4047 Mica TrCITY OF EAGAN
Owner
Remarks '' Cedar Grove Accduisition
Lot 19 Rlk 5 Parcel 10 16704 190 05
r, v1.15nn
State FA5=• 1'SN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1967 1oo. oo 5•00 20 paid
SEWER LATERAL 1 6T . 00 23• 00 20 aid
WATERMAIN
* WATERLATERAL ( 1972 607.00 24.28 25 PSiCI
WATER AREA
STORM SEW TRK ],970 70.00 3.50 20 PB1C1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC 200.00
PARK
INSPECTI4N REC4RD
CITY OF EAGAN PERMIT TYPE: r? I rJ?,
3830 Pilot KnOb Road Permit Number: u•' `•? 1 4o
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, ?? i t •? i{? ?„ ?
PERMIT SUBTYPE:
TYPE OF WORK:
? ?
..
Parmft No. PortnR Holder Date Telaphone #
ELECTRIC
PLUMBING
HVAC
Inspsctlon Dsts Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBC3
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
OYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
oecK FTa PV
DECK FINAL ? 5'
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
? 651•681-4675
NewConsVUCtion Reauirements
• 3 registered site surveys showing sq. R. of lot sq. ft. of house; anc411 roofed areas
(20% maximum lol coverage albwed)
• 2 copies of pian showing beam & window sizes; poured found design, etc.)
• 1 setof Energy CalculaGons
• 3 copies of Tree Preservation Plan if lot pWtted after 711193
• Rim Joist Detail Oplions selection sheet (bldgs wilh 3 or less units)
DATE
JOB SITE ADDRE
IF MULTI-FAMILY
PROPERTY OWN
TYPE Of WOR _
APPLICANT
ADDRESS ?
PAGER #
CELL PHONE #
FIREPLACE(S) X 0 _ 1 _ 2
_ PHONE#?e/- 'S).?-?,?'7r.,
ZIP CODE
_ FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ VIINNESOTA RULF.S 7670 CA'1'EGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNES01'A RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
PlumUing Systcm Includes:
Mechanicai Contractor:
Vlechanic>il Systcin Incluclcs:
Sewer/Water Contractor:
Phone #
Phone #
Tec: $90.00
Pce: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state ihat the information is coRect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga 'nances.
Signature of Applican C?
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 1/01
¢ %q,;Z5
RemadellReoair Reauirements
• 2 copies o( plan
• lseto(EnergyCalculaGonsfarheatedadditians
• 1 site survey for extenor addilions 6 dedcs
. Indicate if home served by septic system for addNOns
VALU,afION X J600,0e
Phone #:
Lawn Sprinkler
No. of R.I. Baths
7
HOW MANY UNITS?
_ \Vaccr Softener
Wa[cr Heater
No. of Baths
Air Conditioning
Heat Recovery System
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (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 INSPECTIONS
Footings (new bidg)
Footings (deck) Fina
Footings (addition)
Founda[ion
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ AidGas Testr _ Final
F'ueplace _ R.I. _ Air Test _ Final _ Siding Stucco Srone
Insulation _ Windows (newheplacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
FinaUC.O.
_ Vt?`o C.O.
_ Plumbing
HVAC
Building Inspector
Total
oWnBr
Address
Builder
Address
PERMIT Ne 2552
Eagan Townahip
Town Hall
ae:. A.
DESCAIPTION
6fozies To Be Used For Fronf DepSh Haigh! Eaf. Cos! Permi! Fee Rem, a
, -
S:reeL xoea os omer uesanpnoa o¢ Locaxioa I Lo: I niocs I aaauion or -1-ract
EAGAN TOWNSHtP
J
This permit does not aulhorise the vee of slseele, roads, alleps or sidewalks aor does it give the owaer or hSs agan!
the sighf to creafe aap siluafion whied ia a nuisanae or which presenfa a hasard !o the heallh, sefelp, coevonfence and
general welfare !o anpone in the wmmuaiip.
THIS PERMIT MUST BE KEPT- OJN E EMISE WHILE THE WOAK IS 2N PROGAE .
Thie ie fo eer2ifY. !hal. ?y--?+'•`?° ??-?--?X!?!--?.??i?..^..:..---..._.has permissioa !o erect n.-°°-,..... . c?-9.?- °C:?_--........_upoa
the above descr' ed premi6e bjec! !o !he provisiou of !he ' ing Or anee os a n o ip adopfad April 11.
1955. 44. /
..C.°-- ...- .?. ...?........................... Per ...... .... .... ......_.-- -...G.. . ..?i.?./ 1"i........................
? Chai o? E 1'nwn Soard Building Inspeelor
EAGAN TOWNSI-IIP
BUILDING PERMIT
Owne: ; ....LF-?!.-.'!?C."_..__:_. 4y ...........
..... ....
Address (preseni)
. ...._..._..__...........
_..._..._..
Suilder .------- ....:-...... ------ ------------ -:...... --._.---.__.............
Address _....... _ ...... .......... ..... _....._.--........... ? --
. . ........ ---- .. .
SioriesI , T6 Be Used For l Froni Depih HeigSi Esi. CosYIPermit Feel
_'__--_- '__- _ __ _
`- /eZd• 4
'
LOCATION
Streei, Aoad or oihex Descripfion of Locafion I Elock '
--- -- --? - - --- ---- -- -- - --
o?e .?a ?t' d' .z'f. c? 7 Ci .12 ?r?-•?----: 'S?5° ? -_
- io -
N9 1495
Eagan Township
Town Hall
Da1e?": ?t.... [ d`?. ?? ?`. L:_......
/
Aemcrks
wnainon or
;Ep'=3 _. .
,EV ,v+.
This pexmii does noi auihorize i}ye use of sfreeis, roads, alleys or sidewalks not does ii give the owner or hisageni
the righilo cxeafe any siiuation which is anuisance or whieh presenls a hazard !o the healih, safety, eonvenience and
general weifare io anqone-in 2he communiiy: - THIS PERM2T MUST BE KE T ON THE PREMISE WFIILE THE WOAK IS IN PAOGRESS. . This is fo cerfify, ihaY..?..?4?-?---------------- -.._haspe:mission to.eseci a.... le.. 4.. ..?."?.upon
the above described premise subjeef fo the provisions oi the Suilding Ordinance for Eagan ownship adopf2ft April 11,
1955.
............................... j.VU?-!!??.-`-%..... Per ........
?_ .. ._... ."........... :
Chairman of Tnwn Board - -4 - -le Building Inspecior
05i1Ei2007 10:12 EFC,qN ENG+COM DEU ? 96519E5I743 - N0.361 1702 zor RESIDENTIAL BUILDYNGPnmr nrPIIcaTtorr ?
City Of Eagun
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone#651-67r5675 FAX#651-675-5694 ComtNFjcn ReqUi2mnb
J regi:[aetl si}g surveys sAOwing sq, ft of bL sc. ft of nonse: ana 91 mvfed a'eaa
(Zp°p mgimwn lot mverep3 ellowe0]
1 Sa?a Repuf If proi huldVg is [o ¢e placeo on d'xNrbed soil
2 m0iesol qan showing beam BwlMawalzas; pouretl faunddeslgn,elc.
I sm MEneigyCalabtlons
3mD?esol7iae7reseNatanFfanif6(pfaRedaflerN7i93 -.--.? ..
Rim Jnig Oela.l Optiore selectun 511ee1 (DUild'mgs NIN 3 or iess unb)
Mhnegasmmarritaniml venUlalion krm
RemodeRtana rAeoulmmenla
2 L0ple5 af plan ShOWhlg fDOlugs, heams, jnlstt
1 9EI0( EnBRJp CBI Wlapy{6 fm hBated 9dditi
7 slle survey Por aUditpns & derJcv
Atld4Mn-MCirelel/ons!lasepfk syalem
oRm usean7 ?
Cert N6uM1eyRecd _Y _N 'j
Soile Report _Y _N
Tree pf25 pHn RBCd Y_N,
Tree P2s Repulred Y _N
CA3Ae5dp5C5ysfem _Y ,.,N
Plans_are cansidered puhlic information uniess vou state thev are trade secret and the reason.
r
Date ? / L4?1 ! 0?9
Construction Cost D 32
Site Address Y1n5U5te q
Aescriptian of Work --------?--
---
Muld-Family Bldg _ Y _ N Fireplace(s) _ 0
Aroperty Owner ?2bU'Pba (Apa'loA kY) V?T?lYTe]ephone N( ,5j
c /l
CantractOr
Address Q / Cyty.
Starte Telephooe N
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesora Rules 7676 Category 1 ?finnesota Rules 7672
ErtOrgy Code Gategory . Reslambal Yentllation Categoryt Wakshaat . New Ener Gode Wcrksheet
?V suhmission typeJ . SubmlGeO SuhmltteC
' • Energy Envelope Calalallons SuEmittetl
In the Iasf 12 months, has the City of Eogan issued a permit for a simiar plan based or+ a mos+er plon?
_ Y _ N If yes, date and adtlrezs of masier plan: -----_-_-- Licensed Plumber
MechoniCal Contractor
Sewer/Water Conhactor
Telephone # (
Teiep hon e # j
Telephona #(
4 0`lU?
I hereby apply for a Itesidenual Building Permit and acknowledge that the infotmation is complete and accurate;
that the work w;ll be in conformance wifh the ordinances and cpdes of the City of Eagan und the State of MN
Statutes; T undexstand this is not a pesmit, bui only an application for a permit, and work is not ta start withont a
- --- ,
permiE; tliat-fhe wor?C will?e in accordauce w1t1?-the-appioved plan in the case of work wluch requires a review and
approval of p3ana,
n ,
Applicant'sPrintedName
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-16764-190-05
l41n'g„?Permit Type DECK
lding Gt'ar?:k Type NEW
:Q
DESCRIPTION:
?••?
?.
4
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4
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?*.4
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•"' ?'4 I fl # `_ x" v''?°:a
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&
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
PERMIT
C,eo ?a8lN
PERMITTYPE: auzLoxNG
Permit Number: 0 2 5 7 4 0
Date Issued: 9 6/ 0 2/ 9 5
4047 MICA TR
LQT: 19 BLOCKc 5
CEDAR GROVE 5
VALUATION
$30.00
$.5@
$30.50
$1,200
CONTRACTOR:
OWNER: -
KNUTSON
A@47 MI
EAGAN
(612)454-6576
Applicant -
EUGENE
CA TR
MN
• ' CITY OF EAGAN
? 3830 PILOT KNOB RD - 55722
? 5 7 /1 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
lJ 681-4675
? 3 registered sRe surveya ? 2 copies oi plan
? 2 copbs oT plans (intlude beam 8 window aizes; poured Tnd. desgn; etc.) ? 2 site surveys (exterior addRions 8 dedu)
? 1 energy celculations ? t energy calculations for heated additfonc
? 3 coples o1 tree preservation plan H IW pletted after 7/1l93
reqWred: _ Yes _ No
DATE: 5' °.zs`- 9.r CONSTRUCTION COST:
DESCRIPTION OF WORK: D-e
STJ?EETADDRESS: y°y7 / `
LOT /9 BLOCK -f SUBD./P.I.D. #: C? ?9Y ?i Ro ve- ^ld•-f-
PROPERTY Name:??9?^'° Phone#:
owNeR
Street Address,
City: "i State: Zip. 2-
CON7RACTOR Company: Phone #:
Street Address:
ARCHITECTI Company:
ENGINEER
Name:
License #:
State:
Zip--
Phone #•
Registration #-
Street Address-
City:
Zip:
State:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ECENED
Certificates of Survey Received _ Yes _ No MAY 2 5 1995
Tree Preservation Plan Received Yes No ---------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 42 SF Dwelling ? 07 4-plex ? 12 Mufti Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 5F Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex r-?15 Deck
WORK TYPE
cE(-31 New ? 33 Alterations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ?
Depth Footprint sq. ft. SAC Code
Census Bldg ?
Census Unit
APPROVALS
Planning Buiiding Engineering Variance
Permit Fee
Valuation: $ 4
/0-00 ?
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
°h 5AC
SAC Units
Cities Diaital
itv Control
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CITY USE ONI,Y
LOT I 1 BL S PERMIT #:
SUBD. Ccdar 6rovc # 5 RECEIPT #:
42.H 1%
RECEIPT DATE:
2000 MECHANICAL PEfiMIT (RSIDENTIAL)
crrY og EAspiu
3850 PILOT KNOB RD
HA&tkN MN 55122
651-8$1-4675
Date:
Complete this section ort1y if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section onlv if you are remodelinn, adding to, or renlacing an existing single-faniily dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
_ New ? Replacement _ Other
Furnace ? Air conditioning
Air exchanger
Reminder.• C¢ld for f:na! inspection.
SITE ADDRESS
?
OWNER NAME: _
INSTALLER NAME
STREET ADDRESS:
CITY:
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
? c? •, Z:-? Gn-., Y`'1 fJ SS/ z 2_
,P??HONE #: WS f' - CO- ? Z
ills pH0 E#: (W -'fiZ?-CJ / G l!J
(naaan cone)
_ STATE: ZIP: SJU ?G ?SS
SIGNA OF PERMITTEE
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERM IT #:
RECEIPT#:
RECEIPT DATE:
20001N£CHA1VICAL PEfiMIT (COMMERCIi4L)
C11'Y OF EA6t4N
3$30 PILOT KNOS RD
ERHAN,1NN 55] 88
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE
WORK T1'PE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping _
When installisg/removing undergroui:d tank, call 651-681-4675 for inspectian by fire niarskal and
plurnbir:g irispector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
Sta[e surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL ?
SITE ADDRE55:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: '
INSTALLER: ,
ADDRESS:
CITY:
CITY USE ONLY
PHONE #: -
(AREA CODE)
STATE:
ZLP:
SIGNATURE OF PERMITTEE
Cities Dijzital
ity Control
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MASTER CARD
LOCATION
it
OWNER
_4:-_
STRl1C7URE AND ' ?
LAND USED AS ,
Permit
No. ?
Issued issued To
Coniractor Owner
BUILDING ? _I _c ?? /f
O? !
PLUMBING I
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEAiING
GAS INSTALLING
SANITARY SEWER
O7HER I
07HER I
Items Approved
(Initial) ?
Date Remarks
Distance From Well
FOOTWG
a
? SEPTIC
FOUNDATION ?-
-
CESSPOOL
FRAMING _,r• ?-? 'Q ??_?• 7? TILE FIELD FT.
FINAL
EI.ECTRICAL
HEATING DEPTH
oF weu
GAS INSTALIATION
SEPTIC TANK
CESSPOOL
DRAINFIELD i
I
PLUM8ING
WELL ?
of
SANITARY SEWER -
?
• Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF 085ERVED VIOLATIONS
0
PERMIT NO.
CONDI710NS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTIQN
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUIIDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DEIAYED BY CONDITIONS BEYOND
CONTROI.
? REINSPECTION REQUIRED DATE Of REINSPECTION ?
REINSPECTION REVEALED
CE RTI FI CATION - I certify that I have carefully inspected the above in which I have no interes[ present or prospective, and that 1 have reportad herein
all significant conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, end any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
.4§R> ?.
i? .
?ql? p?iipWl
iy?'?I????4??p?pldlya? lii..
??
?
MEMO
._ city of eagan
TO: DIANE DOWNS, UTlLlTY BILLlNG 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 involce 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
Block 2, Lots 1-19
Block 3, Lots 1-11
Block 4, Lots 1-16
Block 5, Lots 1-25
Block 6, Lots 1-22
Block 7, Lots 1-25
Block 8, Lots 1-5
Block 9, Lots 1-2
Block 10, Lots 1-23
Block 11, Lots 1-14
Block 12, Lots 1-9
Block 13, Lots 1-15
22
19
11
16
25
22
25
5
2
23
14
9
15
208
The City is currently being bil)ed by Dakota Electric for sVeetlighting in the above listed
subdivision.
Edward J. irsc t
Sr. Engineering Technician
cc: Mike Foeresch
EJK/je
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? Fo(OffioeUs
j Permii tY: ??
? Perrnit Fee: ` l OP
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? Date Received: j
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I Slaff: I
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2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t?/"Z4'( ve Site Address: /YlfCU
Tenant:
Suite #:
RESIDENT / OWNER Name: Phone:
Address / CRy / Zip: 'f0`? 7 (?!??t?- / ??
Applicant is: _ Owner 4 Contractor
TYPEOFWORK Descriptionotwork: `%?w ?Z?T?a-P e_
Constructivn Cost: `'4000 Multi-Family Building: (Yes No ?
CONTRACTOR Name: License#: ;0?T47,? L0
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Address: `+Z0
City: SP, y9w + State: M+J Zip:
Phone: l m s-( ° ?-313 o Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Calegory 7 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitled
In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting.documenls that you:submft 8re considered to be public information. PorUons of
ihe Informat/on may be classified as non-public if you prov7de specific reasons lhat would permit the C!ty to
conclude that the are trade secrets.
I hereby acknowledge lhat this information is complete and accurate; that the work will be in coMormance with ihe ordinances and codes of Ihe City of
Eagan; thal I understand Ihis is not a permit, 6ut only an application lor a permit, and vrork is not to start withoul a permit; that the work will be in
accordance with the approved plan in the case o(work which requires a review and approval at plans.
,/
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ApplicanYs Printed Name ApplicanYs Signature
Page 1 of 3
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?
j Pertnit
? Pertnd Fee: • vV I
? Date Received: j
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I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9laN /o8 Site Address: 410
Tenant:
Suite A`:
RESIDENT / OWNER Name: k"R 5? Phone: !sf/ •111 L57i.
Address / City / Zip: -la 4 '1 7-r l
Applicant is: _ Owner K Contractor
TYPE OF WORK Description of work: Z?3 ilti
Construction Cost: it 3'kefl Multi-Family Building: (Yes _ 1 No ?
CONTRACTOR Name:' -Ev.n.,..sw License#: ZoSk7Z??
Address: 97 0 ], w J M•
?
City: -i`d 54- .?+.. I State: ^a Zip:
Phone: t„V % zo s'i 1 3 o Contact Person: 5:.....? eLr??
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
Category Submitled Submitted
(4 5ubmi5sion type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and'supparting' d,oc,uments that you submit are consideredi to be publie informaLan?? Portlons of
?
fhe Gity to;; ;
?the InformaLOn rnay be"chasirfied as rion-public rf you`pro4ide specitrc ?easoi?s that woufd permit
concludelhatthe are,tradesticrets. I hereby acknowledge that this information is complete and accurate; that ihe work will 6e in confortnance 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 pertnit; thffi the work will be in
accordance with the approved plan in ihe case of work which requires a review and approval of plans.
x fll.,v 2.r.u ..1-1
Oil A?l i ant's Printed Name nYs Signature Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
City of Eaa~ I Permit Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
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Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: I
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2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Z//'1,% ;1A
Date: Pg Site Address: `7~ ! -7 /C~ //ki Unit
Resident/ Name: Phone:
nt/
Owner Address /City /Zip: ~y 7
Applicant is: Owner Contractor
Type of Work Description of work: g-~f L'S/r
Construction Cost: /01 VC7 Multi-Family Building: (Yes _ /No K-)
Company: 5i 1.e2•4C_ 40& ( C"• Contact:
Contractor Address: /ate 6074 `r g.l 1rA4eTle- City:
State: e.12 Zip: b /APD Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide sp ecific 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 Bu' ' g must be com I
days of permit issuance.
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Ap ip ip cant's Printed Name pp cans gna
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159305
Date Issued:12/09/2019
Permit Category:ePermit
Site Address: 4047 Mica Tr
Lot:19 Block: 5 Addition: Cedar Grove 5th
PID:10-16704-05-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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 -
Barbara Knutson
4047 Mica Tr
Eagan MN 55122
(651) 454-6576
Noah Acquisitions Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature