4257 Sequoia Dr
INSPECTIQN RECORD
CITY OF EaGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i ir i k~l I
I 01I01 A i'1#?
, . I-.'r, ; f•
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. •
~ ~
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG '
FINAL HTG
ORSAT
TEST
BLDG FINAL BSMT R.I.
BSMT FINAL I
DECK FfG I
DECK FINAL i
I
I
I
I
CITY OF EAGAN Remarks Sew &wtY' permZt9 8c COYlri. pd.
Addition Evergreen Park Lot 6 Rik 3 Parcel 10 21L880 060 03
Owner Street 4257 Sequoia UI'. State Eagan,MN 55122
~
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 175.00 8.75 2
SEWER LATERAL
WATERMAIN
WATER LATERAI
WATER AREA
STORM SEW TRK 1f 1983 60.1 24.01 1
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200.00 1088 11 -2 -68
BUILDING PER.
sAC 240.00 7219 1-11-73
PAR K
` EP-cSIDENTtAL -
,
BUJLDIN.G PERN[I7` APPLICAT10N , .
CITY OF EAGAN #
3830 P1WT KNOB RD -'S5i22 . r.~
8S'l-6B~ A6'~~ j~~~~• _}I~
New dor?smutfoa rteauheauii;ts earnoaalRe6sYr--~'
• 3~qistarad si~sniveys sna~ning sq. il Oft.sq, fl, o(ffouscr and ~lt?0aked aeas r 2,~es c~'plan -
f18dW
. 2 rd¢innf plart simN.Dearm:;&:adhd0yva&K Aoursd taurlddehigii, mt . t st~sia+~ey ti~r~r~iliais ffi~=;
• 4 Set af Etergy G,wUUi$btor+s
: 3 tcpreS oF7m PtemVaNan. Plaa RlapWA a1W.,7I03
R3mJoist(ie?a~ opwn se41n str~ ~ with 3 cr.1e~ un~ .
DATE' _ '-4 ' 1"C3 t: V.4LUATION iEXGUDtNG>LANbj
JOB 5[TE. At3DRESk . L/•~s ;7 Q4401 R a-. - - - -
IF MULTI=Fi4M1l.Y.B!lILD1NG, HOW 1lIIANY UNITS?
PR4PERTY OVrFNER c
rirPE Qf wc~RK ~~~~~LAoEs:~
aPptIcaNT ^ ~'-1~_ Cd~s~<~.~~,~•,~ _ ~~c~~~~ /2?
ADDR@SS 1
~ ~ 6~~e~.~.~»dL ~
Ct3 DE `~5&,~.~OD,S Cr~
PAGER # - i..PNONE FAX:~' iOM
, - - , - . _ _ -
i
~ IVirA! R-ESIQEIVTIAL B:UILDIMG ONLY -F11:L DUT CCMPi;ETELY
.
I E"rgy: Code. Categary. _ ?y1I N1VESOTA RULE.S; 7f 70 CA'FEGOTtX I
(chec:kone) = Rssldonti~irl'fentilation Category1 Nkfl~liee! Su~11i~~=
i Enefgy F-nvetope Catlations Sutimiftec!`
~ _
M.I111i~3F~OTA; RLZ:E~~ ~672 :
' , - N`ew Energy.Gode U1IorkSheet Submftd i
' Rlumb{ng Ca,nkacto.r.
Plwnibirg Sy-st4tm Ineluctes: T Water Satt,eaer _ '.iawr?.S,prisilclcr Tee: 890,00 •
NVaier Heater No: of$.1: Ba6_
Ku. ok B.a.dis.
; -
,
! Mechadcal 4C ortt'rocfior; Phane*
' MecY~,a,nitaI Systcm Ineihilcs: Aiz Conciitaoiung
~ Htat Recokery `systein
'fnh pr~_' ~
f -`4Cin4;rJVYater Conh4cfor. - phQne #
4Jf abov'e ihfamiatldtl mus~be svbM-fted`prior Fo pirawsirlg a# appliL-ation.
adotion. sta#e tha# the inf+4rm.dfbi. "n bz0rect,: atnd~o,gC~e 1ocqmpi~rv~rith
I hereby acknow!Ieelg'e that I Maye read this:~cptl
- . .
dIC; c~,PAlic'obie`State of 1Vlinnosflfa;Staftifes ond Ci.fiy aF Eagan Or.dnances: • .
S1gncluie ot Appltcflnt
• ~Certific:afe4,0f;Stirvey.;Re"ijreti Tree R:reservatlog Plan Roceftd:
- . .
OFFiCf USE ONLY ~ . '
p
_3 pi FQUndation, 0.07 45-ptex ~ 13 11 16'-pfex M. 20 : ~Po41'- p' 30 . Acr.essory Bldg
C3. 42 SFDwelling. ;13' 08 06=p1.ex Cl 1~6~: Fireplace ? 21' Rorc#~'(;3fsea.)
O. 39 E~d. Att - luiultf
a 03 01 of _,plex: O. Ot 07-p[ex O i-Z Garage ~ ~L' 22; i?oc.chFAtidn .(4=sea. } GI 33. Ext.. r'1!t - Sr
0' 04 '02;-ptex 10 "{i8-piex CJ 1.8; Deck 0. 23 Rocclr.4screenedJ. '0 3.6 MtilU
CI 05 ~V.3-0ki0x -.LI'. t9 L'owsr'Letrol. C} , 24~ ~forrniYiage,
ja 06, Od--.plex. f?Ibg_Yor N ~25 Misr.e)farsm+as
t~ 37 New ~i 36. 'tnt: l.crtPr.ovemertt 11 38 .~Dernnlis#t-tln'terw); D 44 ~Sldirig.
~13 32 AdJ1096 -L-]; 36 '•14idw*'8tdg: ? 42 .Qerriollbb (FaundatioFl), 0' 4,5.: Fite Repair
Cf 33 A114ation (3 37 ['7einal.M (.Bldg)" O 43. . Fi~raerf ~ Cl'; 46 'Win+.dbwsfDoM
7. 34 Replacvmert. 'Demalitton (~ntirt6ldgon(yY.-:Give'PC;A;hando.utto~applicant, .
Va'luation ~p Decsapancy. Cll~f,.~~ systerti
Censutx- ade ~VX Zoriing - C'rty. Water.
SAC UNits: d ~ Staries Booster ~Pui?1V _
Nbr, of WoiCs
Nt3tr, af 81dgs: ~ Lenqfti .24 Fi~e=:~pri~f~tl~re~1
Type of Corist; iNidtlh ~
. REQUIREQ. INSPtCTION~: '
.Footings:(&ek): ,~G' lrina}lI4a.0:0:
~ FbaCings. (60ition) _ F'I4zMlaii~g
+0- 'Fowndaq04 _ 1-~VAC
4? Drain Tile
T~o.b;t _ Ice ~ A'x.ter .rFinal ~Qtlter
Pr
~?ovC Ttgs~ irf.GasTests- Fifi1
~ Fiveplace _ Air'Tes; Final _ S"rding: 6ttxree Stoz=o -
~Wiridows:(ge-wtr_epldeemenq
Appr4yed 461# ; 8u6dtn9 lospq
afvr
:8ase-Fee
Sursharge
Plan Re.viewc
iW1CfES_:SAC.
City :S;4C
Waksr Supply5& Starage
S&1N Permit 8 Surichargp= -
Treatrarent F?fant
9Ul- L~chanical 'PeFFn it
C+apfies
ather .
Totat
PERMIT# L4 I RECEIPTDATE:
RESIDENTIAL PLUM$IftG PERMTf APPLiCATION
crrYoFEAsM
3530 fD.OT 1{AOB RD
£ABAN. b1P 551 E8
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventerforircigatlon system
SITE ADDRESS: l) 0 C-
OWNER NAME: : TELEPHONE
(AREA CODE)
INSTALLER NAME: 4?~PM oi..Ll-g r~d TELEPHONE 9 sa (4 3 ~
~ (AREA CODE)
STREET ADDRESS:
) ilC A`> c tt 2 STATE: ZIP: SS33 ~
CITY: -P
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repaidrebuild of RPZ
• lawn irrigation system
• water tumaround
Nature of work~()(1 VV~ CJA k l"h U Y~
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
~ n nn p ~l
Total ~ JUN 13 2001 ~
Reminder.• Be sure to schedule inspections of alterations, i.e. wa er-heaters, water soften rs, etc.
I hereby acknowledge that I have read this application, state that the information is $ses ~l-ogree-to compiywitFral4appl' e City of Eagan ordinances. It
is the applicanfs respansibility to notify the property owner that the City of Eagan o9ia6ilityfor any damages caused by the Ciry during its normal
operalional and maintenance activities to the facilities consWCted under this perity propertylrightof- leasement.
SIGNATURE OF PERMI EE
Updated 1101
C.H. C.RRPFNTFR IRR. TF1:61?-447-444? Rpr ?5'01 7:58 Nn.006 P.41
. .
I
MNaheck COMPLIANCE REPORT ~ -
Minnesota Enerqy Gode I ?ermit #
MNcheck Software Versian 3.0 ~
~ _
~ Checked by/Aata
~
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 9-25-2001
DATE OF PLAtdS: 4/2/01
TITLE: GEISEL
PR03ECT INFORMATION:
GEISEL
4257 SEQUOIA DRIVE
EAGANf MN
COMPANY INFORMATION:
SIR CON3TRUCTION
COMPLIANCE: PA3SES
Required UA = 161
Youx Home = 138
14.48 Better Than Code
Area oz Cavity Cont. Glazing/door
Perimeter R-Value R-Value U-Value
--------------^--------------------------------_-CEII,INGS: Raised Truss 416 38.0 0.0
WALLS: Wood Frame, 16" O.C. 612 19.0 2.0
WALLS: Concrete, Interior Insulation 612 11.0 0.0
GLAZING: Window9, Foundatioti, 5.6 ft2 12 0.356
GI.AZING: Windows or poo=s, Above Grade 66 0.320
DOORS 21 0.520
HVAC EgUIPMENT: Furnace, 80.0 AFUE
-
COMPLIANCE STATEMENT: The progosed buildingdesign descxibed here is
eonsistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed buildinq has been
designed to meet the requirements of the Minnesota Energy Codp.
Builder/Designer . Date ~ -~5-~/.--
f
CERTIFlCATE OF SURVEY g 74- 0 3- 01
for
BIR CONSTRUCTION
Sigfrid Street
- - -
0 150.00 (Plat)
M N 89'43'00" W(plat and m easured)
149.95 (m easured)
o ~ o ~
5~------------------~----~
>
I•-
t Q> L ~
w ~
ZE I e 8 ~ z
p N p I 21.47 F--
II E II
3 0 I Lot area = 14,995 sq.ft. '
House area = 1.563 sq.ft. 4 ~ o
Ln p ~
N
CL- m O
r Ov ~ S V I v
~ O0 ~ O
3.07 29.88
p 2 ~
0° I u..~ 0 - ~o a ~
°o ° cn I
j ~ 26.45 u j ~n
5~---------------- 10 (J J
to P ~
149.95 (measured)
~ N 89'43'00" W(plat and measured)
~ 150.00 (Pla*')`-----, {
I I
I F-- I
30
Top curb to Gor slob
' Top block =
Lowest bsmt flr = _
scaie: i" = 30' 4257 Sequoia Drive
DESCRIPTION
Lot 6, Block 3,
I hereby certify that this survey, plan, or EVERGREEN PARK ADDITION
report wos prepared by me or under my direct Dakota County, Minnesota
supervision and lhat I om a duly Registered All beorings assumed
Land Surveyor under the Laws of the Stote o Denotes iron monument set
of Minnesota.(
• Denotes iron monument found
ot15 e I~ l2 ZO01 Reg. No. 8140 \ Existing j Proposed
BRANDT ENGINEERING & SURVEYING
14041 Burnhaven Drive, Suite 114
Burnsville, MN 55337
(952) 435-1966 B74-03-01
CITY DF EAC;AN
CASI-IS[:Ft. JS TF_kM:[NpL Nflc £33
DA'1F..» 05f27/97 1'[ME,. 16:58:].4
IL1r
NAt1E; BARFt CONSTF;UC7Sf7N SNC
3210 3001 4257 5Et1U0IA DI1 62.25
21.55 9001 4257 5ECal.IUTA IYR L.00
`
r
e
Tn+.aZ F+er..eip+, Amcaisnt: 63.25
cRn7aaa9
LISEh aD: aaN
PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 0 7 7
(612) 681-4675 Date Issued: 0 5/ 2 7 J 9 7
SITE ADDRESS: ' 4257 SEGUQIA OR
LOT: 6 BLOCK: 3
E`JERGREEN PFlRK
P.I.N.: 10-24580-060-03
DESCRIPTION:
(12DOFING)
~uildin~-.f'ermit Type SF (MISC.)
(h3uil#¢irrg Type REPAIR
f Census Gode 434 ALT. RESIDEN7IliL
~
,
_.tfi'.,~ s REMARKS:
FEE SUMMARY:
VALUATION $2,000 Base Fee $62.25
Surcharge $1.00
Total Fee $63.25
CONTRACTOR: - Applicant - sT. Lzc OWNER:
PARR CONST INC 14237030 2006368 GEISEL JOE
600 GUN CLUB RD 4257 SEQUOIA DR
fZpSEPtOUNT MN 55068 EAGAN MN 55122
11'612) 423-7038 (612)454-4337
Z hereby acknaw5.edge that.l have rearl tfiis applicatian artd state thaAt the
I ini`ormatiQn is carreat and agrea to comply with a11 aQplica6le State of Mri_
Statwtes and Gity caf E0;gart Qrrtanances,
L ~
`~ru~r R.u,~ I lltl~
APPLIGANT/PERMITEE SIGNATURE ISSU B: SI A E
7 BUILDING PERMIT APPLICATION (RESIDENTIAL) CRY OF EAGAN
.
300if 3830 PILOT KNOB RD - 55122
B81-4T5
New Construdion ReauiremeMa RemodeVReoair ReauiremeMs
? 3 rogfslered site aurvsya ? 2 copies of plan
? 2 eopies of plans (Include beam & xnndow sizer, pourod fid. design; atc.) ? 2 sRe surveys (exterior additlons & dedca) .
? 1 energy ealalations ? t errergy calwlatlona for heaMd additlons ? 3 copies W tree preaervatlon plan if lot platted aRer 7/7193
required: _ Yes _ No
'
A
DATE: 1777 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: --~2- ~ S c C~ u c~t A D 2 g d1- r~
LOT l~ BLOCK ~ SUBD./P.I.D.
PROPERTY Name: I ~0 C ° Gor 1 G jz i 5 -e L Phone
OWNER u.,
StreetAddress:
City: State: Zip s~C*APV t 2 2
CONTRACTOR Company: Goo- Lr-,Z;~ Phone YZ S~ 7°3 °
Street Address: S6o V~ b ea~1 License
City; ~°sRr•ouNC State: ~r Zip: TS-00
ARCHITECT/ Company: ~arr- C Phone#:
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction oniy): . Penatty applies when address change
and bt change are requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the intortnation is c v ct and agree ta comply with ait applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
_OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY ~ , :
BU1LDiNG PERMIT TYPE 4
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling o 07 4plex o 12 Mufti RepaiNRem. 0 17 5wim Pool
? 03 SF Addition o OS 8-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Firepiace o 21 Miscellaneous
? 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
? 31 New o 33 Alterations o 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) 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 Buiiding Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Cann.
Water Meter
Acct. Deposit
S/W Pertnit
SNV Surcharge
Treatment PI:
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
,f A)
EAGAN TOWNSHIP
BUILDING PERMIT N° 1875
Ownex Eagan Township
~-,...r..._ Town Hall
Addresa (Preseni) _S3
Q°',"-'C
Huildar . - - p-
Dafe .....y.. /....'----.....i1
Addzess
DESCRIPTION
Siories To Be Used Fo: Froni Depth Heigh! Esi. Cosi ~Permi! Fee Remazks -r'~" a o a-s
LOCATION
Slreel. Aoad or ofher Deccripfion of Location I Lot Block Addifion or Txae!
G 3 (~".~,E.lc~e.c._~
U
This permii doea not sulhoriae the use of sixeels, roads, alleps or sidewalks nos doea it give !he owner or Lis egea!
the sigh! Yo cseate aap siSuafion which is a avisanee or which presenfs a hazard !o the healih, safefy, conveaience and
general welfare !o anyone in the eommuniiy.
THIS PERMIT MUST SE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGF~ESS.
- . . ' .
This is !o eerliip. 21~af-'~...... has P ~ ermission !o ereef a. ~ _ upon
the above deseribed premise eubjee! !o the provisions o! the Suilding Ordinance fos Eagg Township adopled April 11,
1955.
.k...(.~.~-l:~...~^ct,,_p.................._..............
Per
Chaismat~of Tnwn Board Bvildin Ins ecSos
4' '6
/e 7.~
PLOT k'LBN FOR LOT #6, BI,OCK #3, EVERGREEN PARR ADDITION.
.
EG9N TOWNSHIP, DAKOTA COIINTY, MINNESOTA
HAN50N CONSTRUCTION CQ*,
530 J4NCTtON IANE
ST. PAUI, MINN. 55115
/00'
/YORTh
LpT s ~ot 6
~
~
~
~
~
0 4
~ io ~ ¢o'
v)
~
wr -
~
O ~
0
SE4 UoIA ,2/vc
~
EAGAN T01415"uHIP
3795 Pi1ot Knob Road
St. Paul, Minneaota 55I11
Telephoae 454-5242
PERMIT FOR SEWER SERVICE CQNNECTION
DATE: November 7, 1968 NUMffiER -ak~
OWNEF.:Larry Hanson Construction Address Lot 6 Block 3, Evergreen Park
PLIJMBER bg. & HtgryPE OF PIPE `rIeavy Cast Iron,
AESCRIPTTON OF BUILDING ,
industxial Cammercial Residen[ial Multiple Dwelling HIo, of units
x
Location of Connectians: Conaection Charge
Permit Fee 7•50 (Yd
Street Repairs
Total
Inspected by;
Date
Remarks•
$y
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to de the proposed work in accordance with the rules aad
regulations of Hagan Toc.mship, Dakota County, Minnesota
gy. Phil Kropelnicki Plumbing L, Heating & Prop.
538 - 1 th Ave. No,LSo. St. PaulNLinn. 55075
.
Please notify when ready for iaspection and connection and before any portioa
of the work is covered,
w "
EAGF:N TOWNSHIP
3795 Pilot Knob Road
St. Paul, MinTtesota 55111
Telephone 454-5242
PERrIIT FOR WATER SERVICE CONNECTION
Date: November 7. 1968 Number: JaB
Billing Name: Larrv Hanson Construction Site Address: Lot 6 Block ;y,Everereen Park
Owner: same Billing Address same
~-v?~~.i,d_~
Plumber:Ph- pe nic i Plumbing & Htg.
Location of Connection Meter Size Coanection Chg. La.-a
Meter No. Permit Fee 7~p
Meter Reading Meter Dep.
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected hy.
Date
Building is a: Remarks:
Residence X
Multiple Ao, Units
Commercfal
Industrial By:
Other Chief Inapector
In conaideration of the iasue and delivery to me of the above pexmit, I
hereby agree to do tte proposed fJOrk ia Accordance with the rules and
regulations of Eagaa ToFraship, Dakota County, Minnesota.
gy;Phil Kropelnicki Plwnbing & Heating & Prop.
' 538 -18th Ave. No., So. St. Paul, Niinn. 55075
Please notify the above office when ready for inspection and connection.
,~rg 5S'3 RESIDENTIAL BUILDING Oa
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWCtion Reouirements RemodeVReoair Reauiremen45 O(fice Use Onlv
3 regislered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies ot plan Cert of Survey Rerd
(20°h maxlmum lol Caverage allowed) 7 set of Energy Calculations for heated addifions Tree Pres Plan Recd
2 copies of plan showing beem & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set ot Energy Calculatlons Addlfron - indkate i(on-site septic sysfem _ On-site SepUc System
3 copies of Tree Preservatlon Plan if lot plafled aHer 711193
Rim JoistDetail Oplions selection sheet (bkAjs with 3 or less unBs
Date b 3 / ZJ`~ / a 3 Construction Cost ~
Site Address -7_~`'(~ Uni[ISte #
L)
Description uf WoFk S l Y--~-
Property Owner L--au~~ Telephone # (66 n y "lJ`y y 3 37
Contractor
Address ~7a,~U ~J~~~'~ /"T(~U • City ~~(~t~T r1
State / vrN Zip Telep6one #(Jo6~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Suhmitted Submitted
• Energy Envelope Calculations Submitted .
Licensed Plumber Telephone )
Mechanical Contractor 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 and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an applicarion 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. -
~r~ i
Ii,
, ~ i g ~ . .
Applicant s Printed Name Applicant s Signatur
OFFICE USE ONLY
Sub 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.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage Q 22 Porch/Addn.(4-sea.) ? 33 Eut.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration 0 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCEment •Demolition (Entire Bldg) - Give PCA handout to appllwnt
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 bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ plunibing
_ Foundation HVAC
_ Dzain Tile Other
Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~0
2007 RESIDENTIAL PLUMBING PERMiT aaPLicarioN ~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122 .
651-675-5675 4p).S2007
Please com lete for modifications to existin residential dwellin s.
Date t I 13 1P7 Laurie Geisel
Site Street Ad'dress 4257 SEQUOIA DRNE Unit #
Eagan, MN 55122
6514544337
Property Owner ~ne # ( )
Contractor il/O/~l. 7!tl~I'/!~/N4 ~g Telephone# ((~JZ ) g17-6/~33
Address ZQCS (~a.~i~~ ?f .~uf'h City oi State,9&/ Zip ss~/°y
The Applicant is: _ Owner 8 Occupant ~ Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
instaliation of a water softener and/or water heater at the same time. If you are
installing onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing. ~p
_Septic System Abandonment v~ D
_WaterTurnaround (add $136.00 if a 5/8" meter is required) APR 2 5 2097
Other:
Water Softener X_ Water Heater $ 15.00
_ new 4- replacament
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $1S SO
I hereby apply for a Residentfal Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a pe it, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is rA~qe o be revid and approved.
ApplicanYs Printed Name nYs Siqnature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118425
Date Issued:10/31/2013
Permit Category:ePermit
Site Address: 4257 Sequoia Dr
Lot:6 Block: 3 Addition: Evergreen Park
PID:10-24880-03-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Scott Landa
Valuation: 4,000.00
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 -
Joseph P Geisel
4257 Sequoia Dr
Eagan MN 55122
Tradition Roofing & Exteriors
1032 Cleveland Ave S
St. Paul MN 55116
(651) 325-1548
Applicant/Permitee: Signature Issued By: Signature