3631 Kolstad RdIN5PECTI4N RECORD
Control Rlo.
? CITY OF EAGAN PERMIT TYPE: till 1! 1l i Mii
3830 Pilot Knob Road Permit fVumber: *so ; j''
Eagan, Minnesota 55123 pate Issued:
, (612) 681-4675
SITE ADDRESS: LOr ; i APPUCANT:
3631 KoLstNn Rq cu,cnvES aaTRzcIA aINe axaeE aNO (612) 452-2642
?
P,EV??j SUBTYPE; ?`- TYPE 4F WORK: NEN
- - - - - - - - - - - - - - - - - - - --- - - - - - - - - - -
T
Pfrmn No. Pennn Holdsr Dete Tewphone M
SfW
PLUMBING
FiVRC
ELECTR{C
ELECTRIC
Irtapection Date Imp. Cormnertts
Footinqs I
Foundalion
Framing
Roafirrg
Rough Plbg.
Rough Htp. '
Isul.
Flreplace
Flnal Htg. I?
I
Qrset Test
Flnal Pibg. PNbg. Inspector - Notity Plumber
Cnrist. Mefer
Engr./Plen
01dg. Fina!
Dock Fig. 4e ezzo%
Dedc Final
? r
Wall
Pr. aisp.
? F
CITY OF EAGAN
?: 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 35121
. PH O N E: 454-8100 "
BI4ILDING PERMIT Receipt#
To lA
e L!s{ed for . . Est
Value ?; ? r•?•' ''- Date ?, 19
,
. ,
Site Address' ]w OFFICE USE ONLY
Lot Block - Sec/Sub.
1'''z. On Site Sewa
ge
Occupancy
MWCC 5ystem Zoning - ?
Parcel No.
-
On Site Wetl
{Actuaq Const
'
oc Name ?`- ?• I C? ? City Water 1 (Allowable)
z Address PRV Required # of Stories ',
? City Phone Booster Pump Length 4`?
Depth
°C
,o Name S.F. Total
? Q Address Footprint S.F.
?
City Phone APPROVALS FEES
W ?¢
W Name . Engr./Assess. Permit
? z
x -
Address Planner Surcharge
u ?
q W
City Phone Council
Bldg. Off. Plan Review
SAC, City
,
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
5+gnature of Permittee Water Meter
Road Unit i
A Building Permit is issued to: Treatment P1 '
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
?
' 1??
Buiiding Official
TOTAL
Psrmit No. Permit Holdsr Date Telephone #
Plumbing
H`V.AC-
Electric
Softener
Inspection Date Insp. Comments
Foatings I %
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
.?re
isul.
Fireplace y
Final Htg. _
Final Plbg.
Bldg. Final ?•/; ???i )? ?.
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
(Itrtt#ttatP uf COrr??attry
Citp of (eagat?
??putmmt ? indaing 3wprrton
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City r•eguladng building consiructron or use. For rhe following.•
i)e Classircation SF ?/"??,f t Gn.tC &d6. Ptirmit No. 15? f
ODCUP-Y ?'Pc ?I t' ZontnB DisUic( Vn
?'Pe Co-
Owcer of Bwlding pdCress fig-:s
? r T.,
?;ia;?naa? ?ty i?I, Blf ?'i?^iy t.?z. :1VP
Bu ding OfFici
POST IN A CONSPICUOUS PLACE
, . - • . ?, r/
PERMIT #
?1. PIUMBING PERMIT
j CITY OF EAGAN RECEIPT # '-
E 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
? CONTRACT PRICE: PHQ,NE: 454-8100
? Site Address ' L'
Lot I Biock
Name
°_' - -
'm Address
c Ciry
Name
c Addre ss
p City
Phone
Phone
FEES
?COMM/IND FEE - 1% OF CONTRACT FEE
I APT. BLDGS - COMM RATE APPUES
? TOWNHOUSE & CONDO - RES. RATE APPLIES
t MINIMUM - RESIDENTIAL FEE - $12.Q0
? MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
I(ADD $.50 S/C IF PERMIT PRICE GOES
? FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
?
New
Res.
Mult. Add-on
Comm. Repair
O
h
er
t
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES
Water Closet - $3
00 $ TOTAL
.
Bath Tubs - $3.00
` Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinailBidet - $3.00
Laundry Tray - $3.00 '
Floor Orains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50 I
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GR
D TOTA ' ? '
AN
L:
. . . . . . . / . ,?
PERMIT # ? L
' • MECHANICAL PERMIT RECEIPT # ?
CITY OF EAGAN .?
?8?0 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
CONTRACT PRICE '^' PHONE: 454-8100
Site Address BLDG. TYP WORK DESCRIPTION
Lot •_?_ Block ; Sub Res. ? New
Name y t G ? Mult Add-on
? Comm. Repair
? Addr ?t
? _ _ . ?. , i . i =P .. Other
FEES
c Add v 0?
p Cii? Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent `'?• CFM
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL:
RES. HVAC 0-100 M BTU -$24.O0W
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
'?`°
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PERMIT) - 1
50 EA
j -
.
.
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDEPITIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
FOR: CITY OF
,
PERMIT #
?- PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
_ CONTRACT PfiICE: PHONE: 454-8100
Name _
Address
City _
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
: TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S1C IF PERMIT PRICE GOES
OF
FOR: CITY OF EAGAN
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.06
Shower - $3.00 "
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Oudets - $1.50
(MINIMUM - 1 PER PERMIT)
?SoRener - $5.00 Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
_:•?,
. .?
I
?
w
STATE S/C: ' - -
GRAND TOTAL: ?' `l?
CASH RECEIPT ?
, CITY OF EAGAN
' 3830 PILOT KNOB ROAD '
EAGAN, MINNESOTA 55122
i
?
OATE 19 -
qECE114Ep
FROM L
AMOUNT
? CASH EICHECK
tao
DOLLARS
wn
? ?-
?_
FUND OB.IECT? AMOUNT
C? ? ! 1
?
Thank You
BY
?
- . F. -. . - VJhite-Payers CoPY
_. . . . . . ' Yelbw-Postin9 CopY
Pink-File Copy
GTY OF EAGAN
3830 Pllot Knob Road, P.O. Box 21 -199, Esgen, MN 55121
PHONE: 454•8100 ? - ? • •
BUILDING PERMIT Receipt
To be used for Est. Value ? 77• Date
Site Address 3f-31 XOL:iTA.O OFFICE USE ONLY
Lot Z Block ? Sec/Sub. ;?'E On Sfte Sewage Occupancy '?j:- j
MWCC System X Zoning R i
Parcel No.
V-'N
On 5ite Well (Actual) Const
a Name ;E`it..:l° Ct;?iSTKI'C'['?(}ta City Water x (Allowable)
3 AddYeSS G?1 S?'1 11'i A'.`;.' PRV Requlred iF Of Storles
0 Cty "'t'L; Ph011@ 451~0587 Booster Pump Length 44 1
Depth 46'
a 14ame S.F. Total
o i Address Footprint S.F.
U' City Phone APPROVALS FEES
¢
u
Name En9r./Assess. Permit
w = Ptanner Surcharge 3;'• ?Q
_ -
U= Address
Council
PlanReview
?4'1.dU
4 W City Phone Bldg. ON. SAC. City t t?•??
I hereby adknowledge that I have read this application and state that the Variance SAC, MWCC SSU. G11
information is correct and agree to comply with all applicable State of WaterConn. 55U.00
•
Minnesota Statutes and Cily of Eagan Ordinances, C-7
Q0
Water Meter •
Signature of ?ermittee Road Unit 3! •
A Buiiding Permit is issued to: Treatment P1
on the express condition fhat all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 2?
Building OHicial TOTAL
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch.lAdm.
01-3446 5AC/Adm.
01-2155 Surcharge
15-3860 Road Unit
20-2275 SAC
?0-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
0
TOTAL
? CASH RECEIPT 0
. CITY Ot EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
. ?,..?
DATE ? 19 RECEIVED
F?
--,
AMOUNT i/ $ ? r"
?-
& DOLLARS
ioo
O CASH ? CHECK
?
? C_ ?? - L'/ _,E..•
r??? (?t• White-PayersCaPY
veuow-Postiny copy
Pink-Fle Copy
Thank You
BY
CITY•OF EAGAN Permit No: le) 9ye Date:
3630 Pilot Knob Road B/P Na ?;5845 Date:
P.O. Box 21199
Eagan, MN 5512? '
Owner. A
Site Address: -f"1 vnl atnA R?Arl 71 A1 ri-,-? ?' ada I'
Plumber: •??'?1P= plLnhin_¢ -
MWCC: 5 7') .
City Chg: I r10 . QOpcl
.'_ i . Oopcl
Acct Dep:
_i: . •p -
Permit Fee:
.?
Surcharge:
Zoning• r ?
No. of Units: I
I agree to comply with the City of Eagan
Ordinances.
SEWER SERVICE PERMIT
?
CITY GF EAGAN Permit No: - Date:
-3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121 . .. , - ^---
Zoning: '?-
No. of Units: z
Fee: '
irge: I agree to comply with the City of Eagan
it 2 ? Ordlnances.
t
By
WATER SERVICE PERMIT
CI~1 EAGAN Permit No: Date: 3 330 Pilot Knob Road Meter No: 401 fo 77 5ize: ? 0 L' C
P O. Box 21199 Reader No: Q 7 dk 9a0 /.3 Date: /-17
Eagan, MN 55121
Site
Plumber. !;rt;ckmuelier Piumbing
Conn. Chg: 550. aQnd
Acct Dep: 15 .'_?Oj,d
Permit Fee:
i
Surcharge:
Tr. Plant
Zoning: _
No. of Units:
1 agree to comply with ihe City of Eagaa
Ordinances.
Meter.
Misc.: gy l
WATER SERVICE PERMIT
CITY OF EAGAN N°_ 15 3 6 7
3830 Pilat Knob Road, P.O. Box 21 •199, Eagan, MN 55121
p??'j??f
BUILDING PERMIT PHO N E: 454-8100
Receipt # 0 r)
7o be used for SF DWG/GAR Est. Value $77,000 Date JULY 20 ,19 8$
Site Address 3631 KOLSTAD RD
Lot 1 Block 1 Sec/Sub. PINE RIDGE 2N?
Parcel No
s Name WESLEY CONSTRUCTION
; Address 9401 XYLON AVE S
° City MPLS phone 452-0587
o Name_
? Q Address
: City_
U?
wW Name_
Fw
x ? Address
aw City_
I hereby acknowled9e that I have reatl this application antl state ihat the
information is wrrect and agr to compry with all applicable State of
Minnesota Statutes and Ciry ??iITr?.myl?? nces.
Signature of Permittee
A Building Permit is issued to WESLEY CONSTRllCTION
on the express condition Ihat all work shal I be done in accordance wrth all
app6cable State of Mmnesofa StaNtes and City of Eagan Ordinances
8wldmg Official_11dH1f1_??Ad1A?
?l
OFFICE USE ONLY
On Site Sewage _ OccupanCy R-3 M-1
MWCC System X Zoning R-1
On Site Well _ (ACtuap Const V-N
Ciry Water X (qllowable) V-N
PRV Reqwred _ # of Stories
6ooster Pump _ Length 44'
Depth 48'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess Peimit 452.00
Planner Surcharge 38.50
Council Plan Review 241.00
Bldg. Off. SAQ City 100.00
Vanance SAC, MWCC 550.00
Water Conn. 550.00
WaterMeter 67.00
Road Unit 32-1._110
_
Treatment P1 204.00
Parks
TOTAL Zr557.50
This requesl vold?/L?/$S
18 rromhs Irom ??
E 3 9 0 7 6 / izqi
Fequest D
al
e , Fuc No. RNo? re?,lnsuer.UOn ?Readv Nuw?,W,ll Notrtv Inspec-
?
*
g JMYes ?NO tor When Ready
? Ucensed Electncal ConVacmr I hereby request mspecLOn ol above
? Owner electncal work installed a[.
Sveet Address, Box or Poute No. City
3431 O L S L IhU £•_ £?"??N
ecuon o. Township Name or No. Hanye o. Counry
Ko TAIL
OccupdntlPRINT) . Phone No.
f, CONS o S? -O J S
Power SuPOher Atltlress
ff9 0 77$ ?t?G77z?c ? .2r?.c1CrT?
Eloctncal Contractor (Comyanv Namel Cnntractor's Lmense No.
M /1-3 :-T Il2 £t ?e_ ?rc i o 4%a ? F -3
Mailinp AdJress (Contractor or Owner MakinB lpstailatwN
ot Y
Authonzed SiB??? e ICOmractor/Owner Makine ristallalion) Phone Number
MINNESOTA S7ATE BOAflD Of ELE ICITY THIS INSPECTION REQUEST WILL NOT
Griggs•Midwxy BIdB• - poom N-191 0E ACCEPTED 6Y THE STATE BOARO
UNLESS PNOPEN INSPECTIpN FEE IS
1821 Univarsitv Ava.. St. Gaul, MN 55104
on....e 1a11, ae?.nenn ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
' See insvochons for completug this torm on batk of yellow copy. r?Gg y?a ?
E i39o 7 6_ "X"' 8elow Work Covered by 7hrs Request
HAd Rep- Typa ol Bwidmg Apphancea Wired EqulVnianl WtreA
Home Range Temporary Scrvice
Duplex Water Heater Liyhiitiy Fiztuies
ApL Bmlding Dryer Electric Heabn
Commercial Bldy. Fumace Silu Unloader
Industnal 01Ag. Air Conditmner 8ulk Milk Tenk
Farm omer Svecifv Tt her (5neciry)
t ar uccify? Other Otn.r
Comnute lnspection Fee Below
# Fee ServiceEntrenceS¢e H Fae Feeda?s?5ubtrs ? fuv G?curts
- U to 200 qmps 0 to 30 Amps nT - I to 30 qn+>
Above 200 qm n 31 to 100 qmps 31 to 100 q s
Swimming Pool Above 100_Amps Ahove 100-Am?s
TransTOrmers Irrigation Bcmms -o Partial.'Other Fee
S?gns Specialinspection
??
5
TOT E
Rencrrks 54 ??
flough-?n °?? j? . a Elecv `
?j(J Ins ereby
? ? cer ?fy ?hat the above
Final ?e spechon has bean
meda.
Thle re0uast vai0 18 months from
J fl I 2?D RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConshucUon Reauirements
. 3 registered site surveys showing sq. ft. af lot, sq. ft. of house; and all rootad areas
(20%maximum bt coverage allaaed)
. 2 copies of plan showirg beam & window s¢es; poured found design, etc.)
• 1selMEnergyCalcWations
. 3 copies of Tree Preservation Plan if lot platted aNer 711183
• Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units)
DATE Sa 40)?
RemodellReoair Reauirements I `1 ? • '1?
. 2 wpies of plan
• 7 set W Energy Calculations for heated additions
• 1 site survey for exlerior additiore & decks
• Indicale'rfhomeservedbysepticsystemforadditions
VALUATION T, 7 2 '?" ?
SITE ADDRESS 1Q) MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 4-
STREET ADDRESS G fE1 6? c??lZc l?/ (1 ?+Ot 3 CITY ?, ?- STATEi?"ti ZIP
TELEPHONE CELL PHONE # FAX #
asa???r-sn3s 9sa- 97-/-
9
PROPERTYOWNER ?rl,-=S (Dr0.v? TELEPHONE# -'71)1
------------------- ----........ ----------------------------- ----------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RiJI,ES 7670 CATEGORY 1 MI '1 7??? fln??yq? 2
(4 su6mission type) • Residential VenGlation Category 1 Worksheet Su6mitted • Ne 6eH?dACSk'?et?
• Energy Envelope Calculations Submitted ? MAY 10 2002
Plumbing Contractor:
Plumbing system includes
Mechanical Contractor:
Mechanical system includes:
SeweriW ater Contractor.
_ Water Softener
_ Water Heater
_ No. of Baths
_ Air Conditioning
_ Heal Recovery 3ystem
_ Phone # _113y_
Lawn Sprinkler
No. of R.I. Baths
_ Phone #
t
Pho/ne # i
---------------------°-----------------------------------°----------------
I hereby acknowledge that I have read this application, state that the i
with all applicable State of Minnesota Statutes and City of Eagan 07?
S(gnature of
OFFICE USE.fSNLY
is eorrect, and agree to comply
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
O 05 03-plex
? 06 04-plex
?. . .,. , .,
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
0 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
,
? 20 Pool
? 21 porch (3-seaJ
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellanaous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Repfacement *Oemotition (Entire Bidg only) - Give PCA handaut to applicant
Valuation Occupancy MC/ES System
Census Cade Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
` Footings(deck) Final/No C.O.
_ Footings(addirion) _ plumbing
_ Foundarion HVAC
_ Drain Tile ptheI
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: i BLOCK: 1 APPLICANT:
3631 KOLSTAD RD CORAVES
PINE RIDGE 2N0 (612) 452-2642
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
Control No. 0328
BUILDING
800376
04/28/92
PATRICIA
NEW
1- -7
? ?
PERMIT
CITY OF EA°GAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Numher:
Date Issued:
BUILDING
000376
04(28/92
SITE ADDRESS:
3631 KOLSTAD RD
L07: 1 BLOCK: 1
PINE RIDGE 2ND
DESCRIPTION:
Bu, ilding.Permit Type
Bu3lding 41ork Type
DECK
NEW
)i.'t
REMARKS:
FEE SUMMARY:
Base Fee E25.00
Surcharge $.50
Total Fee ;25.50
CONTRACTOR:
OWNER: - Appltcant -
CORAVES PATRICIA
3631 KOLSTAD RD
EACaAN MN 55123
(612)452-2642
I hereby acknowledge that I have read thzs applicat3on and state that the
information is cor'rect and agree to comply with all applicable State of Mn.
Statutes and Cit of Eagan Ordinances.
?
?Qhn '?.o '?,ff-
APPLICA /P ITEESIGNATURE ISSUED Y. IGNATURE
Control No. 0328
PERMITr? CI1 7 OF ?GAN
f? '1992 BUILDING PERMIT APPUCATION ?
681.4675 b6t 1`11
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
LOMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 4 / Z 7 Z- Yaluation of work
Site Address:
STREET . STE X
Tenant Name•
LOT BLOCK ? SUBD.?/N? "^ ?? P.I.D. 0
1
?CQ/1 e? ?/Id'?'f
Oescri tion of work: -GI<.
The applicant is: "ner O Contractor ? Otfier tDeseribe)
Name Y- ve 5 1c rr? Phone 4l?-
Property usT f[RST
Owner 360/ 46 151210 7el-
qddress c
STREET STE /
Zi
p
City State
Company Phane
Contractor Address License # Exp.
City 5tate Zip
Company Phone
Architect/
Engineer Name Registration ?
Address
City State 2ip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this applicatio and state that the information is
correct and agree to comply with all applicable Sta of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg
? 02 SF Uwg. O 06 Garage/Accessory
? 03 Two family ? Y Fireplace
? 04 Multi-fam. T.H. ?
Ci'08 Deck
WORK TYPE
New
VAddition
? 33 Atterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Canst. (Actual)
(A1Towable)
UBC Occupancy
Zoning
#! af Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? 09 Basement Finish
? 10 Swim Pool
? 11 Res. Add./Porch
? 12 Comm./Ind.
? 37 Demolish
? 99 Undefined
Basement sq. ft.
lst fl. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq, ft.
On-site well
On-site sewage
Building
Yarfance
? Site ? Footing
? Mallboard ? Final
0 Framing
? Draintile
? Insulation
? Fireplace
Permi t Fee ? S-? v.iu.esd,:
Surcharge - ?
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/w Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other ?
Total:
SAC %
3AC Units
. ? ?,.
?•d3 Publ ic Fac.
? 14 Agricultural
? 15 Miscellaneous
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SURVEYUR'S
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CERTIFICATE wesLeY HoMes
CRESTRIDGE LANE
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Is--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCAI.E: 1 INCH - 30 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOH - O8O-s FEET
X000
0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 877.7 FEET
.
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 880.9 FEET
WE HEREBY CERTIFY TO WESLEY HOMES THAT THIS 15 A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 1, BLOCK I, PINE RIOGE SECOND AODITION, ACCOROING
TO TNE RECORDED PLAT THEREOF, DAKOTA COUNTY,MINNESOTA.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACFiMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 7 TN DAY OF Zu tY ,19"
SIGNED: JAME . ILL, INC. ?
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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lam'es R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 56431 • 612•884-3029
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
? N(Yf'E: PAYhgSIf OF M AT TIME OF "
; arrcicaTTaa ooFS Nor coN- ;
? 3fI701'E 7PPR(5Vi Ai. OF PMffT.
?
; zr?oN oF sDM nra/ox vm.Irx t
;
; xrSrn[.vAxxoNs wa.[. Nar ee sOM= *
i[!NPSL PF]7MIT HAS BEftd APPRWID. :
dtV #1?!}4Y#k?eli4tYf4fiYkki*! #R!!lYMfiiief
OF (zC0g. C8n .
(PLE.7ISE PRINT
1) PROPII2TY ADDRFSS:
T•FY;AT• DFSQ2IPTION;
IF EXISTING 51RC'CTURE, DATE OF ORIGINAL BUILDING PERMIT ZSSLANCE:
Nbnt Year
PRESENT ZONING/PROP0.SID LSE:
Q COPM'IERCIAL/RETAIL/OFFICE
Q INDLSTRIAL
Q INSTI'I[]TIONAL/GOVII2NMENT
I? R-1 SINGLE FAMILY
? R-2 DUPLEX (3b.o C?nits)
Q R-3 TOWNHOUSE (Three + Units) ( Onits)
Q R-4 APARTMENT/COrIDOMINIUM ( Cnits)
L°6//
C 2 S V MASTER LICENSE # 3,2 ? e
ij Active
Expired
Not recordec
Sta Initi
3) ? :?• rAME: /Ye"i
ADDRESS:
CITY, STATE, ZIP:
_T
PHONE:
4) NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
5) s a ? • ?? . ? ??
CZ] CONNECTION TO CITY SEWER ERI CONNECTION TO CITY WATER O OTHER
6)
S
kaF'k **'k* ***'k *'k *'k **** *** *'k'k**'k*** ** # **** **'k *'k*'k **** 1t'k*'k* * ** **** *'k * *'k* ** **'k * ** **`k'klk'k **#"k * ** *'k'k* * **'k *** k
*
* 14IE GOID COPY OF 7YM PII2MIT WILL BE SENr DIRECPLY TO PUBLIC WORKS ZU FACILITATE ME.?'EE2 PICK-UP.
* PLEASE ALTAW 7W0 WORKING DAYS FOR PROCFSSZNG. SOAIDONE FT?OM TfiE CITY WIIS. CONPACP Y(xJ IF 741EEtE ?
* ARE ANY PROBI,EKS. +
r?*?*******?******:+,r**+?*****x**?***+?+*?****?**?******?***+e,rx,r,+***:*******+**?******++*+«+********;
CITY, STATE, ZIP: ??j?C,?iHy?rva•
PHONE:- gY?j- 7fj?/?
PERMIT # ISSC'ED
FOR CITY USE ONLY
Pd w/Bldg. Permit
$
$
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$ .
$
$
$
$ SS-6-dz)
$ S
$
$
FEES:
$_ / G>
$
s
SEWER PERMIT (INCLDDE SDRCHARGE)
WATER PERMIT (INCLODE SORCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
$ WATER TAP (I[VCLUDE CORPORATION STOP)
$ SEWER TAP
$ /S?'4 a ACCOUNT DEPOSIT - SEWER
$ ?5- - ACCOL'NT DEPOSIT = WATER
$ WAC
$ SAC
$ TRC'NK WATER ASSESSMENT
$ TRONK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
s, °2 U??y $ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
$- ,? $ -7 7' Gr7? TOTAL
RECEIPT RECEIPT ,
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
r--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MOST BE ISSDED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
TITLE:
DATE : f/
f I--?
" 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ? 503 ? rt
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[JST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMZT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 41 OF UNITS
INCLODE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONII4ERCIAL
INCLUDE 2 SETS OF ARCHITECTUAAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used ror: -f 10 I!J Valuation: 0 0 (D Date: 9-/2
Site Address,?>K'T/ I OFFICE USE ONLY
Lot ? Block 7 ?? I
Pareel/Sub?,uZ /? Sr?o„i? //?•
Owner ?A?GS/eY ?e,v.r7.?vc%i0 d
Address /oxl 16T 'li-)
/City/Zip Code .r/.
Phone
Contraetor _Y?yk ,e
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone li
On site sewage_ Oecupancy R-3_,_M_ 1
MWCC system ? Zoning R-1
On site well Actual Const YA/
City water ? Allowable V/V
PRV required IF of stories
Booster Pump _ Length ?
Depth
S.F. Total
Footprint S.F.
APPROVALS EEES
Engr/Assess Permit 6 Z
Planner Surcharge 3 0 „
Council Plan Review
Z
j 2
Bldg. Off. _
'I/(ZSAC, City /
Variance SAC, MWCC SS "
Water Conn ? S?
Water Meter G.7
Road Unit 7 2 S
I Treatment P1
Parks
Copies
TOTAL
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D4lN€R
SITE ADDRESS.
. ,
`Y CON,1'RACI'OR DATE _ PHONE
.? ' . Deterinine rtoi;l:ing square footage of each.
1. Total exposed tirall area ..... sq. ft. x.4m ;/
;?;• • a?G,
2. Total ,hoof/ceil'ing are,a ... sq. ft. x.+t?_
• Totax..exposed, wallarga above.flpor.=.'
a. Total wa.t.1.?wt?,do:a 'srea...: ...... ...._.
„ b. Total :dbor, acea . . : . . .,. . . . . . ?o . ,.,,
c, Tota1 sl-iding gldss door, area',..,.:... _.. ...
<. ?.,. . . ., . . . . . . . . . . . . . . .
-'d:•?Tota'f #i'replace wall`-area..: ?
.
`` ? • e. Total wall 'framing ar•ea' (average 10%).... ......
f.. Tdtal' rtet wall area above floor .................
'. g. Total rim joist area ............................
i•., . _ . .
?7otali ezposed faundaticn area
.... ..
b;- h: Total foundation?'windoyr aKea...........
i. 7w1 net four,datiQn ar,ea'-abcve grade'.,...:.... 11$10
s-` - • . -
Detcrnine "ll" value-qf each wall segment. - -
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,..'' 3. ......... . , .. ............. Tot51 ?_ ?%0 ,-•
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If item is tlie,same as, or less than.item !.'l, you have met the intent
of 5[iC 6006(c)2. .
, ?., .
?. , , .
, .
f
St `U-yuE'ayuv ,.ru?,w..acab?O?' .
onstruction
Cqnatrnctfon ?. .' :+i'?+Valnc ', •
:
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---`---•- _F??1
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? 3, . '??? ir!chrsTnf` Wnr,,! .'_..Gr.B? '
5,., :+?%GY`?: ?_ L.Y,Pl!?lL?"?- -.-•-"-- 1G7
6. Exlr'rinr'nir`film = 0.17
l. ' Intcrior air fil.n; - 0.66
_
/lY
-
--
---- ?
3.
-
i •' " ,?,
s•? 7/,G?'Z 3?ll?a?
b.. Exter.ior air fil.m
- - - Toi al
1.
2.
3.
4.
5.
6.
?Y3L .??1 ?C/ ? ??914
?/?-Yft
Exterior a r film 0.17
Total ?y y?
?= . oy
1. Intcrior air fil.m 0.68
2. /" 7l/l/r'tyr? S.1G
• 3. 71' n?•?; .: f,PG%C ?, 2fi
• 4.
5.
' G. Exterior air film 0.17
'fotal \ 7 39„?
GRADE
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\4.
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It?
FIG. 84
?=? • i
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=
NOTE: Indicate tyoo, "^" value, depth and ,
placenent ot insulation.
• ^?th?.si.,?,: , :?; ?
. . _.. . '.:.Y2.e,-:
? ?, /+`Rrk
, ? ' ROOr/C67LYNG •, "
i. ? ? ? ? ?",. N•' '. 5 .
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. . , , ? . ' . ? ' ;iv ,i ? ? •. ? r; : ?.
/s' . ` . _ .. . . . . b?? . . . • ' .
Conatruatioii ?... ' .- ? . . . ? ' R-Valuc
r
_Inter.i r?ir film ? 0.51
2?i-? Rfl?d! IS?
3.
ll) 30.G
, ?•?`?j?? Ir???i1?.?????Il,? 9. F,xtoitor air film'(nT.i ocal
V?rr
1. Interlor ai Film' 0.61 2.
3. ?
4. Er.terior aiz? 11m sLi .GT
. •"' Tutdl
Fic. #5
1.
2.
3.
4.
5.
NoLes' Use ndditionnl shects if morr space is
. neoc?eJ for detafls and calculal•ions.
:
1 Y.ear. flo+r up ; vented
: _ c?wv-vL'NCYJ7 ? . .
. xas!
flov up •
FLA. !7 ? • ? .
. . . . ..... .. . . 'r? ' _ "
,; s 7? ,d k tiy?X? }?.
.
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tnf'?:. ,,. .
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. . . "
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? •
y.,y•m. . . ,. , . ,
•:'1`otal
exposed roof/ceiling area
N`r'•?. ? ? ? ? ? _
? ? ? ? ? ? ?
???'
j-. 7ota1, ? ? --
skyiight area.. .
.... ..... ........ ...
, k. 7ota1 roof/ceiling framing area (average 10%).„
;??:': . _ ,• l.__.7a.ta1 net insulated roof/ceiling area .....:.....
,,.?s.; . ..
Det
ermine value for"each ro'of/ceiling segment. ?..
?H? _
. . . X liUli
? .
.
;•;i; ? ? k. . ?
X "Uii
}``.
., . . ' . .?.
. . . . -.
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/i`r? ? uliu •M17.i,i'
J V • rJ
.---?.?- . . '
.
.
i ,.
4............... .
? . ? , , ,
... , ..:.............Total - 3V
;;, • ' ,
If total of W94 is the same as, or less than.=2, you have met the intent of .
SBC 6006(t)1.
_ Alte'rnate Building Envelope Design
io utilize thz total envelooe systen ratiod, the values established by the
su,n of it2ms -°,3 and sa shall not be greater than the sum of items ;1 and n2.
- ? , •? ?':rr ?G"^? + 2
.
- 3. + 4.
_
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SURVEYOR'S CERTIFICATE
CRESTRIDGE LANE
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DEPT
? - DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
0
v
0
v
N
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - ggo.s FEET
PROPOSED LOWEST FLOOR - 877.7 FEET
PROPOSED TOP OF BLOCK- 880,9 FEET
WE HEREBY CERTIFY TO WESLEY HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT i, BLOCK I, PINE RIDGE SECOND ADDITION, ACCORDING
TO THE RECOROED PLAT THEREOF,DAKOTA COUNTY,MINNESOTA.
!? COES NOT °LRPORT TO SHOVU !MPP.OVEMENTS OR ENCROACHAQENTS, EXCSPT RS SNOWN..AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 7 TN DAY OFTUL? , 19±15
SIGNED: JA L, INC. ?
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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James R. HiI , inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137644
Date Issued:07/13/2016
Permit Category:ePermit
Site Address: 3631 Kolstad Rd
Lot:1 Block: 1 Addition: Pine Ridge 2nd
PID:10-57676-01-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:Remove siding on front & add cultured stone
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Dennis L Graves
3631 Kolstad Rd
Eagan MN 55123
(612) 270-7771
Twin Cities Siding Professionals
664 Transfer Road, Suite 22A
St. Paul MN 55114
(651) 255-2844
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139874
Date Issued:11/14/2016
Permit Category:ePermit
Site Address: 3631 Kolstad Rd
Lot:1 Block: 1 Addition: Pine Ridge 2nd
PID:10-57676-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Dennis L Graves
3631 Kolstad Rd
Eagan MN 55123
Royale Crown Construction Inc
637 W Main St
Anoka MN 55303
(763) 231-0455
Applicant/Permitee: Signature Issued By: Signature