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4296 Sequoia Dr
CITY OF EAGAN Remarks WtY' COT1Y1. pcj., 11-3-70 Addition FvProraPn Park _ Lot 1 Rlk 2 Parcel 10 2 G880 010 02 bwner Street--4296 SG'QUo1c1, DT'. 5tate Eagan,MN 55122 Improvement Date Amount Artnual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ~01 197-1 175.00 8 2 SEWER LATERAL ~ WATERMAfN WATER LATERAL WATER AREA STORM 5EW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 2962 11 -1 - 8UILDING PER. SAC PARK 2004 RESIDENTIAL BUII,DING PERMIT APPLICATION St rJ 0 00 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 _ New ConsWdion Reauirements RemodeVFieoair Reaulrements Oe Use~Oriiv 3 registered site surveys showirg sq. ft of lot, sq. ft of house; end II roofed areas 2 copies oi plan Cert ofSurve4 Recd 1~ = F7 (20% maximum lol coverage allowed) 1 set o( Eneigy Calculalions far heated addiGOns T~C Pres Plaq Recd 2 copies of plan showing beam & window sizes; poured found des'gn, elc. 1 stte survey far additions & decks 7ree Pres Required _Y N lsetofEnergyCalalations Additiun-indkateifon-sitesepticsystem On_ssite,Septi~Slem_~__=Y=._t1 3 copies of Tree Preservatlon Plan rf bl platted after 711193 Rim Joist Defail Options salection shcel (bldgs wiN 3 or less un'tls Date Construction Cost Site Address qZ q,6 s~BY,LrJ ( al Y' UniUSte # Descriptiono[Work 190l060 U'a r0'~-eP/HP~~ ~ Multi-Family Bldg _ Y _L(, N ~ Fireplace(s) _ 0 2 Property Owner gO 5e S-(J B !v 06A Telephone # //Sd Contractor L-4L1'Llre?'4 ~XP&!/'(Olr fYANe)S / / Address a1tV'U/eW City li(~(p state MIA ziP SS //3 Telephone # 9~- 36 30 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission rype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone Sewer/Water Contractor Telephone . ~ ~ I hereby apply for a Residential Building Permit and acknowledge that the informarion-is% -complete-and-accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pemvt, but only an application for a petmit, 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 appmval of plans. ApplicanYs Printed Name ApplicanYs Signature OFFICE USE ONLY 5ub Types 7 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt- SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gaze6o) ? 36 Muiti Misc. ?,OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ' ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alterafion ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire 81dg) - Give PCA handout to applleant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings(deck) _ Final/No C.O. _ Footiugs (addition) _ Plumbing Foundztion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building inspector Base Fee 7~- Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Totai V'~ RESIDENTIAL 55'~3 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 /~9 d1~S New Conetrudion Reaufremente RemodaURepair ReuuiremeMS • 3 registered sile surveys showing sq. ft. of lot, sq. ft. of house; and all roafed areas • 2 copies of plan (20 % maximum lot coverage allowetl) • 1 set of Enetgy Calculations for heated additions • 2 copies of plan showirg beam & windax sizes; poured found design, etc.) • 1 site survey for extedor additions 8 decks • 1 set ot Energy Calculations . Indicate if home served by sepGC system for addifions • 3 copies af Tree Preservafian Plan if lot platted afler 7/1193 • Rim Joist DeUil Opfians selection sheet (bldgs wdh 3 or less unAs) DATE VALUATION 000 SITEADDRESS -Q~qt'G''lt'0. MULTI-FAMILYBLDG _Y A"'N TYPE OF WORK T~ O- Ae/r~_P FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 41eSiurr. Rwf_.n STREEf ADDRESS 417= ! 37l'/9ce o? CITY r(STATEJWZIP 15SYyI TELEPHONE # CELL PHONE # 6Ca 2W`t(a.55 ~Fax # PROPERTYOWNER 12~ &OpdA _ TELEPHONE# E'SI"yS7~-~/SO COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNES01:A RULPS 7670 CATEGORY I MINNLSO"I'.K RULk:S 76721 (J submission type) • Residenfial Ventilation Category 1 Worksheet Submitted • r. New Ene gyo i,Wuo[~c,sheetJSubmitted • Energy Envelo0e Calwlations Submitted S ~ C Plumbing Contractor: Phone # gY Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heatcr No. oF R.I. Badis No. of Baths Mechanical Contractor: Phone # Mcchanical systcm includcs: Air CondiUoning Fce: $70.00 _ Hca[ Rccovcry Systcm Sewer/Water Conhactor: Phone # I hereby acknowledge that I have read this application, state that the information is corcect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5(gnature of Applicant OFF'ICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY 0 01 Faundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 E#. Alt - MuIG ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Poroh (screened) 0 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plhg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (FoundaGon) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• 0 43 Reroof ? 46 WindowslDoors O 34 Replacement •Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) FinallNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Suppiy 8 Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , r TOWA! OF TAC}AN , - 3795 Pilot ISnok Road st1 Faul; Minnc 5511 1 PEHIdIT NO.: : 61 The Board of Supervisore hereby grante to Kleve tleatin&.d Air Conditioning ef rdenPrairie, t•finnesota ~ a Heating__ Permit for: (Owner) 14ensmann Construction _ at 4258_and oSequoia Drive pursuant to application dated Ueeember 4, 1970_Y, _ Fee Paid: $20.00 each Dated this 7th day cf December ~ 1970 , fioEal- ~Building Inspector y ^ ~ ~ ~G z S! lJ Ji~~'~ /'a~'.C ? ~ TOWN OF EAGAN 3795 Pilot Knob Rcad st: Paui; IvUrm: 551 11 PERNIIT NO:: 67 and 68 The Board of Supervisors hereby grants to W_enzel Plumbing d Heatinp Inc, nf 1955 Shawnee Road, St. _Paul 55111 a PLUMBING ldensmann Permit for: (Owner) at 429b_Se.qu,.^<.,~-n_~T_.._. pursuant to application dated December 8 1970 Fee Paidi ~$20..QQ,gaGh_ Dated this $th day op December , 19 70, $40,00 Paid Building Inapector i , . . ~a EAGHN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55I11 Telephone 454-5242 PERMIT FOR SEW&R SERVICE CONNLCTiON DATfi• November 3r 1970 NUMBER 662 OWNER: Wenamann Construction Address 4296 Sequoia Lot 1, Blk 2, Ebergreen F'k.. PLUMBER Wenael TYPE OF PIPE Heavy Cast Zron DESCRIPTION OF BUITA ING Industrial Commercial Residential Multiple Dwelling No, of units x Location of Connectiona: Coaaection Charge -0' Permit Fee $10.0 0 Stree[ Repeirs Total Inspected by: Date Remarks• By. Chief Inspector In consideration of the issue aad delivery to me of the above pexmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Sagan Towmship, Dakota Countto Minaeaota H ~ Wensel Plumbing & Heating Plesse notifq when ready for.iaspection aad coanection and before any portioa of the work is covered. \ i ~ • EAGFN TOWNSHIP 3795 Pilot Rnob Road St. Pau1, Minneaota 55111 Telephone 454-5242 PERMIT FOR WATER SIIRVICE CONNECTION Date: November 3. 1970 Number: 496 Billing Name: Wensmann Construction Site Addrese:4296 Seouo;a 1-2 F.vQrerean Park Owner: Wensmann Consjkruction Billing Address P lumber • Location of Connection Meter Size Coauection Chg. 260,00 pd 11/2/70 a~is~qo`~ Meter No. Permit Fee /o,Oe ~C~ ~~~So I7 U Meter Reading Meter Dep. Meter Sealed: Yes_ Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence Xxx $25.00 RE-INSPrCT(Qr"d 24ultiple xo. vnitg NIPROPERLY I0STA? LE0 METl,Rs Commercial Industrial By; Other Chief Inspector In conaideration of the issue aad delivery to me of the above permit, I hereby agree to do tlm proposed work in accordance with the rules and regulations of Eagan Township, Dakota County; Minnesota. Please notify the above office when ready for inspection and connection. o~v, ,O Jlily 6, 1990 ~`~~•AJ w~ Mr. E. J. VanOverbeke City Clerk - City of Eagan 3830 Pilot Knob Road Eaqan, Mn. 55121 Subject: Special Assessment - Project #1OP466 Dear Sir: We, the undersigned, 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 helieve 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 Pronertv Descrint on Zl 1 ~C: 6- 40zt"-~' i0 /v- a`~p~o=vso-va- ~ b,jo- a dL 6qs~~~o - oaa - oa qoe S /•~'~'~"i~? r v y``~~ _ caf'~ ~Ov 75PU /1~,a~ d& 070- DD yo0 - ro_ t / ~ zlc~oQ~~ -o ~t-OA ~i _ S -0Z ~ ~ ~'b ~ • ~ EAGAN TOWNSHIP ~ BUILDING PERMIT 2339 Ownex ~...uu. . . Eagan Townahip . _ Address (Presenf) Town Hall Builder 7 Dale .....F ..............a Addreas DESCAIPTION Sloriea To Be Uced Fos Fsoa! Depth Heigh! Eet. Coa! ~Permi! Feel Remarke d LOCATIOH S rssl, Aoed oe lhee eaerlpiion o! oealioa I Lo! Sloak AddllSoa u Tsae! T6is permit doea aot aulhorlsa the uee 'of etseels, soads, allaps or sidewalln ao: doas !t glve J !he owasr or h!s agen! !he rlght fo create any siiuallon whieh fa a auisance or whieh pseseals a hasard !o the heellh, eafelp, eonvenfance and genaral welfere !o anyone in SLe oommunilp. THIS PEAMIT MUST BE KEPT O1Q THE PRE SE WHILE THE WORK IS IN PAOG S8. This is !o aerrifp. !Hal. ~.f.~.:..~::t.^.-.r~.^.~:.... --_--._---------has parmission !o azeet a ...._.w.~x-X.... . _ . . . ........_upoa !he above descrihed premiae subjec! !o !he provisions o! !he Building Ordinanee for Eag Townshisradoyfad Apsil 11, 1955. ~ . . Pex maa o Tnwn Boazd ,6 4 Building Inspector l ~ ~ ~ 91D ~ ~ o ~ ~ . ~ Q ~ii ( o , G ~ ) ~ km COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS • ' PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ~ ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ~ COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY -WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ~ REIhSPECTION REQUIRED DATE OF REINSPECTION • REINSPECTION REVEALED CERTI FICATION -1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specificacions, and any specific require- ments for off-sice improvements relating to the property inspected. F-I ALL IMPROVEMENTS ACCEPTABIY COMPLETED BUILDING INSPECTOR OATE COMMENTS: • z~ MASTER CARD • LOCATION ~i P• / OWNER G? STRUCTURE AND LAND USED AS ~UJ~ I Issued To Permit No. Issued Contrattor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER ~ ~I 3 OTHER V OTHER I • Approved Items (Initial) Date Remarks Distance From Well FOOTING ~ SEPTIC . FOUNDATION ~ CESSPOOI FRAMING TIIE fIELD FT. FINAL ELECTRICAL HE.qTING DEPTH s OF WELL GAS INSTALLATION S SVTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER t . Violations Noted on Back COMMENTS: zow RESIDENTIAL BUILDING rERMiT nerLicnTioN ~ City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 ~ Tetephone # 651-675-5675 FAX # 651-675-5694 Nex'C°^shd°^ Rmuirewnts RenqdelReoah Reauirements J reBistged sife surveys showing sq. ft. M lot, sq. ft of house; anda0 roofed areas 2 caples of plen slwrlnqj footings, beams, jokls (20%^axim'm lotcmq° ellowed) t sel N Eirergy CalcuWtions la heated additions 1 Sods Reppt dpropobeG bmldmg IslO be placed an disWAled sdl 1 site survey fw atldillons 8 decks ~yo, 2 capies d plan showiig b~n 8 wiMaas¢es: qwretl found Oesign, etc. Addrtion • ir~cefe Non.slfe sepfk syslem A o 3 c~les M T~CPrese~va5on flai H lot plaGed after 717193 Oi~alt~`R . .,~~~7.._„ . Pom JdslOetail Optlans sdection shee} (puildings with 3 or less unils) A5me9esco medwtical venbla6on faim Plans are considered ublic information unless ou state the are trade secret and the reason. Datel-/ C 1 o'?- ConstructianCost v~J Site Address 7R~~ A_ 2• UniVSte # Description of Work I ,-P (A CC hl?+ D J Malti-Family Bldg _ YXN Fireplace(s) _ 0 _ 1 _ 2 PropeKyOwuer IGDse- -,;UdkO) A Telephone#(4S1) Contractor 1.7Q1A~ L1tjLA S W)Wd ~>N ) "Co. Address n!~{•` A~ R. City ~4- )(P State ` V Vv Zip SSl2 Telephone k(OKZ )~7 t-360- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category , Residerrtlal Ventllation Cetegory 1 Worksheet • New Energy Cotle Worksheet (Jsuhmisslanrype) Submitted Submitted • Energy Envelape Calwlalions Submttted In ihe last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, daTe and address ef mazter olan: _ i Licensed Plvmber Telephone ) Mechanical Coniracfor Telephone # ( ) Sewer/Water Coniractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pertnit, 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 approv lan i work which requires a review and approval of plans. fl ,~~,.i To rt,IL Al 4a.t -F Applicant's Printed Name Appl 's igna1~, re V.. DO NOT WRITE BELOW THIS LINE Sub Tvnes ? 07 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool O 02 SF Dwelling ? OS 0&plex ? 16 Fireplace ? 21 porch (3-sea.) ? 31~ E~Alto Muttlg O 03 Dtof_plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM.AIt-SF 0 04 02-plex ?10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) O 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 06 04-Plex 13 12 12"Plex ? 25 Miscellaneous Work Tvnes F 31 New 13 35 Int Improvement ? 38 Demolish Interior ? 44 Sitling 0 32 AddiGon ? 36 Move Builtling ? 42 Demalish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Oemolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolltlon (Entlre Bldg) - Olve pCA hantlout to applicant DBBCfiMI011: WaterDamage__Yes Valuatlon Occupancy MCES System Plan Review _ 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) Final/C.O. _ Footings (addition) - FinaVNo C.O. _ Foundation HVAC _ DreinTile Other Roof _ Ice & Water _ Final Pool Ftgs AidGaz Tests Final _ Framing Siding _ Stucco Lath Stone Lath Brick _ Fireplace _ R.I. _ Air Test _ Finai Windows - _ Insulation _ Retaining Wali Approved By: , Building Inspector - - Fee Base Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit 8 Surcharge Treatment PIaM License Search Coples Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA113905 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 4296 Sequoia Dr Lot:1 Block: 2 Addition: Evergreen Park PID:10-24880-02-010 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 . Jason Bunes 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 - Rose B Svoboda 4296 Sequoia Dr Eagan MN 55122 Custom Creations Remodeling Inc 1321 Andover Blvd NE Ste 112 Andover MN 55304 (763) 441-5907 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114120 Date Issued:09/11/2013 Permit Category:ePermit Site Address: 4329 Sequoia Dr Lot:5 Block: 5 Addition: Evergreen Park PID:10-24880-05-050 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 . Luanne Yang 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 - Carol J Miller 4329 Sequoia Dr Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142774 Date Issued:05/17/2017 Permit Category:ePermit Site Address: 4296 Sequoia Dr Lot:1 Block: 2 Addition: Evergreen Park PID:10-24880-02-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 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 - Rose B Svoboda 4296 Sequoia Dr Eagan MN 55122 (651) 452-1150 Home Depot At Home Services 2455 Paces Ferry Rd Atlanta GA 30339 (952) 345-6057 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use f CC-1 C16 Ol Eag,all Permit#: /`7 (L� ��� Permit Fee: ye- 0 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /0/1-4/f 7 Site Address: L/2 C6, Unit#: , Name: /2osr Pla.4 a Phone: (s5'- 4-IS2- "CC R' ident! Address/City/Zip: Li 2"(. S Cu . Applicant is: Owner X Contractor � Description of work: ie i..2#,•- .— ✓< ke.rr in+ 1.91Arer7 �l lu� Construction Cost: SS Multi-Family Building: (Yes /No _ ) a Company: P/o;..t C./ I �-S Contact: �.� Wer Cf Aa , = Address: 6G,4 33`` Sr/t. S'!k City: I �e 0 ti bntraigto" '° SA. State:/?!" Zip: <S3,-r Phone:4s- ,26 7-451 Email: S'i/a-d69Ted l�ja.:►'4� s .Gu.,. License#: fe_ -70(31 3 t Lead Certificate#: '(lot- f7--->6 I SE.e 1 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: • Licensed Plumber: Phone: Mechanical Contractor: Phone: • Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTA Pfa0i"ands4upporting docu rten`ts tha ou submit are considered 94140000.0106`.: atio e inform tion ay be classified as non- ubiic i Rprovide specificon at would Partin rty to i olor± ,yy q Coll de that° eTT are trade ' 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 StateBuilding Code must be completed within 180 di al-oemrit issuance. Applicants Printed Name Appl' nt's Signature Page 1 of 3 i f For Office Use k / / ���� o , 0 I i / �.. k, „f �, E 'l, �, .. r`+,� Permit#: ,. • e 1 1 uus : 1 t: %,.1 ' jL� } • Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD: (651)454-85351 FAX: (651)675-5694 Staff: buildinginspectionsta'7,cityofeagan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION �a� � Date: Site Address: VQ �.��- N/j� ('���--o� Jv 1 Tenant: - -:Y,-..-.:;.'r.-r,_._.....-....___....__ ..__.0 -. �. r._-�._. .�... suite#: •.:; .•!::..„2,....,,.: = r Name: _ J�0�� � �a !' R'es•!I:de�r�tl;Owne'r,;� hon©: '4 � � f , A X71. cetivert_i_o,v_wi�a. ' r ,' Address/City/Zip: �� Name: MILBERT COMPANY dba CULLIGAN WATER License#; WC641376 • C:Gt1t 1 'C:1 O'P- Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS State: MN Zip: 55077 Phone: 651-451-2241 _ • Contact: BILL MILBERT ry-M Email: gloria.abas@culligan4water.com-..w_.W.�w.-.�,_ +�^ tt —New ^_Replacement Repair Rebuild _ Modify Space Work in R.O.W. Ty;p:e�`;o'f VV:o•r, Description of work: Water Heater . • Lawn Irrigation(_RPZ/ PVB) _X_Water Softener { Deserlptlo:n Add Plumbing Fixtures ( Main/_Lower Level). .____-Septic System Description: New Abandonment Connection to City Water from Well • RESIDENTIALFEES _ - _... ..__.�..............._ __._..� ..._.._,_.. .._..___.._ _._..__ �w.._....._._ . ..._..._.._....__._._._-........._._.._______... $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping g (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well" + $290 for Meter and $190 for Radio Read = $540 `Sewer&Water Permit also required for connection charges 1 A _ _ TOTAL FEES $ 60 00 CLL BEFORCYOUyDIG. Call Gopher�State Ono Call al(651)454-0002 for-protection against underground utility damage, Call 48 hours before-YOU-- intend to dig to receh's locates of underground utilities. www.gopherstateonecall.orq You may subscribe,to receive an electronic notification from tho City of proposed ordinances by signing up for an email update on the City's wobsito at www.cityofeagan.comisubscribe. I hereby acknowledc a 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. apcj<46.0........t l x .C/if-A-71 g1)4-1: q--: . Applicant's Printed Name ' i Applicant's Signature Page 1 ok2 I