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3960 Mica Tr Use BLUE or BLACK ink f or Offic* Use Eap Pemm;r. D 4 Sal 4lo Ul 0 1. Permit Fee: s~r I 3830 pilot Knob Road AU6 8 I I Eagan MN 55922 i t d'-11~ Phone: (651) 675-5675 i Date Received: Fax: (659) 675.5694 I Statf: ML 2010 MECHANICAL PERMIT APPLICATION Date• Site Tenant: Suite o. z_ RESIDENT I OWNER Name: Phone: 7 Address / city I ip: CONTRACTOR Name: ace $1~~„~ Address: Cityr State: ~ ~ Zip: Phone: L; C~ F t: Contact TYPE OF WORK New Repiaosment Additional Alteration Demolition Deacripdon of work: AC`q-,~f-o( NOTE: Roof mounted and ground mounted mechanical equipment Is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. Fug SID&NTIAL New Construction COMMERCIAL PERMIT TYPE interior improvement _ _ ,Air Conditioner Install Piping Processed Air E hajnger Gas Exterior-HVACUnit Heat Puns, p Under I Above ground Wank Install f Remove) Otlter "When k""w ghemoving tank(s), call for Inspection by Fire Mar" and Plum ' i RESIDENTIAL FEES; $55.00 M ni imUM Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned otd appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ vV TOTAL FEE CO MMERCIAL FEES: $75.00 Underground tank instailationtiemoval OR Contract value $ x1% $55.00 Minlinga (includes State Surcharge) $ Permit Fee - If the PaW Eft is IQ" than $10.010. surcharge is $ 5.00 - if the Permit Egg is > $10010, surcharge incr6sses by $.5o for each $1,000 Pemat Fee $ Surcharge (to. a $10,010411,010 Permit fee reqtdreea a S 5.50 surcharge) $ TOTAL FEE g" BEFOF XW M Call GopMr Stab One Cal at (661) e5e-0002 for praawftn against underground ud tin darpage. Call 48 hours before you Intend to dig to receive Weates of underground Willdw www_ aooherstateonecall.ora I hereby acknowledge that this Wwmadon 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 not to start without a permit; that the wok will be in accordance with aPpr~ed plan in the case of wok which requires a review and approval of plans. x x Applicant's Printed Name Applicant's f FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough In Air Test _Gas Service Test -In-flour Heat Final Exterior HVAC Screening Inspection CITY OF EAGAN Remarka * Ceddr GZ'ove Acc7uf181t1Qn _ (LKAA/l - Lot 11 Rik lA Parce110 16704 110 10 Mica Trail s,te Eaqan• MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1967 . 0 SEWER LATERAL 1967 WATERMAIN ? WATER LATERAL 972 607.00 .28 25 WATER AREA STORM 5EW TRK 23 1974 70.00 4.66 5 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sAC 200.00 716 4-9468 PARK INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1 r, ? i ? Rc, r?t b 39t - 0 M t 1:F9 f.F(lrll: t.aRtiV#. 46 APPLICANT: , • . ?i? 1 . ? . ?+i i 1 ?? ( tr ? ?' ) t{c'.: •S:??$!-. I 77771 ; PERMIT SUBTYPE: . TYPE OF WORK: I !'ATK Itll(}f 114(i) Pertntt No. Permit Hoider Date Talephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAINING RQOFING , w ROUGH PLUMBING A "- PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TES7 BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINA! ? , j . , CiTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: , ,, i PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued; ? I fi 1- F„- r; APPLICANT: TYPE OF WORK: 11: . , I I I i ?+;f „ ., ? r i I I r t ?i i I iI I-iJ Nl11jlJ (df ('I AI ( Mf lV f l INSPECTION DA • D• ? ? Permit No. Permit Holder Date Tetephone # S/W PLUMBING HVAC ELECTRIC ELECTRfC Inspectlon Date Insp. Comments Footings t Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. lrtspector - Notify Plumber Const. Meter ! Engr./Pian Bidg. Final Deck Ftg. Deck Final Well Pr. Disp. EAGAN TOWNSHIP BUILDING PERMIT o..ne: ...--.C.:Lc?-e!c------ - 11!? ..-r-s----/.?.. _....?c?:. _...C?.9.--:...- Address (Pzesen!) -.;?--....:?..'_-Il..?.'.'.`.:?'?.-_.f.i_'t?"'.'+.-' . Suilder .............................................................. Address ........_ ........................---.......------_....----°------`---- - N° i'751 Eaqan Township Town Hall Dale ......... ILd .................-.. DESCRIPTION Stories Ta Be Used For Fron1 Depih Height Esl. Cosf permit Fee Remarks or LOCATION IAl b-c . s' 1'his pezmii does not aulhorise the use of sixeeis, roads, alleys or eidewelks nor does i2 give !he owner or his aganf the righf !o create any sifuation which is a nuisanee or which preseafs a hazard fo the health, safefy, convenience and general welfare So anpone in the community. THI3 pERMIT MUST BE?y KEPT ON THE PREMISE WHILE THE WOAK IS IN PAOGRESS. Thls is !o cerrifp, lhaf..Li....2.:.....L.?![r??r..?rr..-__ ..................... haspermission !o erecf a----- lx........... -' ?'--""-'- - " . ?-?- u .""'._ Pon the above described premisa subject fo the provisions of the Buildinq Ordinance for Eaqahip adopfed Apri1 11, 1955. Q, /fg .............. ?.fj!?..._ _t/?- !:--_........... ..........._---... Per ..................1K.c! u....._............. / ...... hairman of Tnwn Board Building Impeclor 4' B ' - CITY of EAGAN BUILDING PERMIT DESCAIPTION . .. N2 3318 3795 PiloY Kaab Road Eagan, Minnesota 56122 454-B100 Date .... ?.°....... . ?.?}.-.7.?l.? ............... 6losiee To Be Uead For Fron! Deplh Heigh! Est. Coe! Permt! Fea Aemuks ,?,,,.. cl ?76 () V'V ?? . y j, Su a.,? - Slsaet. Aoad or olher Deaeripilon ai Locafioa I Lo! I 81ock I Atld[fion or Treet t'% I tv I C' l-s. =P ___?i 1'his parmii does not aufhotize the use of slreels, zoads, alleys or sidewalks nos doec it give the ownes or hia agea! the sigh!!o creale anp silvaiion whieh is a nuisanea ox whieh presenis a hasard !o the 6ealfh, aafe2y, conveoienes aad ganeral welfare to anpone in the commu»itp. THIS PERMIT MUST BE EPT ON THEC-6PREMISE WHILE THE WORK IS IN PROGRESS. Th[s Ia !o eeriifp. 1hal--.. .................... ............... hea permissioa !o ereei a........ ?•----•c-----?-.-.- ?..? ............................ _upon the above described premise subject fo the provisioas of all applicable Ordinances fos ihe iiy o' f£ g?an .......... .................... 27.:.t. ---- (Z-A:G c Per ?..-et ?f?c._..r'?"'-' - ."---...-- ---'-'--.......... ...................................................................................................... MaYor -6 Bullding Tmgeclor ? 0? RESIDENTIAL ???j BUILDING PERMIT APPLICATION cirv oF Eacnro 3830 PILOT KNOB RD, EAGAN MN 55122 651-881-4675 ? 13 `1 ? New Canstruction Reuulrements • 3 registered sRe surveys showing sq. ft. o( lot sq. H. of house; and ail mo(ed areas (20°k maximum bt croverage ailowed) . 2 wpies of plan showing beam 8 window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservallon Plan rf lot platted afler 711193 • Rim Joist Oetail Options seleclion sheet (bldqs wilh 3 ar less units) DATE VD-?L16' C)'t-- SITE ADC TYPE OF RemodeVReoair Reaulrements • 2 copies o( plan . 1 sel of Eneryy Caiculations far heated additions . i site survey (or ezteAor addilions 8 decks . Indicate if home serred by septic system for additions VALUATION 4g-+I • 2-`4 APPLICANT Catastrophe Restoration Se?vices Inc STREETADDRESS 2489 Rice St Suite 70 CITY RosBVille STATE-MZIP55113 TELEPHONE # 651-734-9433 CELL PHONE # PROPERTY ,ULTI-FAMILY BLDG _Y V-N FIREPLACE(S) a?0 _ 1 _ 2 FAX #?'j=51-dR3-M19 TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'1'A RULES 7670 CATEGORY I MINNESOTA RULFS 7672 (V submission type) • Residential Ventilation Category 1 Workshee[ Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Piumbing Contractor: __ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Water Softener _ Waler Heater _ No. oF Baths Air Conditioning Heat Recovery Systein Phone # Fce: $90.00 Fee: 570.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabie State of Minnesota Statutes and City of Eaqan Ordinanc'.Qs. Signature of OFFICE USE ONLY _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY O Ot Foundatlon ? 07 05-plex ? 13 18-plex ? 20 Pool O 30 Accessory Bldg ? ? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 Otof_plex ? 09 07-plex ? 17 Garaga 0 22 PorchlAddn.(4-seaJ ? 33 Ext.Ait - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuIU ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement O 38 Oemolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) O 45 Fire Repair ? 33 Akaration ? 37 Demolish (Bldg)" ? 43 Reroof O 46 WindowslDoors ' ? 34 Replacement •Demolitlon (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water I SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. af Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundadon - HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Franilng _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Fiual _ Windows (new/replacement) _ Insulation _ Retaining Wall --- ---- Approved By , Building Inspector ! -__-------- - Base Fee - ----- ---????__ --- -----_----_______????? Surcharge Plan Review ? MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit f Mechanical Permit License Search Copies , Other , Total ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: LpTe 3960 MICA TR CEDAR GROVE 5TH PERMIT SUBTYPE: SF (MISC.) INSPECTION RECORD PERMITTYPE: euzLorrvc Permit Number: 0 2 4 9 5 4 Date Issued: 12 / 13 / 9 4 11 B L 0 C K: 10 APPLICANT: TWIN CITY STORM SASH CO (612) 546-8160 TYPE OF WORK: REPAIR DESCRIPTION (WTNDOW REPLACEMEN7) INSPECTION FRAMINB D. . ROUGH IN PLBG .. ROUGH IN HTG FINAL F- L ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Numher: Date Issued: C?3`4(01 BUILDING 024954 12/13/94 SITE ADDRESS: P.I.N.: 10-16704-110-10 i..,, (WINDOW B,yilding' Permit Type Building 0it*rk Type 0 ? ? f ? ? / ..r DESCRIPTION: REPLACEMENT) SF (MISC.) REPAIR Ffl?? REMARKS: FEE SUMMARY: Base Fse Swrcharge Total Fee FERMIT 3960 MICA TR LOT: 11 BLOCK: 10 CEDAR GROVE 6TH VALUATTON $106.00 $4.50 $112.50 $9,000 CONTRACTOR: - Applinant - sT. Lzc. pWNER: TWIN CITY STORM SASH CO 15468160 20020888 LARSON WAYNE 10825 GREENBRIER RO 3960 MICA TR MINNETONKA MN 55305 EAGAN MN 55122 (612) 546-8160 (612)452-1091 T hereby acknowlsdge that X have read this inforroatian is correct anzi agrae to comply 5Catutes ansY Eity nf Eagan Qrdinances. APPLICANT/PEFIMITEE SIGNATURE applicat3an arrd state that t'he with a11 appZicable 5tate trf Mne I '?ssu oev?s$"u-?"E i-'-?- ?4 "4 CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 ?!o cf3 ? 4111.zo SINGLE & 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 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by 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 q Valuation of work e6) 4• oo Site Address: ?IG'Fl L STREET SUITE 0 Tenant Name: (commercial only) IAT BIACK ? SUBD. n'Vu 1?i7? .J P.I.D. # Descri tion of work: ReYI70l,6 e I -'`T [A//l1//,)0Z1.'S The applicant is: ? Owner 2r-Contractor ? Other (Describe) Name ??.50 { Lfh/,V1? Phone Property LnST FIRST Owner Address i'Y1/L'8 STREET STE M City _GQ,GI?/Z State Zip ?Sl ?2- Company Phone Contractor iion nc. Address License #avQ?'ag?? Exp..?-3/• 5 :.;.os Cit; Stat2 Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water p`ermits is two days once area has been approved. I hereby cknowledge that I have read this application and state that the information is correct d agree to comply ith all applicahle State of Minnesota Statutes and City of c?n Ord nances. Ff ? Signature of Applicant: OFFICE U5E ONLY BUILDING PERMIT TYPE ? 01 foundation ? 06 Duplex ? 11 Apt./Lodging O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 5F Addition ? 08 8-Plex O 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair p 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Oepth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Nian Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vstmc;p,: ? ?sA ? 16 Basement Finisfi ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Camm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO : TCSS ACQUISITION INC ADDRESS : 10825 GREENBRIER RD MINNETONKA MN 55305 1030 SAVANNAH RD . LOCATION 3960 MICA TR HECEIPT #/ DATE CR 34952/DEC 13, 1994 REASON FOR REFUND ovExrnnMENr TYPE OF REFUND ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT SURCHARGE WATER CONNECTION PERMIT 5211-9001 $ 8212-9001 $ 9213-9001 $ 2155-9001 $ 3713-9220 $ SEWER CONNECTION PERMIT 3743-9220 $ ACCOUNT DEPOSIT 2252-9220 $ UTILITY ACCT OVER-PAYMENT 2250-9220 $ CURB BOX DEPOSIT REFUND 2253-9220 $ CONSTFtUCTION METEF DEP REFUND 2254-9220 $ WATER USAGE CHARGE 8711-9220 $ OTHER: SUILDING PERMIT 3210-9001 $ 15.75 $ I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. Rl.15h7?1?^1-.. J?q i;?r?1 12/13/94 Signature` JP-13 -?y Date C??? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILOING 029@95 10/22/96 SITE ADDRESS: P.I.N.: 10-16704-110--10 DESCRIPTION: 3960 MICA TR LOT: 11 BLOCKs 10 CEDAR GROVE #5 (RQOFIN6) rmit Type SF (MISC.) 1-.,?k Type REPFlIR ??_•"'?a 434 ALT. RESIpENTIAL F4 ? ' ?"i? ' ,?? R ?? %?? . ?.V ?3! ? ? ?`? Y1 REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Totel Fee $87.25 $2.00 $89.25 $4,000 CONTRACTOR: - Applicant - sT. LTC OWNER: SELA ROOFTNG & REMODELING 18238046 0001050 LARSON WAYNE 4100 EXCELSIOR BLVD 3960 MICA TR 5.7 LOUIS PARK MN 55416 EA6AN MN 55722 (612) 823-8046 (612)452-1091 .. .. __. ,. 4 , . o x. z hereki+? acK,rv;aw1 edz??e `?hat `? h?v?? ?^aazl ¢?h?.? ?isipl3cat?ian antl' ?tat-e kWe4t. ttre infarmatio-n ,'s ocr'rr,`.?ct ^??1'cJ ?gr??}? tt?; ?g`m?t?.y kC?.'?17 ak3,rt ?pp='licah?? ,S_??Ce'af mYt. ' ? StatuL'es and_ t 3?y ts= 4'a??s?a C??d3c?artr?0,? 6 a$y^ Y ? ?? _ ???n ?.?? APPLICAMlPEflMITEE SIGNATURE I SUED B SIGT'tAT p CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? ? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 46 681-4675 RemodeVReoair Reouirements ? 3 registered site surveys ? 2 capies of plen ? 2 copies of plans (indude beam 8 window sites; poured fid. design; etc.) ? 2 stte surveys (exterior additions 8 decks) ? 7 energy calculations ? 1 energy celeulations Mr heeted additions ? 3 copies of tree preaenatbn pisn H bl pletled after 7N/93 requked: _ Yea _ No DATE: ?D-z-Z . ?? CONSTRUCTION COST: DESCRIPTION OF WORK: T Ce72, -??- STREET ADDRESS: 3(766 IV16'9" % 29-1G- LOT I I_ BLOCK 1.0 SUBD./P.I.D. #: CZJ/)n/ ?Iln19L?? PROPERTY Name: Phone #: OWNER Street Address, 317 46 ?/4-1 7-r-41 City: rA6 04J State: /11 'V4) Zip: _r-S-l 2 Z- CoN7RAC7oR Company: ' Phone #: 5treet Address: c-r i 4100 EXCELSIOR BLVD. CnTn a?a,a nuic anaK M , ItiNF icense # • ID# 0001050 City; State: Zip' ARCHITECTI Company: Phone #- ENGINEER Name: Registration #' Street Address• Ciry: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penaliy appiies when address change and lot 1 hereby acknowledge that I have read this applicafion and state that the information is corcect and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature ot Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No -??-? Tree Preservation Plan Received Yes No BUILDING PERMIT TYPE OFFICE USE ONLY ? ?. C? V Ra y ?? #. ?4•' ? ?9+?? ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dweliing o 07 4-plex ? 12 Muiti RepairlRem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Pubiic Facility 0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE 0 31 New o 33 Afterations ? 38 Move a 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuaq Basement sq. ft. MCNVS System (Aliowabie) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq, ft. Census Code. Oepth Footprint sq. ft. 5AC Code Census Bidg Census Unit APPROVALS Planning Buiiding Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC Cfty SAC Water Conn. Water Meter Acct. Deposit S/VH Pertnit SIW 5urcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies Total: % SAC SAC Units Valuation: $ EAGEiN TbWNSHIP 3795 Pilot Knob Road SC. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR 5E47ER SERVICfi CONt3ECTiON DATE: April 8.1968 OWNERCedar Grove Const. Co. NUMBER 142 Addreas Lot 11 Blk 10 GG 5 PLUMBER Steins T7ZpE pg plpE DESCRIPTION OF BUILDING Industriali Commercialf Residential Multiple Dwelling No, of units Location of Connections: Connection Charge Permit Fee 7•50 Pd. Street Repairs Total Inspected by: Date Remarka• sy. Chief Inspector In coasideration ot the issue arrd delivery to me of the above permit, I hereby agree to do tfie proposed work in accordance with the rules an8 regulations of Eagan Tocroship, Dakota County, Minneaota By Please notify when ready for inspection and cotmection and before any port3on of the work is covered. < o. THE SIiSSEI COMPANY 1 850 Coma Avxnua St.'aul, MinneSOta 55108 P-Kermit by-.a4L6d ? Legal Description p lot ? Bik- 0 Add'n D Value? (4'(yp( GonSt. Slab: ? In y Sussei ? By nwner Approx. 25TRqTINGS POINTS ONLY S.P.L. S.S.P.L. fl.P L. r ? Alley F &,Tquare With ? ijpds B?Mesh d'Sod Rem. B ? g Mix 9 Mix K ? T ping amping ?'? ?J.?Ec? ?liy G,ade Point ? CQtiDUIT " H. Dr. Offset ? S.D. Location GBoc.kS O8Y Ownet CYVJindows Existinn gerage• No C ? per,cneA lx?1Siiached vus [ $ar o1 az'etinp:_11`-'?y'?". Existinc, garage will 6e:°` ? L; as is Cpr verted to L.S. - ey owmr D flernoved By: Owner? Sussel ? Jank M ist 8e Removed By Owr ? Spec:ify other rertrovals by Sus- sel or owner - e+ees, busnes, etc. ? ShoN ap{xox. dist, garage to hcuse and all prop. lines StaF es visibie • ? YO ? No Sun ey available - C?'es Cl No C Sce? ial instructions from av 1w. Inor T : rnl.yTl `'/ .?i i ... ?l Iv _s 3,3/d` WORK ORDER NAME -PHONE # JOBADDRESS J7C44 //I,l&,A?%l . . )nA of . .? iT t \ . 1 , W? . iaL?a 2w!. v+ [Y:.`RC? MASTER CARD LOCATION , OWNER STRUCTURE LAND U ED ASD 2 O )c:Z?, ? iO 7- Fg? Permit No. I Issued Issued To Coniractor Owner BUILDING PLUMBING 33 /? 1 ?y •? ,S'?rs-P? CESSPOOL - SEPTIC TANK VJELL ELECTRICAL H EATI NG GAS INSTALLING SANITARY SEWER OTHER OTHER Ifems Approved (Initial) Date Remarks Distance From Well FOOTING FOUNDATION X-3_ SEPTIC CESSPOOL FRAMING c TIIE PIELD FT. FINAL ELECTRICAL / j HE.4TING DEPTH OF WELL GAS INSTALIqTION SEP71C TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations No}ed on Back COMMENTS: COMPLIANCE INSPECTION REPORTS - TO 6E USED ONLY IN EVENT OP OBSERVED VIOLATIONS PERMIT NO, DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS ? GOMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED 8Y CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPEC?ION CERTI FICATI ON - I certify that 1 have wrefully inspected the above in which I have no interes[ presenc or prospective, and that 1 have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifiCations, and any apecific require- ments for off-site improvements relating to [he property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR COMMENTS: OATE 4bo MEMO -c'ity of eagan TO: DIANE DOWtJS, 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 departmerit 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, LOt5 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 biiled by Dakota Electric for streetlighting in the above listed subdivision. Edward J.?'irscht Sr. Engineering Technician cc: Mike Foertsch EJK/je PERMIT City of Eagan Permit Type:Building Permit Number:EA118281 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 3960 Mica Tr Lot:11 Block: 10 Addition: Cedar Grove 5th PID:10-16704-10-110 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Marlys S Larson 3960 Mica Tr Eagan MN 55122--293 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142376 Date Issued:05/01/2017 Permit Category:ePermit Site Address: 3960 Mica Tr Lot:11 Block: 10 Addition: Cedar Grove 5th PID:10-16704-10-110 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Marlys S Larson 3960 Mica Tr Eagan MN 55122--293 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:Mechanical Permit Number:EA177781 Date Issued:07/18/2022 Permit Category:ePermit Site Address: 3960 Mica Tr Lot:11 Block: 10 Addition: Cedar Grove 5th PID:10-16704-10-110 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Marlys S Larson 3960 Mica Trl Saint Paul MN 55122--293 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature