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3928 Beryl Rd Use BLUE or BLACK Ink ; fCic~;(t$e Forb I I j Permit City of Eatdfl / Per mit Fee: GS 60 3830 Pilot Knob Road I I Eagan MN 55122 j Date Receive : Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: - - - - - - - - - - - - - - - - 2011 MECHANICAL PERMIT APPLICATION Date: r 12- - Site Address: / 02 z ALe1, A4 !55-/,z z Tenant: Po- t,L v s C Suite RESIDENT / OWNER Name: PLT l.C Phone: 3 %oZ g ~ v. bi'cG a G v~ SS /Z Z Address/ City /Zip: CONTRACTOR Name: l~L/~-~t7 / License Address: City: ~nga `t State: 8IJ Zip: Phone: (16/ Contact:~DCw• Email: Jda 1 UJ ZC~ C- Lo~'1 TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace _ New Construction _ Interior Improvement Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / ` Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 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.aopherstatoonecall.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. xGr~ X >G_V~`\k~n v, Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In `Air Test Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection Use BLUE or BLACK Ink For Office Use' I of ~Permit C11. 1 o U1 I Permit Fee: ~5 - 0 0 cc 3830 Pilot Knob Road Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I INFLOW INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: T U Site Address: Tenant: 6- pe 9 l~ ~ r S C 4) Suite Name: 1 d` ! y Cj t/ ~7 r r/-S C Phone: RESIDENT I OWNER T Address / City / Zip: ~C/_ Name: ~qLicense CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: Description of work: G l1 z CIL/I C11" C ~a<~ DESCRIPTION rA5~2 FEES ad $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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 of plans. / 1_tzo xoUl~ X Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final H67697 Request Date ire No. Rough-fn Inppection Required Inspection Other Than Rough-In (J (You must call inspector when ready) Ready Now J ~ ill Notify Inspector -74 J! ~z I es ❑ No Date Ready I ensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Pi'4v~_ Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. S. ~cc d '*L1 4-11_~ G Mailing Address (Contractor or Owner Making I stallation /'1i Authorized Seig'n''a`~ture (Contractor/O ner Mak- stallation) Phone Number C. :>j / MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E~ EB-00001-0 ► See instructions for completing this form on back of yellow copy. Y.. ~/~~{/Y 67697 3f "X" Below Work Covered by This Request New Add Rep. ^-Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner kve-A Other (specify) Contractor's Remarks. Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs , Inspector's Use Only: TOTAL y., Irrigation Booms o~ U. Special Inspection Alarm/Communication THIS INSTALLATION MAY B ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON H . I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final 4 Date, been made. FJ OFFICE USE ONLY This request void 18 months from K 7~7 1P 5 Request D e Fire No. Rough-in Inspection Required? Ready Now 0 Will Notify Inspector Z3 ❑ Yes o When Ready? I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Add (Street. Boxute No.) City / r % e 4 K Section No. Township Name or No. Range No. County P4 Occ `I(PRINTT Phone No. Power Supplier Address 494 Electrical Contractor (company Namef Con ractor's License No. ~cfyic / cr rx j /mss-~~ o- Z037 Mailing Address (Contractor or Owner Maki g Installation) - A C6 d Signature 1 nt ct wri r Making 1 stallatio Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ~ REQUEST FOR ELECTRICAL INSPECTION EB-00001- No. K 17 312 See it fictions for completing this form on back of yellow copy. "X" Below Work Covered by This Request New 'Add Rep: Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 5 0 r Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms ~J G / 17.._d Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final oat been made. c OFFICE USE ONLY This request void 18 months from CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CELLAR GROVE #5 Lot 3 Blk . 2 Parcel 10 16704 010 02 Owner 4/I I I ! a (ti 1 + i"Y10- r 1 f.:.' L street..3928 Beryl. Road State Eagan, MN 55122 ~SGV)UH Z Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1967 100.00 5.00 20 paid SEWER LATERAL 19611 590.00 29.50 20 paid WATERMAIN * WATER LATERAL 1972 607.00 24.28 25 paid WATER AREA STORM SEW TRK 1970 70.00 20 paid STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 200.00 702 3-25-68 PARK EAGAN TOWNSHIP BUILDING PERMIT N°• 1'731 Owner ....-a -4--ir..__..11 r~ ~ Eagan Township Address (present) .,.Jl . P.... Town Hall Builder Address Date DESCRIPTION Stories To Be Used For- Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location l Lot Block Addition or Tract ZZ. This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON4 THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, fhat.. l _ ` .has permission to erect a..... ic. ~ a upon the above described premise subject to the provisions of the Building Ordinance for Eagan hip ado ed April 11, 1955. ~ t C airman of Tnwn Board Building Inspector ~•C3 i~ ' -----I . I I • I (a ~ ► Permit City of Eap o 1~ ' . $ I Permit Fee. 3830 Pilot Knob Road APR 1 200 , Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 By Staff: 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ct Date: / Z I Site Address: 392 e'c~ GQ Tenant: )04cy 1 L YSL Suite y~~I 16 RESIDENT /OWNER Name: ¢ /~"99~J ~iYS~ Phone:& s1- &gl- b s4 Z 3 9 "Zg ~"V I 91 43c,^ P11 )Aj 575 Z Address / City / Zip: ~ Applicant is: Owner Contractor TYPE OF WORK Description of work: TaA+ 6,-~j Construction Cost: 12 L) I Multi-Family Building: (Yes / No CONTRACTOR Name: lru h 0'D~> • License -311/le Address: N8 ~'Y `J City: ele,'h-e State: ~N~ Zip: r" Phone: _ ~ • 321 z Contact Person: l /al lzex Ze0-7 `z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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: 1JOTE' Plans and suppor#ing documents that you'submit are considered to"b`e public infoimatiort: Portr'ons'pf ; > the information maybe classified as non-public if~you.provfde specific reasons that would permit the City to canclude;tfJa#;ifhe. ;re(rade secrets 1 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 1 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. x 14I 'T', /r). C W Z_ x f~ A - Z:~_, Applicant's Printed Name Applicant's Signature Page 1 of 3 t t DO NOT WRITE BELOW THIS LINE SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool' X Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. --Multi ❑ 01 of ` Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex ❑ Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage ❑ 04-Plex ❑ 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building' I9 Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation Replacement ❑ Egress Window ❑ Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 0 Occupancy ,Z ~c- ~ MCES System Plan Review Code Edition GoG SAC Units (25% 100%~ Zoning City Water _ Census Code Stories / Booster Pump # of Units Square Feet /G, 5' PRV # of Buildings - Length Fire Sprinklers Type of Const. 7 Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: Ice & Water Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. Air Test -Final Windows Insulation Retaining Wall Reviewed By: , Building Inspector - - - - - - - - - RESIDENTIA FEES: 6~ Base Fee 7,3 Surcharge 134 Plan Review' /f MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 AA r 1.9 A4. ,rnaN7 tir+'T2~/ y9 EAGAN - - REVIEWED 39 8' BY- I Z/L~ DATE, ` W- 6 g' J t.lILDI~l t' - TIDNS DIVISION I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 5 v 651-681-4675 New Construction Requirements RgmodWReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan I (20% maximum lot coverage allowed) • 1 set of Energy Caiwatons for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 9- 1 D -M, VALUATION ) 04) SITE ADDRESS 39a 9 Be El MULTI-FAMILY BLDG _Y ZN TYPE OF WORK k i'4,!, Rem,h FIREPLACE{S} r 0 1 r 2 APPLICANT cJ ~ ~(n j, r haan Cit, .I11 C STREET ADDRESS a 3 7~ L&I el CITY STATE ZIP TELEPHONE # aS f -4a4-&SS CELL PHONE # C95I-~ Z 5~-[~~! FAX # 6S_L U(e-&d: PROPERTY OWNER TELEPHONE# (R,5_1- 6AyL6 `f/I COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # _ Plumbing system includes: r Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System D ~ ~ ~ n nn Sewer/Water Contractor: Pho # S lJ LI 2002 I hereby acknowledge that I have read this application, state that the informa ~n is corre , gre to comply with all applicable State of Minnesota Statutes and City of Eagan Or in nce : - Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg 71 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Mufti ❑ 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 (Foundation) ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish (Bldgr ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Lt_T!7 Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklemd Type of Const -VK) Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final/No 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 Byz- , 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 PERMIT o - CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 025517 (612) 681-4675 Date Issued: 05/04/95 SITE ADDRESS: 3928 BERYL RD LOT: 3 BLOCK: 2 CEDAR GROVE 5TH P . I . N 10-16704-030-02 DESCRIPTION: (3-SEASON) Building Permit Type SF PORCH Building Wort; Type NEW REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION $7,000 Base Fee $90.00 COPY $.50 Surcharge 3.50 Total Fee $94.00 Subtotal $93.50 I I CONTRACTOR: - Applicant - ST. LIC. OWNER: HOME ENHANCERS INC 18846106 0001949 HIRSCH PAUL 8609 LYNDALE AVE S 201 3928 BERYL RD BLOOMINGTON MN 55420 EAGAN MN 55122 (612) 884-6106 (612)681-0546 - - I hereby acknowledge that I have read this application and state that, the information is correct and agree t:o comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. Awin RmA i ni,4- APPLICANT/PERMITEE SIGNATURE ISSUED B SIG TUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 025517 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 05/04/95 SITE ADDRESS: P. I. N. a 10--16704--030--02 APPLICANT: LOT- 3 BLOCK: 2 3928 BERYL RD HOME ENHANCERS INC CEDAR GROVE 5TH (612) 884--6106 PERMIT SUBTYPE: TYPE OF WORK: SF PORCH NEW DESCRIPTION (3-SEASON) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FRAMING FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK r ~ CITY EAGAN W. fib 3530 PILOT KNOB RD 55122 1595 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6814675 3 regWwW sib surveys + 2 000" of Pb" ,Z capieS of p ftkide bown & wkx1aw sizes; pin W Ind. dwo9n; eta.) +R 2 sft swM& ( d&ft) 1 1 and . ♦ 1 wwW cakdWons hesEed addMm 3 of tte prosewadan plan if 10 after 711193 rowkst _Yes re CONSTRUCTION No COST. / DATE. ' r r ~.w w r ' w. w:w rr n r 1 DESCRIPTION OF WORK: a STREET ADDRESS: LOT BLOCK SUBD./P.I.D. PROPERTY Name: Sz Phone OWNER LAST Street Address- city: State: zip:... :I- "A- o CONTRACTOR Company: Phone 02E~Z,.- 6 fb ~a Street Address: '+~6 9 ~,teS License City: (,=M,""; jn~,, State: ...~,,.w„...:. 0:.5r .2:M; ARCHlTECT1 Company: phone ENGINEER Name: Registration Street Address- City: Std: zip: SW*w & water licensed plumber: Penalty applies whin a #;lat atenp we requested once permit is issued. 1:hereby acknowledge f have read this application and slate that the hftinaml- coffed and aw" to too v* all sppkwble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY R -E -CE 6VE D Ceactl l=ft of Surer R Yes No APR 2 6 1995 Tf anon r Received Yes - . ~ No s r w. w r ~r r r r.r,r .n ,r - C I OFFICE USE ONLY BUILDING PERMIT TYPE v 01 Foundation o 06 Duplex o 11 AptAodging 0 18 BasementFirdsh a 02 SF Dwelling o 07 4-plex c 12 Multi Repair/Rom. a 17 Swim pool 03 SF Addition o 08 8-plex ca 13 Garage/Amen" o 20 Public Fac 04 SF Porch 0 09 12-plex o 14 Fireplace a 21 Miscellaneous 0 05 SF Misc. 0 10 ~-plax o 15 Deck WORK TYPE 31 Now 0 33 Alterations o 36 Move 0 32 Anion ca 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCIWS System (Allowabie) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinidered Zoning sq. ft. P"RV of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 1) epth Footprint sq, ft. SAC Cade L Census Bldg Census Unit APPROVALS Planning Building Engineering 'Varianc e Permit Fee Valuation: $ Surcharge Plan Revue License MCNVS SAG City SAC Water Corn: I< Water mew Acct. Deposit S/W Perm S/W Surcharge Treatment Pl. Road Unfit Park Ded. Trails Dom. Other Copies Total: % SAC SAC Unite /o' povG~ ~ 0 f Ail ~o A~5 ~56 CITY OF EAGAN ~ MECHANICAL PERMIT RECEIPT # o oZ0 SUB.. B/ (612) 681-4675 DATE RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: C: JJ SITE ADD S: _ ADD ON/REMODEL (EXISTING - CONSTRUCTION ONLY) INSTALLER:.` l~~ HVAC: 0-100 M BTU PHONE ADDITIONAL 50 M BTU ADDRESS: ` ) . ` GAS OUTLETS - MINIMUM 1 @ $3 EA. _ CTTY: - ZIPt SURCHARGE: i SIGNA TOTAL: 16 COMMERCIAL I PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIIINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 MINIM'_rTM :4'EE _ 0525.00 OWNER: TOTAL• $ SITE ADDRESS: TENANT: SUITE INSTALLER: ADDRESS: CITY: ZIP: PHONE CITY SIGNATURE: SIGNATURE. tlr WP"jrn:: NA. 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 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 City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. Edward J. irsc t Sr. Engineering Technician cc: Mike Foertsch EJK/je EAGI,N TOWNSHIP 3795 Pilot Knob road St. Paul, Minnesota 55111 Telephone 454.5242 PERMIT FOR SEWER SERVICE CONNECTION DATE:, Mar, 25. 1968 NUMBER 131 OWNER: Ceder Grove Const. Co. Address 3-2-5 PLUMBER -Steins, Inc. , TYPE OF PIPE cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units x i Location of Connections: Connection Charge 200.00 Pd. 3/25/68 Permit Fee 7.50 " Street Repairs Total 207.50 Pd 3/25/68 Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota BY I Please notify when ready for inspection and connection and before any portion of the work is covered. i i i PERMIT# RECEIPT DATE: 2002 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EpLfiAN 3850 PILOT KNOB RD IEAGAN, MN 55188 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system .r , SITE ADDRESS: (,-c y ( C~ " OWNER NAME::'~< L ~41~ r aC TELEPHONE (AREA CODE) INSTALLER NAME: 0 TELEPHONE G3 S I 13 J 3 J (AREA CODE) STREET ADDRESS: r S / s e CITY: STATE: i-1 ZIP: S sl 1 O _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: - Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 - Abandonment of septic system. - Water turnaround - existing dwelling unit 518" meter if needed - $118) Other: _k , f C t _A., ~q t o J RPZ: new installation/repair/rebuild $ 30.00 fawn irrigation system Replacement/additional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 Total $ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused the City during its normal operational and maintenance activities to the facilities constructed under this permit w'City property/ri of-way/ e SIGNATURE OF PERMITTEE 1102 d 3b.SD CITY USE ONLY ~ ~ g~ RECEIPT SUBD. V-411401 oultj RECEIPT DATE: O~ PERMIT # 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet minimum - 1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished " requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge .50 $ .50 Total $ U Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. . - - I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: ~~llzU l 2- OWNER NAME:: 100hat-- N 1 esQ.N TELEPHONE #:65 (AREA CODE) INSTALLER NAME: ' "ffI? , k0orf-4. TELEPHONE 76.8 - 0,2!9~ (AREA CODE) STREET ADDRESS:- ~1~00 1 6km Pus DR- CITY~mocrrbl TA E: VW ZIP:~~`'U~~ I SIGNATURE OF PERMITTEE MY OF EAGAN TYPE: 0U 1 1.. Ia+ 3M Pilot Knob Road Permh Number: 'Evan, Minnewta 55122-1897 Date hwied: OF) 10 4 /9S (612) 681-4675 N 10 1 '0 4, 0 (4, 0" "Wi"g ADDRESS: 92 rr' "IJ"{1'`s- P1) 1'fOI#~#1 yt.:sN{t~3d~~*,NE{`i(°.[P't INC MAC" SUBTYPE: TYPE OF WORK. NcW 7 7, 70A t I R _ $ # " t ki t'1 1 I' i i } i 1 tr d i.) i 11 14: 1) t' t it ANY, VI ! . C 1 Fa f A 1 tJ 0 V F l s4 -ik4 i yA ^f.+r'Q 3'"" 6t1~ iI~} ftv* mo7 P"NoEMI' OM! Tkimphom# PLUM 14VAC 1 POUND RR FR`~ I r~ ROOFING (y P !Ri ROUGH f HEATING GAS IM ES INSUL GYP BOARD R c ~E FNV9gAGE AIR 7W FFNQL PL13G FINALHTG LSAT TE6T 8LDG FINAL SGMT R.I. BSWT FINAL DEC FrG DECK FINAL. PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA100993 Date Issued: 09/14/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3928 Beryl Rd Lot: 3 Block: 2 Addition: Cedar Grove 5th PID: 10-16704-02-030 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Replace Description: Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Tim Schenk Elder-Jones Buildina Permit Service 1120 East 80th Street. Ste. -211 Bloominaton. MN 55420 Fee Summary: BE - Base Fee $500 $40.00 0801.4085 Valuation: 1.063.00 Surcharge - Based on Valuation $500 $0.50 9001.2195 Total: $40.50 Contractor: - Applicant - Owner: Home Depot At Home Services Paul J Hirsch 656 Nlendelssolm Ave. N 3928 Beri 1 Rd Golden Valley MN 55427 Eagan NIN 55122 (763) 42-8826 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118923 Date Issued:11/12/2013 Permit Category:ePermit Site Address: 3928 Beryl Rd Lot:3 Block: 2 Addition: Cedar Grove 5th PID:10-16704-02-030 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 - Paul J Hirsch 3928 Beryl Rd Eagan MN 55122 (651) 239-8744 Murphy Brothers Building & Remodeling 1613 93rd Ln NE Blaine MN 55449 (763) 780-3262 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140624 Date Issued:01/06/2017 Permit Category:ePermit Site Address: 3928 Beryl Rd Lot:3 Block: 2 Addition: Cedar Grove 5th PID:10-16704-02-030 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Paul J Hirsch 3928 Beryl Rd Eagan MN 55122 (651) 239-8744 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature