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4161 Topaz Dr CITY OF EAGAN 3745 Pllof Knob Rood Eegen, MN 53122 N2 5886 PHONE: 45411100 BUILDING PERMIT Recetpt # To be us4 fer Est. Volue Date 19 5ite Address Erect ? Occupancy Lot Block 5ec/5ub. Alter ? Zoning parr-el # Repair ? Fire Zone Enlorge ~ Type of Const. W Name Move ? # Stories ~ Address Demolish ? Front ft. Ci phone Gmde ? Depth ft, °C Name Approvals Faes v~ Address ' Assessment Permit 1' CI Phone Woter & Sew. Surcharge - ~ Police Plan check °C Name ~Z Firo SAC uo Address Eng. Water Conn, aW Ci Phone Planner Woter Meter Council Road Unit I hereby ocknowledge thot I hove reod this application and stote that Bldg. Off. the information is correct cnd agree to compiy with all applicoble State of MinnesoYo Stotutes cnd City of Eagon Ordinances. APC Total Sipncture of Permittee A Building Permit is lssued to: an the express conditfon thnt oll work shall be done in accordance wfth all ppplicable State of Minnesota Stotutes nnd City of Eagon Ordinonces. Building Offitiol r.Mx # oaft bw.+ rM.u~.. PI umbing Mechanital I I INSPECTIONS DATE INSP. Rouph-In Finol FooTings (D 77 1`. f`- Oate Inw. Dote Irnp. Foundotion Plumbiny Frame/ ins. Mechanical Fincl ~ Remarks: Raoaipt MECHANiCAL PERMIT Permit No. CITY OF EAGAN Fee ~ fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. ' Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential 11 Commercial ? Institutional O 9. Work Description: New ? Add O Alter O Repair ? 10. Descxibe Fuel Type 11. No. Equjpmnt BTU - M. Ea. No. Eguipment CFM Forced Air Air Handling: Mfg. E ( fc.C'~ P I , L. Boilers Mech. Exhaust Mfg. W OQ ~l y S 3 Unit Heater w, Mfg. Q Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for , Rough F_inq?' I Inspections: Date Insp. Date y//4 - Insp. ~ This is your permit when numbered and approved. Approved CITY OF EAGAN 464$100 - ~ CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CEDAR GROVE #1 Lot 18 elk 5 Parcel 10 767(710 780 05 Ownerf i, I r')'I I ' • ) Street 4161 Topa2 DL'lVe State Eagdn, MN 55122 VGt I 11 U lJ U f'I Improvement Da[e Amount Annual Years Payment Receipt Date STREET SURF. PIR c, STFEET RESTOR. GRADING SAN SEW TRUNK * SEWEFiLATERAL /040 1972 1,304.00 $Z.Zfi 2$ WATERMAIN WATERLATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ~ BUILDING PER. SAC (ii PARK SEDGWICK HEATING & AIR CONDITIONING CO. ?+EATi"G JpBNO. 8970 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS n.~( Z / r CITY l+ A CL~ OCCUPANT OWNER SOLD BV ~l-I`,( N.4,,7~ INSTALLED BV MAKE MODEL / F~ r ? ~O SERIALNO 5 1 V-7 1) O~ ~2 - I INPUT THERMOSTAT L141-62 ~D o O VENT SIZE 2 `I -PVV f VALVE 1 TYPE OF L W ER LIMIT- /Li,rXLX UNER SIZE C7 i 1 LIMIT SETTING ~I FILTERS. SIZE A^• A. NUMBER I FANSETTING TVI ViXLI WIRING n `-5lJ 01& 1~ PILOTTVPE s/14:dmTESTTAG IGNITION MODEL LIGHTING INST. v jy~ o ~ PILOTTIMING ^ DATETESTED . ~II (jJ.L• V PRESSURE ~ PERCENTCOz /a JUN 2 6 2007 INPUTCFH(o ~ PERCENTOz COMPANYTESTING STACK TEMP. J_SLL~ PERCENT CO NAME OF TESTER FORM2%(REV.111e9) FORMOISTAIB1IrION: WHITECOPY - JOBFILE YELLOWCOPY - CITV This reauest voin 1 3 '~~~s97~'452 ~ la.oo Fequest Ua~e F~rn No. ~FC~Uh`ti InsVer,~ion Featly Now QN/ill Nolify_ Insuec- $-26-83 ?v~s QNO t-r When Reatly ? Li.-MrA Electncal Contmclor I hereb y reqaest inspection of obovo ? Owner elactrical work instelled et' Street Address, Box or flowe No. ' Clty 4161 Topas.nrive Ea an eclion o. Township Name or No. Range No. Counry Dakota OccuGant IPflINTI Phone No. ?:ernard Vaillancourt 4 -120 Power Supplier Adtlress Eldcvical ConVactow (Company Name) onvar,tor's Liccnse No. £ossoc•, Inc. C R q Maihnp Atldress ICon[nc[or or Owner MakinB Inswllationl P.O. Dox 254 La3:e Elmo, t•tn. 55042 Au)Mpr¢ I u ignature (ContractodOwner Makiny Inslallation) Phone Numbre~rr~Q-J[04 19 I/ f/ MIN ESOTA STATE 90AflD OF ELECTRICITV THIS INSPECTION HEQUEST WILL NOT G,i6es-Midwey Bltlg. - Foom N-191 eE ACCEPTEO BY THE STATE BOAND 1821 University Ave., St. Peul, MN 55104 UNLESS PflOPEfl INSPECTION FEE IS - 1-11 - ENCLOSEO. ' REQUEST FOR ELECTRICAL INSPECTION ,r; Ea-ooooi-oa ' Sea inshucbons lor comoleting chis form on buck of yellow copy. -vs .097452 -3 gqq a "X" Relow Work Covered by 7his Request "1 AAtl Hep. Typa ol Buildinp Applinncns Wued EnUinmant Wved g a Home Rangc Tgmporary ServiCe Duplex Water Hea[er Liqhtiny Fixrines Apt. Building Dryer Electric Heann Commercial Bldy. 1 Furnace $ilo Unloeider Industnal BIAy. ~ Air Conditioner Bulk DAilk Tank Farm Otnei oau y] OiherlSnecifyl tim Suecify Ot cr Othur Compute Inspection Fee Below p Fee Servica EnVanceSize 11 Fee Fexders/5ubleetlers N Fne Circwts 0 to 200 qm s 0 to 30 qm>s 0 co 30 t1m ps Above 200 Amps 31 ro 100 qinps 31 to 700 Am s Swinuning Pool Above 100_Ainps Above 100_Amps Transtormers Irrigation Boort,s Paitial.'Other Fee Signs Speciallnspection flemarks S 10.50 T ~~ebG HouBh-in O~te I, the ecVicnl Inspector, heroby certify thet tlie nbove Final ~ ~ InsVection hos been ~ mede. mis reauast voiE t8 monlns trom . ~ CITY OF EAGAN ~ 3795 Pilo1 Knob Road Eagan, MN 55122 N2 5886 VHONE: 454-8100 / I9~f ~ BUILDING PERMIT APPLICATION Receipt # 9 Te be med for Patio Room Est. Volue-r'+/001 oO Date .Tu•:p 20 192a Site Address 4161 Topaz Erect []Y Occupancy R3 Lot lg Block 5 Sec/5ub. Cedar Grove #1 qlter ? Zoning Rl ~ ReDair ? Fire Zone III Parcel # Enlarge ? Type of Const. rc Name BPrnard Vall .neourt, Move ? # Stories 3 Address S3IRe Demolish ? Front l~ ft. o C. Eagan phone 454-1207 Grade p Depth 14 ft. p Name Pe ti p T7i l l a 6rp Approvals Fees o~ add~e:5 3918 West 49z St. Assessment Permit 21.00 EdiriB 5542/92fi-2771 Water & Sew. Surcharge 3.00 ~ Cit ' "Phone r Police Plan check 10.50 Fw Name Fire SAC n/a Address Eng. Woter Conn. na <O1 Ci Phone Plunner Water Meter n a Council Road Unit n a I hereby acknowledge that I have read this application and state that gldg. Off. 6/17/80 the information is correct and agree to comply with all applicable APC Totol 34.50 State of Minnewta Stotutes ond City of Eagan Ordinonces. Signafure of Permittee A Building Permit is issued to: Pat10 Village on the express condition that oll work sholl be done in accordance with all applicab,/le~/$tate of Minn a Sfatutes and City of Eogon Ordinances. Building O4ficial ~Q'Q Ofl A~ 07 ~ CIJ'Y OF FAGAN Include 2 sets of plans, - ~ O 1 site plan w/elevations & BUILDING PE1NIT APPLICATION 1 set of energy calculations. To Be Used For Rdon1 Valuation Date Site Pddress OFFICE USE ONLY Int Block Sec./Sub. IErect Cccupancy ~ Paroel Alter Zoning / Repair Fire Zone ^~t1= owmer: 1315RNI4/ti--~, "LGj6~ICtoc-Z f Enlar4e _TYPe of Const. Nbve # Stories Address• 414 11 pHmlish Front ft. Gity/Zip Code: 6/2~ Grade Depth / ft. Phone APPROVALS F,g,s Contractor: Assessnents Permit ~ - ~Vater/Sewer Surcharge 3~- Address: ~~of e&JT/4/2 S~ Police Plan Check /A s" City/Zip C«1e: Fire SAC glq, water Conn. Phone planner Water Meter ~ Council Ftoad Unit 1611ZA Arch./En9• : Bldg. 0ff.6. Address: APC City/Zip Code: 'IC7PAL Phone HOUSE HEATING TEST RECORD Llfi' ) BS, CtAa/^G"Vq- OCCUPANT --~i! QI~r ` f WNER FL~o !~_rSUB/R.«i. I HEAT LOSS D{~ TE H G. INST. SOLD BY S Q~L~/~f~ ~ ~-INSTALLED BY 5yl Elechical Work By Gas Line By J' Q ~_Q TYPE OF HEAT GA _ FA ~LHW -STEAM _SPACE HTR. -UNIT HTR. _OTNER GAS DESIGN CONVERSION MAKE - ?A MAKE OF BURNER Model Model Serial G Max. BTU Rating INPUT • Q. ~ p MAKE OF FURNACE ' Model ~ CONTROLS THERMOSTAT L~~6 ut Plug ~ Vent Size Valve ~ KIND OF LINE N SIZE ~ NONE Limit Droft Hood, Regulaior Limit $etting _ Filfers Si:e. X Number Fan Setting Chimney Location Insid y l Qutside Pilot Type Chimney Construction ~ [ Pilot Make Pilot Model $moke Bom/b W{rinp ~ Pilot Timing ~aG Draft .~v.oTest Tag11 L.W. Cut Off Q Door Prossure Lighryting Inst. /1l Proswro percentCO2 ~ Date Tested InputCFHP~Percent OZ Company Testing Stvck Tem Percant CO Name of Tester " Form 235 EAC;AIV TOWlVSHIP xo 429 BUILDI G PERMIT Owne: ~ ...1. ~ ,J - - - Eagan Township Address (Pr seni) . -fif!. . . ..~.~,Jr?X'~?"y~/~~--- Town Hall , Builder . . - ~ - -~b.... Address . ~ - . Da! _ ~ ~00,. . ~ DESC IPTION Siories To Ba Used Fos Froni Dep1h Heighi Esi. Cosi Permi! Fee Aemarks LOCATION Sireei, Road ox q$Ker Descripiion of Loaation Lo! Elock Addition or Traci This pexmif does o! S orize the use of sireefs, roads, alleys or sidewalks nor does iS give ihe owner ar his agenf the righ!!o ereafe an s' uation whiah is a nuisanco or which preseals a hazard fo iho heallh, safely, aonveni2nce and general welfare io anyone in the eommunilp. TIiIS PERMIT MUST B K~ PTy,p~ ~N~ ~T PREMISE WHILE THE WORK IS IN PROGRES . This is fo cerlify, lhai.Q2!F-^--'i~!-^-~-~~~yc~~~ ._......has permission o erecf a._~...... pon the above descxibed premise subjecS to fhd pzovisiors of the Building O diaaace fox Ea an ad d A ril 11, 1955. • c Per - - - Chaitman of Town Board Buildi g nn~ EAGAN TOWNSHIP No BUILDI G PERMIT ~ ~ - ~ ' Owne: .__.B Ea4an Township . / Addreea (presenfy....~_ O.L.-~.....r:.`1.~.~...!t~~`f~__ .<~'.E<L4i.~_...r~~ Towa Hell . Builder afe Addreas DESCRIPTION 6fories To Be Used For Front Depih I Heighf Esl. Cos! Permif Fee Aemarks + 6T C~ ~ , ' LOCATION ~ Siree!. Roed or ofher Descripiion of Locaiion I Lo! Elock _ Addition or Traci ~ This parmii doeg noi aufhoriae !he use of sireel8, ioads, alleys or sidewalks nor does it give ihe owner or his ageni !he righ! !o creafe any sifuation whieh is a nuisanea or which presents a hazard !o !he heallh, safety, convenience end general weliare fo anpone in !he community. ~THIS PEAMIT MUST B K/gP~T Oyy7~ '~T,HE ~MI -I3E WOAK IS IN PROGRES'-s7./ Thia ie !o ceziify, fhaf :~girE.L _ FP:.~ ~......~...$as permission fo erec! a/~.[!^".~~:.C.i:yJ ' ....upoa . 1he abovd d scribed p~~l//~ i- ubjec~i fo ihe provisions of !he Building Ordinance for Eagan Township adopted April 11. 1955. f, ~ • ' . . Per Chairman o wn Board ' Suildin9 InsPecfor ~ 1999 BUILDING PERMIT APPLICATION (RE51DENTiAL) CITY OF EAGAN ~ 3830 PILOT KNOB RD • 55122 651-681-4675 ~0 a New Conshuction Reauirements Remodel/Reoair ReaulremenR D 3 regislered sMe surveys showing sq. R. of bt, fq. tt. of house 2 eoples of plan and plj roofed areaf f20% maximum lot coveraae allowed) 1 sef ol energy calculalions for healed addHions ? 2 coples of plans (show beam a window sizes; poured fnd. design; efc.) 1 aRe survey for exfeNor addHlons a decb ? 1 set of energy calculatlons D 3 toplef of hee presenafion plan R bt plalted aHer 7/1/93 DATE: -C1 ~ CONSTRUCTION COST: DESCRIPTION OF WORK: ~slyP[u~ ~ ~ .U/L~.'+~~,l~b ~,t,o~i~x.• ~-,O~rwM STREET ADDRESS: ~/Q !~l~-OC•n- itl Gtk_- LOT: l~ BLOCK: S_ SUBD./P.I.D. li: \ ~0-1' G YU 0 I Name: Phone#: G~/-~06-SD~''I PROPERTY ast OWNER , ' 9.~ Sheet Address:~~A/ .cr City Lx IL/ Stote: ~ • Zip: Company: Phone C NUMIAIMMING. (area code) CONTRACTOR MSMETANADRIVE Sfreet Address: , rIETONNA MN 51113 License M V7,3 Exp. Clty State: Zip: ARCHITECT/ ENGINEER Company: Name: Te!ephar.e erea :cde ( ) Shee4 Address: Registration Ik: City State: Zip: Sewer i water Iicensed plumber (reauired for new conshucflon onlvl: Penalty applies when address chonge and lol ehange Is requested once permR Is Issued. I hereby acknowledge ihat 1 have read fhls applicatlon, stafe that the informaflon ia cortect, and agree to comply wifh all applicabl State oi Minnesota StWufes and Cfty of Eagan Ordinances. • Signalure of Appiicant: a",/-F 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 O 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex O 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex O 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments O 19 Lower Level ? 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 ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. 0 40 Gas Insert 0 44 Windows/Doors 0 33 Alteratinn 17 37 Demolish Bldq.• ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump W 19101re Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge ~--v v Plan Review License MC/ES SAC , City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/V1l Surcharge Treatment PI. • Park Ded. Trails Ded. r Other Copies Tatal: 9. ah SAC Units °/a SAC , CSTY OF EAGAN (:ASHI'Eh: JS TLRi4IRAL NOc 764 nATEs 05/if3/99 TT11En iBa41.^4U *D i:AME° ABC f'.iEAi1Lf=5S NEWOF'f 3210 9001 A161. TOF'AZ D'i 181.25 055 9001 4161 TOPAI_ riR 5.00 Til'i 7l fiE?Ce1pt F`nUVilt t QEn25 CF:i p`J2C)9 U!:ER Tnr 1AP! 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)s CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651•681-4675 New Construction Reculremenis Remodel/Reoair Requlremenls > 3 registered sHe surveys showing sq. if. of lot, sq. H. of house 4 copfes of plan and all roofed areas (207, maximum lot coveraqe altowed) 1 set of energy calculafions lor heated addHions 2 copfes ot plans (show beam 3 window sizes; poured fnd. deslgn; etc.) 1 sNe survey tor exferior addBions 3 decks 1 set ol energy calculafions . 3 copies ol tree preservation plan M lof platted afler 7/11/93 DATE: ~ l Q"/ 9 , CONSTRUCTION COST: DESCRIPTION OF WORK: ~ c ~P.I's G STREET ADDRESS: ,C4 • LOT: Q6- _ BLOCK: ~ SUBD./P.I.D. Name: Phone 11: PROPERTY Last First OWNER Street Address: Z , City a qai1i , State: V1 Zip: .5~5i1;~a F~- V'`J & ~'J Company: Phone /v.'51 ~ (area code) CONTRACTOR Street Address: c J i/.~ nl~~ c YI • License #Z~7SID Exp. City State: Zip: L':~O~f55 ARCHITECT/ ENGINEER Company: Name: 7aiap hona n: area .:Ou2 Street Address: Registration City State: Iip: Sewer 8 water licensed plumber (reauired for new conshuction onlv): Penalty applies when address change and lot change fs requested once permit Is Issued. iohereby acknowledge that I have read ihis appllcafion, state that the Informatlo is cortecf, and agree to comply wlth all applicable State of Minnesota Slatutes ond Clty of Eagan Ordinances. Signafure of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No qpR 2 0 1999 Tree Preservation Plan Received _ Yes _ No _ Not Required BY: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Oniy ? 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 GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MGES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies • Total: SAC Units % SAC L~g'~ BS, CE~ar Grc,v~. ( ~ y(~l Z~aZ ~r. STA;:DARD HEATIP;G & AIR CONDITIOt:ING C0. ~ SEP.VING THE TWItI CITIES SItJCE 1930 4EAT LOSS CALCULATIOM FOR BERNARD-VAILLANCOURT 82283 Sb! 'U1IN LEIIGTH 36 iIIDTH 26 HEIGHT 8 4lIP:DO:•JS & DOORS - CRACKAGE AF!D AREA l•lIDTII HEIGHT P:O. LIPI FT AREA ':0. PANE PAF:E LIGHTS CRACK SQ FT 1 46 47 1 17 18.1 2 18 22 2 27.7 15.3 4 30 18 2 62 39.7 1 13 34 2 17.8 11.3 1 34 18 2 16.5 11.1 1 24 16 2 13.3 7.4 1 62 73 DU 38.9 62.9 1 32 80 D 18.7 17.8 1 35 30 D 19.3 20 ~ COEFF BTU 124 R.FT [t:FILTRATION 231.2 20 4624 ]LASS 203.5 50 10180 =XP WALL 124 JET EXP 4JALL 788.4 13 10249.2 3ELOW GRACE...... 0 0 5 0 ;EILING 936 15 14040 -LQOR 0 0 0 fOTAL BTU 39093.2 :SMT LENGTH 26 ;JICTI! 36 tiEIGHT 8 :JIIJU0:J5 & DOORS - CRACKAGE APJD AREA WIDTH HEIGHT N0. LIhI FT AREA 10. PAb!E P!U!E LIGH7S CRACK SQ FT COEFF BTU 124 R.FT :PIFILTRATIOP : 0 0 0 ~LASS 0 0 0 :XP YJALL 124 !ET EXP k'ALL 0 0 0 SELOW GRADE...... 8 992 5 4960 ;EILING 0 0 0 LOOR 936 3 2808 'GTAL l3TU 7763 'OTAL 6TU OF ALL ROOMS/FLOORS 46361.2 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4161 Topaz Dr Lot: 18 Block: 5 Addition: Cedar Grove 1st PID:10- 16700 - 180 -05 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Crystal Gemuenden ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Michael Omasta 4161 Topaz Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA078237 06/12/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State ÷ ýüü ûúúùù øüüû èý æõ ï ßâæ ýüõ ÿþýüûú ø ì õ þüûú øüûú à ú ú õ þ ôôñþúû ó ÿòþ ù ä ÜÚ ü æææÿð ï ä äáææô åæåæåßßå èôííôæ ôø ÿþî èíæåíåæ éþæí óûñþ õðï úú ä àþ äî ñð æææÿð ôßüúÚ ä äáææôäáææ ÷åæöåæåßßå î ýû î îï î úú îî ëð ðúû îúúý ÿ ëä ÿþ õûëñ í úúì ð ÿþ þ ûÿþ PERMIT City of Eagan Permit Type:Building Permit Number:EA118999 Date Issued:11/13/2013 Permit Category:ePermit Site Address: 4161 Topaz Dr Lot:18 Block: 5 Addition: Cedar Grove 1st PID:10-16700-05-180 Use: Description: Sub Type:Reroof & Siding & Windows/Doors 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. Valuation: 12,000.00 Fee Summary:BL - Base Fee $12K $221.25 0801.4085 Surcharge - Based on Valuation $12K $6.00 9001.2195 $227.25 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 - Michael Omasta 4161 Topaz Dr Eagan MN 55122 (952) 240-1429 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA126419 Date Issued:08/25/2014 Permit Category:ePermit Site Address: 4161 Topaz Dr Lot:18 Block: 5 Addition: Cedar Grove 1st PID:10-16700-05-180 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Michael Omasta 4161 Topaz Dr Eagan MN 55122 Dubois Conservatories 11825 Point Douglas Dr S Hastings MN 55033 (651) 458-0844 Applicant/Permitee: Signature Issued By: Signature r For Office Use e yE AG A NECEIVEr) Permit#: /�C81)Li y 9 i y /11-7. S� �,,. - .,,, Permit Fee: MAY 24 Date Received: c"?4111 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TOD:(651)454-8535 I FAX:(651)675-5694 Staff: II* buildinginspections(acitvofeagan.com L 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date:/3'`\,/( A Site Address:41(01 l 2-O r Unit#: 31`.12- Name: \(2 �.C>OCIC .G1. Phone: QGJ�'Z� Resident/Owner Address/City/Zip: '1 tv( Topaz, Dr ECL (L . I � Ssl zZ Applicant is: Owner j'.4 Contractor Type of Work , Description of work: ten C/YC,{*tt.t- 5cvur5e)0 Yxic-- k� G � - 'Fe. - Construction Cost: 11O(P• (.)C) Multi-Family Building:(Yes /No ''`) Company:hY-Pav W.DNA ChkreiVii Oo krXS Contact: ' Crt t rn‘o>t2. Address: \2- 5 2L\Uf 21— City: c._ + Contractor State:M O Zip: t24t Phone:(A2.-?,1515.52-52 Email:oRicce chirete.9 dockoO rn r'i•Cf w LLicense#: �1 B�1� ( Lead Certificate#: N If14- the project is exempt from lead certification, please explain why: / K tA_5 cn ' d o ✓vt 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit ere considered to be public Information. Portions of the Information may be classified as non-public gyouprovide specific reasons that would permit the City to conclude that(hay are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacian.comisubscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq 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 plan s. x 5fekleA -CMrY1 L-P x Applicant's Printed Name Appli' tanature CCP/ DO NOT WRITE BELOW THIS LINE 1--ll ( 1 �I, pr f SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Famiiyi _ Garage Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck —_ Porch(Screen/Gazebo/Pergola) Miscellaneous _ 01 of Plex Lower Level _ Pool _ Accessory Building WORK TYPES _ New — Interior improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior 4 Alteration _ Fire Repair _ Windows _ Demolish Foundation _I Replace _ Repair _ Egress Window Water Damage Retaining Wall 'Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation (O " OccupancyJ2LJI MCES System Plan Review Code Edition '/�/ 2/0 f SAC Units (25% 100% , ) Zoning V City Water Census Code Stories --I Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) Y Final I No C.O.Required Foundation Foundation Before Backfill / HVAC Service Test Gas Line Air Test_Hood Root ice&Water _Final Pool: Footings Air/GasTests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS insulation Windows Sheathing Retaining Wall: Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In__Final — Braced Walls Erosion Control Shower Pan Other: . Reviewed By: ,Building inspector RESIDENTIAL FEES 1 Base Fee n Citi1 Surcharge ✓ Y' Plan Review (/1cl MCES SAC , City SAC Utility Connection Charge 0 ( S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3