3985 Mica Tr ;i.;,.,
CITY OF EAGAN 16501
3830 Pitot ICnob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
f
N Receipt #
ti
sz
c &
To be used for '41 1;?eQW$ Est. Value #14s000
Date HAY
4" z , 19 6-9
Site Address 3965 MICA 'F'R
Lot I I Block F Sec/Sub. CEDAR GBQVR STH
OFFICE USE ONLY
Parcel No. occupancy - FEEs
Zoning -
W Name ?B ?p (Actual) Const - Bldg. Permit 1?34+n?
AddreSS 3983!lZCA TT? (Allowable) - h
7•?
S
a City b?K Phone 434-4626 # of stodes - urc
arge
Plan Review
Lengih _
o Name KICHGW 5R?E? ?m - snc
cicy
,
??
< Address 1310 KXN1IO!< 1.Ai S.F. Total - ,
o
?
City IiZ'S Phone 452- 1t? 16
S.F. Footprints - SAC, MCWCC
Water Conn
On Site Sewage _
?
? W
Name
On Site Well -
Water Meter
Z
?
Address MWCC S stem
y -
a W
City Phone
ciry water - Acct. Deposit
'w Permit
S
PRV Required _ .
I hereby acknowlege that I have read this applicatfon and state that the Booster Pump - SrW Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
5ignature of Permitee le-s' APPROVALS Road Unit
A Building Permit is issued to: 911CHGj%U+ EU1HERS Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. ptt. _ Copies
Building Official
Variance -
TOTAL ? ? 4 . `fC•
Permit No. Permit Holder dete Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspectfon Date Insp. Comments
Footings I
Q "z3
Foundatian
Framin9 Ca?
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Rnal Htg.
Final Plbg.
Const. Meter Plbg. InspeCtor - Notify Plumber
Engr./Plan
Bidg. Final
DeCk Ftg.
Deck Final
weli
Pr. Disp.
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY QF EAGAN ,
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address
Lot L/ 81ock
Sec/Sub
,
14
m Name
? Address
,
c
-
City Phone
? Name
3 Address
p - City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,900.00)
?. .yr_' _?-•
SIGNATURE OF PERMITTEE s
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTURES _TOTAI
_-Water Closet - $100 $
Bath Tubs - $3.00 ?
-/-_Lavatory - $100
_?__Shower - $3.00
Kitchen Sink - $3.00
UrinallBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1 50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: ?
STATE S/C:
; ? /? S .U !Y
FOR: CITY OF EAGAN Y-F
?
??
CITY OF EAGAN Remarks *r Ar rZmv r_cpi,icition
Addition G Lot 11 Blk 6 Parcel 10 16704 110 06
Owner 'J ?%? ( I r, I
Street 3985 MiCa Trail State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK y 1967 .O 5.00 ZO P8i
SEWER LATERAL 1967 494.25 4
WATERMAIN
* WATER LATERAL 1972 607.00 24.28 25 Paid
WATER AREA
STORM SEW TRK Z2j 1974 70.00 4.66 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
5ac 200.00 452 10-25-67
K
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex _.:........?'----'-----"----?'--y?/?. - - - - - - -
. Y "-- -: ---- - `-'--; ---- -- --?-
Address (pxesent) ._r ?.??::?.._?'.Ct.'.'.?P:
............ _...::?:
.............
Buitder ...p.........t.^.::?.'.:?..... ....""-.. ..............................................
Addsess ....•g--?`1??.Y....?:t?-?-xr..._??:!^r.<...... ?:9.-3...?--?.j"?o•
N° 267'7
Eagan Township
Town Hall
Dela ... ... ..............?f /S?/ Z
7 ........................
5lories To Be Used For Front Depih Heigh! Esl. Cas! ermi! Fee Rema[ks
or
r3 ,so
This perroit does not aufhorise the use of slraels, roads, elleps or sidewelks nor doea 9t giva the owner or hSe agen!
the right Yo ereaie any siiuafion which is a nuisance or which presenffi a hasard 2o the healYh, safelp, eonvenieaee and
general welfare !o anpone in the eommunilp.
THIS PERMIT MUST BE?KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGAESS.
This is fo ceriifq. 3haL._.'d.?!^^^'?..... '?-?`?''..?.............hespermission !o eseet a.....?'.??._' .... ............ ............. upon
_.._
the above describad premise evbjea! !0 the pfovisioas of the Building Ordinance for Eagan Township opled Apsil 11,
1855. 2
............. _--------- -..... ------??. °....... Per ...................... ?......f/...:'??:?/"""""'...........
Chairmen oF Tnwa Soard 9 Bufldinq Impecior le
EAGAN TOWNSHIP
BUILDING PERMtT
,
ownet --.:??.t: - t`-'_.:..:..: l
......--=--------`---'
<
Address (Preseni) ....--...:_-?-.:................ _...............
Builder _._ ...............:..........----------......:..----
Address :.....
--?---._._
DESCRIPTION?
N° 1501
Eagan Townahip Town Hall
Date ...
:.....G._ ?
_.... . _...___...__...:._..
Slories
- ? - To Be Vsed--- For
-_.. Fronf Depih
- He3ghi
-- Esi. Cosi
-- Peimil.Fee Remarks ?`
. r? -- ---? --
---
Slreel. Aoad or ofher
e A- & I/ C ,?9 _i;"
LOCATION
u.?.e .4 7 i/
This permit does not aulhorise the us¢ ofslreela, roads, alleys or sidewalks nor does i! give the owner or his agenf
the righf Sa creale any siiuation which is a nuisanca_ ox whieh presenls a hazard !o the healfh, safety, convenience and
ganeral welfaie fo anyone in the communiip.
7HIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is !o cer2ifyShaf---- .? dD? ? , ._. ...haspermission !o erec! ?::!Y,j.._.`_ .'...'.:r<<'r" . .upon
' J.._ :.:.........------ ......._._............... _ .L? ? .'..._....
the above dssaribed premise subject fo the provisiona of the Building Ordinance for Eagax?%Township adopl?d April 11,
1856. ?
... ..
"_._..____....._ . ""'
'.""_L?'::?....._....__"_'""""'". Pet __'"".........._........
Chairman of Tnwn Boerd Building Iaspecior
. . . : . a .. r? _ \ . _ .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT
SIDING &
To be used for WTNDOLlS Est Value $14, 000
N° 16501
Receipt # C, 547°f.<?-
Site Address 3985 MICA TR
Lot 11 Block 6 Sec/Sub. CEDAR GROVE STf
Parcel No.
W Name BOB KNOOF I
o Address 3985 MICA TR
City EAGAN Phone 454-5626
o Name RICHGELS BROTHERS
?a Address 1310 KENDON LN
CiN MENDOTA HTS Phone 452-1616
r
ww Name
? ; Address
aw City Phone
I hereby acknowlege that I have read this application and state that the
information is correct antl agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinc s. ??
Signature o( Permitee -? . Os
A Building Permit is issued to: KILon ::.N nKU'rnx:Nti
on ihe express condition Ihat all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial
Occupancy
Zoning
(ACtuap Consl
(Allowable)
# ofStories
Length
Depth
S.F. Total
S.F. Footprinis
On Site Sewage
On Site Well
MWCC System
Ciry Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. OH.
Variance
OFFICE USE ONLY
FEES
Bldg. Permil
Surcharge
Plen Review
SAQ Ciry
SAC,MCWCC
Waler Conn
Water Meter
AccN. Deposit
SiW Permit
&W Surcharge
Treatment PI
Road Unit
Park Oed.
Copies
TOTAL
154.00
7.00
1b1.UU
. ??
, o•%k
1ya•oo+
? \?,\G r•oo+
???s 161 •ou?
154•OU+
7•U0+
161•OU*
1989 SIJILDING PEAMTT APPLICATION
CITY OF EACAN
SINGLE F9MILY DWELLIAGS
2 $ETS OF PLANS
3 REGISTERED 3ITE SOR9EYS
1 $ET OF EAEAGY CALCS.
R0,601
MULTIPLE DWELLIN6S
2 3Sf3 OF PLAN3
HEGISTBBSD SIlS 80A9ETS -
(CHECH iiITH BLOG DIY.) .
1 SET OF S6SAGY CALC3.
MULTIPLE DWELLINGS AENT9L ONITS FOA S1lLE MITS
COT@1ERCI6L
Z SETS OF ARCHIiECTURAL
6 8TflOCTiIAAL PL11NS
1 SET DF SPECIFICATIONS
1 SET OF E6ERGT CALC3.
* OF QNITS
90TEr iDDaES3FS FOA CORNER LOTS - COATRACTOR/HOMEOfiNER MOST AES26NAiE pHICB iDDRSSS
IS DESIAED. HO CHENGFS iTILL HE ALLOHED ONCE 80ILDING PfiRMIT IS I330ED..
SEWER_ & 1i9TfiR PERMTf F&ES jAD lCCOUAT DEP03IT FEFS AILL Bfi INCLIIDED fiI'fH THE BOILDINa
PERMIT FEE. PROCESSING TIME FOR SEiTEA LAD i19TER PERMITS 15 Ti10 DAYS ONCE A PEAMIT 6A3
BEEN COMPLETED INDICATIBG A LICENSED YLUNIDEA.
PENALTY @PPLIES WfIEN: PEAMIT IS NOT PAID FOR IN SAME MDNTH TT IS REQOESTED.
, LOT CHiNGE IS REQOESTED ONCE PERMIT IS ISSIIED.
'l 1989
h2.r.r/ L?wr-.,s?'..G'.?.a-.?°.
To Be Used For: Valuation: Date: Add
Site Address OFFICE OSS ONLY
Lot Jl Block (,
Parcel/Sub ? ?,'&uJhlv-?, ??
Owner P,o;r' ,ZU22 11??
Address 09elxy- Altewf T? .
City/Zip Code ?A?,Q-J?
Phone `Z- P- •- ?? ? -z z?
Contractor
Address
Citq/Zip Code &6E?ne17-,4- ?•?7"__--;;
Phone ? l
lr
Address
City/Zip Code
Phone 9
Oecupaney FEFS
Zoning
Actual Const Bldg. Permit 1S400
Allowable Sureharge '].oz>
• of stories Plan Beview
Length 3AC, City
Depth SAC, MWCC
S.F. Total Aater Conn
Footprint S.F. Water Meter
Acet. Deposit
On site aewage S/N Permit
On aite well S/W Suraharge
MWCC Syatem _ Treatment P1.
City vater _ Road Onit
PRV required _ Park Ded.
Booster Pump Copies
_ 3QBTOTAL
APPROVAI.S Penalty
-
Planner ? nn
TOTIl.
Variance
1,
?QY
Si SvO?1J<%r
Y?PI-`7
ls?
?
t?X \ \
J
?I c.a
? co g?o c- K
5 s?
t cl?t
c2 (.a % 7
Z
ChUiz -?_ ?a -?-
MASTER CARD
•
LOCATION
-C .
STRUCTURE-AND ? ? I w ?
LAND USED AS (? ?7
Permit
No.
Issued Issued To
Con}ractor Owner
BUILDING 4
246 7 7
PLUM8ING - _
CESSPOOL - SEPTIC TANK -
WELL
ELKTRICAL
HEATING
GAS INSTALLING
SANIiARY SEWER I
OTHER
07HER
Items Appioved
(Initial)
Dafe
Remarks
Distance From Well
PGOTING SEPTIC
POUNDATION
f
? CESSPOOL
FRAMING ?-
-
-
TILE FIELD FT.
FINAL
ELECTRICAL I
HEATING DEPTH
OP WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAWFlELD
PLUMHING
WEIL
SANITARY SEWER
• Violations Noted
on Back
COMMENTS: 7- 7-
??
COMPLIANCE INSPECTION REPOftTS
TO BE USED ONLY IN EVENT OF OBSERVEO VIOLATIONS
•
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
DATE OF INSPECTION
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
NON-COMPIIANCE. BUILDER DOES NOT
INTEND TO COMPLY. ? COMPLETION Of GERTAIN IMPROVEMENTS
WILL BE DELAYED 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 prospective, and that 1 have reportad herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABIY COMPLETED
BUILOING INSPEGTOR DATE
COMMENTS:
z.
4?p
MEMO
-ciiy 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 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, 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, tots 1-9 9
Block 13, Lots 1-15 ?i,
208
The City is currentiy being biiled by Dakota Electric for streetlighting in the above listed
subdivision.
?
Edward J.Ti'irsc t
Sr. Engineering Technician
cc: Mike Foertsch
,,
EJK/je
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenk RemodeUReoair Reauiremenb Office Use Onlv
3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas 2 mpies of plan Cert of Survsy Recd _ Y_ N
(200k maximum lot coverage allowed) 1 satof Energy Calaf2lions for heated additions Tree Pres Plan Rerd _Y _N.
2 copies of plan showing beam fl window sizes; poured fowM design, etc. 1 sHe survey for additlons 8 decks Tree Pres Required _ Y_ N
1 set of Energy Calculafions Addfi'on - irMicete if onsRe sep6c sys[em On-sRe Septlc System _ Y_ N
3 coples of Tree Preservation Plan if lot platted aRer 711/93
Rim Joist Defail Options selection sheet (bldgs wifh 3 or less unid
5
? uy ?
?""?
Date
/ / Construction Cost
J
Site Address UniUSte #
Description of Work N5?AIG 65 (15 r L?S?VT G s
Multi-Family Bldg _ Y_ N Fyreplace(s) _ 02
Property Owner
Telep6ane#(??? )6e7'9a6/?
Contractor l,P )
-
Address 3?SD J- 13 City 6 V«U?
State !"W Zip 5?337 Telephone#(9SL)
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
(J submission type) ' Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envetope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone # (
Teleph
Teleph
I hereby apply for a Residential Building Permit and acknowledge that the rm and accurate;
that the work will be in conformance with the ordinances and codes of th e 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 accardance with the approved plan in e case of wo k which requires a review and
approval ofplan
A?,? \ .
N N
Applicant's Printed Name Applicant Signature
D #1? ? ?'?I
MAY 2004 ii ;
ation is complete
te
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_ror _N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire 81dg) - Gi ve PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fueplace _ R.I. _ Air Test _ Final
Insularion
Approved By:
Base Fee
Surcharge .
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Final/C.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113226
Date Issued:09/03/2013
Permit Category:ePermit
Site Address: 3985 Mica Tr
Lot:11 Block: 6 Addition: Cedar Grove 5th
PID:10-16704-06-110
Use:
Description:
Sub Type:Reroof & Siding
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.
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.
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 -
Robert H Knoof
3985 Mica Tr
Eagan MN 55122
(651) 687-9069
Reroof America
10740 Lyndale Ave S
Suite 10W
Bloomington MN 55420
(952) 888-8440
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136433
Date Issued:05/12/2016
Permit Category:ePermit
Site Address: 3985 Mica Tr
Lot:11 Block: 6 Addition: Cedar Grove 5th
PID:10-16704-06-110
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 -
Robert H Knoof
3985 Mica Tr
Eagan MN 55122
(651) 687-9069
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature
Cfty of Ea�au
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
SEP 222016
Use BLUE or BLACK Ink
For Office Use
Permit*: I38gi-7
Permit Fee: lQ O
9 - d —4
Date Received:
J
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: q 'l 111-4 _ Site Address: 3 l 1
gs c C\ 1R L
Tenant:
Name: ''.<00/2,(� Phone: C61 -661-%[)&q
Address / City / Zip:
Cl
Address: 3440 Yoerg Dr City: Hudson
State: WI zip: 54016 Phone: 715-386-8667
Contact: Jim Email: croixcrystal@att.net
New X.Replacement _ Repair — Rebuild _ Modify Space _ Work in R.O.W.
Description oma_ Install Water Softener
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ /, PVB)
Septic System
Y Water Softener
Add Plumbing Fixtures ( Main 1 _ Lower Level)
Water Turnaround
Abandonment
1 RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes State Surcharge)
*Water Tumaround (add $280.00 if a 3/4" meter is required)
1 $115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $ 0.00
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Cali 48 hours before you intend to dig to receive locates of underground utilities_ www.gopherstateonecail.orq
1 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 Jim Schober
Applicant's Printed Name
licant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143426
Date Issued:06/15/2017
Permit Category:ePermit
Site Address: 3985 Mica Tr
Lot:11 Block: 6 Addition: Cedar Grove 5th
PID:10-16704-06-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Robert H Knoof
3985 Mica Tr
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature