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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