4058 Beryl RdRESIDENTIAL BUILDING
Permit Application
City Of Eagan
r-? 3830 Pilot Knob Road, Eagan Mn 55122 f)
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair 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 _ Cert 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 on-site 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 t-1 / CC' l 3 Construction Cost 1-1,7--o
Site Address y? /?rh ( /Q CIL Unit/Ste #
Description of Work
Multi-Family Bldg _ Y N Fireplace(s) " - 1 - 2
Property Owner J'r IF A Telephone # ((s () 4'c Z - ?J
Contractor Y7 p. c-. ' W kA--
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Category 1
• Residential Ventilation Category 1 Worksheet
(? submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone # (
.\Telephone #
'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.
?T e," A to
Applicant's P ted Name Ap 's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 1 0-plex 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 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) - 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 r?. Width
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water _ Final
Framing
Fireplace - R.I. -Air Test - Final
4 Insulation
REQUIRED INSPECTIONS
Final/C.O.
[ Final/No C.O.
Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests -Final
Siding _ Stucco - Stone
Windows (new/replacement)
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
20 anow
PLUMBING (RESIDENTIAL)
Permit Application
??"I"I City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date 1r9 / D 3
Site Address V05-S- eetV r n? Unit #
Property Owner s ? p E ?r?i A r ' A Telephone # (t S f)
Contractor
Address City
State Zip Telephone # ( )
The Applicant is Owner Contractor Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
- Adding fixtures to lower levels or room additions, excluding water softener and water heater
- Abandonment of septic system
- Water turnaround (+ 5/8" meter if needed - $121.00)
Other:
_ RPZ - new installation repair $ 30.00
Lawn irrigation system a r ,,
1 0 of' f'
Water softener Water heater g
y $ 15.00
replacement additional
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; 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.
Applicant's Printed Nan-k IGn 's Signature
?j / ?? OFFICE USE ONLY This request void 18 months from validation date printed in this box.
CIO
IlllhIUI IIHHllllllll? w
* 0 4 1 6 1 8 3 2 * PLEASE PRINT OR TYPE
Request DotJ /
lt?? Rough-in inspection required? es
? No
(You must call the inspector when ready)
Inspection Other Than RougMn: ? Ready Now 'll Call
Date Ready:
f, ? licensed contractor owner hereby request inspection of the above electrical work at:
Job Address (5 Box ?er1a1. City Zip Code
Section No. Township Name or No. Range No. Fire No. County
Occu Phone No.
Power Supplier A ress
Electrical Co tra (CCompany Name)
?-`
o W,1 Contractor License No. Master Lic. No. (Plant Elect. Only)
Mailing A ress (Contractor or Owner Performing Installation)
Vo e--
Authorized Signature (Contractor or Owner Performing Installation) Phone No.
?Z? ??
r7
416-1 3
REQUEST FOR ELECTRICAL INSPECTION 7i
Minnesota State Board of Electricity
1821 University Ave., Rm. S-128, St. Paul, MN 55104
Phone (612) 642-0800
-Home Duplex Apt. Bldg. Oth ¢ ?(l t` ew Addn
Commercial Industrial Form °? mod Repair
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee It Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY 1T7
Sign/Outline Ltg. Xfmr.
Alarm/Remote Control
Swimming Pool
i
t
l61i
h
h
d
I h
h
l
b
f
h
`
d
Irrigation Boom n on
ap scr
ere
y t
t
e e
ica
s
ere
y certi
at I inspecte
Rough-In a
es
t
e
Date
;
Special Ins
ection
p
Investigative Fee Final 1 Date
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONT
CITY OF EAGAN Remarks * Cedar Grove Acquisition
Addition CEDAR GROVE #5 Lot 12 Blk 5 Parcel 10 16704 120 05
Ownerlkf O - Mt) ` ,Dmvo?j tY11`i Street 4058 Beryl Road State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL ( 1972 1,304.00 52.16 25 Paid
WATER MAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK 1974 70.00 4.66 15 37 - 39 A009981 4
19/80
STORM SEW LAT .
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.
The Village of Eagan hereby grants to Darrel Laubach
of 4058 Beryl Road, EA?a
a Ran tins Permit for: (Owner) same
at same , pursuant to application dated 8/2/73 .
Fee Paid: $S.,00 dated this 29t1$ay of August , 19 73
.50 s/c
Building Inspector
Mechanical Permits:
Bid Total:
EAGAN TOWNSHIP
N. 1398
BUILDING PERMIT
??
Owner .L --- p-?'- -------- `?`"--=------ 61V L --•-•------ Eagan Township
Address (present)
----•--•---•-• •---•--•--•---------------- Town Hall
Builder --------------------- •--------1
ii
Address Date ----------•--•---------
_ __ DESCRIPTION
5tories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
J ?J 1
or
it-4f-.j
7-7--3
of
LOCATION
-s"
t31ock
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, thai__.? ? •_-. -_-•_-Cir ?. :has permission to erect a_.,.
--------- upon
the above described premise subject to the provisions of the Building Ordinance for Eagan ownship' adopted April 11,
1955.
..................................................... tX?.- -? Per -- --•-- ---- ? .«_. ?`? C ?I Cy1r
•---- -- . ---.
Chairman of Town Board -
Building Inspector
A
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
P
Permit No. I Permit Holder I Date i Telephone # I
ELECTRIC
PLUMBING
HVAC
I Inspection Date I Insp. I Comments . I
FOOTINGS
FOUND
FRAMING
ROOFING "
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
CITY,OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
,L83D/
W, 2/95
UILDING
025776
06/09/95
SITE ADDRESS:
P.I.N.: 10-16704-120-05
DESCRIPTION:
4058 BERYL RD
LOT: 12 BLOCK: 5
CEDAR GROVE 5TH
Building Permit Type
Building Work Type
REMARKS:
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
BASEMENT FINISH
ALTERATION
CONTRACTOR: OWNER: -- Applicant -
ALDINGER JEFFREY
4058 BERYL RD
EAGAN MN 55122
(612)452-8657
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.
- (11-1 /- - ou '6"m? -
PP CANT/PERMIT t IGNATURE ISSUED BI SUR'
EI I,
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 5 7 7 6
Eagan, Minnesota 55122-1897 Date Issued: 06/09/95
(612) 681-4675
SITE ADDRESS: P. I. N .: 10-16704-120-05
LOT: 12 BLOCK:
4058 BERYL RD
CEDAR GROVE 5TH
PERMIT SUBTYPE:
BASEMENT FINISH
APPLICANT:
5
ALDINGER
(612) 452-8657
TYPE OF WORK:
JEFFREY
ALTERATION
INSPECTION TYPE DDATE INSPTR INSPECTION TYPE DATE INSPTR.
FRAMING . INSULATION
ROUGH IN PLBG FINAL
F- -7
Tj
4
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE: B U I L D I N G
Permit Number: 0 2 8 6 8 2
Date Issued: 08/27/96
4058 BERYL RD
LOT: 12 BLOCK: 5
CEDAR GROVE 5TH
P.I.N.: 10-16704-120-05
DESCRIPTION:
REMARKS:
REROOF
Building Permit Type SF (MISC.)
Building Work Type ALTERATION
Census Code 434 ALT. RESIDENTIAL
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION $1,000
$34.75
.50
$35.25
CONTRACTOR:
L
"A1!0'1 'GER JEFFREY
4058 BERYL RD
EAGAN MN
(612)829-0700
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.
APPLICANT/PERMITEE SIGNATURE
ISSUED BY: SI ATURE
I
• CITY OF EAGAN
2---. 3830 PILOT KNOB RD - 55122 3S a
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
I ( .l -.
Remodel/Repair 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: CONSTRUCTION COST: A rcx r0`' c
DESCRIPTION OF WORK: Leo L
V r 10-
STREET ADDRESS: 7c? <i 4- S
S,
LOT 1 a BLOCK 'S SUBD./P.I.D. #:
PROPERTY Name: ?? Akkna:r J.e- rte, Phone #: Z ?a
OWNER LAST FIRS
Street Address: °5 ry
City: State: -M /V/ _ Zip: 55-('2- Z
CONTRACTOR Company: SG /> Phone #:
Street Address: License #:
ARCHITECT/
ENGINEER
City:
Company: _
Name:
Street Address:
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State: Zip:
Penalty applies when address change and lot
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
Certificates of Survey Received Yes No
State: Zip:
Phone #:
Registration #:
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex
? 02 SF Dwelling o 07 4-plex
? 03 SF Addition ? 08 8-plex
o 04 SF Porch o 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New o 33 Alterations
o 32 Addition o 34 Repair
GENERAL INFORMATION
o 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. o 17 Swim Pool
o 13 Garage/Accessory ? 20 Public Facility
o 14 Fireplace ? 21 Miscellaneous
o 15 Deck
o 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft. MC/WS 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
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
L 11! i1'l_16
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 9
Block 13, Lots 1-15 15
208
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
yze"4"Z, ' L4 lil /
Edward J. Kirsc t
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
EAGAN TOWNSHIP
BUILDING PERMIT N? 3134
Owner ---• ................ -•-- Eagan Township
0
____ Town Hall
Address (present) •°-••--••--•-•- - •--•--.._.
Builder ________________________________________________________________________•-••-----•--•_-•••------ Date C +/-° ..
. ....
Address _______________________________________ ......................................................
DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
L-s'uC.??r ? Cr-z'• ..s
LOCATION
Street. Road or other Description of Location 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 0 THE PREM;SE WHILE THE WORK IS IN PROGRESS.
This is to certify, that ______ ??-?- -i ................ has permission to -?_ ` o- 1upon
................................ ___
the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11.
1955.
............. fu ---____ Per .-/ +c ! -??
Chairman of 1nwn Board 'Y y, Building Inspector
PERMIT NO..
Eagan Township
Dakota County, Minnesota Date _.• / t- .........
Application for Building Permit
Type of building or work contemplated. Circle correct descriptions.
Residential j Commercial Industrial Other---------------------------------------------------------------------------------------------------------------------------
Build Enlarge Alter Repair Install Move Wreck Other ---------- ______________________________________________________
Dimensions_..-?.-'"°-?.--.. Cost 7.. ' .' ... A0
Details or remarks.-"L- ?..->--- i -.:
Location
Number bireet Between what cross ssreess alze r.sz. V 2 LUdI.10II
y /t
K
R
Lot Block Addition Rearrangement or Tract
Owner g_.t_.. -- Address . 7 ¢
r ...--------•----------------
Contractor ------ -------- / ................................... ....... ------.-- Address ............ :................. ......... -...... -....... - .....................................
The undersigned hereby makes application for a permit to
$ do work as herein specified, agreeing to do all work in strict
Total fee collected. accordance with the building ordinance adopted April 11, 1955
by the Eagan Township Board-pf Supervisors.
Permit fees are not J
refundable. = -
w 4:. f
Signed
MASTER CARD
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
-Fad
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING 4
SANITARY SEWER
OTHER
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
COMMENTS:
Violations Noted
on Back
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTIFICATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
DATE
23
rt?
EAGAN TOWNSHIP
BUILDING PERMIT N? 2340
Owner .......... ............ .....U` a-B-! ................................. /?Eagan Township
Address (present) --- D - -.......... ........ (?- ................. Town Hall
Builder -.?-?.__.
Date -----••-• -•---•..---------••--••-•-•-•.:....
Address ...... ....... ._ dx
DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
LOCATION
Street, Road or other Description of Location 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 K PT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that....... .. ........ .........?.r-?. -- -...... has permission to erect a-......... .__-. ..... r4,.: ------------- .-------- ._upon
the above described premise subject to the provisions of the Building Ordinance for Ea n To ship adopted April 11,
1955. ?n
? ..... Per ....... ` "`'` C.l .:......... ........... ............................
Chairman of Tnwn Board .d1 Building Inspector
16
r-A c° MIDWEST FEDERAL
O >>: m
top
d C THE p ?U u1JUW?LIIJ? IN
SMortgages • Con;iugpr j s • Saving Accounts
WESTERN CONSTRUCTION CO.
3017 LYNDALE AVE SOUTH
MINNEAPOLIS, MINN. 55408
r
r? f
m'2. , rMT °wY ot.,ro
goS-f- 1=3 rrYL
Lol` tL B OC &L_ c.Endr
Rp
AL
b KO"tf
LOCATION
OWNER
or
MASTER CARD
STRUCTURE AND
LAND USED AS aye a Gp
Permit
BUILDING
No.
Z3 9O
`? -
Issued
hi ' 20- Issued To
Contractor Owner
??? 7,0rAl
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
•
Items Approved
(Initial)
FOOTING
FOUNDATION
FRAMING
FINAL
ELECTRICAL
HEATING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
0
COMMENTS:
Date Remarks Distance From Well
SEPTIC
.40 CESSPOOL
TILE FIELD FT.
DEPTH
OF WELL
Violations Noted
on Back
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
0
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTI FICATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
1-1 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
COMMENTS:
BUILDING INSPECTOR
DATE
•
23
New Construc _on Rgguir
• 3 registered Si* surveys showing sq. fL of lot sq. R. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of ptaa showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculation
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist betaf Options seleaion sheet (tldgs with 3 or less units)
DATE I - 17 0/ VALUATION (EXCLUDINGtAND) 20 '
ge, J_
JOB SITE ADDRESS 4o c $ {tic - / i2
4 ca..
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK as?N1s -I- h•-s 4 ? ? FIREPLACE(S) _O. 1. 2 3
APPLICANT ZeA-F Ir PHONE # Gz SF 2 - ?3tr '
ADDRESS f v5 g F,.,/ ZIPCODE
PAGER # CELL PHONE # FAX #
N W RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor -_.-
Mechanical System Includes:
Sewer/Water Contractor.
Phone #
Alt above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received Tree Preservation Plan Received Not Required
Updated 1/01
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651.681-4675
O.00
,tr Rear emerts
2 copies of • I set of Energpian
y Calm for heated add,
1 site survey for ederior add#iona & decks
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet SI
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softener N Lawn Sprinkler
Water Heater r No. of R.I. Baths
No. of Baths
Phone#
Air Conditioning
Heat Recovery System
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ Alex
O 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex 0 18 Deck
? 11 1 0-plex 1 19 Lower Level
? 12 12-plex Plbg,_,_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
P 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement *Demolition (Entire B ldg only) - Give PCA handout to applicant
Valuation a ?-! Occupancy MC/ES System
Census Code --4' Zoning City Water
SAC Units D ( Stories Booster Pump
Nbr. of Units / Sq. Ft. PRV
Nbr. of Bldgs / Length Fire Sprinklered
Type of Const Width
REQUIRED I NSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) 9- Final/No C.O.
Footings (addition) Plumbing
Foundation
_ HVAC
Drain Tile
Roof Ice & Water Final Other
Framing _
_ Pool _ Ftgs r Air/Gas Tests -Final
Fireplace R.I. - Air Test -Final _ Siding Stucco - Stone
Insulation Windows (new/replacement)
--- -- -- -- --- -- ----------- -- ----
-----
------------------- -- ------
-- 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
4 Total
CITY OF EAGAN mift 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Name: A 4, itr- ?g?? Phone #: S 2 " ?` 57
FIRST
? 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)
? I 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: G - 7- ?S CONSTRUCTION COST:
DESCRIPTION OF WORK: --9bSe ??u n -s4
STREET ADDRESS: 1/0 y 1190-r5 ?o wd
LOT /20 BLOCK OS'-
SUBD./P.I.D. #: 10 - Ito 7 0 y -1-40 - 0
C? dom.- Gr. Ye S-OV,
PROPERTY
OWNER
CONTRACTOR
Street Address- `7" S Y F_
City: 5 4
If
State: Zip: 55 1 z z-- M- Al
.1 iv= k r- Company: . Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #-
Street Address*
City: 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:
el"
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
OFFICE USE ONLY
Fp ? M1??
? 11 Apt./Lodging Ge16 Basement Finish
? 12 Mufti Repair/Rem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
• ? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft. MC/WS 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
Census Bldg /
Census Unit
APPROVALS
Planning Building Engineering Variance
r
Permit Fee Valuation: $ fr c
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
NSPICT1ONRECORD.
C!TY tom',EAGAN PERM1T TYPE Er 1.1 d ! ? f ht 3
3830 Pk% Knob Road Pero* t: r1
fi n, Minriesoto 55122-1897 Date Issuod.,
1812) 681-4675
AO ES : . x; w APPLICANT:
1 04
i T SUBTYPE: - TYPE OF W :
}3t +t t : N { I I t A 4 A l l 1: 4N'Al 10$
t A N 1 IN.,i0 1 Al 1N ?w
?, F y'
PON* POOR"~ Daft
Ems
PU)Mam
Dow
FKKM
FR4A
AOMM
?til?d8?
WAYM
GASS
TEST
Wax
GYP BOARD
F5991"
Aft TEST
FiN L PLOG
FINAL HTG
TEST.
BLDG FMAL
BAR RJ +? t4fi xf d $ y« g-"4'J +at
-rat -44 kr Z, ... ? ??
SSMT FK&
DECK Frt3 r7G - as- lls. us - 1f '«
DECK ANAL
INSPECTIO CORD
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Permit Number: 08121,196
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 1017 1 t (}e_ .: APPLICANT:
40 fi, N fit KV! I1) At,PTNt(t ft F ropy
Ct.t,1At? GROVE €, tti ( ?I. J €3: ;4 470 9
i ER IT I TY E: TYPE OF WORK:
of, 1P1 1ON RIFIROt1F
N??REC FION TYPE DATE INSPTW INSPECTION TYPE wrc
r;tf r tt#
n 1
Permit No. Permit Holder Date T #
ELECTRIC
PLUMBING
HVAC
Date Insp. Comment
FOOTINGS
FOUND
FRAMING
ROOFING ?(Jlf w/. ejA
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS
TEST SVC
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
For O , ceUse C of Eap It
, Permit ! l _-l'
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Receiv JUL
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff: `r I
1 I
- - - - - - - -
2009 RESIDENTIAL BUILDING PERMIT APPLICATION L c~' {r
Date: 7
L
Ur Site Address: I
Tenant: rr Suite
RESIDENT / OWNER Name: j -#4 s2 t# Phone: 6 /-/C/
~e, . dk fv S S I Z -
Address / City / Zip: O r7~ r---zz 'q
Applicant is: ?Owner Contractor
IP G
TYPE OF WORK Description of work: D ti rn f r,4 - t 1
s d fhdt f#th • r ` G r(modc r /wr $ - v r~/?140- Ca r ~f s~Q ~s~.~
Construction Cost: s~ bc~ 3(pz Multi-Family Building: (Yes / No Jj
CONTRACTOR Name: Ph e- 01,,.,AA,'` License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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 they are trade secrets.
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 z4e/%~ X
App' t s Printed Na a Applikiqfbf Signature
Q (ck r- Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
- New _ Interior Improvement Siding Demolish Building*
- Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation CQT_a Occupancy Igo-.I MCES System
Plan Review Code Edition 11-4 SAC Units
(25%_ 100% Zoning City Water -
Census Code y3y, Stories - Booster Pump
# of Units - Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) _ Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water -Final Pool: _Footings Air/Gas Tests -Final
Framing Siding: _Stucco Lath -Stone Lath -Brick
Fireplace: _Rough In Air Test Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee 5!_
Surcharge
Plan Review 3? .
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114893
Date Issued:09/19/2013
Permit Category:ePermit
Site Address: 4058 Beryl Rd
Lot:12 Block: 5 Addition: Cedar Grove 5th
PID:10-16704-05-120
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 -
Jeffrey A Aldinger
4058 Beryl Rd
Eagan MN 55122
(651) 452-8657
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature