4035 Beryl Rd2005 RESIDENTIAL BUILDING PERMIT APPLICATION
. S
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis Remodel/Reoair Reauirements 0?12
Gert cd ?ur?+?y R?cd
3 registered site surveys showing sq. ft. of loi, sq. ft. of house; and all roofed areas 2 copies of plan
1 set of Energy Calculations for heated additions ..
Tree Pres Ptan ?ecd
Y t?l;
(20% maximum tot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
t
i Tr?e Prss Required:
Septic Sysiem
Otrsite N
Y N
1 set of Energy Calculations c sys
em
Addition - indicate if on-site sept .
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date 4 /
Site Address ?
Description of Work
Multi-Family Bldg
Construction Cost
Unit/Ste #
Property Owner W+ Telephone # (?j? ) c' U 8 -alu ???II
Contractor
Address
State I ' 1
City N u
Zip 4;51I ?,_ Telephone # (Q')I)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categorv 1 Muinesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(,I submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a builciing in tagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start withod
r??azhi.ch-?
permit; that the work will be in accordance with the approved plan in the case of wo an
approval of plans.
ij I I
4 I I ?
? ? 2 ?105
Il?(1 Vi rn ? ?
Applicant's Printed NameT,- Applicant's Signature
OFFICE USE ONLY
Sub Types
0 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 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
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg ) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS '
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addiUon) _ Plumbing
Foundation _ HVAC
Drain Tile Oth.er
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace R.I. Ai r Test Final Windows
_
Insulation Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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Rev,ew cx? N?-rLr-: Lar is <70'x
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MEMO
_ city of eagan
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KtRSCHT, 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
Biock 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 ir? the above listed
subdivision.
Z//1Z
Edward J. irsc t
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
EfiGlaN TOWNSHIP
3795 PiZoC Knob Raad
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVIeE CONNECTIdN
DATE : MfL <?'/'r'I"?
.,
?
OWNEF.: 6'.??
PLj3MBER
NUP4BER ?? .3
Add re s s
TYP$ OF PIPE
DESCRIPTION OF BUILDTNG
Industrial l Comnnercial ( Residential I Multiple Dwelling I No. of units
?
Location of Connections:
Connection Charge 2oa. „0
Permit Fee 7_50
StraeC Repairs
Tota 1
Inspected by:
Date
Remarks:
By
ChiPf Inspector
Zn consideration of the issue and delivery to me of the above permit, I
hereby agree to do the propased wark in acco=dance with the ru2es and
regulations of Lagan Township, Dakota County, Minnesota
By . _.?s,?.?.,? _ ..-•,?`.? . .
Please nati.Ey when ready for inspection and connecticsn and before any port3.en
af the wark is covered.
2867131 ?
This request void 18 months from validaTion date printed in this box.
ONLY
?M&
PLEASE PRINT OR TYPE
Request Da Rough-in inspedi required2 ? Y. ? Inspedion Other Than Rough-In: kR€ady Now ? Will Call
`
? p)3 A? (You must call the inspedor when ready) Date Ready:
I, icensed contractor ? owner hereby request inspection of the above electrical work at:
Job Address (S}reef, Boz, or Roufe No.)
3S %fc. ;>. City
&C-r? Zip Code
SS?Ja.
Section No. Township Nome or No. Range No. Fire No. CouMy
Occupant Phone No.
Power Supplier
?"` ?• P'.•
? Addfess _J\
?
Q
Eledrimf Conirador (Company Name) Coniracfor License No. Master Lic. No. (Plant Eled. Only)
- -ag gAJ ?., C.d. 0lQ
Moiling Address (Contrador or Owner Performing Installation)
QL% 1 ,A ~ r.r 1 `4Z
,C A?ar eo in Installation)
Authorized XS,
S??
? PhNo
3? `3Cv
,
-
EB-00001A-10 NWN.4;/ STATE BOARD COP( SEE 1?vITRUCTIONS ON BACKOF YELLOW COPY
REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electricity
?I . -1 St Paul MN 55104
? 2 8 6 1? 3 1 8 * 1821 Univers?t}r Ave., R? ?a???
Phone (612) 642-0800
ome Duplex Apt. Bidg. 0ther: New Addn
Commercial Industrial Farm Remo e air
Air Cond. Htg. Equip. Water Hir. Load Mgmt. Other:
Dryer Ran e Elec. Heat Tem .$ervice
"?C' above the work covered by this request. Enter remarks in this spoce and on the b e whife copy only.
'????? e-??. ? -*? l rtl{ L .
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Calculate Inspection Fee - This inspection Request will not be occepted without the correct fee:
Other Fee # Service Entrance Size Fee # CircuitsJFeeders Fee
Mobile Home Park Stali 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200 Amps ov 00 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL
Sign/Outline Ltg. Xfmr.
AlormlRemote Control
Swimming Pool
I hereb certi thaf 1 ins ected ihe eledricai installation described herein on the dotes staTed
Irrigdtion Boom Rough-In Dore
$pecial inspection
Investigative Fee
THIS INSTALLATION MAY BE OR Dat
/
DERE DISCO NECTED NOT COMPLETED WITHIN 18 MONTHS.
' CITY OF EAGAN No
? 19 5 7 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
` PHONE: 454-8100
ILDING PERMIT
B
?
U Receipt # 2-
To be used for GARAGE Est. Value $6,000 Date AUG 20 1 g 91
Site Address 4035 BERYL RD
Lot 2 Block 4 SeclSub. CEDAR GROVE 5'ri? OFFtCE uSE oNLY
Parcei No. occupancy M-1 FEES
Zoning R-1
W Name JIM REIFSTECK (Actual) Const V-N Permit
Bidg 81• d0
o Address 1+035 BERYL RD (Allowabie) V-N . 3
00
City EAGAN Phone 454-1951 #otStories - Surcharge .
' Plan Review
Len th
9 ?„?
p Name SAME Depth 221 Cit
SAC
??
Address
S.F. Totai
- ,
y
SAC, MCWGC
1- CItY Phone S.F. Footprints -
t
W
C
On Site Sewage
- er
a
onn
1-
W W
Name
On Site Weil
M
W
Ww -
ater
eter
AddfBSS MWCC System _____
Acct. Deposit
a W Clty PhOt18 City Water _
PRV Required _ S/N! Permit
I hereby acknowlege that I have read this application and state that the Baoster Pump - g/W Surcharge
information is correct and agree to compty with all applicable State of
Minnesota Statutes and City of Eagan0 inances. Treatment PI
i Signature of Permitee ' L APPROVAIS Road Unit
A Building Permit is issued to: JZM R IFSTECK Pianner - park Ded.
on the express condition that aii work shali be done in accordance with aii Council -- 1
50
applicable State of Minnesota Statutes and City ot Eagan Ordinances. gld9, pff. Copies ,
Building Officia)
t t Variance ?- TOTAL $5. 50
\.
?
BUILDING PERMIT
To be used for ?'',RiR
Est. Va{ue $(> .()()()
Site Address -4035 $???it'D
Lot 7_ Block 4 Sec/Sub. C
Parcel No.
11 ? Name .#tM RETE,TEc^a€
w
3 Address ???tcYt- RD
0 City RACAN Phone 454..1 OSt
, o Name S.?MF
=
??U
Address
I" City Phone
W W Name
?
Address
a W City Phone
I hereby acknowlege that i have read this application and state that the
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: Jx? ?IFSTECK.
on the express condition that ali work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, AMN 55121
PHONE: 454-8100
Occupancy
Zoning
(Actuaq Const
(Aliowable)
# of Stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Weii
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Oft.
Variance
Receipt # - i _'
Date AX1?20 , 19-91_
OFFICE USE ONLY
?t
tt?3
FEES
Bldg. Permit
Surcharge
Plan Review
-?i SAC, City
- SAC,MCWCC
Water Conn
- Water Meter
^ Acct. Deposit
SlW Permit
- SIW Surcharge
Treatment PI
Road Unit
- Park Ded.
Copies . 1 • "
` TOTAI ??
Permit No. Permit Holder Date Telephorte #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings 1 ? 3 LU?
Foundation
Framing rG/ (
Roofing
Rbugh Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Oeck Final
Weil
Pr. Disp.
CITY OF EAGAIU Remarks * Cedrlx G1"oVe ACQufs3.tfOri
Addition CEDAR -GROVE #5 Loc 2 Blk '¢ Parcel ZO 16704 020 44
Owner Pb:??'. l1 twi street 4035 BeX'yl RDe3d state Eagan, MN 55122 ,
improvement Date Amount Annual Years Payment Receipt Date
STREETSURF,
STREET RES70R.
I
? GRADING
' SAN SEW TRUNK L jQB:;T 100.00 5.00 20 Paid
SEWERLATERAL 3 196 540.00 27,00 20 Paid
WATERMAIN
* WATERLATERAL 1972 607.00 24.28 25 437.04 A006171 6 Z0/78
WATER AREA
STORM SEW TRK -7 1970 70.00 3.50 20 38.50 A006171 6 20 78
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER COIVN.
BUILDING PER,
SAC
PARK
EAGAN TOWNS H I P
BUILDING PERMIT N°• 1845
+" . 1--y.: _?
Ownei ---...? _?- =1-:: -'-•--•-•- •-• - -. ..-----?--•-•--•=-
.:.?-_----•-- --•-• Eagan Township
Address (Present) --•.,J1 .-•--=?[1.?...=•-• a:-•-??. --•--•---• .............• Town Hall
Builder ............ -...................................................................................
Date ..........................
Address .-•--.--•--••--••-• .................••-•---•----•----••-•-•--•---
---•---------------•-•----•-•
DE5CRIPTION
52ories To Be Used For Front Deplh Heighi Esi. Cosi Permit Fee Remarks
., .
,,.
_r _, ? 4,
,,? •
? - f;?
LOCATION
v.?c?.. ca aap.aa va uva,aaavaa I a..va uavc?c L144111Vi1 vs araai
? ? - CiL+?.,.?gc? ,f. "b-.YC<.? .a`'S
This permii does aot sutkoriae the use of stree2s, roads, alleys or sidewalks nor does it give 3he owner or his agent
the right to creaYe any situation which is a nuisance or which presents a hazard !o the healYh, safeYy, convenience and
general welfare !o anyone in 2he communi2y.
THIS PERMIT MUST BE KE T ON THE PREMISE WHILE THE WORK I5 IN PROGRES5.
This is to certify, lhat..?.,.._?.................... has permission to erect a___,;7_......... ._...'..?'"?.................. ? upoa
?f .... --
!he above described premise subject to the provisions of the Buiiding Ordinance for Eagan ownship dopYed April 11,
1955. ..
. . ? ?
°•°----••-•-•----...... . --? -----••• . - - •-?,-.?.L:s.??.=--=-?._..-•-----• Per ---•--- •--- .c-.._..- .=? -'•-?-=?= r--- ?•t-?• ?••-•--•-•-
- -•-••--•-•--
Chairm? of Tnwn Board Building Inspecfor
r ?=,;
i 1991 BUILDT A ICATION
CITY OF EAGAN ?
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL ?
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURALSP
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS •
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
-?
Lo t -----
?
t
Valuation: Date: ?-?
tl "?
C1 OFFICE USE ONLY
Block ?
Parcel/Sub _??T;?l42 ???{7? S-F°`.i Ab?'}w,
<<?' r? e a.. ? s r,.
yr,
Owne r
rt rr
Address 41o'
City/Zip Code C&: 30*y
Phone 41 „?" 7.
k,-+ 6 ^? }4
Contractor , e./
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
FEES
Occupancy +? " 1 Bldg. Permit ?% ?
Zoning Surcharge
Actual Const •, -t?; Plan Review
Allowable , . p?, SAC, City
# of stories SAC, MWCC
Length T ? Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage _ Treatment PI.
On site well Road Unit
MWCC System _ Park Ded.
City water ^ Trail Ded,
PRV ? Copies ?
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL ??U
Bldg. Off.
Variance
Sewer/Water Licensed Contr.
`•t.rv?
&Lea agrees that all work shal.l be done in accordance with
67 (Signatu ' of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113975
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 4035 Beryl Rd
Lot:2 Block: 4 Addition: Cedar Grove 5th
PID:10-16704-04-020
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Tammy Donner
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Dale J Driscoll
4035 Beryl Rd
Eagan MN 55122
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature