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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 ? - - - - ? - ? -- y? ?-,-(?-?------ - ? ?, 7 I i - _ _ ? --- - --- _ --- --- -- -- - - - -- -??- _ - -- -- - -- - - I I - - - ? - - ---- - - - -- -- ---- ? $ -- - - -? -- - - --- --'' - - ---- - __ _ _ ? ? - ,? -- - --- - - - --- - ? -- - ? `' ? \--_ _. ---- - -- - - - - ---` kA - - - - - - -- -- - - - - ----- --; ---- --- - - ? - - - --- _. --I- --- -- e. V ? - - ---- - - ,----- - - -- ---?- -- - - -? - - -- -- - -- -- -?---- - ; a C R-- - --- -- - - ? `? ---??S.o1-- - ---- -- - - ?-- _ e+C: -- --.?, 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