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4041 Mica TrINSPECTION RECORD CITY OF EQGAN PERMIT TYPE; 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ? ? I li;1t? ?,,; ?ru'i p ?., . .. E . , t< • ? 7472 PERMIT SUBTYPE: TYPE OF WORK: ? ? . . ? , j _ .. . - ? ?". . ?. : _: ._. .. . . . " ..., . . . ,.? `?r: , .. ?''7 . , r . . . . ,?a .., .,. .. ., q r.}t 1sr:ctI r°rr0 r, tI-W;) Permit No. Permit Holder Date Telephona # ELECTAIC PLUMBING HVAC Inspeetion Dats Insp. GommeMs FOOTINGS FOUND FRAMING ROOFING ROUGH PIUMBING PLBG AIR TEST ROUGH HEA7ING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST ? FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL flECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: . ,: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: I.f:iIAN i;kf+Vt #h (1+19 14 4 Hf..'? PERMIT SUBTYPE: . I . TYPE OF WORK: F L ? nr ?.I k r r r 1' I?r4 ia' r. xi >:????f PermN Holder Dats Telephone M SEWERI WATER PLUMBING HVAC Inspection Dete Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN Remarks * Cedar Grove Ac4uisition Addition CEDAR GROoVE #rJ Lot 20 Rlk 5 Parcel 10 16704 200 OS Owner --%''Street 4041 MiCS Tr811 State EiLgan, MN 55122 rk'i A i Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK Z 196, 100.00 .00 QQ id SEWER LATERAL -196-7 4 23.00 20 id WATERMAIN * WATER LATERAL 1972 607.00 24.28 25 8aid WATER AREA STORM SEW TRK 7 1970 70.00 3.50 20 Paid STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 00.00 452 10-25-67 PARK CITY OF EAGAN 9 4 tO 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55 121 PHONE: 454-8100 BUILDING PERMIT Receipt # . Te be wwd f or G?•.?C-,??Est. Volue $ 4,000 Dat e SrPTE? 19 ` Site Address `041 2,1ICA TRAIL Erect Occupancy Lot Bl c ock Gec/Sub. CED CRV J Fiemodel ? Zoning • Parcel No. Repeir ? Type of Cortst. Enlarge A No. Stories Name DUANE BARCLAX Move El l.ength 1?y ? Address Demotish SM'lE ? Depth % .... ? 45d-41 8iR Grade ? Sq. Ft. 3.":'.4 CONST Name Address City Phone I hereby acknowtedge that I hove read this opptication ond state that the information is correct ond ogree to comply with all opplicable 5tnta of Minnesota Stctutesr'pnd Ciy nf Eogon Qrdinonrxa. Sipnuture of Pertnittea ? ???-`? •??? ? J GOr.CU CONST A Building Permit {s issued to: oll work shol l ba done in accorda?ce wit? oH opplicable State wf Mlr 6uNdir?p Officio{ Ilssessment Wafer & Sew. PoHce Fire Enp. Pionner Cour?cii Bidg. Off. g 6 s n APC Var. Date Permif Surtharqe ' Plan check SAC Water Co?m. Woter Meter Road Unit Parks Total an the expresa condiNon lhoi Statutes and City of Euqan Ordirances. ?C Permit No. Pormit Holder Dete Plumbiny H.V.A.C. Eteetric Softener Inspection Date Insp. Othe? Footinys 4 5 1 l Foundation F?aming Rouyh P16y. Rough HVAC Insulation Final P16g. Final HVAC Fina1 3 ? Cwt/Dec. Water Descri6e Loeation: Wron ? m? ? ` Sewer ,„y?t? G.t ? ? / ?fp V ' Pr. Disp. EAGAN TOWNSHIP. No . BUILDING PERMIT Ownex '--^-.`_.?.....N...e.. -..O-'--.--_.._---'--__-_'. - - ? ? Eagan Township --... Address (Presenf) ?-:---_44t ..... _7/.?i------------- --........... ._ . Town Hall Builder ............... ----------- ............... ........ ...... ---............... ..__-------- _ Date ? ----...`-.._... Address ................................... ................................. .--------- ............... . ? ? - DESCAIPTION ? 1427 Stozies To Be Used For Froni Depih Heighi Esl. Cos! Permi! Fee Remarks --- LOCATION streex, xoaa or omer uescnpnon ox Locanon Loi niocx aatlIIion or '1'racf --- ----- -7 ? - ----- ?o-? l i3-1?- .S This permif does noi aulhorize the use oi sireeYs, zoads, alleps or sidewalks aor does if give the owner or his ageni the righi to creafe any sifualionwhieh is a nuisance or which presants a hazard So the health, safelp, convenience and genezal welfara fo anyone in the communiip. - , THIS PERMIT MUST BEKEPT ON 1'HE Ppg?EMISE WHILE THE WOAK IS IN PROGR£SS. ,_ _ . . This is to cexiify, fhal....c,.:._??.....?-?.[:X^:°----- ..`":? .. ... ...haspermisaian !o ereci. a..._y.'_`._-G..:` 1...__...-upon the above described premise subjeci fo the provisions of the Building Ordiaance , for Eaga?Jl'ownship _ ado April 11, 'ed 1955. . ?j/ . . . . - - ..._ .. --? ....-. .............. Per ..--------- d Ghairmen of T tCc? <.C._._(lr}??:e.fSZ. ..................................... -............ nwn Board . ? . Bui?ding Ins ecior a ,F' EAGAN TOWNSHIP BUILDING PERMIT ovme: --x '.._ . ..... - -.?.`(.?/.?-.-?-?. ?,.,.",.??.?..?.`.?..???......... --------- - ........- --- Addsess (presen!) y/Y/ ??-"- T?.,: ......--- ..............°--- °----.....-'------...... Suilder ..... ..fr.4?_.../.?... .!. .:-_ ..._.................................... .............. Address .................. .----G-------- --------------------------- --....... DESCRIPTION N° 1996 Eagan Towaship Town Hall S Dafe --°"----?.h..% -'----°-'-°---`--` Siories To Be Used For Fronf Depih Heighi Esi. Cosf Parmit Fee Remarks I LOCATION I'p-4 I sl d- .0 -5' This pesmit does not auShorise !he use of streeSS, roads, alleys or sidewalke nor doea it give the owner or his agen! the righ! 2o creale anp sifuation whieh is a nuisaaee or which presenls a hazard !o the healih, safely, convenience aad general welfare io aapone in the communiip. THIS PERMIT MUST SEy KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGRESS. upoa This is to aertifp. lhaf.aC-= -..-7,--?-?°°--°J° - - --.....°-----------------has permission to erect a..... g/........._-- .... ................................... the above described premise su jeb e! !o !he provisions of !he Building Ordinenee for ag? Township edopYed April 11, 1855. •CfI,? Per //zy o /?? ? _"'--"'..._'---.... .y-'-l...-..."_."._""-'........._.. ....---?'----?--L'._r.:-•--"__(/?s?-:??."'• Chair?n of Tnwn Board Building'faspeolor a - 13 L• ? ALL CONTRACTORS MUST BE LICENSEDIWITH THE CITY OF EAGAN 3 INCLUDE Q SETS OF PLANS, ? CERTIFICATES OF SURVEY ? SET OF ENERGY CALCULATIONS To Be Used For: Valuation: ,T ?n.?n.nn -,_....?....?w- Date: 9-4^L[? Site Address: 'f-Qgl -Y'Yl°a TrA ° I pD( • • Lot:?p Block: r?Sect/Sub: ee&r (',ppv /tOE'iect: Occupancy: Remodel: Zoning: Parcel #: Repair: Type Of Const: ? Enlarge: # Stories: Owner: ??ln„?e? Move: Length: Address: 4Q ¢?- ? ? "??e( Demolish: Depth: 'g City/Zip Code: ?i? N y_?I17? Grade: Sq. Ft.: ? Phone # : 459-- 41 5(8 Contractor: a'oJ' ca ? Address: Assessments: Permit: 44, /? Water/Sewer: City/ZiP Code: R'jvunncc+k 5 S 441 Surcharge: _Z_ police: Plan Rev.: Phone #: 549,-?'r( ?G Fire: SAC: Engr.: Water Conn: Arch./Eng: (-'epy-Lr? Planner: Water Meter Address: Council: Road Unit: Bldg. Off.: Parks: City/Zip Code: APC: s? Variance: ? T?" nh?'o4 ; CITY OF EAGAN N° 9493 ,.? 3830 Pilot Knob Road, P.O. 8ox 27-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # "/ CO Te M uted Ier GARAGE Est. Value $4,000 Date SEPTEMBER 10 lq 84 SiteAddress 4041 MICA TRAIL Erect Ll Occupancy R3 Lot 20 glock 5 Sec/Sub. CED GRV 5 Remodel ? Zoning Ri- Parcel No. Repair ? Type of Const, V Enlarqe ? No. Stories - W Name DUANE BARCLAY Move ? Length 19- Z Address $AME Oemolish ? Oepth Za ? City Phone 454-4158 Grade ? Sq. Ft. 324 o Name GORCO CONST Zt Address 10700 HWY 55 ? City PLYMOUTH phone 542=9626 Name _ Address City Phone I hereby ockrwwledge that I hove read this applicotion ond stota fhot the inlormotion is correct ond ogree to comply with oll oODlicoble Stufe of Minnesoto Stotute and City of' E1agan Ordirwnces. Sipnoture of Permittee ?6'k-0.??^-? A' 8uilding Permit Is issued to: GORCO CONST oll work shall ba dona in acca APProrals Faes Asxssmenf Woter 8 Sew. Police Fire Erg. Planner Council Bldg. Off. 9/ fi / R 4 APC Var. Date Permif vzs.?v Surchorga 2.00 Plun check SAC Water Conn. Warer Meter Road Unit Perks rotal $46.50 on the express condiHon thof MinneEOfa Stotutes ond Cily of Eogan Ordinances. Buildinp OfftNal RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PIIOT KNOB RD, EAGAN MN 55122 651-681•4675 New Construction Reauiremenh • 3 registered sile surveys showing sq. R. of oC sq. fl. o( house; and ail (oofed areas (20°k maxvnum lot coverage allowed) . 2 wpies ot plan showing 6eam 8 window;;zes; paured found desgn, etc.) • 1 sel of Energy Calculations • 3 copies of Tree Preservation Plan if lot Giatled afler 111193 • Rim Jaist DeWil OOWns selection sheet (CIOgs with 3 ar less units) DATE lD-tv-o?- SITEADDRESS yoyI M l(A- f-12 C . MULTI-FAMILYBLDG _Y XN TYPE OF WORK C-a i? z2hi+?c /0£0,qi2 FIREPLACE(S) X 0_ 1_ 2 APPUCANT roNeL 1<2 k'/Y/ldyj STREET ADDRESS i?' Q(gGSC ay07 ?(/?1 CITY ? STATEdi`AG11PJJI?-V TELEPHONE #CIP UJ-(R.3p CELL PHONE # 3df- -) 2 7 o FAX # dQor-/d ,/-/ PROPERTYOWNER S?e UPN L'+s TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGSfONrLY l ? l IJ Energy Code Category _ MIVNk:50"l'.1 RL'I.I:S 7670 GVCEGORl' 1 ;CA RL"L1S 7674 (d submission type) • Residential Ven[ilation Category 1 Worksheet Submitted ..: • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbirg system includes: Mechanical Conhactor: Mccluaiic.il sNstcm includcs: Sewer/Water Contractor: -- Air CondiUoniiig -- Hrit Rccovcr} Systcm I hereby acknowledge ihat I have read this application, state that the i with all applicable State of Minnesota Stotutes and City of Eagan Ord Signature af Applicanf Fee: S90.00 Pec: S70.00 correct, and agree to comply OFFICE USE ONLY _ Water Sottener _ Wa[er Heater No. of Baths RamodeUReoair Reouirements . 2 copies of plan • i set of Energy Calculations far heafetl additions . 7 vte survey far exterior addiGons 8 Aecks . Indicate if home served by septic system for additions Phonc # Lawn Sprinkler No. of R.I. Baths VALUATION CJ S? ?.la "06 Phone # Phone # Certificates of Survey Received - Tree Preservation Pian Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Paol ? 30 Accessory Bldg ,K 02 SF Dwelling ? 08 06-plez ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 ot_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 MuIG ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Yor_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (FOUndation) A? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Endre Bldg only) - Give PCA handout to applicant Valuation ?2 aw Occupancy MC/ES System Census Code 1-1311 Zoning /2- Y City Water SAC Units Stories 2 Booster Pump Nbr. of Units ^ Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const ?_ Width REQUIRED INSPECTIONS _ Footings (new bldg) ? FinaUC.O. _ Footings(deck) ? FinaUNo C.O. _ Fooangs (addidon) Plumbing _ Foundation HVAC _ Dnin Tile Other Roof ? Ice & Warer F inal Pool Ftgs AidGas Tests Final Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) Insulation _ Retauung Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 029130 10J28j96 SITE ADDRESS: 4041 MICA TR LOT: 20 BLOCK: 5 CEDAR GROVE #5 P.I.N.: 10-16704-200-05 DESCRIPTION: ( G A S ) uildin'g.,Permit 'fype uilding W`b,rk Type ens:us, Code ?. I FIREPLACE NEW 434 ALT. RESIDENTIAL < ?'' ' a. :? >,•tz ? 3 r , REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $25.00 $.50 $25.50 CONTRACTOR: - Applicant - OWNER: TOTAL AIR INC 18947472 HAEGEN MARK 1923 W BURNSVILLE PKWY 4041 MICA TR BURNSVILLE MN 55337 EAGAN MN 55122 (612) 894-7472 (612)686-5087 T hereby acknowled=ge that T have° read Chis appiication and stata that the ' infa?^matsvrn is cor^Yect_an-d agreeto pampl-y aiCh all applicable 3tate Af Mn. Statutes and G3ty.of Ea9an Ordinances. APPLICANT/PERMITEE SIGNATURE ? I lYil? 'IS?SUED'II1Y. S NAT E ? 9? CITY OF EAGAN t .?.:J ?? 3830 PILOT KNOB RD - 55122 ?f 1996 FIREPLACE PERMIT APPLICATION 681-4675 DAT'E: I (:?) - 2 Z, -9 ( p DESCRIPTION OF WORK: CONSTRUCT NEW FIREPLACE: _ WOOD BUItNING _ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTfER: ZGAS ROOM TO BE INSTALLED IN: STREET ADDRESS: 40 ? I ff?' I C G. ? G 1 1 LOT 2 n_ BLOCK ? SUBD./P.I.D. #: LtMa? jj APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name: ? ? D- Q 'e '(1 Phone #: OWNER Signature: Street Address: 4 C) 14 ( ' ' \ t C- G ` ' Q 1 ? P. City: ?G `n State: Y? p Zi ? 5 I?"' ? FIREPLACE (?'omoa.tty: / c.,, Phpre !k; 4? ? INSTALLER Signature: Street Address: icense #: Ci t}? u? ? ? 1 l\ ?--- State: ? Zip: 3 ? Pi r ?, r ioni? GAS LWE Compan:\J?c?hr JO ?r? S i r+a C 1?' Y hn o he #: I 9 INSTALLER ` Signature: ?C>?-\\ ev- Street Address: ?1( -3L L°> ??K*1' 5-N City: ()--Uu4 4=_ State: ? m?4 Zip: ??ay V OFFICE USE ONLY BNLDING PERMIT TYPE ? 14 Fireplace WORK TYPE 0 31 New ? 32 Additior. 0 33 Alterations ? 34 Repair GENERALINFORMATION Census Code. SAC Code REMARKS ? i ? '.. ' ? A. Chimney/flue must be inspected before concealing. ---? CITY OF EAGAN 3830 Rilat Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT PERMITTYPE: guzLoznc Permit Number: 0 3 4 15 7. Date Issued: 12 / 0 2/ 9 S SITE ADDRESS: 4041. MTCA TR LOl': 20 BLOCK: 6 CEpAR GROVE 45 P.Z.N.: 10-16704-108-05 DESCRIPTION: T.O. T.O. & RERQOF t3u)fldino P-erm5.t; Tyoe 8pildinq Wor`k.,Type 1?ensu8 Code \ r ? i .._ >: , STORM OFYMAGG REPAZR 434 AL7. RE5IDENTIAL ,? t r > .? REMARKS: FEE SUMMARY: CONTRACTOR: - Appl.i.cant - sr. LzC. OWNER: HOME PRIDC BUILDERS 18840675 20072528 HAGAN MqRK 9033 I_YNDRLE AVE 4041 MICA Tft BIDOMINGTON MN 55420 EAGAN MN 55122 (612) 884-0675 (651)686-5087 T liereby acknowledqe that T have read Chis application and state that the infiarmaL'ion is correct and aQree to complv with a11 applicable 5tate oT Mn. L a'tatutes and Gity of Eaqan Ordinances. APPLICANT/PERMITEE SIGNATURE SUED BY: SIGNAT I 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? . ., CITY OF EAGAR ? ? 3830 PII.OT KN07RD - 65122 _9 New Construdion Reauiremants RemadeVReoair Reouirements ? 3 registared sde surveys • 2 copies ot plan ? 2 eopies ef plans (InGude beam & window sizes; poured fna. Cesign; etc.) ? 2 site surveys (eztarior addRions & dedcs) ? 1 energy caleulaGons ? 7 energy calculations for heated atltlitions ? 3 copies of tree preservatiun plan A lot platted after 711193 required: _ Yes _ No DATE: /oZ -/` 4P DESCRIPTION OF WORK: ee -16 o? - CONSTRUCTIONCOST; `71?1100 STREET ADDRESS: lkllGt <f 724;G LOT: ad BLOCK: S SUBD./P.I.D. #: 0--Q?- G f 6 U-2- ?'? Name: 1114,C/C Phone #: cA?y- ?ocf 7 PROPERTY 1-ast First OWNER ? Street Address: ?d ?1 ? ? ?CA / /?4 City State: Zip: a Company: Phone#: tel1a- CONTRACTOR Street Addresr. 470 22 ?f.,eld/4 ?P AP S, '?W License # ?O ?3 'ra ?aZB City ?/?/ulA1Gf'f"O?/ State: /"/-/, Zip: J?Jr`To2 ? ARCHITECTI ENGINEER Phone #: Registration #: Sneet Address: Ciry Sewer & water licensed piumber (new construction only): and lot change is requested once permit is issued. State: Penaity applies when address chang I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to compiy with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of ApplicanC OFFICE USE ONLY CeRificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Dupiex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? OS 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. O ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq.ft. Footprint sq. ft. Buiiding Engineering Valuation: $ 16 Basement Finish 17 Swim Pool 20 Pubiic Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance °k SAC SAC Units ° G ?31V11?'V ?i9?'`P1S1 RU?i P .?"+" [w3.:? ??C?a?a `' °`? 10700HIGHWAY Fr, Sl! TE 3u0 '-O CGI.5IFUCTION CO., herelnelter calletl COA'TRACTbR Is airocted lo maka tha p LYM OUTH , M N. 55-141 UATC. -ig ImDrovmants to tho property oC I lar _ HOMEA tisti-y?se . ".C?U6'1E55: '{OY I- h-l c Tra..' L_. BUS.M?49?? o? 6_ HR cirr: C d!? .. n -- ziP a IMATERIAL SPECIFiCATIONS ? DESCHIPTION ' ';FIAGE .,,2E: IE.xIR' AT['cHEO OD sTUDS: a? v x qxsiei' 1(."pC RAFTERS: 1b' QC TIES: _GL "(,(I K 1'9 43 OC abs rNnp..9k- HEADERS: 0.F12 DM S}+EATHINIi: '/3" 8?.'itr? Le? GARAGE FOOF: 5 ?«- SIDE A SIDE B SIDE EAVES: Ig" I8' END A END 8 END EAVES: 18 " FACIA TftIM: i x?„ - i x3,. URYX ?LOCK ROOFING !?s'6a WID7H EXYOSURE SIDING: S"aaoro.e ( ) CLADWOOD SIfJiNG ? ) CLADWOOD SHAKES OTHER i ) HARDSOARD SIDINf9 ( ) PRIMED SHAKES j ) IP:SUIITE SIUING ( vOLUMINUM SIDING ??- (' ) WOODTFJ( SIDING ( ) BACKERBOA9D j ?HORIZONTAILAP ( )STUCCO i ?? -1_ f---i F--- -'_? (A ? M.?A I ? I - --- - ' Ic ? --- -- 'b :NFiPATCH ---- u --- . . . -?! A. 6o?ao :c C <or a•.ctilc Sr.?n ??._i? Cf1:or To ' "P dr?vc - R..bbu O¢l..r.n S T?IM1C-D C?+. SECUP6 aFE=:..-..? I•T ?+•?ht 5f-'??• $ Qt+IRH(L To RGM-cvG L h SC r . GpW1? To 0.<r-.cv.- Lc?k 0. 0 i (?locLG $ 4e?,A?: tEOPR GRn?<. hop. l.o+S?J?n : N - i'JV.83 E. ss ?y- u1.9t F1U?,SC 5?3e..- 9".1.. s4+t . 516 -9°"°SS [s...nt) ?-- --=ARILLWORRt NOTE: ? FLUSH DOOA no 33ma.- rI PANELDOOR 0 AUTOMATIC 1700R OPR. ??•S ? ELf GTRICITY w --__'_ _l 5 LHARDWARE? LWINDOWSj ? . r__"-' "'-'_l LSERVICF_ DOOR ; ? • ?G LzD 6' ? ' ? TORSION ( ! . ) RANCH STYLE _ '___ _ ___.___ __ ._ - ± x I Z ( ;_iRETCH ? ?3- x6? _ - MASORIHY 81?0, P,??MIT VARIANCE ? SURVEY ? rr 0,00 -6Ua?ue-°or\ ' t (ON - K APR GAflAGE SI.AB ?y 0 GARAGE R£INFGRCEMENT DRIVEWAY Ex?sr. Bliav ;(?UliNDFRE:'ARATION _ - Q WAIK-PATIO-STEP ?BUII..1?.?? .__._.___ GARAGE REMOVAL ? GONiENTS :500•'IREN??-I REMOVAL - --- I . SlA6 G ,...;. s1:+."MOY?d REMOVAI il xl I PAO. . . _. - . - ? ' .- ? -------._ - EXCESS DIRT REMOFAL _c-ia.(1c -' , \?.0'.?.?f;3l:,.g S" CONS'T Dt'BRIS REMOVAL_ _ GnFLCO__ I I BUSH ORTREE I _. _ IREMOVAL --- ----? • , .. ? `o-,;?? u -? ?nols -? _? ISEf K EYENSP SIUF OF COMT9..: _ T PC?. CUhDITIONo Y.EREOF .. ) GORCO CONSTRUCTION COMPANY, INC. 55 West Office Center/ Suite 360 10700 Highway 55 (612) 544-9646 Plymouth, Minnesofa 55441 / IJ , I YO ? t 11 .t Ac J ? V1 4Y Cc tN ? j' CP N I s S x N ? Lc'? 712- ?t_cQ N ? ?s y\ a 0 ? Cities Di2ital ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 1 ?- -'/ c .?` ,2 Y ,44 3 ; ?3Z J2 "L 'L ?r _ 3s Z ??. .;.-? ?Y ?3 o 3 0 A/C S GG ? Q? ??' ' ' !j ..% <? ? ? -, ? ; / Dl :jy1? •;t F'r ? T J ; < ? t.i:'i . \ti G h ? 2- ? , , ??. -ciiy of eagan 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) MEMO 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. zq Edward J. irscht Sr. Engineering Technician CC: Mike FoertsCh EJK/je / / ?S9g ? PP'?•5 ? Fence line -?c Y 67.2 / Y _Z=>Drainage & Utility 61 / Easement ?,. . 6 '99e e, O 868.6 ? 6? y 2 / ?\ N ? G9.8 C, y??'? '.. / • ;? 1 / 870.4 1 ? V <'U• 6 w+o sum2voas 347-51 ro \\So2 ? i '3492 S? F?+ 7 EXISTING HOUSE R4035 869.8 870.2 h ?-7 872. x / / 1.7 ? 869.2 Y ?1.2 f i i c? ?}? Oa ? n ?x?X Cp ti V4 877.5 _x ? -,Fence Line ?- k N?-134.7g_, ss.42 58 ? S W x 7a N ? 874.Q EXISTING HOUSE #4047 Revised 4-13-06 Revised 3-28-06 ? ^ • 870.0 x 871.8 8 .6 4)c?Cb ? ? ?- 3ps °??a nr4Oq)a? h P v 4 9 N Q M ?3 nN 869.9 m 869.7 / / / 871.J 870.3 870.6 60 e».z ? ? c) J ? ?M ? RTIFICATE OF SURVEY Survey for: JEFF BACKLUND N SCALE: 1" = 20' • Denotes Iron Monument Found O Denotes Iron Monument Set L07 AREA= 12.400 sq.ft. DESCRIPTION: Lot 20, Block 5, CEDAR GROVE N0. 5 I hareby certify that this survey was prepared by me or under direct supervision, and that I om o registered land aurveyor under the laws of the State of Min s a. Dated this 4th f March, 2006. U-Z CARLSON dc CARLSON, INC. g1' LAND SURVEYORS L-ta'rry R. uture, Lond Surveyor Minneeo License No. 9018 asa.s ? 60 869.3 \ ?? ? V'T ? ? 869.7 2006 RESIDENTIAL BUILDING PERNIIT APPLICATIQN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCfion Reauirements 3 registered sife surveys showing sq. ft. oi lot, sq. ft. oi house; and all roofed areas (20% maximum bt cove2ge allowed) 2 copies of pian showing beam 8 window sizes; poured found design, etc. 1 set of Energy Calculations 3 oopies of Tree Preservafion Plan if lot platted after 711193 Rim Joist Deiail Options selection sheet (buildings with 3 or less unifs) Minnegasco meciwnipl ven4lation form RemodeVReoair Reauirements 2 copies of plan showing foofiigs, beams, joists 1 set of Energy Calculafions for heated addiUons 1 site survey for additions 8 decks Add'Rion - indlcate if on-sde sep6c system ? Offce Use Onlv Certof Survey Rea! -Y . N T2ePresPlanRecd Y N. Tree Pres Required , X N On-siteSepficSystem `YN `4 hI .tt"- waa Aw vare 3 i 30 i o 6 conswcnon cosc Site Address 4rk y 4I'J Unit/Ste # Description of Work Multi-Family Bldg _ Y? N Fireplace(s) _ 0 JC 1 _ 2 Property Owner tG Cl e4. i S C L?C L G S Telephone #( ) Contractor 13GG K (v N? C x 10 ?? f Address [? 331 6-ood(/[ e W ? City e G'fdd'e- State Zip oTelephone #( ;- rZ 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 (4 su6missiontype) Submitted . Submitted . Enargy Envelope Calculations Submitted In the last 12 months, has }he 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/Woter Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ord'mances 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. Se q BactC lvod Applicant's Printed Name i ignature DO NOT WRITE BELOW THIS LINE .. '`. ;Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg L] 02 SF Dwelling ? 08 Oo-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage f& 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-ptex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous . 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 ' ' Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) • Gfve PCA handout to applicant DesGripYiOfl: Water Damage _Yes - V Valuation ?fYa Occupancy _ MCES System Plan Review ?0 _10D% or _ 25% , Census Code Zoning R? r City W ater SAC Units Stories Z Booster Pump # of Units Sq. Ft. PRV. # of Bldgs Length 3 a Fire Sprinklered' Type of Const Y 3 Width Z? REQUIRED INSPECTIONS _ Footings(new 61dg) _ Sheehock Footings(deck) _ FinallC.O. _?o Footings (addition) ?o FinaUNo C.O. ,L- Foundarion ? HVAC .29 Drain Tile Other Roof 1° Ice & Water $6 Final _ Pool Ftgs AirlGas Tests Final ?p Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. y Au Test _ Final _ Windows -,Lo Insulafion _ Retainivg Wall Approved By: 4WA 4uilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Capies Other Total R,1szf /yl&O f z 7-k3D' c, o r S% ??oc:) k Zz' x 3? X sy,o a a , n D?/oo?Z ZZ' 1? 3z' k Sf ac 13 ff / C'a n y - 3 X 8 4 / Permit # Pertnit Date Project Title: Laura & Steve Las Report Date: 04110106 Det2 filename: C:1DocumeMS and SeltingstOwner\DesktoplBackluM 6cleriors\La5 Prqacl.rck REScheck Software Version 3.7.3 Compliance Certificate Energy Code: 2000 Minnesota Energy Code Location: Dakota County, Minnesota Construction 7ype: Single Family Glazing Area Percentage: 230/ Construction Site: 4041 Mica Treil Eagaq MN 55123 OwnedAgent: DesignedContractor: Gompliance: Passes Maximum UA. 234 Your Home UA. 207 -> 11.5 % Better Than Code (UA) Gross Cavity Cont. , Assembly Area or R-Value R-Value I'Perimeter Ceiling 1: Flat Ceiling or Scissor Truss: 560 38.0 0.0 Wall 1: Wood Frame, 16" o.c.: 340 19.0 0.0 Window 3: Above-Grade:Vinyl Frame:Dou61e Pane with Low-E: 16 Window 4: Above-Grade:Vinyl Frame:0ou61e Pane with Low-E: 16 Window 5: Above-Grade:Vinyl Frame:Double Pane wiN Low-E: 24 Vifindow 6: Above-Grade:Vinyl Frame:0ouble Pane with Low-E: 24 Window 7: Above-Grade:Vnyl Frame:0ouble Pane with Low-E: 24 Window 8: Above-Grade:Vinyl Frame!Double Pane with Low-E: 24 Window 9: Above-Grade:Vinyl Frame:Double Pane with Low-E: 26 Window 10! Above-Grade:Vinyl Frame:Double Pane with Low-E: 26 Window 11: Above-Grade:Vinyl Frame:DOUble Pane wiN Low-E: 40 Door 7: Glass: 42 Door 2: Glass: 42 Wall 2: Wood Frame, 16" o.c.: 340 19.0 0.0 Wall 3: Wood Frame, 16" o.c.: 476 19.0 0.0 Wa114: Wood Frame, 16" o.c.: 168 19.0 0.0 Basement Wall 1: Masonry Block with Empty Cells: 224 0.0 10.0 Basement Wall 3: Masonry Block with Empty Cells: 160 0.0 10.0 Basement Wa114: Masonry 81ock with Empty Cells: 160 0.0 10.0 Fumace 1: Forced HotAic 92 AFUE - Air CorMRioner 1: ElecUic Centrel Air: 73 SEER 0.320 0.320 0.320 0.320 0.320 0.320 0.320 0.320 0.320 0.340 0.340 17 2 5 5 8 8 8 8 a 8 73 14 14 20 28 10 13 9 9 Compliance StatertreM: The proposed building design described here is consistent with the building plans, specifications, and other catculations su6mitted with the permit application. The propasetl building has been designed lo meet ihe 2000 Minnesota Energy Cvde requirements in REScheck Version 3.7.3 antl to comply with the mandatory requirements listed in the REScheck Inspec[ion Checklist. _ / _ gcZ,k?/`oYS BuilderlDesigner a N me Date Laura & Steve Las Page 1 of 3 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmplete for: single family dwellings & townhomes/condos when permits aze required for each unit t 3D?o Date?/30 /C(,_ Site Address C.d / CN ?? Unit # Property Owner Telephone # ( ) L4 A Contractor - St t Add (0(003 n ' ree ress n? d city State ? Zip Telephone # Bond # RL i l SZ) 3 13 C E joJ° q : - xp . res: _ p The Applicant is _ Owner ? Contractor _ Other Add-on or altera[ion to existing dwelting unit $ 30.00 ? fumace _Additional CReplacement _)CNew air exchanger ? air conditioner I?< U u S ?UL 2 0 heat pump ? 006 other 1 `? / v ?r V l?O J . V State Surcharge $ .50 T t l $ o a I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernut, but only an applicarion for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. (f__' _ Applicant's Printed Name ApplicanYs Signature 2006 COMMERCIAL MECHANICAL rERNHT ArPLicaTioN City Of Eagan 3830 Pilot I{nob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings multi-family buildings when sepazate pemtits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Properry Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: . ? The Applicant is _ Owner _ Contractor _ Other Work Type NewConstruction _Interior Improvement _ Install Piping _Processed _Gas Under/Above ground Tank Install Remove When installing/removing lank(s), cafl for inspection by Fire Marshal and Plumbing Inspecfor Nature of Work: PerRtit Fees: $7050 Underground tank insiallationkemoval' $5050 Minimum (includes State Surcharge) or ContractValue $ x 1% PeimitFee $ State Surchuge If oermit fee is less than $1,000, add $.50 If oermit fee is more than $1,000, surcharge is $.50 for every $1,000 owed. $ Total Fee I bereby apply for a Commercial Mechanical Pemilt and aclaiowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work whicb requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector Date: Requfred Inspections: - U.G. _ R.I. - Air Test - Gas Service Test - Infloor Heat _ Final Dec 16 2009 7:57AM O'Connor's One Hour City of Eaftall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 1 L.' Tenant: 651-437-5943 Pion: Permit #: p.2 Permit Fee: :6' 60 Date Received: Staff: 2009 MECHANICAL PERMIT APPLICATION Site Ad • ress: RESIDENT / OWNER Suite #: Name: Ira' / Phone: tig f -04-i 5 Address / City / Zip: 4VA 1 Pli 'e "1f( CONTRACTOR Name:J �r.�NNfros� MfL,La a,n61Yl/� S Hrr�y 7^ia�lS Address: ///90 V L6;1 )) 5r City: / 7/iv ' Phone:57_t/37'.!/27 TYPE OF WORK PERMIT TYPE RESIDENTIAL FEES: License #e E-�.5,59 4' 2 Contact Person: Description of work: Siate:A7/V Zip:.5 New � Replacem t4 dditiona! Alteration Demolition ac -e RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Instal! Piping Processed Gas Exterior HVAC Unit Under l Above ground Tank ( Install/ Remove) "When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) COMMERCIAL FEES: $70.50 Underground tank installation/removal $50.50 Minirnum (includes State Surcharge) - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). OR TOTAL FEE Contract Value $ x 1'�0 $ Permit Fee $ State Surcharge TOTAL FEE hereby acknowledge that this information is o'mplele and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I unde :.nd this is nota .er• . t only a a placation for a permit, and work is not to start without a permit; that the work will be in accordance with the approved pra e case of wor y� - c fres a r: i w and approval of plans. . f I Appit, ant's -Printed Name X 276 -9 Apptican is Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117612 Date Issued:10/21/2013 Permit Category:ePermit Site Address: 4041 Mica Tr Lot:20 Block: 5 Addition: Cedar Grove 5th PID:10-16704-05-200 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . William Krech 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 - Laura J Mack 4041 Mica Tr Eagan MN 55122--294 (651) 341-5378 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121322 Date Issued:03/25/2014 Permit Category:ePermit Site Address: 4041 Mica Tr Lot:20 Block: 5 Addition: Cedar Grove 5th PID:10-16704-05-200 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. 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 - Laura J Mack 4041 Mica Tr Eagan MN 55122--294 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154093 Date Issued:02/19/2019 Permit Category:ePermit Site Address: 4041 Mica Tr Lot:20 Block: 5 Addition: Cedar Grove 5th PID:10-16704-05-200 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 - Laura J Mack 4041 Mica Tr Eagan MN 55122--294 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature For Office ♦ • i : + E AGA N Us,ç 0♦` 1,,,, '+ '• (0,C, Permit#: Permit Fee: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 TDD: (651)454-8535 I FAX: (651)675-5694 Email: buildinginsoections( citvofeagan.com Staff: Commercial Plan Submittal: eplansCa�.cityofeagan.com L elo 0-1 2019 RESIDENTIAL PERMIT APPLICATION r \ , 1/4 Date: e lzs-----4 Site Address: 1 q( WI(G01 j AGJ II �`j V Tenant: Suite#: 4 Name: 142 � l�e y Phone: 6571-373' lL7 Jlit v Address/City/Zip: 4 � n�� i` L�! q*d�i r Ne: 1�/- C5C11„ x amkr rdr Coyi ' Address: �gf� t cV U City: ( ;'°„ f Z 'r.k� :it State: G(/1W Zip: �G'� Phone: 6 c-1 - 5- _To_OG' .�.,,� ° < Contact: I w, ��/ {tgj Email: 1 14„) n �j�// five �i � a w � t�? 44 VII/!'kl $ -: RESIDENTIAL � pfi i rr t-ttttittAt,ttt,:tttttttiw it Furnace V_ ," .. :554,P _Air Conditioner Perm ',,a Awa : _Air Exchanger Itii7 },m{, „ ,r _ —Heat Pump „ Other � � ti'''''' P New Replacement additional Alteration Demolition -4 _;,' / -y--&-_, f.r' so, fif 'p e .' kr ` Description of work: i 4c, "� U,P�' 1 Glf L�✓! �j �� V -. -::',,,,, 2 IL, ,?.....v., 4)41.4 , (.5R 5 II N-7c, RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan..com/subscribe. I hereby acknowledge that this information is complete and accurate;that the work will be ini 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 s - without a permit; that the work will be in accordance with the approved plan in the case of work which re review i a pr. =� � x -73- -.-. i - Applicant's Printed Name ppli is Signa • e 1 " Waif r , � r, Required n ',1 ' ' ''N'''::,:-4''''',4„...0„-, y, H- ri:q 'teview ,,,, r i4"hsi�' I' `} : -,;''''''''Al'''''',a„ n Ids k a t '-::#7'''',, x r if r rig �.. ...w,£` 6r'n� n � •��, :��: } r h9 �i�ts Service Test t��"^,p s` In-floor eat Fina tls „ v.. `�� r,. PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159997 Date Issued:02/04/2020 Permit Category:ePermit Site Address: 4041 Mica Tr Lot:20 Block: 5 Addition: Cedar Grove 5th PID:10-16704-05-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Laura J Mack 4041 Mica Tr Eagan MN 55122--294 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature