3964 Beryl Rd2004 COMMERCIAL MECHA1rTICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buiidings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicabte) Previous Teaant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephpne # ( }
Bond #• Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction , Underground Tank Instail `Remove **see below
_ Interiar Improvement , Install Piping _ Processed `Gas
Nature of Work:
"When installing/removing underground tank, call for inspection by Fire MarshaJ and Piumbing Inspector
P@rmlt'FCes: 57050 Underground tank installation/remova!
$50.50 Mireimum (includes State Surcharge)
or
Contract Value $ x 1% - $ Permit Fee
t
• If permit fee is $1,000 or less, add $50 ? $ State Surc6arge
If ermit fee is over $1,000, add $.50 for
every $1,000 ermit fee $ Total Fee
i nerevy appry ror a Lommerciai Mecnanical Yermtt and acknowtedge that the intormation is complete and accurate; that tlie work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 wili be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved 8y: , Inspector Date:
EAGI,B 1JWI1?SHTP
3795 Pilot Knob Road
SC, Paul, Minnesota 5:;121
TeLephone 454•5242
PE1iM.xT FOR SE6TER SERVICE CL:?1I3:?CiY0:3
AAiE: _December 6, 1967
0VITNEF.; C3dar Grove Const.
kLL'P?BER Stein Inc.
N'J?,Mra?f2.'.__._..
Address 3964 Beryl Road -7-- -1 -E)
TYPE OF £TPE Cast Iron
DESCRIPTION OF BUILDING
?.? _.?.?..?-.._._.
Ind.uUtriai I Co°:meY'^ial I Residential I Multiple Draelli^g I Na. of units
? X
...__.,_..._._.T._...... ?.....,__.
Locat'icn oi Can.r.ections;
1
-- - - -
Cannection Charge Og oQ Pl? ???'
Permit Fee "
..?..,..?
SCraet Repairs
Tota1 ? 07 'So ?.?
Inspected by:
Date
Remarks:
$Y :., r......_,.._...?,._._
Cfiief Ix,s--,,cC:tOC
In considQxatiorz of the iGsuA arad deliliery Co me of the abal?-e :zt, I
hexeby agree to do the prcposed wor'c in accordance with Che rwalcs a:i.d
reviat:.ons of Eagan Township, Aakota County, Minnesota
Stein, Inc. ?
8y
P?PasA z±nti.fy vhen xe?dy for insFection
ar-d ccayn.?ct;.on as,' b?,[rwa ar.y;y gort-1-?:?-.1
eW t'ho ta;: rk is cnv ez-,--d,
?I?{I
; ,hN
? !,.i
MEMO
? city of eagan
TO: DIANE DOWNS, UTtL1TY 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 c-it the singie
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 streetiighting in the ak?ove listed
subdivision.
Edward J. irsc t
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
RESIDENTIAL
BUlLDING PERMIT APPLICATIQN
CITY OP EAGAN
3830 PILOT KIVOB RD, EACAN MN 55122
651-681-4675
Mew Constniction Reouirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and alI roofed areas
(20% maxHnum lot coverage alloaed)
• 2 copies of plan showing beam & wiridow sizes; poured found design, etc.)
• t set of Energy Calculations
• 3copies of Tree Preservatron Wan 'rf lot platted after 7/1193
• Rim Jast Detai OpWns selectlon sheet (bldgs with 3 or less units)
DATE t-, //g / ° Z-
SITE ADDRESS I3ep?l MUITI-FAMIIY BIDG -Y ? N
TYPE OF WORK IZEP...oof- L. 9-0FF FIREPLACE(S) _ 0^ 1_ 2
APPUCANT
STREET ADDRESS --fOC S CITY ?tP?/'IS??lk_ STATE Mdl ZI PSs3-3
7?a
TELEPHONE # 7,J'Zfl9-L92/S CELL PHONE #IoLZ 0 ?3 o FAX #59M921
PROPERTY OWNER PO rl TftEPHONE #??'
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS OINLY
Energy Code Category _, MINNESOTA RULES 7670 CATEGORY 1 MINNESOT?? RULES 7672
(J submission type)
Piumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
3ewerJWater Contractor.
? Water Softener Y
? Water Heater _
? No. of Baths
Y Air Conditioning
Heat Recovery System
Phone
I L4 a' -7 '?_
Fee: $90.00
.lUN 2 0 ?UJ1
I hereby acknowledge that i have read this application, state that the information s correct.cind agree t comply
with all appiicable State of Minnesota Statutes and City of Eagan Ordi?ar? es.? //
I (l ?i
Signature of Applicant t?v(?
- - ------------------ - - ------ -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
• Residential Ventilatlon Category 1 Worksheet Submitted • New Energy iCode Worksheet Submitted
• Energy Envelope Calculations Submitted
VALUATIl7N ' ?' J ° ? a /^bx
rtemvaexrteuair ?ceuulrolrnenw
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 si#e survey for exterior additions 8 decks
• Indicate if home seroed by septic system for addi6ans
_ Phone # ,
Lawn Sprinkler
No. oF R.I. Baths
Phane #
I
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
0 02 SF DweAing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex O 10 08-piex 0 18 Deck O 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement CI 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
? Footings (new bldg) _ FinaUC.O.
, Foorings (deck) i FinaUNo C.O.
Y Footings (addition) _ Plumbing
Foundation
? HVAC
Drain Tile
? Other
Roof _ Ice & W ater _ Final ^ Pool _ Ftgs _ AirJGas Tests -Final
_ Framing _ 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 SAG
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN
Remarks * Caa?r r4ynv'a Ar_ntiiaitiob
Addition C ? C"PDvE #5 Lot-
r? r r, Owner ( Y(j ?i Street 3964 Beryl
°4' F'l
State
_Parcel ZO 16704 090 02
Eaqan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RE5TOR.
GRADING
SAN SEW 7RUIVK 3 L 1967 100.00 5.00 20 Paid
SEWER LA7ERAL 19( 565.00 2$.20 20 Paid
UVATERMAIN
* WATER LATERAL 1972 607.00 24.28 2$
WATER AREA
S70RM SEW TRK 71 1970 'jQ.QQ 3.50 20 Paid
, STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILQING PER.
SAC 200.00
i
PARK
Road
EAGAN TOWN S H i P
BUILDING PERMIT
V .. .... d, --- 2- .... ?------
Owner •-•--•-- •---- ,,
-------• •- •----•---
Address (preseni) .--•••-••-•---. '1614--•-?,y1i- :---XI-1, -.._..__
Builder •------------------•--••-•-•---•---•--------•---....--•---------•-••--••--•••---•----------- -
Address ................................. •••-•-------------------------- •------------ ••------------•-
DESCRIPTION
N° 1698
Eagan Township
Town Hall
Date ...... --L?CA.7 ...................
To Be Used For Front DepYh Heighf Est. Cosi Permit Fee Remarks
?J°"-' G'- "' ?L
?,? l?5" ?*-ra ? o • ?
LOCATION
Streei, Road or other Description of Location 1 Lo! f Slock i Addition or Traci
e, -P L3_'
This permit does not suihorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agenf
!he right io creaYe any sifuaiion which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in Yhe communiYy.
THIS PERMIT MUST BE KEPT ON ?TtHE PREMISE WHILE THE WORK IS IN PROGRESS.
This is !o certify, that...... G?----- °? :......................has permission to erecf a....... .___..__._ .???y_ ^_. -----------
April 11,
1955.
............................. - --------- - -, ?• -•--l?-•------•-----... Per ---••----------•• -• °•--??- -----?e??•-•----•-•.--._._.._.
hairman?6f Tnwn Board Buildin? Inspector
c:c . 6
Use BLUE or BLACK Ink
r
For Office Use
City of Enn Permit /6-s
, I I
I
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name:(, Phone: SOS (~L( 1C~ t
Resident/
Owner Address / City / Zip:
3
Applicant is: Owner Contractor
Type of Work Description of work: 'e k k 2Aoloi
Construction Cost: 3 Q) C Multi-Family Building: (Yes / No
Company: C Contact: \)Q,~
Contractor Address: City:
State: Zip: S Phone:
License S 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?
I
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor. Phone:
NOTE: Plans and supportingvdocuments 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 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.
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
96nt's Signature
Ap li an 's Printed Name Page 1 of 3