3646 Kolstad Rd •
3795 Pilot
1 OWNSHIP TWA /?
St. Paul Knob Road
Telephone�4 4-52 55111
5 4 -5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: March 29, 1972
Jt3 Nunn / 6G,
OWN
ER: a Horizon Howes
Address 3642, 3644, 3646
PLUMBER Tt�onnica� I'ltunhin 3 nth Kolst ui
6 Co. TYPE OF
PI tfeav Ga Iron
D ESCRIPTION OF BUILDING
Industrial
Residential Multiple P Dwelling No. of units
Location of Connectiogs;
Connection Char$e
Permit Fee
� 3 3/
Street Repairs
Total
Inspected by O
Date ��
Remarks:
By
hief
C Inspector
co nsideration o naidesaiion of the /n con agree to do the proeed delivery to me of the ab
8u aons of Edo the ro pu work in accordance with t ov r Permit I
, Dakota County, Minnesota .he rules and
By
Thotap Piy,;iol Co,
'lease notify when ready for inspection and co
f the work is covered.
anection an d before an
Y portioq
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
NAI
JUN 0 6101
r
Use BLUE or BLACK Ink
For Office Use
Permit #: l C)
Permit Fee:
Date Received: • � o' �f'
s
Staff:
4(1
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/I/
Owner
Name: ivVA T)) t L:-- C i Phone: 6C? ? �67(3 /
II/�--�
Address / City / Zip: 6' , "t 6. h.C( T ' 2 " i P 61 2-3
Applicant is: Owner X Contractor
Type of Work
Description of work: t^!.- s kO r `BU t t /1/4.% Pe -c ---K-
I / 17th- ( . \�
Construction Cost: l D 0 "'' Multi -Family Building: (Yes'Y / No )
Contractor
Company: 2. 6& - !/gid k'f 11'10t)6 L Contact: I�'t L4-. krld e l (
2-57 t `0 U C� 1.E, Lt�1\)L.,
Address: /� City: t^
fdVit
State: (ice Zip: Phone: RKc--5-(,'i /87 mail: ro l4 Ad e.,1 (i b a yct,koo ,Cort)
Lead Certificate #: �` ° - I 06 3 —'
License #: t ( --1% 6 t"
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
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?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit bare 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 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 • tate Building Code must be completed within 180
days of permit issuance.
t
Applicants Printed Name
Applicant
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
_ Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
j Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 10(340(.k))
Census Code
#of Units
# of Buildings
Type of Construction
Fireplace Porch (3 -Season)
_ Garage Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
A„., Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
-2)3 d 0
REQUIRED INSPECTIONS
Footings (New Building)
»l Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Fireplace: Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: ., Building Inspector -?,go
„Ls, ,iGf h/ dwc�. l
22e
. 3c X /4(v ot4 G17
Siding
Reroof
Windows
Egress Window
_ Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
_ Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final I No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In Final
Erosion Control
Other:
RES
IY
0
epLA/L04- k
ciAL CV1d-- °
ef(aa
Page 2 of 3
3 L l ,
Dakota County, MN
Page 1 of 1
I CH
about:blank
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not
guaranteed. This is not a legal document and should not be substituted for a title
search, appraisal, survey, or for zoning verification.
Map Scale
1 inch = 50 feet
6/6/2016
6/6/2016
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163980
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 3646 Kolstad Rd
Lot:4 Block: 10 Addition: Timbershore
PID:10-76500-10-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Nadine K Clark-nordaker
3646 Kolstad Rd
Eagan MN 55123
(651) 208-5465
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature