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4383 Sequoia Dr CITY OF EAGAN ' 3830 Pilot Knob Road, P:O. 8ox 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Rece~pt# To be used for Est Value Date ~ ,19 Site Address OFFICE USE ONLY Lot BIoCk Sec/Sub. On Site Sewage _ Occupancy MWCC System _ Zoning Parcel No. On Site Well _ Type of Const Cily Water _ (Actuaq s Name (Allowable) W ~k of Stories o Address Length City Phone Deptn S.F. Total , p Nertl@ Footprint S.F. ~ ~ Address APPROVALS FEES ~ City PhOn@ Assessments _ Permit Weter/Sewer Surcharpe yVj W Neme Police _ Plan Revlew _ ~ Addre38 Fire _ SAC, City ~ Engr. _ SAC, MWCC ~ W City Phone Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I ha~e read thia appllcation and state Bldg. Off. _ Road Unit that the information is Conect and agree to Complywith all applicable APC _ Treatment P1 State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express conditfon that all wortc shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. P~rmit Holder Dat~ Telephons ~t Plumbing H.V.AC. E lectric Softener Inspection Dete Insp. Commsnts Footings I Footingsll ~ ~,,r~y~ ~ Foundation ~ 5~-~~~~/~r Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final ~ Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. / C A LV I N H. H E D L ll N D 8901 Lynda le A~~. s~. Bloomington 20, Minn. lond Surveyor . Gvil En~in~er TU 1-2661 surve ar`s G'ert~ ~cate ~ JOB NO. SURVEY FOR: Rod~er Grathe DESCRI6ED AS: Lot 3, Block 6, ~V:.'RGP,~.Er FA,:~ P.ZDI'~I~h', Jakota County, :-iinn. and reserving the drainage and utility easements as shewn on the record plat thereof. fi",~ ~ 8-~ 4 N rt 74, a~ r 15's _ - ~T . ~ J 24' . 9 ~ r - ~j G~R n~ ~ ~ ~ ~ ~ i8'c 1 ~ I , ` ~ 'l ~ ~ R~ ~ ~ ~ ~dG C • ' ~ > ~ - 9L ~ - ~ ~ ~ ~ \ , .n y \ -e> ~ d J ~ ~.)7 1' . _ ~ CERT IF ICATE OF SURVEY I hereby certify that on ~~y "'~~urveyed the praperty_deacribed above and that the above plet ia a correct representation of sa~d eurvey•~ S~~JP~~ > r ~~~..2i+'~(J~'~-~ ~~~.l.~-. -.i~ ~P_ ~ v ; Calvin H. Hedlund, Minn. Reg. No. 5942 ~ Cities Di ital uality Control The following image represents the best available image from the original page. 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GRADING SAN SEW TRUNK ~ ~ 8 2~ SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK ~ STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC O.OO 7 - PARK RESIDENTIAL ~ ~31 3 BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 551201TY OF EAGAN 851-681-4675 ~ MINESO q ~ ~~g~ New Conawction Reauiroimnd RemodeUReoair Rwuiremenb • 7 registered site surveys showirig sq. R. of IoC sq. ft. of house; and alt mofed areas • 2 copres of qan (20% maximum bt coverege albweC) • 1 set al Emagy CakWations for ~eated additbns • 2 copies of plan showing heam & wiMow sizes; poured found Eesign, etc.) • 1 sde survey tor extenar additio`s & decks • 7 sel of Enerqy Calailations • Indicate i( home served by septlc system for addiliorts • 3 copies of Tree Preservxtlon Plan if lot platted aRer 7/1l93 . R'un Joist DetaJ Optiais sNecdon stKel (bldgs with 3 or less wils) DATE ~~/~s/G~ VALUATION ~ ~ 503 SITE ADDRESS 7 3~3 S ~2' M TI-FAMILY BLDG _Y ,~N TYPE OF WORK S~ G~+ ~'1 ~ l~fG.GiCi~'nt~'r-f' - FIREPLACE(S) _ 0_ 1_ 2 APPLICANT SP~#25 ~YGmc ~~~t~ri~'r+~~3 STREET ADDRESS SS/2. La,1C~il~i;nrJlQr~/L/_-_-CITY S~Gc.. STATE/~'~2ZIP SS~ TELEPHONE # CELL PHONE 3b'~ S~I9l F,e,x # 7G 3-`~~~' D~d / PROPERTYOWNER ~~ti TELEPHONE# Gs~ ~SS~ ~~SJ COMPLETE THIS SECTION fOR °NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ ~:~(I~INESOTA RUI.ES 7670 CATEGORY l _ MP(NESOT?. RULES 7672 (J su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Woricsheet Submitted • Energy Envelope Calwlations Submiaed Plumbing Conhactor: Phone # Plumbing system includes: ~ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanieal Conhactor. Phone # Vtech~nical system includes: _ ?~ir Conditioning ._Eee: $70•00 _ Heat Recovery System ~ ' ~ ~i ' ~ ~ . I, ~ Sewer/WaterControetor: Phon~~l Q~T 7fi(17 UI I hereby acknowledge thot I have read this applicaTion, state ihat ihe informotiQn~iicorrect,.andagreert ~ comply with all applicable State of Minnesota Siatutes and City of Eagan Ordinances. Signafure of Applicanf ~ ---------•-OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundatiqn v~~ 07a 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 'S~ Dwelling ~~-^O 08, ~Og-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG ? O~~y.11.of _ plez ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 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. 0 42 Demolish (Foundatlon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •DemoliUon (EnUre Bldg 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 bidg) _ FinallC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addirion) _ Plumbing Eoundation HVAC Dtain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee - Y---~~~ Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ EAGAN TOWNSHIP BUILDING PERMIT 2271 Ownax _...U-.-.~.----a..!Z"ti`.-'.`.~.'-.`.-' Ea9an Township Addresa ID=ecent) ..._f.~3.e:~...:.~-......`.~.~:.'..~=~_`?-~~3:.-._.~'k~-~ Town FIall Huilder . 'f- M",'_"' .l~.c~ l .l - . S-3~ . Address ~ Dale...~....a../.?~ . ...---.........e.... . - . . - ? DESCRIPTION Biories To Be Uaed For Fsoo! Deplh Heigh! Esl. Cae1 esm!! Fee Aemarlcs ' , a~•u~'~ , 7 ~ f i~ L- ~7i ~ ~j/~ ~ ~D° l ~ ...a X 6 LOCATION ~ Slseei. Road or othes Deieslpfion~ of Localion I Lo! Block Addlfion or Tsae! ,~3 ~3 I 6 ~,a-~-~te~,~ 0.~-,,~J 1'h!a perm9! does ao! aulhori !he uee of sfree2s, soads, alleys or sIdewalks aor does i! give the owner or his egea! !ha :igh! !o ereale anp siiualion whieh is a nuiaence or whieh prasenfs a Lasard !o !he healih, safely, eoavenienee aad general melfare !o anpone ia !he eommunilp. THIS PERMIT MU$T BE K/J~,pT O THE~ R$MISS~ HILE THE WOAK IS IN PAOGR S8. ~ This ia !o certitp, ihal..----•t~..~----...~1`--.---.--°-...has permiasion !o ereet a ._.._upon !he above described premise subjee! !o !he provisions of !he Building Ordinance for Eaga Towns}u~led Ayri] 11. 1955. peS Chair n oi Tnwn Soard~ ~BuildInp Iaepecfoz TOWN OF EAGAN 3795 Pilot Knob Road st. raui, t~nn. 55>>> PF~MIT NO.: y8 The Board of Supervisora hereby grants to gewoort.g~ttmb~ng,~ In~,__ ef 42F~ F]ondla~pxivg~ St. Paul~ I~11nn. 55119 a Plkmbine + -3i G~ Permit for: (Owner) Paul bi~rtin _ at 4~83 Seauoia Drive~vergreen Park pursuant to application dated Sn~31~_ 1970 _.___w___._.__ Fee Paid: ,~520.00 Dated this 4th day of puaust ~ 197 0. 73uilding Inspector MASTER CARD ~ LOCATION ~ .~(O ' OWNER /IJ~(~~K~-~-- a?~ \ STRUCTURE AND ' LAND USED AS ~ - I. Issued To Permit No. Issued ContraUOr Owner BUILDING + ~`70 , ~ {9~, ~ s.~3 ~ ~ { PLUMBING ~ ~ .1/~ NtI1I p/~ ~ CESSPOOI - SEPTIC TANK WE~L W7'..~Q 1 ~ ~ 1 ELECTRICAL HEATING ~~~i Q GAS INSTALLING SANITARY SEWER ~ OTHER OTHER I • Approved Items (Initial) Date Remarks Distance From Well `UOTING ~ , - ~ ~I• O SEPTIC _ FOUNDATION ~ ~ ~ ~ CESSPOOL FRAMING ~ ~ r 7 TILE FIELD FT. FINAL~ ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK GESSPOOL DRAINFIELD PLUMBING 1„/ I ~ WELL . SANITARY SEWER p~ ~Z _ d t ~ Violations Noted on Back COMMEN7S: 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 DELAYE? BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REI~SPECTION REQUIREO DATE OF REINSPECTION • REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I hava repor[ed 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 relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABIY COMPLETED BUI~DING INSPECTOR DATE CONJv1ENT5: so , EAGE~ft TOWNSHIP 3795 Pilot Kitob Road St. Paul, Minnesota 55111 Telephoae 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: Au2ust 6. 1970 NUI~ER 617 ~ ~CO OWNER: Paul Martin Address 4383 Seauoia Drive. EverQreenPark PLUMBER Newoort Plnmbinz TYPS OF PIPE cast iron DESCRIPTION OF BUIIDING Industrial Commercial Residential Multiple Dwelling No, of units xaooc Location of Connectfons: Conaection Charge ~-0- Permit Fee L0.00 od 7/31/70 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideratioa of the issue asul delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules aad regulations of Eagan Toemship, Dakota CounCy, Minnesota By Donald A, Scholz 426 Woodlane Drive St. Paul, Minn. 55119 " Please aotify when ready for.inspection and connection and before any portion of the work is cwered. r• - + EAGAN TOWNSHIP 3795 Pilot Rnob Road St. Paul, Minneaota 55111 Telephone 454-5242 PERt~IIT FOR WATER SERVICE CONNECTION Date:~p,payet 6. 1970 Number: 466 -3 Billing Name: Paul Martin Site Address: 4~~~~;a nr;..a~ F..a,-oreen Park Owner: Paul Martin Billing Addreas ~ame Plumber: T7Q~ rt Pli~mhing Location of Connection Meter Size-~' Coonection Chg. 260,00 od 8/12/70 Meter Noa'//~o6'~ Permit Fee 10_OO~d 7/31/70 Meter Readin~_ Meter Dep. Meter Sealed: Yea Add'1 Chg. NO Total Chg. ~-~~1.~~~ ~~~%a,-~~~ ~ ~ Inspected by Date Building is a: Remarke: Res3dence~x i~tuiti.ple t~o, Units Commercial Industrial By; Other Chief Inapector In consideration of the isaue and delivery to me of the above permit, I hereby agree to do tte proposed work ia accordaace with the rules aad regulations of 8agan Township, Dakota County, Minnesota. By: Donald A. Scholz Newooort Plumbine Please notify the above office whea ready for inspection and conaection. CITY OF EAGAN (~J° 13 5 0 4 3830 Pilot'fCnob Road, P.O. Box 21 •199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt x 7~~ 7o be used for 3-SEASON PORCHESt. Value ~ 10, 000 Date APRIL 22 ~ 9 87 Site Address 4383 SEQUOIA DR OFFICE USE ONLY Lot 3 Block 6 Sec/Sub. EVERGREEN PK OnSiteSewage _ Occupancy MWCC System _ Zoning Pefc@I NO. On Site Wall _ Type of Const City Water _ (ACtuaq a Name PAUL MARTIN IA~Iowable) w # of Staries ; Address S~E Length ° City Phone 454-4251 Deoth S.F. Total ,o Name SAME 722-5353 FootO~~~tS.F. Address qppROVALS FEES $93.50 ~ City Phone Assessments Permit ~p ~ WatedSewer _ Surcharge 00 W w Neme Police _ Plan Review U~ Address Fire _ sAC.City Engc SAC,MWCC aw City PhOne Planner _ WaterConn. Councll _ Water Mater I hereby acknowledge that I have read thie application and state Bldg. Oft _ Road Unit thatthelnformationiscortectandagreetocomplywithallapplicable APC _ TreatmentPt State of Minnesota Statutes tl City of Eagan rdinances. Variance _ Parks COpies Signature of Permfttee :z~i~J roTa~ ~ A Building Parmit is issued to: PAUL MARTIN on the express condition that all work shall be done in accordance with all applic le State of Mi sofa ta tes and City of Eagan Ordinances. Bullding Official 1 • ~ ~ 1987 BOILDING PERMIT APPLICATIOH - CITY OF BAGAN SINGLE FAMILY DWELLINGS IBCLDDE 2 SETS OF PLANS~ 3 CBRTIFICAiSS.OF SORVEY, 1 S6T OF ENERGY CALCQI.ATIOHS HOTE: ADDRESSES FOR COfiNEE LOTS - C08RHACTOR/HOMEOSiNER MOST DESIGHATS AHICH ADDRESS IS DFSIRED. NO CHANGES iiILL BB ALL.OiiED ONCE BDILDING PERMIT IS ISSQSD. MOLTIPLE DiiELLINGS - RBSIDENTIAL RENTAL OAITS FOR S9LE 07iIY5 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUHVEY - CHECB iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS - COI~RlERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, t SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS~ $2,000 LANDSCAPE BOND To He Used For: 3 rj~3 ~~n"CCr~c ti~ Valuation: Date: 2~ ( Site Address ~3"~3 ~yc~a;a ~y~ OFFICE IISE ON~,Y Lot ~.3`~ Block On Site Sewage_ Occupancy MWCC System Zoning Pareel/Sub ~ On Site Well Type of Const ~ City Water _ (Actual) Owner ' (Allowable) Address `7' ~ 0~ <}~~ir'o ~ ~ Lengthtories /-y~j~ Depth ` City/Zip CodeC~4j~~.y,/r{dl ~~1Z~- S.F. Total Footprint S.F. Phone ~~Y ~ ~ ApPROVAI.S F6FS Contractor ~~+-t y/'~ji7i~:-~j y~ Assessments Permit r-~3 , ~~j~~ r(~` ~~I Water/Sewer Sureharge Address ~C Z j^ Police Plan Review Fire SAC, City City/Zip Cod~-~}' ~r'1 E Sl~~l Engr SAC, MWCC ` L~~ J~_~~+~~ ~ Planner Water Conn Phone / ~ ~J~ Council Water Meter Bldg OfF Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOTAL _ City/Zip Code Phone 0 rni li-f. ~u ~ v/'~~~ ~h ~SY- ~.Syg Nj ~ ~ Gou~r ~ I 4-38 (~~~c-~a~~ C(Q;,_ ~7~~~ , . ~ g~ ~ g MECHANICAL (RESIDENTIAL) ~ p ~ ,SZ~ Permit Application City OFEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. Single Family Dwellings Townhomes and Condos when permi[s aze required for each unit Date~/~/ ~ Site Address ~ ~ ~'QG (il ( Unit # Property Owner e~. G r~ Telephone #(+~.1 r) `J a--S I ~'o~tracto~ STp~pqRU HEATING & AlR C~NOITIONING C0. 410 WEST LAKE STREET Street Addr~NN~PQI IS. MN 55408-ZJ~ c;ty 612-824-285~ State Zip Telephone # ( ) The Applican[ is _ Owner ~ Contractor _ Other Add-on, modiScation or alteration to existing dwelting unit I~ $ 30.00 i ~ ' ~ _ furnace replacement . ° ` I ~I _ air exchanger P~ ~ 7~00.~ ~ air conditioner ~~y other ~ State Surcharge $ .50 Total $ ~O~c~ I hereby apply for a Residential Mechanical 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 with the Mechanical C s that 1 understand this is not a permit, but only an application for a permit, and work is not to start wit a eitnit; that the or w~ 1 be in accordance with the approved plan in the case of work which requires a review and approva f pla . Applicant's Printed Name Applican s Si ature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. commercial/industrial buildings multi-famity buildings when scpara[c permits arc not required for each dwelling uoit Date / / Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applicant is _ Owner _ Conhactor _ Other Work Type Newconstruction UndergroundTank _Install _Remove Interior Improvement Call for inspection during installationlremoval of tank Processed Piping Nature of Work: P¢TINf F¢¢ $50.50 Minimuni Fec (includes Sqte Surchar~e) Contract Value $ x .Ol% Pernut Fee • If pernvt fee is 51,000 or less, add $.50 ~ $ State Surcharge If pernut fee is over $1,000, add $.50 per $1,000 Pemvt Fee $ Total Fee I hereby apply for a Commercial Mechanical Pemut and aclaiowledge that the information is complete and accurate; that the woxk will be in conformance with the ordinances and codes of the Ciry of Eagau and with the Mechanical Codes; that I understand this is ?ot a permit, but only an application for a pemut, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requues a review and approval of plans. ApplicanYs Printed Name ApplicanPs Signature Approved By: , Inspector Date: Citi of Eaoau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: I J Permit Fee: 620 Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: Tenant: Suite #: } esideilt%Ow .a Name: r rt w'tYJ ilIG( V+ c 4 Phone: 6 f Z .fug /72 1 �/l y p: ! 3%3 e4' ItOtC 1 Address /Cit / Zi ntra for Name: CYO( Re Ci) vtSty ,LCT --C twt XUIC License #: 60 ` Address: lti (C5-0 1`fC! 1 �j �i.-� 6t -,A City: �Lar1P State: t V`fj Zip: 56 ti"( 6 Phone: , f Z Z 3 Z (2 Y Contact: kl ct 1,+a. i e- Email: Ali( o f (511 Sie c ( L-01 Type k New K Replacement Additional Alteration Demolition Description of work: �?': Roof ►t�dudnd r+ and mounted'metzhan Code P se xinnttact the Mecham uired to reenby «1 1 reqbe sced C l ins • .for in o *'dna mi ' ='° Permit Type RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump ground Tank ( Install / Remove) tt 1,.Under/Above )(Other 6(j f'Ii An d i f.rLvG/(`l _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State includes State Surcharge Surcharge = $ TOTAL FEE $100.00 Residential New, COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ Surcharge = $ TOTAL FEE 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. \\awe EI<u rp-C--- Applicant's Printed Name OR OFF Required Ins U,riliprgrourld x Applicfit's Signature Reviewed rice Test I fn -i oor Heat HVAC S City of Eaau 3830-Pilot1-(nob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2016 Use BLUE or BLACK Ink For Office Use Permit #: g6/ Permit Fee: Gam`'- 11t� Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applications. Date: 4/25/2016 site Address: 4383 Sequioa Drive Tenant: Suite #: Resident/Owner Contractor Name: Ed Martin Phone: 612-508-1728 Address / City / Zip: 4383 Sequioa Drive, Eagan MN 55122 Name: Metro Heating & Cooling License #: 20090002249 Address: 255 Roselawn Avenue East #41 City: Maplewood State: MN Zip: 55117Phone: 651-294-7798 Contact: Micah Email: micah@metroheating.net New Replacement Additional Alteration Demolition Type of Work Description of work: Replace existing furnace NOTE: Roof mounted and ground mounted mechanical equipment' is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. Permit Type RESIDENTIAL 1 Furnace Air Conditioner Air Exchanger Heat Pump Other New Construction Install Piping Gas COMMERCIAL _ Interior Improvement Processed Exterior HVAC Unit Under/Above ground Tank (_ Install / Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ 60.00 TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 = $ Permit Fee = $ Surcharge = $ TOTAL FEE 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. Appl!cant's Signature x Micah Vail Applicant's Printed Name • FOR OFFICE USE Required Inspections: Underground Rough In Air Te Gas Service Test In -floor Heat Final QAC Sc ening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161060 Date Issued:05/04/2020 Permit Category:ePermit Site Address: 4383 Sequoia Dr Lot:3 Block: 6 Addition: Evergreen Park PID:10-24880-06-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Edward Martin 9624 Columbus Ave S Bloomington MN 55420 Priority Plumbing & Drains 13220 County Rd 6, #150 Plymouth MN 55441 (763) 477-8675 Applicant/Permitee: Signature Issued By: Signature