3643 Kolstad RdCITY OF EAGAN '
. ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDI NG PERMIT Receipt #
Tobeus?fo.r ? -' Est.Value •••?'-'' Date At"Pl' s ,19
Site
Lot Block t Sec/Sub. "I'L R iDC':
Parcel No.
ac rvame 1,N
W
z Address '
a City Phone
. o Name
z
0 ` Address
t- City Phone
Address
1 hereby acknowledge that I have read this application and state that the
intormation is Correct and agree to comply with all applicable 5tate of
Minnesota 5tatutes and City of Eagan Ordinances.
Signature of Permittee -
illfS?'' 'y i3l':i.T7x:t;.y
A Building Permit is issued to:.-
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinences.
Building Official -
OFFIC
On Ske 5ewage E USE ONLY
Occupancy
MWCC System Zoning
On Site Well (Actual) Conat
CiN wacer '?- (Allowable) '
PRV Requfred * of Stories
Booster Pump Length ?
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
'
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Date Telephone #
Plumbing ?-
. , ?.
H.1I.&C. C/ e1 ''.
Eiactric ? 9e, ?? , YirA
Soitener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing r ?
Roofing
Rough Plbg.
Rough Htg.
Isul. lG F ?. S.
Fireplace
Final Htg. ?7 _/L •B'? y70?
Final Plbg. -1`. Q ?
Bldg. Final L L ?, 0
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
t"
(g.er#ifiratP uf (Orrupttury
titp of (eagan
arparhmf nf sudbwg 3wPr#imt
This Cenificale usued pursuant 1o the requirements of Section 306 of the Uniform BuiJding
Code certifying that at tlie time of issuance this structure was in compliance with the vasious
ordinances ojthe City regulating building constructian ar use. For rhe following.•
ux ci.xurc.aon SF UdG/G`+z: Blag. FL-rraii No. 14)V7
ooc„ve y Tya R ZDnizkg DjUict R i Type COOL Vn
owa.orsuaeing_+^lFS fWOM Aaa= 894G FAW 1521,'7N
?i%
w7ding Addrm :'rr:': Laali It+, BJ ,
B
ri
ttW 21, (988
Dam:
Sw7d4 Ofiiciel
POST IN A CONSPICUDUS PIACE
PERMIT #
. • PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: iACT PRICE PHONE: 454-8100
Sec/Sub
m Name _
? Address
c City -
c Address
p Ciry Phone
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
OF
FOR: CITY OF EAGAN
BLDG. TY7PE WORK DESCAIPTION
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 - $3.00
__
Shower - $3.00 ?' -?•-?'
Q
Ki?chen Sink - $3.00
Urinal/Bidet - 53.00
Laundry Tray - $3.00
?
Floor Drains - $1.50
-i_Water Heater - S1.50
Whirlpool - S3.00
:tGas Piping Outlets - $1.50 '
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - S10.00
Private Disp. - $110.Q0
Rough Openings - $1.50
FEE: "
STATE S/C:
Z? GRAND TOTAL:
" .
PERMIT #
' MECHAHICAL PERMIT
CITY OF EAGAN RECEIPT #
b
s `
?
3830 PILO c7
T KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Ad?r ?`S * ' BLDG. TYPE WORK DESCRIPTION
Lot Block ? Sec/Sub Res. ? New
.
?
'
° Name rr? fr Mult Add-on
_
Addr s Z Q 0 ,
?a C /la / 1
. Comm. Repair
m
c City ' ? Ptv t Phone " 903-2 aher
? Name ? 771 r.?U+rJ vi d FEES
RES. HVAC 0-100 M BTU
-$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PER PEkMII) - 1
50 EA
TYPE OF WORK -
COMM/IND FEE - 1% OF CONTRACT FEE .
.
Forced Air ?• ?`% '? ? M BTU 1)•26 APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES I
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 I
Unit Heater M BTU REMODELS - 12.00 '
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM
- PERMIT PRICE GOES
Gas Piping Outlets #
T $1 ppQ)
BEYOND
?
Other I
FEE: 1 , II
?- I
S/C: 0 SIGNATURE OF PERMITTEE ?
TOTAL•
FOR: CITY OF EAGAN
CITY OF EAGAN _
3830 Pilot Knob Road, P.O. Box 21-199, Eegan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for 4? i?WGP';Ak Est Value ?88,wtj
14?sd1-
Receipt # Date APR1L 15 Site Address 3643 KJL.rsTAfl RD OFFICE USE ONLY
Lot 4 Block 1 Sec/Sub. plNg RItiU On Ske Sewage Occupancy
R
1
MWCC System X Zoning `
Parcel No. A
l V-N
On Site Well ctua
) Const
( '
oc Name kES tfA?d:50N K21.DE.,pS. INC City Water X (Allawable) V'"N
W
z
Address $900 P"k AVE PRV Required ik of Stories
?
City' bL?I!?M1?Phone K8b-34.?3
Booster Pump
Length 4
?6,
Depth
¢
o Name S.F.Total
•
,
? ? Address Footprint S.F.
? City Phone APPROVALS FEES
?
g2b
? ¢
yU W Name Engr./Assess. Permit ' (J
QQ
"
? W
_?
Address Planner Surcharge
P
R .
263.00
s?
W Cit Phone
Y Council lan
eview
1UQ
0?
a 11. Bidg. Off. SAC, City .
i hereby acknowiqdge that I have read this application and state that the Variance SAC, MWCC 550'?
???
?
information is correct and agree to comply with aH applicable State of Water Conn. •
Minnesota Statutes and City of Eagan Ordinances. Water Meter 67•00
Signature of Permittee - Road Unit 325•00
w?.;; • t:..': `
A Buildinb Permit is issued to: RAh' 'ia ?•i I.. ..lC,i
Treatment Pt
204•00
on the 9kpress condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 2-67F_M
TOTAL
, Building Official__ ?-
BLDG.
,
01-3210
. 01-3422
01-3445
01-3446
01-2155
-I < 3860
20-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
?PERMIT N0. 1?
Bldg. Permi
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
4,'ater Permi
Sek*er Permi
Sewer Conn.
,t6-3855 Park Ded.
TOTAL
V.
. . .. ' . . . .. ?y' .
CASH RECEIPT 4i
CITY OF EQGAN
• 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? - /
DATE (
rAcm
t ?
AMOUNT $
x . .
& DOLLARS
,oo
Thank You
VVhne--.Peyers Cop„
Yelbw-Postin9 CoPY
Plnk-File Copy
? CASH 0 CHECK
FM
.
CITY OF EAGAN Permit No: Date: ,
3830 Pilot Knob Road B/P Na Date:
P.O..Box 21•fS8"
Eagan, NIN 55121
Owner. 'Jes FAi+son RT4r4 ?
Site Address: e r t'
Plumber. • i
MWCC:
City Chg: ? ?,? • ??G: ''
Acct Dep: 15. ur
. ,.: . F;<.
Permit Fee: ,
Surcharge: CITY OF EAGAN
3830 Pilot Knob Road
P.O: Box 21199
Eagan, MN 55121
Zoning•
No. of Units:
I agree to comply wtth the CMy of Eagan
Ordlnances.
SEWER SERVICE PERMIT
Permit No: 'Y
Meter No:
Reader No:
Site AddreSS: ?'?4.3 Y:+ lct ?:' vos..i '::=t
Plumber '13,13mme : t' o '11", i,i(:
?
Conn. Chg: 550,00pc'.
"
Acct Dep: 15,001)
Permit Fee: 1''' „ Q!};>. `
Surcharge: • ?'.'?L
Tr. Plant 7<51, . ot`$,j
Meter. 67 qopd
Zoning
No. 01 Units: '
I agree to comply with the City of Eagan
Ordlnances.
Misc.: gy
WATER SERVICE PERMIT
CITY OP EAGAN Permit No• ?r
Owner. /?
SiteAddrBSS: • , .?, a '. :..i _'`...?
Plumber.
Conn. Chg:
Acct Dep; ? -
Permit Fee: ?.? ore igg?ng a I??aTf? '
Surcharge. \; _ jRE('. - l;pC ?tC.
Tr. Plant ' comply with the City ol Eagan
Meter. • ? W?^?AW
. . 9y
isc.:
nn y'
WATER SERVICE PERMIT
Date:
3830 Pilot Knob Road
Meter No: Size: ?
P.?. •3ox 2119r! ?U
Eagan, MN 55121 Reader No: Date:
CITY OF EAGAN N_ 14 8 4 7
3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt 00
# O?J ?
To be used for SF DWGJGAR Est. Value $88, 000 Oate APRIL 15 ,19 88
Site Address 3643 KOLSTAD RD
Lot 4 glock 1 Sec/Sub. PINE RIDGE
Parcel No.
m Name WES HANSON BUILDERS. INC
3 Address 8900 PARK AVE
° City BLOOMINGTONphone 888-3453
p Name_
? a Address
? City_
W W
w Name
r
iz Address
a W City Phone
I hereby acknowledge that I have read this application antl state that the
mformation is correct and agree to comply wrth 3,14 applicable Stale of
MinnesotaStatutesandCrty aganOrdina ?
Signature of Permrttee "-
A Budding Permit is issued to. WE }IhN50N BUILDERS
on the ezpress condrton that all work shall be done in accortlance wrth all
applrcable State of Mmnesota? Statutes a?rynd Crty of Eagan Ortlmances.
Building Official ? 1 dOAlt
OFFICE USE ONLY
On Site SewaBe _ Occupancy R-3
MWCG System X Zoning R-1
On Site Well _ (ACtual) Const V-N
City Water X (qllowa6le) V-N
PRV Required _ # of Stories
Booster Pump _ Length 701
Depth 36'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 526.00
Planner Surcharge 44.00
CouncJ Plan Review 263.00
Bldg. Off SAC, City 100.00
Variance SAC, MWCG 550.00
Water Conn _550.00
Water Meter 67.00
RoadUnit -n51Q0_
rreatment Pi 204.00
Parks
629.00
2
TOTAL ,
oa?'-o/a.!
/(9/S?r REQUEST FOR ELECTRICAL INSPECTION ces-o??Eo+/ "Y'
? See instruetiene lor comoletinp this form-on baek of vellow copv. O?/
C 9 '"X?' Belnw Work Covered by 7hrs Request
Add N?.?TypO e o18wlEing AoClia..es Wired EquIUmenl Wire?
Ce
Bulk
X Feo SarvlceEntronceSize k Pee Feetlers/5ubieeders tl Fae Circwts
Ut 2 m s 0 to30qm s 0 tn30Am s
Above 200 qmps 31 to 700 Ainps ,p 31 to 700 A s
Swimming Pool Above 100_Am s Above 100_Am s
Transiormers Irngation Booms OtbpLSag
Signs Special Inspection g TOT L F??
emarks
Fmel
thef ihe above
ion nes eaon
meda.
This ruq.est void`???/8?
? ??h0fr? da 0 ?5.? zi4(e.?
Nequesi Deie Fire No. Rouph-in Irs oct?on
Heqwretl? -
OReady Now?W?ll NoLfv Insoer
?No lor WhaA n Feedy
?y Licnnsed Electrical Contractor I harebv reqaest insvection ot ebove
?? Owner electrical wwk ina<elled at:
$treet Address, Boz or/ /Rovte No.
7 ?C O /S 4
? Ciiv
.e4?
d/I
eCUOn o. TownshiD Name or No. Range No. Count -/
A '
OccupantlPfllNTI Phone N o.
Power Supplier Atltlress
o fa o
Electrical Contractor (Co"m?p ny NvmBl Contrac.mr's Liconse No.
,?o ?r?S l/e 3
Madine Address IContractar or Owner Makine InstailaimN
AuMo ? SiBna e(Con tar ne a ng Installationl hone NumOer
?-/I/
B ?y.
- O /
MINNESOTp STATE B ARD, ELECIIIICITY THIS INSPECTION REQUEST WILI NOT
Grippe•MidweY BltlB• - floam N-191 BE ACCEPTE? BY TME STATE 90ARO
1827 Univsraitv Ave.. St. Psul. MN 56704 UNLESS PNOPEH INSPECTION FEE IS
Phona 16 7 21 642-OB00 ENCLOSED.
J ^ ?
?CJ?-?-
G,u[?C "'i--LYN
[iC
.
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
New Conatruction Reouiremenq RemodellRaoair Reaulrements
• 3 regrsterea sde surveys showmg sq. %. of IaC sq %. of house, and all roafed areas . 2 wpies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculatrons for heated adddions
• 2:opies of pfan showing beam &mndow vzes; paureC found desgn, etc J . 1 srte survey for extenor addi6ons & decks
• t ;et of Eneryy Calculanons . IrMicate rf home served by septic system for addihons
. 3 copies of Tree Preservatwn Plan if lot platted aHer 711193
• Rim Jmst Detail Opbons selectron sheet (Eltlgs with 3 or less units)
DATE VALUATION Y U (/?0`uD
SITE ADDRESS 34LG L dsTLcOI, Lk MUITI-FAMILY BLDG _Y N
TYPE OF WORK cP- QvJ dlvu4 hu-ttC- awJ '11 FIREPLACE(S) _ 0_ 1_ 2
APPLiCANT
STREET ADDRESS 'tJd l y
TELEPHONE # &S1'00'`(k??_
?
PHONE # ? FAX #
ATE.i? ZIP `(
PROPERTY OWNER is'' ltlfr_ t'V\? TELEPHONE #"?W-6&'(1J'l7
--------------------------- ?...................................................................
COMPLETE THIS SECTIOh FOR "NEW" RESiDENTiAL BUILDINGS ONLY
Energy Code Category _ y1IVNrSOTA RULES 7670 CATF.GORY 1 MNNC50"C.\ R['L1:S 7672
(J submission rype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code WC b`eet'Submitted
• Energy Envelope Calcula6ons Submitted ? -,. 12 ?`?", 1'', 1,) `,
7002 U
Piumbing Contractor: ___
Plumbing sys[cin includes:
Mechanical Contractor:
Mcchviic.il scstcm includcs:
Sewer/Water Contractor:
Phone #
Phone #
['cc: 570.00
-----------------------°---------------------------._....._...------°-----------..._-°--°--° -- -°
I hereby acknowledge that I have read this application, state that t information is co e, and
with al1 appiicoble State of Minnesota Statutes and Ciry agan Ordlnanc .
Signature of Appll
---------- ------------------- ---._..-------..- .__--------- -- - -----____..._°-----'---°------------
OFFICE USE ONLY
Certificates of Survey Recewed _ Tree Preservation Plan Received _ Not Required _
_ Water Softencr
Water Hea[er
No. of Baths
_ Phone # ? ----- ---
Lawn Sprinkler I? Fee S9?
No. of R.I. Baths
Air Condiuoning
-- Heal RccovM Sy'stcm
651•681-0675
....----°--------
agree to comply
Uptlated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? OZ SF Dwelling ? 08 06-plex 0 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07•plex ? 17 Garage ? 22 Porch/Addn (4-sea.) ? 33 Ext. Alt • SF
? 04 02-plex ? 10 OS-plex ? 18 Oeck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
Cl 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Ntiscellaneous
? 37 New ? 35 In[ Impravement ? 38 Demolish (Interior) ? 44 Siding
? 32 Adtlihon ? 36 Move Bldg. O 42 Demolish (Foundahon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (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) Final'C.O.
_ Foorings(deck) FinaVlVo C O.
_ Foorings (addinon) _ Plumbmg
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Warer _ Final _ Pool _ F[gs
AiriGas Tzsts Final
_ Framing _ _
Sidmg Stucco Stone _
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new:'replacement)
_ Insulation _ Retaming Wall
Approved By , Building Inspector
---------------------- ----------------------------------- ---------------------------------------------------------------- -------- ------------- -----
Base Fee C3l.15
Surcharge 3 ? 5Z7
Plan Review
MC/ES SAC
Cdy SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total ? kj ?- • ? S
PERMIT # 1 V-7? O RECEIPT DATE?° • ? ?y?ax - -? ??
EOOE M1DWIPTlAL P
CrrY ? ?fi? 1T A?Pf'LICATIO
seso PILoT KNOB RD D -
RAGnx, esx 5s12s .IAN 2 8 2002
esi-asi-4e?s -?
Please complete for: single family dwellings, townhomes and condos when permits are required for each ,
backflow preventer for inigation system
SITEADDRESS: ?oLl?j Kn\ S?-C¦A
OWNER NAME: :_ Jnx ch'(1 S?P ? kt r? TELEPHONE #: <,S \ _In(n-' [????
(AREA CODE)
INSTALLER NAME: ? TELEPHONE #: q5,), ( q
STREET ADDRESS: 605 12[ti AveuuE ?S01Sih ?? CODE)
CITY.
STATE:
21P:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONlALTERATION TO E I TING DWELLING UNIT, INCLUDING:
_ Adding fixtures to bwer levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Ahandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5I8" meter if needed -$118)
Other:
_ RPZ: new installatioNrepaidrebuild $ 30.00
_ Iawn irrigation system
ReplacemenUadditional: _ watersoftener ? waterheater $ 15.00
.w
State Surcharge .50
T
l
t $ 1 S ?
a
o
I herebyacknowledge that 1 have read this application, state that the infortnation is cortect, and e to /andfages h all epplicable Ciryof Eapan ordinances. It
is the appllcanCs responsi6ility to noti(y Me property owner lhat the City of Eagan assumes no 1' bil? or caused bythe City during its nortnal
operational and maintenance activities to ihe facildies constructed under this permit within C perly! ayfeasertyent.l
SIGNATU
city of eagan
/ q, /9 /; qtlw-?
THOMAS EGAN
Moyor
July 10, 1997
MR JACOB SHERLIN
3643 KOLSTAD RD
EAGAN MN 55123
Deaz Mr. Sherlin:
PATRICIA AWADA
BEA BLOMQUIST
SANDRA A. MASIN
THEODORE WACFiTER
Councd Members
THOMAS HEDGES
City AdmiNSirotor
E. J. VAN OVERBEKE
CiN Clerk
This letter is meant to recap our meeting at your home on July 8, 1997. Your frustration
was very apparent and I want you to know that I empathize with your situation.
Cracking in some of your cedaz siding is obvious and will require caulking or
replacement.
According to our records, your home is nine yeazs old. You indicated that you aze the
tturd owner. As you know, I contacted the builder, Wes Hansen, and Southside Lumber,
the supplier of your siding. Mr. Art Tater, representing Southside Lumber, made a site
visit and indicated to me that it appeazs the siding has cracked because of improper
maintenance. At the time of my inspection, you indicated that you had sealed it three
yeazs ago, but could not confirm the maintenance prior to that time.
I made three contacts with cedaz stain suppliers as to the required frequency of applying
these products. They all tempered their responses with "it can vary considerably"; two
indicated every three to five yeazs, while one indicated every couple of years and also
stressed the importance of stain application in the first few yeazs of the siding. I
contacted Interstate Lumber as well and was informed that this type of siding should be
treated approximately every three yeazs.
Based on my site visit and conversations with you, your insurance representative Mark
Peterson, Art Tater of Southside Lumber, contacts with stain suppliers, and contact with
Interstate Lumber, it appeazs that the siding is cracking because of improper maintenance.
The focus of your efforts appeazs to be on finding a responsible parry for your problems;
I cannot tell you who is responsible (if any one person is). I have found no code
violations relating to your siding.
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
EAGAN. MINNESOiA 55122-1697
PHONE. (612) 681-4600
FAX (612) 681-4612
TDD' (612) 454-6535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROVJTH IN OUR COMMUNIN
Equol Opportunity/Affirmative Action Employer
MAIMENANCE PACILITY
3501 COACNMAN POIN7
EAGAN, MINNESOTA 55122
PHONE. (612) 681-4300
FA%: (612) 681-4360
TDD' (612) 454-8535
In regards to your request that the City of Eagan provide an estimate to replace the siding,
please be advised that we cannot perform the services of private contractors. You must
contact siding contractors and come up with a plan that you both feel comfortable with. I
realize that you may not feel satisfied with the extent that we can get involved, but I trust
you understand our position.
If you have any questions or concems, please feel free to contact me at 681-4699. Thank
you.
Sincerely,
?U
Dale Schoeppner
SeniorInspector
DS/js
cc: Doug Reid, Chief Building Official
Wes Hanson Builders
Cities Di ital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
? ?
??'??? ? .
? ..
?
1988 BUILDING PERNIIT 9PPLICATION - CITY OF EAGAN
#14 ? q I
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CEEiTIFICATES OE SUAVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOT3 - CONTRACTOR/SOMEOWNER MUST DESIGNATE WIiICH ADDHESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.t
7 SET OF ENERGY CALCULATIONS
CO[•MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:
c-?-T-
Site Address
Valuation: ? Date:
Lot Zj Block ?
Parcel/Sub ?'ryP
Owner ?r?.:?? fYa&so-?-
Address sQOCJ I-e?, /? '0/Uc??
City/Zip Code SSy'a0
Phone II Or?- .?fS?
Contractor ef?P.r_ rC
Address 6p?Oll /??i•? dt'
City/Zip Code
Phone 7 VS s'
Arch./Engr. _
Address
City/Zip Code
Phone #
OM APR ???
? ?/- " , "
OOG7-
On site sewage_ Oceupancy -R- 3
MWCC system 5,, Zoning
On site well Actual Const V-N
City water &-'-Allowable V-l,!
PRV required _ # of stories
Booster Pump _ Length ?
Depth
S.F. Total
Footprint S.F.
APPAOVALS
Engr/Assess
Planner
Council
Bldg. OFf.
Variance
FEES
Permit 5 26 , Do
Surcharge ,00
Plan Review 763,
SAC, City
_O
10010
SAC, MWCC 550.Do
Water Conn olbU
Water Meter 69 - 00
Road Unit 2?,? 5_DO
Treatment Pl 2044.oo
Parks
Copies
TOTAL ?(o? °
V4LUAT 1 O N1
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SURVEYOR'S CERTIFICATE wES HANSON
IN DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEEf
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - e79,ao FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FL.OOR m97z.g FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCKffi 88a.Z FEET
WE HEREBY CERTIFY TO WES HANSON BLDG. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Bl ock 1, PINE RIDGE ADDiTION , accordi ng to the recorded pl at
tiiereof, Dakota Count,y, Plinnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DiR[CT SUPERVISION Ti715 I ITH DRY GF f+PRIL , i58^o.
SIGNED: J . ILL, INC. ?
??
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
SURVEYOR'S CERTIFICATE wes HANSON
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PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
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OWNER:
S1TE ADORESS: LoR 4 IgLoI
CONTRIICTOR: Pi`Jrz: V.,u&? A-mo.
petermine working square fnota9c of each
1. total exposed wall area..... CGJ? sy. tt. x .11 <
2. Totat root/cetling area..... ? s4. ft. ..026 •
ToLal exposed xell area ahcvc floor=.__???
a. Total wall window area ...........................................
b. Total door area ..................................................
c. Total s11d1ng glass door area ....................................
d. 7ota1 flreptace xett erea........................................
e. Total wall trnming area (average 10:? .............................
f. Total r1m joist area ... .......................................
g. net wa11 area nbove floor .....................................
h. wall area ebove ftoor .....................................
1, wall area above floor .....................................
J. frame wa11 area st foundation ...................................
Total exposed foundation area= 11I
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k. Total toundation xindow area .......................
1. Tota1 net foundation area aDOVe grade ..............
Decermine "u" valuelot etch wa11 segment
(e,g, wtndoa, door, each separate wall section)
e. ??'II Q x., U„ -- = ?( y(?
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pit!srior Envelopo lwezaga "U" Canpuution "
Zbtal rxposed mof/oeilinq +=ea
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r, Zvea1 toof/eeilin9 framie+g area (avcregc30%)•••
o, 'ibt,al net insulated zoof/eeiling area...........
Detezmine "U" valuc for eaeh roof/eeiling 8e9ment
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IS total•of 94 is Lhe sasue as, oz less Chan i2, you have met the intent of
saC 6006 (e) 1.
Alternate Suildinq Envelope Desian
1b utilize the tots'1 envelope systar. method, the values establishad Dy the e•am of
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_
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
..................
.
*NCAE: PASQIfr27f OF FEE AT TIME OF
.
?
; neriscATIa,t ooES rlYr cnrr :
i 3PI1STIE APPACiJAL OF PFRPffT.
f
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:
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,*k LWII. PQiPIIT I1AS BEE21 APPROVm. ?
dtV ?++if???::f+rrv::t<i?fwxi?f:i?+?rrx??+
oF (zagan
(P E PRINT
i) PxorsaTr anoxsss: 310 Y3 Lo !s4w0 -127D
LEGAL DESCRIPTION; ? J
I,ot B oc S vision or Tax Parcel ID
IF EXISTING STRL'CT[JRE, DATE OF ORIGINAL BUILDING PE2MIT ISSUANCE:
Nbnt ear
PRESENP ZONING/PROPOSID USE:
Q CONIIMERCIAL/RETAIL/OFFICE
Q INDL'STRIAL
Q _ INSTIT[JTIONAL/GOVERNMENT
I v?l SINGLE FAMILY _
? R-2 DLPLEX (Trro Lnits)
Q R-3 Z"OWNHOC'SE (Three + Units)
Q R-4 APARTMENT/CODIDOMINIUM
Lnits)
( Onits)
2) ? NAME:
P,DDRESS :
CITY, STATE, 2IP:
PHONE:
For City Lse
3? . ;?. ?; Pl rs I.icense:
I? Active
ADDRESS: Expired?
CZTY, STATE, ZIP: j/1'1 A4w (L Cy11 () ?/t Not recorded
PHONE: MASTER LICENSE #st Initia
4) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
i?,?i ?e
CONNECTION TO CITY SEWEEt Ea-C?ONNECTION TO CITY WATER O OTF? }? __ .
\
6)
* i?"k'k******'k**A'***** ***A"k***** ***'k'k****YF'k****** *A"k***'k'k*?1'A`****'k'k* **?' ***A"k*'k'k**'k'k****** **'k***A'*'k***** r?'
*
*'I4]E GOID COPY OF THE PERNIIT WILL BE SEDTi' DII2FX.TLY TO PUBLIC WORKS ZU FACILITATE ME.'PII2, PIQC-DP. ?
* PLEASE ALIAW 7SV0 WORKING DAYS FOR PROCESSING. SOMEONE FROM TfIE CITY WILL CONfALT YOL IF 1FIERE ?
* AF2E ANY PROBLIIvIS.
?*** *?* *,r** *??? ****,r*,r***,e***?******++,r,r*?rx,r,e **** **++********?***?*******,t**#**?*?,r?*???*r*?,r*?***;
FOR CITY USE ONLY ' ?PERMIT # ISSUED .
Pd w/Bldg. Permit FEES:
$ $ Ic SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLUDE SORCHARGE)
$ ? ('? ? $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ ° SEWER TAP
$ $ ?S O U ACCOLNT DEPOSIT - SEWER
$ $ ???C? O ACCOONT DEPOSIT - WATER
$-?_?D WAC
$ 6?,?D Op • $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$? $ LATERAL BENEFIT/TRDNK SEWER
$? $ LATERAL BENEFIT/TRUNK WATER
$'? Ga e) $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
lZ/7//,00 $ _ ?,5W? 1"e'POTAr.
47 9 D 3 F':3 -??, V
RECEIPT RECEIPT ,
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING ?
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS: .
APPROVED BY:
TITLE: _
DATE:
?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138765
Date Issued:09/20/2016
Permit Category:ePermit
Site Address: 3643 Kolstad Rd
Lot:4 Block: 1 Addition: Pine Ridge
PID:10-57675-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd W Smith
3643 Kolstad Rd
Eagan MN 55123
(651) 707-6034
Window World Twin Cities
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139855
Date Issued:11/14/2016
Permit Category:ePermit
Site Address: 3643 Kolstad Rd
Lot:4 Block: 1 Addition: Pine Ridge
PID:10-57675-01-040
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 -
Todd W Smith
3643 Kolstad Rd
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(763) 370-0074
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156881
Date Issued:07/23/2019
Permit Category:ePermit
Site Address: 3643 Kolstad Rd
Lot:4 Block: 1 Addition: Pine Ridge
PID:10-57675-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd W Smith
3643 Kolstad Rd
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163976
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 3643 Kolstad Rd
Lot:4 Block: 1 Addition: Pine Ridge
PID:10-57675-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd W Smith
3643 Kolstad Rd
Eagan MN 55123
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177458
Date Issued:07/01/2022
Permit Category:ePermit
Site Address: 3643 Kolstad Rd
Lot:4 Block: 1 Addition: Pine Ridge
PID:10-57675-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd W Smith
3643 Kolstad Rd
Eagan MN 55123
(651) 592-4814
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature