4258 Sequoia Dr CITY OF EAGAN Remarks Wt7' Cibh. nd. Ori 1-3-70
Addition Evergreen Park Lot 6 eik 2 Parcel 10 24880 060 02
ow„er~~~~,/.~~> 1L258 Seguoa.a Dr. 5tate Eagan,MN 55122
v
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1
SEWER LATERAL
i!
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1983. 60.1 24.01 1 _
STORM SEW TRK
STORM 5EW lAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
kddn, 20 12871 2-75
WATER CONN. 2962 11 -1 - 0
BUILDING PER.
SAC
PARK
Repipt MECHANICAL PERMIT Permk No.
CITY OF EAGAN
1 ~ FN
11h~ Flll In numbeied sQaces S/C
ryps or Prinr legialy Tot
1. Date 2. Installation Cost
3. Job Address r!; v'~t Lot Blk. Tract
4. Owner
- ,
5. ConuacEOr e~ Phone
6. Addrou
7. City I ~ j i~ 5?i ~ Siate 2ip
8. Building Type: Residential 20 Commercial ? Institutional ?
9. Work Description: New D Add ? Alter ? Repair ?
10. Describe 1:" ~ Fuel Type
i
11. No Equinment BTU - M. Es. No• Eauiament CFM
Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all~ordinances and codes governing this type of work.
SI)f1@d :
for
RbuQh F'n I
Inspections: Date Insq. Date lnsp.
This is your permit when numbered and approved,
Approved CITY OF EAGAN 464-8100
This reGuest void 18 months from 0,5, Z1 s.~t ~
FVE~t R
Date of this Request_Mey 2j9 19']9 ~ v Z °yr 7 2 2 5 2
1, as fikLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring instatied at:
A block weat of Pilot Knob on
Street Address or Route No, SigfTid o11 fo. sida oY YoRd City EaLgan
Section Township Range County Dkkota
Which is occupied by Ikicota County Libraxw Book Mobile
f ame o( ocwpant)
Is a roughin inspection required on this job? No J] Yes ? Ready Now ~ Will Call ?
Power Supplier D.F+.A. Address FarmiAgt(n
Electrical Contractor Corri.9.,~a Electric Ce_ Contractoi s License No~§1
(COmpany Name)
MailingAddress 3o65 145in St. W. $omemountl Miaa. 55()68
(ElectYlcal Conltactol oI Ownef Making This Installatlon)
Authorized Signature Phone No. 423-117i1
i tricai contr r or owner ^n g Tnis iostanatlon)
s inspection request will not 6e accepted hy the
(r~ State Board unless praper inspeetion fee is enclosed.
Minnesota State Board of Electricity 'S
7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION R 72252
CHECK BELOW WOItK COVERED BY THIS REQUEST
Type oi Building New Add. Rep. Ch¢clc pppliances Wirod For Check Equipment Wired Fm
Home ? ? ? Range - ? Temporary Wiring ?
Duplex ? ? ? WaterHeater ? LightingPinWCes ?
Apt Bldg. Dryer ? Electric Heating ?
Commeccial Bldg. Fumace ? Silo Unloader ?
Industrial Bldg. ? A'u Conditioner ? 8ulk Milk Tank ?
Fum pList oList )y
Other~~9 (2 ? ? HeheIS) Heiels>
COMPUTE INSPECTION FEE BELOW
Service Enhance Size: # Fee Feeders.@Subteedeia: # Fcx C'vcuits: n Fee
0 to 100 Am s. 7*50 0 taWmoms 0 to 30 Am eces
101 to 200 Amps. 31 A s 31 to 100 Am res
Above 200_Amps. Ab 0 Above 100 Amps.
7ransformers Re [eC rol Paztialotother fee
Signs Special Ins ection Minimum fee $5.00
Remarks TOTALFEE 8•
I, the Electrical Inspector, hereby certify that the above inspection has been made. .
(Rough-in) ~ Date
(Final) Date
This request void 18 months from
~
~
~
City of Eapn
I Permd Fee: -7// 1
3830 Pilot Knob Road ~ I
Eagan MN 55122 j Date Receivea: . - ~
Phone: (651) 675-5675 i Sta~ i
Fax:(651)675-5694
I I 3e,
2008 RESIDENTIAL BUILDING PERMIT APPLICATION C~~ 7~ by
r/ SEC~u'°'
Date: Site Address: !`~5d _5er L"Of - l
Tenant: -I.Jfc'k- kJ 22 /-G ~ Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description ofwork: L/ dlfld.o I`~~ niL? /~G i~~.~,9~. Nhv paors
Construdion Cosk ~ Multi-Family Building: (Yes No ~
CONTRACTOR Name: C~S hVw\ G.1,90 d~,j License Z O,S ll 6 S 73
Address: 707 f Z/421'f-, S< L-
City: l7 r9i Cck=:f~ State: ~Y=Zip: J~ l 72
Phone: CIIrZ- Y35_''25_30 Contact Person: .54- ryuy-~~
0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residentiaf Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted SubmiNed
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan 6ased on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
° w NOTE: P(ans and,svpporttng doc'uments fhaf you submr'f are considerer/ ta be public +nformatiohi.: Poitions. of
rthe info'tmefron maybe classified "as nort-pudlic if you provide speci~c reasons thaf would parmit fhe.City fo 'f;';
h. ' ° ~ !~,,,;;'conclude that the are trade secrets, , .
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 wdhout a peimit; that the work will be in
accordance With the approved plan in the case of work which requires a review and approval Z~~
X S4~ ~ -Gr X
ApplicanYS Printed Name ~ v~~I Applic~nY ignature Page 1 of 3
U
JUL 2 4 2008
!
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pooi
N~' Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 07 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? EM. AIL - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screenigazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Stortn Damage
? 04-Plex ? 12-plex ? Miscellaneous ~Q
WORK TYPES Y 'LiI D 11 ud1Yw 0 ~'L l~'1 ~n. ~'vC. ( ~UY~'r '1' 5~~,.[.~i /.7 0 (Sh.g ~l ~f'"7JW°
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building ? Reroof ? Demolish interior
Alteration ? Fire Repair ? Windows ? Demolish Foundation
Replacement ? Egress Window ? Water Damage
' Demoldion (entire building) - give PCA handout to applicant
DESCRIPTION: 1
Valuation q~r 0 V Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
Footings(deck) FinaUC.O.
Footings (addition) ~ Final/No C.O.
_ Foundation ~ HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings _QirlGas Tests _Final
~ Framing _ Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.1. _AirTest _Final Windows
~ Insulation _ Retaining Wall
Reviewed By: ~ L./ . Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant (,J
Copies
Total
Page 2 of 3
LOT: BLOCK: ~ SUBD./P.I.D#: FYPY~\AYPPh PqY~
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ 21~ ~
CITY OF EAGAN
1j 3830 PILOT KNOB RD • 55122
651•681-4675
New Construction Reauirements Remodel/Repair Requirements
? 3 reglsfered site surveys showing sq. ff. o( lot, sq. ft. of house 2 copies of plan
and all roofed areas (20% maximum lof coveraae allowed) 1 set of energy calculations for heated addRions
D 2 copies of plans (show 6eam 8 window sizes; paured fnd. design; efc.) 1 sRe survey for exterior addiNons 8 decks
D 1 set of energy caicula}ions
? 3 copies of tree preservatlon plan H Iot platted affer 7/1 /93
D Rim Jolsf Defail Opfions selection sheet (bulldinas wRh 3 or less unHs) le
DATE: tO 30( 0 cD CONSTRUCTION COST: / Z
DESCRIPTION OF WORK: l Oi: V l Yl If multl-family bldg., how many unih?
STREETADDRESS: 6- SE ~jn I A- D2t vE-
Name: ~ E ~ I ~ ~ IZiC 1-4-~ !1 Phone ( 0 k(o
PROPERTY tast Fhsi
OWNER
StreetAddress: f\= p2 ,
City E f1'(£jfl2J ~ State: ~?f Zip: 2-
Company: -t~.F-A 'I (~'I%~3 WiA)v~w Phone#: 9~ Z f391 - 3~/a D
.d S) oi n e C-c'. (area code)
CONTRACTOR
Street Address: ~V&~-0 G(~ n'w Log • License # La 06 o yL 7 Exp. 3 31 a i
City , d l.P IraState: ZIp:Ss--! Z~
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Sheet Address: Regtstrafton
Cffy State: Zip:
Sewer/water licensed plumber (if instailina sewer/water): Phone (
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable State of Minnesota Statutes and City of Eogan Ordinances.
Slgnature of Appllcant: u,
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
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.) ? 37 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 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 ? 42 Demolish (Foundation) ? 45 Fire Repair
? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding
? 34 Replacement ? 38 Demolish (Interior)
' Demolkion (Entire Bldg only) permit • Give PCA handout to applicant
VALUATION Occupancy MC/ES Syalam
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
INSPECTIONS REQUIRED
_ Footings: New Bldg _ Insulation _ Windows - new/replacement
_ Footings: Deck _ FinaUC.O. _ Siding
_ Footings: Addidon _ FinaUNo C.O. _ Stucco/Stone
_ Foundarion Fireplace: _ r.i. _ air test fmal Roof: _ ice & water _ final
_ Framing Pool: _ ftgs _ airlgas tests _ fmal
APPROVALS
Planning Building Engineering Variance
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppiy 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
Cities Di itg al Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
. ~ • ' . ~
~ . ~ . . •
#~P.M7K1M~~rI76'fi1C~I'R1k~."i+~1~70C',~'e~1{~'1~r~l1~l,'A.'N:1a1~L4"$'.!':R .
• • .:ITY, t1F EAW,J.: . .
• DMl'Bv. .i{/!9/99 ?X'4'::' -12i!-Pb•`.~.' :
~ . . . . . , • ,
IA: . , . ~ .
'.rdAC~"• :~RtCHhR~"~.-.~.~r."e~. ' . .
.•1 ' . 4•;
4 ,
:i?:7 '9:,ifi J?..`~R S`J•:~'L''xA DR # ~G.,f)0
~ 3a2a'SU3 : ~e~k ft%M~ • • d.~.+
GIC']t 4'ti'.'"£' 1'I?
~ • 4r . . . • . .
. f , . .
I • • M1 j. ' r 1
. '
• Tatal'.ker.:+iP+:. Arnc"404. ?
,r„4`i1~SF•l . ,
-UM :U: .]AN . . . . ~
t , , .
!k~ic.'~:G~:%R!1~k~'x**,t~cah*k.MACS~y~~;7iikti~.'K~t?~r+c#~k~x#:.
. . ~ . . ' .
~ . . . , . . ~
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
cirr oF eacAN ~ ~U
`?)g ~ a~ 3830 PILOT KNOB RD - 55122
651-681•4675
NewConeWCdon ReaulremeMS RemodaVReoairReaulremeMs
D 3 IBQisBRE BN8 61IIVByB filOWI110 8Q. N. OI I0; SQ. R OI AUY89 2 copiea of plan
and all roohd areas 0% maximum lot emeraae albwed) 1 set of energy alculations kr hes[ed addkionre
? 2 wpies of plans (sbow beam 6 window sixes; poured tnd. design; ek.) 7 ske survey for exterior a0ditiorrc d deeks
? 7 set of anergy calculatlona
? 3 eoPies of free preservatlon plen B bt platled aRer 711193
DATE: I 11I j1 CONSTRUCTION COST:
DESCRIPTION OF WORK: ne ~ k
STREETADDRESS: Se
LOT: _ C, BLOCK: ~ SUBDJP.I.D. p: U~ Y~',n_SL¢ v~ V f k--
Name: I~ e Z! Q IG~a rr.Y Pnone#: ~ SI-~~PLo -6GUiP
PROPERTY Laet FlBt
OWNER , •
Street Address: y c~ S c? $ pq,()O 1 cr-- A I 1/"/
cicy State: M tv Zip: S:S' / a,
Company: Phone
(area code)
CONTRACTOR
Street Address: License # Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Street Address: Registratlon
CKY Stata: Zip:
Sewer & vrater licenaed plumber Lnsw constructlon onlvl: Telephona
Penaily applies when addresa ehange and lot change is requeated once permit la Iawed.
I hadby ecknowledge that 1 have read this applkadon, amte that tlre Iniormatbn is corred, and agree to comply wMh alI appllcable State of Minnesota Statutes and Cit
M Eagan Ordinances.
Sfgnature oi Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONI_Y
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex , ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorellAddn. (4sea.
? 03 1 of _ p!sx ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr O 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert O 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 System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building TZ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit •
S/V11 Surcharge
Treatment PI. ;
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
°k SAC
.a
.r .
n N
,I.' • ' j ~ • ' ~ ~.a
L= ly
f~ ~Z M J 4~ .
a
~F W?.~ ~ • ~
. y. Wy~ : p~ ~ ~~y ry ' ? •
I ~ .n . ~ x • • '
u5 0 ~ L) im. n~
ci ~ x
9~
.
1999 BUILDING PERMIT APPLICATION (RESIDENTIA~ h
D•1 CITY OF EAGAN d~
3830 PILOT KNOB RD - 55122
651-681-4875
New ConshucNon Reaulremerrte Remodel/Reoatr Reauirements
? 3 regisfered sNe suneys showing sq. R. ol lot, sq, k. of house 2 copies of plan
and QII rooled areas (20% moximum bf coveraae allowed) t set of eneigy ceiculolfone tor heated addRbm
? 2 coples of plans (show beam t window s{zes; poured tnd. des(gn; etc.) i sNe survey for exierior addNfons i decb
? 1 sel ot energy cakuiallons
? 3 copies of hee preservaNon plan H IW platfed aHer 7/1 /93
DATE: L-'~ 4 - I`i q CONSTRUCTION COST: J K G-D
<<r-Pt.t'~ <j 05 ~4011r~r lA)~I~2. hD
DESCRIPTIONOfWORK: NeLJ liUrrrCrta's- ~
U "
STREETADDRESS: qaSeY 52QIjoi0. !"1 vfl
Q
LOT: ~ BLOCK: C1 SUBD./P.I.D.#: FUcr'-+s2cw F"~.k A44,ikresA
~
Name: Phone (P
PROPERTY Lao Firsl
OWNER • '
StreetAddress• C9 S nuntG- A/'/GQ. ~
~
ci+y Fac, Li rA srate: M a zip:
4
Company: Phone
(area code)
CONTRACTOR
Sheet Address: license # Ecp.
Cryy StaFe: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Streel Address: Registrctfon
Ci}y State: Zip:
Sewer 8 water Ucensed plumber {reauired for new conshucilon onlvl:
7enalty applies when address chnnge and lot change is requested once permit is issued.
" i hereby acknowledge that I have read this appNcaNon, state that ihe Information is conect, and agree to comply wifh all appllcabl
lstate of Minnesota Statutes and Clry of Eagan Ordinances.
Signature of AppllcanY. '
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No b
Tree Preservation Plan Received _ Yes _ No _ Not Required
~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of_ piex O 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-piex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 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
(Ailowable) 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 System
Length sq. ft. Cky Water
Wicith Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Pian Review
License
MC/ES 5AC .
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge ,
Treatment Pl.
Park Ded. Trails Ded. ~
Other
Copies
Total:
SAC Units
% SAC
EAGAN TOWNSHIP
BUILDING PERMIT Ne 2338
Ownex Eagaa Towaship
Addreas (P=esen!) . . Town Hall
Bvilder DBta .1 2... 70 _
DESCRIPTION
SSOriea To Be Uced For Fron! Deplh Haigh! Eai. Coe! ermi! Fae Ramarks
~ ~ ~a 7, = I
~ :;'-LOCATION Straet, Road or olhes Dascsiption of Loaetion I Lo! Slock Addilfon or Trse!
u
Thia permit does aot aulhorise the use oi aireess, roada, alleyc or eidewalke aor does !t glve the owner or hL agen!
the zigh!!o create aap s3tuation which is a auieance ox whieh presenta a hazard !o the healih, safetp, eoavea[enea aad
general welfare !o anpoae in the communify.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS SN PROGRESS.
This fa io aeslifp, fhal~~J~_.._ ..'.T haa parmLsion !o ereat a_ ~ . _ npon
.N ,.(,.~...,...[.f~
!he above described premiae subjae! !o the pcovisioas of the 8uilding Ordinanee for EagrtYi Townsltip adople Apr_il 11,
1955.
~p ~
J~..._................ Per ..........-1~?`.-O--:.`.c~r-...'.................................
. . . . y. .
~ Chair an oE Tnwn Board -(g Bufldin Ina ec2or
r ~233j"
o -2-
.
~
v z 2Sf ,
P
. ~
i
W
' MASTER CARD
. LOCATION J e
OWNER eysAA a~
STRUCTURE AND
LAND USED AS
Issued To
Permi} No. Issued Contractor Owner
BUILDING 2k 3 ~ 7Q
PLUMBING
CESSPOOL - SEPTIC TANK WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER MO&
~ n OTHER I
OTHER I
• Approved
Items (Initial) Date Remarks Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING A p TILE FIELD FT.
FINAL
ELECTRICAI DEPTH
HEATING OF WELI
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING WELL
SANITARY SEWER
• 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-COMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBEO AS FOLLOWS:
1
? REINSPECTION REQUIRED DATE OF REINSPECTION •
REINSPECTION REVEALED
CERTI FICATI ON - I certify that I have carefully inspected the a6ove in which I have no interes[ present or prospective, and that I have reported herein
all significant conditions ohserved to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
men[s for off-site improvements relating to the proDerty inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS:
, •
"
•R
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Paul, MianeaoCa 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date• November 3, 1970 Number• 497
Biiling Name:~,)F,nemann ('.,netrnrtinn site Address: 49SR Ces.,~in F=,Ardreen Fark
Owner• Wensmann Constructi.on gilling Addxess
Plumber•
Location of Connection Meter Size Connection Chg. 760_0n.pa 11/2/70
~y,,~~ ai i,r o9 0 7
/7 o Meter No, Permit Fee 7 o_on t4la
Meter Reading MeCer Dep.
Meter Sealed: Yea Add'1 Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence x x
Mult£ple xo, vnits $25.00 RE-!N"1't'v"T'Oid FEE f0R
9p4aQnpFRIY fFlcI,.pl!r1 rf-:77-C•.,
Commercial -
Induatrial Hy:
4ther Chief Inapector
In coneideration of the isaue and delivery to me oF the above permit, I
hereby agxee to do the proposed work in accordance with the rules and
ragulatione of Sagan Townehip, Dakota Count , uaeaota.
gp=~ ~ t,..t . vJ
Please aoCify tha above office when ready for inspection and connectioa.
,
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Panl, Minnesota 55211
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE• November 3, 1970 NUMBgg 661
OWNER; Wensmann Construction Address 4258 Sequoia- Lot 6,B1k2, Evergreen Park
PLUM88R Wenzel Typg pg pipg Heavy caot iron
DESCRIPTION OF BUIIDING
industrial Commercial Residential Multiple Dwelling No, of units
X
Location of Connectiona: Conaection Charge -0-
Permit Fee 10.00
Street Repairs
Total
Iaspected by:
Date
, Remerka:
By.
Chief Inapector
Ia consideration of the issue asxl delivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toemship, Dakota Count v;lMinnesota
- GJ. I.J
Wenael Plumbin & Heati
Please notify when ready for.inapection and connecYion and before any portion
of the work is covered.
CITY of EAGAN N°- 3520
BUILDING PERMIT
Ownes 3795 Pilo! Knob Road
Eegan, Mioaesoia 55122
.
. Addrees (presen!) a-.S-.sC' 4544100
auuea: ............L.°..a.-,~..;~...............
Addxeu Dsts
......_~..~.:f.....
DESCRIPTION . Sto:ies To Bs Ueed For Fron! Dapih Heigh! Esi. Cw! Porm[! Fe Rsmazks
..ZZo ~~°~,^-t~ a-o /O ov ~ !
c.~0 2J- ~ a- I S lg-ri ~y D
LOCATION / Lc- p
Slreel. Aoad or olher Deeczipiion o! Loealion I Lo! Block Addition os Traet
(a -;2 I Y-c-•~°-~-'---_ ,~~-_l.J
Thia permit does aot aufhori:e the use of slreela, roada, alleps ox aidewalke no: does it give the owner or hfs agoa!
the ri8h! !o ereate any ailvetion which is a nuisanee or which presenis a heaasd !o fha heallh, satety, eoavsnianee and
general walfaxe !o enpone in the aommunilp.
THIS PERMIT MUST BE EPT ON THa P RE`MIE WHILE THE WORK IS IN PR06AES~S.N
This is !o cert3fp. !Lal... ! . .has parmhsioa !o aseet a.. ~
. . . ._npon
the above desccibed premise su eef !o the provisions of all applicable Ordinances far the Cilp of Eagan.
- ~/(7 .a~'~.-'~z- L_
-..-°-...Y.
~:'.Per ~,Q'.:....~-..'.`...__,........_..........................._...................
Mayor Buildinq ImWos
MASTER CARD
LOCATION a Cd / '4~ S rJ l• ~
OWNER
~ H
LAND SED AS
Issued To
Permit No. Issued Coniractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Approved
Items (Initiap Date Remarks Distance From Well
FOOTING $EPTIC
FOUNDATION ~ CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER ~
- 7 Itl" 75
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
f0 BE USEC ONtY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT
OBSERVED. ~ INTEND TO COMPLY.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL 8E DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REIN'SPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CE RTI FICATION - I cartify that 1 have carefully inspected the above in which I have no interest present or prospective, and that I have reportad herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and spacifications, and any specific require-
menxs for off-site improvements relating to the property inspectad.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
Bl11LDING INSPECTOR OA7E
COMMENTS:
4w Le
/L
~
~'ap~ ~rn n .
0 • o y/
4
7./
?°/1 z.. ~ .
2
'f-
~
V ,I' ' • - ' . . ' _ _
j j .
' - A ~ ; • .,tY=
~ `4~ . 11'~• ' ! ' ' ~
R
AO
~r-
,
~ . .
n . ^~.-7
I . ' ~ ~
' ~ ~ µ i--_j - L ~ xy
t33*h ! ' ~ ;J o ,r
OOrR
23 - Gzh,st~ny Stru~tu.-c ~ fa'^'ly h'°°ni " 1-- - ~ ~
? ~ ; ~ 3 : ~ Exh~StrnJ S1"rycfyre
'
~ ~ . •
~a c • ~ ~ , . - . _ _ . - - 1 .
,
,
Vd
o%Lr
.
, _ _ .
,
CITY OF EAG2N
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERi'~IIT NO.: 550
The City o£ Eagan hereby grants to wenzel P7Lmbin4 xeat .+g co.
of 3600 Kennebe Ori4e
a pr,nrrtnlNC: Permit for: (Owner) 7atzY.e const.
(re--do existing 3rt;t hath)
at 42qg SAolOiA rn. , pursuant to application dated 3/11/_
Fee Paid: s5_nn dated this yg±.bday of taarch , 19 75
.50 s/c
Building Inspector
Mechanical Permits:
Bid Total:
c;;j-
~ TOWN OF EAGAN •
3795 Pilot Knob Rcad
st. Pau1, rtinn: 55111
PEMT NO.: 67 and 68
The Board of Supervieora hereby grants te Wenzel Plamb_ng d Heating, Inc..
' mf 1955 Shawnee Road, St. Jaul 55111 a PLUMBING •
Permit for: (Owner) Wensmenn ` _ at 4258 Sequoia Drive and
_,,pursuant to application dated D'-'cember 8 197q`_ _
Fee Paid: Dated this Pth day cf necember , 1970, ,
"h0.00 Pnid •
- - -
Building Inapector
, '
TOWN OF EAGAN
3795 Pilot Knob Rcad
3t: Paul; Minn: 55111
PERNffT NO:: 61
The Board of Supervisor5 hereby grants to Kleve }leating_d Air Conditioning
oP EdeU-PrairieLPfinnesota _ a Heating_
Permit for: (Owner) Wensr.iann Construction _ at 425 _and 4256 Sequoia Drive
pursuant to application dated Deeember 4, 1970
Fee Paid: $20.00 each Dated thia 7th daY af December , 1970,
7i~"06-To aI-
d-in I_..-g
Builnspector
1
~
BEA BLOMpV 15T
THOM45NEDGES
' . LITY AOMiN,StNAIOP
T"°M°S E°,~ . CITY OF EAGAN EVGENE VAN OVERBEKE
JAMES A. SMITM CIiY CIEPX
JERRYTMOMAS ' '
TNEODONE WACNTER '..1NSPILOTNN08 ROAD "
C004P1 A~EMBfMS P.O. BOX 11199
EAGAN, MINNESOTA '
DATE: JUNE 1 1982
PNONE CSO'BIOO .1~'•
. r'.i':•_ .Ar .
~'u ° .
r'.. .
DAKOTA COUNTY ABSTRACT 'CO
1250 HWY #SS N-j~
HASTINGS, MIN 55033
, SPECIAL ASSESSb1ENT SEARCH
t._Lot 6 Block_2 EVERGREEN_PARK_ADDN,RE:
4258 SEQLIOIA DRIVF .
Enclosed herein is the search which you requested made on the above described property.
~ Kind of Improvement Runs Beginnina " Original Amount Balance Due
NONE REQUESTED ' 0 ,
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having.been approved, and are notia in the process
of planning or completion.
Kind of Improvement A rorimate date ot Com letion A proximate cast
NONE
WAIVER:
Neither the City of Eagan nor its employces guarantees the accuracy of the atiove in-
formaLion which was rcquested by the pcrson or pcrsons indicated. Nor docs the City
or its employees assume any liability for tlie correctness tliercof. In consideration
for the supplying of the indicated information in the above £orm, and for all othar
consideration of any nature whatsoever, any claim against the City or its employees
rising thcrc from is hcre6y expressly waived. Levied assessmcnts to be paid to the
County Trcasurer at Hastings, NLy, 55033
Very truly yours,
NANCY M. OHM ,
THE LONE OAK TREE.., THE SYMBpL OF STRENGTFI qND GROWTH IN Ol1R COMMUNITY.
.
DAKOTA COUNTY ABSTRACT CO.
1250 Highway 55
HASTINGS, MINNESOTA 55033
437-5600
Enclosed is a check for $5.00 please send a Pending assessment on:
Lot 6 Block 2 Evergreen Park Addition
4258 Sequoia Drive
Thanks
Anna
I Fo r-'O~ce~Use
I
~ S i
Pertnit
Clty Of Ea~~Il ~ ,
I ~ 5
41~
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 ~ Date Received: -,;~3 I
Phone: (651) 675-5675 i ~
Fax: (651) 675-5694 i scaff: ~
L-----------------~
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENTIOWNER Name: 1n iti 04- iti.f Phone: 63W a61-46C14
AddresslCity/Zip:
CONTRACTOR Name: License
Address: ~i75 L,11Dt
City: (,j 6..4 0 State: MiJ) _Zip:
Phone: ~ly'~S~Sf?i-7i ContactPerson: (~W-v
TYPE OF WORK x New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RES/DENTIAL
Water Heater Water Softener
Lawn Irrigation ~Add Plumbing Fiutures
~ RPZ PVB) 'I. Main _ Lower Level)
Septic System _ Water Turnaround
New '
Abandonment
RESIDENT/AL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.SO State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5!8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will 6e in conformance with fhe ordinances and codes of the City of
Eagan; that I understand this is not a permit, 6ut only an application for a permit, and work is not to stad 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. -
x c i.a, w x l = _ 1 . ~
ApplicanY Printed Name Applican Signa
FOR OFFICE USE Reviewed By Dafe `
est Final
el Required Inspections Under Ground _Rough In Air Test Gas T
-------------I
I ForDifice:l'Jse
Clty of Ea~aIl ~ Fermit# f ~~~7 9v~ j
Ab~ ~ ~5p - 5 ~ I
I Pertnit Fee: 1
3830 Pilot Knob Road
Eagdn MN 66122 ~ Date Received:
Phone:(657)675-5675 i ~
I Staff: '
Fax: (651) 675-5694 L
2008 MECHANICAL PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT / OWNER Name: jc w+ Qa.Z +rv~ _ Phone: ~
Address / C' / ZiP: va; O
~Y
CONTRACTOR Name: K s 1'1~ ~n.....r 1 License #:1e/A G!51 - Pr-1
Address: -l7Jr Wt, Qf
City:_IA? ;.,4--j state: M v\ zip: S~S3`j5
Phone: 45;~• G`ly- 5f?-1 -3 Contact Person: dfi k'
TYPE OF WORK ~ New _ Replacement _ Additional _oAlteration _ Demolition
Description of work:
NOTE: Both roof mounted and ground mounted mechanical equipment Is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on ermitted screenin mefhods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE New Construction _ Interior Improvement
Furnace -
Air Conditioner _ Install Piping _ Processed
_ EMerior HVAC Unit
Air Exchan er Gas
9 + ryVqC units must be screened
Heat Pump r- Under / Above ground Tank ~ Install / Remove)
~ Other s b'-C.1P,,dL ?r~T When installinglremoving tank(s), cali for inspection by Fire
Marshal and Plumbin Ins ector RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes 8.50 5tate Surcharge)
$90.50 Flfe fBpair (replace burned out appliances, dudwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
pJ
$70.50 Underground tank installation/removal OR Contract Value $ 1)0~0' x t%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge
$7,000 Permit Fee (i.e. a$1,007-$2,000 Permd Fea requires a$1.00 surcharge).
$ TOTAL FEE
I hereby acknovAedge ihat this infortnation is complete and accurate; that the work vrill be in conformance with the ordinances and wdes of lhe City of agan; lhel
I underetand ' s no @rtnil, but only an application for a pertnit, and work is nat to start without a permit; that tbe work will be in accordance with ihe approved
plan in ca e of work whiL requires a review and approval of plans. .
% ~ X
Applic rinted Name ApplicanY ignature
FOR;OFFICE '.;RewewedBy Date,
Required InapecUOnsY t Under Gr`ound _Rough In .=Air Test.'_Gas~SernceTest _In-floor Heat ,_Finai
Date:
Tenant:
tyofEaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
D
(►2012
Use BLUE or BLACK Ink
1
For Office Use
Permit #:
Permit Fee: (Q O. CO
Date Received: 5 f L2..
Staff:
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address:
1 -i1 -5c3 Set p
J
Suite #:
RESIDENT %OWNER ,
Name: r3 tclr( .` UG N w 1 h CI 2 v p_; Phone: 6 5 - 2 b9 ` 5 230
Address / City / Zip: Li 25 5 el -410i A• E & m--v,fki4 NI 5 J) .L 2_
CONTRACTOR
C
CLE -e --r vC c c:, 7-.0,-.)C-
Name:
Name: S. -1a ► ,-.1 &ez- P-" 3. c�- e License #:
Address: ti i52:30 94 51-1-' S'-• City: t1 +vese 4-1-t-4-cS
State: iti= ( Zip: Shi 01-2- Phone: -1 f 6 1415- — S." 4(
Contact: f ittis-- ST& ("4/1-7-4" Email 1O' sJ S'`i-e •;-re lc CcJ 5¢e,..e•e ► N 4 ,.. d'e ".
TYPE OF WORK
New Replacement Repair Rebuild X Modify Space Work in R.O.W.
— _ _ _ _
Description of work: 24'v t a e. ( ?H% 0 'i Z. -rt- ' 01'N'8 Jv lI &A-7 01-
}RESIDENTIAL
PERMIT TYPE
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation ( RPZ / PVB)
Add Plumbing Fixtures ( ) Main / K Lower Level)
_
Septic System
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water
Heater, Water Softener, or Water Heater
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment Water
and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
Turnaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge)
TOTAL FEES $ 60
(add $189.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee
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.dooherstateonecall.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 wor 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 appro = of ' lans.
x
Applicant's Printed Name
x
Applicant's
ure
FOR OFFICE USE
Required inspections
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114014
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 4258 Sequoia Dr
Lot:6 Block: 2 Addition: Evergreen Park
PID:10-24880-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Scott Landa
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Richard Deziel
4258 Sequoia Dr
Eagan MN 55122
Tradition Roofing & Exteriors
1032 Cleveland Ave S
St. Paul MN 55116
(651) 325-1548
Applicant/Permitee: Signature Issued By: Signature