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3906 Mica TrCITY OF EAGAN Remarks * Cedar Gsrove AC[pUisition Addition_ CIDAR GROVE #5 Lot 2 Blk 10 Parcel 10 16704 020 10 Ownar?`? 5treet 39D6 MiCa Tra+1 StatePAgdllii Mn 55122 Improvement D e Amount Annual Years Payment Receipt Date STREET SUFF. STREET RESTOR. GRADING SAN SEW TRUNK Z, 1967 100.00 5.00 20 Paid SEWERLATERAL 3 1967 606.00 30.40 20 Paid WATERMAIN * WATER LATERAL ((p 1972 607.00 24.2$ 2rj Pdid WATER AREA STaRM SEW TRK 'j, 1974 70.00 4.66 15 Pdld STORM SEW LAT CURB & GUTTER SIOEWALK $TREET LIGHT WATER CONN. ? BUILOING PER. SAC 200.00 452 10-25-67 PARK EAGAN TOWNSHtP BUILDING PERMIT Ownet .... ../../r..m..c......l? ............................. Address (Presen2)3`I.:a.G-----..7?-''S-?'?' ?. -_"...' '---" ............."------'............._ Builder .... Address DESCAIPTION N° 2231 Eagav Township Town Halt Da}e ......./..?`S ......"" Storiee To Be Used For Fronf Depih Heighi Esl. Cos! Permi! Fee Remarka z;L or LP . .B. ? Thia permit does not auihorise the use of sireets, roads. alleps or sidewelks ao: daes it give the owaer or h[s agen! the righl2o ereale any aituaiion whieh fs a nuisenee or whioh pzesenls a hasard !o the healid, safety, convenienee and geaeral welfare !o anyone in the eommuniSy. TFIIS PERMIT MUST BE REPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS. Thie ie !o eerlify, ihaf......tT..:..--?...:_..?? ...............has permission !o arect a-----..?- `?}?.......... ... upon the above desaribed premsse subjec! !o !he provisions of the Building Osdinance fox Eagaa Tefvnship adopfed Apsil 11, 1855. /j . ? -----------................. -----._....--?-?-y? -.--?-.:,?.............. per ..--- ............ ---e? Chairman 'bf Tnwn Boerd Suilding Impeclor ? Au EAGAN TOWNSHIP BUILDING PERMIT /- Ownex ?-t-'.`.:?' ..... ................__ L?'r_?....? •._`-?.:..._..... --'-- Address (Preseni) ..?........... ._-- Builder ..-------- -------------------- ....... _.---......------ _--------------------------- ----... Address ._....... ................. _.......__._'__................._....._.._....'.__...... DESCRIPTION N° 1656 Eagan Township Town Hall Data ..... W-1: ........................ S2ories To Be Used For Froni _Depth I Heigh! Esf. Cost jPermit Feel_ Remarks -._ _ _ _- . _ raC fIt C?L.1LL4? a .v LOCATION Sireet, xoaa oz oxner uescnpnon ox i.ocanon I a.oi aiacs • aaamon or cract _ -- p? / z-, -- ? I --Jr??- This permii does nof au2horise the use of sireets, roads, alleys or sidewalks nor does if give the owner or his agent the right io creale any siluaSion which is a nuisance or which presenis a hasard !o the healih, safety, convenience and general welfare !o anyone in the eommunily. . THIS P£RMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK I5 IN PROGRESS. ? This is !o aexiify, lhai...G?._?.?....'...._.._"_..... C...{_:....._.........._ has permisswn io ereci a---- upon ...?.:.-; _... ....._'.....?... .. . ' . - - '-- the above descsibed psemise subjecf 2o the provisions of the Building Ordinaace for £agan?wnship adopYed' April 11. 1955. ..............-'---_... -?--.....- ---?--..??z•^o:.......... .-....... Per ....... ...---............G,?-,t.c .±Ct.?.-'c?tt??:.'.?.?.............. ^:. . ......... .... i- Chaii n of Tnwn? BoRrd ? Huildin9 InsPeclor ts o 6 5 7 ? CC b 7 d d- /.o ? Request Dale j? i-? Flre No. Rough-in Inspeclion Requiretl? >1Reatly Now ? Will Nolity Inspeclor Wh n Re tl ? o T ' Ves No y e a I-?Tficensed contractor ] owner hereby request inspection of above elecirical work aC Job AtlCress (SlreeL Box ar Roule No.? Ciry 3'"706 Y?'?,GiD Tr un Secnon No?TOwnship Name or No. Ranga No. County Occupani(PRINT, G la,i. G A,r n e. Phone N??? ? r !i Power Supolier qdoress Eiedriwl Gomractor ICOmOany Name' Conuactors License No. me,-tyi Eli o a)z-z4 Maiiing AoOress IConVacror or Owner Makmg InstailaLOn! 6 0V Z- 7"'1-.a .? sa w1P ?s ssyi 7 AulM1Orized SqnaNre iCOnlraclonOwnpr Ma'einq Installalionr Phone Number MINNESOTA STATE BOARU OF ELECTpICITW Grigg¢-MiOway BIOg. - Room 5473 1821 University Ave.. St. Paul, MN 55106 Phone (812) 642-O800 THIS 1NSPECTION REOUEST WILL NOT BE ACCEPTED BV THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENGLOSED. ....WUEST FOR ELECTRICAL INSPECTION ? See qslmctions ilF completing firs form on back of yeliow mpy. Q?7 "X" Below Work Covered by This Request EB-OW0I-OB r,:.?xass 1??p ? N ewl Aod Rep.TypeofBUilding AppliancesWired EquipmenlWired ? Home Rang Temporary Service T }I Duplex !Water Heater Electric Heating I Apt. Building Oryer ?Other (Specity) ; 'Comm./Industrial TFurnace j Farm Air Conditioner . ? - i iOtner (sueciiyl - ? ------- ConVactor's RemeBS: QKCOnn.r.Cj Frcrac e .L- AI'rGon?. Compute Inspection Fee Below. # Other ? Fee # ServiceEniranceSize fee # Circuits/Feeders Fee Swimming Pooi ? 0 to 200 Amps 0 to 10o Amps -- Transformers y _ bove 200_ Amps Above 100 _ Amps Sigf15 ?i Inspeclor's Use Onty: TOTAL Irriga?ionBOOms -i ??j[1/? G ZO 57 0 Speciat Inspection i Atarm/Communicatioi f THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1. the Electrical Inspector, hereby Rou9n-int -- oare certity that the above inspection has F??ai - oa?e ? been made. OFFICE USE ONLV This repuest voia 18 montns tmm ??- 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan n ? c? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 JaN r i 200I New ConsWctlon Reauvements 3 registered sde surveys sharing sq. R W pL sq. ft M hase; and all roofed areas (20%maximumlotcoverageallrnxeG) . 2 copies of plan showirg 6ean 8 window sizcs; paired found design, ft 1.set of Energy Calculations 3 copias of Tree Preservation Plan ff Iar platted after 711FJ3 Run Joal Detail Optians selection sheet (huildings wtlh 3 or less units) Minnegasco mechanical ventilation form RemoddrReoeir Reuuiremenfs 2 copies of plan shaxmg footings, beams, joisls 7 se4 of Emrgy CalculaUOns for heated additions I 51te SUNtl( fOf BAAIh0113 R J8G(S AddIfiOP - IIIdICaitBI/OIi-SdB SBpC SYStElA Oifice Usa ONv Cert oFSurveyRecd _Y _N TreePresPl2nRecd _Y _N, Tree Pres Required _ Y_ N On•site Septic System _ Y_ N 1 -7_ rlw Date l? / ?f/?Q/? ConstructionCost `?-f ?v Site Address l?J ?• 5?la,-T('(? I OnibSte # Description of Work Z- Multi-Family Bidg _ Yg-Ai Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone Contractor Address City State Zip".55117,_ Telephone # ( ?? ) C COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 8U1lDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 96'72 Enefgy Code Cateyofy , Residential Ventilafion Ca (J submission type) tegory 1 Worksheet • New Energy Code Worksheet Submiried Submittetl • Energy Envelope CalculaUOns Submittetl In ihe last 12 months, has the Ci1y of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Conhactor Sewer/water Conhactor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the infotmation 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 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. ?v?k??us?..(Y) ApplicanYs Printe Narhe Appticant s ignature DO NOT WRITE BELOW THIS LINE Sub Tvoes ? 01 Fountlation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E)d. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misa ? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 0 12 12-plex 0 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Altera5on ? 37 Demolish Building' ? 43 Reroof O 46 Windows/Doors ? 34 RepiBCement •Demolltion (Entlre Bldg) - Give PCA hantlout to applicant DBSCnDtiOn: Water Damage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Staries Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) ^ Sheetrock _ Footings(deck) _ FinaVC.O. _ Footings (addition) _ Final/No C.O. . , . Foundation a HVAC Drain Tile - Other Roof _ Ice & Water _ Final ' Pool Ftgs ^ Air/Gas Tests Final _ Fruning _ Siding _ Stucco Lath _ Stone Lath 4Brick _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows f Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RECORD OF COMPLAINT Date --?` //' Oc) CompIaint taken by ??--- Type of bugding S-' Name Address 3? U E!? ? c ti T? Legai description L 4-?- 10 't" S Phone numbez Complaint Action taken Lo o?-'zel F?. s4 ?„a1„-,r_ '? Coma?ents wti4c. ,..,..s 6,?,,..i .? . ;, rn?'.., ??I riT ?t.1 ,L ? F?.+?^a-?i.?al ko--j tiUkS $IBI12tUtC 16 G RESIDENTIAL BUILDING PERMIT APPLICATION GTY OF EAGAN i?e v J 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 , New Construclion Reauiremenb . 3 reg'slered site surveys showing sQ. ft. of lot sq. R. of house; and all roofed areas (20% mazimum lat croverage allowed) • 2 copies of plan showirg beam 6 wirMOw sizes; poured found desgn, etc.) • 1 set of Energy CatculaUons . 3 copies of Tree Pmservalion Plan if lot platted affer 7/1193 • R'un Jaist DeWil Optiore selection sheet fbldgs with 3 or less units) DATE RemodellRaoairRenuirements ? ? ? ? ? • 2 copies of plan . 1 set of Energy Calculations forheated additions . i site survey Mr eMenor additbns & decks . Intlicate if hame served by septic system for additions VALUATIONV r SITEADDRESS Cq&VO fiGrCR-TYZ4P.L MULTI-PAMILYBLDG _Y k/N TYPE OF WORK Men FIREPLACE(S) _ 0_ 1_ 2 APPLICANT L, ' STREET ADDRESS { 7 ZL/ 7 !? CITY • STATE/4 21P ?37 TELEPHONE # ft?-]a7-6999 CELL PHONE # /oIZ-2II"L`? 2S 5V _ FAX # 59j PROPERTYOWNERa4.x? 0)2* TELEPHONE# 6S143-7- 1414 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RiJLES 7670 CATEGORY 1 D (J suhmission type) • Residential Venfilatlon Category 1 Worksheet Submitted • • Energy Envelope Calculations Submitted Plumbing Contractor: PlumUing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Wqter Controctor: Air Condilioning Heat Recovery Systcm Phone # AUG 2 8 2002 Fec: $70.00 ......................................................... ^------°--------------------------------°--°-°------------°- I hereby ocknowledge that I have read this application, state that the information is correct, and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordin? Signature of Applicant OFFICE USE ONLY _ Water SoEtcner _ WaCer Heater _ No. of Baths _ Phone # Lawn Spruikler No. of R.I. Baths Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 ExL Alt- Multi ? 03 01of_plex ? 09 07-pfex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM.AIt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Oemolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg anly) - Give PCA handout ta appli cant Valuation Occupancy MC/ES System _ Census Code Zoning City Water _ SAC Units Stories Booster Pump _ Nbr. ot Units Sq. Ft. PRV _ Nbr. of Bldgs Length Fire Sprinklered _ Type of Const W idth REQUIRED INSPECTIONS _ Footings (new 61dg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insularion _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC W ater Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Buiiding Inspector PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. W NSTRUGMN ';ozf d ADD-ON FURNACE FII2EPLA.CE INSERT DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (mrNIMUM i@ S3.00 Encx) ADD-ON/REMODEL (EXIsTnvG coNSZZZUCr[oN) $ 2 STATE SURCHARGE .50 TOTAL 2 a.S-b STI'E ADDRESS: _790 6 isi- pr?L OWNER NAME:_ TELEPHONE #: 5rj-T? m!f?6'7 INSTALLER?1lCr/???/?G &1d0t4M ADDRESS: /,O?Cf' CITY: g'" / STATE: ZIP CODE: .1:1?/ Z 2 TELEPHONE #: S,?L- ?.f/,r- ?-S 9 ? ?? ? S A F FERICIITTEE c- 1994 MECHANICAL PERMIT (RESIDENITAI.) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN SS122 (612) 6814675 1994 MECHANICAL PERMTT (CONIl4IERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 53122 (612) 6814675 PLEASE COMPLETE FOR ALL COMv1ERCIAI,/INDUSTRIAL BUII.DINGS. ALSO COMPLETE I' FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. Da: E. NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES cONrRacr gRiCE: $ . ? 1% OF ?:;3 ?;;??:;;??' FEE $ ;:?:?.<???;:«:?>?::?;:? u PROCFSSED PIPING: $25.00 MINIMLTM FEE: $25.00 STATE SURCHARGE $.SQ FOR EACH $1,000 OF FEE. TOTAL $ STI'E ADDRrSS: OWNER NAME: TELEPHONE #: TENANT NAME: (uMPxovsMErrrs otvi,Y) INSTALLER: ADDRESS: CIT^Y: TELEPHONE STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR EAGHN TOWNSHIP 3795 Pilot Knob P.oad St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEF7ER SERVICE CONNECTiON DATE: Lot 2 S1ock 10 OWNER: Jandric Homes PLUMBER Steins, Inc. NUMBER ID Addreas Lot 2 Block 10 -C.4, 44-e A" TYPB OF PIPE Cast Ix'oA , DESCRIPTION OF BUILDING IndusCrial[ Comnerciall Aesidential { MuZtiple Dwelling I No, af anits x Locatioxi of Connections: Conaection Charge Permit Fee Street Repairs Total $7.50 Inspected by: Date Remarks• By. Chief Inspector In conei3eratioa of the issue aad delivery to me of the above pex-mit, I hereby agree eo do the pronosed work in accordan^.e with the rules and regulatione of Eagan Toemship, Dakota County, Minnesota gy Steins Inc, P?.ease nor.i£y when ready for inspection and connaction aad before any por:i.on of the wnrl: is ccvered. Cities Dijaital itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ? ? , ? r *.. y :: x ? ?.? ?;. •. ?-tS{,?'` Sppy,? %?'?,?4eA' .: p ? e y, .?_ ?• ?£r ° > : xS?:-:?`s„?3! ???'?„?t?` -`?.?ir ??.?.., ?' ? •u*?c , an'?+ 4i RiF .n v W ? N Y ? I?. ? .?; ?j?? ?»t ? ?', i ? *.? ' ? ; a i '•. 1 to- ?; ? < R ?, "pi? ?+3? ,?. ?,. , j _. %" . f' C?`i .j d t -S E ,'' • r??}:1 w- aak ?yp+ S X'.•.i Y Jf ? .}? 'l??11/'. ?5 y'?.?v. f 1 i?y t 1 R ?rv?i , L T.Hf Y^Y ,rt?? p..?? .?77+ww? ar`. « c MASTER CARD • LOCATION OWNER ? STRl1CTURE AND ?r LANO USED AS Permit I No. Issued Issued i Coniractor To Owner BUILDING 02 02 3 ?>E PLUMBING CESSPOOL - SEPTIC TANK WELL ElEC7RICAl HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER • • Items Approved (Initial) Date Remarks Distance From Well FOOTING FOUNDATION ( v ? ? O $EPTIC CESSPOOL FRAMING r_ -?+b• TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLqTlON SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANI7ARY SEWER ? Violations Noted on Batk COMMENTS: COMPLIANCE INSPECTION REPORTS i0 BE USED ONIY IN EVENT OF O6SERVED VIOLATIONS 0 PERMIT NO. CONDITIOtdS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATlONS. DATE OF INSPECTIQN ? NON-COMPIIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS ? NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION Of CERTAtN IMPROVEMENTS Wlll BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED DATE OF REINSPECTION • REINSPECTION REVEALED CE RTI P ICATION - t certify that 1 have carefully inspected the above in which 1 have no interesc present or prospective, and that 1 Nave reported herein all significant conditions oLserved to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require? menxs for off-site improvements relating to the property inspected. 1:1 ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING DATE ? e? aa OcLober 2C, 1971 ix. E, t,ir:;. Glen H. Carney 3906 : 1ca Tre.il r:acan, T".V. )5122 7)ear iir. Carneya l.noloeecl herevith ic aur check 4'915 in the amouxit of "'fiC7.000 eiliieti is n zrfund of your pqyment for SNecir,l tssecaments Par the acquiaition of Cedas Grove Utilities on Lot 2 Dlock 10, Cedar Grove ;r5. 5',is assessnent had nreviously been paid hy Title Insurance Co. oS' from Eiuid - held iz eECmw. Verj Cxvly youra, {I1LJ?, jUyCB 1lVlIlE Cler. of r'.ngan Lown&hip t.y: ,ph encl. - city of eagan MEMO 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 famiiy 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, Lois 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 g Block 13, Lots 1-15 ?1 208 The City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. Edward J.Krscfit - Sr. Engineering Technician cc: Mike Foertsch EJK/je d° Gity otEap 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use °,�,O[�° (� Permit it \ I ✓) Permit Fee: Date.Received: 2 Staff: f s 3 2013 RESIDENTIAL BUILDING PERNIITAPPLICATION Date: 7-a-7- f Site Address: ?v 20.‘:. Unit #: �" s/— 4.7 Name: G��h �.c�rY1C yPhone: �+ ' ,'�,y�`t��,, „•,, , Address (City / Zip: 3 9OCp 111 �.1 owN. t vmw 3 az Applicant is: Owner Contractor ' Description of worts: Construction Cost: r. •(yA F ber Multi -Family Building: (Yes /'No %C, ) ntrad' Company: mule eh84O % E x e - v Contact: YYl \icy k‘ Address: I%Z& • ,., CIree4C 4 RL 6 . City: 41k6-+ tiny M State; VtJ Zip: SSr,'S3 Phone: (t)C' I — 'CO 3 �(7 1 License #: 13C 374;465' Lead Certificate #: NP7� 10 1' 1-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Al COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes ,^No if yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: CALL BEFORE YOU DIG. CaII 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: iwvw,gooherstatepnec&I,oro I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances end codes of the City of Eagan: that I understand this is not a peril, 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 lseuance. xC1.��.� Applicant's Printed Name b0/N 3E d 31X3 NOlSflD S113NNO0 Applicant's Signature Page 1 of 3 T06Z8EPT59 5E:0T ETOZ/8Z/80 Use BLUE or BLACK Ink I -l:orOffiCaUse~_-__~~_~ `-'t V I I f y~~y ~~nn 1 city of ~U Ull ~ - I Permit I Permit Fee: t 3830 Pilot Knob Road i +~n1 3 I Eagan MN 55122 l Date Received: I v t/ i Phone-, (651) 67SZ676 I I Fax:. (651) 6765694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 7r-ti / 1 Unit#• Date Site Address: 3 y© ///iGt. -7r-4;1' I 1-66,7 Name: ka 2 Cawley Phone: t~5~ Z- / ! I•;, Address/ City /Zip, 320(e T kAA(kl A7 !0 I Applicant i6: Owner Contractor :~iy~;li=i ,~..•i.;,iii~ , '~i flli ff: ;'l iii , : ~ _ , Description of work: $ickiw1 rcaa f- Z-V 6rrS:,g' ` C~Get^~e✓' ~Jtc~tto(a 4 6f5- f~ Multi-Family Building; (Yes _ No ~'`'?~``•i~ ;!;;~f'! Construction Cost: , Company: Cotll eWs Cc'S-EUn ~c I'lQcs Contact: V%A%ke- I ,,,1 1,' III .III Fr Address: 11 !;Z- S- Fr-a~ ~e P ~id~ ~ City:.: I I 1 I. al yl state: ]AV~x ZIP: phone: &61-"r TO -"3 17 1 , i ~'ky .1 it ~ Lead Certificate #:1o\r-t Tit I rl' License M C-'!5 I,1.Ir. If the project is exempt from lead certification, please explain why: (see Page 3'for additional information) Yes 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: "I. , ~p 1; rI pJ~..~i.. I '.f l 1 rM•~ .'rl . I , •711, ~!~IirS?R?.~I:. ~ , i I • .Ii51H . I, r ,1 . 1 r• ,:•r, I . ,;.II ta'"~w,: ,;f~ I ;.:i: ::I hT'd.' I;- ~Iir; IP II, `I ....1..~I .ir. ~ , ~i i, +::.A;i•:,, ,rl i 1 !~1 . I ' II Cltertrfaflain~k jy{~ s , pf` II41P((I I;.;:I;~; 11j~' '1' . A.. 1. ,:~Y:'• ~ ~tr 1 i~ i~l ( ' In • ~l' I' t II t' <iy l; I 1, r I' t`:F• .r Li. 1,1 :I'll~l ~;'`'>°Il I .1 1'i.1', !jh„!pl,llll llll 11, B. u';•,:':.~!;~ft ion ~ ~~~y ~ i,l., I,l,II ,.rl! 1. 1, CALL BEFORE YOU DIG.. Call Gopher State One Call at (661) 4644002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utllltles.. www.aouneisfaieonecali,m I hereby acknowledge that this information is complete and accurate; that the work wlli be in conformance with the ordinances and codes of tha 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 requites a review and approval of plans Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code most be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of a b0/Z0 39Gd 31X3 WO1Sf10 S-1-13NN00 Z06ZBEVT99 S£:9T £i0Z/60/60 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA130298 Date Issued:04/15/2015 Permit Category:ePermit Site Address: 3906 Mica Tr Lot:2 Block: 10 Addition: Cedar Grove 5th PID:10-16704-10-020 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. Applicant: Beth Janohosky 207 150th Street W. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Glen Carney 3906 Mica Tr Eagan MN 55122 (651) 452-1667 Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431-4328 Applicant/Permitee: Signature Issued By: Signature