3978 Mica TrCITY OF EAGAN Remarks * CedBr Grove A cq,uisition
AdditionCEDAR C*ROVE #5 Lot 14 e1k 10 Parcel 10 16704 140 10
Owner 5treet 3978 Mica Trail State Eagan, MN 55122
.d?
Improvement Date Amount Annual Years Payment Receipt Oate
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 2 1967 100.00 31.35 20 Paid
SEWER LATERAL 3 1967 527.00 20 PH].fl
WATERMAIN
* WATER LATERAL f(ol 1972 607.00 24.28 25 Paid
WATER AREA
STORM SEW TRK 1974 70.00 4.66 15 PSid
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. #3946 $17.00 5-25-76
s,ac 200.00 655 2-26-6
PAFK
EAGAN TOWNSHtP
BUILDING PERMIT
owae= --.---
Addrass (Presenl) -,i53:n......
............ -.-;-
............... .....................................
suilaer
Addreu
..............
DESCRIPTION
N° 1720
Eagaa Township
Town Flall
/a- G /6
A
............
:....
Dale .................... -.......
52oriea To Be Used For FronS Depih Heighf Esi. CoaS Permi! Fee Remazks
'' ?3 r"_y .?-+. °?
/j???c.?
?
" LOCATION
Sireel, Road or oiher Dasceipfion o! Loca2ion I Lo! I Slock I Atlaition or Tsacf
397 ?'' `??.u..?..? a-t-? I14 I Io I C. -6, s'
This permit does aot authorize !he use of s4xeeYs, roads, alleys ar sidewalke nor does it give !6e owaer or his agea!
the sighlfo erea4e anp siiuaYion which is a nuisance ox which presenfs a hasard fo the heallh, safety, coavenience and
ganeral welfare !o anpoae in the eommunity.
THIS PERMIT MUST SE EPT ON E PREMISE WHIL£ THE WORK IS IN PROGAESS.
'''......"'. upoo
Th4a is !o ceriify, lhai.... -f.^Gs..? :...?.?..+.-.?!?....... has permission !o erec! a. .._..._? ........06&-? ..
the abova described premise subjec2 !o the provisians of the Suilding Ordinanee for Eag Township dopied April 11,
1955.
e
............. Per ................? ....... C"Ce-="6-?..............
?CHairman of Tnwn Boerd HuildIng Inspecfor
?.
CITY of EAGAN
UILDIN
Owne: _l..(0-4-A
Addseae (praeen!)
Butldar ............. ............ .....................................................
Address ........... .................. ..............................................................•
DESCAIPTION
. ,.
N4 3946
3795 Pilo! Knob Road
Eagaa, Minnesota 55122
454-8100
Dete, ..??%a .?... ....?.` f..?l• (.?-?#r
Slosiee To Be Used For Fron! Daplh Heigh! Esl. Coet erm!! Fsa Ramssks
or
/9I /o
This permit does not aufhorise ffie use oi slseels, soads, alleps or sidewallm nos does it giva !hf ownsr oz Lia s9an!
the rightio create anp situalion whieh is a nuisaaee or whieh prasenls a hesard fo the hoallh, asfetq, eoavsatancs and
genesal welfase to aapone in !ha eommunity.
THIS PERMIT MUST BE -PT O TH PR??MIS/E WHILE TAE WORK IS IN PAOGRESS.
This is !o cerliip, fhal.??.-.t ? ?.. ..?-...... ...has permiesion !o sreat a......... ? :A •r..G-• ......................__upon
the above described premis bjec3 to ifie
..-""""" pxovisioos of all applicable ces fos the i f gan
?~Y.....---------------.... Per ./? ... ... ... ......?_..?4?..C..?-........._.....
•---._. ...... ..................
_'- -_'.........' ' MaYor'
-"- Bulldi?y Inspactot
IT
, Eagan Township
. Dakola Couniy, Minnesofa
ApplicatioA foe Bailding PeYmit
Tppe of building or wozk eonlemplaYed. Circle eorreci descrinSions.
Aesidenfi Commercial Iadusfrial O2her-------------- (?fLE'.•?E`l' " d'u'_-?-----
Euild Enlarge Alier Repair InsSall Move Wreck Ofher.......... .--
?
Dimensions --- - c?-`x - x "-?'Y - - -- -. Coei- `?P -- - "
Defails or
Loaafion
PERMIT ? NO.'?..... . p
Dafe ...._:...............................
Number 94reet Befween what eross streeis Size Esl. Valuation
?3?'7?' x,cr?
Lo! Block AddiYion Rearrangement or Tracf
14 (0 Ownez ---'-`-??-p-?`----?---o f._ Su5 9?•V ?j ?,is ---------------....__..----"-----
- - ----- ----- ."-".... Address ----""--- - -----°----'_'-_
Coniractor -------------------------- ......................................................... Address
The undexsigned hexeby makes apnliaafion for a pesmif !o
$ do woxk as herein specif?ed, agreeiag !o do all work in sfs5cf
Total fee collecied. accordance wifh 3he building ordinanae adopied April 11, 1955
by ihe Eagaa Tomnship Board af Supervisors.
Permi4 fees are not
refundable.
------------------------------------ ---------------------------------------------------------- '------"
5igned
/-?77 6 RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MPI 55122
651-681-4675
Naw Conatrucllon ReauiremeMs
• 3 regislered sRe surveys showirg sq. R. of lol, sq. fl. of house; and all roofed areas
(20°k mazimum lot coverage alloxred)
• 2 copies of plan shovnng beam 8 vnndaw s¢es; poured found desgn, etc.)
. 1 set of Eneyy Calculations
• 3 copies of Tree Pmservation Plan if lot platted after 711193
. Rim Joist Defail Options selection sheet (bldgs wilh 3 ar less units)
DATE
oZ
RemodeVRepair ReauiremeMs
• 2 capies of plan
• 1 set of Energy Calculations for heated addifions
. 1 site survey for exterior additiore & decks
. Indicate rf home served by septic system for addAions
VALUATION
SITE ADDRESS J 17 8' M I C"? MULTI-FAMILY BLDG Y N
TYPE OF WORK_ a^ E? Y`e SS w?? nc16 uJS FIREPLACE(S) _ 0_ 1 _ 2
APPUCANT
STREETADDRESS 3 17'F Om,?a ?Tf CITY-Ca,rh STATE?/i _ZIP G5( a`Z
TELEPHONE # C_°;36S-P54`R CELL PHONE # FAX #
PROPERTY OWNER?-?at3 de? : cl .)clf/ea r'/'D TELEPHONE # CF.51? M5 -`ie
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULI'S 7670 CATEGORY 1 MINNb:SO'PA RULL'S 7672
(J submission t)pe) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelopa Calculations Submitted
Plumbing Contractor: ___
Plumbing syslcm includcs:
Mechanical CoMractor:
Mccho-uiical systcm includes:
Sewer/Water Contractor.
tlir Conditioning
_ HeaL Recovery Systcm
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes pnd City of Eagan Orc
Ul Signature of Applicant
Phone #
Pec: $90.00
Phone # _
ation is orre
i ?es. _
Pec: $7Q00
to comply
!
OPFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Water Softener
_ Water Hcater
No. of 13aths
_ Phonc #
I.awn Sprinlclcr
No. of R.I. Baths
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex - ? 19 Lower Level ? 24 Stortn 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 WindowslDoors
? 34 Replacement "Demolitian (Entire Bldg only) - Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Baoster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation 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 Mjv04cc. , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
Cily SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
EAGl:PI TTRXSHTP
3795 Pilot xnob Rcad
St, Paul, MinnesoCa 55111
Telephone 454-5242
PE?.MIT FOR SEW:;R SERVICE CO:V"13CTI0*.I
DATE: February 21, 1968
OS,fiIE&: Cedar Grove Const.
PLL?1BFR S ein Inc.
NTJN.35'.'t JI.5
Address 3978 Mica Trail N-f(j C•6•
TYPE OF FIPE Castiron
DESCRIPTION OF BUI73lING
Industrial, Co:mnercial4 Reaidential I Multiple Dweliiag I No, of ua.itg
LocaLion of Conr._ecYions:
X
f 1 .-a_..
?.,/??/?
Cor.nection Charge o2.OV, ? ?i, / 9'
su
Permit Fee 'l, .11
Street 8epairs
u
Total o2a7Pd'??-?-168
Inspected by:
Date
Remarks
Hy
C'h3ef Ir?^?ectox?
In conszderation of the issuP ar,d cel*_very to :ne of the abe-re ?e:?.r,,:'.L•, I
hereby agrae to do the prcpose3 work in accordar.ce with tiie niles a..d
re?,ulations of Esgan Towr.ship, Dakota Couaty,, Minnesata
Stein, Inc.
By
Pt°gep »cy!,sfy C:?:nII T,C'?,dv foY 1I!.?FeCt?OR 8A(: co.,+;aci.iun ar-1 b2.Y'^?:'8 any po5":::--'3
c±' CI:, v%-rlc is cavQr?d.
L
?P-- - ? -- - --- - -- -- - - ---- - - -- _ ---
? -- - -- --- - -- - "_ _ _ _ _
- - - - "'- --- _- - -
- ---
? ---a
4,.NSau1
?
? -- -- ---
_ -- - --? -
- - - --- - - y W ?wb>-?
- --?? - - --- --- ------ -- --- p? --
. ?
--- - ' -- ? - - - - ?- -- ' ?a
-- -- --- -- It E-- -- -- -- - -- ___ _ _
r
- - ---- -- - - - - - -
- - ?
,:,
--- - - -- -
- -- -- - - -- - --
?
? -- - -- - - - -- ---- -- - - -
----
- - - `? ?? - - - - -- - - - --- i -- - - - -
V
Sr • -
5LJ
MASTER CARD
/9 - /O dq S-"
OWNER e?r / S, s /Y
STRUCTURE AND
LAND USED AS D+?? ??y fd, e,?
Permii ?
No. ?
Issued Issued To
Coniracior ? Owner
BUILDING ? ?S ?ll / st / f l?
PLUMBING
CESSPOOL - SEPTIC TANK
VJELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARV SEWER ?
?
OTHER
OTHER I I
Items Approved
(Initial)
Date
Remarks
Distance From Well
=00TWG SEPTIC
FOUNDATION s CESSPOOL
FRAMING TILE FIELD FT.
FINAL
EI_ECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUM6ING
WELL
SANITARY SEWER
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.
O ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPUANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
AND DESCRIBED AS FOLLOWS:
? REINSPECTION REqUIRED
REINSPECTION REVEALED
DATE OF REINSPECiION
CE RTI FI CATION -1 certify that I have carefully inspected the ebove in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of tM1e Town of Eagan, approved plans and specificetions, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABIY COMPLETED
BUILOING INSPEGTOR
DATE
? ?;?
r???? ?*
? „?????????# ? , ; ?
? ?,
MEMO
- city of eagan
TO: DIANE DOWNS, 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 department to begin to invoice the energy costs at the singte
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, 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 Eleetric for streetlighting in the above listed
subdivision.
Edward J.?'irscht
Sr. Engineering Technician
cc: Mike Foertsch
EJK/Je
KELLY LAW OFFICES
Establtshed 1948
351 SECONO STREET
EXGELSIOR, MINNESOTA 55331
MARK W. KELLV
WILLIAM F. KELLY(1922-1995)
June 28, 2001
JUM t 9 ?Oat
(952) 474-597]
FAX 474-9575
City Administrator
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Re: 3978 Mica Trail, Eagan, Minnesota 55122
Additional Permit Easement Request and a Temporary Construction
Easement Request in Conjunctiott with Drainage and Utility
Easement
Dear City Administrator:
I represent Brook and Ann Harste. They were recently approached by your
consulting engineer who advised the City's intent to do sewer pipe repair in
their backyard. He further advised that the City is seeking an expanded
permanent easement and a temporary construction easement.
If there is a formal proposal in this regard, please forward it to my attention.
Any further inquiries in this matter shouid 'oe directed to my attention as well.
Sincerely,
rs? t
Mark W. Kelly
MWK/tas
ca Harste
zoos RESIDENTIAL BUILDING rExMrT nrrLrcnTroN
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
4'-;7 ()
New ConsWcfion Reauirements RemotleVReoair Reouirements OfGce Use Oniv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan shovring kotinqs, bearns, jdsts Cett M Survey Recd _ Y _ N
(20%mammumlotcoverageallowed) isetofEnerqyCalculationsforhealedaddNons TreePresPlanRecd? ?. _Y _N,
2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 1 site survey fw additions 8 decks TreePres Required _ Y _ N
lsetofEnergyCalculaGOns Addifion - inckcafeilomsdesepficsystem On-siteSepticSystem _Y _N
3 copies of Tree Preservation Plan rf lat platled after 711193
Rim Joist Detail Options selection sheet (builtlings with 3 or less unils)
Minnegasco mechanica] ventilation fortn
Date 19- lI_ l a? Construction Cost / 1 o O O
Site Address 2 --?Y
I / c'7
UniUSte # -?j SZ li
Description of Work ?u??q J WG.??S ? D1r V\Qvt ?p*AIC00yy`
Multi-Family Bldg Y_ N Fireplace(s) _ 0 _ i _ 2
Property Owner Telephone # ( )
S
Contractor
Addreso ? C
J City y
State
Zip SS? . . Telephone # ( /
) ( , ? ? `7 S ?{L?
COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING
r
- Minnesota Rules 7670 Ca[eeorv 1 _ Minnesota Rules 7672
Energy Code Category . ResidenUal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calcula6ons Submittetl
In ihe last 12 months, has The Cify of Eagan issued a permit for a similar plan based on a masTer plan?
_ Y _ N If yes, daTe and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
, Telephone#(
.-t
Telephone # (
Telephone #?
?Ifl
770
I hereby apply for a Residential Building Pennit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of p ans.
, RtnE
pp icant's Printed Name Applicant's Sig_ ture
.
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
'R'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 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plez ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 . Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 3(? Move Building ? 42 Demolish Foundation ? 45 Fire Repair
J< 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolltton (Entire Bldg) - Give PCA handoutto appliwnt
DBSCriptlOfl: WaterDamage_Yes
Valuation I1tb0 Occupancy R3 MCESSystem t?ww
Plan Review - 100% or ^ 25%
Census Code 434 Zoning Q( ?- City Water ?
SAC Units ------7 Stories r' Booster Pump
# of Units ?- Sq. Ft. PRV
# of Bldgs ?- Length Fire Sprinklered ?
Type of Const ? Width ?-?
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock '
_ Footings(deck) Final/C.O.
_ Footings (addition) ? FinaVNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ -Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: uilding Inspector
-------- ------------ ------------------------- --- -- ---------------- -----
Base Fee Ipa.OO
Surcharge .? 1.00
Plan Review
MC/ES SAC
City SAC
Utility Connedion Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total -?1
A
?? 1 ?/. ob
?
2006 RESIDENTIAL PLUMBING PeRMiT APPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modiflcations to existing residential dwellings.
Date la / -7 I 66
'I
Site Street Address 3? A J"4alc1 Twl
Unk #
Property Owner Tu6Q fqCra 1 CM. UATelephone #(6?9)
Contractor Telephone # ( )
Address City State Zip
The Applicant is: J Owner _ Contractor _ Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterat9ns to existing dwelling $ 50.00
? Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are insta!ling onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add
$130.00 if a 5!8" meter is required)
-
_Other: 1 ?^o We, N L.P- UE `
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required o e reviewed and approved.
ad,os J(g cxk? -, rm Jkcpfl-
pplicanYs Printed Name Ap icanPs Signature
41? City of Eapn
3830 Pilot Knob Road
Eagan MN 55722
Phone:(657)675-5675
Fax: (651) 6755694
?-----------------
?
? Permit #:
? Permit Fee: ?
? Date Received:
I ?
? Staff: I
? -- -----
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I- " 0 Site Address: 3I 1? iY 1 1cCh `f
Tenant:
Suite #:
RESIDENT/OWNER Name: WAL in}Q11(lY Phone: ?IZ- ?Yi 0" Uw
Address 1 Cdy 1 Zip: 3917, k cL''
/
Applicant is: V
Owner _ Contractor
TYPE OF WORK Description ofwork: l,? 1\0t
?N
Construction Cost: Multi-Family Building: (Yes No ?
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Su6mitted
In the last 72 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:
11
` Porfions I of Y
(ftOTE: Plans and szZpporting
documeofs fhaf you
sub'mitare
con'sia[ereafto ire Pu6li6?iriiOrmation
,
_
,
?
j
atwauld permi# the Crty fo
?'the rniormatron may 6'e? classified as non public','if yaaproyide spegifrc reasons?th
,
°'?w?;.. ?corrclude,tfiaffhe ?aYetratlesecrefs,?._-????,? a?.i! =
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with [he ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an appliration for a permit, and work_i5 not to start wdhout a permd; 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 er Ju enc
Applican s Printed Name
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3978 Mica Tr
Lot: 14 Block: 1 Addition: Cedar Grove 5th
PID:10- 16704 - 140 -10
Use:
Description:
Sub Type:
Work Type: Reroof & Siding
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Michael Wong Construction
2107 Kings Rd
Eagan MN 55122
(651) 494 -4226
e- Reroof & Siding Construction Type:
Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar.
Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps
to ensure maximum ventilation to attic. Call for final inspection after installation.
michael wong
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
PERMIT
City of Eaan
- Applicant -
$132.75
$3.00
$135.75
Owner:
Carlos Guachichulca
3978 Mica Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Building
EA086183
09/18/2008
ePermit
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
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3978 Mica Tr
Lot: 14 Block: 1 Addition: Cedar Grove 5th
PID:10- 16704 - 140 -10
Use:
Description:
Sub Type:
Work Type: Reroof & Siding
Description:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
StormFix LLC
1960 Cliff Lake Rd - Suite 129-116
Eagan MN 55122
(612) 965 -0937
PERMIT
City of Eaan
e- Reroof & Siding Construction Type:
Census Code: 434 - Occupancy:
If there is no ice protection inspection prior to final, the contractor must meet the
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. deb
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
Applicant/Permitee: Signature
- Applicant -
$132.75
$3.00
$135.75
Owner:
Anders Wong
3978 Mica Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA091074
09/09/2009
ePermit
nspector w/ a ladder and flat bar.
s that could block vents) and take steps to
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature