3912 Mica TrCITY OF EAGAN Remarks *Cedar Grove Acuuisition
Addition DAR G Lot 3 Blk ln Parcei 10 16704 LI3n 1 n
Owner 4.."t-'al 'y ? 5treet 3912 Mica Trail State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK Z
SEWER LATERAL
WATERMAIN
* WATER LATERAL (
WATER AREA
STORM SEW TRK 1974 O
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. ^
,
BUILDING PER.
sac 200.00 452 10-25-67
PARK
Receipt 3 PLUMBING PERMIT Permit No. q ?/
CITY OF EAGAN
Fee -j%- C, {-
fill in numbered spaces S/C
Type or Prrni legibJy r„+ r- ---,
1. Date 2. Installation Cost
3. JQb.AddrP:ss.(? ! r?(ra? lt? _,' .l Lot ? Blk. /0 Tract ?-, r0 V C
.? ? . '54
4. IIwnor A
5. Contractor
??? r.:.:...,..,.. - ? ?
6. Address r``?
? •.
7. City State Zip
8. Building Type: Residential ?
9. Work Description: New *
10. Descri be
11.
Commercial ? institutional 11
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspoo1/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
E Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
J Rough'? , Final
Inspections: Date Insp. Date Insp.
This is your,permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
? ?-`
CITY OF EAGAN
3795 Pilbt Kaab RooJ Engea, MN SSIZZ N2 5164
PHONE: 454-8100
BUILDING PERMIT ReceiPt #
To bs used for Est. Value
Date -, -
, 19
Slte Address - , - - ?r-. ` - - Erect ? Otcupancy
L.ot Block Sec/Sub. ? `-a O2' :10W- ' Alter ? Zoning
parcel # Repolr ? Fire Zone
Enlarge ? Type of Const.
W Name Move ? # Stories
3 Address '- Demotish ? Front ?.
0
Ci Phone '
Grode ?
Depth ft.
? ?
Na Approvah Fees
z°
u Address
Assessment
Permit
? Waier & Sew. Surcharge
~ Ci Pfione
Police Pian check
FW Nume Fire SAC
?? Address Eng. Water Conn.
[W Ci phune Pionner WaterMeter
Council
I hereby acknowledge that I have reod this applicotion and state that Bldg. Off.
the informction is correct cnd agree to comply with all applicable
State of Minnesota Statutes ond City of Eagen Ordinances. APC Totul
5ignature of Permittee
A Building Permit is iuued tn: on the express condition that
all work sholl be done in occordante with all applicable Stnte of Minnesoto 5totutes and City of Eagan Ordinonces.
Suilding Officiol
•i?i?k??• - iu:,.. ...?s.?f:,
ranuM # DnN luusd ?wM?M
Plumbing
Mechonicol
-
t
INSPECTIONS DATE INSP. Rough-!n Find
Footings Dote lnsp. Dote Insp.
Foundotion Plumbing
Frame/ins. j , Mechanical
Final s
Remarks: -" /D
-o?
j7 OF
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: , f, f
I r9 1 i il ( il
14t,t{t. !,lll
PERMIT SUBTYPE:
,; ,;
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
i H 1, 1l ( K APPLICANT:
?i???:,. ? r tfJlnN
( t, i .' 1 n!•? 'I?,A.'
TYPE OF WORK:
NI ll
?.....• - -.?
Permit No. Permit Holde? Date Telephone k
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspsctfon Dats Inap. CommsMs
Footings I
Foundation
Framing
Rvofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Orsal Test
Fnal Plbg. Pibg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
RESIDENTIAL
BUILDING PERMIT APPLICATION
? ? ? ? ?? CITY OF EAGAN
3830 PILOT KNOB RD - 55722
651-681-4675
7t ? o
NewConsWetlon Reauirementa RemodeUReoair Reauiremenls
• 3 regislered site surveys showing &q. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies M plan
(20°h maximum lol covemge allowed) • t set of Eneryy Calculatbns for heated additbns
• 2 copies of plan showirg beam &vrindow sizes; poured found design, etc.) . 7 sile survey for extenor additions & decks
• 1 sel of Energy Cakulatbns • Indicate'rf home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platled aRer 711193
• Rim Joist Defad Optare seledion sheel (61dgs with 3 or less units)
DATE VALUATION
JOB SITE ADDRESS,59a M TQ`} T/Pl
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ( U ) AlrDAJ ?i )1) FiD
TYPE OF WORK ?,??? „"? FIREPLACE(S) _ 0_ 1_ 2
.
APPLICANT 11114 RDMRWOCID DR-
ADDRESS $UMsVILLE, MN 55337
PAGER # CELL PHONE 0.
'J
PHONE#??
ZIP CODE 5-3 l1
FAX # QcJ ? D1 'OJ t3 ?`
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
_ MINNE50TA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Conhactor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Conhactor.
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is coRect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc .
Signature of Applicant
td.r ?z•-Q ?-? ? - i
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
Phone #:
_ Water So&ener _ Lawn Spiinkler
_ Water Healer _ No. of R.I. Baths
_ No. of Baths
OFFICE USE ONLY
? 07 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 70 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 0 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof 0 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg onl» - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water ?
SAC Units Stories Boostet Pump'
Nbr. of Units Sq. Ft. ? PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addi6on) Plumbing
Foundatlon
Drain Tile
Roof Ice & Water Final
Framing
Fueplace _ R.I. _ Air Test _ Fina1
Insulation
FinaUC.O.
_ FinaUNo C.O.
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
c/
CITY of EAGAN
BUILDING PERMIT
....... ...." .. ........... ............... ......... _......"'..........
Ownes
Addrew (Drasenl) ...:3.?.j.L..:....._?:.c.c.n.................................
Builder ............... 9/..?:..Y................................................................
0
Address .............."---..............---'--..........---..................-°°.........._----'-
DESCRIPTION
w;iM
N4 3336
3795 Pi7of Knob Road
Eagan, MinnesoYa 55122
954-8100
Dele ...7.". !q..-. .7.l........._.......
Bsoriea To Se Ucad For Fzonf Dayih Heighf Est. Coe! armtt F? e Remsrkt
- ?? -i y
a
y zz
a-6 I y? ?,?7. ?
1/1
// U - LOCATION 'gi/, nv -
Sireel, Road or oSher Daseripfion of Localion I Lo! Sloct wddtuon or irset
This pesmit does not aulhorize the use of slreels, zaads, alleys or sidewalks nor doee it give the owaes os hb agent
the righ! !o ereale any siiualion whieh is a nuisanee or which presenls a hasazd !o the 6ea1l6, eafelp, Coaveoisets and
general welfare !o anpone in the communifp. . 1
THIS PERMIT MUST BE KEPT ON. -THoE, ?PREMISE WHILE THE WORK IS IN PROGRESS. y
This Ss !o certify. !hal...--.- - ...YY?"'."........................has parmission !o ereat a..`?.:^..`.:`.'?_° .. ........ ................... _npon
°.. ... .
the above described premise subjeet to the provisions of all applieable Ordinances for the Ciip of gae.
............... -y.•"'.-..0??-..........---? .................... Per ............................ ..............................
// Mayor ? Suilding Iaspee! ?
/?-'
/
EAGAN TOWNSHIP
BUILDING PERMIT
DESCRIPTION
N° 1593
Eagan Townshio
Town Hall
Da,e .A/%.?1?7.- ----- ........
-
To Bc Used For
Storiesl
Froni
Depih ? Heighi -
Esi. Cosf ?
Permif Fee -----
Remarks
?.? -- -- --
---- - - --- --? .
? - - . _ -
LOCATIO ?, ?,<)
oi
.2 3 -.s ?J o ? !S d' /? - !
1 b`?G S= i3
Atldifion or Tzai
't-t s---
This permif does not aufhorize the use of sireels, roada, alleys or sidewalks nor does i1 give the ownes or his agenf
the xighSlo cxeafe any sifuaiion which is a nuisanee or which presenis a hazard !o the healih, safety, convenience and
general welfare fo anyone in the community.
THIS PEAMIT MUST BE KEPTp ON THE PAEyMISE WHILE THE WORK IS IN PROGRE55.
This is fo ceriify, lhaf...t.O:cr..?-.?-:...S-Q..---------------- has permiasion !o erect
a._..? ...._'.. ........._-.._-- upon
!he above desaribed premise subjec! !o the provisions of the Building Ordinanae for Eagan Afownship opied April 11.
1955.
D' ?Jp ?p ,?
_ ................ ...... .. .---- ..._.. Per _........... ,?Lcf--c't- -...p?-"e=?`'c.
._........----.. r
- - r te??
----_..---- _....------ ....................
airman Tnwn Board - Suilding Inapeetor
a r3-
inis rea?[ Voie?l?JC / Il.
la'mmUy tmm a0 /' 1 i5
A 067766 L3 610 C"t GYV d eo
Nequest Date ? Fire No. RouOh-in IRSpeclion
?_? Aeired? ?dy Now II Notfi¢ ??saeo-
qu
Yes ? No
licereed Electncal Cwrtrac[a I hereby r¢QUasi insoection oT abore
? Owner elec[rical wmk inslalled at .
Sireet AdAress. Boa or RauTe No.
` G:rv
_? 2- r
11, e--
cUUn TownSIuD Manc or No. anBe o. Counnty ?}-
4/
Occupam /Hill(n
Gl1 )-fcJa? 'l.s Phone No.
wsa-??ti z
Pbwer SwJ IfeJ . ._,(
P
IN pd`5I
7
OOL- t+?
on ?p ?ICmiosM /N/ame1
EtCr
/V? ??! ? ?? YQiL' Y', L
L atroct/o?r's Lic{ens/e?No.
Y/" ?G? ? GJ T ?
Mailinp Atldress (CanUactor a Owner Makinp I????et?onl `
A Siy,re (Comra w/Owmr Making Irxtalla[ion)
,L ?ri..-c.r, PLone N
.?'?w'?y? - / -?F1J .
dINNESgiZ, yrp7E gpAilD pF ELECTIIICIN TMIS IMSPECTION BEQUE4T NIIL NOT
Grigga-YiAraY Bldg- - Roan M-791 BE ACGEPrED B1f TNE $TA7E BDARD
1821 UniversiH Ave.. SL Peul. YN 55706 UNlES3 AtOPER IN$fFCTOM FEE LS
Phone 1612) 2972711 ENCLOSEO_ .
[/ REQUEST FOR ELECTRICAL INSPECTION 'tE&°°°°'-"a
p - 5(1n?o' Sae imtruetions for complali.g this 1rcm m beck ofYellowcwY• yJ(nk5
4/?1 n?'P]7' A -'X'" Be/ow Work Covered by This Request ??
R4yAAOTiiep.J TypeolBuiWi? I Aoolia.esWiretl I Epuipmpn[WirM I
11 F. ServieaEndeoceSize k Fee Feetlers/SUbfeeders N Fee Circuits
0 tu 200 Aups 0 to 30 q s 0 ta 30 Aaws
Abuve 200 Arryn 31 to 7 00 Amps 31 ip 700 Anips
Swimming Pool Ahove Ampsi Above 100---Amps
Tramimnxs Irtigation BooRS Partial•`OW?Fce.
I ? 'Signs I 1 iSpecial Inspection /
?.ks GfG TornL EEI
fiouph-in Date
, ahe Electr:fal
? /? f7 rmoeemr. be?eW
rtify thet thp iEOV9
Firel impeetim hns Eean
? ?de"
1tYSnpnmlr01dl8ioa?tllohan
cirr oF eac,AH
' 9795 Pilot Knob Read Eugae, MN 55122 N2 5164
PHONl: 4548100
BUILDING PERMIT APPLICATION 2eceiPt .{p /J'Fv?r
Te 6e umd for AdditiOri Est.Vafue 2,500. pctte 4-18 _ I q 79_
r
5(te Address 3912 Mica Trail
Erect
?
Otcuponcy
R3
Lo1 3 Block1Q Sec/Sub. C edar Gmva #S Alter ? Zonin9 RI
air
Re ? Fire Zone 3
Parcel # p
Enlarge [$ Type of Const. V
c Name Dori FIOrdeShe>> Move ? #'Stories 1
Z Address 3912 Mica Trai.l Demolish 0 Froni 10 fr.
? Q Eagan phone 452-1077 Grade ? Depth 22 ft.
° Name S?
z?
s ?dm Assessment
a Water & Sew.
Phone .
Pof ice
?Z Name Fire
?o Address E^9•
'Z" Ph Planner
< one
Ci
Council
I hereby ockrrowledge that I have read this application and state thot Bldg. Off.
the information is correct and agrea to comply with oll eDClicabie
State of Minnesota Stotutes and City of Eogan Or inonces. APC
Signature of Pertnittee Approvah Feea
A Building Permif is issued to:
all vrork shall be done in occa
PermiF
Surcharge 1.50
Plan check
SAC
Wcter Conn.
WMer Meter
Torel 13.50
on the express conditfon thot
State 9f Mjnnesota Stotutes cnd Cfry of Eagon Ordincnces.
Building Officlal
PERMIT
? C1TY OF EAGAN 9 -/9 i 3
3830 Pilot Knob Road PERMIT TYPE: e u zLD I N&
Eagan, Minnesota 55123 Permit Number: 021787
(612) 681-4675 Date issued: 0 8/ 19 / 9 3
SITE ADDRESS:
3312 MICA TR
LOT: 3 BLOCK: 10
CEDAR GROVE STH
P.I.N.: 10-16704-030-10
DESGRIPTION:
Bufil•tl-IFI?j;_ Permit Type
PL131tf3.tig [Jro,rk Type
BuiJ,sling i.an4°th
Builtling Width
?
4 '
4?<„/`-?• ,`t?^
?Y ` 4j r, 1
13
9
DECK
NEW
V«7?1-T3[m
REMARKS:
FEE SUMMARY:
Base Fee $25.00 COPIES $1.00
Surcharge $.50 Total Fee $26.50
Subtotal $25.50
curv i Kwc I uK:
OWNER: - Appiicant -
W000 CLSNTON J
9912 MICA TR
EAGAN MN
(612)452-9642
I
x hortby ackriowledge that T have road this aRP1icatiQn and state tfiat t;ht
Ini`orrna-C3an 3s cahrect ahd ag.ree ta e0tnp.Ly with a1l.appl3cable &tate cf 1441.
; Statutes 4»d ttty of Eegan Qrd.tnances.
,
APPIICANT/ ERMITEESIGNAT qE ISSUED(:SI NANR
-1
REAC7IYATE
PERMI7 N
C:;z t 7x7
I,?CC???/??
AUG 1 6 1993
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION S?
681-4675 ?
'e d?
SINGLE & MUL7I-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of
speciflcations, l copy of energy calts.
Penalty applies: 1) when permit is typed, but nat picked up by ltst working day of month-
1n ?rhich request is made, 2) address is thanged or 3) lot change i.s requested once permit
is issued.
Date AwG-UIUT- Valuation of xork
Site Address: ? I?^? YYIlG'R )7''c*rL r ?4 6,4,11'
STREEi fUITE /
Tenant Name: (commercial only)
3AT ? BLACK SUBD.eAf Y.I.D. N
Descri tion of work: APe A41D C K
The applicant is: Owner O Contractor ? Other coe.«ibe>.
Name W DOh P L/Nra,? J. Phone Il S2
Property UST FIRST
Owner pddress 39/e;? ri11el 71Z&L
STREET CTE /
.
City 5r26AN State Zip S Sl a?
Company Phone
CO ntte CtOf Address License N Exp:
City 5tate ZiP
Company . Phone
Architectl
Engineer Name Registration M
Address
City State ZiP
Sewer fl water 1lcensed plumber . Processing time for
sewer a water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
f
Cit
y o
correct and agree to comply with all applicable State of Minnesota Statutes and
Eagan Ordinances.
Signature of Applicant: /? ?1/
OFFICE U5E ONLY
BUILDtNG PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 5F Porch
? 05 SF Misc.
WORK TYPE
? 31 New
32 Addition
? 06 Duplex
? 07 4-Plex
? OB 8-Plez
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
O 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 6arage/Accessory
? 14 Fireplace
?.' 15 Deck
0 35 Tenant finish
O 36 Move
? 16 Basement Finish
? 17 Swim Pool
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
O 20 Public fatility
? 21 Miscellaneous
0 31 Demolish
Const. (Actual) ' Basement sq. ft. MWCC 5ystem _
Allowable) lst F1. sq. ft. City Water
UBC ?ccupancy ? 2nd F1. sq. ft. PRY Required
Ioning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
-
-
Length a? On-site well Census Code 273
q
Depth On-site sewage SAC Code
/-
APPROVALS r •
Planning Building Assessments
fngineerin9 Variance
REQUIRED INSPECTIONS
O 5ite
? Wallboard
Footing
Final
? framing
? Draintile
0 Insulation
? Fireplace
Permit Fee Zs, Oa
Surcharge , _Sp
Plan Review
License
MWCC SAL
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
C0P12S
Other
Total:
valuetim: $
SAC %
SAC Units
?
_.__-----,
1 t*; .? _--- - ?
\ ' l
bN p
? ( 2? o ! ?9
?a
c*?
? ???
I !
_...-
' ? EX/ST/NG ?
{
? ?. _ -- - -- -- -- _ __ I
--
?
S
'L ---- . ....
?
?
- - ___,_---- 8 5
iVl / Cf? 7',qA0t-
- u.?.
1 .. ? /
- - ._..._-------
RAY/NONp WALD
3912. M/GA TRA/L
EAGAN M/N/?l.
1
3-Jt)-b
DATE
BL'Ii,DI\G PERMII' AP?LICATIO':
Incluc:e 2 sets of plans, I[? plan?w/elevations and 1 set of energv caic?uaacions.
( fi?
To be used for p? Valuation ?-
Si[e Address: ? ?-
Lot ? Block ?D Sec./Sub. ?"'??r?urber
Ovner 'boN \??WrJE 5E?1.? 'Telephone 07-7
Address m\C'Fk \
EP-aKN, "N. sSl a-a._
Con[ractor v? Telephone
Ad3ress
Arch/Eng. Telephene
Address
OFFICE tiSE OP1LY
Erect Occupancy
Al;er Zoning ?- ?
Repair Fire 2ene
?
Enlarge Type of Const. .
, Move B of Stories ?
Demolish Fron[
Grade Dep[h a. ?
Da[e of Av rova and Initial •
p Fees
oU
Assessment Permi[
Water/Sewer Surcharge ?
Police Plan Check
„-. Fire SAC
Engineer Water Connec[ion
Planner Wa[er Meter _
Council
Bldg.
CITY USE ONLY
LOT ? BL ? RECEIPT#: 94? F/ `,o
SUBD. RECEIPT DATE: .b' hv / 9 ?/
°
?-
] 99$ MECE1ANICAL P£RMIT (R£SIDENTIihL)
CITY OP EfIfiAN
S$SO fILOT KNOB RD
ER&AN MN 5512E
Date•$_ o? -7 (612) 6$1-4675
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and 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 onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
_ Install furnace
? Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge
Total: $ 20.50
SITE ADDRESS: 3 9 I? M I 0 a Tr
OWNER NAME: FI Q i? P? WO 0? PHONE #: 4'J a'9 69?' ?
INSTALLER NAME: WO ? I-ZI- C So U+hs i d e Ntj ?ftj6 PHONE #: +3)- -J D9 pI
STREETADDRESS: A-73a Ptb I'IOC.k NV-e - -
CITY: 0l STATE: W,L)_ ZIP: .S ??
? m?}Z •
SIGNATURE OF PERMITTEE
1S/FORMS BLD/MECH PERMIT (RES) • 1998
L BL
SUBD.
APPROVED BY:
RECEIPT #: _
RECEIPT DATE:
1996 MEcHAvtc?? PERMtr (coMMEtctAi)
CITY OF £AfiAN
5880 P1LOT KNOB RD
£AfiRN.1?fiv 55122
(sis) 681-4675
Please complete for all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
i
DATE:
WORK TYPE:
CITY USE ONLY
CONTRACT PRICE:
NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
O WNER NAME:
TENANT NAME (1MPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE #:
CITY:
($.50 per $1,000 of cermit fee due on all pecmits.)
PHONE #:
STATE:
ZIP:
SIGNATURE OF PERMITTEE
3336
t •
-A-
tk
S
F -
N
?
?
I EX/ST /NG
I I I L - - - -- - --
G'
- L4J I
?-- I - -__
,? -
/ 2n I o
?
a
?t
_ i
ao
b
?
?
?
- - @ 5t- - -- ?}
0
/W/CA %"RA/E.
RAYMOi1/LJ W.yLD
3912 MlCA Tf?A/L
E,4GAN MiniN•
? -------- - ,58
MASTER CARD
LOCA?ION 3912 MicaTr, --'
-iv -
owNER Ravmond Wald
STRUCTURE AND
LAND USED As House Addn. Garge Attached front-12 by 24 depth-22 bv 26
Permit No, Issued Issued To
Contracfor Owner
BUIIDiNG 3336
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALUNG
SANITARY SEWER
O7HER I
OTHER
Items Approved
(Initiaf)
Date
Remarks
Disiance From Well
FOOTING SEPTIC
FOUNDATION cJ CESSPOOL
FRAMING Q' TIIE FIELD FT.
FINAL
ELECTRICAL
I?
HEATING DEPTH
OF WELL
GAS INSTAILATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
House addn, gar, att, _ ?? • ?j J
V'iolations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVEG VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
DATE OF INSPECTION
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES N07
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYE6 BY CONDITIONS BEYpND
CONTROL.
ITEMIZED AND DESCRtBED AS FOLLOWS:
? REINSPECTION REqUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the a6ove in which 1 have no interest present or prospective, and that I have reported herein
all significant conditions otserved to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
menisfor off-sit^ improvements relating to the property insp¢cted.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
9UllDtNG 1NSPEGTOR
DATE
.4!? s.
_ ciiy 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
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 7-2 2
Block 10, Lots 1-23 23
Block 11, Lots 1-14 14
Block 12, Lots 1-9 g
Block 13, Lots 1-15 15
208
The City is currently being billed by Dakota Electric for streetiighting in the above listed
subdivision.
L-Ch? l! J,
Edward J. irsc t
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
ò
ÿ
ú
þýüýû
ÿþþü
ûÿÿ ýüø
ÿý
Ú
ßÿî
êá
ÿ
ø
úùø
÷ÿÿðÿ
ò
ø
÷ÿ
ö
ø
÷ÿðÿ÷ýÿ
ÿ
÷ ÿåÚý
ýüÿ
ÿ ÿááÞ÷ý
Ûü
úëý
ÿçÿÿ
òîÿ
ÿ ÿ÷
ÿ ÷ÿ÷
òýûîÿ
ý
ñ ñÿÿîÿ ÷ÿ
äýýÿ
ýòýùý
è
ÿ ý
ÿýÿ÷ýùÿÿò ÷ÿ è
ý
ùñàÿÿÿ
ý
ÿ
ÿë
ÿù
ý
üÿòýñ
îñÿ è
ý ÿçÿÿâïâèèá
÷û
ú
îý
üÿý ÿéýýâïâèíèí
éýýûè
öõ
øôó
÷÷ý
õ
îýñÿþàÿ
Üö
úî
íôýø
ç
ÿ ýÿôõþýüýôõ
æêãáêáá
îÿ
ÿù
ý
ÿüÿîýîýßÿ
ÿýî ý÷÷ýý ýÿîýîÿò
ñý
ÿýýü
ÿÿñ÷
îýý÷÷ýùÿúýÿ
òôÿ ýúýÿ ý
òþýüýÞ
ýÿ è
÷÷ýä ÿ
ñÿÿúüý
ÿ ÿ
úüý
ÿ
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112793
Date Issued:08/23/2013
Permit Category:ePermit
Site Address: 3912 Mica Tr
Lot:3 Block: 10 Addition: Cedar Grove 5th
PID:10-16704-10-030
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Ashley Otto
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 -
Clinton J Wood
3912 Mica Tr
Eagan MN 55122
(651) 452-9642
Northland Home Exteriors Inc
308 Southwest 15th St. SW, Suite 100
Forest Lake MN 55025
(651) 464-0234
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130766
Date Issued:05/13/2015
Permit Category:ePermit
Site Address: 3912 Mica Tr
Lot:3 Block: 10 Addition: Cedar Grove 5th
PID:10-16704-10-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Clinton J Wood
3912 Mica Tr
Eagan MN 55122
(651) 452-9642
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148571
Date Issued:04/09/2018
Permit Category:ePermit
Site Address: 3912 Mica Tr
Lot:3 Block: 10 Addition: Cedar Grove 5th
PID:10-16704-10-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Clinton J Wood
3912 Mica Tr
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157590
Date Issued:08/27/2019
Permit Category:ePermit
Site Address: 3912 Mica Tr
Lot:3 Block: 10 Addition: Cedar Grove 5th
PID:10-16704-10-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Clinton J Wood
3912 Mica Tr
Eagan MN 55122
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature