3637 Kolstad RdINSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE: '""''' "''
3830 Pilot Knob Road Permit Number: 1 000
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, - . :'i '; i rkf,
? i rai f. I M,i
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. . .•
i
IF
Permk No. Permit Holder Date Telephone R
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Inep. Comments
Footings I
Foundation
F?aming
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg-
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engl./Plan
Bldg. Final
Deck Ft9. 8 ?i3 P.D
DeCk Finfll
Well
Pr. Disp.
-
F r
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knab Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
SITE ADDRESS: 10 T;
F r:1 . I Ijll RU
PERMIT SUBTYPE:
'11 41,11 tNn
I ! 1 ; F't.ACf•
I
L
APPUCANT:
? h :i .? r ? :??: . ?s ?, ?
TYPE OF WORK:
! f N A I
?
J
Permit No. Permit Holder Dete Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inepection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace ???a? fs } ' ` /f
Final Htg.
Orset Test
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bltlg. Final
Deck Ftg. /
J
liv
Deck Final / p/J
Well
Pr. Disp.
3 ? 3 ? e?tal 0)"-?
", bl, ???e, W9P
s-4-4-?
L"Z? ?.
??
?
CASH RECEIPT
CITY OF EAGAN `
?
3830 PILOT KN08 ROAD EAGAN, MINNESOTA 55122
cj
DATE ?- { 1 -' 19 ?-
?
AMOUNT a
?- •...
? CASH
& DOLLARS
,ao
l? CHECK
FM V
eY ? - - r
C 11909 "h'~P?'?
Yela?ung Copr
, .. 3ii --File coey
. ._ _...._,, .L.?_... .. .?...:.?.__. _ .?,.,. :_.?_:.._ ..._..
Thank You
SEWERA kIIATER PERMIT
CITfif OF EAGAN
3830 Rilot Knob Rd.
Eagan, MN 55122-1897
DATE_ APR- ls. ;_<,'
.
METER #
CHIP #
OFFICE USE ONLY
METER SIZE
ISSUE DATE
PERMIT DATE 04 / 16 / 91
PERMR # 11919
B.P. RECEIPT # C 12'?'09
B.P. AECEIPT DATE?!?/ 1 5/ 91
- PRV _ BOOSTER PUMP
SITEADDRESS 3637
LOT _BLOCK ! SEC/SUB djft RIDGE i?;T
,.
APPUCANT: '? ". ; ; ; , , , . l_ !
' ?..., p •, .iJti a u ,.?
-
AoQRESS: ?• 7_' 8 7 5.
CITY, STATE--??v e -C, } rv (7 i 15 ZIP
PHONE: )- 6 2 Z
r 1
..?J
?
PLUMBER: - 5 I C, ,v _. ,,
? ? - -)
ADDRESS: ?
CITY, STATE - ?? ' + u 1i r Zip 551 %'.4
PHONE:
OWNER: R!?INBOFT IiOMES
ADDRESS: 2367 78Tli ST
CITY, STATE i?,VEP GRQVE liTS
ZIP
-
PHONE:_
PERMIT REQUESTED
- SEWER WATER _ TAPS
- COMM/IND
X NEW
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TYVO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM I
SEMIER PERMITS, CONTACT ENGINEERING DEPT.
SEWER b WATER PERMIT
CtTY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE 15, 1991
OFFICE USE ONLY
METER # y-y? ya6?g2 PERMIT DATE 04/16/91
CHIP, `?-D R ! -1 PERMIT # 11919
METER 51ZE B.P. RECEIPT # C 12909
ISSUE DATE B.P. RECEIPT DATE04/ 15 f 91
_ PRV _ BOOSTER PUMP
SITE ADDRESS 3637 K0;_.STAD RD
!OT ? BLOCK I SEC/SUB PINE R'_`llGE 1ST
APPLICANT: ut vow
ADDRESS: -- 8
CITY, STATE - ^'V e " C? 1"'
PHONE: "V '50' 6 ?
PLUMBER:
A'! nj
r
a,r1 -e s E) V awfj
PERMIT REQUESTED
? SEWER X WATER _ TAPS
- COMM/IND
x RESIDENTIAL
SS 07 L X NEW
ADDRESS:
CITY, STATE G 9 Zip 55124
PHONE: z- C? 8 9 8
OWNER: RAINfsOW 1IOMES
ADDRESS: 2367 7;z'I'H ST
CITY, STATE INVE1; (;::OvE HTS riN' Zip 55076
_ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I aGREE TO COMPLY WRFi CITY OF
EAGAN ORDINANCES
"' ?? \
1 4: , ".
PHONE: 45t1_6797 SIGN TURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING'DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTION3.
)
SEWER PERAAITS, CONTACT ENGINEERING DEPT.
FOR STORM
a . ?
E 'J- Y
r
`
(9tr#t#irate o# (Orrupaury
Citp of (tagan
pPpwftiPid id 14ilaUto jwptttDt[
77rfs Cadficate issued pursuant do the requirenrm& of SeuioR 306 of the Uniform Building
Code cerrifjdng thal at the time of r.uuanae lhis srrrtctirre wrrs In conr,plianae with !he various
ordinanoes of tlre City negulating bui7ding cbruvuadon or uso- For dze jollowuig.
ux aawrcaooo SF DJG/GAR ewe. Yac tao. 18898
0-4--Y rM R3/M 1 Zocag n;bicl R 1 .ryw ca,? VN
W??
DM 6/21/91
Posr IN A coNsPIcuous Puce
CITY OF EAGAN
1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
4 ?*
-
BUILDING PERMIT PHONE: 454 8100 Receipt #
Tn ha ucai fnr - EF iW/GAI! F,,t vai„P $95,000 natA APiI 1S 1s 91
Site Adgress I ia'? I KvidaTAu RU
Lot r' Block Sec/Sub.
Parcel No.
Name
AddreiINVER
Citv GROVE one
I have read this application and state that the
agree to comply with all applicable State of
OFFICE USE ONLY
R-3 M--1 FEES
?
? Bldg. Permit 6i7•?
47 SO
Surcharge a
401.00
Plan Review
100.00
SAC, City
6?oOO
SAC, MCWCC
660.0o
WaterConn
95,00
WaterMeter
30.0o
Acct. Deposil
3o.oo
S/W Permii
.50
S/W Surcharge
276.00
Treatment PI
370.00
Road Unit
Park Ded.
Copies
,
3,277.00
TOTAL
Permit No. Pamit Holder Date Telephona #
WATER
SEWER
PLUM8ING ?? ? ? h??? ' ?O 7
n.vA.c. ?3 / Sll?-(00?5
ELEcTRic
Mspectla, om irisp. con,m.nts
FootinpsI !
Foundatian ?
F-mm9 i
4 D ZZ4
?
Roo"
Rough Plbg. S
/ g
Hough Htg. -70
Isul. • 2 9/ S'
FwePiace
Fnal Htg.
Final Plbg. /
Consi. Meter Plbg. Inspector- Notily Plumber
EngrJPlan
Bldg. Fnal (O/a?/ (yLJ
Oeck Ftg.
Dedc Fnal
Well
Pr. Oisp.
yGis-c^
QATE:
APR 16, 1991
RE: * 3637 KOLSTAD RD (RAINBOW HOMES)
X 0
+Your Sewer & Water Permit for the above property has been completed. It wilt be held at the
PubliqWorks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
?
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHOME, ELECTRIC, GAS, ETC.
- REGlUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Ad.dress: 3637 gpI,STAp ??lAp Lot 5 Blk ] Sec/Sub pBqE RIDGE 1ST
These irtems were/were not complete at the time of the final inspection.
Dafe: 6 21 91 Yes No Tnspectur:
Final grade (6" fzom siding)
Permanent steps - garaga '
Permanent steps - main entry
Permanent driveway
Permanent gas ?
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify vith the buildar tha ramoval of roof test caps from tha plumbing
system and the shut-off of water supply to tha outside lavn faucet before
freeze potential exists. ?j
w
.??
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN No ' 8898
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
C'
BUILDING PERMIT Receipt#
Tobeusedfor SF DWG/GAR Est.Value $95,000 Date APR 15 ,?g91
Site Address 3637 KOLSTAD RD
Lot 5 Block 1 Sec/Sub. PINE RIDGE 15T OFFICE USE ONLY
PefCBI NO. Occupancy R-3 4-1 FE ES
R
1
Zoning =
a Name RAINBOW HOMES (qctuaq Const -Y-N eldg Permd
0
617.0
o Address 2367 78TH ST (Allowable) V=N surcna?
e 47.50
City INVER GROVE HT?ShOne 450-6292 #ol5tories - q
401
00
46! Plan Review .
Lenglh
o Name SAME DePth 48? SAC.GIy 100•0?
}
ga Address S.F.TOtal - SA
MCWCC 650
00
Q .
? City Phone S.F. Foolprints -
660
00
S Water Conn .
On Site
ewage _
w W Name On Sile well - Water Meler 95.0
0
zs Address MWCCSystem X
3
nn
,c? x Accl Deposil 0 .
<W City Phone arywater S/WPermil 30•00
PRVReqmred _
I hereby acknowlege [hac I have read Ihis application and s[ate thal Ihe Baoster Pump - SM' Surcharge
0
.5
mfortna[ion is correct and agree to comply with all applica6le Stale of
'
276
00
Minnesota StaWtes and City ol gan Or
nances./ ?? 7reatment PI .
` / !
SignaWreofPermitee r? r? ?(?J? "?
APPROVALS
qoydUnit
n
370_0
A Bwldmg PermR is issued to. RAINBOW HOMES Planner - park Ded.
on the express condihon that all work shall be done in accordance wdh all Council
City of Eagan Ordinances.
applicable State of M nesota Statules an
d gld9, pry - Copies
y
y,
BuiltlingOflictal T?J4l?!'I?I Vanance - TOTAL 3,277.0
n
_. ri7/
/D1.9 997 I
? 7 0 913
Reques? ite _? Frte No
/ Raugh Insp wn
Reqwretl'+
? Ready Now ?Will Notly Inspecmr
fl
tl
?
Yes u Nb en
ae
y
IWlicensed contrector O owner hereby request inspection of above electrical work at:
JoD AEdress (SVeet. eax or Route
-3
-37 Qry
/? ?T/47q.,V
Secuon No ownship Name or No Range No Counry^. .^.
S% / ?"-Y'?q
Occupant (PflINT) /
'
?
;
i Pnone No
nfocu
. d.
.
vowe, suPOher J ada?ess
Eiecmcal CoNracbr (Gompany Name)
?
? -
??
?
? ? ConVactor's Lmencse No
2?
lI
(t?j
cl
UGd
/
SS?Y O
T
Mailing ress ( onhactor or Owner Makinq Inst lation) ? b
? -??
authoriz¢q S?gcpwre (C tram /Ow r M ng?
/f7?/ i
?' l -- Phone Numr
c /?.
T
MINNESOTR STATE BOARD OF ECTpICITY
Griggs-Mbway BIEg. - Room 5193
1821 Univernlty Ave. 51 Paul, MN 55100
Phone (611) 602-0B00
THIS INSPECTION REOUEST WILL NOT
BE ACGEPTEO eV THE STATE BOAFD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
M70913 ??/ ? See inslrvqions lor completmg Ihis lorm on back ol yellow copy.
W -"X" Below Work Covered by This Request
?TMe$'?a EB-00001.OB
??° ?00 8'$7
?if
ew Add. Rep . TypeofBmldmg ApphancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Hea6ng
Apt Bwldmg Dryer Other (Specity)
Comm./Industrial ' Furnace
Farm Air Condinoner
Other (sDKM) ConhaclorB Remarks
Compute Inspedion Fee Below:
S Other Fee # Service EntrenceSize Fee # Cvcuns/Feetlers Fee
Swimming Pool 0 to 200 Amps o O to 700 Amps 94QID
Transformers Above 200 _ Amps Abo 00 _ Amps
SignS InsDector§ Use Only TO AL
Irrigation Booms ??
Special Inspection
Alarm/Communlcaoon THIS INSTALLATION MAY BE QRDERED DISCONNECTED IF NOT
Other Fee COPAPLETED WITHIN MONT 5.
I, the Electrical Inspector, hereby Rous'-" oat Y/
_
?
certify that the above in
specfion has
been made. F,nai
f oa?
'
OFFICE USE ONLY
i
This repuest voi0 18 manths irom
,...
,. . o.*
617•00+
47•50+
40i•U0+-
2,211•50+
31 277•00*
617•00+
47•50+
401•00+
2)211•50+
3, 2'77•OU*
no siW
• '
s
1991 SIIILDING PERMI A PLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MtTST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
Lot 5 Block /
Parcel%Sub A P C a"?'-'
?
Owner
Addiess
City/Zip Code
Phone
Contractor
Address '236-/ 78 ? v'
City/Zip Codal.7Vevl:?????'11yV. S?;-'ve
Phone ?S0-6Zg2-
Arch. /Engr.
Address
City/Zip Code
Phone # 553
95, OLU ? Date:
OFFICE USE
FEES
Occupancy 2'3 M-i Bldg. Permit
Zoning R-I Surcharge
Actual Const V- N Plan Review
Allowable V-N , SAC, City
# of stories SAC, MWCC
Length ? Water Conn.
Depth 48? Water Meter
S.F. Total Acct. Deposit
Footprint S. F. S/w Permit
S/W Surcharge
On site sewa ge_ Treatment P1.
On site well Road Unit
MWCC System ? Park Ded.
City water ? Trail Ded.
PRV _ Copies
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off. bS Y-5-9/
Variance
2dd o4l==?6'La? agrees that all work shall be done in accordance with
(Signature of Contractor)
SI"JS`'P?' ",Valuation:
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
_ . ? .b r•
'VALu,4TloN
Ce,,An,4UE
,-?yx2y= 576 1C1Sv g6?qv -
8SM `?-
kYcr?
GL/
12l00 X14= Ir1
?'iauy€
3S-rh 7" : i2.6 cz
0?? ?CS'?c?uo
99 ?12.0
__ . ,
?.* ** 2422EnterpriseDrive
* PIONEER LANDSURVEYOR!•CIVIL ENGINEEftS Mendota Heights, MN 55120
*eng*eerng.. L•NOPL?Nra[RS•LI1N04CI1VE11RCH1TEC" (612)681-1914
Certificate of Survey for: 0'1/ `?15-0VV 1-?E7
u
rvoarH
?o ?3a.4o EQsr 8'; /?
-o ?
r ? pl?
Hti
,? I ?p W L1 I t! n?i Driv? y S
4 n
4 L
pQ- 3 o/Aa I I N ``
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Lu:e ??y--?.?
EAGt121 ?;?TCI_? K;y._t1?;C, DEPT
R900.0 Denotes tirislin¢ Elevafion PrrovosEO HousE EG£Vq
• oo.o beriodes Propoged ElevaJion Cowes loor Elevo ior? 879.1(0
- -- Derdes Urijma e i U/ilil £asement Top o''Bloek Elevation 881. i 6.
--•- ?-- Denoles DrYri?e FloDireefian Gar*Slab Elevation aso. s3
o Denoks Monuffienl Bearings shown are vssumfd nDerro es of e f-,fib
LOT,5, Roc?_j_ P/NF /VI?E AO121TioN
CpUNTy 2 M/NNESOTA
1 hereby eerH1V thet thia furvey, plan or report was repared by me ar under my direct su0qerv?ision nn/dal 1 em duly Registered Land Surveyor
under 1he lev? of the State of Minnesots. Dated tMa dey of A.D. 191-
I?/V "? C s ?•V h'•-? ??
SctA G l 'Y/yln •/?, /?( /' L R09ER1 R. SIKICH LS?-REG. NO. 14E91
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E1?.'37AL UPON9 WALL ARE4: ... __......_, t'?_c_?i:•'??..? e,?;4
2?7oTAL. 6-x?Oi;RQOF/tEILINn
WALS. AREA CA6CtlLI?TIONS:
g M? ?
"' ^'!AL WINOOW'' AREA - ?. •
707AL OGOR'AREA
707AL 6LASS OOOR AREA .41 t(P.??'
„, • ; ?.i;:`: GLAZCG ,
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TOTAL p'F?•;'l^'?'. . ..._.??..?....yJ.?':.s'J`!?. .._ 7•.?1"?
TOTA{e p`:/?REA (EXPC35w) . cE_...r.._asl,tt.d'U`', • i.M'°. oL?;
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70TAL..ROOF ?IL0 FRAhllte.r, !:r;?:;, .___ .???_..__.-aq.n.:'u`.f?e?fv v2•??
NET IM$UL!?TEp'"ROOF CEILINC, ARF,.
A one 0.
w.Tgro?u?tE: e6Nl?p? ?veiaPe
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EXppSEt1 K!?A1 CEILtN6 BECtWN
4, lntarler air (g , _.._.?_. _....._
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lg ??rim .rr tt1w? ?
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RESIDENTIAL ?
BUILDING PERMIT APPLICATION
? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conetrudion Reuviremenb
• 3 registere0 site surveys showiry sq. ft. of lol, sq. ft. of house: and all roafed areas
(20%mazimum lol coverage allowed)
. 2 copies of plan showing beam & window srzes, poured found design, elc.)
• 1 set of Enefgy Calculafions
. 9 co0im o( Tree Preserva6on Plan if lot platted after 711193
. Rim Joisl DeWil OpUOns sNection sheet (bldgs with 3 ar less units)
n ?
DATE UgC.
RemodellReDair Reuuiremanu
. 2 copies af plan
. 1 set of Energy Calculations for heated additicrs
• 15itesurveyloreztenoraddiUons6decks
. trWicate il home served by sep6c system br atldiGons
VALUATION 4?6Wi
SITE ADDRESS 303? z?Cd 1 ?11aioo'i?l? A0OC7lX- MULTI-FAMILY BLDG _Y _N
TYPE OF WORK 7?,SicA ?n I lX- (',IQS Cl(?Ej`? FIREPLACE(5) _ 0!?1 _ 2
C?i? cQ-- v?cr ct as l7h e, / i E'x 'r+i ?q
APPLICANT
STREET ADDRESS 6 lS ?_? U l.Z/, f 1 U/?
TELEPHONE # .?.?`-(?? CELL PHONE #
, rarrlSrir ffP STAT?LZIP SS3
FAX #
PROPERTYOWNER tIA, f/ (L )QOdK _TELEPHONE# 67-I 6'29If?-D?C? (
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNESOT.1 R[.'I.1;S 7670 C:1"CEGORI" I MI\'\ESO"17.1 RCLk:S 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaUons Submitted
Plumbing Contractor: Phonc #
Plumbing system includes: _ Water Softener _ I.atim Sprinkler
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Conhactor: e Phone #
Mccli:uiic.il systcm includcs: Air Condiuomng
-- Flcat Rccovcr}• Systcm r
Sewer/Water Controctor.
Phone
I hereby acknowledge that I have read ihis application, state that the information
with all appiicable State of Minnesota Statutes and City of Eagan Orrancek.
Sfgnature of Applicanf
OFFICE USE ONLY
Fee: 590.00
r«: s7o.oo
r-.-r-- 1,,,-
1?` L i
,_ u?._ _ l
:t, and agree tc
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
UpCated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF pwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneaus
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 13 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaVNo C.O.
_ Footiags (addition) _ Plumbing
_ Foundarion I-VpC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs Au/Gas Tests Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
license Search
Copies
Other
Total
Building Inspector
RESIDENTIAL y ? g cJ
? BUILDING PERMIT APPLICATION /
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
New Conatructbn Heaulremanta HemotleUHaneir PeaulremeMs
• 3 registered ste surveys shaving sq. fl. ot bt, sq. fl. of house; antl ell roofed areas • 2 coDies of Dlan
(20%maximumbtcovarageallowed) • lsetofEnergyCakulatbnstorheatetladdRbn&
. 2 copies of plan strowing beam & window shes; poured tound design, etc.) • 7 sfte survey for exlefwr additions & decks
• 1 set of Energy Celalatbns • IndMate il hane served hy septb system for addttbns
• 3 copies of Tree Preservetlon Plan tl lot platted afler 7/1/93
• Rim Joist Detail Options Seleclbn sheet (bkgs wilh 3 or less uni5)
DATE Uc'?, VALUATION % 313. O
SITE ADDRESS .Ao37 ,CJcn?c?c d,C?j ? MULTI-FAMILY BLDG _/Y ?N
NPEOFWORK ?f P2r?" FIREPLACE(S) 1-6- 1_ 2
APPLICANT S hu k hrun1 Z&Akl'c.&e $
STREETADDRESS 7`/GG llas?ix.?r,a? Ae CINA:2Z??STATE_ZMZIP'5&?y?
TELEPHONE # 95d -88I - k4.?,9CELL PHONE # FAX #
PROPERT1f OWNER C1L6LR `p3 r__RC4E TELEPHONE # _4?LIZR'? ? 2204?9
-------------- ------------------------- ---------------- --------- --------------- -------°------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINIV'ESOTA RiJLFS 7670 CA1'EGORY 1 MINNES01'A RLTI.ES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitled • New Energy Code WoAcsheet SuDmitted
• Energy Envelope Calculetions Submitted
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Conhactor.
Mechanical system includes:
Sewer/Water Contractor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone
? ? F?' ? ? ? T
.iin 0 3 2002
Fee:
By ___. . _.?.
Phone 1i
i hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply
with all applicable State of Minnesota Staiutes and City of Eagan Ordinanges. (-? Ir /
OFFICE USE ONLY
_ Phone #
Iawn Spruikler
No. of RI. Bad
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4I02
OFFICE USE ONLY
? 01 Foundatbn ? 07 OS-plex ? 13 16-plex O 20 Pool ? 30 Aacessory Bldg
? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (scrcened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_YOr_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* O 43 Reroof ? 46 WindowslDoors
? 34 Replacemenl "DemolRion (Entire Bldg only) - Give PCA handout to applicant
Valuatlon Occupancy ? MC/ES System
Census Code 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) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Dtain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ FTaininB _ Siding Stucco Stone
_ Fireplace _ U. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
/ R'/• ??
? . OC?
/13,6.a?
• CITY OF EAGAN
. 3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT # ME
RECEIPT DATE: R£SID?`TAS,::. PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS 5
_ .. ,.:-.
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ --------------------------------------------------------
WORK DEIPTION
NEW CONST _
ADD ON
REPAIR
.?7
OWNER NAME: ? ? \ V l(?'-t.t ) FJ.z?v?'1 E' )
SITE A?DRESS: CVe.?_ Q C`_?
LOT: 5 B/L'OCK _L SUBD.(2 ?
INSTALLER: l \\r
ADDRESS: -,_; ? o 9 <7
CITY: ZIP:
PHONE #: ?' T??`?CCJ(??
FEES
ADD-ON MINIM[JM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIM[1M 3.00
OF 1 PER PERMIT
SUBTOTAL: $??S `y-)
STATE SURCHARGE: .50
TOTAL:
L ? y
SIG ATURE OF PERMITTEE
?
PMMERCiATif?NDIISxltTALt; • PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BIIILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARR
NOT REQUIRED FOR EACH DWELLING UNIT.
__---- °________________________°-°-_-_---_________---______
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING a $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB 'ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
wiBZNG 2099
-----------------------------'__-__.---
FEES
19; OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
EACH $1,000 OF PERMIT FEE.
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT.
---
-°----
-----
------------------------
WORK DESCRIPTION --------°--------- -----°----- -----------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST I;r ADD-ON MINIMUM 15.00
ADD ON ? SHOWER 3.00 ?
REPAIR WATER CIASET 3.00
? BATH TUB 3.00 3
LAVATORY 3.00 ?
OWNER NAME: ? KITCHEN SINK 3.00 ?
?-
LAUNDRY TRAY 3.00
SITE ADDRESS
- HOT TUB/SPA 3.00
7 WATER HEATER 3.00
IpT: 5 p 7 FLOOR DRAIN 3.00 3
GAS PIPING OUT.
INSTALLER: ? (MINIMUM - 1) 3.00 ??
INC 3 ROUGH OPENINGS 1.50
ADDRESS : ,
.
121 REDWOOD DRIVE _ OTHER
. WATER SOFTENER 5.00
CITY: ZIP: _ PRIVATE DISP. 15.00
, /' n U.G. SPRINKLER 3.00
PHONE #
$25.00 MINIMUM FEE.
"SIGNATURE 6F PERMITTEE ?j
TOTAL: S 30 i w
ERGTALjINDiYSTRTAL,, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ZNDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
____________________________________
CONTRACT PRICE:
ObJNER N.AME:
SITE ADDRESS:
LOT: BLOCK _ SUSD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
CONTRACT PRICE x 18
STATE SURCHP.RGE
TOTAL:
FOR CITY USE ONLY
PERMIT # ?-?
RECEIPT # O
DATE: ?9 9
SUBTOTAL S 3/• S-V
ST. SURCHARGE .50
$
(SIGNATURE)
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: s BLOCK: 1 APPLICANT:
3637 KOLSTAD RD RODKE
PINE RIDGE (612) 725-5647
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
F
L
BUILDING
021000
05/24/93
CHARLES
R
NEW
?
?
PERMIT
? CITY OF EAGAN ?
3830 Pilot Knob Road PERMIT TYPE: Buz Lo.LNG
Eagan, Minnesota 55123 Permit Number: 021000 /
(612) 681-4675 Date Issued: 0 5/ 2 4/ 9 3
SITE ADDRESS:
3637 KOLSTAD RD
LpT: 5 BIOCK: 1
PIME RIDGE
P.I.N.: 10-57675-050-01
DESCRIPTION:
?- ?.
B;uildinq-Permit Type DECK
Building Work Type NEW
(?'6uilding Leitgth 16
; Building Width'--i 14
i ?
1 ?
?
_.-
?.?,
,
b ,
Cc ORV5 0C)'L' C`? gC?.??l n
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR:
OWNER: - APPjlcant -
RODKE CHARLES
3637 KOLSTAU RD
EAGAN MN
(612)725-5647
R
I hereby acknowledge that I have raad this application and sYate that the
information is correct and agree to comply with all appliceb2e State of Mn.
Statutes and City of Eagan Ordinanaes.
L
APPLICAN7/PERMITEE SIGNATURE
n°' - filz
TSSUED Y: GNA E
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: s BLOCK: 1 APPLICANT:
3637 KOL3TAD RD RODKE
PINE RIDOE (612) 725-5647
PE?yflp&BT1(PE:
TYPE OF WORK:
BUILDTNG
021001
05/24/93
CHARLES R
NEW
INSPECTION .. . „
FOOTING FINAL
FIREPLACE
? ?
PERMIT
CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
?.!
SITE ADDRESS:
P.I.N.: 10-57675-050-01
3637 KOLSTAD RD
LOT: 5 BLOCK: 1
PINE RIDGE
DESCRIPTION:
Bailding Permit 7ype
Building Wark 7ype
!Buildinq Le,ngth
Building W3dtN?-,
? -?
p ?q
p ?
REMARKS:
PERMIT TYPE:
Permit Number:
Date Issued:
FIREPLACE
NEW
v.?3j? % f
BUZLOIIVG
e21ee1
05/24/93
16
14
V ? QltC-Vd J U
zi
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR:
OWNER: - pPPlicanc -
RODKE CHARIES R
3637 KOLSTAD RD
EAGAN MN
(612)725-5647
I hereby acknowledge that I have read this application and state that the
information is correct and a•gree ta comply with a11 applicable State of Mri.
Statutes and City ofi Eagan Ord3nances.
L Z----tn?A"PPLICANT/PERMITEESIGNATUHE
ISSUED V: IGNAT RE
REAG71YAIt'?
PERMI'+ N
Z ?iwa 'r MAY 19 1993
cp (ff"'P -- ------ -----
{rl I T Vr CN%7AIY
1993 BUILDING PERMIT
681-4675
e.p-p-W SLtF_
APPLICATION
CL? - ?
as =
1? r"'?^ 3F' ? s
sO
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date /q Yaluation of work
5ite Address: kz,
STREET SUITE M
Tenant Name: (commercial only)
IAT ` BLOCK SDSD.
U P.I.D. M
Descri tion of work: ?P
The appl i cant i s: PT-Owner 0 Contractor ? Other (oes«ix)
I Phone l S'G'o IG9
P
A .?°
Name 3
Property LAST FtRST vt _ 7,?? -? ?y7
Owner Address 3e, 37
STREET STE Y
City State 1-Af-LK Zip S'z1r3 _3
Company Phone
Contractor Address License # ? Exp.
City State ZiP
Company Phone
Architect/
Engineer Name Registration N
Address
City State Zip
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 application and state that the information is
correct and agree to comply with 11 applicable Stat M' esota Statutes and City of
Eagan Ordinances. ?
Signature of Applicant: '
BUILDING PERMIT TYPE
? 01 Foundation
? 02 Sf Dwg.
O 03 5F Addition
? 04 SF Porch
O 05 SF Misc.
WORK TYPE
SC 31 New
? 32 Addition
OFFICE USE ONLY
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
;W 15 Deck
? 06 Duplex
? 07 4-Plex
? OS 8-Plex
El 09 12-Plex
? 10 Mutti. Add'1.
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy ?
Ioning
# of Stories
Length ]WE
Depth 4y-!-
APPROVALS
Planning
Engineering
? 35 Tenant Finish
? 36 Move
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Yariance
REGIUIRED INSPECTIONS M-50 toin€ pcAc97`
? Site IA Footing 0 Framing
O Wallboard q Final O Draintile
1:1 Insulation
?K Fireplace
Permit Fe2 Yaluatim: $
Surcharge 19"0
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:
'I ) cZ-'1.
F, P
Z!? °?a
2s, 0?_,o
,,
O 16 Basement Finish
? 17 Swim Pool
0 18 Cortm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Yater
PRY Required
Bvoster Pump
Fire Sprinkler
Census Code y?
SAC Lode
&WS[*
Assessments
SAC %
SAC Units
*? * * * 2422 Enterpsise Diive
iQN E tAnownvcrona•CIVIIENGINEEi1S Mendota 1leights, MN 55120
A
?ehginear ?yry•. U1NbPl?NN[RS.111N08CMEJINCNIT[CT! 16.,.2) sPe1'jB1l
?ta
? * *
Certiticate of Survey for.
NORTN
?
.
EA sr %
.o . ?.a _.
- - -o? -?
a ?
.e _ .
?
?
?
t?t
W
0
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?
V ??I
?o
0
? I?-N- -
/
a q
lu Uj I q N p??vlvm
a?rL
o !.e ?
Ii0
F
- - - -r- - - -_?i?
- 40-o?_
/SZ. vo EASr
1
D
^
J
?
Ea.GAN E?dG1EdE:EAiN(? D1,1'T
¦ 900.o Denoles ?xislin flevafion ProvosEO ourE E f
• oo.o Uenoles Prnpo?qd £IevaJian Lowes loor Elevo ion sl 8 . i b
- -- penotes Droiiia e r UJili?ly fasemenf Top o?'Blockf?PValion aa i. ,6
-?---.- Denoles DrYriOe? floWDrrectron GaraoeSlab Eievalion eso_ s3
o Deno}es Monuffienf Bearinilhs shown crre assurned nDeroes q7e f-kb
LOT?;7,BL OCW__L Aopi r?oN
Cpf/NTY, M/NNESOTA
1 here6Y cerUly thal thb survey. Dlen or reporl wes ?eperad by m or under my direct aup4effv?ision and t I am duly Registered Land Surveyar
urder the Isvn ol the Stete ol Minnnou. Ueted thii day of A.D• ?9 ?- • ? //-.Gi?' ? /
`Cj ?/? ??/
yyln ' 1? s/?( /1?( ROAEA T A. SIKICH L,S. REO- NO. 11l91
7 l, t/ G 1 '7v ??
? / „? 4O (?, RESIDENTIAL BUILDING
?y ? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4113_-?S
? m-w A I Zo/6,3
New Construction Renuirements RemodeVReoairReauiremenGs Offce llse OnN
3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas 2 copies of plan CeA of Suney Recd Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heatetl addilions Tree Pres Plan Recd Y _ N
2 copies ot plan showing beam & window sizes; poured found design, etc. 1 site survey tor adtliGons 8 decks Trae Pres Reqd Y _ N
15etatEnergyCalculations Addilion - indicafeif on-site sephc system OnsiteSep6cSystem _Y _N
3 copies of Tree Preservalion Plan if lot platted aNer 711193
Rim Joist Defail Options selecGon shcet (bldgs with 3 orless uniGs
Date 11 / 1 d.
Site Address 3 b 37 1 0 3
K o LsT.q D 1Z D Construc[ion Cost ? 17 SD 0. 0 0
?
UniUSte #
Descriptioo of Work 13"a-1- 6AZA[nE /fD. prTtow.l
Multi-Family Bldg _ Y i< N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner C{- {R'q_t_ES zoilK?c Telephone#(tsk ) 68c-0-7169
Contractor 1-IASS [ZjZOS?-1rIC s c ST Z ?.+ co L-ic.:k gC 3791
Address i1ol\
State MN 0l_b HwM 6 City A/E2J R.va.-PTonl
Zip SSI?? Telephone#((.s1 )[Uv-Wo's-l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Cetegory , Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Su6mitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a simiiar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
I hereby apply for a Residential Building Permit and acknowledge that the i
that the work will be in conformance with the ordinances and codes of the
Telephone #(
Telephone
Telephone
?? T
gtate of MN
Statutes; 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.
f,'\ A(24, tZ,oN?Xt- 11-1), -03 , I-1.z-o?
Applicant's Printed Name A plicanPs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ?'H 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
* 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement *Demolition (Entire Hldg) - Give PCA handout to appliwnt
Valuation aaz?i Occupancy ?. _ MClES System '?-
Census Code </ 3 2oning City Water -
SAC Units ^ Stories / Booster Pump -
Nbr. of Units f Sq. Ft. PRV
Nbr. of Bldgs - Length ? Fire Sprinklered
?
Type of Const Width / 3
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ? FinaUNo C.O.
Footings (addition) _ Plumbing
? Foundation HVAC
_ Drain Tile _
py}ier
Roof _ Ice& Water _ Final
Pool Ftgs Air/Gas Tesu Final
.?t 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
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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4 5' -26
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* PIONEER LAr+ewnverons• CIVILlNGINEERS Mendota Heights, MN 55120
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I bereby terUfy thet lhif furvey, plan or repart we? RUrepered by me or under my direct supqerv'ision &_? am Auly Registered Land Surveyar
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?l ?lt ? R09ENT H. SIKfCH L.S. REC. NO, 14591
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PERMIT
Permit Type: Mechanical
City of Eagan
Permit Number: EA105457
Date Issued: 07/16/2012
Permit Category: ePermit
Site Address: 3637 Kolstad Rd
Lot: 5 Block: 1 Addition: Pine Ridge
PID: 10-57675-01-050
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
Comments:
445-2840
ME - Permit Fee (Replacements) $55.00 0801.4088
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Valuation: 8,290.00
Total:
$60.00
Contractor: Owner:
- Applicant -
Pronto Heating & Air Conditioning Charles R Rodke
7588 Washington Avenue South 3637 Kolstad Rd
Eden Prairie MN 55344 Eagan MN 55123
(952) 835-7777
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126828
Date Issued:09/11/2014
Permit Category:ePermit
Site Address: 3637 Kolstad Rd
Lot:5 Block: 1 Addition: Pine Ridge
PID:10-57675-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
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 -
Charles R Rodke
3637 Kolstad Rd
Eagan MN 55123
(651) 686-0769
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
110/11
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
dor
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Rss dents
)�� ) � /'
Name: C) `�� I t° S (2.&c9 K Phre: (ci 't� g0 't� <
/
Address / City / Zip: 7 6 h4o )1C Pj
Applicant is: Owner ontractor
T 1Nork
Description of work: ���-- �cCyc
� ^
Construction Cost: I V w 9 Multi -Family Building: (Yes / No.(
Contractor
Company: -e--\r' CC'��i--1? (-5 Contact: $I40 -e_ khe1..\
I
Address: D'`— 95 -----,cCity: 9- �� -` S 1�'K
�,6, /
State/1 Zi : 5 6 Phone: j%2=>'Pi Email: k c 1 Sty 14 ix, co• . cc
License #: PC 56'()Soz) Lead Certificate #:
If the project is exempt
from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE Plan ' • • pp tl)t d • s you subr>I! • e e ®ire ® • � • Otto w •w
the mfg ®: may • lassrfied as ion - •r3�," lc �f yo: • • ®• t mason t hat • pe •
conclude that the,ecrets
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.qopherstateonecall.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 plans.
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.
-6.4__
Applicant's Printed Name
x
A•,• icant's Signature
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