1295 Kolstad Lane }
For Office Use I I
�44.� y ;� Permit#:
%. E AG N
"• Permit Fee: 1? - 49 1
Date Received:
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 /
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 MAY Staff:
buildinainspections(ocityofeaaan.com 172018 L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
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Name: 71 Lek-s e. 7;1... Al Ac...+e_s Phone:
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yy�per Address/City/Zip: / 2. 9.) fr c/ S 7 lea rt. -
Applicant is: Owner )( Contractor (i frGSs. /au.' ' Gp» crre 9 c4 _Z C.-
Description
—Description of work: Fr'd 7 .1'71-
Construction Cost: )e <-5 v Multi-Family Building:(Yes)( /No )
Company: CVOsin0wH Cc,iCPC-le— Contact: & VC, /2 /�
Irttractflf n Address: �/0 3 f�'//C/H� et < /cosy,/�'lr�f0�►
State�/V Zip: 55/ 7Phone: 95 23 9 tk a ��r r✓ �c/F ct6 4 -
License#: Lead Certificate#: i',
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:
NOT£Plans anal supporting documents that;you submit areonsidere to be public infformatrod Portions of t eitor tio»04.oe
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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.cityofeagan.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.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 planpl� in the case of work which requires a review and approval of pl s.
x (�/�2 fir 7tr x
Applicant's PrinS0 Name 9 Applicant' gnature
1 -ac tc L 11(gLi11
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
)(j 01 of.Plex _ Lower Level —
Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding — Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
'D 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 5 Zj Wo--` Occupancy 5'j2G 3 MCES System
Plan Review Code Edition ,)/i ZEi5 SAC Units
(25%N 100% ) Zoning T.P City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V 1 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
y Footings-(Desk.)'5T`>z'? Final/C.O. Required
Footings(Addition) Y 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:
r/� /
Reviewed By: / , j/�) i't -/q4 , 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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156613
Date Issued:07/10/2019
Permit Category:ePermit
Site Address: 1295 Kolstad Lane
Lot:1 Block: 06 Addition: Timbershore
PID:10-76500-06-010
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 -
Gary G Sifferath
1295 Kolstad Lane
Eagan MN 55123
Hero Plumbing Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173826
Date Issued:12/07/2021
Permit Category:ePermit
Site Address: 1295 Kolstad Lane
Lot:1 Block: 06 Addition: Timbershore
PID:10-76500-06-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Gary G Sifferath
1295 Kolstad Ln
Eagan MN 55123
(952) 890-5069
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature