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4372 Sequoia Dr CITY OF EAGAN 3795 Pilot Knob Road Eagon, Minnesota 5512Z Pl~one: 454-8100 WATER SOFTENER pERMIT No. 1~~ p~e: A'~rch 25~ 1.977 Receipt No.: n5522 Single Site Address: 4372 S°c~uoia T]rive Residentinl x Lot ~ Block ~ Sub/Set. ~ Multi Res., Comm./Ind. I Name r'~"'~~~`~ ~`~Serh New/Aiter./Repair ~yfprat=on . ; Address `~~72 Seq~zoia ?~Y'ive Cost of Instollotion O City ~gan Phone: Permit Fee -r' • r0 ` Na~ rri ~t,ert CO. - Clillictan _ Surcharge ' S~ ~ 1'l01 Mazie Ave. ~ Address ' ~ C~~ So. St. P3ui Phone: Total 5.:i0 This Permit is issued on the express condition that all work shall be done in accordonce with oll opplicable State of Mlnnesota Statutes and City of Eagan Ordinances. ~ Building Offlcial.l. INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Raad Permit Number: E mnesota 55122-1897 Date Issued: " ~ ~ ' ~ ~ ` 612)681-4675 ~ ; : ~ ~ c~ o ~4 ~ SITE ADDRESS: ~ r~ t u~ r. - ~ APPLICANT: . , ~ ~ Uk r+ti ~ . . , ~ r~, PE~M~~ SUB~YPE: TYPE OF WORK: ;,i f; ; :~,s t~~ra ~ , ~ ~ . , . . ~ ~ ~ J Permit Holder Date Telephone # PLUMBING HVAC I~spection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ~ DOMESTIC METER IRRIGATION METER FLUSH MAINS corvoucT~virr TEST HYDROSTATIC TES7 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition ~'~'~'e~ P~'k Lot 7 Blk 6 Parcel 1 ~ 2~88~ ~7~ ~6 Owner~ ` ' Street 4~72 S@QUOla ~T`. State E~ana~ 55~ 22 ~-t~ . ~ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ~ SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 198~ 36~.15 2~}.Ql STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 2 Q~-•'' ~ 2-~ 9-7~ ~UILDING PER. sac . 72 1- -73 PARK ia ~~~~G a~~~ a~ + ~ l~ v~'C G.~'FEiv Pr4.~k-' . xnwx or ,;nc~t~ 3795 PiloC Knob P.oed S Paul ~ i~finn. 55111 PFPNIIT N0. ~ 7 The Board of Supervisors hereby grants to ~ F_ Farx~ll .L Son. of `190 west Montana~ St. Paul 55117 PLUMSING Perci.t for: it%umer) Tilsen Homes Fc 437 Sequoia 7-6, 4233 Sequoia 5-1, 1t~4L~_B~sam 10-5~ 1438 Balsam ~-3 , Pursuanti to application dated March 24~ 1971 - _ Fee Paid: $gp_Qp Deted this_ 24th dgY o~ _ Mar,gh , ~9% 1~ BL.i7-ding Inspector T ~ ry FGr~~/'I ~c~ .C , TOWN OF EAGAid 3795 Pilot P.nob Zoed $t. PeUl~ Miqq, $5111 PERMIT I~. 94 The Board of Supervisore hereby grante to Neil d Hubbard for 'fil~en of 99 North Bnelling Ave., St. Paul a NEATINC _Permit for: (Oc,mer) Tilaen Construetion at 1444 Balsa~ 429~~2~Seauoia, ~aQan Mlim ~ purauaat to application dated TTarch 24_ 1971 ` ~ Fee Paid: _ 60.00 [20.00 ea.) Dated thie E6ch dey oY. Msscb . 1. Buildiag Iu~pectos ~ . ~ ~ I II III IIII I I II I III I II III I I I I I11 BP1~Uo eS Bo~arR a SR~A~INa P MNT50 y * 0 3 2 9 6 6 2 1 * Pnope ~siz~ sa2-oeoo q g~ Home Duple: Apt. Bldg. Other: ~ New Addn Commercial Indus}rial Farm Remod Re oir ir Cond. Hfg. Equip. Wafer Htr. Load Mgmt Ofher: D er Ran e Elec. Heat Tem . Service "X" obove fhe work covered by fhis request. Enfer remarks in this spoce and on the back o( ihe whife copy only. Colculate Inspection Fee - This Inspecfion Requesf will not be occepted withoW fhe corzect fee: Olher Fee 8 $ervice EMrance Size Fee # Circuits/Feeders Fee Mobile Hame Pork Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Troffic Sig. A6ove 200 Amps Above 100 Amp: TransformedGenemtor INSPECTOX'SUSEONLV TOTAL 3~~ $ign/Ou}line Ltg. Xfmr. ~ Alarm/Remote Conirol Swimming Pool i h.re m~n ~hm i d fie eleariwl instullation dezcnbed herein on ~he daba sfoxd . Irrigtition Boom go„9h.~~ oaie $peciallnspedion Finnl Da~e Investigative Fee THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 3 2 9- 6 6 2 ~ OF}lC OSE LV This request void I S monlhs hom validatian dore prinkd in Mis boa. 9~~~~ . G ~.s"o ~ ~/J ~ PLEASE PRINT OR TYPE Reqvesl Doh 2oogh-in inspeclion ' 2 es InspMion Oiher ihan Rough-In: eody Naw ~ Wtll Call ~ (Yoo must coll Iha inzpedor when mady) ~ab Ready: I, icensed conirocfor 0 owner hereby request inspedion of the above eledrical work at: Jo6 Mdresn ~SVeet, Box, or xou Cih Lp Code ~i 4~ Sedion No. Townehip Name or Rnnge No. Fire Na Coonly 1 /yrlGl d p~~pe~~ Phone No. J _ ~,,,i o r~~~ ~ • z 7o G Po..er SopPlier Addreu Eletlnm C ~mWr C mpnery Nome) Commcror License No. Ma~ste/r lic. Na ~Plom EIecL Only) A I+~t a!a /r r ~b 5~ /7 ~`~e5'1~ NwlliegMdroy~ljlmcroror o~miiglnsbllaXon~ i/~ /t~.2? .u~JTa,.~'solv~' ~ v "c' Otl AuMorized Si re(Co or or r Ped ieg Insmllafi ~ PMne /NJo. ~ [ { ~ .C~~V Vr?Y EB-00~011~10 6/95 STATEBOAPUCOP •S N6TAUCTIONSONBACKOFYELLOWCOPV i~ RESIDENTIAL , ~ ~ BUILDING PERMIT APPLICATION CITY OP EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 65'I-681-4675 New ConstruMion Reauiramenb RemadeUReoair Reauiremenb • 3 registereE site surveys showi~ sq. R. ol lct, sq. k, of house~, and afl rooie0 areas • 2 coDies of plan (20% maximum lot coverage allowed) . 1 se( of Energy Calculauons for heated additions • 2 copies of plan showing beam 6 window sizes; poured found desyn, elc.) • 7 site survey !or extenor additions & decks • i sel of E~ryy Calcula6on5 . Indiwte il home served by septic sysfem for addiGons • 3 co0~ of Tree Preservation Plan if lat platted atter 711/93 . R'un Joist ~etail Options selecUon sheel (bidqs wAh 3 or less units) DATE l" U 0 VALUAiION ~D3-~O ITE ADDRESS l~ ~ MUITI-fAMILY BLDG Y N YPE OF WORK FIREPLACE~S) _ 0_ 1_ 2 APPLICANT Cadpr y~le~Exter;^-~ STREET ADDRE53 9920 Z1118 StCA9t ~ ! CITY STATE ZIP TELEPHONE # j a dS~ECL-PFT~NE~ FAX #~I (Q~j"7SS-S~J°l~ ROPERTYOWNER~3~t~ IlQI..I.BIC.L 1 pY . TELEPHONE#~In51~l~SLI-"c7'~~~D COMPLETE THIS SECTION FOR ~NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y(IYNESOT,1 I2ULES 7670 CATEGORY I ~fI~~ ~I} \-R(L~L1:S 76Z2, (J submission type) . Residential Ventilation Ca[egory 1 Worksheet Su6mitted • New~N@f~y~bde NJOrkShegl Submitted • Energy Envelope Calculations Submitted ~ ~ i~ ocr o 1 2002 Il~i+~ Plumbing Contractor: Phone # _l JI Plumbing system includes: Water Softener _ Ia~ni Sprinl:ler $99-,Q8- Water Heater ~o. of R.I. Baths ~10. oF Baths ~ Mechanical Conhactor: Phone # :~Icchanical system inclucles: .~1ir Conditioniiig Pee: )70.00 Hca[ Rccovcn' Scstcm Sewer/Wate~ Contractor. Phone # I he~eby acknowledge that I have read ihis application, state ihat e informatio is c rect, and agree to compiy with all applicable State oP Minnesofa Statutes and City of Eaga O d' ances. 5lgnature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 3102 OFFICE U5E ONLY ? 01 Foundation ~ 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ~ 33 Ext. Alt - SF ? Oa 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 D3-plex ? 11 1D-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 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 Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) FinaV!Vo C.O. _ Footings (additeon) _ Plumhing Founda[ion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AiriGas Tests _ Final _ Framing _ Siding Stucco Srone _ 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 W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~~~~~~~~~~~~~~~~~~#~~~~~~~~~~~*~M*~~~~~ C:f.TY C.IF FAGAN ~^.F1SHIf.-'F~: !i fE_F'MIi~(al_ rI0° 8E33 UA'iF.:; 09/c`,:;J':38 77:P11c. IS:;C]:S„;34 IS:~. NAt1F..~ M.T.~NE'S07A I;l15CCl INC 32:L0 9[JCli 4;3i 2 f,rC?UI:1:tA ?fi i'4.'i 5 ?:I.'.`i.`, 9(]Q1. 43i' S.F..C7lJ[]:f.Fl I~li I..;nfJ ~ ` Tot~7. f<ecrai~~t Amo~.~nt: 'r[?,.r'_5 CRf~!~"r''i';?3 U~I:Ii SC:~° NRNr.:Y ~%~~k~:~s~yr.~kK~%~~k~~~~~~~~~W:~~k~sx~~~r~k~~~k ~~~~k~~~k~c PERMIT CITY OF EAGAN 3830 P~ot Knob Road PERMIT TYPE: B u I ~ o I N ~ Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 4 2 2 (612) 681-4675 Date Issued: 0 9/ 2 3/ 9 8 SITE ADDRESS: y3~2 SEQUOIA oR LOT: 7 BLOCK: 6 EVERGREEN PARK P.I.N.: 10-24880-070-06 . DESCRIPTION: REP~ACE PATIO DOOR ~4,.i,1d~~°t~'~~;Permit Type SF (MISC.) B,uilding `Wark Type ALTERATION r~ensus Code` ~ 434 ALT. RESIDENTIAL fi` ~ ~ • _ `~a - ~ F ~:l ii'. s- I ~ _ I C /1~ { i _ E . ~ ~ t ' t I ~ 1 S ~ ~ , . .u a .5 b, r . Ci E ~w.., i ~ .~J ~ w Lt REMARKS: FEESUMMARY: va~uarzoN ~s,eee Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 ~,n~~~~Tn~: - App icant - ST. ~IC. OWNER: I~ Y7d 19359669 0002173 KRECH ARMOND ,`~01 SMETANA DR 4372 SEQUOIA DR ~I_NNETONKA MN 55343 EAGAN MN (612) 935-9669 (651)454-2706 ~ I hereby acknowledge that Z have read this application and state that the zn~Narmatit~n i;s correct and agree to comp3.y with a1f appl~cab2e 5ta~e o'f Mn. StaCutes and Crty of Eagan Ordinances. ~ _ . ~ l~ APPLICANTlPERMITEE SIGNATURE ISSUED BY: SIGNATURE 3 3~~~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACiAN 3830 PII.OT KNOB RD . 65122 ' 681-4676 New Constructlon Reuuirements RemodeVReoair Reauirements ~ ~ 3 ? 3 regiaterad site surveys ? 2 copies of plan ? 2 copies of plana (inGude beam 6 window s¢es; poured fnd. design; etc.) ? 2 atte surveys (exterior atlAitions 8 tledca) ? 1 energy calculatlons ? 7 ene~gy ~alculetions Por heated adtlkions ? 3 copies of hee proservation plan H lot planeA efter 7/7/93 requlretl: _Yea _ No DAT'E: ~J`~ 5 y CONSTRUCTlON COST; ~a~ '~D~ DESCRIPTION OF WORK: ~I(1 CtM~, ~PGL~-t_f~ l_y~(I. (/Y~ ,~(j 5~ v~~,_~nm V ~.f STREET ADDRE5S: 37 a~1! (1 (l Y'~~ C~ ~ i ~ l Y~ 1 LOT: 7i BLOCK: ~ SUBD./P.I.D. Name: 1\I' QC~ ` 1 Y' f~10~ Phone ~`j-~c -c~~ (~[P PROPERTY Lest First OWNER ~1 c ` Street Address ~`f~ / C~ J~ ~ l~~C 1~ ~I 1 l\~ City ~(~iC,CiF'~ State: 'm(L~ Zip: s~ ~oZ.a~. Company: 1 ' \i (~Y~O ~,Q~(~~~~,~ r~YIC. Phone G ~iS ~~I ~e ~nC-~ CONTRACTOR Street Address: ~G ~4 ~ 6'~(i 1'l(\ . Y' i V~ License # 02+73 c~ry I~~~~~K-l~. stace: 1fY1~ z~p: 55343 ARCHITECT/ ENGINEER Company: Phone Name: Registration _ Strcet Address: City State: Zip: Sewer 8 water licensed piumber (new construction ony): . Penalty applies when address chang and lot change Is requested once pertnic is issued. 1 hereby acknowledge that 1 have read this applicetion and sNate that the infortnation is cortect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant D OFFICE USE ONLY SEP I B~ Certificates of Survey Received _ Yes _ No Tree PreservaGon Plan Received _ Yes _ No _ Not Requ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move 0 32 Addition ~ 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS 5ystem (Allowabie) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ a~ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit ~ S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~ " EAGAN TOWNSHIP BUILDING PERMIT N°• 2383 Owne: "...`c~.`.:.`.-!?c~-:N-._...T_....".`.---..~..99.'-----'.~D...~,..._-'~,_-°-"---"-' Ea9an Township Address (preeenf) ~ ~ .5~-^-~---....... Town Hall . ~ Butlder . a2~~~ Dale Addresa DESCRIPTION ~ 5toriea To Se Used For Fronf Depih Heigh! Eai. Cos! ermi! Fee Remarka , I ' cz~~ 'L~ ~~jm~ ~ ~3 ~ I ~~i .o~~-a" ~Oc~2c~ LOCATION Slreel, Aoad o: olher Deaerlpiion of Loaa2ion I Lo! Sloak Addi2ioa or Trae! i f a 7a- ;A~- - ~ 7 ~ This permi! does no! aulhoriz !he use of etreels, roads, alleps or cidewalks nor does S! give the oweer o: his agea~ ffie xight !o ereate anp situatfon whiah is a nuisanee or whiah presenls a hasard !o !he healih, saEelp, aonvenience and ganeral melfare !o aapone in !he eoramuaitp. THIS PEAMIT MUST SE K~EFT ON T~oHE~I3E WHILE pHE WOA& IS IN PAOG SS. This !s So carlity. lhef..... .......................................has ermisaion ~o erec! a... ..._upoa !he above deaexibed premise eubjec! !o !he provisiom of !he Building Ordinanee tor Eaga Townchip dopled Apsil 11, 18b5. ~ ~ ) _ . _ ...-~.~.~51rv~........_... Pex ~:.:.~~......fl.c.....-°---..........-----.. ~ Chalrman of Tnwa Board~ Bvilding Inspeeto - a MASTER CARD ' LOCATION ~ ~ a ~Y37~ ~7 ~ l~ ~ OWNER / ~ ~ e ~e~ ~ ~ STRUCTUR: AND ~ Q ~ • V LAND USED AS L- E?e r~'w~~?pj Issued To Permit No. Issued Coniractor Owner ~ BUILDING ~3g3. Z• ~ 1 T~,,•~v PIUMBWG 9'~ 3.:J•.~~ ~^tII! 7 S_ CESSPOOL - SEPTIC TANK V?ELL ELECTRICAL HEATING ~ GAS INSTALLING SANITARY SEWER ~g~ r'~ OTHER k~ °Jh~ I OTHER • Approved • Items (~nitial) Dafe Remarks Distance From Well FOOTWG a_~~-7~ SEPTIC FOUNDATION ~ CESSPOOL FRAMING ~ TILE FIELD FT. FINAL ELECTRICAL HEATING ~ H~ I~. ^ 7~ OFP WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ~ yy ~ ~-s WELL SANITARV SEWER ~ I Z - s - 7 Violations Noted on Batk COMMENTS: COMPLIANCE INSPECTION REPORTS i0 BE USED ONIY 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. . ? ACCEPTABIE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-GOMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPEC710N REINSPECTION REVEAIED CE RTI FICATI ON - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that 1 have reported herein all significant conditions ohserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating ro the property inspected. ~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUII~ING INSPECTOR DATE CONJv1ENTS: ~ ~ ~3 :~i""', EAGF.N TOWNSHIP 3795 Pilot Knob Road St. Paul~ Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SL~RVICE CONNECTION Date: FebruarY 19, 1971 Number: 539 Billing Name: Tilsen Construction Co. Site Addreas: 4372 Seauoia Drive 7-6 Evergreen Pl Owner• ,,,me Billing pddreas Pl~ber: Luecken Exeavatine Locatioa of Connection Meter Size 5 8 Coanection Chg.280.00 od 2/19/71 Read Out No.: 52376 1 Meter No.91508]'i5 Fermit Fee 10.00 pd 5/13/71 Meter Readingd~~~ Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence ~c~ac ~iZ;i.a~ (;E•ii;'SPiC~110j~ f_~ 24ultiple no, untta ':~:'.=`'s~'P~R~Y lidSTALLcD i:i~~~RS. Commercial Industrial Sy: Other Chief Inspector In consideration of the iseue and delivery to me of the above permit, I hereby agree to do tte proposed work ia accorda ~ with the rules and regulations of fiagan Towaship, Dakota Count innesota. BY i Lueckea Excavatin¢ Please notify the above office when ready for inepection and connection. ~ r EAGl~P7 TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: Februarv 19. 1971 NUMBER 698 OWNER: Tilsen Construction Co. Address 4372 Sequoia Drive 7-6 Evergreen Park PLUMBER t.~~ecken Excanatinp~ TYPE OF PIPE cast iron DESCRIPTION OF BUILDING Industrial Co~ercial Residential Multiple Dwelling No. of units nooc Location of Connectione: Connectioa Charge Permit Fee 10.00 pd 5/13/71 Street Repairs Total Inspected by: Date Remarks~ By Chief Inspector Ia consideration of the issue and delivery to me of the above permit, I herebq agree Co do the proposed work in accordance with the rules and regulations of Eagan Toc•~nship, Dakota CounCy, sota BY ~--_=~~0~ ~ T4fP .ICPA F.x .avatin~ - i.erno T._ .nitati Ji. 2861 Minot Ave., No. St. Paul 55109 Please notify when ready for.inapection aad conaection and before any portion of the work is covered. ~-lq3S ~~-o.ao . Z005 RESIDENTIAL BUILDING PERMIT APPLICATION - " City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements - Remodel62enair Reauirements Office Use OnN 3 registered siie surveys showing sq. ft. o( lot, sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Rectl _ Y_ N (20% maximum lot coverage allowed) 1 set of Eneryy Calculations for heated additions Tree pres Plan Recd Y_ N. 2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y_ N - isetofEnergyCalcWations Addifion-indicatelfon-sifesepGcsystem OnsAeSepficSystem _Y _N 3 coples of Tree Preservation Plan rf lot platted after 711/93 Rim Joist Dehail Options selection sheef (buildiigs with 3 or less units) 00 Date ~ / ~ / _ , Construction Cost ~ ~ Site Address ~(/j/Q , ~~~/1 J~S~a'e~- UniUSte # ~ Description of Work J ~ I~UQ Q Multi-Family Bidg _ N J Fireplace(s) _ 0_ 1 _ 2 ~1 Property Owner J/,[i~a( Telephone # ( ) Contractor Q Address yJ~~ J~ Jr8 City State 1 I~ Zip S c3 Telephone #(GJS~ 9~ ~PI49 / COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING - Minnesota Rales ~670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residenlfal Ventilation Category 1 Worksheet . New Energy Code Worksheet (~su6missiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a buitding in Eagan with a similar plan? _ Y _ N !t 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 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 'n the case of woxk whicfi requires a review and approval of plans. i ~ ~~,s . ~ c~~oM~~ Applican'sPrintedName Applicant' Signature p~~ 2 7 zoo5 D OF~ICE USE ONLY Sub Types - ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 2U Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MWti ? 03 01 af _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ak - SF ? D4 02-plex ? 10 DS-plex ? 78 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc. O OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Stortn Damage ? O6 D4-plex ? 12 72-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof O 46 Windows/~oors ? 34 ReplaCement ~ "Demolitlon (Entire Bldg) - Give PCA handout to applicant ~ Valuation Occu~ancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # af Units 5q. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Eootings (new 61dg) _ FinallC.O. _ Footings (deck) _ FinalMo C.O. _ , Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice 8c 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 - 3ase Fee Surcharge ~ Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA113396 Date Issued:09/04/2013 Permit Category:ePermit Site Address: 4372 Sequoia Dr Lot:7 Block: 6 Addition: Evergreen Park PID:10-24880-06-070 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 . William Krech 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 - Armond F Krech 4372 Sequoia Dr Eagan MN 55122 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature