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3979 Beryl Rd,.. .. . ', a i'- ,P..Er., -. T} ... _ -At.. ? -._ . 1- ?.. - 11? %nl.:. . 't'?? /0 . .. _. ,__ 15:49 _ ., t?'•', ,`:.?;? t t'?,, a, F f... ? ,.,;..? s:?? a .y r `i , 4•` i..y s`'?:t _.'a. .. ... . . . - ... . . . i :S" t „ ?. ?..? ..: .. ? ., t ?'Y t.I ' . .. .. . . . ' ' s ., . , Y? P . : ..,.;.. `.t . ' i? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION °S? °? . • ' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? ' 4 ? New Construction Reauirements emodel/Repair Reauirements Office Uss C3nfv ? 3 registered site suroeys showing sq. ft. of lot, sq, ft. of house; and ali roofed areas 2 copies of plan R??? ? (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Ttee Pres P[8n Recd Y P , 2 copies of plan showing beam & window sizes; poured fiound design, etc. 1/ 1 site survey for additions & decks 7roe Pres f2eqt?ieed' t set of Energy Calculations Addition - indicate if on-site septic system On-s3EQ:?epti? ?ystem Y F 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 c,J ( / .2 / d S? Cflnstruction Cost ! 000 -6-0 Site Address Qev, t?{ L Q-T Unit/Ste # Description of Work CDC`c CI L o, cod? /'I-) y Multi-Family Bldg _ Y_ N Fireplace(s) )?_ 0 _ 1 Property Owner i?p((V) VOOh/S Ci AJd(J CZ2 d Telephone #(&$ )) contractor 2?.?w c- ecA ene ,Z rCa ?to r Address 3 City ? 1j State hJ Telephone # (jp,s, ) y I " X _ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING lJr?1 ` - Minnesota Rules 7670 Category l f72 Energy Code Category . Residential Ventilation Category 1 Worksheet •;?Vew Energ?I Cv?ie,,'yV I?s (4 submission type) Submitted ? ?Submiit? , ? ' ?/ % N ?1f • Energy Envelope Calculations Submitted In the last 12 months, has the Ci1y of Eagan issued a permit for a similar plan based on a rOOst?? ? _ Y _ N If yes, date and address of masfier plan: F ( ) Licensed Plumber Telephone # Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( j 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. ?-c?6or9?d d Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 N ew C? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex $0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? T ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation "/ , 000,60 Occupancy Plan Review 100% or 25% Census Code Zoning SAC Units Stories # of Units Sq. Ft. # of Bldgs Length Type of Const Width _ Footings (new bldg) Footings (deck) ?(I Footings (addition) Foundation Drain Tile ? Roof Ice & Water Final Framing? ? _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS _ Final/C.O. ?o FinaUNo C.O. _ Plumbing _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building lnspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Totaf ?.?' x l2' ? X l6-ev - 3??YZ,b? ???? R? DA7E: BUILDING INSPECTi4NS 0p*WON qca-6y6- ec,? 61ze-cl -3 i *? q .?- ? L ot ? ? ? . 3 q.' 69`'' ?DL ?,, N?? , •. i , ,, ?1?'? S y ,oll ?? ????' ? ? . 9?' ? 4e.dolud CIO .? ? uL,?. 1 Ho -ro ?? ? ??C y4 (.?? ?(I , A.) 5pCctvi 1 tv ? ? _ C?me O?,c? aNX ? / me4SqF?d 4?Uw\ 'A S urvc y sTal,?(55, -ch esC Ore lo"\'? 5 - ? ? .? ? CITY DiF EAGAN I 3830' Pilot Knob Road 'I Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: FERMIT ? PERMIT TYPE: BkJTL° ING Permit Number: 033331 Date Issued: 09 /` 1f 98 3979 c"3ERYL. RD LOTe 6 BLQCKb 3 ??DAR GRavE #5 P.I.N.: 10-16704-060--03 DESCRIPTION: T.O. & r?ERaaF Permit 'T'YPe SF (MISCa ) 4:prk Tvpe REPAIR B 434 AI.Te RESIDENTIAI_ REMARKS: ' FEE SUMMARY: Base Fee Surct7arye Total Fee VALURI"IQN $99. 75 ? 2... .. 5..0 ..._.,_._?..._._._.._ ..$?1 02 , 2 5 $5,000 I ~- MwwI L c:ari L - Z? I a L.I L, e xNG co 14603326 20144134 QM?R' ? 22428 CHIPPENCIALE UNTT A 3979 BERYL. RCl ? FARMINGTON MiV 55024 EAGAN MN 55122 (612) 460--3326 (651)454--5826 he reby aclcncawledqe that l haue; r°?ad th4s: ,ifarrnatian: is correct ancf agree` ?? compl,y Catute-s and City of fag;an (Jrdinances, APPLICANT/PERMITEE SIGNATURE QNSUED BY: SIGNATUR 46 , 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN <J?? 3830 PILOT KNOB RD - 55122 r??y 681-4675 ? New Construdion Reauirements ? 3 registered site suNeys ? 2 copies of plans (inGude beam 8 window sizes; poured ind. design; etc.) ? 1 energy calcu?ations ? 3 copies of tree preservation plan H lot platted after 711/93 roquirod: , Yes _ No DATE: Q.- / tf- I e) DESCRIPTION OF Wi STREET ADDRESS: LOT: ? BLOCK: ? SUBD./P.I.D. #: Name: ` Phone #: PROPERTY L Firsc OWNER -. ,. -, /-?. l) (9 rA-) __ 1 Street Address: • City State: "`m n Zip: . t -- _ Phone #: Company: „ CONTRACTOR ' License # Street Address: CitY C? ,-x.;R? ..,, „ IANC? _ State: ? Zip: J ARCHITECT/ ENGINEER Company:, Name: Street Address: City RemodeVRepair Reauirements 01 ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations tor heated additions CONSTRUCTION COST; Il)3LI-Q- Phone #: , Registration #: State: Sewer & water licensed plumber (new construc6on ony): and lot change is requested once permit is issued. Zip: Penalty applies when address ci I hereby acknowledge that I have read this application and state that the intormation is coRect and agree to comply with all appl State of Minnesota Statutes and City of Eagan Ordinances. --? ., . Signature of Appticant: ? _ -? OFFICE USE ONLY Certficates of Survey Received Yes No ?EP s? !El a r?f ?t;t,?.x_.-.. d Not ?e uire .._ ? . . i? , ',Ilk OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex D 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex 0 12 Multi Repair/Rem. ? 17 Swim Pool O 03 SF Addition 0 08 8-plex 0 13 Garage/Accessory O 20 Public Facility 0, 04 SF Porch 0 09 12-plex ? 14 Fireplace ? 21 Miscellaneous O 05 SF Misc. 0 10 _-plex CJ 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 36 Move O 32 Addition ? 34 Repair ? 37 Demolitian GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ? (Allowable) Main fevel sq. ft. City Water Fire Sprinklered UBC Occupancy sq. ft. ft sA PRV Zoning # of Stories ? . . sq. ft. Booster Pump Length sq. ft. Census Code. : De th p Footprint sq. ft. SAC Code ,. Census Bldg - Census Unit ` APPROVALS Planning B uilding Engineering Variance Permit Fee ei ?S Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/V1l Pennit S/W Surcharge Treatment PI. - Park Ded. . Trails Ded. ) Other Copies Total: % SAC cer1 I inrtc CITY OF EAGAN M 943?'J " 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUlLDfNG PERMlT To be wed fo+ 16 X2,? GAR ADDPtalue 5 s4 ReceiPt # 40 Dote ? ` " - IGIIST 77 19_84 ? SiteAddress 3979 BERYL ROAD Erect ? Occupancy K-3 Lot 6 Block3Sec/Sub. CEDAR GROVE 5 Remodel ? Zoning R-1 Parcet No. Repair ? Type ot Const. V Eniarge KI No. Stories Name ED CZECK Move ? Length _36 W 3 Address 3979 BERYL RDAD Demolish ? Depth 99 b Grade ? Sq. Ft. City Phone 4 5 4-,58 2 6 ? Name TOM HACKETT o Appr4vols Fees Address 1131 CO ROAD H-2 u Assessment Permit 56.50 ? ?- City WH BEAR LKphone 426-4385 Water & Sew. Surchorge 3.00 Name _ Address City _ Phone 1 hereby otknowtedge that i hove read this application ond state that the information is torrect and agree to comply with all appficoble Stote of Minnesoto Stotutes ond City of Ea9on Ordinonces. Police Fire Eng. Pianner Councii Bidg. Otf. APC Var. Date Plan check SAC Woter Conn. Woter Meter Rood Unit Parks Total 59.50 Siflnoture of Permittee I A Building Permit is issued to: TOM HACKETT , on the express condition thal oU work sholl be done in Accordonce wittf,oii opplicoble Stnte of Minnesoto Statutes and City of Eognn Ordinonces. Building Officioi , 0 -93 5 • •• • iMaTTKNE MMMFJ? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN r , ? INCLUDE 0 SETS CERTIFICATES OF PLANS, OF SURVEY To Be Used For: SET OF ENERGY CALCULATIONS Valuation: Date: Site Address: ?j 77 e9 Lot: ? ? Block : Sect/Sub : S_ Parcel #: Owner: } ? Address : 3j CityjZip Code: Phone C- ? Q-it(?C W -t ' -+- i'N -?t:? ntrac C otor": 4 Address: //,3j 3?=-?-?- - City/Zip Code: Lt? Phone # : Arch./Eng: Address: City/Zip Code: Phone#: • • Erect: Occupancy: Remodel: Zoning: Repair: Type Of Const: Enlarge: ?- # Stories: Move: Length: Demolish: Depth: Grade: Sq. Ft.: Assessments: Water/Sewer: Police: Fire: Engr.. Planner: Council: Bldg. Off.: APC: Variance: Permit: Surcharge: Plan Rev.: SAC: Water Conn: Water Meter ?-3 g 22 5to. SO 3. °° Road Unit: ?r. 4 Parks: TOTAL: ",,,,? _ , ? ??????`' ?? ? ? ? ? q ? r ?`?° , ? ,. _ _ _ _ _ _. -;? ` a ? ' as?-?d ? ? ? ? :. ? ? pesod8.?d ' _ ?r_ ??' , ? ?b???,? ? . , - - ?"1r'?, ? ,? t?. . ? ? ? ? .. ? ? y ?,, ? ? ? ? . ? ? ? ?. .? ?4 , ? ? ? ? ? ? ? M ?? ? ? ? ? ? ? ? ? _ ,? ,??. ? • ;i ? ?..?.(????i c: :. ? MEMO ? city of eagan TO: DIANE DOWNS, UTILITY BtLLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNlCIAN 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 Zg 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 -1-5 208 The City is currentiy being billed by Dakota Electric for streetlighting in the above listed subdivision. Edward J. Kirsc t Sr. Engineering Technician cc: Mike Foertsch E.lK/je This request voidW J!/9f e L/1??? hs from 2eo? o! ? ? / aO 5 4 417 ,?. c?,l?j 0 kequest Date 5 Fire No. Rough-in Intion Required? MReady Now?Will Notify. Inspec- ^t ` 1 11 .9 ?Yes ;it, o ??br When ReadY icensed Electrical Contractor - t herebv request insp c wn o ab ve ? Owner electrical work installed at: Street Address, Box or Route No. ,k' 1.? \>. b 39-1 q 8ep CitY ection o. Township Name or No. Range No. County Occupant (PRIN7) m vTl SCi1 Phone No. 1 Power Supplier Address D 4-CAV Pbuj ei2.. Electrical Contractor (Company Name) 7 Contractor's License No. ? P 1 - ekecroc 0+'K7 Mailing Address (Contractor or Owner Making Instailation) Q z -> m ? Authorized Signature (Con tor/Owner Making Installation) Phone Number y /-?J/' 7`1? 3'> p ?7 MINNESOTA STATE BOARD Of ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MidwaV Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARp UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone (612) 297.2111 ENCLOSED. l 00001'04 ? S1 ? c?? REQUEST FOR ELECTRICAL INSPECTiON « E B' ' J ?.r: J ( ' Sea instructions for completing this form on back of yeltow copy. B nq 4 41 7 " X" Below Work Cavered by This Request A? FteA•- Oll Type of Building Appliances Wired Equipment Wired - Nome Range Temporary Service Dupiex Water Heater Liyhtiny Fixtures Apt. Building Dryer Etectric Heatin Commercial B1dg. Furnace Sito Unloader Indiistrial Bldg. Air Conditioner 8ulk Milk Tank Farm Otner peci v otner(suecitv) ther Specify Ot Cr Other ompute lnspectron Fee Be1ow . # Fee ServiceEntrance5ize N Fee Feeders/Subfeeders # Pee Circuits ' 0 to200Am s 0 to30Am s 0 tn30Am s Above 200 Amps 31 to 100 Amps 31 to 100 AnVs Swinuning Pooi Above 100_Amps Above 100_Ampa _ Transformers -- irrigation Boorns . Partial?'Ot Fee - - ---- Signs Speciailnspection ? Remarks ? <U 0 FOTA F£E .017 rJ- Rough-in Date 1, ihe Electrical Inspector, heraby certify thst fhe above Final ' l Date inspection has been ? !. 't ( L made. tbis request void 18 months from CITY OF EAGAN Remarks *Cedar Groye Acquisition Addition CEllAR GRpVE #5 Lot 6 Bik 3 Parcel 10 16744 060 03 Owner GfilY v L. c o-4 t- street 3979 Bezyl 1Zoad State Eagan, MN 55122 Improvement pate Amount Annuai Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING ' SAN SEW TRUNK Z, 1967 100.00 5.00 20 Paid SEWER LATERAL 3 196q 490.00 24.50 20 Pal.d WATERMAIN fi WATER LATERAL (Q 1972 E)OT .OO 24.28 ZS Patid ? WATER AREA STORM SEW TRK 1970 70.00 3.50 20 Paid S70RM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 200.00 10-30-67 PARK EAGAN T0WN S H I P BUILDING PERMIT .,.. ------- ---• ----••--• • •--•-------------•••---•-- Owner ..?G' ?-------•---••-••--• Address (Preseni) .-'l --=---s?.-. --•l•`••`-L•`--c--"....................... ..... Builder --..._..--a?:k-r.?-yu----?--.......................... ...... ---............ ------ ... Address ........ ----•--••--°-••---•---•--....-.----•---------•--••------------------------- DESCRIPTTON N° 1674 Eagan Township Town Hall Date , ??c I` •> <' f ( ... ------ ..i-/ ---•---°?_..--.-- .. 5tories To Be Used For Froni Depth Heighf Est. Cos! Permii Fee Remarks '/ 7' LOCATION 5treet, Road or other Descripfion of Location I_Lo! E;ock ? Ac3diiion or Traci 17 - 27_?-- This permif does noi authorise the use of s3reels, :oads, alleys or sidewalks nor does it give the owner or his agen2 the righf to creafe any situation which is a nuisance or which presenls a hazard Yo the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON TIJE PREMISE WHILE THE WORK IS IN PROGRESS. This is io certify, that...... C.4=:!'?-_., __._..."?-`... ???'.._.has permission to erect a..... :?.?:?~ :_.-?` upon ? • -•.... -•-' • - .. !he above described premise subject Yo the provisions of the Building Ordinance for Eagan ToAnship ado?d April 11, 1955. ? ?a<u ? --„?-.•--•-••-•-._. Per ---•-°-•--- -- 4:`--••/?.-?-?? .t?-? ? _._.....--• • -•--•-••,-•-• - •- --•...................... C? - r...-•••---•--••• ................._.... Ch?irman f Tnwn ?Boar* ? Building Inspecior s EE3GAN TOWIVSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: December 4 , 1967 OtiNEA: Cedar Grove Const. Co, PT,UMBER St ein s Ln c t NiJMBER 85 Address Lat 6Blk 3 G.G. 5 TYPE OF PIPE Cast Iron „ DESCRIPTION OF BUILDING Industriall Commerciall Residential I Multiple Dwelling I No. of units x Zocation of Connections: Connection Charge $200.00 Pd. Permit Fee $7•54 pd• Street Repairs Total Inspected by: Da Ce Remarks• By Chief Inspector Zn consideratiort of the issue and delivery to me of the above perniit, I hereby agree to do the propased worlc in accordance with the rules and Yegulations of Eagan Township, Dakota County, Nlinnesota By Plaase r.otify i-ihen reasly for inspection and connECtion ar.d before any portioa af tha werk 3s covered. ? EAGAN TOWNSHlP ? 9798 PILOT KNOB ROAD ST. PAUL. Mf1"JNESOTA as»> November 16, 1971 Dakota County Auditor Hastings, Minr,esota 55033 Attention: Norma Dear Norm; Pi-iONE 454-5242 ??? ?& 4a? -7, 1- s We have received payment in our office of the folloaing assessments: CEDbR GiiOVE ? Pzrcel TmprovPment Original Amt. r.-,.61, ?ot 21 Blk 11 P33- Cedar Grove Acquisition ? 1304.00 +i? c c c. :, Lot ? Blk 5 p55- Cedar Grove Acquisition 13G4.00 C`r;D,iR G;tOV'r, # 3 ?:ot 33 Bik c3 .733.- Cedar Grove Acquisition 1304.00 n-37?1 6 , Lot 28 Flk ? 43,?- Cedar Grove Acquisition 1304.00 CEDAR CROYF, #4 C8 . T-ct 27 blk 8 d3z- Cedar Grove Acquisition 130L4.OQ :,ot 9 Rik 5 N3;- Cedar Grcve Acquisition 1304,00 C U,?it CRvVE 1? b-'4417, Lot 71)1k 3 :.33_ Cedar Crovf> Acquisition 607.00 T.s5416, Lct 5 lllk 3 Ij- Cedar Grove Acquisition 607.00 fi-2)5?.'4, Lct 7 biec 10 , 53- Ce,:.r :;rove Acquisition 607.00 , Lot 14„ _i;k 10 ;z- Cc-dar Grove Acquisition 607.00 , I.Ot b. F.`IiC 3 ti?i- rot:«.: GrOVr? iaCQlllSlti021 60 7- 00 4=.6 , Lot 4 Blis 6 ?4z3- Cad=1: Crove Acquisitior. 607,00 CF?.Dy'? ? n';V, :f?' • . . Lut 33 n1k ? r:3 Cedar Grcve Acquisition 1304.00 A'%;jq, L°t Z,C' -i 'K 1 4z:- C(- d _?r Grove Acquisition 1504.00 A-3603, Lot 16,B1;c 8 #33- Cedar Grove ticquisition 1504.00 C")[':v"'f;Y Hni'.I;,HTS J ~V60, L "t , ='lk ;' ;:4`1? -=w?':• ^z '?:at.? r Laterals 2422.00 PJ;'T MI%DTT I ?? IN ?Fl 3561, Lot 5 Blic 1 verr,-r & Water Laterals 2040.50 j;EsU, Lc,t y c1x 1 :,ew(:r Fx Water Laterals 1765.00 Li- ,T1:iVDn-?? A - ?1``LITIt' i I? Lot 2 Blk 1 Water Lateral 749.80 City of Eagan 3795 Pilot Knob Road Eagan, Mti 5512" Date: March 18, 1981 Dakota County Abstract PLIAL ASSESSMENT SEARCH 1250 Highway #55 RE. Hastings, NIlV 55033 Lot 6, Block 3 Cedar Grove #5 3979 Beryl Road, Eagan IuIN 55122 Attn: Mary Parcel #10 16704 060 03 Enclosed herein is the search which you requested made on the above described iroperty: Kind oi Improvement_ Runs Beginning Original Amount Balance Due None I further certify that according to the records of said offiee, the following inproi-ements are contemplated or pending after having been approved, and are now in the process of planning or completion. Kin,i of Improvement Approximate date Completion Approximate Cost None k'aiver: Neither the City of Eagan nor its employees guarantees the accuracy of the above information which was requested by the person or persons indicated. tior does the City of its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form, and for a:; other cor.sideration of any nature whatsoever, any claim against the City of its employees rising there from is hereby expressly Naived.--- - Lex•ied assessments to be paid to the County Auditor at Hastings, tLN 55033 - Very truly yours, SPEC I aL ASSESSME\T DEPARTMENT 1 ? DAKOTA COUNTY ABSTRACT CO. 1250 Highway 55 HASTINGS, MINNESOTA 55033 437-5600 Please send me a Pending Assessment Search on the following described lands: Lot 6, Block 3, Cedar Grove No.5 3979 Beryl Road, Eagan F:nrl nsPd nl PacP find a chank fOI' $'rj.00 t0 COV@Y' COS'tS. Thank You Mary RESIDENTIAL BUILDING W'sy Permit Application City Of Eagan 3830 Pi1ot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellReaair Requirements Office Use Oniv 3 regis2ered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ CeR of Survey Recd (20°,6 maximum lot coverage allowed) 1 set of Energy Calculations for heated additions _ Treee Ares Plan Recd 2 capies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculations Addftion - indicate if on-site septic system _ On-site Sep6c System 3 copies of Tree Preservation Plan if lof platted after 7/1/93 Rim Joist Qetail Options seleciion sheet (bldgs with 3 or less units Date (d / Site Address 3 v / 6 3. ?? -7 9 Construction Cost ? ? 00a ' ov Unit/Ste # Description of Work Mutti-Family Bldg _ Y? N Fireplace(s) 'K 0 _ 1 _ 2 Property Owner L° C li,-, -- ? ? k- G t v 3? ? Telephone # ( 6S 1 ) y sq Contractor r-- ?N k-2 C L o e S Address State ib -&>.C-4c? Sf? << e L N Zip S?0-7 IL- City ? 6< <? Telephone # (-?51 ) ([fbU63 00 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (?l submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( )_ ? TWephone"#( 7 I hereby apply for a Residential Building Permit and acknowledge'_?at the information?)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 ggrmu, ' and work is not to start without a permit; that the work will be in accordance with the approved plan ' e case lwork which requires a review and approval of plans. ? Oif ? lwm Applicant's Printed Name Applicant's OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex 0 13 16-plex 0 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex C] 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 Levei ? 24 Storm Damage O 06 04-plex ? 12 12-piex Plbg_Y or _ N ? 25 MisceAaneous Work Types ? 31 New ? 35 lnt Improvement 0 38 Demolish (Inte(or) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Repiacement *Demolition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type ofi Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) ! FinaUNo C.O. _ Foorings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests V Final _ Framing _ Siding Stucco Stone , Fireplace _ R.I. _ Air Test ` Final ` Windows (new/replacement) _ Insulation ! Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Utifity Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector r ?? i ! ???E? f i . f , ? ?a?lal£? S _ I t.?c?i ?'reo??: ? ? ?t ?*N- ? ? ? Oier Suru6Y .,-- ? ?t , E`???'N??I ` ~ ??'9??`? ?. ? f ri?cQ ?o, ! `?, ? u??, ?G,?,?E ?? ,. ? h`I C? u ? ?????6- ,ecC czed 57r,/ ? ?- ? --om ? ??C 1 y4 (??? Itu' GO.M el acA dNC? rrt e6s utF`ed -knn 5 c,k r?f (? y Szuk5 5. -ches? ?re h't 5, rn 2.(ASutre(j'teh? "W,?,? , _.,?.. CITY OF EAGAN ?#? > 3830 Pilot Knob Road, P O Box 21•199 Eagan- MN 55121 .?.? PWONE: 454-8100 BUILDING PERMIT Receipt ? ? To M wed fm 15 K 12 GrtR t1t6Ltlrotue 5AU0 Date ? ?iCiliSl SiteAddress 3979 BERYL R(3PlD Erect ? pccuparicy R`3 Lot 6 Block 3 Sec/Sub. GEDAR GROVE 5 Remodel 0 ZoIito R:"! Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories oc Name ED CZECK Move ? Length 16 $ Address 3979 BERXL ROAD Demolish ? Depth 22 ? City Phone 454-5$2C Grade ? Sq. Ft. ? TOM HACKETT Approvols Feas - Name zi- U? ,4ddress 1131 CO ROAD H-2 Citv WH BEAR LKphone 426-4385 ?_. a ?W Name ` ?`x?? Address tW City Phone 1 hereby otknowledge that 1 have read this application ond state that the informution is correct ond agree to comply with oli applicable Stute of Minnesota $tatutes and City of Eagan Ordinonces. Assessment Water & Sew. Poiice Fire Eng. Picnner Council Bidg. Off. APC Var. Date Pecrnit 56.50 Surcharge 3.00 Plan check SAC Woter Conn, Water lVletts' Road Unit Parks Total 59.56? Sipnuture of Permittee I /l Buiiding Permit is issued to: TOM HACKETT on the e?? ??? thar 411 work sholl be done in?accordonte witFa.,oll opplicoble Stote af Minnesota Statutes and City of Eogcn Ordfrtemces. 8uitdin9 Officiol Rermit Na. Permit Holdn Qste Pluribing H.V.A.C. Electric Softener Inspection Date Insp. Other Footings z? C.unz duw, '4 a? . Foundation Framing Rough Plbg. Rough HVAC insulation Final Pibg. Final HVAC Final Cert/Occ. E Water Describe Location• ? ? Weil l?i l R,Q ?-'"" l' at? Sewer Pr. Di?• ??? ?? , !`;17???? PERMIT # `-_:Z CITY OF EAGAN - MECHANICAL PERMIT RECEIPT ? 454-8100 ? MINIMUM RESIDENTIAL FEE - $10A0 + $.50 D A T E 6; MINIMUM COMMERCIAL FEE - $20.00 + $.50 ./ !f -,--•.._. ._..? y ?.?,?,r ,,.. ?.w?+. --. FEE S/C TOTAL 1. Bidg. Type: Res 44 Comm Inst 2. New Add __j_ Alter -- Repa' 3. Totai id Price 1 00 4. Job A ress ..... „ Lot Block Sec ??? ? 5. Owner 6. Contractor ? ?? ;,:1 ?U ?7 1 (NBms) ` et) (CftY (ziP) '?. " Gontractor Phone # ?'' ? v 4- ??" 5 (Stre RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's ar fraction -$6.00 RESIDENTIAL COOUNG - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU'.s or fraction -$6.Q0 MODiFiCAT10NS/ALTERATIONS -$10.00 minimum fee ? HEATING VENTILATING HOT WATER STEAM AIR COND. IR P{P{NG PROCES5ED PlPING AIR HAND. EQUIP, RrFR1G. RES. GAS PIPfNG OUTLETS -11.50 TANKS: L.P. UNDERGROUND OTHER _y COMM.fIND. R?f'" O AL BID PRICE PLUS $.50 STATE SURCHARGE POR EACH $1,000 OF FEE. Signed: for Ap ved fnspections: Date Rough insp. Date Final 4ns l?, ?.?> . `; ? .??? . Road ' Jw/ 1 G£- I C73 t ,. "f- R Y t R 0 P o?ovi: 1i? ? BLOCK x ?e Je, ? .i_ - . ? -.. , . . . . .. y? `tpT 3?? - ? - Y. L 4 (?sCe .?? ??., ? ??$f T'R 6? 5 ._ r? _ . _ 4?' f .._ Z C?- ? ? ? ? Piartnk kFakfBr ttatie ' Tolophme # P3.1JMON'3 HVAC 4kmn i?ate tnsp, C'mmme?ts FOOI'tNGS FQUND FRARrttNG ROOFiPlG ROUGH PLUMBtNG PtBG Al€i TEST ROt1GH tfEATiNG GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG . FIIdAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGA710N METER ` FLUSH MAINS CONDUCTIVIN TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAI DECK FTG DECK FINAL PERMIT City of Eagan Permit Type:Building Permit Number:EA117156 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 3979 Beryl Rd Lot:6 Block: 3 Addition: Cedar Grove 5th PID:10-16704-03-060 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 - Edward Czech Jr 3979 Beryl Rd Eagan MN 55122 (651) 454-5826 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature