3636 Kolstad Rd EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: November 16, 1971 Number: 79
Billing Name. r =: kinri •,rn Tines Site Address: 3o36 Kol.ttni 1v iue
Owner: game Billing Address
Plumber: '11.aumson Plumbin , Co.
Location of Connection Meter Size Connection Chg.
Meter No. Permit Fee:, F, P.:::. „it '; Jo, 746
Meter Reading Meter Dep.. Go.( J 11I 1tj71
Meter Sealed: Yea Add'l Chg.
NO Total Chg.
Inspected by
Date /L ' /
Building is a: Remarks: / _ '� ^ I / /,
Residence Toim House •W
Multiple No. Units $2500 REINdti,,i J
Commercial
:;3PROPERLY INSTALLED M i L
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tln proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By
Thss iscn P144iu Co.
Please notify the above office when ready for inspection and connection.
i
r.
For Office Use n
""" � � iia Permit -� /
. .., E AG A N
��� �"� Permit Fee: ID-D-. 'P
....'=44, REC,sr17i1 Date Received:5-7 -/K---3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 -` -
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 MAY 17 2018 Staff:___(
buildincinspections aacitvofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: // Unit#:
Name: I i /y! f!`? J log,c.. /�'' , A 6 t:q ty S° Phone:
e dent!k 1,�
Owne , Address/City/Zip: 3 G 3 E� A 0 I fit o' 4.,(:,*
Applicant is: Owner ,X Contractor C i'''&S 70u i7 6 Pi C v,G I/5rg t.4
1' Description of work: Fv'd 1— f/ f
# , COL)Construction Cost: Multi-Family Building:(Yes)( /No )
Company: C V d.'� 1-DW H CGn Crc-/i-- Contact: & N'CGi g -71,: ,
Address: �U 3 >; JAY 4 vi 01 �:fi /cJ/0oppi/rl 7%,-0..
StateN Zip: ,...575/ Phone: 9762 23 % FVa' 0,2- 6/0 i‘e,Ti c, TT 46 4 fie'
" - ;, License#: Lead Certificate#: /lib
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE fansadspprm. douments hatyou submit are consdreo beppblcnomatin. os ofthnformiom5a e,
'cass�eda§pbQ •ublcf'6ti vides --�ificfeasnes#�atif+vbwe� nittieCi 10dueats.areadi43-ea*Sitf, *A.5.
_...,
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.uopherstateonecall.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 pl s.
x (2 k 2 fif-'t _1, Is x
Applicant's Prin10 Name Applicant' gnature
-363(D rcA5ks4) 0 PO Lib D
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck —
Porch(Screen/Gazebo/Pergola) _ Miscellaneous
/0 01 of ' Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition
— Move Building _ Reroof _ Demolish Interior
4. Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace — Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation Z/��, Occupancy ..17 3 MCES System
Plan Review Code Edition 1,74 2E)IC SAC Units
(25% 100% ) Zoning ,PD City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ti 8 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
20 Footings Pea) hof Final/C.O. Required
Footings(Addition) f° Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice&Water Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS
—
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan ---
an_ // Other:
Reviewed By: � P" I-/(✓j - , Building Inspector
RESIDENTIAL FEES !!
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
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