3997 Beryl Rd
to 3s
Re s Date Fire o. Rough-in Required Inspection Other Than R:"u~gh-In
(You m t call inspector when ready) E] Ready Now 1=-1ill Notify Inspector
Yes ❑ No Date Ready
I ~ ensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Roue City
Section No. Township Name or No. Range No. County
Oc u ant (PRINT) Phone o.
T6 P-K i I./- I n 5 sLf 90 (
Power Supplier Address
4~ 3a& :W c G~ ar
Ele trical Contractor (Company Name) Contract is License No.
Mailing Add ss (Contr or or Owner Maki instal tion)
d Z 2_
Authorized S lure (Contrac wner Inst on) Phone Number
-9ell. pill I Jz
l6RKESOTA STATE BOARD OF CTRICITY THIS INSPECTION RE EST WILL NOT
Griggs-Midway Bldg. - Room S-128 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION a' EB-00001-09
4 See instructions for completing this form on back of yellow copy.
H isn^r
X" Below Work Covered by This Request
New A d Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below: e 1<e P-
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 001 j 0 to 1 0 Amps
Transformers Above 200 Amps Above 1 Amps
Signs Inspector's Use Only: TOT L
Irrigation Booms t.{v
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M HS. ,50 I, the Electrical Inspector, hereby Rough-in f Date
certify that the above inspection has /
Final D
been made. r
OFFICE USE ONLY
This request void 18 months from
V~'1'7~6 9
4~0_
Request Date _ Fire-No. + Rough-in Inspection NOTICE: You Must Call Electrical Inspector
Required? It A Rough-In Inspection
❑ Yes o Is Required.
I licensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
3 ? rJ 'e- C
Section No. Township Name or No. Range No. County
Occupant (PRINT) TO /p Phone No.
Power Supplier Address
Electrical Contractor (Company Name) Contractor's License No.
ONLE E N , , . CAA C;' im :2
Mailing Address (Contractor or Owner Making Installation)
3t i U
12 APPLE VALLEY NIN-75124,,
Authorized Signature ( ctot/Owner Making Installation) Phone Number
431-6x3641
MINNESOTA STA OARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 - UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
I) fy REQUEST FOR ELECTRICAL INSPECTION ~r ea-ooo-
I► See instructions for completing this form on back of yellow copy.' ;r1 5
21569 X" Below Work Covered by This Request ~Y
New Aed Rep, TYPeofBuildin9 APPIiancesWired E9uiPmentWired
I
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below: ~
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps A 100 Amps
Signs Inspector's Use Only: TOTAL f'G
Irrigation Booms
Special Inspection I`
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final Date
been made. y
OFFICE USE ONLY
This request void 18 months from
AGAN Remarks * Cedar Grave Acquisition
Addition CEDARR GROVE #5 Lot 9 Blk 3 Parcel 10 6704 090 03
Owner Street 3997 Beryl Road State Eagant MN 55122
i
Impr ement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 3 Z 1967 100.00 5.00 20 Paid
SEWER LATERAL 196 530.00 26.50 20 Paid
WATERMAIN
* WATER LATERAL 1972 607.00 24.28 25 Paid
WATER AREA
STORM SEW TRK 1970 70.00 3.50 20 Paid
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 200.00 533 11-29-67
PARK
r
EAGAN TOWNSHIP
N? 1694
BUILDING PERMIT
Owner -c Eagan Township
Address (present) _'4...___- 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 I Lot_ Block ' Addition or Traci
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 BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that ___.permission to erect a.• . _ ° • ......_upon
the above described premise subject to the provisions of the Building Ordinance for Eagz " Township" adopted April 11,
1955.
ti
'~ec Per ms
Chairman of Tnwn Board Building Inspector
i
-
CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 8 3 5
(612) 681-4675 Date Issued: 06/16/95
SITE ADDRESS:
3997 BERYL RD
LOT: 9 BLOCK: 3
CEDAR GROVE 5TH
P.I.N.: 10--16704-090-03
DESCRIPTION:
(FAMILY ROOM)
Building Permit Type SF ADDITION
Building Work Type NEW
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
VALUATION $11,000
Base Fee $174.75
Plan Review $61.16
Surcharge 5.50
Total Fee $241.41
CONTRACTOR: OWNER: Applicant -
JONES THOMAS
3997 BERYL RD
EAGAN MN 55122
(612)454-8061
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 Mn.
Statutes and City of Eagan Ordinances.
d>0WA, A rh
PLICAN ERMIT E SIGN XSPEC SSUE D B SIG UR
IAT VON RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 0 2 5 8 3 5
Eagan, Minnesota 55122-1897 Date Issued: 06/16/95
(612) 681-4675
SITE ADDRESS: P.I.N.: 10-16704-090-03 APPLICANT:
LOT: 9 BLOCK: 3
3997 BERYL RD JONES THOMAS
CEDAR GROVE 5TH (612) 454--8061
PERMIT SUBTYPE: TYPE OF WORK:
SF ADDITION NEW
DESCRIPTION (FAMILY ROOM)
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTINGS FRAMING
INSULATION FIREPLACE
FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
L-
114
Po^
loot
A a~ `p d
44'
Living Room Farrily
Kitchen Room 15'
22
Bec1-oo n
sa s_ - _ Garage
0 8 Open Poch 7
123 12
Bed-
Bed-oorn
22'
C~+3 ~
Thomas & Kimberlie Jones
Property Address
3397 Beryl Road
City County State Zip Code
Ea an Dakota MN 55122
CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
(BASED ON 1994 STATE ENERGY CODE)
I.
OWNER:
r' 1
1 f
SITE ADDRESS:`
CONTRACTOR:l ~<< DATE: ?=PHONE:
Determine working square footage and overall 'U' value of each
1. Total exposed wall/foundation area above grade sq. ft. x .11
2. Total exposed roof/ceiling area sq. ft. x.026 =
3. Total exposed floor/cantilevered area sq. ft. x.04
Determine square footage of each exposed WAIIHoundation area "segmtnt":
a. Total wall window area 5
b. Total door area /r
c. Total sliding glass area C~
d. Total fireplace wall area
e. Total wall framing (average 10%) - See Fig. 1
f. Total net wall area above floor (rim joist) - See Fig. 2
g. Total rim joist area - See Fig. 3
Total exposed wall area above foundation =
h. Total foundation window area
i. Total net foundation area above grade - See Fig. 4
Total exposed foundation area =
Determine ' value each exposed fun a ion area "segmen
a. X'U' 5 -
b. X 'U' _ <7
C. X 'U'
-
d. X 'U'
-
e. X 'U'
-
-
f. X 'U'
g. X'U' I = o
~~j
h. X 'U'
i X 'U' 4. Total actual 'U' value for exposed waillfoundation area =
(If item #4 is the same as, or less than item #1, you have met the intent of the State Energy Code.)
Determine square footaae of each exposed roof/ceilina area "segment":
• j. Total skylight area .
k. Total roof/ceiling framing area (average 10%) - See Fig. 5/6
1. Total nQj insulated roof/ceiling area - See Fig. 5/6 .........w
Total exposed roof/ceiling area
Determine 'U' value of each exposed roof/ceilina area "segment":
k.1 l ' XU L X 'U, 5. Total actual 'U' value for roof/ceiling area
(If #5 is the same as, or less than #2, you have met the Intent of the State Energy Code.)
Determine square footaae of each exposed floor/cantllevered area "segmen
m. Total floor/cantilevered framing area (average 10%) - See Fig. 6 "
n. Total net insulated floor/ceiling area - See Fig. 6
Total exposed floor/cantilevered area
Determine 'U' value of each exposed floor/cantilevered area "segment":
m.x 'U' = 1/
n. XU 6
6. Total actual 'U' value for floor/cantilevered area= -77 7 ~
(If #6 is the same as, or less than #3, you have met the intent of the State Energy Code.)
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum of Item #4, #5, and #6 shall not be
greater than the sum of Item #1, #2, and #3.
1. +2. +3. _
4. +5. +6 =
I hereby certify that I have calculated the 'U' factors and 'R' values herein and that the building herein described
meets, or exceeds, the 1994 State of Minnesota Energy Code.
gn ure
Date
GUIDELINE TO (R) FACTORS FROM ASHRAE HANDBOOK
► 'U' value = Thermal Transmittance
'R' value = Thermal Resistance
'U' value = the reciprocal of 'R'
'R' value = the reciprocal of 'Ll'
Therefore, 'U'= 1PR' an 'R' = 1PU'
• The smaller the 'U' value, the greater the insulating capabilities of a component.
The larder the 'R' value, the greater the insulating capabilities of a component.
► 'R' values can be obtained for each of the various components of a building section (assembly) and then
added together to compute the 'R' yjlue of that section (assembly). But note that you cannot add 'U'
values of the various components of a building section (assembly) to obtain an "overall" 'U' value.
NOTE: The following are typical 'R' values for the items listed:
(Ei.)
Interior Air Film.(walls) 0.68
Exterior Air Film (walls) 0.17
Interior Air Film (vented ceiling) 0.61
Exterior Air Film (vented ceiling) 0.61
Interior Air Film (non-vented) 0.61
Exterior Air Film (non-vented) 0.17
NOTE: The following are typical 'U' values for the items listed:
(A)
All Windows
(w/storms 1" to 4" space) .56
Removable Double Glazing (RDG) .55
Thermo or Welded 3/16" air space .69
1/4" air sp_._. 65
"'172" air space 58
1-3/4" Solid Core Door .46
w/storm, wood .31
w/storm, metal .26
Pease Steel Door Insl/N/CL 7.45R .13
Sliding Glass Door - Wood .65
- Metal .715
(When a window or door has been specifically tested by a manufacturer for'U' value, those values as given
may be used in lieu of the above.)
CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 8 3 6
(612) 681-4675 Date Issued: 06/16/95
SITE ADDRESS:
3997 BERYL RD
LOT: 9 BLOCK: 3
CEDAR GROVE 5TH
P.I.N.: 10-16704-090-03
DESCRIPTION:
Building Permit Type GARAGE/ACCESSORY
Building Work Type ADDITION
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $3,000
Base Fee $74.75
Surcharge 1.50
Total Fee $76.25
CONTRACTOR: OWNER: - Applicant
JONES THOMAS
3997 BERYL RD
EAGAN MN 55122
(612)454-8061
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 Pin.
L< Statutes and City of Eagan Ordinances.
~~Mzo C
APPLICANT/P RMI EE SIGN U ISSUED B : SI TURE-
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 5 8 3 6
Eagan, Minnesota 55122-1897 Date Issued: 06/16/95
(612) 681-4675
SITE ADDRESS: P. I. N. : 10-16704-090-03 APPLICANT:
LOT: 9 BLOCK: 3
3997 BERYL RD JONES THOMAS
CEDAR GROVE 5TH (612) 454-8061
PERMIT SUBTYPE: TYPE OF WORK:
GARAGE/ACCESSORY ADDITION
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPT11.
FOOTINGS FRAMING
FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
PERMIT ' 7
CITY OF EAGAN a-C/4
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 023710
(612) 681-4675 Date Issued: 05/25/94
SITE ADDRESS:
3997 BERYL RD
LOT: 9 BLOCK: 3
CEDAR GROVE 5TH
P.I.N.: 10-16704-090-03
DESCRIPTION:
(EGRESS WINDOW)
Building Permit Type SE (MISC.)
Building Work Type ALTERATION
REMARKS:
FEE SUMMARY
VALUATION $800
Base Fee $21.00
Surcharge .50
Total Fee $21.50
I
I
CONTRACTOR: - A p p l i c a n t - ST. L I C. OWNER:
HANDYMAN SERVICES 18905073 0005876 JONES TOM
12751 COUNTY ROAD 5 3997 BERYL RD
BURNSVILLE MN 55337 EAGaN MN 55122
(612) 890-5073
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 Mn.
L Statutes and City of Eagan Ordinances.
e
APPLICA ERMITEE SIGN RE ISSUED SIG ATUR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 023710
Eagan, Minnesota 55123 Date Issued: 05/25/94
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 9 BLOCK: 3
3997 BERYL RD HANDYMAN SERVICES
CEDAR GROVE 5TH (612) 890-5073
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) ALTERATION
DESCRIPTION (EGRESS WINDOW)
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
FRAMING ROUGH IN PLBG
ROUGH IN HTG FINAL
I
L
PERMIT1
,CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 023158
(612) 681-4675 Date Issued: 03/25/94
SITE ADDRESS:
3997 BERYL RD
LOT: 9 BLOCK: 3
CEDAR GROVE 5TH
P.I.N.: 10-16704-090--03
DESCRIPTION:
(ROOFING)
Building Permit Type SF (MISC.)
Building Work Type REPAIR
REMARKS:
FEE SUMMARY:
VALUATION $1,600
Base Fee $37.00
Surcharge .80
Total Fee $37.80
CONTRACTOR: - A p p l i c a n t- OWNER:
RUUD'S ROOFING 18810288 ANGERHOFER NANCY
9313 1ST AVE 3997 BERYL RD
BLOOMINGTON MN 55420 EAGAN MN
(612) 881-0288
I hereby acknowledge that I have read this application and st,at-e that, the
information is correct and agree to comply with all applicable, ~;tate of inn.
Statutes and City of Eagan Ordinances.
APPLI T/PERMITE SIGNA "RE SSU D Y SIGNATURE'
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 023158
Eagan, Minnesota 55123 Date Issued: 03/25/94
(612) 681-4675
SITE ADDRESS: LOT: 9 BLOCK: 3 APPLICANT:
3997 BERYL RD RUUD'S ROOFING
CEDAR GROVE 5TH (612) 881-0288
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) REPAIR
DESCRIPTION (ROOFING)
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FRAMING ROUGH IN PLBG
ROUGH IN HTG FINAL
(
I~'u I r:
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.
~'Q~
Edward J. irsc t
Sr. Engineering Technician
cc: Mike Foertsch
EJKAe
I
i
r~;
i EAG143 TOT? 1~.. H1P
4795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454«5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: November 27, 1967 NUMBER
OWNER: Cedar Grove Const. Address 3997 Beryl Roadf
PLUMBERStein, Inc. TYPE OF PIPE Cast Iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
i
x 1
e~t~kdc~
Location of Connections: Connection Charge
Permit Fee
i
Street Repairs
Total
Inspected by:
Date
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the abo're permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota
Stein, Inc.
B
Please notify when ready for inspection and connection and before any portion
of the work is covered.
16'
00
~Le
A0
py
~h 1
44,
Living fto7 Farrily
Kitchen Room I a
22
eedroam
3S' s 22 Garage
o -6 _ aPen Porch 7
77' r
23' 72'
Becf-ocm
o
22
I ~
i3
f
14
Thomas & Kimberlie Jones
Property Address
3397 Beryl Road
City County State Zip Code
Eagan Dakota MN 55122
ION RECORD
Crr*f OF EA AN RWTTYP :
3M P1W Knob Road Permit Number,: 026836
UW, Mier bta 55122-1897 Date ISffiu€Id 06 ~ 1 P -4
W4681-4675
WMAWRESS: APPLICANT:
t ti 1 < f i t i# , 3
YI 10 14 1,-, "'o
-OAR -WOVI -14
!MWT "TYPE; TYPE WORK;
N1`#J
til A t t ON 1.14AI
-V4 14Alik`-~ ;VPA VII Vt'11MI # I", 1o,ot}i,ovo a-or, r'i `d, #'i-F_`c,rt1 I C A f r:W 131 4114 0, 1 H!~'
E f~k ASK 2tti ry
0
~~~~.t4'~ ny's~ ..eIRt1^'r~.hi~W`f;'~::~~ ,lit ♦l~. d. ~ a„ >
f +"!k '5.1~k ~ t, f. + '✓~a ~"g~tf~i`'1 ! ~1 _..3,4 ~ ~ r _ s~~ i.k , ! .t= ~ y i
_r~
Wool
tka Conumonts
t
r
FOLNO
ROOFM
i
ZOO AIRTEST
moum
'Y t
c
a" sw
taw ao~o
F4 ACE
AIA 7Effi'1'
F!!W. P~18(3
F~FAL HTQ
CNVW
TEST
cao FBMK
I
Bl W Fillllt.
1
DECK "G
M-M RN&
INSPECTION RECORD
WY OF EAGAN PM W TYPE: OU I U 1146
3 WO Pilot Knob Road PerrnK Number. 0268,36
Eagan, Minnesota 55122-1897 Date InLod; d f'1 /g
{~12} 6131-4675 _
U, N Al" ~JS ~ l e r P 3 4 090 #3 , i APPU ANT.
CVCali14 6.l2UVU E-;'fII f 1 41,>4 8 1.
" ° TYPE. TYPE OF WORK:
~IUR t
Y
k i M A tti ►S; ° - t : f' I' A h i l" I I' . I! -I t ff 0I 0 h I J , F U t t C' I I- A t_ + ' `t
fb:. fl[ ow 'firMpsp
P
HVACC
fR~.88
JIBi tE's~'
MUG H
t-ATOO
t1a sMC
YEBT
v4sm
GYP BOARD
FWAWLACE
FNAL PLBG
FNAt. HM
011W
TEST
BLDG MAL
Bswr R.L
BsAf PWAL
DeCK F rG
DECK FNAL
INSPECTION RECORD
W OF EA►GA►N PERMIT TYPE: If to t t (I t N 4
3830 Pilot Knob Road Permit Number: ~ 3 1 1 0
Eagan, Minnesota 55123 Date tssued: vow
(612) 681-4675
SITEADDRESS: r r r t_ r i; t „t t, APPLICANT:
5 tF~i*~~ ~?U HANLe` MAN 1-RV ICt: : -
PERMIT SUBTYPE: TYPE OF WORK:
r, (1416 ~._t r .t.tc#+
3!
1'N
gig
ROU614 IN 711tfi 7 77 1, 7
! l pia PWM Mokk DOW Takoft" F
eLECTFdC
Owpo lon
Flo l
p
Fourdistion
FMV"
PAKWAV
FICUO pptg-
Pbugh Fft.
trail.
PAWIWG
Finn Mtg.
Omal Teot
Rnal Mg. Plbg. Inspector - Notify Plumber
Coast. Meter
EngrJPl2ut
Bldg. F'mal
Dock Fig.
Cock Fl
Y
Pr. Disp.
F - . _ MR... .A ..r ...rte. - - -x~- - . s.- w' .,M n ~ ...n'.~ v ~ ~
INSPECTION RECORD
• ~ ~ ~~~:~r ~ ire
" 01: EAGAN PERMIT TYPE.
3&.`30 Pilot Knob Road Permit Number: 02-:3 1',
Eaten; Minnesota 55123 Date issued:
{612) i €1.4675
itMAWRESS: APPLICANT:
3991 1#1-.kyi. kC) is (f! itCtt1 LNO
PEi t' SUBTYPE: f \ TYPE OF WORK:
Ni PAIR
RA"xis rats+Aii IN I I :p
,Alf
j,a
F OM* flak P t am* F
tow
tK~1iiA.
COWAN"ft
~e
i
i
,r
t4
f
"r Fkiei tom.
0" Tw
Fkwf ptgg pbg - Y ftffj"
ClOnlt. !fir
F
8mg. A"
Dal* FkW
WN
Pr. Diw
s. S RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 T
New Construction Requirements RemodellReaair 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 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE VALUATION
SITE ADDRESS 1 I= _ l MULTI-FAMILY BLDG `Y` N
TYPE OF WORK \1 < i ' I FIREPLACE(S) 0 - 1 -2
APPLICANT Catastrophe Restoration Services Inc
STREET ADDRESS 2489 Rice St quite 70 CITY 1 DSeV,je STATE nnNZIP 55 112
TELEPHONE # 651-734-9422 CELL PHONE # FAX # 1251_423-0:219
PROPERTY OWNER TELEPHONE # COMPLETE FOR "ANEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(~l submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code-VVorks'hqet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _______________AY________ Phone #
Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00
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 Eagan Ordinances.
Signature of Applicant
)
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 _ 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
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
1A
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address:
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK_ SUBD. P . I . D . #
Description of work:
The applicant is: ❑ Owner ❑ Contractor ❑ Other (Describe)
Name Phone
Property LAST FIRST
Owner Address
STREET STE #
City State Zip
Company Phone
Contractor Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE r..
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition D 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ .Site ❑ Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace
Permit Fee veiuati«,: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total.
SAC %
SAC Units
CITY OF EAGAN_
3830 PILOT KNOB RD - 55122 `
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Requirements Remodel/Re sig_ r Requirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan if lot platted after 7/1/93
required: _Yes _ No
/
DATE: 4~ w CONSTRUCTION COST:
F--~- ~ el ~ -A;v,~--
DESCRIPTION OF WORK: t7 xl~)- Lk L 55 7;~)
STREET ADDRESS:
LOT BLOCK SUBD./P.I.D.
l C'SC'
P-T
ti
PROPERTY Nam 5 S e ef'~6° Phone
OWNER F'asr
Street Address
City: State: Zip:
CONTRACTOR Company: Phone
Street Address: License
City: State: Zip:
Company: 6~* , Phone
Name: Registration
Street Address
City: Z3/~c~ State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
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.
Signature of Applicant: c r! 1(~~,
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No
r -w
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Mufti Repair/Rem. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-plex cmK- 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex • ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 - plex ❑ 15 Deck
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 36 Move
CW- 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code 0/
Census Bldg
Census Unit o
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn. p, s X,6 ; /(ni 6 Z, ( f
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
I
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reouirements Remodel/Repair Reauirements
i
3 registered site surveys ♦ 2 copies of plan
2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
4 1 energy calculations ♦ 1 energy calculations for heated additions
4 3 copies of bree preservation plan if lot platted after 7/1193 '
required: Yes No
DATE: CONSTRUCTION COST: C
DESCRIPTION OF WORK:
3~11F'2
STREET ADDRESS:
LOT BLOCK SUBD./P.I.D.
P~ i:t
PROPERTY Nam S ~e-ef<~° Phone* ~ ~0" ;
OWNER FIRST
~G
Street Address C-- t~
City: State: ,~r Zip:
CONTRACTOR Company: Phone
Street Address: License
City: State: Zip
Company: -S Phone
ZiL
~R
Name: Registration #
Street Address• f f f ~I- - -
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
1 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.
Signature of Applicant:
OFFICE USE ONLY {
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool
x-03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex -o 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 __7plex ❑ 15 Deck
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 36 Move
..caa-32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
77-
Length sq. ft. Census Code. -7-3/
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit a
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ l~
Surcharge
Plan Review
License
MCMS SAC
City SAC
Water Conn. Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
s
Park Ded.
Trails Ded.
Other
Copies '
Total:
% SAC
SAC Units
CITY OF EAGAN
23110 1994 BUILDING PERMIT APPLICATION ^I ;
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address:
STREET SUITE #
Tenant Name: (commercial only)
LOT_ BLOCK SUBD. ~~s rr } P . I . D . #
l-~/~.~,-. 1.~.^v
Descri tion of work:-
The applicant is: ❑ Owner fl Contractor ❑ Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE #
City State Zip =-z'jZ2-.
Company Phone
Contractor Address License Exp.r
p
City
State Zi Z
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
OFFICE USE ONLY `
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st Fl. sq. ft. City Water
UBC Occupancy 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS Census Undi t
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site ❑ Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace
Permit Fee vetuat;«n: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total.
SAC
SAC Units
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112882
Date Issued:08/26/2013
Permit Category:ePermit
Site Address: 3997 Beryl Rd
Lot:9 Block: 3 Addition: Cedar Grove 5th
PID:10-16704-03-090
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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.
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 -
Kimberlie Jones
3997 Beryl Rd
Eagan MN 55122
(651) 454-8061
Reroof America
10740 Lyndale Ave S
Suite 10W
Bloomington MN 55420
(952) 888-8440
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165309
Date Issued:10/27/2020
Permit Category:ePermit
Site Address: 3997 Beryl Rd
Lot:9 Block: 3 Addition: Cedar Grove 5th
PID:10-16704-03-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Leonard C Steidel
3997 Beryl Rd
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169623
Date Issued:06/03/2021
Permit Category:ePermit
Site Address: 3997 Beryl Rd
Lot:9 Block: 3 Addition: Cedar Grove 5th
PID:10-16704-03-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Leonard C Steidel
3997 Beryl Rd
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature