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4059 Mica TrCITYOFEAGAN Remarks * r.d r Crovn Arcniisitinn jS,y addition C?/} R GR(?VE #5 Lot 17 gik 5 Parcei 10 16704 170 OS Owner ?/?i&-+-A Street 4059 MlCd Tlall State Eaqan, MN $5122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK • SEWER LATEiiAL 1972 179.00 'I.IG 25 P f.d WATERMAIN • WATEF LATERAL 1972 WATER AREA STORM SEW TRK 1974 70.00 4.66 1$ STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK EAGAN 'i'OWNSHlP BUILDING PERMIT Ownex ' - --..... ..""'- - . . .. /%`.......................... 'pucc?`-- -- -- Address (presen!) .?'S._5.....1..':!.^..?'.'.`.?'._.? Builder .._---------------------------- ------- -- -?? , Y Address ..... DESCAIPTION N° 1484 Eagan Township Town Hall Dafe _.._;C...?:.?! G G . ..."--'-"'-"--'-'---.. 5YOries To Be Used For - Froni Depfh Heigh! Esl. Cos! Permif Fee Aemarks --- - - ?'"?--- ? z - a? - ---- /? G• `y ?- ?L (J u LOCATION _ Sfreef. Road or olher DescripSion of Locafion -- - - - I Lo! Alock ? Addiiion os Tsaei - I / 7 S L° "?? -"x- .s' This permiY does noi aulhorize the use .of sfseefs, roads, alleps ar sidewalka nor does it give the owner or his agent the xighlfo creaie any siiuation which is a nuisance oz whieh pxesenis a hazard !o the heal2h, safely, convenieace and genesal we!tare !o anyone in the eommunify. THIS PERMIT MUST BE EPT QN THE PREMISE WHILE THE WORK IS IN PROGRESS. This is fo eerfifY, lhaf.._[z? 7. .............----hae permission 2o erec3 a°°°-'-.-. -------..... -°- °°....---...---..._.apon the abave described premise subjecS !o the prd4isions of !he 8uilding Osdinanee for E n To ship adopled April 11, 1955. ...._°•-'-'-'-'---.......lwv?-'--.. ............. Per ------- -----liG-v,er? ...._GCtt...??................... Chairman of n?ggrd r Building Inspeeior Cc .%?: EAGAN TOWNtSH I P N° 1413 BUILDING PERMIT omoe: ---- ?..?.«%.. ...... 6... ............... Address (preca»i) -?.......144?t .... fia.....--".'-J.:. Builder .......J ...-.z^!rS./.............. .............. ............................... .... Address. -----..._. DESCRIPTION Eagan Tovinship Town Hall Date _!O„Ak... 52oriesl To Be Used For -- - Fxoni I Depih - Fieight Esl. Cosi I P ermii Fee Aemazks - ?t ? - I i ? ? I I Y ? - _ Siseei, Road or other Uescnpnoa oi i.oeaiion I L02 I nloek ; Addition or Tracf e .&+-. t Tkiis permit doesno2 . euthoxise Yhe- use of slreefs, roads, alleys or sidewalks nos does it give the owner or his ageni the righf !o cseafe anp siluafion which is a nuisanee or whiah prasen2s a hasard fo the healih, safeip, convenience and genezal welfare 1o aayone in !he communify. ? . THIS PERMIT MUST 8$ KEP.ON THE PREMISE WHILE THE WORIC IS IN PROGRE55. -, . . Thia . ?a !o cerhfY. !hal..c-?.... .:._:..??.-L?...... .L.?.kt...._.._.......has permusi oa to erect a...:.?..,Nc, .. ...?-.!P='"f . ...........upon the above dESCribed premise subjeoi !o the provisions of the Buildinq Ordinance for Eagan T?ship ado ted April 11. 1955. ...:? ?C.......?. ...... ................... ...........L!?:.Y.S.f!-..`?.'..^.:?. W......... Per ....._'..... . .? G ..... . i ..:_"""_'....... .................. Chairman. of Tnwn Hoard - ? . ? ' Suilding Inapeefor . , . A ..13 EAGAN TOWNSHtP BUILDING PERMIT Ownei ."J,.._..?.-'.......................................... Address (Presenl) --^T:...._..?/z.c_e..^...:.._ ?--...."^""."".".. ........ --- Builder .-' ...Q.,...? Addresa ..15..`-?.,?.....?.?s,A?:?. .............:..:....57..................... DESCAIPTION 11T° 2626 Eagan Tomnship Town Hall Dale .... ..........................• 5losiea To Be Used For Fron! Depih Heigh! Esl. Cos2 ermi! Fee Remarks ?- LOCATION Sfreel. Road or oihes Deseriptioa of Loca!!on I Lo! Slock Addifioa or Trao! 17 -r?- I a-"? f?" s- This pesmit doee no2 aulhorise the use of aireels, xoads, alleys or sidewalka nor does it give the ownes os his agen! the zi4h!!o ereate anp siivation whieh is a nuisanea or which presents a hesard to the healih, safelp, eoaveaieaee and general welfare !o anpone in the eommunily. THIS PERMIT MUST HE KEPT ON THE PAEMISE WFIILE THE WORK IS IN PAOGAESS. This is So cesrifP, thaL-7......... .. ......_-.haspermission !o ereef a./.?SRC..4:r.p<:_ •_"" ....... ...._"'_upoa the above deaeribed remise sub'eet io the p 7 peovisions of the Building Ordinance for Eagan Towas ip adoApsil 11, 1955. ............................ .............. ... .1?:r: ..---......... Pes .. ._. . . ? ........................ .... ............. ..... ...•- ---...? p Chairman Tnan Board Buiiding Iae ector ?P HOUSE HEATING TEST RECORD ADDRESS yD S'y /'"1 I'GG- .?? qpT.?- FLOOR qTY .?SUBURB OCCUPANT OWNER v'?'?? 20 AC. HEAT LOSS DATE HTCa. INST. U 1 b ) e SOLD BY ._..L.e1t1i?INSTALLED BY Elachicol Work By Gos Line 8y ° ?' Z& y..? -TYPE OP HEAT GA -FA HW -STEAM -_SPACE HTR. _UNIT HTR. -_OTHER GAS DESIGN MAKE ?ll?, -7 MAKE OF BURNER _ Modal lfc f1/7' 6- S Model 5«ial ;?YS?•17717 `.?.??$ U? U ?l'lOq?v Moa. BTU Rating- INPUT MAKE OF FURNACE Model THERMAT Heae Pluy Va Ive Nw?Q Limit i -5C - Limif$ettinq /X//- Fon Sstriny !`'ne Pilot Typs Pilot Make PiIM Modal _ Pilot Timing siee" L.W. Cut Off L Pnssuro Percent C02 Iriput CFH 7•?/ Peresnt OZ Stack Tomp. Parcent CO Vant Size - KIND OF LINE SIZE NONE Dmh Nood -? Regulamr FiNvs Siza&+Number ? Chimnsy locafion Outsida X Chimnsy Gnstrucfion $moke Bemb - Draft Door Presswe_ Daee Taatsd -) Company Tesfir Nama o( Tester CON V ERSION Form 235 bdZ3 3 RESIDENTIAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for. Single Family Dwellings & Townhomes and Condos when permits aze required for each unit 03n .s-z' Date 10 / ?3 / v J Site Address APE YO sG [Y)-C('n Unit # Property Owner Lnh. ClLX) ? Telephone #( C? I)?SI ? SG Sq Contractor {,e(J;5 ?eGT?AG Ct/ld ac f IU (3 r I h?= n? RC) bUf'4°? ?ctdSc• Street Address - City I Sta[e k,ly ZiP 5?(016 Telephme#(G1) )9'IU q'?GS Bond #: Expires: The Applicant is _ Owner ? Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 ? furnace replacement air exchanger air conditioner _ New k Replacement other State Surcharge o $ .50 Totai O C T 2 3 2003 ?-j ? I hereby apply for a Residential Mechanical Permit and aclaowledge 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 applicadon for a pemut, 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 wLich requires a review and approval of plans. c ?erek U-?eu' S Applicant's Printed e ApplicanYs Signature COMMERCIAL MECfIANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: commercial/indusfial buildings multi-famity buildings when separate pcrmits are not required for each dwelling unit Date 10 / J_? / 03 Site Street Address ???ci aCe, [y V e Unit # Tenant Name (if applicable) Lp da Previous Tenant Name Property Owner LndC'n Wolc Telephone #( ) Contractor , a(i ' S 0 (fa l"ni c-c nd ci ' r 6 LI 1 46 d j Cf'{ I Street Address lJ V O f C City IV C State Zip ?Lb / L Telephone # "1 `1 G -y'?G ? Bond #: Expires: The Applicant is _ Owner ? Con4actor _ Other WorkType aqhPr SJe New Construction Install Tank Final Interior Improvement _ Install Piping Processed Piping _ Remove Underground Tank Nature of Work: Permit Fee $SOSO Minlmom Fee (includes Sta[e Surcharge) ContractValue $ x 1% PernutFee • If permit fee is $1,000 or less, add $.50 ? $ State Surcharge If permit fee is over $1,000, add $50 per $1,000 Pemvt Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclmowledge that the information is complete and accurate; that the work will be in conforroance 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 permit; that t6e work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signature Approved By: , Inspector Date: i9qa67 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN -?. 3830 PILOT KNOB RD - 55122 651-681-4675 New Consirudion Reauirements ? 3 registered sHe surveya showing sq. tt. of lot, sq. fl. ot house and all roofed areas (20% maximum lof coveraae allowed) > 2 copfes of plans (show 6epm & window sizes; poured fnd. design; e1c.) ;? 7 sei oi energy calcula}{ons > 3 coptes of tree preservation plan R lot platted after 7/1/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: AI Remodel/Reoair Reauiremenis 2 copfes of plan 1 sef M energy calculaflons for heaTed addMions 1 sfte survey for exderior addHions S decks CONSTRUCTION COST: LOT: BLOCK: '::? _ SUBD./P.I.D. #: C_0'? Name: Llo.N- . L.1 Y I? U'? Phone #: PROPERTY Last Fi«+ OWNER I i ,nF-n InA ia a Street City State: Zip: 00? Company ?? V?"?U l µ CN?one #: CONTRACTOR 1?^ , ( i???? ? {area code) StreetAddress:? License# << ' Exp.?/Xx City State: Zip: mI l:?s ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Registration #: City State: Sewer 8 water Ilcensed plumber (reauired for new construcflan oniv): Penaity opplles when address change and lot change Is requested once permN Is Issued. I hereby acknowledge that I have read ihfs application, sfate that the Stafe of Mtnnesofa Statutes and Clty of Ea9an Ordinances. Signafure of OFFICE USE ONLY Certificates of Survey Received _ Yes No Zip: is coriect, and agree to comply with all applicable Tree Preservation Plan Received _ Yes _ No _ Not Required lr` I 1( i?l?1i ? ? _ ^ ? ?--- - - OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 nf _ plex Q 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE Q 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffts/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handou t to applicant for demolition permit GENERAL INFORMATION Consf: (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire 5prinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Valuation: % SAC A-- 7? /,fpq . , ? f dl 7- ?-? ? -? ? r Y, ? l?j,c? fid,( ; ql? 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 Block 4, Lots 1-16 yg 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 g Block 13, Lots 1-15 15 208 The Ciry is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. Edward J. Kirsc'it Sr. Engineering Technician cc: Mike Foertsch EJK/je PERMIT City of Eagan Permit Type:Building Permit Number:EA115989 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 4059 Mica Tr Lot:17 Block: 5 Addition: Cedar Grove 5th PID:10-16704-05-170 Use: Description: Sub Type:Reroof & Siding 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. 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. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Linda C Cook 4059 Mica Tr Eagan MN 55122 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:Plumbing Permit Number:EA165825 Date Issued:11/23/2020 Permit Category:ePermit Site Address: 4059 Mica Tr Lot:17 Block: 5 Addition: Cedar Grove 5th PID:10-16704-05-170 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 - Kelsey Arvidson 4059 Mica Trl Eagan MN 55122 (612) 408-0916 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature