4046 Mica TrBUILDING PERMIT
Receipt #
To ba used for BASMENT Est. Value $y.uou Date A PtiI L 22 , 19 -d-(-
SiteAddress 4046 MICA '1R Erect 121 Occupancy
Lot?Biock 12 Sec/Sub ??DAIR vRGVE 5 Remodel ? 2oning
.
Parcel No. Repair ? Type oi Const.
Addition ? No. Stories
°C Name '?AYidE iCAUL Move ? Length
= '1c'
SA Demolish ? Depth
o .
.
Addreqs Int Impr. ? Sq. Ft.
City Phone Install ?
= o Neme VAD1 LALCKEN CONST Appron
0 ? Address 2990 EGA!V AVE Assessment _
~ Ciry LAGAN Phone 4 59 -414 $ Water 8 Sew.
t¢
W W
? W
U?
Qz
t W
Name-
Address
Police
Fire
Planner
Council
I hereby acknowledge that I have read this application and state thatthe gldg. Of
information is correct and agree to comply with all applicable State o(
Minnesota Statutes and City of Eagan Ordinances APC
Var.
Signature of Permittee ---
A Building Permit is issued to: VAN LAF:CKL•::J CONS`1'
all work shall be done in accordance with all applicabJe 5tate of Minnesota Stau
Buiiding Otticial
CITY OF EAGAN
3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Permit $74.50
Surcharge 4.50
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
Tr. P I.
Parks
Copies
rotal ? 7y.00
on the express condition that
and City ofEagan Qrdinances.
?%,
ParmN No. PernAt HddK Dats TNkphaM N
IPfur;bInq -7(-, U?-
IH.V.A.C.
Eleclrlc
SONMN
Inspection Oab IMp• Commenb
FooGnpal
Footlnqs II
Foundatlon
Fnminy
Rooflnq
Rough Pibq. . ?-
Ro,gh ?+tg.
Imul.
+ cJ
Finplace ?
Find Htg.
Final Plbp.
mr- SSo
AdollF (t - /
Bldq. Finel ? ?? s-= / -Y(, , ?/-
Cort. Occ.
?
/ie ap? ffl.?'? ?? ? ?Q elPA-W
u.ck Fro•
Okk Frmy.
WaN
Pr. Dhp.
_ ...?_ _
. ' t r . PERMIT # 70Gy(?
PLUMBING PERMIT RECEIPT # ? ? ?
CITY OF EAGAN L/
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
DNTRACT PRICE PHANE! 4SaA100
Site Address `IU `/
Lot ?_ Block
? Name
a?
? Address
c City_k'."i»
? Name
3 Addre
a Cib -
FEES
COMM/IND FEE - 1°h OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. Y__ New
Mult Add-on
Comm. Repair
Other
N - FIXTURES
water closet - $3.00
Bath Tubs - $3.00
-7 Lavatory - $3.00
1 Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
/ Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL:
$ j°Z'mL
, ? ? _n
CITY OF EAGAN Remarks *qpdar GroVe Acqulsition _
,4ddition CEDAR GROVE #5 Lot 1 Rlk 12 Parcel 10 16704 O10 12
OwnertWAI Yli'. h- `. ?0 bu h Street 4046 Mica TZ'ail State Eag? ' M14 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK Z 1967 100.00 34.20 20 Paid
SEWERLATERAL 1967 5$4.00 20 Paid
WATERMAIN
* WATER LATERAL 1972 607.00 24.28 25 388,48
WATER AREA
STORM SEW TRK 1970 70.00 3.50 20 Paid
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sac 200.00 783 5-29-68
PAR K
CITY OF EAGAN
3830 Pilat Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS:
:{ :, .• . i4 i + r! ? {;
fl!PERMIT SUBTYPE:
1N SYLC:rI'IUN ?LUOK?
