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4011 Mica TrINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob ROad Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPUCANT: 407 t M]r;A 1"I MIAR fROVF s;TF) PERMIT SUBTYPE: IPHNsoN r, (61 -,') 4£+4-6774 TYPE OF WORK: It ? ? Permit No. Permit Holder Date Telephane A ELECTRIC PLUMBING HVAC Inspectfon Date insp. Comments FOOTINGS / FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FiREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT P.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3795 Pliot Kno6 Rood Eogaa, MN 53122 PHONE: 454-8100 Site Address . ? Lot Block Sec/Sub. Pcrcel oc Nome W 3 Address ce z0 - oU u-C ? Erect Q Alter ? Repair ? Enlarge ? move O Demolish ? Groae n N2 5691 Occuponq Zoning Fire Zone Type of Const. - # Stories Front NOIY1f . .. ? . .. - . . ' yy . . , . -rr• -. -'- Address 7 '7' Assessment City ' Phone Water & Sew. Pol Ice Name Fire Address Eng. City Phone Planner Council ft. ft. Permit _ Surchorfle Plan check SAC Water Conn. Water Meter I hereby acknowledge that I hcve read this application and state thot gldg. Off. the infortnation is correct ond agree to comply with all applicable ?PC Totol Stnte of Minnesota 5totutes nnd City of Eogan Ordinances. Signature of Permittee A Building Permit is tssued to: on the express cor?dition thot all work shull be done in occordance with-all cpplicoble State of Minnesota Statufes and City of Eagan Ordinances. Building Officiol BUILDING PERMIT md swimir? . Receipt # ?wnR # peM lawd POaMtM Plumbing Mechanical ?7 INSPECTIONS DATE INSP. Ra ph-in Finat Footings , Dote Irup. Date Irap. Foundation Plumbing Frame/ins. Mechanical Finul f Remorks: ;;2 ? _,?U ?^? p ??_ y? e.L ? r??E?'?` ? Gv`?? • -_ .? Pc O gq, A,,?oe ??!-!? ?rc? ? . . . . ? ? y _5if. .. 1 G? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-159. Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receivt Te be wwd fet Value -) U J U. 6; i) Date G t 1? 19 SiteAddress 4011 ,';?AIL Erect ? Occupancy Lot '' Block 05 Sec/Sub. C.'nHA G::OV: . L) Remodel ? Zoning Parcel No. 10 1 U7 04 ?. `_)J.f Repair ? Type of Corlst. Enlarge Q No. Stories ?c Name Move ? Length 14 2 ?? U l l ri LC?'? `I?lZi?l Oemolish ? Depth 1 ? Address Grade ? Sq. Ft. City !'.l,GAid Phone 4 ?1 ' 7 74 ? Vp1.L l'J.+1'iSUN /?i!??'l'SOfV BLUG & APVrorals ioes Name Address Z 2 2 P47 11 A'1 i? ?O City P LS Phone 724 0122 Name Address City Phone I hereby acknowledge that I have read this application and stote that the information is torrect ond ogree to comply with oll opplicoble Stote of Minnesoto Stotutes and Ciry of Eogon Ordirances. /lssrssment Wocer & Sew. Poliu Fire Enp. Plonner Council Bldg. Off. APC Var. Date Permit " . -' U 5urchorga 1 . `-? t) Plon check SAC Water Conn. Water Hkter Rood Unit Parks Total , .i $ipnature of Permittee I ?r A Building PeRnit is issued to: on ths sxprcss condition that oll work sholl be done in ncmrdonce with oll opplicoble Stota of Mirnesoto Statutes ond City of EaQan Ordinances. Buildinp Offic{ol ' `- Pxmit No. Pa?mit Holdsr Dib Plumbina H.VA.C. Electric Softener , ? Inwection Date Insp. Other Footings 7 . J Foundation Framinq g:i ?•?? ?? '' ?• ? Rouyh Pibg. Rough HVAC Inwlation < Final Plbg. ? Final HVAC Final Cat/Occ. Water Describe Location: YYell Sevrer Pr. Disp. ! ??. - .-,?.r?-•?- ?xw7eTS?lk?;?•?.-.?- .,*...?„r??.yR,?a,.. -.:?-- . . . .. . ...-, ?? ?c +.?r:wx'?ye?.ne??! . . . . - . ...?., .7 - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r BUILDI G PERMIT PHONE: 454-8100 . ? fieceipt # To be used for DECK ? Est. Value Date SHP Zn , 191L- Site Address ' Lot 7 5 Block -5 SeclSub. GWDAQ - GRA - OFFICE USE ONLY P3fCel N0. Occupancy - FEES ZAning - W Name (Actual) Const 23-00 Permit Bldg o Address ?(?.11 ?CA TH (Allowable) _ . . - 50 Surchar e . 9 City EAGAR Phone 6?6776 # of stories _ Plan Review Length t?Z Name Depth Cit SAC Zo , y . ?¢ AddfBSS S.F. Total - SAC, MCWCC ? City Phone S.F. Footprints _ C W F On Site Sewage ater onn _ W W Name on sice weu W t M w ~ _ er eter a ; Address MWCC System - U a W City Phone Ciry Water Aca. DePosic _ PRV Required - S!W Permit I hereby acknowlege that I have read this application and state that the 8ooster Pump - S/ry Surcharge information is carrect and agree to comply with all applicaMe State of Minnesota Slatutes and City of Eagan Ordinancesr Treatment PI Signature of Permitee APPROYALS Road Unit A Building Permit is issued to: TEIMY LA?NSON Planner - park Ded. on Ihe express condition that all work shail Ge done in accordance with all Council applicable State of Minnesoia Statutes and City of Eagan Ordinances. Bldg. Off. _ C°p'es 8u+lding Officia! Variance - TOTAL 25.30 Pe?mit No. Permit Holder Date Telephone # WATER SEWER, PLUMBING H.VA.C. ELECTRIG Inspection Date Inap. Comments Footings i Foundation . Framing Roofing Rough Plbg. Rcwgh Htg. Isul. Fireplace Final Htg. Orstat Test Final Pibg. Plbg. Inspector - Notily Plumber Const. Meter EngrJPlan Bldg. Final Dedc Ftg. Dedc Final wen Pr. oigp. CITY OF EAGAN Remarks * Cedaz GZOVe Acquisition Addition„CEnAR GRDVE #5 Lot ?S sik 5 Parcel 20 167114 25Q 05 Owner 1,?= y+- Street 4011 M1Ca TZ'ail State Ea4an• MN 55122 ; Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK L 1967 100. 00 5• 00 QQ Paid SEWERLATERAL 19 7 507•50 25•3 20 Paid WATERMAIN * WATEFLATERAL 1972 607.00 24.28 25 Paid WATER AREA STORM SEW TRK 11 1970 70.00 3.50 20 Paid STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CaNN. 6UILQING PER. SAC 200.00 PARK CTTy pF EAGAN Include 2 sets of plans, " 1 site plan w/elevations & BUILDING PERMTT APPLICATION 1 set of energy calculations. G? - ation?, dj ,?1& c) Date ?trVa_ Zb Be Usecl For lu Site Address yC?// Lot 26 Block Sec./Sub. Parcel #: Oumer: ?F rH? !. _ ?C? /1 h Scs? Address: City/Zip Code: FaQ,,?2vi Phone (Q ,? 2 ?y Contractor: /?rlrso 'L?e aa? UY'odG?P?3 Addxess: (, Vjj S57`i( S? City/Zip Code: pau Z .h 5%C? g Phorie #: 7 7t,) ` / 3/`1 Arch./Enq•: Address: City/Zip Code: Phone #: OFFICE USE ONLY Erect T? Occupancy 4_S Alter Zoning /P/ Repair Fise Zone 3 Enlarge ZYpe of Const. Move # Stories Demolish Fmnt ft. Grade Depth -' ft. APPROVALS FEES Assessments Permit Fdater/Sewer Surcharqe 3 ? Police Plan Check%b ? Fire SAC Eng, Water Conn. Planner Water Meter Council Road Unit ? Bldg. Off. a APC TOTAL ? Y ? BU(LDING PER/?IIT APPI?ICA710N ngroun swimming Sire Address 4vll ivuc:tt ira7.l Loe 25 Bi«k 5 spc/5„y, 16704 C,? 55- Porcel .# to IU704-( P-50 0-? w Name Terr,y L. Johnson ; Address same o aean. 22 - o 1r:-. Name ??esota Package Products ?re? 922 55th St. Nn _ St _ Panl . ..--- Name Address I hemby ocknowledge that i hove read this application ond state that the Infortnotion is correc[ and agree to comply with all oppNwble Stote of Minnesota $tatutes pnd City of,Eagan Ordinqnyzs. Signature of PertniMee A?L? A Building Permit is issued to: all xrork shall be done in occo Building Offitiol crrr oF ea"N 3795 Pilot Kao6 Read 6egaa, MN 53122 PHONE: 4548100 N9 . 5691 Receipt -7 Erect ? Qccuponcy --Rr_ AIMr ? Zoning Repair ? Fire Zone III Enlarge ? Type of Const. Move ? # Stories Demolish ? Front 17' ROUT1d {f, Gwde ? Deprh fr. Approvah Fees ltsseument Wnter & Sew. Police Fire Eng. Planner Council em9. off. 4 8 80 APC Permit 21.00 SurcFwrge 3.00 Plon check 10. 50 SAC Water Cann. Water MeMr Total 34.50 ,a 'r'viuuU Ua on the express conditlon tFwt State of Minnewta Statutes and City of Ea9an Ordimnces. EAGAN TOWNSHIP BUILDING PERMIT Owner 0 ?..__......-------...------..._......._--._......-----.. ? Address (Present) ?.:-._?.:.!/..?-:u?C? .....:.............. ,..._..:. . N9 1427 Eagan Township Town Hall Dafe ................................ . Siories To Se Used For ' Froni Depih Heighi Esl. Cos! P erm if Fee Remarks ? - -- LOCATION Sizeei, ttoatl oi Otner uesenpxion o¢ L.ocaaion Loi nioCK ' Aamiion or '1'racf /3e (O __ This permiS does aot authorixe the use of sireeis, roads, alleys or sidewalks nor does it give the owner or his agent the righi to creefeanp sifualion whieh is aauisanee oz_ which preseals a hasard io the healfh, safety, eonvenience and general welfare !o anpone in ihe communilp. ? THIS PEAMIT MU3T BE KEPT ONTHE P,?gEMISE WHIL£ THE WORK IS IN PAOGAESS. , . ihis is fo ce:lify. !ha!.... C.=-___..L?.[:.ri:.°.--:_" I " ....................... has permissioa !o exeet a_.. 7?:_^ .J.C.'- ? ...... .upon the above deseribed premise sv6jecS !o the provisions of the Building Ordinence for EagaRJ .......... t'ownship ......... ado... .: ed..April 11, 1955. c _- ....................._----.._._..(N[.r??-fc`.:?r'.._??f-?r? Per -C<. l. ............_--...... _............_... .t...._rlf?.._rf. .... G?.__....._......--,...---............ . Cheirmen of Tnwn ..Board ? Hui?ding Inapecior . . .tB . . . . EAGAN TOWNSHIP BUILDING PERMIT Owner ..... V4tA4?c "_N`.:....ll.ht.`.c....'..-----'--........-- Addresc (Presenl) "'. 4P-11 ---- 97i?.t.??.-'................... Suildes Addreu N° 20'75 Eagan Township Town Hall ne:e .__-..... DESCRIPTION 5Sosies To Be Used For Fron! Depih Heighf Esi. Cos! Permif Fee Remazks -- I ;J'"-"--"' LOCATION ao' a....s?y-Lr Sireei, Aoad or oiher Desariniion oi Loeafion I Lo! I Block I Addifion o Traet S I e? ,!1 .5- This permii dcea not auihosise the use ot eireels, roads, elleys or sidewalks nor does ii give the owner or his agen! the righ! 2o eseafe anp silvation which is a nuisanee or whieh presenls a hasard io the health, safeiy, convenienee and genesal welfare fo anpone in the communiiy. TIiIS PERMIT MUST SE ?IKEPTON /T?H?E? ?P?A£?MISE WHILE THE WORK IS IN PR06RESS. ?J $r"`?.`-?'.- - This is !o eeziifp. lhat..--.YA..._?v...:.. .-_ .............._- .---......has permission !o ereet a--••-- r!L.`."'??--._._upon !he above deseribed premise aubjec! !o the provisiona oi the Building Ordinance for gan ownship adapfed Apsil 11, 1955. ....'-'_"-...._ .............. . .../:-:....L:?.`.l.r:-^^r'...-"'...--°----° Chaifman oE Tnwn Boerd e, ' 8, Per --...........-?-u -----..'- azzwj '_""""_"_""-'-"_"-""'... Huilding Irmpecfor / I g-P: q a ? 3 CITY OF FAGAN BUIIDING PEf;T,= APPLICATION Include 2 sets of plans, 1 Certificate.of Survey 6 1 set of energ_y cal.culations. / , 4b Be Used For "; \?C i-, ( ??; c i iValuation ??J,OCX? .°-' Date K:/???? ( site Address: oFFICE uSE OfII.Y ? ZAt ?c 5 Bloclc 0? Sec. /Sub. &. ra +(r 'Erect OccupancY Parcel #: I ()- Alter zoninq - I Repair Fire Zone N /Al- ? Oaner: Enlarge of Const. ?- TYAe Nbve # Stories Address: Demolish Fmnt ft. City/Zip Code: ;,?\-Grade Depth 17 ft. Phone #: ??`? ?1-K7 ('T APPRDVATS FF,ES contractor: Assessrrents Permit Address: Water/Sewer Surcharge `;° Police Plan Check City/Zip Code: Un?( Fire SAC ? ?-r--,? Phone #: pq, G N +? G Q G t f ? z i anner Water Meter ? a l ? • W? T 5 Council Road Dnit f- Arch. /Eh4 •. Bldg. Off. Pddress: APC City/Zip Ccde: Pnone # : 'ICYi'AL yU , G C] CITY OF EAGAN Np ? 9? ? s • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8700 c I i 1?(?I BUILDJNG PERMIT Receip? # ? ? `1 ? To be used for DECK Est. Value Date SEP 20 , ?g 91 Site Address 4011 MICA TR Lot 25 Block S Sec/Sub. CEDAR GROVE STH OFFICE USE ONIY Parcel No. occuPan?y - Fees Zoning _ w Name TERRY L JOHNSON ?Actuaq Cons? - Bldg. Permit 7 5_ 00 o Address 4011 MICA TR (a?owanle? .50 - s n urc arge City EAGAN Phone 454-6774 :roiS?or?es _ 1 ?,r1 ? Plan Review Length o N301e SA? Depch ?9? SAQ Ciry ?Q Address S.F.7otal - SAC,MCwCC ?' (?.11y Phone S.F. Footpnnts _ Water Conn On Site Sewage _ ?Q w Name OnSiteWell _ WaterMeler w s? AddfeSS MWCCSystem - ?w Cily PhOnQ City Walar _ ACCI. Deposit it 3N1 P PRV Required erm - I hereby acknowlege that I have read ihis application and state ihat the 9ooster Pump - ?yd Surcharge inlormalion is correct and agree to comply with II plica e State of Minnesota StaWtes and Cily of ?gan Ordinary?a ireatment PI Signature of Permitee ? APPROYALS Road Unit TE Y L HNSON A Building Permit is issued to: Plenner - Park Detl. on t?e ezpress condition Ihat all work shall be done in accortlence with all Council _. applicaGle State of Minnesota Statutes and City of Eagan Ortlinances. Bldq. 011. _ Copies ?Jq? ? p???I ??'? ? Building O%icial Y„ 111_I Llt_IA_i 11 ? I l l " Variance - TOTAL L1. ?U This request void ] 8 months hom j /00 -Date of . this Request 6-'[s? ?/ Q`'?+ ,,.' S 37270 ' . Itias RL sensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No Section Township Which is occupied by ?0OtG/1 CitY Range County.?. Is a roughin inspeciion required on this job? No ? Yes Rr'?Ready Now ? Will Call Z--? Power Supplier iLa Address Electrical Contractor ?/?G Contractor's License 140 ? (COmpany Name) 1 ? Mailing Address Authorized NQM 01 OAQD QOpY Phone No. 2 ' oz This inspectian request wili not be accepted hy the State Board unless prnper inspection tee is enclosed. Minnesota SWte Board of Electricity 7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ' REQUEST FOR HLECTRICAL INSPECTION CHEC& BELOW WORK COVERED BY THIS REQUEST /8?7'? 112llL T,ype ot Building New Add. Rep. Cheek Appliances Wired Fo: Check Fquipment Wrted Fm Home ? 2 Range ? Temporazy Wiring ? Duplex ? ? ? Watei Heater ? Lighting Fixtures ? ApL Bldg. ? ? ? Dryec Electric Heating ? Commercial Bldg. ? ? ? Fumace . Silo Unloadei ? Industrial Bldg. ? El ? A'v Con wner Bulk Milk Tank ? Farm ? ? ? pList lg? Lpist 13 / O[het ? ? ? Hehe Nehe COMPUTE INSPECTION FEE BELOW Secvice Entrance Size: # Fce Feeders&5ubPeeders: # Fee Cixcuits: it Fee 0 to 100 Am s. / '. 0 to 30 Am res 0 to 30 Am eres 101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am res Above 200 Amps. Above 100 Ampa Above 100 Am s. Tcansfotmers RemoreConVOlCirc. Paxtialorotherfee Si s Special lns ction Minimum fee y-0 Remarks CjLA*.+6e cdVA SQEIIt G4 7C, u ¢n-9?' st;_encnti" pOO (- P??a -gttpt' F 940vnd E ? f8 TOTAL 3J dv I, the Electrical Inspector, hereby (Final) This request void 18 months &om has been Pate Date ? -r ? request wid ? g g g? ????m? L a 5 1-9-KS 10,00 -- -_._ ..? .._. .W?,.. ...;.?.??...... p pmretl. Ready Now Q Will Nolity InsDtt- ?- ?? p J ?Yes n N. tor When ReadY ?Licensed Electrical Contrdctor 1 h¢reE y request i?pection ol aEOVe Q Owner electncel wpk irtstalled a[: Street Atldress, Boa or liou[e No. Gity ecuon o. Townshio Name w No_ Range No. Counly V.s OccupantIPRINT) Phone No. ?v" •?ae/P Lli Clg [i''L c Power SupDlier AJdress .09KCTX Frl/t1. Electrical Contractor (COin,arry Name) ContracIDe's Licrnse No. G?rrEC/seu? G`Cclr,P.r C'? O?o?o? Mafling Address (COmracmr or Ow,mnr Making I'rslaila tionl p r Owner Making Installation) Aulhorizetl $ig.[ure (?A n[raclo Pho n e N?uMpr // ? /L? ?`?'?f.-G?Fx-.<.._ / ? d Ss - G S lo J? MINNESOTA STATE BOAND OF EIECTRICITt THIS IMSPECTIOM flEQUEST pILL NOT Gripgs-MidweY Bldg, - Ibom N-791 BE ACCEPIEO BY THE STATE BOAND 1821 Univarsity Ave., S[. Peul, YN 55104 UNtESS PNOPER INSfECT10N FEE IS Vhnm 1021 297-2111 ENCLQSEO. Io, QUEST FOR ELECTRICAL 1111SPECTIOPI ' I-Q ?S See imtruetions tor co {y ?letinB this twm on leek of Yallow capY- ? 4 U 6 4 ""K"" Be/ow Work Con p/ hv This Requesi Add Ne0. TYOe o7 Building ApOliancea Nirad Equipment Nimd Home Range Tertyiorary Service Dupfex Water Heater Lightiny Fixtures Apt. 8uilding Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloarler Industrial Bldg_ Air Cwditioner Bulk Milk Tank Fartn a^e• ceZ, v me. tsoecerrl t r veci y Other Othe, O//IDf/IB IIISOECI/O/I FP.B BBIOW p Fee ServicaEMranceSize q . Fee Feetlers/5ubteeders # Fea Circuits e-c?0 0 to 200 Amps 10 O 0 to 30 Am 0 to 30 Am - Above 200 A?y 31 to 100 Amps 31 to 700 q Swimming Pool Above 100_An?p?s Above 100_Ar?s Transformer5 Irtigation Boorr.s ? Partial.'Other Fee I Signs iSpecial inspec•.lon ?5 ?l W Xermrks ?it / SE_ .?G%!?i C6^ Cc>i:.. La1 i r t /?'.? O TOTAL ?EB !,, .-? 1. the Elsctriwl Inspaetw. herabv x!/vrti(y llpi tiIR AbOVe irepeetion has bcen asiee. CITY OF EAGAN . • 3830 Pilot Krrob Road, P.O. Box 21-199, Eagan, MN 55121 9a 93 BUILDING PERMIT PHONE: 454-8700 Receipt Te M wad 1er 3 SEASON PORC16. Volue 3, 000 _ 00 Date JULY 13_ 1984 SiteAddress 4011 MTCA TRATT. Erect ? Ocwpency R3 Lot2 %Block n5 Sec/Sub. CEDAR CROVE 5 Remodel ? zoning u7 Parcel No. 1 0 16704 950 0 S Repair ? Type of Const. V Enlarge n?[? No. Stories ? 'Name TF.RRV .7nHNGON Move LJ Length 14 Z . Demolish ? De th Address 4011 MTCA TRATT. P-?-- ? City F.A(:AN Phone 454 113774 Grode ? Sq. Ft. ? Apprwola Faes o Name VAL WATSON /WATSON BLDG & R 6u Address 2313 22ND AVE SD Asussment Permit 38.$0 ; ?- City MPLS pho?g 724 0122 Water & Sew. Surchorye 1.50 c Police Plan check g w Name fire SAC .?? Address Erg. Water Conn. w City Phone Plonner Water Meter Council Road Unit I hereby ocknowfedge thot I have read this apPlicotion ond stote thaf Bldg. Off. Parks the inlormotion is,torrecf and agree fo comply wlth oll apPlicoble AP? $Mte of Minnesoto Statutes and City of Eogan Ordinances. Total 40 _ ?? Var. Date •Siynoture of Permittee A Building Pertnit le'iuued to: WATSON BLDG & REM. on t he emren cordition thm oll work zholl be done ' x?mprdance w{i??p o?l/l opplicoble State of Minnesota Statutes ond Cify of Eaqnn Ordinances Buiidinp OfficiOt ?/?-l _C? / -t:T'( r-? PERMIT --k" ^CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 4011 MICA TR LOT: 25 BI.pCK: 5 CEpAR GROVE 5TH P.I.N.: 10-16704-250-05 DESCRIPTION: REMARKS: PERMITTYPE: euzLoxNG Permit Number: 0 3 0 6 0 6 Date Issued: 0 9 J 18 / 9 7 GARAGE/ACCES50RY ADDI7ION 438 ALT. GARAGE Y ?3 ? < . F eagan FEE SUMMARY: VALUA7ION Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 CONTRACTOR: ' T Yi?{°$1?Y ack?al.F?.?tlt?i3 ? ?3Y??m ? ?ft ix.,vnr 3t crkl'i"???'"?thr? €?g ? 7? 'c , APPLICANT/PERMITEE SIGNATUPE $9,000 OWNER: - ppplicant - JOHNSON TERRY L 4011 MICA 7R EAGAN MN (612)454-6774 - 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 b?f ? („ CITY dF EAGAN ?r 3850 PILOT KNOB RD - 55122 681-4675 ? 3 registered site surveY$ ? 2 topies of plan • 2 coples oi pWns (indude beam & wlndow aizes; poured fid, design; eto.) ? 2 ske aurveys (exterior addiUons 6 dedcs) ? 1 energy calwletbns ?'1 eneryy calwlationa for heated addidons ? 8 copies oi tree preaervation plan 'rf lot platted after 7/1193 required: _Yes No - DATE: CONSTRUCTION COST: ??,1000 DESCRIPTION OF WORK: Add ? x.2,.4 4ddr7.o ai a nr o,'L E4rP+es"??66'" STREETADDRESS: NOI? Micsa rP, jg,,96474 --Na s'srez. LOT C?-S BLOCK s SUBD./P.I.D. #: &-C&? 1 G7 * PROPERTY Name: 'Te.ev A.. ?o,VN?o?u Phone #: OWNER ?. Street Address: 4101.1 m/ c +e 7`< City: E,44.gA^ State: 1"7,v Zip: S.5'iL2- ^ CONTRACTOR Company: PIP d?Z Phone #: Street Address: License #: City: State: Zip: ARCHITECT/ Company: Ate ENGINEER Name: Phone #: Registration #: Street Address: City: State: Zip: Iicer5e3pTur?i 111ir (new cons4vction only): are iequested once permit is issued. Penatty applies when address change I hefeby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Pian Received - Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE a 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF DwelGng ? 07 4-plex o 12 Muiti RepaidRem. 0 17 Swim Pool ? 03 SF Addition o 08 8-piex m" 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace n 21 Miscelianeous ? 05 SF Misc. 0 10 = plex ? 15 , Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move m-'32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMAT{ON Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main levef sq. ft:' - -' City Water ? UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length ? sq. ft. Census Code. Y3d Depth .2-tf 0 Footprirrt sq. ft. SAC Code ?L Census Bldg i Census Unit a APPROVALS Planning Building A495 Engineering Variance Permit Fee Valuation: $ 3. ooo•^ Surcharge ' Plan Review ? ? License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit . _. ., S/VI/ Surcharge Treatment PI. Road Unit Park Ded. I Trails Ded. Other Copies i Total: % SAC SAC Units I c I6?32,) 7::? I ? ??Z I ??? ?d R • / ? / C) ? \\ ? ? I Pf°P°?e • 13 -?8 1c' ?D 'f? /VI J G A PAGf/C PDOL e PAT/O ? NIINNESOTA PACKAGE PRODUCTS, INC. . 6922 55th Avenue Norih NoMh St. Paul, Mlnn. 55109 Phone 770-1313 CUSTOMER NAME ADDRESS r ' POOL SItE Directions to iob aite/ '? ll /'?Me 4 ?._ .? .??;.. DATE ` ? .. ?:E?•?'?, ? HOME PHONE : i/'- . ?. . -.. . WORK PHONE -;r••/,_ 7f-C? .1% Ih 11V; u u ! i ? .? : f?T'_..?.-.- . .0!,Y 1?OMe Y 1510 UI R ?-- ! r ? M ? ?f• ?? !it/r- /i 1lY, .C?!',/S/ 4L??? r r' r=? ?, .?.. ?. f -§z !"&-JII'l" f!Z3' . -r&/Al ' Q . ?? ` •9- r " ---.?_... ? r*4? ?g ? Y r ?- ? ? .?-----M-----? ?y?•e Lf? ??? ?S r? ??<- . ? ???.?,??vP? ? C:?s??iPr ? al.r,0 A 0' c;%Ns,vel ? ? 1 ' 1 ? 1. Location for dumping excess dirt S e c 1)4 "1,.: t ?. / yr ' j 2. Indicate deep end by (X). '? ? , ? • 3. Mark location of filter and/or heater by (#2). 4. Indicate approx. elevation of pool in relation to a permanent fixture on the property. If there is no permanent fixture, mark the diagram with the symbol (A) at grade point. ?!:?:; f?, ?.,; ?_ ??:; `'•`/%' 5. Wil) trees, clothes poles, power lines or any other obstruction. be encountered? YesNo ? . If yes, explain ,? 6. Does customer wish to retain any or all dirt from pool excavation? Ye: ? NoA If yes, explain 7. Indicate and explain any special instructions not covered above. 8. Pacific Pools recommends that the customer construtt a retaining wall as soon as possible after the pool is tompleted. Yes No ? Show in diagram. 9. Customer understands that some c?amage may be done to the yard and/or driveway while entering and leaving the yard during construction. Initial here _ i 10. Customer acknowledges r ei of grounding instruction sheet, and is reaponsible for grounding and electrical wiring of the pool. Inirial here . 11. Customer assumes responsibility for the gas installation of heoter if applicabls. lnitial here L? . Crew Chief Use Only Inspection Required 1. Walls ? 2. Plumbin9 ? 3. Footing ? 4. Electrical ? 5. Other ? Call Mr. at I I Phone No. 11 , '1. SPECIAL NOTE TO THE C!lS70MER: If you wish to change: filter position, slope of land, or anything else stated in this outline, pleose coll our office - 770-1313. Crew chieh are not authorized ta change anything on the job or make any promises for work to be done by them. Any Changes that are not authorized by the office will be charged at a atandard rate - ao exceptions. ,/ ,?4 Seller Signature ? • ?-?-A' ?G?? Customer Signatur / Diagram pool site in relation to hause, garage, property line, and wires. (Allow 3" variance) y ?? ,j? / ?7 7Ao 1991 BUILDING PERHIT APPLICATTON - ° CITY OF SAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CAI,CUTATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: 6L-" Valuation: ?- Site Address ?t7I? /v/L'o9- T/'Z ? Lot °;? `5- Block ? Parcel/Sub C--j . 'b?. 6- Ir'n wner ? O fl Z • Cl? Address !VQ/J A"/fjl?jf rpc- City/Zip Code f94 A41V (is(,) Z/z Phone 6 '77yc Contractor Skrn ?- Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Date: / ,[ &`" 9/ OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length 2 !Z: Depth o?T S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit as jo Surcharge ,Sa Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SIIBTOTAL Penalty I.ot Change TOTAL ?s, 5'V Sewer/Water Licensed C tr. /J agrees that all voxk shall be done in accordance with (Signa ure Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. /vt i C A ? ? -- - - ? -- ---- 3s - - -- - - - ------ -- - ---- ? , ; --- - -- - ---- ' ----- ? --- --- . ------- - - - -- - ---- -------------------- = ---- ------ --- - - ------ ------ -- - - -----??--?- - - --------- ; --- -- --- --- ; -'!-- - - ---- -- - ---- --------- ; -- ---- - -- --- ----- -------- -- -- --- - - - ------- ------ - ---- , = -- ---- - -- ? -- --- --- - -------- -- --- ----- ? - - =??y ? h ?l z'' ee ? ------- -- - _ _ p ? ?- ------ ----- -------- ?u -- -- ?- -- ? - -- ---- - - - -- -- - ---,-,---- -- ?T6--- ? -?? ------ --- ---- - ------- ----- -- - __ _- -- - ----- _--- 3.z? '' - ? ? e??•- _-.. . __ ' - -- ?79Z .- ---? -- _- _- --_ ..-_ 07 -- - - ---- - - -a _ --- ---- -- -------- --- - ---- - 'C 2 t. ------ - ---- , ? -- . - -- - --?- - --? -- -- -- - --- ------ -.. ----.. - -- ------ ---- - -- -- .. -- y a1I`I rpWJi?f"?fy??M? . ? - city of eagan MEMO TO: DIANE DOWNS, UTILITY BILLiNG CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 23, 1993 SUBJECT: STREETLtGHT 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, Lots 1-9 9 Block 13, Lots 1-15 15 208 The Ciry is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. Edward J.-i?'irscht Sr. Engineering Technician cc: Mike Foertsch EJK/je - - r - - - - - - - - - - - - - - - - 1 I For Office Use I City of Ea Permit 1 3830 Pilot Knob Road Eagan MN 55122 r~2 ! I Date Received: V j Phone: (651) 675-5685 I Fax: (651) 675-5694 Email: planninq(@citvofeagan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot lines, structures and existing conditions. PROPERTY Site Address:' a tf/})''~ d -i..i.. INFORMATION .t q Owner Name: tl ~li 44, Name: f!_ Z-7 A) /k) Phone: - W• CONTACT Address: ftbcc 1 ►L City/State/Zip: 1 f v(~,~ r F } Applicant Signature: Date: z Email address: ❑ Retaining Wall <4 feet ❑ Driveway ❑ Other: TYPE OF ❑ Patio❑ Sport Court WORK ❑ Sidewalk R-1 ence Description of work: PLANNING Setbacks, hard surfacecoverage, shoreland zoning,bluffzone/setbachs,'etc:` Appro / Denied Date:'/L' Staff:r ik/c-c c~oc (1 Notes: IZyltit~, s,-x'57► 4-44e- Revised Plans Approved: Yes / No Date: Staff: ENGINEERING Grading, drainage, utiiity easements, wetlands, erosion control, improvements in the Right-of-Way, etc. Approved / Denied Date: Staff: Notes: Revised Plans Approved: Yes / No Date: Staff: _ I COMMENTS 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 G:\Building lnspections\PERMIT APPLICATIONS\2011\2011 Permit Applications ESTIMATE / ORDER Gopher State (1) Call ID x#464 Ticket GAS Nearest Intersecting Street 111 Hudson Page Township Hudson Grid Range 525 E. Villaume Ave. / South St. Paul, Minnestoa 55075 Corner Lot El Section/Quarter (651) 451-2221 - Fax (651) 451-6939 Name a' y+°; S: eC s Date ° C? 20 SpouseJob No. Address l l eL , Salesperson City 1<° - County' State Zip P. Employer Home Phor ( fx of 6,, Picture No. Job Site Address Work Phone ( ) Terms: 10% Down 50% Start Up Work Phone (Spouse)f Balance To Installer on E-mail: Cell Phone: Completion Customer Initials. QUANTITY DESCR IPTION i! 01 ~h C' t=e / gg -may yry _ ' C Price Down Payment: Check # Amt. Date DP LI:t PS [0~_ BC ALLF~ A SERVICE CHARGE of 11/2% per month (18% Annually) will be applied on all past due balances. MATERIAL AND INSTALLATION The purchaser shall be responsible for any and all collection and legal costs incurred by Midwest Fence in the event of this bill becoming past due. THIS ESTIMATE VALID FOR 30 TAX Midwest Fence reserves the right to lien the improved property if payment DAYS FROM ABOVE DATE in full as agreed to in this contract is not received. TOTAL ` Owner responsible for establishing correct property and fence lines. Any Permits required shall be the sole responsibility of the owner. Owner responsible for removal of obstructions of every nature which will interfere with the installation of the fence. This contract assumes normal ground conditions. Should rocky or excessive hard digging be encountered, owner agreesto pay additional costs of such work. Midwest Fence & Mfg. Co. shall furnish only the material and labor specified.in this contract. Any changes made from the above specifications will be billed at Midwest's current retail prices. This order will become binding only upon Midwest Fence Managers approval.! , fic fio er 5rr' u D Form 2 - Rev. 2-05 Manager Salesperson's Signature Date Copyright. 2005 E-mail: link@midwestfence.com www.midwestfence.com I I ~II III~'I!I ~-I l ~ I C I I i i I I I I - JL... - ~ I I ! I I I f I I i I I I N I I I ~ I i l l l I I_ I ~ I ( i I - - ~ i I I ~ I I I ! 1 1 1 1 , a ~ I; I I i l ,,rrte~ i I I h ~lJ M ' I I; I I ~ , I v I ~ ~ I i 1 i~ of 2! I i I! i ~ l l l i ~ I I I i I i' i I I I I I - I I ! I ( J~ i i I I I i l l, ; N I~ i I ,i II I~ ; III i VT II ~ .I I I I 1 1 4 I I I ~ ~ ~pro I I' I I I I l E I I ' l' 11 i' I~'i i ICI I!11~'li~!~~il II II!I !I ,li I li~lll~lilll Iii A, /414-7 I J FF I I Use BLUE or BLACK Ink r----------------� I For Office Use I � � Permit#: �� Clty of �� ; . �r ; � Permit Fee:� ?�_ I 3830 Pilot Knob Road I "' � � I Eagan MN 55122 Date Received: Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION ; Date: Site Address: Unit#: I'� ' Name: �_�� //`��A Phone: �p.S��v ��-' � 7/ Residentl � Owner Address/City/Zip: ��`� �/�� Applicant is: V Owner Contractor Type Of WOr'k Description of work: �l.�—�1L � , Construction Cost: Multi-Family Building: (Yes /No� ' Company: Contact: Contractor Address: City: State: Zip: Phone: Email: 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 the 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.qopherstateonecall.orq 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 complet within 180 days of permit issuance. X �-��'P��G� �% S� � X ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA144191 Date Issued:07/17/2017 Permit Category:ePermit Site Address: 4011 Mica Tr Lot:25 Block: 5 Addition: Cedar Grove 5th PID:10-16704-05-250 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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 - RPZ/PVB/Lawn Irrigation $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 - Terrance Johnson 4011 Mica Tr Eagan MN 55122 (651) 231-6302 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162817 Date Issued:07/30/2020 Permit Category:ePermit Site Address: 4011 Mica Tr Lot:25 Block: 5 Addition: Cedar Grove 5th PID:10-16704-05-250 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Terrance Johnson 4011 Mica Tr Eagan MN 55122 (651) 231-6302 Craftmasters Remodeling Inc 2495 Maplewood Dr, Suite 314 Maplewood MN 55109 (651) 757-4100 Applicant/Permitee: Signature Issued By: Signature