3967 Mica TrCITY OF EAGAN Remarks * Cedar Grove AC quisitiorl
Addition - DAR GROVE #5 Lot 14 Blk 6 Parcel 1 0 16704 140 06
Owner u? ? •r- ' Street 3967 Mica Trail 5tate Eagan, M 55122
Impro4ment Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 37, 1967 100.00 5.00 20 Paid
SEWERLATERAL 3 1967 460.00 28.00 20 Paid
WATERMAIN
* WATERLATERAL ? 1972 607.00 24.28 25 Paid
WATER AREA
STORM SEW TRK ZA; 1974 70.40 4.66 15 Paid
STORM SEW LAT
CURB & GUTTER
SIpEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 12600 1-75
SAC 200.00 749
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: L 4T :
396/ MICA Y'R
GEbAIt BRaVE 6TH
IFQprrwti
I1NSUlAtION
IFTNAI.
FFMAHKSr RE--RUAF'1Nfi
INSPECTION RECORD
PERMIT TYPE:
Permit Numbe?:
Date Issued:
14 e Loc K? APPLICANT:
WAIKtk EtdOf IMG Cil
(612) 129-2326
TYPE OF WORK:
FRAMINO
NAIIBOARp
Contral No. i f`( 41
AuxI ar e
8l0234
#4ji3/Sl?
INC
REPAxR
Permk No. Permlt HoldW Date TNaptane •
S/W
PLUMBING
HVAC
ELECTRiC
ELECTRIC
tnspwtlon Os% Insp. CommotKs
Footings I
Foundetion
Framing ?
ROOfing Ga?to '
Rough Plbg.
Rough Ht8•
Isul.
RrepWe '
Rnal Htg. ?
Orsat Test
Final Plbg. Plby. Inspector - Noti(y Ptum6er
Cortet. Meter
EngrlPlan
Bidg. FMaI
Deck Ftg.
Deck Final
Well
Pr. Disp.
RESIDENTIAL
BUILDING PERMIT APPLICATtON
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681-4675
New Construction Reuuirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house? and all roo(ed areas
(20°5 mazimum lot coverage allarved)
• 2 copies of plan showing beam & window s¢es; pouretl found design, etc.)
• 1 setof Energy Calculations
• 3 copies of Tree Preservalion Pian i( lot piatted aker 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE S- ( ? -o r
JOB SITE ADDRESS Jc?(o-7 f 0 1;
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER?
TYPE OF WORK'Z2,
APPI1CANi
ADDRESS
PAGER #
EPLACE(S) _0 1 _2 _3
PHONE# CdZ-S?_Z?-g6
ZIP CODE
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plwnbing System Includcs:
I Mechanical Contractor.
' Vlechanical 5ystem Includes:
i
? Sewer/Water Conhactor: ?
Air Conditioning
_ Heat Recovery System
Phone #
All a6ove information must be submitted prior to processing of appiication.
Fce: . $70.00
??Ykl
I hereby acknowledge that I have read this application, state that the information is corr ct, and agree to comply ith
all appiicable State of Minnesota Statutes and City of Eagan Ordinances. By
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Require _
( m Y
_ Water Solteiier _
_ Water Heater _
No, of Saths
Pfione #:
L.acm Spanklcr
No. of R.I. Baths
Phone #
RemodeflReoair Reuuirements 's-
• 2 topies of plan
• 1 set oi Energy Calculations for heated additions
• 1 sile survey for extenor additions & decks
13,aaJ
q6b'1-
VALUATION (EXCLUDING LAND)
i{GLi (
Fee: $90.00
Updated 1l01
OFFICE USE ONLY
? 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 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 porchlAddn. (4-sea J ? 33 Ext. A11- SF
? 04 02-plex ? 10 pg-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 '.
? 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 appli cant
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Footings (new bldg)
Footings(deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Wa[er Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
REQUIRED INSPECTIONS
FinaVC.O.
Final/No C.O.
_ Ptumbing
HVAC
MC/ES System
City Water
Booster Pump
PRV ' ' ? •
, .
Fire Sprinklered
Other
_ Pool _ Ftgs _ Air/Gas Tests _
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
iVIC/ES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
T"reatment Plant
?lumbing Permit
Vlechanical Permit
_icense Search
:;opies
Dther
Building Inspector
rotal L.-)
EAGAN TOWNSHIP
BUILDING PERMIT
Ownes 47?..40...........
Addrest (Preseni) ..".4 -`---'?:.....(L.a"-`-"'(f----'72c.`.."..
Builder ........ ................................................. .._--..._-
Addreu ............................ ........................................................ .
DESCAIPTION
N° 1'778
Eagan Township
Town Hall
Dale ---SL.tC..Z..P:--------...------
Storias To Be Used For Froni Dapth
-- Heighf
-- Esi. Cosi Permit Fee Remazks
s? ?
???r
? -- _
- -
LOCATIOSi ' 11
Sfreet, Road or afhes Descr3p13on of Locafion I Lo2 I Block I Addifion or Tracf
-5'T/
a 'V JW §:-
This pesmit does noi avfhorize the use of s4xeels, roada, alleyc or sidewalks nor does it give the awner os his eqent
the righf fo cseate anp silualion which is a nuisanee or which presenis a hazard !o the healid, safety, eonvenience and
genezal welfase !o anyoae in the eommuniiy.
THIS PERMIT MUST BEAKEP"T ON TlH?E PAEMISE WHIL£ THE WOAK IS IN PROGRESS.
This ia to eerii4y, lhaf_--permission !o erecf a..... .?- --'_--.- ---'._ -._........ ... . upon
the above deaeribed premise subjec! !o the provisions of the Building Ordinance for Eagan wnship ado !ed April 11,
1955.
?e ,? r ?
.. ...........'-' --/.`.:??!c'---------................ ? Per ....--......_...,k?`.??u.....l,t.?!^:c'..??,
Ch?man of Tnwn Board Buildin Ins eefar
4 . ,?Q.
„ c/4?L n
3 /4zDG
j p '6 8541
IRequesi Date ` IFlre No. Rougn-in InspaMion
Requiretl? .?Featly Nvw ? Will NotiN inspector
? ?
, y I:?.Yes 5
J When P¢ady7
((Jo
-
I I.3l,elicensetl contraotor D owner hereby request inspection of above electrical workat:
Job Aatlress ?SVeei. Box or Route No.) Ciry
39 (oMI'cAvx- ?ro• i 1 a
ISection Na TTOwnsM1ip Name or No Range No. Couny
Occupam (PRINTI Phone No.
IPOwer Suvplier Adtlress
Eleclrical Contraclor ?Company Namel ConheMOr9 LiEense N0.
C4a2Z614
Mailinq ntltlress IComracto, or Owner Mabng Installation,
z?? sa
s?as
y?
r?Av rsv l' 7
Mp?s
---- -
-=- - - -
Auroonzeo Si nawre iGonVatlorOwner Ma%mg I s?alla0on?
--'.?? 4rr?? Pnone NumOer
_ ?z,_?q??----
,
MINNESOTA STATE BOAPp OF ELECTRICITY
Griggs-Mitlway Bbg. - floom 3-173
1821 Unlversity Ave., SL Paul. MN 55104
Phone(612) 6Y2-O800
THIS INSPEGTION REOUEST WIIL NOT
BE ACGEPTED BV THE STAtE 00Afl0
UNLE55PROPER MSPEGTION FEE IS
ENGIOSED.
47pry ? REQUEST FOR ELECTRICAL 1NSPECTION
6 ? See Insfmctions br comGleOng ihis forrn on hack ol yeilow copy.
Below Work Covered by This Request
.n
EB00001-08
;4 ?4•
- - ------ -------- -
?--
Vew?Aa
ep.j- TypeofBuilding
AppliancesWired
EquipmentWiretl
1
_
; HOme TRange Temporary Service
?- I {DUplex Water Heater Eleciric Heating
j I Apt. Bwltlmg Dryer Other (Speciry)
, ±- Comm./Indusirial Furnace
? Farm XI Air Conditioner
? i tOlber(syecify) Conhactor'sRemarks'. rj___^n¢Ly (??M1G?? dG
?"'LGH'?P
?'r
Compute Mspection Fee Below: F- -
# Other r Fee # ServiceEniranceSize ? Fee # Circuits/Feeders Fee
I i Swimming Pool to 200 Amps . 00 Amps
Transformers ? Above 200 _ Amps Abave.i _ Amps
i S1gtIS ! inspecror's Use Only: ? TOTAL
i Irrigation Booms ? 1/ I ZQ. (?
I Speciallnspeciion ? / `"
J
Aiarm/Communicafon
? THIS INSTALLATION MAY BE O ISCONNECTED IF NOT
Other Fee ?
--i-- COMPLETED WITHIN 18 MONTHS.
1. the ElecVical Inspector, hereby Ro°q°'"
f °al
a
certify that the above inspection
been made.
OFPICE USE 9NLV
Tnis reQUest vaio Ie monms hom
EAGAN TOWNSHtP
BUILDING PERMIT
BuIlder .
Addreas
DESCAIPTION
N° 2225
Eagan Township
Town Hall
Date .S..I..?L.7a .........................
SSo:iea To Be Used For Froni Depth Height Eei. Cos! Pesmi2 Fee Remaeks
?? . °z o a''?' e2Srd //. ? I S / 'a4'X?
LO
?s-
This pe:mit does not aulhorise the use of sSreets, roads, alleps or sidewalks aox dces it give the owner oz hia agent
the zighi !o ereafe anq sifuafion whieh is a nuisance or which preseafs a hazard fo the heallh, safetq, eonvenience and
geaeral welfare io anpone in the communiiy.
THIS PERMIT MVST BE Pi 1Q THE PR£MISE WHILE THE WOAK IS IN PAOGAESS.
This ia io cerlifY. lhat.-- °--. ...-°°°.--.°........._......_....._.._.....haspermissian !o ereet a..4?t.._. :._.-^° ... . .....---- _.._npoa
the above described psemise eubjee! !o the provisiona ot the Building Ordinance for Eagan Towns adopled April 11,
1955.
............................?tt7v..r..?.:.-..!"?.?.....-?^--...r.?-°-•--°--•-°-..._..... Per
............... "'_.. _..... ............................"""""......................
U Chairman of Tnwn Soard yB , BuildIng Iaspector
?B .
? CITY of EAGAN
BUILDING PERMIT
owo.: ........ ?,?: .............
Addrau (present) .... .1?...??...7.....?`:.:.`.:".:.:.._?.:
Builder ............................................................. ...................................
........................ .................... ............
l./"`:..`..`..`p ...............
Addreas
DESCRIPTIOtQ
. ;.
N4
3795 Piloi Kaob Road
Eagan, Mixuiesoka 55122
459•B100
Dels ?..?..-_-....+.?..`?•••._ ...............
Btories To Be Uced Far Fron! Deplh Heigh! Es2. Cos! Perml! Fae Remarlu
I Lt-.?t°".-J 1?4
LOCATION / 3 .Q °
Streei. Aoed or other Deaeriplion oI Location I Lo! Slock Addl4ion os Tsae!
This permit does nof aulhorise the use of siree2s, zoads, alleys or sidewelks nor does it qiva the owees oe his agea!
the righ! 2o ereate anp si2uation which is a nuisanee or which pzeseals a hazasd !o the heelih, satelp, eonvenience and
general walfare !o enyoae in the communitp.
THIS PEAMIT MU$T SE KEPT ON THE PREMISE WHILE THE WORK IS SN PROGRESS. .
-.•
This is !o eeriifp, !hal...??. ?:`.?...`......L?..-.t:`:...?..°.?.... has permissioa !o erect a__. ?.`.?.... ` •_• •---......---__
..... _upoa
the above described premise subjeot So the provisions of all applicable Ordinances for the Cifp of £agan
...................... ?;),.\--..?°L. ^......?.......................... PBT ......................... ,tY-?-?t- ?.,t??-?,.? . . ,_.
...."°'--....---°-----°'-•°-----•--° ---- ........................
Mayor J SuSlding Inspsctos
?
czTY oF EAUAN
3795 Pilot Knob Road
Eagan, Nlinnesota 55122
PERMIT NO.: 626
The City of Eagan hereby grants to C'ustem weather Control Products
a IjEATING
of 6021 Lyn3ale Ave. So., Minneapolis 55419
Permit for: (Gwmer) hlarlo NIll?r
at 3967 !hica Trail , pursuant to application dated 1/3/75
Fee Paid: $5.00 dated this 15th
.50 s/c
day of Jan . 2 1975
13uilding Iiispector
A.ecY:anical Permits:
Eid Total:
RESIDENTIAL
.. -` _
BUILDING PERMIT APPLICATION ?
CITY OF EAGAN
?? f Lr 2? 3830 PILOT KNOB RD, EAGAN MN 55122 Q C)
651-681•4675 ?
NewConaVUC1Mn Baoulromants BemotleVHeoeir Reaulremenffi ?` I+
• 3 regirilered stte surveys showhg sq, fl. of bt, sq. ft af house; and gLI roofed areas • 2 coDles of plsn 1
(20% ma)Gmum bt owerega ellowed) . 7 set of Energy Cakulatbns for heated addmons
. 2 coples of Dlan showing beam & wlndow sizas; poured foun0 design, etc.) • 7 sne surrey for exterior addAbns d Oecks
• 1 5et ot Energy Caiculetiau . Intlicate'rf home seNed hy septk sys[em tor atlCitlons
• 3 copies of Tree Preservatbn Plan if bt platted aHer 7/7193 ?
• Rim Joist Detell Optbns SeleCtbn sheet (61dgs wilh 9 or less unHS)
DATE o 6 O VALUATION
?
SITE ADDRESS MULTI-FAMILY BLDG _ Y XN
NPE OF WORK 2F-P(-r-?rCZ K?? K. FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ?-AJZC , ? R-SOti
STREET ADDRESS
TELEPHONE # S1 ?,I57-S'°-??LL PHONE #
??> CINm?'????? STATE YV?I13SS)S1
f'.0 7?D) - FAxtl(
PROPERTY OWNER ?AZ ? Y? SI ?fl TC,C?? TELEPHONE # (G2) Q-)-
-----------° ° ---° ------------------------- ----- ------------- ---------- --------------------
COMPLETE THIS SECTION FOR uNEWff RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submdssion type) • ResitleMial Ventilation Category 1 Worksheet Submitted • New Energy Code Warksheet Submitled
• Energy Envelope Calculations SubmiNed
Plumbing Conhactor:
Plumbing system includes:
Mechanical Confracior:
Mechanical system includes:
Sewer/Water Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
L,awn Sprinkler
No. of R.I. Baths
Phone Y
Phone #
I hereby acknowledge that I have read this application, state that the Information
with all applicable State of Minnesota StaTutes and City of Eagary0rtilnpnces. .
Signaiure of
OFFICE USE ONLY
(?.i €) mk- QFjv CC 7^rvc ,
Fee: $90.00
Fee: $70.00
T
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updatetl 4/02
OFFICE USE ONLY
O 01 Foundation,
O 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
O 06 04-plex
? 07 OS-plex ? 13 16-plex
? OB 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex p? 18 Deck
? 11 10-plex ?O 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Poroh (3sea.)
? 22 Poroh/Addn. (4-sea.)
? 23 Porch(SCreened)
? 24 Storm Damage
? 25 Miscellaneous
;-
p 30 Axessory Bidg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi
0 31 New ? 35 Int ImprovemeM O 38 Demolish (In[erior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Afteration ? 37 Demolish (Bldg)" 0 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolition (Entire B ldg only) - Give PCA handout to applicant
Valuation Occupancy nMC/ES System
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of lJnits Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of ConsY Width
REQUIRED INSPECTIONS
Footings(new bldg) FinaVC.O.
Footings (deck) y FinaUNo C.O.
_ Footings (addition) ! Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ 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
Mechanical Permit
License Search
Copies
Other
Total
/
?? ?o ?
?f
?9 6 7 Y+R.?c,?w -?•?j
.
EA i?M?N w.wl SS?? Lz..
(bS2 1642 1 ` 10 T7
t "**?
,........
,.. PERMIT Cont o No 0 214
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
3967 MZCA TR
10T: 14 BLOCK: 6
CEDAR 6ROVE STH
BUILDIN6
000234
04/13/92
SITE ADDRESS:
DESCRIPTION:
Building Permit Type MISCELLANEOUS
8uilding Work Type REPAIR
\
r
>\,
c . r-
/?
REMARKS: c O(? a Lo ?
RE-ROOFIN6
FEE SUMMARY:
Base Fee
Surcharge
Subtotal
w
VALUATION
PERMIT TYPE:
Permit Number:
Date Issued:
;3,000
$54.00
$1.50
$55.60
LICENSE SEARCH $5.00
Total Fee ;60.50
CONJFAKERORifOFING CO INC App1;17292325 0004 29Wm6§H BOB
2701 36TH AVE S 3967 MICA TR
PIINNEAPOIIS MN 55406 EAC,AN MN
(612) 729-2325 (612)662-2132
I hereby acknowledqe that I Meve read this application artd staEe that the
information is correct and agree to camply with all applicable State of pn.
Statutes and City of Eagan Ordinances.
L
?
APPLIC;G? /PERMITEE SIGNATURE
!?
i, r,? ? Y}1
SSUE B . SIGNA UR
PERMIT 8
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SIN6LE MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of eriergy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date r"r /?/ ?9Qa Valuation of work o?iC)3o??
Site Address: 3 9(? 7?1 i co, fra 1, j
STREET STE M
Tenant Name: f?O h A61+D s h
LOT ? l BLOCK ?_ SUBD. ? a1? Q?C ?OL4L ??L?/ P.I.D. M .
Descri tion of work: e-i-oot 110u ;e
The applicant is: ? Owner Contractor ? Other (Deccrfhe)
Name ? vi f05 {'1 13o b Phone (o -Q 132?;k
Property LAST FIRST
Owner pddress 396?7 ica 7-ra? 1
STREET ' STE ?
City ?aqa?9 State Zip
Company ' 1 -ai . Phone
C011tf8Ct01' Address ra70 ? AVC S? License #ooovaa?? Exp.3 31
City A015 State 1ti /J Zip L/0(?
Company Phone
Architect/
Engtneer Name Registration M
Address
Lity State 2ip
Sewer 8 water licensed plumber .. Processing time for
sewer & water permits is two days once area has een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with 11 applic ble State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?
urrwe uac unLT
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
O 02 SF Dwg. ? 06 Garage/Accessory O 10 Swim Pool
? 03 Two family ? 07 Fireplace .? 11 Res. Add./Porch
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Comn./Ind.
WORK TYPE
? 31 New
0 32 Addition
? 33 Alterations
034 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(A1Towable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REOUIRED INSPECTIONS
0 37 Demolish
? 99 Undefined
?'T3 P`ub'11c Fac.
? 14 Agricultural
&115 Miscellaneous
Basement sq. ft. MWCC System
lst F1. sq. ft. City Water
2nd F1. sq. ft. PRV Required
Sq. Ft. total Booster Pump
footprlnt Sq. ft. Fire Sprinkler
On-site well Census Code
On-site sewage. SAC Code
Building Assessments
Yariance
? Site ? Footing
13 Wallboard ? Final
? Framing
? Draintile
? Insulation
0 Fireplace
Permit Fee ' , p v.iu.sion:
Surcharge 1_ r?p
Plan Review License r). Dn
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total : . ,ij i
SAC %
SAC Units
: -5,p Q00
la.Q2e?•
?
1670Y-1410-06
e?zj
A 7/9Z
,1994 MECHANICAL PERNIIT (RESIDIIVTIAI.)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOIv1ES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNIT.
NEW CONSTRUCTION
? ADD-ON A/C
?ADD-ON FURNACE
FIREPLACE INSERT
DATE
HVAC: 0-100 M B'TU
ADDITIONAL 50 M BTU
GAS OT ITT F_ TC rr.r?nrTwm , n gz m F n rr.?•t
- --
ADD-ON/REMODEL (ExisTuvG corrsrxucr[olv)
STATE SURCHARGE
TOTAL
FEES
$ 24.00
6.00
$ 20.00
.50
.2a. 115
SITE ADDRESS: .79?7 7W,-,Z
OWNER NAME: /GoR-44- dv"v-4,qc TELEPHONE #: 691-8082
INSTALI.ER: f,/iW7t.G etafi? o?-/c
, -
aDDxESS: i9r,r' XA:n,? ? ,
CITY:2W42/ STATE: f?''?? ZIP CODE: Sa-12-2-
TELEPHONE #: ,'s :2-161i S?
ZW .???
G
PLEASE COMPLETE FOR ALL COMNIERCIAL/INDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DAT'E:
NEW BUILDING
INTERIOR Il14PROVEMENT
WORK DESCRIPT'ION:
CONTRACT PRICE:
FEES
1% OF FE$ $
a.,.. _.>...<:. :, ......::.,ss,..
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF MRFEE.
.?..a.?.m
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
IN3TALLER:
ADDRESS:
CITY
TELEPHONE
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
19941i-IECHANICAI. PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
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SUBD.
BL ?
CITY USE ONLY
QA &Pw A C7 ? U 1i -e -?, ts-?
RECEIPT #: 01? ? I I
RECEIPT DATE: S' T d
PERMIT # }l Q S lo rd??
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IRtOB RD
-?.,- EAGP.N, MN 55122
651-681-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES
EACH t/
`Ti i5 r_r
Alteretions to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pi ing outlet ' minimum -1 3.00 X = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newirefuwisned ' requires MPC Ilc. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repair/reCuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Under round sprinkler ff dweliing is under construction 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener IT dwelling under consVUCtion 5.00 x = $
Water softener if axlsting dwelling 30.00 X = $
Water tumaround 30.00 x $
State Surchar e .50 -> -> ---> $ .50
Total -> -> -> -> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------------------------------------------•------•-------------------------•---------------• •----------• •--------------------------I hereby adcnowledge that I have read this application, state that the infortnation is correct and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and maintenance adivkies to the facildies constructed under this pertnit within City property/right-of-way/easement.
SITE ADDRESS: 3'1 VI MIt.tT ??m-,
OWNER NAME: :?vi ii -,TAD 1 i jr-? b5I b?? -qz-owl
WSTALLER NAME: _MeGUme o enNe
STREETADDRESS: 605 12tf1 AvEf111B $OUtfl
cirr:
TELEPHONE #.
(AREA CODE)
TELEPHONE #: &t --/ R31-46
(AREA CODE)
STATE: ZIP:
SIGNA R OF P ITTEE
?LJ_(o -S
EAGE,,N TOSdNuHIP
3795 Pilot Knob P.oad
St, Paul, Minnesota 55211
Telephone 454-5242
PERMIT rQR SfiWER SERVICE CONNECTION
DATE• YYJIki? `I) 1 qbd
NUMBER / 4? P
OWNERA&W Address 3A67 Wu?wlzsh?
PLUMSER TYPE OF PIPE ??ut ?(?.?J
DF"aCRIPTION OF BUItAING
Industriall Commerciall Residential I Multiple Dwelling I No. of units
?
Location of Connections:
Connection Charge.2°oBp P-4 S-h16P
Permit Fee 'I- `ra I'
ghmeee ikepmWe 9-,07.'?-?
Total -1--V
inspected by:
Date
Remarks•
By.
Chief Inspector
In coasideratioa of the issue aad deliverq to me of the abave permit, I
hereby agree to do the proposed work in accordance with the ruiea and
regulations of Eagaa Tormship, Dakote Coun , Minnesot
BY 40,0 , .
Please notify when ready for inspection aad conaection and before any portion
of the work is covered.
W/
7o6) rel?r / a ;7e? ?A.-I ?.?? .
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MASTER CARD
LOCATION ? I n J947
OWNER
STRUCTURE AND
LAND USED AS
/
Permit
No.
Issued Issued To
ConTracfor Owner
BUILDING
PLUMB W G ?D7 _
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
?
SANITARY SEWER
OTHER I
O7HER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING ? SEPTIC
FOUNDATION ? CESSPOOL
FqAMING TILE FIELD FT.
FINAL
ELECTRICAI
HEATING
q DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
i
\
COMPLIANCE INSPECTION REPOftTS
TO BE USED ONIY IN EVENT OF 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.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reponed herein
all significant conditions observed to 6e at variance with ordinances of [he Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvemenn relating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILOING INSPECTOR
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Ir AAIL ? ER CARD
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LOCATION 44.?
OWNER '
STRUCTURE AND
LHNU U?CU HD R, v/? #? ((^q .
Permit
No.
Issued Issued To
Coniracror Owner
BUIIDiNG
?
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
•
0
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING ?Qa + y'? SEPTIC
FOUNDATION , _
?s CESSPOOL
FRAMING '? TILE FIELD FT.
FINAL
ELECTRICAL ?-
HE,4TING 3 D
LL
GAS INSTALLATION
SEPTIC TANK
-100
CESSPOOL 0
I?
DRAINFIELD `
PLUMBING M
WELL ? 'Ji
SANITARY SEWER
? e
Violations Noted
on Back
COMMENTS: ? / ?
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
IN7END TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYE? BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS fOLLOWS:
? REINSPECTION REQUIRED
REVEALED
DATE OF REINSPECTION
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or praspective, and that I have reported herein
all signiticant conditions oLserved to be at variance with ordinances of the Town ot Eagan,approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
I] ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPEGTOR
OATE
•
?y z 3
41?
- city of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILIING 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, 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
206
The Ciry is currently being billed by Dakota Electric for streettighting in the above listed
subdivision.
Edward J.Sirscht
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3967 Mica Tr
Lot: 14 Block: 6 Addition: Cedar Grove 5th
PID:10- 16704 - 140 -06
Use:
Description:
Sub Type:
Work Type:
Description:
Comments:
Fee Summary:
e - Water Heater
New
Water Heater
Meter Size Meter Type
Cherie Pung
1424 3rd St N
Minneapolis, MN 55411
Contractor:
McGuire & Sons Plumbing & Heating
1424 N 3rd St.
Minneapolis MN 55411
(612) 604 -4285 X61
Total:
Manufacturer
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Karla A Stadtier
3967 Mica Tr
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA089936
06/29/2009
ePermit
Line Size
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114031
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 3967 Mica Tr
Lot:14 Block: 6 Addition: Cedar Grove 5th
PID:10-16704-06-140
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 .
Elizabeth Hess
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 -
Karla A Stadtler
3967 Mica Tr
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature