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4041 Beryl Rd Use BLUE or BLACK Ink r r - - - - - - - For Office Usd kf 4 ~rq~ s I (/7~/ City o EaEncidn I Permit#: I I I Permit Fee: 5S v i 3830 Pilot Knob Road I I Date Rec ived: Eagan MN 55122 02-- I ~ ( I Phone: (651) 675-5675 I - 1 Fax: (651) 675-5694 I Staff: I INFLOW INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Dater -0111 Site Address: - C / Tenant: Suite RESIDENT I OWNER Name: Phone: Address ! City / Zip: Lk 1 Name: License Address: City: CONTRACTOR State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: rn., ~C1C Other: Description of work: DESCRIPTION FEES $55.001 Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X -~~cf2/ /t i~(l x Applicant's Printed Name e Applicant's Signatu FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final RESIDENTIAL BUILDING 16 • Permit Application ( 03 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cart of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions -Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd 1 set of Energy Calculations Addition - indicate if ansite septic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost i J Unit/Ste # Site Address ,--`1~ Description of Work gi, ,1L j1 r' f~' Multi-Family Bldg _ Y j, N Fireplace(s) _ J - 1 - 2 Property Owner Telephone # Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber - - E Telephone # ( ) f1 b ; , `y Mechanical Contractor U ! '''k Telephone # ( ) i Sewer/Water Contractor I 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 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. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 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 X 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 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 X 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) - Give PCA handout to applicant Valuation 4 Occupancy /C MC/ES System C~l I 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. ~c Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water - Final _ Pool T 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 d `G- f t MC/ES SAC V ~J City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies SZj Other Total si 6 L6,9W ~-~5 -2~w O Request Date Fire No. Rough-In Inpse att7n Required I ection Other Than Rough-In - (You must call inspector when ready) Ready 5-12-94 Now Noc§y4Inspector ❑ Yes f No Date Ready J 1 W+icensed contractor D owner hereby request inspection of above electrical work at: Job Address (Strel o.) City 4041 er Road Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. Jim/Laura Lundquist 688-0334 Power Supplier Address Dakota Electric Co. 4300-220th. St. Farmington 55024 Electrical Contractor (Company Name) Contractor's License No, Total Electric Inc. CA01834 Mailing Address (Contractor or Owner Making Installation) 1537-92nd. Lane N.E. Blaine MN 55449 Authorized Signature (Contractor/Owner Making Installation) Phone Number wv' 786-8484 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. C~ REQUEST FOR ELECTRICAL INSPECTION` EB-00001-08 n ~ See instructions for completing this form on back of yellow copy. H 6. t X" Below Worj< Covered by This Request ew Add Rep. Type of Building Appliances Wired Equipment Wired X Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm X 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 Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms 20.50 Special Inspection 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 t 1` been made. OFFICE USE ONLY This request void 18 months from CITY OF EAGAN Remarks * Cedar Grove Aerxuisition Addition CEDAR GRAVE #5 Lot Blk 4 Parcel 10 16704 030 04 Owner r Street 4041 Beryl Road State Eagan, !SIN 55122 fw Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 31- 1967 100.00 5.00 20 Paid SEWER LATERAL 3 19611 540.00 27.00 20 Paid WATERMAIN * WATER LATERAL 1972 607.00 24.28 25 WATER AREA STORM SEW TRK 1970 70.00 3.50 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. SUILDING PER. SAC 200.0 i` PARK EAGAN TOWNSHIP BUILDING PERMIT N° 1823 Owner Eagan Township Address (present) Town Hall Builder Date 21.1.7.-Ax 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 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, that.....(: has permission to erect a....... upon the above described premise subject to the provisions of the Building Ordinance for Eagan Tnship ado ted April 11, 1955. J- / fit'-ul~ Per g . man of Tnwn Board Buiidin Inspector I 1. F. . 399 BUIL DING PERMIT APPLICATION (RESIDENT1 L. 3 / ` CITY OF EAGAhI =30 PILOT KNOB RD * 5512 651-MI.675 3 registered site surveys showing sq. ft. of lot, sq. ft. of home 2 copies of plan and go rooted areas (20% maximum lot coveram mowed) 1 set of energy calculations for heuteed addli m , p 2 copies of plats (show beam i window sizes: poured Ind. design: etc.) I saes Survey for ftletlar ad+ lora i decks , 1 set of energy calculations > 3 copies of free preservation pion v lot putted alter 7/1/93 }SATE: CONSTRUCTION COST:. Jf 120 4) DESCRIPTION OF WORK: C"O-46 r AP I T STREET ADDRESS: 9 EJ elh 10T. BLOCK: SUED.IP.I.D. : Name: 1Al'c ~STo A/ Phone PROPERTY Last rest OWNER Street address: 915 !Se ) F C. k } City 4 e4 State: Company: 1~'4 lJ1~JG1U'~~ Cb Phtme,#: J--/ ? - at (area code) CONTRACTOR , l Z 62 S treet Address. e license & C 't City '114 L6 C''crOff State: / Zip. ARCHITECT/ Et+MNEER Company: Name: Telephone 1T: area code ( j Street Address: R+ergistraflon R: City state: Zip: $etArer i water licensed plumber { uIr9d for new condruction oniv): P.WHWV applies when address change and lot chonge is requested once penrft Is issued. l-hereby acknowledge that l have read this applicalion, stcrfe that the k0ormatlon h correct, and agree to c. ply vii ca let cc Valo of Minnesota Statutes and City of Eagan Ordinances. Signature of Appllcar* OFFICE USE ONLY Certificates of Survey Received Yes y No JUL 2 2 lit Free Preservation Plan Received Yom No , Not Requir OFFICE USE ONLY s BUILDING PERMIT TYPE ❑ 01 Foundation © 06 4-plex 0 11 10-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-piex ❑ 12 12-plex 17 Garage ❑ 22 PordUAddn. (4-sea: ❑ 03 1 of _ piex ❑ 08 6-piex ❑ 13 16-piex 0 18 Deck ❑ 23 Porch (screened) ❑ 04 2-piex ❑ 09 7-piex iD 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-piex ❑ 10 8-piex © 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE 31 New ❑ 35 Tenant impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia D 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34' Repair ❑ 38 Demolish (interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $~L126100 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. } Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ~ 651 463-7955 IL J V/ 9 V■ I t rt/ s a_ K.J L- . From: Brucshweich Fax: +1(651)463-7955 To: linda Fax: (651)681-4694 Par 1 of 1 Wednesday, August 18, 1999 1Q:22AM r AND REMODE~.RSS cat Steve Preston Residence g 60 i 1 es89 N89°39'34"E 115.00 - 6 o 0: Q~ 30.66 Q I F. zt-y I 1 .......30 o a ce. 3 32 a 870.7 x ~ o Cl o 36.00 o I + SEO N PROPOSED o pPjE~p. P oR~~ ° ~1 GARAGE N 6 ]5 a B.87r.4 35.00 500 x 1870.2 6 871.6 g 38 3Q.66 S89039'340#Uy 115.00 60 1 1 I N o Denotes Iron Monument Set 960 t- Denotes Existing Elevation 60. . Denotes Proposed Elevation - --Denotes Proposed Surface Drainage a Denotes Hub Scale: 1 inch = 30 (eet I hereby certify thot this is a true and correct he bo LEGAL DES the to CRIPTlOlV the representation bedyand tof theulo cation oof d above a proposed goroge. Lot 3, Block 4, CEDAR GROVE NO. 5, according to the recorded plot thereof, Dated this 29th day of July, 1999. Dakota County, Minnesota. REHDEP & ASSOCIATES, INC. /6 7©V- • r.4.: r•.i:?.S,ti~:\}?.:,~}4;;: ,:•:~::y?}/ : ' v _u• v::'.:' v v. }?FM,.t?'!R^i i ~.`A ::t;::::...... t; ti•:.:y. titic;;: ..'4`•'..'s,,":•: its.:: ?,y.. : ;,/•';Y£;:;£`:rk.,, . iIWA:::{".; i•: j:}~:::i:~i::i?~"' r.}i'•: r•:•: •v v.4 < { h'f 7'•% •v'\}rr Y`+'F•y ~'iti' d.{> v:.v,. r..•v~•..~~ v S~i:~i: !j ,txti; ,.,5.•a.,>.; g.::~~% ~S2': <>'ia, .r•: :{r. f>.,•9:2^: ~c~,:..• ..;'Sw es:.::..~~«~.~~%~ ::2~ iii:+•? .:v ,Q rs A, • k `:tit •,:4+:~ •r : .:a%::':~.`~.^:~" a t,,~ at'• derr., .2`i'~•' ;~•.y,.; ;.:.n::: a:'r`; '#:::r' ;•;..v...: .:?f `•'s:. t••tic .r'.. ~i:+~r.*. .`q~?+:.,'~'&'..: ~,.i53•.•"•i}.v.C;:.o: ~.j...,.;tifi:<,..;:•,.. .t o ~k::: .wti ..J ,.;YC,'~n~'•:•a., ;i,,t;• •swy;;C4:,:?i c;~w5{•. r.•~... t'.3i%i4~, ~ ~s .,:~~:•::z::;:C.,. ,.e xc,:n..... .•.`~x'•''''L~.~~.Ev~xv:~•",•.,.~&k~.`~aJ'.•w:•#,}'o'~u`t~~&~~;Skx<~>,.,.e,••aodk'~'a`••'fx<?,Jw~Gi~~.n•:,i~ea.+c~C<2~5;~ 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL 0~ - sv SITE ADDRESS: 4 p a 1 &r~j 1 R©a rl) r, 65 ~ 2-2 O~~v?vTER i~AAl~v : ~s _►`~1'~ ~r► a U ~ s i ELEr H0i E, INSTALLER: _ Ron' s Mechanical,- Inc. ADDRESS: 1812 East Shakopee Avenue . 55379 CITY: Shakopee STATE: MN ZIP CODE. TELEPHONE 445-8585 'gE SI NA F PERMITTEE }:.}:.}}},x4:.}:t{.}}}A:.•.....:n..,..::f::}:.}x{4T}:::::.v:.:::.x.:. , :.r.:f n ..4::;$;'r:,::w~.:;.:::~.:::?:.}:.:4 . i ...i'4.:?{..•":+i.'•<:?{::•v.'.}•J;~}:..}. K, CC4n::. :+T::4. r`;Y,f,•n:G$}~i~~: ri•`.t Ktt•{:: :4} .t .4.•,. .:..::::::;:n:.:.::•::::::. :r:.::.$~i}::.::...}:::::::;.:•}:•:{•::.:{:{.... ,....n:,. k n. ~~/rr;n};z~:$;;.;.},..:i•' .....r•..n•...}... . • :+,:w•:.z'.r. h 4»:•.,~.:... 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'v..{.:..'•C.v.}. v ..N ...{vn4n viti:':TQ .'ilu Y,vf^i •.v{%:2:i v<: 'rB~~i:•rr ir}}}::tir.}r~:Y;{:i:::'rFrT:L{{{{:{i{•:{{i{:.Avtx.nvva.t.{t{'{ii•.•.:{: F•••• : •.}:}v :•~t•;~,.~ f. v:h':4vlV.v. ~'ai4t4{}~.n:Ti'~~' iK•... .vh•:...v..{rv'{r {ii:•:: iL:Mtvr ''""pp .tn •e~ v? .t{.,~:.,,.:..:•:x.}}rr:.}}:•}}}r:•: i;:.~$:;.h ,4••. r:::: f~:r:.a.??}n,: 9 KTf':... :6' >:l4?:L.t'tff.{##:::uo$T>T}T:r••?:$}Y#n;::5~~•`•rS}.t$~,{.`i'~`~T?i~•:`,'4>~~'n`+S#,°`.: t tn..:.v.rR•r.........,::n.'r:$.•::n,•n.:.sS.:Tr:firn4iJ:frr:SPS ~'iGiS`»:3$~$.~~r:'Tr'3'+t#''.uSy$f$:ti:aLP»T t 1994 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. - - - - - DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR AIPROVEMENT WORK DESCRIPTION: FEES 1% OF f ' FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR ars. w~ et...~+nuer ...yv.r ...n r..i...y..w..~ym~-+v®-^w^^.;.'Sn~!g1..Ytte. ♦iY`T.. t.4'A"~F~~~ •.~".~w~+eR?5!R'.~'s'T"~'a.--. ......r.-y-.. -+r~ _ HOUSE HEATING TEST RECORD x.~ ,tI , c' rr 1 b ADDRESS APT. FLOOR CITY SUBURB OCCUPANT OWNER ° "r=J { HEAT LOSS DATE HTG. INST. 1 a SOLD BY l rte. ' ` INSTALLED BY en-I! 'Y" Electrical Work By "T. Gas Line By TYPE OF HEAT GA FA X_HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE' + z't' -MAKE OF BURNER Model ,t1 y 7 S R EY l Model Serial 1 a,,I) i17Y 93 J Max. BTU Rating INPUT 75, ~w MAKE OF FURNACE Model CONTROLS THERMOSTAT r*r ~~S Ha Heat Plug Vent Size ,s Valve KIND OF LINER /a Ll- SIZE NONE Limit Draft Hood Regulator Limit Setting o Filters Size E.9L'- Number Fan Setting Chimney Location Inside X Outside Pilot Type Chimney Construction t ii Pilot Make Pilot Model Smoke Bamb Wiring Pilot Timing Dreft Test Ted 11-W. Cut Off Door Pressure Lighting Inst. }Pressure Percent CO2 74 . Date Tested n ♦r - inpu# CFH 24- GCG Percent 02 Company Testing ! w^~w ~Slock Temp. Percent CO d Name of Tester~'~ Rorm 235 MEMO _ c'fty of eagan TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 23, 1993 SU JECT: 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 famil rate effective August 1, 1993 to the property owners in Cedar Grove No. 5 Addition. Bloc 1, Lots 1-22 22 Bloc 2, Lots 1-19 19 Bloc 3, Lots 1-11 11 Bloc 4, Lots 1-16 16 Bloc 5, Lots 1-25 25 Bloc 6, Lots 1-22 22 Bloc 7, Lots 1-25 25 Bloc 8, Lots 1-5 5 Bloc 9, Lots 1-2 2 Bloc 10, Lots 1-23 23 Bloc 11, Lots 1-14 14 Bloc 12, Lots 1-9 9 Bloc 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 EJK/'e EAGAN TOWNSHIP 3795 Pllot :knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION , Ntj'P BvR ATE: .7 OWNER -J-w#, Address 9-4-:i LUMBER TYPE OF PIPE. 114 DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units x 1 Location of Connections: Connection Charge Permit Fee Street Repairs Total t s Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By c t lease notify when ready for inspection and connection and before any portion f the work is covered. PERMIT City of Eagan Permit Type:Building Permit Number:EA112823 Date Issued:08/23/2013 Permit Category:ePermit Site Address: 4041 Beryl Rd Lot:3 Block: 4 Addition: Cedar Grove 5th PID:10-16704-04-030 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven R Preston 4041 Beryl Rd Eagan MN 55122 Ashco Exteriors Inc 11164 Zealand Ave N Champlin MN 55316 (763) 225-8333 Applicant/Permitee: Signature Issued By: Signature For Office Use % : : : i : 5/Z® tPermit:ee' 1E GAN Permit : Date Received: 3830 PILOT KNOB ROAD I EAG'N, MN 55122-1810 (651)675-5675 I TDD: (651)454-3535 I FAX: (651)675-5694 Staff: buildinoinspections(a�citvofeagani om L 2018 ARES' DENTIAL PLUMBING PERMIT APPLICATION �} f Date: 4" j 2` / Site 'ddress: �' ' r_, it ,l t�Q�fi�) f'd U1A) / Tenant: II Suite#: Resident/Owner s Name: / pl-c -i-oaYJ Phone:6S/ 6,0 gr/ Addres /City/Zip: ,0•! A AI / P1 S 02,-2 • Name: License#: • Contractor Addres City: State: Zip: Phone: f i Contact Email: — ew Replacement Repair Rebuild Modify Space Work in R.O.W. Type of work / j� t (� ,n� y Desch•tion of work 5�� / /./ ).7-(15-r .l(� i1 cPc- l i k`gic. RESID NTIAL I W:ter Heater L.wn Irrigation( )(2RPZ/—PVB) ; Water Softener t Permit Type Add Plumbing Fixtures( Main/—Lower Level) S:ptic System ,.t New Water Turnaround 1 Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Siiftener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(include- State Surcharge) t $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add 1'280.00 if a 3/4"meter is required) $115.00 Septic System New(i cludes County fee and State Surcharge) TOTAL FEES $ Ir ( 0y04 :;$ 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 under:cround utilities. www.nooherstateonecall.orq You may subscribe to receive an el=ctronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/su.,-cribe. I hereby acknowledge that this informa ion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in t e ccaass-e�of work which requires a review and approval ofi)':nss,, x S7LF>/./69\) -6::'-6-- Orr' x .444 LeAk 414,...lite Applicants Printed Name Applicant's Signature V FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test _Gas Test Final Meter Related Items:. Mete Size Radio Reade Manometer Staff.