•-• --•••-•--•_upon
the above described premise subjec! !o the provisions of the Building Ordinance for Eagan Township a opted April 11,
1955.
....................... ..•-•-•--.. ..._...-............ .-...•---••--••<:?`"''...c•:?-?.-•-.... _..••-•-
Chairmaa of Tnwn Board Building Inspeclor, ,,?g
?
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
? _ ,
??q, 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
s -,? a,
New Construction Reauirements RemodellRepair Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan
(20°a maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tloa4'res Mn R,66d tA Y ?
2 copies of plan showing beam & window sizes; poured fowd design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Addition - indicate if on-site septic system or4l???p
3 copies of Tree Presenration Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings w(ith 3 or less units)
Date ffq / 0 t, / 0 6 Construction Cost
Site Address i Pwr?Le. Lp91 Unit/Ste #?r
Description of Work
Multi-Family Bldg _ Y IZ"'N Fireplace(s) i/ 0 2
Property Owner ':?E/S / Telephone # ( (p-l)
??
Contractor 176
?94C?..,???5 j
Cy
Address _7_1'L, )VQ e C1Ty
State ?°. -..__. _.._ .--
ZiP Yelepti e # (?o ? oZJ Q L_ ,
?
?r
COMPLETE THIS AREA ONLY IP CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate?Ory I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanica) Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an,application for a permit, and wor ' ot to start without a
permit; that the work will be in accordance with the approved plan in the case of work w' ?e?i? ??i d
approval of plans.
R 1 ?I t--?i??? ?T A PR 0? 2005 aCt
Applicant's Printed Name Applicant's Signature g?
OFFICE USE ONLY
Sub Types ,_? , ??
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex A 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types
? 31 New
7(l 32 Addition
? 33 Alteration
? 34 Replacement
Valuation en
Census Code 14
SAC Units
# of Units
# of Bldgs
Type of Const V 6
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
? Drain Tile
? Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
Final/C.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: i?.,? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge Treatment Plant
License Search
?
Copies
Other
Total
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
13k
F'umice Ln.
,. ,
4031 Pumice
. Ln. Eagan,
MN. 55122
driveway
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20..0„ Zo._o"
( 13_pu - - .
N - - '
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J
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 C'? r, Assistant City Engineer
FROM: Robert B. Bauer, City Attorney 1-21'
DATE: Maxch 16, 2004
RE: Cedar Grove - July Storm
Project 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 Document
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 Na 934); r,/?? a f Q?, "?---
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); Va ,7? r V " w -- F??? ? ?z--
-? ?
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); ;y:`??;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. 938); c,l p& 4 s ,?- 1?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
Document No. 503744 (Easement No. 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 (Easement No. 940); yb 414;-
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); ^a? ? 4?,/.'i "vv;:?_
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 (EasementNo. 943); and
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 0 yo Arz^ P+k Is4 d?s ?
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DRAINAGE AND UTILITY EASEMENT
503A 4/
???? ???TWED V- 11?.?_>
3iAKOTi"i 4/OUtlFS'?S 5 '1
`f 4kE6?S4.1REf?-Al?i?1Q ?'? L?
THIS EASEMENT, made this day of T?:. , 2001, between
GERALD ALBRIGHT, JR. and THERESA ALB IH' M ft? ??red 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 2, Block l, 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.
RECFIVF0
JA! ?` 1 F`0S 3
r?wF?v (Fl 4??.fi.??ro ? /
TREA&"Ei-+AUbITOR
IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed
as of the day and year first above written. -..? ,,% `
ER.ALD ALBRIGHT, JR.
ALBRIGHT
STATE OF MINNESOTA)
)ss.
COUNTY OF
The foregoing instrument was acknowledged before me this a4N day of
, 2001, by GERALD ALBRIGHT, JR. and THE A ALB GHT,.
and wife. husband
-_------?
Not Public
APPROVED AS TO FORM:
City ttorney's Office
Dated: ?
APPROVED AS TO CONTENT:
l
P lic Work De artment
ated: / /? ?G?
THIS 1NSTRUMENT WAS DRAFTED BY:
SEVERSON, SHELDON, DOUGHERTY &
MOLENDA, P.A.
7300 West 147th Street, Suite 600
Apple Valley MN 55124
(952) 432-3136
(Easement #q940 )
(206-19117)
JAA?ES E. FRUECHTI.
N4TARY
PUBLIC - MINNESOTA
? R9Y ;C}MP?fiSSlOi? IXPIRE$
,?AfVG'r?RY 31, 2t?
2
City of fagan
Cash i'ec?ip$
ReceipL Da'Ee loi ai?oo
Time PrinEed 1Sa00,02
Cieceipt Number 11523
SOUTH MECHANIl'.AL COPdTRAtii'OC:_;
4031 F'!iMICE LANE .
9001.2195 =50
FP 43156
9991n40$7 30.09
F'P 43156
iova3 R:=•_elpE AmJunt :W
i:_et HFiv:iRAW
? I CITY USE ONLY
L BL RECEIPT #:
SUBO. ?,e?a_r l .r_7t(IYP/ ? RECEIPTDATE:
PERMIT #
8000 PLUM$INfi PEfZ1VI1T (RES )
crrY oF EAsm r
3$80 PILOT KNOS ftD
KA6AN, MN 55188
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH
#
TOTAL
Alterations to existing dwelling - minimum fee
Describe: /naT,-e
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G8S i in Outlet ` minimum - 1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x - $
S@ tIC S St811'1 newlrefurbished ' reuires MPC lia 75.00 X = $
Se tIC S Stem abandonment 30.00 X - $ ?
RPZ new installaGoNrepaidrebuild 30.00 x = $ ?
Rou h o enin 1.50 x -
= $ t
$ `
Shower 3.00 x
Under round s rinkler if dwellin is under construcGon 3.00 x = $
Under round s rinkler if existing dwellin 30.00 x = $ ?
W ater closet 3.00 x - $ ?
Water heater 3.00 x - $
Water softener if dwellin under construction 5.00 x - $
Water softener if existing dwelling 30.00 x - $
Water turnaround, 30.00 x ---- - $
State Surchar e .50 --> ---> ----> $ .50
Total
-->
-->
---->
---->
$ 3c?. sc?
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-•------------------------------------------------------------------------------------------------------------•-----------------------------_.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy with al1 applicable Ciry of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal
operationat and maintenance activities to the facilities consVucted under this permit within City property/nght-of-way/easement.
SITE ADDRESS: ?d'31 Z-.C:r,- 4---e
OWNER NAME: : ?`4r s47" TELEPHONE #:
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
CITY:
c?Gsu-??- ?2c? xa-
a /? ? S L?-n S -?? ?e
TELEPHONE #: '? ytle
(AREA CODE)
STATE: '1? -
SIGNATURE OF
v? l
CITY USE ONLY
L B ?
SUBD.
RECEIPT #:
RECEIPT DATE: ? Z
PERMIT # 3
1999 PLUm$uvc PERmrr cP.Esuwxr1AL)
CITY OF EAfiAN
3$30 PII.OT KNO$ $D
EAfiAN, Mv 55122
(651) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
F[XTIiRES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet '` minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
1 avato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $7"
Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
ater heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ .50
Total --> --> ----> ----> $ 3
. ?.
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------------------- ------------------------------------------ -----------------?
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property(right-of-wayleasement.
?
SITE ADDRESS: ..`?2? 1 ?"/J1" /G. e-.) _ /f?
OWNER NAME: :' ?/C//- TELEPHONE #:
? (AREA CODE)
INSTALLER NAME: % 52?90??4511- ? TELEPHONE #: ?° 73$?
J (AREA CODE)
STREETADDRESS: ???D..??/a?
C{TY: ST E: ? IP: fo?
S NATURE OF PERMITTEE
CITY USE ONLY ga7? /
L ? BL / RECEIPT #:
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAM
3830 PILOT KNOB R D
EAGAN, MN 551,22
(612) 681-4675
' P{ease complete for: ? single family dwellings
? townhomes and condos when permits are required for.each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Sath Tub 3.00 ;c =
Lavatory 3.00 x =
Kitchen Sink 3.00 :t I = 3, o a
Laundry Tray 3.00 :t =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet * mini mum - 1 3.00 ;t I = .100
Rough Openings 1.50 :c =
Water Softener 5.00 x =
, i'rivate Uesposal * Dakota Cty. license 65.00
(new and refurbished systems)
U.G. Sprinkler " home un der const. 3.00 =
Alterations '' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ? a v ? S-z?
SITE ADDRESS: q° 31 /0u rr! i c e. La n e
OWNER NAME:
INSTALLER NAME:- ?Al e f4? r- 2- 13 /q v/o c k} 1 ti C.
STREET ADDRESS: /So'? 6? h64J 13
CIN: ?u ?'N S ?? ???' STATE: 14,"1 N ZIP: s?33 7
PHONE #: (6ia) S 8;Lw S (68 I
44xk) r,v?*a?\ 0,4
L BL
SUBD.
RECEIPT #:
DATE:
1996 PLUMBiNG PERMtT (CUMMERCIAL)
CITY OF EAGAM
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? ail commercial/industrial buildings.
? multi-family buildings when separate permits are not required for each dweiling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTIQN ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER;; TO BE INSTALLED? YES NO.
FAIlURE TO PROVIDE TH1S INFORMATION VlIILL RESULI' IN A DELAY OF METER ISSUANCE.
WlLL YOU BE lNSTALUNG A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of rmi fee due on all permita
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CIN: STATE: ZIP:
PHONE #: SIGNATURF:
APPLICANT
OFFICE USE ONLY
OFFICE l1SE ONlY
,
METER SIZE: " DATE: INSPECTOR:
. ?
?
0 •
? LOCATION ?
OWNER ?
STRUCTURE AND
LAND USED AS (
/
-/- 7
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK 604V
?
VJELL
ELECTRlCAL
HEATING zz
GAS INSTALLING _
5ANITARY SEWER O
OTHER
OTHER
Items
rGOTING
FOUNDATION
FRAMING
FINAL
kLECTRICAL
HEATING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
MASTER CARD
Approved
(Initial) Date Remarks Distance From Well
-?7 SEPTIC
CESSPOOL
TILE FIELD FT.
DEPTH
OF WELL
-30- 7
- /l-
?
i
COMMENTS:
Violations Noted
on Back
,
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
?I
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONST2UCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
1-1 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 FICATI ON - 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
6UILDING INSPECTOR
DATE
COMMENTS:
23
? # y
EAGl7AT TOWNSHIP
3795 Pilot Knob Road
St. Paul, MinnesoCa 55111
Tel.ephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTiON
DATE: pQ c! f-7 aNUMBER 1046
2-1-7
QWNER• OD-" Address 4n3l P 2LM_S=9,
PLUMBER 1 TYPE OF PIPE N-At?
DESCRIPTION OF BUILUING
Industriall Commerciall Residential { Multiple Dwelliag ! No. of units
Location of Connections:
Permit Fee 10.00 pd 7/3/72
. 72 s/c
SCreet Repairs
Tota 1
Iaspected by:
DaCe
Remarks•
Connection Charge 260.00 pd. 7/3/72
By
Chief Inspector
In considexation of the issue atnd delivery to ine of the above perm3.t, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota-County, Minnesot
By
Please aotifq when ready for.inspectfon and connection and before any portioa
of the work is covered.
E 1 ?'
EAGF.N TOWNSHIP
3795 Pi,lot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERtUT FOR WATER SERVICE CONNECTYON
Date:
Billi
Ownex
P lnmt
ion of Connec
Meter
chg. 300.00 pa 7/3/72
Meter No. Permit Fee 10.00 pd 7/3/72
Meter Reading Meter Dep. •50 pd 7/3/72 s/c
Meter Sealed: Yes Add'1 Chg.
NO iTotal Chg.
Building is a:
Resi.dence xx
tRultiple Ao. Units
Commercial
Industrial
Other
Inspected by
Date
Remarks:
By:
Chief InspecCor
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the progosed"work in accordance with the rules and
regulations of Eagaa Township, DakoCa County, Mi.n esota.
By: ?..
CILL;?n?
gumber: 877
2-147
?
5ite Address;z/na) ??117L(.C.P
Billing Address_q'm3 Laj
U 114' a_u.P M h 6z07z5'
i
Plea3e notify the above office when ready for inspection and connection.
bi 2000 BUILDING PERMIT APPLICATfON (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construcllon Reauirements , n? I --Z' r'' RemodeURenair Reaulrements
i?
4110 53. bb
? Yn
L
? 3 reglstered site surveys showing sq. ff. ot lot, sq. ff. of house 2 copies ot plan
and ?11 rooted areas (2096 maximum lot coveraae allowed) 1 set of energy calculatlons tor heofed addiflons
> 2 copies o( plans (show beum & window sizes; poured ind. design; efc.) 1 site survey for extedor addiflons & decks
> 1 set o( energy caiculations
> 3 copies ot iree preservation plan if lof plotted after 7/1/93
DATE: '/`- -2 1 '? o -0 i-nNml ic?rinN clnSr•
DESCRIPTION OF WORK: ? 00
STREET ADDRESS: (-) ?
LOT: I BLOCK: '
It mulH-famity bldg., how many units?
°C 'e- G.V-1 .
SUBD./P.I.D. #: Cedar Grove #11
i?c
Name: G G?^? I d ?<`r'1 re-5 L, (-T I Phone #: 6 5- C- ,2 7Z-
PROPERTY Last First
OWNER Sheet Address: 10 3 Z- ?
City State: Zip: 15? ? Z-Z.-
9Company: ? liQ? E Phone #: '?2-
(area code)
/ ? l r 3 2- `- 1z..
CONTRACTOR ?.
Street Address: Z( 7/ 6, l ???d;'dU Z license # c3 ??? Exp.
city /^'k r?-c???j?? state: Zip:
ARCHITECT/
ENGINEER Company:
Telephone #: ( )
Name:
Sheet Address: Registration #:
Cify
State:
Zip:
Sewer/water licensed plumber (if installina sewer/water): Phone #: (?
I hereby acknowledge that t have read this application, state that the information is correct, and agree to comply with ap licable State
o( Minnesota Statutes and City of Eagan Ordinances.
?
Signature of Applicanr
OF CE USE ONLY
Certifcates of Survey Received Yes No 4 Tree Preservation Plan Received Yes No '?/ Not Requ?red
?
??
OFFICE USE ONLY
r
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling O 08 06-plex
? 03 01 of _ piex ? 09 07-piex
? 04 02-piex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-piex ? 12 12-plex
WORK TYPE
? 31 New
p 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ?
? 17 Garage po
? 18 Deck 0
0 19 Lower Level O
Plbg _Y or _ N ?
? 20 Pool ?
21 Porch (3-sea.)
22 Porch/Addn. (4-sea.)
23 Porch (screened)
24 Storm Damage
25 Miscellaneous
30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
E3 37 Demolish (Bidg)* ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) 0 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ?
No. of Units 0
No. of Buildings
Const. (Actual) S-
(Allowable) 5--V
UBC Occupancy , -/
Zoning &
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
• .
4• • .
? 31 Ext Alt - Mufti
? 33 Ext. Aft - SF
? 36 Multi
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
0 Stucco/Stone
APPROVALS
Planning Building
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Engineering Variance
Valuation: $ ?
G O
3j 7
/
?
=
.z D1
SAC Units
% SAC
952 469 3920
DAVID SCHWEICH CONST Fax : 952-469-3920
David .,.._..,.;?
rSCHW(1CH-.,,
,,.,.,.,..... ",q1ry's
CUNSl'RUCTioN INC. `
Jul 27 10:38
CUSTpM BUlLDERS & REMQDELER$
21716 Kenrick Ave • Lakevllle, MN 65044
(612) 469-3222 Fax (612) 468-3820
ftx
?
Tb: f? ( ?
ftx:
Pwpos:
PlwrNe Dwts:
qW CC:
C] Ur+twn! ?For Rw1rw ? Plg? Commw*t ? IMaase Reply 17 PIN"er
Recycls
0 Commsnteo:
?
C/
C, C?-
-e ?-S-r-
?
{ 7- - Z [k L{ ? ?.
??.
From:
. 1-_ MINNESOTA ENERGY CODE
I-2 Family Residential Building
RESIDENTIAI, "COOKBOOK" WORKSAEE'I'
? ? MUM phom _ WC
?.?? c?G?? w-i tJ? L O 1'l S. '? S?, ' 7- 2 statemmt orcom..?
p?
$ui#ding Offrcial !!se
°
? Applicaqt Addrus
2t7#G ?'??r?
"4MA SSOOLt
? 4Y
yk4 'fhe "asoi budringdesp ropme,kd iq IAeye
?
?°
d' ?
?-
N ?
v&
.c, ,?,
g"
??
UAV"d
D ?
?fo3! ?-?+• A7& 111t ?tm?1 ?1(?lIDH. ?e p1Op09Da
bolding ???.,;? b?,,,?
[c
'Z?
G ?? of ?c Mimresae a de.
6
,
AppticanE/Engineer .
MINIMUM REQUIREMENTS for "Cao&baok" Option:
Entry Doors 1-3/4':'solid wood w/ storm Ceiliag with energy truss R-38*' Rim joist R-t9
door br equivaleni (Min. 7%z"top plate to sheathing)
° Foundation Windows* Insulatec! Gtass wltll" gap in Ceiling with !ow heel tmss R-44** Floorvver R-24
i vvood ar vinyl fiamc
s uncaMitioned space
?
? lncludc square footage in catcutation of Wiodow/Tfoor Arca Catfic R-38 wl R-5 sf?eathing
N to detcrmine above grade Wi?edow U-Val?e.
T
MLr)
9)61
"Insulation Perfcxmaace at Winter Desigae Cotrditions ,
v
Nx
(0
?
Wiadow sed Door Ai?eea ` 100 x 3?C? + 3? y
??
Q1 . WIND
As •/. of E=posed Walt Arft Abpyt G
d
Wi
d
d OW U-VALUE ; ?
Cl
t
II
ON Ap
Cross Wall Areo Windo w/Door Area Sodrre: NFRC or A5HRAE 1993 Hoodbook
FododatfoeR+isdewlDoor Ar+a ,?.
1 . ?.
MAXIMUM WINDOW U-vAI,UF
$
cwAi.i. rvpE .
MAXIMUM.wtNDOw.AND DOOR AREr1 •. oF ExPOSED wALL AREA
? 12Y.. 14".?. tb'. !8'. 20'/. 22•?4 24'1?.! 26•le 28•. 30•G 32'?4 3d',4
g?R-F3insulation.sl?eathingR-7orgrealer. 0.55 0.47 0.4i 0_3G 4.33 U.30 0.2'7 U.25 0
23 0
22 0
20 0
19
u g, R-1 3 insulation, sheadiing R-S or gtra4a?. 0.52 0.?15 0.39 0.35 0 0.28 .
.
.
0.26 Q24 0
2Z 0
21 0
20 .
0
1$
g, R-19 ?suEatio*t, sheathir?g kss tf?aa R-S.
= 0.48 0.41 036 0.32 02b .
.
.
U24 0.22 021 0
19 0
16 .
0
17
_ & R 14 ??i?. slEeathing !t-S a gteater. 0.56 0_49 OA2 037 0.34 031 .
.
028 0.26 0
24 0
22 0
21 .
0
20
? E2x66
g, R-2l insulalion, sEieathing less than ?t-S. O.S l 0.3 0.3$ 0.3 4 0.3U 0.28 .
.
.
0.25 0.23 0
22 0
20 Q
19 .
0
1 8
? g, R-21 as,wlation, shcatbeng R-S or greata. 0.58 0.50 0.44 0.39 0.35 0.32 .
.
.
0.29 0.27 O.ZS 0.23 0122 .
RJ.21
A, lhis tablt ootnains intupolaQionsof Ihe valtKS in ttx E+tergy CodG Psrt 1670:0475, Subp. 2.
' '[his is a susnmary only. Ottxr roquiraaants msy appEy. Sa the Mianepla Encrgpr Code.
Quistions7 Caq flryartmwt oEPoblic Savicc Information Center at 6I2R96-5173 a E400V657-3710. . 2lSl9f> .
?? ?
' ?
Pumice Ln.
. r' .
4031 Pumice
Ln. Eagan,
MN. 55122
driveway
e
zz,_o„ 20_0. 20.-0^
0
(V
?....?,,. m. ? 2T-0"
0
e - - - o
N _ _ N
fV
wmrmam. ?
O ?stng house
V
O
I?
o ?
ii
i?
b o ??
0 0 ??
(V N ??
I?
roposedroom _ _? _______________
rao^?
s2?o°
0 o n
0
o?
r
0
m
n
107-0"
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date issued:
(612) 681-4675
SITE ADDRESS: Lo T:
4031 PUMICE LANE
CEDAR GRQVE 7TH
PEWT A4qTT PE:
z aLo c K e a. APPLICANT:
RLLEN GONST
(612) 688-$100
TYPE OF WORK:
DESCRIP7IqN
??ILDING
022678
i2/s7/93
ALTERATIpN
(SKYLITE)
INSPECTION
FRAMING .A .
ROUGH IN PLBG .A
F2QUGH IN MTG FINAL
°p Y, ?
»;.3 'P
°t`
,p , rb d'
?,
? s
.
a q
Y ?
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
(SKYLIT"E)
B?,???"", Permit Type SF (MISG. )
?'t??.?:?.d? ?.ft g ' rk Type ALTEF2A7I(?N
?a(a y a
,
m 0
A r_T.
. .`)
?
... f . ?^ ? ,e.Y _ .. .. ,. . ?
' 4031 PUMTCE I.ANE
LQTs 2 BLQCK: 1
CEDAR GROVE 7TH
P.IoN. s 10--16706-020-01
nFS('_RIPTI0N-
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
1'otal Fee
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
V
VRLUATIQN
$39.00
.85
$39>85
$a.,7e,0
BUILCIING
022678
12/07/93
? lu ?` 3
??
1Ay ?
NTRe?p - riNN.Li?.;ari U - 01 . ' .a_t. e
9 T
9 Q
'
"
" ?/NFR
Q
"
'
'
L?
IVST
N
? 1688 8100 0001062 A
B
RIT
H
f J E R R Y
4649 112 PENKWE WAY 4031 PUMTCE LN
EAGAN MN 55122 EAGRN MN 55122
(612) 688-8100 (612)688-27 26
? ,? ?? ??'ar: 0° ? .??`e?' t" 4 ,@ nd l ??,
? ?"? ? ?
? ?ii??armat?vrt ?: ?ccar?~e a d a?roe tt? c+awa.th app?.?.caState =t?f Mn,
??a t?
?G
e
?i ?,
a
4
a,
a
? a
-. a .
; . ,
?.,_.. ?. _6 .a. , m.
e
.?
,weas._
?
LICA E IfiEE NATURE ED??: SIGN TURE !k
REACTIVATE
PERMIT #
1-2-ILli?
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
-?
SINGLE d? MULTI-FAMILY
2 sets
of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural E? structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) add ress is changed or 3) lot change i.s requested once permit
is issued.
Date Yal uat i on of work
Site Address: 4)z„? --
TREET S4JITE S
Tenant Name: (commercial only)
LOT ? BLOCK SUBD. Y. I. D. N .
Descri tion of work: ?? ,• '-S ti/
The applicant is: C) Owner Contractor 0 Other (o«oribe).
Name - ?
?z , ? tl 14'/ Phone??lr'?
Property LAST / FIRST -
Owner Address
S REET tTE N
CitY State A?AJ Zip c;VZZ -
'?
Company d?
Phone
Contractor Address ? ??kIti'4:?' Gti? License ? Z- Exp. -a:3
City f?-,?-e 5 'i A? State l•s%vZip
Company Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two day s once area has b en approved*.
I hereby acknowledge that I Ke read this a ition and state that the information is
f
correct and agree to comply i t? all appl tate of Minnesota Statutes and City o
Eagan Ordinances.
Signature of Applicant:
G
OFFICE USE ONLY
BUtLDiNG PERMIT TYPE
O Ol Foundation
E3 02 SF Dwg.
E3 03 SF Additfon
? 04 SF Porch
P 05 Sf Misc.
WORK TYPE
O 31 New
? 32 Addition
? 06 Duplex
0 07 4-Plex
? 08 8-Plex
O 09 12-Plex
O 10 Multi. Add'1.
p 33 Alterations
O 34 Repair
GENERQL INFORMATION
? 11 Apt./Ludging
O 12 Multi. Misc.
[3 13 Garage/Accessory
O 14 Fireplace
O 15 Deck
O 35 Tenant finish
O 36 Move
?
?
?
? ? 4.6 Bleemeft.,6U i sh
O 11 Swim Pool
? 18 Comn. J I nd .
13 19 Comm./Ind. Misc.
O 20 Public Facility
JD 21 Miscellaneous
O 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
?Allowable) lst F1. sq. ft. City Water
UBC ccupancy 2nd F1. sq. ft. PRV Required
Zoniny Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
length On-site well Census Code ? Y
Oepth On-site sewage SAC Code ?
APPROVALS
Planning - Building Assessments
Engineering Variance
REOUIRED tNSPECTIONS ? sk
y/; fe
E3 Site 13 Footing ? Framing ? Insulation
? Wallboard g Final O Draintile ? 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.
Mies
er
Total:
SAC %
SAC Units
vatu.cion: S? ??
CITY USE ONLY
LOT 02 BL I RECEIPT #: _?? Q cv ?
SUBD.?C? RECEIPT DATE: 211/9 7
-T?
1997 MECHA1vICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
' 3830 PILOT KNOB RD
EAGAN MN 55122
Date: (612) 681-4675
lJ
Complete this section onlv if you are installing HVAC in single family, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) ? • State Surcharge: .50
• TOTAL:
Complete this section only if vou are remodeling, adding to, or repairing ezisting single family
dwellings, townhomes, or coados.
Add-on furnace Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc. X. Other ?kA??
\IJ
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SIT'E ADDRESS: qv 3 ? Vl/(Y\? C2, ?_ (3..C1e,
OWNER NAME: PHONE #:
INSTALLER NAME: PHONE #:
STREET ADDRESS: O
CITY: STATE: ?I? ZIP: ??J 3'? ?I
/
?
?? SIGNATURE O ERMITTEE
CITY USE ONLY
L BL
SUBD. RECEIPT#:
RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
, (612) 681-4675
Please complete for. ? aii commerciaUndustrial buildings.
? multi-family buildings when separate permits are W required fior each dweiling
unit.
DATE:
WORK TYPE:
CONTRACT PRICE:
NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee Qr 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of cermit fee due on ail permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS oNLY)
INSTALLER:
ADDRESS:
CIN: STATE: ZlP:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114689
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 4031 Pumice Lane
Lot:2 Block: 1 Addition: Cedar Grove 7th
PID:10-16706-01-020
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gerald Albright Jr
4031 Pumice Lane
Eagan MN 55122
(651) 688-2726
Reroof America
10740 Lyndale Ave S
Suite 10W
Bloomington MN 55420
(952) 888-8440
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132620
Date Issued:08/25/2015
Permit Category:ePermit
Site Address: 4031 Pumice Lane
Lot:2 Block: 1 Addition: Cedar Grove 7th
PID:10-16706-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 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 -
Gerald Albright Jr
4031 Pumice Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159669
Date Issued:01/08/2020
Permit Category:ePermit
Site Address: 4031 Pumice Lane
Lot:2 Block: 1 Addition: Cedar Grove 7th
PID:10-16706-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Allyson Grym
4031 Pumice Lane
Eagan MN 55122
(651) 555-1111
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature