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4338 Sequoia Dr CITY OF EAGAN Remarks Additiop. E7ergreexi Park Lot~G BlkI{, Parcel 10 24880 040 04 Owner ~5treet 1~338 Sequoia Dr. State Ea.gan,MN -,i,5122 1 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK ~ 53 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 230.00 2338 - O-7O BUILOING PER. SAC 2 O.OO 2-2T-7 2 PARK RESiDENT1AL t BUILDINC PERMIT APPLICATION dTY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55922 1 ~ 651-681-4675 9 New Construaion Ranuiremanta RemodaVReoair Raouirements . J registered site surveys showng sq. ft. of ;ot. sq. R. of house; antl all roofe0 areas • 2 ccpies ot plan (20°%maximum lot coverage allowed) • 1 set of :nergy Caiculations for heated ad0itiqns . ? copies of Dlan showing 6eam 3•xindcw ;rzes; poured found design, ?tc.j . 1;de survey for zxterior adtlitions 8 decks . 1 set of eneryy Calculations .!ndicare f home served by septic system for addilions . 9 copies of Tree Preserva6on Plan if bt platted afler 7J7i53 . Rim Joist Detail Options selection sheet ,'cldgs with 3 or less units) DATE -T/0 q~Da VALUATION co SITE ADDRE55 ~~3~ elUF MULTI-FAMILY BIDG _Y TYPE OF WORK Qr PtCLe FIREPLACE(S) _ 0_ 1_ 2 , APPLICANT r STREETADDRESS CITYO~ ~TA7E ~ZIPS3L~ TELEPHONE# q6~= 7b-G`L'(%tEL-6Rk4A#E_# PAX# QSoZ-~I76'",WjO"Tr PROPERTY OWNER ~~\OLE~') E_ + Tt~Y TELEPHONE # (o'.S.j- qSV- 6096 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y[[V\F 4(YI'.1 RULES 7670 C.\"f1:G012Y I NtIVNLSQ1':\ RCI.L•'S 7672 (J su6mission type) • Resideotial Ventilation Category 1 Worlcsheet Submittetl ~ • New Energy Code Worksheet Su4mitletl • Energy Envelope Calculations Su6mitted Piumbing Contractor: Phone Plum6ing system includes: _ 4Vater Softencr Iawn Spntil:ler Fee: $90.00 Water Hcatcr Vo. of R.I. Baths No. oC Baths Mechanical Contractor: Phone # NIech:mical svstcm includcs: Air Conditiociin; 0.00 HcaL Rccovcn' Svstcin - - ~ . : Sewer/Water Contractor: Phone:#SrP ~ 9 200Z 4Ju - t hereby ocknowledge that I have read this application, state that the information is corre`ct; a to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan/c Signature of Applicant ~Y OFFICE USE ONLY Certificates of Survey Received ` Tree Preservation Plan Received _ Not Required _ Updated 4l02 - OFFICE USE ONLY ~ ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessorK Bldg . ? 02 SF Dwelling ? 08 06•plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt • Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) C 33 Ext. Alt - SF ? 0402-plex p 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower level ? 24 Storm Dama9e ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Cemolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowsrDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories 8oaster Pump ~ Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bld~) FinaliC.O. _ Footings (deck) FinaLNo C.O. _ Footings (addirion) Plum6ine _ Foundarion HVAC _ Drain Tile Other Roof - Ice & Water _ Einal _ Pool _ Ftgs Air,Gas Tzst; Finaf _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Tesi _ Final _ Windows (new'ceplacement) _ Insulation _ RetaininJ Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Suppiy 8 Storage S&W Permit & Surcharge 7reatment Plant Plumbing Permit Mechanical Permit License Search I Copies Other Total J CITV OF EHGAN • CASHIER: .]S TEki4INAt. M: 209 OATFe 10l04l49 'Cit1°_: i.?:1-3004 '.ANF: THFJDCRE BIL:.Y . 3210 .°.GO+. 4338 £'iERlIOIA•DR E0.00 3fr30 9.14t 4PI'3A .9cQ'~:DIA DR ' fl-^u5 esn cons 433s r.mwia DR o.OWo . . rotal Receip4 Arto-xmt: . 60.-715 CFA17773 . LTER M: JP': :k~:k'%*A~Ac~c*#~YA~~ i# ~*#*~'#A~k~F~k+k*~ ~RX 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)f 60. ~5 CITY OF Fr4CAN 3830 PILOT KNOB RD - 55122 ~ qq \ 651-681-4875 C 1 D-~ ~ I 1 - New ConshueNon ReauiremeMa Remotlel/Reoalr Reauiremenh ? 3 registered sBe surveys showing sq. R. ot lot sq. R. of house 2 copies of plan and gJj roofed areos (20% mmcimum lot eoveraae allowed) i seF of energy calculafions fw healed oddqlons ? 2 copies of plans (show beam 8 window shes; poured fnd. design; etc.) 1 sNe suney for exferlor odditions 3 decks ? 1 set ot energy cakulatfons ? 3 eopies W hee preservotlon plan B lot plaHed aNer 7/1/93 DATE: GI~?Al~l CONSTRUCTION COST: DESCRIPTION Of WORK: I9X /AI PIE~6c qK 4 RA'?ft+eM +y~Sn4t02% STREEfADbRE55: 4I338 SEPtjorh -Ck F=k-FiM1 LOT: ~ BLOCK: 4 SUBD./P.I.D. 'EAPZE7AA~~C Name: Phone#: 4~7'do~b PROPERTY Lar Firsf OWNER Street Address: `7.~'~S SEQJOf A" City State: Zip: 5'S1 2-7- Company: Phone (area code) CONTRACTOR Street Address: - License # Exp. City State: Zip: ARCHITECT/ r ENGINEER Company: 9+~ Name: Telephone area code ( ) Sfree't Addresr. Registratton City State: Zip: Sewer i wcfer licensed plumber (reauired for new eonslruclion onlv P•.nalFy appAss when address change and lot change is requesfed once permff Is Issued. 1 hereby acknowledge that 1 have read thls applicaHon, stafe thaf fhe IntormaHon Is conect, and agree to comply wRh cll applicabl 31ate W Minnesota Statutes and Cify of Eagan Ordinanees. • Signafure of Applicant OFFICE USE ONLY Certificates of Survey Received Yes _ No $Ep 3 0 ' Tree Preservation Plan Received - Yes _ No _ Not Required -fe OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 4-plex ? 11 10-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex )k 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Stortn Damage ? 05 3-plex O 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE I~ 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia O~ 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 AReration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Gensus Code (Allowable) Main level sq. ft. 5AC Code CJ UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building 4EI Engineering Variance Pertnit Fee Valuation: Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SIW Surcfiarge Treatment PI. ` Park Ded. ~ Trails Ded. : Other Copies Z Total: SAC Units % SAC .~,.s . , , . _ _ . ; ~ I ~ ~ I I ~ i ~ i ; ~ i 4-0 , , i ~ . I` . . . . ~ i't . . . . 1 ~ ~ t ~ _ - _ ~~-------------L~==------- ;z,~ _ ~ r 7 I , J L./ r _ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN n 3830 PILOT KNOB RD - 55122 S-(0-99 651-681•4675 New Consfruction Reaulremenis Remodel/Reoair Reaulremenis > 3 registered sNe surveys showing sq. R. o} lot, sq. H. of house 2 coples ot plan - and all rooled areas (207, maxfmum lot coveraae allowed) 7 set of energy calculatfons tor heated additions > 2 copies ot plans (show beam 8 wlndow sizes; poured tnd. design; etc.) i sMe survey for exterlor addRlons & decks > t sH of energy calculahons > 3 copies of iree preservatlon plan H lot piatted aHer 7/1/93 DATE: ~ 3U-9~I CONSTRUCTION COST: DESCRIPTION OF WORK: 1200 l~~ ~ v &~Vv STREET ADDRESS: "733 p c~eqUi;dl O~ LOT: ~ BLOCK: L~ SUBD./P.I.D. ~ ~ --4v- v' ~i<LR i- J Name: Phone PROPERTY tast FGat OWNER Street Address: `l33ly 5,L--a Ulen' City State: iA( &A Zip: Company:~Lzii'GrSr1Lcv1 Sidt'N1 C~ Phone#: 61,q- V5-- (area code) CONTRACTOR Sfreet Address: 33do C(?i (/d(lt° 121-L~ License # bcp. DU o City GVY4I ~-,"IL- State: IrYlG, Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Regisiration City State: Zip: Sewer & water Ilcensed plumber (reauired for new conrtruction oniv): Penalty applles when address change and lot change is requested once permR Is Issued. 1 hereby acknowledge that 1 have read this applicatfon, state ihat the Informafion I ca~rect, and ee to comply with all applicable State of Minnesota Sfatutes and CHy of Ecgan Ordinances. _ Signature of Appllcant: _ OFFICE USE ONLY 3 O l~`~; Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 5F Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? OS 3-plex El 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. O 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bidgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ~ EAGAN TOWNSHIP BUILDING PERMIT N? 2213 Owner Eagan Townahip Addrau (Present) Town Hall Builder ............._.....--------`:?_:.z~.<ar'~ -y~ Addresa 3 Z~ De:e DESCRIPTION Sioxies To Be Used For Froni Depih Heigh! Esl. Cos! ~Permii Fee Aemarks I k.TJG f I .t xiL LOCATION Streei, Road or oiher Descripiion of Location I LW Block Addition or Traei ~338 • f .y~ ~~J This permit does aot suihorise the use of sireels, roeds, alleya or sidewalks aor doea it giva the owner or hia agent the righ!!o ereale anp siluation whieh is s nuisanea or which presents a hazard !0 the heakh, safeip, convenieece and general melfare !a anyone in the eommunify. THI$ PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAK IS IN PAOGE9S^~8. This is to eerlify, !hal.:Prr!~ce~t.:y--.^r__,~. -'f..-r................ "haspermission io ereat a.. ~ upoo ' the ahove desttibed pxemise subjeei 2o the provisiona o3 the Building Ordinance for Ea n Tow ship adop epril 11, 1955. ~ A --~F' Pex ....---._.....F~-'~^~:._~~ Ch~rman of Tn n Soard yB Building Inspector ~ ~ i i I ( i ~ i i ~ t i j ' t ~ ~ . ; , 1 Q; ~ ' - ' ~ k << „~y ~ ~ I i rul I , _ _ ~ d f ~ t ~ ~ t ? IR ~ ~ 3s. MASTER CARD LOGATION ~..~1 OWNER Aill STRUCTURE AND fJ~ I II ~ n LAND USED AS Issued To Permit No. Issued Coniractor Owner BUILDING 22/3 ~nn~r.~aiw~ PLUMBING CESSPOOL - SEPTIC TANK WE« ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER • Approved Items (Ini}ial Date Remarks Disfance From Well FOOTING ) '1,} f ~ . .Z•~ I~2 4"~ ~L~ E SEPTIC FOUNDATION 76 CESSPOOL FPAMING FIELD fT. FINAL ELECTRICAL ~ HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINPIELD PLUMBING WELL SANITARY SEWER . Violations Noted on Back COMMENTS: ` ~ COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS ~ PERMIT NO. DATE OF INSPECTION CONDITIONS Of CONSTRUCTIQN AT ?HIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPIIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ~ ACCEPTABLE SUBSTITUTIONS OR pEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS Wlll BE DEtAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAV. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REIN5PECTION • REINSPECTION REVEAIED CERTI FlCATION -1 certify that I have carefully inspected the ahove 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 specifiCations, and any specific require- . ments for off-site imprwements refating to ihe property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED - HUILDING INSPECTOR DATE COMMENiS: • CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # c3 / DATE : 6 S 9l PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST _ ADD-ON MINIMUM $15.00 ADD ON v- HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: SUBTOTAL: SITE ADDRESS: Y.~~O STATESURCHARGE: ~ 0 0 LOT:~ BLOCK 4- SUBD. TOT9L: S~ INSTALLER: Z~?~-~~ ^~/D .~i,G ADDRESS: /9.T~~J~~~L?~?/z~ R,~r, SI ATV E OPO'P ERt TEE CITY: `/,l~..Z~? ZIP: PHONE ~iQkt~tE.RCIIi~,l~L!IDAST&IAI.' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRSAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE.. STATE SURCHARGE _ $.SO FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROGESSED PIPING = $25.00 LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) = FOR: CITY OF EAGAN ~ \ ~ TOWN OF EAGAN 3795 Pilot Knob Road st. Paul, Minn. 55111 PEF?MIT N0.: The Board o£ Supervisors hereby grants to Hno., u,lwa... Of 17M=408tonr Mfe.naa..tn S5n$LI 8 He8l4n Permit for: (OWRBT) W~flmn~ r.,.,e}YLChjpn &t G41R Cn4un4a flr4na pursuant to application dated -jyo3r 15,0.. _ Fee Paid: _$Z0.00 Dated this j,r% day ef „iy ~ 197o--. Suilding Inspector Towrr oF Facax 3795 pilot Knob Road St. Paul, Minn. 55111 PEF?MIT NO.: A,3 The Board of Supervisora hereby grants to R7 r..e-HaaLing-6...Aix_CoBS1iS3oning Co. ef 13075 Pioneer Txai1,J rdea Prairie a Heating ~ Permit for0 (OWIIBT`) ilrnamnnn Cnnatrup on Ce_ at 4liA cp4",.tn nT+mP,.sr. Paul 55111 purauant to application dated A/4/6Q__ Fee Paid: _S20_00 Dated this 6th day of Aupust V 197-a. Building Inspector `t35`a -cl-`l . TOt+IIN OF EAGAN 3795 Pilot Knob Road St. Paul, Minn. 55111 PEEiMIT NO.: 37 The Board of Supervisors hereby grants to y,~ybj,ng R~ H~gtj,r,~Jnc. ef --1955-GhAta4ee!'Qasi.o St- Paul a ~ Permit for: (Owner)_Hgn3mam_rDjaj"ntim t ' Drive~ suant to ,(pplication"'lated Juee 16 970 -Fee Paid: Dat e this 1$th day n June 9 197 0. Building Inspector C I L 7 Eacnrr TOwivsxir 3795 Pilot Knob Rosd St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE COAINECTION Date: April 30, 1270 Number: 433 Billing Name:Wensmann Construction Site Addreas• 4338 Sequoia Drive 4-4 Evergreen Pk pwneT. Wensmann Construction gilling Address Bllmsville Pltmmber; Wenzel Plumbing & Heatinx, Inc. Locatioa of Connection Meter Size 8" Connection Chg.2 0.00 6%18%70 Meter No.69*6649 Permit Fee Meter Readi ~ng~L Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarka: Residence Multiple Ito. Units Commercial Industrial By: Other Chief Inspector Ia coasideration of the issue and delivery to me of the abwe permit, I hereby agree to do tte propoaed work ia accordance aith the rules and regulations of Sagan Towaship, Dakota Couaty, Mi.nneaota. By: Wenzel Plumbing & Heating, Inc. 1955 Shamee Road, St. Paul 55111 Please aotify the above off3ce when ready for inspection aud connectian. ~ y BE SURE TO CALL NWBF.I,L TFS,E. C0. OF LACATION AND WHM YOU ARE GOING TO START JOB. EAGHN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: April 30, 1970 NUMBER 583 OWNER: Wensmann Construction Address 4338 Sequoia Drive L4-S4 Evergreen Park . pLUMgEg Wenzel Plumbing & Heating TypE OF PIPE cast iron DESCRIPTION OF BUIIDING Industriai Commercial Residential Multiple Dwelling No. of units aoc Location of Connections: Connection Charge Permit Fee 10.00 pd 6/18/70 Street Repairs Total Inspected by: Date Remsrks• By Chief Inspector In oonsideration nf the isaue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules aad regulationa of Hagan Tormship, Dakota County, Minaeaota By. Wenzel Plumbina & Aeatine Inc. ' IP55 qya o Rnnii. c+ Pni.l C~~.111 Please aotifq whea readq for inspection and conaection and before any poreion of the work is cavered. ,i . - I Foi~c`e"Use ~ 7iiL Y j) U1 ELLiUii n j Permit#: ,(d~/~ ~ ~ ' J 1 PermitFee: 3830 Pilot Knob Road Eagan MN 55122 ~ Date ReceiJed: Phone: (651) 675-5675 Fax: (651) 6755694 4 Staff: ' 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~7 G Site Address: ~ / 3Tp SL-' Qc/o e 1,4 h i? Tenant: Suite RESIDENT/OWNER Name: JE!~ Phone: 4Ty"40910 Address/CitylZip: 1/ 37~ 56 &546,e/fl /)A( Applicant is: _ Owner V~Contractor TYPE OF WORK Description of work: -~tvUUF w1r,,v /~W,;e e`l Construction Cost: Multi-Family Building: (Yes No CONTRACTOR rvame: /V/N0r1W /P W//VG License Z V I&03SS y Address: M15-1 Z 5/U 7N S% City: !VG•~J ~CsGlG _ _ State: 10AI Zip: ~G U 7 / Phone: G/Z • '~U E • Fj/UU Contact Person: /c ILe J-vf~/d.rair/' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CBtBgOry Submitted . Submitted (4 su6mission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit 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: s>`NOTE:, Plans and supporting docorrients fhat you submit are considered to ke pablic informaCion. Portfon§ of . fhe informataon may be classifred a`s non-public~if you provide specific reasons that would permit tRe'City;to : conclude `fhat fhe are frade secrefs, I hereby acknowledge that this infortnation is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a pertnit, hut only an application for a permit, and work is not to stad wRhout 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 x l - ApplicanYs Printed Name ApplicanYs Sig ture Page 1 of 3 , 1 r___--_____ I of Eap ; PBrm,t1t ~ I Permit Fee: , ~ 3830 Pilot Knob Road i ~ Eagan MN 55122 ~ Date Refaej 4 n ~ Phone: (651) 675-5675 i U IS Fax: (651) 6755694 i Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICA ION a! ~ ~ ~-u-c.~ - _ . Date: Site Address: ,eQ~ _ C-c.D-{JQJ Tenant: Suite ! RESIDENT 1 OWNER Name: PhoneY/4•s1)y sq- 0'~l U Address / City E p~Y. ss~~o~' Applicant is: _ Owner ~ Contractor TYPE OF WORK Description of woiic: lai I ~h Construction Cost: 1.3, v Do. ~ Multi-Family Building: (Yes No ~ CONTRACTOR Name: 1.tj_,I~~ License tt: /7 y ~ Address: Y-7 Y City: XbyW State: AY/n Zip: Jfs~f Phone: 8 y~A& ql- Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet Category submittea subrnined (V SubmisSiOn type) • Energy Envelope Calculations Su6mitted - In the last 72 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: - Pbone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: _+R~~.'.~.. t i( t. I hereby acknowledge that this iMormation is complele and accurate; that the work will be in contormance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, 6ut only an application for a permiy and work is not to s[an without a permit; that the-work will be in accordance with the approved plan in lhe case of xrork which requires a review and approval of plans. x J a CL UI !le /),41 x ApplicanYs Print Name Applic s Signatu Page 1 013 , , - , , ~ , p . r~ _ . . . _ ~ I roo ` , ~ , _ . s~ . . ~ ' j . p_ , -j~ 7 - °t ~ , ~ JDO ;3 . i ,V ~i I I , , . . 1 ,b5 ~ ~ ! ' - - - o I ~ 65 ~SS ~ H ' ~ ~ ~ ~ ~ ~ , , ~ « ~ ` I r " , ~ ~ , , ' ~ ; ' ~ ~ ; ~ ~ ~ . , , . - , , 1 ~ , ` ' ~ , ~ ~ ~ , , ~ , E ~ , a . ~ , , , ~ , , , ~ r i ~ ` ~ , , ~ ~ , - , , ; , , ~ ~ ~ G~; ' ,i ~ ~ v ' ~ ~ ~ R , 1a ' a o\ r o ~ % 1 ~ 6' 1 H I ~ , ~ ~ o o ~ ~ ~ E ~ ~ ~4 ~ ~ C. ~ ~ ~ ~ r__ ~ c, , ' ~ : ~ , : , . " , ~ . , Y ~ ' s ' / a. I ~ r ' ~ i ro ° o ak ~ E 4 . ~ _ { ~ ~ ' i ` NU a~ ` ' ' ~ ~T~~ ~ ~ w ` 1 ~,y i ~ ~ ~ c. ~ ; f j I ~ , 7 / , , i , ! , { . ' _ . . , ' . , ~ r,, , . . ~ ~ . _ . ~r . ~ ~ ~ ~ . ~ ~ i . , i ~ ~ ~ ' i ~ ' ~ ~ c4 ~y I ~.._..i / . . . . ~ ! ~ ~ , 1 q ~ s ~ I 4__ I ~ 3 ~ ~ 4 r i~ ~ 53/. i, 1> , _ , . ~ ~ ~ ~ ~ ~ a ~ ~ 4.~~ i~ _ _ ' , , ~93 ~ ~9 ~ , _ , ~ , . _ ~ ~ ~ i ~ ~ °a ~t ~ ~ ~ g , ~ ^r i 9A,~- ~ 'a9 , qng i ~ ~ - ~ l_ ° ~ ~ ~ , j , ~ ! ~ , ~ ~ ~It~e ~ . ~ W ~ i \ ~ in ~ ,,,,:.,._j I . ~ ~ ~ , , n _ e ' ' '1) Lo Itl0 S_._. ~ .~..,..~r a ~ _ _ . _ . ~ ~ _ 1 ~~0~ ~a . ~ f^ - I~ ~ ~ ~ . , . . p~ . - r .^w-.-9 . r1 . y a 5 , ~ ~ . y~+~ ...w-"'" , ~ ' . ~l:. ~ b . ~ ; ~ ~ . . ~ . 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Y ~ S ' - ~ . . . . . . . ~ . . . t't.r ~ir .'r+t F' ~ Y: ; ` 'i,~. . ~ . . i ~ ~ . . ~ ~ ~ ~hl,' 3"' „ ~ ~ . ~ . ~ ~ : . - ~ - ~ . . ~ . . . . ? ~ . , . . . . . . . ~ . . . i ~ õ÷õ ù þýüýû ÿþþ ýüûúüûúù øýýþþïøç ÿ þâ ü ý åå ÿ ÿþõ úù ø÷ á öø÷ ô ó á ßù üýü ý÷ Þù ù òý ûúý þ ý ÷ ûëã è þ å ô ö ø öõü óýø òþ ì ëï ÷ý ç æåæåå ôø úù ýü ìä çæ ãæã óüòü õñð ÷÷ý Ý ñïøýù üêõ ýü ø ö åú Þùý ù þýüýòô ëã è øýó ü ý ýâ ý ý÷÷ýý ý ý ðý ýýü ÷øó ýý÷÷ý úý ðò ýúýù ýáøðþýüýíý æ ÷÷ýé úüýù ù øúüýù Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I ` I L9 City of Eq,n , Permit , I I I Permit Fee: (0 (0 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: °I - 3 Site Address: LF ~r V,) I Gt Pf~ ✓R. Unit Name: Th~000(, . P~,'JJti Phone: ~sl -yS~' ~t7%v Resident/ Owner Address / City / Zip: I ( S S ac~;Ju" Applicant is: Owner Contractor Description of work: Q~~vn j w~l Si~~~ Type of Work Construction Cost: 0 Ov Multi-Family Building: (Yes / No Company: ; ~X fir 5 c~x~Rn:lys~ }y.!n'ai Contact: E i/ i Contractor Address: 3) \1Q14 As i.J City: Er,',,r (h k e- I State:0~_\ II~Zip: S_~ S7.i Phone: -7a2 -1 yo License 2 C, 0912,11 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) s 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: i { Mechanical Contractor: Phone: ) Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of i the information may be classified as non-public if you provide specific reasons that would permit the City to i 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.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. 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. xC`it/ x Applicant's Printed N me A Rg nature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA136457 Date Issued:05/13/2016 Permit Category:ePermit Site Address: 4338 Sequoia Dr Lot:4 Block: 4 Addition: Evergreen Park PID:10-24880-04-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Theodore Billy 4338 Sequoia Dr Eagan MN 55122 (651) 454-6090 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166392 Date Issued:01/06/2021 Permit Category:ePermit Site Address: 4338 Sequoia Dr Lot:4 Block: 4 Addition: Evergreen Park PID:10-24880-04-040 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Theodore & Jolene L Billy 4338 Sequoia Dr Saint Paul MN 55122--184 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171780 Date Issued:08/31/2021 Permit Category:ePermit Site Address: 4338 Sequoia Dr Lot:4 Block: 4 Addition: Evergreen Park PID:10-24880-04-040 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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 - RPZ/PVB/Lawn Irrigation $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 - Theodore & Jolene L Billy 4338 Sequoia Dr Saint Paul MN 55122--184 (651) 454-6090 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177621 Date Issued:07/11/2022 Permit Category:ePermit Site Address: 4338 Sequoia Dr Lot:4 Block: 4 Addition: Evergreen Park PID:10-24880-04-040 Use: Description: Sub Type:Water Softener Work Type:Replace Description: 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 - Theodore & Jolene L Billy 4338 Sequoia Dr Saint Paul MN 55122--184 (651) 454-6090 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178456 Date Issued:08/18/2022 Permit Category:ePermit Site Address: 4338 Sequoia Dr Lot:4 Block: 4 Addition: Evergreen Park PID:10-24880-04-040 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 - Theodore & Jolene L Billy 4338 Sequoia Dr Saint Paul MN 55122--184 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature