4233 Sequoia Dr
CITY OF EAGAN
3795 Pilot Knob Road Eogan, MN 55122 N2 4246
PHONE: 454-8100
BUILDING PERMIT ReCe1pr # -
'ta: z 3f'
To be used for ~Rt`a~,~ :``'ur=o Date , 19
; j ~ e ~ Uo 2^ :?r. . ?
Site Address i - Erect Occupancy
Lot ~Block ~ Sec/5ub. L?E'r~t'c3eTa F'aT1, Alter 0 Zoning
Parcel Repair ? Fire Zone _
Enlarge ? Type of Const. V
cc Name vor' • i o l a Move ? # Stories
3 Address 4~ 2i'• _uF'c~1_'U2.i -or. I
Demolish ? Front ft.
~ Ci FPhone 452-5t` Z Grade ? Deprh 14 ft.
Concrete- t~altc;r Nlelson Approvals Fees
p Name `
Z~ ,1 t;`~,~?, K. ~ Assessment Permit
o Address • -
Water & Sew. Surcharge 1•''
Cit Phone
Police Plan check
Nome Fire SAC
v"
~
Address - Eng. Woter Conn.
QW Ci Phone Planner Water Meter
Cauncil
I hereby acknowledge tFwt I hove reod this applicaticn and stote that gldg. Off.
the information is correct ond ogree to comply with a!I app!icabfe APC Totai
Stote of Minnesota $totutes ond City of Eagan Ordinances,
Signature of Permittee
A Building Perrnit is issued to: on the express condition that
all work shall be done in occordance with nll opplicoble State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ,
Parmit # DaN lawd PofwlfNe
Plumbing
Mechanicai
INSPECTIOIVS DATE INSP• Rough-In Fina)
Footings Dote Insp. Date Insp.
Foundation Plumbing
Frame/ins. Mechanioal
Final
Remarks:
I F.'~, .Pd . "~v''~Ti:.. . . . .ir Py{:'"R.~~-.~-iJZ~ . ~a...~~.., ,y~ i_.,~... . ' . . +
PLUMBING PERMiT y For OHice Use Only
CITY OF EA~AN PERMIT #~~1~ J~
CONTRACT 3830 PILOT KNOB ROAD, EA~iAN, MN 55122 RECEIPT~ ~ 7-~~
PRICE PHONE 454-8100 QATE: ~ v
Site Address ~ u I ~ 1~ BLDG.~ WORK DESCRIPTION
Lot ' Block ~ S /Sub ' ~S~ New
Mult. Add-on ~ _ C
~ -
Name Comm. Repair .
` Other
~ Address ~
~ C~y -~n P~~~ RES. PLBG. ONLY - COIiAPLETE THE FOLLOWING:
- . h NO. FIXTURE3 TOTAL
Watar Closet - $3.00 Z
Name ~ ~ Bath Tubs - $3.Q0
~ Address M Lavatory - $3.00
~ City Phane t Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
FEES Laundry Tray - $3.00
COMM./IND. FEE - 1% OF CONTRACT FEE Floor Drains -$1.50
APT. BLDGS. - COMM. FWTE APPLIES Water Heater - s7.50
TOWNHOUSE & CONDO - RES. RATE APLUES Whi~lpod -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMI'~
STATE SURCHARGE PER PERMIT .50 Softener- $5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -~10.00
Private Disp. - a10.00
Rough Openings - $1.50
~ U. G. Sprinkler System - $12.00
' s~ R OF PERMfTTEE PERNUT FEE:
! STATES S/C: t
~
; FOR: CITY OF EAGAN ~t,-~'-Q{J , Q;r,~;~;- , GRAND TOTAL: ~
' D , ll.
. _ . . _ - . _ _ .,,~rtcs.tit._ . • - - . _ _ - _ _
~
CITY OF EAGAN .
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 R
PH O N E: 454-8100
BUILDING PERMIT Receipt ik
To be used for 3"~4AaQ14 Est. Value $b o0% Date ,19
Site Address 1-233 BBQUOIA D}; OFFICE USE ONLY
Lot ~ BloCk 1 SeC/Sub. On Stte Sewage Occupancy
MWCC System Zoning
Pareel No. On Site Well (Actual) Const
ac Name ~N VIVLA City Water (Aliowable)
z Address 4133 BF.cjT07A 'Ac PRV Required * of Stories
~ City PhOnB Booster Pump Length
Depth
. O Name S.F. Total
o Q Address 1 f1 ~3 c' A. Lr• ~..p Footprint S.F.
Ucc
City WS i• ~0UN1 Phone APPROVALS FEES
~ W Engr.lAssess. _ Permit ' f%• ~G
Name ~
rW- Z Planner Surcharge ~
~ . Address _
~ W Clty PhOne Council Plan Feview
Bidg. OH. SAC, City
I hereby acknowledge that I have read this application and state that the Variance _ SAC, M WCC
inlormation is correct and agree to comply with alf appliGable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P7
on the express condit+on that all work shall be done in accordance with all
applicable State ot Minnesota Statufes and City of Eagan Ordinances. Parks
TOTAL _ T7 •
Building OfficiaL--_- ~ _
Permit No. Permit Holdar Dat* TeIephons
Plumbing
H.V.A.C.
Electric
Softener
Inspectfon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Ntg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition Evergreen Park Lot 5 Rik 1 Parcei 10 24880 050 0
Owner .>rlStreet 4233 Seguoia eiT. State Eagan~,MN 55122
.
M
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK tiL 1971 1
SEWER LATERAL
e
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1981
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
sAC 240-00 277 1-1 -73
PARK
INSPECTIUN RECORD I Controi No.
CITY 4F EAGAN PERMIT TYPE: litirloIMo
3830 Pilot Knob Road Permit Number. *#14qfi
Eagan, Minnesota 55123 Date (ssued: 0412*141,!
(612) 681-4675
SITE ADDRESS: LOT :b bt. ocK . 1 APPLICANT:
4:33 SFqUQIA [)R SAWH0RSE CONS7 CNG
eVE1iGRLEp PAkR (412) 533-•0382
PERAA4T TYPE OF WORK: NEW
INSPECTION
, ~ + r+~~ F'RAMi NG
INavtfi pl CQN FIMIAt ~
ftF 14q1?K5: I:OMVFpT fyt)h'1:H 40 ! xV!!iA R4001c REMO0E1. EX1ST114li It[TCHEM 6$ATi!i
AflO F[/1,1MDATIOM Ui1CfER F'ORt;1#
. V .-F wv- *w.
~3C l-
~
.rY Y.~;i f+~ - - ~t..+~_~, ~~u-~h-~j¢Z. - c~ ..r . , _ ' : - t y'~-'
. _~A! ~ ~`~r~s~~Sk~ .C'~',.`~±~d~MS~v~a..~t<a~~~iE•-~~a'~.~~L' ~C*c_ :'-~~`-Tr ~ -i'~a.
pwmlt No. PermR Holder Date Te{ephone t
S/W
PLUMBING f Q J~ Fo~
HVAC
ELECTRIC~
ELECTRIC ~
lnapecticn DAte lnsp. Comments
Fooringsl b
frounda6on
Framing ~
Roofirg
Rough P1b9.
Rough Htg.
t'
Isul. p ,
Fireplace
Final Hlg.
Orsat Test
Final Plbg. Plbg_ inspector - Notify Plu
Const. Meter
Engr./Plan
Btdg. Final n
Deck Ftg.
DeCk Flnel
Well
Pr. Disp.
p 05~53,~ ~,5°°~
Raquest Date Fire N. Rough-in Inspection •
Notity
ReQtl' o (~aeatlYNOw G WWill hen Rea~y
Yes
~•x
_ licensed contractor ] owner hereby request inspection of above electrical work aC
Jo0 Address ISlreel. 8ox or Rou[e Na.) Gity
Section No. Township Name or No. Ranqe No. Counry
? 4-/6 7-4-
Occupant( I TI Phone No.
n P ,cJ / D
Power SuppLer Aatlr¢ss
,b ~-'/~d 7t'~h- L-a~'" ~ r•r i i,r 7~c
Elecmcal Gonlmcior iGOmpnny Name) C ac~ors License No.
ovv ~ -3
Mailing Atltlress iGonUector or Owner Mexing Inslalla0on; ~ -
Au ignaWre iCOmr `npwn r axiny Instaliafionl Phone Numpo
MINNES STATE BOARD OF ELECTRICITY THIS INSPEGTION PEOUEST WILL NOT
Griggs-MlEway Bltlg. - Room 5-173 BE ACCEPTEU BY THE STATE BOARD
1021 Unlverslly Ave.. SL Peul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
PhoneJ612) 66141800 ENGLOSEO.
REQUEST FOR ELECTRICAL INSPECTION r' nq ee-ooom-oe
? See'mstmr,tions lor complaling Ihls torm on back oi yellaw ropy.
"X" Below Work Covered by This Request
ew Add Fep, Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplea Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Commllndustrial Furnace
Farm Air Contlitioner
Otherispectiyl onhactor's Remarks'.
Compute Inspection Fee Below:
# Other Fee # Service EMrance Size Fee # Circuits/Feeders Fee
Swimminq Pool 0 to 200 Amps 0 ta 100 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
Signs Inspector's use Only ~ TO~~~
Irrigation Booms / ~U
Special Inspection ~
Alarm/Communication THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby aou9n-tn oate
cenify ihat the above inspection has F,nai , oa
?
been made. dd~
OFiICE 115E ONLV .
, This request voiC 18 monlhs Iram
This request Se~-Z- 5'
18 monthj trom
E 14018 ~
Request Uate Fire N. p~o,uphea.InsUaction 01Ready Now Will Noiily, Insoec
~ ~ or n ReaJy
~p Yes ONo Whe
? Licensetl Electtical ConVac[or 1 hereby reQUest insoec[ion of ebove
Owne.r electrical work installed et
Sveet Add ess, Baz or FloWe No. CitY
3 vo~ r Ec,
cl m o. Township N e or No. Range No. County
Occupant (PflINT) Phone No.
Power SuODtier .4ddress I"e + r '
Elactrical ConVaclor IGOmpany Namel Conlrar,mr's Lir,cnse No.
Mailing AdJress (Contrac[or or Owner Makine InstailaUOn)
A Morize ign ntrXtor w er Vaki Insiallationl Pho fJymber 56 ~
•K J S
MIIVNESOTA STATE BOAND OF ELECTRICITY THIS INSPECTION REQUEST WILI NOT
Griggs•Midway Bld9. - Room N•181 BE ACCEPTED BY THE STATE BOAN~
1821 Universitv Ave.. St. Paul. MIV 55104 UNLESS PNOPEp INSPECTION fEE IS
on....e ~a,m ani.rwnn ENCLOSED.
l~/~_~~ REQUEST FOR ELECTRICAL INSPECTION Epe-ooOooi-os
~9 11, See instructions (or comoletin9 this farm an bxck d vellow coPV_
E 14018 "'X" BeloiJ Work Covered by Ihis Request
AdA Nep. Type of BmlOinp AoPl inncea WireC Equiument Wired
few Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtwes
dIFa Building Dryer ElecVic Heaun
nercial Bldy. Furnace Silu Unloader
strial BIAg. Air Conditioner Bulk Milk Tank
tnr.r Speci v n1he r S~>r.cilvl
r Suecify Orhe. O~her
ompute lnspection fee Below
p Fee SarviceEntranceSize fl Fea Fenders/SuCfeetlers P Fea Circmts
0 to200qm s Oro30Am s Otn30F~m s
Above 200 q~nps 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100-Amps Above 100_AmPs
e
Transiormer5 Irrigation Booms Par Other'Tee'ti
Signs Specialinspection
Hert arks 1~ T TA
NouOh-in , the Elecvical
• ~U, InspBCloq he,eby
cerlily thet the nbova
Final D~`e ~ insoection has been
~ h maea.
This rayuest voia 1B monlne Irom
otJ 63 92~~~~
Fequest Oale l Fire No. Y R6ugh-in Inspec~ion
Datoben. 20 1992 ReQuiretl? ?ReatlyNOw DQ WilhNOti~tyl ~nspedw
, fRVes ? Na Y
IK licensed contrecror O owner hereby request inspection of above elecirical work aC
Jo0 AOOreu lSVeet. Box or Route No.) Ciy
4233 Sequo.ta Dh2ve Eagan
Section No. Townshlp Name or No. Range No. Couny
Dalzata.
Occupanl (PRMT) PhonB NO.
Kathnyn ViaCa 452-5671
Power SuOPlier AGtlress
Elac[ncal ConVacim (GOmpeny Name) Conlreclor's License No.
Advanced E2ec,tn.i.c Co. Ina CA 00135
Mailing AOtlress (COnvacror or Owner Making Installavon)
4407 kah2ttn Lane,, M~tha.,MN. 55345
AmM1Onze~i. ture IContr ton0y ~d Mak'~pi -Inslallalionl Phone Number
yww.~` 935-1329
MINNESOTAOTATE BOARD OF ELECTRIQTV TMIS INSPECTION REQUEST WILL NOT
Griggs-MlEwey 61Ag. - Room S179 BE ACCEPTEO 9Y THE STATE BOARD
1821 University Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Plrom (612) 661-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooom oe
J 63092 •$ee instmclions br completing this brm on Oack oi yellow copy Pk /O~a3 ~
"X" Below Work.Cavered by This Request ~y~
, e Add Rep. ' Type of Building AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Hea[ing
Apt Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Other(spaciy) ConhaclorS Femarks:
.994 Fi.<,tchen nemode2
Compute Inspection Fee Below: W.CR2 Rdd(.#.t,OYI
# . Oiher Fee /F Serv ice Entrance Size Fee # Circuits/Feaders Fee
Swimming Pool 0 to 200 Amps o to loo Amps
Transformers Above 200 _ Amps 00 _ Amps
SignS Inspector's Use Only: 06 • a~ TOTAL
trrigation eooms 30.50
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby Rougn-in i oate
lU
certity that the above inspection has
been made. t
OFFICE USE ONLV ~ , •
This request voitl 18 monlhs irom
BUILDING PERMIT APPLICATION / 5^ -2
CITY OF EAGAN
3830 PILOT KNOB RD, FAGAN MN 55122
651-881-4875
New ConsWRbn Rsaainmenh RemodaYRsoa'v Reaviremanh
• 3 reg'stered site surveys shoviiig sQ. R of Iot aQ. R of haae; and a0 iaded areaz . 2 copies of pan
(20% maximum lat cov
"e aoowed) . i 5N of Em9Y GICW2lions for hCatEE adCd'pns
• 2 croPces of Plan sirox'i^9 Oeam 8 w'vidow s¢es; Poured WwN detign, ek.) . 1 sife wrvey !or exteiror adddiors & decks
• 1 set a( Emryy CakWatloro . Indicate if hpne served hy septlc system for aEditians
• J coPces ol7ree PreservaUcn Ran if IM qatted alfer 717199
• Rim Joiat Oelad Op6oro selection shee{ (pygs wiM 9 or leas imils)
DATE A,I la O!7 VALUATION I I I o~-~
Ty-a~3 ~
SITE ADDRE ~ - ~ ~
MULTI-FAMILY BLDG _ Y !~N
TYPE OF WORK~ 2 OT ~ rQ,- pt~c~ ~~f, u CP J FIREPLACE(S) y,,6 _ 1_ 2
STREET ADDRESS ~ I~~ ~ n i f Y1n~Ci I'1 CA ~p _ CtTY~S STATE W1A/ZIP-Pj54o(0
TELEPHONE CELL PHONE # FAX # I.Q I2-
T-V-
PROPERTYOWNE TELEPHONE#
tOL
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOT:1 RULFS 7670 CA1'EGORY 1 MNNESOTA RLZES I672
(J submission rype) . Residential Ventllatbn Category 1 Wwksheet Submitted . New Energy CoCe Worksheet Submittetl
• Energy Envelope CaIwlaCana Submitted
Plumbing.Conhaetor: Phone #
Plumbing system includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhador. Phone #
Mechanical system includes: _ Air Conditioning Fee: :570.00
~ Heat Recovery System
SevNer/Wafer Conhactor. Phone M
°
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 Stofutes and City of Eagan Ordinonces.
Signafure of Applicant_ ~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated Q02
CITY OF'EAGAN PERMIT C°nt 1097
3830 Pilot Knob Road PERMIT TYPE: B U I L D T. N G
Eagan, Minnesota 55123 Permit Number: 001495
(612) 681-4675 Date Issued: 0 9/ 2 4/ 9 2
SITE ADDRESS:
4233 SEQUOSA DR
LOT: 5 BLOCK: 1
EVERGREEN PARK DESCRIPTION:
~Buildi"qg Permit Type SF ADDI7ION
%fBuilding Work Type NEW
UBC Qccupanoy R-3
. \
i
:
\ .
\ r
L ~
=Y ~ -
REMARKS: C, DXA7
CONVERT PORCH TO LIVING ROOM; REMOIJEL EXISTING KTTCHEN & BATH;
flp0 FOUNDA7ZON UNDER PORCH
FEE SUMMARY:
VAI,UATION $25,000
Base Fee $252.00
Plan Review $163.80
Surcharge $12.50
Lic. Search Fee _ $5.00
Total Fee $433.30
CONTRACTOR: - flpplicant - sT. Ls OWNER:
SAWHORSE CONST INC 15330352 000235 VIOLA KATHRYN
4740 42ND flVE N 4233 SEQUOIA DR
ROBBINSDALE MN 55422 EAGAN MN 55122
(612) 533-0352 (612)452-5671
I heretsy acknowledge that I Nave read this applacation and state that the
infiormation is correct and agree to comply with all applicable State pf Mn.
Statutes and City of Eagan Ordinances.
~ -
Lai &o "1MryJ
I APPIICANTlPERMITEE NATURE /-IS UED Y: GNAT RE I
INSPECTION RECORD C°nt 1097
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 001495
Eagan, Minnesota 55123 Date Issued: S 9/ 2 4/ g 2
(612) 681-4675
SITE ADDRESS: Lo r: s B L 0 C K: 1 APPLICANT:
4233 SEQUOIA DR SAWHORSE CONST INC
EVERGREEN PARK (612) 533-0352
PERMIT SUBTYPE: TYPE OF WORK:
SF ADDITION NEW
INSPECTION D. .
FUOTING FRAMIN6
INSULATION FINAL
REMARKS: CONVERT PORCH TO LIVTNG ROOM; REMODEL EXISTING KITCHEN & BATH;
ADD FOUNpATION UNDER PORCH
F -
L
PERMIT # CITY OF EAGAN
eEncrIVaTF 1992 BUILDING PERMIT APPLICATION
. , 681-4675
ZIP 2 1 RECa
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 9 L/ / Valuation of work
Site Address: ~Z ~J!~egu pio* t7/L
BiREET J- SUITE M
Tenant Name: (commercial only)
IAT 5 BLOCR \ I SUBD.?~_rvET;z C'R P.Z.D. M
~,~K A~~TtioN
Descri tion of work: /kir~i4a1.. on g?/>/aaJ
The `applicant is: 0 Owner Contractor O Other (Describe)
Name k=.4r1lKun (1011f'F Phone
Property -,A" ri 019-41, F„nT I-A-Pr
Owner pddress `f Z 3 3 S.~ uar~ iOx-
. STREET , STE N
, , City 'L /-E~6~?''~. . State - ~yl ZiP
Company Phone 5- 3 3-0 35:;~
Contractor Address 424{e Avf N License # 3 2 Exp.3 3i 93
City State ib'r1 Zip
Company Phone
ArchttecU
Engineer Name Registration #
Address
City 5tate Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area as been approved. '
I hereby acknowledge that I have read this application and state that the informat9on is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: a-.,
OFFICE USE ONLY .
BUILDING PERMIT TYPE F~ ~.1 •
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ~l~Ba~ment Finish
? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
~ 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Cortan./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) Ist Fl. sq. ft: City Water
UBC Oecupancy ~ 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. fire Sprinkler
Length On-site well Census Code 1-13 y
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS A(_~50 c°NVGR°C -(DQc+4 Tb L1viN(X~ ~emot)EL_
~X ~S't"? t~ C. ~K rrc~,~ ~ ~,4~-I, ~o ~N~t1~Tt DW uNDe~ ~~,E{
? Site ~Footing I]27,Framing ~ff Insulation
0 Wallboard MFinal 0 Draintile ? Fireplace
Permit Fee ~S:2 ,oo r,iwsion: $
Surcharge , g o
Plan Review r~3, p
License
MWCC SAC
City SAC
Water Conn.
Nater Meter ,
Acct. Deposit
S/W.Permit
S/N Surcharge
Treatment Pl.
Road Unit
Park Ded. Trails Ded.
Copies
Other
Total:
sac x
SAC Units
~ i
,
-
-
, . .
. , . , ~
, . . ~
uV
I
i
I
! N I
-
EXTEFtTOFi EhdVFI._CIPE AUERA1?,F "l.i" COhIF'1.1TA'fI(7td
by
SAWHORSF_ COtvSTFtUCT:[OIV
4140-42nd Ave No
Fiobbinsdal.e, hin 55422
..i.-:'-' I3S2
Clwner•:: Fia'L•hyrn Viola Phone:
AddrES>, 42" Sequoia Drivc Dater 9/17/92
E:agan. Minnesota
DETERh1INE WORk;ING S4L1ARE FQO"fAGF_ OF EACH:
1 TOTAt_ EY.PC1F.iFD WFIt_.L ARFA. a 627.. ia0 sq r't. "U" 0.11 = 68.97
TO'I'AI_ RuOF1CFILINCa AREA o.,,. 443.00 sq ft "U" 0.024 11.52
fCJTAL EXF'OfiED WALL AF;EA CAL_CULA"!'IaNS:
Total e;;posed wall
ar eaj abovt_^ f loor. 478.00 sq f t
L1) Total wa7.l window area:
la - r. „ . . 75.00 sc~ 'f't °LI" ~~.420 31.5~-
7 <<:.~ed... sy ft "tJ" = O. Sli't
_.._..._------....._.....9 . -
b) Total door ar,°a...... sq ft "LJ'' = O,r-ii.i
c) Total slidiny ylass dnor area:
----------glazed... 15.0n0 sn ft: "U" 0.420 = 6.30
1 a: ed sq r t ~ u i!. C; i r
d7 Total F.P. wall area. =q ft: "IJ" = 0.00
eY Total wa:11 tram:ing
area (avnr,aqe 10t1. 38.80 sq ft: U. 0.090 = 3.49
f) Total net w<17.l arEZa ahove
t'.Loor (insi_ilateri}., 349.20 sq ft °IJ° 0,040 = 13.97
< <~4
G) Total rim ,1oi_st ar••ea. 5~ ~.0:~ tt "U" 0.040 _ 2.20
Total founda'tion
ar'•ea (erp»sec1) 94.00 sq ft
h) Total foi.xndatinn
~j,6i~
windnw ai^a^.'.~........ s'y ft '
i,i Total net, founcJ7ti.crn
area above grade.. . 44.00 =,q ft U. 0.098 = 9.21
# s TQl"AL a> thr,Gi i? 66.67
Sf ±tem #:3 is the same asy ur 7.e.=.::s t.lian it:em #1., yoi_+ have met: the
int.,ent r.at Z MGAFi 1.1600E3 A and 0.
4 'T'OTGt.. E?CPOFiED FiOOF/CFILItdCd CFlI._CI.1L_raTICINS,
Tnt<al e.:;po.,ed
rnaf/r_ei:ti.ny area... =343.00 .>q ft;
:i) 1'otzl s4::;rlight, aren.. sq ft "U'' - 0,00
F;) Tcrtal roof/ceiling 1'rami.ng
earea (averacie ip"/.). 44.30 sq f{: U. 0.032 = 1.42
17 I'ntal net insulated
r^nofi/cei.linn area.. 349.70 5q ft "ll" 0.025 - 9.9:
t14 TUTAL ;i) thru 1) = 11.19
If toi;zil oF is the same as, nr :lesS 'l:t7an you hzave met the
intent of 2 MGAF 1,,:16008 A anci 0
ALTE.F1YJFtl'E= BUI1._D1:NG t.IVVELdf'E DESIOhl
1'u utilize the L-otal enve:lope sys'tcm mc'thod, the VlILLIE'S establish
tay the surn of item<_. #i3 arid #4 stia:t:l not be greatE=r than the si.xm o
i.tems #1 and 4#2,,
A:I.:toi•ieci # :l.68 .97 + 11„52 = gO.49
#3„ 66. 67 + #4. i. 1 .'9 78. 06
2.43
C E R T I F I C Fa T I 0 N
T 17ereby c2rtii;; that 2 have ca.lcul.ntecl the "U" fac.tors and "F
val.ues herein and tFiat the huildinG here described meets ar exceeds
the Statc af Clinnesnta Enei^gy Conserva'tion f-1ct.
( S:i g na'E ure)
(D a.'t e )
. ,
. 5/£3SR12T . . '
C[ILIt7G'SECTIQII (IUSULATEf)): ~
' ,l: lntari~r nir fiin ~ n.f,l
• • ? 5 8" Sheetrock
3. 21, FG insulation 3.00
J+ f.r.terior air f'jfm (Stlll) n.(, I
rornL r. = 39 • 78
U ~ ,/R 025
•
ceiL I NG fRAMl,ir, srcTio,,i:
2 5 1. Interior air filn 0.01
LO
2 ~ 8" Sheetxock 0.56
AIR VENTCD 3 8" Insulation
FL01N . 4 lntcrior dir filri s,till 0,~I
5. 2 i nchn.s sef t~~~o~~i : 5
, TOTAL R = 31 • 19
U= 1/R=.032
C[ILII;G SEf,7101l (It1SULATED):
1' Interior :ti1' f1li'1
,
/ 4 lixterior air film 5lill (1.F1
~ TOl'i,L I; _
) ~ r\ • -
1//1A)~ JI\''';/t1~~,r`~~ 11;~`'';;,if~i1~•`1 U- 1/R =
~LL~r:~~!
--1 .
cEiL itir, Fr.nrsirir, sEcriori:
1•.Intcrior air filn 0.61
VENTED 2
3
Ji E>:tr,rinr ai r i i ln sti 11 n,(.I
S inclic; anrt woou{
fOTf~L It
' U 1/R =
3 4 5 .
L..• ~1:'~-"'ic->r.i~~.
_ .
,t.~f~~~ n.~.t
~
,;.,,y,.,L,_~~'~-_..,.,..~.~:_::.~'~'•:;~;:~~ r 1 In:idc air filro
1'~ - ' • ~~%i 2
'~.~i= / / ~ J .
1~~~/~/•
10 f AL I; ' -
1/R -
CoN':TP.IIf.'ilfll: . . I', VA~u~
IInLL FkA!11NG sr.cTioN:
. . . .
41 Intcrinr i i' f i Ici fl,(,R
(Z 2" Sheetrock _ 0.45
-0 52'inch~ts sui ~ a:~,ail 6.6,7
.05132 -heat ing •
5 12" Hardboard U. 'l
} I~ 6 Er.[crior a i r f i Im 0.17
TOTAI I: = 10.90
~
u = t/r. _ .
09
. ~
q ~ IdALL S[CTI01! (IIJSULATED)
`1 Intcrior air film (1,FR
~ 2 z-" Sheetrock 5
insulation 19.n
(1, 2 Sheathi
5 12" Hardboard 0.67
6 fxtcrier air filn) • 0,17
TUTAL R =2_3,03
V
u = t/r. =,04
~
RIf1 JOIST SECTIOt): •
(l Intcrinr air film f1.FR
-{2 " FG insulatlon •
_ ~ '3 1;" Soft woo
'1 25/92 Sheathing
S~ 1 ~ I S .-12" Hardboard 0.67
G F.,.:criur air 4i1m 0.17
l~ roraL ri = 2. 7
U - 1/R = .04
FOUNDATION 5tC1IUN: - -
1 Interlor alr fllm r1.h8
• P'~ Z 1" Thermax 72n
`.a•.%=' 3 8" Concrete Block 2_1
4 Exter(or a r f i Im I1. 17
p ° - G
sq, '.e' 6 (6 TO7AL R = 10~
U - 1/R - .098
~ SLAB ON GRADE
a'
a q~~. u••••a•Q
f
A
. ~:a' °'~u
~ •~Q ` d'•V ' 1' c. ~ .4, u
Heated Slabs: • ~ ' , a~ . •41
~ • Minimum R = 8.5 ~'q~ ' : ~
o ~•~d ,d',.
. ~
A,- 1.•q; Unheated Slabs: : 44.
Minimun R = 6.2
Q,a4 ,.•°~,~;•q,. . •a'• ..4~ .,'a
r a• c q,~
~ ~ Page 3
c' .4:
. . .
.
-
CITY OF EAGAN CASHIER: S TERMINAL N0: 777
DATE: 05/05/93 TIME: 03245:53
NAME: KF2 CON5TFUCTIOM C0 '
3210 3001 4233 SEl7U0IA 37.25
21.55 9001. h233 SEClUOIA 2,00
s
Total Feceipt Amount; 93.25
CRiOBOJS
USEF ID: NANCY
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 PILOT KNOB RDN 55122
651-681•4675
New ConshucNon Reauhemenfs Remodel/Reuah ReauiremeMa
D 3 regisiered sNe surveys showing sq. M. d lot, sq. H. of house 2 coples ol plan
and QJ,I rooled areas (20% maxfmum lot coveraae allowed) t set ot energy calcutaHons fa heated addfNoni
D 2 caples ol plans (show beam d wfndow shes; poured Md. design; etc.) 7 slle suney for exlerior addiNons a decW
D 1set ol energy calculatloro
D 3 coples of free presenafbn plan 9 bt plaHed a1Fer 7/1 /93 ~
DATE: :E- 3 ' -?CI CONSTRUCTION COST: 000
DESCRIPTION OF WORK: eERdc, 19 ~ C'r5E
STREET ADDRESS: aF E U O/
LOT: ~ BLOCK: SUBD./P.I.D. 9: aCK-
Name: Phone y°Z d~ J 7~ r
PROPERTY ~ lost First
OWNER
Sfreet Ad ress:
Ctty ~K_b~~ DiC.9 C State:~i _ Zip: J~v (0S
Company: Phone ~o S-`- la S~-l~ ~ ~
(area code)
CONTRACTOR ~ ~ ~ 6`~~~ 9`~~ ~'-O ~cense # 2~fxp•
y(~L~
Sheet Address:
Ci1y 051~~ State: Zip:
ARCHITECT/ Name:
ENGINEER Company:
Telephone area code ( )
Sheet Address: RegistraHon 8:
Cny Stafe: Zip:
Sewer 5 wafer Iicensed plumber (reavired fw new construeNon onlvl:
PenaNy applles when address change and lot change is requested once permM Is Issued.
1 hereby acknowledge ihat I have read Mis applieation, state thaf Ihe IftMrmation ia ortect, and agr to comply wHh ull applicabl
State of Minnesofa Statutes and CMy of Eagan Ordinances.
K-oel
Signature of ApplleaM:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Mplex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plez ? 09 7-plex 0 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-piex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
1rYORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
O 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No, of Bldgs
# of Stories sq. ft. MC/ES 5ystem
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
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
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN MN 55122 PERMIT #
PHONE (612) 454 8100 RECEIPT # 7~
3'~~~NC;,~?~K~T .16I-kbD6 DATE:
('ESPLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
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 CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE A?DRESS: 3 _ HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT: r BLOCK ~ SUBD. _ FLOOR DRAIN 3.00
, GAS PIPING OUT.
INSTALLER: _ (MINIMUM - 1) 3.00
lp ~ ROUGH OPENINGS 1.50
ADDRESS: 2, OTHERO,4,aa~t~ -
WATER SOFTENER ~5.00
CITY: ~l~X~l~StQ , ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUBTOTAL $ 1 S r 00
ST. SURCHARGE .50
GNATURE OF PERMITTEE
~ S .SO
TOTAL: $
COMMERGTAL~iHDUS~'$~AL;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WkIEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
GWivEB NEu`4E: 1; CF COAITnACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
,
, EAGF.N TOWNSHIP
3795 Pilot Knob Rosd
St. Paul, Minnesota 55111
Telephone 454-5242
PERtUT FOR WATER SERVICE CONNECTION
Date: Februarv 19' 1971 Nnmber: 540
Billing Name: Tilsen Construction Co. Site Addresa: 4233 Sequoia Drive 5-1-Evergreen Pk
Owner: same Billing Addresa
Plumber: Luecken Excavatimg
Location of Connection Mgt~ SizQ 2 Coanection Chg. 260.00 pd 2/19/71
r~ ,Vr-rL
M/eter No. fAIIS-M Permit Fee in_n_ n sA 5/13/71
Me'ter` Readi ~2 6 Meter Dep.
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected by
Date
~
Building is a: Remarks:
Residence xxx
iiultiple hlo. Units UJ 'r{~-il~~'JI'ci;) ~'J,'1 ;
commercial NPROPLr;LY INSTtiL1cD prIETERS.
Industrial By;
Other Chief Inspector
In conaideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Towitship, DakoCa Count sota.
B - D
a
-tl
Lueckea Excavatiag
Please notify the above office when ready for inspection and connection.
h
EAGl3N TOTdNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: Februarv 19. 1971 NUMBER 699
OWNER: Tilsen Construction Addxess 4233 Sequoia Drive 5-1- Evergeeen Park
PLUI9SER Lu}ZQ a Egcavatine TYPE OF PIPE cast iron
DESCRIPTION OF BUIIAING
Industrial Commercial Residential Multiple Dwelling No, of un£ta
aooaoc
Location of Connectione: Conaection Charge
Permit Pee 10.00 pd 5/13/71
Street Repairs
Total
Inapected by:
Date
Remarks•
Sy.
Chief Inspector
In consideration of the issue and delivery to me of the above pexmit, I
hereby agree to do the proposed wortc in accordance with the rules aad
regulations of Eagan Tot-mship, Dakota CounCy, ota
By ~
Luecken ExcsvatinR - Lorne L. G lati, Jr.
2861 Minot Ave., No. St. Paul 55109
Please notify when ready for.inapection and connection and before any portion
ot the work is covered.
_ • ~ i-/
Ar/c
TpWN OF EAGAII
3795 Pilot P.nob itoad
St. Paul, Minn. 55111
- PERMIT NO. 94
The Board of Supervisore hereby grante to Neil d llubbard for
Tilsen of 99 Notth Bnelling Ave., St. Paul e
HEATING Permit for: (Owner) Tilsen ConstruCtion at
IIAA-k Baleam,
<4213)Q 4372 Seauoia. EaRan Mifm. ~ pursuant to application dated
Maue sa_ 1271 .
Fee Pe1d: _ bp.OQ (2040 ea.) Aated thie 26p day oY Hqrch . ,
Bnwin~6 Inspector
~
~'?f=/~Gl~ELN P~.~/l
T047t4 OF ZAGt1iv
5795 Pilot i'nob ^.oad
S L. Paul, 14inn. 55111
;?EMIT TdO. -g'¢'
The Board of Supervisors hereby grants to _T ~rnll_d son.
of 990 West Montana, St. Paul 55117 _
PLUM}1ING Pe±-c'_t for: ;;Cwner) Tilsen Nomes
4372 Sequoia 7-6, 2, Sequoia 5-1.
1444 Balsam 10-,5- 1438 Balsam 9-5 , pLrsuani to application dated
March 24, 1471
- - .
Fee Paid: Dated this_ Zqthday of , MaFyh 19%_l. Bi;ilding Inspector ~
~
EAGAN TOWNSHIP
BUILDING PERMIT 2384
Ownex Ai .°...°.:-----..~-DS_-'.`.~:L`.----------------.......... Ea9an Tomaship
Address (presen!) 7 ~ Town Hall
. I .
~.J
Suilder Date ---::~/!~/7l .
Addrese
DESCAIPTION ~
Biories To Ba Used For Fronf Depih Heigh! Eai. Cos! 'Permi! Fee Remarks
I~'
LOCATION
Streei, Road or olher Deeeeipfion of Locatioa I Lo! Bloek Addilion os Tract
#ot 33 .B'? ~ S /
Thia permit does not av2horize the use of sireeffi.roads, alieps or sidewalks aor does it give the owner ox his agee!
the righ! !o creafe any siiuation whiah is a nuisance or which presenls a hazard !0 the healfh, safaly, convea3eaee and
ganesal welfare !o anpone in the communify.
THIS PERMIT MUST BE ~KER°T O~IP"TH PFa AEMISE WHILE THE WORK IS IN PROGA SS.
This is 2o cerfify. 3hal.._........ N:r 7~ has permission !o arect a..... ° upon
. _
the above descrihed premise subjeai !o the provisions of the Building Osdinance fot Eage Townshi adapfed April 11.
1955.
A-+-Qx-
~..e-......~.. Per
Ch ir6' man of Tnwn Board 95 Building Inspeclor-
3
MASTER CABD
• LOCATION O/3
OWNER /If~M ;!!77777
STRUCTURE AND D_ ~/Q i i G A R
LAND USED AS W
.r - rr6rti l~-~'
Issued To
Permit No. Issued Coniracfor Owner
BUILDING t38 y?~~ . ~ T/jeM
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
EIECTRiCAL
H EATI NG ~
GAS INSTALLING ~
SANITARV SEWER b~ I
OTHER LIL) ~(~D I OTHER I
. ApprOVed
Items (Inifial) Date Remarks Distance From Well
FGOTWG SEPTIC
FOUNDATION ~--Z • CESSPOOL
FRAMING ~ TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER 46
~ Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
~
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE ? NON{OMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPIY.
~ ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ~ COMPLETION Of CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
~ REINSPECTION REqUIRED DATE OF REINSPECTION •
REINSPECTION REVEALED
CERTI FICATI ON - I cenify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that I have repor[ed herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-sfte imprwements relating ta the property inspected.
? ALL IMPROVEMENTS ACCEPTABIY COMPLETED
6UILDING INSPECTOR DATE
COMMENTS:
•
s~
CITY OF EAGAN
3795 Pilof KntS voed Engan, MN 55122 H2 4246
PHONE: 454•8100
BUILDING PERMIT APPLICATION $2,500. ReceiPt # S~_
To be usad for Gatage Addn. Date Mar, 30, 19 77
4233 Se uoia Dr.
Site Address Q Erect ? Occupancy
Lor 5 Biock 1 Sec/sub. Evergreen Park Airer ~ Zoniny RL
Parcel # Repair ? Fire Zone _
Enlorge ? Type of Const. V
z Name Don R. V1ola Move ? # Stories
Z Aadress- 4233 Sequoia Dr. Demolish ? Front 12 ft.
~ Cit Eagan phone 452-5671 Grade ? Depth 24 ft.
p Name Concrete- Walter Nelson /+nvr"als F"a
~u Address Pllot KnOb Rd Assessment - Permit 1,$0
r CiTy Eagan phone Wo~er & Sew. Surcharge
F Police Plon check
Fw Name Fire SAC
Address Eng. Water Conn.
<w Cit Phone Planner Water Meter
Council
I hereby acknowledge that I hove read this application and state that Bldg. Off.
the informotion is correct and agree to comply with all applicable 13.50
$tate of Minnesota Statutes and City of Eagan Ordinonces. APC Total
Signature of Permittee
A Building Permit is issued to: _ DOII R. Viola on the express condition thot
oll work sholl be done i cord ce ~th I appli le Stat of "nesoto $totuTes and City of Eagan Ordinances.
Building Officiol
Date:
BUII,DITSG PSMIT P.T'PLICATION
LOT ~ BLOCK AJDTTIOo ~~l2Ci R~£N ~A/c~
PrIRCEL & SECTI01Q S9I3f13ER IF U[7PLRTTED
.nTJDRE55 OF PARCEL 33 .S~ u~ i?~
A.2
7,Ot3Z'ivG OCCUPAAICY USE C,~41WAj 17 ojex r~ -.v
ESTS1HiE.iED COST
nT'r'-'a'+~ L-~OiJ R. V/nG/.E TBLEPHOTdE iVO.
FDllFu55 412 ,3_;? Sjt'q.rcjg U/,f
COt7TZAC'^OR TELEPHOTdE TTO.
A])URESS KNa/3 90 _
Ydote- Include si.te plan, building plans, and energy calculations with thas
application
Signed
~ G^TTCE USE
VALU.]T70L3
SFC
ts`kx'ZR COi7iSEC^IO't1 ,
r,AATER hTETER
BUIS,DING PF.Ett3IT Fr_E
SIIRCHARGE FEE
FI;EL"`s CFS.CK FE".
PAFiIC DEDICIITI011 FL;E
OTI: uR _
TOTFaL*
F.PPP.OVAL3:
ASSk,uSj4E''c?T CLERK BUSLDIi4G DEPT. POLICE DEPT.-
?3A?.'ER E SL~'F.TER DBPs. FIIts DEPT. PARIC DEPT.
~
~
~ z y
" a
~ ~ •
~
~ ir z
`M
N
~
•
•
•
~
• ~
~
fl
• - - - ~
: ~
,
I . ' i
• ` ~
i. .
,
~
. -3~ ~ .
'
A
7L--j
•
CITY'OF EAGAN
3830 Pilot Knob Rdad, P.d. Box21•199, Eagan, MN 55121 N? 1rj76"1
PHO N E: 454-8100
BUILDINGPERMIT Receipt# a {
To be used tor 3-SEASON PORCH Est. Value $6, 000 Date OCTOBER 24 - 1988
Site Address 4233 SEQUOIA DR OFFICE USE ONLY
Lot 5 Block 1 Sec/Sub. EVERGREEN PARK On Stte Sewage _ occupancy
MWCC System _ Zoning
Parcel No. On Site Well _ (ACtual) Const
a Name DON VIOLA Ciry Water _ (Allowabfe)
w PRV Required # of Stories
= nddress 4233 SEQUOIA DR -
; Booster Pump Length
° City EAGAN Phone -
Depth
, o Name MORRIES PIETZ S.F.rotal
oa Address 16593 HALENA FootprintS.F.
u,
City ROSEMOl7NT Phone pPPROVALS FEES
ww Neme Engr./ASSess. Permit 7~+.00
~ z Planner Surcharge 3.00
i - Address
mz City Phone Council Plan Review
aw
Bldg, Off. SAQ City
I here6y acknowledge tha[ I have read this application antl state that the Variance _ SAC, M WCC
inbrmation is correct and a9ree to comply wilh all appli hle State of Water Conn.
Minnesota Statutes and City of Eagan Ordina7ni s. Water Meter
Signalure of Permittee Road Unit
A Building Permit is issued to:_P10 5R u_ Treatment Pi
on the express condition that all work shall be done in accordance with all
applica6le State ofM~i~n~ne~sota Statuters.~an,d, City of Eagan Ordinances. Parks
8uiltlingOfficial~. / ~ ~~1 TOTAL 77•00
~ ~1
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS I ~ 14 el
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER hNST DESIGN9TE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS I3SUED.
MULTIPLE DWELLINGS AENT&L IINITS FOR SALE UNITS # OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CO[+A'ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIDNS
~PB~nGC
To Be Used For: ~ /"~jYlaluation: ~ Date: (O ~~1 0 O
Site Address 3~JF ,`~~CJ-CZ ~..~f OFFICE USE ONLY
Lot Block O f On site sewage_ Occupancy
MWCC system Zoning
Pareel/Sub 11 ~2 C~ E"On site well _ Aetual Const
City water Allowable
Owner Oct ~a PRV required _ lt of stories
~ Booster Pump _ Length
Address j./ 4'V-, tl I7 kci- 1-AJ`, Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS FEES
~
S gr/Assess Permit
Contractor M~9 Yd^i 1= Z- En
,a Planner Sureharge 3.
Address J2.H :l Couneil Plan Review
Bldg. Off. -o/Zl SAC, City
City/Zip Code 86 177ri o(t ~ l Variance SAC, MWCC
Water Conn
Phone ,5.5'6 Water Meter
Road IInit
Arch./Engr. Treatment P1
Parks
Address Copies
TOTAL 7-2 °;9-
City/Zip Code
Phone 4
. . . . . . . .-.:.-..,_.a.~as.:., rYta'i;.;
k ry - zzy zo = ~iyP~ . ,
-~~o~~ °
-f Oe~~
~y ~
Use BLUE or BLACK Ink
r
For Office Use
City of p
::::
�Eaaau3: 11
3830 Pilot Knob Road . �_a--��
Eagan MN 55122 -- ' Date Received: (0—I -I
Phone: (651)675-5675
44„7
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Fax: (651)675-5694 Staff: °°11``
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#: {�
�„- --- Name: �"�U l�LI_. . I-1 � ,�fit I� �....�,,.. ,,,�, ...�... n..�.wPhone:(6�I � ,,..-To ,_ b�"3 '1,
Resident!
Owner Address/City/Zip: 4 04_..), 5 ErLti n i/ k E C' &) Al) t\I-_&--,s-1,z-e.
Applicant is: Owner Contractor
$ i Description of work: N p(aCiL l,J r r.` @L<' C
Type of Work
Construction Cost:I.
Multi-Family Building: (Yes /No )
i Company: Contact: r
i
1 I Address: City:
1 Contractor
State: Zip: Phone: Email:
l '
License#: Lead Certificate#:
I If the project is exempt from lead certification, please explain why:
f_i\ i
[.„„....,
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: Phone:
1 Mechanical Contractor: Phone:
1
Sewer&Water Contractor: Phone:
I
Fire Suppression Contractor: 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.qopherstateonecall.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. 11 ^'7
x
x
Applicant's Printed Name Applicant 's Signature
Page 1 of 3
Z71, 3 OK-
DO NOT WRITE BE OW THIS LINE 1`4430
j
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family)
(4 Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair K) Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation '/ a as Occupancy 1 RZ<– I MCES System
Plan Review Code Edition ywl12-10'1,N SAC Units
(25% 100% r) Zoning 12- I City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction J 3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 10 Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
?O Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:—Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: % I/Y1 :(c ) Y A , Building Inspector
RESIDENTIAL FEES
Base Fee 3/15 an F;`)( Fee--
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r
For Office Use
Permit#: /
City o Eaaall Permit Fee: /nO'67C)
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
Fax: (651) 675-5694 I.
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Y Site Address: '1 3 sa `U( 1 r 1 ,D . EA e, `/v win)
Tenant: @:;:. ..c.-})„1:-.7c)
Suite#:
Name: t-fQN(� Phone:Resident Owner _
Address/City/Zip: s eca.U0I)n, PitA G )\ / 1\1N
Name: 52i License#:
Contractor ° Address: City:
State: Zip: Phone:
Contact: Email:
Type of Work —New _Replacement 'J Repair —Rebuild —Modify Space Work in R.O.W.
Description of work: 94rG �,w IA( Al) Ye
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation(_RPZ/—PVB)
Permit Type Add Plumbing Fixtures( Main/—Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES $
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.
/7-72 x -2/12 _
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _Under Ground Rough-in Air Test Gas Test Final
Meter Related Items: Meter Size Radio',Read Manometer Staf
r For Office Use
:� >�® Permit#: I CtIP
1t1 40$ E AGA N
Permit Fee: I DO
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsOcityofeaaan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: +f U`/N rt
Phone: 6,c/ 170
Resident/ _
Owner: Address/City/Zip: Nrt_2 7 s E( U Q I 1K E ft 6.F/ tJ M(V`cc<c 1022_
Applicant is: 170wner Contractor
Type of Work
Description of work: Re.A.0-11
Construction Cost: 6 I Multi-Family Building: (Yes /No t4
Company: Contact:
Contractor
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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE;!mss and supporting documents tom`you submit are considered to be public information. Portions of the information may be
classified as nbil4t bliC IfyouproVide specific°reasons.;that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
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.
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.aopherstateonecall.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.
H OI'V& H UvNH x
Applicant's Printed Name Applicant's Signature