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4023 Mica Tr Use BLUE or BLACK Ink ~cti I . lio I1 City of Eaed I Permit F ~ Permit Fee: 3830 Pilot Knob Road I ' Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I 2011 RESIDENTIAL PLUMBING -PERMIT APPLICATION Date: Site Address: mil/" G1-3 Tenant: Suite RESIDENT/ OWNER Name: ' Phone:tiJ { Address / City / Zip: + / f CONTRACTOR Name: Appliance Connections I°A License ~J `lam + Address: Fast Quality Installations City: Phone: 952-4454M3 State: ZiFax:%,OM Phone: Contact: -Email: TYPE OF WORK -New Replacement _Repair -Rebuild - Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater XWater Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main / Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES 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 fof work which requires a review and approval o ns. t" x Applicant's Printed Name Applican s ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground 'F~ou'qh-ln _Aiffest Gas Test Final vac oI.UV- VI CLP%%Or% 111K - - - - - - - - - - - - - - - - - - ss U(J For Office Use ~i~ of Ea H~G~ V Permit Ed~ l Permit Fee: e I 3830 Pilot Knob Road I 1 Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I l Fax: (651) 675-5694 1 Staff: I 1 I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: O ' q• 10 Site Address: 7IAAt~t Tenant: Suite M RESIDENT / OWNER Name: Lcm~~ Phone:491- qS9 - 0 5 / 7 Address / City / Zip: `T GL'L~ `1t Q AI '5 a Applicant is: Owner Contractor TYPE OF WORK Description of work: 13 J Sul Ul-~ P>t e t~ UL t)}~~ LQ o~ Construction Cost: / I U © - Multi-Family Building: (Yes / No CONTRACTOR Name: ,l~ytnlt,^~.~ License,,.#: .4-749 Address: `f -7 `-f -e City: State: Zip: 015,-6Phone:I 1 7 07' 7 Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that 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.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. X J x Applicant's Printed ame Applicant Signature Page 1 of 2 cinr oF EAGAH 3795 Pilot Knob Rood Eagan, MN 56122 PHONE: 454-6100 BUILDING PERMIT -y Receipt # .,..? :? ._,r ,?.?;•s..,, !?i/.-,o,.,?"?" .. N2 4211 Site Address Erect ? Occuponcy Lot Block 4 Sec/Sub. Aiter ? Zoning Porcel # Repair ? Fire Zone _ Enlarge Type of Const. gx Name ";Y:"i1z ?• `•'?Qt'n - Move - ? #k Stories 3 Addres s Demolish ? Front ft. 54-W1 Ph Grade ? Depth ft. one ? Nume Approvols Z? o Address Assessment - ? u ?- Ci Phone Water 8 Sew. V? W Name Police Fi W FW re ?? Address - Eng. <`Z" Ci Phone Planner Council I hereby acknowledge thot I hove read this application and state that the information is correct and agree to cornply with all opplicable gldg. Off. _ State of Minnesota Statutes and City of Eagan ardinances. APC 5ignoture of Permittee ? Fees Permit Surcharge _ Plan check _ 5AC Water Conn. Water Meter I Total A Building Permit is issued to: on the express condition that oll work shall be done in pccordance with oll applicable State of Minnesota Statutes and City of Easan Ordinanc=_s. Building Officiol ' P?ewM # D?h I?w? hn?NfN Plumbing AAechonical INSPECTIONS DATE ItVSP• Rouph-In Find Footings Dots (nsp. OoTe Imp. Foundation Plumbing Xo -.211 ? Frame/ins. Mechanicol • Finol d /- 77 --•-•- - ? 7 Remorks: / ^ / f - 76 7 ? l- /.3 .?? ? c ~ ? ?? ? !6? CITY OF EAGAN Remarks * Cedar Grove ACquisition Addition CEDAR GROVE #5 Lot 23 Blk 5 Parcel 10 16704 21p Q5 Owner !-L} " 1 `+ ; Street 4023 M1Cd TY'ail State Eag? , MN 55122 fi(.t1-j?'?i Improvement Date Amount Annual Years Payment Receipt Date S7REET SUR F. STREET RESTOR, GRADING SAN SEW TRUNK Z 1967 100.00 5.00 20 Pzlj.C1 SEWERLATERAL 1967 493.00 24.6$ 20 Pdid WATERMAIN * WATERLATERAL 1972 607.00 24.28 25 WATER AREA STORM SEW TRK 1970 70.00 3.50 20 S70RM SEW LAT CURB & GUTTER SIDEWALK S7REET LIGHT WATER CONN. SUILDfIVG PEfi. sAC 200.00 452 0-25- 7 PARK Ed4GAN TOWNSHIP BUILDING PEa2MIT Ownex ....._. Address (presen3) ._-----?Nr....L.>... Builder ...... .----------- ------------------------------------------------------- ..------------- Addrass ......--_-..- DESCRIPTION N° 1593 Eagan Township Town Hall De,e ._V!.?1?7 -- - --- ------------ SSOries To Be Used For Froni DepTh Heighi Esi. Cost Permit Fee Remarks `' . . . d LOCATION4z''Jdj Ao-o Sireei, Road or olher DescripYion of Locaiion I Lo! Slock ? Addition or TracS /J .r- ? l.? i3 I - This permif daes not aulhorize the use of sfreets, roads, alleys ar sidewalks nor daes ii give the owner or his agent the right fo create any siYualion which is a nuisance or whieh presents a hasard !o the healih, safefy, convenienee and general welfare io anyone in the communifp. THIS PEAMIT MUST B£ KEPTp ON THE PREMISE WHILE THE WOAK IS IN PROG?RESS. This is !o cex3ifY. 1haf...?_. :a?_...._4-r..-?.:.._ ed.` ................has permission !o exect a....fa. ..._'.3 """""" ' " upon ?' !he above described premise subjec! Yo the provisions of the Suilding Ordinanee for Eagan ownship pted April.. 11. 1955. llel? ............. ."._..__........... Per ..._._...._. ...................................'.. r ? ?- - -?--?-?- airman oir Tnwx Soard Building Inapecfor ?- ts- EAGAN TOWNSHIP BLDING PERMIT ? /? Ownex . ... l.4...........`.?...--' ..y.... ......... Address (HresenS) ----- 7..O.04...?..........?.l.,?.? Bullder .............C_.l.-- °--... _.............---------.......-°-°.._...................... Addreee .... ......? . . . ........................................................... DESCRIPTION 11T° 2331 Eagan Towaship Town Hal! Da:. C?.?. ./?/,197a.. Bioziea To Se Used For I Fron! Depih Heigh! Esi. Cos! ' Perm!! Fea Ramarke ^ G?.?-e y ?a °° 1o1i% o or This permit does not aulhosise the use ot sizeels, zoads, alleya or eidewalks nor doea it givo the owaer or h19 agen! the right !o areaie anp ailuafion whfeh ia a nuuanee or whieh presents a hazerd !o the health, eafely, eonvenience and general welfare to anpone in the communifp. THI5 PERMIT MUST B EPT ONEE1,pREMIBE WHILE THE WORK IS IN PROGAE . /? This in !o eerlifY. She!°l:.. --°-- °°....has permissioa !o erec! a.-°-- ............. -upon dina e for E a ship adopied April 11. the above d scrihed pr mise suhjee! Yo the rooisioas of the 8Gdl?????? 1855. _. ."' -' " "" -_'_"_--'••'•'--°"'_"- Per . ... . ..? ................."--'_"" ""_""_.........."_"..._...... ? Chairman ot nwn Soard BulldinQ Irupecior CITY of EAGAN BUILDINO\PERMIT Ownas ....... NORMAN... C.A ..HAGN.N .................. ................................. Addreas (preseni) .....4023.. ...Mica.. Trai1,...Eagan .................. . ... ................. Suilder Cedar, MN Address 454-6483 .r ia N2 4162 3785 Pilo! Knob Road Eagan, Minnesola 55122 454-8100 . Dalb ................ 12,(28,(76............ 6iories To Ba Uaed For on! --- De Coa3 armlt Fee Aamarin 2nd Floor Addition 24 1 30- 1 \ 1 13,500 ? 51. 00 8.00 s c Streai, Road or ofher D+soaiption o! Lqcalion \ I Lot I Sloek I Addition or 1'rae! 4023 Mica Trail 23 I 5 I CG #5 This permit does aot aulhosiae the use of slreefs, ioads, lleys or sidewalks nor doas fY give the ownes or hia agen! the righ! 2o creale any aituafion whic6 is a nuisance or uh resenfs a hazard !o the heelth, salefy, eoavanience and ganexal welfaxe So anqone in the eommunitp. . THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAR IS IN PROGAESB. . 2nd"'_' floor..addition .ssin-'-- " & --- self . haspasmission !o esac! a.""'-"- ............................. _ . _ yp? - - e........"'--..'-_"..... This is !o ceirify, lhat............Andr..w ... Ni. " the above described m' e subjeck io the provisions of all applieable m ces for the C' Eagen ' ..................... .-.-_:--.. f...? .......... .....?.?,-'°--...-- -- - - -°--...°--........ Par ._..... ..._.......??,..... .. .?...?..L..?........................ Mayor . Building Impecior HOUSE HEATING TEST RECORD -r 7 3 Y ? 6L^LSUBURB CI' ADDRESS -' v ' Z APL - FLOOR T OWNER ? N OCCUPANT HEAT LO55 DATE HTG. INST. INSTALLED BY SOLD BY B G Li Electrical W 4 R' y na as TYPE OF HEAT GA _ FA _HW -STEAM -SPACE HTR. _ UNIT HTR. _OTHER GAS DESIGN ? CONVERSION ? F BURNER E 7? E MAK MAK O Modsl .??? "?76NI?U Model Serial paA53?L' F32rry2 9?d7 Max. BTU Ratinq INPUT ! MAKE OF FURNACE Model CONTROLS h1 S THERIIL)STAT Heat Plug Vsnt Size 3 Valve./??S"r+LL?IL KIND OF LI R SIZE NONE Limit Drah Hood Regularar Limit 5atting. Fflfars Sizs lumber Fan Setting Chimney Location A Insida- Outsids i ? *y Pilot Typs Chimney Consirudion ?' Pilot Make ? Pilot Medel l? n b p., $moke B y Wiring Pilot Timing ' ?1O y ? Draft f."..? ??t? Te:t Tag L.W. Cut Off Doar Prassure Lighling InsT. ? 2 2 Proasure ? Percent COZ? Tesesd Date , P Peresnt 0z? eCFH In u ?mpony Testin9 .,. n ?.. ? S1ack Temp. ? Parcant CO Name of Tester .? "'? Fwm 235 ciTr oF eacaN 3795 Pilot Knob Road Eagun, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION ro ba wed to. Znd Floor Addition ?? Site Address 4023 Mica Tr. Lot 23 elock 5 Sec/Sub. CG 5_ Parcel # W IName Norman C Hagen Z Add.ess- 4023 Mica Tr. 9 __ Eaean. 454-6483 0 Z °uu ? ? Name ?drew Nissin S Self Address Name _ Address I hereby acknowledge that I hav eod ihis the information is correct an ree to c Stote of Minnesoto $tatute on City o4 $ignature of Permittee A Building Permit is issued ta: Nntr oll work shall be e m cc ance with Building Officio _ state thot opplicable 4?_' Ns 4241 Receipt # ^5 LG_z_ _ ,.._ Jan_ 3. ,.. 77 Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 24 ft. Grade ? Depth 34 ft. Aonrovols Peea Assessment - Water & Sew. Poiice - Fire Eng. Plonner _ Council _ Bldg. Off. - APC Permit - Surchorge _ Plan check _ SAC Woter Conn. Water Meter Total on the express condition that of Minnesota Statutes and City of Eagan Ordinances. ,7 3-#! _ ? * ? - 74? V C?-?avel e ? ¢ 9 5 ? i e; U+tlihrt ?. ?r-a?r?a9e_ rcasers??v?{- -?-- ?f?;Y; ; ? _., - - - - - - - - - - _. _ e _. _ _. _,? -- - --- _ ? ? - - -- ? ? I ? " • I .? 14 pY\? . ' 1 T ? ? r Y ? . k '` ??' ' ?. ?C1CI?. S? Z4T---- ? C.GdBv (-\1roV*- rtlh ? ? ?`?? i 1-7. aK.n}a COUri}? ,?/ ,Y , ._ ? '•n'V2?-.: : I _ _ ? ?l I thPlac.? nAr??Mi 1 ^ ? } f n ?? I I ? ? ? -? -?- --- gz' - ? y N( I G3 Tr ad MA5TER CARD • LOCA a STRUCTURE AND ? LAND USED AS ?,o r009 a P • ,• Permit No. Issued Issued To Contracfor Owner BUILDING PLUMBING "1-I!T CESSPOOL - SEPTIC TANK ? WELL ELECTRICAL NEATING GAS INSTALLING SANITARY SEWER O7HER I O7HER I Items Approved (Initial) Date Remarks Distante From Well FOOTING SEPTIC FOUNDATION ? a d ` CESSPOOI FRAMING Z ? '3 TILE FIELD FT. FINAL ELECTRICAL HE,qTING ? DEPTH OF WELL GA$ INSTALLATION $EPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: I ??• I ir. . 'dill r.e i- - - - ? -r-•- - l/LCi ,??J! 'i?v/L/ L COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS • PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPIIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. 6UILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. RIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REVEALED CERTt FICATION -1 certify that I have carefully inspec[ed the a6ove in which I have no interest present or prospec[ive, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENT$ ACCEPTABLY COMPLETED BUILDING COMMENTS: OATE • ?`°Ma aa 41? -city 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 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 1,.5 208 The City is currently being billed by Dakota Electric for streeUighting in the above listed subdivision. Edward J. irsc ht Sr. Engineering Technician cc: Mike Foertsch EJK/je 77?,??2- aoo7 RESIDENTIAL BUILDING rERMIT arrLIcaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouiremenis 3 registered site surveys showing sq. R of bt sq. ft. of house; and all roofed areas (200h mazimum bt coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showifg beam & window sizes; poured found design, etc. 1 setof Energy CalculaGons 3 copies of Tree Preservation Plan A lot platted after711193 Rim Joist DeWil Options selection sheet (buildings wAh 3 a less units) Minnegasco mechanipl ventilation forcn j'a, ff-) RemodellReoair Reauirements Olfice UseAniv 2 copies of plan showing footings, beams, joisls Cert ot Survey Recd ?- _Y - N 1 set of Energy Cakulations for heated addiUOns Soils Report _ Y _ N 1 site suney for addNOns 8 decks Tree Pres Plao Recd _Y _ N_ Adddion - irMicateNon-sitesepticsystem TrcePresReqtiired . _Y _N On-siteSepfcSystem _Y _N ol?.,? ?ro ?.,..?irlororl nuhlic infnrn,atir,n iiniPSS vou state thev are trade secret and the reason. Date Site Address 72a lV Construction Cost UniUSte # < Description of Work % Multi-Family Bldg OY N Fireplace(s) _ 0 2 Property Owner t) 8 n'n R ? Telephone # (6 5I ) WSV-OS % 7 Contractor Address Cit3' State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissfontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City 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 Contractor Telephone #( Teiephone # ( Telephone #( r hPrPhv annlv fnr a Residential Buildine Permit and acknowledge that the information is e; 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 plans. an nK C`'? ? ? n aLXZ ) ApplicanYs Printed Name ?Ii Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? Ot Foundation ? 07 OS-plex ? 13 16-piex ? 20 Pooi ? ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous 30 Accessory Bidg 31 Ext. Alt - Multi 33 Ext. Alt- SF 36 Multi Misc. Work Tvpes ? 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 WindowslDoors ? 34 Replacement *Demolition (Enfire Bldg) - Give PCA handout to applicant DesCription: Water Damage Yes Valuation Occupancy MCES System Pian Review 100% or 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Foorings (new bldg) _ Footings (deck) _ Footings (addition) Foundation llrain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation 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 _ Sheetrock _ FinaUC.O. _ FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Building Inspector PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA089895 Eagan, MN 55122 . Date Issued: 06/25/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4023 Mica Tr Lot: 23 Block: 5 Addition: Cedar Grove 5th PID 10-16704-230-05 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: hmprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Window Store Home Improvements Donna M Hagen 9909 S. Shore Drive Suite 270 4023 Mica Tr Plymouth MN 55441 Eagan MN 55122 (763) 746-8960 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115821 Date Issued:09/30/2013 Permit Category:ePermit Site Address: 4023 Mica Tr Lot:23 Block: 5 Addition: Cedar Grove 5th PID:10-16704-05-230 Use: Description: Sub Type:Reroof 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. Carbon monoxide detectors are required by law in ALL single family homes . Terry Severson Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Donna M Hagen 4023 Mica Tr Eagan MN 55122 Cardinal Exteriors 4110 Valley Industrial Blvd. S Shakopee MN 55379 (952) 445-8638 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142730 Date Issued:05/16/2017 Permit Category:ePermit Site Address: 4023 Mica Tr Lot:23 Block: 5 Addition: Cedar Grove 5th PID:10-16704-05-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Emily J Norgaard 4023 Mica Tr Eagan MN 55122 (612) 361-1758 Universal Windows Direct Twin Cities 150 88th St W #205 Bloomington MN 55420 (612) 866-2888 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA176548 Date Issued:05/20/2022 Permit Category:ePermit Site Address: 4023 Mica Tr Lot:23 Block: 5 Addition: Cedar Grove 5th PID:10-16704-05-230 Use: Description: Sub Type:Gas Line Work Type:Alteration Description: Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Emily J Norgaard 4023 Mica Trl Eagan MN 55122 (612) 361-1758 Umberto's Hvac 13479 Everest Ave Apple Valley MN 55124 (952) 221-4383 Applicant/Permitee: Signature Issued By: Signature