3990 Mica TrCIT1f OF EAGAN
3795 Pilot Knob Road
Eugon, Minnetota 55122
Phoae: 454-8100
Hr!1TI'''r' PERMIT
Dote: 10- I 3- 7 3
Site Address: r4ica Trai.i_
Lot _.J 4_ Block F-,Sub/Sec. r„? rYY??? _
COMBI'STIDN AIR REOLTIREP
No. 1323
„
Receipt No.:
$ingle I
Residentiol
Mult( Res., Comm./Ind.
Name Do`-' "?'`)r'n oir
New/Alter
/Re
.
p
3 Address '`1jCa '['Ya [. ?.. Cost af InstallaHon
O _
City Phone: 5.
Permit Fee
Nome 'redriclcson
Surcharye
?
'
, . " ?T`-? ,• ,
Address - _ •' 30 Bpau T)
e
0
V
City Phone: Total
This Permit is issued on the express condition thot all work sholl be done in accordonce with al) oppliwble State of
Minnesota Statutes ond City of Eagan Ordinances.
Building Official
c°'? PERMIT #
?1:r`
' MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN "
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
Name Mult Add-on
?' . Comm. Repair
Address
c City Phone ?ef
FEES
? IVame RES. HVAC 0-100 M BTU - $24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City ? Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 19b OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets ti BEYOND $1,000)
Other
FEE
S/C:
. 4%y/ 5'Q E? EI. nEE
-T-,
TOTAL• FOR: CITY OF EAGAN
CITY OF EAGAN Remarks * Cedar Grove Acguisition
Addi#ion CEI}AR GRCIVE #5 Loc I5 Blk LQ _Parcel 10 16704 160 10
owner T'C+''1 ,1_1.-111 :' '6_01W Street_ 3990 Mica Trail state-Zagan. M1 55122 _
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET R ESTOR,
1
GRADING
SAN SEW TRUNK 'j, 1967 loa. oo 5.00 ZQ Paid
SEWERLATERAL 16 31.2 26.56 20 Paid
WATERMAIN
* WATERLATERAL. 1972 607.00 24.28 ZS
WATER AREA
STORM SEW TR K 9?'j 1974 70.00 4. Gfi 15
STdRM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC 200.00 452
- -
7
PARK
` I EAGAN TOWNSHtP
BUILDING
own.: ..... A°.?---'?--q?....... ..... - - -- --
Address (Pzesanf) "-`?°'1.??'..----('?"1tict??.l.n-•.............. ........
?
Builder -------- -------------------- .
Addresa .1.................... . ........................................ ... ..-'- ...............
PERMIT
N°. 19'78
Eagan Townsdip
Town Hall
Dale ._`Z?_- /.f--..-?-?•--?-?-------
5toxies To Be Used Fos Fsonf Dapih Heighf Es1. Cos! Pezmit Fee Remarka
7 ; Lfl,_r /?7. 0-'- I _s -? A?? 16-t __41
U I
stzeet, Aoatl or ofher Descripiian af Location ' I Lo! I Block I Addition or Tzact
/0 1 9. b 5-
This permit does aot aulhorize the use of sireeis, roads, alleps or sidewalks nor does it give the owaer or Lis agen!
the righlYo eseale anp eifuslion whiah is a nuisance or whieh presenfs a haaaxd !o the heallh, safely, convenlence and
general welfare !o anpone in the community.
THIS PERMIT MUST BEEPT ON THE PREMISE WHILE THE WORK IS IN PROGAESS.
This 3s !o cerlify, fhat... ...!-.-?-!....?-n.:' ------------------- hes permiasion !o erect a.'-" ---"_'°---° s=_-"•"---'_..........._upon
the above deseribed psemise subjec! 2o the pavisions of the Bvilding Ordinance for?gan T cYwns adopled Apsil 11,
1855.
"""'"'"""""'._.. :&.:n........': r....""................. Pea .' .
.G{? Lf ?P ?G .CJ _'""""'"""
. . . .. ...?. .. ..y. ... .k.
.
Chai?man of Tnwn Board ? BuildingInspecfos
c: - ,/j
EAGAN T0IIVNSHIP
BUILDING PERMIT
,
Li, .
Ownex ....'_._.._"? r . ?-n-.-o : n
..........__...- _.. ?y. . /.?. -
Address (PresenS) ................. ?!!??..._'____?_."C---_, ? .
, ._._._..._.....__
Builder -----?.... -............ .................... _ .........................
.____.._:.._
Address? ..___.
DESCRIPTION
N° 1428
Eagan iownship
Town Ha,ll .
.'../i3/G
Daie 6
Sioriesl _ ToBe Used For Fsoni I Depih Heiqhf Esf. Cost Permit.Feel Rematks
-- - --------
.
I
. ..
or
LOCATION
..vaa-cx xaauion or ?rracf.
-c-? -7 -- ----------
;
This permii daesnof authorise the use of sireets, roads, alleys ?ar sidew'alks noi'does if give the owner or his agent?
the righlfo ereate any sifuaSion whieh is a nuisance or which presenls. a hasard !o the healih, safety,:convenience -and
general aveliare-to anyone in the eommuniiy. , T.HIS PEAMIT MUST BE KEP ON THE PR MISE WHILE THE, WORK IS IN PROGAESS.
This is fo ceriify. 2hai_..?.... ... _. _
..___........has permission io ereci a.....l--e-=-=.- _upon
... '._.._...._:..:...?..
.
the above described premise subjecl !0 the provisions of ihe Building Ordinaace for Eagan ownship adopfed"April 11,
1955.
!N?Ir.L.?......r...._.. .....`.?.' ................ Per ....... ......_.'_???...f.......l.?=1?-:?.,__.................__..._..........__.
Chairman of Tnwn Soard Build
a ing Inspecior
-?.
.S/'??90 g ?2i,l a-
C? 40135 &6
Reques Date
I
5
1 Fire No. Rouqh-inlnspec?ion
Required?
?eady Now ? Will Notily Inspadar
I y
(! 1'es ? No When Reatly?
IY licensed conlractor ? owner hereby request inspection of above electrical work at:
Job Atltlrass (Sireet, Box or qou[e Na.) Cily
m,?? I ?.9ea-
Seclion No. Township Name or No. qange No. Coun?Q
Occup, nt (PRMTI Pnone No.
V \ J O f? h.?
Power Suppllei Adtlress
Elecmcal Cont actor ICOmpany Name,
S
O?. ? S 1c- ConVactor's License N
o.
O u I
Mailinq Adaress (Confractor or Owner Making In" ?ion)
a'
a
?
, ?
?
..
-
AutM1Or?zetl iynature ICOnlraclor/Owner Makinq InslallaLOn) PM1One Numb-r ?
MINNESOTA STATE BOIIRD OF ELECTNICITY THIS INSPECTION REOUEST WILL NOT
Grigga-Mitlway Bldg. - Hoom 5-173 BE ACCEPTEO BV THE STATE BOAFD
1821 Onlversity Ave., St. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phane (612) 602-0800 ENCLOSED.
7,7/90 REQUEST FOR ELECTRICAL INSPECTION ?:?'li? ee-ooom-07
1i See instructions lor completing IDis form on bac4 0f yellow copy.
C?js 4 O 13 5 "X" Below Work Covered by This Request
e Ad ep. TypeoBuilding AppiiancesWired EquipmemWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. 8uilding Dryer Other (Speciry)
Comm./Mduslrial Furnace
Farm Air Conditioner
Olher(specify) onVactor9 Ramarks:
Compute Inspection Fee Below:
# Other Fee # Service EniranceSize Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Ttansformers Above 200 _ Amps A Amps
SignS Inspecmr'sllseOnry: ?dd TOTA?1.
Irrigation Booms 17 .Sv
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby Rougi ?? Date
certify that the above inspection has
been made.
F;,,ai Qate
OFFICE USE ONLY
This requesl void 18 months Irom
1999 BUILDING PERMIT APPLICE[TION (RESIDENTIAL)
CITY OF EAGAN
•? .?.? ? ? ? 3830 PILOT KNOB RD - 55122 ;
651-681-9675 ??^-
New Conahuetton Reaulremenh yQ 7 `Z Remodel/Reoair ReauiremenTs
D 3 regisfered sNe zurveys showing sq. fF. of IoT, sq. H. oF house
and all roofed areas (20% maximum lof covemae allowed)
> 2 coples of plans (show beam E window skes; pouced fid. desfgn; etc.)
? 1 set of energy calculaHOns
? 3 coples o( free presenaNon plan M lof platted oHer 7/1/93
DATE: ?-lq--qq
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: i ? BLOCK: SUBD./P.I.D. #:
PROPERTY
OWNER
2 coplea W plan
1 sef M enetgy catculalions tor heaied addRtons
1 sHe survey lor exAeAor addlNOns 8 decks
CONSTRUCTION COST: Jo r
?
J
Name:9Odl n '! g/?i! /1 Phone #:
Last Firsf
? [?
Street Address: ^5 1 /44i If
i
City L; C'? a n State: A711l Zip: ss/zZ
C/Z 70-7-69rq
(area code)
CONTRACTOR )? ?t
Sfreet Address: 1?R- y7 /1/, cv1? T/C+r2 ? License # 701?13?7 Exp. 3 Z-°om
City Lsa.t/1 State: ,/M, .? Zip: s?77
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Sheefi
Cify
Sewer 8 water tlcensed plumber (rsaulred for new conshuction onlvl:
Registration #:
State:
PenaNy applies when address change and lot change is requested once permR is tssued.
Zip:
? I hereby acknowledge that I hwe read thls appllcoflon, state that the Sntormatlon Is conecf, and agree to comply wMh all applicabl
Sfate of Minnesofa Siatutes and CNy of Eagnn Ordinances. ?
'Signalure of Applicanf:
OFFICE USE ONLY '
,
i •;
Certificates of Survey Received _ Yes _ No
AUG ! 9 ':
Tree Preservation Plan Received _ Yes _ No _ Not Required
Jjq
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-ptex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Tenant Impr ? 39 Gas Line Only ? 43 SidinglSoffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Buiiding
Permit Fee ( a 4S ?--?j
Surcharge '?, . 73 D
Plan Review
License
MC/ES 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 1 a-9- a ?
Engineering
Valuation:
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
I
SAC Units
% SAC
? I
i
I
? N
0
?7y1
3990 Mica r-r.d.1
L,
?„ q hl
'
,rf
-ciiy of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 239 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 stngle
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 g
Block 13, Lots 1-15 1
208
The City is currently being biiled by Dakota Electric for streetlighting in the above listed
subdivision.
Edward .1.TlZ'irscht
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
2004 RESIDENTIAL BiJILDING PERNIIT APPLICATION
City Of Eagan
?<-`-'j 9? 3830 Pilot Knoh Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstrucM1On Reaui2meMS RemodeUReoair Reauirements
3 registered stte surveys showirg sq. R. of lot, sq. R. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverdge allowed) t set o( Energy Calcula6ons for heated additions
2 coples of plan shaxing 6eam & window saes; poured found design, etc. t site survey for addNOns & dedcs
lsetofEnergyCalculaUOns Addttion-indicateifonsifeseAticsystem
3 wpies of Trse Preserva6on Plan i( lot platted after 711193
Rim JoislOefail Options seleciion sheet (bldgs wAh 3 or less units
Date S l/ I/ l u/
site Address &yO 0 /' Construction Cost yiY00
` / CO\ -7-4. uniUSte #
Description of Work
? ) q / Z--e1,c.0a /
,
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?Al7 Telephone # -7 :?2
Contractor 144E1 .?i7p,? -- /ijC> e:?o -
Address ?"y J (,YLo ?P
State /ZdbL? J2iL City
/?'?/11 Zip?-)? Telephone # (?? ) !J ?? ,?91/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residentiai Ventllatlon Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan?
iee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone #? J
Telephone
Telephol?&I#?
I hereby apply for a Residential Building Permit and acknowledge that the iMrmation is complete d accurate;
that the work will be in conformance with the ordinances and codes of the ' °~a 'h° tate of MN
Statutes; I understand this is not a permit, but only an application for a permrt, and work is not to start without a
pernrit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applican rinted Name App]icanY e
OFFICE USE ONLY
Sub Types
? 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 07 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck p 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pmg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Rep18C6ment *Uemolition (Entire Bldg) - Glve PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Foorings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings(addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucw _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other '
Total
Building Inspector
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3990 Mica Tr
Lot: 16 Block: 10 Addition: Cedar Grove 5th
PID:10- 16704 - 160 -10
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Quesetions regarding elec
952- 445 -2840
Ashley Orman
410 W Lake St
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
cal permit r equirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Frances M Bohn
3990 Mica Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
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
Issued By: Signature
Mechanical
EA085388
08/19/2008
ePermit
cal Inspector,
Use BLUE or BLACK Ink
r
For Office Use
Permit
Ron
City of Ea I ~5
I Permit Fee: r.
3830 Pilot Knob Road ] ,3 I
Eagan MN 55122 I Date Received: /
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: f - / Unit
Phone: -69 crn _
Resident/ Name:
rd.
Owner Address/ City/Zip: 2?yo Ht i
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes / No
Company: ew 6Zze") Contact: phb 6"Ell,_ 7
Contractor Address: 9-`Z0a,,_ City: G!,qfe
State: A)\9 Zip: 5 J J;2/ Phone: License 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 may be 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.gopherstateonecall.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.
xab~~~- w~ c7'/J~ ►e~ x
Applicant's Printed Name nt's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170387
Date Issued:06/30/2021
Permit Category:ePermit
Site Address: 3990 Mica Tr
Lot:16 Block: 10 Addition: Cedar Grove 5th
PID:10-16704-10-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Frances M Bohn
3990 Mica Trl
Saint Paul MN 55122--293
(654) 454-5844
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature