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3654 Kolstad Rd
, EAGAN TOWNSHZP G mA- b 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: April 11, 1972 NUMBER 972 C11 LE OWNER•New Horizon Homes Address 6? 3652, 3654, 3656 Kolstad PLUMBER Thompson Plumbing Co. TypE OF pIPE Heavy C ast Iron DESCRIPTION OF B[JILDING Industrialt Commercial Reaidential I Multiple Dwelling I No, of units x Location of Connections: Connection Charge G e,-*-' -? Permit Fee 10. d 11 2 .50 pd /11 72 Street Repairs Total Inspected by: Date Remarks• By. Chief InspecCOr In consideratioa of the iasue atnd delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Fagan Tormship, Dakota County, Mianeaota BY Thompson Plumbing Co. Pleaee notify whea ready for inspection and coaneetion and before any porCion of the work is covered. 3 EAGAN DDWN3HIP 3795 Pilot Knob Road ? St. Paul, Minnesota 55111 ? Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION gio Date: April 11, 1972 Number• --93:w Billing Name: New Horizon Homes Site Address: 650 6 2 6?4. & 656 Kolstad .Z9.3 pi,me1; same Billing F.ddre !}. Kostad S 6 ? 7 Meter No, Permit Fee 10. 11/72 . 0 !? pd 11/72 Meter Reading Meter Dep. 5 meters atiU:dQ ea. -' Meter Sealed: Yes lAdd'l Chg. 300.00 pd 4/11/72 NO iTotal Chg. Plumber: Thompson Plumbing Co. ???7oa3! Location of Connection Meter Size_ Connecti Buildiag is a: Residence 14ultipie x Ho. Units ra meter Commerc?ia lS Industrial Other Inspected by Date Remarks: ...,i. Hy: Chief Inspector In consideration of the isaue and delivery to me of the abwe permit, I hereby agree to do ttm proposed work in accordance with the rules and regulations of Eagan Towaship, Dakota County, Minnesota. BY:, f v f ?? . - Thompson Plumbing Co. Pleaae aotify the above office when ready for inspection and connection. j ? Jul 28 2014 09:46AM HP FaxGates G.C. 7634987710 page 1 � C/" f/ !� ---Use BLUE or BLACK ink � � For Office Use � �• � /� . ,� � �a���� � It of Ea�a� ,�/� V � I Pertnkit: �� � � � � �� � � Pertnit Fee: � 3830 Pilot nob Road Eagan MN 5122 � `i� � Date Received: � � Phone:(65 )675-5675 I I Fax:(651) 5•5894 � I Staff: I I I �����������������J 014 RESIDENTIAL BUILDING PERMIT APPLICATION�} Date: � Z � Site Address: 3�O�, 3G�'Z,3(,, `►i �✓�' ���T� eUrn� �_._......,F _ Name: ��tM���� ,.C� __.' ..._._,. .._.._. Phone: �t�I"���'M��� � ResidenU � Owner '' address�c�ty�z�p: �� �-�v�- ' Applicant is� Owner V Contractor Type of Work ', Description of work: ��h�r � _ Construction Cost_ �g LL r (p�- y_ Multi-Family Building:(Yes '!I No_�w�YV_ � Company�11"r'GS G� St/��•�x;�,}� Contact: �Pr-0'CG� Contractor Address: ��O �Z�13��.ij �ir(^/ �;�y� ��y ;.yL�� Stat�N Z����/ Phone�/Z 7Z��( Email:�r�,.�J1T�S�lST�r-�GfITiD,�/. � � License!k: '7L(�'t��v 7�� Lead Certificate#: !�/�t'T�7'L 3�� � If the project is ex pt from lead certification, please explain why: (see Page 3 for additional information) ! COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ��y In the last 12 mont ,has the City of Eagan issued a permit for a similar plan based on a master planT _Yes _No I yes, date and address of master plan: Licensed Plumber: Phon�• ' Mechanical CoMra or: Phone: Sewer&Water Co actor: Phone: NOTE:P/ans an supporfing docume»ts that you submit are considered to be pub/ic infurmativn. Poriions of the JnformaUo� y be classified as non public if you provide specific reasons that would permit the City to _�,.. _.^�� conclude that the a�de secrefs. M w�T�N�w CAL�BEFORE Y U IG. Call Gopher Stabe Oae Call at�651)454-0002 for protection against underground ulility damage. Call 48 hours befo2 you intend to dig o receive locates of underground utilities. www.aonherstateonecall.ora I hereby acknowledge t this information is complete and accurate;that the work will be in oonformance with the ordinances and codes of the Ciry of Eagan; that I understa this is no4 a permil, but only an application for a permit, and work is not to stert without a pertnit;that the work will be in accordance wilh the app ved plan in the case of work which requires a revlew and approval of plans. Exterior wor thoriz d by a bu'ding pertnit issued in accordance wilh Ihe Minnesota Bullding Code st be completed withln 180 days rtni suanc . � x X Applic ' m Ap Ys Signature Page 7 of 3 4P City of Eaail 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: -1 — Tenant: APR 252016 Use BLUE or BLACK Ink 1 For Office Use Permit#: /.3 cal I p / U� Permit Fee: Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of planswithalll commercial applications. ` , Site Address: 3 L 5 `i I< hl S Tck (.) R 0 !) Suite #: J 4 6 Name:� ?�,A\� fit_ )1 3\,. n5 Phone: 6 51 -32-1- M� b Address /City /Zip: 34,59 )1— CJ\ 5 Tc'L` p a i.Y F a', Name: 74, 5 i e n'k t.,\ u k . n +i . r License #: Address: ..< } � � S � _ �i ► 5 ` ��� S c3 c � c �ity: � fl .n cc._ Q \‘.. S •, � � �, � f State: f n Zip: .5 y (S 7 Phone: 6 ) Za iLk-1— 1 S619 Contact: ", c.- AL Email: C4...01 .mac ., Ac 6 l ria r 4 �� k�st�-Y+"�.r .s,- � estr'rii New Replacement Additional Alteration Demolition 144ic-t.L- -C 1. C -TO n 0000.79.. 3 .$ S 21-4,� Description of work:.)Z.L.... \ c. u Auer) 4- cam. _S S5Tt i 4 N S-- CS 6 /L t -i S, Ot , iW $ffi W 4$ W#' W Y@ �4A >> W➢ S R 8 # h "' $ tl @ f W 6 Y 'i 5 4 e 9XR 2�&'�4ji Pqf _i`=. ( f£Si•Y., * kd �d%i W� aL� .x x RESIDENTIAL X Furnace COMMERCIAL New Construction Interior Improvement )(, Air Conditioner Air Exchanger Install Piping Processed Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank ( Install / Remove) Other _ RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State includes State Surcharge Surcharge = $ 6 0 �' TOTAL FEE $100.00 Residential New, COMMERCIAL FEES $60.00 Permit Fee Minimum Contract Value $ x .01 = $ Permit Fee $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge = $ Surcharge = $ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordi Eagan; that I understand this is not a permit, but only an application for a permit, and work is n• . to start without a with the approved plan in the case of work which requires a review and approval of plans. • x Ar'-"- 11.e\-,t�— Applicants Printed Name x s and codes of the City of he work will be in accordance Applican s Signature ►3S Z.L Date: City of £aaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: APR 2 8 2016 Use BLUE or BLACK Ink 1 For Office Use Permit #: ?3,l8) Permit Fee: L_O Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. t, Site Address: :3 6 5 'd \ ..S A c2e Name: e, J Vie- C 1.3 t Address / City / Zip: 3 f, `1 \L0 det. Phone: Suite #: b 3- 3 '2-'1 - , k'1 n c� � . nS ,f A. - License #: Address: 1615 c `-t \ s't Sr( - S o't k c h City: M: n ne � a 1. State: M'1 Zip: 5 5 y t - Z Phone: 4 I L, '% Z.t _ t $ qc7 Contact: Email: Q CIA vi k - cei'\, New A. Replacement Additional Description of work: Alteration Demolition tc. cIL_ `3v! 1••• SaSTA r%) S Ora OAC -To-TO J RESIDENTIAL T Furnace Air Conditioner C -e4 -r r • C>' Air Exchanger 2-" A 15:5/ -- `f Heat Pump 2._O COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Other Z�{r©�c; t3rv�� Under/Above ground Tank ( Install /_ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge (30 $100.00 Residential New, includes State Surcharge = $ i� V TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 =$ =$ _$ Permit Fee Surcharge TOTAL FEE 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 at the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 1)(t . f•e") Applicant's Printed Name x Applicant ignature Use BLUE or BLACK Ink For Office Use LAO 11 - 1111FF11,, 1iF �(1117p 11T,''t�/� /�T111 ::; rJ . 3830 Pilot Knob Road # .t Eagan MN 55122 Date Received: ! b Phone:(651)675-5675 Fax:(651)675-5694 Staff: ) 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10/6/17 Site Address: 3654 Kolstad Rd unit#: Name: Paulette Tippins Phone: M V V Resident/: ._651 -324-4418 Owner -- Address l City l zip: 3654 Kolstad Rd Eagan, M N 55123 Applicant is: Owner X Contractor Type of Work Description of work: Bath Remodel-See Attached Drawing Construction Cost: 3472 Multi-Family Building:(Yes X /No Company: US Patio Systems - Contact: Wendy Rache 218 N River Ridge Circle Burnsville Contractor Address: City: MN55337 952-314-9885 wrache@uspatiosystems.com State: Zip= Phone: Email: License#: BC661813 Lead Certificate#: F119453-1 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:Plans-and supporting documents thatyouu submit are considered to be public information. Portions 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 hcursHT41V before you intend to dig to receive locates of underground utilities. wviwgopherslatecnecallloorg 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. xix*L.( cot) x . i0 Lh2ILQ I Appliintfd Name Applicant's Itn:ture Page 1 of 3 . - .3-aSli Kt>tstA of dett DO NOT WRITE BELOW THIS LINE , LQ 1 1 q 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 01 of_Plex Lower Level Pool Accessory Building WORK TYPES ' _ New P Interior Improvement Siding Demolish Building` Addition Move Building WV ReroofDemolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window T Water Damage Retaining Wall Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation it 2) e Occupancy 3-22 i2( — MCES System Plan Review Code Edition - r1 Zo/c SAC Units (25%_100% X ) Zoning 7D City Water ----.__-- Census Code Stories Booster Pump #of Units Square Feet PRV _ ___ #of Buildings Length `4 Fire Suppression Required Type of Construction '13 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final /C.O. Required Footings (Addition) Final /No C.O. Required Foundation Foundation Before Backfill _d_ 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__ _ EF IS _ Insulation Windows Sheathing Retaining Wall: Footings Backfill Final _ Sheetrock Radon Control ^ Fire Walls Fire Suppression:_- Rough In Final Braced Walls Erosion Control Shower Pan - Other: Reviewed By: -7-42 ox J n� K i l'e" , Building Inspector RESIDENTIAL FEES Base Fee Ai 17 ;fy L'F 1 (ee- Surcharge Plan Review t MCES SAC /1 ` X S City SAC Utility Connection Charge S&W Permit& Surcharge • Treatment Plant Copies , ?age 5 TOTAL Page 2of3 Use BLUE or BLACK ink For Office Use iticot I D _ Permit#:_... . City of Eaall Permit Fee: 1 _ 3830 Pilot Knob Road Eagan MN 55122 Date Received:_ to Phone: (651)675-5675 � Fax: (651) 675-5694 staff:_____ / 0 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 10/7/2017 Site Address: 3654 Kolstad Rd Tenant: Suite-#: Resident/Owner Name: Paulette Tippins Phone: 651-324-4418 Address/city 1 zip: 3654 Kolstad Rd Eagan, MN 55123 Name: US Patio Systems License#: PC708206 Address: 218 N River Ridge Circle City: Burnsville Contractor __- M N 55337 952-314-9885 State: Zip:-------- ----___ _ Phone: - contact: Wendy Rache Email: wrache@uspatiosystems.com Type of Work --New 1/1Replacement Repair Rebuild —Modify Space Work in R.O.W. Description of work: Bath Remodel-See Attached Drawing RESIDENTIAL Water Heater Water Softener Lawn Irrigation L__RPZ I PVB) Permit Type �/ Septic System -- -Add Plumbing Fixtures t__ Main/ Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 314"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $60.00 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.gs2pherstateonecali.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. x 7 iwe xtft,)900te 1(20,f2ny.._._Applicant s Pnnteb Name AppIicaSign titre FOR OFFICE_USE Reviewed:By: Date: Required Inspections: Under Ground Rough In _Air Test. Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: t e< For Office Use JL : (k°, PermPermeeAWE'e 1. I i/ Date Received: --1 7-7‘ 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 j (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 NAY 1 Staff: %'_ buildinginspections(c�.citvofeacan.com / 2Oi L v 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: , `, Name: if r "7/ A.eo-S/fG":e /7;;vs? ACille S Phone: Resident!> ' fLi � tAddress/City/Zip: � S Gka' , Applicant is: Owner 1( Contractor C frG S s //au/4 6 i C,C 74 9'tS,-,i AV, fl Description of work: Fv'd h f'" f71-- 5 Construction Cost: Multi-Family Building:(Yes�( /No ) : Company: C frOr" 7LOW H CGh CvcI- Contact: & Pe, /9/e.ir ontt actor,., Address:99a 3 C 11 y`Of 001 C# / /cJ/00127/•-7 /-vi.c/ State/tv Zip: 3-55/3 Phone: 97 - 23 9 tV 0 0,2 6/0' e f5 Pf acs I, C m-7.-..- License#: Lead Certificate#: /11ig 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 P;lar s and supporting documents that you submit are considered to be ublic information Portions of;the info ation iaybe classified as non -ublrc if.> :u ovide•s c reasons that would rmit Ghe ity.fo lude thiat "are a sec ` ,. i *, : 7. 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.popherstateonecall.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. x2 ' - /9f. 1r x Applicant's I i Name Applicant' gnature rtAsv-J /Lf01q6, 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 7" 01 of I Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition — Move Building _ Reroof _ Demolish Interior 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 441 7? boo.— Occupancy -Tin :3 MCES System Plan Review Code Edition ,1i1 Zoi 5— SAC Units (25% 100% ) Zoning FD City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction U 73 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: IC) FootingslBeek)- Sze Final/C.O. Required Footings(Addition) AO 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 / Other: Reviewed By: ( '1/ ii 4 F-/?? , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3