4394 Sequoia Drlellsb
City of Baan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
c(
Use BLUE or BLACK Ink
Permit #: 9? -1/5
PermitFee:`*r 90,00
Date Received:
Staff:
de -
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
RESIDENT /
OWNER
Name: 'St 1,// 7t7 Phone:
/ /7 �, y J Se?tt �
Address / City / Zip: y
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work:
Construction Cost:Multi-Family Building:`�(Yes / No )
CONTRACTOR
// 0,"),,C.:Ser ,,'Ctss Contact: v j
Company: 5o' �jf% A7Wt /7/0,"),,e
Address: 7/3 f /2077. °ihil:\ City: c/ V-4."/
State: ) ")Ziip: Phone: '/) `,2 9 0,S:2„) 0
License #: 2 o J / r° r Lead Certificate #:
If the project is exempt
ec
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE Plans and supporting documents that you submit are considered to be public Information Portions of
the information maybe classified as non -public if you provide specific reasons t tat would permit the City to
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.orq
I hereby acknowledge that this information is
Eagan; that I understand this is not a permi
accordance with t. pprov d p an e c
plete and accurate; that the work will be in conformance with the ordinances and codes of the City of
t only an application for a permit, and work is not to start without a permit; that the work will be in
of .rk which requires a review and approval of plans.
x
Applicant's Signature
Page 1 of 3
Receipt ~ ! . . ~I ~ MECHANICAL PERMIT Permit No. ~ ~ ~ ~
CITY OF EAGAN -
r~f~d /5.~~' Fee ~
~1, Fill in numbered spases S/C --~U
~';J " 1 1 Type or Prini legib/y Tot. ~
c7
1. Date ~~~t~L 2. Installation Cost YCa
~ y r: ~
3. Job Address ~ ~ Lot Blk. 7ract
> r;
4. Owner % ~l
rc.'-r . ~ ~
' ~ ~ • " -
5. Contractor"L%c~.i f` -f//~~•~;' Phone ~i~~1 isES
~
6. Address ~ LG'~ 'r-<-:.-- ~ !a'~
7. City ~i- State ~~%v Zip ~
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ~ Add ? Alter O Repair ?
10. Describe Fuel Type
11, No. ~,puinment 8TU - M. Ea. No. Equipment CFM
Forced Air / ~
Air Handling: ~
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg, i, Other
~ ~ r- g
/ Air Cond. _
Mfg. ~z'r>,.~.vT
Gas. Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes gQVerning this type of work.
Signed: ~.~~,~',t..
for
Rou~ F
I~~~
Inspections: Date~ ~ ~='-`>=1nsp. Date nsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN ~ ~.Ss~')^R
3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for ~~-g?YBIbtG Est. Value $7.~ Date ~~1~ K , 1 ;9~
Site Address 43~4 5E(i'UOIII Dft
Lot 5 Block Sec~SubEYEEtC1tYE}l lA,Rl~ OFFICE USE ONLY
PafCel N0. Occupancy - FEES
Zoning
W Name ~~~LIE TOXGEF,SOfiT (Actual)Const - Bidg.Permit
o Address ~39~ 5£QUOIA UF~ ~A~rowab~e) - 3. ~
Surcharge
City PhOne # 01 Stwies -
Length _ Plan Review
, o Name ~fl~~T xlAl~fiN Depth - SAC, Cicy
~Q Address 5870 W~r~G 1~2~iD !iT S.F. Total - SAC, MCWCC
~ City F~~Z~~ Phone ~3-3272 S.F. Foolprints -
On Site Sewage _ ~Nater Conn
~
~ W Name On Site well - Water Meter
z MWCC S stem
Add~eSS y - Acct. Deposit
a W City Phone Ciry water -
PRV Required _ SrW Permit
I hereby acknowlege that I have read this application and state that the eoos~e~ PumP - S,'W Surcharge
information is correct and agree to comply w~th all applicable State of
Minnesota Statutes and City of Eagan Ordinaqces. Treatment PI
! APPROVALS
Signature of Permitee ~ Road Unit
A Building Permit is issued to: ~n8~1~ Y,ARTZit Planner - park Ded.
on the express condition that ail work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordi~ances. g~. pry. _ Copies
Variance - TOTAL ~ ~ ~
Building Official
PermN No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspectlo~ Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rou9h Htg.
Isul.
Fireplace
Finai Htg.
Final Plbg.
Const. Meter Plbg. Inspecior - Notify Plumber
Engr.lPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
//~G L[.~ ~ , '
CITY OF EAGAN Remarks
add~t~o~_ Evergreen Park ~ot 5 sik 6 Parce~ 1~ 2~.880 050 Q6
Owner =F~~- ~ ~ ~ ~ ~ r'~-`T~-Street ~39l~ Sequoia Dr. 5tate Eagan~MN 55~ 22
i
Improvement Date Amount Annuai Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 1
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 'G 19.$3~. ~+03.95 26.93 15
STORM SEW TRK ~ 1981 363. 00 24 . 20 15 3b3. 00 G005392 6 6 80
SYaRM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER COfVN.
~UILbING PER.
SAC
PARK
trj~o ya-- 0 9
~ 4 775~
Requesl Dale F No. ugh-in Inspection
August 5~ 1992 o vestl~ o N~W ?'~'han R aay?~~~
I~ licensed contractor p owner hereby request inspection of above electrical work at:
Job Adtlress (Sireet Box or Route No.~ Ciry
4394 Sequoia Eagan
Seaion No. Towns~'~p Name or No. Range No. Counry
Dakota
OccupanllPRINT~ Poone No.
Julie Torgerson 454-2843
Power Svppiier Mtlress
Elecvcal Gomrecto~ ~Company Name~ Contrector5 License No.
Corri an Electric 0 39549 - 8
Mailing AEOre55lGOnhactor or Owner Making Inslallation~
,0, Box 475 Rosemount MN 55068 ~
AutM1Or e Signa[ure IConVaclor! ner Maki Installation~ ^ - Phoite Number
B..~J. 423-1131
MINNESOTA STATE BOARO EL CTRICITY THIS INSPECTION FE~UEST WILL NOT
GriggsMitlway Bltlg. - Room S-0~3 BE ACCEPTED BV THE STATE BOAPD
1821 Unlvenity Ave., St. Paul. MN SStO< UNLES$ PROPER INSPECTION FEE IS
P~one (61]) 604-0800 ENGLOSE~.
8/~p/ -rJ~- REOUEST FOR ELECTRICAL INSPECTION eeaoom-oe
~ 4 9~ 7 5? See insimctions lor comple~ing Ihis lorm on ~ack of yellow wpy ~ /D O C~
~ ~ .
"X" Be/ow Wbrk Covered by This Request
e Atltl Rep. TypeofBUilding ~ AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Hearer Electric Heating
Apt. 8uilding Dryer O[her (Speci~y)
Comm./Industrial Furnace
Farm Air Conditioner
O~her (syeciry~ Contractor's Remarks:
Campute Inspection Fee Below:
# . Olher Fee # ServiceEntranceSize Fee # Circui[s/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ,m
Trensformers Above 200 _ AmpS Above 100 _ Amps
SignS ~nspeclw5 Use Onry: TOTAL
Irrigation 8ooms S~
Speciallnspection . I~/~
Alarm/Communication THIS INSTALLATION MAY BE ORDER SCONNECTED IF NOT
~ Other Fee ,jp COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, here6y Ro~n;n . , oa~e
i ,J., ~
certify that the above inspection has Final ~ r~ ~ oa~ ~ D
been made.
OFFICE USE ~NIY
This repuest voi0 1B montM1Siram
~~oo~ ~ ~C)
2004 RESIDENTIAL BUILDING PERMIT APPLICATION C~' ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ~ ~
New Construction Reauirements RertadeVReoair Reauirements ONice Use Onlv
3 registered sde surveys showirg sq. ft. W lot, sq. ft of house; and all roofed areas 2 copies of plan Cert af Survey Recd _ Y_ N
(20% maximum lol coverage allaved) i set of Enert~y Ca~ulations for heated additbns Tree Pres Plan Reod _ Y_ N,
2 copies of plan showiig beam & window sizes; poured found design, etc. 1 sRe survay for additlons & decks Tree Pres Required _ Y_ N
15etofEnergyCalculafions Add'~ion-indicafe'rfonsifesepficsystem On-siteSepticSystem _Y _N
3 copies of Trae Preservatwn Plan if lot p~tled after 7/1/93
Rim Joist Defail Optlons selection sheet (61dgs with 3 or less uni6
O~
Date ~ / ! $ / ~ Construction Cost 7 ~~d ~
Site Address 1/'~`~y~ Ss u it0 i A ~ri JS~ UnitJSte #
Description of Work ~~e,m~,.7C ~--iJ~ rp~rh ~iu5h
MWH-Family Bldg _ Y~ N Fireplace(s) ~ 0 _ 1 _ 2
PropertyOwner ~~`'d ~o q4.2raov~ Telephone#((~$~ ),'~iS~^'~S~F3
Contractor ~ ~cv '
Address O ~ II ~ City~„ ~,~F,Q4~/
stace v~~~J z~P ~51a- Telephone#(y~a)~f3d-~551.-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Energy Code CategOry . Residential Vantilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor D Telephone J
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances co s of the C~ty of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an app 'cation fo a pe ~ it, and work is not to start without a
permit; that the work will be in accordance with the appro d plan in he c se work which requires a review and
approval of plans.
W1; Ic~ Grw~v~
Applicant's Printed Name App1iG t's Signature
~
OFFICE USE ONLY
Su6 Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc.
? 05 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MiSCellanB0U5
Work Types 9 R oor~.
? 31 New ~ 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replecement 'Demoli8on (Entire Bldg) - Give PCA handout to applicant ~
Valuation z/ D~. ~ Occupancy (c -J MCES System
Census Code y 3 y Zoni~g I City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~
1~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ~O FinalMo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
~ Roof _ Ice & Water _ Final - Pool = Ftgs =Air/Gas Tests Final
Framing Siding Stucco Stone Brick
Fireplace R.I. AirTest Final Windows
~ Insulation _ Retaining Wall
Approved By: ~ , Building Inspector
Base Fee
Surcharge
Plan Review ~ f~ I ~4° L°
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
S r~ 2004 RESIDENTIAL BiJII,DING PERMIT APPLICATION ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Const~u ' ' ~~quiremenls RemodeVFieoair Reauiremenls '~fioe ~
3 reg~steretl ~ ys showing sq. k of l04 sq. ft of house; and all roofed areas 2 wpies of plan G.,~,ot ~
(2U% maxi ~.i coverage ailowed) 1 sel of Energy Cakwlalions for heated addltions Treel~r@s Ian
2 copies of p ~Ning beam 8 window sizes; poured found design, etc. 1 eRe survey for addiGons & decks Ta ~
lsetofEner,; ' z~lztions Addifion-indicateilon-sfteseptlcsysfem ~~5~~ a
3 wpies of T~. ~_rvation PWn'rf bt platted aNer 711193
Rim Joist De; ~ :'~cns selection sheel (bldgs with 3 or less un~s
Date ~ i Z Z l~` l onstruction Cost `-e G-w'
SiteAdcli~ . 'rJ~~~O~~ U2i~ UniUSte #
C../10~
r~~.,/ .f /
Descripl~~ ~I' 1Vark ~ C7~ 5 Ir~'~~
Multi-l~:n 131dg _ Y_ N Fireplace(s) _ 0 2
r
Properh ~~~~~~•r ~C.~U~ ~vu~~~~ Telephone#( 6~) ~~~J 2$~
Contraci~ r i!~-~~~ L~,~ l'~ ~ C~ 7
Ad~lr ~tI°7-J~~, 1/.~. ~~7 l3 City ~J IV~u~.
Stat~ Zip ~;7 Telephone # Z ) ~S~-o7D~
^OMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enern} -c i~ Category . Residential VentilaUOn Category 1 Worksheet • New Energy Code Wo~CSheet
(J s~. ~ .,icn type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have yc ~eviously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pian review
fee app
Licensec! ~r~ber Telephone#( )
Mecha ' I Contractor Telephone )
Sewer,~`.. ~r Contractor Telephone )
I hereU~ ~ly for a Residential Building Permit and acknowledge that the information is complete and accurate;
that tl~c . rk will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes: ~nderstand this is not a permit, but only an application for a permit, and work is not to start without a
permit; tl ~e work will be in accordance with the approved p in th ase of work 'ch requires a review and
approv,il ~ 'pla s. ~ c
` `~1 ~
Applir. s Pnnted Name Applica 's Signature
OFFICE USE ONLY ,
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldc
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_V or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building 0 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteratlon ? 37 Demolish 8uilding• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. ~ PRV
# of Bidgs Length Fire Sprinklered
Type of Const ~ Width .
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fueplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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~<:'k'ri:%k;k;'Y.~r~k:rit%Y•:~'.il;i':;<.Y;:~F.?%Y,,: ~iXXtYF~,~':`X.i':~i~:i':~(%i<YFW"f.i~
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)~ 3' 1s
CITY OF EAGAN
3830 PILOT KNOB RD - 551T2
3~~~ q ~ 651•681-4675 ~
?
New Conshuction Reaulrements Remodel/Reoah ReauiremeMs
? 3 registered site surveys showing sq. ft. ot lof, sq. k. of house 2 copies d plan
and g roofed areas (204G maximum l01 eoveraae allowed) 1 se1 of energy calculaFions for heafed addHlom
D 2 copies of plans (~how beam a window sizes; poured fnd. design; etc.) 1 aiFe ~urvey lor exlerior addmons a decb ~
? 1 set ol energy calculaHons
? 3 copies o( hee presenaflon plan N lot plaHed alfar 7/7/93
DATE: y7 CONSTRUCTION COST: ~~o~Q~ a
DESCRIPTION OF WORK:
e uo~a~..•
STREEf ADDRESS:
LOT: ~ BLOCK: ~ SUBD./P.I.D. ~ ~ ~ ~ ~ Q p v` ~ ~ ~
Name://l~ q ~On~ ( ~U,C /C Phone #f~~ 7-.s~ - >`'J~
PROPERTY ~ar F~
OWNER //~n~~ ' ~
Street Address: 7` 7 2P/i /5f? l~y/r1-2
City ~~~A-f1~ Stafe: ///~l~ Zip: ~ ~ .
Company~J/v f~C~ fJy ~i Phone #:4~~~~5~~~
(area code)
CONTRACTOR /n z/ /
Sfreet Address:~ ~~~/I -/~0r~ ~f/~'i(iI License e
ci ~ r~ iii//~ stat~ z~P: ~S 3 3~J
ARCHITECT/
ENGINEER Company: Name:
Telephone area eode ( )
Street Address: RegishaHon
C~}y State: Zip:
Sewer 3 water Ucensed plumber (reaulred tor new consfrueNon onlvl:
PenaMy applies when address change and lot change Is requested once permH Is Issued.
~I hereby acknowledge fhat i have read fhis appllcaNon, state thaf the fMormati onect, and agree to comply wNh all applicabl
State of Minnesota Statutes and CNy of Eagan Ordinances.
~ Signature of Applfcant: -
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No , ~ 7
Tree Preservation Plan Received _ Yes No _ Not Requiretl~~_
- l.
_ _
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ~ O6 4-plex ? 11 10-plex O 16 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 ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 ApaRments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-piex ? 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. ? 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 INF~RMATION
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 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 Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/V1l Surcharge
Treatment PI.
Park Ded. ,
Trails Ded.
Other '
Copies '
Total:
SAC Units
% SAC
EAGAN TOWNSHIP
BUILDING PERMIT N° 1942
Oanex Lf'.t-r-~--c'~-~`f~ /rY'.~.-f^,'-~'"`-'-2.-.~. _ Eagan Tawnship
~~.,._.,[c.x:_~~ _ ~.r.~~.~r-e<~ - Town Hall
Addresa (Presenf)
c
Builder ~~:1~"Ce'u ~.-'E.:e':^..:.~
_ ~~`~/6 f
DaYe
Addresa
DESCRIPTION
Siories To Be Used For Front Depth Heighf Esl. Cosi Permif Fee Remarks ~
S-~ ~ ~r
,lti•~'~~^ .~25 e-d--LS y : ~C,~ g.ut e. ~-~~t.-w.
ii~L`'Z__ c~~~.~ . :7-3'~ .v.o' .J L~~~c~-C`" ei...sLi_~
LOCATION
Sireei, Road or oiher Descsipiion oi Localion I La! Slack Addition or Trae!
~ ~ ,~/~-r~-~-.._
~
J _ ?-Q-~_ .
This permi2 does no! aulhorise~ 3he use of eireefs, soads. alleys or sidewalks nor does i! give !he owner or his agen!
ihe righ! !o cXeaie anp si4uafion which is a auisanee or which presenls a hazard !a !he healSh, safefy, convenienea and
gene:al welfaxe fo aayone in 3he eommunikp.
THIS PEAMIT MUST SE I{EPT ON THE PREMISE WHILE THE WORK IS SN PROGRESS. i
i
This is !o certify, !ha!_~:----..~~c!^~~"""~ .............._---has permissian !o erec! a....~..r=....c-__.--.-,-.---- ._.._uPOn
!ha ebove desariLed premise subjec! Yo 2he pravisions of Yhe Buildin4 Ordinance for Eagai~ Township ado ~ed April 11,
1955.
..............._f.......~'~r"~:::-................. Per ~rGl~:., ~r~tiC.J-°-°-.......°--
9 P
Chair ~ an of Tnwn Hoard ~ Suildin Ins ector
~
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~
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~71 ~
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~ ~3 9 y~
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(
n •'T
Ci~y o° E~gan
3~T95 Pilot Knob Road
Ea~axi ~ i~^J 55122
Novemhc~r L3~ 197~
SP?:CII~L ASS~SS,T~~iT S'r.:4RCH
'r_~:
M7r€~r~~! L'„ Peau Lot 5 Blk 6 Ever~reen Park
4C~00 L7. SRth St, 4394 ~eqouia
I~ioomington, mn 5i'v'.? 10 24880 O50 06
P~nclo:;ed herein ie tne search o:h3ch yrou reouested made on the at~ove describe3
t~:'operi;y;
i'~rd of' Ir.~rrr,•.ement Itan~ Begianing Original Amt, P~lance Due
San Sew main 20 yrs LS73 175.00 140.00
Sc~o Conn i yrs 1974 240.00 9G.00
I furtiier ccrtify that according to the records of said office~ the fol7_o:ainT
=~p:ove~enYS are eente^;lated o: pendin~ aiter having been approved, ar.ci are nc.~
in ~he process of~plarmizig or ca::plation.
Find oY' Ir..provement l:~; rox, d2te of completion I~opru.:ic:a1,2 cost
nane~
WATV~R:
1Qeiihex the City oP F.agan r.or its employees ~xarantees the accuracy of t^~ above
inforr~.a*_on w~icr :~*as rea_uested by the person or persons indicated. rlor d~es
thr- City cr i.i;~ ~-n;ploycrs ass~.zm~ ar:y liahility for the correctness t'~erzof,
In ccnsidera+icn for the suppl~ir~g qf the indicuted ir.formaticn in the abore
:crm, and for a1.]. other consid:ration oi any nature Urhatsoever, ar_y claim
a:~a:nat; tne City of _ts r_rr.nlc,ees rising tt:erefrom is hereby e:cpressly wai~,•ed.
L?vied aese:~smen~ts to be paid to the County Auditor at Hastings, Nfir,nESOta 5jG33.
Very tr~u y ,ycurs ~
SF :C?~I, ;~SU~~:.'Bi ;IvT DEPlaHt:~IT
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' ~ i i. . . . . . . DATE r-.. F~~..~. 19~5~,.?.,
~ ~ , ~-u...`~
TO dW
SUBJECT C ~RM~ " t~ - /U"~.
~ ~ F
6~N~ ~~.[CJ ~d~0irld~ ~ G i G(~o d~GQ~U ~
~AL~ .I/ ,C~/,~/+±G~ ~'J~~LG1 ~U /htCt.d-s"~ ~ /~7~ •
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X
SIGNED
Redifprm~ 45462 ~ NO REPLY NECESSARY ~ REPLY RtQUf:5i.iD - USc P.EVG°.SF SIll~
POLY PAK (SO SE15) dP/63
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EAGAPI TOWNSHIP
3795 Pilot Knob Road
St, Faul, Minaesota SSI11
Telephone 454-5242
PERMIT FUR SEWER SERVICE CONNECTION
DATE• M~'ch 18~ 197~ NUI~IBER 563
Sequoia
OWNER;~~~ Rowland Addrese ~39~+ ~ Drive~ Evergreen Park S G
PLUMBER Riehard Rowland TYPE OF PIP~ cast iron ive
DESCRIPTION OF BUIIDING
Industrial Commercial Reaidential Multiple Dwelling No. of units
~c
Locatioa of Connectione; Connection Charge
Permit Fee 10.00 pd 3/18r7~
Street Repairs
Total
Inspected by:
Date
Remarks•
By
Chief Inspector
In consideration of the issue acad delivery to me of the above pexmit, I
hereby agree to do the propoaed work in accordance with the rules aad
regulations of Eagan To~~nship, Dakota CounCy~ Minneaota
By
Richard Rowland
43g4 Sequbia Drive~ St. Paul 55111
Please aotify whea ready for inspection and conneetion and before any portion
of the work is covered.
1
EAGFN TOWNSHIP
3795 Pilot Knob Road
SC. Paul, Minnesota 55111
Telephone 454-5242
PfiRMIT FOR WATER S~RVICE CONNECTTON
Date: Number: ~`r '
Silling Name: Rowland, Richard Site Addreas: 4394 Sequoia, St. Paul
Owner: Rowland. Ricahrd Billing Addreas 4394 Seg~ia. St. Paul
Plumber: cP~r
Location of ConnecCion Meter Size Connection Chg.~.d
Meter No, Permit Fee 7•5Q~-~,
Meter Reading Meter Dep.
Meter Sealed: Yea Add'1 Chg.
NO 1bta1 Chg.
Inspected by
Date
Building is a: xemarka:
Residence x
Multiple Ko, Units
Commercial
Industrial Bq:
Other Chief Inspector
In consideratioa of the issue snd delivery to me of the above permit, I
hereby agree to do tt~e proposed work in accordance with the iules and
regulatious of Sagan Townahip, Dakota County, Mianesota.
By:
Richard Rowland
Please notify the abwe oftice when ready for in~pection and coaaection.
_ _ . . ~
~ , . ~ ~ - ~ DATE NOY. 11 191:i_
~.::~:!J . ~
To City of Ea~an
SUBJECT Special Assessments - Lot Block 6 Evergreen Park
Enclosed is check in amount o£ 236.00 for payment o£ Special
assessments not certified to 19~6 taxes.
Crest Rid~e Realty
Margaret E. Dean ''i
SIGNED 831-5059 _
- ~ . . : ~ •
Redfprm~ 45462 " 0 p~0 REPLY NECESSARY 0 REPLY REQU~5(CU - US~ R"~VER5E SIDE
I POIY PAK (50 SETS) ~Pb4 _ ~
!
~ ~ a~~is
~ A'Id3li
dt 31V6 pl
I CITY OF EAGAN NQ 16598
3830 Pilot Knob Road P.O. Bpx 21-199, Eagan, MN 55121
PHONE:454-8100 ~
BUILDING PERAAIT Receipt # ~ 3 l~
To be used for RE-SIDING Est. value $7, 000 Date Jl1NS 8 , 19$2__
Site Address 4394 SEQUOIA DR OFFICE USE ONLY
Lot 5 Block _ft- Sec/Sub.F R.R ..N PARK
P8fC01 N0. Occupancy - FEES
Zoning
a Name JULIE TORGERSON (ACtuaq Const _ Bldg. Permit 90. 00
~ Address 4394 SEQUOIA DR (Allowable) - Sumharge 3.50
° ~,jt EAGAN phone x ol s~odes -
v Length _ Plan Review
o Name ROBERT MARTIN Deplh - SA4 City
sa Address 5870 LOWER 182ND ST S.F. Total - SAC, MCWCC
~ City FARMINGTON Phone 463-3272 S.F. Footprints -
On Site Sewage - ~Nater Conn
r
~ W Name On Si~e Well - Waler Merer
'x~ AddfBSS MWCCSystem -
o~s Acct Deposil
¢w City Ph0112 CiryWater _
PRV Required - SNJ Permit
I hareby acknowlege that I have read this application and state that the Booster Pump - S/W Sumharga
intormation is correct and agree to comply with all applicable State of
Minnesota S[atutes and Gry of E~n O~ rdinar~C~~ 7reatmenf PI
r~~ /I .F
Signature of Permdee 1~~ (!Cl~G~/~ APPHOVAIS Road Unit
A Building Permit is issued :ot ~ROBERT MARTIN Planner - park Ded.
on ihe e~cpress contlition thal all work shall be done in accortlanCe with all Council
applicable State of Minnesota /S~taWtes andy
MCiry of Eagan Ordinances. g~dy_ p~E _ Copies
BuildingOHicial ~11~(~' Illr Variance - TOTAL 93.50
1989 HUILDIBG PERHTT EPPLICATION
~ ' CITY OF EAGAN
1 c~ ~ 9 ~
SINGLE FAMZLY DiIELLIHGS lIIILTIPLE DflELLINGS t~0l4~RCI6L
2 SETS OF PLANS 2 3STS OF PLANS 2 SETS OF AACHI?ECTURAL
3~GISTEAED SITE SOADEY3 BEGISTERED SITE 3DAVE2S - 3 3T80CTORAL PLANS
1 SEf OF EWERGY CALCS. (C~CH iiITH HLDG DZV.) 1 3ST OF SPECIFICATIONS
1 3S! OF EpEAGY CALCS. 1 38T OF ENERGI CALC3.
MULTIPLB DWELLINGS RENTAL ONITS P~ SALS ~TlS ! OF ONIT3
60TEt QDDAES3ES POA COANEA LO'1'S - CORTR9CTOEISOMEQi1NEH lIDST D~E4IGI~9iE IiHICH ?DDRFSS
IS DF.SZRED. NO CHIN(3ES AII.L BE IILLOHED ONCE HOII.DING PERMIT I3 ISSDED..
SEHER 8 1iATER PEAMIT FEES AND lCCOIIHT DEPQSIT F6FS IiII.L Bfi INCLQDED iTlTB THE BOILDINa
PEAlfTT FEE. PAOCFS3ING TIME FOA SSWER AND A9TEA PEIpiITS IS TiiO DAYS ONCE A PERMI~ HA3
BEEB COt~LETED INDICITING A LICEN3ED PLRIDER.
PENALTY 9PPLIES Iif~Nt PEEiMIT IS NOT PAID FOH IN S9ME MONTH IT IS.REqUESTED.
LOT CA9NGE IS REQOESTED ONCE PEAMIT IS ISSUED.~
To Be Used For: I'C2~~.~ Valuation: ~7~~ DQ Date: ct /`r'1 ~
Site Address y3 ~~f ~-<-o-t-<< ~~t• OFFICE USS 0l7LY
Lot r_ Bloek Occupancy ~~'c
Zoning
Pareel/Sub _,F,t~_
~T ~n~,k Aetual Const ~ Bldg. Permit 9n~oo
' Allorrable Surcharge 3.St~
Owner ~e- ~ cs~-~LO-~"~-' ~1 of stories Plan Aeview
Length 3AC, City
Address y~ 4~ ~ ti~ Depth SAC, MWCC
~ S.F. Total Nater Conn
CitylZip Code ~4~i~`^^- ~"1 ~ Z~ Footprint S.F. Water Meter
Acet. Deposit
Phone On site sexage S/W Permit
~/1 On site well S/N Sureharge
Contractor '~1~~ MWCC System _ Treatment P1.
City vater Road Unit
Address ~ g L~^~'O" ~ go2~.~ PRY required _ Park Ded.
,n BoosLer Pu~p . _ Copies
City/Zip Code (CG~ ~jt7ZY' 3DBTOTAL
iPPRO?E1S - Penalty 4. ~
Phone ~((0 3-~J a~ Z- Planner TOT~I.
Covneil
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone 0
City otEaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
UAN % 12010
Use BLUE or BLACK Ink
Permit #:„......_ b"Z ( 46f
6f
Permit Fee:
Date Received: /
Staff: e'
2010 MECHANICAL ''tt P99 HERMIT APPLICATION
Date: 1 Site Address: 43CO V G 1 •, -+
Tenant: Suite #:
J
RESIDENT / OWNER
Name: ; 2 ria P
Phone:
Address / City / Zip: t ,
1 I .04in, S D.:1- -
CONTRACTOR
Name: -
4i 4�
1 !Mit
e'
Address: WI S.il)
IV ' ° ity:L
State: Zip: 5
Pho e: bV' 611
Contact: U,
!11
ii ,b,...eir\z.te, i e
TYPE OF WORK
New Replacement
Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted
Code Please contact the Mechanical
mechanical equipment is required to be screened by City
Inspector for information on permitted screening methods.,
PERMIT TYPE
RESIDENTIAL
Fumace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
_ Under / Above ground Tank ( Install / _ Remove)
��,,
Other i2Q., { ,
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$.50 State Surcharge)
$90.50 Fire repair (replace
�j�—�q
$.50 State Surcharge) $ �. �., SO TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
Contract Value $ x 1%
= $ Permit Fee
- If Permit Fig is less than $1,000,
= $ Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000
= $ TOTAL FEE
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.uooherstateonecaliorff
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 theapproved plarJn the case of work whictfrequires Areview and approval of plans.
x
Applic5nt's Printed Name
x
Applicant's Signature
FOR OFFICE USE
Requires) Inspection;
Date:
City or Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
to slam
Use BLUE or BLACK Ink
Permit #: 9;2-c( A6
Permit Fee: '67),6()
Date Received: / C".t
Staff:
010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Oit) Site Address: �. , IS2 6t y-'V''w �✓
J
Tenant: Suite #:
RESIDENT / OWNER
C.1.) -2-6q3 +�'
Name: + '1 "- \ Phone: --4 L - 6q3
1.) -` Z'l
Address / City / Zip: "i QX)Oti)\ U .Je-
CONTRACTOR
Name: i10.1,11L• 1A..01 t',�_t',1111 , , .. � �`, t
� /(cr`l "
Address: -o mac' \ City:
mt.
State: Zig: I Ph • e: I ��
Contact: til % - l ) le,, : it 11
kt i t _ . M."A .. A`
TYPE OF WORK
New J. Replacement Repair Rebuild
Modify Space Work in R.O.W.
_ _ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
Fixtures
Lower Level)
Lawn Irrigation Add Plumbing
( RPZ / PVB) ( Main
_ _
Septic System Water Turnaround
New
_
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener
(includes $.50 State Surcharge)
(includes $.50 State Surcharge)
Surcharge)
Surcharge)
TOTAL FEES SrDib-°
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround*
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State
burned out appliances, ductwork, etc.) (includes $.50 State
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.aopherstateonecall.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 onl an application for a permit, and work is not to start without a permit; that the wwill be in
acco(dance with tha`appro ed •Ian in the c e of w.� ich requires a review and ap oval of plans.
1 TA '�.�1
x
ApplFcani's Printed Name
FOR OFFICE USE
Required Inspection
x
App
L
is Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159474
Date Issued:12/20/2019
Permit Category:ePermit
Site Address: 4394 Sequoia Dr
Lot:5 Block: 6 Addition: Evergreen Park
PID:10-24880-06-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Julie Torgerson
4394 Sequoia Dr
Eagan MN 55122
(651) 454-2843
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature