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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