3668 Kolstad Rd • ice ..
EAOAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 1 1 5, 1'72 Number:
Billing Name idea Site Address ;.,ro ':,1 1 :• 1 , r1 r,21u
Owner: Billing Address
Plumber : = 'c.a:p�cs� FlY .. Co.
Location of Connection Meter Size Connection Chg. ' 7/c/72
Meter No. Permit Fee - -+ ,/' /a
Meter Reading NAeter De P• i '-
Meter Sealed: Yes Add'lChg.
4 - J.s;•_
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence
Multiple No. units $25.00 RE INSPECTION FEE FO?
IMPROPERLY INSTALLED METERS.
Commercial
Industrial B
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
'1' }ivi::j>:+GYY '.�1Lui+iak (J0.
Please notify the above office when ready for inspection and connection.
E 379s PAN TOWNSHIP
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: I•,;.w 15. 1 972
NUMBER 1005
owNER: Neu Horizon Homes
Address 366f3, 66 K01st 1
PLUMBER 'T uxnP0q 30? 0!i K,'lI0
TYPE OF PIPEIiazry C&72 t Iran
DESCRIPTION OF BUILDING
Industrial
Residential Multiple Dwelling No, of units
.cation of Connections: ti '
Connection Charge 969 /
Permit Fee 10.4 1 rzt r/15 /'7a
Street Repairs •I'
Total
Inspected by:
Remarks:
By
Chief Inspector
' consideration of the issue a
rco adere to do the and delivery to me of the above permit, I
ge of Ea a proposed work in accordance with the rules and
8 n Township, Dakota County, Minnesota
By
se notify when ready for inspection and connection and before a
the work is covered.
any portion
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA144023
Date Issued:07/10/2017
Permit Category:ePermit
Site Address: 3668 Kolstad Rd
Lot:3 Block: 07 Addition: Timbershore
PID:10-76500-07-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John R Michalek
3668 Kolstad Rd
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
r 1
4.4
For Office Use
�
; Permit#:
E AG N
Permit Fee: f��
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 NAY 1Staff:
buildinainsoections(a citvofeagan.com ! 2LI L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: / i .yI e.<S `>C er ( Givr," A t'$Phone:
Address/City/Zip: 3 6 6 r / c 15 f ; 1d AZ
Applicant is: Owner /' Contractor C L'&S s 710 u r! GO»C v C T€ /5r, c__
Description of work: Fv^d 1' J'! f
-;-,;1-1 ' Construction Coe, 2 61)4 — Multi-Family Building:(Yes"V /No _ )
Company: C Par, `LOW n CG"CrG11Cr Contact: & 4'CCi /"/e.71.
Address: 9O 3 c‘.. 44` /cJ/QOf�t /r7�/Ov►
Statelin Zip: 33 V1/4.3 7Phone: 97 - 23 9 Fk'e t d2 6, 'e � 40,6 I, C49-7--N-
License#: Lead Certificate#: /In
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 that you submit are considered to ire pubffclnformation Portions of sthe nformation m ybe
classi ed as norm ubbc ff ®u a roviale s
fic reasoi's tiiat~.iiouJd ;=thi1#fit;tit
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.000herstateonecall.oru
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 <''7i+ PI.'es-f, x o
Applicant's Prim Name Applicant' gnature '
DO NOT WRITE BELOW THIS LINE
36'6? Kt,iswizzil � �
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
)O 01 of 3 Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
r 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 2, •"— Occupancy .L.j2 t --5 MCES System
Plan Review Code Edition 0/7 26/S SAC Units
(25% !?100%_) Zoning P,7j City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction J 3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings Beckr 57 Final/C.O. Required
Footings(Addition) t€4 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 iv) Other:
Reviewed By: ) bt/ 1.f t '.1 ty/ , 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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