4040 Beryl Rd
Use BLUE or BLACK Ink
I
For Office Use
j Permit y `J 0 ( I
City of Eap~ o
Permit Fee.
3830 Pilot Knob Road
Eagan MN 55122 i Date Received:-
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 1 I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: V rr ttar"n Mal, 'sS ZZ
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
1 r Al is: Owner Contractor
TYPE OF WORK Description of work: kle's ~ f
Construction Cost: 0 Multi-Family Building: (Yes / No )
CONTRACTOR Name-., p 9-' License
Address: Z. 105 f~ 1 City: i ~
State: F Zip: Phone: t - Lattl
Contact: Email:
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.ctopherstateonecall.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 tart without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval f lants:
X- f' r x
Applicant's Printed ame Applica is Signature
Page 1 of 2
~V
City of Eapn
Mike Maguire January 14, 2008
MAYOR
Paul Bakken First American Title Insurance Company
Peggy Carlson 14551 County Road 11 Suite 120
Cyndee Fields Burnsville, MN 55337
Meg Tilley
COUNCIL MEMBERS Your File No. 849909
4040 Beryl Road
Thomas Hedges
CITY ADMINISTRATOR
The City is returning your check 7712376 in the amount of $259.54, because of an
incorrect amount.
The balance due for this property at 12/28/2007 was $649.59. See the attached special
assessment search summary. In addition, the amounts shown have been levied by Dakota
MUNICIPAL CENTER County to be payable with the 2008 taxes.
3830 Pilot Knob Road
Eagan, MN 55122-1810 Please make payment in the correct amount to Dakota County to relieve the purchaser of
651.675.5000 phone the property of this liability.
651.675.5012 fax
Thanks for your attention to this matter.
651.454.8535 TDD
Sincerely
MAINTENANCE FACILITY
3501 Coachman Point
Eagan, MN 55122 Ryan Stevens
651.675.5300 phone
651.675.5360 fax
651.454.8535 TDD Enc:
Special Assessment Search
Check 7712376
www.cityofeagan.com CC: Parcel File
THE LONE OAK TREE
The symbol of
strength and growth
in our community.
First American Title Insurance Co., Burnsville
PR. NCNTRL Ofc. 317 (771) (HMF/HMF) CHECK NO. 7712376 - FILE WOCP9909 SETTLEMENT DATE: 12/27/2007 CHECK ANIOUNT$ 25954
DA 7
BUYER: Scoff, et al SELLER: Bank of New York, as Trustee
Property Address: 4040 Beryl Road, Eagan, MN 55122
Lot: 9
Funds Due Re:
Charge Details:
Unpaid Utility Bill: ",259.54 -
ORIGINAL DOCUMENT IS PRINTED ON CHEMICAL REACTIVE PAPER& HASA MICROPRINTED BORDER fl
[/Sl Ff{12eric( jt Title, hisuranCe CO. PR. NCNTRL First American bust FSB 7712376
v Ofc. 31 T(771 } ~ 5 First American Way !
1,4551 Count} ;Road 11..suite 120
i ' Santa Ana CA 92707 90-4125/1222
Burnsville, Lf,'V 5533?
i
(9 )89 1 _41
Date 12/28/2007
FILE NO. 849909
E
PAY ;c7rx~c;~x c~cxx xx7cx ix4W"v ~c xxr
$2559.54 DOLLARS S* ' *259.54
Escrow Trust Bank Account
Re:; VOID AFTER 190 DAYS
TO THE City of Eagan n_
ORDER
CzS'an f Al 5-~'/ a
OF
III?? 123761I' 1:1 2 2 2L. 1 2551: 300771000011'
Report Name: Printed: 1/4/2008
Assessment Search City of Eagan
Special Assessments Search Page: ~1
Property ID Lot Block Addition Addition Name/Legal
10-16704-090-05 9 5 10 16704 Cedar Grove 5th
95
Property Address Property Status - - - - - Special Flags - - - - - 2007 P&I Cert:
4040 Beryl Rd Active 1 2 3 4 5 6 7 8 9 10 $272.82
Eagan, MN 55122 N N N N N N N N N N
SA Nbr Description Year Term Rate Total Curr Prin Payoff Status
100032 SW TRK/LAT 1966 20 6.0000 $100.00 $0.00 $0.00 Closed
100033 SEWER LAT 1967 20 6.0000 $525.00 $0.00 $0.00 Closed
100077 STM SW TRK 1969 20 6.0000 $70.00 $0.00 $0.00 Closed
100167 WATER LAT 1971 .25 8.0000 $607.00 $0.00 $0.00 Closed
102464 ST 617R 1994 15 6.5000 $2,000.00 $0.00 $0.00 Prepaid
102468 STLT 654 1994 15 6.5000 $221.58 $0.00 $0.00 Prepaid
103196 DELQ UTIL 10/00 2000 1 0.0000 $122.57 $0.00 $0.00 Closed
103226 DELQ UTIL 4/01 2001 1 0.0000 $248.29 $0.00 $0.00 Closed
103285 DELQ UTIL 10/01 2001 1 0.0000 $202.31 $0.00 $0.00 Closed
103307 DELQ UTIL 4/02 2002 1 0.0000 $240.34 $0.00 $0.00 Closed
103472 DELQ UTIL 4/04 2005 1 0.0000 $268.85 $0.00 $0.00 Closed
103577 DELQ UB 4/05 2006 1 0.0000 $321.01 $0.00 $0.00 Closed
103650 DELQ UB 10/06 2007 1 0.0000 $272.82 $272.82 $0.00 Final Year
103660 Delq UB 4/07 2008 1 0.0000 $336.17 $0.00 $336.17 Levied
103683 Delq UB 10/07 2008 1 0.0000 $313.42 $0.00 $313.42 Levied
Summary of Levied: $922.41 $272.82 $649.59
Summary of Deferred: $0.00 $0.00
Summary of Closed: $4,926.95
Pending Estimate: $0.00
Future Estimate: $0.00
Hookup Fee Estimate: $0.00
CITY OF EAGAN Remarks * Cedar Grove AC911191tion
Addition CEDAR GROVE #5 Lot 9 Blk 5 -Parcel 10 16704 090 05
Owner /JirZriStreet 4040 Beryl Read - State Eagan, MN 55122
Improv ent Date V525.00 Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK L 1967 5.00 20 paid
SEWER LATERAL 196 26.20 20 Paid
WATERMAIN
WATER LATERAL " (p 1972 607.00 24.28 25 -442.76 C006569 6 13 79
WATER AREA
STORM SEW TRK 1970 70.00 3.50 20 35.00 C006569 6-13-79
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 200.00 896
PARK
INS ECTIO RECD
3M PiM Knob Rc
PERM Pem* NwWw
mkm" Min
SMADWESS: -1-14:1i
APPMAW.
to-it 4.
SUSTM#. rim Of WC"m
pwom No. rarriMlt Hvidw _ f
sow,
}
exccmc
ELECT'PlTC
'7
AMPOW
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Dec F1~. v
EAGAN TOWNSHIP
BUILDING PERMIT N° 183'
Owner C.e4r -r: - • ~r. = Nom-----•-- Eagan Township
- Town Hall
Address (present) _--_a--'_'`---------------
Builder -
Date f
~
Address
DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cos! Permit Fee Remarks
LOCATION
Street, Road or other Description of Location I 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 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, thal___.... _-_-___..permission to erect a.__..'tf._?---- upon
j
the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11,
1955.
`
t_._... Per .
= I
Chairmafof Town Board Building ns~iector
PERMIT , Control No. 0336
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 000384
(612) 681-4675 Date Issued: 04/29/92
SITE ADDRESS:
4040 BERYL RD
LOT: 9 BLOCK: 5
CEDAR GROVE 5TH
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
REMARKS: a
FEE SUMMARY.
I
Base Fee $25.00
Surcharge .50
Total Fee $25.50
CONTRACTOR: OWNER: - Applicant -
OLSON TARRYL
4040 BERYL RD
EAGAN MN 55122
(612)224-6294
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.
" V
APPLICANT/PERMITEE SIGNATURE I OED 13Y-. IGNAT RE
INSPECTION RECORD Control No. 3' S
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 0 0 0 3 8 4
Eagan, Minnesota 55123 Date Issued: 04/29/92
(612) 681-4675
SITE ADDRESS: LOT: 9 BLOCK: 5 APPLICANT:
4040 BERYL RD OLSON TARRYL
CEDAR GROVE 5TH (612) 224-6294
I, PER
DECK MIT SUBTYPE: TYPE OF WORK: NEW
I
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTING FINAL
I~ ~
PERMIT # CITY OF .EAGAN ~ S- , So
1992 BUILDING PERMIT APPLICATION
681-4675 [APR 2 7
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy
calcs.
COMMERCIAL 2sets of architectural & structural plans 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re guest is made or lot change is requested once permit is issued.
ate Valuation of work
Sit Address:
STRE T STE
Tenant Name:' QZt~'
LOT g BLOCK SUBD~"~ P.I.D. #
Descri tion of work:
The applicant is: Owner. ❑ Contractor ❑ Other coescr;be)
Name 0/-) 161-2 z Phone 2 ' -3o
Property LAST FIRST
Owner xAddress
STREET STE S
l"
xCity State k) Zip "~aa
Company Phone
Contractor Address License iI 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 wit 11 applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
~I
BUILDING PERMIT TYPE '
❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish lffc Fac.
❑ 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ `!"4 ic4Ural
❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous
E3 04 Multi-fam. T.H. 08 Deck ❑ 12 Comm./Ind.
WORK TYPE
31 New ❑ 34 Repair ❑ 37 Demolish
❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined
❑ 33 Alterations ❑ 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
Zaning Sq. Ft,. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 3
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site Footing ❑ Framing ❑ Insulation
❑ Wallboard 5Q Final ❑ Draintile ❑ Fireplace
Permit Fee -2-(-
vatuscion: s
Surcharge ~d
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter i
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Co ies
Other
Total:
SAC %
SAC Units
y ;3
i
ENGINEERING, INC.
1 r s s ien
Mortgage Loan Survey fox
- t
`scale'
it
y~/~~
V. 00 .2
t
- Gl*.io~e% Uii„ty and f ro maIe F%,-s# 11
I LOT ,..BLOCK CEDAR GROVE NO.
[DAKOTA COUNTY
urr+ti tS O 4-t>C A'X~ f'tA'1e•t`;~ ^1CfS•.,y;r'sl dit.:};% 4(',7 WrW!4 4f ~6"'w Asm-,C`hon. (*w,-4Vd aky fi; '74':
i.xtri.
%k'a#,+67siC t/3fiNC Ki € ' 4 r '
f • tlKlC - ! f > #)-*t!r so- vk- ~r d. P",l W**.y 5 "k r f'YF~#°: vSIT w I .)-k,Ix
nrri~ 1
b►►~rp ~,nrrl;r~ t►ir ex~+~rt~:r~+ ar,~f ~~r l~t~. ~ ai v txt,rp,~ lr. ~~tx?~r s~' a..,~rr~ a~,,,° ,..t„-,><~ q~r~.;c~t~' . ' ~ ~ ,~r- .t ,
V.,.?j .<'W ;~gtt l1s+i L>{~ S 1 iwtif at;!♦rta w . d ~ t I 1 ; r ~
.~iYn~
a'W~/'6T x3At.~~~.....„,.,,_,.. :;H ~~..._/7.+rt,~.K/.f.r ate `~,w•''T SC91'!~.'P.'~~CI ~~^i'.1'jtl~E_~4~r~Vf'1, '*Y~.
EAGAN TOWTNSHIP
'795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
D ATE : NUk BER "l -
OVJNER:', C V f a. - ' 1 ~~7s Address
PLUMBER x ,e TYPE OF PIPE C J
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections: Connection Charge o"
Permit Fee ~71 s dQ`
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
Please notify when ready for inspection and connection and before any ;portion
of the work is covered.
n
Y 1 I !I 4!4uri ~~lili,~fl~~~l!u~~~ ~IIIhIN
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.
Edward J. irsc t
Sr. Engineering Technician
cc: Mike Foertsch
EJKAe
PERMIT
City of Eagan Permit Type: Building
Eagan, Permit Number: EA102004
Date Issued: 11/07/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4040 Beryl Rd
Lot: 9 Block: 5 Addition: Cedar Grove 5th
PID: 10-16704-05-090
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Window World AKA Probuilt America Richard W Scott
2211 11th Ave E, =130 4040 Beri 1 Rd
N St. Paul NIN 55109 Eagan NIN 55122
(61)770-5570
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
Use BLUE or BLACK Ink
For Office Use
City of Eap I Permit
I 1
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: 13 j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: 1
1
-----'--d
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: s I t Q site address: 46jM P_ r l ,
Unit
Name: Phone: 4llS 1 _
Resident/ P r
Owner Address / City I Zip: (V °sJ t 2.3 Qm9~
s
i Applicant is: Owner _L Contractor
Descriplion of work: 17C&V' 04 - re -azf
Type of Work 1 2
_ __._.u,....._. Construction Cost: I ~U
Multi-Family Building: (Yes / NoX_J
i
Company: X 1 Qlrra Q xz e I 1-once-Contact:
458 Tr. S~ ~ y city: _
Contractor Address: Gaar7
®
41
State: I'Vi, N Zip: 5512,2- Phone: lA X31 ' Z 7 -
' License # W O'N o Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of
F the information maybe classified as non-public if you provide specific reasons that would permit the City to z
_.._...-.._e a s~~r___ _ conclude that they are trade secrets.
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. wrww.oopherstateonecall.oru
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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
x d azA, x
Applicanrs Printed Name Appiicani s Signature
Page 1 of 3