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4071 Mica Tr Use BLUE or BLACK Ink jfihhh~ For Office Use I I 'Ir City of Ea Win I Permit#: I ~ I Permit Fee: ' 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 L 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 4071 1qr c`i Tenant: J-' Suite RESIDENT / OWNER Name: Phone: &r( 6,fl VJ2p Address / City / Zip: 7 i I d CONTRACTOR Name: 3-e f License M Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK - New _ Replacement _ Repair - Rebuild - Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL X Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment 2 RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; 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 the work will be in accordance with the approved plan in the case of work which requires a review and approval o plans. 147 X 5-4ve-7. 6Sl-e 1f® X Applicant's Printed Name icant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test -Gas Test -Final CITY QF EAGAN Remarks* (edaz' Graive Acquisitian Addition CmAR GROVE #5 Lot 15 Rlk 5 Paresl 10 16704 150 05 1r Owner ' ? r1 Street 4071 Mfca TraiI State Ea9an, MN 55122 Improvement DAte Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADfIVG SAN SEW TRUNK * SEWERLATERAL 1972 1,304.00 52.16 25 931.04 A003853 -11-77 WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK Z?0 1974 70.00 4.66 15 51.36 A003853 -11-77 STORM SEW LAT CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: f (612) 681-4675 SITE ADDRESS: APPLICANT: +•i I. tcl ti?r r. - • 4071 MTCA tR Cb%TEl.i.n S'iFVF c[nAit UC+nvE. ?'?'iN (612) 581-9826 ? I 3 W ? S Y:.? ? i 2 -1 J PERMIT SUBTYPE: TYPE OF WORK: . , !;f PAiN Eri_RCiu1, Permft No. Permk Holder Date Telephone 8 ELECTRIC PLUMBING HVAC Inapection Data Inep. Comments FOOTiNC'iS FOUND FRAMING ROOFING t ?4J 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 BSMT R.I. BSMT FINAL DECK FTG DECK FiNAL EAGAN TOWNSHIP BUiLDlNG PERMIT N° 1401 Eagan Township Town Hall Dafe ??.r.[?..4EL?'..??.?11.6-4 :...... DESCRIPTION Stoiies To Be Vsed For Froni Deplh Heighf Est. Cosi Permii Fee Remarks - ---- ?? ,.? d' 7 - or LOCA or Ti _ W:? This peimit does noi: aulhorise the ?use of slreels, roads, alleys or sidewalks nor does it give the owner or his agen! the righf Soereafe any situhiion.which is a nuisance or whiah presenis a?hazasd So the healfh,-'safeiq, aonvenience and . general welfare fo anyone in the communify. THIS PERMIT MUST BE KEPj.013 THE P?REMISE WHIL£ THE WORK ISIN PROGAESS., Thia i5 fo aeriifp. lhai_,.?.t ?.'._ Q^•:o.....!-n.,,:..'."....__...has permisaion !o erect a..6._,(lei:' :Px.... .___"__ ' _upon _.._.._..._... the above described premise subject fo the pxovisions of the Suilding Ordinance for Eaga ownship a opied April 11, 1955. .......... .--------- ------.....--°'--.........Cr:....... ...... --'------------ . Per .---.-.`%wY_µ.?"`?C..-?"--?L•`-"=:?.............--'-----... Chairman of Tnwn Board ? 4 -'? Suilding Inspecfor 1 .. . .A :.. ? .___,_.,. EAGAN TOWNSHtP BUILDING PERMIT N? 1788 Ownex Eagan Township _...._..- - '? ? a -.......- ?-----.. ---- - ? ,. Address (Pxesen!) ?? .... ? ."..-"----?"-'-..: Towa Hall °---....--' .............. ............... Builder ....? ........ o - ------- . .._..l"°..._ . •.,_ .Y •F ?,? Date ...... ---............................ Addsess ...................... ........................------........_....-----.....-----•-°° DESCRIPTION Sfories To Be Used For Front Depth Heigh! Eai. Cosf PesmiS Fee Remarks /di so 9, ..-?? s-/ LOCATION Slree2. Aoad os olher Descrip2ion of Locafion I Lot I Block I Addiiion or Traei /51 .5- 1 C,"P S' This pe:mii does aot suffiorise the use of s2reels, roads, alleys ox sidewalks nor does it give the owner ot his agant the sigh! !o crea2e anp situafion w6ich is a nuisanca or mhich preseals a hexard to the health, safely, convenience end general welfare !o aapone ia the communify. THIS PERMIT MUST BE KEPT ON/ ?THE PAEMISE WHILE THE WORK IS IN PROGRESS. This is !o ceriifp. Shal._? ?..?.:..l..d?!r?.-1--?---------.has permission !o ereef a...... -- ........... -°-°-................._upoa the above described premise subjee3 2o the provisiona of the Building Ordinanee for E an Tomnship adopled April 11, 1955. , /,?? ._•"_'-.....'--.......---..?Q:..`r`?........... Per ...... ...._...---'? ?.-'-?^:.._.._":.I._....?c.?!'?....--'-•-'..._... % bhairma of Tnwn BZard.. ? Suildin Ins ecfor PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: B u z ? o z N ? Permit Number: 0 3 0 5 4 4 Date Issued: 0 7/ 31 J 9 7 SITE ADDRESS: 4071 MICA TR LOT: 15 BLOCK: 5 CEDAR GROVE 5TH P.I.N.: 10-16704-150-05 DESCRIPTION: REROOF Building"Permit Type Building Wcrrk, Type f ?y C@qS?US QQd;$ / • .. . ? ? .^.-,"-b. e j ?. r? {'`vk ? REMARKS 5F (MISC.) REPAIR 434 AL7. RESIDENTIAL ' `'y ?? ?-- ? ?i t i C- FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $74.75 $1.50 $76.25 $3.000 CONTRACTOR: OWNER: - Applicant - COSTELLO STEVE 4071 MICA TR EAGRN MN (612)681-9826 I hereby acknowledge that I have read this application and state that the information is correct and egree ta com°ply with all applicable State Qfi Mn. ? Statute?,O and CiCy qf...Eagan drda.rrances.`,,`_ ? APPLICANT/PERMITEE SIGNATURE ?UEDhY: ? ONATU?E--- 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) required: _ Yes _ No 7-3o-q'J _ ??oao.?o DATE: CONSTRUCTION COST: • DESCRIPTION OF WORK: ??'? ? ' - CITY OF EAGAN 8830 PiLQT KN08 RD - 65122 681 r4675 New Construction Reauiremenffi RemodeVReoair Reouirements ? 3 registered eke surveys ? 2 copies ofplan • 2 copies af pians (inGude beam 8 window saes; pouretl hW. design; eta) ? 2 sfte surveys (exterior addldons 8 decks) ? 1 energy calculations ? 1 energy calwlatlons for heated additians ? 3 copies M tree proaervatfon plen H lot platted after 7/1/93 STREET ADDRESS: 6-?- LOT /-57 BLOCK PROPERTY owNeR J` SUBD./P.I.D. #: _ Name: -5P"y Css4-e-Ilo (n? S4vc- Phone #: (o &'I -`1824A Street Address: ?0-71 Mj Cc, -rrr. City: Ea-„ C--VA State: M"j Zip; CONTRACTOR COmpany: S-e- Ic- Street Address: City: State: Phone #: License #: ARCHITECTI Company: ENGINEER Name: Phone aa ? Zip: Registration #: Street Address: Ciry: State: Zip: Sewer & water licer.aed plumber (new construction only): . Penally applies when address change and lot change arc requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the information is orrect and agree to comply with ail appiicabie State of Minnesota Statutes and City of Eagan Ordinances. //??41 ??`"U Signature of Applicant: Q? ? OFFICE USE ONLY Certificates of Sunrey Received _, Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility * 04 SF Porch o 09 12-plex o 14 Fireplace n 21 Miscellaneous n 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE n 31 New o 33 Alterations o 36 Move ? 32 Addition ,+W 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee ? • 75 Surcharge ). Sv Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: '7& -0? 5 Vaiuation: g ? lqOOD. M % SAc SAC Units ? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN 3830 PILOT KNOB RD - 55122 851•681-4875 New ConslrueNon Raaulremenh D 3 reglsfered alfe wrveys ahowlny aq. It of loT, sq. tl. a( house crW gJ_I rooted creos l20°J6 maxlmum bt coveraae atloYte? ? 2 eoplea of plaru fahow beam R window sizes; poured Md. design: elc.) n 1 sel of anergy calculaliom D 3 coples ot hee pretervatlon plan H lot platted after 7/1 /99 DATE: ??ZIDO DESCRIPTION OF WORK: SiREET ADDRESS: LoT: 15 T`r?t BLOCK: ? SUBD./P.I.D. #: t ?° vovL PROPER7Y OWNER COMRACTOR ARCHIiECT/ ENGINEER 5S1'e ICo S1e-V,0-,, P,ane C lo S7 - G e/- ?Tz Name: Layt Flrsl Sheet Address: b 7 ^,C'c, TrCc e / Cly CR oi a-" State: A ''t Dp: 2 Company: Phone #: (area code) Sheef Cily Stqte: Company: Name: Telephone #: ( ) Sheet Addreas: Regishatbn t: City State: Sewer/water licensed plumber (H Installina sewerlwaterl: Ph°nelk Zip: Zip: 1 hereby acknowledge ihat I have read Ih1s applicaHon, sate thaF 1he InfomwHon Is rtect, a??j,Aagree to comply wHh all appBcable State of Minnesota Stahrtes and CNy of Eagan Ordinanees. Sigrmlure ot ApplicanY. « OFFICE USE ONLY 2 copies ot plan 1 set o( en6rgy calculatlona tu h9ated addlllons 1 site wrvey fa exfedor addiflons R decks CONSTRUCTION COST: ltcense # Exp• Certificates of Survey Received _ Yes _ No Tree PreservaNon Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? OS 06-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of plex ? 09 07-piex ? 78 Deck ? 23 Porch (screened) ? 04 _ 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex vioy Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair ? 34 Repair 0 42 Demoiish (Foundation) ? 46 Windows/Doors ' Give PCA handout to appl icant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering sq. ft. sq. tt. Footprint sq. ft. Census Code MC/ES 5ystem City Water Booster Pump PRV Fire Sprinklered Variance ? 31 Ext. Alt - Muki 0 33 Ext. Alt - SF ? 36 MuRi 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: Valuation: SAC Units % SAC d?? /7,S-8 ? \ ? 31 ? - ? , - ., ? ? r ? -- - - • ? - ; `'- - ?? ' ? - ? ? C.2 Yye h ?s7b ,n _•_ L o? ?/Sr___? ? v??S ;-??Y Gr-??5? - -• ? ? _ -Sc???- /??=-?o? - -_ - - -- - -- - ---? v , -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 yi 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 15 208 The City is currently being billed by Dakota Electric for streetlighting in the ahove listed subdivision. Edward J. irscTit ^ Sr. Engineering Technician cc: Mike Foertsch EJK/je PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA093996 Date Issued: 05/18/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4071 Mica Tr Lot: 15 Block: 5 Addition: Cedar Grove 5th PID:10-16704-150-05 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Sela Roofing Remodeling Steven J Costello 4100 Excelsior Blvd 4071 Mica Tr St. Louis Park MN 55416 Eagan MN 55122 (612) 823-8046 I hereby aeknowledae 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature