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4272 Sequoia Dr INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: tJ 14) '-w''w 4j r'" APPLICANT• ( i ~ ji Nt ~if t ' ~lllf i l A (I E, PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . ! I'ril`l l pli, ~ ~ Permk No. Parmk Holdar Dste Talaphone M ELECTRIC PLUMBING HVAC InspscUon Date Inop. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLB(i AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL t CITY OF EAGAN J 1 Q 3}~ 3830 Pilot Knob Road. P.O. Box 21•199, Eagsn, MN 55121 PHONE:454-8100 BUILDtNG PERMiT Re«+a ~ To M wed le? ~:FLi,'':r; ~!~.?_iwii•iE,~t.Valw ti; $0~ Date 13 19 ~S Site Addreu 4272 Erect ? Ocar psncy - Lot 4 Blcek 2 Sac/Sub. . 4:PJ I Al,;C Remodel ? Zoning Parcsl No. Repair ? T`ype of Const. Enlarye ? No. Storia ..'~.K`~. :~iATE:tHJTJSL Move ~ ~.enesn at Name Demalish ? Depth € +4ddress , . Grade ? Sq. Ft. b City Phone Install O :.;F C FIV ' S ti i~. " Ap*.e•ob Fea Name . : /lssessment Pertnit ` u~ Addren 59 9 ~ Citv ~ t ALL PAOns 4JI - Water 3 Sew. Surchorge ~ Poliu Ptan Raview. ~W °C Name Fin SAC W Address Erq. Water Conn. ~ W City Phone Plannwr Woter Meter Countil Rood Unit I hercby acknowldge that I hov+ rood this application ond stote that B1da. Off. 14 8Parks the Jnformation is torrect and cyree to comply with all npplicoble APC Totsl - Stota of Minnesoto Stotutes and City of Eayan Ordi~anus. Vsr. Date Sipnotun of Pen+wttee N Buildinq Pem?it Is isswQ to: ~ oxpmn epmOtlon thot oll work sholt be dorw in acaordance with all opplicoble State of Mirvesoto Statutes and Ciry of Eoqon Ordinoncoa 9uildinp Officid ; ; ~ v ~ 7 9 s ~ ~ ~ ~ r o = ~ ~ ^ S o ; O ~ O i i i s 0 ~ e ~ . . . • . . . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for AAUGH ADDITIQN Est. Value $4,000 Date J1240- ig . 19~SL- Site Address 4274 5EQ1OU~'1$ Lot 4 Block 2 Sec/Sub. EYJ:kC1EEA1 P~. OFFICE USE QNLY Parcel No. occuvar,cy ben- 1 FEES Zoning JRL-1 W Name I~ b JA~ti YATE tt~i0US8 (Actual) Const Bldg. Permit ~+4•~ ~ Address ~+27Z B~2UOYA DR (Allowable) Surcharge City EAGM Phone 454•5434 # of stories - Length 1Q~ P?an Review }p Name p2CiZI3 Cd2~iST8IfC:''7dl7 Depth 24~ SAC, City ~a Address 4222 31wyY It S.F. Total - SAC, MCWCC ~ City o;-AY'at.7S Phone 772-0522 S.F. Footprints - On Site Sewage _ Water Conn U¢ W W Name On Site Well - Water Meter i MWCC S stem Q W Cddress Phone Ciry Water _ 'O`~~~ Deposit Y PRV Required _ S+W Permit I hereby acknowlege that I have read this application and state that the Boaster Pump - grW Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS qoad Unit f A Building Permit is issued to: PICAIW Cd~STRUVTIf)N Plar'^er - Park Ded. on the express condition that all work shail be done in accordance with ali Council i.~ applicable State of Minnesota Statutes and City of Eagan Ordinances. gl~. pff. _ Copies Building Official Variance - TOTAL 6~•5-0 Psrmit No. Permk Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC NnpscUon Dete Insp. Comments Footings I ~ ~J 7` : • " / n*- ~,G Foundatian Framing Rooflng Rough Plb9. Rough Htg. Isul. Fneplace Fnel Htg. Final Pibg. Const. Meler Pibg. InspecKa - Notify Plumber Engr./Plan Bldg. Final /V Deck Ftg. beck Final Well Pr. Disp. CITY OF EAGAN ~ -r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date A-A~~` ,19 Site Address OFFICE U5E ONLY Lot Block z Sec/Sub. uJCR' ;RE.7.tY PARK On Ske Sewape Occupancy MWCC System Zoning Parcel No. On Stte weu (Actual) Const a Name iAN l`~ATF!~1101USE CltyWater (Allowable) W ' ;J, ~v? 1 p; j iJF PRV Required ik of Stories ; Address ' ~ City Phone 454- 4~} Booster Pump Length Depth , o Name 7-~LPH fiAl1S0}1 CONST. S.F. Total o~ Address IF-79 I} , } FootprintS.F. U ~ C;ty :C1'~??'~?"UFiT Phone 423-2009 APPROVALS FEES Engr./Assess. Permit 74•0' FW Name Address Planner Surcharge • g0 ¢ Z City PhOne Council Plan Review < W Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable 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 P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Parks TOTAL ' Building Official _ Permit No. Permit Holdsr Dpte Telephone it Plumbing H.V.AC. Electric Softener Inspeetlon Date Insp. Commentd Footings I Footings II Foundation Framing w ~yy6/~' `aT s' S- S Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp_ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# To be used for Est. Value Date r ,19 Site Address OFFICE USE ONLY Lot BloCk ` Sec/Sub. :.'P.::<< On Site Sewage _ Occupancy MWCC System _ Zoning Percel No. On Site Well _ Type of Const City Weter _ (ActuaQ a Name (Allowable) W * of Storiea 3 Address Length ~ City Phone J ' Depth S.F. Totai , p Nam@ CONST FootprintS.F. Address APPROVALS FEES ~ City ~i°,'i_. iJ~~ Phone ~3'~~ Aasessments Permit - "'i• WatedSewer Surcharge yVj W Name Police _ Plan Feview F W Uz Address Fire = SAC, Cky Z Enyr. SAC, MWCC ~ W City Phone Planner _ Water Conn. Council _ Water Meter I hereby acknowiedge that I have read this application end State Bldg. Off. _ Road Unit thattheinformetionisCOrreCtandagreetocompfywithallappilcable APC _ TreatmentPl State of Minnesote Statutes end City of Eagan Ordinancea. variance _ PaAce • - . Capies Signature of Permittee TOTAL A Building Permit is issued to: ' on the express condition that all work shall be done in accordance with all appticable State of Minnesota Statutes and City ot Eagan Ordinances. Building Official Permlt No. Permit Hoidar Datt Telephona it Plumbing H.V.AC. Electric Softener Inspection Dats Insp. Comments Footings 1 Footings II Foundation Framing Roofing AC Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Welt Pr. Disp. ~ CITY OF EAGAN 7. . 3795 ?iloF Keob Raad Eoyon, MN Ssl'l! - PHONEs 454-8100 BUILDING PERMIT aec~ipt # To 6n rad hr Est. Value Date 19 Site /lddrcss Erect ? Occuponcy Lot Block $ec/Sub. ^Iter [p Zoniny - ~ Parcel # Repoir ? F1re Zone Enlarya ? Type of Const. ~ oWc Nome Move Q # 5tories ; Addross Demolish p Length b Ci Phone - G?ade O Depth Sq. Ft. °C Nome ApProvah Fees 0 u~ ~~e~y Asseument Permit ~ Cit pF,o„e Water 3 Sew. Surchnrye G Police Plan check W W Nome Firo SAC FW Address Enfl. Woter Conn. ~ W Ci phorm plonner Woter Meter Council Rood Unit I hereby acknowledga rhot I hove read rhis opplication ond stote that Bldg. Off. the information Is correct ond ogree to comply with oll applicoble Stote of Minnesato Stotutes and City of Eagan Ordinonces. APC Total Sipnoturo of Permiftee A Buflding Pertnit Is issued to: on the express condiNon thm oll work shall be done in xcordance with all appliwble Stote of Minnesata Statutes and City ot Eapan Ordinonces. 8ufldi?q Officiol r o 'O O C 2 `m L 0 E e` d 0 o J O ~ ~ c d Z , c° V~ ~ u o o j ~ $ Q « o C6 d S . ~ C e ~ ~ G W 6 ; - LL 1L 1L Q Q ~ IL IL U. ~ ~ ~ d` INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Ea an, Minnesota 55122-1897 ~ ~ ~ ~ ' ~ • 9 Date Issued: (612) 681-4675 SITE ADDRESS• APPLICANT• • ' t i) t. 4 OI.ui 1 I f•~~!.1 t (''a ( JiliF ~ ~ ~ ~ , , I PERMIT SUBTYPE: TYPE OF WORK: , I! s!• rti t ~ r~H INSPECTION • ~ J Permft No. Psrtnit Holder Data 7elephone 0 ELECTRIC PLUMBING HVAC Inspectlon Data Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE L FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST - 1410 - BLDG FINAt BSMT R.I. BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN Remarks 3'1'71 Wtr con pd• Addition Evergreen Park Lot 4 Bik 2 Parcel 10 24880 040 02 Owner~,,,~; r' rStreet 4272 5equoia Dr,. State Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1971 175,00 8.75 20 -3~5U SEWER LATERAL ti WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK "19$3 295.98 COO C)2O -82 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 3381 3-31-71 BUILDING PER. sAe 2 0.00 709 12-27-7 PARK '40 ~ . . cirr oF EAGAN N° 7 0 4 4 9795 Pllof Knob Reod Eagan, MN 55142 - ~VMONE= 434-8100 BUILDING PERMIT. Receipt # To ba uoed 1er B&MrYCRAWL SPACE Est. Value $4000 Dare Deoenber 28 , 19 81 Stte Addreu 4279 Scxi ini a rjrivn Erect ? Occuponcy Lot 4 Block 2 Sec/Sub. ~r-L-(m Park Alter gx Zoninp parcel # 10 24880 040 02 Repcir ? Fire Zono ~ enioroa ? Type of Const. W Name M1ChdE1 R. WdteSk10AM Move p # Srorie z Addrcss 4272 Sesinia Lrive Demolish ? Leny~n Q phone 454-5434 Grade ? Depth Sq. Ft.- o S1II1T1SE C'E1lPSlt. Apyrevab Faes Name Address Assessment Permit 44 _ S(1 CI ~~-'~1~ Phone WoterB$ew. Surchorge 7-nn Police Plon check _NA rc FW Nnme Fire SAC *A z Addreas Enq. Water Conn. NA_ ,W pho~ Plonner WoterMeter Council Road Unit p$} I hereby ocknowledge thot I hove read this oppli ation and stafe thot gldg. Off. fhe information is correcf and agree fo wmply with oll opplicabla AP~ T~a~ $46.50 Stote of Minnewto Statutes ond itY of E on rdirwnces. SiOnoture of Permittee ~ A Building Pertnit Is issued-M: on the express conditlon thm ell work shall be done in acmrdonce with all opplicctll Stare of `MkeW6 Statutes ond City ot Eapon Ord7nances. Building Officfol ti N~ CITY OF EAGAN Include 2 sets of plans, ~~,•~'y~ C) `q 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For PJ+~sCn,~ 3Pq~luation Date site Aaaress: y:J.-7,_, 5L(,)i OFFICE USE ONLY Lot ~'Bi3cx~-~ ~-0 z - Er ~tr oc~~ 2 3 Parcel 10 Z-`(iiD Oq0 c`3"Z Alter ~ Zoning Repair Fire Zone Ownex': ?n IC Nr1 f-6- . P 7Enlarge _ Type of Const. ~ ~=~r~F-~ u S~ Mbve # Stories Address: Lf17J-- .kor.~ AF Demolish _ Front ft. City/Zip Code: JFfJ G l`l~ yD- Grade Depth _ ft. Phone # : APP1t0UAi-S FEES Contractor: ju,uXr.ca Assessments PeYmi.t qy t 50 Address: Water/Secver Surcharge atc CD Police Plan Check City/2ip Code: L-O-k{ J Fire SAC Phone ~4• Water Conn. Planner Water Meter Council Road Unit Arch./Eng.: Bldg. Off. Pddress: APC City/Zip Code: 'ICYPAL - LD c e:~~ Phone y Z TOWN OF EAGAN 3795 Pilot Knob Road St. Paul, Minn. 55111 PERMIT N0. 89 The Board of.Supervisora hereby grants to WP~,.~t PlyMbinor d Hsat ne Inc. of 7qSS Chat.+.+aw RoaeirSt_ Pau1 55122 e PLUM,BING Permit for: (Owner) Wensmann Conatruction at 4272 Sequoia Drivel St. Paul , pursuant to.application dated 2125/71 . Fee Paid: ~~00 Dated this lst day of March , 1971 Building Inspector TOWN OF EAGAN 3795 Pilot Knob Road St, Psul, Minn. 55111 ' PERbffT ND.: 76 - The Board.of Supervisora hereby granta to tcleve HeatinQ & Ai,r C,qgdit~oning for Wenamaan op 13075 Pioneer Trailg Eden Prairie9 Mian. 558843 T HU, INT G" PermiG lOY: .(OWIICY) '."wpnCfllqTT ce.+Acruc tien at 4272 SeQypia_~ve~vergreen`° , pursuant to application dated Febrygry 9,0 1971 . Pee Pa3d: S?n nn .Dated thia 12th day of -FebXuarv , 191,], Building Inapector ~ n I` . ~ ctrv or-- FAGan r.,q;HTER: f; TE'RMINAI._ N0. 36, DA7Ea 08/12/96 7IMF_a 13e47ef)5 ID„ NAMFv AUTOMAT.T.C GARAGC II001=: G 1=RF'L_CS 320 9001 4272 SEQUOTA Dfi 25.00 205 7001 4272 .iEC7UQ]:A LiR 0.50 To'ta1 kereipt, qmounte 25.50 Cfi!:)628<l4 USh'R SD: NFlNCY ~ % j PERMIT CITY OF EXGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 5 3 5 (612) 681-4675 Date Issued: 0 8/ 12 / 9 6 SITE ADDRESS: 4272 SEQUOIA DR LOT: 4 BLOCK: 2 EVERGREEN PARK P.I.N.: 10-24880-040-02 DESCRIPTION: (GAS INSER7 ONLY) Ouild3ng,,Permit Type FIREPLACE :`Building Work Type ALTERATION Genstrs CodL ' 434 ALT. RESIDENTIAL . ~ . . C.z . ~ -y , it=- ~i 3 '~S a.~~ r 7 ~ .'•x'~ t _ , r .....t _ t: ...r ` REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - sT. LIC.OWNER: AUTOMATIC GARAGE DOOR 15712525 0001990 WATERHOUSE MIKE 220 77TH AVE NE 4272 SEQUOIA OR FRIOLEY MN 55432 EAGAN MN 55122 (612) 571-2525 (612)454-5434 I hereby acknowledge that I have read this application and state that the information Y,s corrsct and agree to cqmply wiCh all applicable State of Mn., L Statutes end CiCy of Eagan Ordinances. ~r~t,n R.o~:r(_I ri?1~ APPLICANT/PERMITEE SIGNATURE rl Y. IGNATURE - CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 FIREPLACE PERNIIT APPLICATION 681-4675 DATE: DESCRIPT[ON OF WORK: ~ CONSTRUCT TT W FIREPLACE: _ WOOD BURNING ~ GAS ~C INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTNG FIREPLACE OTFER: ROOM TO BE INSTALLED IN: STREET ADDRESS: V27A 2,256UGTn LE, LOT ~ BLOCK ~ SUBD./P.I.D. APPLICANT: (circle one only) OWNER O CTOR I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: Lt)~T~(Z {{~uSe. M ikQ ~SfW Phone y`~ y•~y 3 y OWNER Signature: Street Address: °27 a3ra C,l n iAr City: State: Zip: s`~ )a FIREPLACE Company: ~]{.I;~OCYY.~-~~C ~,araye~z'~ FizEpl I'g~ Phone i;iSiALL: R ~f/l I1/ C~- V(~•L(JGL~~K-• Signature: StreetAddress: ~QUv ~77 -~/764' Na License#: City:rnq2l~ST State: M N Zip: 5-SVva GAS LINE Company: Phone INSTALLER Name: • l3~~Q S Signature: Street Address: City: State: Zip: s ~ ~ ~ ~ OFFICE USE ONLY o` BUILDING PERMIT TYPE ? 14 F'ueplace WORK TYPE 0 31 New ? 33 Alterations 0 32 Additian ? 34 Repa'v ~ GENERAL INFORMATION Census Code. SAC Code REMARKS • Chimney/flue must be inspected before concealing. Cities Di ital uality 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. wv .p:. ..4~1Y~A~YWYY.Y~~~`KwK~M~i:iY%M-W~J~v~.1•,4~ CZT•Y Or =n^4V ..,a •-c: , G TEpv,-n•q• r~~r ~ C?/?E/°' -•M=: ,:.;?7-c^~ . w4^• . ~n_~r • ~ _G u~vr.~~ r P:= *k, _ '.r' °=1' ~ 27~ :i: i _ •..'A ~a + ~5 '7i. 4Wa ;En• r.k r~ . . . . : . . , . . . . . . "'w r ~ PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 5 4 2 (612) 681-4675 Date Issued: @ Z/ 2 6 J 9 7 SITE ADDRESS: 4272 SEQUOIA DR LO7a 4 BLOCK: 2 EVERGREEN PARK P.I.N.: 10-24880-040-02 DESCRIPTION: • f•-,. SIDING/WINDOWS Buildx`rtid'"eRermit Type 5F (MISC.) ~,Bu,ilding Wc#,wk Type ALTERATION Ceflsus Cofle Z~ 434 ALT. RESTDENTIAL i 1 ~''?1 • ' ~ L F REMARKS: FEE SUMMARY: VALUATION $17,000 Base Fee $249.75 5urcharge $8.50 Total Fee $258.25 CONTRACTOR: - Applicant - OWNER: GREAT LAKES WINDOW & SIDE 18913400 WATERHOUSE JAN/MIKE 06098 LOWER 161ST ST 4272 SEQUOIA DR ROSEMOUNT MN 55068 EA6AN MN 55122 ~~612} 891-3400 (612)454-5434 I hereby acknowleci'ge that I have read thi5 application and state that the infprmaCiotr ie oof^rect and agree to cqmply wSth alZ applicab].e 9tate pf Mn, 5tatutes and City qfi Eagan Qrdinances. i r I APPLIC N/P qMITEE SIGNATU - ISSUED BY: S NATU 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) V5e,2-S CITY OF EAGAN 3830 PILOT KNOB RD - 55122 687-4675 New Construdion Reauiremerrts BemodeUReoair Reauirements ? 3 registered aIM surveys ? 2 copies of plan ? 2 copies oF plans (InGude beam 8 window a¢es; poured fid. deaign; etc.) ? 2 sile surveys (exterior atlditlons 8 tledcs) • t energy calculations ? 1 enargy celculetions for heateA addRians ? 3 wpies of tree preservation plan If IM plaUed after 711193 required: _ Yes _ No DATE: - e2'6 'V7 CONSTRUCTION COST: DESCRIPTION OF WORK: * Gu~ STREET ADDRESS: LOT ~ BLOCK SUBD./P.I.D.#: PROPERTY Name: 4t~ ~ W-4, /.4 014-~ Phone , -3`f3X OWNER M~„ StreetAddress: jzu~ City: State: /'?.L~ Zip: coNrwaC7oR Company: Phone 3S~ua Street Address: License a2 af) lewla ~ City: A-9~~ State: 9YL4.--, Zip: SSaG,F' ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): . Penalry applies when address change and lot change are requested once permit is issued. i hereby acknowledge that I have read this applicadon and state that fhe iniormation is correct and agree ro comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: 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 Duplex o 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace n 21 Miscellaneous 0 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE ? 31 New ~ 33 Afterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MGWS System (Allowable) Main level sq. ft. CRy Water UBC Occupancy sq, ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Y 3 5~ Census Bldg Census Unit APPROVALS P(anning Building Engineering Variance PermitFee ca~~9'I'S Valuation: g/7D00 Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: 5a s.a5 °k SAC SAC Units CITY USE ONLY L ~ BL ~ RECEIPT 7D 9 -7S SUBD. ~ RECEIPTDATE: 3113197 1997 MECHANICAL PERMIT (RESIDENTIAL) CRY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 65122 (612) 681-4675 Please complete for. . single family dwellings ~ townhomes and condos when permits are required for each unit New construction Y~ Add-on fumace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 3' 1-3` 7? FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) 3.00 ? State Surcharge .50 s~ TOTAL SITEADDRESS: - rO~ 7-D ~~9li0~Q QI" OWNER NAME: -Ja+'1 ~?~t~!'~4rr~S~ PHONE#: INSTALLER NAME: WeG.]`%n Cp . PHONE IS~7'D.33CI STREETADDRESS: CITY: ~cGM'! STATE: /t, /tl/ ZIP: SIGNATURE OF PERMITTEE ~3 -d 7-~7 o.K CITY USE ONLY L _ BL _ RECEIPT#: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (812)681r1675 Please complete tor. . all commerciaUndustrial buildings. P multi-tamily buildings when separate pertnits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~ $25.00 minimum fee Qr 1°k of contract price, whichever is greater. . Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1 % PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVenneNrs oNLv) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR &t July 6, 1990 ~ \V G v Mr. E. J. VanOverbeke City Clerk - City of Eagan 3830 Pilot Knoh Road Eagan, Mn• 55121 Subject: Special Assessment - Project #10P466 Dear Sir: We, the undersiqned, do hereby object to and appeal the assessments to our property. We understand that the basis for these assessments was derived from an engineering study which was done more than two(2) years ago. We believe that conditions have changed sufficiently since that time to warrant a reevaluation of the area. We further believe that a reevaluation will result in a more equitable distribution of assessments. Yours truly, Name Address Propertv Description gz -va- a ~ 30 e-Y,~~'{~ ~ 7 ~GC~ I _ 09 0- d a GLIrZ~i C ,~J ~ v Da f~yov' ~o ~o -oz I ~ 7 SXa G v ~ J C> ~ July 6, 1990 ~ Mr. E. J. VanOVerbeke City Clerk - City of Eagan 3830 Pilot Knob Road Eagan, Mn. 55121 Subject: Special Assessment - Project #1OP466 Dear Sir: I do hereby file objection to and appeal the assessments to my property. I understand that the basis for these assessments was derived from an engineering study which was done more than two(2) years ago. i believe that conditions have changed sufficiently since that time to warrant a reevaluation of the area. 2 further believe that a reevaluation will result in a more equitable distribution of assessments. Yours truly, 4L R. Waterhouse 4272 Sequoia Dr. Eagan, Mn. 55122 10-24880-040-02 Block 2, Lot 4, Evergreen Park Addition M ' EAGAN TOWNSHIP BUILDING PERMIT N° 23's 1 Ownar _.I..N..~'..'.~._... ~ Eagan Township Addrees (Preeen2) .......-k6 Town Iiall , Builder arE:~.~ Dete --°~~~~7 / . Addreas DESCRIPTION 5iories To Be Used For Fron! Deplh Heighi Eef. Coa3 'Pezmi! Fee Ramaxks LOCATION Sfreei, Aoed or other Descriptioa of Localfoa I Lo! Block Addllfon or Trao! 7a. Thfs permit does not au3horisa !he vae of slzaels, soade, alleya or aidewalke noz does it give !he owner or his ageat the righito ereale anp siivetion whieh is a nuieanee or whieh presents a hasard !o the heallh, safelp, eonvenience aed general welfare So anpoae iif !he eommuniip. THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PRO%:Ea This fs !o cer rify. lhai.~!~~::`-!.^:~.-.'.''.._~?::!'-.°.:Z---..has pecmiesioa 3o erec! a . . . . ........_npoa !he above deseribed premise subjec! !o !he provisions of !he Bvildiag Ordinanee for Township 'adopYed April 13. 1855. ~p ' .:`.e.',..""""......:.._.............. . Pes '--...........M..c^.'.'.rS:."'-'.. . . ChaYsman of Tnwn'6Board & Su3lding Inapector ' MASTER CARD • LOCATION OWNER IW41h T~&A. G, Oill STRUC7URE AND LAND USED AS ~ Issued To Permit No. Issued Con}rac}or Owner 6UILDING 37 ~ O PLUMBING CESSPOOL - SEPTIC TANK WELL / ELECTRICAL ~ HEATING 'L ~f 71 GAS INSTALLWG -F~- SANITARY SEWER OTHER OTHER • Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TIIE PIELD FT. FINAL ELECTRICAL DEPTH HEATING 114__ OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ~ ~P-W WELL SANITARY SEWER ~ Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION R,EPORTS 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 SU85TITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUIIDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOCLOWS: REINSPECTION REQUIRED DATE OF REWSPECTION • REINSPECTION REVEALED CE RTI FI CATION - I certify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that I have reported herein all significant conditions oLserved to 6e et varianca with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- menu for off-site improvements relating to the property inspected. . ~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COMMENTS: ~ , EAG~ ~icttob gO 55111 95 1 e"O 5~42 $t. 'pe°one 454' ~T;Ot1 Relep ~gg ~05 I2 EoR S~ER SggVi~~ c0~ 'C>) P• YE~ pRive 42~2 SeQ~O;a ~YCh 1 19"i~. AadYess St ix°n ca DA~• CoVLStYUcCyOTL E OF ~ZpE n9xeating upiCB ~WLygR. Yl~b;o8 S OF BUI~I ~o, of We PL~~gWenyel p~CRIYTLO~ ~~1Ci41e Vgellla& ReBiaential iaL Co~er6ial ~ Co~ectipA C~ g Ina~atY pe~it yee tion8' gtxee L Re4a~Ys of CotAec C o~atiot' RoCal Irs4eOtiea b7i= 08tie ge0aYks: Chief InspeGCoT 89 I oft~e Cetues~ana to me aith ~ deliV e a ~otiJan ~egora e igSUe a WoYk in uQCy th o~ Co I iae=atio'n~°o tlie pY s Sh14~ pakora ~e t~n aul ILO heYe y 8 f~$an TO~m SY p ee Ro ~d ' St, Y re~latlong 1955 Sba"n' befo-ce att9 4 ato~1 cCion foT ins4~tion a.d co~e e$ay f rhe WOZ1c ig ~~exea• o . Y EAGtiN TOSJNSHIP 3795 Pilot Knob Road St. Paul, Minne3ota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: March 1. 1971 NOMBER 705 OWNER: Wensmann Construction Address 4272 Sequoia DRive P, PLUMBER Wenzel Plumbing & Heating TypE OF PIPE cast iron DESCRIPTION OF BUI1D ING Induatriai Comercial Residential Multiple Dwelling No, of unita ~oaac Location of Connections: Connection Charge Permit Fee 10.00 pd 3/1/71 Street Repairs Total Inspected 6y: DaCe Remarks• By. Chief Inspector In consideration of the issue aud delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tormship, Dalcota County, Minneaota By Wenzel Plumbine d Heatina. Inc. 1955 Shawnee Road, St. Paul 55122 Please notifq when ready for.inspection and connection and before any portion of the work is covered. I EAGF.N TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERNII T FOR WATER SERVICE CONNECTION Date:March 29 1971 Number: 546 q- Z Billing Name:Wensmann Construction Site Addreas: 4272 Hequoia Drivet Evergreen Park Owner: same Billing A,ddress S8me Plumber;Wenzel Plumbing S Heating ¢nc. Location of Connection Meter Size~~ " Connectioa Chg. 26 .0. pd 3/31/71 Meter No44:;/ efo ~ Permit Fee 10.00 pd 3/1/71 Meter Reading Meter Dep. Meter Sealed: Yes Add'1 Chg. NO 1bta1 Chg. Inspected by Date Building is a: Remarka: Residence xxx $75,00 RE-INISPECTiOPd FEE fOR t4ultiple Ho. Units INiPROPERLY IPJSTALL`c0 iVitIERS. Commercial Industrial Hy: Other Chief inspector In consideration of the isaue artd delivery to me of the above permit, I hereby agree to do the proposed work in accordance vith the rules and regulations of Bagan Township, Dakota County, €ianesota. sy: - ~ Wensel Plumbing d Heating I, Please notify the above office when ready for inspecCion and connectioa. CITY OF EAGAN N° 10 217 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 Receipt # S( 4p T. M wad iar RELINE CHIMNEY6, Value $1, 800 pate MAY 15 , 1 q 85 SiteAddreo 4272 SEOUOIA DR Ereet ~ ocwoency ? Lot 4 Blxk z Seel'5ub. •V .R R.F.N Remodel 2oning T2K Aepair ? TypeofConrt. Parcel No. Enlarge ? No. Stories MIKE WATERHOUSE Move 0 Lengtn W Name Demolish ? Depth ~ Address E Grade ? Sq. Ft. CitY Phona 54-5 3 Install ? GROEN' S VACU MAN Apy.eveh Fees ~ Ne"'e 29.5 ou Addreaa Assessment Pertnit 6- city APPLE VAL phane 431-5995 warer 6 Sew. Surchorpe 1. 00 u1 Police Plan Review G~ Nmne Fira SAC Addreaa Erq. Woter Conn. ~W Clty Phone Plannar WaterMeter Couneil Rood Unir I hercby ackrowledgs thot I haw read this apDlication and state that gidg, pff, 5/14 8 S perka fM inlormotion is correct and agree fo wmply with oll ap0licabla A~ Tatel 30.50 Stafe of Minnesota Statutes a ry of E o Ordirancaz. Var. Date Sfpnafuro of Permiftea A BWidirq Permit Is iss . G OEN' S VACU-MAN on tha a:pren conditlon that dl work zhall ba dona in cecordanea with oll epplica6le Stote of(~k~At~eaoto Statutes ord City of Eopan Ordinances. BWldinp Offidol ~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST HE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OE SURVEY 1 SET OF ENERGY CALCULATIONS ey ',A' n'A To Be Used For: G ti,. Va3uation: 179'41,73Date: Site Address: se OFFICE [1SE ONLY Lot: -ff- Block Sect/SubErect ~ Oecupancy ,p Remodel Zoning Parcel 1I U 6,.2 Repair ~ Type of Const Enlarge IC of Stories Owner g- 2 ,4 e Move _ Length Demolish Depth Address 4, r.~.;a D,i, Grade _ Sq Ft City/Zip Code Gx~.a/t/ /lz.,/ Phone -,s'yy ~z APPROVALS Contraetor ~ ~Ppc S/l~i~l, rnan~ Assessments Permit 2q. - Water/Sewer Surcharge Address Police Plan Review ~ Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council oad Unit B1dg Of~arks Arch./Engr. APC Tf" Treatment P1 Variance Address TOTAL 3,9 "5C) City/Zip Code Phone 11 CITY OF EAGAN • No - 14719 3830 Pilot ^ftb Road, P.O. Box 21-199, Eagan, MN 55121 ' BUILDING PERMIT PMONE: 454-8100 Receipt # E a~--7 ('0 To be used for DECK Est. Value $1,000 Date MARCH 24 1988 Site Address 4272 SEQUOIA DRIVE OFFICE USE ONLY Lot _4 Block 2 Sec/Sub. EVERGREEN PARK On Site Sewage _ Occupency MWCC System _ Zoning Parcel No. On Site Well _ (ACtuap Const - a Name MIKE & JAN WATERHOUSE Ciry Water _ (Allowable) _ z Address 4272 SEQUOIA DRIVE PFV Required - # of Stories 3 Booster Pump _ Length a Ciry EAGAN phone 454-5434 Depth , o Name RALPH HANSON CONST. S.F.Total ~ Q Address 3679 UPPER 149TH ST Footprint S.F. ~ City R(1CFMntINT Phone 423-2009 APPROVALS FEES Engr./ASSess. Permif W Name ~ W Planner Sumharge ._-50.- AddfBSS Council PlanReview aw City Phone BItl9. OH. SAC, City - _ I hereby acknowledge that I have read this application and state thaf the Variance SAC, MWCC _ information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and Cit ot a a Drdina ces Water Meter Signature of Permittee Road Unit A Building Permit is issue B_A_LPH HANSON Treatment P1 _ on the express condition that all work shall be done in accordance wilh all applicable State of nMinnesota /Sta7tutes /and~~/C"""ity of Eagan Ordinances. Parks Building ONicial.~z'~_2~?SS3n_/t~ TOTAL 14.,.50- 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN / SINGLE FAMILY DWELLINGS I INCLUDE:2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE,: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL DNITS FOR SALE UNITS li OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COI+AIERCIAL INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS Mn MAR 23~ To He Used For: Valuation: Date: Site Address OFFICE U3E ONLY Lot 4 Block p~ On site sewage_ Occupancy MWCC system Zoning Parcel/Sub ~ On site well ' Aetual Const City water Allowable Owner PRV required _ at of stories Booster Pump Length Address " . Depth S.F. Total City/Zip Code Footprint S.F. Phone APPROVALS FEES Contractor Ql~~fcyh L<til~ Engr/Assess Permit oZy,DO Planner Surchargs ,50 Address Couneil Plan Review / Bldg. Off. SAC, City City/Zip Code Variance SAC, P1WCC. Water Conn Phone ~,513 y~[^Q j~. Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies - I _ TOTAL ~$o City/Zip Code 8hone IF ~ CITY OF EAGAN N? 16669 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # ^ ~ , 7o be used for Gl1RAGE ADDITION Esc Value $4, 000 Date JIJNE 19 1989 Site Address 4272 SRQI70IA DR lot 4 Block Z SeGSub. EVERGREEN PARK OFF~CE USE ONLY Parcel No. occupancy M-1 FEES Zoning R-1 W Name MIKE & JAN WATERHOUSE (Actuap Const V-N Bldg. Permil 64.00 ~ Address 4272 SEQUOIA DR (Allowable) -N 2,00 Ciry EAGAI'1 Phone 454-5434 xorstodes _ surcnarye Lengih _1D-1 Plan Review iF Name PICARD CONSTR[IC.TTON Depth 24~ SnGCiry a~ Address4222 33RD AVF 5 S.F.Total SAC, MCWCC City M7NNF.APOT.TS PhOnO 799-0599 S.F.Footprints - On Site Sewage _ Water Conn F W Name On Sile Well - Water Meter Addre5S MWGC System - qccL Deposit aw City PhOne City Water - PRV Required - SNJ Permil I hereby acknowlege that I have read [his application and state that the Booster Pump - Sy4 Sumharge iNOrmation is correct antl agrae to compty with a11 applica6le State of Minnesota Statmes and Ciry of an Ordina s . 7reatment PI SignaNre of Permitee ti- - APPROVALS Road Unit PICARD CONSTRUCTION Plannar - park Detl. A Building Permit is issu t: on Ihe express condi6on ihat all work shall be done in accordanca with all Couxil 1.50 applicable State of Minnesota StaWtes and Ciry, /oi Eagan Ordinances. OlQy, pff, _ Copies Building Official --LtNln A.YIA t1~ LI Varience - TOTAL 67.50 1 . ~ - 1989 HIIILDIBG PERMIT APPLICATION CTTY OF EAGAN i~ 4~ q SINGLE FAMILY DiIELLIAGS lII1LTIPLE DiIELLINGS CUTMERCIAL 2 SETS OF PL9NS 2 3ETS OF PLANS 2 3EfS OF ARCHTlECTURAL ' AEGZSTEIiED SITE 3IIRVEYS REGISTfiRED 3ITfi 30RVE73 - 6 SiBUCTQRAL PLANS : SET OF EBEAGY CALCS. (CHECH iiITH HLDG DIV.) 1 36T OF SPECIPICATIONS 1 SEf OF ENEflGY CALCS. 1 SET OF ENERGT CALCS. !lULTIPLE DHELLINGS BENTAL DNIT3 FOA SALE II11TT5 # OF ONITS BOTEt 1DDRES3ES FOB COAIQEA LOTS - CONTRACTOB/HOMEOWNEA !lQST DE4IGAATE iiHICH IDDRESS IS DESIRED. HO C8lNGES WII.L HE ALLOiTED ONCE BDILDING PERMIT I3 ISSQED.. SEWER 8 iiATER PEHI4IT FEES APD 1CC011NT DEP03IT FEfiS WII.L Bfi INCLODED iiTfH TBE BOILDINfi PERMIT FEE. PAOCFS3ING TIIME FOA SEi1EA lND A9TER PERI7TfS I3 TWO DAYS ONCE A PERMIT H6S BEEN COMPLETED INDICITING A LICENSED PLUFIDEA. ' PENALTY APPLIFS WfiEN= PERMIT IS NOT PAID FOR IN SAME MONTA IT IS REQUESTED. LOT CHANGE IS AEQUESTED ONCE PERMIT IS ISSOED. To Be Used For: C7 (TValuation: Date: • Site Address 4222- SE7~ !JO l!9 L/DOJ ~ OFFICE OSB ONLY -ot ~ Block Z Occupaney m - 1 FF_ES Parcel/Sub I~ER ~ T'AnK A ; Aetua~ Const ~-Id Bldg. Permit q.Q0 Allowahle K Surcharge Z. 00 Ormer ~Yq1VLN1t 0 of stories Plan Reviev Length 10 SAC, City Address SeGlllO t A Depth 2N SAC, MWCC S.F. Total Aater Conn City/Zip Code ,A-7 ~AA. Footprint S.F. Water Meter Acet. Deposit Phone On site aewage S/x Permit On site well S/H Surcharge Contractor p1 (ko CGN ,jNMCT/G'V MNCC 3ystem _ Treatment Pl. u City vater Road Unit Address ( ZLL- 3~~" ~}U. PRV required Park Ded. Booster Pump _ Copies , o City/Zip Code ML5. SSy06 sUB=OTAL lPPH0V9IS Penalty Phone 7hL ' G S LL- Planner _ TOTAL ~ Council Arch./Engr. Bldg. Off. Yarianee Address Citq/Zip Code Phone ll j/ALU~T1 rn~ T . ~s AR AGt . ~ ~vXS4 = Zyv# 'fi ~S= 3603 ~ , ~ : j w . ~ • . . , d3 IL WENSMANN CONSTRUCTION COMPANY 18801 SE'vley Drive BURN3VILLE, MINNE40TA 66878 Tdeuhone 890-7878 I / I ~ ~ 1 ~5 I/}~ ~ ~ • I I 7 \ I ~ / v O 2- 72,~. s't QUo/f7 CITY OF EAGAN N°_ 14 019 3830Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt# c To be used for ROOFING Est. Value $z ,$00 Date 2^ (-o`z-7 ,t 9 SiteAddress 4272 SEQtiOIA DR OFFICE USE ONLY Lot 4 Block Z Sec/Sub. EVERGREEN PARK on Site Sewage _ Occupancy MWCCSystem _ Zoning Parcel No. On Site Well _ Type of Const City Water _ (ACtuaq a Name MIKE WATERHOliS (Allowable) W # Of $tOfIBS ~ Address SAME Length 0 City Phone 5-5 3 Depth SF. Total ,o Name RALPH HANSON CONST FootprintS.F. oa Address 7 UPPER 149TH ST pPPROVALS FEES ¢ City ROSEMD[W Phone 423--2009 qssessments _ Permit $44.50 Weter/Sewer - Surcharge 1.50 ~a W W Name POiiCe _ Plen Review t i Fire SAC, City xa Address Engc SAC,MWCC aw City PhOne Planner _ WaterCOnn. Council _ Water Meter I hereby acknowledge that I have read this application and state 6la9. Off. _ Road Unit thatthelnformetionisCOrcectandagreetoCOmplywithallapplicable APC _ 7reatmentPl State M Minnesota Statutes an Ci of Eaga Ordinances Variance _ Parks Copies SignatureofPermittee ~ TOTAL $aF_nn A Buildfng Permit is issued to: RALPH HANSON CONST on the express condition that all work shall be done in accordance with all a ic State of M}rtPes a Statutes and City of Eagan Ordinances. 8uildiog Official ~ ~~9 1987 BDILDING PEAMZY APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLiTDE 2 SERS OF PLANS, 3 CERTIFICATSS OF SQBVEY, 1 SST OF ENERGY CALCQLATIOAS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOfiNER HQST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BDILDING PERMIT IS ISSIIED. MOLTIPLE DWELLINGS - RESIDENTIAL AENTAL UAiITS FOR S9LE UHITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVSY - CAECB iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ~JJ!~ 0o F',' To Be Used For: °'~V"" Valuation: D~ Date: Site Add/ress --~eyuc)iB ~~.OFFICE DSS ONLY Lot / Block On Site Sewage Occupancy MWCC System Zoning Pareel/Sub On Site Well _ Type of Const City Water (Actual) Owner ~R/~ (Allowable) ~J li of Stories Address y~ 2 2, ,rPy u o ip Length Depth City/Zip Code S/1X S.F. Total Footprint S.F. Phone ~yf r APPROVALS FSFS Contractor o~ Assessments Permit Water/Sewer Surcharge Sp Address ~,~lY r9 ~J~. Poliee Plan Review ,~-x Fire SAC, City City/Zip Code o 7a pd/9 Engr SAC, MWCC o Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOT9L .,nl City/Zip Code Phone li City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use /e'e s 7 Permit #: Permit Fee: Date Received: Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION / 3 Date: QC / lit / Site Address: f r i 3� '\ (Aj (, kj Name: rte+ Address / City / Zip: "?-;k7,-) Applicant is: Owner Contractor Unit #: Description of work: Construction Cost: ji 0 0 Multi -Family Building: (Yes Company: ! f 4.;(1,-1),7n r k' f7v 1 L Contact: J � Address: / ��`.C. City: S I491:1 / i State: �g�i Zip: fi License #:i =‘ c-/ Phone: Z1�" � lam/ s' `- S:: /rz Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State B ilding Code mus a completed within 180 days of permit issuance. 7 4 X ' ( ) Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT Permit Type: Plumbing City of Eagan Permit Number: EA106037 Date Issued: 08/08/2012 Permit Category: ePermit Site Address: 4272 Sequoia Dr Lot: 4 Block: 2 Addition: Evergreen Park PID: 10-24880-02-040 Use: Description: Sub Type: e - Water Heater & Water Softener Work Type: New Description: Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Crystal Cochran Comments: 7588 Washington Ave S Eden Prairie, MN 55344 952-835-7777 PL - Permit Fee (WS &/or WH) $55.00 0801.4087 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Pronto Heating & Air Conditioning Janice Waterhouse 7588 Washington Avenue South 4272 Sequoia Dr Eden Prairie MN 55344 Eagan MN 55122 (952) 835-7777 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. Applicant/Permitee: Signature Issued By: Signature PERMIT Permit Type: Mechanical City of Eagan Permit Number: EA106038 Date Issued: 08/08/2012 Permit Category: ePermit Site Address: 4272 Sequoia Dr Lot: 4 Block: 2 Addition: Evergreen Park PID: 10-24880-02-040 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) Comments: 445-2840 ME - Permit Fee (Replacements) $55.00 0801.4088 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Pronto Heating & Air Conditioning Janice Waterhouse 7588 Washington Avenue South 4272 Sequoia Dr Eden Prairie MN 55344 Eagan MN 55122 (952) 835-7777 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. Applicant/Permitee: Signature Issued By: Signature City of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: lortyi Permit Fee: too`-e- Date Received: Staff: 2013 RESIDENTIAL//PLUMBING PERMIT APPLICATION Date: 1/2i13 'Z (3 Site Address: 27 2 S' ei u O C CL,. i-3 Tenant: Suite #: Name: Wei .-A , $r:- Phone: Address / City / Zip: .$' Qo-iK.&__ Name: ( A!'1+°crG' vice' it License #: ! C! 7�/ PM Address: 7,2o f7 4 -CCE -C- Wax- e City: 4+ cfc 7 F'.& Zip: S3(1Ld Phone: Type of Work Email: 2C.CC-� ,fit k1 Gvlt� _ New _Replacement _ Repair Rebuild _ Modify �Space Work in R.O.W. ) e Description of work: l'sw L / l' - (� R;, f/rte [C -¢-v' RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / _ PVB) Septic System New Abandonment Water Softener V Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII 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.org 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. Pfvt r a -A -nee -K d' Applicant's Printed Name FOR OFFICE USE Required Inspections: Under Ground x 1�- Applica 's S' • nature Reviewed By: Air Test Rough -In Date: _Gas Test _Final City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: 1o1'-(2-' Permit Fee: 11 Z,31 -p Date Received: 1 �l l.P ' ( 3 Staff: 14 (1 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I Site Address: S V Unit #: Name: n4,71. LQ j 1k0 ,h1�. L Phone: t05 Address / City / Zip: 40 742 ` _ D f& Drive ety4. 711/0 .Ssl ZZ. Applicant is: \ Own X Contractor Description of work: OMR (.AVE L Al4Vvitk Ikon WZRagyv4ZF 'to(E L Construction Cost: 30,40, Multi -Family Building: (Yes / No )( Company bei4c ?f,tdCJ7171LJContact: U'417l 5 at li iii% Address: �h�"/ �"VIS�I Cil lid 4.2 -411)1' City:�6urn5v/ /le State: p1 i �" Zip: 55 2,1)1....0 % Phone: V ��d-`ff `3(.1 License #: be.201)LtEt5 Lead Certificate #: /1 AT — C% 3 b--1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Qo,ik !` 1( 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: 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.00pherstateonecall.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 S Building ode must be j pleted within 180 days of permit issuance. x 401r\r) j.Q•ri Applicant's Printed Name 714L Applicant's Sig lure Page 1 of 3 SUB TYPES Foundation _ Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Ai Alteration Replace Retaining Wall DESCRIPTION L(Z7z S DO NOT WRITE BEL Fireplace Garage Deck Lower Level Interior Improvement _ Move Building _ Fire Repair _ Repair Valuation 6p<.ci Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction 1131( J15 REQUIRED INSPECTIONS Footings (New Budding) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: __Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: OC) � (— THIS THIS LINE Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) — Pool Occupancy Code Edition Zoning Stories Square Feet Length Width RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant Copies TOTAL Final /03 z9~ G7 _ Siding Reroof Windows _ Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required _alFinal / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: ! Footings _ Backfill — Final Radon Control Erosion Control , Building Inspector /94(' 070 3c`Z= Page 2 of 3 C!ty of Etall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: ioligC 1� a� Date Received: -) ( 3 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ (CH/I � 1 '� P/L24' . Phone:&V Name: ��— Owner Address / City / Zip: ;L 2. (.{O P /� 174 l ' 4/0, : hiw1 5-57.2 Applicant is: Contractor Type of Work Contractor Description of work: �� c .-)7 pi/06- Construction Cost: Multi -Family Building: (Yes / No Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x /1lc'/I/1,e7 G-1-,66/14-)14), Applicants -Printed -Nam c Apotica gnature Page 1 of 3 Date: r City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use �'J qL'7Permit #: I: QG1 Permit Fee: Date Received: 73-1/,(3 Staff: rl` INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Tenant: Site Address: y - 71 uwtOL D Suite #: SID ° E N �REOWER�� a ., . r...-. Name: blk'tcdl(J� f -e Phone: Address / City / Zip:-, 44110;14400' A rajztk-#? Vg rl LL^h"'4 ♦+'z ,y ,� �O`yy4 i u ,act p.g+ N Name: (. eCtG 7`L�11' L f License #: a c �l kAddress: 1 h] v' t <P P (4 ...... City:frtia,t.4. ' ! State: 044A.. Zip: c rc)--U Phone: 6 rt- tis--` f" T'' - ci -7 Contact: /DA fr-e---- Email: PLUMBING (Within the building envelope) (Sump Pump Repair Other: SEWER & WATER (Outside the building envelope) Repair Other: DESCRIPTION Description of work: FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ U * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for'. reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.org 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 w ich requires a review and approval of plans. a944b T,t-r1ec Applicant's Printed Name FOR OFFICE U x Applic•J Signature Required Inspections: Under Ground Rough -In Final' r Use BLUE or BLACK Ink FOf Office Use _ - - / - Permit of Eap I tt#: V lL / I Permit Fee: b 3830 Pilot Knob Road I i 13 Eagan MN 55122 I Date Received: 1' 1 Phone: (661)676-5675 I I Fax: (651) 675-5694 1 Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: --.7 7 Site Address: 4-2-72 Unit Name: t K~ ' ~tni b_ w - A"~fz~ Phone: K f; RESIDENT / OWNER Address /City /Zip: 427Z~ ~r ~✓S S:!E~ 12-Z... Applicant is: Owner e, Contractor TYPE OF WORK Description of work K~~f / GJ~ vclc1 vS~~Y"~ Construction Cost: Multi-Family Building: (Yes / No Compar>t '-7y Z,4 C,)ru c,,uj Contact: cr>tf i Address: /46-Foe ~ aY-f£ C' Jr, 7 VAS '9` T ~ CONTRACTOR State: r11 "J Zip: ~Sf 2 4 Phone: 7~~ ^S`t + 3 License 'CCU Lead Certificate 7' If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _.No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions 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.aooherstateonecall.oro 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 it* 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 t6t, a Build Code must be completid within 180 days of permit issuance. \ r Applicant's Printed Name plicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA115760 Date Issued:09/30/2013 Permit Category:ePermit Site Address: 4272 Sequoia Dr Lot:4 Block: 2 Addition: Evergreen Park PID:10-24880-02-040 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 Valuation: 4,000.00 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 - Janice Waterhouse 4272 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 Use BLUE or BLACK Ink fr� rfiFor Office Use ir21 � Permit#: I 06�-�� '� l City of EaQaR Permit Fee: 7/. ` 3830 Pilot Knob Road RECEIVED j Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 JAN 0 9 2017 staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 01/09 7/7 Site Address: 1(1..,Z7 c2 S,6CP Lk o( 0< Unit#: Name: I'( l c_64-,09-hr K w AP j c,c(S r Phone: 667-4S�j/ ,5--5/fcf' Resit owner Address/City/Zip: '(4 .Oi C4&-df,t) Applicant is: Owner ' tractor Type Work Description of work: t�r TC/ i1i(/ 1�'‘�?d Q6�of Construction Cost:'e 1')j 0ccC) Multi-Family Building:(Yes /No ) Company: S Contact: Contrsactor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: /06n4- C1)+l c_o Cc_c c.t 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:Plans and supporting documents that-you submit are consideredlo"be PLINIO Information. Pott Of the information may be classified as non-public if you provide specific reasons that would permit the Cto conclude that they are trade.moots, 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.gooherstateonecall.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. x (C 414‘c., acP x Applicant's Printed Name Appl cant's Signature Page 1 of 3 LI21 - c\ --b( ,Lov1(0 . ,. DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 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 ,:it Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace — Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION do Valuation 8'0G0 Occupancy Z ti6 - / MCES System — Plan Review Code Edition 1 oi, SAC Units (25%_100%_4 Zoning Jt. / City Water Census Code y 3 if Stories Booster Pump #of Units / Square Feet PRV #of Buildings 4 Length Fire Suppression Required -- Type of Construction j[� Width — REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final I C.O. Required Footings(Addition) 4 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 '- Framing t/ 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS 4- Insulation 4 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: ff 7 ,Building Inspector RESIDENTIAL FE 3 Y 1., iit /y/re,i.,,..? /Z Alii 441-egi Zo 6gyO lfr- Base Fee /6 A 't27 Surcharge / IV0IS 9� Plan Review /05. S— ?3IAP ✓ MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies Q .j Q TOTAL /// Page 2 of 3 Use m:i_k. ,_;or BLACK Ink For Office Use "' • ��/ (� r-,7:: ''A' Permit#: /7/bib1 City Of Eapll Fee: 90,0-(-) 3830 Pilot Knob Road FEB 0 8 2012 Permit Eagan MN 55122 d-E--) Phone:(651)675-5675 Date Received: Fax:(651)675-5694 Staff: 60; /e - 2017 1 P r '•- AL PERMIT APPLICATION 0 Please submit two(2)sets of plans with all commercial applications. Date: "� 1 Site Address: 1 1' �Z 1% 'Lti� �� "� U L Tenant \111 , l..'J �'Y' \''\..........,,`..\.�., Suite#: Resident/Owner Name: \N"\:6--z- Ar',,.�C\ -\ t,1. Phone: ICSS� —37-4" / Address/City/Zip: `_N ..,EN'''--- .. GLS S\,k,9,...) Name: VNC X tt f IA Q.C., 1\(`.(A I (jt License#: Contractor Address \1 \A) 1T C, V .1i' t,._ 1. v"(i./ 1 City: )ALL>/ i /r 1 1 \ State: VV /- Zip: Ci, 77'7 7 Phone: 9_y------1 ,s-7--/-5-7 l </ - I Contact /�1 6 L .G t a' Email:t 4(..l 41:/I 4(14 /4 /Clt. L e h New I Replacement Additional Alteration Demolition �� ° � C f. Type of Work Description of work: 1 1/ hfi F f 0 s i'�t /1�4 G e /1 �i i, NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL —Furnace New Construction _Interior Improvement i Permit Type r —Air Conditioner I _Install Piping Processed i _Air ExchangerGas _Exterior HVAC Unit —Heat Pump Under/Above ground Tank ( Install/_Remove) X Other /1( [Gt Cta 'i c-c y f RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge 1) - 1 $100.00 Residential New, includes State Surcharge =$ '4, ; �' TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the onAinances 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. x l `� ,' l I L. Ittivi l 7/ t.-. ... --v.t: ,(''-'/('-' ApplicantsPrinted Name pplicant's Signature/ FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink For Office Use City of Eaall Permit#: /q/ 7r0 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 � ,�^� 2017 RESIDENTIAL f�PLUMBING PERMIT APPLICATION Date:(92/95—/2 Site Address: `�/ / ,2 CQ (it O Tenant: y] /� ( Suite#: Resist•d1 QW Ft Name:ry///1 24/C /. ..,w. VV 1"7L��(as'�. .. Phone: (2"' /2-Q1223 _ . rier Address/City/Zip {14 § Name: 110 ?7L2t/v1 `'l l6 V/ License#: �' 1 Address: l6 1/ ( 7 l /V / V' - �b City: / C Contractor ( 6'72- / n nt7 State:/ jr t/ Zip: -J� p Phone:` 72 (Xg2 6 �t t -i✓fy Contact 4/Q-C-- Emai.._,_.. IODCigypitp005- & T of Work —New Replacement Repair Rebuild odify Space ypDescriptionof work biC .y-�iVc -I çWorRo bockr✓// vc 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 st 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 plans. x /ePeC gaR4e1/ x Applicant's Printed Name A Milo Y t'-- • •-t. - FOR OFFICE USE Reviewed By Date: Require d Inspections tinder Ground Rough-In AirTest Gas Test Final Meter Related Items:: Meter Size Radio Read Manometer Staff � 7 1.07 E For Office Use .5`-"r1/- ; 09 ir1/ 0 9 2019 :::::ee: %�� S SJyMAY a-17- 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: buildinginspections(a)citvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: /114/k . Phone: �57"s% 5-Y TY Resident/ /77,_.) ` /�' 'tither Address/City/Zip: 4 i) 7� S& S OI 4 Applicant is: Owner Contractor Type t.Work .= Description of work: g?D CC4 / A C( �f/��uc.� Coo (-}L i 4/4 iz1 c - Construction Cost:2.T 7 Yc Multi-Family Building: (Yes /Noi ) � S%r 2 Company: (7O11c u0- 7�C' 7StS /v Contact: Poi,/ /�1 .-( aj 627) 7. Address: 8 eS /yaN'0 �7' City: � U Contractor State: /4/ Zip: 4-S-124-/ Phone:,moi S 2 -2/)--L)7PEmail: ir'n'`yciiel&c4CeP G-' License#: CO D g Certificate( Lead Cert cate#: If the project is exempt from lead certification, please explain why: (L/\ 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:Plans and supporting documents that you submit are considered to be public information."Porfions'of the information may be classified as non-public ifyou provide 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.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 permit s of 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.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�lans. X WO 1.1 P12..yATE L X j7�-,-� RtriA(../ Applicant's Printed Name Applicant's Signatur DO NOT WRITE BELOW THIS LINE LO-7,9-1 J�, JU S5 SUB TYPES 0 _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family) - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi) — Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool AccessoryBuilding WORK TYPES — New _ Interior Improvement _ Siding _ Demolish Building* — Addition _ Move Building _ Reroof _ Demolish Interior — Alteration — Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage — Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation a/ L' Occupancy -X(2.C- Z MCES System Plan Review Code Edition /11Ng.L,Z9,S SAC Units (25%_ 100%4) Zoning 9-4 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 6 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final 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: V E1,- �y)..�LG , Building Inspector RESIDENTIAL FEES Base Fee 1!i.4.!%; _ +%- ., Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA166180 Date Issued:12/17/2020 Permit Category:ePermit Site Address: 4272 Sequoia Dr Lot:4 Block: 2 Addition: Evergreen Park PID:10-24880-02-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Michael R & Janice A Tstes Waterhouse 4272 Sequoia Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature