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4183 Topaz Dr cin oF EAc,AN 3795 Pilot Knob Read Eagan, MN 551 T2 H2 4 514 PHONE: 454-8100 BUILDING PERMIT 500. Receipt Ta be utW for Dafe - c t oi) c. r 12, , 19 ' Site /lddress 4}lH_ " - Erect d Occupanq Lot Blotk a Sec/Sub. 1 Alter 0 Zoning parcel # Repair ? Fire Zone Enlarge ? Type of ConsY. W Nome r i. I} tt l~~ t Move ? # Storfes ~I z Address i1 Hz Demolish ? Front ft. Cit C-a$an Phone 454-1$6f: Grode ? Depth ft. ~ N0171C 1~y f f~ r~~ ('..n c F r »r pn Approveh Faes u~ Address E• ~ Assessment Permit ~ Ci Phone aNater & Sew. Sur ~horpe Pblice Plan check ~uj W Nome - - Fire. SAC GO Address - Eng. Water Conn. <W Ci Phone Plcnne?%, Water Meter Council I hereby ocknowledge ihot I hove read this application ond state that gldg. Off. ~ the information is correct und agree to comply with oll opplicoble State of Minnesota Stotutes and City of Eagan Ordinances. APC Total /13•5~~ I Siqnature of Permittee I A Building Permit is issued to: _ ~ter i! yn :ii! i e r ^ on the express condition that ell work shull be done in occordance with all opplicable State of Minnesota Statutes and City of EoSan Ordinances. Building Officiol _ I > F«wM OeN Fwd MoN1M Plumbinp lVkchaniwl INSPECTIpNS DATE INSP. Rqph-In Ffnal Footinfls Date ImP. Dah Irnp. Foundotion ~ j Pltsnbinp Frome/ins. Mechoniool Finol Zi • 7 Remarks: / U • 7 r' P• H osl`uds 7 ' voor /?v~'~~r y CITY OF EAGAN ~ 3795 Pitot Knob Roed Eogan, MN 55122 N2 4546 PHONE: 4544100 BUILDING PERMIT $5 0Y c}0. Receipt 7~i 13 To be uMd foP F;imi i,.r :sr~nrn ,irir'm_ Date :+CLoheT' 77, . 19'i Site Address ~'•183 T'opaa - Erect ? Occupancy i Lot "Block Sec/Sub. Alter ? Zoning i. i Parcel # Repoir ? Fire Zone cc Nome haX i Z Yn 14111 e r MOVe e Type of Const. ? # Stories ; Address 4183 'IOpBZ Demolish ? Front _ 12 ft. b cit agan Phone 454-1866 Grode p Depth : 4 ir. p Name 8.4?Y l1 4 taFSVed€ AvProvals Fees _ Address ZO305 Gr'~.t1c?`,ve_ So. ^ Assessment Permit 2I.00 ~ C~ r' { t'r. t`'~: Phone `3- 1~ Woter & Sew. Surcharge 3_ 00 Police Plan check ,W Nome Fire SAC Address Eng• Water Conn. aW Ci Phone Plonner Water Meter Council _ I hereby acknowledge thot I hove read this appiicotion ond state that gidg. Off. the information is correct ond agree to comply with all opplicable Z. State of Minnesota Statutes ond City of Eogan Ordinunces. APC Total Siynature of Permittee A Building Permit is issued to: _ ~ir.r~~i?. Bi&gSVedt on the express condition ihat a all work shafl be done in otcordonce with all applicoble Stete of Minnesota Stotutes and Ciry of Eogon Ordinonc=s. i Building Official r Plumbiny Mechonical o INSPECTIONS OATE INSp. Foorings /D- a i- 77 ~n-~~ ~ n.a. oare u"P. Fouridation _ plumbing Frome/ins. ,'Z~'.77 + Methaniool Final Remarks: / _ ~Q - 7 ~ ~T ~llG7S • c~GC~ , ~ r CITY 4F EAGAN 3795 Ptlor Kwob Roed Eayew, Mfnnesele 55122 Phawa: 454-8100 FiEATING _ PERMIT No. 1076 Dote• Ja7tua7[Y ].D. 1978 Receipt No.: 0870$ ~ Slnflle Site Addrass: 4183 'Ibpaz Dzive Residentiol I X ' Lot d Block E Sub/Sec. Multl Res., Comm./Ind. I Narne NXirilyn Miller alte!^atior~ New/Alter./Repotr. ~Addren 4183 ^.'opaz Drive Cost of Instollction City Fo9an Phwne: Pennit Fee 5.00 Nome BUrAell Bldgsvedt Surcharge .50 . ~ ~ Address 10305 Grand AVe. So. ~ Clty FS ml Tl On 5~ A 7~l Phone: rc, f~ Total This P r it is issued on the express condition thot all work shall be done in occordance with all appifcable State of i Minne to Statutes and City of Eagan Ordinonces. Buildinp Officiol CITY OF EAGAN Remarks * Cedar Grove Adquisition AdditioAn ~DAR GROVE #l Lot 3 81k Parcel 10 16700 010 02 Owr,erllinCY- 1- (1 j. I A, il-, 1i ~'r Street 4183 lbpaz Drive State PA9an• 1"ZN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ~ j $4.46 15 STREET RESTOR, GRADING SAN SEW TRUNK SEWERLATERAL 1972 1,304.00 52.16 25 WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 8UILDING PER. SAC PARK ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS:' ! 1 0 s`' APPLICANT: ! r*I. t lt1 i?1 r~ r; 1 nWA.' (?R Ilild; 1. 1i_HN t 144101 1 I Nii iNt. t 6 i ) !i1,'i 00.10 S~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D • DA i ; II:•,1 I . ~ J - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Pomlt No. Permit Holdar Wh Tslephons # ELECTRIC , PLUMBING i HVAC Inspecaon Daa uup. commenb FOOTiN(3S FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING I GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE I AIR TEST I FINAL PIBG I FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. ' BSMT FlNAL DECK FTG DECK FINAL I EAGAN TOW NS HI P N? 437 BU11_D MfG PERNiIT ~~Q~..~.~.1!-/*!"!L. . . . /n/ Ownc Eagan Township Address (preseni) ~(i.~..S.J~~~~ .t~--"-""- _ \ Town Hall Builder r4 Address DESCRIPTIOY 5tories To Be Used For Froni Depih Heighi Esi. Cos3 Permii F'ee Remarks LOCATION Sireet. Road or oihex Descripiion of Location I Lo! Elock A ifion or Tracf 6 ~~2-J l~ This permif does not auihorize fhe usa of sireels, roads, alleys or sidewalks nor does it give !he owner or his ageni !he righ! So creale any sifuafion which is a nuisance ox which presents a hazard !o fhe healih, safely, convenience and generat welfaxe !o anyone in ihe communilp. TIiIS PEFMIT MUST ~ P/TTHE ~y!~~, ~M~IS{y,v(y1 ,E TI3E ~NOAK IS IN PROGA~F.S~Sj ./ff This is fo cexlity, `T ....has permission !o erecl a........ ~ n . . . . ~G.!.. ........upo !he above described prem:se subject fo !ne provisior.s o e Buildin Ordinanc hip adopied April 11, 1355. • er . __....p......_ Chairman of Town Board uil in9 Ins ecfor cirr oF eacaN ~ r 3795 Piloe Knob Rood Eagan, MN 55724 N2 4 514 PHONE: 454-8100 BUILDING VERMIT APPLICATION $4,500. Receipt # 7682 _ Te be u:ed for G8L8qe Date OCtobei 12. I y 77 Site Address Erect 6 Occupancy Lot 3 Block g5ec/Sub. • 1 - Alter ? Zoning Porcel # Repair ? Fire Zone _ z Name Marilyn Miller Enlarge ? Type of Const. Move ? # Stories 3 Address 4183 7LoPa2 Demolish ? Front ft. ~ Cit $gSen Phone 454-1866 Grade ? Depth ft. p Name 41e-rer.. (`....srr„nrt,.., r„ ADDrovala Fcea O~ Address 6950 WA~2flCA Blvd Assessment Permit 18.00 Cit 8p1S phone 546-3385 Water85ew. Surcharge Police Plan check ° Name FFire- _ SAC Address Eng. Woter Conn. ¢w Ci Phone Planner Water Meter Council I hereby acknowledge that I have read ihis aDPlication ond stote that gldg. Off. the informotion is correct ond ogree to comply with all opplicable $tate of Minnesota Statutes and City of Ea9an Ordinonces. APC Total 20.50 Signoture of Permittee A Building Permit is issued toi Meill II Mi11Ei on the express condition ihat oll work shall be done in ot 6 ance ith alI p licable State o Min ta $totutes ond City of Eagan Ordinances. Building Officiol . crrr oF eacnN 3795 Pilof Knob Road Eagan, MN 55142 N2 4546 PHONE: 4548100 a BUILDING PERMIT APPLICATION $5,100. Receipt # 7913 _ To ba used for Familj. Rnnm Arlrln Date OCtOb2i 27t 1977 Site Address 4183 TopBZ Erect ? OccuPancy i Lot 3 Block 8 Sec/Sub. CG 1 Alter 0 Zoning Rl Parcel .fE' Repair ? Fire Zone _ Enlorge 7~ Type of Const. w Nar.ie MBiilyn Millei Move ? # Stories o Address- 48n3 Tope ~molish ? F,onr 12 tr. Ci gg Phone 4 4-866 Grade ? Depth 14 ft. ~ Approvals Fees p Nnme Surnell A--RLagsvedE Address 10305 GLandAve_ So_ Assessment Permit 2L00 _ ~ Cit Bloomington phone 888-3478 Water & Sew. Surcharge 3.00 r Police Plan check FZ Name Fire SAC Address Eng. Woter Conn. <w w Ci Phone Planner Woter Meter Council I hereby acknowledge that I have read this application and state that gldg. Off. the in4ortnafion is correcf and agree to comply with all opplicoble "-j4.UU State of Minnesota Statutes and City of~,Eo/ga~n Or inonces. APC Total Signature of Permittee f~J~Y~sh.._?--a(~ 16.~~.++u~ A Buildin Permit is issued to: BUtII211 B18RSVedt 9 on the express condition that all work sholl be done in actordance with all applicoble Stote of Minnesoto Statutes ond City of Eogon Ordinonces. Building Officiol "This reques[ void 18 months from A~ / jo72"0 03P O i Date of this Request -77 c P32583 I, as P-LI-censed Electrical Contracror OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 1~ << Q/Y-. City ~ Section Township a ge~County ~ Which is occupied by On I / IName of Occuvanq Is a roughin inspection required on [his job? No ? Yes ? Ready Now [J" Will Call ? Power Supplier Address G R 3¢c-nz Electrical Contractor ~ Contractor's License No. _ n?~ n(CO pany Name) Mailing Address 9d d~~ y'~Q~G-~`^ S• ~~~rx-uy..~~v-, ~Lli•?~'~~ Elaca~ o~ Owner Making Thls Inst atlan 'J.O Authorized Signature ..z Z .F Phone No. Fr2fL. Z~{~ ~ (Elactrical ontrattor or Owner Making ThiS Inslallatlon) /V~~ YJ~U DO LrW~D MH Minnesota State Board of Electricity ~ fJ - 1 y54 University Ave., St. ?aul, Minn. 55104-Phone 645•7703 REQUEST FOR ELECTRICAL INSPECTION 325~3 Q,HECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wiced Foc Home ? ? ? Range ? Temporaiy W'ving ? Duplex ~ Water Heater ? Lighting Fixtures ? Ap[. Bldg. ? ? ? D[yer ? Electric Heating ? Commemial Bldg. ? ? ? Pumace ? Silo Unloader El Industrial Bldg. ? A'v Conditioner ? Bulk Mgk Tank ? Faim ? ? ? pList LiSt~ Other ? ? ? Hcie~s~ rN ehe COMPUTE INSPECTION FEE BELOW -~J b\ ~ Service Entrance Size: x Fee Feeders&Subfeeders: ee ~ Cucuits: it Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partialoio[herfee i Signs Special lns ection Minimum f Remazks 'IOTAL E~•~ ,+jv I, the Electrical Inspector, hereby certify that the above inspection has been ma e. (Rough-in) Date (Final) Date - 6` This request void 18 months (ronS , . 1 PERMIT ~ CITY OF EAGAN 3630 Pilot Knob Road PERMIT TYPE: Permit Number: B U I L D I N G Eaqan, Minnesota 55122-1897 e 2 6 3 8 0 (612) 681-4675 Date Issued: 09/13 / 9 5 SITE ADDRESS: 4183 TOPAZ OR LOl": 3 BLOCK: 8 CEDAR GROVE 1ST P.I.N.: 10-16700-030-08 DESCRIPTION: WINDOW/SOFFIT/FASCIA Building Permit Type SF (MISC.) Building Work Type REPAIR REMARKS: FEE SUMMARY: VALUATION $7,000 Base Fee $124.75 Surcharge $3.50 Total Fee $128.25 CONTRACTOR: - qpplicant - ST. Lzc. OWNER: AMERICAN REMODELING INC 15530020 0002406 MILLER MARILYN 3700 ANNAPOLIS LN 4183 TOPAZ DR PLYMOUTH MN 55447 EAGAN MN 55122 (612) 553-0020 (612)454-1866 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 Mn. L Statutes and City of Eagan Ordinances. J --filry,a R~a~,l irn~ APPLICANT/PERMITEE SIGNATURE ISSUED B: SIG T~ NA URE PEAGTIVATE CIIY OF EAGAN A#MO 1999'BUILDING PERMIT APPLICATION ~ 681-4675 ~ f ~i SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 3 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit +s issued. Date -7_ Valuation of work '//-S-L/6 27 Site Address: DIC, - S REEf SUITE 1 Tenant Name: (commercial only) IAT BLOCK SOBD. 'P.I.D. M l~d~XT I Descri tion of work: The applicant is: C Owner ontractor ? Other (Deccribe) Name M%~EK A.E°i %v iv Phone~y~//_ 6 Property LiST fIRST vwPi2t Address 4 ~9d-z STREET STE City "c'z- State 13'I/r~ Zip Company AME Phone Contractor Address Mpls. Branch ffice License q Exp. ' nnapo is a, ju_ite i75- ;JILXJ City PI outh MN 55447 State Zip Company Phone FEn ite ct/ fneer Name Registration lf Address City State Zip Sewer 8 water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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. ~j EU~~Vls~ Signature of Applicant: I t I OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basemenf Pirrffi_ O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 11 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Cortm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations CJ 35 Tenani Finish Ci 37 nemolish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWLC System (Allowable) lst F1. sq. ft. City Mater UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump d of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ' O Site ? Footing ? Framing 0 Insulation ? Wallboard ? Final ? Draintile 0 Fireplace Permit Fee v.iuac;m: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit Sjii r'ermit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 12 I Date e BUILDI17Cs~PERyiIi PPPLSCA:IO'T S.OT BLOCK ~ 2DDITIO.S .^.^ET~ E SPC^IOP7 IdUI1DEA IF UiIPLATTED Gi F;'.: /'EL OCCUPAkdCY USE (f ?~/'x G' • -7 TELEflHONE svo. i'i (,?.3 T~a z ~ co?r_a~Cmc.R. 1ve.3146!'r) TELEPxorrE rTO. 5 Y6-- ~3ssS r.»r%zESS tiote: Include s' e~~ an, kauilding plans, and energy calculations rrith ihi.r. a licatiad" /7 Signed ~~.~1Cyli OFFICE U5E ~ 'JALUAT O-M ~~DO 1: a'iL? C:121F3C'_ IOk] 2UI.T.D_TPIG PPRLIIT P'EE ~ -,TIRCHi^.RGE FEE P_.t1:7 CFECR FM PAfZT.C DEDICaTIObT PEE - OT;.ER 4T. A..p.,nqALS. S7Sui+1L;~TS CLERK BUILDIi~G b tPOLICF DEPT. S0,78t2 DSPT. FIItB DP_pT. PF1RK DEPT. _ 3 ~~r 7 ~n~~ ~ ~ ' ~ . , . , • 'tj / r . • • ~ 6950 Wayzata Boulevard Date ' Minnsapolis, Minn. 55426 City " Garage Sidr X X Apron Address 0'Detached ? Attached Name m`Wiremesh ? 1/1" Rods 0 Conduit Pipe Telephone Office Overhead Door Size Offset > Permit Obtained Br Service Door Location Old Garage Removal Br Dote Promised . Old Cement Remaval Br r" Salesman Driveway Size Blox Size and Location Cement Mon Woterp?oof Batkfi I I Cement From Excavation By Grodual Steep ~ A Grade Flat ~ Slope Slope Fill From _w.a...._... - . ~o.Y,,.,,_..,. ~ . . . . ac~.M.~...v._ • a 4 i ~-~--~z~~.j~-?~- ~-1..-~-, j .~-.1- ~ 1 '.-i - ~ . , . , A . . . . ~ I r a ~ 'i~'.t .t• i r _t ;.1}~. I ~ , . i : n -4 _.~.4_.. .4-.~. ~ ~ --1 t--j-~ * - ~ ~ L . ~ ; _ _ , ' { _ - , . ~~i . . _ i . , ~ , ~ ~ ~ _ y " "~.__r _ _ ?_-i " _ . .a . _ t ' , ~ ~ _".T+~.7 4 ~ ~ i . . . ~ - _F t_4_ 4-- + , { -j-~'- , , , i . , , ~ l ' . . . . ~ . . _ . y . . I `f -y-~ 1 1-4.-s--r-rr _ . r - • - _ . _ _ _y ~ 4 _.I_' __.~--..y.._.J.,,. A ~t....~. . _t ~i _._4"l-_j._..._~ ~ . ~ ~ . _ ~ . ~1---r 4_ " . 1 L --r. . ~ i _1_ _J_.; 1 y _ '1 - . 4 _ 1 ~ , -a - -7---+ .t_-t-_'I-l 4- , ~ - ± • - ~ . . _ ~ . . ~ - - - - - . - , , T ~ , y _ ~ - ~ T ' ~ ~ ~ ' ~ , ' : ~ 1 i"'~'T~ { . ~ - - - - -r . - , ~ 4 t ~ ~ ~ - ~ - ~ t__ . . _ _~Y ~ . ~ a ~ , ~ ; , ~ ~ , ~ , ~ ~ ' • y ~ . , _~_~,_r~_+.~ _L~_ ~ . ~ •-~--*-r----~---~ - : ~ 4 ~-i _ J . , . , a--_~ } 1._ _.4 , ~ ~ ' ~ . . , ; • ~ ~ ' I ' • ~ -4---'! , i . . . ~ , _ _ + J-- • - - - - ~ ' - - - . . , I J - . . , ~ i ~_.1 1 _~.J.-_4. t_ _ _ }~...,._r. . . --i~ . ._1 4 F-- , I Jsis. 1. ~ ~ Date: BUILDItiG PiRMIY' P.PPLICI)TIO_d LOT J BLOCI: n 7LDDITIOi`S c CY~ PARCEL &^uECTIOP7 1,7UI7DER IF Ui1PLATTED I ADllRESS OF PAF.CEL ZOidI:dGOCCUPAY'7CY ~ USE vZm ESTIMA'iED COS, ~7 ~i~j{ f00 o*naE2 /7'I,a TELErxotE vo. aovxEss COYdTRn,CTOR,Su~N/;'"// TELEPFiOY•7~ T.TO. r.vnREss_/a3rv s' . ~l~'S~'oo,~,,>,•~~o.~~ fyJ.n~p~ .S'~ y~'a tdotec Include site plan, building plans, and enerqy calculation3 with this application Signea Z,h OFFICE USE VALUiiiIOi'. '--tyVtu.. S67C -..~.cc S71YY$.'.2 CO:7FEC^_IOi1 HA2EF: iYE3'ER m~ er0 IIUILDItdG PERIIIT FEE oC f'- i SURCIiAFtGE FLEi 3 PLA:T CcT.CR FEE PAFtIC DEDICATIOP.4 FEE , ~ OT:i^i'.R TOTFaL* APPROVALS : ASSESS;+IE_~'T CLERK BUILDING DBPT. POLICE DEPT. r3A'.rR & SEy'P:R DEPT. FT?L DEPT. PA,RIC DEP:. 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)~ ~ DA ~ITY oF~GAN sC- -15 3830 PILOT KNOB RD - 55122 651-881-4875 New ConshucNOn Reaulremenh U~ 7 Remodel/Reoalr Reaulremenri > 3 reqisfered Yro wrvaya dhowlny sq. H. ol bt, sq. N. of tause cT 0 p 2 coptes of plan ond gff roofed areoa (20% mcLxlmum bt coveraae allowatl) ~ D 1 set of anergy calculaHOns tor heafetl addltions > 2 coplea of plans (alww beam & wlntlow dzes; poured ind. desipn; efcJ 1 site wrvey tor extedar a fNOns & decks ~ > 1 aet of enerpy calculatlms ~ / > 3 coples ol hae preservafl plan If lot plaMetl after 7/1/93 DATE: ~7,00 ~ CONSTRUCTION COST. . - ' - - DESGRIPTIONOFWORK: C~C~ ~?V~ ~~~D~~lflP~ STREET ADDRESS: I~ 3 LOT: ~ BLOCK: SUBD./P.I.D. Y: Gy-ove, ~ Name : 210H I"I trL14 SA V~ U Phone 41: 4651^ PROPERTY 1On Flfst ~ OWNER Sheet Address:~ / (F 2) aa (7--/4N srafe: M N zip: Ss 12 2 Company. Phone (area code) CONTRACTOR LJCense # Exp. Sheef Address: Ciy State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone i: ( ) Sfreet Address: Regiskaflon S: City Stafe: Zlp: Sewer/water licensed plumber (ji Installi sewer/waterl: Phone L~ I hereby acknowledye thaf I have read lhia applicafbn, state Thot 1he InfomwHon is cortecf, andf~ ree to compl wHh ap appOcable Sfate of Minnesofa Stafiutes and CMy of Eayan Ordinancea Siynalure of Applicar~r: ~ OFFICE USE ONLY Certificates of Survey Received ~ Yes ZNo Tree Preservation Plan Received , Yes _ No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation 0 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Muki ? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-piex ? 11 10-plex PIDg _V or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-ptex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Ailowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone 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 S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ~5.E-0 2006 RESIDENTIAL PLUMBING PeRnnir aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residenti U wl_e~llings-~ ~~/7 ~-C U VL oate iU ~ Q& APR 14 2006 i Site Street Address U~J 'Topc'`z Dq- Unit # Property Owner S3-NPi PhommachcL.A Telephone #~51 H.P. PIP WORKS ~ Contractor 3670 DODD ROAD 7elephone ) Address_(6ra1TnES IR48 City State Zip The Applicant is: _ Owner A Contrector _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100 00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. !f you are installing onlV a water sofiener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installiny. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener ~ Water Heater $ 15 00 _ new X-- replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 S[ate Surcharge $ 50 Total $ r S ~ 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 permrt, work is not to staR without a ermit and work will be in accordance with the a proved plan in the event a plan is DEt' o be revie e a approve .-1 C ` ;Apl~cant's Printed Name s Signa ture 56 /f0 City of Eagan Eagan, PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA094770 Date Issued: 07/02/2010 Permit Category: ePermit Site Address: 4183 Topaz Dr Lot: 3 Block: 8 Addition: Cedar Grove 1st PID: 10-16700-030-08 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Scott Lofgren 5708 Upper 147th St W #102 Fee Summary: ME - Permit Fee (Replacements) $50.00 Surcharge -Fixed $5.00 0801.4088 9001.2195 Total: $55.00 Contractor: Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 - Applicant - Owner: Saveuy Phommachanh 4183 Topaz Dr Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature C!tyofEaali Use BLUE or BLACK Ink r For Office Use Permit #: l / D 2- Permit Fee: /1/7 3830 Pilot Knob RoadZ Eagan MN 55122 Date Received: Ii J L -13 Phone: (651) 675-5675+. Fax: (651) 675-5694 Staff: / `7 J I� 1� 2013 RESIDENTIAL BUILDING PERMIT APPLICATION L st Date: Site Address: Unit #: Resident/ Owner Name: .4:\ Y Vy /---3s7 �f 0 ti( Ar1\N 44 Phone: 63 Address / City / Zip: L I el) 1'" 0 A-'2. R- e� M �>> '2 � Applicant is: /Owner Contractor yec- T of Work 1 Description of work: E.- UL I (7u D Construction Cost f -f 0 4)-0 Multi -Family Building: (Yes / No ) Contractor Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information e,--" \ `3\-k ItK'l- COMPLETETHIS AREA ONLY In the last 12 months, has the City of Eagan issued a permit Yes If yes, date and address of master plan: IF CONSTRUCTING A NEW BUILDING for a similar plan based on a master plan? _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supportng documents that you submit are considered to be public information. Portions of the information may be classliled as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets, CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances arid 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 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. xf ' u V 011 A c t A -N x _ : 1pplicant's Printed Name Applicant's Si ture Page 1 of 3 2 c r 1-03 T � z 1)1- DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Single Family Garage _ Multi 1- Deck _ 01 of Plex _ Lower Level Accessory Building WORK TYPES New „le Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ✓ ) Census Code # of Units # of Buildings Type of Construction _ Interior Improvement Move Building Fire Repair Repair 3 6124) 1/34 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) X Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Mt -1 5753 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 t 6qc- t MCES System a'7 SAC Units R-1 City Water Booster Pump /lam$° PRV /,Z Fire Sprinklers /1/ Meter Size: Final / C.O. Required Final 1 No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath _ Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector 1( ?O bicir? /.5% Final Brick Final Page 2 of 3 0Z C) 711:: ••• MEN= •••• • • • • • • IN •4 •• • • • • RV RN ••• •1 /2' 1 .51 '30 36 37-$ 71/4,11ft lc BY: 1 EAGAN REVIE ED DATE: 5 ir BUILDING I7FOTIONS DIVISION ■■ _— 5/7: -/M) ),067//:-- 1 ■ L . ME 111111 91)11.40U/s1 Ta pimmir x //o39z BY: EAGAN REVIEWED 9?W DATE: BUILDING I /l.3 i/O3172_ := ;TIONS DIVISIOI p MIN j lha r 39 DATE: EAGAN REVIE ED BUILD:N.a 11~.' °}_ FCTIONS DIVISION City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AIN '1 % 1016 r Use BLUE or BLACK Ink For Office Use ' Permit #: / 7 da4.1b Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: N) AIHRIUM Phone: 6C/ 357 «9 esidentl O rne� Address / City / Zip: 41�j 3 o �,4 7-- i) Applicant is: Owner Contractor e oar=Yffor Description of work: -rpoltir Pec f� Construction Cost: 07, , 36I Multi -Family Building: (Yes / No ) .ontractor. Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting doctrrrents`that you submit are °considered to, a �uubhc information Portions of the information maybe classified as non-public if your provide specific reasons That woultl ierm�t Che rt to conclude that th are trade.: +ecrets < . 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.gopherstateonecall.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 :e it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Min a State B j', ing Code days of permit issue x- o M c-f-1AA-V- A pIicant's Prined ame Applica Signature eted within 180 6/al r Page 1 of 3 �1 SUB TYPES Foundation Single Family Multi 01 of _ Piex WORK TYPES New Addition Alteration Replace Retaining Wall it - DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement _ Move Building Fire Repair Repair DESCRIPTION Valuation Plan Review (25% 100%' Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _ Framing 30 Minutes Fireplace: Rough In Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Final 1 Hour Air Test Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window /-3 -7L/T7 Exterior Alteration (Single Family) Exterior Alteration (Multi) _ Miscellaneous Accessory Building _ 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 Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Final ,0 Page 2 of 3 L//C io Sim ii9PlirOv n To PIM -Asir J 10312 BY: EAGAN REVIEWED DATE: 5f, /3 BUILDING JN t: ',TIONS DIVISIO s r 116 r ti 30•