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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 k~ ~rRx:.„e„<8;>Y~1~ WX:g,;~m,~ 1r:x:::k~;;~ ;.g<t~~Yr:%k~?kY6%:'YbX:vl.~ X:k~$<n¢>,: I~.C1tJyj~~ all.l. }C:tl_:fl ~3~SE~ii;i:7 F'r{~ C~1' '.171?:1IA' r:J'CEiCi'r.+;~ 'C' Ua _ c.. F : ~ J~ - i~ . . ! ~ ...i i r r. .1!-J"c, :_il.:. l~l(.1(lili_,a ~JC-.,i:?4 ~Ul.liii .:..-~hc >t'" F: F ;:i0: 1~.1:I1CIP:lcil4; tr,E:4' 'Flitri; lJ Gu'!i; ~-~Pi7:_:iL)0?:I 'OE~,:1 tdiJ(1. ~~~:P,vVN :II ~iS£i;^`iii::^~y'F ~:'.:iLil..i.. GfSl;'~4/S:~L7 ~~i1..~JV_t i~".i;~`S ~~lii~ "1'3?lTv1.'t;:.ili , >Iiil.i.iti;;'v'CJ P-P;:``iV:l =.{(:1 1,~.):7 :~MW!r:>,Y,'A'~ ~<:'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 ~ _ . ~,R,,.-~ ~ 9~~ ~ ~ ~ o~ ~ ~ . U~ ~ ti ~ w ~ G ~ ~ ~71 ~ 0 ~ ~ ~ ~'u~r~€~ t~K~ ~ ~3 9 y~ ~ , .~s.~i ( 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 ( ~ .i;_ ~<< . . . f ' ~ 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~ • Q . . ~ 4a ~~~~7 i X SIGNED Redifprm~ 45462 ~ NO REPLY NECESSARY ~ REPLY RtQUf:5i.iD - USc P.EVG°.SF SIll~ POLY PAK (SO SE15) dP/63 aa~~is ~ ` s, A'tda8 "'-a~ , :svo oj t ~ 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