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.
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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-
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- ? ? .?
?
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 ? ? ? ? :. ?
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, ?
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t?. . ? ? ? ?
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?. .? ?4 , ? ? ? ?
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• ;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
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CITY OF EAGAN ?#?
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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•
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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
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P o?ovi: 1i?
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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