3946 Beryl Rd?// f?/ S/ -- T ? 0 / 3 3?=
38440/
1 jo°°
Request Date Fire No.
i I Rough-in Inspection
qepu?red?
? Ready Now U?Will Notify Inspector
r.?
?`? -- c-z I X Yes ? No When Ready?
I? licensed contractor '?V owner hereby request inspection of above electrical work at:
Job Atldress (StreeL Box or Route No.) City
^ Al C 4: /? 1_ &a
Section No. Township Name or No. Range No. County .
?X/ ?4
Occupant(PRINT) Phone No.
/C/? U/-/
Power Supplier ' Address
'O '(
Elecnical Contractor (Company Name) Contractor's License No.
Mailing Address (Contractor or Owner Making Installation)
Authorized Signature (ContractorlOwner Making tnstaliation) Phone Number . .
MINNESOTA STATE BOARD OF ELECTRICITY. ' THIS INSPECTION REdUEST WILL NOT GNggs-Midway Bldg. - Room &173 BE ACCEP7ED BYTHE STATE BOARD
1821 UnWersky Ave., St. Paul, MN 55104 UNLESS PROPER IMSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED. .
???/S? ;ESee QUEStT?FORoEP ECTRI?CA?LbINSPE1CTlON?
H 3_8 4 4, 0 Xr' BP-1ow Work Covered by This Request
EB-00001-08 ?
339a-
''?
ew Add Rep. Type of Buiiding Appliances Wired Equipment Wired
Home ange Temporary Service
Duplex j ater Heater Electric Heating
Apt. 8uiiding Dryer Other (Specify)
Comm./Industriai ' Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Mspect+on Fee 8elow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pooi 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps A Amps
SignS Inspectors Use Only: PG, p TOTAI
Irrigation Booms ?0-j 0
Speciai Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS. (
1, the Electricai Inspector, hereby Rough-in Date ?.
certity that the ahove inspection has
been made. F?nal Date ?
OFFICE USE ONLY
This request void.t8 months trom ,
?
BUILDING PERMIT
.
To be used for GARAGE
CITY OF EAGAN ND 19053
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ? ?.
Receipt # C= i 3
Est. vaiue $11,000 Date MAY 13 ,19 91_
Site Address 3946 BERYL RD
lot 6 Block 2 Sec/Sub. CEDAR GROVE STH
Parcel No.
W IName TERRANCE PERRON
3 Address 3946 BERYL RD
0 City EAGAN Phone 452-3822
Zo Name SAME
?Q Address
? City Phone
?
W W Name
? ; Address
? W City Phone
I hereby acknowlege that i have read this application and state that the
information is correct and agree to compty with all applicable State of
Minnesota Statutes and City o ag?n Ordinances,
Signature of Permitee ?( ????-r??,_.y ???-•-e?--? /
A euilding Permit is issued to: TERRANCE PERRON
on the express condition that aii work shaii be done in aCCOrdance with ali
appiicable State of Minnesota Statutes and Gity ot Eagan Ordinances.
Building Officiai
Occupancy
Zoning
(ActuaO Const
(Allowabie)
# ot stories
Length
Depth
S.F. Totai
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVAIS
Planner
Council
Bidg. Off.
Variance
OFFICE USE ONLY
M=1
R_1
FEFS
126.00
5.50
82.00
V=N gldg. Permit
V=N
Surcharge
26 ' Plan Review
Zb ' SAG City
- SAC, MCWCC
' Water Conn
- Water Meter
Acct. Oeposit
S1W Permit
- SIW Surcharge
7reatment PI
Road Unit
? Park Ded.
Copies
--- TOTAL
213.50
CITY OF EAGAN Remarks
Cedar Grave Acqu:i.sitian
Addit`io.n?Lot 6 Bik 2.__A-Parcef 10 16704 060 Q2,\
.Iz"" Street 39 46 Beryl Road State Eagan, MN 55122
' .?. r..??? ??
Improvement Date Amount Annuai Years Payrnent Receipt Date
STREET SUR F,
STREET RESTOR.
GRADWG
SAN SEW TRUNK L 1967 100. QO 'rJ. 0{) 20 Paid
SEWERLATERAL 196 540.00 27.00 20 Paid
WATERMAIN
WATER LATERAL 1972 $07.00 24.28 25
WATER AREA
STORM SEW TRK 1970 70.00 ? 3.50 20 Pc"lf.d
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
13UILDING PER.
sa,c 20%_'00 644 2-9-68
PAR K
?
EAGAN TOWN S H 1 P
BUILDING PERMIT
owner .....-------:_°......:. ?.?...r ?... _
• .................. ........................
.-•--
Address (Presen!) ....--•-• .........................................••------•---......._...__._.
Builder ••• ..................•-•--•._.....-------------..........--------••••-••.....-•--•--•---•---....
Address ..... ?......................................................... ...........................•-
DESCRIPTION
N° ' 1'714
Eagan Township
Town Hall
Date ....?... ?/... r. f - I-_'?..........
--
Stories -
To Be Used For
Fron2
Depfh
Heigh3
Est. Cosi '
Permit Fee
Remarks
??- i, ? ..?.
?-r ,. ?' '). ``?
LOCATION
This permit does aot authorise the use of streeis, roads, alieys or sidewalks nor does it give the owner or his agent
the =ight fo create anp situaiion which is a nuisance or which presents a hazard to the healsh, safety, convenience and
general welfare !o anyone in the communify.
THIS PERMIT MUST BE KEPT? ON THE PREMISE WHILE THE WORK I5 IN PROGRES5. w
This is to certif that..... ?:=••-_ ..................... ?..
y ..has permission fo ereci a.-----=?..:..........?........ --.........-- -- ........ _upoa
the above described premise subject fo the psovisions of the Building Ordinance for Eagan Township adop ed April 11,
1955.
............... °-.......... ? ............. ?•-----._?:......_.._..-°--•••-. Per ..... __.....-• ?-\------. .__ --•- ?-- ......_..._................
C'rrran-?va-=?rw?er-? ' -- , ? Building Inspector
4 '6_
- -- ?
i
- --- ? ?
- ?
_..,
_?
I .. __ .. i
? 1
1 __ i
A. .
? j
I? "I 1 I. N?.. .1.'
1111.
?
_ cky of eagan
TO: DIANE DOWNS, UTiLiTY BILLiNG CLERK
FROM: ED KfRSCHT, SR. ENGINEERING TECHNlCIAN
DATE: AUGUST 231 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 singie
famify 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.
: -1
,
Edward J. irsc t
Sr. Engineering Technician
cc: Mike Foertsch
EJKije
1
EAGAu'1 T'Jod11aF?:P
.'3795 $31ot Knob IZon$
St, I'aul, Minnesota 55111
Telephorte 454-5242
PE:',MIT FOR SE[WiR SrRVICz, COWNECTION
DAiE: February 7, 1968
41filER: Cedar Grove Const. Co.
PUZ",BFFZ SCein, Inc.
6-2-5
N`.Ptr, '?,' E"t 1 -,; ?'
Address 3946 Beryl Road
TYPE OF F2PE Castiron
DESCRIPTI4N OF BUILDTNG
Industri.al l Co,7r>ernial l ResidenCial
r._?......._T .m._._..._?..._?....,.........,?._._. i
Locat:ian as Cori!:eCtiOnS:
14ultiple DwQ1Ii^g I L'o. of urits
1
Cor.nrcCion Charge '?;Zre
Permit k'ee
SCreet Repairs
Tota 1 -;k.. 4: 1 :;a
Inspeceed by:
Date
Remarks:
BY,.._.
Chi?f I?:;o„{::ctor
I[1 COz.SiflaY'&t:i.on O? the 7,cSllP a.r,c] dalii,ery t0 AlE.' Q? thQ 8b..7:2 }^?•'=•'-,.'":=1:p x
herPby agrnG *o cia tha prij?oSed work in accordnnce with tzie Yi1ies aud
re,,ulaf,:zvns of Ea?ar? Tpt?m.s'?ip, Dakota Cc*??, N;?Resata
By
6 -Iq
PZeasP nor.zfy when xe¢dy far ix*.speci;on ax:u cnzr--ct. ?on ars aeft>re any
ef' th: c,;; rk :iv coverec'.
40, id-e?
/?;'?, -"/ 90 s 3
?.
-?,
?
?S
c & -o T r)
O/Z. oo?/ ?.r
70
P el' ? .?
,.<)/ti /-7-0/2
S`ro /0 6vo?2
,6??-?s ? /J LUc`k T Hi= /Z r
^61 % ,y' -k! 17.
??.•t--•-?--?'
,/'? ` 13 ` 5/
M
EAGAN TOW N S H 1 P
BUILDING PERMIT
f - -
Owaei .... _.4------=------=---- - •.•---•••-----.----
??
-?
Address (Preseni) .- :-._..1.. ? ?....... ?..?3^`' ??•-• -•---•-
. ,
Builder ? ?- :----
.... -•-•---•----••-•---=?------ •--•---•••---•••-•--•--•-----------•--•----------------•-•- --•
? -r-,• -•- ._
Address •--- -•-• ,.
••/-----•-•- • --•-r- --•-• ..................•-•--
DESCRIPTION
N° 2135
Eagan Township
Town Hall
Date _,??.,1._.•??`•-?--
5tories To Be Used For Front Depth Heighi Es3. Cos3 Permii Fee Remarks
,-
LOCATION
Stree2, Road or oiher Description _of Locaiion I Lot I_Block _I Addifion or Tract
t.?`. r ; l?- cfJ
This permii does not auihor'ize the use of streels, roads, alleys or sidewalks nor does it give the owner or his agent
the right fo creafe any situation which is a nuisance or which presents a hazard to ihe heal3h, safety, convenience and
generaI weifare !o aayane in the community.
TFiIS PERMIT MUST BE KEPT ON ??iE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to ceriif that... permission fo erect _.._._.___..? ::........ .....__.__upon
!he above described premise subject io ihe provisions of the Building Ordinance for Eagan Township adopi4d April 11,
1955.
?:L
...-----•-•-•- ?: e===•--• . V.?..?1 i_, ;,. ,
_=-?-••-•••-_•--•••----...-•--•-•-•-----.
hair an of Tnwn Baard er_
Per ---•-•----._..Lf..?_?....:....
_
......
•---....°-°--•--••-• • ........
.. --?-?-='- =?---•-•--g P
Buildin rIns ector
,???.
'
•. ' f ???•Rpe?nu+ww ?
e ?M?rwY/
?
4 /? yr s O? ? IY A lA ?.. `M'Y I .!"'1 .+"4
o?
M0?,?$,??r L'?ian id?urvey ?wor "y,'Ccyl" :?I"'c`,?r.t? ?C7/???: l,"'?• Y
. ? f .
4f` _
. `?
.. .?Y . ,.__. . . L"? \
`'? ` ' ?` ,•,`F,t .
S
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Y / J
_... _ ___. .-...-? ??•?rt,?il? i_.t?t,.y? 4117r31 l=M?!/Iii?C L?9GMCri'3`
?
LOT BLUCK C???R GROVE No. 51
DA???? COUNTY
Ns t3 O itzX 47d Cc'a''t"tc? fc?;nYSr'r4q3urt; ;?l tJ 5•/.- Ypiyl .;. •h(` n;t.,v?1u.'s?? ;u' ?bP fdllr.', FwtiL? :?Sf.1'f?3@C??O??? fEKd?lia'T 0?WMaM7?.'Si
0
r. ?r;? n? arr?t sr un+?rc ?+? ?r»?r a nn?v? la?.?w
,'?r e iwid - J6rs so
*,rYrr , are 0 ?s?hk mcewchmw"ki, s/'?rc/, ser
?.tiKtd o the "ydy ?z,rt r aa t"obtftfy cs v+;c?,ted erxep? k .? %aa?*r° ar ?rA?` rn?rresl ?tt?t?' d f??1?3+? ?
? '? 5
sur}r nr*ryt.# cs of -o?r-- ivr'I and w.? ??,,vof,s A„r irn ,.?? ,aar 1fi? ,--rp^r 1F4""< a64sh*W lal "Ms or bwx4y m-ow'.x.
r ?, . .
. r. ..
4SC8t/?'f?RN EN?i,'t?'f?k'lIUC?, lNG.
._. ?_.? ?' ??._4- .
?
??? •;?
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tt -
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R,
;
,??-? ?
4t RES1DENTtAL
BUILDIMG PERMiT APPLICATION
cmr aF EAcnw
3830 PILOT KNOB RD • 55122
651-681-4675
* 3 re9Woai ab aurwerys atwft at1. R of K m9• R. of hause; and g roofed aroas • 2 copin of Oan
(20% maainum lot cxiwep8 ftred) . tseto(EneWCakM101looslorhealad acldkitrns
• 2 copiea of piaa atarring boom 3 wWow s(saa: poured Wd deaign, etc.} . 1 ska survey far exftear addittOOna 6 dedcs
0 1sd offmW CakWetlone • itrdkateihon'iemYddkysepticaistenbraddill" .
• 3 oopies of Tree Prrwvdor? Plan I fct pieW after 711193
• Rim Joist OeMOptions selacfionstieet (41dgs wkh3 Ar lesstub)
A E 3 a$ ?/5
fl T YALUATICN
Jf38 51TE ADDRESS 4?& )%4W/ 01W -&
1F MULTf-FAM{LY BUtLQiNG. HOW MANY U iTS? "? ..
PROPERTY OINNER
TYPE 4E WORK Slitizr'! FiREgIACE(S) ,.._, 0.`., 1..,.. 2
APPLICANT pHONE# 446 2 -+Pk-"
aDQRESS 6--bMT ZIPcaDE_
PAGER # CELI PHOMf # FAX # ?? .
NM RES1QENT1AL BUILDING C)NLY -F1L1 C?UT Ct)AAPLETELY
Ener+gy eode Cate9wrY M,CNAIESOTA RUM 7674 CATEGORY 1 .
(check ons) - ResidenUat Ventilation Category 14Varksheet Scbrnitted
- Enerrgy Envetope Ceiculatbns Submitted
s MINNE$CYTA RUIM 7672
New Energy Code worksheet Subrtilted
PlumbinQ Contrcctor. Phone
Ptumbing System Includes: Water Sofbener Lawri 5prinkler Feec W04?
? Water H€aGer ? No. of R.I. Baths
_ Na of Baths
Mechonicat CoMractor: Phonet 0
Mechanical System Includes; _.._ Air Conditionirtg Fee: $70.00
,...,_ Heat Recovery System
Sewat/Water CaMractor: Phone #
Ati above infomatian must be submitted prior ta proceassMg of appiicstion.
1 hereby acknowledge that 1 have read this appticcaiion, state thaf the informafion is correcf, and a#ft ta C.Orr4*<
with oit crpp6cob{e State of Minnesota Statufies and City of Eagan Ordinanaas.
signakwo aopplcant ?. • ?'"?'?. ? ?,..
Certiflcates of Survey Received Tree Preserrvation Pfan Recei+red Not Requked
? 1/01
`
OFFICE USE ONLY
? 01 Foundation Q 07 05-ptex D 13 1 6-plex C] 20 Pooi ? 30 Accessory Bicl?
? 02 SF OweNing ? 08 06-plsx O 16 Firepiace 17 21 Parch (8-sea.) tl 31 Ext. Ait • MuPJ -
? 03 01 of,_,,, plex ? 09 07-plex O 17 Garage CI 22 'PoMh/Addn. (Msea.) CI 83 Ext Aft - 5F
0 04 02-plex Gt 10 08-plex L] 1$ Oeck Q 23 PorCh (scrfttwd) L] 36 Mutti
? 05 03-piex O 11 10-p(ex 0 19 lower Levet ? 24 Storrrt Damage
0 06 04-plex O 12 12-pisx Plbg Y or N 0 25 Nlisce)laneous
0 31 New ? 35 int improvement O 38 Demotish {M#erto C] 44 8iding
0 32 Adclition °. ? O 36 Mova Bicg. ? 42 Deowllsh (Foundatbrt) E C;J 45 -. Fine Repair
? 33 Atkerat6on .` O 37 Demolish (Bldg)" ? 43 Rer?f ;; ? 46 . Wiruiows/43aors
O 34 Replacement k ,
*Di"lition (Etntira Bldg anlW:- Givi1 PCA handwA tdt appftcant
Valuation
Census Code
SAC Unfts
` P(br. af Unifis'
Nbr. of8ldgs
. 3TYP,6 of Cpns1 ' ?.
Occupancy
Zoning
Stciries ,
Sq. Ft.
' Lin?gth
Widtka ?
REQUIRED INSPECTtQNS
Footings (xvew btdg)
Foo#ings (dcck) FinaUNo C.O.
(addition)
Faundarion
Drain Tilc
Raof Ice & Water Final
Framing? ?...
Firtplaee , U. w A,ir Test ! Final
Insutation
r
Other
„ Pool ? Ftgs ?, AirlCaa Tests __ Final
? Siding Stucco Stane
_ Windows (new/rsp}acemcnt)
ApPrpved By , Butiding l?rspe+?or
Base Fee
SWrcharg@
Pfan Review
MC/ES SAC
Ciry SAC
Water Suppty 8 Storage
S&W Permit & Surchsrge
Treatment Ptant
Piumbing Permit
Mechanical Pem?it
License Searc'h , x
Copies
Other
Totat
FinaUC.O.
?
_ .O.
_ Plumbimg
H'VAC
?
1991 BUI IN P A ICATION
CITY OF EAGAN '
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS QF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKTNG DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MtTST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMZTS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
J)ET N&N G'1> 6Ai2A(r k-r_ liAY 1 0 RECD
To Be Used For: jTpA/aLc Valuation: Date:
Site Address 3 "?i -'y C' [jG"ky4-:" &L
Lot 060 Block _0,)
Parcel/Sub Ck 61?0&'&-
Owner 7C g/? A A/?' t_ /'L-
Address J Ro
City/Zip Code 6"3-1 o'd
Phone .9 J- r,Z - 3 6 v2 D
Contractor 5-/3 /1-1 ?-
?
Address !.1
City/Zip Code ?X) /tA ic
Phone m t= j
Arch. /Engr . /VCa ,c! G
Address
City/Zip Code
Phane #
rOFFICE USE ONLY
/
Occupancy
Zoning ?
Actual Const Y- N
Allowable
# of stories
Length .2-6-
Depth ?
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Z 6.?
.5•3'?
82. ?
-! ,C-,/ ??_,.?'-'? agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?
?----- ---
,..-
Pi5-
o•*
126-00--
5•5 0?-
87?UJ?
213•SU'=
?
f
-I-.
-io ??
W; CITY OF EAGAN
3830 Pilot.,Knob Road, R.O. Box 21-199, Eagan, MN 55121 "`"
?
BUILDIliG 1PERMIT PHONE: 454,8100
? Receipt # - ` -? ? ..7o be used for CAUIi? ?" _ Est.,Value Date MAY ?? , 1901-
Site Address 394b BERYL RD !
Lot 6 Block _.2_ Sec/Sub. LIAR GR#° Tft
Parcel No.
W Name ??CE ??[?N
3 Address 9461EXYI. R#
0 City EAC-AN Phone 452-3822
Name SAME
Address
City -
Phone
F
WW Name
r
? ; Address
a W City Phone
I hereby acknowlege that I have read this appiication and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of E?agan Ordinances.
.
Signature of Permitee
A Building Permit is issued to: ?????? ???RON
on the express condition that ali work shall be done in accordance with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy K4 FEES
Zoning R-1
(Actual) Const V" Bldg. Permit 126+00
(Aliowable) ? ? Surcharge 5.50
# of Stories
26'
Plan Review '??«?
Length
Depth 26' SAC, City
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Weli - Water Meter
MWCC System _
City Water _ Acct. Deposit
PRV Required _ S/W Permit
Booster Pump - S/W Surcharge
Treatment PI
APPHOVALS Road Unit
Plafner
- park Ded.
Council
BIdg.Off. _ Copies
Variance - TOTAL 213,50
Permit No. Permit Hoider Date Teiephone #
WATER
r
SEWER
PLUMBING
H.V.A.C.
ELECTAIC
Inspection Date Insp. Comments
Footings I O!'Q /`/'U/`? ci
Foundation
Framing ? 6-0
Roofing
Rough Pibg.
Rough Htg.
Isuf.
Fireplace
Fina! Nfg.
Orstat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
Deck Ft
9• ? r
Deck Final
Well
Pr. Disp.
4?Vr"ryd 1?IC19 ?.G/e?t,v ?'
O ?/
Use BLUE or BLACK Ink
r
I For Office UseC.~ 1
Permit J t
non
City of EaEd
I Permit Fee:
I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: c,
Phone: (651) 675-5675 I 'l I
Fax: (651) 675-5694 I Staff: I
I 1
2013 RESIDENTIAL/ BUILDING PERMIT APPLICATION
Date: Site Address: /-5 1< Unit
I Name: flJ A4 h-C_ e ,t. Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner -~n Contractor
Type of Work Description of work: ag 4f> z
Construction Cost: 2J_j 'J . Multi-Family Building: (Yes / No )
Company: Wi jl o_-) I G-L~~Ji~/~ Contact: _fr✓ /I
Contractor Address: 1~ n~,7 ~I rl~ City: 5T,
-11
3 L
State: .1111,1/1 Zip: f °2 Phone: 1.2-
E
License tV- 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:
i
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of i
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.goaherstateonecall.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 Buildir}g ode must be completed within 180
days of permit issuance. f
x Lam/,
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
41i
CityofEaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit#:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
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Name: -J * P H CLL Phone: `2C -C-2 200 —163 1
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Address / City / Zip: L— ift-t1
Applicant is: 7 -Owner X Contractor
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Description of work: PVC) Lt-.-'ZQ-ke_ 1L t V tsf.� - I( 1PL.PrC u`-,( C�
Construction Cost: Multi -Family Building: (Yes / No ,< )
Company: IF Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
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:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
` a ns and $ Q porting documents t e tr b ` it are coni d to be pub i Q o ren Portions of
�fn �' it atlon ma # be; ciassr� as .non �ell'c � .. � Pr4tride spe�f;�ic�sons th�f �v€:�;I� the
. _ concludehat :are trade
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 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
Applicant's Printed Name
x
Applicant's Signature
(f
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177241
Date Issued:06/21/2022
Permit Category:ePermit
Site Address: 3946 Beryl Rd
Lot:6 Block: 2 Addition: Cedar Grove 5th
PID:10-16704-02-060
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Linda Ann Moryn
3946 Beryl Rd
Eagan MN 55122
Options Exteriors
6340 Industrial Drive Suite 200
Eden Prairie MN 55346
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177323
Date Issued:06/27/2022
Permit Category:ePermit
Site Address: 3946 Beryl Rd
Lot:6 Block: 2 Addition: Cedar Grove 5th
PID:10-16704-02-060
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Linda Ann Moryn
3946 Beryl Rd
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature