3666 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
4
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3830 PUot Knvb Road
EaQan MN 66122 � . � oa�a Rer�iwaa: �"' ��� ��`j`�.5
Phone:�661)876�676 � �
Faz:(661►676-6891 . � R , :; � � &�atf: � I11�(Li,�
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V'�
2015 RESIDENTIAL BUILDING PERM�T APPUCAT�ON ���1�;,�
oa�: sim�aars..: unK*: G� `
. . Name: � lc��+r'�L ,f,�Cs pnone: G��1--�� �(/9 �'��fS�
Resldentl „� ^ 3 �'.1��
Owee� ,addrese/city/zip� �9�
T �
ApPlicant Is: ,^Owner �Convaeoor ,� �i n.
�.t�%.� iZer►�.�e � " �;�'J
Type ot Work ����on ofwork: ��/�
Conslruction Cost �� Multi-Family BuUding:(Yes�!No�) � �
� � �,,!Vl �
• compeny: k�3 ��11L��ld�G y�.. ��coMact: �1L'_/G � Al� �
Contracto,r add��:,L�l�qn L7at��« � c�r: o le �Gtl_,�T �,,,�G
Stete:�'�Zip:_5i�",�1.�,,, Phone: �1-,9'�1-34ovEm�iL• ` vrw .
� �'.,�• �.7
Ucense�!: � Lead CerflfkaEs�: r� a'3 ^ a' L�' (/
b��E�
If the proJect Is exempt trom lesd esrtifleallo�,please explain why: �+t� �
<A ��
COMPLETE THIS ARFJIONLY IF CONSTRUC71N6 A NEW BUILDINQ ���
In the last�2 monehs,has ths Clty of Eapan IsaueO a permlt for a elmllar p�an baeed on a maste�plen7 � � �
a�e
Yas _No If yes,da4e end eddress of maatar plan:
Licensed PlumDer. Phane:
Mechankal Contractor. Phone:
9ews�3 WeDsr ConbacMr. PAons: I
Flre Suppresslon Cootracto� Pho�e:
NO]�:Plans and suppo►f/ny docaments fhet you aubmit are cons/dereQ b be publ/c/nlvrmatlon. Pordons ot
fhe InMrn►a't/on may tie e/aaaN7ed aa non pubtic!f you pr�vtde specltte ieasons fhat wauld permtt tAe,Ct[y to
concl�de thaf!he a%lr.ade secrab.
CALL BEFORE YOU OIG. Cau Gophar Staae One Csll a��881)a6t.0002 for proteetion epainst underpround udllty deme0e. Cell 48 huuro
before you Intond io dip to rocelve localoa of underp�ound uqlldes. www,aoo�eratateonecatl.oro
I hoieby edcnawledpe tllat iMa Irdonnatlon Is aamptete and aatirata;thal lhe wa�lc wlll De In contortnance wtih tne or0lnanoes and codes o/Jw Ciry of
Eapen;lnat i unae�n4 tnie is oa a permu,out oruy an appqcaqon tor e pertn„.ena work is no�to s�an vwtl�ou�e pem�rt;tnat fne work wiii Oa in
acoordanae wlth the spproved plan In the case dwak whlcn requiraa e ravlew ane approval o(plans.
Ett+erlor vrw�k Autho�ized by s bulldlnp parmlt Is�uoA In acco►dance wltl►the Mlnoasooe 9nm 6ullding Coda must bs cvmpletad within 180
da�ro of parmFt luuonca.
"___��,� �fbt,����� x
AppllcanCs PN�bd Name Applicanro SI
Pago 1 ot 8
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� � � DO NOT WRITE 6ELOW THIS LINE ��� ��I
SUB TYPES
_ Founaatloe � Firaplaca _ Por+ch(3Seafon) � E�sAor Aftaradon(9ingle Famlly)
_ 81ng10 Femlly _ Oaage _ Porch(r-Season) Ettterlo�Alteration(Multl)
Muftl Oeck Poreh(ScrsenlG�=eboiP�rgola) _ Miscsllsnaous
�01 of�Ple�r _ Lower I.avel � Pool �, Accessory BuilAing
W�RK'fYPES
_ Ner _ Mosrlor Improvemeot „ 9lding , DemolleA Bullding�
Adaltlon y Move 8ullding Reroof Osmollsh Inte�lor
� Alteradon _ Fl�+e RepaU _ Windows _ Demollsh Foundeblon
_ Reploce _,.,_ liepalr _ Egress Wlndow „_, Water L'lamogo
_ Remining We11 �DamollHoo ol anUn pulldlne—givs PCA handout to�ppllcant
DESCRIPTlQN.
�.���
Valuation ����'�, Occupa�cy �-,,� MCES System '�""
Plan Revlew Coae Edidon � 3AC Units
(2596�1D09G� Zoning ___[Z__ Clty Wata� �-
Cenaus Code " y 3 w Stnrles -- Booe6er Pump --�
1�of Unics �_ Squere Feet -�" PRV ---
�i of 8ulldl�ga Lsngth -- Fire Suppreaslon Requlred --�
Typs M Conatructlon � Width �"'"
RE41U1REG INSPECTI.ON9
Foodngs(New Bullding) Meter Size:�
Footlngs(Oeck) Flnal/C.O.Requlred
Foodnga(4ddltien) � Final/No C.O.Requlned
FoundatJo� � HV4C l,.,G�s Service Test Gas Llne Air Test
aooP:�,Ica a Water ,,,.,,Finel Pool:_Footings AirJGaa Teata _,,,r,Flnal
� Freming Orafn Tlle
Flreplace:_Rough ln Alr Test _Finsi Siding:�Stucco Lath _Stone lath ,Brick
Inauletlon Wlndows
Sheathing Refelning Wall:_FooUngs_8ackflli_Final
� Shaetrock Radon Control
� Flro Wails Fire Suppresslon:.,,_Rough In_Kinal
9reced Wslis �...-�'"� Broelon Controi
��..�
�".Y Other.
�
Ravlawod By: ,��� .Bullding inspoctor
wr � �r r � � ■ - �
RE8IDENTIAi.�EES -
ee..F� 73 ?-
Surcharge
Plan Revlew �7'? �ti
MCES SAC
City SAC
Utllity Connoclio�Charpe
S8W Pertnit�Su�charga
Trealment Plant
Coplea , � �.r-
TOTAL
Page 2 of�
b�z'd b69SSL9ZS9�01 @SZbti68zS6 OaSM�J�WO�I� 8b�0Z SZOZ-Ot-Nflt
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138248
Date Issued:08/17/2016
Permit Category:ePermit
Site Address: 3666 Kolstad Rd
Lot:2 Block: 07 Addition: Timbershore
PID:10-76500-07-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Barbara A Wicks
3666 Kolstad Rd
Eagan MN 55123
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature