3973 Mica TrCITY OF EAGAN Remarks *Cedar Grove Acauisition
Addition CEDAR GROVE #5 Lat 13 B1k 6 Parcel 10 1670q130 06
i
Owner ` Street 3973 Mica Trail Stace Eaqan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 3 1967 100.00 5.00 20 Paid
SEWERLATERAL 1967 460.00 28.00 20 Paid
WATERMAIN
* WATERLATERAL 1972 607.00 24.2$ 25
WATER AREA
STORM SEW TRK 1974 70.00 4.66 15 Paid
STORM SEW LAT
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sAC 200.00 452 10-25-67
PARK
EAGAN TOWNSHIP
BUILDING PER"MIT
.
Ownex ..................
? Address (Present) ... ie ........ .--.........--.....- --- ?? .
, - ..
Buitder _........_-----,0.??:?-f../ ..................... -........ -._.------..___ _. . . - ? .
' Address ..................................................... ....._.---------------
DESCRIPTION .?
N° 1529
Eagan Township
Town Hall
Dafe ..Y_j:....
.._'.?•- ..-... c .... C.......... _.
Siories To Se Used For Fronf IDepth Heigh! Esl. Cost ? Permit Fee1 ? Aemarks
I
reet, noaa or oxn
LOCATION
a.o: niocK AQQII30[I or -rraex
? / _
This pezmii does nof aufhorize the use of sireefs, roads, alleps or sidewalks.nor does if give the ownez or his agen!
the righf !o creaie anp situation which is a nuisance or whieh presenls a haaard !o the healih, safeSy, convenience and
qenesal welfare !o anyone in the communify. . ,
THIS PERMIT MUST BE KEPT Og/THE_ PAEMISE WHILE THE WORK IS IN PROGRESS.
This ie !o corfify. fhai_............. has permission !o ereef a_.._l?..?4-:'.. 7r?s....C.?:.4°:?,?.?-...._...upon
fhe ebove deseribed premise subjeei to the provisions of the Buildinq Ordinanee for Eagan 4`ownship ad?opied April 11.
1955. /,. ?- --.................. ...._...!!?!!::?'^"`:---- ?......--... Per ................?. ..?':.:....---------......
............----
Chairman oi Tnwn Board - Suilding Inapeetor
R. ?
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Singtc Family Dwellings
Townhomes and Condos when permits are required for each unit
W,2O.SO
Date 8 / 15 / G:3
Tr 1.
Site Address39 -1 3 m; ca
. Unit #
PropertyOwner 4-tCLY jd1 -TCV.C t?L"*-
Telephone # ( GsI )y S-f??
Contractor Wohlers Southside Htg. & Air, Inc.
6950 W. 146' St., #106
Street Address Apple Valley, NIN 55124 City
(952) 431-7099
State Telephone # ( )
The Applicant is _ Owner J? Conhactor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
X- air conditioner
other
State Surcharge $ .50
n r? ?I
Total - `
Ii J' S
!? u U
?
L
?
j
AUG i 8 2003 j
? $
i
I hereby apply for a Residential Mechanical Perntit and acknowledge that eg-&fomiafioa=?lete_and1 accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is not a
permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work wluch requires a review and approval of plans.
Do,ni-c-i -11-1. LL?lerS, . Q.C.Lr? iZ WJJQ-L?
Applicant's Printed Name ApplicanYs Signature
MECHAIVICAL (COMMERCIAL)
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Pleace complete for. eommerciaVindustrial buildings
multi-family buildings when sepazate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone #
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Contrector _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection du ring installation/removal of tank
Processed Piping
Nature of Work:
P¢Clnit F¢¢ $50.50 Minimum Fee (includes Sta[e Sutcharge)
Contrac[Value $ x 1% _ $ PermitFee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If permit fee is over $1,000, add $.50 per
$ 1,000 Peimit Fee
$ Total Fec
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; [hat the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that 1 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 approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: Inspector Date:
PERMIT # ? I ll O -?)
RECEIPT DATE:
2002 MIDENTlAL PLiJM$INfi PF.EiM1T APPI1CATIOR
C1TY OF EAfiRN
3$30 PILOT KAOB iiD
£AHRF, bfft 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
SITE ADDRESS: backflow preventer for irrigation system
-"1 n M i cc?
Trai !
OWNER NAME:: - TOLV.ZAA???1w TELEPHONE#: ?JCJi ?"?' F7T??
(AREA CODE)
!PlGTP,LLERNAME: 1 Sxworv-?2 TELrPHONE#: bSI
STREETADDRESS: 3b? oDd-d r"V/-' (AREACODE)
CITY: Lv?Wa? STATE: 'V°t ZIP:'hi !2-3
_ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaiers. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 5/8" meter if needed •$118)
Other:
_ RPZ: new installationlrepair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener l water heater $ 15.00
St
S
h T 9 ? ll U, 50
ate
urc
arge D $ .
)
T
i5
rotal ? I
I herebyacknowledge that I have read this application, sWte that the infortnation is covect, and agree to omply with?llppplicable Ci agan ordinances. It
is the applicanPs responsibility to notify lhe property owner that the City o( Eagan assumes no liabilit or?e e da €s cause by} City during its normal
operaUonal and maintenance activities to the facilities construded under this permit within City pr e? ? f- yleas n l
? ??
SIGN RE OF PERMITT 1/02
.c,e-p? Zd ?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WfiEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU - $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@ 53.00 EACH)
ADD-ON/REMODEL (EXISTING CoNSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL d?p?_551
SITE ADDRESS:,-,?973 /;/%Ca ?,?
OWNER NAME: 7-?o/- TELEPHONE #: ?I?o7TJ
INST.
&AIR
45?2-?5^ ." ,.., ad,? aa?za
CITY: ?ATE: ZIP CODE:
TELEPHONE #:
P
StONATIORI-E OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCLAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DaTE:
c0*:7,1".;-: r: iCLE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF PPNTTZAPT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF iMT'F FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS oNL7)
INST.
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
4`0
MEMO
-ciiy of eagan
. TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. EIVGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COS7S-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 eNective August 1, 1993 to the properry 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, 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 City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
Edward J.-f?'irsc?it-
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: 3973 Mica Tr
Lot: 13 Block: 6 Addition: Cedar Grove 5th
PID:10- 16704 - 130 -06
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Perm
Contractor:
Rybak Brothers Construction
2206 East 117th Street
Burnsville MN 55337
(952) 405 -8871
PERMIT
City of Eaan
closed without required inspection(s). Letter sent to applicant on 4/8/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspecto
acceptable in lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
John Tackett
3973 Mica Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA085040
08/07/2008
ePermit
th ladder and flat bar. Pictures are not
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
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use I
I
I
Permit k33
'Ir I
City of Ea an 9-5
I Permit Fee: J ~ ~ I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff: l!~)23
l
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: y1 II Site Address: S973 r CCV_ T/` 1 Unit
Name: a r'f'kc" I Gt.C,1cC Phone:
Resident/
Owner Address/ City/ Zip: `3173
i ~ I lac-. '('14 k-1
Applicant is: Owner Contractor
Type of Work Description of work: erc~~ S P u
Construction Cost: ~3od- d c~ Multi-Family Building: (Yes ! No )
Company: dose • ~d rS- Contact: ~_U
Contractor Address: ok 6 (r 10 W" ~e. city: OfS~y
State: `(NUJ Zip: S 5-3c 4 Phone: 76 3.
License G 7 S lt` O Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A ,NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.oopherstateonecall.org
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 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 approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X_ x
Appli ant's Pnn ed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA133311
Date Issued:10/06/2015
Permit Category:ePermit
Site Address: 3973 Mica Tr
Lot:13 Block: 6 Addition: Cedar Grove 5th
PID:10-16704-06-130
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 -
John Tackett
3973 Mica Tr
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
r- 1`G�
r�- For Office Use -
i.:..",,,, EAGANce Use
APR 20 20201C Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionst cityofeaoan.com
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '1)11 I Z° ° Site Address: 3 913 M CA TSA' 1- Unit#:
A eaMCbtA'Ao".a
Name: CAP ilAt. C•'t y Com id Phone: (05 I.99`i' y
Resident/ 3 10 Lww+A1 LAP. E EA t 4
owner Address/City/Zip: LAf M A+ S5 i Z I
Applicant is: )4- Owner A Contractor e:rb'T I)
TyO Work Description of work: New wtorbow S r KiTc NE 1» 'r
{2eMoo€L, $wMRoom Q:NDOEk.
Construction Cost: t 2 S r oop 410
V Multi-Family Building:(Yes /No X )
Company: CAP OA C Colo S'rR4 t'rT 0.4 Contact: CO A O 1.1 ARRtat.Tv
Address: . O1 C Low.)062 LA air City: E A V A N
Contractor i l
State:MA) Zip: $5 12 Phone:(06 I -�3)'11 WTI
f l+�►lcily reoleC+iw'�'rlvw•e'"'c
License#: C (o3 $ 5 Col Lead Certificate it: N ^ 12(0 %31 - )
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-pubic if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.00pherstateonecall.orq
t 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 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 approval of plans.
x CHAD 14A(MN/ t r ViJ x
Applicant's Printed Name Applican s Signature
.zq 7 - Ill, (6 ) A ' itWC(o
DO NOT WRITE BELOW THIS LINE
SUB TYPES
foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
• Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex — Lower Level — Pool — Accessory Building
WORK TYPES
New k Interior Improvement _ Siding _ Demolish Building*
— Addition _ Move Building Reroof _ Demolish Interior
Alteration — Fire Repair Windows _ Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall 'Demolition of entire building-give PCA handout to applicant
—
DESCRIPTION
Valuation Occupancy MCES System
Plan Review 1fY 60 Code Edition ; SAC Units
(25%_100%_) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet I I (? Q PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) '/ Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing . 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
,, Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
—
Reviewed By: , Building Inspector
RESIDENTIAL FEES At F� 7�D
Base Fee / 7 !/ 7
Surcharge /
S� o o
�
Plan Review i- iD(,v
L
MCES SAC -g 000
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3