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