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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