4287 Sequoia Dr . ~ . . . ti.-~ a. . . . . . , ,
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: SEQUO SA DR I V'~ pHONE: 454-8100 For Office Use Only:
DMUNIXX Site Address
r) ~ BLDG. TYPE WORK DESCRIPTION
Lot -_-i Block Sec/Syb Res. _VL_ New
m Name 13U .1SVII.LE rEATING Mult Add-on Ix,
Comm. Repair
Address
Other
c City Phone
BBRDURL INGAME FEES
Name RES. HVAC 0-100 M 8TU -t24.00
c Address 4~ 8 7 SEQUO XA I)R T~~r' E ADDITIQNAL 50 M 6TU - 6.00
p City Phone ~ ~ (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE QF WORK CQMM/IND FEE - 1gfi OF CONTRACT FEE
ForCed Air M BTU APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADd-QN &
Unit Heater M 8TU $ REMODELS - 12.00
Air C~nd. ~ M BTU $ MINIMUM CaMMERCIAL FEE - 20.00
STATE 5URCHARGE PER PERMIT - .50
Vent CFM R (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYaND $1,000)
Other ¢
FEE • .
SIG O EE
SfC: TOTAL FOR: CITY OF EAGAN
~1.... . . . . . . . . . _ . . :
INSPECTIQN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: `+C. ~
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS• 11 1 1 ' APPLICANT:
'
. I c?uf?I A 1aft
i:,,l~l ~ ~.a E.,,,, ~ r ti~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
:;.~r.~
IiF 14d1I; I 0 1; 01 iaA m A441, 1 4 1
~ . . . ~
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Commente
FOOTINGS
FOUND
FRAMING
HOOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
Alfi TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDQ FINnL
BSMT R.I.
BSMT FINAL ,
DECK FfG
DECK FINAL
CITY OF EAGAN Remarks Sew COriri pd on 1-13-70 Wtr on t~- = 1_12_70
Addition Erergreen Park Lot 2 Rik 3 Parcei 10 24880 020 03
Owner Street 4287 Semoia Dr. _ State F oan.,MN ~-ri~122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 175.00 8.75 20 1
SEWER LATERAL
S2W C OI7Y1 1
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 230,00 2119 1-12- 0
BUILDING PER.
sac 2 0.00 7272 1-15-73
PARK
G~ 15106,GA)
Requ t Date FiTe No. -ininspection
? equireG? ? Reatly Now ? Will NMify Inspedor
? Yes ? No When Featly?
I k nsed contractor ? owner ereby request inspeciion oF above electricai work at:
=or Ciry Range No. Courity
L~ ~ plione ~
Power Suppliar Address
Eledrical Contracior (Company Name) ConV r5 Lice e No.
da
Ma4
14540 NNOCK LA.1VE
j4'pft(2"4V~`~~,"='S5124 PhoneNUmbar
A°t'°`z8d
MINNESOTA STATE BOAFO OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - Room &193 BE AGCEPTED BV THE ST4TE BOARO
1821 Unlveraily Ave., St. Peul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phone(M2) 642-0800 ENCLOSED.
B~QUEST FOR ELECTRICAL INSPECTION eaaoomu7
?~See insiruc4ons tor completing ihis form on back of yellow copg
r- 15106 •X° Below Work Covered 6y This Request
ew Add Rep. TypeolBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryei Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Olher (specity) Contrac[or5 Remarks:
Compute Inspection Fee Below:
# Other Fee # Se iceEnfranceSize Fee VAbove Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 70o Amps
Transformers Above 200 _ Amps 700 _ Amps
Signs inspeci«suseomy: TO p
Irrigation Booms I ~~ffii ~ J
Speciallnspection
Alarm/Communication ~
Other Fee
I, the ElecVicai Inspector, hereby Aouyn-m - oata
P~
certify that the ahove inspection has Final e r,
been made. Z;.
UXX~
OFFICE USE ONLY
This reQUeat void 16 rtwnths Irom
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 2' ! C.:~-- f
Site Street Address ~ Unit #
Property Ownl~~~5' P~ Telephone #(~j~ 5~ S'~i~-7CJ 7
aR Y e y
Contractor Telephone#
Address City P//L P. State I~ Zip
The Appiicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
-WaterTurnaround (add $121.00 if a 5/8" meter is required)
Other:
~ Water Softener _ Water Heater $ 15.00
replacement _ additional
Lawn Irrigation System RPZ_ new _ repair rebuild $ 30.00
StateSurcharge $ 50
U 0
LTotal gy ~ZOQq 0 $
I hereby apply for a Residential Plumbing Permit and acknowledge t ' formation is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
~ ~ 41 eYe / 2 ?zj le,~)
ApplicanYs Printed Name ' A plicanYs Si ture
2000 FIREPLACE PERMIT APPLICATION
J~J77
I I CITY OF EAGAt~(
3830 PILOT KNOB ROAD - 55122
651 5814675 ~ 6o 5 0
Date: l VU~ C/
Description of Worlck ~ Construct new fireplace tl-Gas _Masonry _ Alterations to existing
_ Install Qas insen onlv _ Install gas line onlv
Other
a
Job address: y~ V e,
Lot: ~ Block: Subdivision/P.I.D. Y Y YfC V1 r k
Applicant (circle one only): Owner Contractor Permit Fee: $60.50
Name: 9 L4 lt` I I vi ri m 0~ Phone "`7O~-
PROPERTY Last First
OWNER Street Address: 7 p~ r9 2 Je qu !/r I Vta;
City (`,t State: g 1/ ~ Zip:
~
e#: 1~.~2-h22:iZJt-.
Company: Ei Iy.SIIK ~ eC7rlj ~}e` '~PPhonk
(area code)
FIREPLACE
INSTALLER Street Address: o 1/! tl)
City ~J1 rjd . ~ \ l( 16 State: ~ Zip:
Company: Phone
(area code)
GAS LINE
INSTALLER Street Address:
City State: Zip:
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 Statute and City of agan Ordinances.
f
Signature
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repair p 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected 6efore concealing.
~
~
EAGAN -T011VNSHIP
BUILDING PERMIT N° 2181
Ownex p'".... ~.'.`:'."-'-°.'...~.....i..-_-_.___-_ _ Eagan Toanship
Address (preaent) .I..3_.8~./._....a~!..^..%4r.,.....~:.Towa Hall
Builder J
Date
°
Address
DESCRSPTION
Siories To Be Used Fos Froa! Depih Heigh! Esi. Cos! Permit Fee Ramarke
' • ~a~ i v a e-•-e ~ 7• I
,F,.,~` ~ /o LOCATION Slreef, Roa or olher Descripfion of Loaalion I Lo! Slaek Additioe os Trac!
''Sq Y '7 ~ a- 3 ~'•^-~-y~-~-~- Q•....tiJ -
O
This permit does nof aulhon e the use ot slreeis, roads, alleps or sidewalks nor does it give the ownez or his agani
!6e right to create anp situation which is a nuisanee or whieh presenfs a hasard !o the health, safety, coaveniance and
general welfare !o anyone in the eommunilp.
THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGR SS.
This ia !o eertifY, ihal..:---- has permission !o ereei a-_ . ..........upon
the above described psemise subjeef 2o the provisioas of the Buildin4 Ordinanae for Eaga Township dopled April 11,
1955.
Per ~~.gr.s.....-~:S.t°---~
'.~-:..._.1..`.t..-`.._^.^....._.-"....L....
Chaizman of Tnwn Board ~ Suilding Inspeefox
c. - 0-
PERMIT .
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u r Lo i NG
Eagan, Minnesota 55122-1897 Permit Number: 027796
(612) 681-4675 Date Issued: 0 6/ 0 5/ 9 6
SITE ADDRESS:
4287 SEqUOIA DR
LOT: 2 BLOCK: 3
EVERGREEN PARK
P.I.N.: 10-24880-020-03
DESCRIPTION:
(SMED) .
Suilding "'Permit Type GARAGE/ACCESSORY
!8utlding W`ork Type REPAIR
,~'jcensus Code ~ 328 OTHER NONRES.
,
,
{e 4
1 ~t (
y
2.~.-.-•Y'_="`.`. i~ ~-i
REMARKS:
STORM pAMAGE - NO FEE
FEE SUMMARY:
CONTRACTOR: OWNER: - Applicant - .
BURLINGAME EDWARD
4287 SEQUOIA OR
EAGpN MN 55122
(612)459-7074
I hereby acknowledge that I have read ~thie application and state that the
inf"brmatfon"is co:rrect'8nd egree to eotnply with ti1l applicabls state pf Mn.
~ Statutes ano C,ity of Eagan Qrdinances. ~
APPLICANT/PERMITEE SIGNATURE I SUED BY SIG TURE
x7149 CITY OF EAGAN 4tc 3830 PILOT KNOB RD - 55122
L 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Naw Construction Reauirements HemodellReoafr Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies ot plans (inWUda beam & window sizes; poured fnd. design; elc.) ? 2 site surveys (exter'ror addMons & decks)
? 1 energy cakulalions ? 1 energy caieulations tor heated additions
? 3 copies of tree preeervatfon plan 'rf lot plelled afler 711193
requlred: _ Yes _ No ~
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: I y,~ F 7 5-,~F Q
LOT G BLOCK ~ SUBD./P.I.D.
~~fd
PROPERTY Name: ~ Phone ~f~ y ~07y
OWNER i1R5T
Street Address, ~O? gJ s~ 4~'`0 f'~
- City: State: Zip:
CON7RACTOR Company: Phone
Street Address: License
City: State: Zip:
ARCHITECT! Company: Phone
ENG(NEER
Name: Registration
Street Address:
C+ty: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and Iot
change are requested once permit is issued.
1 hereby acknowledge that ( have read this applicaHon and state that the information is correct and agree to comply with atl
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
OFFICE USE aNLY
• ~
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
32 Addition jr 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MClWS System
(Allowabie) Main level sq. ft. City Water
USC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft, PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 3"4 ~
Depth Footprint sq. ft, SAC Code b I
Census Bldg
Census Unit O
APPROVALS
Planning Buiiding Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License G'+
MC/W5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SN11 Permit
S/W Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
aner
Copies
Total:
% SAC
5AC Units
~
]OO
39'
t-,
~
~
~ Z
Cf~
G vR ~ Grs.1E
da.rk ~/Z_
Z~7 f~FO
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # 9/ ~
MOA~~N..~~aO,..~r.~,,.~,~,~.,..,~.,~~.~,'•:~ DATE:
"5 PLEASH COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACfl UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTORES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: ~I MM EOM _ KITCHEN SINK 3.00
4287 W= IR OR 14E _ LAUNDRY TRAY 3.00
SITE ADDRESS, EFOU1 , 55123 HOT TUB/SPA 3.00
i H 434-707$ N L WATER HEATER 3.00 3•~v
LOT: ~ B, .3 1)5'uZ~~^- FIAOR DRAIN 3.00
- - GAS PIPING OUT.
INSTALLER: _ (MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
ADDRESS: OTHER
, " . WATER SOFTENER 5.00
CITY: FAIoj~T!~SOTA :i,.-..,. pRIVATE DISP. 15.00
U7 = ° 827U.G. SPRINKLER 3.00
PHONE
/ SUBTOTAL an
OZCL2~~j ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: S /S.s?)
PLEASE COMPLETE THIS PORTION FQR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH
DWELLING UNIT.
_
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FQR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
EAGAN TOWNSHIP
3795 Pilot Rnob Road
St. Paul, Mianesota 55111
Telephone 454-5242
PERNffT FOR WATER SERVICE CONNSCTION
Date: January 13, 1970 Number; 401
Billing Name:Wenamann Construction Site Addresa; 4287 Sequoia IIrive, Ebergreen Pk.
Owner: w n m„n Con4. uclion Billing Addxeas $ g7 nuoia iv
P1umber:Wenzel Plumbing & Heating. Inc.
Location of Coaaection Meter Size-_ Coanectioa Chg.230.00.:od 1/12/70
Meter No 5o 6 4P Permit Fee 0 •~~/~e
4~;,, -
Meter Reading//ypOm Meter Dep.
Meter Sealed: Yea Add'1 Chg.
NO Total Cbg.
~ Inspected by
Date
JBIdi!ng is a: Remarka:
Residence xx
24uitiple So. Units
Comnercia 1
Irtdustrial By:
Other Chief Iaspector
In consideration of the isaue anul delivery to me of the abave permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulatioas of Sagan Township, Daicota County, Afianesota.
By:
Wenzel Plumbing & Heating Inc.
1955 Shawnee Road, St.Paul 55111
Please notify the above office whea reedy for inspection and connection.
. ) ,
f
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephoae 454-5242
PERMIT FOR SBWER SERVICE CONNECTION
DATE: January 13, 1970 NUMffiER55o
OWNER• Wenemann Conatruction [ddrese 4287 Sequoia Drive Evergreen Park a_ 3
PLUMBER Wenzel Plumbing & Heating qypE OF PIPE Cast iron
DESCRIPTION OF BUIIA ING
Industrial Commercial Residential Multiple Dwelliag No. of units
xx
Location of Conaectiona: Connection Charge -0-
Permit Fee 7.50
Street Repairs
Total
Inspected by:
Date
Remarks•
By.
Chief Inspector
In consideration of the issue aad delivery to me of the above pezmit, I
hereby agree Co do the proposed work in accordance with the rules aad
regulationa of Eagan Tormship, Dakota County, Minaesota
By
genzel Plumbing & Heating Inc.
1955 Shawxiee Road, St. Paul 55111
Please notify when ready for inspection and connectioa and before anq porCion
of the work ia covered.
i
~
EAGHN TOWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SBWER SERVICE CONNECTION
DATE: I//-3 170 NUMBER
OWNER: `~ur.L J ( dresa 44F yt,sGC~~~
PLUMBER TSCPE OF 2ITH
DESCRIPTION OF BUIIDING
Industrfal Commercial Residential Multiple Dwelling No, of units
Location of Connections: Connection Charge
Permit Fee 2••11
Street Repairs
Total 7' jZ,
Inspected by:
Date
Remerks•
By.
Chief Inspector
In consideratioa of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan lbcroship, Dakota CounCy, nnesota
. & HTG. I .
1955 SHAVJ1EN. 55111
---Zj-Pf' dLr
Please aotify mhen ready for inspection and connection and before any portion
of the work ia covered.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115923
Date Issued:10/01/2013
Permit Category:ePermit
Site Address: 4287 Sequoia Dr
Lot:2 Block: 3 Addition: Evergreen Park
PID:10-24880-03-020
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
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Edward C Burlingame
4287 Sequoia Dr
Eagan MN 55122
Tradition Roofing & Exteriors
1032 Cleveland Ave S
St. Paul MN 55116
(651) 325-1548
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink �
r-----------------� �
1 For Office Use � �
, /�� 7� � �
� � ,�j��V� � Permif#: � �
��� �� ''""'^ �� I Permit Fee: C!� . � �
� � JUN 13 2014 � � �
3830 Pilot Knob Road � `
Eagan MN 55122 i Oate Received: � � '� � �
Phone: (651)675-5675 SY' � i
I Staff: r:
Fax: (661)675-5694 �_________________ �
2014 RESIDEN�IAL-PLUMBING PERMIT APPLICATION
�/ L,� t
Date: �� �% Site Address: I ��� � �1�. � '�
. ;�
Tenant � v�-� :\� �ti-+ 1 '�. suite#• I
�� . .._ . �! �
' � �O� I- s���167(� ` .
Name: '� �-� 11`1 ` �R.-,��: Phone: 1 r �
� ��������`��' �
� �a�� ' �� . �,� �s � aa- �
; Address/City/Zip: ':
� .. . . . _.�,,-,
�,. ,� ...�,�..�.. . . . .
Cr�i�c � :�
` Name:
S� License#:___� / W l., � :
� w. � f
�;; Address: �• City: I T'�C.� J�� { �'
�������" l �) ' ��
` � r � State: t_�Zip:��1 0 � b Phone: �� t`—'-[ I �� V —I '"t / ;; ;'
t �� � t
F� Contact: � Email: ����X � � t.cTT. 's #
��.� �
� �
� 3 � �
. , � :
� .�.��,�,���� _New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. � ,�
�
� �
4
� _ ' s;;,j:-: Description of work: �
�� • � . . a ..,., �.:
, ,
� ' � ` �, RESIDENTIAL p �
:s ,. ,:.,._.
.
� ��.v::=;�r;. � �
` � Water Heater � � � ��� �;
s ����� � �Water Softener � �
" a
� ; Lawn 1r�rgallort(_RPZ/_PV8) �
� ������,���$ Add Plumbing Fixtures�Main/_Lower Level) „
Septic System �� ;
� � , : � _NeW Water Tumaround C =
� " ,�
. Abandonment a
�,-,:a,���it'�.c�:`�4ron'''.��,—. . . �.,�a.eaP . . , _ . . � �,:� .��,.—�.-.,, .:.�-.y
RESIDENTIAL FEES: ;4
� $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) �
�
$60.00 Lawn It'rigation(includes$5.00 minimum State Surcharge) �
$6£�.6f0��� P���Si��F's�ure�, �°t�������#e!t!�Rb��►��t?!�t°r�t,1�►.►►�fer T�rn�rot!nr�*(includes$5.00 State Surcharge) �
*Water Turnaround(add$200.00 if a 5/8"meter is required) �
$115.00 SeptiC Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �(`1 �(\ �
TOTAL FEES$ � , v R�
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.aopherstateanecall.org
I hereby acknowledge that this irrformation 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 rrot to start without a permit;that the work will be in
accor with the approved plan in the case of work which requires a review and approval of plans.
b� x J�� S nb �
X . C�'1 C� �e,�
App icant's rinted Name Applicant's Signature
- - - - �����
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168486
Date Issued:04/22/2021
Permit Category:ePermit
Site Address: 4287 Sequoia Dr
Lot:2 Block: 3 Addition: Evergreen Park
PID:10-24880-03-020
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Edward C & Doris Burlingame
4287 Sequoia Dr
Saint Paul MN 55122--184
Plumbing West
23248 Walden Ave
Hutchinson MN 55350
(320) 587-0300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174781
Date Issued:02/22/2022
Permit Category:ePermit
Site Address: 4287 Sequoia Dr
Lot:2 Block: 3 Addition: Evergreen Park
PID:10-24880-03-020
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Edward C & Doris Burlingame
4287 Sequoia Dr
Saint Paul MN 55122--184
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177906
Date Issued:07/25/2022
Permit Category:ePermit
Site Address: 4287 Sequoia Dr
Lot:2 Block: 3 Addition: Evergreen Park
PID:10-24880-03-020
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Edward C & Doris Burlingame
4287 Sequoia Dr
Saint Paul MN 55122--184
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature