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:
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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.
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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
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it Fes: (IL
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3830 PILOT KNOB ROAD EAGAN,MN-55122-18.10 Date Received: /6 I'Cg
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(651)675-5675 1 TDD;(651)454-8535 ! FAX; (651)'675-5694 T 0
.bulldinginspecttons(a�cityofeagan.com s r Staff:
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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
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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