4265 Sequoia Dr CITY OF EAGAN Remarks
Addition Evergreen Park Lot 5 sik 3 Parcel 10 24880 050 43
Owner ~~'d4~! yri~ Street4265 Sequoia Dr. State Eagan,MN 55122
Rir(provement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 175.00 8.75 2
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 230.00
BUILDING PER.
SAC
PARK
RESIDENTtiAL
SUILDING PERMlT APPI.IGATiON ~cmr oF EAaaw; X-.. ~
3830 PILOT iC11tOB ~tU -'~$122- . I
.
N.r?~aetlon R.adran.m~ _ '
* 3 regwred wsuveqs tawirg:EQ.:ik obb4 a4 R oF housec end aY mofed_arm •:2 dnpirs afp~u~ ,
(2096meolimumkdAavwgs.all4wed). • 1 seta~Ei~eigy:Caid~ralovlieaied~'. . '
• 2 cDpie¢ of Alaa ftAvbm 5wb1ow sfm pauled fitmd dBSfgn, etc.,1 I
~ 1 ~liswey for.'Ak~ticra~8~~Ns ` ' .
~ 1selv~~e~pP~ • l~a,~h~wf:s~nv~dbl?~lios~ien?,It,rsi~iQnd~ ' '
• 3 captes 3fTres Pmecvftn.Plan ff.fd plalted 4v711A3 ,
Rim Joet Dotei OpCans aelecgoti 8hwfifts Mb 3:0f #esa uft
- DATE ~ . YALUATfC'~
JdB SiTE ApDR
- - - IF MUtTI-fAfiIULY 8UI#U' G..HOW AAANY UN !'fifl -
'PRO~EIETY.OWNER - i.s~-. - _ ~
TYPE OF WQRIC /~cx? 111EPLACE(~). ~ 0.- t
e
AP1'UCAN'f PHONO
ADQRIESS ZIP L'ODE - - PAGER # GEll PHONE #
_ - - - ,
i
IVE.?V RESIDEWiAL BUILQING ONLY ='FILL;aUTCUMPLETELY ~
. , Ene++gy Cade.C.gtegory _ NEUqNESQTA RUI.ES`7G70CAITGO~ 1 '
(check one) • Restdentiaf Ventilet~rt Ca#egary i'11Vorkstwet SubmitEel! - - Energy Lrnrelopa Calaulefbns 8ubm.ftd i
_ IyIINNUO'TA RLTUS 76-72 ~
- New.EnergyCode'WocksiheotSubrifittod i
~
Plumbing Cdnhoctor - Phon4 - - -
plumbing 5ystern Ineludes: _ Waer Softeae-r_ fawu 8pdnider Fee: 990,Q4 Waer Heater- No, iof R.I. Batbs - - `
_ 1VQ. of Bar}is .
"Mechanicoi Contractcr. Phon- e.:t Mechanic~il Systm indudes.,. Air ConditionuYg $70:0.0, Hw Reeovm aystem
Sewer/llYater GoMravlor. _ Rfione.:# - _ ~
,
AI1 abova tnforrnaEion musttae sutjWtted.pftt ta ptoeessfng of appllcation, 'Ihe?reby acknowledge thcrf I tiave re-ad tttiis apptication, Stdte #tcrt fhe intomatloA is ccrreet, q.nd agreetc3 campty ~
with ol1 ppplicabte State: Qf Minnssa#Q Sta#urtes and Gity df.Eagd.n Ord'man.cesr.
,
SipntduroofApPHc411f.
Certrficates ~i:Sucvey R6-cetti+ed _ Tree Pr,essruation Ptan Receivod Not Requltr+eti , i
Upds~ed_1ro1
- ,
~ I
OFFIGE USE DNLY i
~
0 Qi FuundaUon .047 05aplex 0 13 16-ptex: Q 20 Pnol. O 30 Avmory gldg
C7 o2 SF DwelGng 13,08 ;06-plex 13 18 . Fireplace [l 21: Porrh'(Ivsea:). O 11 Ezt._A?tt•: Wtti ICI 03 01 of _;plex ?_0$ .07-pl6x 'CI 17 Garage Cl 22 PafchtAcidn. (4-sea.) 13 °33 EA_ Att - SF
13 04 M=plex: 0 10 .48p4ex. O 18 G7edc 0 23 Pord3'(screened) 0 36 Mulfi ~i
E3 05 03~plex E3 11 10-plex 0 19 :Lower.Level O: 24 5'.torm,0atnage
~
0* (}6 04pW: Cl 12 i'2-plex f?Ib$,_Y D~r_ hl U 25 M`?scetl.a.naous
.
O 31,MBw 0 35 Int lmoro_voment O 38 Demolfsh:,(Int+ariiar) Q.44 Siding I
c ,
13 32.Addition 0. 36. :Mave.Btdg. .13. -42 Qerraolish (Poundafian) 0 45, Flre Re*
Q 33 Afteratlan -.31 QemoNgh (Bli%)' C] 43 Rercaf C1 46 Oariawalt)oors: ~
-
. ; ,
C] 34 fite;?lacement 'Der»o[rti.o~r-(Ent i . re . .Bld~•on1y);-o~ve PCA-~+andwat:tw appltmt I
Yaluati.on Ocoupancy,. 1WC/ES System I,
Census 'C,ade Zoning Cihr Vlfater '15AC Units- Storles B+ooster Purnp _ -
Nbr. af Units Sq. Ft: 'PRV ~ - . - -
Ntir. vf:Bidgs Length Firs Sprinkl6ms! _ i
Tyrpe of Cbnst. _ Wtdth
i
REQUIRED INSPECTIQMS
_ Footings.(newbldg). _ FinWG:O: Foodngs' (dtck) Fin"n-C.O. i~
_ footings. (ffddition) Plul&i% i
Fauadarioa HVAC
Diaia'I'ile - IIRoof ~ Iee.cYi Water ^ Final _ Other. I
, Frarivng _ Fool Ftgs _ AirfGu 'fests Final.
Fireplece RI. . kir Tcsi __,:Final _ Siding; Sta"o:.StEme
~ Iaaulatiod _ Wirrtlows-(r~wlreplaceriu.~ic)
li
Approved 8y BuNdfig tnspector ~i
~
~ Bau Fee
_StrrcfiSrge. II
. Plan. Reyiew
. RrlVESSAC
'City SAC Water3uppty. &.Storege
-SBW Permit 8 Surc.harge ~
Tceatmer,tt P'i"an't
Plumb~mg Permit `
Mechanlcal.Ps+tnit ~
. .
~i
L~censeSearci~`
,
topies'
Osher
~
cocgo kV+,x, i
~ 95932
Request Daie Flre . fia 'n InspaUbn
Re~u' O? ? FesCy Now ? WAI Notiy inspeciw
? Ves ? No Wtian Ready?
t [I licensed coniractor pqowner hereby request inspection of above electrical work at:
JoE Addrase (Streel Box or Route NoJ Ciry
~ s S4FQL( C0/?} D21 vc ~ f4n~
Seclion No. Township Name or No. panga No. Counry T^ r
Occupanl (PHINT) f Phona No.
c~ ~l niSO~ ~S~- a~ 7~
wwa, suaore, naaress
Eleclricel Conbector (ComPairy Name) Contracbr9licerne No.
Mailir.g Address (ConVacror or Owner Making Inslaliation)
Sign ure (Cantraclor/Owrrer ing I alian Plwrie NumOer
~fS fZ-2. (,'7
MINNESOTA STATE pD OF ELECTHIC THIS INSPECTION REOUE5T WILL NOT
Grigge•Mitlway Bltlg. - Hoom &173 BE ACCEPTED BV THE STATE BOARD
1821 UnWentty Ave.. St. Veul, MN 55104 UNLESS PROPER INSPECTION FEE IS
ENCLOSEDPlwne (812) 802-0800 .
REQUEST FOR ELECTRICAL INSPECTION ea.00001-07
ji~ See insiructions ip
,jwmplefing ihis torm on back ot yellow copy.
M g 5 g,3 2 ~'X" 8elow Work Covered by This Request
e Add Rep. ~ Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Olher (Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Oilier (speciy) ConPactor5 flemarks:
Compute Inspection Fee Be/ow
# Other Fee # ServiceEntranceSize Fee # Cirouits/Feedars Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Trensformers Above 200 _ Amps A6ove 700 _ Amps
Slgns Impacior5 U. Ony: TOTAL
Irri9ation 8ooms lv S~
Special Inspection
AIarMCommunication
O[her Fee
I, the Electrical Inspector, hereby fl0°9n"" Da1B <
certiry that the above inspection has Fnei ~ oWe
been made.
OFFlCE USE ONLY ?
This request vad 18 monihs irom
EAGAN TOWNSHIP
BUILDING PERMIT N° 2196
Owna: ...~,(........~-.P..^..^.!'E~~..^..'c..'-- Eagaa Township
Addrass (Presani) .....?..,~'.--9..`~----~.".`.:~`-^:.': Town Hall
C'
Builder ....--..c~s~.a.,r..^.~'---~?.~":c~~
Date n
s~-
Address
DESCRIPTION
Siories To Be Used For Fron! Depih Heigh! Esf. Cosf Permif Fee Remarks
- ~
4'~
e+..- V OCATION
Sireef, Road or ofher Deseripfion of Loc ' n I Lo! Block Addiiion or Trae!
This permii does not au rise the use of slreels, roads, alleys or sidewalke nor doea it give the owner or his agan!
the righ2 !o create anp siluafion which is a nuisanee ox which psesenffi a hazard !o the healfh, safeip, convanience and
general welfare !o anpone ia the eommuniip.
THIS PEAMIT MUST SE K/E~PT ON THE PREM23E WHILE THE WORK IS IN PROGA SS.
.
This is !o eerfifp. !ha!____..p5..'._~.__._......-*.-.~-~~ .................haspermission !o execi a... .._°r"..~-~..........___.........._upoa
the above desesibed premise subjec! !o the provisions of the Suilding Osdinanee for Eag Tawnship adopfed April 11.
1955. n
- -,k..- ---~3~....°-°-....°-............ Pes ...----.._...GL~
Ch.ai man of Tnwn Board ~ Building Inspeclor
L-6
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete For: single family dwellings & townhomes/condos when permits aze requued for each unit
Date~/ ~ ~X
Site Address vll.%~ c~, J r• Unit #
PropertyOwner 1 v l(,'1kLj 3V -mV' In~lll 1 Telephone#(~r
Contractor I~` ~ Wf 1
StreetAddress City RuY 1 IsV I I IL
State Zip ~ Telep6one # ( 6r~R) / ~
Bond Expires:
The Applicant is _ Owner _)~Contractor , Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
~ air conditioner _~04ew _2~\Replacement
other
State Surcharge $ 50
Total $ J . CDU
I hereby apply for a Residential Mechanical Permit and acknowledge that the informarion is complete and accurnte; tha[ the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, that I understand tlus is not a
pernut, but only an applicalion for a pemut and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the casg of work wluch requires a review and apprwal of plans. r---= - F-I ' "'11
Applicant's Pnnted Name Applicant's Signature NIAY 2 4 2005 ' II
i -
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: wmmerciaUindushial buildings
mulli-family buildings when separate permits are not required for each dwelling unit
Date
Site 5treet Address Unit #
Tenant Name ('if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Conteactor
Street Addresa City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Conffactor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove "*see below
_ Interior Improvemerd _ Install Piping _Processed _Gas
Nature of Work:
*"When installing/removing underground tank, ca!l for inspection by Fire Marshal and Plumbing Inspecfor
PCI'GliL FQC9: $70.50 Underground tank installation,icmoval
$50.50 M"~nimum (includes Stala Swcharge)
or
Contract Value $ x 1% Pernut Fee
• [f pemut fee is $1,000 or less, add $.50 $ State Surcharge
If permi[ fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commereial Mechanical Pemut and acknowlcdge that the informatian is complete and accurate; that the work
will be in conformance with the ordinances and codes of [he City of Eagan and rvith the Mechanical Codes; that I understand this is
not a pernut, but only an application for a peanit, and work is not [o 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.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
~
P~
I~
~
-
y~,r
~~vo' ~
#3-01 PLEASE PLACE ALL IGLEHART AVENUE
PARKING PERMITS ON
the RIGHT, REAR
(back) window.
S U M M I T A V E N U E I
i
R i
S N iP I i
I I C
E
X N '
T T LAUNQRY
H H S
T
c :::::.v..:•.:::.....::
S r H S R
~ ~ E
T e o T E
R S R
5 ......:::::.X::• T
E >
E v P E MI1 L`LE:R HOS'P1TAL'
T ; t T
e a
w ~
C 0 L L E G E A V E N U E
- - 'i
5 N E
I 1 N j
X ~f T
EMPLOYEES- H T 4, H a
E
N
E
DOCTORS- - ~::x.:-x
S
T R P
INTERNS-- R 6
RESIDENTS- E E
E ~ T
1
?
~
5
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, MinaeaoYa 55111
Telephone 454-5242
PERMIT FOR WATER SL+RVICE CONNECTION
Datie: Mareh 1 a 1970 Number: 410
Billing Name•Richard Rowland Site Addresa• 4265 Sequoia Driveo Etrergreen Pk.
Owner: it4aban3 Rmr3anc3 Billing Addreas 4394 Sequoia Drive
Plumber: R;,,h,,,d um..l ,,,a
Location of Connection Meter Siza9 l, Coanectioa Chg. 3/18/7o
~ Meter Noifl-d14,4 Pexmit Fee 10.00 pd 3/18/70
Meter Reading Meter Dep.
Meter Sealed: Yes Add'1 Chg.
NO 1bta1 Chg.
Inspected by
Date
Building is a: Remarka:
Residence xx
tlultiple Ao, Units
Commercial
Iadustrial By:
Other Chief Inspector
In conaideration of the issue and delivery to me of the above pezmit, 2
hereby agree to do ttm proposed work in accordance with the rules and
regulations of Eagan Towaship, Dakota County, Minneaota.
BY:
Riehard Rowland
4394 Sequoia Uriveo St. Paul 55111
Please notifq the above office when ready for inspection and connection.
J
~
t. 1•
.
~
TOWN OF EAGAN a ~
3795 Pi1ot Knob Read '
St. Pauli D'Liiui. 55111
PERMIT NO.: 2
The Board of Supervieore hereby grants to Richard Rowland
nf 4394 Sequoia Drive, 3t. Paul ~ a Plumbing Pexmit~` --~--Y
Permit Por: (Owner) Aichard Aowland at 4265 Sequoia Drive /O
pursuant to application dated March 18y19~0_____._•
Fee Paid: 020.00 Dated this 18th day of Mareh ~ 1970 ,
C----4/Iui1ding Inspector -
. • s~3 ~ r?
Towx oF saaarr
3795 Pi1ot Knob Rcad
st. Paul, tdinn: 55111
PERMIT NO.: 2
The Board of Supervisors hereby granta to Riehard Rowland
oP 5 94 Sequoia DriVe. 3t. Pgul ~ a P„+inv&.r°s 2;.,nc3.=iit--
Permit for: (Owner)Richaid Rmarland at 426~~gOUO R D.•iva
purauant to application dated marnh~,~70-______•
Fee Paid: ~+20•00--.--.--- Dated tCdaF o arch ,1 9jQ_-
Building Inspector
REQUEST FOR ELECTRICAL INSPECTION EB-00001-0/7
? See inslruclions lat wm0le6rg [his form on beck of yelbw copy. e_'Z/~ V~
E, 9 5. 3 2 "X" Below Work Covered by This Request
e Atld Rep.~ Typeof8uilding AppliancesWiretl EquipmentWired
Home Fianqe Temporary Service
Duplex Water Heater EIeCVic Heating Apt. Building Dryer 01her (Specify)
Comm./Industrial Furnace
~ Farm Air Conditioner
Of11Bt IsPecBY) COMrec[Wk PBmdM4:
Compute Inspection Fee Bebw:
# Other Fee # ServiteEnirance5ize Fee # Clrcuits/Feetlers Fee
Svrimming Pool 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 - Amps Above 100 _ Amps
SignS Inspecta5 Use onN: TOTAL ,a
Irrigation Booms . i
Special Inspection
Alartn/Communication
Other Fee
I, the Electrical Inspector, hereby Roig°"" oece
' certifyMatiheaboveinspectionhas Fmi oa~e
` . been made.
OFFICE U6E ONLY
Ttiis requen witl 18 months imm
: _ _ _ _ . _ . . _ . _ . _
~~j\ ~~~'/~'9 h~ E~PL~-~'sc uti~cP2~ c~ cu c) PL~~2
/ ~}J E 9 5 9 3 2~i e 45~j5
Requesl Data Flre 'n IosPection
? ? Reatly Naw ? WO NoVty lirepectw
` Y J \ ~ ? Vea ? No When Raetly7
10 Iicensed contractor pQOwner hereby request inspecfion of above electrical work at:
n) ~ ~ Job AEtlress (Sdaet. Box w Rarta No.) Ciry ~ ~n ~
~ _j ,~~QLtQ7/?-} Lf<IV~ ~~r
l $¢cwn ryo. Townnhw Nama m No. Renge No. Caunry
OceupnM IPRINT) Phona No.
Cc ~C s-i- e~,vserv 7-E
L~
Eleclricel Comraclar (COmpeiry Name) Canvacmr§ License No.
wail'ug nddress (Canueclw or Oww Mamng Insmlletbn)
Sig re (Contrattor/Oxne~ ing I IlaGOn PhMe NumEer
izs IV-a ~ -7
MINNESOTIISTATE ND OF ELECfRIC THIS INSPECTION REOUEST WILL NOT
Grlgg~Mltlway Bitlg. - floom &173 BE ACCEPTEO BV THE STATE BOARD
1821 Unlvereily Ave.. St Poul, MN 55704 l1NLE55 PROPEF INSPECiION FEE IS
PhoM (612) 662-0800 ENClASEO.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4265 Sequoia Dr
Lot: 5 Block: 3 Addition: Evergreen Park
PID:10- 24880 - 050 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Right Way Roofing
14050 23rd Ave N
Plymouth MN 55447
(763) 557 -8678
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Mary Jo Johnson
4265 Sequoia Dr
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA084002
07/02/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
2012-04-2411:13 » 651975 5694
*City of Eatau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 6755675
Fax: (651) 6755694
P 5/6
1.1111111 OLUC Or OLAtirt to
For Office Use �.J
Pam**. Lai 7113
Permit Fee: 110(7
Date Received:
Start;
2011 RESIDENTIAL fP, PLUMBING PERMIT APPLICATION
Date: 1 (90 I Site Address: t"'l LOC
Tenant:
Butte II:
' RESIDENT/OWNER
Name. Mi( \I kb --)41ASCS1n Phone: (12c I LtSti.341 '
Address / Ciity�/ Zip: 2, O.M LL Os � �_
CONTRACTOR
Name: i �IJl.1i ui�VJ �5 P , Licence f!: 0 tQ.1 Sa 3
Address: a5 Ely() City: c,j ti lw1 '
State: Zip: S5'.5Q Phone: Let l a ail l 4 10 02
/_
Contact s3CISt)>n Email:
TYPE OF WORK
T New Replacement Repair _Rebuild _ Modify Space _ Work In R,O.W_
Descrtpdon of work: 111 Iln 1 n (�` �T�' kXi t 1 C (lac DY,
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater _
Add Plumbing Fixtures ( Main / Lower Level)
Lawn Irrigation L_ RPZ / „ �Q PVB) --
Water Turnaround
Septic System
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
"Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(indudes $5,00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (Includes $5,00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.000DersjateonecaII.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 t0 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.
x
Applicant's Printed Name
x
Applicant's
ns
re
FOR OFFICE USE
Reviewed By:
Date:
Required Inspections: _Under Ground _Rough -In Alr Test Gas Test Final
V