4353 Sequoia Dr
Y,~ „ (I ~
~ ~~9 .$,/~r " PERMIT # , i
~r
~~z~~ ~ ~
MECHANICAL PERMIT RECEIPT # ' y ^l ~
CITIf OF EAGAN " ~
3830 PILOT KNOB ROAQ, EAGAN, MN 55122 DATE:
COMTRACT PRICE: PHONE: 454-9100 For Office Use Only:
Site Address ' n~` `'J ~ BLDG. TYPE WORK DESCRIPTION
Lot ~ Block Sec%Sub Res. 1i New
f ~.ti
~ ,'~'.'Rt~'S`,' ~~".1~E !?EA'I'I'~IG Mult Add-on
Name
Address ~~'•~~~~E T~LAND AV~. Comm. Repair
c City Phone ~94-000 Other
v FEES
~ Name ~ RES. HVAC 0-100 M BTU -$24.00
c Addf@33 5~ S~' UO 7 Fa .r. 1 V': ; ADDITIONAL 50 M BTU - 6.00
p City Phone 1~' 3~~ (RES. HVAC INCLUDES A/C ON NEW
CONSTFlUCT10N)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RAl'E APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU ~ MINIMUM COMMERCIAL FEE - 2~.Q0
STATE SURCHARC'iE PER PERMIT - .50
Vent CFM T (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE ~
SIG~'~ ITTEE
S/C: ' ~
TOTAL: FOR: CITY OF EAGAN
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• CITY OF EAGAN 17g4 ~
3830 Pilot Knob Raad, P.O. Box 2~-i99, Eagan, MN 55i21
P HO N E: 454-8100 '
BUILDING PERMIT Receipt #
To be used for ~I' Est. 4alue ;~1~~ Oate 'N~ ~ , 19 ~
Site Address ~S3 8iQ1~0IA DR
Lat ~ Block Sec/Sub. OFFiCE USE ONLY
P3fCBl NO. Occupancy - FEES
Zoning 126~ 00
W Name (ACtual) Const - Bldg. Permit
on Address 8 A (Allowable) - Surcharge ~
Clty Phone M of Stories ~r p~an Review gg~~
Length
, o Name Ci18T0![ 1~OOL8 pea~+ ~ snc, c~cy
oQ Address s.F.Total -
~ sac, nncwcc
CIfY PhoRe S.F. Footprints -
~n 5ite Sewage _ Water Conn
~
W W Name On Site Well - Water Meter
Z Mwcc s s+~
AddreSS y - Acct, peposit
e W City Phone cay wa«r -
PRV Required _ S~W Permit
I hereby acknowlege that I have read Ihis application and state that the Booster Pump - ~I Surcharge
information is corcect and agree ta qaFnply with., Il applicable State of
Minnesota Statutes and City of,Ea~~Or ' a e' Treatment PI
Si gnature of Permitee ~ j~~ - r~~t ~ APPROVALS Road Unit
CUS'1'ORi POQI.S Pia~~~ -
A Buiiding Permit is issued to: Park Ded.
on the express condition that all work shall be done in accordac~ce..wi~M'all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. g~dy. p~}. Copies
, - ~'1~si1
Building Official - 'L' ~ Variance _ TOTAL
Permit No. Permit Holder Date Telephone #
WATER
` SEWER
PLUMBING
H.V.A.C.
ELECTRIC ~~qi~~Z ~ ~1 ~ O ~ ~ ~
inspectfon Date InS Comments
Footings 1
,l (c_ ~-fo p - `
Foundation ~
F~aming
Roofing ~ ~
-
Rough Plbg. '
j _ ~
Rough Htg.
Isuf.
FireplaCe
Fnal Htg.
Final Plbg.
Co~st. Meter Plbg. InSpeCtor - Notily Plumber
Engr.IPlan
Bldg. Final
Deck Ftg.
Deck Final
Weil
Pr. Disp.
( 7 ~O g~ s
CITY OF EAGAN
. * 3795 Pilot Knob Raed Eogan, MN 5S1?.Z N~ 5'l23
PHONE: 454-8100
BUILDING PERMIT Receipt
To be used for i'_ Est. Value • Date 19
i
5ite Address `enuol8 ~?r. Erect ? ~ccupancy
Lot Block ~ Sec/5ub. Tver~rP~~ Park Alter ? Zoning '
ParCel ~5' ' Repair ? Fire Zone
Enlorge Q: Type of Const.
~ ~ ,~.F,
W Name Move ? # Stories
Z Address `~~'-~~j? %T. Demolish ~ Front ft.
~ Ci ph~ Gmde ? Depth h.
~ Name ~ S t. Co . APProvcls Fees
Address r~~~~~a~ Assessment Permit _
~ 1.~ 7'y- 0 Wuter 8~ Sew. Surcharge
F Ci ~ ' Phone
Police Plan check
~W Nnme Fire SAC
v~ Address Eng. Water Conn.
a W Ci Phone Planner Woter Meter
Council
I hereby acknawledge that I have read this application and state that gldg. Off.
the information is correct and agree to mmply with all applica6le .
State of Minrtesota Statutes and C+ty of Eagon Ordinonces. APC Totol
Signature of Permittee
A Building Permit is issued to: (~TtSf ruCtlon ;,,r;, on the express conditfon that
all work shcll be done in accordance with oll upplicable State of Minnesota Statutes and City of Eagon Ordinances.
Building Official ~
i •
Pers~it # DaM Issued PannNfN
Plumbing
Mechonical
INSPECT~ONS DATE ~NSP. Rough-In Firrol
Footings ~ Dote Insp. Dote Inap.
Fou~dation Plumbing
Frame/ins. Mechanicol
Final /Q '
~
Remorks: n p~d~.~' ' ~JJl~-.4~> ~+--,~/C.~~ ~ ~~7~
~«y
6~~-'r ~ `~V~ ~ OtSiirid't"~~~-+-r WZ-t-Gf~t~
v
CITY OF EAGAN Remarks wtr permi.ts & Wf,T' COYIri pCl. Ori 10-2-69 S~W Ori 11 -17-
Addition ~er~reen Park ~ot 2 B1k 5 Pa~cei 10 2l~880 020 05 67
Owner. ~
Z' =`~'~-r!.~ .~/D!'~L<= Street ~353 Sequoia Dr. State '~'~6~"f~ 55~ 22
. . .~lt _J
Improvement Date Amount Annual Years Paymeni Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ~ ~ .~Q S ZO
SEWER LATERAL
~ 2
WATERMAIN
WATER LATERAL
WRTER AREA
STORM SEW TRK ~/J~~:,
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. ~
~UILDING PER.
sac 2 0.00 ?0 3 - -
PARK
~/~7/~'9 9 ~-3a ~
15 0 81,~ ~i~
Reque5l Dfl~e ~ ir No. ug~-in Inspection
5 ~G~ equiretl? ? Refltly Now L Will No~ify Inspeclor
/ ? Ves ? No When Peady?
I ~p.ncensed contractor ? own hereby request inspection of above electrical work at:
Job Ad ess (Sireet, x a Route No.) Cify ~ ~ 1
Seclqn No. Tavnship Nam or . Range No. County
nt (PRINn Phone No.
s' LL E C-~ ~ 9-a o
Powar Suppller Adtlress
~
Elecincel Contrxtor (Cwnpany Name) ` Coniradork License No.
a Do~ 4
Mai~g~t¢pta~qO~qr q6~~lgt~
11 ll.l~ l.;l, h !
AutFwnzed r ki I Ila PROne Number
~ ~
MINNE50TA STATE BDARD OF ELECTPICRY TiI51NSPECTION REQUEST WILL NOT
Grtgps-Midwey Bld9. - Room S-113 BE ACCEP7E~ 9YTHE ST.4TE BOARO
18Y1 UnNereky Ave., SL Paul, MN 55106 UNLE55 PROPER INSPECTION FEE IS
Phone~612)6q2-0800 ENCLQSED.
~j/~f/~~ RE~UEST FOR ELECTRICAL INSPECTION EB~00001-W
? See iG>buctions IOi complenng this lorm on ~ack of yellow copy. 9~ 3p~ t~
G~ 15~0 81 X" Below Work Covered by This Request
e Add Rep. 7ypeofeuilding AppliancesWired EquipmeniWiretl
Home ~ Range Temporary Service
Duplez Water Heater Eleclric Heating
Apt. Building Dryer Other (Specify)
Comm./IndusMal Fumace
Farm Air Condkioner
01her (spxity) Contreclor5 Reme~ks:
Compute Inspection Fee Belaw: ~
# Olher Fee # ServiceEntranceSize Fee # CircuitsJFeeders Fee
Swimming Pool D to 200 Amps 0 ~o t00 Amps
Transformere Above 200 _ Amps Above 100 _ Amps
Signs Inspeclor5 Use Only: - TOT Q~
Irrigation Booms
Special Inspection ~ t ~ ~
Alartn/Communication ~
Olher Fee
I, the Electrical Inspector, hereby ~9h~in oa~e
certify that the above inspection has F;,,e~ pa~a.•~~ ~
been made. '
OFFlCE USE ONLY
This requesl vaitl 18 monMS irom
~jr~~5~
5 72 i2' ~Q,~ ~
Requeat ~at~ - ~ No. ugh~in Inspedion
~ e ired? ? Ready Now ill Nofrtylnspador
Ves ~ No When ReadY?
1 licensed contractor ? owner hereby request inspection of above elec[rical work at:
Jo0 ress (Sheet, Box or Raute No.) Ciry /
j.( ~ ~ ?~i
Section No. Township Name or N Range No. Couny
1~~} K~ri'A
Occuparrt (PRINT~ P~orie No.
~
Power Supplier ACCresa
A ~ f ' ,~J
ElecUicel Cantrac~or ( pany Name) Comractor§ License No.
r ^ ~ Zs~ G (
Maili (Conv r w Owner Ma ' Installatbn) ~
~ .SSZy
AWw' etl S' CoMred Makirp hre Ilatio Plrong N r_ ^
~ ~
Q
MINNESOTA STATE BOAPO Oi EL THIS INSPECTION REQUEST WILL NQf
GN89~bwsY Bltlg. - Noom S1]3 BE ALGEPTED BV THE STATE BOAP~
1821 Ilnivereiry Ave., SL Paul, 4N 55709 UNLESS PfiOPER INSPECTION FEE IS
Phone (812) 8q2-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION n ea-ooom.o~
? See inslrucTOns for completirg ihis lortn on Cack oi yellow wpy. L~
7 Y'
`X" Below Work Covered by This Request
ew Atld Aep. TypeofBuilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Indusirial Furnace
Farm Air CondRioner
Otner ~apedy~ Contractork Remerks:
Compute Inspection Fee Below:
# Other Fee S ServiceEntrenceSize Fee # CircuRs/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200_Amps o0_Amps
Signs Inspector5 Use Onry: ' L
IrrigationBOOms ~~j0
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Ins ector, hereby R°"An-~n a~y~ ,_/J- ~
/ o ~e
certifythattheaboveinspectionhas F~~ei ~ Date~-7 ~7
been made. /
OFFICE USE ONLY ~ ' "
Thls request wid 18 mon[hs hwn
1 ~
EAGAN TOWNSHIP
BUILDING PERMIT N° 2124
Ownea Ea9an Township .
Address (Presen!) -~3~~~....~J----./.~:~.__.....~"L"`-~~" Town Hall
Builder ....._Q'~r!_'.:'1.'~...--..._ e
Daie
Address
D£SCRIPTION
Sfoxies To Be Used For Froni Depfh Heighf Esl. Cosi ~Parmi! Fee Remarka
~ ~ ~_Q~ - °27~ d' D/~'r"a I /a~ ,s~~-n,
.o- ~
LOCATION
Sireei, Road or oiher Deceriplion of Locafion I Lo! Block Addition os Trae!
~3 ~3 ~ • ~ s ~--,,.c..
This permi! does no! aufhoria ihe use of s!=eels, roeds, alleys or eidewalke nor does i! give !he owner or Lis egen!
!he righf fo ereafe aep situation whiah is a nuisance or which preseafa a hasard fo !he healih, safely, convenience and
qeneral welfare !o anpoae in fhe communiSy.
THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGA SS.
This is !o cerlify. 1hal.-~~a".'.`.c.°."."::.`.~:.~'.^..!-~~:".".`~---haspermissioa !o ereci a_ . upon
Ihe a6ove deseribed premise subjee! 20 !he provieions o! ihe Buildixg Ordinance for Eaga Townsh adopled Apsil 11.
1955. ~i,• ~
Per ..............-----....L!:_....~/~:-ti"-<-f_-"-'-"=P""-'-"'-._'-""'_'.........
~man of Tnwn Baard ~ Building Ins ector
~
~-aiay
~ - D~~je
°__/~_y
:
_ _ ~~~SM~N,~_ _ GoNST~__ eo
- - - -
_------~or-=-~_- ,g~K_-_5---
- - - _ . F-_v~n' GRc- ~'-i?ir _K- ~:D~~ -
_ _ - _
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---ryC1 - _
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0
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CANTON lumber sales co.
Lumber Merchan}s Since 1930
BO% A DIAMOND LAKE STATION AREA COOE 612
MINNEAPOl15, MINNESOTA 55419 869-3221
RESIDENTIAL
~F BUILDING PERMIT APPLICATION
~ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55'122 ~ ^
651-681-4675 ~~j , 2S
NawConstruelionReauiremenb RemodeUReoairReauirements -
• 3 reg'stered ske wrveys showirg sq. ft. of lot, sq. ft of hause; and all roofed areas • 2 copies of plan
(20%mazimum lot caverage allowed) • 1 set of Ene~gy Calculalions for heated additions
. 2 copies of plan showi~g beam & windax slzes; poured kund desgn, etc.) • 1 site survey for exterior additions & decks
• 1 set of Er~etgy Calculatio~ • Indicate'rf home served by septic system for addNons
• 3 copies of 7ree PreservaGon Plan H bt platted aRer 7/1f93
• Rim Joist Detsil Oplions selection sheet (bldgs with 3 or less units)
I%~,_/, r
DATE lD^ 1 ~J v~ VALUATION ~S~
SITE ADDRESS ~ ~ V 0' lilJ~ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT dedar Va~ Ext~ors, ~IIC.
~s2o z~ua smaet
STREET ADDRESS n..:.+e ~~u ~r.aaa CITY STATE_ZIP
TELEPHONE # CELL PHONE # FAX #
PROPERTYOWNERI .P~IG~~QII~C~Q
_ ~p11SLV\ TELEPHONE#(CI~I~"~~-X.1"~.~~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUL.ES 7670 CATEGORY 1 MINNLS01'A RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submilted • New E e u i ~
• Energy Envelope Calculations Submittad D ~
~
JUN 1 3 1U02 ~ ~
Plumbing Contractor: _ Phone # _
Plumbing system inclucies: _ Water SoFtener Lawn Sprinklcr gy Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical systcm includes: _ Air Conditioning ree: ~70.00
Heat Recovery Systcm
Sewer/Waler Contractor: Phone #
I hereby acknowledge that I have read this application, state that information is rrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O di ces.
Slgnature of Applfcant
----------------r...___-------_....-------------------_-____....__---__
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE C1NLY
? Ot Foundation O 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling O OB OCrplex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Muki
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ~ 44 Siding
? 32 Addkion ? 36 Move Bldg. ? 42 Demolish (FOUndation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (EMire Bldg only) - Give PCA handout to appliwM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Boaster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.i. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatme~t Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ , CITY OF EAGAN No . ~ ~94 ~
~
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100 ~1 ~ ~ \
BUILDING PERMIT Aeceipt # ~ ~
To be used for P~~L Est. vaWe $11, 000 Date JUNE 1 , t g2~
Site Address 4353 SEOUOIA DR oFFICE Use oNLv
Lot Z Block 5 SeGSub. EVER~REEN PARK
P3fCel NO. Occupancy - FEES
Zoning _
w Name MET HAUGH (ACtual)Const - BIdg.Parmit 126•0~
~ AddfeSS 4353 SF(7Jr0TA DR (Allowable) - Surcharge 5.50
° ~j~ EAGAN Phone 45 -9975 rolsm~es -
y ~
~ Plan Review g2 • 00
~9
. o Name CUSTOM POOLS Depth 3.(~ SAQ City
~a Address 601 EXCELSIOR AVE E s.F.Tatal - SAC,n~CWCC
~ City HOPKINS Phone 933
77~_ S.F.FOOtprints _
On ffile Sewage _ N~ater Conn
W w Name on sna wen - wacer Me~ar
i~ Address MWCCSystem -
a~ Ciiy PhOne Ciry Water _ Deposit
PRV Required _ S/W Permit
I hereby acknowlege that I have read Ihis application and state ihat Ihe Boaster Pump - SNJ Surcharge
information is correct and a ~ pty with all ppli ble Stale of
Minnesota Slalule5 and Ci f. rdina Treatment PI
SignaWre of Permitee APPROVALS Road Unit
A Building Permit is issued to: Planner - park Ded.
on the ezpress contlition that all vrork shall be done in accorC nce w' II
applicable State ot Minnesota StaWtes an0 City of Eagan Ordinances. gi~, pry, _ ~P~es
BuilCing Oflicial L1L ~ Variance - TOTAL 213. 50
I ~ ~ L
, - .
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCNITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQDESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
~,qY 3 0 RECD
To Be Used For:~~~/r'1~iv~ ~~4~aluation: Date: S~~/
Site Address ~~~yL/Q//Y OFFICE USE ONLY
Lot ~ Block ~ FEES
Occupancy
, Zoning
Parcel/Sub ~v~~`~'~~V A~~~~~b~' Actual Const Sldg. Permit ~v,~%~%
G/`~//~~// Allowable Surcharge ',5~
Owner ~C L /~%T~~y ~ # of stories Plan Review 2 LO
^ ' Length 1`~ SAC, City
Address Depth `i(o SAC, MWCC
S.F. Total Water Conn
City/Zip Code ~
S~a a~ Footprint S.F. Water Meter
Acct. Deposit
Phone ~/,S ~ On site sewage_ S/W Permit
T j / On site well S/W Surcharge
Contractor~~j ~ LS MWCC System _ Treatment P1.
~~7/~~~~ l~~~~ / City water - Road Unit
Address i ~ ~ PRV Park Ded.
r.r Booster Pump Copies
City/Zip Code ~~/r//~j ~/~JJ~~ SUBTOTAL
APPROVALS Penalty
Phone ~ ~ ^ ~~J ~ Planner _ TOTAL
Council
Arch./Engr. Sldg. Off. ~~/3~
Variance
Address
City/Zip Code
Phone #
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. . , 3795 Pilot Y~iob Reed~ Eagan, MN SSiS2 NO
~HONE: 4548100 / C
BUILDING PERMIT APPLICATION Receipt # C"'~~/ ~
~n-i~ , is_~8_
To be uaea for Familv Room ~ Esr. Value 8,000. Do[e
Site Addreu 4353 Seouoia Dr Erect ? Occuponcy 1
Lot 2 Biock 5 Sec/Sub. EVeI$ieen PaYk Alter ? Zoning Rl .
Parcel # 10 24880 020 OS Repoir ? Fire Zone 3
Eninrge Type of Const. V
s Name Larxy Hau2h Move Srories
3 Addreu 495'~ ~ 7~ Demolish ? Froni 16 ff. ~
~ Ci EaQan p~„e Grode ? Depth 2~ - ft.
~ Nume 0 tal i y Conet Co AvO~owls Feea 320 sq. f
Zv 1122 East OxBrigfl Assessment Permit ~~7-~~-
o Address
V~ , C~ St. Paul 55106 py~„e Water & Sew. $urchcrge 4_ fl(1
Polica Plan check
tw Name Fire SAC
i? Address Eng. Water Conn.
v~
<w p~~e Planner Water Meter
Council
1 hereby acknowiedge that i have read this application and state that Bldg. Off.
the information is correct and agree to mmply with cll oppiicobie APC Total 31 .00
State of Minnesota Stotutes and City of Eagan Ordirwnces.
Signature of Permittee
A Buiiding Permit is issued ro: u ~}rnrti nn ('n _ ~ on the express condition that
ull work shall be done in acc r ' ail ~able Stote o4 Mino ota Statutes and City of Eagan Ordinances.
Buildirg Official °
. , ~ ' ~ ~v c~~
~ • ti
DATE ~O~~L
SOILpING PERMIT APPLICATION
Include 2 sets of plans, 1 aite plan w/elevations and 1 set of energy calcalations.
ib be used far r~ar~,v Rvea Valuation ~ OdO~
Site Addresc:
y3~ 3 D~
Lot Slock Se¢, Sub. Paxcel Number ~6 ~~8'b'd ~~p p5
Jr r,r,a~a,v Pa~~
O~mer rC.E1R1Z1~ ~UG{{ Telephone
Address N3S=3
3~,Voia D~
` tzactor ~,~L/fV Gb Telephone 7~H 7bsc/
f/~dress d1a L GlNitll6~
i
Arch./II~9• 'Pelephone '
Address
OFFICE USE
Erect ~~~`'Y ~
Altez Zoning /P/
~~i= - - Fize Zone .3
Enlarge lype of C~onst. ?
~Ve $ of Stories
Aer.nlisn Front /G '
Grade ~epth ~
.3 ~G tl'
OFFICE USE
• Date of Approval 6 Initial F~
~)r~ ro'
Assessment [/~r~. /~//G•/7s~ Pezmit y
Nater/Sever _ Surcharqe
Police ~Han Ch~ck
Fire ~
~ t?ater O~nn.
Plannes 4Jater Meter
Qouncil
Bldq. Off.
A.P.C. TOTAL 3/
~ /oa r = IS~ 6 v
~y3a
~'1~u~
~
r ~ •
y ~ 0
v2 `6 ~ a
t~
r-~
~ ~ v
l ~
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EAGAN TOWNSHIP
:795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: November 17, 1969 NUMBER 527
OWNER: Wem m ~ .ona .~e .ion Address $35~i Senuoia o~' J~
PLUMBER Wenzel Plumbing & Heating rypE OF PIPE cast iron ~
DESCRIPTION OF BUIID ING
Industrial Commercial Reaidential Multiple Dwelliug No, of uniYs
mc
Location of Connectfona; Coanection Charge
Permit Fee 7.50 Ad 11/17/69
SCreet Repairs
Total
Inspected by:
Date
Remarks•
BY
Chief Inspector
In consideration of the issue aud delivery to me of the above pexmit, I
hereby agree Co do ehe proposed work in accordance with the rules and
regulatioae of Eagan Toi~nship, DakoCa County, Minneaota
By
Wenzel Plumbing & Heating, Inc.
~955 Shavmee Road, St. Paul
Pleaee notifq when ready for inapection and connection and before any portioa
of the work is covered.
~oai5 -3o ,so
2005 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 . O I~
1 ~~S . ~
SiteStreetAddress '-i~J P~`~U~~-' \ Unit#
Property Owner V.~4-`f~ (~u Telephone # ( ~PS~ ' ~
Contrector~~~ ` ~L) ~I u~1'l~ Telephone # (Q~ ~ '
Address ~ 1 ~ City ~ State~' ~ Zip
The Applicant is: _ Owner ~ontractor _Other
Alterations to existing dwelling $ 50.00
r
_ Add plumbing fixtures (excludes water softener and/or water heafer--complete -ne~t,
section if installing these appliances). ~
? 2005 ~ ~
_Septic System Abandonment '
_Water Turnaround (add $125.00 if a 5/8" meter is required) `
Other: ~H`~
Water Softener Water Heater $ 15.00
_ new _ replacement
~awn Irrigatian _RPZ ~PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total '
' I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an ap ication for a
permit, work is not to start without a permit and work will be in accordance with the ap ro d plan in
the event a plan is required to be reviewed and a proved.
~~~,\~~1 ~L
c'~-~n-z,~
ApplicanYs Prin ed Name ApplicanYs 5ignature
Date:
C!ty of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or,BLACKtnk
For Office Use
Permit #:
Permit Fee:
(�a
Date Received:
Staff:
lz-3-(z-
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
325-3 S Lie) �Idc
Unit #:
ESIDE N'
OWNER
Name: C C 0.1_7)
;`eh7 • 'Lc'
Address / City / Zip: ---Sc J C
Applicant is:
Owner Contractor
Phone:
022
i'ITYPEOEN.Y.ORKA
Description of work: ic'
Lr✓°a �'v�cUc
Construction Cost:
Multi -Family Building: (Yes / No vi
CONTRACTOR,
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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public
the information maybe classified as non-public if you provide specific reasons that
conclude that they are trade
information. Portions of
would permit the City to .,
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.
Applicant's Printed Name
plicant's Signature
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