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4064 Mica Tr PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: / f' ?/,T eo PHONE: 454-8100 `??,- •'! b'~ Site Address 106 BLDG. TYPE WORK DESCRIPTION Lot Block ?Se?c/Sub Res. ? New ? m Name v'''??-! ? '? ???` l Mult Add-on ?c Address Comm. Repair c ys!?-ir?'? Ciiy Phone Other FEES ? Name - RES HVAC 0-100 M BTU -$24 00 (D . . Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUQES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEHMIT) - 1 50 EA . . TYPE OF WORK COMM/IND FEE - 19io OF CONTRAC7 FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU -It REMODELS - 12.09 Air Cond. M BTU /Z •ao MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Oufiets # BEYOND $7,000) Other FEE: ±'-r S/C: SIGI?Y E E TOTAL: A1 • v FOR: CITY OF EAGAN Raceipt MECHANICAL PERMIT Permit No, CITY OF EAGAN Fee frll in numbered spaces S/C Type or Print /egib/y Tot_ 1. Date 2. Installation Cost 3. Job Address Lot Blk. - Traci 4. Owner ?.-. 5. Contractor Phone 6. Address N/? )/ C 7. City State Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New 0 Add O Alter ? Repair O 10. Describe • ? Fuel Type 11. No. Equinment STU - M. Ea. Forced Air No. Eauiament CFM Air Handli : Mfg. ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Appraved CITY OF EAGAN 464-8100 I'll ;"2?? 7? CITY UF EAGAN Remarks * Cedar Grove Acquisition Addition CEDAR GROVE #5 Lot 7 eIk 12 Parcej 10 16704 070 12 Qwner Street 4064 Mica Trail State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK • * SEWER LATERAL 1972 1,304.00 52.16 25 y' . •2- WATERMAIN * WATERLATERAL 1972 WATER AR EA STORM SEW TRK 1974 70.00 4.66 15 - (o STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PEFi. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 SITE ADDRESS: , ??T , 1 t;tr'1I: t,fff1V1 'a i li INSPECTION REC4RD PERMIT TYPE: Permit Number: 7 Date Issued: ? ? OcK t APPLICANT: 1 (; i .' ? c?kfi? E.??e F L ttU f i 11 i M4 0•a214t? aF 1: a I9F -1 I PERMIT SUBTYPE: TYPE OF WORK: 1<F'I'A! ? i;14 P f H!t(i Permit Holder Date Telephone k PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING J ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST ? HYDROSTATIC TEST BSMT R.I. , BSMT FINAL DECK FfG DECK FINAL :µ EAGAN TOWNSHIP BLJILDING PERMIT NO# 1401 Ownei? ...................... ... ? . . E T . / agan ownship Address (Preseni) _„r.f?-! ............... Town Hall Builder ------- ----------------------------- ---------`-----...._--'---- . . ------'-°-._. _. .. . yy Address . . . . _ . " • Date ? ./[?-...f.C/ ?,:.l..C./.1..?GG.---... DESCRIpTION . Sior3esl_ To Be Used For Fron! DepYh Heigh! Est. Cos! PermilFee Recnarks. - -- es 7 ' 49J or ?. t•,ocx naaition or TracS /5 S . Ls, ?sF ?- 9 This permit does not aulhorise the use of slreefs, roads, alleys or sidewalks nor does ii give the ownex or his ageni the righf fo czeafe anp sifuafion which is a nuisance or whiah presenls a hasard !o the healSh, safefp, eonvenience and general.welfare fo anpone in !he-eommunify. . THIS PERMIT MUST BE KEP)' O13 THE PAEMISE WHILE THE WORK IS TN PAOGRESS. ? This is fo eeriify, Shai--"?.t-=--.... . .. ............... ? ....: ..........--- ? `•.o .-..has permission !o erec! a_?...,LJ,:t,=? ' .' ..__.....upon the abooe described premise subjeci So the provisions ot the Building Ordinance foz £agaownship a opfed April 11, 1955. ? ? ??. . o ? . .. , . .""_......_._..."._, .. . . _....f?'.^.''?:.^.r?.."_', ".'.'. Per .... ......_...... _ . - ...? ?- -.?.....:..... .. . . Chairman of Tnwn Soard, ---- . . 4.,? Building Inspec or --- - - ; . _? .._ '? . CITY of EAGAN BUILDING PERMIT oan.: ....... 41-1......... /..?...`'`.: ??y??........................................... Addrass (Preteni) ..... ??iwe'••`?.?? .................. Bulldes .... .C ..., ... ?..r.t------... .......................... . ..... ...... . .. . . . .. ......... Ada:e.s ---- .............._...--.....-T...?s . f Ss3 V3 DESCAIPTION . ,. N2 3629 3795 Pilo2 Knob Road Eagan, Mioaesofa 55182 454-6100 Dnla .?`.?.`..?....7?.......... _....... 6SOSiec To Be Used Fos Fron! Deplh Heigh! Eel. Coc! Psrmit Fae Aemssb ?? ? LOCATION /7• - Slreal, Aoad or olher DescriD=ion ot Localion I Lo! I Block I Additioa os Ttaet I-7 I /;?-l e. -6s T6is permit does not aulhoriae !he use of slreels, roads, alleys or sidewalka nor does if qive !6e owaer os hia agea! !Le righ! !o ozeate anp aituation whieh is s nuiseaae oz which preseals a hasard !o the dealflf, sefetp, eoavenience ead ganeral welfare fo anpone in fhe eommuoilp. THI$ PERMIT MUST B?,;CEPT N THE PREMISE WHILE THE WORB IS IN PAOGAESS. Thls ls !o cez!lfp, lha2.. ?.°. ?...-.............................................. hae permission !o arect a....... ............ ..... .........................._upon !he above described premise subjecY Sa the pxovisions of all applicable Ordinanaes for !6e Cilpan. ....................... ?...-'.. . ........................... Per ............_/J«!-??..................................................................... Ma or Huildfnq Inayeetor ?3 MASTER CARD OWNER •t e?yr ?n r? • STRUGTURE AND X?? ' LAND USED AS Permit No. Issued Issued To Coniractor Owner BUILDING PLUMBI NG 36 2q r? -? L? f; T,?J ,,, a A,"0' CESSPOOI - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTAILING SANITARY SEWER OTHER I OTHER I i Items Approved (Initial) Date Remerks Distance From Well FOOTI N G - I? SE PTIC FOUNOATION CESSPOOL FRAMING _6- TILE FIELD FT. FINAL ELECTRICAL -- HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violafions Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTIQN CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. 17EMIZED AND DESCRIBED AS I I COMPLETION OF CERTAIN IMPROVEMENTS U WIIL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION -I certify that I have carefully inspected the a6ove in which I have no interes[ prezent or pmspective, and that I have reported herein all significant conditions oLserved.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. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 45922 651-681•4675 ?' a J New ConaWCtlan Reauiremenb •' 3 registered site surveys showing sq. R. of IoL sq. ft of house; arM all roofed areas (20% maz'unum lot coverage allowed) • 2 copies of plan shovrirg beam 8 vnndow sizes; poured found design. etc.) • 1 set of Energy Calculatians • 3 cropies ol Tree Preservatbn Plan if lot pWBed after 711193 • Rim Jaist DefaA Options selecdon sheet (bidgs xnth 3 or less untls) DATE (llau a 3+ a oo ?- RemodallRemir Reauiremenis . 2 copies of plan • 1 set of Energy Cakulalions !or heated additions . 1 sile survey (or ez[enw addifbns 8 decks . Indicale if home served 6y septic system tor addiUOns VALUATtON "?' 0-TV SITE ADDRESS y«2? VYC Ca MULTI-FAMILY BLDG _Y _N TYPE OP WORK "005F FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ??tqt f4z- AS STREET ADDRESS y01A CITY 01;ci r, STATE 2'"ZIP '-5Ja2 TELEPHONE# CELLPHONE# C¢1a-a?1-3/ya- FAX# - PROPERTY OWNER ? (A''<< TELEPHONE # ---------------- '........................................................... -.... ......... ---- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOT:1 RULES 7670 CATEGORY l MIi A61ESI'[lA (J submission type) • Residen6al Venulation Category t Worksheet Submitted • N nerpMGod01Qloqrs,l7?t • Energy Envelope Calculatlons Submitted ?9fH T 4 6 LUUL Plumbing Coniractor: Plumbing system includes: Mechanical Contractor. Vtechanical system includes: Sewer/Water Conhaetor. _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $70.00 -------------------------------------°---°-------°---------°-------------------------•------°------------...--------- I hereby acknowledge that 1 have read this appiication, siate ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes ond City of Eagan Ordinances. ? Slgnature af Applicont `? ` Q? ^ ?..._...._-°----------- --°'----°------°__.»_---___°°-----°__...._---- . _...--........ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Phone # . Lawn Sprinkler No. oF R.I. Baths Phone # Fee: $90.00 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Oweiling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) E3 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 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 (Foundatlon) ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (Bldg)' [3 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitfon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Srories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings(deck) _ FinaUi3o C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile' Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply 8 Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT •- C1TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 4064 MICA TR LOT: 7 BLOCK: 12 CEDAR GROVE 5TH P.I.N.: 10-16704-070-12 PERMITTYPE: BusLosNG Permit Number: 0 3 2 3 4 5 Date Issued: 0 6 J 2 4/ 9 8 DESCRIPTION: REROOF u'ild3itq Permit Type uilding`WOrk Type eh5us Ct?de`:",,. STORM pAMAGE REPAIR 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY: CONTRACTOR: ? OWNER: - Applicant - STARKS MARK 9064 MICA TR EAGAN MN 55122 (612)686-6987 Z hereby acknoalexlge that Z haveread,this appl.icatian an,d sCate t,hat the infiormation is correct and agree to comply witH all appiicabla State?pf Mn. Statutes and City of Eagan Ordinances. .. . ;. .; .?. . .. > .._ ,F"'1 .: ? . APPUCANT/PERMITEE SIGNATURE -1 3234S 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 YII.OT KNOB RD - 65122 681-4678 New Conatruction Reauirements RemodeVReoair Reauirements ? 3 ragistered sde surveys ? 2 copies of plens (inGude heam 8 window s¢es; pouretl fid. design; etc.) ? 1 energy ealculations ? 3 copies of tree preservetion plan'rf lot platted after 717193 required: _Yes _ No DATE: DESCRIPTION OF WORK: V4_ - Y('Y? -- STREET ADDRESS: ? 2 copies of plan ? 2 sBe surveys (ezterior addkions 8 decks) ? t energy calalations for heated adddions CONSTRUCTION COST; c?too - 0 U ?i C?) JOT: -I BLOCK: ? Z SUBD./P.I.D. #: Name: sk f CS ft V'1c Phone #: PROPERTY Lest First q OWNER / I ?. i I r/1 - .-n (° ) Street CONTRACTOR City State: V1? k--) Zip: Company: Phone #: Street Address: License # City Sffite: ARCHIT'ECT/ ENGINEER Company: Phone #: Street CiTy State: Sewer 8 water licensed plumber (new construction only): and fot change is requested once permit is issued. ? 1O'D Penalty appiies when address chang I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required Zip: Registration #: _ Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex O 03 SF Addition ? 08 8-plex 0 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # of Stories Length Depth ? 11 Apt./Lodging O ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace , ? ? 15 Deck O 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ Afic . ? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units L??G IF?I?III '?.. _ ciiy 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 L4TS) 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 2 Block 10, Lots 1-23 23 BloCk 11, Lots 1-14 14 Block 12, Lots 1-9 9 Block 13, Lots 1-15 15 208 The Ciry is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. Q-? Edward J. Ff'irsc t 5r. Engineering Technician cc: Mike Foertsch EJK/je