4194 Knob CirRESIDENT / OWNER
Name:
real-f a,,,s 0 i Phone: 1 } � qq-7/
Address / City / Zip: _— _k- -- _ — —
CONTRACTOR
_—__
Name: A pllance Connections Inc License #: 21 �1
Address:
State:
1313 Dancta
- - - - - -_
Cr
55&79. -- City: - - -- - - - --
opee
Zip: ----952-4454803e:
Contact • i i c , J Q j _ I ' s ? , / Email: _ __ _ --
TYPE'OF WORK
- -- New X Replacement _ Repair __ Rebuild ___ Modify Space __ Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
Water
- Lawn
Septic
Heater
Irrigation ( RPZ / _ PVB)
System
New
Abandonment
_
Water Softener
Add Plumbin 9 Fixtures (___ Main / ___ Lower Level)
_—
— Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water
Heater,
(includes
Fixtures,
(add $189.00
New ($10.00
Water Softener, or Water Heater
$5.00 State Surcharge)
Septic System Abandonment, Water
and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
Turnaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge) // '',, '
TOTAL FEES $ 1i
if a 5/8" meter is required)
per as built) (includes County fee
4 41 City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
2
Date: ;J� , Site Address: 41q4
Tenant:
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 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 perm 't; that the work will be in
accord nce with the approve lan in the case of work which requires a review and appro al of plans.
Applicant's Printed N
ant's Signature
Use BLUE or BLACK Ink
For Office Use / / 7 75 C
Permit #: / 0 4 '
��
Permit Fee: 0
Date Received: 4 .-/'_/2._. '
Staff: L-
J
Reviewed By:
oug n Air Test ___Gas Test Final
Date: -
FOR OFFICE USE
Required Inspections: Under Ground _R h 1
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it
410111°
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Usei
l
Permit #: . ( 3X7 g -
Permit Fee: 6/5‘()
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
4(qt(
Date: C3 Site Address::�( C, i Unit #:
Name: Phone:
eslde #1
Owner _` Address / City / Zip:
Applicant is: Owner Contractor
Description of work:
or
Ty•e o
Construction Cost: Multi -Family Building: (Yes / No )
Company: SL�v M Iiik A r 4 ( Contact: J -f s-- 4.U1/11 'vl
Address: (c---1(0 b I Du, e f 2 O�S� .�+ `kJ City: %Cfli` `e i/r ` ( i
Co tracto
State: P14/ Zip: �5-dt- (1 Phone: ?5-2 — I / '.-- C/61. 7
, ,.. .. ,. License #: /3C -‘6- Z� Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE Pt ns4an ;supporting docume is #ha oc submit a e co ' dere • o be ° b rc • aIttoi
th lnfo ti n may e c assifirf you Provide specific r • •ape theta
concludeaf thThey are rad ecru
a
s • �
o
CALL BEFORE YOU DIG. Call Gopher State One CaII 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 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.
Exterior work authorized by a building permit issued in accordance with the Minnesa •to uil, ing Code,qust be completed within 180
dayo permit issuance.
-(11 r" An l x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use 2 I
Permit
City of Ea I o d 1
Permit Fee:
I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: GI P
Phone: (651) 675-5675 I ~ I
Fax: (651) 675-5694 i Staff: l.lp
/ 22013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1.? Site Address: " l ,92 - t l P I l l~ D Unit
Name: Al Phone: [,S
Resident/ + v~ C ~M ►!V' ~`~f "L z
Owner Address/ City/Zip:
Applicant is: Owner Contractor
Type of Work Description of work: Rf, r 40
Construction Cost: 12r Lt 60 Multi-Family Building: (Yes //No
)
Company: Contact: , I cv 3 - -3
e1c (d~ 1- 11
Contractor r~J-1E~l[
Address: 3 U t,J City: `
State: Zip: Phone: d f X77- 777
License Lead Certificate
If the project is a empt from lead certification, please explain why: (see Page 3 for additional information)
.p
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portion -of
the information maybe classified as non-public if you provide specific reasons that 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.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x~CvY,.kiL~ *'ca' Applicant's P ted Name ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143378
Date Issued:06/14/2017
Permit Category:ePermit
Site Address: 4194 Knob Cir 105
Lot:005 Block: 02 Addition: Knob Hill Of Eagan
PID:10-42500-02-005
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Susan M Kolstad
4194 Knob Cir 105
Eagan MN 55122
(651) 587-0881
Home Depot At Home Services
2455 Paces Ferry Rd
Atlanta GA 30339
(952) 345-6057
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166059
Date Issued:12/09/2020
Permit Category:ePermit
Site Address: 4194 Knob Cir 105
Lot:005 Block: 02 Addition: Knob Hill Of Eagan
PID:10-42500-02-005
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Susan M Kolstad
4194 Knob Cir
Eagan MN 55122
(651) 587-0881
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature