4162 Topaz Dr
CITY OF EAGAN Remarks * Cedar Grove Ar_guisitien
Addition~DAR GROVE #1_: Lot 17 Bik 10 Parcel 10 16700 170 10
Owner I ~Street 416 lbpdz DL'lV2 State ~gan, MN 55122
f-~' .//1
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ~~,j 1985 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1972 1,304.00 52.16 25 Pdcllld
WATERMAIN
* WATEFLATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOVNN S H I P No sos
BUILDING PERMIT
,
. Eagan Township
Ownei ~~1....... ~~t,_
/ 1(
,AX?~-.. ~ Town FIall
Address (preseai) ~IV . . .
t' 17
Builder
Addaess
' Dafe_ . ---O
DESCRIPTION
Sfo=ies To Be Used Foz Fronf Depih Fieighf Esi. Cosf Permii Fee Remarks
7z~ ~
/17 LOCATION
Sireei, Road of ofh'ez Descripiion of Location ' Lof Elock I Addition or Trae!
~
i~
This permii does nof auihorise the use of sixeefs, roads, alleys or sidewalks nor does it give the owner or his agenf
the righf fo czeate any sifualion which is a nuisance or which presenfs e hazard to the healfh, safefy, convenience and
general welfare fo anyone in the communiiy.
THIS PERMIT MUST B EPT O THE P MIS WHILE TFtE WORK IS IN PAOGggg
This is !o ceriify, ihaS.Q~~/.~,~/~~r.. ~s permission !o erecf a....~L~f-Ae.?~C'{ ...........................upon
3he above dcsc:ibed premise subject fo lhe provisions of the Building O inanae for.~ ovfas/iflip adopied Apzil 13,
1955. ~
.
_ _ '
Chairman of Town Board B ~ ,yi~d" 9 Inspeetor
f/
- ~ EAGAN TOWNSHIP
N° 3019
BUILDING PERMIT
Ea9en Township
Ownex F..-L..... `.`i~..........
Address (Preseni) ..~~_...Z....................................... 1'own Hall
Hvilder -5-- -7~
Dale
Address
DESCAIPTION
Sfories To Be Used For Front Depfh Heigh! Esl. Cos! Permif Fee Remarke
it 7 LOCATIOIY
Streei,~Road or ofher Deseripiion of Loeafion I Lo! Bloek Addition or Trac!
/ 7
This permit does nof avfhorize the use of sireals, zoada, alleys or sidewelks nor does it give !he owner os hfa aqent
the right to ereafe anp sifuation whiah is a nuisenee or whieh presen2s a hazerd !o the healih, safety, aonvenienee and
general welfare to anpoae in the eommunity.
THIS PERMIT MVST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS.
This is !o cerlify, 2he2
. .........has permisaion !o erecl a.........--..."............................... - vpon
the abova described premise subjecf !o the provisions ot the Suilding Ordinance tor Eagan Township adopied April 11.
1955.
._ue:'
Per
Chairman of Tnwn Soerd JS Suilding Inspecior
In ~
~r e .~,d 5 ~ ~l G -Bs
omns ~rom
p - • ~ e /0.6v
Request Dale Fire No. RouHh-i~lnspection
Repuiredl •ady Now Q Will Nntilv, Insoec-
Q ~Yes o -fff lor When Ready
E] Licensed ec rical ConVactoF 1 hereby rapuest inspoction ol abova
? Owner elecbical work inslnlled el:
Sveet Address, Bax or Route No. Ciry
ecuon o. -
I Nnme or Range No. C ntyOecupunt l TI Phone No.
Povrer $vpplier AdAress
t .
k
EI¢cbical Contractor (Cwnqs1T`f1911l1 Connaet, Gccnsc No. ~
F L ELECT$i E 60. '
Mailinp Address (COntracI(]ryQr,qr nGr~yy~~nLI~sAa~1E~')AVE• ~
1 Y2f'/ ~ 1 1 V
r ~ 'J
Authoriz Sigrplur Con(mctod wner Ma md Installa~ion Phone Numbor
TNIS INSPECTION qEQUEST WIIL NOT
YINNESO STA e D E TflICITY 9E ACCEPTED BY THE STpiE BOAHD
iEwaY
Gri - Roo ~ UNLE55 PROPEN INSPECTION FEE IS
~ {oiversi ve., S ul, MN 04
"JI: J 3 3 y ENCLOSED.
Receipt MECHANICAL PERMIT Permit No.
. a? CITY OF EAGAN Fee 16
. •
M
[!Fi:ll in numbered spaces C pe or Print legib/y
t. Date 2. Installation Cost 7~r-• d'O
3. Job Address ~ Loc f f Blk. f U Tract r
4. Owner
5. Contractar. , Phone
6. Address
7. CitY State is` ' Zip ~
8. Building Type: Residential 4l Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair
/10. Describe 111(---'J-k.~. ' 17 C., Fuel Type~~Y"
11. Na. Equipment 8TU - M. Ea. No. EQUipment CFM
Forced Air ~
Air Handling:
, Mfg,
Boilers
Mech. Exhaust
Mtg.
Unit Heater
Mfg. Other
~ Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify,that thp above information is true and correct, and I agree to
camply with ordiFr nces and codes governing this type of work.
Signed : • =
for
Rough Final
Inspections: Date Insp, Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
y55~~ REQUEST FOR ELECTRICAL INSPECTION /E~B-o°°°''°'/
' Seo irehucliws lor comploting Ihis torm-pn baek of Yellow cooY. ~q//~ Ig+[
Q 4 7 0 8 2~ X" Below Wark Covered by47his Request ~ f1 )
Add ReD. TVYe oi BuiICanB Aoolaomcea OirW Epuioment WireA
Home Range Temporary $ervice
Duplex Water Heater Lightiny Fix[ures
Apt. Buildinq Dryer Electric Heaun
Commercial Bldg. Furrwce Silo Unloader
Industnal Bld,y. Air Condi[ioner Bulk Milk Tank
Farm otner aecilv .ther Isnecifvl
t - uec, fy Other 01hc,
ompute lnspection Fee Below
• Fae ServiceEntrenceSizo tt Fae Fexders/5ubleeders d Fee Circuits
U to 200 Am s 0 to 30 Am s 0 ~0 30 Am ~s
Above n,i 37 to 100 Amps 31 to 100 Am -
SwinmiAbove 100AmpsTransfoIrrigation Boorts Sigis Special InspeCtion 5 OTAL FEE. u~ ~ /9 ~i~ / / l °LI
Ibuph-in Date the Elec4ieal
Inspectoq heroby
certi1V thet the above
F"~1 D' ,c inspection has Ceen
? ~da.
tpb ~epueal vad 18 montb Irom
=
EAGAN TOWNSHIP No soo ~
ILDING PERMIT
Ownex ~t~t~° - i Eagan Township
/ V
Address (presenf) .._.~Q). N~G~~ Town Hall _
/
Builder . . ~ . . . . . - ~ K
Addxess " ~ Date~. .
T._
- -~r~tL:4~- .
DESCAIPTION
SSOries To Be Used For Front Depih Heighl Esf. Cos} Permi! Fee Aemarks
~ ~ -i ~ D~~ , C~6
LOCATION
Sfreei, Aoad or other Descripiion ot Location I Lo! Elock Additi or Tracf
~ f I I ~ /O
Thia permif does nof aufh ze use of sixeeis, roads, alleys or sidewalks nar does ii give She owaer ox his agenf
!he righf !o czeafe anp siiuation~v ch is a nuisance or which presenis e hazard to ihe heallh, safety, convenience and
general welfare fo anyone in ihe communifp.
THIS PEAMIT MUST E T O , E PRE ILE THE WOAK IS IN PAOG yRESDS.
Tbis is fo eeriify, ih~~f~.1 . . ~ . . ..has permission 1o ereci a.°'5.... . .
upon
!he above dcscribed ise 'ec f p ions of e Building Or i f ownshi adopied April 11,
1955.
Per _..4...
Cheirman of Town Board B g Inspetfor
Cities Di i~ ta1 Qualitv 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.
;
~
City of Ea~a~ I Pe~~
~}'/~9 I
I Permit Fee: ! ~ ~ I
I c¢ ~
3830 Pilot Knob Road ~
~ Date Receivetl: v~ I I
Eagan MN 55122
Phorre: (651) 675-5675 i Stax: L ~
Fax: (651) 675-5694 I I
- ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l1t, l166 SRe Addross: 4I Loa I oP' ` L
Suite
TenaM: n /
RESIDENT/OWNER Name: 6~-D Phone: 1~1~5i-`TJ~i'-~
Address l City 1 Zip:
Applicant is: _ Owner Contrador
~2, o~
ti a~33 44~
TYPE OF WORK Description of work:
on Cost: Iq u Multi-Family Building: (Yes _I No
Construc ~
~ Ucense#: M2a
CONTRACTOR Name:
~
Address:
cmy:SrH)ilWYx*er scace: MN zp: 55
Phone:lOJl'~i~ 1•~O'~! _COntactPerson:_1~~1 ~l l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Gateaorv 1 Minnesota Rules 7672
Energy Code • ResidenLel Van6lation Category t Worksheet • New Energy Coda Worksheet
Cgtegpry Submftted . Submitted
(J submissfon type) • Energy Envebpe UeWations Submiltad ,
In the lest 12 monthe, has the City of Eagan iasued a permil tor a slmllar plan based on a maater Pian?
_Yes _No If yas, date and address ot master plan:
Licensed Plumber: Phorre:
Meehaniwl Contractor: PhOne:
Sewer & Water Contractor: Phone:
'.r.l..Y:e'.•f.:i'YS~w_: %Cv
I hereDy acknowled8e ihat this i`AOrtnatlon Is complele and axurate; Nat the hork wlll be in Cronformence with the ordinentes and codes ot the Cily ot
Eagan; that I understand this is not a permit but ony an applicaUon for a pertni; antl work is not to start wilhout a pertniC thffi the wak wfll be in
accordence with Me approved plan in the case at work whfch requires a review and approval of Wans.
x x J
M • C`,Vkm vnucA
Applieant's Printed Name AppliwnYs Sigriature page 1 of 3
- MASTER CARD
4
LOCATION ~
~ #41
OWNER
STRUCTURE AND n~
LAND USED AS r
Issued To
Permii No. Issued Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Approved
Items (Initial) Date Remarks Disfance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS.
~ COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY 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
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPIIANCE. BUILDER Wlll COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOlLOWS:
~ REInSPECTION REQUIRED DATE OF REINSPEC'fION
REINSPECTION REVEAIED
I'll .
CERTI FICATION - 1 certify that I have carefully inspected the above in which I have no interest preunt or prospective, and that I have reponed herein
ell significant conditions observed to be at variance wiih ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? AlL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS:
1~ 23
. 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION ~7~0
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for single family dwellings & townhomes/condos when pennils aze required for each utut
Date-~Q/0S
Site Address ~~~~ti~ pa2J v~ Unit #
PropeRy Owner ka-/j CGt (X a- m Telephone ~
Contractor 97ANDAAC HEATINQ & AIR CONDITIONINB
Strect Address MINNEAPOLIS, MN 55408 City
612 -824 -2636
State Zip Tetephone # ( )
Bond Expires:
The Applicant is _ Owner ~Contractor _ Other
Add-on ar alteration to esisting dwelling unit $ 30.00
X, furnace _Additional `Replacement
~
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ 50
Total $ ~d •
I hereby apply for a Residential Mechamcal Permit and acknowledge [hat the inforrttation is complete and accurate; that Ihe work wdl
be in conformance with the ordmances and codes of [he City oC Eagan and with the Mechartical Codes, t I understand Uiis is no[ a
pernut, but only an application for a pemut, and work is not [o start without a permit; tha[ th r in accordance with the
approve plan in the case q rk tuch requires a review and approval of
L Applicant s Printed ame \ plicant's Signat re '
~
. ; .
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION ,
City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete (or. commerciaVindustrial buildings
mulli-Camil}' buildings• whw separate pemuts are not required for each dwellmg unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previaus Tenant Name
Property Owoer Telephonc # ( )
Contractar
Street Addrcss City
State Zip Telephone # ( )
Bond Espires:
The Applic•an[ is _ Owner _ Conlractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
*"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector
PermitFees: s70.50 undergroundtankinslallationlremoval
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% Permit Fee
• If eP rmit fee is $1,000 or Iess, add $50 ~ $ State Surcharge
If pe rmit fee is over 51,000, add $.50 for
every $1,000 oermit fee $ Total Fee
1 herebp apply for a Commercial Mechanical Perniit and acknowledge tliat IIhe mformaUOn is complete and accurate: Uiat the work
will be in conformance with ihe ordmances and codes of the City of Eagan and with the Mechazucal Codes; that I understand ihis is
not a permit, but onty an application for a pennit, and work is not lo start without a permit, ihat 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 Applicants Signature
Approved By: , Inspector Date:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4162 Topaz Dr
Lot: 17 Block: 10 Addition: Cedar Grove 1st
PID:10- 16700 - 170 -10
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments:
Fee Summary:
Quesetions regarding elec
445 -2840
Ashley Orman
130 Plymouth Ave N
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
PERMIT
City of Eaan
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
cal permit r equirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Ronald Palm
4162 Topaz Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
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
Issued By: Signature
Mechanical
EA090717
08/18/2009
ePermit
cal Inspector, (952)
Use BLUE or BLACK Ink
F-----------------
I For Office Use 1
1 { 13 /09 1
City of Ea ~ Permit
I Permit Fee. /105.35
3830 Pilot Knob Road j I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
I
- - - - - - - - - -
g013 RESIDENTIAL] BUILDING PERMIT APPLICATION
Date: YL29 a Site Address: / 2- j4o-Z pr- Unit
Name: P0 bVm Phone: &S111t;4215Z
Resident/
r
Owner Address /City /Zip: ~2_ TO 0a _Z1
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: IP I W_ in Multi-Family Buildi g: (Yes /No
Company: Contact:
- 5,
Contractor Address: City:
State: Zip: Phone:. 5 701 Yt'
License U00X)'1;_ Lead Certificate
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 the 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 locates of underground utilities. www.goaherstateonecall.oro
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 pr s.
Exterior work authorized by a building permit issued in accordance with a inn ota g Code must be completed within 180
days of ermit issuance.
X Cy~~ I/ U~
Applicant's Printed Warne s Signature
Page 1 of 3