3930 Mica TrCITY OF EAGAN
Addition CEDAR
OWner A6
Remarks * ?edar Grove Acquisition
Lot
State Ed4an• MN 55122
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 2 1967 100.00 $.00 20 Paid
SEWERLATERAL 1967 484.00 24.20 20 Pdid
WATERMAIN
* WATER LATERAL (6-J 1972 607.00 24.2$ 25 Paid
WATER AREA
STORM SEW TRK -V?^ 1974 70.00 4.66 1$ Paid
STOFiM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 200.00 452 10-79-67
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
lJ`.
Owne: ...... j
.......................... ._....... .__'f"-e_:_..................... C?O.
_
Address (present) ..?:?'/F...,.F?... ?-.'.`......'-.'
.....--. --- ---?`
Builder .............................. ---....-----..._--...._.__-°----------
Addreas ._..-.
DESCRIPTION
N° 1573
Eagan Township
Town fiatl
Dafe _._.`.?.1../
. . ......................
Siaries
_-
To Be Vsed Fos
---
?Fran! I Deplh Heigh!
------- -- -
Es1. Cosi
--
--
Permif Fee ---
- Remarks
-------
? G ,a?-? ? ?
-
-- ?-- /3 ?1
,
?
or a
LOCATION
,.w n?ocx ?aassson or i:aci
7
? X ?4 B
This permif does not authoriae the use of sfreeis, xoads, alleys ?eid dialks nor does it give !he awner or his agent
the righi fo creale anp situation whieh is a nuisanee or which presenls a hazard !o the healYh, safety, eonvenienae and
general welfare !o anyone in fhe communify.
THIS PERMIT MUST BE KEQ,P'T ON THE PR/F3MISE WHILE THE WOAK IS IN PROGRESS. .
This is fo eeriifp,
_.r.. ??..?.. B- ._ ................ Las permission !o erect a.... ?'? _ ...J. ..:..._?i.^.::'E?.-. ......... upon
the above described premise subject fo the provisions of the Suilding Ordinance for Eagan 7ownship addpled April 11.
1955.
......... ...-------. .. k?e...::....I....._c-"`?----..----?------ Per ....._......__.K?y,?.[.F...._?...r--°G?r'fc-C / ...............
Chaiian of Tnwn Board ? Building Impeclo=
a -' f3.
RESIDENTIAL
BUILDING PERMIT APPLICATIGN
` CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
-- • 651-681-4675
NewConstruetlonReauirementa 5/ q:?7
• 3 registered sde surveys showirg sq. fl. o( lat, sq. R. of house; and all roofed a2as
(20°k maximum Ivicoverage allowed)
• 2 capies af plan showing beam 8 window sizes; poured found design, etc.)
. 7 set of Eneryy Calculations
. 3 copies oFTree Preservation Plan itlol platted after7N193
. Rim Joist Detail Options seiection sheet (bldgs wilh 3 or less units)
DATE ?IIOZ
SITE ADC
TYPE OF
ULTI-FAMILY BLDG Y N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT l `ho2.
AA?WOVVUM
STREET ADDRESS JZZ f CITY STATE& ZIPs'Vz37
TELEPHONE # 952'707-06Z1 CELL PHONE # 4) i2-ZS?- 516?n FAX # 9S7--90S -85116
PROPERTYOWNER 6± I'L16W TELEPHONE# 4KV-1fS2-03loS
-----------------------------------------------°----------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNGSO"PA RliLES 7670 CATF.GORY 1
(4 submission type) . Residen6al Ventllation Category 1 Worksheet Submitted
• Energy Envelope CaiculaGons Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Mecktanical system includes:
Sewer/Water Contractor:
Phone #
Phone S
Fee: $70.00
--°--------------------------------------------------°------°°-----------°---°------°-------°------...----------°
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanq#s.
Signature of Applicant
- -------------- ------------------°----°---e--..... ..»..... °---------------- -----°------
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Water Softener _
_ Water Heater
_ No. of Baths
_ Phone #
I.awn 5prinkler
No. of R.I. Baths
_ Air Conclitioning
_ Heat Recovery System
RemodeUReoair ReauiremeMS
• 2 copies of plan
• i set of Energy Cakula6ons tar heated addiGons
• t sile survey for e#enor additions 8 decks
. Indicate if home served hy septic system for additions
VALUATION 4 6 3 J I • C-<3a_
Nee: yy0.U0
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? ,30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-piex ? 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 ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entlre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System ?
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Frazning _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
------ ----- ------ ------- --------- --
-------------- ---------- ------ -------------------- --------------------------- ----°---r--------°----°-------
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit I
Mechanical Permit
License Search
Copies
Other
Totat
RESIDENTIAL
BUILDINC PERMIT APPLICATION
? 3? 3 3 CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructlon Reauirements
• 3 registered sRe surveys showing sq. ft of lol, sq. R. of house: and all roofed areas
(20% maximum bt coverage allowed)
• 2 copies of plan shaxing beam 8 window sizes; poured found desgn, etc.)
• 1 set of Eneryy Calculations
• 3 copies af Tree Preservatron Poan if lot platted aRer I11/93
• Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE
SITE ADDRESS
TYPE OF WORI
APPLICANT
?ULTI-FAINILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS /7-2-q7 /UTinff4.Y A-0 .? CITYZI06 ?Q?? STATE,r/?ZIP ??
TELEPHONE #%Z-?07-690- CELL PHONE # ldz-2S2 5z570 FAX # g?2- 9D9-
PROPERTYOWNER?' ??J TELEPHONE# (leSl) 45-d.- 3G?
-----------------------------------°--------°-----------------------------------------°-----
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MI
(J submission type) . Residentlal Ventilation Category 1 Worksheet Submitted •
• Energy Envelope CalculaGons Submitted
Plumbing Contwctor. _ Phone #
Plumbing system includes: _ Water Softener _ Lawn Spiuilcler
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Meclklnical system includes:
Sewer/Water Contractor:
_ Air CondiUOning
Heat Recovery System
Phone #
Phone #
.lUl 3 0 2002
Pee: $70.00
---°--------°-----------------------°------------°-----------°------°----------------------°----°-----------------
I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SlgnatureofApplicanf
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
RemodelfReoair Reaulremenb ?
• 2 copies of Olan
• 1 set o( Energy Calalations for heated additlons ?
• 1 sile survey for exterior additions & decks
• Indiwte if Mme served by septic syslem for additions
VALUATION l? . ? O D
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex p 10 OS-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 O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr, of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool
Ftgs _ Air/Gas Tesu _ Final
_ Framing _ _
Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY USE ONLY
PERMIT H: RECEIPT DATE:
S- ] U - U _a--
2002 iiE5IDENTIAL MECH"ICAL PEftI4IIT APPI.ICAT[ON
crrY oF EAsnx
3830 PII.OT KNOB RD
F.A6AN b1N 55122
651-6$1-4695
Please complete for: ? single family dwellings
townhomca and co.-,dos when permits are required for ?2ch unit
Date: q -?-5- C)a
SITEADDRESS: ?9??t?
OWNERNAME: TELEPHONE#:
c
INSTALLERNAME:??'.d TELEPHONE#:
STREET ADDRESS:
CITY: dl 'K ?Q p? STATE: ZIP: SQCJ`F
Place a check mark next to the permit work type
Z Add-on, motlification or alteration to existinq dwelling unit $ 30.00
. furnace replacement
• air exchanger
• air conditioner
? ? ? ?
. other
D
?
?
" ? D
Nature of work:
,
MAY 0 9 ZOOZ
By
State Surchar e $ .50
rotal $ SIGAOFCRE-OT • P Z. E
voz
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
2002 COMME$CLAL MECHi41VICAL ?EftRII'f APPLICATION
CITY OF EAfir4N
3$30 P[LOT KftOB RD
EAcAN, MN 551E8
651-6$1-4675
Please complete for: all commerciaUindustrial buiidings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANTNAME (IMPROVEMENTS ONLI):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
_ Processed Piping
SpecifyNature oFWork:
When instalfing/removing underground 1Rnk, call 651-681-4675 jor inspectrnn by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x I%_$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL s
. • " SIGNATURE OF PERMITTEE
. , •
Updated 1/02
/"?? ?G75-?
,
Gentlemen:
Date 8-21-73
Order Number MC-208034-554
The check enclosed in the amount of 73.00
special assessments on:
Plat District
Parcel
Legal Discription
6/10 in Cedar Grove #5
is for
ti
Property Address 3930 Mica Trail
If a receipt is issued, please include the above Order
Number with your receipt.
Thank you,
Elizabeth Kelsey ?
By
r -
STAR ABSTRACT & TLE GUARANTY, INC.
501 Second Avenue South
Minneapolis, Minnesota 55402
Ng - RE•f05
?
_ city of eagan
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
MEMO
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 pp
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 Ciry is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
Edward J.?'irscht
Sr. Engineering Technician
cc: Mike Foertsch
,..
EJK/je
?I -::rq 2
2005 RESIDENTIAL BUII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-7- 1 .U-4
New ConsUuction ReauiremenLS RemodellReoairReauiremenLS Office Use Onlv
3 registered sRe surveys showing sq. ft. of lot, sq. R. ot house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% mauimum bt coverage allaxed) 1 set of Energy Calculations (or heated additions TreePres Plan Reoi _Y _N_
2 wpies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addifions & decks Tree Pres Required _ Y_ N
isetofEnergyCalculations Addifron - Indicafei/on-sdesepticsystem On-siteSeplicSyslem _Y _N
3 copies of Tree P2servation Plan if lot platted aher 711193
Rim Joist Defail Options uledion sheet (buildings wifh 3 or less unAS)
Date I Z/ ? / Q> Construction Cost
Site Address 3() f}'? ) Gifq UniUSte #
A N
Description of Work Q"U,,,,) L Pyl,,,ry..,,.,,,?t p-n) R)IiJzC G,",.J laA pK??
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner 6Q.nU (L T i I C,g?J Telephone # ( ?? ) {, ? s• ?-?f'?'?
Contractor 07us
Address GD-7? O C ST City S'L• L
Sta[e hi) Zip c v I D? Telephone #((S-I ) c? a a- ?p?D ]
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv l Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code WoAcsheet
(J submission type) Su6mitted Submitted
• Energy Envelope Calculations Su6mitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a masfer„plan?
_ Y _ N If yes, date and address of masfer plan: AlT_
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
I hereby appiy for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and 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
app val of plans.
?.-??,?-
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 MiSCellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 ROplaCement *Demolition (Entire Bld g) • Give PCA handout to applieant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
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
REQUIREDINSPECTIONS
_ FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ SNCCO _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
j , sro L ? _,,41J
-4 al ? 9
2006 RESIDENTIAL PLUMBING PeRMiTaPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
VSo.so
(d. CA?
Date --[_ / Z
Site Street Address 3 93 0 c-/f ??. Unit #
Property Owner T H v?L 7-1 ZS o.J Telephone #(l?,s/ y
Contrector C- ZI'-2 Telephone # (Co/?- ? ocOY - dc'73 ?/
Address S`fo aivr? ?/? City F/L- 10 :4 State *-7 --3 Zip Sy3
The Applicant is: _ Owner XContractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water soft ener andlor ater
heater at the same time. !f you are instaf7ing onlv a water softener and/o4c?
heater, do not complete this section; move to the next section and ch
appliance(s) you are installing.
_Septic System Abandonment JA
?
D
23 2006
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other: !j 7) c) V e- N T/,,/ ? / S }fvr.,?eJL
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ S?•S?
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to staR without a permit and work wili be in
accordance with the approved plan in the event a plan is required eviewed a ppr ved.
./?E9N G%?c??
ApplicanYs Printed Name Applica s Signature
u Cr / R 2 H wj
City of Eaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use �
Permit #: /3[[- 9
Permit Fee: (,0
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: OZ -Ds-74
Tenant:
Site Address: 3 -! 30 )7Z __y /
1
Suite #:
VV 0
Name: - s& i. tC A-__.__,, Phone:
Address /City /Zip:
Contract ®
Name: 1 i+c.L 1:)e. -o -Tett 014..r.ein.-5 LLC.. License #: pc t q ' -5
Address: 312 S— 0%G Zt e— t
City: z_.-_
j
State: Zip: $-5"r 1 L Phone: 7 y% Z 7 3? 0
Contact: 2..4-e- Email: nA:ke--'0 r;-¢c,(.4-r*ecc-1911.4.,47,10 cc)._
e of N1Tori�
New Replacement Repair Rebuild Modify Space Work in R.O.W.
— —
— — —
Description of work: z�oc,l-c.. J-fro.cc( /i7�� � zI/ -Pa IA. c
g=°
Perot
RESIDENTIAL
V Water Heater
V Water Softener
Lawn Irrigation ( RPZ /— PVB)
Add Plumbing Fixtures ( Main / Level)
Septic System
—Lower
Water Turnaround
New
— Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
(includes State Surcharge)
Fixtures Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
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.qopherstateonecall.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 •t 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 p1s.
�� P rex �e- x r �'
Appli ant's
Applicant's Printed Name
ature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170796
Date Issued:07/19/2021
Permit Category:ePermit
Site Address: 3930 Mica Tr
Lot:6 Block: 10 Addition: Cedar Grove 5th
PID:10-16704-10-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Stephanie Jean Cregan
3930 Mica Trl
Eagan MN 55122
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature