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4184 Topaz Dr cIrr oF Er?w?N e~ ~ , !f!S 'NN K~ Rao1 EoNn, Ai{M as12! • 43 II ?HON[s I544100 - eU1LD1NG PERMIT Re~ipt T. w w.a f« cAxACE Esr volue 55,500 Date nuguet 10 ' 19 83 Slte Addros3 4184 Topaz Driva M-1 1 11 Cedar Grove lst Enct ~ ~""~or"y Lot Block Set/Sub. Alter ? Zon(np R-1 Pamel # 10 16700 010 11 Repoir ? ~A Fim Zone Name Gary Ehlinger fnloMe p Type of Const. Vn ~ 4184 Topoz Drive Move, ? # Storjes 24 " ~ . Addroas DemotlsF+ p Length City , apan ~5122 Ph" 452-6017 Gmde p Depth 24 Sq. Ft. Name estern onstruction o. APOeorals F... ~u Addrm 5353 Waqzata Blvd. Asseunwnt Permit ~ ~ Ci ~`Ipls. 55416 546-3385 Woter SSew. SurchorQe G Palict Plcn cfieck °C Nome ~ W Firo S11C z u~ E?q. Wate? Conn. i~' Ci pFwne Plonner Water Nkter Councfl Rood Unit 1 hercby ocknowledps that I how road this opplicotion ond stote thct Bldp. Off. the intormofion is correct ond oqree to tomply with oll opplicabk , 5:,7 Stcte of Minnesoto Stotutet and City of Ea9un Ordinonces. APC Totol ~ Sipnctum of Pernittes WeateiLiz eazistrUft!EOL. 0. A Buildinp Pertnlt is issued to: on the expmss condltlor? thnt oll worlc sholl be done in ocoordoncs with oll opplicable State .giP`j1At~r pMOfltotutes ond Gty of Eaqon Ordinonces. Buildinp Offitlol ~ ' prnnit No. Prnnit Holdbr Mue. Wnnit No. HoIdK PMm H.VAC Mldl Ylh~r Di~P• SwM? Eweuie Irrpfttim DuM Imp. Othw Foodnos Icn.~", S6L6 Foundatioe Fu ~is Raulh Plba auO FIV InwMtion Fiml Pft Fimi HVAC FqW ~ DNaibe LoeWon: WINI S~ P?. Oi~P- . , wn. r.?.1 , . } . . "~r. , - r- . . 'ti ` . '1 , CITY OF EAGAN 185g3 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # " To be used for R6lIODSL Est. Value =3 ,000 Date NOV 16 19 90 Site Address 41~ ~p~ ~ OFFICE USE ONLY Lot 1 Btock Sec/Sub. Parcel No. oaupancy _ Fees SCOTT OL.SOIi Z0"'"4 - 54.00 W Name (Acluaq Const _ Bldg, Permit Addre ss (alowawe) _ 1.50 Q Surcharge Clty ZAGM PhOfle t ol5tories _ SANZ Length _ Plan Review ~ g Name Daptti = SAC, City ~ Address S.F. rotel snc, Mcwcc City PhOf1B S.F. Footprinb - pn Si1e SeWage Water Conn t= Name ~ site Well - waier Mecer 5- Address MWCC System _ 502 City Ph011e City water _ Accl'Dep°sit PRV Requirad _ 51W Permit I hereby acknowlege that I have read lhis application and state thal lhe Booater Pump _ S/W Sumharge intormation is correct and agree to comply wilh all applicable State of Minnesota Stalutes and City ot Eagan Ordinances. Treatment PI SignalurB Of Permltee APPROVALS Road Unit A Building Permfl is issued to: s`M 01" Planner - Park Ded. on lhe express condition thal all work shall be done in accordance with all Council ~ applicable Slate of Minnesota Statules and City of Eagan Ordinances. gldg, pff. Copieo r Building Official - , i~ ' Vanance - TOTAL ParmH No. Psrmit Holder Date TNepfwrM #F WATER SEWER PLUMBING FIV.AC. ELECTRIC tiapecum pm kmp, Comm~nb Foolirgs I FoundaGon Fr--"V P"firv R,ugh PIDg. RoupA Mlg. W. FwW fft. Final Pbg. Const. Meter PI69. inspeCtor - Nolily Piumber EaVJPlan eag. FwW b-s oeO Fig. Dock Finai wen Pr. Disp. CITY OF EAGAN Remarics * Cedar Grove Acquisition Addition CEIDAR GFdM #1 Lot 1 Blk 11 Parael_1Q 16700 010 11 owner O~ ' IL Street 4184 'ibpaz Drive State Eag~ , MN 55122 Improvement Date Amount Annual Years Payment Receipt Dete STREET SURF. S 1$ 12 84-46 15 O O O I oZ. ~ STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL WATERMAIN * WATER LATERAL 972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. u BUILOING PER. SAC u PARK EAGAN TOWNSHIP No sio BUILDING PERMIT Ow x Q:~L~ - _ ~ . ~ ....._1..._-- ~ Eagan Township ~L . Address (presenf)~........ 1.~ ~ Town Hall Builder .C~ Address Date ~ DESCRIPTION Siories To Be Used For Froni Depih Height Est. Cosf Permif Fee Remarks LOCATION Streei, Road " ofher Descripiion of Locafion I Lo! Elock Addition or Traci This permii does not euihorize the use of streeis, roads, alleys or sidewalks nor does it give the owner or h the righi !o ereafe anp siSualion which is a nuisante or which presenis a hazard io the heaifh, safety, convenience and general welfare !o anyone in the communiip. THIS PERMIT MUST BPT _ N T PAW~pH~ILE TFiE WOAK IS IN PROG/~ SS. , This is !o cerlify, iha. _ . ._..._.fs: .y.r~.has permission !o erecf ~~..1t4{we~~i.~.~~..a ....upon the above described premise subjecY to the provisions of the Bui ding Ordinance f/ an 0w s p adopied April 11. 1955. Per . , Chairman ot Town Board I~c ng Inspeetor 19 ` CITY OF EAGAN ND 18553 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 BUILDING PERMIT PHONE: 454-8700 Receipl # C i ( I I 10 To be used tor REMODEL Est Value $3 , 000 Date NOV 16 , 1 g_qn_ Site Address 4184 TOPAZ DR pFFICE USE ONLY Lot 1 Block 11 Sec/Sub. CEDAR GROVE 15T P0fC81 NO. Occupancy - FEES Zomng - w Name SCOTT OLSON (ACtual) Consl - Bldg Permit 54.00 o Address 4184 TOPAZ DR (Altowable) _ Cit EAGAN phone 456-5614 X ol Siories _ Surcharge 5(1 y Lenglh _ Plan Renew , o Name S~E Depih _ SAQ City ~a Address S.F. Total - SnC. MCwCC ~ City PhOf10 S.F Foolprinis - On Site Sewage _ 'Nater Conn ~ ww Name OnSeeWeil - WaierMater zz AddfeSS MWCCSystem - u i Acc1. Deposit iw City Phone Cnywater _ PRV Required _ S/W Permii I hereby acknowlege that I have read this applicahon and state that the Booster Pump - S/w Surcharge informalion is correct antl agree lo comply wrth all applicable State of Minnesota Statutes and City of Eagan Ordmances. Treatment PI Signature ot Permitee APPROVALS Road Unit A Butlding Permrt is issued toSCOTT OLSON Planner - park Ded. on iha e:press condition that all work shall be done in accordance wtlh all CouncA apphcable State of Minnesota Statutes and City of Eaqan Ordinances. gidy, pfl _ Copies Bwltling Olficial 4 rAlPj ,J I'ms Variance _ TOTAL 55.50 ~ CITY OF EAGAN N. ~ 8373 ~ 3795 Pllot Knob Rood Eagon, MN 55122 ~ PHONE: 454-8100 BUILDING PERMIT Receipr # 7 Te be uwd fo, GARAGE ~t,yal m $5,500 DO1e August 10 19 83 Sire Address 4184 Topaz Drive Erecr 11 Occuponcy M-1 Lor 1 Bi«k 11 Sec/Sub. Cedar Grove lst Airer ? Zoning R-1 Parcel # 10 16700 010 11 Repair ? Flre Zone NA Enlarge ? Type of Const. Vtt m Nome Garv Ehlinget Move ? .}k Sfories ; Addreu 4184 Toaaz Drive Demolish ? Length_3.4_ b c; Eagan 55122 phone 452-6017 Grade ? Depth24-Sq. Ft._ o Western Construction Co. Avvro•ab Feas Name ou Address 5353 Wayzata Blvd. Assessment Permit • Cit Mpls. 55416 phone 546-3385 Warer 8 Sew. Surchorge 3.00 Police Plan check tw Name Fire SAC ~Z Addreu Eng. Woter Conn. ~ W Ci phom Planner Wuter Meter Council Road Unit I hereby acknowledge fhat I hove read this applicofion and state thaf Bldp. Olf. the inlormalion is correct and ogree to comply with oll applicoble 59.$~ State of Minnewta Stotutes and City of Eogan Ordirances. APC Totol Sipnature of Permittea es ern ons ruc ion o. A Building Permit Is issued to: on tha expreu condition Ihni oll work sholi be done in nccordonce with oll aD iwble State ' n latutes and Ciry of Eagon Ordinantes. 11 6Buildinp Offidol f/1 ..,4 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/e] evations & LDING PERMIT APPLICATION 1~21- _set of energy calculations. S0~ To Be Used For uation ~ Date 7- g3 0? / or~zcE vsE ora,~ site Aaaress: '6 ~o ~Jcr~? t,ot / siocat Sec./sub.(!„/~ Erect V oocupancy Parcel Jp (n7o 0 0l0 Alter Zoning Repair Fire Zone Oaner: e~` Enlarge 'IYpe of Const. ~ Nbve # Stories Pddress: /c'l (Ja7. Demolish Front ft. City/Zip Cocle: Grade Depth ~ ft. ~O ( 7 APPROUALS FEF_S Phone # : C Contractor: ~C~ •~e v~ ( U'r~ 7~ Ko Assessments Pennit ~ldress: 53,5'_ L c c ft Water/Sewer Surcharge ~ i / Police Plan Check Gity/Zip C«le: j/l~ ~I S/ 7 h SS Fire SAC Phone ~ YCO ` 3 3 g~ ~g' _ Water Conn. Planner Water Meter Arch./Ehg.: Council Road Unit Bldg. Off. Adclress : APC City/Zip Code: Phone TOTAL T ' S~ 1,191c98/91 ioj5y~7 p 7 416 32j i Fequesi te Fre No Rough-in Inspection Paqmretl'+ )(Reatly Now ? Will Notdy Inspector Yes r o Wben Reatly? Klicensetl cornractor owner hereby request inspection o( above electncal work aP Job AOtlress (Slreel. Box or Rou:e No ) Qty A-11,I 7-p,,0,42- ,r~4 AeAGAN Section No Township Name or No Fange No Coonry - D~KoT,4 occuoanllPRINTI pnone rvo Se0 TT /f O~Oi(J Power Suppl:er qtldress Eiectncal Gonuacmr ICompany IJamel Contraclors L¢ense No AIAsTE/( E! EG7T.P/C D~fo ~y~'r - 3 Mailing qadress (COn;raztor or Owner ldaking InstallaLon) /c;y,le 7 401CP401-1E .4 d',C= S Hulnor¢ec S,gnaNre IGOnlracto1,Owner Making Insialla0on Phone Number ~ - ~Io -3sss MINNESOTA TATE BOARO OF ELECTRIC THIS INSPECTION REOUEST WILL NOT Griggs-Mitlway Bltlg. - Room 5-173 - BE ACGEPTED BY THE STAtE BOARD 1821 Uniaersity Ave. 51 Paul MN SStOC . UNLESS PROPER INSPECiION FE615 Phone(612~fiA2-O800 ENGLOSEO 30~'iefCW;) FfEQUEST FOR ELECTRICAL INSPECTION En13-000G0I~~-0yy8 ?~See i sUUClions lor com0leting Ihis lorm on 5ack ol yellow copy "X" Below Work Covered by This Request V'~`•`'` 0 74163 ; ewAtl Rep. TypeofButltling AppliancesWired EpwpmenlWired J Home Range Temporary Service Duplea lWater Heater Eleciric Heatinq ApL Building I Dryer Other (Specify) ~ IComm.llndusinal Fumace I I IFarm AirConditioner Omer Isuecdy) ConVactor5 Remar~ T/l C~ /Ns N S .f ~ i rCff Compute Inspection Fee Below: o/U ry~ z O[her Fee x SarviceEnirance5ize Fee # CucmtslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps hansformers Above 200 _ Amps bove 100 _ Amps SignS mspector5 Use Omy /p- TOTAL Irrigahon Booms ~ ~DU 45- ~ / ISpecial Inspection lAlarm/Commurncaeon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rou9n-in oaie cenity ihat the above inspecuon has been made 2t OFFICE USE ONLY Thrs reQuest voitl 18 monihs Irom /li 19q0 C'////U ?~oo ~ 8401/ Cei' Oou/ Request Dale/ Fne No Fough-in Inspeclion C-- / ~ q R~mretl4 ? Reatly Now 1Will Nohty Inspector U ves ? rio wne~ aeaerv 10 licensed contracror Bowner hereby request inspection of above electrical work ah . . ~ Job lbtlreu (Sheat. Box or RoNa No I C dry 9 Seciqn No TownsNp Nama a No RanpB W. County C OccePa~t(PRINT)~ ( Phone N9 S6-s6 rw.er suopiu reerea EleclrKal Comratlor (COmpany Nama) Conhactor5 Lwense No IQeiling ApEeess (COniraclor or OwnBr Mdking InsWlalqn) ylS7 tlbnzetl Sgna ~e (Lonlr3clor/ Making Instdlletion) ( PhOna Numbm' T _ MINNE50T4 STATE BOAND OF ELECTRICITY • ' TMIS INSPECTION REOUEST WILI NOT Grlpqs-MlJwey BIEp. - Room SI]J BE /CCEPTED BV TME STATE BOARD 1l21 Univeralty Ava., SL Peul, MN S5100 UNLE55 PROPEF INSPECTION FEE IS PMna (614) 642-0800 ENCLOSED. ~ REQUEST FOR ELECTRICAL INSPECTION •°_•="'~a es oo,-oe ?$ae instmtlmns for completmg this form on Eack oi yellow ropy, Ml l ~ l /~/40 8 4 S~ 1 "X" Below Work Covered by This Request ew Atltl Rep. Typeof Bwlding AppliancesWired EquipmeMWired Home Range Temporary Service Duplex Water Heater Electric Heating Apc Building Dryer Other (Specify) Comm /Indusinal Furnace Farm Air Conditioner Oiner(specdy) Controctor5 FemaYns: CompLte Inspection Fee Below: # Other Fee N SermceEntranceSize Fee # CircwislFeetlers Fee Swimming Pool 0 to 200 Amps 0 ro 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs inspen«s use OMy TO7AL Irrigation Booms 3~ • V 30, ,50 Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERE ISCONNECTED IF NOT Other Fee ' COMPLETED WITHIN 18 MONT S. I, the Electrical Inspector, hereby RDUgh in ~ oale 1i1„ ~ f-l0 certify that the above inspechon has F,,,ai oaie been made. OFFICE USE ONLY Tnis raquest voq 18 monUS I. RESIDENTIAL BUILDIYG q q Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan NIu 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conswction Repuirements RemodelfReoair Requirements OKCe Use OnN 3 registered site surveys showing sq. tt, of l04 sq. fl of house; and all roofed areas 2 copies ol plan Cert ol Survey Recd (20°h maximum lot coverage allowed) 1 set of Energy Calculatlons for heated addi0ons Tree P`es PWn Recd 2 copies ol plan showing beam 8 window sizes: poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd 7 set o( Energy Cakulations Addition -indreafe don-sife sepfic system _ Omsite Septic System 3 mpies of Tree P2servation Plan if bt pW;ted after 711193 Pom Joist Detail Opuons selecuon sheet (bldgs wiN 9 or less units Date vl l9 l 0~ Construction Cost y1/V~ SiteAddress ~j,7r f 1~~4 7-T,(~"!?Q- UniUSte # J Description of Work (K2. S ~ fi1L-, MWti-Family Bldg _ Y x Y Fireplace(s) ~ 0 _ 1 _ 2 Properri Owner ' 'T~:;KGln ~ U-V fr Telephone 61! ) 63 7- nhy'? . Contracror ~~~•Ll ~nI1LLii'{ra.i T~1lC Address 1'Sau E. 13a City ,irkrv;ffP f",n~~11 Ss~~'f State Zip Telephone 14.F2) ~ SI -/i, COMPLETE THIS AREA ONLV IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate2orv 1 Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted ~ Licensed Plumber ~ ~ ~ ~ Telephone ~ ~ I~'~ JUu 9~^m ~ I one ) Mechanical Contractor Tel LphI~ Sewer/WaterContractor lo„ Teleplione#( ) - - -I I hereby apply for a Residential Building Permit and acknowledge that the inforrrtation 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 wifl be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature ' OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_v or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement O 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) El 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (EnGre Bldg) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQU[RED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Foocings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & R'ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fraaung _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (nea•/replacement) _ Insulation _ Retaining 1Vall Approved By , Building Inspector Base Fee Surcharge Plan Review ' MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL BUILDING Permit Application City Of Eagan ~1 S~ 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Conswction Reauirements RemodeVReoair Reamremen4s Office Use Onlv 3 registered site surveys showing sq. k. of lot, sq. ft. of house; and all roofed a2as 2 copies of plan Cert of Survey Recd (20% mazimum lot coverage allowed) 1 set of Energy Calculations for heated addNOns Tree Pres Plan Reod 2 copies of plan showing beam & window srzes; poured found design, etc. 1 site survey foraddi6ons 8 decks Tree Pres Not Reqd 1 set of Energy Calala4ons AddNOn - indica(e i%on-s#e septic sys(em _ On-sRe Septlc System 3 copies of Tree Preservation Plan if lot platted afler 711193 Rim Joist Detail Options seleclion sheet (bldgs wiN 3 or less units Date Construction Co4 41'~C~ Site Address Unit/Ste # Description of Work'jwW 0ja,) ~.f1Tk~S I$ Multi-Family Bldg _ Y-~ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ab btu PL Telephone #ijZ ContraMor r/~`,-~~~ IV F~CS~f,~ • Address n~o`tlPi ~e cSDl,L~ City I~S~ State MI~1 Zip~j~~~ Telephone # (q53_7 OZ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy COde Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission rype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#(s,jJ 1"9 , ~ I hereby apply for a Residential Building Permit and acknowledge tfi~at the information is complete and accurate; that the work will be in conformance with the ordinances and cod ~qSS;of the Gity_of-EagairJand 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. uwl`3-"l~,-~(j' b4w4~Ldgwr y~ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc. ? 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 Improvement ? 38 Demolish (Interior) ? 44 Siding p 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair p 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replac2ment 'Oemolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Faundation HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ VVindows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Gopies Other Total RES[DENTIAL BUILDING (o Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 ~ i D103-S £ IM84lJ Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reauirements RemodellReoair Reoui2menis i ORce Use Onlv 3 registered sM surveys shaxing sq. of lot sq. fL of house; and all roofed areas 2 mpies of plan _ Cert of Survey Reoi (20% maximum lot coverage allowed) i set of Energy Calculations for heated addiUOns Tree Pres Plan Recd 2 copies of plan showing beam & window ' es; poured tound design, etc t srte suney foraddNOns 8 decks Trce Pres Not Reqd lsetofEnergyCalaWhons Addi6on-indicafeif on-sdesep6csysfem _On-siteSepticSystem 3 wpies of Tree Preservation Plan if lot platte after 771/93 Rim Joist Defail Op6ons selection sheet (bldgs Ah 3 or less units n r~ 2ca Date _(0 16 / co_ Construction'Cost Site Address ~ UniUSte # Description of Work ~ i F• w)Lh Multi-Family Bldg _ Y~ N Firep ce(s) _ 0 ~ 1 _ 2 Property Owner &xb r Telephone #4`1 )1(/'(J~)- W'-13 ~ Contrac[or f^1l~.L~ ~r `C• Address City State Z~ ~ Telephone Zb'Z-~o"~f5Ct COMPLETE THIREA ONLY IF C STRUCTING A NEW BUILDING - mnesota Rules 7670 Cate o 1 Minnesota Rules 7672 Energy Code Category ResidenUal Ventllation Category 1 Work heet . New Energy Code Worksheet (Jsubmissianrype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contra or Telephone ) Sewer/Water Con actor T\lephone ~ I hereby a ply for a Residential Building Permit and acknowledge that th8 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. Diacu~.ScmiP~et- Applicant's Printed Name Applicant's Signature OFFICE USE ONLY ' Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_V or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvemenl ? 38 Demolish (Inlerior) ? 44 Siding ? 32 Addilion ? 36 Move Bldg. ? 42 Demolish (Foundalion) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Staries Booster Pump Nbr, of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation H VAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ F[gs _ Air/Gas Tes[s _ Final _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total Cities Di ital ualitv 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 eclqcin June 24, 2003 ppT GEAGAN Mayor pMERICAN BUILDING CONTRACTORS reccvcawsoN ATTN: DIANASCHLIEFER CYNDHF. FIELDS 12247 NICOLLET AVE S MIKE MAGUIRE gtJRNSVILLE MN 55337 MEG TILLEY RE: ~FUND OF BUILDING PERMIT #54625 Cquncil Members Deaz Diana: THOMAS HEDGES AS requested in your letter of June 23, 2003, permit #59612 to reside and install windows at 4148 Topaz Drive has been cancelled. The City is refunding $173.25 to you under separate cover. We Ciry pdminismcor are unable to refund the $6.50 state surcharge that was collecte . If you have any questions, please feel free to give me a call at 651-681-4695. Municipil Cen[er: incerely, ~ 3830 Piloc Knob Road Eagan. MN 55122-1897 Phone: 651.675.5000 rl~jannicee D. Severson F= 65I.675.5012 Office Supervisor TDD: 651.454.8535 cc: Dale Schoeppner, Chief Building Official Mainttnance Faulicy. 3501 Coachman Poinc Eagan, MN 55122 Phone: 651.675.5300 F= 651.675.5360 TDD: 651.454.8535 www.cityofngan.com THE LONE OAK TRBE The symbol of s¢engch and growrh in our communiry • CLAID4 VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: AMERICAN BUILDING CONTRACTORS ADDRESS: 12247 NICOLLET AVE S BURNSVILLE MN 55337 LOCATION: 4184 TOPAZ DR RECE[PT #/DATE: 47951 6/06/03 REASON FOR REFUND: CUSTODIER REQUEST PERMIT k: 59612 VALUATION: $13,000 TYPE OF REFUND: Plumbing Permit 9001.4087 $ Mechanical Permit 9001.4088 $ Building Permit Fee 9001.4085 $ 173.25 Plan Review Fee 9001.4222 $ SAC (MGWS) 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admin) 9001.4246 $ Water Connection 92203865 $ Sewer Pemiit 9220.4532 $ Water Pemvt 9220.4507 $ Account Deposit 9220.2252 $ Water Meter 9220.4509 $ Water Treatment 9220.4685 $ Water Supply & Storage 9220.4680 $ Surcharge 9001.2195 $ Ovecpayment 9001.2250 $ Curb Box Deposit Refund 9220.2253 $ Conshvction Meter Dep Refund 9220.2254 $ Other $ TOTAL $ 173.25 I decl e under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. 6/24/03 SIGNATURE DATE 952808B846 06/23/2003 23:49 9528888846 ABC INC PAGE 01 MN Contractors License #20I69383 Tax I.A. #41-] 701211 . d • • o NIC A . . 12247 Niwllet Avenue South • Burnsville, MN 55337 • (952) 707-6959 • Fax (952) gea-6646 June 24,2003 ' Attention: Jan (Building Inspections) ' ' On_June 6, 2003 A.BC, Inc: applied for a siding and window permit for the address of (4148 Topaz Dr:) ' For work to be dor?e, but due to the homeowxaer canceling the ~Wng_project we are.only doing the window project there for we are requesting an adjustmerit on the permit ' ainount to be refunded the permit number is EA059612 for the arnount of $229.75, the jQb value for the siciing project. - was for the amount of $4,748.00 and the job value for the window project is for the amount of $8,252.00. If you have any questions please contact Diana Schliefer @ 952-707- 6959 Production Department: Tliank you, Diana Schliefer p) 30()u = a ~ 3 a~ 4 l , . 7000 ..,d~ ClAn , - . ~o ~4~~ RESIDENTIAL ~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction Reauiremenb RemodellReoair Reuuirements . J registered srte surveys showing sa ft. of lot, sq ft, of house; and all roofed areas • 2 copies of plan (20% mmimum lot coverage allowed) . 1 set of Eneigy Calculations for heated addihons • 2 copies of plan showing beam 8 window sizes, poureG foun0 design, etc.) . 1 sde survey for exterior a0tlitions & decks • 1 set of Eneryy CalculaGons . Indicate it home served by septic system for addidons • 3 copies of 7ree Preserva6on Plan If lot platted after 111193 • Rim Joa[ Delail OpGons seiection sheet (Wdgs wilh 3 or leu units) DATE SQdI~ - ~~6 7~ C' ~ VALUATION T- SITE ADDRE55 MULTI-FAMILY BLDG _Y _ N TYPE OF WORK ~ns~re I I G nS A'l^Pr~~h ~l`Y~/JI4C-P FIREPLACE(S) _ 0?~1 - 2 a ~K ~ ~Pj~pk?c a S /,'i, e- ' WZC~ APPLICANT Py^P s14p OVM/ nV` /II-61 STREET ADDRESS 3(~S'~J j0, I7 U/ [4 )13 CITY AY'i4sWSTATELLUZIP 5S3 312 TELEPHONE #q-51'M'075-~ CELL HP ONE # FAX # PROPERTY OWNER d~2 Y b ' 0 14 ce 0 TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ DIINNESOTA RULIS 7670 CA7tiGORY I MINNESOT:1 RULES 7672 (d submission type) . Residenlial Ventilation Category 1 Worksheet Submitled • New Energy Code_WOrksheeLSub itted • Energy Envelope Calculations Submitted r.1 f~ . ~ ' P{' SIP 1. 9?002 I~ Plumbing Contractor: Phonc # J Pluinbing system includcs: ~Vatcr SoFtcner _ L1~m Sprinklcr I Fec $90.00 ~Vatcr Hcatcr \`o. of R.I. Baths - IYo. of 13atlis c/~- d~sg Mechanical Contractor. ki~'`PS//,V L L! Y'li1 z9U Phone # 9'S- 1'Icctianir.l systcm includcs: Air Conditioning Pcc: $70.00 _ I-Ical, Rccovcry Systcm Sewer/Water Con}ractor: Phone # I hereby acknowledge that I have read ihis application, state ihat the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ejlu an. Signatu re of Appllcanf U5E ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ' • ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF O 04 02•plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mui6 ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 AddiGon ? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolitlon (Entlre Bldg only) - Give PCA handout to applicant Vaiuation Occupancy _ MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. af Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Fina! _ Pool _ Ftgs _ A'u/Gas Tesu _ Final _ Frarning _ Siding Stucw Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ 1990 BUZLDING PERMZT APPLICATZON CITY OF EAGAN SINCLE FAMILY DWELLINGS LNLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. 7~E7'r101>EZ_ K'~HOJ, To Be Used For:'-'u"v&XVm~ STAiiPw~ ValuatioDate: Site Address y/y y 7WZ7 .J~ OFFICE USE ONLY 3 oov' Lot ~ Block FEES Occupancy ,I Zoning Parcel/Sub ~,q,C6 1"Ik~{u, iAt Actual Const Sldg. Permit S, C~v /`~~4 Allowable Surcharge SZJ Owner ,~zzj(/ ( J/)0/,,J # of stories Plan Review V j/'~~~ Length SAC, Gity Address ~n 7 Depth SAC, MWCC , I S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter Acct. Deposit Phone On site sewage_ S/W Permit On site well _ S/W Surcharge Contractor MWCC System _ Treatment P1. City water _ Road Unit Address PRV Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner _ TOTAL SS.6c~ Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone ik ' . ~ . . ? . - , '~1?k - r . • . . ~ , 5353 Wayazata Boulevazd Minneapolis, Minnesota 55416 ~ J 546-3385 ~ DATE CITY ~i , --i GARAGE SIZE Zil X?_ X Z- APRON ADDRESS ~II`~5 y lr>>1G7_ n/ DRIVEWAYSIZE NAME ~ I• r~ rr~ X WIREMESH_l-'/~"=RODS~<CONDUITPIPE TELEPHONE WORK OVERHEAD DOOR SIZE 7 OFFSET L=~ PERMIT OBTAINED BY SERVICE DOOR LOCATION SALESMAN BLOCK SIZE & LOCATION CEMENT MAN ~ WATERPROOF BACKFILL OLD GARAGE REMOVED BY EXCAVATION BY OLD CEMENT REMOVED BY GRADE FLAT DROP OFF 70 Lr%1 •{_-T_ -r- r ~ - i~" ~-j- - ..T.. . L -i--t-=~1-; ~-~-r--;- ~ 1-~ t. • -:_~._~-r .i-.-~-~ i---`- i ~ i-jT i ~ -1-~-+-~!I - --j- 7- -i- - -l-~--- , Li J i -L ~ - -~-I-, - '-y- - ~ ; ~-~--~--I- I ' ._I- ±-I_ __-t~_.~ ~ i ~ i I ~--L-•- ' - ~ ' = ' ~ !_'f_'' t' .1J I t H~ _t-~ I ~ " ,...1.. , ~ . ' ~ ~1 ~_,-L~~._;_ . ~ 4- - ~ f~ --7 -t--~ -t~-~-`-t-•- - ~ I I ~ ~ !~J_ ~ ~.-i ~ ~ I i-' i I ~ i ~ i ~ I - 7 ' '~-i'~.''_. i . _ . ~ ~'_r_F I ~ _ ~ { ~ ~~~-yI i _~~~i -I`+ I_ ~ ~ ~ ~ j i I ~ T ~ ~ L!' I 4_~ _i'~_!~_ I I ~ _~J_ ~ j._ 1-I"i' j ~ r- I-r - r~ i t-r~-i i t-'~ ~ ~ I-' ~ I ~ ~ ! T - -i ,i ' ~ _ I ' ~ i- , ! ~ ~ i i , i _'-iT i . ~ 1 I 7 i r ^ - . ~ ~ L -r , ; _l- ! y _r- ' i L- ~-~I 1 i ~ I I ~ + I i ~ 1' ~ .lL i_. L !I I--~~- l- L -L-t - 4+1 ._L_ Ll...1 , - L- _.i ~-.L_i- - I ' ~ ~ -T-, - j~ f f- - - - -7--; } - t- I-~ - , ' -'-I~' j_ _ _ r ~ i Tr -1-1- - ...._,_._;-T ~ ~ . I i ! ' t~; I - - , - , 1..1_; _I ~ • ,i_'__r'_-'.. L - _4 i ' .i__;~_I--:~ -i-"_'"~ i-' - ~ . - , i . ~ _1" ~ ~ . i ~ f- _rl _'L , I y j ~ 1 1 i, ; • ' " i_ ~ " "I ' CITY USE ONLY L gL RECEIPT#. MC)9CJ70-a- SUBD L/'L RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAG.AN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backFlow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Cioset 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3 00 x = Hot Tub/Spa 3.00 x = Water Heater 3 00 x = Floor Drain 3.00 x = _ Gas Piping Outlet ' minimum - 1 3 00 x = Rough Openings 1.50 x = Water Softenef ' for tlwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = U(i Sorinklar • for dweliing -,nd=r r.cnst 3.00 = U.G. Sprinkler ' for existing dwelhng 20.00 = Alteratlons ' to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems ' nbandonment 20.00 = RPZ (new instalfation only) 20.00 = STATE SURCHARGE 50 TOTAL - - - I hereby acknowledga that I have read this application, state that the infortnation is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibiliry to notify the property owner that the City of Eagan assumes no IiaDility for any damages caused by the City during its normal operational and maintenance acUvities to the facilities constructed under this permit within City property/right-ot-wayleasement. SITEADDRESS: l U,~4 z- n~/ Uf OWNER NAME: % Q7-y / (]~yi /0QEG G INSTALLER NAME: AO,p,f' ("ip M/°~CL G TELEPHONE STREETADDRESS: V/~ ~ 70-~Olq2 CITY: STATE: ZIp: s~--r i /I7v i SIGNATURE PERMITTEE 5 CD/PERMIT FORMSlRpLBG PERMIT (RES) - 1998 ?L6S 9 G RESIDENTIAL BUILDING $101QO Permit Application ~ City Of Eagaa (~u.(,E~c~ r)121103 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Constmchon Reouiremenis RemodeVReoair Reomremenis OKce Use Onlv 3 registered site surveys showing sq. ft. of lot, sq ft o( house, and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculahons for heated addihons Tree Pres Plan Recd 2 wpes of plan showing beam & window sizes, poured found design, etc. 1 srte survey for addi6ons 8 decks Tree Pres Not Reqd 1 set of Energy CalculaGons AddiUon -indicafe d onaife sephc system _ On-site Septic System 3 copies of Tree Preservahon Plan if lot platled after 7/1193 Rim Joist Detail OpUOns selecllon sheet (bldgs with 3 or less units Date -7_/ I D / o *5 Construction Cost Si[e Address 41 24 TbpazDri v-e-i Unit/Ste # M ~i Z Description of Work T:>e.&- Niulti-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner OoulbGwp~- Ra.tn+PX Telephone#((~Cj~ Contractor ~W nQ,I/ Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOrv 1 _ Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category 1 Workshee[ • New Energy Code Worksheet submission type) Submitted Submitted . Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ) ~ ~1 Sewer/Water Contractor Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that tlie, informahon is complete and accurare; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NfN Stalutes; 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. (~)owbav'a- Applicant's Printed Name Applicant's Signature OFHICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace O 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex y- 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) . ? 44 Siding x 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowsfDoors ? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to applicant Valuation 4(57 Occupancy -~~-L--x1y MGES System Census Code 4-1 L/ Zoning City Water SAC Units Stories Boaster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const YInJ Width REQUIRED INSPECTIONS Footings (new bidg) FinaUC.O. 7k Footings (deck) ~j FinaUNo C.O _ Footings (addition) _ Plumbing Founda[ion HVAC Drain Tile Other Roof _ Ice & W"ater _ Final _ Pool ~ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By !2 , Building Inspector Base Fee Surcharge Plan Review ' ~ V « MClES SAC City SAC o i' ! Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total ~~s~ ~w o~~. ~o ar.1 • dv~N~ Pou)E~ e.wsrrY~ POLE D Ib=~v 9x~o ~ ~jG St11•1 Ce - I~-L x18' PF[J~ ~ ~XISTIIJ(y i 24x~ ( ~ 9g 25 x 3~' Q ~ - I 0~ N6W CGC.i~ ' ~ T - I-txx-_ Gt,l ' Tt~~z 1~.nr~ i Date: City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 1 qq-K Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: cC- Resident/ Owner Name: J4-1-e.X Cil Vlit,, 1-Ati u c -C Phone: Address / City / Zip: c[ I EL( -Z 0;f`,� p�1cu ,,,//1(1) K Applicant is: Owner Contractor Type of Work Description of work: . V ---P--- V= pX Construction Cost: ( 0 (=xi -0 Multi -Family Building: (Yes / No K) Contractor Company: P lsttiuin.,, (3uiQl.tti Contact: 6 tZ.- 9,11- ''- Address: 2-6F301—bo(-- ArkiE City: LAIALtittts State: VAt%J Zip: 5-c0 c(q Phone: 6 C7 - ej (4 - 3-t2 0 License #: C....- 6 Li 7 2 7 6 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 they 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.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 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. App icant's Printed Name k x Ap. ' an Signat Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA126552 Date Issued:08/29/2014 Permit Category:ePermit Site Address: 4184 Topaz Dr Lot:1 Block: 11 Addition: Cedar Grove 1st PID:10-16700-11-010 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Deb Larson 8815 209th St Lakeville, MN 55044 Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 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 - Alexandra C Hauff 4184 Topaz Dr Eagan MN 55122--281 (651) 308-1760 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature