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3656 Kolstad Rd - - - - - - - - - - - - - - - - - For Office Use I 200 ` ~ ~ ' ~u 2 PCity ofEap : 60` 3830 Pi lot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 ,-2 Fax: (651) 675-5694 Staff: c~ 2009 MECHANICAL PERMIT APPLICATION ~ Date: Site Address: (LsLg :26 Tenant: Suite RESIDENT / OWNER Name: C Phone: Address / City / Zip: 3U,5[P CONTRACTOR Name: J1'j! 11j License ~c u Address: I ~y~~ City: r (~+t=~C State: rnrJ Zip: it G I (..fit Phone: ~f`~ 1( Contact Person: 1 &U^~ TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: 1 C- l,~ C S' t S NOTE: Both roof mounted and ground mounted mechanical equipment Is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Y- Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $,F TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's SignaturI FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground - Rough In -Air Test Gas Service Test _ln-floor Heat -Final Exterior HVAC Screening Inspection , 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 ? PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA107821 Date Issued:10/30/2012 Permit Category:ePermit Site Address: 3656 Kolstad Rd Lot:1 Block: 09 Addition: Timbershore PID:10-76500-09-010 Use: Description: Sub Type:e - Water Softener Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Chad Bettin 3208 First Street South Waite Park, MN 56387 320-251-2505 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Beth A Iseminger 3656 Kolstad Rd Eagan MN 55123 Ecowater Systems P.O. Box 428 Waite Park MN 56387 (320) 251-2505 Applicant/Permitee: Signature Issued By: Signature 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 e< l For Office Use� i ; :::t: _/Lj •. a y :C7_1e Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 )�� $ (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 MA Staff: buildinginspectionscitvofeagan.com 172p18 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: f Unit#: Name: TI 47 ham'J hc'c 7;r..,, h a hone: Resident }� / � �' Address I City I Zip: 3 6;) 6 i t, ! S]Ica 06 /21, Applicant is: Owner )( Contractor Ck'bSS' 710uir! CO»CeG/el"5r1e4-jC Description of work: FN d h J' Construction Cost:j 2. Cir X) Multi-Family Building:(Yes)( /No ) Company: C t/O s s 'to CO M Con c rc./e-- Contact: & t<'CCS /''/e 7 ;;• Address: 903 C fl/ /Gl HOL et �� £ /0OM? ;A-7r.7vfo / ntractor ti. ; �i State Zip: 33?J Phone: 95 23 Er�fa' 6/0 i.e 4,3 54 46/i Cd-70—•- License#: Lead Certificate#: �b 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: Plansa0tOPportmg%documents thatyousub►nitsare consider to be public informaifr+r action of*nfosi*tion ma,y be classified as non'>t blit if a rovide s• fic reasr ns that rrou ldpe '►itthe o ae%de hat the" iade secrets ..,k 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.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. l 7 kb 2 fif. Applicant's lin Name Applicant' gnature "I(oj(o 1 4St6 Ill' t{C)--) 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 01 of i Plex _ Lower Level — Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior t° 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 .1� 2i D�fl- Occupancy -4-1ZC —3 MCES System Plan Review Code Edition 01'12 a t,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 vg Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: 6) Footings great) 57 �' Final/C.O. Required Footings(Addition) 24' 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: ( M WI : ( - 17/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 PERMIT City of Eagan Permit Type:Building Permit Number:EA154337 Date Issued:03/13/2019 Permit Category:ePermit Site Address: 3656 Kolstad Rd Lot:1 Block: 09 Addition: Timbershore PID:10-76500-09-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Beth A Iseminger 3656 Kolstad Rd Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167008 Date Issued:02/17/2021 Permit Category:ePermit Site Address: 3656 Kolstad Rd Lot:1 Block: 09 Addition: Timbershore PID:10-76500-09-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Beth A Iseminger 3656 Kolstad Rd Eagan MN 55123--101 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature