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
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-
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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- ?-?
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l?j,c? fid,(
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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