3922 Beryl Rd1A a RESIDENTIAL
BUILDINC PERMtT APPLICATION
CITY OF EAGAN
3830 PILOT KMOB RD - 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft, of lot, sq, ft. of house; and J, roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7/1l93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE ?? ? -;;';_?2
JOB SITE ADDR
R I 5 zooz
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER /Y'??0?' ?' t'?!'? f?
TYPE OF Wt
APPLICANT
ADDRESS _
PAGER #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP'Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Suk
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor.
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Water Softener Y
, Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
FfREPLACE(S) _ 0 _ 1 _ 2
PHONE# 7e3-5l "7030 (/
Phone #
ZtP C4DE
Fee: $90.00
Fee: $70.40
All above information must be submitted prior to processing of appiication.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin ces.
?----..
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received , ot Required _
- Updated 2002
VALUATION
O ?r O'
RemodellReoair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations for heated addidons
• 1 site survey for exterior aldfions & decks
• indicate if home served by septic system far additrons
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
Phone #
CELL PHONE # FAX #
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.)
? 03 01 of ` plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg`Y or _ N ? 25 Misceltaneous
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof 0 46 Windows/Daors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Footi.ngs (new bldg)
Footings (deck) ' - , Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ 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
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
EAGliN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minne:ota 55111
Telephone 454-5242
2-2-5
PERMIT FOR SEWER SERVICE CONNECtiON
DATE• Februarv 14a 1968 NUMBER
Otn1NEP,; rPdar CrQtT, Const. Go Address 392,2 „Bar,yl Road
PLUMBER Stp
.;` TnC. TYPE OF PIPE S;ast Iron?
DESCRIPTIQN OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
X 1
Location of Connections: Connection Charge
PermiC Fee
5treet Repairs
Tota 1 ? ?' ?• ?? ??'.
Inspected by:
Date
Remarks:
sy
Chief Inspector
In consideration of the issue and delivery to me of the above pemit, I
hereby agree to do the proposed worlt in accordance with the rules and
regulations of Eagan Township, Dalcota Counfiy, Nlinnesota
Stein, Inc.
Sy
Pleage notif.y t;hen ready for inspection and corncction ar<d before an.y portiLn
ax tiha wcrk is covered.
?
MEMo
_ city of eagan
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KtRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLlGHT 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 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 g
Block 13, Lots 1-15 15
208
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
Edward J. irsc t
Sr. Enginesring Technician
cc: Mike Foertsch
EJK/je
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ....... &t?z?__.e-- ?,?-t- ?-+`t•-,r,'-?.?- --?'•--••---°
Address (Presen!) ...••:•-?•-?'•--------••-•---•----••-•--•-•
Builder ..................................... ...........................................................
Address -•••-•-•------•••----•------•--••---•-••----•--••-•----•--•-----••--•-•-•---•----
DESCRIPTION
N° 1'715
Eagan Township
Town Hall
Date _...`"7/G
•- --•----°-....---•......
5iories To Be Used For Froni Depth Height Esi. Cos2 Permi! Fee Remarks
'?i?y ? _ • ?Li:-.d?c? -
f? I-d°"?,r
r"`?L'
si
V r LOCATION
Street, Road or other Descripfion of Location ? Lo! I Block ? Addiiion or Trac!
A I P, I e ,.4r -o-- -5`
This permi2 does not suihorize the use of slreets, roads, alleys or sidewalks nor does ii give the owner or his agen2
!he right fo create any situation which is a nuisance or which presents a hazard to the health, safe2y, convenience and
general welfare 2o anyone in ihe communi2y.
THIS PERMIT MUST BE KFRT ON THE PRE?VIISE WHILE THE WORK IS IN PROGRESS.
• ••- ••- -
This is 3o ceriify, -
ihat---•--?•?? i_•?----"---••-----•._. ........ •=•--•-••---_.._._has permission to ereci a•-,?--.? 4..__ .... °- ............. -••••-...._upoa
!he above described premise subject !o the provisions of the Building Ordinance for Ea n Township adopffid April 11,
1955.
....... ...------• ............................................... Per ....... ?----••--------?s?j -••--....?-.L,'?-e,?........_?_?..?_.....----•••
Ch irman of Tnwn Board f Building Inspec2or
? 4 ^.&.
This request void ` t
18 nwnths irom
D 3,5412
nequest uate ' -
Fi
re No. - "
-`
Rough-in Inspection
fiequired.>
? Yes N.
?Reacly Now Q Will Notity. Inspec-
tor When Ready
licensed Electrical Contractor
Owner 1 hereby request inspection of above
electrical work insta lled at:
Street Address, Box or Route No. Citv
ection o. Towns Name or . tiange No. CoUr,tY
Oc pant (PRINT)
Phone No,
P ? J <
er SuPPlier =Address
Electrical Con ractor iCompany Na 1 Contrar.tor's License No.
M
ailing Address (Contractor or Owner Making Instailation)
AutAorized Signature (Contr ctor/O er Making installation) Phone Number
4 ?_??!
MINNESOTA STATE BOARO OF ELECTRICITY
Griggs-Midway Bldg. - Room N-191
7821 Universiiv Ave.. St. Paul, MN 55104
Phone (612) 642-0800
TH1S INSPECTION REQUEST WILL NOT
BE ACCEPTEO BV TNE STATE BOARD
UNLESS PROPER INSPECTtON FEE IS
ENCIOSED.
/ REQUEST FOR ELECTRICAL INSPECTlON s-. Ea-ooooi-os
See instructions for compieting this form on back of yeilow copy.
Q 3? 4 ?.? X'" Below Work Covered by? Thrs Request ,
NOW Add Rep. Type of Building Apptiances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Neater Lightliiy Fixtures
Apt. Building Dryer Electrie HeaUn
Commercia! Bidy. Fumace Silo Unioader
fndustriai Bicig. Air Conditioner Buik Miik Tank
Fafm Other pecify Other (Specify)
t er Suecitv Qrher
Of11DtItE It7SDP.Ct10R Fee
N Fee ServiceEntranceSize # fee PeederslSu6feeders # Fee Circuits
0 10 200Am s 0 to30Am s Oto 30Am s
Above 200 Amps 31 to 100 Amps 31 to 100 A s
Swimming Pooi Above 100_Amps Above 1Q0_Amps
Transformers irrigation Booms Partial• Oiher Fee
a?gns apec?at inspect?on g :59 T07AL ????
Rerrv?rks r ,
nougn-in Uate
I, the Electricat
Inspector, hereby
'? cartify thai the abpvg
Final ? ?n psction has been
.?r.? ?'t J ..? ? ?`1 ,,A.
Thia reQuest void 18 months
RESIDENTIAL
BUILDING PERMIT APPLlCA'tION
? ? bD ?60 CI,Y oF EAGM
3$30 PIi.OT KNOB RD - 55122
651-681-4675
• 3 regfetered sh awveys showing sQ. ft of kjf,: sct. t of fause; and ail mofed mes
(20% rruAriun lot carerage auoYred)
• 2 oopius of plam sttdwirg beam & wirdow aizes; poured found desi8n, ft.)
• 1 set of Energy Cahiatlons
• 3 oopin of Ttee Proawvadon P1an rf bt pWed aRer 7/1i93
• itim .bist DefaN (3ptions setsctloit st?eet (bklgs wth 3 or bss tu?ts)
?.
DATE
J46
RZ-t
17o.0° D
(' alltd ?1-10--Qf . g oopies of pien
RemodellitmolrRsaWroMuft • 1 sdo# Enetgy C.olculdons fabeeted additlOnS
• 1 sh siuvey for e?tetipt? & decks t • Indiceb if home Wved bY N*gY*m braddbm
VAItlATION! R0 0 , V4
,
Z?-
!F MULTI•FAMILY BUILDING, HOW MANY UNITSZ N( I`'(
PROPERTY OWNER 1?qytdP-
TYPE WORK Txa aGt.l.'t{ k h0 ?S,*-* FiREFLAGE(S) ?. 0- 1-2
APPU ANT PM4NE* ?Vr905'6 (o 2-5-
ADDR S5 ZtPCODE
PAGE # CEtt PHONE #k FAX #
NM RESlDENTtAL BUILDING ONl.Y - FItL C)UT COMPLETEtY
code cacegory MINNFSOTA RULF?S 7670 CATEGOR .?
one) - Residential Ventilatbn Category 1 Wcwicshee#
- Energy Envelope Calcu{a13ons Subrrgfted
:;
?
_ NIINNESOTA RULES 7672
- New Energy Code WorksMeet Submitted
.,. _
ng Con#rcctor. Phont #: _
ing Syst,em Includes: _ Water Saftener Lawn Sprinkler Fee: $$t}.bU
? Water Heater ? Na, af R.I. Baths
No. of Baths Conhactor: ?
System Includes:
Conhactor.
_. Air Conditioning
._ Heat Recovery System
Ali above infnrtnation must be submitted prior to processing of application.
Phone # Fee: $70,00 `
Phone # ?
I her?by acknowledge that I have read tKis application, stdie thrat ths infarmation is coReet, cxnd ragree ta compIy
with ali applicable State of Minnesota Sfatutes and City of Eagan Ordinances.
? Signatwe of Appllcant o`-
of Survey Received _ Tree Preservation Plan Received , Not Requirec!
Upd*W #fQ4 `
oFFIcE usE oNLY
0 01 Foundatton
O 02 SF Dwelling
0 03 01 of _ plex
C] 04 02-plex
O 05 03-plex
O 06 04-plex
0 31 New
'1, 32 Additbn
? 33 Afteration
? 34 RepiaCement
Vaiuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const
?
REQUtRED INSPECTI4NS
! FinaUC.O.
? FinaUNo C.O.
? Plumbing
HVAC
Fireplace - R.I. _ P?ir Test _ Final
InsWation
? 07 05-piex t] 13 16-plex
O 08 06-plex ? 16 Fireptace
? 09 07-plex ? 17 Garage
? 10 08-plex W.18 Deck
? 11 10-p(ex ? 19 Lower Level
? 12 12-plex Pibg Y or _ N
J,"I._
? 20 Pooi
? 21 Porch (3-sea.)
? 22 Por+ch/Addn. (4sea.)
? 23 PoFCh (soreened)
? 24 Storrn Dsmage
? 25 Miscellaneous
? JV AcC88soCy Bldg y
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
13 38 MUti
? 35 Int Improvement ? 38 Demo{ish (Interior) ? 44
E3 36 IVbve Bldg. ? 42 Demotish (Fpundation) O 45
? 37 Demolish (Bidg)• ? 43 Reroof ? 46
*Demolition (Entire Bidg only) - 6hre PCA itancfout to appticant
Occupancy MC/ES System
Zor?ing C'rty W ater
Stories Boostsr Pump
Sq. Ft. PRV
Length Fire Sprinklersd
W idth
Footings (aew bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing!
Siding
Fire Repair
W indows/Doors
Other
_ Pool ? Ftgs ` AirlGas Tests _ Final
V Siding Stucca Stone
_ Windows (new/replacement)
Approved 8y -r Z , Building IEtspec#or
Base Fee
Surcharge r1 ?,?'?? ,?? ? ? t,+?? f9t?
? lJ
P1an Review
MC/ES SAC
Clty SAC
Water Supply 8 Storage
S8W Permit & Surcharge
Treatment Plant
Pfumbtng Permit
Mechanical Permit
License Search
Copies
Other
Tota{
PE MI??,
MECHANI PEAMIT '
" CITY OF':? GAN RECEIPT #
3830 PILOT KNOB RO ?; EAGAN, MN 55122 DATE: ??""? ?
CONTRACT PRICE: f PHONE: .4-8100 /111..
;. ?ite Address.k-
Lot -? lock ,-'? Sec/S
? Name
Address
? City Pho _
k '
?
Name ?
L
3 Address
p Ciry
_ 1 Ph ne _
y
' TYPE OF WORK
Forced Air M BTU
Boiler M BTU
` Unit Heater M BTU
Air Cond. BTU
Vent. CFM
? Gas Piping Outlets #
Other
k - FEE:
?._
s: S/C:
r `
? TOTAL:
3LDG. TYPE WORK DESCRIPTION
9es. New
Ault. Add-on _ye
;omm. Repair
FEES
'?ES: HVAC 0-100 M BTU -$24.00
ADDFTIONRL 50 M BTU - 6.00
ESi HVAC INCLUDES A/C ON NEW
ONSTRUCTION)
,AS`-OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA. ;
OMM/IND FEE - 1% OF CONTRACT FEE
APT.' LDGS. - COMM. RATE APPLIES
'?OWIHOUSE & CONDOS - RES. RATE APPLIES
fiyIINII?IUM RESIDEf?6TIAL FEE - ALL ADD-ON &
' ?' REMODELS
#4{IlNIMUM COMMERCIAL FEE - 12.00
- 20.00
'$7ATE SURCHARGE PER PERMIT - .50
(bDD $.50 S/C fF PEfiMIT PRlCE GOES
?EYOFVD $1,000) -
;
?
-
?
-
?? r r
? GNA URE OF 2IE
?_
FOR: CITY OF EAGAN
CITY t)F EAGAN Remarks * Cedar C;rava lti s ftitje+rs Et"oStreet 39422 8?7:y1 E??td St,?? F?_ ?t7t? 2+?i 5?:1:?2
'e?Lv ? LL , ,
tmpravement Date Amount Annual Years Payment Fiomipt
STREET SURF. ?
S7REET RESTOR.
GRAD(IVG
sArv sEav TRuaK L 1967 p
SEWER LA7ERAL
WATERMAIN
+? WATER LATERAL 1972
WATER AREA
STQRM SEW TRK . 'L 1974 TE}. 0{I 4.66 .
Sl't3Ri4A SEVU LAT .
- CURB & G11T1'ER
S4f3E`lA1ALK
STREET LIGHT
WATER CtIPltV.
13UII.DtNG PER.
, s9.C 200.00 648
PARK
Use BLUE or BLACK Ink
For Office Use i
I
1
Permit#: i I
My of Eap i
I Permit Fee:
3830 Pilot Knob Road I ~j ~J I
Eagan MN 55122 I Date Received: 1
Phone: (651) 675-5675 1 i
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: _ 6"w A Phone: 715--50-5 Z I Iq
Resident/ r
Owner Address / City / Zip: 96 F_A&AS M1)
Applicant is: Owner Contractor
Description of work: of Q{=:' ko U ctagi1'~
I Type of Work ~
Construction Cost. 14 r Multi-Family Building: (Yes No
Company: Contact: ~tr!:VL
Contractor Address: C I t[ T ZAL City:
State: Al Zip: -5-7 Phone: 12 3 Lt US'-3
License o2 03 is Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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 of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x !~5f~ 1: Bggm cr x
Applicant's Printed Name Applicants Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118211
Date Issued:10/29/2013
Permit Category:ePermit
Site Address: 3922 Beryl Rd
Lot:2 Block: 2 Addition: Cedar Grove 5th
PID:10-16704-02-020
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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.
Valuation: 8,000.00
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 -
Shana L York
3922 Beryl Rd
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120149
Date Issued:01/22/2014
Permit Category:ePermit
Site Address: 3922 Beryl Rd
Lot:2 Block: 2 Addition: Cedar Grove 5th
PID:10-16704-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Shana L York
3922 Beryl Rd
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140737
Date Issued:01/17/2017
Permit Category:ePermit
Site Address: 3922 Beryl Rd
Lot:2 Block: 2 Addition: Cedar Grove 5th
PID:10-16704-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Stephen Perry
2814 Kava Ct
Grand Junction CO 81503
(970) 433-9100
Airtech Heating & Cooling
490 Villaume Ave, Suite 300
South St Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature
�pEIV�
EAGAN JuN""20
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (851) 454-8535 I FAX: (651) 675-5694
but►dinainsaectionst citvofeaaan.com
For Office Use
Permit#: 4 �1 I
Permit Fee: /V 0 '6
Date Received: 6/19/2020
Staff: S1B
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6/20/2020 Site Address: 3922 Beryl Road
Unit #:
Resident/
Owner
Name: Stephen Peery Phone: 612-578-7183
3922 Beryl Road
Address /City /Zip:
Applicant is: _ Owner ✓ Contractor
I
Type of Work
Description ofwork: Install an egress window/well in an existing opening.
Construction Cost 2500 Multi -Family Building: (Yes / No V )
Contractor
company: Egress Window Guy Contort Steve Engelhart
Address: 3410 Kilmer Lane North City: Plymouth
State: MN gyp: 55441 Phone: 763-544-2775 Email: stevee@egresswindowguy.com
License fit BC665399 Lead Certificate #: NAT-123125-2
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
_No
Licensed Plumber:
Mechanical Contractor.
Sewer & Water Contractor.
Fire Suppression Contractor.
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit am considered to be public fnfonnatien. Portions o1 the Information may be
ciassfed as nonpublic if you provide specific reasons that would permit the City to conclude that th, y are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.otbAofearran.comiaubscribe.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of penult Issuance.
CALL. BEFORE YOU DIG. Call Gopher State One Call at (851) 4544002 for protection against underground utility damage. Call 48 hours before you
Intend to dig to receive locates of underground utilities. www.00pherstateoneca0.orq
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 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 • ans.
,Steve Engelhart
Applicant's Printed Name
x
Applicant's Sign
SOB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
_ Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
egGii
Porch (3-Season)
Porch (4-Season)
_ Storm Damage
Exterior Alteration (Single Family)
_ Porch (Screen/Gazebo/Pergola) _
Pool
_ Interior Improvement
Move Building
Fire Repair
Repair
iro_s_y0
(25%_ 100%li
Census Code l`
# of Units
# of Buildings
Type of Construction
V().
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
_ Framing
_ Fireplace: _Rough In Air Test
Insulation
Meter Size:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
_ Siding
Reroof
Windows
Egress Window
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
_ Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _ Stone Lath _Brick
Final )( Windows
/ Retaining al • _ Footings _ Backfill _ Final
Radon Control
Erosion Control
Reviewed By: 11, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
9 o
Page 2 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161948
Date Issued:06/19/2020
Permit Category:ePermit
Site Address: 3922 Beryl Rd
Lot:2 Block: 2 Addition: Cedar Grove 5th
PID:10-16704-02-020
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Stephen Peery
15690 Chasewood Ct
Rosemount MN 55068
(612) 578-7183
Egress Window Guy
3410 Kilmer Lane N
Plymouth MN 55441
(763) 544-2775
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169579
Date Issued:06/01/2021
Permit Category:ePermit
Site Address: 3922 Beryl Rd
Lot:2 Block: 2 Addition: Cedar Grove 5th
PID:10-16704-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Christopher & Jennifer Peery
3922 Beryl Rd
Eagan MN 55122
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171363
Date Issued:08/12/2021
Permit Category:ePermit
Site Address: 3922 Beryl Rd
Lot:2 Block: 2 Addition: Cedar Grove 5th
PID:10-16704-02-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Christopher & Jennifer Peery
3922 Beryl Rd
Eagan MN 55122
(651) 485-0928
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(952) 479-7131
Applicant/Permitee: Signature Issued By: Signature