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4177 Topaz DrMay. 17. 2011 8:19AM Rains City of Etat 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2011 MECHANICAL PERMIT APPLICATION No. 3784-»=P. Date Received: Date: k– %f Site Address: Tenant: (ft ) 7 'bprrz /»z Suite #: RESIDENT/ OWNER Name: Phone: Address 1 City / Zip: CONTRACTOR Name: Pee s $ rola A-1 -�ZI� rrtn t}'VI • '/ — es License #: city: s C Address: C614 ee4vire I f c // State: 41 Zip: u5-Jr3 Phone: ( !? -6S5-- ?/dam/ Contact; Email: TYPE OF WORK New . ` Replacement els" Additional Alteration Demolition Description of work: \ vhtc.- e) b' fG ,. ' ..f& a A Lt 0' �Uf%t, (=h,f , a -,-'e. y„ ,„^:' d.y':0;"£,w,"' �.:.1•k=i!,ki.l.i. ri ;d .... 4i mo U'A0.,, t, •! P.,. ... ..,.:, .z i•s;,1•t'u5 :.v:.:�..�„. y. '/ ,:.'u,,. I1 : lrt e�r .. ' •iyRrf�h#tL6 • r n ,'m 1 PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner ,� Install Piping Processed _Air Exchanger — Gas Exterior HVAC Unit — Heat Pump ++��' '' Other •. •ST�Nr &,-,pr +f.5 — _ Under / Above ground Tank (,,, Install 1_ Remove) "When installing/removing tank(s), call for inspection by Fire Marshal and PlumbIng.Inspector RESIDENTIAL FEES: 5 e&--.1,/-4-Al $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95,00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value$ x 1% $55.00 Minimum (includes State Surcharge) _ $ Permit Fee - If (he Permit Egg is lees than $10,010, surcharge is $ 5.00 - if the Permit Fee is > $10,010, surcharge increases by $.50for each $1.000 Permit Fee = $ Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call al (651) 454-0002 for pratecGon alnst underground utility damage. Call 4a hours before you intend to dig to receive Iocatee of underground uttlitiea. Jyl[1Nw.gopherstatsonsoa 1.oj1. I hereby acknowledge That this information is complete and accurate; that the work will be ih conformance with the o dinanoes and codes of the City or Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to sled Without a pe hat the work will be in accordance with the rha�poved plan in t case of work which requires a review and approval of plans. 1,71/44 Applicant's Printed kerne FOF4 OFFiC� a1; : V egttrred)tfspeetiona` ander Gr ,;; ,, Ro h Ii �y •rAl(T t 4i �rC ,r r` `tet-r�lti�+r��f5`� v t( _ 1 :v.'t'`..ti::.3;}=o ;>.r tw • �� a4 ry �' i.za i ..,te.. t•3, W t ',tiifi4�s.•Y. „,M1..Pi ing Clly ot Eaaau 3830 Pilot Knob Road Eagan MN 55122 - Ct Phone: (651) 675 -5675 Fax: (651) 675-5694 MAY 1 0 2011 - egg R � Applicant's Printed Name x Appf g r ure Use BLUE or BLACK Ink Perrnit s: q % 5 Permit Fee: Date Received: S Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION CA Date: A Site Address: ct.,Z_ Unit RESIDENT/ OWNER TYPE OF WORK CONTRACTOR Nam: Gr`tN)04_ GDOlettny ilk, Phone.'" L s2 ss Address / city / Zip: 3 Goo Ls..bot_ (No e C7 Applicant is: Owner )c Contractor Description ofwortcTO.1 - ®Vt-- wit 'A-t eelt L6uis , 1.<11-then Consbuctt vL Mud- Family Building: (Yes Company: M c . h Contact: .J e4" 9 C N :014 ErnP.rs.0 ate— S city: RtcY E►G I State: 1W Zip: 5S1 Phone: 6 I .2. -iS - License # :e20 `r' 37-549 Lead Certificate #: N Al- t o l 7-69 1 If the project is exempt from lead certi5cation, please expel why: (see Page 3 for adder information) COMPLETE INS AREA t,, Y IF CONSTRUCTING A P 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 dale and address of master plan: Licensed Plumber: Phone: Mechanical Contractor Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 45 -0002 for protection against under Call 48 hours before you intend to dig to receive locates of underground utilities. J www.gopherstateonecall.orn] I hereby acknowledge that this information is complete and accurate; that the work win be in conformance with the ordinary and codes of the City of Eagan; that 1 wwlerstantl fis is nit a permit. #s# air are appkatian f r a per, awl watt is not to : - wifteut a gehrit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of *r -- / /i Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building DESCRIPTION Valuation Plan Review (25% 100% ) Census Code #of Units # of Buildings Type of Construction Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies fo fir Fireplace _ Garage Deck Lower Level WORK TYPES _ New _ Interior Improvement _ Addition _ Move Building x Alteration _ Fire Repair _ Replace _ Repair _ Retaining Wall REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final 4 . Framing Fireplace: _Rough In Air Test Final Insulation Meter Size: TOTAL DO NOT WRITE BELOW THIS LINE _ Porch (3- Season) Porch (4- Season) _ Porch (Screen /Gazebo /Pergola) Pool 0 6A) Le 1 t, n G - Occupancy Code Edition Zoning Stories Square Feet Length Width _ Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required y Final / No C.O. Required HVAC Other: Pool: _Footings Air /Gas Tests _Final Siding: Stucco Lath ,Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector Page 2 of 2 CITY OF EAGAN 3795 M" Knob Raad Eayas, MN 55122 N! 5266 PHONE: 4.i' 44100 BUILDING PERMIT Receipt # I Te be wnA for Est. Value Date ~ . 19 I Site /kldiess Erect ? OccuPoMY Lot Bixk Sec/Sub. ' /41ter p Zonfnfl parcel # Repair ? Firo Zone Enlcrpe p Type of Const. W Nome ~ ' . Move ? # Stories Addross Demollsh ? Front ft. Ci phone Groda ? Depch ft. ~ Nome Approveb F*ms u~ /ddrow ' - Assessment Permit Water 8~ Sew. 5urchorye C1 Phone Police Plan check W Name _Z Flro SAC x- Address ~Z Enq. Woter Conn. <W Ci Phone Plonner Water Meter Council 1 hereby ocknowledge thot I have raod this oppHcation ond state that g~~ Off. the information is correct and ogree to comply with;all o licoble SMte of Minnesotn Statutes and City df Eagan Ordirloncep ^PC Tatol Sipnaturo of Permittee A Buflding Permit is issued to: 'on the express oonditlon that all work shall be done in acoordonoe with all appiicable Stote of Minnesota Stotutes ond City of Eogon Ordinonoes. Buildfnp Official hemlt # OeN Iwmd ?mwMtM ' Plumbinq Mechanicol ~ INSPECTIONS DATE INSP. Rouph-In Firal Footings Dote Irop. Date Irap. Foundation Plumbing Frome/iru. Mtthonlool Final Remarks: ~ CITY OF EAGAN Remarks * Ceddz Girove Acc;uisiti,on Addicion CEDM GROVE #1 Loc 2 Rlk 8 Paroel 10 16700 020 08 owner Street 4177 Rbp3z D]Cive State Eag~, MN 55122 ~ Improvemant Date Amount Annual Years ' Payment Receipt Oate STREET SURF. 1266,95. 84.46 1 , 1.1-$2.49 A015871 - 0-$ STREET RESTOR. GRADING ' SAN SEW TRUNK SEWER IATERAL ~ 0. • 52.16 25 Pd WATERMAIN * WATER LATERAL 1972 WATER AREA ' STORM 5EW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 9UILDING PER. SAC PARK INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 0.1 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 0 ~ APPLICANT: I i . I , , I 1'4„ ~~~r•~~ i I 1161r ! It i i I s,• 1 .1 .}I . - •I+~ ~ I I PERMIT SUBTYPE: TYPE OF WORK: INSPECTION • I F ~i I I I_L I Pwmk No. Wrmit Holdrr DaU Talaphone A ELECTRIC PLUM8ING HVAC I Inspectlon Dab hup. Co+n~ FOOTINGS FOUND I FRAMINO I ROOFING ROUGH I PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC I TEST INSUL GYP BOARD I FlREPLACE I I FlREPLACE I AIR TEST FINAL PLBC3 I I FlNAL HTG I ORSAT I TEST I BLDG FINAL I BSMT R.I. I I BSMT FlNAI I I DECK FTG I DECK FIUAL ~ i : EAGAN TOWNSHIP No 513 BU JLDING PERMIT r ~ ~ Ow- .~-J - Eagan Township / / Address nly~~J~C?..,, Town Hall Builder l--'--`.?2.l.i.t - Address Dafe ~...//-----f~'---0-----.....--- DESCAIPTION Siories To Be Used For Froni Depih Heighi Esf. Cosi Permi! Feel Remazks I f~o =F LOCATION Street, Ro or oiher Descriplion ot Locafion I Lo3 Elock Addition or Trac! This pezmit does no! f ihorise the use of sireeis, roads, alleys or sidewalks nor does it give the owner or his ageni the righi !o creafe aay sifuafion which is a nuisance or which presenls a hazazd to the heallh, satety, convenience and general welfare So anpone in the communily. THIS PERMIT MUST B~, (~gPT T ,PAEp~~IS~E yy~HILE THE WORK IS IN PROG This is fo cerlify, !ha J1~f%t! ;k~ ~+~~dl~. .'~ja/ /~-'x-~--has permission !o erecf a---- •~4'~/°`.£-- ------------------upon the above described premise subjec2 f'ihe provisions of the Suilding C~fdmance for Eagan oO(Wship adopied April 11, 1955. - - - - Chairman of Town Board ~Bu' ' Ias ecior ~ EAGAN TOWNSHIP No 592 ~ ~DING PERMIT Ownex ' --`-~L~~?'~--------- I ~t Eaqan Township Address (Presen ~~iCF.--- ....~.-~/Y '--<-y/n~ ~Y4~ Town Hall % /]c Builder ~ . ....--A'cw Y* Addzess f ~"eV~ - Daie .-v1--- -~------~r""-?.-J~----- DESCRIPTION Stories To Be Used Fox Fron! De ih Hei Esi. Cos! Permi! Fee Remarks ~ ~ LOCATION SireeY, Road o oiher Descripiion af Location I Lot Block Addifion o Tracf v ~ Q ~ U This permit does not ori he use of sireels, roads, alleys or sidewalks nor does it give fhe owner or his agent the righ!!o creafe any s ualion hich is a nuisance or which presenfs a hazard !o the healih, safeiy, coavenience and general welfare Yo anyone in he communify, THIS PERMIT MUST BE~JK/EPT ON E~M~YSE WHILE THE WORK IS IN PROGR~E~5~5. This is !o cerlify, lha1~7 ._.-le~'~l:'._ ...............has permission fo erecl ef~~ the above described premise s ct fo the pxovisions of the Building r' nce for W-rrnn--, adopled pril 1955. . . Per _ ~ _ ' . .....__.'.........Chairman of Tawn Board Hectar ciTr oF EAcaN 3795 Pilot Kna6 Road Eagan, MN 5512I N2 5266 PHONE: 4548700 BUILDING PERMIT APPLICATION keceipr I7 7-5--,2- To be uud for N2W S1C3111Q Est. Volue 3i800. Date 6-13 , 19-12 Site Address 4177 TOpeZ DT1V2 Er"t R3 ? OccupancY Lot 2 s, Black 8 Set/Sub.0' #l Alter ? Zoning parml Repair pp Fire Zone Enlarge p Type of Const. w Nome Ceo - F'23m1ai1 Move ? # Stories Z Address 4711 7.bpeZ DY. Demolish ? Front tt. 0 Ci Eagan Phone Grade ? DeDth ft. p Name T-Ta1g rn ApDrovals Fees o`~' Addreu 7400 West 125tY1 St. Assessment Permit 15.00 u~ Cit Savage phone 894-5555 Water & Sew. Surcharge 2•0~ ~ Police Plan check ~W Nama Fire SAC ~Z Address Eng. Water Conn. z' Planner Water Meter Ci Phone Council I hereby acknowledge that I have read this opplication ond state thot Bldg. Off. the information is correct and agree to comply with(iti p licoble APC Totol 17.00 $tate of Minnewto Statutes City f Eog rdirw Signature of Pertnittee • 1 l A Building Permit is issued to: (.'OSLStTI OIl on the express condition that all work shall be done in acmrdan 'th a piiw/bl tate of Minnesoto Stotutes and City of Eogan Ordinances. Building Official ~ r CITY OF EAGAN Include 2 sets of plans, 1 site plan v/elevations 6 SUILDING PERMIT APPLICATION 1 set of energy calculations.~ To be used for c5id//NOi Valuation 360d• dt Date 7,11 Site Address OFFICE USE ONLY ~ Lot Block Sec. ub. Erect Occupancy zC3 i Parcel 8 A1[er Zoning Fire Zone z RepairI Enlarge Type of Const. Owner: VZJ7/96? Move 6 Stories Address: Demolish _ Front ft. --T Grade Dep[h ft. Phone ll: ppprovals Fees f Con[ractor: Assessment Permit Address: 7yvd liJeS-"z /c'+5 Water/Ser+er Surcharge Police Plan Check Fire SAC ; Phone U: Eng. Water Conn. ~ Planner Water Meter Arch/Eng.: Council Road Unit ~ Bldg. Off. Address: ppC ~f 1 Phone 0: TOTAL ~ ,:"~h:„",: ~ f,:n0$Y68;$;:;;:R"C:i;Y~•;tit't;:Y.;)°ot.^.:CY>k:~..",:°,c"^k",;Y: C:LTY QF `-"P[?PN 'qC:ta7-'i: rERi1INA!_ N:]° LJ ^r'=r IJJ04/9t T?MEr, 15:1027 , . I_EVEI. G'DGti COiJST TNf 'c:' Q S001. 4177 'f'CiFAZ U4 '?7„05 °ir• °OCl:l. 077 'f'UF'AZ DR 2.00 r- , 'i,re;n1. Amnvn+,. S9.25 .s-: TA;. r,~,!..v PE1~MIT ~ ry C9Tl( OF EAGAN 3830 Pllot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 029166 (612) 681-4675 Date Issued: 11 / 0 4/ 9 6 SITE ADDRESS: 4177 TOPAZ DR LOT: Z BLOCK: S CEDAR GROVE #1 p,I,N.: 10-15700-020-08 DESCRIPTION: (ROOFING) B'uilding Permit Type SF (MISC.) Building Wbrk Type REPAIR "Census Code ~ 434 ALT. RESIDENTIAL ~ REMAR6CS: FEE SUM{ViARY: VALUATZON $4.000 Base Fee $87.25 Surcharge $2.00 Total Fee $89.25 CONTRACTOR: - Applicant - sT. LIC OWNER: LEVEL EDGE CONST INC 14454909 0006863 T'AN LISA 9190 W 123-1J2 ST 4177 TOPAZ DR SAVAGE MN 55378 EHGAN MN (612) 445-9909 (612)688-0960 I hereby acknowledge thet I heve read this application and state that the information ie correot and agree to comply wiCh all applicable State of Mn. Statutes and City of Eagan Ordinances. L . ~ Raa I APPLICANT/PERMITEE SIGNATURE ISSUED . SI A U E V CITY OF EAGAN ~ ~ L 3830 PILOT KNOB RD - 55122 9 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 New Gonsl M+hn Reo uiro nh_ RemodeVReoair Renubemenh ?3 repisterod afle funeys ? 2 eopiee M Dlan ? 2 eopies of pians (fndu0e Wam 8 window slzee; pound hW, y„gn; ato.) ? 2 sNe surveys (ezterior odditions d deeks) ? 1 energy ealculslions ? t energy uiculationa lor heated ad0ilions ?3 mpiea of tree prewnation plan N bl ploqed aRer 7/1/93 nqulred: _ Yas _ No DATE: CONSTRUCTION COST: 35~~'00 DESCRfPTION OF WORK: ao - eU r~0 STREET ADDRESS: ~ C~~ ~o DQ Z. ~ h LOT ~ BLOCK ~ SUBD.IP.I.D. PROPERrY Name: la K iPhone h n~ U9 OWNER w~ , p~•* Street Address- 4~ ~~b2- 1)r. City: L aG Ati. State: m v- Zip: CoN7w?crott Company: 1nel aAF Pnone ~~SLI90 Street Address: 191%) W. License ~~O City: ~ A U21~e State: Zip: SS 3~`d ARCHITECTI Company: Phone #ENGINEER Name: Registration Street Address- CitY: State: Zip• Sewer & water licensed piumber: Penalty applies when address change and lot ehange aro roquested once pertnit is issued. i fiereby ecknowiedge that I have read this application and stste that the Informatiis rrect e agree to comply with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY Certifiptes of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No OFFtCE USE ONLY . Q j ~ t~ . BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex o 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GEiVERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Ailowable) Main Ievel sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Pertnit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit SNII Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units . 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION ~I3yZ~ . City Of Eagan 60 3830 Pilot Knob Road, Eagan MN 55122 D~ Telephone # 651-675-5675 FAX # 651-675-5694 - ~ ~ , New Constmttion Reauirements RemodeUReoair Reuuirements Office Use OnN - 3 registered site surveys showirg sq. ft ol lot sq. ft. of house; and all rooted areas 2 copies ot plan - Cert of Survey Recd _ Y_ N (20%mazimum lot wverage allmed) 1 set of Energy Calculations for heated aAditions Tree Pres Plan Recd _ Y_ N, 2 wpies of plan shovnng beam 8 window sizes; pou2d (ound desgn, etc. 1 site survey for additions 8 decks Trea Pres Requi2d _Y _ N isetofEneryy'Calculations AddBion-indicatei(on-sdesep6csystem Oo-sReSepticSystem Y _N 3 copRs ol Trea Preservation Plan'rf lot platted aRer 7l1193 Rim Joat Oetail Op6ons seleCion sheet (buildirgs wAh 3 or less units) ' Date 0--7- Construction Cost Site Address y17' -R~dR2: ],)P- - UniUSte # Description of Work dempY(LfZ Wj71446 - ~ '4TG/ZA7jdY1 /JY 11?O 61 419l6rZ oOvGIL. 0~j/rp->G /0" Multi-Family Bldg _ Y 2( N Fireplace(s) _ 0 _ 1 _ 2 Property Owner i~gLV?a- ~(/QylP~t'U Telephone # ((0'r71 ) 105 - 3`7 3~3 1fuQgeC EzterioK ' Contractor . 8017 Nicollet Ave S. Address Bloom~ngtou, M1V 55420 City PH:1-877-310-1742 State _ FAX: 1-952-887-1659 Lip Telephone ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (q submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. ~ V Licensed Plumber ~ Telephone ) JUN ~ 1 200 Mechanical Coniractor Telephone ) Sewer/WaterContractor Telephone J I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. , ~JA~L At~ CJ LHiGi irl~ ~ \ ,.y,5~ Applicant's Printed Name Applicant's Signature ~ y OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg ~ 02 SF Dwelling 0 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ ptex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 MultiMisc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Impravemenl ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building' ? 43 Reroof 46 WindowslDoors ? 34 Replacement 'Demolidon (Entire Bldg) - Gfve PCA handout to applicant Valuation Occupancy MCES System Census Code 1 ! Zoning City Water 1 SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ,r'/ ~ Width " REQUIRED INSPECTIONS Footings (new bidg) Final/C.O. Footings (deck) Final/No C.O. Footings (addition) ~ Plumbing Foundation _ HVAC Drain Tile Other Roof Ice & Water _ Final _ Pooi _ Ftgs _ Air/Gas Tests Final ~ Framing _ Siding _ Stucco _ Stone _ Brick Fireplace R.I. AirTest Final Windows X Insulation _ Re[aining Wall Approved By: , Building Inspector Base Fee - Surcharge V / v Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4177 Topaz Dr Lot: 2 Block: 8 Addition: Cedar Grove 1st PID:10- 16700 - 020 -08 Use: Description: Sub Type: e- Reroof & Siding Work Type: Reroof & Siding Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 6,000.00 Contractor: Restoration Resources 6850 Shingle Creek Parkway, #C -175 Brooklyn Center MN 55430 (763) 561 -2698 Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Paul Hunder BL - Base Fee $6K Surcharge - Based on Valuation $6K Total: PERMIT City of Eaan - Applicant - Construction Type: $132.75 $3.00 $135.75 Owner: Debra Benyshek 4177 Topaz Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Building EA084632 07/25/2008 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 Applicant/Permitee: Signature Issued By: Signature