4053 Mica TrCITY OF EAGAN
r 3795 Pilot Knob Rood Ecgan, MN 55122 N2 6266
PHONE: 4548100
BUILDING PERMIT
Receipt .#
To be used for Esi. Value Dpte , 19
Site Address ` . Erect p Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repnir p Fire Zone
? Enlorge ? Type of Const.
Nome -
?
Move
?
.# 5tories
W
3 Address Demolish p Front ft.
?
Ci
Phone
Grade
?
Depth ft.
? Approvcls Fees
o Name
aU Address
U?
Assessment
Water & Sew.
Pol ice
Fire
Eng.
P(onner
Countil
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
Rood Unit
I hereby acknowledge that I have reod this application ond state that gldg. Off.
the informotion is correct and agree to comply with oll opplicable APC Total Stote of Minnesota Stotutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express candition thot
all work shall be done in accordante with oll applicable 5tate of Minnesata Stetutes cnd City of Eagon Ordinances.
8uitding Officiol
Poemit # dal+ Mrad POnnMtw
Plumbing 7,
Mechonical
INSPECTIONS
FoDtingS
Foundation
Frame/ins.
Final DATE INSP.
Rough-I n
Date tnsp.
Plumbing
Mechanicoi
Finnl
Date InsD•
RemorkS: %(,/y/rU (' -t - ! t'
? ? ?y
CITY OF EAGAN
? 3795 Pilot Knob Road
Eagen, Minnesota 55122
NO' Phone: 454-8100
..-'••`.] iT L: PERMIT
Date: 14-3Q
Site IWdress: '?53 1.fiCs
I ,l r. ',Q?ar rsr. F)
Lot - Block Sub/Sec.
Nome -
°e /lddress -
?
City Phone:
Name ? and 'MBChQILtCS1
.
? Address -
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residentiol
MuIti Res., Comm./Ind. z'eI[lOd@1
rF.^octej
New/Alter. / Repair
Cost of Instollotion
Permit Fee
Surchorge
u City ?` - Phone: Total
This Permit is issued on the express condiiion thot all work shall be done in occordance with cll oppliwble State of
Minnesoto Statutes and City of Eogon Ordinances.
Building pfficial
CITY OF EAGAN Remarks * CSdAr CrovS Acrn"cition ?
Addition CEDAR GRtJVE #5 Lot 18 Rik 5 parcel 10 16704 180 OS
Owner 1 A?I!'.?( .;`jYi Y ?l1 l NQ ?1 ?1{ . Street 4053 Mica Trail State??, MN 55122
Improvement Date Amount Annual Years Payment Fieceipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1972 1,304.00 52.16 25 .938.$8 0_7$
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK 1970 70.00 3.50 20 PSid
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STFiEET LIGHT
WATER CONN.
BUILDING PEFi.
SAC
PAR K
, CITY OF EAGAN
. 3793 Pi1M Knob Reod Eagan, MN 55722 N? , 6266
. PHONE: 4546700
BUILDING PERMIT APPLICATION Receipt g -?--a
T. h.?a se. BASIIv1ENT RENIODEL F?t v„i„a 5.000 n„ra 10-6 1980 _
5tre Aedress 4u;)3 imca rrail
Lot lg Block 5 Sec/Sub. C2d8T
Porcel #
m Name Clyde Payne
? Address 4053 Mi-ca Trail
, agan, . „.___ 454-2999
? Name n crai rs
0
?? Address k01 . hird
NOr i.eld,
Name _
Addrew
I hereby acknowledge that I have read this applicotion ond stote that
the information is correct ond agree to comply with all applicable
Stote of Minnesota Statutes and City of Eagan Ordinances.
Erect ? Occuponty ?
Alter to Zoning $1
Repair ? Fire Zone ?
Enlarge ? Type of Const. 1J
Move ? # Srories
Demolish ? Front k.
Grade ? Depth H.
Approvals Feea
Assessment
Water & Sew.
Polite
Fire
Eng.
Plonner
Council ?'y?
Bldg. Off. 1-
APC
Permit 18_On
SurcFwrge ? - 50
Plan check
SAC
Water COnn.
Water Meter
Road Unit
Total 20 50
Signoture of Permittee . 1
A Building Permit Is issued to: xOIR2CP8£t2r5 on the express cnrdition thot
all work sholl be done in accordWlte with all_gpplicable State of Minnesofa StMutes and City of Eagon Ordinances.
Building Officicl
.
CITY of EAGAN
BUILDING PERMIT
owo.= --...?..?.r.?..?/...4??......_?cR?l..A./. ...............................
Address (Pracenl) ..??Q.-'.?.?.."a?.T..?:CY..-'-!I/.L.?.... .........
BullOer !.... ..... . . ........................... /...'?..._.......
Addrew ?..??.?.?.C...7 ... . ...........:............?..rC?'. ...-.L.'^?!I
DESCAIPTION
?
o ;w
N4 4041
3795 Piloi Kaob Road
Eagan, Minnesoia 55122
454-8100
..:...................
6loriee To Be Uced For Frox
! Deplh Heigh! Esi osi Permi! Fsa Remarlo
C1,f??C • 7"/L?-•oC 6-Yl)" t
?J ?
O Gll 30.0 U
'( 6-0
-3 ?cf il G
LOCATION
Slreei, Road or olher Descripfion oi Loceiion I Lo! I sloek I waaitfon or rzau
This permit does not aulhozise the use of slteefs, :oada, elleps or sidewalks nor does it give the ownsr os his e9ea!
the righ! !o creale aap situalion whieh is a auisance or whieh pzesenls a hasexd fo the healfh, satelp, conveaieaes aad
ganezal welfare !o anyone in the communiiy.
THIS PEAMIT MUST SmE KE?lPT ON T?Hy E- PAEMISE WHILE TFIE WORK IS IN PROGAESB.
This is !o eeriifp. 2hal.F!!E:t.aFflz?t«?r..... l?s.t........ .............6as permisaion !o erec! a. ..._. ... ??'.l:ltef?P.'e?G?`.`.?:........_apon
ihe above described premise subjecf So the pzovuions of all applicable Ordinanees fos the Ci of Eagan.
Per ??!.W. '--..`t.."............................................
........?MaYor _......................................
A, Suildiap Inspxtor'DK-
Eagan Township
Dakofa Counlp, Minnesota
Application !or Bailding Permit
Type of building or work eoniemplaied. Circle to:secf descxiniions.
.
Aesideniial Commercial Industrial Olher................................
uild Enlarge AlYer ' Repair Inslell Move Wreck
Dimensions. ........... ..C.?_?....
O ?4? I ? ;C )1,4 7- /g-' or CG / ?? ?^ '9 .
Deiails or remarks.....--::-._-__..---°-'°----'---'--°'-----'--------f--`-'-------------
Localion
PEAMIT NO. . .l..?-.(.?-
Dete ? /1?
....... 71 "_•'•""'___
---".- --'-----....'-`---"---
-' - -' - -- "------ -'-'-7"_-' "------ ......_
Number Sfree! Be.iweea whaY esoss sireels Size Esf. Valuation
?O ?? -j ic`.4 T)r'4 I '/
Lof Bloctc Additi RearraxgemenS or Traef
c1 U ?° t
Ownez ??. h n /_? L) ?} ,??j ??l ! G J-------/- --
: =:..... _ ? ? - - ? -- /? -? ----- ----------
.... ..................?-,/ 1'
. f 1_ . Address -- "-_"'_--'-----'-' - ' --- =- c? c? J?? // ?} ?/ J?% CJ?ND.S_ ?vaJd F?' I i'`?J ?.uD ,y
Confractor _ . ...._.. __...."-'---.'1.?;-p-':ti:_?..'_"'__'-'......_....... Addross l.`f.:."---?•'-----`-°--Jl........_..----"'--.----'....._"'-"--- 1.1...?
The undersigaed hereby makes applicalioa for a permit !o
a do work as herein speciffled, agreeing So do all wark in slria!
Tofal fee collected. accos ?ee with !he uilding osdinance adopfed April 11, 1955
bp !h aga w ip Soa oi SuPervisora.
Parmi4 fees are not
refundable.
/? ?
.. - -'---: --' ""'---'---"?" -'--` - ....--- -'- °-'...""
-- --•--'--------""'--°'-
? 5i4ned
d
?
EAGAN TOWIVSHIP
BUJLDING PERMIT
" ........."_"'
Ownec E-?N--....!d.:: ??
AddresslPresenil,_J'..._.-.Gel ..:,.p....-/?_?-u,_.;:-- .
N9 14'71
Eagan Townsh:p
Town Hall
Builder .._'._.------------------- ....... ................. _... __.._._ ? . . ? .
Dafe ..___:1..__....?.._.'..____....__.
Address .......... -..... ..-'--..... ._.-'-----__---`-............. ----------- - .
' DESCRIPTION ? ? ? - --- - ? ---
l To. Be Used For Front I Depih. Heighf Esf. ? Cosi P? ii Fee - Remarks
Slories-
... - -- -- - --- ?
- -
? ? [5?.?-f"`"f ? . ? . lL .
. . ? _. . . . _...__ _
' LOCATION oad or oiher Deseripfion of Loc
? a I C ?C U C??.
or Tract
This permii does noi auihorize the use of streeis, roads, alleys or sidewalks cior does it give the owner or his ageni
the righYfo creafe any sifuafion which is a nuisance or which presenfs a hazasd fo the healih, safety, convenience- and
general welfare 1o anyone in the commuaify.
THIS PERMIT MUST BE KEPT ON THEPREMISE WHILE THE WORK IS IN PROGR9•.
E55. This is to eeriif ihai.?° ,7n?!.: .._ _ ........_..'_ __has
Y. :r...,<;lf..___ ...... permission fo erect a ..._. /z .r.?::._ ..... ..'.......'._.._.......up°^ the above descxibed premise subjecl 20 the pxovisions of the 8uilding Ordinance fot Eagan wnship adopled April 11.
1955. -
- -
........ _'_.
---------- ...... . ......-- ..._// ??.r.?_. . Pex ...... -_ _?_...__._..._.___...
Chairmanof Tnwn Board Building Inspecfor
? Q
CITY OF EAGAN
? BUILDING PERMIT APPLICATION
'Ib B2 U52C1 FOT ?SfNF?Y -Oy02T"'iTVdlUd'f10ri .??, ?
site Pddress:
Lot ? Block ?J7= Sec./Sub.
Parcel #:
Owner:
Address: W-3 J7icR ?,eai?
City/Zip Code;
Phone #:
Contractor: ?ON£C,eA?Tf?s
Address: JRI
City/Zip Code: AI oeT«ric?v? Hnl .Sy.?o57
Phone #: ( S0 ?
Arch./Eng.:
Address:
OFFICE USE ONLY
Include 2 sets of plans,
1 site plan w/elevations &
eL set of energy calculations.
Date f - 3 0 -Jv
Erect pccupancy
Alter
-?
Zoning ?
Repair Fire Zone ?
Enlarge _ Type of Const..
Nbve # Stories
Demolish Front ft.
Grade Depth ft.
APPROUALS FEES
Assessments pen{t ?
waterJSeaer Surcharge ??-
Police Plan Check
Fire gpC
Eng• Water Conn.
PTanner Water Meter
Council ? gp? pnyt
Bldg, Off.
P,PC
City/Zip Coc1e: '--
Phone #_ --- ,
0005 RESIDENTIAI. BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
OC 0 51. /?
New ConsWction Reauirements RemodeVReoair Reouirements Office Use OnN
3 registered site surveys showing sq. R of lof, sq. ft. of house; and all roofed areas 2 oopies of plan Cert of Survey Recd _ Y_ N
(20%mazimum bt coverege allowed) i setof Energy Calculations forheated additions Tree Pres Plan Recd Y_ N
2 mpies oF plan showing beam 8 window sizes; poured found design, etc. i site survey for addifions & decks Tree Pres Reqd Y N
15etWEneyyCalculations Add'rtion-indicate'rfan-aitesep6csystem On-site5eptic5ystem _Y _N
3 copias of Tree Preservation Plan "rf lot platted after 7/7193
Rim Joist Defail Options seleclion sheet (bldgs with 3 or less uniis
Date Q
SiteAddress
?- / p3
/1'11GA Construction Cost &'S,Oa
UniUSte #
Description of Work (? a n D6 ys1) /'S/CYe &we cti''Cf deTG7c,7Qc?
Multi-Family Bldg _ Y XN Fireplace(s) )C 0 _ 1 _ 2
Property Owner ? ) V}I`N J-i 6L 0'!R S / K. Telephone # ((r75
Contractor
Address ,l ?
State N Ri /).
Zip ,JD ]? (if' City J• s j' ?UL
Telephone #(9=) a9a -/sos-'
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
Telephone #(
Telephone #(
Telephone #(
N If so, 25% plan review
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 ordinances 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.
Y1RGc/[? G.CNRiS?OFFE2,5?? l/
ApplicanYs Printed Name App icanYs Signat
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gaze6o)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 30 Accessory Bldg ,
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 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 •DemolRion (Entire 81dg) - 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 bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool
Ftgs
Au/Gas Tests Final
_ Framing _ _
_
Siding Stucco Stone ?
_ Fireplace _ R.I. _ Air Test _
_ Final _ Windows (new/replacement)
_ Insularion _ R.etauung Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
i ?.
3 6 ai ?
?
Ct- ei
?
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MASTER CARD
LOCATION
OWNER
STRUCTURE AND
LAND USED AS
Permit
BUILDING
PLUMBING
No.
issued Issued To
Coniractor ? Owner
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION ? . CESSPOOL
FRAMING `•
? TILE FIELD FT.
FINAL
ELECTRICAL -
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
7-7
Violations Noted
on Back
COMMENTS:
I
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS IN$PECTION
NO EVIDENCE OF NON-COMPLIANCE
? 085ERVED. 1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
WTEND TO COMPLY.? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interes[ 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.
1-1 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
DATE
?r 23
ill•
0
s
_ city of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1,1993 to the property owners in Cedar Grove No. 5 Addition.
Block 1, Lots 1-22 22
Block 2, Lots 1-19 19
BloCk 3, Lots 1-11 11
Block 4, Lots 1-16 16
Block 5, Lots 1-25 25
Block 6, Lots 1-22 22
BloCk 7, Lots 1-25 25
Block 8, Lots 1-5 5
Block 9, Lots 1-2 p
Block 10, Lots 1-23 23
Block 11, Lots 1-14 14
Block 12, Lots 1-9 9
Block 13, Lots 1-15 1
206
The Ciry is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
11-.11
Edward J. rs-?i cfit
Sr. Engineering Technician
cc: Mike Foertsch.
,..
EJK/je
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114785
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 4053 Mica Tr
Lot:18 Block: 5 Addition: Cedar Grove 5th
PID:10-16704-05-180
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
James Hunter
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 -
John W Stelmasik
4053 Mica Tr
Eagan MN 55122
(651) 895-6883
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA125664
Date Issued:07/30/2014
Permit Category:ePermit
Site Address: 4053 Mica Tr
Lot:18 Block: 5 Addition: Cedar Grove 5th
PID:10-16704-05-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Tina Rykiss
6510 Hwy 36 Blvd. N.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
John W Stelmasik
4053 Mica Tr
Eagan MN 55122
(651) 895-6883
Apollo Heating (aka Affordable Comfort Mechanical)
6510 Hwy 36 Blvd N
Oakdale MN 55128
(651) 770-0603
Applicant/Permitee: Signature Issued By: Signature