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