4065 Beryl Rd
PERMIT
City of Eagan Permit Type: Mechanical
Eagan. Permit Number: EA093229
Date Issued: 03/29/2010
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 4065 Beryl Rd
Lot: 7 Block: 4 Addition: Cedar Grove 5th
PID:10-16704-070-04
Use:
Description:
Sub Type: e - Garage Heater
Work Type: New
Description:
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Valuation: 200.00 Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
TLC Plumbing Christopher A Nundahl
14780 Hallmark Dr 406 Beri 1 Rd
Apple Vallev MN 55124 Eagan MN 55122--290
(612) 490-1841
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
CITY OF EAGAN Remarks
Addition _ -CEDAR GROVE #5 " - _ rrr A Parcel 10 16704 070 04 - Lot Owner Street 4065, state Eagan, MAT 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR,
GRADING
SAN SEW TRUNK
* SEWER LATERAL ►(Q 1972 1,304.00 52.16 25 Paid
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK Z2j 1974 70.00 4.66 15 Paid
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
i
EAGAN TOWNSHIP
N.o 144'7
BUILDING PERMIT
Owner a4,4 _ Eagan Township
Address (present) =~l - Town Hall
Builder
Date _ ~_j-
Address
DESCRIPTION
Stories To Be Used For I 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 KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
_ _
This is to certify. that-..-.a C s-rro has permission to erect a._z< ...upon
the above described premise subject to the provisions of the Building Ordinance for Eagan rwwaship adopte April 11,
1955. ,p
.C.%L~wc.lti ✓~i.._.:_.._. Per •---!--Zs.-----`-----...-----------;--`.'---- i
Chairman of Tnwn` Board Building Inspector
4 .
. EAGAN TOWNSHIP
N° 14,70
BUILDING PERMIT
Owner /C~..-------..._.?------------------- Eagan Township
Address (present) -da-,:.__.. Town Hall
Builder -------ice fG
Date
Address
DESCRIPTION `
Stories) To Be Used For _ Front- Depth Height Est. Cost Permit Fee Remarks
LOCATION
Street, Road or other Descriplion 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. d
n> .Qc C~
This is to certify, that__, y~:.___.__.._,•__Ld.-:.has permission to erect a..... ~ upon
the above described premise subject to the provisions of the Building Ordinance for Eagan wnship adopi'~d April 11.
1955.
..---•-t/-•c----._.. Per _
Chairman of Town Board Building Inspector
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: 0 I L D I N G
(612) 681-4675 Date Issued: 02 936
04/11497
SITE ADDRESS:
4065 BERYL. RD
LOT- 7 BLOCK- 4
CEDAR GROVE #5
P.I.N.. 10-16704--070-04
DESCRIPTION:
REROOF
Suilding Permit Type SF (MISC.)
Bui.1_ding Wot'k Type REPAIR
Ccnsu~: Cods. 434 AL.T. RESIDENTIAL
REMARKS:
FEE SUMMARY:
VALUATION $3,000
Base Fee $74.75
Surcharge - 5-o
Total Fee $76.25
CONTRACTOR: _ Applicant - ST. LIC.OWNER:
OVER THE TOP ROOFING 14584133 2006067 HENJUM MORREY
9120 JAREAU AVE S 4065 BERYL RD
COTTAGE GROVE MN 55016 EAGAN MN 55122
(612) 458--4133 (612)683--9638
~F hereby acknowledge that I have i,ead this application and state that the
information Ls cat°rect and agree to comply with x;11 appli.cabl,e State of Mn.
L Statutes and City of Eagan Ordinances.
r
APPLICANT/PERMITEE SIGNATURE ISSUED :SIGN URE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Reauire=nts emodeVReoair Reouirements
♦ 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
f.
7 00-
DATE: _ CONSTRUCTION COST.
DESCRIPTION OF WORK: __T~ A/2 v~ ,'c= cJ t
STREET ADDRESS: 14o S 13e y- - l ( R'0 a. J
LOT I BLOCK SUED./P.I.D. -J 5
PROPERTY Name: r V oy--V y 4'rl iTo rj Phone
OWNER
Street Address: ~d S T
City: State: Zip:
CONTRACTOR Company: Ui'ef 771'1-:' 76t' Pho e=(#: ye ~3
~T .
X131
Street Address: Lice 2oU q Z02- S
r~
City: Q 4LSe Grove State: Zip: 5SS 0 r
ARCHITECT/ Company: Phone M
ENGINEER
Name: Registration M
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): 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 info 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 Not Required
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
❑ 03 SF Addition ❑ 08 8-plex n 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace n 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
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 7y. 7s Valuation: $
Surcharge
Plan Review
License
MCNVS 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: a 5
% SAC
SAC Units
CITY OF EAGAN
CASHIER-. JS TERMINAL NO: 669
DATE: 005/99 TIME: 12:23:47
ILA
NAME- VINYL.. IMF'Rt7VE.':Mk::NT 1°'ROI:=UC S
320 9001 4065 BERYL RE, 03.25
2155 9001 4065 BERYL RE, 4.00
'X'i:3t.al Receipt Amount-, 1max r'.25
CF?i.C 1. 08
USER 10: 3AN
1999 BUILDING PERMIT APPLICATION t1 ' D TIAL)
CITY Old IOGAN
PILOT KWW RD • S5122
_
651-M-467s 1 Via- - t S-
HIM Cgodudw
3 n"040red 09 surveys shorvbt s% ft. of lot, sq. ft. of house 2 copies of plan
and aj roofed f2Q% mourn Id Gg% 9 nmM 1 set of epnergy calculollons #x f
D 2 copies of pkms (stow boom & whdow shies: poured fnd. desfpr. etc.) Vsft swvdy fart *xlwW addIfthst dee b
A 1 set of energy calcukthlons .
D 3 copies of bee preswvcftn plat I hot pbNsd offer 7/1/93
ap
DATE IZ •13.e:R CONSTRUCTION COST:
VESCRIVRON OF WORK:
STREET ADDRESS: ao9d
LOT:
BLOCK: ~ SUISD.iP.I.D.
Name: dt#;,).4 C Phone 0: tJ
PROPERTY ftd
OWNER
N
Street Address: if
/
City State: 0AL.._.~..,_... _P~ s? /z'4'
l ,rVN~ Y~,pC Phone R: /Z~
Company:
(area code)
CONTRACTOR
Street Ades: Lic 7.~t.
City dVltJ State:
T
ARCHITECT!
ENGINEER Company: Name:
Telephone R: area code ( )
Strut Address: Re9ldrallo+n
CRY State: Zip:
Sewer & water Ncenmd pturrAw (reauhred feu ham,c e.tbn anhr):
Venally applies when address change and lot change Is requested once perm Is Issued.
hereby acknowledge the9tt 1 have read this applicalton, state chat the orred• and b comply wit 0# a icabl
e of Minnesota Statutes and City of Eagan Ordinances.
cr _
Signature of Applicant
OFFICE USE ONLY
Cites of Survey Received Yes No ( 5
Tt ,Pr a sembon Pin Received Yes ; "No Not R"uired
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.)
❑ 02 SF Dwelling . ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porc h/Addn. (
❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex .0 18 Deck ❑ 23 Porch (screened)
❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging 0 20 Pool ❑ 25 Miscellaneous
WORK TYPE
❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia
❑ 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 Bidgs
# 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 ) S a Valuation: $
Surcharge , 6
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Parts Dad.
Trails Ded. s
Other
Copies
Total: l LS . a S
SAC Units
'W SAC
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
BlocE, 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.
Edward J. irsc t
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
I
EAGAN TOWNSHIP
BUILDING PERMIT N•o 15'79
Owner - ~ Eagan Township
Address (present) r_.
d=" ..t' _S c
` Town Hall
c
Builder r.t. L :
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 Tract
This permit does not authorize the use of streets, roads. alleys or I 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~N THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that-' 'l______/E= _ _ ____________has permission to erect a..... t'z.-= " ~..._.........upon
the above described premise subject/to the provisions of the Building Ordinance for Eagan TdvGnship Sdopted April 11,
1955.
r ,
7
4..k S r t_rn_ E4 t~
Per ~ 4--• • •C-
Chairman~of Town Board Building Inspector
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~ .Lvi 7, 81~ ~x y.
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2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
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 showing footings, beams, joists Cert of Survey Recd Y N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y _ N
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions 8 decks Tree Pres Plan Recd _ Y N,
2 copies of plan showing beam b window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Prey Required _ Y N
1 set of Energy Calculations On-site Septic system -,Y _ N
3 copies of Tree Preservation Pland lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanics ventilation form
Plans are considered public information unless you state the are trade secret and the reason.
Date / I U~ Construction Cost
Site Address -l~~ J- Unit/Ste #
Description of Work
Multi-Family Bldg _ Y N Fireplace(s) -<'0 - 1 2
Property Owner Telephone # {'S~)
Contractor
Address City
State Zip Telephone # ( }
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category/ _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(4 submission type) Submitted Submitted
• 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?
Y - N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone # ( J
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
i
DO NOT WRITE BELOW THIS LINE
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 ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-piex ❑ 12 12-plex ❑ 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
Description: Water Damage Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
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) Sheetrock
- Footings (deck) _ Final/C.O.
- Footings (addition) Final/No C.O.
_ Foundation _ HVAC
Drain Tile Other
Roof - Ice & Water - Final Pool _ Ftgs _ Air/Gas Tests _ Final
- Framing _ Siding - Stucco Lath _ Stone Lath Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
- Insulation _ Retaining Wall
Approved By: , Building Inspector
_-_--------------------------_________----------_______~____w_______
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 8011,0106
3830 Pilot Knob Road Permit (Number:',
Eagan, Minnesota 55122-1897 - Date Issued: 04/14/07
(612) 681-4675
SITE ADDRESS: Up. 2 . N 4 -1. /04-0/0," 04 APPLICANT:
4066 01"Ryt R0 O tt: V14( 'r 0P ROOFI'RMIT SUBTYPE: TYPE OF WORK:
(i4x xr y RFPAI f
of". Rf- 00f
"r R' INSPECTION Ti'Plf-'
00116" lot ptat)
RAIAH IN "16 FINA1
Pennilt w,. PsoWt Holder t 6s
► VAC
Imp. C*namrft
Fooas
FOUNI)
FRAkFM
ROOFM
f
E
f PLUMIM
c YATa
w
"S m
h' TEST
tNSUL
GYP BOARD
FIREPLACE
FlRCE
AIR TEST
FINN. PLSG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
SSMT FINAL
DECK FTG
DECK FINAL
Jul 18 12 01:21p Victor & Kathy Barke 507-625-3343 p.2
Use or BLACK Ink
For Office Use - I
a>: apr j Permit C
D S~, ~ I
I
City of Ea Permit Fee:
Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: 651 6755675 I \ q
I Staff
Fax: (651) 675-5694 I
--------i--r
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
diC/ry) IKII Unit
Date: ~l~v I Site Address: Y Q&5_
Name: Bf ` - Ull tf~n.hi~.CA Phone: LOIO( _a&a1
RESIDENT /
OWNER Address / City / Zip:
Applicant is: Owner \/_1 Contractor
TYPE OF WORK Description of work: ~rI fP~'l /iL~G(~I/ IT lA
Construction Cost cf g. Multi-Family Building: (Yes _ / No x
Company: ItIP - Samontact: nr)1 C
CONTRACTOR Address: 11)knrl L~ City: 0gQnhyl-Ap
State: Zip: f7a,06 Phone: -
License RI-143J / ~ Lead Certificate Mfi ^ 19501 / - I
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
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.
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 locales of underground utilities.
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
e.
days f permit issuance.
x Jn ie' n _ r
Applicants Printed Name App icants Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES 1-1611- 6C -Y
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
'Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
( ~ulti _ 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 rn
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
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: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: :T:i , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge,
Plan Review
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:EA116402
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 4065 Beryl Rd
Lot:7 Block: 4 Addition: Cedar Grove 5th
PID:10-16704-04-070
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
Beth Ullenberg
4065 Beryl Rd
Eagan MN 55122--290
Elite Exteriors
1513 Southcross Drive West, Suite A
Burnsville MN 55306
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature