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3991 Beryl Rd Use BLUE or BLACK Ink I For Office Use ~ Permit City of EaRd~ _ J Permit Fee: 1. 3830 Pilot Knob Road ; Eagan MN 55122 I Date Received: Phone: (651) 675-5675 d</ I Staff: Fax: (651) 675-5694 ~.d~ L - - _ _ _ _ _ _ _I 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: l - 1 !a Site Address: z /S e f Tenant: / / Suite RESIDENT/OWNER Name: R 4. efc (c ey"/ Phone: Address / City / Zip: CONTRACTOR Name: jn~- kl-t C-/e~7 d-,- License Address: Z 3 City: l®sy~ c State Zip: 5ra~l Phone: /.2- Contact: 22 ~C w l / L Email: TYPE OF WORK - New _Y -Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL eater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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 appr f plans. X ~QQ L - _(:I> X Applicants Printed Name pli ant's gnature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test _Gas Test Final RESIDENTIAL S S 43 11 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 651-681-4675 1 New Construction Requirements Remodel/Repair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detaii Options selection sheet (bidgs with 3 or less units) DATE VALUATION III SITE ADDRESS MULTI-FAMILY BLDG ^Y VN . 311 TYPE OF WORK S~ FIREPLACE(S) 16, 1 2 APPLICANT Catastrophe Restnratinn Seryicrpa InC STREET ADDRESS 9489 Race Rt Guite 70 CITY Rncr3VWe STATE_MN ZIP REI 13 TELEPHONE # _ CELL PHONE # FAX # a3 n~ PROPERTY OWNER®~ \ TELEPHONE #\EXAiaS' =~l COMPLETE FOR "NEW" IRE DENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 Z? {~1 submission type) • Residential Ventilation Category 1 Worksheet Submitted T-k4r6~ ~od V~rcs 6~ bmitted Energy Envelope Calculations Submitted II EP 2 7 ZOj Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkler - ~ _F W_ _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of E Ordina s Signature of App OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 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 (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 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 City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. 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 _ Ice & Water i Final Pool _ Ftgs _ Air/Gas 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 SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Request Date / 0 T ire No. Ren Inspection L777y Required? El Ready Now Will Notify Inspector ❑ Yes X 'No When Ready? wn er hereby request inspection of above electrical work at: I ❑ licensed contractAro Job Addre s (Street, Box or Route No.) Cit X 3~ I Be r-L4 I (26 ck Section No. Township Name or No. Range No. County OMANe_,604:~~_ 1(PRINT) Phone No. Powe Supplier Address Electn al ontractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) Au razed Signature (Contractor/Owner Makin I stallati n) Phone Number c a L4 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001.07 10- See instructions for completing this form on back of yellow copy. 5// G 3 60 X" Below Work Covered by This Request ew Add Fte pyT f{s oeoe Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: G Compute Inspection Fee Below: elieq ~ r # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Amps Signs Inspector's Use Only: / OT L 7 C9 Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. Rough-in Date I, the Electrical Inspector, hereby certify that the above inspection has Final Dat been made. 7;- OFFICE USE ONLY This request void 18 months from CITY OF EAGAN Remarks * Cedar Grove Acguisition Addition CEDAR GROVE #5 Lot 8 Blk 3 Parcel 10 16704 080 03 Owner r° `'Cf,41.i t 1` Street 3991 Beryl Rand State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK IL 1967 100.00 5.00 20 Paid SEWER LATERAL 19611 515.00 25.70 20 Paid WATERMAIN * WATER LATERAL //G 1972 607.00 24.28 25 P WATER AREA STORM SEW TRK 71 1970 70.00 3.50 20 Paid STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 200.00 470 10-30-67 PARK l EAGAN TOWNSHIP N? 1674 BUILDING PERMIT Owner t. C-~~ C. ~',c'.__..,..T- Eagan Township Address (present) :..f.``` Town Hall Builder k r.` / f C Date . Address i.. l DESCRIPTION Stories To Be Used For Front Depth Height EsY. 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 Yo 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 BE /KE~P,T ON E PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that......C X-~ ~0 "-:°::?-'----has permission to erect a..... upon r~ the above described premise subject to the provisions of the Building Ordinance for Eagan T nship adopted April 11, 1955. / . /x B----- Per -----....._.~Z.C.._./Buildin~~ns actor.-••--•----•------- Chairman f Tnwn oartlj / g p f •,••:b`:'+S:i?i.*.:i.- r.}v%d:•}}i:}}:L}}}}5:'•'•}}•4}h'W.•:{v,•.}}•,vv., :..,%ryv ~{A~~~~:;. .iv.. ,{v z:'•¢`..:, ..a:. ylx.. y.• 'Y} lz f•}>t,::v'''l-•,,{.;C . , ^ik' : '~2}J '?~gkcb''•M}:,rT'rJ.` :t•%C: •-x..?.. r.'<'%.~il ~i,:. r.t^,~„'. f:??.. .:.1>{.. t.: . .'%T' rlarl' v1 f: .}hL~~'.9~..':.:Y::.k'•.•Y'.'•~'.'•::::z:? }:.v%t{t•}+• Y .u^ r .,^.•xt{ r-i• r::,.^.t~...r r.F~~l•.:+: .:t.:^^.-:v h.ver.. - r: x/J •n.h• :n:•}: r.. .:•Y:h'•: V ~ t :yam.:. ::a:' .t::?•}}}: ::.t.... 4 v'•:St•}:{• Sim`.. . J.}~r. ',`•1 .`•r •l+.x? •'n•;C+{}:Y.:;:;• :.45:.2;'.¢:; °i'• : Jr} i`Ji :J:a? l:",` •:?N,:. .f.}:;:c;:i{.;;,;: z~: x•4~•... ..?::?•J. .J3,:.. .rJh .x . •^•.3i .•,r,•:'•`~~~'' ~{•:ti : Y4 ~?'fir .h+'/}'&~i"vti 5>'t...,}C, ~}$~a~p~ tt>)})J~~ try" }L••• Zv: z'Ma . .v.,....,m5S:2S'n-•n.i.{tit: ~2ivt\,... v.rYJ~vv+t:`i,ti%k~'a~C'%•i:QS ?,''i.+~.M(ri4~ , '}~N~v~Y~ +w~vv. ~4Xn: 1993 MECHANICAL PE kMI i 0MIIIENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN $5122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH),. ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 13.00 STATE SURCHARGE .50 TOTAL 9 93 3 SITE ADDRESS:_ 2 2 2 A OWNER NAME: 4 COL-1 Sr TELEPHONE S~ INSTALLER: COPS= 12A±1,04,ttm - ---A-r a, ADDRESS: ^I a I C 07,Y CITY: STATE: ZIP CODE. TELEPHONE #:7 SIGNA OF PERMITTEE Rim, 1"3 MECHANICAL PERMff (COMMMCIAL) CrTY OF EAGAN 39M PELOT KNOB RD EAGAN MN SS122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCLALANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MUL71-FAMELY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE:. CON7RACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OFpll-..0 FEE PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMEMS ONLY) INSTA1,LER:, ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERM=E CITY INSPECTOR 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 t C) r CCU New Constriction Reculrements 7 - 10 -C> V Re /Recdr Requirements > 3 registered site surveys showing sq. N. of lot, sq. ft. of house 1~ O 2 copies of plan and gQ rooted areas (20% maximum sot coverage allowecD i set of energy calculations for heated additions a 2 copies of plus (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additons & decks > 1 set of energy calculations > 3 copies of tree preservation plan If lot plaited after 7/1/93- r-- DATE: -I _ CONSTRUCTION COST: / DESCRIPTION OF WORK: kA-A-D STREET ADDRESS: LOT: BLOCK: SUBD./P.I.D. CQ~ C 0 J Name: agev j Phone PROPERTY Lost First OWNER Street Address: City ~~9'►) State: Zip:j Company. Phone (area code) CONTRACTOR Street Address: License # i~ Exp. " City AV-5 State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Street Address: Registration C City State: Zip: Sewer/water licensed plumber (if installing sewer/waterPhone* ( I hereby acknowledge that I have read this application, state that the informaWn is correct, and agree to comply with au applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: - ://n_ OFFICE USE ONLY Certificates of Survey Received Yes No JUL 1 0 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 03-plex ❑ 11 10-plex P1bg Y or_ N ❑ 25 Miscellaneous ❑ 06 04-plex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg. WORK TYPE ❑ 31 New ❑ 36 Move Bldg. ❑ 43 Reroof ❑ 32 Addition ❑ 37 Demolish (Bldg)* ❑ 44 Siding ❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair ❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq• ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Spdnklered MISCELLANEOUS INSPECTIONS ❑ Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge O Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies l Total: SAC Units % SAC r w j III~N s qu; I w u.~b!u h Cahij+. Wi 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) 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 g Block 13, Lots 1-15 15 208 The City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. /11; 11 1 Edward J. irsc t Sr. Engineering Technician cc: Mike Foertsch EJK/je EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: December 1,,,,--1967 NUMBER g, OWNER:-Cedar Grove Const. Co. Address Lot 8 Blk 3 C.G. PLUMBER Steins Inc. TYPE OF PIPE Cast J=n , DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units x Location of Connections: Connection Charge $200.00 Pd. Permit Fee $7.50 Pd. Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By Please notify when ready for inspection and connection and before any portion of tha work is covered. Use BLUE or BLACK Ink - - For C' Mr-, t-- Use Permit I City of Eapn I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 RECEIVED I Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 DEC 2 1 2011 I Staff: j 2011 MECHANIC L PERMIT APPLICATION Dater Site Address: Tenant: Suite RESIDENT/OWNER Name: Phone: Address /City / Zip: CONTRACTOR Fume: Mle W( Rolf ! rid. r License Address: 1gQ4 VC Im 11 111 ±rfel 1 City: i I~IJ State: rnn' Zip: E Oa Phone: uS 4-3 -1- 4 1 Contact: JQ 11 ii 1. Hem 1 Email:A J2 TYPE OF WORK New 4 Replacement Additional Alteration Demolition - Description of work:, NOTE: Roof mounted and grou unounted 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 *mace 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: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 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.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 n io start without a permit; that the work will be in accordance wit a roved 1 in ty~ec of work which requires a review and approval of plans x (i Y\ x Ap I c n 's Print Name AP ica I * bA% s Signatur 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 PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA103922 Date Issued: 04/24/2012 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 3991 Beryl Rd Lot: 8 Block: 3 Addition: Cedar Grove 5th PID: 10-16704-03-080 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Ashley Orman 130 Plymouth Ave N Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Standard Heating & Air Conditioning Joann 1\1 Heim 130 PIN-mouth Ave. N 3991 Beri 1 Rd Minneapolis NIN 55411 Eagan NIN 55122 (612) 824-266 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA127232 Date Issued:09/24/2014 Permit Category:ePermit Site Address: 3991 Beryl Rd Lot:8 Block: 3 Addition: Cedar Grove 5th PID:10-16704-03-080 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 house wrap 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 - Joann M Heim 3991 Beryl Rd Eagan MN 55122 (651) 493-0999 US Catastrophe Inc 3415 48th Ave N Brooklyn Center MN 55429 (763) 531-8000 Applicant/Permitee: Signature Issued By: Signature For Office Us" e e �✓ :, tr Permit#: 1 /fE AGA eb.. ME 0 2 nie Z1Permit Fee: 141 Date Received: a v 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 �s� � (651)675-5675 I TDD: (651)454-8535 FAX:(651)675-5694 Staff: r�l build ingi nspections(a,citvofeagan.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: Toti.An G3-in V i Tom. Phone:tr.cl 7' i'v—054" �#r Address/City/Zip: 399 1 E Y� Y Applicant is: A Owner Contractor Description of work: Lx 12, et-4C. Construction Cost: , I•# `" Multi-Family Building: (Yes /No /dam) company c S Ie in 140011.- 51e(44i Contact: Ft.•kc MO r-knsor) Contractor y Addressb?(i I2 -1-11 City: ROB-eill t;�,��. State: MA/Zip: 5566 O Phone:"/2(09-4 7/gtnail: License#: & 1i - Lead Certificate#: If the project is exempt from lead certification, please explain why: 1 r— J U �. =O ,i a 7''4/ ''� SU i v/i/ - / 1 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: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: 4 r4 y You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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. 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.00pherstateonecali.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with th ordinances an, 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 >/o permit; at the work will be in accordance with the approved plan in the case of work which requires a review and app• -I of plans. x ,Cln4c� er)Sa� J Lplicant s Printed J -i melica s Signatur ` p g - 36N ( g6- Lti vct /. //i - 0 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi I Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window ` Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation3 w dG�"'" Occupancy „rPL,- t MCES System ^.„ Plan Review V Code Edition l,9/,j SAC Units (25% 100% Zoning 14 ..1 City Water Census Code 41 3 41 Stories ___. Booster Pump #of Units J Square Feet /414, PRV —" #of Buildings Length /Z. Fire Suppression Required "' Type of Construction --- ,�� Width /1.. REQUIRED INSPECTIONS Footings(New Building) Meter Size: it Footings(Deck) Final/C.O. Required Footings(Addition) A. Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick—EFIS — Insulation Windows — Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control — Shower Pan Other: Reviewed By: , Building Inspector sc3;q RESIDENTIAL FEES �g� /i Phar 6 /5.e/0 PO Base Fee Surcharge Plan Review C7 0_. MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 ..:_,‘I A 1 - --14_,(1 Pcj. al . , , /..mmisp._-_- /410470,411167:1R-- Ale e . f 0 A Off 0 MOB kF,. • ii . 0&93'x 40 ' - 1 ' .... quimmos 1011001111., illinimpi ile, iliariorniimr dimmimp 0111Miliw • ..... .. 56.I.", ‘0, � ' IA., 1 'Hjhk. . II ar.9.,e 5 4 ON ' • a+ °I 7'G A :i 111b1 : IA. (LUK 1r W it 0 ////// ,,it . '5c7 titill Ali - . . . . , /0' 0 / -------„. _. tali. I19 II 4 (11)1' eik 37' 4iJt. fl4 AOsib ' . %I'll" .77 7' lig jr dolift 0 ifilif, IIP . glop de/ 4F 8 0 1111 . 4.. . , itle . el , . . . . , . . ea . # e#00 EP:GAN 4. eispo i .. . . . 09, 4 BUILDING li,:"., :,. i;,,.,'',,-.,3 ®IV!O