3901 Mica TrCITY OF EAGAN Remarks * Cedar Grove Acquisiti6n
Addition CEDAR C'ROVE #5 Lot 11 Blk 7 Parcel 10 16704 110 07
Ow?e? ?'1` ' '•?%?"?? ??d--i'? street 3901 MiCa TYa,il state Eagan, MN 55122
Improvement Date Amount Annual Ysars Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADIMG
SAN SEW TRUNK s 6'T 100.00 5.00 20 P8fd
SEWER IATERAL 31, 16 555.00 27.75 20 Paid
WATERMAIN
* WATER LATERAL (p 1972 607.00 24.28 2$ Pd].d
WATER AREA
STORM SEW TRK ti 1974 70.00 4.66 15 Paid
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sac 200.00 452 10-25-67
PARK
Receipt
1. Date
Permit No,
Fee
S/C
Tot. ?
3. Job Address GZ Lo? ( I Blk. ? Trac??
4. Owner
5. Cpntractor J4 p ) C--, Phone p p?- -) yq /
6. Address
7. CitY
State
8. Building Type: Residential n_----Commercial ? Institutional ?
9. 1Nork Description: New El
10. Descri be
11.
Type
No, Equinment STU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. an
r
ng:
Boilers
?
? Q I
Mtg, ?
Mech. Exhaust
U it Heater
Mfg. Othe
Air Cond. r
Mig.
Gas, Piping Outlets
12. I hereby certify that the ahove information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Finaf
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Appraved CITY QF EAGAN 464,8100
MECHANICAL PERMIT
C1TY OF EAGAN
Fill in numbered spaces
Type or Prini legrbly
` 2. Installation Cost _
Add P/Alter ? Repair ?
EAGAN TOWNSHIP
BUILDING PERMIT
DESCRIPTION
N° 1522
Eagan Township
Town Hall
Dale ... !/7/-4.G...-'---'--'-............
Sioriea To Se Used For Front Depth Heighi Es2. Cosf ermi! Fee
P Aemarks
52reei, xoaa or oiher nescripxion oi 1.oeation I i.o! I$iock I wdd3tion or Traef
,4+? 7r- s
This permit does not aufhoriae the use of sfxeets, roads, alleps or sidawalks nor does ii give the ownar or his ageni
the righi !o create anp siivalion whieh is a nuisanee or which presenYs a hasard !o the health, safeip, coavenience and
general welfase !o anyone in the communiiy.
THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGAESS.
This is !o cer3ify. 1hal.GL?..dA.?....?.??r.,.-.b:........... has permission !o ereot a._"-r?---.d2r.£..?... ...--' ....... ......:.....u on
P
the above described psemise subjec3 !o the provisions of 2he Building Ordinance for Eagan To ship ado ed Ap:il 11.
1955
.. .. .-°V-.^J...----------........------. Pes ..._D'?.. Q:?:...?'•K ?
. """
.?......._" '........._""""'.....-
'-....... ..- ..............
? Chairman of Tnwn Board Suildin9 InsPeefor
L33
EAGAN 'rOWNSHIP
BUILDING PERMIT
Ownez "--'-P(& '-:s. ---_,?L `u-'--- --?-?? ??.....-------°
Address (Present) ----- '.????... % .. -/
..... --------------------- -----
-'--- --?c??
Builder ,?= -e?'??' •
............. --..'-...------.....------`y-.-.?.-....... .............
Address .... ..........--.............?-.?:r?:--."'r.`.c?.. ------"--'
? DESCRIPTION
N° 1668
Eagan Township
Town Hall
Dale _2?.°./1_7/G?.....................
Sfories To Bo Used For Fron} Depfh Heiahi EsS. Cosf I Permi! Fee Remarks
A:ro
- // ? LOCATION SSreel, Road ox olher DescripSion of Locziion I Lo! I 83ock i Addition or Tracf
I I/ 1 7 1 c? .J?-? -f-
This permii does aoY aulhorize the use of sireeYS, roads, alleps or sidewalks nor does iS give the owner or his agent
the righSio crea2e anp siiuation which is a nuisanae os which presenis a hazard So the health, safety, convenienca and
general welfare io anyone in the communily.
THIS PERMIT MUST BE PT O TFIE PREMISE WHILE THE WOAK IS IN PROGAESS.
This is to certity, ihst---°'?1--.....-?-----.haspermissioa fa ereet a......?1"-..._-."'-`" . -.__..... .upon
the ebove descxibed premise subjecS !o the provisions of the Building Ordinance for Eagan To. .ship a(dopled Apzil 11,
1955. J /l
_..----' ..................'.... .. s.«..'- ' :'.. _"`- ---"-.. Per _ ....-----
hairman ?T?oard ? Building Inspeefos
L? ` !?.
Pat Geagan
MAYOR
Peggy Carlson
Cyndee Felds
Mike Maguire
Meg Tilley
COUNCIL MEMBERS
Thomas Hedges
C.RY AUMINISTflATOR
MUNICIPAL CENTEp
3830 Pilot Knob Road
Eagan, MN 55122-1810
651.675.5000 phone
657.675.5012fax
651.454.8535 TDD
MAINTENANCE FACILRV
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360 fan
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAK TflEE
The symbol of
strength and growth
in our community.
January 27, 2006
MS LORI GILGEN
3901 MICA TRAIL
EAGAN MN 55122
Re: July, 2000 Storm Improvements
Dear Ms. Gilgen:
On Januazy 26, 2006, you picked up various information regarding the improvements
performed in the Peridot Path azea resulting from the July, 2000 storm. At that time,
you requested a letter stating that the referenced improvements were complete.
The work was performed by Barbarossa & Sons, Inc., and on Mazch 1, 2004, the
unprovements were completed and accepted by the Eagan City Council.
If you would like additional information, please contact me at 651-675-5645 or e-mail
me at iRorder ,cityofeagan.com.
Sincerely,
Z'
ohn Gorder
Assistant City Engineer
JG/jj
RECORD OF COl?EPLAINT
Date 7 - 11 - v o
Complaint taken by
Type of buflding
Name - M'? k? G': I a h r
Address 3?L G I Mu c', T r
Legal description L? }11 61K -7
Phone number
Complaint t/U?,4 <
Action taken
?.
COIIIIIIGIILS -W..>a.r
i- Ma 1 Q f I c, 1<_ (? s.,,.a TI TlI r..s,7?:: o,. , I ?--I o?...et 6?4?c
Signature - ? ?7
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
L ? c 3830 PILOT KNOB RD - 55122 ? J?
651-681-4675 ?
Reaulremenh
(j
> 2 copies W plan
DATE: CONSTRUCTION COST: 5 mae)-
DESCRIPTION OF WORK: If mulfl-family bldg., how many unlls?
INDICAiE THE FCL?tPN E ? ? ??'
LOW?!?INGUI nfT5'O BE REPLA E AiVD Y WHOM: 1-w V v?2 C,c
° Plumbing ?omeowner gj Conhactor Name
Mechanical _ Homeowner ps Conhactor Name
"Note: If somebody other ihan the homeowner is performing plumbing or mechanical work, they must apply for approprlate
permit. Only Ifcensed plumbing contractor or homeowner may complete plumbing work.
c Ca- i?
STREET ADDRESS:
LOT: BLOCK:SUBD./P.l.D. #: ?--?_?Ql ? ?'?Cl J -e- ? S
/1?
Name: /r o ??Phone #: (iJTI- `d ?`r ??
PROPERN t Flrst
OWNER c-, CIS- _
Street
City SMte:
'
Zlp: ??
Company: Phone #:
(area code)
CONTRACTOR
Sheef Address: Lfcense N Exp.
City
State:
Zip:
SEP 14 2000
I hereby acknowledge that I have read this application, state fhaT the information is correcf, and agree fo compry wilh allapplicable State
of Minnesota Sfatutes and City of Eagan Orqinances.
Signafure of Applicant:
L gL ? CITY USE ONLY
?
SUBO CA-6Za f G Y u v? ? S
RECEIPT #:
RECEIPT DATE:
PERMR# 3 ?Q
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT fINOB RD
EAGAN, MN 55122
651-681-4675
?
Please complete for. ? single family dwellings JV-o
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTl1RES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gaspipin outlet "minimum - t 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
SEPtIC S stem newlrefurbished 'requires MPC lic. 75.00 X = $
SeptiC System abandonment 30.00 x = $
RPZ new installatinn/repaidrebuild 30.00 X _ $
Rough openin 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 X = $
Underground sprinkler if exiscing dweuing 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under eonstrucNon 5.00 x = $
Water softener if exisdng dwelling 30.00 X = $
Waterturnaround 30.00 x $
State Surchar e 50 -> --> -? $ .50
TOtel -> -> _.>
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
• --------- --------------------- --------- -------- •---------------------------------- • --------------------------------• ----
I hereby adcnowledge that I have read this application, stale that the infonnatian is correct, and agree to wmply with all epplicable Cityof Eagan ordinances.
It is lhe applicant's responsibility to notify the property owner that the City of Eagan assumes no lia6ility for any damages wused by the City during its
normal operational and maintenance adivities to lhe hacili6es constructed under this permk within City propertyfight-of-wayleasement.
SITE ADDRESS: d 1 G?v "
OWNER NAME: : ? `? `1 C}`'?Q'e-? G`' ` °?-E'A V? TELEPHONE #: ? ? ? ? y ? ?T
'.-j (AREA CODE)
INSTALLER NAME: TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
CITY: STATE: ZIP
LP`-""'V1!`Q
?
SIGNATURE OF PERMITTEE
5 `I-- / -27u? .;zt,
/p,u-zz /G -, e
?
?
?
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a
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fl
?
a ?
,
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4b?
MEMO
-city of eagan
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 5 Addition.
Block 1, Lots 1-22 22
Block 2, Lots 1-19 19
BloCk 3, Lots 1-11 11
BloCk 4, Lots 1-16 16
BloCk 5, Lots 1-25 25
Block 6, Lots 1-22 22
Block 7, Lots 1-25 25
Block 8, Lots 1-5 5
BloCk 9, Lots 1-2 2
BloCk 10, Lots 1-23 23
Block 11, LOts 1-14 14
BloCk 12, Lots 1-9 9
Block 13, Lots 1-15 15
208
The City is currentiy being billed by Dakota Electric for streetlighting in the above listed
subdivision.
Edward J. Kirscht
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
Use BLUE or BLACK Ink
r
I For Office Use
Permit#:
ACID
City of EaRd
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: UJ^~ 2,
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Gv -J Phone:
RESIDENT/ 3qQ/
OWNER Address /City /Zip:
Applicant is: /Q:f7 Owner Contractor
TYPE OF WORK Description of work: 44 16c) /
Construction Cos/t: 7 D( U Multi-Family Building: (Yes / No )
Company: C [ s -Je!~2 Contact:
Address: City:
CONTRACTOR
State: SsSV Zip: lSo 17.3 Phone: ~
License ~ 6 Lead Certificate 1,6117`71
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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Ap n ep
Page 1 of 3
Use BLUE or BLACK Ink
r I
I For Office Use
C1 r~s~
CiPermit ty of Ea
I Permit Fee: ~
I
I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I l
I
Fax: (651) 675-5694 I Staff:
L - - - - - - - _ --------I
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address: S~fl/ 1,41` ` i l 1 ~~/^/t/
Tenant: Suite
Resident/Owner Name: 21, Phone:
Address / City / Zip:
Name: License
Contractor Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
Type of Work Sump Pump Repair Repair
Other:
Other:
Description of work: vC, zI2 ev-P-.,
Description
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124173
Date Issued:06/24/2014
Permit Category:ePermit
Site Address: 3901 Mica Tr
Lot:11 Block: 7 Addition: Cedar Grove 5th
PID:10-16704-07-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
Patrick D Olsen
3901 Mica Tr
Eagan MN 55122
Connells Custom Exteriors Inc
1125 S Frontage Rd, Suite B
Hastings MN 55033
(651) 438-2973
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136486
Date Issued:05/17/2016
Permit Category:ePermit
Site Address: 3901 Mica Tr
Lot:11 Block: 7 Addition: Cedar Grove 5th
PID:10-16704-07-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patrick D Olsen
3901 Mica Tr
Eagan MN 55122
(612) 968-0903
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
For Office Use /
% % # Permit#: /` ��Cfi/ /
k7) Permit Fee.
A. (,, U. UO
- ...- Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535( FAX: (651)675-5694 Staff:
buildinginspectionscityofeagan.com L
2018 RESIDENTIAL PLUMBING/� PERMIT APPLICATION
Date: '3 ' " I Site Address: 3 10 i ! ' ' i e s I re-' I
Tenant: Suite#:
w. ,,, % Name: T i Y`1 tom+ ; 4 Phone: ' I o� (^ 5– 0 '-/j
} . x",1 1 ,4 . i 3 U 1 �`7 i Cs, �` Y c
Address/City/Zip:
i
x* W401,, 4,,gt Name: + License#:
''1�V��' 00 S
0 01 Address: SECity:
.IVP' �` ' Eagan,MN 55122-0172
" State: Zip:
Phone:
�x *e va fi , Contact: /1'1 U
Email. � ��3 e�J', h /I ".1-.4%r c�r
" A"Oh t New 'placement Repair Rebuild ModifySpace Work in R.O.W.
—
— —
_____
%,, Description of work:
RESIDENTIAL
g` � � `� tk ` er Heater
} k �
t� gp Nater Softener
v F? 4 awn Irrigation(
RPZ/—PVB)
� t $°; Septic System
Add Plumbing Fixtures( Main/—Lower Level)
ve —New Water Turnaround .
* `' Agif
; '4 :b Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
1 $60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
1 *Water Turnaround (add$280.00 if a 3/4"meter is required) /
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ Cc0 ° '0 61
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.uooherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.comJsubscribe.
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�iin the case of work which requires a review and approval of plans.
c 2,-, ; i fr 727,7-2 .,...SJE:,-ee- ?
Applicant's Printed Name Ap icant's Signature
'".,zr.,: . W 0, .t.,0 i ,i ' its. ' r ',-`A, tsii; :401. 4' r o, '•' ,4'
E s s c,§ . i 'rind a I
z,
�mt-0 �, ,a, I FMr " f °� aye M
IRECE', s,' ' " r
For Office Use ....,e
/.6-.. g-66, ,/;1‘2 OCT 10 2018 Permit#: • ---
,d.
G A N Permit Fee:
' 17'
Date Received: PI
3830 PILOT KNOB ROAD EAGAN,MN 55122-1810
(651)675-5675 TDD:(651)454-8535 I FAX:(651)675-5694 Staff: Pi()
buildinginsupctionsecityofeacian com
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/10/2018 3901 MICA TRAIL
Site Address: Unit#:
Name: TIM SMIT
Phone: 612-669-0443
t I
Resident/ i
SAME AS SITE 1,
Owner , Address/City/Zip:
; I
I X ,
Applicant is: Owner Contractor
INSTALL EGRESS CASEMENT WINDOW 28"Wx42"H
Description of work:
i Type of Work i ,,.
i 5
Construction Cost: 1500
Multi-Family Building:(Yes /No X
,
,
.. ,...,........,.......____ _.„......,._ .
REVAMP REMODELING DBA THE EGRESS WINDOW COMPANY
Company: Contact:
1 - 4707 HWY 61 N #146 WHITE BEAR LAKE i
Address. City:
i
Contractor i
,
,
State: MN Zip: 55110 Phone:
612-231-0010
Email: revampdesign@comcastnet
, I
,
License#: BC634654
Lead Certificate#: F114840-2
If the project is exempt from lead certification, please explain why:
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: i
Licensed Plumber: Phone:
i
Mechanical Contractor Phone: 1
Sewer&Water Contractor: Phone: i
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public infommtion. Portions of the information may be ,
classified as nen-public if you provide specific reasons that would permit the City to conclude that theyare trade secrets, i
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Cali 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.qopherstateonecall.org
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 appro. of plans. C\
n ,'", iii_i
xMARY M. DEVENS - n , j/ 1 f.,,,,,r-', 1,,
'
Applicant's Printed Name Applicant's SignAtu e
i
DO NOT WRITE BELOW THIS LINE Q ` ' C ii �" / (-47l
SUB TYPES
Foundation _ Fireplace — Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex \L Lower Level Pool Accessory Building
WORK TYPES r
New Interior Improvement _ Siding — Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace Repair ' Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation f 0 0 0 Occupancy MCES System
Plan Review Code Edition I,{ SAC Units
(25%_100%1 ) Zoning City Water
Census Code Stories s Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) x Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof: _Ice&Water _Final Pool: _Footings _Air/Gas Tests _Final
x; Framing 1( 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test Final Siding: _Stucco Lath _Stone Lath _Brick EFIS
XInsulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 1-2.-- , Building Inspector
RESIDENTIAL FEES
Base Fee i
Surcharge I "
Plan Review ( u"
MCES SAC
City SAC (1
Utility Connection Charge9iK.�
S&W Permit& Surcharge
Treatment Plant Vgr�p`'
Inj
Copies 1
TOTAL tr
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178521
Date Issued:08/22/2022
Permit Category:ePermit
Site Address: 3901 Mica Tr
Lot:11 Block: 7 Addition: Cedar Grove 5th
PID:10-16704-07-110
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 -
Timothy Joseph & Sheraldine Pasillo Smit
3901 Mica Trl
Eagan MN 55122
(612) 669-0443
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature