4054 Pumice LaneCity of Eaaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date ReceivApp_ Q 2 )O����
Staff: i�f1
t
2009 RESIDENTIAL BUILDING PERMIT APPLICATIONCAl
i
Date: 4/21/09 Site Address:7a5q r () rNt 55) 22
Suite #:
Tenant: :e( Got -1,---
RESIDENT/OWNER
Name: boy,,'. - ( 6,9G( --Cl ,--\-P.--"" Phone: fl/2)-./9- 392.3
Address / City / Zip: 40 6-4( P'v't (ce. Ln . / � --7. cfifq Ai/ss/2Z,.
Applicant is: X Owner Contractor )
TYPE OF WORK
Description of work: in. ifOL 11Selor.)- & rr-, :'��
de ress GJ;nd00 /n )0MA-4.v4d "Itear-,nq lam,
Construction Cost: ,$(o5(') Multi -Family Building: (Yes / Noel)
CONTRACTOR
Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE
Energy Code
Category
(4 submission type)
In the last 12 months, has
_Yes _No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
_
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
the City of Eagan issued a permit fora similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public nformation, portions of
the information may be classified as non:public if you provide specific reasons that would permitire City to
conclude that they are trade secrets.
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 withthe approved plan in the case of work which requires a review and approval oflans.
X .,-4,;`\.,-4,;`\i °L//GA HCl ✓A e/
Applicant's Printed Name
x
Applicant's Si • -ture
Page 1 of 3
12
wrcc--~- L~ (
DO NOT WRITE BELOW THIS LINE sw~~q
SUB TYPES
Foundation Fireplace Porch (3-Season) Storm Damage
Single Family Garage Porch (4-Season) Exterior Alteration (Single Family)
Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of _ Plex _ Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building _ Reroof Demolish Interior
Alteration Fire Repair _ Windows Demolish Foundation
Replace Repair Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review r Code Edition SAC Units
(25%_ 100°% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS Footings (New Building) Sheetrock n c lLe- Foo
tings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required ~
Foundation EnVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge ;Plan Review '7
MCES SAC
rJ;
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
6:7 SIM
Permit#: (�/(G e 3
Permit Fee: J c�
Date Received:
Staff:
L
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /10 ?-1° Site Address: 4/S—V `4)G'0.416(
L�/A
Tenant:
Suite #:
RESIDENT / OWNER
Name: a.. t7( 6-a di?G-?,--- Phone: 6C2/2 2/V- 3,'2 3
Address / City / Zip: 4‘675-6( l Z'(' 114 r G(- /i/ 1 Asa ke,
CONTRACTOR
Name: 6 j eaz-/-7Z/ P/ii e 6,' 5 License #: �� -57%4 - Porh
Address: L14/(ir Oa / e 4Gari-- City: ' -gamG2
/C/,�✓/'
State: /€ Zip: a Z Phone: GJ/' 33 5 - I// /
Contact: 2- < Email:
TYPE OF WORK
_ New I//Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
/Water Water Softener
Heater
Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures (_ Main / _Lower Level)
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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
acornce with the approved plan in the case of work which requires a review and appro •Lf plans.
t_I t u r' ; car ye V
Applicant's Printed Name
FOR OFFICE USE
Required Inspections: Under Ground
x
Applicant's Sig
Reviewed By:
Rough -In _Air Test
Date:
Gas Test Final
CITY OF EAGAN Remarks
Addition ?f Lot ],l Blk 4 Parcel 10 16706 110 04
Owner '!let i (L ' v ?-?'Street 4054 Pumice I,dne State_EdCJaIi# MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 58.18 2.08 P'
* SEWER LATERAL 1971 20
WATERMAIN
* WATER LATERAL 1 1971 1.616.00
WATER AREA
* STORM SEW TRK 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300.00
BUILDING PER.
sac 260.00 6026 7-3-72
PARK
r
?
EAGAN TOWN S H I P
BUILDING PERMIT
Owner ---•••--- -.../ '. ?......
••----...-•-•--••----
Address (present) ........... ?.•-?...... F:!7 ........................
Builder ....................-,a.-A -----.-?••.................
- ....--••--••••-----..__.........
Address ..... --•---• ...................•--....._........--•--
..........................•----...--••-•
DESCRIPTION
N° 2'768
Eagan Township
Town Hall
Dale ..7a / o - 7 Z-
-•••----•-••--...•-••••••----•----•---...--•-.
5tories To Be Used For Froni Depth Heighi Esi. Cos! Permi! Fee Remarka
LOCATION
Sireel, Road or other Descriplion of Location I Lo! Block Addition or Trac!
27-1- y
Ls ?q?l/ 20^34
This permi! does not suthorise the use of streels, roads, alleys or sidewalks nor does it give the owner or his aqen!
the righ! !o creaie any situafion which is a nuisance or which presen2s a haaard to the health, safety, conveaience and
general welfare !o anyone in the community.
THIS PERMIT MUST BE KEP"T ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, ihat...._.-.._...... ....?-.°??....... has permission !o ereci a.../L... .....__ •.w.::.?- • ?••-..._.._upon
the above described premise subjec! !o the provisions of the Building Ordinance for Eaga? n Township aciop2ed April 11,
1955.
............................... -•-..... ••-•--••-••-•---..... ....•-•-•---•--.............. Pez ••••-----•-•••---•-••-•••-••t??=::?-•------U=-=?t?-`'•'-`-?'-?"=•••••--••--••--•••
Chairman of Tnwn Board BuildinQ Inspecfor
?
40
I I C'?G• 7
TO!.'N Or EAGAT3
3795 Pilot Knob ;:oad
Eagan, Minnesota 55121
PEP,NIIT N0. 221
The Board of Supervisors hereby grants to Cedar Grove Construction Co.
of 7343 Concord Blvd. E., South St. Paul 55075
a HEATING permit tor: (Owner) same
11 e L e, 4031 ce Lan, Ge e, e ian ?.r?.e, 0!? -
L??,S? Ja?e Lane, ? Jad.e ?ane, 0 imoni?te Lane, ?? Carne Zan ane,
a? 1, n ual;+.A T.a,&, I?roK P„m;r-P TanP , pursuant to application dated
6/27/72
Fee Paid: $220.00 Dated this 3rd day of Jily
573
, 1972 .
BuildLng Inspector
/ P,
/ ?/lo 7O & l/d C' $L
• 7
TO' 'IJ Or" EAGAId
'795 Pilot Knob ::oad
Eagan, Piinne,,ota 551?1
PEPMT N0. 234
The Board oi ooupervisoxs hereby gcants to Cedar Gr.ove Construction Co.
_ of 734", Ccncord Blvd. E., Sauth St. Paul 55075
a PLUM32ri Permit ior: (Uwner) same
lee
?" Cas'ne ? Lar?e, 4031 ce Lanpe e ; ?e ian
? Jade .Lazie, Jacie ane, ?,i.monz?te'La.ne; F? Carne inan'Lane ?
?„ r??,,r„ pursuant to applica tion da ted '
6/27%72
2_e Paid: $220,00 3rc? J?1
llated this day of , -S'. ? ?972
s c. -
BuilJing Inspector
id
? RESIDENTIAL BUILDING
Permit Application
City Of Eagan
...?j ?? ?0 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements RemodeVReoair Reauirements Office Use Ontv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site suroey for additions & decks Tree Pres Not Reqd
1 set of Energy Calculations Addition - irtdicate if on-site sepffc system _ On-site Sep6c System
3 copies oi Tree Preservation Plan if lot platted after 7/1193
Rim Joist Dehail Options selection sheet (bldgs with 3 or less units
Date 4 ConstructionCost RJUUOU
Site Address 4 p?j Q. PV 1`^_l GE 1 lk0e - UniUSte #
Description of Work f "Aae-? VJ p L,Jg W-y ?'
Muiti-Family Bldg _ Y? N Fireplace(s) ? 0 _ 1 _ 2
Property Owner VC.x, Teleqone # (f05( ) 12_75-QZ. (Z
,
contractor AMERICANSIDINGb1MNDOWSYSTE'iNF+"?
?• '1?'±
' ?
Address ?;
1408 Norlf?Mnd Dr. Ste. 305
F
?.ENM,r„rAaM a,?, xQ.,,,, .
?City
State Zip ? TelephoW?((Q51 G Q 44
60 --
? ?-- ? S - a--S
?-E- - a- ?---?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code Category
• Residential VenGlation Category 1 Worksheet New
• gy
(4 submission type) Ener Code Worksheet
Submitted Submitted
• Energy Envelope Caiculations Submitted
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
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
itatutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
TQ-r--r' fQ
Applicant's Printed Name 4 t's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
0 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-piex ? 20 Pool
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.)
? 10 08-piex 0 18 Deck ? 23 Porch (screen/gazebo)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
0 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Founda6on) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width _ Footings (new bldg)
_ Footings (deck)
_ Footings (addirion)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
. . . ;r; s? ?' 3,• yr ,?+ca ? ..- .
REQUIRED INSPECTIONS
_ FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By , 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
11
MASTER CARD
LOCATION__??? y 7
• ? ?
OWNER ?rM•?? '
STRUCTURE AND
LAND USED AS ? N) of -,/'„ A4
?
Permit '?-
No.
Issued Issued To
Contractor Owner
BUILDING 1 69
PLUMBING ,
CESSPOOL - SEPTIC TANK
V'?ELL
ELECTRICAL
HEATING ;z 07, ?
GAS INSTALLING
SANITARY SEWER
OTHER Dy
OTHER
• Items
FOOTING
FOUNDATION
FRAMING
FINAL
ELECTRICAL _
HEATING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER.i
Approved
(Initial) Date Remarks Distance From V1/ell
6 ' 2-7 SEPTIC _
? p y? CESSPOOL
7 TILE FIELD FT.
DEPTH
OF WELL
?
-,7-7
I
•
COMMENTS:
n
Violations Noted
on Back
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONST2UCTION 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:
1-1 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 - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
COMMENTS:
BUILDING INSPECTOR
DATE
23
EAGAN TOWNSHIP
3795 Pilot Knob Roa@
St. Paul, Minnesota 55111
Telephone 454-5242
PERt4IT FOR WATER SERVICE CONNECTION
Date:
Billi
OwneY
P1umr
11-4-7
umber: 880
ite Address• 0 c
illing Address
4* -
NO iTotal Chg.
Building is a:
Residence Ix
Muultiple Ro. Units
Commercial
Industrial
Other
Meter Size +Connectioa Chg.
Meter Reading Meter Dep.
7/3/72
Meter No. Permit Fee 10.00 pd 7/3/72
" ?0 pd ? 3/72
Meter Sealed: Yes lAdd'1 Chg.
Inspected by
Date
Remarks:
By:
Chief Inspector
In coasideration of the issue and delivery to me of Che above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minne ata.
By.
Please notify the above office when ready for inspection and connection.
y' .
EAGAN TOt+]NSHIP
3795 Pilot Knob P.oad
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SE4JER SERVICE CONNECTYON
DATE: NUMBER 1049
11-4 7
c
?ess
s OF PIPE
3UILD ING
Industriall Commerciall Residential I Multiple Dwelling I No, of units
Location of Connections; I Connection Charge 260.00 pd 7/3/72 .
Permit Fee 10.00 pd 7/3/72
. opd.7372
Street Repairs
Total
Inspected by:
Date
Remarks•
By
Chief Inspector
In consideratioa of the issue and delivery to me of the above persnit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Tox-mship, Dakota?C unty, Minneso (:)k
By
Please aotify when ready for.iaspection and connection and before any portion
of the work is covered.
'"77 City AihL
of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
i --- ??? ---------- i
i Permit #: p I
? Permit Fee:
i Date Receiv?????_ i
I Staff: I
? j
2009 RESIDENTIAL BUILDING PERMIT APPLICATION ?-M'?
?
Date: 4 4 z / Q Site Address:
Tenant: ? ?. 41"1A h
Suite #:
RESIDENT / OWNER Name: 11?1c>,L /\ i -P.? Phone: Y'12 -392,-T
Address / City / Zip:
Applicant is: ? Owner Contractor
TYPE OF WORK Description ofwork: /n S4-a/( T$elot-i " C?r-,, de C q ?'es9 IJ ;??oa ?`n A1oh'(.ocd'$?,L?a ?
v
Construction Cost: s0 ?o?C? Multi-Family Building: (Yes / No,-><--)
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanicai Contractor: Phone:
Sewer 8 Water Contractor: Phone:
IY?FE Pt?ns anci ?ppc?rf?ng doct?ri?en?s that you submit ake,cc?rrrAt,d t? 50?pu?rl??inform?`i`Qi? P??oir?s?r?f ?
E
?
?
th? ?ni?rma?ian r»a,y"#e ??assrfied as
rten?pul?lic if you proGld?a?speifflc
?? E _ { concfude tfiat??te 3??!???de?se+?i?ts
i nereny acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a, permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of lans. ?
X ? ,. 1$? Ga ?rn?? x .,
Applicant's Printed Name ApplicanYs Si ture ?
Page 1 of 3
GM?.? .SS?z?
?/D 6 q pa?ac- L? r
DO NOT WRITE BELOW THIS LINE
gq
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
? Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/GazebolPergola) _ Exterior Alteration (Multi)
_ 01 of _ Plex _ Lower Level Pool Miscellaneous
_ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building Reroof Demolish Interior
_ Alteration _ Fire Repair Windows Demolish Foundation
_ Replace _ Repair ? Egress Window _ Water Damage
*Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review ? Code Edition SAC Units
(25%_ 100°/a-) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
_ Footings (New Building)
_ Footings (Deck)
_ Footings (Addition)
_ Foundation
_ Drain Tile
_ Roof: _Ice & Water _Final
_ Framing
_ Fireplace: _Rough In Air Test _Final
Insulation
Meter Size:
Reviewed By:
Sheetrock
Final / C.O. Required
inal / No C.O. Required
InFVAC i D vv
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Erosion Control
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
city sac
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
Copies
TOTAL
J{? ,?ry
5laeq o
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116983
Date Issued:10/14/2013
Permit Category:ePermit
Site Address: 4054 Pumice Lane
Lot:11 Block: 4 Addition: Cedar Grove 7th
PID:10-16706-04-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Tracy Dahlin
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 -
Daniel E Gardner
4054 Pumice Lane
Eagan MN 55122
Iron River Construction Llc
7540 Shoreline Dr W
Waconia MN 55387
(952) 442-1762
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117708
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 4054 Pumice Lane
Lot:11 Block: 4 Addition: Cedar Grove 7th
PID:10-16706-04-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Daniel E Gardner
4054 Pumice Lane
Eagan MN 55122
Iron River Construction Llc
7540 Shoreline Dr W
Waconia MN 55387
(952) 442-1762
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178490
Date Issued:08/19/2022
Permit Category:ePermit
Site Address: 4054 Pumice Lane
Lot:11 Block: 4 Addition: Cedar Grove 7th
PID:10-16706-04-110
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Adam Klein
4054 Pumice Ln
Eagan MN 55122
(952) 486-1251
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature