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3958 Beryl Rd Use BLUE or BLACK Ink • 'JUN 11 RED For Office Use L ' Permit b of Wan I I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122, I Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff r 2010 MECHANICAL PERMIT APPLICATION Date: Site Address: ~-/5F' Tenant: Suite RESIDENT /OWNER Name mss ( ~ Phonek~ V- L `tE - &C-V r-Y-)4 P-0 EQ Address / City / 2i • Dan Wohlers Southside Ht & A/C t_rise, Z CONTRACTOR Name:_ 6950 W- 146h St., #106 L ~~~c1 Address: _ Apple Valley, MN 55124 . City: State: _ (952) 431-7099 Contact: ad i Ir. Email: l l h WrJ 5oLit-h51 de, TYPE OF WORK New V Replacement Additional Alteration Demolition Description of work: ~RC~C "C.. 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. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement Air Conditioner install Piping _ Processed _ Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install / _ Remove) Other " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Lee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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.gonherstateonecall.oro 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 plan s7 Applicants Printed Name Applicants 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 This request void / 18 months from --C -44340L9 Request Date. fire No.u9it-in Irmpectio~i equrred? QReady Now Wj 1 Notifv MSPEeC- i -es ©No - - - for When Ready Licensed Electrical Ctontraelor 1 herebv re4uest inspection ofi above CIwlf r - - eteetrFcal work I_Pstalled at: - Ciiv Street Andress, Box or Route No. ction No. Towns iP Name o ' o.. Range No. County Dlecup;grit IN~#" ~ . ; Phone No. Power-.Suppliet Address , f - s Electrical Contractor 11 om nv Naanei Contractor's Lirynse No: - Q h'! Wiling. res.lOtlsrtraCtar or !}wne Making lnstailation) Td /;w Authorized. SignaRrr 1CPrttractor Making installation} Mow Nuinbet MINNESOTA STATE i*A OF ELECTRICPCY THIS INSPECTION REQUEST WILL NOT Griggs-Midway BF N-191 13E ACCEPTED BY tHE STATE BOARD UNLESS PROPER INSPECTION FEE 1S 4821 Unirtersit = n_ `Vrlr3;'~?. Phone, 16121 REQUEST F60 ELEGjjj RECTJ' ee ogooi.oa ` See instructions #or corripieting this form on back of vefiow copy. 40 . s- Below Work Covered by This Request . Add Rep. Tvoe of Building Apptibnces Wiredo _ F;quipr"nt-Wired Home nge - Temporary Service Duplex Water Heater Li htii Fixtures, Apt. Building Dryer Electric Heating on)mercial Bldg. Furnace silt UiT ader Industrial Bldg: Air Conditioner Bufts ~Htlk T ink Farm Other peel Retry) Other (Spoc V) t her Specify ' i er oi»puue Inspection Fee Be ow "A Fee service Entrance Size #0 Fee . Feeders/Subfeedeis Fee Circa is 0 to 200 A 0' to 30 Amps 0 to 30 Am Above 2 _;._Amps 31 to.10Q Amps 31-to l00 A s Swinini ;'trot Above 166-An s Above 100 ' Am s Transformers. gation Booms Fertiat•`Othec Fe signs - Special-_trispection $ "Zj0ca TOTAL ~ emarks Rough-inctor,'#tambv certify that the above Finat Z ection has-been i .'L+r de. 04 this request void 18 months from 7 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N'• O 12870 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for ADDITION Est. Value $13,000 Date NOVEMBER 13 is ~S Site Address 3958 BERYL RD Erect ❑ Occupancy Lot 8 Block 2 Sec/Sub. CEDAR GROVE 5TFPemodel ❑ Zoning Parcel No. Repair ❑ Type of Const. Addition WC No. Stories cc Name ~'fcRAY & JULIE OHLSEN Move El Length Demolish ❑ Depth 03 Address Int. Impr. ❑ Sq. Ft. City Phone 452-3705 (H) Install ❑ Approvals Fees c Name 292--4205 (W) JULIE u ¢ Address Assessment Permit $ 98.50 City Phone Water & Sew. Surcharge 6.50 8cc Police Plan Review 49.25 Name Z Fire SAC 0 Z Address Eng. Water Conn. c W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that the Bldg. Off. 11/13/8 Tr. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permittee: ,-t Var. Date Copies Total $19.25 A Building Permit is issue<#to FERRY OtLSP:i on the express condition that all work shall be done in accordance with all applicable, State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone # Plumbing H.KA.C. Electric Softener Inspection Date Insp. Comments Footings I Footings 11 - Foundation Framing Gd Roofing f Rough Pibg. Rough Htg. f Insul. Fireplace Final Hill. Final Pibg. Bldg. Final AV -IX Cert. Occ. 0 dT Deck Fig. Deck Frmg. Well Pr. Disp. CITY OF EAGAN Remarks * Ced" G=ve 4 "Aga Addition S"'gmg agm #5 Lot a Rik 2 Part 1_1 2 v , -Owner 7evlr~ J41 {(P, Oh ~SD Street 395$ Ber*1 Reir*d State r S5122 improvement Date Amount Annual Years Payment _Rtcelpt &)a d! STREET SURF. STREET RESTOR. GRADINQ SAN SEW TRUNK 37- 1967 100.00 5.00 20 Paid SEWER LATERAL 196ft 55L00 27.70 20 P d WATERMAIN ~P WATER LATERAL 1972 601.00 24.28 25 4.20 AD096,53 WATER AREA STORM SEW TRK 1970 70.60 3.50 20 28.90 AMU STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 200.00 8 PARK - - - - - - - - - - - - - - - - - I J;~_g r 0ifice Us- Permit City of Eapfl' I } I Permit Fee: 3830 Pilot Knob Road I i Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: 2008 RESIDENTIAL PLUMBING PERMIT APPLIC N JUL 2 4 2008 Date: 'v Site Address: r Tenant: Sui ~j RESIDENT/ OWNER Name: Qr l Phone: 1-46 5 Address/ City /Zip: License Bu--Pm CONTRACTOR Name: Address: 651-365-1340 3676 Dodd Rd. 9100 City: Eagan, MN 55123-1339 State: Zip: Phone: Contact Person: TYPE OF WORK New )P- Replacement - Repair _ Rebuild Modify Space - Work in R.O.W. Description of work: LnLrly, PERMIT TYPE RESIDENTIAL ` Water Heater Water Softener r Lawn Irrigation Add Plumbing Fixtures RPZ / PVB) Main ! Lower Level) Septic System Water Turnaround _ New Abandonment 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) P $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $136.00 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) G TOTAL FEES $ _ 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. x S x Applicant's Printed Name Applicant's Si " FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test -Final 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 . FAX # 651-675-5694 New Construction Reauirements Remodel/Repair Requirements Office Use Only 3 registered site surveys show q. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cerl of Surrey Recd -Y ^ N (20% maximum lot cove a allowed) 1 set of Energy Calculations for heated additions KO Tree Pros Plan Recd _ Y -N. 2 copies of plan sho ' earn & window sizes; poured found design, etc. 1 site survey for additions & decks ~ 0 Tree Pres Required -Y- _ N 1 set of Energy C ulations Addition - indicate if on-site septic system On-site Septic System _ Y N. 3 copies of Tr reservation Plan if lot platted after 7/1/93 Rim Joist tat Options selection sheet (buildings with 3 or less units) Date Z- / ©s Construction Cost ^b, $bD. 00 Site Address 3is8 -„r y' ^a Unit/Ste # 6- 12- z Description of Work qpUA.4 Ja 6U Multi-Family Bldg - Y x N Fireplace(s) - 0 1 - 2 Property Owner ~7~ (Ali 1 • S ICI 1AAybt.0Q Telephone # (&tz) Zz &-7(Zo Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDI Minnesota Rules 7670 Category 1 _ Min a Ru 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet a Worksheet (4 submission type) Submitted nS riQ e~h • Energy Envelope Calculations Submitted 'sl Have you previously constructed a building in Eagan wit similar plan?',';'~, N If so, 2 % plan review fee applies.' ) Licensed Plumber L~~t' Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the c of work which requires a review and approval of plans. ~~.1AN SR~nwe~otJ e Applicant's Printed Name Applicant 's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex PIbgjY or _ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair I$ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation D U Occupancy 2 3 MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units l Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const 6-1 3 Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) e- Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding - Stucco _ Stone _ Brick Fireplace _ R.I. Air Test _ Final _ Windows Insulation Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CITD lt/ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System Y _ N. 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date / 3C~ l D r Construction Cost Site Address 3q:5-9 e'--,Q L k14 Unit/Ste # I Description of Work Cc, CJ S (V I lu ~t Multi-Family Bldg - Y Y_ N Fireplace(s) - 0 - 1 - 2 Property Owner &14" 1511 Ymmo'lly Telephone # (v~ -Z ) 22 6 -7(20 Contractor St C1,41 67 Y t~l 'L /0 Address 775 2 (C r 1 ✓ City % 44 L , It, /V State M Zip 5 ~f ,7 Telephone # (./,S/) 0~ 6 3 36 0/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota. Rules 7670 Category _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y ^ N If so, 25% plan review fee applies. ) Licensed Plumber Telephone Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. i ~(01 n)al w~ A Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 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. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or_ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ fee & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding - Stucco -Stone -Brick Fireplace _ R.I. -Air Test -Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total EAGAN TOWNSHIP BUILDING PERMIT N°• 1710 Owner 40 Eagan Township Address (present) _Z Town Hall Builder Date Address DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location Lot Block Addition or Tract 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 B~Ep KEPT ONQ~ THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that.. -i44- , ' !-ri-!Z • 41~ :.has permission to erect a----- ~ upon the above described premise subject to the provisions of the Building Ordinance for Eagan wnship adopte April 11, 1955. ` ` '-f~~c~,.✓ Per - .G<t ~~t c,•C~ r Chat an.of Tnwn Board Building Inspector 4 • „B, CITY OF EAGAN N~t O = 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 iY _ 8 i BUILDING PERMIT PHONE: 454-8100 Receipt # To be used for ADDITION Est. value $13,000 Date NOVEMBER 13 19_g6 Site Address 3958 BERYL RD Erect ❑ Occupancy Lot 8 Block 2 Sec/Sub. CEDAR GROVE 5THRemodel ❑ Zoning Parcel No. Repair ❑ Type of Const. Addition No. Stories W Name TERRY & JULIE OHLSEN Move O Length z SAME Demolish ❑ Depth c Address Int. Impr. ❑ Sq. Ft. City Phone 452-3705 (H) Install ❑ o Name 292-4205 (W) JULIE Approvals Fees 00 Address Assessment Permit $ 98.50 City Phone Water & Sew. Surcharge 6.50 Police Plan Review 49.25 F Z Name Fire SAC Z Address Eng. Water Conn. 4 W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that the Bldg. Off. 11/13/8 Tr. Pl. information is correct and agree to comply with all applicable State of Minnesota Statutes and of Eagan Ordinances. APC Parks Signature of Permittee Var. Date Copies `t`-Total $154.25 A Building Permit is issuEd o: , TERRY OHLSEN g on the express condition that all work shall be done in accordance with all applicabig(State of City of E 3 agan Ordinances. Building Official 1 y r t 20 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS UST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND OOC) CD To Be Used For: \aN3 Valuation: C-~-,4 Date: Site Address 3 Sg OFFICE USE ONLY T r~ Lot Block 2- Erect ✓ Occupancy nn Remodel Zoning 61- Parcel/Sub ~%c Repair Type of Const Addition # of Stories Owner ry Move Length t~ 1 Demolish Depth Address 3 ° S? Int. Impr . Sq Ft Install City/Zip Code ~m c c, Phone 3'lo5({k,~ APPROVALS FEES Contractor Assessments Permit g. So Water/Sewer Surcharge ("SO Address Police Plan Review 4-9 Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOTAL /o City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. i 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) i 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. it sc t Sr. Engineering Technician cc: Mike Foertsch EJK' /)e 8-2-5 EAG0 TO4ti'NShUP 3795 Pilot Knob Road St. Paul, Minnesota 5-5111 Telephone 454-5242 PERMIT FOR S94ER SERVICE COINDIECTION DATE: January 23, 1968 NUKBE't %e 01-PIdER: Cedar Grove Construction Address 3958 Beryl Road' PLUMBER Stein Ing, TYPE OF PIPE .ast Jr_on r~.. DESCRIPTION OF BUILDING Industrial Co-nmercial Residential Multiple Dwelling No. of ur.it.s X One Location of Connections: Connection Charge Permit Fee Street Repairs Total Inspected by: Date Remarks: BY.... Chief Inspector In consideration of the issue and delivery to me of the abL!e V~-irz lt't', I hereby agroo to do the prc Msed work in accordance with the wiles and r gulatlons of Eagan Township, Dakota County, Minnesota Stein, Inc. By Please rnt'ify 1-7hen rp,dy for inspection and co'nn7c .on arz before any port 1'.--3 of the work is covered. o0t- ~ 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION A 50 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date l / za~ / Site Street Address 5-2 v Unit # Property Owner "'z 9a YY-~ L,);-) Telephone # ( I r7 J Contractors , r~ Telephone # 7Q7 7~ / Address 40 511nd L G Q Cit Z tt~ State ry1 Zip55 ~zj`l Y ~ The Applicant is: _ Owner "ontractor ^Other Alt7Add ons to existing dwelling $ 50.00 plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). :Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 new replacement Lawn Irrigation _RPZ ~PVB new -repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. A. ve, ma C~ Applicant's Printed Name Applicant's Signature i ; 2 2005 I `j PERMIT City of Eagan Permit Type:Building Permit Number:EA115419 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 3958 Beryl Rd Lot:8 Block: 2 Addition: Cedar Grove 5th PID:10-16704-02-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Window or Door:window Chelsea Laughlin Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - M J Patche I Llc 7028 Kellogg Ave Edina MN 55435 (612) 401-1637 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature