Loading...
4155 Topaz Dr CITY OF EAGAN Remarks * Ced3r Grove Acquisition Addition, CEDAR GROVE #1 Lot 11 Blk 6 parcel l) 1670f) 11i) Q( dwner J J Street 4155 Zbpaz DY'2Ve State Jftqant M 55122 Improvement Date Amount Annual Years Payment Receipt Date STF3EET SURF, S 1985 1266.95 84,46 15 STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1972 1 3,04.00 52.16 25 1043.20 A003225 10-13-76 WATERMAIN * WATER LATERAL 1972 WATER AREA STDRM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, SAC PARK Raceipt MECHAhICAL PERMIT Parmit No. q(/-/ ~ r1 , / CITY OF EAGAN Fse ~ l• Fill in numbered spaces S/C Type or Print legibly Tot. ` 1. Date 2. Installation Cost 3. Job Address f'!~/SS LotBlk. t' ~J Tract 4. Owner 1'i • L~ P r~~ t5. Contractor.. 71 •-~i+ /77~ Phone ~-2 6. Qddress 7. City State Zip ~ 8. Building Type: Residential Mr" Commercial O Institutional ? 9. ~ork Description: New ? Add O Alter 0 Repair ? ,0. 4escribe Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby oertify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. r Signed : ~7- y ~ - - for Rough Fin Inspections: Date Insp. Dete3~~/~.~nsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-6100 INSPECTION RECURD Co,tro'"o. CITY 4F EAGAN PERMIT TYPE: f'r" i t+' Mf' 3830 Pilot Knob Road Permrt Number: •*t6bb Eagan, Minnesota 55123 Date {ssued: (612) 681-4$75 ~ S[TE ADDRESS: APPLICANT: ~ 41*~!; fOPAZ 0 » 1NIN P,IYY S1dRM 9A$H CO ~ t! I/AN l+lttil.'U ! ti i (h1 h46•0160 PERM~T Sl~l~TYPE: TYPE OF WORK: QE sGR?PTIOiI ALUN t AU`f4 i rASC I14 h 1#IA! j?~'3~ ~t t-~`~iir Y^ r'' '~~Y~i(~LYI :54 ~~/ti:R ILi~[Y~~.A.Z _'~t~ F~y{ ' ~ Cei :.f K • - - ~ . ~ . . _ ~ " ~'~t . _ . iy ~ . ='t~~~. ."e~.~ ~e'tn L _y: . - ~ ' . . _ . ~3' _ . . . , . . PNmft Np. P/17f11! F101dM DM 1dwhOflf 0 ~ PLUMBiNG FfVAC ELECTFIIC ELECTFiiC ~un FodYqr ~ FourdOon Fral" Roa~nO ~o Pft Nut. ~ Fitii Mlp. O~sM Teq FMW Fb4 Pft kwpmGrx - Nolfly Pkniba Co111R. AAalsr Enpr~ WAU RW 440, Dedc ft Oeok find VIhY P?. Oilp. « . , ~ . ' EAGAN TOWNSHIP BUILDING PERMIT N°• 2473 Owner A'.`.:`.:`.".""-'!.c---/.1-,... Ea9an Township Address (PIesen!) ..aCh_......~.~..~.L.~.' Town Hall Builder . aa:e Addrete DESCRIPTSON Siariee To Ba Used Far Frani Daplh Heighf Esi. Cos! Permit Fae Remarke - I / a LOCATION StxeeS, Road ar olher Deacslplion at Locellon I Lo! Block Add1lion or Trae! fi 40 I ~.G 7!1- / Thia permii doea not aulhorise She use ot aSreele, soada, alleys or sidewalka nor doea it give the ownes or hIe ageat the righifo cseete eny sifuafion which is a nuisanca or which presenls a haaard fo the healih, eefely, convanienca aad general weliare to anyoae in the eammuniiy. THIS PEAMIT MUST BE KEPT ON TH£ PRE ISE WHSLE THE WOAK IS IN PROGAESS. This ia !o cerlify. !hel--~a hes permission !o areet a..L?dc...~~~~7,~.._upon ffie abova described premise subj c! fa !he provisione of the Building Ordinance for Eagan Township adopied April 11. 1955. ,:j.'...l---.`^..`.^'..^..c....."'........._... Per Cheirrt(an of Tnwn Board ~ Building Iespecfor HOUSE HEATING TEST RECORD Ll t(36 C-,av-c( ADDRE55 - a APT._ OOR Ct7Y~~^SFIBURB OCCUPANT OWNER ~~r'~~'c.?J~ S~dr/`S HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gos Line By TYPE OF HEAT GA _ FA HW STEAM SPACE HTR. _UNITC~CR. -OTHER U --f~~ GAS DESIGN ONV R IS ON MAKE MAKE OF BURNER Model Model Serial Max. BTII Rating ~Il n '.I INPUT MAKE OF FURNACE Model ~ ONTROLS THERMOS AT ~ Heat Plug S Vem Size Valve ~ t- KIND OF LIN Re-I SiZF ~~rNONE Limit Draft Hood / Regulator p v LimitSetting/ Filten Size~_Number ~ Fnn Setting C~ -S{ •r Chimney Location ide Outside Pilof Type C Chimney Construction Pilot Make ~ Pilot Model Smoke 8om Wiring Pilot 7iming 620SC c-- Draft Test 7ag A1 e 't- L.W. Cut Off Door Pressum l-~ Lighfing lost. n1~~~?M4f_~e Prossure c~- S4_~percentCO2 ~ Date Tested ~ i Input CFH XQ ~ Pereent OZ ~ Company Test' g $tavk Temp. C~R 70 Percent CO ~ Name of Testar Form 235 ~f~^`~ TOWN OF EAGAN 3795 Pilot Knob Road Eagan, Piinnesota 55122 PERMIT N0. 158 The Board of Supervisors hereby grants to Peoples Naturel Gae of 3958 Sibley 14em. Hvy. a Heating Permit for: (Owner) Richard L. Syveraon at 4155 Topax Drive , pursuant to application dated October 19, 1971 Fee Paid: 5.50 Dated this 20 day of October ~ 1971 Qzz-4- Building Inspector EAGAN TOWNSHIP No 630 BUILDING PERMIT Owne: - . ..-14r l~z.......... Ea9an Township - Address (presen!) . -~W...../.. Town Hall ~ Builder Dafe Address DESCAIPTION Siories To Be Used For Fronf Dep2h Heighf EsS. Cosf lPermif Fee Aemaxks LOCATION Sireel, Road or o! es escripiion of Localion I Lo! Elock Addifion or Traci This permii daes no1 ~ lhor' the use of sireeis, roads, alleys or sidewalks nor d s ii give ih owner or his agent the :igh! !o create any situa which is a nuisance or which presenfs a hazazd 10 the health, safeiy, convenience and general welfaro !o anyone in the communifp. THIS PERMIT MUST K PT ~HvEP EMIS/$ WHILE THE WORK I5 IN PROGRE S This is !o cerfify, iha . .SCG:~iA .............has permission erecf a.'.._. . P' upon the above described premise-su jec !o the provisions of the Buildin O dinance for E a ied ril 11. 1955. Ch e rman o f Town Boar d Per . P ..._......~-L..._ -i . ..Suildi..----- . ..p. ecior _ ' - i EAGAN TOWNSHIP NQ .1333; tUILDING PERMIT ~ ~//l~p~ ddL~s~cd tG' ~c~'/ ¢ ~.CEeganTownship Owne ./_~.F~.. ,C({ . Address (Preseni) r Town Hall Builder ' ~ . - / J Address ~Dffie7; - : ..f.7 V DESCRIPTION 5to:ies To Ba Used For Froaf Depih Heighi Esi. Cost Permif Fee Aemarks LOCATION ~ Sireef, Road or oiher Descriplion of Loca2ion I Lo! Block Addifion or Traef l/ -/41 -/7 1 z C -6-71 This pe:mif does nof aufhorize the use of atseeis, roads, alleys oz sidewalks nor does it give the owner or his ageni the righ!!o ereafe any siluaSion which is a nuisance or which presenis a haaard fo the health, safeip, convenience and general welfare !o anpone in iheJ eommuniiy. , THIS PERMIT MUST E • T y?i, TFIE P EMISE fiI~:E'THE WORK IS IN PROGRESS J : ~~,,~t~i ~ i This is !o eeriify, iha lr~%.....'..l_..r.G.. L~fL..f.4~.l~a~ permission fo erect a.13 ...-Y..----' ....rl. ..........upon - ~ the above desc ibed,premise subjeei ;o•ihe rovisions of the Building Ordinanae for Eagan Tawna~ edopted April 11. 1955. ~ / c~/ °-----f ---"..../yil-----....---.. Per Chairman of Tow erd Suilding Inspectoz Cities Di i~tal Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. R -Qt o~ ~ ~ City of Eatan ~ Pwmi`°: ' I Pertnit Fee: 3830 Pilot Knob Roed ~ MN 55122 ' i Date Received: Eagan I i ~ Phane: (651) 675-5675 i Starr. ~ Fex: (651) 675-5694 1 2008 RESIDENTIAL BUILDiNG PERMIT APPLICATION oase: 8ZI~ 0 s sne adaress: 4l SS' ToP/k Z De- SuiDe Tenant: RESIDENTIOWNER Name: R1C"'OrIZ(J 5`/vEesot.J _Phone: laSl^4S~'y3~.3 Address / Ciry / T~p: Appl'icant is: _ Owner -~CCanlractor TYPE OF WORK Description of work: -rj~ k'2 D F F 'f ConsVuction Cost: y1~ •g0 Multi--Family Building: (Yes_/ No Kj Lice ~ nse CONTRACTOR Name: ~ Address: a' c;~: ~ ~ 1~'Yx,~e~'' smte: zw: 55 7 Phone:lOJl"1~,I•q&1V ContactPerson: K(ICP11 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy CodE • Residerrdel veftlation Category 1 Waksheat Naw EneW Code woikaheet category Subnlued Su6mitted (J submission type) • Ene91r ErweaP° Calc'la"0"' suemitted In the last 74 moMhs> has the Cly ot EaAan iasued e permit tor a simllar Plan based on a master Pian? _Yes _No If yes, date ard address of inester plan: Licensed Plumber: Phone: Mechanioal ConVactor. Phane: Sexrer a water Contraetor: Phone: i.r.'~ ~ . :v...: ;-:~:g'--.•~,.`` i•:_ i•5 w . .Ie... , . I nereby admowted9e that thfs irAwmdon is comptete artd maureM:l7iflt the work vAil be in toMOrtnance wiM tha ortlinences antl wCes ot Vie (Sry a Eapan; that 1 untlerstend tlus is not a pem+it but ony an appiicadon tor a permi; and work is not mstart without a PeR^it: Met me "'ork wifi bo in aaortlance with the approved plan in the eaae of woAc which requlres a review and approvel of Plarm. x M ; C Amm~,Lc.A : Y~1 ApplfcaM's Printed Name ApplipM's Sigreture pq8e 1 013 PERMIT C°n 1203 ~ CITY-OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 001655 (612) 681-4675 Date Issued: 10 / 19 / 9 2 SITE ADDRESS: 9155 TOPflZ OR LOT: 'I1 BLOCK: 6 CEDRR 6ROV[ 1S1' DESCRIPTION: . , ALUM EAVES & FASCIA Building Permit Type SF (MISC.) BuiAdinqWork Type NEW . ~ Q ii . REMARKS: C FEE SUMMARY: VALUA'iTON $3,000 . 8ase Fee $54.00 Surcharge $1.50 Total Fee $55.50 CONTRACTOR: - npplicant - sT. Lr.pN/NER: TWIN CITY STORM SASH CO 15468160 000309 SYVERSON RICHARD 10825 GREENBRTER RD 4155 TOPAZ DR MINNETONKA MN 55393 EAGAN MN 55122 (612) 546-8160 (612)454-4373 I hereby acknowledge that Z have read this application and state that the intormation is correct and aqree to comply with all applicable 5tate ofi Mn. 5tatutes and City oF Eaqan Ordinances. I- J 4~f1, APPLICANT/PERMITEE SIGNATURE ~SUED gv: SIGNA UFi~ JJ`S~ 1992 BUILDING PERMITAPPUCATION g~5,50 J 5, • 64~) 'm CiTY OF EAGAN REQUIREMENTS: SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SfTE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELUNGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENEiiGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL , 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE JQB LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUEO. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PLRMIT IS ISSUED. To Be Used For: Valuation: oate: Site Address ~/,5 S' %7j , Z ~ ? ~ L) e OFFICE USE ONLY Lot 11 Block l~ FEES Occupancy Bldg Permit Parcel/Sub rIn . tmy, ~ Zoning Surcharge ~ / Actual Const Plan Review Owner~j, cA_u ~vl 5'_1j) ` r.cr~, Allowable License Fee ' # of stories SAC, City Address .Sc~t~n E Length SAC, MWCC Depth Water Conn. City/Zip S.F. Total Water Meter Footprint S.F. Acct. Deposit Phone ~ ~ ~37r3 S/W Permit On-site sewage S/W Surcharge Contractor '[YVIN CITY STORP.7 cAcH CO., iNftv. On-site weil Treatment PI. 10825 ( - ! MWCC System Road Unit Address MiNNETONKrt, R,IiJyE307a 1~ Ciry water Park Ded. SS~a~ PRV Trail Ded. City/Zip Booster Pump Copies SUBTOTAL Phone ~c) License APPROVALS Penalty Pfanner Lot Change Council TOTAL Arch./Engr. Bldg. Off. VarianCe Address City/Zip Code Phone # Sewer/Water. Licensed Contr. . Processing time tor sewer/wffier permits is two ays once area as en approve . agrees that all work shall be done in accordance wfth - ZSignature o er rttee all appticable State of Minnesota Statutes and City of Eagan Ordinances. 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD • 55122 Q~ 651-681-4675 ~ ~ New Conshuetion Reauirements Qemodel/Reoair Reauirements D 3 registered sMe surveys showing sq. tt. of lot, sq. R. of house 2 copfes of plan and 211 roofed areas (20% maximum lot eoveraoe allowed) 1 sef of energy calculatlons for healed addNions D 2 coples of plans (show beam 3 window sizes; poured fnd. design: etc.) 1 sXe survey for exferior addHfona 3 decks ? 1 set of energy calculatlons D 3 copies ol hee preservalion plan N lot platfed cMer 7/1 /93 DATE: CONSTRUCTION COST: ~yb v ~ DESCRIPTION OF WORK: n ~e Jzlry'V) STREET ADDRESS: -1 (f5r5 TDQ m -1'- LOT: ~ BLOCK: ~ SUBD./P.I.D. c1 NameA-S u-~ X G~'1-n c( Phone ~`SI/- 413 77 PROPERTY last First OWNER Sfreet Address: `75-s- City State: Zip: Company: ?v Phone M: 6 41 7 (area code) CONTRACTOR Sheet Address: /~d' S-d" License *;k0S661-1 Exp. Cify ~-UCJ~ X~~~~5 , State/h~ Zip: -~~yya ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration k: City Sfate: Zip: Sewer 3 water Ilcensed plumber (reaulred for new conslruction onlvl: Penally appltes when address change and lot change !s requested once permN Is Issued. I hereby acknowledge that I have read this appilcatlon, state fhat the Information Is conect, and agree to comply wRh all applicabl Sfate o} Minnesota Sfatutes and City of Eagan Ordtnances. ~ Slgna}ure 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 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) CI 04 2-plex ? 09 7-plex ? 14 Apartmenis ? 19 LowerLevel ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only 0 43 SidinglSoffits/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 (Alfowable) 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 Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit SJV+i Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC MASTER CARD • LOCATION OWNER S~//~~'~t~IV 1 ~cNq~q n STRUCTURE AND IAND USED AS ~r~~Lit/ e M~n• Issued To Permit No. issued Coniracfor Owner BUILDING ,4j3 -~-V-~1 PLUMBING CESSPOOL - SEPTIC TANK VJELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER O7HER - • ...,p ,APPro'ved ' Items (Initial) ' Date Remarks Distance From Well FGOTWG SEPTIC FOUNDATION . CESSPOOL FRAMING TIIE fIELD FT. FINAI 8 ELECTRICAL ' DEPTH HEATING - OF WELI GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD ' PLUMBING WELL SANITARY SEWER • Violations Noted on Back COMMENTS: . 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 ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS Wlll BE DELAYED BY CONDITIONS BEYOND CONTROL. NON-COMPLIANCE. BUIIDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOIIOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION • REINSPECTION REVEALED CERTI FICATION - I certify that I have caretully inspected the abwe in which I have no interest present ar prospective, and that I heve reponed herein ell si8nificant conditions o6served to be at variance with ordinences of tha Town of Eagan, approvad plans and specifications, and eny specific require- manu for off-site improvements relating to the propeny inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE CONJv1ENT5: • ~ aa 6,-b -e- I . STAI!'JAf:D HEATING & AIR CONDITIONIhG C0. SERVING THE TWIN CITIES SIh'CE 1930, I HEA7 LOSS CALCULATION FDR SYVEP,SON 101084 LK ~ ~ ^7/1I1•! LEIJGTH 44 WIDTH 26 HEIGHT 8 % • ( ~ WINDOWS & DOORS - CRACKAGE AWU AREA i WIDTH HEIGIiT tJO. LIN FT AREA ~ P10. PANE PAP!E LIGNTS CRACK SQ FT ~ 2 28 27 1 21.3 14.2 , 2 29 19 2 31.2 20.2 1 24 20 2 14.7 8.E99999 1 20 23 2 14.7 8.7 1 56 38 2 28.7 34.2 2 31 20 2 32.8 22.4 1 36 20 2 17.7 12.8 . ' 2 28 16 2 28.7 16.9 ' 1 36 80 D 19.3 20 . 1 32 80 D 18.7 17.8 _ COEFF BTU 140 R.FT INFILTNA7ION 227.8 20 4556 GLASS 176.1 50 8805 ' EXP WALL 140 P1ET EXP WALL 943.9 11 10382.9 , QELOtd GRAOE...... U 0 5 0 CEILIDIG 1144 12 13728 FLOOR 0 0 0 YENTILATIOPd...... 0 0 0 0 TOTAL 67U 37471.9 BSEF9ENT LENGTH 44 WIDTH 26 HEIG4T 8 - WINDOWS & DOORS - CkACKAGE APID AREA p~GJ*v ~l0. WIDTH HPANET LIGHTS CkACKT SQRFT ~ 3 15 36 1 30 16.2 ~ 4 19 35 1 42 25.6 I COEFF E3TU~.~ ~6 . T 1FJFILTRATION 72 20 100 ~ CLASS 41.8 50 209#i1 ~ EXP WALL 140 PJET EXP WALL ........................-41.8 0 0 CELO:d GRADE...... 8 1120 5 5600 CEILING 0 0 0 FLOOR 1144 3 3432 VEtJTILFlTIOPl.... 0 0 0 0 TOTAL (3TU 12562 TOTAL BTU OF ALL ROObiS/FLOORS 50033.9 I 2007 RESIDENTIAL PLUMBING PeRmiT aPPUC,arioN ClTY OF EAGAN . 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 2 S 1 07 Richard Syverson Site Street Address 4155 Topaz Drive Unit # Eagan, MN 55122 Property Owner 6514544373 'elephone # ( ) Contractor AO/i!Dm a{y7b/0 Telephone # (G 12 ) W-4033 Address ?C(Os 6-Ar,41W - Giry State.44,f/ Zip S,fyOg The Applicant is: _ Owner ~ Contractor _Other Septic System _ New _ Refurbished Submit 2 sels of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace bumed out fixtures, etc.) $ 90.00 ' Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installa[ion of a water softgner.and/or water heater at the same time. lf you are insfalling onlv a water soffener and/or water heater, do not complete this section; move to the next section and check the , appliance(s) you a`re installing. Septic System Abandonment _ Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Sottener ~ Water Heacer $'i S.Ou _ new Y replacement Lawn Irrigation _RPZ _PVB new _repair _rebuild $ 30.00 State Surcharge $ 50 Total - ~1S SD 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 the plumbing codes; that I understand this is not a permit, but only an application for a permd work is not to staR without a permit and work will be in accordance with the approved plan in the event a plan is requir t be reviewed and approved. Je-(T- .tlorb)oW7 k2l ApplicanYS Printed Name pl' anYs Signature Use BLUE or BLACK Ink For Office We j Permit City 01 Eap I Pannit Fee:. 10 r✓' • a ~ 3830 Pilot Knob Road l Eagan MN 55122 j hate Received; j Phone: (651) 676-6675 I ~1~ I Fax: (651) 675.6694 1 staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: r Unit I.... Name: R►~-~o e~ ~VUea-g0 Phone: ,6yLl- 'e?511"1373 Q gr Address /City /Zip: opc~z 1:~r . Applicant is: Owner . Contractor Description of work: ?,*,R "h 14a~fer of ~a-A F T►v.+faer t~~ Sln~y~~1 t s , ) i Construction Cost Multi-Family Building: (Yes /No company: Coh r. ee) "s G &iz4a m Lx Aw,-,,r°~ contact: VV% jl Address: Lt2S S~_ Frno~n,r R6i . _City:aS~ttn6, OtKa" - U . State:us Zip: S 50 '33 Phone: le-51 y ` Z7 7 i License Lead Certificate ~J*T t bl 4V / If the project is exempt from lead.certification, please explain why: (see Page 3 for additional information) \le 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 Contractors Phone: Sewer & Water Contractor: Phone: ;.r 4t r r .!.'Jl:.,.: ;a•• ~ :v"' r'e:,,Li..~..,1, r:jT `-;;~ar,.: ,,;.,.1 r r~` ±w.:: . L. : l,. r..l.rf 1~ L . r,0<.~ki'; :i.• ro , IeS:::a: r . . .r.. l r.,... .,..d L, o-r. y.., ....1.' . , L .r.) , . 1 .i,i'"' :'1: :'1, '.:Il a.'i i . .Ir:i. ll:r'. ,.i.i I , ..1. rill rrl.'• I:I ~ ~i1 ~~1~~' t)SL.t✓6i.~~~~ •r~~ „I.i', I~II:i. .II. t'I. ,r~' ..1.: CALL BEFORE YOIi_DIG. Call Gopher State One Calf at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to alg to receive locates or underground utilities, XWw.gapherstateonecafl.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 pagan; 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 arid 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 - JL%r- c`E 1 x ~a ~ Applicants Printed Name Applicant`s Signature Page 1 of 3 b0/Z0 3!D d 31X3 woisno S-n3NN00 T06Z86PT59 LZ:0T 8TOZ/ZT/60 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150381 Date Issued:07/05/2018 Permit Category:ePermit Site Address: 4155 Topaz Dr Lot:11 Block: 6 Addition: Cedar Grove 1st PID:10-16700-06-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Richard L Syverson 4155 Topaz Dr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature • • • r .t ( For Ofilce.Use ✓ 9 €�; # :::: •. • it Fes: (IL t.---,4 q 3830 PILOT KNOB ROAD EAGAN,MN-55122-18.10 Date Received: /6 I'Cg �� (651)675-5675 1 TDD;(651)454-8535 ! FAX; (651)'675-5694 T 0 .bulldinginspecttons(a�cityofeagan.com s r Staff: L 1__u a .2018 E.SIDENTIAL PLUMBING PERMIT APPLICATION Date: l''''' �. .Site Address: gs i D ps5Da_ Tenant: • . �N N tsS o 0 r `b. n', n °r'' Suite#• l' R j ,'1rp�3<'?ia 0A Name, aJA44.4, 1) t0�1 . � _1.S "��,.r', QfSpixi. X DIY ,y.�f 1'10119: .> tnn,i6, 4t `!,.LA,3•�f'5„`:_,p, r t, Address/City/Zip: l/ �P • OX-MtltAN2-v'tt �s,� SIW.\' Name: MILBERT COMPANY dba CULLIGAN WATER T Yr ,.i r) License#• WC641376 l'XIN:-.4,4 cs�`itl `+a') VA Address: 1801 50TH STREET EAST ',t> fffxgr },,, City• ; INVER GROVE HEIGHTS ',�..,,, F,,,f,t?off `t,,�,} State: MN . Zi 55077 :Phone; ,LLi,i, ,�'}}ti,. x..31# i)ay P 651-451-2241 iE�N1tir 1 q,.r�'r j'l�i��'1�'4,15,,13f:a'4�. tr_sr„C:, <;-"/.2; r�,v: Contact: BILL MILBERT f ��/ Email: loria,abas@culligan4water.com ,t,k4 iypA,f� /p rr ,. i4 _New Replacement Repair ).-t,y,TYP` �ffn. rIK%-ia. P Rebuild Modify Space Work fn.R.O.W, ti:Aiy..e.W.,,A4,a :t,v,.,y!E, Description of work; 4 01,15 � '; `1',.4,1/( 3t4.,r'�N RESIDENTIAL _ .__. __� _., __ r, ,s ',,qo��4h.r l.,64-';yaa ii _Water Heater r¢V sf F'jklU 10 .1 is � ] fl` Lawn Irrigation( RPZ/ PVB)5. 1 X Water Softener ' Add Plumbing Fixtures ures ( Main/ Lower Level)1 � , Septic System . n roS),Otvt1-,; , 0��S, ; New Water Turnaroundt / ., 1 ,k J� 11 �t r1z � 10 Abandonment _......_,..,,,__,• $60,00 Water Heater,Water Softener, or Water Heater and Softener(Includes State Surcharge) r —_ _�~—_ RESIDENTIAL FEES: $60,00 Lawn Irrigation (Includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes state surcharge) 'Water Turnaround (add $280.00 If a 3/4"meter Is required) $115.00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES.$ 60.00 CALL t3EFOREYOU DIG. Call G.epher 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,yopherstateonecall.or "�" You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an small update on tho City's websito at www,citvofeanan,com/subscribe. I I hereby acknowledge:that this Information Is complete and accurat:; 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 an an a Ilc- on fora permit, and work Is not tO accor ncewlth..�e=pproved plan In he c� oj.wyorXc •Ich rr.ulr s a review and approval of plans. Y� \ PP / start without a permit; that the work will be In X L ,• i x Applicant's Printed Name • dam' ftj�4r1�+��c�F'•;;,•.,..,,,.,,_. Applicant's Signature 2 �, i l�lilt r vi r4stbrl•j( n.,{�y t rs l(S, �, �tr •�ORtO FILE USE`t l 9 k`A I i s ` •400� (J,tr ! tc- k�O dh F r i, t v i.rF Z �'� �� I' eYll-d'�1 4r ir 1i I e e f tF r) i_� }'z,yf k^�:� :3:t• (�,i,-r, # R '�3 y ��, ..s r J y t, �, },.(SII t -�L: �`� 'l.y-ilyr/r ,( >a y: S,.1 r r 01' � _�1 t• c ��yyii .0 : i �'A r 4 ,t.,, s i �: �t,ti};J` ..s,tf4 ;L-. tt,„f,y,ut.'�, rx, 4rrJ 7,:f ;s ,-t.:'tr;;�l�; cr�'`•ff.p..rl .WdC� Q.l, - 5 x::.�{.:t-`r .1SS.,c,'r.,>.:• .y.� .,t ,�s,nti4}(: �!�'' ,ltv�r e,l.,t'>I,r fr{-`.i is i M F gr'}vy'Y,zf.,,/toy. .il t h: Fr -VV: ge01dt r e f tw.g• i a i,,tv. Date i t JV"/.4,)r'' { q dilns Gtlo '`s /•e r(, de F4r�`, F Flip ti f ( �� /j i a # �: , 7 .. iNvtl;,;{-,t,,•.,� ]lfi”`rE�• yy11 t l.,>�9 5I 2t., r,.�.##�a s�`-1 n � ,.,j 141.j• 4 Lj-(�I (�k # � ( t_ 'S� yR6 1 �, `?-11,1n il_ . ;;. V;1.•4`1.tCa a.I Sia G-r, UhVg, f F,l1-tR' 1,'� ,•(-iVI ; 41 1-i t,'414ggi �;z,8 gtre '; j)1441- 7,' y .IZg .a,x.?I, �,r] �f.,,_�•vrj � x. �J "Ltl ✓) ft_A-(elf,4 t. L 4gh,I.,: -t U. �,7 64', ( . j v(,F f(�vg-, l7r.}},{.S is 4,.rt'}'r t/� tr. r�,t �.�� � `�� F r.i,d tK+ r�(>k f1} t t V•r.5 >.�v,,tt, @ SS 'i< `�k r r+,+ ti a c�Y:�att`. �.�3 �nRal ted 8rT1 : t L Si V fid J? v(1 jt LFiI`. �, d A l }SIS0 s -- ..h FT a '` `r ,, �,...r�(., ,,< i t ' �.Q�,i't� j a 1 r• � � �t�3 of s� ]�r .iS �3•-t�5r�rn) Err ,h ��, t M� erg ., r �„ ,�t ,1 �, 5 S� ,dS.. S I 1 is ]r..>k R�d}b agg.0 tr>1S4 4c i i 4 f ' 11 e 4 t'i .i f2 Y `' it{��{{,�',y v' `.' ...�•_. z,;Mangrn.e.keN.'1j�,+.'t'Y�>;Stc'1� � �t,/i'�'1°lE yt,�`�rl, "'�f}/``'<?�%^,, PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175634 Date Issued:04/11/2022 Permit Category:ePermit Site Address: 4155 Topaz Dr Lot:11 Block: 6 Addition: Cedar Grove 1st PID:10-16700-06-110 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Richard L & Erlyne Syverson 4155 Topaz Dr Saint Paul MN 55122--280 Tony's Appliance Inc. 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature