3942 Mica TrCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
ttl?ic rl rN
020692
04 / 1 i. / fa
SITE ADDRESS:
APPLICANT:
1 Mto I_IN6
?.?` j 1: ? i 1 ri:' i 8 0 4 t+
PERMIT SUBTYPE: TYPE OF WORK:
. . f:t F'A iR
?
iEftE -{tIlUF IN6
Permk No. PortnR Holder Dats Tslsphone #
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
inspeetion Date hrsp. Comments
Foo6ngsl
Foundation
Freming
RoofMg
Rough Plbg.
Rough Fltg.
Isul.
Fitepl8ce
Final Htg.
Orset Test
Final Plbg. Plbg. Inspector - NotHy Plumber
Conat. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Dedc Final
weli
Pr. Disp.
p
CITY OF EAGAN Remarks * Cedar Grove Acquisition
Addition . CEDAR GRfJVE #5 Lot R Bik ln Parcel In 167(]e1 Q8D 1 n
Owner?'? ? ?- -? Street 3942 Micd 'i`rail State Eaqan• MM 55122
v r_ ._ ( 1.11 Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRRDING
SAN SEW TRUNK 1967 100. 00 5.00 20 Paid
SEWERLATERAL 1967 483. 2•19 20 Paid
WATERMAIN
* WATERLATERAL 1972 607.00 24.28
25
WATER AREA
STORM SEW TRK 1974 70.00 4.66 5
STORM SEW LAT
CURB Si GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 200.00 452 10-25-6
PARK
CITY OF EAGAN
3795 Pilot Knob Raad Eogen, MN 55122 N" 5795
PHONE: 454-8100
BUILDING PERAAIT Receipt #k -
To re dNd for Est. Value Date 19
Site Address '`'4= :-?iC3 Truil
Erect ?
Occupancy
Lot Block ` Sec/Sub. Alter ? Zoning ^!
Parcel # Repoir ?j Fire Zone T T:
Enlarge ? Type of Const. v
oWC Name RnZer ,=f'ttC .ToionSO;i Move
?
# Stories
? Address Demolish ? Front
Ci t-,,, .l.. #Qne Grnde ? Depth 7 7 ft.
°C Name T<> w t?
0 Approvob Fees
o Address Assessment Permit
?
' Wuter & Sew. Surchorge ?-
F
Ci Phone
F Police Plan check
U°; Name
F,,,
Fire
SAC
v? Address Eng. Water Conn.
aW Ci Phone Planner Water Meter
Countil Road Unit
I hereby ocknowledge thot I have read this application and state tMt gldg. Off.
the informotion is correct ond a9ree to comply with all appiicoble
APC
Totol
State of Minnesota Stotutes and City of Eagan Ordinances.
Signcture of Permittee
A Building Permit is issued to: on the express condition that
oll work sholl be done in occordance with oll applicable Stute of Minnesoto Stotutes and Clty of Eogan Ordinonces.
Bullding Offlcial
Pomie # poN Iwwd hewNhe
Plumbing
Mechanical
INSFECTtONS DATE INSP.
Rou9M4n
Final
Footings Date Insp. Date trtsp.
Foundation Plumbing
Frame/ins. Mechanical
Finol ?-
Remarks:
?
• , ,?P,e
r,p /? CITY OF FAGAN Znclude 2 sets of plans,
? 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of en gy c culations.
Valuation
3, D-ZSZ? . ?TZ-) Date
} r
?
, Q 2 Yt?JEErect OFFICE USE ONLY
OccuFancY .3
Alter Zoning
--?-Repair ?_ Fire Zone 13
- J o N.t?So .l? Eh7.arge 7ype of Const.
` 1-7ove.
Dennlish
5 s? a a Grade # Stories
Front ft.
Depth ? ft.
Zb Be Used For
Site ss ? C(
Lot ?Block Sec./Sub
Parcel #:
Owner: TO
AddreSS:3
City/Zip Code:
Prone #:
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Fng.:
Address:
City/Zip Code:
Phone #:
APPR(}t7ALS FEES
Assessments Pexmit
T4ater/Sewer Surcharge
Police Plan Check
Fire SAC
Ehg. Water Conn.
Planner Water Meter--_-_
Council Road Unit
Bldg. Off.
APC
z+arAr, ' 113 "
Va
.?> $/)p3a
?Y??s
(,?? 2 3 qY
EAGAN TOWNSHIP
BUILDING PERMIT
owna: ....... h?:--.......?.?. ...............•-
Addse6e (Preseni7 _ ....... I r........................
BuildoN.
Address
11T° 2695
Eagan Township
Town Hall
?- -
Dale ---- / 7 2-
° ........................
Blosies To Be Used For Fron! Dep2h Haight Es2. Cos! Permi! Fee Remarks
.-n?
" LOCATION ( /o , o? 7
or
/ o I OA? A-.-? ?-
Thia permIt does aot auihorise the use of elzeeffi, roeds, alleps or s[dewalka eor does it give the owaer oz his agen!
!6e righ! Yo eseale aap sifuaf3oa which is a nuisenee or whieh presenie a hasard !o the healfh, safely, convenience and
general welfare !o aapoae in the communify.
THIS PERMIT MUST BE REPT ON HE PREMIE WHILE THE WORK IS IN PROGAESS.
This is !o cerSfp, tha2---...._-e^?-? ...............hes permission !o erect d... ?..:.-• --- . _ . . . ........_npo0
the above deseribed premise subJea !o !he psovisiona of the Building Ordinance toz Eagan wns adopled April 11,
1955. ///???--? ? ... ?/1 ?
-' ..................'--....w-!`i:.'u.^.c?^'.....'.........--'-.. Pes ..... ............:V`.'.`.`?e:L._......?'`:a°............................. """"'
Chairman oi Tnwn Board Bu[Idinq Inspeclo
?
- EAGAN TOWNSHIP
BUILDING PERMIT
Ownez ? ....... ...._.._J...' .. ...:.... .....?... .__.._....._... . ___....____
Address (preseni) .... .}(Je.:...?:L.:..il...?-'r"? -
-Builder ......... ._._....----- ?------ ......__.__.....__...----?-?----?-?--..._.._.._.......
Address .... .................................. ....................... ....... .--------- .......... --
- .. DESCRIPTION
-
LOCATION
5lreef, Road. or olher Deseripiion of -Location ?I Lo! B:
--?-------------...--------------._.. I L? I -
/
N° 1522
Eagan Township
Town Hall
Da3e ...?;1..7.`/`??*.? ..:.............. .........
or
:.? .
This permif does noi auihoriae the use of slreefs, roads, alleys or sidewalks nor does if give the owner or his agenf
the rightlo creaie anp siSua2ion which is a nuisance or which presenls a haxard fo the healYh, safety, convenienae and
general welfare !o anyone in the community.
THIS PERMIT MVST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. ,
u? .,.. _.........:1^!?.j.c..........upon
This is fo ceriifp, Shai.?t:?r.:!?:r...??..!a-!?..Q?s?,..v............has permissian !o erect a....._ ...
the above described premise subjecf !o the provisions of the Building Ordinance for Eagen Toahip adop April 11,
.._..........._....._?4.l1^rkter.cu'....?____ Soar - d
. ...... ....... . 9 P
_.. Qhairman of Tnwn ....--------- Per ..... . ,. L?33.c.. Fc ..,Ctu,--i-------- .............._.......
. Buildin Ins eetor
R ?}
Roc?er w: 7ahnson ?a6
. . 3q L+ a M i ed -T ro ? I
St. Paul , tqi nn. 551aa
?
S-Jo- 5
t--- 39'
+-----.9r -i
I cIAE u.au ?
r
? q• ?
Nouss
W1K F/ttE 0002
Encloseci please Ar'?r
diqArqm o? prC?po-se-
1e'x aa' o?o,rage aci6??
Cogtin? 3 2j 200.
T11e bu'?Idin? Perm'?i
-? e Q p? 4 10 i S
ehc.\o Se(S .
Thqnk \?ou-.
Ztsc r f?s.
, ?,
?a, ??
??,
% in_ ? .
CITY OF EAGAN
3795 Pilet Knob Road Eagan, MN 55122
PHONE: 454-8700
BUILDING PERMIT APPLICATION rzecetPl
Te 6e ueed for RemOdeling Est, Volue 3,000.00 Date_
Site Address 3942 Mica TT&11 Erect ?
Lor $ Block 105ec/Sub. Cedar Grove #5 Alter ?
Parcel #
w Name Roger W. Anette Johnson
3 Address Se]Re
p Name _
r-
Address
? r:•..
Name _
Address
State of Minnesota Statules?and City_of Eagon C*mnSqs. N? 5795
1 hereby acknowledge that I have reod this opplicotion and stote that
the infortnation is correct ond agree to wmply with oll oppliceble
# / b 772-_
May 1, 19 80
Occupancy R 3
Zoning R 1
Repoir j(] Fire Zone TIT
Enlarge p Type of Const. i7
Move ? # Stories
Demolish ? Front dA ft.
Grade ? Depth 37 ft.
Approvals Fees
Auessment
Water & Sew.
Police
Fire
En9.
Planner
Council
Bidg. Off.
APC
Pertnit 12 _?0
Surcharge 1.r50
Plan check
SAC
Water Conn.
Water Meter
Rood Unit
Total 13.50
Signoture of Permittee % I t v A & v ' lillfJ I
A Building Permit is issued to: & on the express condition thar
oll work shall 6e done in occordan i iw innesota $tetutes end City of Eogan Ordinances.
Buildirg Official • ?
IIII IIIII III I I 9l:Efl I I I II III1I II I IIIII. 8P1QUo niveState ? FOR BBarRm S BASt'PaulP, MNT55O 04 401)
* 0"2 7 5 9 G 8 2 ?- Phone (612) sa2-oeoo ? ???'7 Home Duplez Apt. Bldg. ther: New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Htr. Lood Mgmt. Other:
Dryer Ran e Elec. Heof Tem . Service
"k a6ove ihe work covered by this request Enfer rle?mark]s( ?in fhis space and an fhe back of the whife copy only.
?4"?' _v l?/W WA /7' - 0-•
Calwlate Inspection Fee - This Inspection Request will not be accepted withouf the mrrecl fee:
Olher rance Size Fee # Circvih/Feeders Fee
Mobile Home Park Stall ps 0 fo 100 Amps
$heet Ltg./TroHic $ig. Amps
200Amps Above 100 Amps
Transformer/Generafor EO TOTAL
Sign /OWline Lig. Xfmr. M
? ?d
Alarm/Remote Conirol
$wimming Pool in d Ihe aleclnml installation desai
Irriga}ion Baom oare
ecial Ins
edion
S
p
p
Invesfigative Fee D.
THIS INSTALLATION MAY 8E OR DERE DISCONNECTED IF COMPLETED WITHIN 8 MONTHS.
27 C_^O? 12
? :J OFFlCE SE O Y This request void 18 momhs hom validofion dak pnnkd in ihis 6ox. ?
y?/7 9
' 0
? ?
?,
4 / ?U
PLEASE PRINT OR 7YPE
Requeat Dale Rough-in impetlion r?ulred2 ? Yes 0 No Inzpernon OtherThan Rough.ln:`? Rmdy Now D WII Call
? ` (Yoo muaf wll Ihe inspeclor wMn ready) Date Ready:
I, IR licensed <onhodor Q owner hereby requesl inspedion of the above eledriml work ai:
Job Pddrtss (Skeet, OoR, or RoWe No.) Ciry Zp Code
' T
Section No. Township Nome or No. Ranqe No. Fire No. Coonly
OaoPan? Plwne Na.
Z
Pov.er 5 lier Pddrecs
Etectrim Company Nom Contracmr license No. Maskr lic. No. jWant Elec1. Only)
C d e
Mailing Pddreas (Conlmcror orOwner Pedorming Insbllafion)
llecVg 5'
AuThorized ig?iorming Imtallafionl
Ao
op PMne No.
EB-000OIA710 6/9 STATEBOAPOCOPY-SEEINSTNUCTIONSONBACKOFYELLOWCOPY
tpzztF:l PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Pamily Dwellings
Townhomes and Condos when permits ue required for each unit
M. ??s?
Date ?D /
Si[e Address
Property Owner
C'nntractor
Unit #
Telephone # ( (? ?
Address 3670 DODD ROAD City
EAGAN,
State (651) 365 1340 Zip Telephone #( )
The Applicant is _ Owner \( ) Contractor _ Other
Septic System New _ Refurbished Su6mit 2 sefs of plans and MPC license
Inclutles County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Induding
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
Abandonment of septic system
Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair
_ Lawn irrigation system
_ Water softener I Water heater
? replacement _ additional
U R
OCT ? 3 2003
D
By
100.00
50.00
30.00
15.00
State Surcharge I $ 50
Total
avnlv for a Residential PlumbinR Permit and aclmowledge that the information is complete and accurate; that the
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that 1 unnerstana tms is not a
pemut, but only an application for a permit, and work is not to start without a perxnit; that th fork will be in accordance with the
approve lan in the c s of work which requires a review and approval of plans.
ApplicanYs Pri ame ApplicanYs Si ture
5??I3a RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 ;)00
New ConsWCtion Raauiremenh RemodellRewir Reouiremenh
• 7 registered site surveys showing sq. ft. of lot, sq. R. of twuse; and all roofed areas • 2 copies of plan
(20% manimum lot coyerage allowed) . 1 se[ of Energy CalculaGOns for hea[ed aCditions
• 2 copies of plan shovnng beam & window s¢es; poured found desgn, etc.) . 1 site suney for ectenor additions 6 decks
• 1 set of Energy Calculations . Intlicate if trome served by septic system for addiGons
• 3 copies of Tree Preservation Plan if lot platled aRer 7J7193
• Rim Joist Detail Options selecNon sheet (bldgs with 3 or less units)
DATE ?6?3i/o z- VALUATION ??? z G G
SITEADDRESS_ MULTI-FAMILYBLDG _Y ?N
TYPE OF WORK ?55;? FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
s
STREET ADDRESS =51 CITY
TELEPHONE # 9Y77CELL PHONE #
ZIp ss/o z
FAX#-ef:?, e:? 5- 95'sS
? ?IT> G ;=:x
PROPERTYOWNER _1?o9?r <Io.l..sa?i TELEPHONE
------------------------------------------ --'-----" --'---"-'-----------'---------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ M IVNlSO"f:\ RGI.F.S 7670 C:ITEGORY 1 -'vIIVNESOT:1 RULLS 7672
(J submission type) . Residentlal Ventilabon Category 1 Worksheet Submitted . New Energy Code Worksheet Su6mitted
• Energy Envalope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor.
Mccliuiical svstcm includes:
Sewer/Water Contractor:
_ Wazer Softener _
_ 4Vater Heater _
No. of Baths
Air Conditioning
Elca[ Rccuvery Systrm
f 'C
Phone #
I ['
Phone #
Fee: $90.00
- -, r-:
Fe?: I 570A0
U
--------°-------------------------------------------------°°---------..._..-------------------------------------°-----
I hereby acknowledge that I have read ihis application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Stafutes and City of Eagan Ordinances. ?
?-c-?
SignafureotApplfcant
OFFICE USE ONLY
_ Phone #
I.aim Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Oi Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea J ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - 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 ? 38 Demolish (Interior) ? 44 Siding I
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 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 MGES 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) FinaV*Io C.O.
_ Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain i'ile Other
Roof _ Ice & Warer _ Final _ Pool _ F[gs _ AuiGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ,
_ [nsulanon _ Retaining Wall
Approved By
Base Fee
Surchar9e
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Building Inspector
Copies
Other
Total
L ` BL /D CITY USE ONLY RECEIPT #: Z14L99
SUBD. ?x?c?.+? 5? DATE: FIV`M97
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
3 -25-07
Date:
EEO
• Minimum Fee: Add-oNRemodel (existing residence oniy) $ 20.00
• HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each)
? State Surcharge .50
TiATAL 2?n_5n
3942 Mica irail
51TE ADDRESS•
OWNER NAME: rager .TOttnson PHONE #: ?1
lNSTALLER NAME• MidALAnd xeatinc
STREET ADDRESS: 6449 Penn Ave So
an:
PHONE #: ( " 7
i
9 7
P,ichfield STATE: `4n ZIP: 55423
? °60-3213 ,
?
CITY USE ONLY
L _ BL _ RECEIPT #:
SUBD. DATE:
MI.,
1896 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? ali commercialfindustrial buildings.
• mufti-famity buildings when separate permits are = required
for each dwelling unit.
DATE:
WORK TYPE: NEW CONSTRUCTION
CONTRACT PRICE:
DESCRIP710N OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minimum fee QC 1% of contract price, whichever Is greater.
? Processed piping - $25.00
• State surcharge ot $.50 per $1,000 of pg3rj1 fee due on aii pertnits.
t'.Ohl'R/',CT ?R1CE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (ianPROVennenrrs oNL1)
TELEPHONE #:
INSTALLER:
ADDRESS:
CITY:
- PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
Cities Dijzital Qualitv 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.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number;
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: f . APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
irr_PaTr?
---?CITY.OF EAGAN
3830 Pilot Kno6 Road
Eagan, Minnesota 55123
(612) 681-4675
ttL1, A 1.R
`?l,qh 3
PERMIT TYPE:
Permit Number:
Date Issued:
c:kx+7iq
SITE ADDRESS:
?.D!,.. 7•i ..t,7toq_l4;Ja:t-.,..
.a
t r._ ,.....-+
DESCRIPTION:
REMARKS:
FEE SUMMARY:
. ( ) .. : I '...' ..
10us?di
PERMIT
, I i i r, i ?, ?; l;:
? a J
.... .. __ .. ... . _ ., _. _.. .
CONTRACTOR: OWNER:
?LI iy ?.f?: 1'I'?.. .?ihi'J('E.LJ.!+'P L.',_ , f??ro G 9i1+T5C) JOHNSOn! (1i.G°i?
,
T ilnt a.i)tf ...
r
i
? -
? ?nf.In ????J11?1
APPLICANT/PERMITEE SIGNATURE -UED BV: SIGNA 11R
REACTIVATE ?
PERMIT?N 1001
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 capy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up 6y last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address:
STREET SUITE 0
Tenant Name: (comnercial only)
IAT ? BLOCK SIIBD.
CAtUI r•?? It
Descri tion of work: -zttoor F?K1 5r
The applicant is: ? Owner ,11 contractor ? Other (Describc)
Name:::? o?"SnN Phone 541-
Property LAST FIRST
Owner Address ?39 yZ d?t tc- uA,
STREET STE !f
City ?- ? State ? N Zip
Company oo r ? N.'. Phone
Contractor Address (4 f oo -jZZc?.?? S r o2., { ?,ap License # 1 e SU Exp.??
City ??-r L'bV )s State N+.) Zip S-?
Company Phone
Architect/
Engineer Name Registration !1
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I hav is application and state that the infarmation is
correct and agree to comply al licable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:`-`` G ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 Sf Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 5F Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
? 31 New
O 32 Addition
? 33 Alterations
? 34 Repair
? ,.??
?
0 11 Apt./Lodging ?'"` "'0% Basefifent Finislh
? 12 Multi. Misc. ? 17 Swim Pool
? 13 6arage/Accessary ? 18 Comn./Ind.
? 14 Fireplace 13 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public FacilAy
? 21 Miscellaneous:
? 35 Tenant Finish
? 36 Move
? 37 Demolish
GENERAL INFORMATION
Canst. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
? Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Oeposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq, ft.
On-site well
On-site sewage
Building
Yar9ance
? Footing
? Final
v.iocron: $
MWCC System
Lity Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Framing ? Insulation
? Draintile ? Fireplace
SAC %
SAC Units
r -io- s-
MASTER CARD
?
•
•
Permit
No. Issued Issued To
Coniractor Owner
BUILDWG
PLUMBING
? S=I-77,
f' -
?
CESSPOOL - SEPTIC TANK I
VJELL
I
ELECTRICAL ?
I
-
H EAT W G ?
GAS INSTALLING
SANITARY SEWER
OTHER
I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING
FOUNDATION
? SEPTIC _
CESSPOOL
FRAMING ? TILE FIELD FT.
FINAI,
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
?
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
DATE OF INSPECTION
ZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
DATE OF REINSPECTION
•
REINSPECTION REVEALED
CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herain
all significant conditions oLserved to be at variance with ordinances of the Town ot Eagan, approved plans and specifications, and any specific raquire-
ments for off-site imprwements relating to the property inspected.
7 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILOING I
DATE
q??cftyofeagan
MEMO
TO: DIANE DOWNS, UTILIIY 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 singie
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, l.ots 1-22 22
BloCk 7, Lots 1-25 25
BloCk 8, Lots 1-5 5
BloCk 9, Lots 1-2 2
BloCk 10, Lots 1-23 23
BloCk 11, Lots 1-14 14
Block 12, Lots 1-9 9
Block 13, Lots 1-15 15
208
The City is currently being billed by Dakota Electric tor sYreetlighting in the above listed
subdivision.
Edward J. irscht
Sr. Engineering Technician
cc: Mike Foeresch
EJK/je
?5i0P
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
15-5a
Date 6) /,s1,/. / 10 IV
C-? ?
Site Street Address 39S?, i?lG? Unit #
Property Owner Telephone # (?$? ) 1/Jr?{'JJ09 ?
Contractor L/:???p?J (y.t ? Telephone # 45I ) ;ilas 43 VD
Address ,3 cg& City ? State {'» n_ Zip J`?s/a3
The Applicant is: _ Owner V-15ontractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
? Water Softener Water Heater
? replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total JUN 2 S 2004 g/$ -60
I hereby apply for a Reside nd acknowledge that the information is complete
and accurate; that the work wi I 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 start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
ApplicanYs Printed Name ApplicanYs Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178179
Date Issued:08/03/2022
Permit Category:ePermit
Site Address: 3942 Mica Tr
Lot:8 Block: 10 Addition: Cedar Grove 5th
PID:10-16704-10-080
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Roger W & Annette L Johnson
3942 Mica Trl
Saint Paul MN 55122--293
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature