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4222 Sequoia Dr F;;J... . . . : A . 4 . ,.....-vM1.ar-+s~,+e*z~':+~tac*r~ev.-.~.r~v~-'~^-^r_ CITY OF EAGAN 18570 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 A ~ I ~ ~ ~ BUILDING PERMIT HITa~ Receipt # - 1To be used for ADDYtiON Est. Value $1 ~.000 Date WV 21 1990 Site Add SS 4222 saQvoY,? aR Lot f Biock . Sec/Sub OFFICE USE ONLY . y~3 y~i Parcel No. occupancy - Fees GBORCE d GAYLE S?AIiL zoning - 180.00 W Name (Actual) Consl - Bldg. Permit ; AddreSS (Allowable) - Surcharge 8' 50 ° City KAGM Phone # of stories 11T.OQ Length 2~ Plan Review o Name ~E oePtn ~ snC, ciry Address S.F. Total - SAC, nncwcc I ~ Clty PhOtl@ S.F. Footprints - j On Site Sewage _ Water Conn W W Name On Site Well - Water Meter W MWCC S tem ~u Address ~ - ,acxt. oeposa C City Phone ity water _ a W PRV Fequired _ SM/ Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge , information is correct and agree to comply with all applicable State of ~ Minnesola Statules and City ot Eagan Ordinances. Treatment PI y ~ Signature of Permitee I APPROVALS Road Unit A Building Permit is issued to: CEO1tCE Q& GAYU STAKL Planner - pazk Ded. an 1he express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies 305.SO Building Official Variance - TOTAL Pertnh No. Pumit Holder Date Tekphone # WATER SEWER PIUMBING f H.V.A.C. ~ ~A- ~j 000 ~ J33 ELECTRIC 9 Inapection Date Insp. Comments f-ootings I Foundetion Framing - - f~ Qs Roofing R«i9h PIb9. fiough Htg. Isul. Fireplace Fnal Htg. Final Plbg. Const. Meter Plbg. Inspector - Notity Plumber Engr.lPlan Bldg. Fnal J Deck Ftg- Deck Final Well Pr. Disp. .+j . , X. - . . _ . - _~...,.,..:r CITY OF EAGAN 18447 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # I To be used tor GARAGE ADDITION Est. Value $5. 000 Date OCT 11 1990 Site Add ess 4222 SEQUOIA DR ~ Lot Block 1 Sec/SubLVERGRELN PARK OFFICE USE ONLY . Parcel No. ocouaancy ~ ; FEES zoning W Name b MRS CEORGE STAHL (Actuaq Const w-H Bldg. Permd ~Z 4222 SEQUOIA D8 V-H O AddreSS (Allowable) - Surcharge 2.50 City F-AGAN Phone 4.%'62 10 * of Siories ~ Length Plan Review Name SN"tE Depm 251 snc. ciry 00¢ Address S.F.Tolal - SAC,MCWCC ~ City PhOne S.F. Footprints - On Site Sewage _ Water Conn r ~ W Name On Site weu - water Meter xz Addf@SS MWCC System _ Acct. Deposit <W City Phone City water _ PRV Required _ S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SMI Surcnarge information is correcl and agree to comply with all applicable State of Minnesota Statutes and City of EaganOrdinances. , 7reatment PI Signature ot Permitee APPROVALS Road Urnl A Building PeRnit is issued to: MR OR MRS GEORGE STAHL Planner - park Ded. on the express condition that all work shall be done in accordance with all Council 1.50 applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pH. _ Copies ~ ' Variance - TOTAI 76.00 Building Oflicial Permit No. Pem+it Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC 3- Inspection Date Insp. Comments F~ 2 y. y~ As o Raigh Htg. Isul. Freplace Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Finall Deck Flg. Deck Final Well Pr. Disp. . . -,.,r . . . aY-,..-.-..w,. . . . r 417 ..S'.: . p . . ' . . . x_ . : PLUMBING PERMIT ,.I For Office Use Onl CITY OF EAIMAN PERMIT # n ~ iCONTRACT 3"0 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # , PRICE PHONE 4548100 DATE: r('' Site Ad reSS e i4 ve BLDG. TYPE WORK DESCRIPTION Lot ~c,; Block / Sec/Sub BeS• New Mult. Add-on ~ ~ Name moia PLuMBING Co i?iC. Comm. Repair m -'l~MT1 MENT1Al, REMOOHINO Other ~ Address c Clty . Ae RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - MMCtrirC! R. i NO. FIXTURES TOTAL ~o r c~ E Water Closet -$3.00 $ Name Bath Tubs - $3.00 ~ Address-'~~ Lavatory - $3.00 8 City Phone t ' shower - $3.03 Kitchen Sink - $3.00 UrinaUBidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE - 1% OF CONTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 - TOWNHOUSE 8 CONDO - RES. RATE APLLIES Whirlpool -$3.00 - MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50 . MINIMUM - COMM.IND./FEE $20.00 (MIMIMUM -1 PER PERMIn _ f ~ STATE SURCHARGE PER PERMIT .50 Softener -$5.00 !(AD $.50 SJC PER EACH $1,000 OF PERMIT FEE) Well -$10.00 ~ Private Disp. - $10.00 ( Rough Openings - $1.50 U. G. Sprinkler System -$12.00 -~cC) I TIJI~E OF PERMITTEE PERMIT FEE: 5TATES SJC: ~n FOR: CITY OF EA~~ G o, GRAND TOTAL: S. CITY OF EAGQN Remarks Addition EvergT'8PT3 P3TZL Lot 3 Blk 1 Parcel 10 24880 030 01 . Owner!-1J - ) ' J-I '-/`-t Street 4222 Sequoia Dr. State Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STR EET SUR F. STREET RESTOR. GRADIMG SAN SEW TRUNK yZ~ 1971 ~ 00 8.75 20 , SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM 5EW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 6468 _ ' SAC 7 .0d PARK ~//S~SU C'/D~S70 ~ 33591 Reqvest Dale Fire No. Bovgh-in InspMion R uired9 ? Reetly Now'"~Will Notity Inspedor ( ~ • ~j - (~Ves ? No When Reatly? { I p licensed coMractor O owner hereby request inspection of above electrical work aC Job Atltlress IStreet. Box or Roule No.~ Ciry 44 aa a ' Section No. Township me t No. ilange No. Coun Occvpanl(PRINT) Phone No. Paver Supplier e AtlOress Eleqrical ConVactor (COmpany Neme) ConVac~or's License No. Mailing AdEress (Conlractor or Owner Making Ins'allalion) Autharize0 Signarore (COnv ctorlOwner Making Installation) Phone Number MINNESOTA ST E BOAflD OF ELECTRICITV THI$ INSPECTION REQUEST WllL NOT ' Grlgga-Mltlway 61Eg. - Room 5-173 BE AGGEPTED BV THE STATE BOnRO 1821 UnivereHy Rve., SI. Paul, MN 55104 UNLESS PROPER INSPECTION FEE I$ PMne (612) 662-0800 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ee-ooo01-07 ? See ine~aions for completing this lorm on back oi yellow cropy. 2 /O ~r%261 9' 3 3 5 91 ' ~`X" 8e/ow Work Covered by This Request E ` ewJniilV . TypeolBuilding AppliancesWired EquipmemWired Home Range Temporary Service Duplex WaterHeater Electric Heating Apl. Building Dryer Other (Specily) Comm./lndustrial Furnace Farm Air COnditioner Other (specify) ConVactor5 Remarks'. Compufe Inspecfion Fee Below: # Other Fee # Service ranceSize Fee # Circuits/Feaders Fee Swimminq Pool 0 to 200 Amps 0 to 100 Amps Trensformers A6ove 200 _ Amps Q_Ve 700 _ Amps Signs Insvecmr5 Use Only: 1 TOTAL _O Irrigation BoomS ~O ^ UG Speciallnspection Alarm/Communication THIS INSTALLATION MAY B ORD ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 HS I, the Electrical Inspector, hereby Rouqn-m Date certify that the above inspection has F;nai oe been made. OFi1CE USE ONLV Tns repuest void 18 monlns imm ~ io~s~ H 47182 `n Reques~ Oate LI Fire No. Rough-in Inspection G~ 9 Required? ? Reaay NowA Will Notiry Inspector es G No W+en Reeoyv licensed contractor ? owner hereby request inspection of above electrical work at: JaD AtltlresS (SVael, Box Or Route No.) City ' ~2a S£ cco//i 172/ dE -4fiCs-,,sP--J Section No. Township Name or No. Range No. Couny ):~atfo PJf~ OccuOant (PRINT) Phone No. 6Ra- ff l./UlnJcr -7 ~ Power Supplier Atltlress Elecincal ConVactw (Company Name~ Contractor5 License No. //)aA'3 r'ele ~'G~oy-2 /G ~ . D O f~8'-`3 Maitinq MEress (COnVador or Owner Making Installation) / l ddnJ ~ 5:Z1 AU1hOrizeE $igpalu IConVa[foNOrvn¢r Making kSidlldti0n ' Phone NuTbB! F-YO ` -3 S'S S~ MINNES A STATE BOI1R0 OF ELECTflICI THIS INSPEGTION REQUEST WILL NOT GHgge-Mltlway Bltlg. - floom S173 BE ACCEPTED BY THE STATE BOARD 1821 Unlvernily Ave., St. Vaul, MN 55100 UNLE$$ PFOPER INSPECTION FEE IS Phom (612) 641-0B00 ENCLOSEO. 3 Dd'a 3~ REQUEST FOR ELECTRICAL INSPECTION ~E&00001-OB M ~ S e insVURions for completing fiis farm on beck al yellow copy. ~g f X" 8elbw Work Covered by This Req ~ uest 'x, w.., , 47182 r0y1~. ew Add Re TypeofBuiltling AppliancesWireG EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial 'Furnace Farm Air Conditioner Olher (speciry) ConUactor5 RemaBS'. Compute Inspecfian Fee Below: 77&~J ~ # Other Fee # ServiceEniranceSize Fee N Circuits/Feedere Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Ahove 100 _ Amps SignS inspector3 Use Ony: Irrigation 8ooms Special Inspec[ion Alarm/Communication THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MPVTHS I, the Electrical Inspector, hereby fl°"qn-m oate _Q certity that the above inspection has F;,,ai • oate been made. OFFICE USE ONLY This request voitl 18 months fmm RESIDEIVTIAL ~ ~a -?s- BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55722 651-681-4675 New ConslmcUon ReouiremeMS RemodellReoair Reauirements • 3 registered site surveys showing sq. 8. of IM, sq. ft af house; and all rooted areas • 2 copies of plan (20% maximum lot coverage allavred) • 7 set of Energy Calalations for heated addifions • 2 capies of plan showing beam & window s¢es; poured found design, etc.) . 1 sile suney for exterior add@ions 8 decks • 7seto(EnergyCalculatians . Indiraleifhaneservedbysepticsyslemtoradditiore • 3 copies of Tree Preservation Plan H lol platted after 7/7193 • Rim Joist Delail OpUons selection sheel (bldgs wilh 3 or less unifs) DATE VALUATION ~~_STSC!~' JOB SITE ADDRESS~a2i~ St!%1x()i0._ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER_ 1orcN `J~tO~ti\ TYPE OF WORK~Z n~c a l .ivndo .~4. ukllnv~„~M.S~i+n4~, rqp PIREPLACE(S) _ 0_ 1_ 2 APPLICANT'R-gjp~,~'A.Klvtsnm-, PHONE# (051•aZ(04•4772- ADDRES519 2~ ZIPCODE56«l PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 D~~~~~`S' (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MAY 0 8 ZUQ2 _ MINNESOTA RULES 7672 ~ - New Energy Code Worksheet Submitted gy Plumbing Contractor: Phone Plumbing System Includcs: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical5ystem Includes: _ Air Conditioning Fce: $70.00 Hcat Recovery System Sewer/Water Contractor. Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, staTe that the information is correct, and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Or inances. Signature of Applicant /%~&lY~Yy Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 ~ OFFICE USE ONLY ? 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. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 77 Garage ? 22 PorchlAddn. (4-sea.) 13 33 Ex[. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl ? OS 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolltion (Entire Bldg only) • Give PCA handout to appilcant 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing FoundaHon HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Fraavng _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~,a ~oo ~Il 4400 xun~nni. n~enunti~esn . fHI vuzi ou: re al ru„a 2001 . City of Eagan 3836 Pilot Snob Roaci . Eagan, MN 55122 To Whom It May Concern; IIder Jones is suthorized to pall bailding permits for Renewal by Mdecscn_ Please alIow Elder Jones to pmyjde this seriia for us in Eagsn, 'fhqs eutharlyazicm ig valid for any date beyond 616/01; until aI~euawai by Andcrsan managex, expraWy ~vokas it in wridng W the GYty- our buw t~s authorization bc accepted expedidoualy, as to not delay in rha processing of dinS Pcrmit3 any fnrther. Plcasc call mc If thctc arc eny qnesdons. I can ixi contacbed at 763-502-4706_ , : Your immqdiatc attention to this mattcr is apprec3ated. Sinoaiely, . • ymond R. Rau ostallarion Manager Renewal by Andmcn CArporation . . ~'.c: Kmn-F)clPr Sonea H oa m . . `"`°"°°°"enf~o@a~+n.m,~00.q . Received Time Juo. 7. I:OiPM 3 s CITY USE ONLY L ~ BL _ RECEIPT SUBD. [N V~" RECEIPT DATE: PERMIT# ~09 0I 1999 PLUM$INC•c PEftMIT (RE.SIDENTIAL) CI1']' Of $AfiAN 3$30 fILOT KNOB RD EAcfiAN, MN 55122 c650s8i-as7s Please complete for: ? single family dwellings 9 townhomes and condos when permits are required tor each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = s Floor drain 3.00 x = $ Gas i in outlet ` minimum - i 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ 4? D ~ Private Dis osal S stem newlrefurbished " re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ _ Rou h c enin 1.50 x ' Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water Softener if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x _ $ State Surchar e 50 $ .50 TOtal $ 30- SU ' Reminder: uall Tor inspectiuns of alterations, i.e. water heaters, water softeners, etc. ---------------------------------------------------------------------------------------------------ce-s- I hereby acknowledge tliat I have-read this application, state thal the Infortnation is conect, and agree lo comply wifh all applicable City of Eagan ordinan- . It is the applicanCS responsibility to notiry the property owner that the City of Eagan assumes no liabiliry for any damages caused by the Ciry during its normal operetional and maintenance activities to the facilities construct@d under this permit within City propertylright-of-way/easement. SITE ADDRESS: ' STAHL, GEORGE 4222 SEQUOIA DRIVE OWNER NAME: EAGAN, MN 55122 TELEPHONE 7 (651) 454-6210 - (AREA CODE) INSTALLER NAMEr - - - J TELEPHONE NORBLOM PLUMBINQ CO. (AREA cooe) STREET ADDRESS: ,.j Bs c,~aurrn~e LIe rE, Il 09.8 ;612> 827-Wj3 CITY: 290E GAFvFItLD AVE. 30UFH STATE: ZIP: _ , SIGNP(T OF PERMITTEE . l. 1 r . . • 1 ( ' ~ p I~ . ~ 1 CITY OF EAGAN FOR CITY USE ONLY , 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # / ~ DATE : ~a a PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & . r.., : . TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST _ ADD-ON MINIMUM $15.00 ADD ON X HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OWNER NAME: OF 1 PER PERMIT c~ SUBTOTAL: $ ~.~'"i O " SITE ADDRESS: ? e/ ~ STATE SURCHARGE: .50 LOT: 9 BIACK I SUBD, tPP TOTAL: $ JrrJC~ INSTALLER: / ol~< L L G~~,O~~ ADDRESS: SZc, / SIGNATURE OF PERMITTEE CITY: ~G°v--tl ZIP: 2-r) PHONE 3 33 ~~7tildETtC2l~jINT7U~u'~k~lt~. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 DF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 LOT: BIACK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN . CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # / ~ kwz: x.~'~B'Ij~1C%$a~:~,.`~~,•I~' DATE: R~S~AEi~`Il1T..; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS & - _._.k..,.. TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLASET 3.00 BATH TUB 3.00 IAVATORY 3.00 OWNER NAME: 7 KITCHEN SINK 3.00 3.00 SITE ADDRESS: 5e~ C~D lG OTN T[JB/SPAY 3.00 WATER HEATER 3.00 LOT: 3 BLOCK ~ SUBD. ~ FLOOR DRAIN 3.00 GAS PIPING OUT. INSTALLER: odf i7 l~~LkZf S_O_ev !%Li/2liCI/~ _ (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 ADDRESS : OTHER _ WATER SOFTENER 5.00 CITY: ZIP: PRIVATE DISP. 15.00 ~y PHONE U.G. SPRINKLER 3.00 G~GI -~7y-t /5 . C77~ SUBTOTAL $ ST. SURCHARGE .50 SIGNATORE OF ERMITTEE TOTAL: $ 50 ~OMMERGIALj~]DLTSS&3AL`; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.. CONTRACT PRICE: FEES lowk OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN EAGAN TOWNSHIP BUILDING PERMIT N° 3059 Owner Eagan Township Addrass (pzesen!) a.Z.... ~__~x~~~- ~c,-... ~`.-°Town Hall J Builder .............-...R..".~!'^-'~.........°-°----._......--..............._._..._ Dale 5...- Address DESCRSPTION 7ories To Be Used Fos Fxon! Depih Heighf Esl. Cos! Permee Remarke :I 'Q"'~(~~-e, ee.? I 2~, 3 oz) 71 •Sc~ s ~o ~ ,a z-~?-~".~w~C.e_ LOCATION eJ, d-0 Sireel, Road or other Descriplion of Locafion I Lo! Sloek Addi2ion os Traat ~ ~ 1- (~..-s _ _ / 'tz,~-~^--i••-`-`--~ FY"`"" O This pesmit does ao2 authoxise ! use ot streefc, xoads, alleps or sidewalks nor doea i! give !he owner or Lb agan! !he righ! !o creale any sifuation which is a nuisanea or whieh presenffi a hazard !o !he heallh, safely, convealeaee and ~ genezal weltare !o anpone ia !he aommunilp. THIS PERMIT MUST BE EP~, T ON THE PREMISE WHILE THE WORK IS IN PROGR SS. This is !o certifp. !hal...._=G~f••:e.-:...--~'D."::'.`.'.~.°-----....has permiasion !o ereat a-- - - - -upoo !he above described premisa subjee! !o !he provisions of !he Building Ordiaance for Eag Towa ip adopled April 11, 1955. '_.:............._............~Par /fR-..e{ ...._.....-----_Q••••--p•----°-•-°--- Chairman of wn Board ~ Buildin Ias ecior ' SI[3MA SUAVEYING Certificate of Surver Forr '3 E RVI C E S Mr 8r Mrs. GEORGE T 3908 Si61ey Memorial Highway Eagan, Minnesota 55722 STAHL Phone:16121452•3077 4222 Seauoia DXive Ea an Minnesota a„ p ( DlFFLEY ROAD 1 C.S.A.H. NO. 30 ~~Nei" 4e Sa~e ~ qj 200Ne; IS\`` G F° ~11 }y~ y y ~ oUe Q ~ N - z" ` w f ~Y ~ s' ~ k~`~ • W ~ry ~~~.1 Sarap SCALE: 1"=40' SYCRar E AReq * a 30, ` ~ fw Iron Monument ! - weed p~ ~s 6arre(3 v FOUnd / z - trcc}ers ~ 6guyne~ ~ - ~end e.dl G.aoa 100.13 Meas. ~ v ` % i ^ G'X; Wmd Fe..cn ! 1 180.00' ' r~ (A)ot- +0 S~1~) ~i N ~ a .w O LOT 3 G~85S ~ ~ ~ h LO;- 4 r g N aC ;~9 Gara e t_ <y7 ' l / . ~ r J ~ i ~r 1 3 I+D •O' 114 3.2 ~ I ~ 1 i , ~ I l L cr ~ Property Aescription `\\"\~t~utanimxinrn ~ (L-o-t 3, B10Ck 1, EVERGREEN PARK,~~`# . •"'~~u'~ )N according to the recorded plat=`¢~;`yVAyN z~= ~ thereof, Dakota County, Minn. r' COR_D~S . 94675 S,UR;4 . ~ MASTER CARD IOCATION se igV iLi p~/ Z~ G• ~ . OWNER ' STRUCTURE AND ^St~ - LAND USED AS ( Issued To Permit No. Issued Coniracfor Owner BUILDING PLUMBING 36 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING SiSY GAS INSTALLING SANITARY SEWER zr~s9 OTHER ~ OTHER Approved liems (Initial) Date Remarks Disiance From Well FOOTING - ,3'7 SEPTIC FOUNDATION CESSPOOL 3-7. FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION ~ i SEPTIC TANK j- ~ CESSPOOL DRAINFIELD PLUMBING WELL SANITARV SEWER Violations Noted on Back COMMENTS: i COMPLIANCE INSPECTION REPOR,TS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS Of CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON{OMPLIANCE ? NON{OMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEVTABIE SUBSTITUTION$ OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL 8E DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BIJILDER WILL COMPIY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED 1 CERTI FICATION -I certify that I have carefully inspected tha above in which 1 have no interest present or prospective, and that I have reported herein all significant conditions otrtervad to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site imprwements relating to the property inspected. F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR OATE COMMENTS: z3 CITY OF EAGAN NO ~$44~ 3830 Pilot Knob Road,-P.O. Box 21-199, Eagan, MN 55721 BUILDING PERMIT PHONE:454-8100 Receipt# C. X7 ~3 ~P = 7o be used for GARAGE ADDITION Est. Value $5, 000 Date n["T 11 ,1990 _ Site Address 4222 SEQUOIA DR 3 1 EVERGREEN PARK OFFICE USE ONLY Lot Block SeGSub. PefCBI NO. Occupancy FEFS Zoning R=1 0 w Name MR & MRS GEORGE STAHL (Actuap Const VL-N Bldg. Permit 72.0 ~ Address 4222 SEOUOIA DR (Allowahle) V=N O ~ Clt EAGAN _ Surcharge 9-5 y Phone 454-6230 eof stones Leigth 121 Plan Review }O Name SAMF. DeDth ~ SAQCiry ~a Addf2SS S.F. Tolal - SAC, MCWCC ~ City Phone S.F. FOOtprints _ On Site Sewage _ ~Nater Conn ~w Name On Site Well - Water Meler ¢Z AddfBSS MWCCSyslem - qccl.Deposit a W City Phone Ciiy Water - PRV Required _ SIVJ Permit I hereby acknowlege ihat I hava reatl this application and state that the Booster Pump - SNJ Surcharge infortnation is correct Moql to compl rth I a plica6le State of Minnesota Slatules an ga i~ ces Treatmem PI SignaWre of Permitee APPROVALS RoaO Unit MR OR MRS GEORGE STAHL Planner - Park Ded. A Buildinq Permit is issued to: on the express condition thal all work shall be done in accordance with all Council applicable State of Minn~esota Statutes and Cityof Eaqan Ordinances. Bldg. Off. _ Copies 1.50 BuiltlingOflicial './'IMAn .GIIl_I~ /~'I.Cj Variance - TOTAL 76-00 : 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF YLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCT[7RAL 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 iINITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: AD?RESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH AD?RESS 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. To Be Used For. ~ q~a~r.-VaT ation: Date: 10 -q ~cic) t"nvo ~ OFFICE USE ONLY Site Address Onl, J Lot Block ~ FEES Occupancy ,./K1-~ Zoning R-1 Parcel/Sub Actual Const V-N Bldg. Permit r]2,0 O Allowable V- M Surcharge Owner ,y. # of stories Plan Review Length IZ! - SAC, City Addresst~a,~ Depth 25r sec, riwcc S.F. Total Water Conn City/Zip Code J,~S 1 aa~ 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 Pwnp _ Copies ^~SO City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/2ip Code Phone # . ~ . . VA y~ 1 SIGMA SURVEYING Certificafe of Survey For: 39o8sbE Q~'~ E s aY Mr b~ Mrs. GEORGE T. Eagan, Minnesota 55122 Phone: (612) 452•3077 4222 SeQUOia Drive STAHL - Ea an Minnesota ( DlFFLEY ROAD ) C.S.A.H. NO. 30 zoo'Ne, ~ rc 1`T . ~ ~ l• ?i ~Nv ~ G $ P -v W ~4 • =rP1~ ' ^ • ~ £ ~ ~ ~ ~ Q • # SC:ALE: 1"=40' StoRrwE AREq f - 30• le Iron Monument m~ l"ergs • Found +s - g°* `yi'"°t"` V ~ ~ • = traAxs 4 E4kzra k _ s S..d a-k C~.s-l00.13 Meos. - J ~ ~ (loet~ ) -'180.004 . O Q M ^O ~ L OT 3 GY,ss 1 ~ ~D /e L r' ' 4 P ~,s• $ .S Y in 1- . Ex~s ~.y~ O / Io o, L e- ~ ~ ~Y \ o~ propertv Description 1 Q Lot 3, Block 1, EVERrREEN ?ARK, I ` I according to the recorded plat „c~,i~•:.-,...... r Q thereof., Dakota Countv, Minn. a •r.',.: , 1 I W I ' fyr?... , •~C ; CITY OF EAGAN (1~0 18570 3830 Pilot KtYbb Roai, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ I iI~2 BUILDING PERMIT Receipt # ~ ~ To be used for ADDITION Est. Va1ue $17 , 000 Date NOV 21 Site Address 4222 SEQUOIA DR 3 1 EVERGREEN PARK OFFICE USE ONLY Lot Block SeGSub. Parcel No. occuPancy R-3 M=1 FEES Zoning - w Name GEORGE & GAYLE STAHL (Aclual) Const _ Bldg. Permit t sn _ nn ~ Address 4222 SEQUOIA DR (qllowable) - Surchare R_50 ~ City EA~ Phone 454-6210 MolStones - 9 Length ~ Plan Review 117.00 io Name SAME Depih 141 SAC,City 0,¢ AddfBSS S.F. Tatal - SAC, MCWCC ~ City Phone S.F. Faolprints - On Site Sewage _ Water Conn r w Name OnSiteWell - WalerMeter i~ AddreSS MWCCSyslem _ <W CIIy PhOnB City Water _ Acct. Deposit PpV Required _ SM Permil I heraby acknowlege that I have read ihis application and slate that the Booster Pump - gryy Surcharge iniormalion is correct and agree to comply with all applicable State of Minnesota Statures and City of EaganO~rdinan~ce~s.n r~ Trealment PI Signature of Parmitee -^e~.ka-°Y' APPHOYALS Road Unil A Building Permit is issued toi GEORGE OR GAYLE STAHi. Planner - park Oed, on the express condilion that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and Cily of Eagan Ordinances. giay, pff. _ Copies Variance - TOTAL 305.50 Building Olficial •-~v~-~= .~v~~~ ~.u~ ~-t'; v`- - S t~ L-~°"--- I990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS lCOMMERCIAL 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 HADE. 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 BUIIISING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ~ To Be Used For: 0-.6~'k;~ Valuation: Date: Site Address OFFICE USE ONLY Lot Block FEES Occupancy R'3 M '1 n Zoning -/Parcel/Sub ~ 1kthP ea,n Actual Const Bldg. Permit Allowable Surcharge Owner ~ ~ o # of stories Plan Review ,00 \ ~ Length • ~ SAC, City Address Depth krT. 22Ys'X ly' SAC, MWCC S.F. Total Water Conn City/Zip Code . 5`1 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 Council Arch./Engr. Bldg. Off. ~1'ZI Variance Address City/Zip Code Phone # ~ VaUuATioN f. - ~ F~, a .."e3.; " x2z'/2 = 31 s,cs(= iGoiS ~ ~ REQUEST FOR INFORMATION U CITY COUNCIL.REQUEST FOR INFORMATION: COUNCILI9EMBER: REFERRED TO: p. k1. TieA COlber-t RECEIVED BY: 7, u P`~, Q S DEPAFTMENT: P. 11.1k S DATE RECEIVED : I - 29 - R(o RESPOND BY: IssvE: I~v-er Jreecl ?1~ o-~ o=,V,- • h ~,u ~ . STAFF REPLY: i ~ y s •z s ~ /,~-z- ~-•..~t' ~~~.~.,.~~/q-...~~~.~ ~-~~k~ Jg y~9`,,/ r ~a/r.c.tnfl ~?9 G~^-c:~Y-~~ Y~~~~.c.~' ~:~crc~?'~-- ~~Y--~ ~ ~C . /?-t%Ll~.. ~ r ~`°`N' ~ I!~'^'~"",,-.~.y=.; Lv' . ~lJ~ y j ~ ' ~ l .~/_i,y" CP~Y'._ ~P~/Gah- P •-A-'.n.r- ye.-:~ Lrt+ ..~t.. ) / ~./~':-1.~~ u.._'G,~ ~ • Li.w ~C.( ?~t...G.? /Nr_%..G2!i~C '--f- y~ b - :~.N'~~ N^-C•-C'H'•-4•: ' ~q V' ~ ~y,s~~C. ~L-GM1 ' " ! ~ ~ ~'d ~~1 ~+a- ./1~-G~.O';a.,~~ ~/i'i;- ( ~Ll I --f~~~?J•.. ~jfir-i\ aj ..~~''.~<itnrixi~.~G+$:r•..-rK"~ . /Jr~ ~°U!~ f . .r s - a DATE : BY YmLnu. vF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2059 Eogun, MN 55122 DATE: 8/17I73 ZoninH: R-1 - No. of Units: 1 Owner: Til on ConatcuctiOn CO Address: site Address: T 3 Bl EvergraPn Park - 4222 Sequoia Drive Plumber: Tjipcken EX^avatina 1 aqna ro comply wieh tM Village of Eagan Connectlon Charge:375•00 pd 7/9/3 Ordinancas. Account Deposit: Permit Fee~O 00 Pd 8117/73 Surchazge: 50 Pd gy. Misc. Chazges: Date of Insp.: Total: Insp.: Date Paid: vaLauE oF ¢acaN WATER SERVICE PERMIT. E 3795 Pilot Knob Raod . PERMIT NO.: --IZ-83 Eogan, MN 55122 DATE: 8IIM3- R_1 No. of Units: I l.nning: owner: _Ti 1 a3^-S Address: GPa eia D ive - ~ ~ Rt FvPrgLflCff 3ite Addriess: 1'lumbeT: T Y FYrAy 70 QQ Dd 7~9L.1 Meter No..°? Connection Chazge3 ~-Account Deposit:.-------- Size: 8/17 ~ G Permit Fee: 8~17 Iteader Na.: 1 og.ee to comply wifh Ma Village of Eagan M'SChCharges: Jrdinwncas. Total: Date Paid: xy Insp.: Uate of Insp.: 3-1 UILLAGE OF L(iGA1V 3795 Pilot Knob xoad Eagan, Minnesota 55122 PERNII T N0. 362 The Village of Eagan hereby grants to Louis H. Petar Co, of 1854 Grand Avenue. St. Paul 55105 a 3I.[]tffiING Permit for: (Owner) Tilean Construction Co. at 4222 ggauoia Driva , pursuant to application dated 7/13/73 Fee Paid: 320.00 dated this 13th day of Julq , 19 73 , .50 s/c Bui ding Inspector Ntechani.cal Permits: Bid Total• 3-%- / • . F.G ? VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Nii.nnesota 5$122 PERMIT NO.: 38& The Pillage of Eagan hereby grants to °f 99-D1e Srelliag a ' 11 ri Permit for: (Owner) Ti7qan Cnnmtrntinn 422 Twequoia Driva & at 4374 & 4368 Garden Trai1 , pursuant to application dated 7f19/7q Fee Paid: $60.00 dated this 27thday of Ju4 , 19--7 a_. 1.50 Building Inspector 1lechanical Permits: Bid Total: ~ IMPANT MESSAGE 1 'l/ TIME ? E P.M. DATE ~ 7 yJf¢IIl~OU N RE~OJJT M (i fd ~/•I OF _ Area Code /J $5 Exr6wnoa J TELEPHONED PLEASE CALL CALLED TU SEE YOU WILI CALL AGAIN WANTS. TO SEE YOD URGENT URNED YOOR CALL / . dperator f7ii~fY M No. 153 LEO MUNPMY - TMOMA9 MECGES MAYON CIT'AOMINqTRATOR TNOMAS EGAN , . ALYCE BOLKE MAqI( PARRANTO CIT' CLLRa JAME9 A. SMITM CITYOF EAGAN TMEODORE wwCNTER C041HCIL MFNpFR9 ' ,3796 PILOT KNOB NOAO EAGAN. MINNESOTA 55122 ?MONE ~6~•e100 ' May 11. 1979 , ~qKIII . Mr. & Mrs. 2tan Stahl ?4222 SecPioia IIrive - Eagan, M 55122 " RE: SZORM fV1TER DRAINAGE Dear Mr. & Mrs. Stahl: Upon investigaticn of your ccaiplaint of May 10, 1979 of excessive nmoff of stoxm water, we found that the storm water had follawed the established watershed. ltis is not an oxdinance or statute violation. It was qaxl planning by you or your landscape contractor to provide good drain ways arowzd your house and shaas that someone was aware that you were in a position that had to have positive drainage to the street where gutters and stoxm sewer is present. 7he trash that came fran the residenceto the north should be resolved on a person to person basis as the City cannot be involved unless it creates a health hazaxd. You will be happy to ]maa that the City has oontacted Mr. Nelson and he has agreed to a berm and a screened drain pipe to catch debris before runoff water reaches your property. ~ Sincerely, I i,' Dale S. Petersai Buildinq Inspector DSP:t1p i i cc: Mayor Murphy i. ~ I i li I ,I THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. e-~ S ,v4- ,,''M~- b ~e P-cavu~ I ~7~ LEO MURPMY ~ 3- TMOMAS NEDGES MAYOR " . CITY AOMINI4TRI.TOR THOMAS EGAN _ ALVCE BOIKE MARK PARRANTO CIT' CLEF• JAMES A. SMITM CITYOF EAGAN TNEODORE WACNTEN COVNCIL MEMOEX$ 3796 PILOT KNO6 XOAO EAGAN, MINNESOTA 33122 rMOHE 454-e100 May 11, 1979 & Mrs. Tbn Stahl ?4222 Sequoia Drive Eagan, M 55122 ` RE: S'iOPK WATER DRAINAGE Dear Mt. &.Mrs. Stahl: UPon investigaticn of your ooiplaint of May 10, 1979 of e}ccessive nmoff of stoxm water, r,e found that the storm water had follaHed the established watershed. 'ihis is rot an oniinance or statute violaticn. It was good Plannin5 bY You or your landscape oontractor to provide good drain ways as°ld your house and shows that scneone was aware that you were in a position that had to have positive drainage to the street where gutters and storm sewer is present. Ihe trash that cmne fran the residence to the north should be resolved on a Person to person basis as the City cannot be involved wzless it creates a health hazaxd. You will be happy to lmwa that the City has oontacted Mr. Nelson and he has agreed to a bezm and a screened drain pipe to catch debris before nmoff water reaches Your Proper'tY• Sincerely, ~ I p~pl Dale S. Peterscaz Building 7nspect,or. D6P:tlp cc: Mayor Murphy THE LONE OAK TREE TFiE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. C!ty 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 #: / /705 Permit Fee: / 5' 75 Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11 a 1, Site Address: 42-22_ RESIDENT / OWNER TYPE OF WORK Name: elk Address / City / Zip: Seqt..t..DtoJLr Applicant is: Owner A; Contractor Description of work: .15 diet O tai 2 Y.-)3 �o Construction Cost 3) J .-) 3 "' Multi -Family Building: (Yes / No Company: Contact: J 66\ r 0 ( 104 Unit #: Phone: (-4,5)164-- 4240 CONTRACTOR i Address: ( State: DuBois Design & Remodeling 11825 Point Douglas Drive S Hastings, MN 55033 Zip: Phone: City: nn License #: CR op ("l6 Lead Certificate #: "Fr—it/Po-1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes )( No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o 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 1 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. x 1D n t c1 d x Applicant's Printed Name App 'cent's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132840 Date Issued:09/08/2015 Permit Category:ePermit Site Address: 4222 Sequoia Dr Lot:3 Block: 1 Addition: Evergreen Park PID:10-24880-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Gayle P Stahl 4222 Sequoia Dr Eagan MN 55122--182 (651) 454-6210 Centerpoint Energy 1240 W River Pkwy Minneapolis MN 55454 (612) 321-5597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140716 Date Issued:01/17/2017 Permit Category:ePermit Site Address: 4222 Sequoia Dr Lot:3 Block: 1 Addition: Evergreen Park PID:10-24880-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Gayle P Stahl 4222 Sequoia Dr Eagan MN 55122--182 (651) 454-6210 Wenzel Heating & Air Conditioning 4145 Old Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature