4029 Mica Tr
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use
I I
Permit //9 1
City of EI 1
I Permit Fee: r V v
3830 Pilot Knob Road j I
Eagan MN 55122 I Date Received: /_l,% 1
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff: - - - - - - - - ~
INFLOW INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: lr Site Address: ! Da / i' , (~G/`t D -a IL
Tenant: a Suite
e^~
~u1 -Q C( Phone:
RESIDENT OWNER Name: L-
/
Address / City / Zip: S
Name: fi License _M@22~~
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: 0RA1 . TiLF- Other:
PK Jt l lC /Art rd~
Description of work: RQ w"' -
DESCRIPTION
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeaaan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.goi)herstateonecall.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 7*~ review and approval of plans.
x QNdb AeCLn x
Applicant's Printed Name Applicant's Si ture
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA096752
Date Issued: 11/01/2010
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 4029 Mica Tr
Lot: 22 Block: 5 Addition: Cedar Grove 5th
PID:10-16704-220-05
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
hleve Companies Daniel R lolclean
1307 Pioneer Trail 4029 Mica Tr
Eden Prairie MN 55347 Eagan MN 55122
(952) 941-4211
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
CITY OF EAGAN Remarks * Cedar Grove Acquisition
LILL
dk
Lot 22 glk 5 parcel 10 16704 220 05
street 4029 MiCd Tx'ail State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
S'fREET RESTOR.
GRADING
SAN SEW TRUNK 967 ?D.?Q 2 0
SEWER LATERAL
WATERMAIN
* WATER LATERAL 1972
WATER AREA
S70RM SEW TRK 1970 70.00 3.50 20 Paid
STORM SEW LA7
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
8111LDING PEfi.
sac 200.00 567 12-21-67
PARK
CITY OF EAGAN
3795 Piloe Knob Rood Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be uted for Est. Value ? Dote __
Site Address
Lot • Block Sec/Sub. ?'•?'• ?
Parcel '20 75
,, Name ' ?erle ? . ' 'i "_t s
W
3 Address ^s
? ,... ? 454-4330
Q? IVOME _
,O
?u Address
? r,...
Name _
Address
I hereby acknowledpe thot I huve read this applicotion ond state that
the information is correct ond agree to comply with all applicable
State of Minnesob Stotutes and City of Eagan Ordinances.
N2 6335
30 a '^
Erect ? Occupency ?
Alter ::Q-• Zoning !
Repolr 0 Flre Zone
Enlarge ? Type of Const.
Move p #' Stories
Demolish ? Front ft.
Grode ? Depth ft.
APProvalt Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off.
APC
Permit •
Surchorge
Plan check
SAC
Water Conn.
Water Meter _
Road Unit
Total
Signcture of Permittee ?
A Building Permlt is issued to: on the express condition that
ull work sholl be done in acoordonce with nll opplioable State of Minnesota Statutes ond City of Eoflan Ordinonces.
Building Officiat
Permit .?j DaM luued PerroiMw
Plumbing
Mechanical
INSPECTIONS
Footings
Foundation
Frnme/ins.
Finol DATE
p-Sd-?a INSP.
Plum6ing
Mechanical Rough-In
Date Insp. Finol
Date Inso.
Remarks: /0-36"bt) / T
i
?
To Be Used For 0&21;-. rr, ?'?.e Valuation _
Site Prlclress 4 2?J m: c/? .-7i^
Iot ;?A Elock OS sec./sub. GG ?
Paroel #: /11 /6 7oy eZo'?c7 05'
owner: mc rle ?. ?•..1?' G.. ?.S
Aaaress: a a? m: c,4 7t?
City/Zip Code: YY2 w.
Phone #:
Contractor:
Pddress:
City/Zip Code:
Phone #:
Arch./Ehq.:
Address:
City/Zip Ca3e:
Phone #:
CITY OF EAGAN
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calcvlations.
Date l 0 /3a /iV '
OFFICE USE ONLY
Erect occuPancY lE?..3
Alter `X Zoning
Repair Fire Zone 3
Enlarge _ 'Iype of Const.
Nbve # Stories
Demolish Front ft.
-
Grade ft.
Depth / r?
APPRL7tTAi,S FEE5
Assessments Permit
taater/Sewer Surcharge /
Police Plan Check
Fire SAC
gg, Water Conn.
Planner Water Meter
Council Foad Unit
Bldg. Off.
APC --
'PUPAL 0 /-U ffi"
EA?GAIV TDWNSHIP
BUILDING PERMIT
n -
Ownex ........ L.=4ce.^?...°-<-'-4---- -
(preseaf)
........ ?? -=--?-- - --- - -
Buildes
Address
DESCRIPTION
N° 1699
Eagan Township
Town Hall
naie .?u' ? 1-??r?.-7
...------
SYories To Se Used For Froni Depih Heighi Esl. Cosf 'Permii Fee Remarks
I
LOCATION
Streei, Road or olher Descripiion of Localion I Lof I Eloek i Addifion or Trac!
.a --,- I 5 I 6 /a .s°
This permii does not auihorize the use of sfzee3s, soads. alleps or sidewalks nor does it give the owner or his agent
the righifo ereafe anp siluaiion which is a nuisanee or which presenls a haaard !o the healih, safeip, convenience and
general welfare to anyone in the community.
THIS PEAMIT MUST BE KEP? ON THE PREMISE WHILE THE WORK IS IN PAOGRESS.,
c.?----------°-------- ?---?---"-?- j.----- -------- -- on
This is Sa certifp, ihai .....? -.---- l%----------------..hasPermission !o erect a .--°' ...... up
the above described premise subjec! !o the provisions of the Building Ordinance fos Eag? ariVTow?nship adopled April 11,
1955. ?/ ?r
.. ..-......'-"'••"_,"" '-.._. p . ...............'
------'---...._ .................. ......,....... ?l?C??....::----.... Per ---'-'----°'-.
---'-------..._. !h?
C airman o'f Tnwn Boar?1 ,? Buildin Ins ecfor
4 (? g
.
CITY OF EAGAN
3794 Vilot Knob Road Eagan, MN 55722 N! 6335
PHONE: 454-8700
'
BUILDING PERMIT APPLICATION Receipt # ?lC 'j
T. ba used for INTERIOR ALTERA.Est.Value 2,000 pate 10-30 19 80 _
Site Address 4029 Mica Tr. Erecr ? Occuponcy R3
Lot 22 B lock 5 $ec/Sub. C.G.S Alter X$x Zoning Rl
parcel # 10 16704 220 OS Repair ? Fire Zone 3 _
Enlarge ? Type of Cons[. V -
w Name _ Mex'le D WiltS Move ? # Stories
3 Address 527R2 85 &bOV2 Demolish ? Front _ NA ft.
° 454-4330 Gmde ? oepcn NA k.
c ar,me
? Nome
0 AODrovals Fees
?? Address
Name _
Address
I Nereby acknowledge that 1 have read this application and state thot
the informotion is correct ond agrea to comply with all applicable
State of Minnesota Statutes and City of Eogan Ordinances.
Signature of Permittee _
A Building Permit is issued to:
oll work shall be done in atco
Assessmenc _.
Woter & Sew.
Police
Fire
Eng.
Planner -
Council -
Bldg. Off. -
APC
Permit y•Uv
Surcharga 1•00
Plan check
SAC -
Water Conn.
Water Meter
Road Unit
TatQi 10.00
Merle D. Wilts on the express wndition thot
with all ooclicoble_State of Minnesota Statutes and City of Eagan Ordirwnces.
Building Offic(ol
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ....... .???'/?........?..?.lcl? ..---` ...............'-'......--'
Address (Preseni) ........ -?- ----..:5:........ J--L ........... •.....
Huilder ........1-111:z.'.t2( - r.......
Addresa ..............................
N° 2'717
Eagaa Township
Town Hall
Dale ..._. ;,.....?...._- 7 Z .
.....--°-----...
5foxiea To Be Uaed Foz Fron! DepSh Hetght Esi. Cos! Permit Fee Aemarka
? a ? .z y a? ?•-o ??,?? I s/?.s/
" ° LOCATION
or
I ??. I -'? I E . .67 'g-
This permit does aot aulhor[se !h0 uae of streele, roads, elleqs or sSdewalks nor doos ft gfve the ownes or hle agan!
the xigh! !o oreale anp silualion which ls a nuisance or whieh presanls a huard !o the health, sefely, conveaieece end
general meifare 2a anpone in the communilp.
THIS PEAMIT MUST SE KEPT ON TbIE PAEMISE WHILE THE WORK IS IN PROGRESS.
Thls is !o eerriip' lha2----?f.:--.??!<??..'.r.° ............................ haspermiasion !o erect a........ ...._. .. ..._.. .. . .. ........._upon
!he ebove desc:ibed premise subjeei !0 the provisiona of the Suilding Ordinanee for Ea?Tow hip adopled April 11,
1855. /f ? ?? ? '
. _-...----°°--.... --!?-?.".'?s`.:.`:`.^..?..---r???•`••?°-°------. Per .............. ---...._!?.`.:----??^...:.J,-°°--........----...
Cheisman of Tnwn Board Buildiny Ioapecto: ?S
EAGEiN 1"J'ATSHIP
3795 Pilot Knob Rcad
St. Paul, Minnesota 5:.111
Telephone 454-5242
PE-WT FOR SES-iER SL+RVICL+ CO:4"7;:CTiO*,I
DATE: December 20, 1967
0?Ti'IER: Cedar Grove ffbnst. Co.
PLL'MBERStein Inc.
N'JOER V7
, ?_ %'
Address 4029 Mica Trail . 7"" ;?
TYPE OF FIPE Cast Iron
OF BUILDING
Inc!ustrial` Cn±mnerr..ialI Residentiel I Multiple Dwelling I No, of urits
Locaticn of Connections:
x
7
ConnectionCharge :a en"°? ?"x!
° ..
PermiC Fee I
Street Repaira
Total 3)-,'7•'s`
IaspecCed by:
Date
Remarks•
By.
Chief IrA:pc,ci:or
In consideration of the issue ar.d delivery to me of the abo>e T
hereby agree to do thQ prcposed work in accordance with the ni2es a;:d
reguiatioes of E&gan Torraship, Aakota Couaty, Minnesota
Stein, Inc.
By.
PLease roti.f.y v7hen xe^dy for irspecCSon ar.d coar,-c-Lzur. arr; bei^±-e any port_onx
cf r::e cr;rlc is covtred.
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 '
651-681-4675 N c,
Reaufremenh
? 2 copies of plan
DATE: /^-e?o CONSTRUCTION COST: ? r u? u
DESCRIPTION OF WORK: kL-M.clcc If multi-famiiy bldg., how many units? _
IPfDICAiE THE FOLLOWIPIG EAUIPiWEFtT TO BE REPLACED APfD BY WHOM:
Plumbing _ Homeowner 2E Conhactor Name
_ Mechanical _ Homeowner q,[ Conhactor Name
"NoTe: If somebody other ihan the homeowner is performing plumbing or mechanical work fhey mustapply for appropriate
permit. Only licensed plumbing confractor or homeowner may complete plumbing work.
STREET ADDRESS:
LOT: a y BLOCK: S SUBD./P.I.D. #: C1tl
< '' ?'? ?'-?7
Name: ,
Ji ? ,A,) Phone #:
PROPEI2TY LaSt FIM
OWNER , , _ _ ., _ ? " I
Street
city Fz?--?,. sta,e: Zip:
Company:
CONTRACTOR
ShestAddi
Clty _
State:
Phone #:
(area code)
License # Exp.
Zlp:
I hereby acknowledge that I have read this application, sfate that the informafion is cortect, and agree to compty wilh allapplicable State
of Minnesofa Statufes and Ciry of Eagan Ordinances.
?
Signalure of Applicant:
SoZmP-,
AUG - 7
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
13 34 Repair
? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Att - SF
? 18 Deck ? 23 Porch (screened) ? 36 Muki
? 19 Lower Level ? 24 Storm Damage
Plbg _YOr_N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)"` ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
` Demolition permit - Give PCA handout to applicant
GENERAL INFORMATION
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# af Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
,
.. . , ,,. .-, ,:.. :..._. . .` .. ?T ?l
_ . ._ .... : . ;v .
fRt`?, a ? ` w ?s n
4
I" R'arnarq
lmd Suwy»y
,Soels 7rslu J
Ilni (i 4AM)9:A7l
EffJMkY.'Y.'!?
J
%.C?
MASTER CARD
E
OWNER
STRUCTURE AND I
LAND USED AS z SI Cda," at
r
Permit I No.
Issued Issued To
Confractor Owner
BUILDING
PLUMBING
`??7
I `-
?-.-
I
CESSPOOL - SBPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INS7ALLING
SANITARY SEWER ?
?
OTHER I
OTHER I
?I
u
Items Approved
(Initial)
Date
Remarks
Disfance From Well
? OOTWG SEPTIC
FOUNDA710N ?-" -? CESSPOOL
FRAMING TRE FIELD PT.
FINAL
ELECTRICAL
HE.4TING DEPTH
OF WELL
GAS INSTALLATION
SEPTIG TANK
CFSSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
L_J
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NONLOMPLIANCE
OBSERVED.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? ACCEPTABLE SU85TITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND pESCRIBED AS FOLLOWS:
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION •
CERTI FICATION -I certify that I have carefully inspected the abwe in which I have no interest present or prospective, and that I have reported herein
all significant conditions oLwrved to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific raquire-
ments for off-site improvements relating to the property inspected.
7 ALL IMPROVEMENTS ACCEPTABLY COMPIETED
BUILDING INSPEGTOR
CONJv1ENT5:
.qj? :.
,
.?i
_ ciiy of eagan
MEMO
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, LOts 1-9 9
Block 13, Lots 1-15 ?1
208
The City is currently being biiled by Dakota Electric for streetlighting in the above listed
subdivision.
Edward J. irscit
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114145
Date Issued:09/11/2013
Permit Category:ePermit
Site Address: 4029 Mica Tr
Lot:22 Block: 5 Addition: Cedar Grove 5th
PID:10-16704-05-220
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 -
Daniel R Mclean
4029 Mica Tr
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA150515
Date Issued:07/12/2018
Permit Category:ePermit
Site Address: 4029 Mica Tr
Lot:22 Block: 5 Addition: Cedar Grove 5th
PID:10-16704-05-220
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature