3642 Kolstad RdCITY OF EAGAN RemarksI ?' ?-' ?
Addition Timb@rltnE 1 Lot 2 Rlk 10
Owner Street 3642 Kolstad Rd. <
Improvement Date Amount Annual Years Payment Receipt Date
' STREETSURF. 1974 321•03 64.2o 5 PSld
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 1973 624.68 41.64 15 p8id
WATERMAIN
'1E WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. UQ 00 6718 5-15-72
9UILDING PER.
SAC 5718 -1 'f,2
PARK
Remarks
?4-0&d Street 3641+ K018t8d N.d. State_ $8g8IIf1?N 55123
Improvement Date Amount nnual Years Payment Receipt Date
STREETSURF. 19 7 321.03 64.20 5 P&id
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL ill 1973 624.68 41.64 1 P d
WATERMAIN
*WATER LATERAL 1973 15
WATER AREA
STORM 5EW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, n0.00
5?$
5-15-??2
BUILDING PER.
sAC 240.00 5718 5-15-72
PAR K
CITY OF EAGAN Remarks 41
Addition Timbershore 1 Lot 4 eik 10 Parcel 10 76500 0l+0 10
Owner .?, i , '',- street 3646 Kolstad Rd. State- E??,NN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ? 1974 O P d
STREET RESTOR.
GRADING
SAN SEW TRUNK
? SEWER LATERAL 197 624.68 41,64 15 p8id
WATERMAIN
?t WATER LATERAL ? 15
WATER AREA
STORM SEW TRK ?
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 110.00 5rng 5-15-72
I
BUILDING PER.
SAC -'J
PARK
I
CITY OF EAGAN Remarks
Addition Timberehore 1 Lot 1 BI?0 Parcel 10 76500 410 10
Owner 441.1street 3648 KOlBt.eC1 Rd, State 1'+agan,1MN 55123
Improvement Date Annual Years Payment Receipt Date
STREETSURF.
1C?7 21
.,?Q
5
P
d
STREET RESTOR. P
GRADING
SAN SEW TRUNK
SEWER LATERAL 1? ,Zft. ?. lrj Pg,id
WATERMAIN
* WATER LATERAL 1 l?j
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 rng 5-15-72
BUILDWG PER.
SAC 240-00 5718 -
PARK
• , .
CITY OF
?. 3830 Pilot Knob Road, P.O. 6
PHONE:,
To b's?used for pRI( Est. Value $1. Q(0
Site Address _ 3662 1C01sTr?D RD
Lot -.2- Block 1n Sec/Sub. TIMBBRSAARE ^
Parcel No.
W Name ?CgALL &•ttttFHB TR tt?ag? f
; Address 1544 lt[)L91'n itD
° City FAC•AN Phone fi88..fi532
DiGAN
21-199, Eagan, MN 55121
-8100
Receipt #
Date MAY 14 , 19 91.
OFFICE USE ONLY
Occupancy U..2 FEES
Zoning
(Actual) Const _ 81dg. Permit
,o Name sAME
OV
?Q Address
? City Phone
?
WW Name
Address
a W City Phane
I hereby acknowlege that I have read this app
information is correct and agree to comply w
Minnesota Statutes and City ol Eagan Ordinanc
I A
Building Oificial 41-ti+,
i
on and state that the
II applieable State of
?.? . ;Li
in accordance with all
(Allowahle) - Surcharge - ?
# ot stones -
Length 2L29 Plan Review
Depih ? SAC, City
S.F. Total ?
SAC,MCWCC
S.F. Footprints _
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System _
ciry water _ Acct, peposit
PRV Required _ SNV Permit
Booster Pump - Sryy SurCharge
Treatment PI
APPROVALS Road Unit
Planner - park Ded.
Council
BIdg.Otf. _ Copies
Variance - TOTAL 25.50
pe?mil No. Permit Holder Date Telsphone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
inspection Date Insp. Comments
Footings I
Foundation .
Framing
Roofing
Rough Plbg.
Fiough Htg.
Isul.
Fireplace
Final Htg.
Orshat Test
Final Pibg. Pibg. InspeCtor - Notify Piumber
Const. Meter
EngrlPlan
Bldg. Fnal
Dedc Ftg.
Dedc Final . (o _ 5
Well
Pr. Disp.
RESIDENTIAL
. BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ? `70 , U ?
J v 651-681-4675
Naw ConsW clion Reauiremenfa RemodeVReoair Rauuiramenis
• 3 regislered site surveys showing sq. tl. of lot, sq. ft, of house; and 11 roafed areas • 2 cropies of plan
(20% mazimum lot coverage allowed) • 1 set ol Energy Calculatiom for heated additions
• 2 copies of plan showing beam & window sizes; poured found dasgn, etc.) . 1 sAe survey far erztenor add'Nons & decks
• 1 set of Energy Calculations • InOkate if home sarved by septic syslem for addNons
• 3 copies of Tree Preservatbn Plan if bt platted after 7M193
• Rim Joist Detail Optlons selecGOn sheet (61dgs wfih 3 or less unb)
DATE ( -S - 0 1 VALUATION
JOB SITE ADDRESS ? bl 41 " ?/
IF MULTI-PAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER CJ-euv, Jfa h qS
TYPE OF
APPLICANT ?d ?, I
ADDRESS
PAGER #
7?t / l FIREPLACE(S) - 0_ t_ 2
PHONE# G42-jF6
ZIPCODES_S 1 ,,2, !5?_
CELLPHONE# 649-;F67'3957 FAX#_A?72- 7d
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone
Lawn 3prinkler
No. of R.I. Baths
MechanicalContractor. /?/?
Mechanical System Includes: Air Condilioning
_ Heat Recovery System
Sewer/Water Conhactor: A) A-
All ahove information must be submittetl prior to processing of application.
Phone #
Phone #
I hereby acknowledge thaf I have read fhis application, state that the i'nfovy,
with all applicable State of Minnesota Statutes and City of Eagan Ordi c
Signature of Appitcant
Certificates of Survey Received Tree Preservation Plan Received _
/u A
Fee: $90.00
Fee: $70.00
? ? _? U m
and agree to comply
Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? OB 04-plex
? 31 New
? 32 Addition
? 33 Alteration
IV 34 Replacement
? 20 Pool
O 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg '
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
"Demolition (Entire Bldg only) - Give PCA handout to applicant
O
Valuat(on
Census Code J Cy
SAC Units ?
Nbr. of Units
Nbr. of Bldgs
Type of Const s
Occupancy /Q ;3 MC/ES System
Zoning y- LJ CityWater
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
?j Fina
Footings (deck) FinaUNo C.O.
? Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding SNcco Stone
_ Insulation _ Windows (new/replacement)
Approved By ?
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumhing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 OS-plax ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex l? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
UC.O.
?
HVAC
Building Inspector
SEDGWICK HEATING & AIR CONDITIONING CO. TESTRECORO JOeNO. ???`'I•Q.
6910 WENTWOFiTH AVENl1E SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000
ADDRESS ?? ?? K(` IS?C' ? I vl CITV
OCCUPANT OWNER ? /? ? 1•?./??'L?c?(.PS 1??L? G' w
SOLDBY- INS7ALLEDBV
MAKE 4jr,MODEL
SERIALNO. `o I 07 63 1M-1 INPUT
THERMOSTAT
VALVE kkd?4*M?A
LIMIT ?1 xa 7
LIMIT SEffING K s 1'h
FAN SEffING b"'W-CA
VENT SIZE ?
TYPE OF LINER Claz,-5 T3
LINER SIZE
FlITERS: SRE NUMBER
WIRING `0?
PILO7 TVPE
IGNITIDN MODEL (
PILOT7IMING
PRESSURE PERCENT COz ?
INPUT CFH -- PERCENT Oz ?
STACK TEMP. PERCENT CO •v
FORM 235 (f1EV. H/89)
TEST TAG
LIGHTING INST.
DATE TESTED ? ? - 2
COMPANYTESTWG ?L?4
NAME OF TESTER L"`"-vf- M t
FOflM015TRIBlITION. WHITECOPY - JOBFILE YELLOWCOPI' - CITY
/D
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT N0. 191
The Board of Supervisors hereby grants to ihotqoson P'iumbiytp Co.
of 12201 Hiruzeton:ca Bla3.+ 2Mzuzetanha, ISI 9942 55361
a PT,U;BLNG Permit for: (Owner) _ Ste?sr I?orizon HoSUes
at 3642, 36*; --VW, & %W ?olstac2
3/2:/72
Fee Paid: $0•00 Dated this
e-UL) s c '
pursuanC to application dated
25?th day of
Ilarhkt
.
, 1972
Building Inspector
3
TaWA1 OF EAGAN vv
??t'?--
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT N0. 120_
The Board of 5upervisors hereby grants to 000_ celor..ialr xnatino
of Igo ZMi4 Ave So , NtimFlapo7is...K041A
a ur6TiN@ Permit for: (Owner) N6w HOPizOai HCme9
at 2 3"m 36136o 3648 KalStad , pursuant to application dated
!t/3'(2
Fee Paid: aQ.pp Dated this 11th day of April , 197 2,
.5Q
Building Inspector
-?
?
" CITY OF EAGAN No _ 19114
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454•8100 ?f3
/(?
BUILDINGPERMIT Receipt a
o
cti
To be Used for DECK Est Value $1,000 Date MAY 24 , 19-91-
Site Address 3642 KOLSTAD RD
Lot 2 81ock 10 Sec/Sub. TIMBERSHORE OFFICE USE ONLY
PelC01 NO. OccuDancy 2L2 FEES
Zoning
w Name MICHAEL & LAURENE TRUr4fER (AC1uaqConst - BIdg.Permn 25.00
o Address 3642 KOLSTAD RD (Allowable) - S
h 50
urc
arge .
City EAGAN Phone 688-6552 # oBrories
221 Plan Review
Langlh
p Name SAME Depth 81 SAC
City
Z
?a Addf2S5 S.FTOtaI - ,
SAC,MCWCC
F City PhOf1B S.F Pootpnnls -
Water Conn
On Sile Sewage _
?
Name
On Ste Well
-
Water Meter
i3 AddrBSS MwCCSyslem _
ai Acct. Deposn
i W City Phone ciiy waier -
5/4V P
rmit
PRV Required _ e
I here6y acknowlege [hat I have read this application and stale that the Boosler PumD - SNJ Surcharge
inFOrmation is correct and agree to comply wdh all apphcable State oi
Minnesota S[alutes and Ci?ty not Eagan Ordin/a
SignatureofPermiteea?/? /4IA,///11"? /n _
APPROVAI,S Treatmant PI
RoadUmt
MICHAEL OR LAURENE TRUZ4fE
A Building Permit is issued to:
P1e"^ef
-
Park Ded.
on the ezpress condition that a1l work shall be done in accortlance with all Counal
applicahle State of Minn
asota St
atutes
and City of Eagan Ordinances. ?d9, pff, _ Copies
?
p
1
Building Official _'{! ?l Li fA. I n? Variance - TOTAL Z.1) • SU
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ...... .L."v?._./.!r",......
?
Addreu (Pretenf)
Builder ........'--........."-."' .........................."_...
Addeeu ..............................................
N° 2649
Eagan Townahip
1'own FIall
/?
ae:a ................... .......2...
Slorias To Be Used For Froni Depfh Heigh1 Esl. Cos! Permi! Fee Ramarkt
o 97.t- ev -
JKY Sl L ! 9s u? .
LOCATION ? // i,o,? J
nxraai, noea or o:nar yaaripnon ot Locaaan _I Lot Slock AddiEion or Traci
k'i.,,?,,Z,
1'hL permit does aot auihorise the use of alreels, roade, alleys or sidewalkc nor doen it give the owner or his agent
lherigh! !o ereale enp eifuaiion which Is e nuisance or which presenls a haaard fo the heatih, safely, eonvenience and
general weltere !o aapone in the communify.
THIS PERMfT MUST BE KEPT ON T,HE PAEMISE WHIL£ THE WOAK IS IN PROGRESS. -
Thts is fo eerlifp' ------ ?.?.', _ f' (`?...?..__.. _-'-?.u-^-?po," tJT-?".......... as permission !o ereci
....................................... ......... u n
the above deseribed premisa subjae! !o the proviniona ot the Building Ordinance for Eagan Township edopfed April 11,
1955.
p c
......... . ..'"'""'". y, ,1`-e y..............
Chatrman ! Tnwn Soard
?6
?`?- V .C.?- -c+?-J
Per ....--.- .. . M ...................... ................ .
. ................ .....
,?' Huilding Inspecior
??V cn ( RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
P7o.oo
51Z1o3
New ConsWction Reauirements RemodellReoair Reauirements Office Use Onlv
3 registered site surveys showng sq. ft of bt sq. ft. of house; an0 all roated areas 2 copies a( plan Cert oi Survey Recd
(20°/a mazimum lot coverage albwed) t setof Eneryy CalcuWtlons for heated additions Tree Pres Plan Recd
2 mpies of pWn showing beam 8 wiMow sizes; poured fourid design, etc. 1 site survey for addi6ons & decks Tree Pres Not Reqd
lsetofEnargyCalculations Additian - indkafeilon-sReseptksystem _On-siteSeDticSystem
3 copies of Tree Pre9ervation PWn if lot pl2tted afler 7A193
Rim Joist Defail Options seladion sheet (bldgs with 3 or less unAS
?
Date __?L / _?k / 0 ? Construction Cost
j
J(_1
?
? ?pI
Site Address ?? y
l Y7
? l
J
?(?Cl 1f) ri • UniUSte #
?
)
Description of Work /J e C
Multi-Famity Bldg ? Y_ N Fireplace(s) _ 0_ 1_ 2
P
t
O 1) 715Z "ZI 2 9
hone # (6
( ? Tele
wner
roper
y -
p
Contractor
Address ?T1\, 1 ? CitY
State h i V I ef o? Zip % Telephone #( )
v
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber Telephone #(
Mechanical Contractor Telephone #( )
1
Sewer/WaterContractor Telephon -#(
I hereby apply for a Residential Building Permit and acknowledge tha[ the information is Vcoet4e arLii accurate;
that the work will be in conformance with the ordinances and codes of the CARYgLEagairand-the tate of MN
Statutes; I understand this is not a permit, but oniy an application for a permit, and work is not [o 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 lans.
Applicant's P'nte Name ApplicanYs Signature
MQrl r" llhe 1so ni
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plhg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
/X 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement • •Demolition (Entire Bldg) - 6i ve PCA handout to applicant
Valuation I((7&D Occupancy - u MC/ES System
Census Code / I y Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ?[ N Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framiag
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved Byf L , Building Inspector
Base Fee
Surcharge
Plan Review MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
#
??"
COMMERCIAL
2002 BUILDING PERMIT APPLICATION (}?
CITY OF EAGAN J
651-681-4675 3 + 4 , ?
l
Foundation Onl New Construction Interior Im rovement
• SWctural Plans (2) sets . Architectural Plans (2) sets • Archilectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • Code Analysis (1) "
• CertificateofSurvey (1) • CivilPlans (2) • Project5pecs (1)
• CodeAnalysis (1)'• • LandscapingPlans (2) • KeyPlan (1)
• ProjectSpecS (1) • CodeAnalysis (1) • Master Exit Plan (1)
• Spec. Insp. & Tesling Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always"
• Meter size must be es[ablished • Meter size must be esfablished • Meter size must 6e established - if applicable
• ProjectSpecs (1)
1 • EnergyCalculations (1)
1 • Elec[ric Power & Lighting Form (1) " L
1 - • Master Ezit Plan (t) b
1 • Fire Protechon Plan (i)" 1
1 • SoilsRepart (t) 1
• MC/ES SAC determinatlon letter • MC/ES SAC determinadon letter • MC/E5 SAC determination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
Contact Building Inspections for sample
Food 8 beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
DATE: oZS ? Z- WORKTYPE: _ NEW _ REMODEL CONSTRUCTION COST: 15,J
SITEADDRESS: 3t0 ?q j31'0qZ, 3(P`A (a? ?J1o`-I D Y?ISTA'fJ IW•
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK I0"? L I -d' I ro o I I I
Name: ?? 61D[is IbVC- 9m A
PROPERTY Last First
OWNER 'j7 , Q n ? v
StreetAddress: 1 .l'-X zl--, ouk
p 1 1/ 1 0 07)LV-j prt?-'
Phone#• -2?-?-'
City: State: Zip: ?? I -ol- 1
Company:a a'f'? (/ ? V v I N 08'yJ 4 ? I p I P$dne #: ( 5 S o;L ) 'b°) I ' 3`i oxD
CONTRACTOR _
StreetAddress: ? 4 u5D ! C.7VC??TirrC\ o`(L -
C,ty: Pf ny VCA1 State: mi?j Zip: Sj ? 2'?
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
City:
State:
Licensed plumber installing new sewerlwater service: Phone #:
JUN 2 5 2002
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 Statutes and City of Eagan Ordinances. ?+
Signature of Applicant: V?-_
Updated 1102
Phone #:
Registration #:
SUITE #:
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 Commercial/IndusTrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) 0 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning Sq, ft,
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Bldgs. Width sq. ft.
Const, (Actual) Basement sq. ft. MCBS System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation Q Plumbing ? Stucco/Stone
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION $
% SAC
SAC Units
Meter Size
Total
1 ST 76500 PAGE 2 OF 2
PERMIT
DATE &
TYPE LOT BL ADDRESS
3l72 4-PLEX 010 08
020 08
030 08
040 08
3/72 4-PLEX 010. 09
020 09
030 09
040 09
3/72 4-PLEX 010 10
020 10
030 10
?
040 10
3664/ KOLSTAD RD
3658/
3660/
3662
3656/ KOLSTAD RD
3650/
3652/
3654
3648/ KOLSTAD RD
3642/
3644/
3646
3
N,1c) MASTER CARD
364Y' 4 y6 j ?* .
LOCATION ?, rr??ers?sovr i?? 36yN U y8 Q o/s/ ?.D
• ?-?U ?-I(?
OWNER ?PU_/ ,?e??,?D/?,p' /
STRUCTURE AND
LAND USED AS b?}11MI?IIJIN
•
'
Permit
BUILDING
PIUMBING
CESSPOOL - SEPTIC TANK
No
I O /
Issued
373' ?
) - =C _ ?Y Issued To [
Contra[tor I Owner • 50
WELL ?
ELECTRICAL
HEATING
GAS INSTALLING u L
SANITARY SEWER
OTHER
O7HER I
Items Approved
(ini}ial)
Date
Remarks
Distance From Well
FOOTING y- y- '71 SEPTIC
FOUNDATION - CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEAIING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
?
?l -7
WELL
SANITARY SEWER etJt
.?
--
- 1
r
" Violations Noted
on Batk
COMMENTS:
•
?
?I
??
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
0
PERMIT NO.
CONDITIONS OF CONSTnUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION Of CERTAIN IMPROVEMENTS
WILL BE DELAYED BY GONDIiIONS BEYOND
CONTROL.
DESCRIBED AS FOLLOWS:
? REInSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
•
CERTIFICATION - I cercify that 1 have carefully inspected the a6ove in which I have no interest premnt or prospective, and that I have reported herein
all significant conditions observed to 6e at variance with ordinances of the Town of Eagan, epproved plans and specifications, and any speciHc require-
menu far off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS:
g }W
23
?. .
EAGAN TOWNSHIP
3795 Pilot Knob Road ?•
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE• March 29, 1972 pUMggg 965
l
Q-/v ,, io y-in i -/a J.
OWNER•New Horizon Homes Address 3642, 3644, 3646, 3648 Kolstad
PLUMBSR Thompson Plumbing Co. T}[pE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUIIAING
Industriall Commerciall Residential I Multiple Dwelling f No, of units
xx
Location of Connectione;
Connection Charge fil,0+s+? e717 ,y-
Permit Fee 10.00 pd 3/29/72
SCreet Repairs
Total
Inspected by:
Date
Remarka:
By
Chief Inspector
in consideratioa of the issue aud delivery to me of the ahove pexmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toc-inship, Dakota CounCy, Minneaota
By
Thompson Plumbing Co.
Please notifq when ready for inspection and connection anl before any portion
of the work is covered.
?5
. • i ?
EAGF.N 10WNSHIP
3795 Pilot Knoh Road ? ???
St. Paul, Minnesota 55111
Telephone 454-5242
PERtRIT FUR WATER SEAPICE CONNECTION
Date: March 29, 1972 Number: 805
, Billing Name: New Horizon Hmmes Site Address:3642) 3644, 36j6, & 3648 Kolstad
1, v
Owner• same Billing ?l 'fa ?1-3
Plumber• Thompson Plumbing Co.
Location of Connection Meter Size Connection Chg..
Meter No, G G G Permit Fee Agi9Q-1/99/72
66g •?°-?+? 3/29/72 s/c
? Meter Reading I?eter Dep.
5 water meZ?a
- Addll Chg.300.00 3/29/72
? Meter Seeled: Yes
NO Total Chg.
Inspected by
Date
Building is a: Remarks: Residence XX
_ ? •_' :
i2ultfpie xo. Units '
Commercial .,E`,
Industrial Hy:
Other Chief IaspecCOr
In consideration of the issue and delivery to me of the abwe permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Bagan Township, Dakota County, Minnesota.
By:
Thompson Plumbing Co.
Please notify the above office when ready for iu.:pection and connection.
?
AN
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Timbershore Homeowners Association
Eagan, MN 55123
City of Eagan
Eagan, MN 55123
To whom it may concern:
We understand that a signed letter must be submitted to the City from the Association in
order to obtain a building permit. We ue giving a blanket approval to Noble Building
CO. for replacement of privacy walls and other work that may be necessary.
If there aze any problems or additions questions, please call.
Sincerely, ?
Vti
?
Ph #??
VILICATION
1991 BUI
LDNG
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MIILTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PI.ANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCllIATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 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 LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST 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: DEGk ValuatioDate:
Site Address ?(Vz a/s?" /G
Lot ()4?Q Block /0
Parcel/Sub
Owner L, 7kMmER
Address _Z(C(o2 t-w1dfAY7 Rd
City/Zip code 4!i96AIV /YlN .M?93
OFFICE USE ONLY
Occupancy ?-Z
Zoning
Actual Const
Allowable
# of stories
Length
Depth $
S.F. Total
Footprint S.F.
Phone
Contractor --&-
Address ?- ?[.,YL ULS;90 N?t
City/Zip Code ? E60xl Si?izA
Phone
Arch./Engr. --?}?
Address -??
City/2ip Code ?
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. 5-23 9iOS
Variance _
FEES
Bldg. Permit Z6i00
Surcharge • $?
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
Phone # agrees thut all work shall be done in accordance with
( ign ure of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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03 ? ( ? ? ??or??
ZONING -
.,, • ,
OF IPITENT
Foster Family Homes
Day Care Homea
T0:
ty or
nnK 344 ss
Street Address
ty
FROM:
?PCy,CE
County Welfare Depextmaut ?ffRf?n"A.@g?trcv
uAnUIR
357 9th Ave. No.
Street Address . VAUL, INN. 55075
City State Zip
APPLICANT:
ty
Humber of Natural Children under 18 in home: 0 120 3 k 5
(circle number)
Number of Foster Childrexi iacluded in license: 0(1/ 2 3 4 5 6 7
(c3'rcle number)
Nwnber of Natural Preachool Children in Home: 0 1/? 3 k S
(circze number)
Number of Dey Cere Children included in license: IJ 1 2 3 4 5
circle number)
DATE OF NOTIFICATION: ?/7 /X;l-
2<5,z2 V76 ls?
2007 RESIDENTIAL PLUMBING PeRnniT APPUCaTIoN
CITY OF EAGAN
3830 PILOT KN06 ROAD, EAGAN MN 55722
651-675-5675
Please comolete for modifications to existina residential dwellinos.
Date 11 l?t????? ??
Site Street Address Unit #
Property Owner % l ?Q.f C Telephone # f[?j?j Y
Contractor h" b Tel¢phone # (?) 9''?9- ???a7
Address City State`93Ln Zip??,
The Applicant is: _ Owner & Occupant X Licensed Plumbing Contractor
Refurbished Submit 2 sets of plans and MPC license
Septic System
New Includes County fee
_
_ $ 100.00
Peras-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
klterations to existing dweiling $ 50.00
_ Add plumbing fixtures to main level Ipwer level. This fee includes
installation of a water softener and/or water heater at fhe.same time. !f you are
irtstalling onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Tumaround (add $136.00 if a 5/8" meter is required)
Other.
Water Softener Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB `new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 15. bt)
I hereby apply for a Residential Plumbing Permit and acknowledge that the infortnation is comptete and accurate; that the
work will bB in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that 1
understand this is not a permit, but only an application for a pto startwithout a pertniY and work will be in
accordance with the approved plan in the event a plan is r e c?appmved.
,v
Appli?Pnnte
Aug 04 09 01:42p CSe 6516464273 p.2
I For Office tJse - - - - - -
C?o g
j Permit: I
alt of Eajan I gg~
Permit Fee: l
3830 Pilot Knob Road
Eagan MN 5 122 t Bate Received:
Phone: (651 675-5675 1 Staff: I
Fax: (651) 6 5-6694 1
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Dace: -Y, )4 Site Address: t
Suite
Tenant:
RESIDENT I OWN R Name: I i CY1~ Ci'Y#~f1_~a~e:
Address I City f Zip:
Applicant is: Owner X Contractor
TYPE OF WOR Description of work: _'!~r` roof
Construction Cost:.-:d Mufti-Family Building: ('Yes f No
CONTRACTOR Name: License ClJ~-
Address:
ti Y
State:Zip:
rtf~
cty: 1;0/q/)
Phone: ~ ~ G~ Contact Person:
C MPLE7E THIS AREA ONLY W CONSTRUCTING A NEW BUILDING
Minnesota Rules 767Q Gateaon► 1 Minnesota Rules 7672
Energy Cod Residential Ventilation Category I Worksheet New Energy Code Worksheet
Submitted Submitted
Category
(4 submiss EnergY Envelope Calculations Submitted
•
ion type)
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No I yes, date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contra r: Phone:
Sewer & Water Co tractor. Phone:
NOTE: Plans a supporting documents that you submit are considered to be public irlformaWn..Portions of
the informaff may be classified as non-public Jf you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge at 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 understa 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 ap roved plan in the case of work which requires a review and ap rovell of plans. i l
X
X t{r
Applicants Printed Name pp can s,; ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158125
Date Issued:09/26/2019
Permit Category:ePermit
Site Address: 3642 Kolstad Rd
Lot:2 Block: 10 Addition: Timbershore
PID:10-76500-10-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Donna L Childers
3642 Kolstad Rd
Eagan MN 55122
(651) 687-0595
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature