Loading...
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 r U 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