PERMIT TYPE:
Permit Numlaer:
? Date Issued:
ta, P t ac r- - ? APPLICANT:
,?. ,.
i t,?, ? j ?..c?i U?1't
TYPE OF WORK:
nr I.,( kiP Tt4 Ira
1+ 1? , n M
P Fi) air
RF ft 11c1 f
E
7 J:??t /4cs
? - - - - . _ _ - - - . ?
Pt MARKti - htFR[1r)F N411t•.s qND t',A4{A6f iIl!
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRRMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLfiG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
.
- ? CITY of EAGAN
BUILDING PERMIT
s i?
N? 3642
3795 Piloi Knob Road
Eagan, Minnesota 55122
454•6100
?_?3_??-
aaH ......................................
Sloriea To He Uaed For FronS Depih Haigh! Eei. Coa! ?Permi! Fee Asmark?
?. ? .2 ?- ?-y ? 9 ?- °? l
? a. ? ? ? .?`-"- ?L?-r?-?, ?.
.? ,?u-???-?
- r.ncaTrnx i-?=o-a
or
/? ? ?• ?- ?.
This pezmif does no! aulhorize !he use of sireals, saads, elleys or sidewallcs aor does f! give tha oweer o: Lis agea!
!he righlto a:eafe any situafion whieh is a nuisance or whieh presenfa a haaasd !o !6e health, sefely, coavaatence and
general welfare !o anpone in ihe communilp.
THIS PERMIT MUST BE REPT ON THE PREMISE WHILE THE WORK IS IN PROGRESB. ?
Thia ?s !o eerliiy. lhaf...;?-?:?::`"'?? ?":? ??':'"?:?..haspermiesioa !o ereM a.....a?._? ?"""?: pp
' .................""'............ ..." "'.. . ...._......_............"_tl A
ihe above described premise subject ia ihe provisions of all applicable Ordinanaes fos !he Cilp of Eagan
..-•_----....-•---......?:_-?--°----••••?? ...................-... Par /?`T---e?t Ol??-?..?...1?
..................... ............................... .................................................
Mayor ? Sulldinp .Ieupeelos
?C5
CITY OF EAGAN A, p
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121. I V- 11829
BUILDING PERMIT PHONE:454-8100 ReceiptR G/-? G5//
7obeuaedfor BASEMENT EstVawe $9,000 Date APRIL 22 1986
SiteAddress 4046 MICA TR Erect ? Occupancy
Lot 1 elock 12 Sec/SUb. CEDAR GROVE 5 Remodel ? Zoning
Parcel No.
Name WAYNE KAUL
.,,____ SAME
Ciry Phone
Repair ? Type ot Const.
Adtlition ? No. Stories
Move ? Length
Demolish ? Depth
Int Impr. ? Sq. Ft
Instell ?
= o Name VAN LAECKEN CONST ApPfOV'
$? address 2990 EGAN AVE Assessment_
Ciry EAGAN phone 454-4148 Water&Sew.
?
? wa
Name
z
? ? Address
.
z
a W Ciry Phone
Police -
Fire
Eng.
Planner-
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe g?dg.Off. 4/15/8E
' information is correc agree to comply with all appli le State of
Minnesota Statutes tl Ci of Eagan Ortlin nce APC
Signature o( Permittee .e, _ Var. Date
N LAECKEN CONST
A Building Permit is issued to:
all work shall be done in accordance with all
State of
Permit + 1 Y • ?"
Surcharge 4.50
Plan Review
Water Conn.
Water Meter
Road Unit
Tr. PI.
Parks
Copies
Total $79•00
on the express conditlon that
and City of Eagan Ordinances.
Building Otficial
7S
-----------------,
? FofOffice.Use I
? Permit #: (Y (/? ? I
? ? I
? PermilFee: ?
I
? Dale Received: /0_ i
? ?r I
Y '
? StaH:
?----------- -----?
Date:
Tenant:
Suite #:
RESIDENT/OWNER Name:s'nfJl??w?-+r+? ?ece.+rui Phone:CJa-SY4-VtVa
AddressJCity/Zip:4/OYG m'Ge. Tr-:
CONTRACTOFi Name:- ?2?liS ?,6rc%Jklt?
Addres
s: ??I Cv??+'
City: 1 ne4?-wc? State:?Zip:?5,34S-
Phone: 6 ???a?0 ?S? ? Contact Person: wv. ; >
Replacement ? Additional Alteration Demolition
New
TYPE OF WORK _
-
Uescription of work: W Ne+J e- SyeW-,n 4 TjVn?°?. 9.4. -LO&-6
NOTE: 9oth'iobf mnunted and ground mounted mechanicaf equipment ls iequired to `
be screened by City Code. Please contact the Mechanical lnspecior or one of the
Pfanners for /nlormation on ermined screenln methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE New Constructian _ Interior Improvement
Fum ce -
Inst311 Piping _ Processed
Air Ganditioner _
Gas EMerior HVAC Unit
_ Air Exchanger - HVAC units must be screened
_ Heat Pump Under! Above ground Tank L Install /_ Remove)
Other Whan instailing/removing lank(s), call tor inspection hy Fire
- Marshal and Plum6in ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repail (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTALFEE
COMMERCIAL PEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If P rmi Fee is > 51,000, surcharge increases 6y $.50 for each =$ S[ate SUfCharge
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTALFEE
I hereby acknowledge Ihat ihis inlormation is complete and accurate; that the work will be in contormance mth the ordmances and codes of the Ci1y of Eagan, ihat
I undersland this is nol a permit, but only an application tor a permit, aM work is not m start vn?t 4??A permiY, iha[ the work will be in axordance x4th [h approved
plan in ihe case of rrork which requires a review and appmval of plans.
I. \
x`new? Z S. C 7:iZeeo?j??{L x??? ?
ApplicanYs Printed Name ApplicanYs Signature
2008 MECHANICAL PERMIT APPGCATION
Site Address:
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Fough In Air Test Gas ServiceTest In-floor Heat Final ?
?----------------
?
j Permit#: q6,5-3?
I
I Permit Fee: ? ?-fl
O v
I
? Date Received:
I /
I Staff:
i
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
?
Date: 3O ' l'5 Site Address: 1,10q(?? iCCC- ?r-
Tenant:
Suite #:
RESIDENTlOWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: License #:
Address: / V
City: State: 09A) Zip: ? d 7
Phone?,?- ContactPerson:
TYPE OF WORK _ New _ Replacement _ Repair , Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTlAL
v W ater Heater W ater 5oftener
Lawn Irrigation Add Plumbing Fixtures
I RPZ !_ PVB) C_ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESlDENTlAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Tumaround (add $147.00 if a 5!8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge fhat this information is complete and aceurate; that the work will be in confortnance wilh Ne ominances antl coaes ot me ury m
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 6e in
accordance with the approved plan in ihe case of work which requires a review and approval of plans.
x IYAA/-(L Ll--Ol?L°r? x 4 Uo??
ApplicanYs Printed Name ApplicanYs Si ature
------------,
? For Oflice use 1
I Permit p: ?
I ?
I
? Permit Fee: "z;n I
I
I Date Received:
? Stafl:
/ 008 RESIDENTIAL PLUMBING
Date: Site Address: / v4 AeA
TION
TenaM: Suite #: /VIOV-
RESIDENT / OWNER Name: /vA` Phone:
Address / City / Zip:
CONTRACTOR Name: ? l License#: MB 6dJX/;'O
Address: 10,5- ? ?•
??/?
?Pv
?J7-;tV
Zip:
Ciry: V State:J
Phone: Con[act Person: r
TYPE OF WORK _ New Y Replacement _ Repair _ Rebuild _ Modity Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE RE DENTlAL -
W ater Heater W ater Sottener
Lawn IrrigaQOn ? lumbing Fix[ures
_
? RPZ I_ PVB) ? ( LMain ? evel)
F-?
d
T
S
S
W
urnaroun
ater
_
eptic
ystem _
New
_A6andonment C_'O/lrl?e?l?a5 N"4`5??
RESIDENTIAL FEES:
$50.50 Min, Water Heate ater Softener, or Water Heater and Softener (includes $.50 State Surcharge)
L
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Ad 1P?Fixtures eptic System Abandonment, Water Turnaround' (inciudes $.50 State Surcharge)
ater6.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (inciudes $.50 State Surcharge)
?0? f
TOTAL FEES $
I hereby acknowledge that ihis information is complete antl accurate; tnat tne wonc wui ce in comormance wim me oroinances ano coans ui uie ulLy Ul
Eagan; thal I understand this is not a permit, but only an application for a pertnit, and work is not [o start without a pe ' hat the work will be in
accordan m hthe ppro ed pl in the case of work which requires a review and approval of plan ?
x ?r?- ?TYI? X
ApplicanYs Prfnted N me Applicant's Signature
'FOR OFFICE USE Reviewed By: Date:
Required lnspections: _Under Ground _Rough-ln Air Test _Gas Test _Final
2 -7 $ o
RESIDENTfAI
BUILDING PERMIT APPLICATION ?.
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-689-4675
New Construction Reauirements
. 3 regisrere0 sde surveys showing sq. ft. o('ot. sq. R. of house: and ali roofed areas
(20°6 mazimum lot coverage allowe0)
• 2 copies of plan showirg beam 8 window sizes; poured found tlesign, etc.)
• t sel of Energy Galculations
. 7 copies of Tree Preservation Plan if lol plaRed aher 71i(93
• Rim Joist De[ail Options selec6on shee[ ihitlgs with 9 or less units)
DAiE 9 / -7/p Z-
Water SoRener
Water Heater
No. of Badis
SITE ADDRESS qalq (,p A/IiGGL TC'• MULTI-PAMILY BLDG _Y X N
TYPE Of WORK Z Sid,l FIREPLACE(5) - 0_ 1_ 2
APPLiCANT W m^_ }??? ? &^<\-•
STREET ADDRESS 561lj'7 M2gton'u,I Atk. dI• CITY Sh?(STATEAA) ZIP 56P6 2-
TELEPHONE #ll -431- -1 CELL PHONE # FAX #?f ?-35?-?f 6
PROPERTYOWNER LinA . A4,?S TELEPHONE# V511-qos-'?g?
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ ?1I-NVL.S'O'C1 R[iL1:S 7670 C:\'f'ECORY 1 N[IVNF:SC)'1',1 RULF.S 7672
(d submission type) • Residenfial VentilaGon Category 1 Worksheet Submitted • New Energy.?c ocle?WOrksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing system includcs:
Mechanical Contractor:
Mccti.uiir.il svstcm indudcs:
Sewer/Water Contractor.
-- Air Condiuoning
-- HcalRccovcry'Scslcm
Phone #
Phone #
Fee: $90.00
Pcc: :570.00
I hereby acknowledge that I have read ihis application, state fhat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eogan Ordinances.
Signature of Applicant ol - ( /
_-------------------------------------------- ----------- __..--------- -----"--------------°-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required ?
Updated 4102
RemodeUReoair Reouiraments
. 2 copies of plan
. 1 set of Eiceryy Calculations for heateG adtliiions
. 1 stle survey for extenor adGitions A Eecks
. Indicate if home served by septic system for additions
VALUATION ?LQS?0 O
PllOi1P #
_ L-uvn Sprinklcr
No. of R.I. Baths
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 78-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? 08 06-plex ? 16 Fireplaca ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porcn/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12_plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 1Jew Q 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED lNSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Wa[er _ F inal _ Pool _ Ftgs _ A'u/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Irtsulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit $ Surcharge
Treatment Plant
Plumbing Parmit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
PERMIT
` C1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-16704-010-12
400.6 P7ICA TR
LOT: 10 BLOCK: 12
CEDAR GRQVE #k5
PERMIT TYPE:
Permit Number:
Date Issued:
g4j?g?NG
07(28/98
DESCRIPTION: RERa o F
8LA2?p1T+9 Permit 'rype
cl1ttgv4rk Type
? «
igo-a
?d° q4
gb•- . a.°.ti-?iR
E • _ a :: . . .
N
. . ? ?+
:wiJ?3.to- 3 $ "£9V"^2h t?3 yrcr"?+
SF (MTSC.)
REPAIR
434 ALT. RESIDENTIAL
axm^>
44 ,.f 16 ai 3aR g'^?L ??`
n .? 9 0zT;?+??
REMW?F HOUSE AND GARAGE.
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
$62.25
$1.00
$63.25
$2,000
CONTRACTOR: OWSER: - mPpLgRIAN
4046 MICA TR
-? EAGAN MN 55122
(651)688--7048
%
1 hiarstiy ackrioui2Apdge. t?hat° I. hov,e r??d .?His appla,cati€rn and' s?wt'e; th'at`, the
rmati, cn 111s corr?c?' anct a?'r^'?:e- to" qomplywzth all4PRIa".e;abie' S-tAtv c"F `Mn.
e
'S Catutte? ;anc! ;'G°ity E'dga?i 41r?"din:oRCe?:
_' , . .
,. , .
. _ . .? _ . . . ..... ...... _ ? ? ? ?f'J
APPUCANT/PERMITEE SIGNATURE . ISSUED BY: SIGNAT RE
1998 BUILDING PERMIT APPLICATION (RFSIDENTIAL)
CITY OF EAGAN
p3830 PII.OT KNOB RD - 55122
681-4675
New Construction Reauiroments
? 3 registered site surveys
• 2 copiea of plans (inGude beam & window saes; poured fid. design; etc.)
• 1 energy wlaiations
0 3 wpies of tree preservation lan iF lot ptattad aRer 7/1/93
required: _ Yes ?, No
naTe: _ J u2? / ? r ^
RemodeVReoair Reauirements --? - -)g • 1 ?
? 2 eopies af plen
? 2 site surveys (exterior additions 8 decks)
? 1 energy calalatlons for heated add@ions
?
CONSTRUCTION COST; 1,9 6C) -U
DESCRIPTION OF WORK:
Sj?ET?ADDRESS: Agnce
LOT: 1? I v BLOCK: ?? SUBD./P.I.D. #: G Y v\l -2
Name: ? l?Yt &?ct lsi Phone #: (oG%D
PROPERTY Last First
OWNER
Street Address:4 0 La J?Ge ( I
City E, G G/ h State: Zip: J OlI.2?
Company:?? Wt? 6 UJ V L P? Phone
CONTRACTOR
Street Address: License #
Ciry State: Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Regishation #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construdion only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this appliption and state that the infortnation is cortect and agree to comply with all applicabl
State of MinnesoW Statutes and City of Eagan Ordinances. ?l
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ Nq
Tree Preservation Plan Received Yes No Not
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex
? 02 SF Dweliing ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
0 05 SF Misc. O 70 = plex
WORK TYPE
? 31 New ? 33 Afterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS 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 RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Firepiace ?
? 15 Deck
O 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
a.?s
)_ O v
°k SAC
SAC Units .
-.._._._ . _.__. ...,..,?
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
_ Engineering Variance
Valuation: $
1986 BOILDING PSRFIIT APPLICATIOH - CITY OF EAGAN
SOTS: ALL CAATRACfORS MOST BE LICENSED iiITH THE CITY OF EAG9N
SINGLE F6MLY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPGS DTiE[.LINGS - RSSIDENTIAL SEl1TAL UNITS FOB SALE QNITS
INCLUDE 2 SETS OF PLANS, CEHTIFICATB OF SQRVSY - CHBCH iiITH HLDG. DfiPT.,
1 SET OF SNERGY CALCULATIONS
COlAIGRCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:-&S'10-liLi rr?T Valuation: ?'yDc70 Date:
Site Address 4 4Z ?'JieA Tot,'/
Lot ? Block _L?
Parcel/Sub 0'?' W fJ
Owner l,c,g<<u, el
Address sVQy(o
City/Zip Code Fy? ya
Phone
Contractor bl't y G,e, .e c?.'o 019c/•
Address ,;29/`'O 49e,, iQv e_
City/Zip Code fUGG r??f ?J ?? i
Phone ?S`/
Areh./Engr. ?-
Address
City/Zip Code ----
Phone # `?-
Erect Occupaney
Remodel ? Zoning
Repair Type of Const
Addition A of Stories
Move Length
Demolish _ Depth
Int.Impr. Sq Ft
Install
APPAOVAiS FEES
Assessments Permit 14.
Water/Sewer Surcharge 4•?°
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Couneil- Road Unit
Bldg Offd_/Y;1i?
'-"P' Treatment Pl
APC C? Parks
Variance Copies
TpT9I, 7 , o 0
NOTEz ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER liQST DESIGNAYS WHICH ADDRBSS
IS DESIBED. NO CHANGFS WILL BE 9LLOWED ONCE BDILDING PERMIY IS ISSOED.
E$GI;N TOWNSHIP
3795 Pi1ot Rnob P.oad
5t. Paul, tdinne3ota 55211
Telephone 454-5242
PERtiiIIT FOR SEWER SERVICE CONNECTYON
DATE: Mav 29, 1968
OFJNER: Cedar Grove Const. Co.
N[JMgER 181
P.ddress 1-12-5
PL'JMRER Steins, Inc. TYPE OF PIPS cast iron
DESCRIPTION OF BUIIAING
Industrial Comnercial Residential
_ g
Location of Connections:
Multiple Dwelling I No. of units
Connection Charge $2nn_nn pH_ 5/29/68
Permit Fee
Street Repairs
Total 207•50 "
Inspected by:
Date
Remarks:
sy
Chief Inspector
In consideratioa of the issue and delivery to me of the above permiC, I
hereby agree Co do the proposed work in accordance with the rules and
regulations of Eagan Tocrnship, Dakota County, Minnesota
gy Stikins, Inc.
Please notify when ready for inspectioa and connecCion and before any portion
of the work is covered.
Page No. of Pages
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,o
.?edneaEc Bros. Corostvuction Co. @nc.
Concrete & Masonry Contractors
3624 Xenia Ave. No. Minneapolis, Minnesota 55422
Telephane 537-2063 or 560-9598
PHONE
52
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DFTE
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ion Loca7inn
? CITY: STATE M1O ZIP COOE
JOB PHONE ?
ARCHITECT D.9iE OF PLANS
? We herebp 5u6mit speciticanons and estirnates tor:
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MASTER CARD
LOCATION
STRUCTURE AND
LAND USED AS
/-/=;) - -5 -
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBI NG
CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
?
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING - -? SEPTIC
FOUNDATION CESSPOOL
FRAMING TIIE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUM8ING
WELL
SANITARY SEWER
Violations No}ed
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IH 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-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOlLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REqUIRED
REINSPECTION
DATE OF REINSPECTION
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interast present or prospective, and that I have reported herein
all significant conditions otserved 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 IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
DATE
?:? z ?
41'
MEMO
_ city 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)
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
81oCk 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 City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
Edward J. -Kirscht
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
2008 RESIDENTIAL BUILDING PERMIT
Date: ? ?? Site Address: 4/0
Tenant:
--- ----------
? ForOfiice:Use ?
j Permit #: 7 ?j
? Permit Fee: • 5 ? ?
? Date Received:,??= j
i Slaff:
- - - - - - - - - - - - -
PLICATION ?gl??U
Suite #:
RESIDENT / OWNER Name: SL41?'?A_ CPhone:
Address / City / Zip:
Applicant is: _ Owner V' Contractor
TYPE OF WORK Description of work &?J / 1 --
Construction Cost: ?L . Multi-Family Building: (Yes No ?
CONTRACTOR Name: License#:g2_n(c 30 7?f D
Address: /(°)_V7 e-41f ?
City: ?i (t I f?r,C Q.? State:Zip:
V
7
4
Phone: ?n?Z yIQ Contact Person: 'L-)?et)le 4D C?'j ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category submmed sunmined
(q Submis5ion type) • Energy Envelope Calculations Submitled '
In the last 12 months, has the City of Eagan issuAd a p0rmit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
MecM1anical Contredor: Pbone:
Sewer & Waler Contractor: Phone:
NOTEc Plans and supporting:documents'thatyou.submit are considered (o be pubfic information. Portions of
the fnformation may be'dass/lled as non-public if you provide specific reasons ihat wovld permit the City to
conclude that the are trade secrets.
I hereby acknowledge that Ihis information is complele and accurete; thal the work will be in conformance with the ortlinances and codes ot the City oi
Eagan; that I understand ihis is nol a permit, 6u1 only an application for a permit, and work is not lo start withozi-
accordance with the approved lan in the case of ivork which requiies a review and approval of plan .
Applicant's ermit; that the work will be in
x l J 1 C? Cll )?? CV . x ? Printed Name r Appl' a's Signafu e
LS
D L,a(?,' ? D Pagetof3
?:' ? ?'
AUG 2 5 2008
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Afl. - SF
? 02-Plex ? OS-plex ? Deck ? Porch (screen/gazeho/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex O 12-plex ? Miscellaneous
WORK TYPE5
O New ? Interior Improvement ? Siding ? Demolish Building`
? Addition ? Move Building ? Reroof ? Demolish Interlor
? Alteretion ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Qv? ? A
MCES S
Valuation Occupancy yslem
Plan Review Code Edition
-?°- SAC Units
(25%_ 100 / ? Zoning 7 City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV-
# ot Buildings Length Fire Sprinklers
Type of Const. __ va_ Width
REDUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) .
Footings (addition)
Foundation
Drein Tile
Roof: _Ice & Water _Final
? Framing
Fireplace:_R.I. _AirTest _Final
? Insulation
Sheetrock
Final/C.O.
Final/No C.O.
HVAC
Other:
Pool: _Footings _AidGas Tests _Final
Siding: _SWcco Lath _Stone Lath _Brick
Windows
_ Retaining Wall
Reviewed By: Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES 5AC
City SAC
Utifity Connection Charge
S&W Permit & Surcharge
Treatmeni Plant
Copies
Total
(200,?-
S???l? ?402 v
Page2of3
?-
t
Use BLUE or BLACK Ink
r - - - - - - - - - - - - -
I For Office Use s I
I I, J~ Z
Cl I Permit#: V, J I
ty of Evan
I Permit Fee: I
3830 Pilot Knob Road I 1
Eagan MN 55122 Date Received:'
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: (/Z 417,k y- Phone:
Resident/ j1 _
Owner Address / City / Zip: 4Zy f~ 411,,-ci A6Z; 5C'7
Applicant is: Owner Contractor
Description of work:
Type of Work
Construction Cost: Multi-Family Building: (Yes / No
Company: WG~7~C/ C~fGril ~rr~r S71rG~ CYJ Contact: Ycti~ J~,~1~G,
Contractor Address: S S' h r.;are S< City:
State:, Zip: Phone: G/T 2 S 39 7~
License #:E6 6 SKI Lead Certificate A/,~T
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i
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:
i Licensed Plumber: Phone:
0
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name ;Xpoplicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA163435
Date Issued:09/01/2020
Permit Category:ePermit
Site Address: 4046 Mica Tr
Lot:1 Block: 12 Addition: Cedar Grove 5th
PID:10-16704-12-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Jennifer A Westpfahl
4046 Mica Tr
Eagan MN 55122
(651) 278-8980
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175058
Date Issued:03/10/2022
Permit Category:ePermit
Site Address: 4046 Mica Tr
Lot:1 Block: 12 Addition: Cedar Grove 5th
PID:10-16704-12-010
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Jennifer Ann Westpfahl
4046 Mica Trl
Eagan MN 55122
(651) 278-8980
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature