3650 Kolstad RdCITY OF EAGAN Remarks?
oAA;*;,,,, Timberehore 1
Owner r" 5treet
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1974 321.03 64.20 5 PSia
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 1973 ?. 41.64 15 Pgid
WATERMAIN
* WATER LATERAL 1 3
WATER AREA
STdRM 5EW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 571$ 5-15-72
6UILDING PER.
sac 20.00 5718 5-15-72
PARK
CITY OF EAGAN ir- Remarks
Addition Timber3#rte 1 Lot 4 Blk 9
Owner ???-" 1?? ?.?1? i,? LJ , Street 36 54 Kolstad Rd.
Improvement Date Years Payment Receipt Date
STREETSURF. 1C?'? 5 Paid
STREET RESTOR.
GRADING M
SAN SEW TRUNK
? SEWER LATERAL
1C?"j3 4
lrj
PB?.d
WATERMAIN
It WATER LATERAL 1973 l,
WATER AREA
STORM SEW TRK
? STORM SEW LAT
CURB & GUTTER
SIDEWALK
? STREET LIGHT
WATER CONN. 110.00 5718 5-15-72
BUILDING PER.
sac 240.00 5718 5-15-72
PARK
CITY OF EAGAN Remarks JAJA!??,' ?
Addition TimbershOre 1 Lot 1 Rlk 9 Parcel 10 765W M0 09
Owner AI(U.L.I m•'UG_ ?C? tI '._ Street 3656 Kolstad Rd. Statie E8g8A,MN 55123
i' 1, '" ?- ?r?'1.i+ r'/ •-,',
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 197ft 321.03 .20 5 Psid
STREET RESTOR.
GRADING
SAN SEW TRUNK
/#F SEWER LATERAL 624.68 Ji,l.v4 15 pgi(1
WATERMAIN
*WATER LATERAL 1973 1
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 5718 5-15-72
BUILDING PER.
sac ,00 571 -1 2
PARK
CITY OF EAGAN Remarks ?)
?( Additian ? Timberl3ne 1 Lot '2 Rlk
Owner Street 3650 Kolstad Rd,
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1974 321.03 .,ZQ 5 Paid
STREET RESTOR.
GRADING
SAN SEW TRUNK
?9, SEWER LATERAL 1973 624.08 15 P d
WATERMAIN
*WATER LATERAL 1973 15
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 5718 5-15-72
BUILDING PER.
SAC Q ? 5718 ? 5-1&-72
PARK
cinr oF Fr?cAN
3795 Pilor Knob Raad Eagan, MN 55122
PHONEt 454-8100
BUILDING PERMIT
500.
57te Address
Lot Block Sec/Sub. -
Pcrcel *
a: Name -
W
Z Address '
..,. _ ..?----
' Name _
?
/lddress
Name _
Addreu
I hereby ncknowledge that I have recd this application ond state thot
the infortnation is rnrrect and agree to rnmply with all applicoble
Stote of Minnesota Statutes and City of Eagan Ordinonces.
N2 5518
Erect ? Qccupancy
Alter ? Zoninfl
Repoir ? Firc Zone
Enlarpe ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Aonrorals Fees
Assessment -
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off. -
APC
Permit
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
Totol
Signature of Permittee I
A Building Permit is issued to: on the express condition that
oll work shall be done in occordance with oll applicable Stote of Minnesota Statutes and City of Eagon Ordinances.
Building Official
I
Reteipt #
PormM # paft hwd PawktN
Plumbing
Mechunicol
INSPECTIONS DATE INSP. RoupMln Ffncl
Footings Dote Irop. bote Irmp.
Foundotion Plumbing
Frome/ins. Mechanical
Finol
Remarks:
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesata 55122
3-9
?,?ber-sha??.? s`
PERAfIT N0, 1 94
The Board of Supervisors hereby grants to (}oo. Sedgt-r1.Ck Heabiag &
Air Coa?ditioning of 1001 %enia Ave. So.. Minneapolis 55416
a HEATING Permit for: (Owner) New Horizon Ha4ea
at 0 3652, 3654, 3656 ltolstad Ave. , pursuane to application dated
1y/10/72 ,
Fee Paid: $$0.00 Dated this 21st day of April , 197 2.
2.00 e C
Building InspecYor
-3
? 6 7lcJ/OO L?J'6 ??
711-11iX1'SA?/'F' 1S1//
T04)N OF EAGAN
3795 Pilot Rnob Road
Eagan, Minnesota 55122
PERMIT N0. 193
The Board of Supervisora hereby grants to ThpRpeon Plumbing 00.
of 12201 Misuietonlta $].vd., NIinnetonka $5367
a pLUI?ffiIN(} Pexmit for: (Owner) New Horisa¢1 Smea
at 3650,3652j= '? 801sEad , pursuant to application dated
1a/7/72 .
Fee Paid: ?nf) Dated this Ilth day ot 1973,,
2.00 e/c
Building Inspector
-3
1 r ? ' crrr cF 'uw?N
3794 Pilot Knob Rmd Eagan, MN 55122 N2 5 518
PHONE: 4548100
BUILDING PERMIT APPLICATION Receiv* # ' `-°°?---
re be wea k. Fireplace Esr.vaiue 500. p,te 11-29 1979
Site Address 3656 Kc)lst3d Erect M Occupancy R3
Lot -A f Block 9 sec/Sub. TiTthershore 1St Alter ? Zoning ?
Repair ? Fire Zone 3
Parcel #
E
l ot Const
T V
n
arge p .
ype
w Name Maraaret Bangerter Move ? # Stories
Z
3 Address 3656 Kolstad Rd. oe,,,or,sti ? Front fr.
o , Eagan 55123
452-3626 Gmde ? Depth R.
C
Phone
p Nome _
Address
Nome _
Address
I hereby ocknowledge that I have read this opplication ond state that
the information is wrrect and ogree to comply with all opplica6le
Smte of Minnewta Stotutes and City of Eagon Ordinances.
Signature of Pertnittee
A Building Pertnit is issued to: mar
all xrork shall be dorre in accordance
Buiiding Official
Assessment -
Water & Sew.
Police -
Fire
Eng.
Plcnner -
Council _
Bldg. Off. -
APC
Permit ""
Surchcrge .50
Plan check
SAC
Water Gonn.
Woter Meter
Total 5.50
/ on the expreu condltion that
Minnewta Stotytes and City ot Eogan Ordinanus.
R?,.? ?•
CITY OF EAGAN
BUIIDING PMIIT APPliV9!iION
Zb se usea Fo
Site Address:
r valuation
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date /;/
OFFICE USE OPII,Y
Lot ? slocx sec./sub. Erect t/ occupancy
Parcel #: ??r Zoning
Repair Fire Zone
Enlarge Type of Const. i/
O.mer: ?itr ?A Rer 64FN 6 E 2fE' e2 Move # Stories
Pddress: 310 Sb ko /Sfttcl 614 Deirolish Fmnt ft.
City/Zip Code: FA1,41iI ? _y'S/ 02 3
Phone # : - 3 6
Contractor •
Address:
City/Zip Code:
Phone #:
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
Grade Depth ft.
APPROUALS FEES
Assessments
Water/Sewer
Police
Fire
En9-
Planner _
Council
Bldg. Off.
P.PC
Perntit
Surcharge ?
Plan Checlc ' SAC
Water Conn.
Water Meter
Road Unit
.%" EAGAN TOWNSHIP
BUILDING PERMIT N•° 2649
Owoex ......J..-?-Y.ll.`.... /.Y..`.?.?"Yi Eaqan Township
Addrau (preeenl)
G 5?!?{..2 ?? ?'..^"":.`.-.:???'• ??? l Town Hall
..... .. ............. ......-^ --? sS??f3 Buildar ................................. ...... .............................. .---------------------- ... Dale ... ?'.....-/ - ........................
? 7 "Z
Address ....
---_............_ ..............--°'-------'--.............................-- ---- --
DESCRIPTION
Slo:iea To Be Used Fos Fronf Depfh Heigh! Esf. Cosf Pezmit Fsa Aemarks
9?,?,00 ?
? •F ,d. ?ti--e-_,Ja') ' ??,??5', tf ? 6 ? ?s? oc / , -
" LOCATION ( / / [, -l. ?-' J
o!
-J4-- k I -? I `? 124r.?G?c? l.az`-
This psrmit does aot aulhosSse !ha use of siteels, soada, alleys or sidewelks noe doee if glve the owaer or his egeni
the righ! !o ereale anp siiuafion whieh is a nuisanee or whieh presenfs a haaard fo 2he healih, safely, eonvenienca and
gsneral weliara !o anpona in the communify. '
THIS PERMIT MVST SE KEPT ON TjiE PREMISE WpH?ILE THE WOAK IS IN PAOGRESS. -
This is !o ceslify, ihal--aapermisaioa to ereat a.....?0.....-..
............................................ u p o n
the above descsibed premisa subjscl !o the proviaiona of the Building Ordinance for Eegan Township adopted Apri1 11,
1855. yo
.............. .--....... ..' "' ......?-l"`-°..--"""'_'
Chaisman of Tnwn Board
?6
1
Per ._.._......,Lk...?.C`-,--
..................................... i
?' Buildinp Inapector ,
,\` n? 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
??" CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
oate L6 I 1,YD I D,-)
Site Street Address ? C? 60St"C1 d Nl ,ni Unit #
Property Owner -Y1Zlr Telephone # GL) 05
H.P. PIPEWORKS
Contractor 2670 nnnn o AD
Telephone # (
)
Address EAGAN, NIN 55123 City State Zip
„
The Applicant is: _ Owner _ Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heate r--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5l8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new i replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ?VJ'?v
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
M)h(JQ MAJ
ApplicanYs Printed Name
?, -
2?05
'?1?,5bW)
6(oD59
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Plcase complete for: single family dwellings & townhomes/condos when permits aze required for each unit
30• S-6
Date
i
dd
o/S it #
U
S
te A
ress IL
Q CY n
Property Owner fQ,4.,(. I e?`? ? i p p/r1S Telephone #(6,S/ ) T S?' ?153-
Contractor
NN 1PARD HEATING 8 AIR CONDITIONING C O cit
Street A
4 19-WLS'T- y
I?iKEB EET
State MINNE'4POLIS, MN 5540g_29gg
Zip
Telephone #( )
?T2'?' 2gS6
Bond Expires:
T6e Applicant is _ Owner _ Conuactor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
?airconditioner _New Replacement
other
StateSurcharge 'i ?-'?AUG 26 L664
?Sl $ .50
l $ 3e Sc?
Tota
I hereby apply for a Residential Mechanical Pemut and aclmowledge that the information is complete and accurate; that the work will
be m conformance with the ordinances and codes of th City of Eagan and with the Mechanical Code L t I understand this is not a
pernrit, but only an applicarion for a permit, and wor is not to start without a emut; that the w rk w' b?n accordance with the
approAd plan in the casp oF w?luch requires a red w and approval of pla n n
Applicant's
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please completc for. commerciaVindustrial buildings
multi-(amily buildings when separa[e permiks are no[ required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicabie) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # '( }
Bond #: Expires:
The Applicant is _ Owner _ Con[ractor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove **see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work
"When installing/removing underground tank, caU for inspection by Fire Marshal and Plumbing lnspector
Y¢1'RIIt F¢¢S: $70.50 Underground tank msta?ationhemoval
550.50 Mtnimum (includes Sta[e $uroharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If pe rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If ermit fee is over $1,000, add $.50 for
every $ 1,000 ep rmit fee $ Totai Fee
I hereby appty tor a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; tha[ [he work
will be in conformance with the ordinances and wdes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not ro 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 approva] of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector
RESIDENTIAL
qO? 2-- BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiramanh
• 7 registereA site surveys sMwing sq. fl. of lot, sq. ft of house; and aU roofed areas
(20°o maximum lot cove2ge allowed)
• 2 cooies of plan showing beam 8 vnndow sizes, poured found desgn, etc )
• 1 set of Energy Calculalrons
. 7 copies of Tree Preservation Plan d bt platted after 711193
. Rim Joisl Detatl Optlons selechon sheet (61dgs vnth 7 or less units)
? 0 , a 5
C,aA4 1Kl-7 6-.7/
RemodeUReoair Reouirements
. 2 wDies of plan
• 7 set of Energy Calculatrons for heate0 aadihons
• 1 site survey for extenor additions S decks
. IrMicate if home served 6y seplic sysrem for additions
4DATE __7tjq c?q oZ00o2 ? VALUATION
?'SITEADDRESS 1?01Svct-(? r -VG? MULTI-FAMILY BLDG &Y _N
TYPE OF
APPLICANT
STREET ADDRESS
TELEPHONE #
fIREPLACE(S) X. 0 _ 1 _ 2
ea_STATErn/U ZIP S-5-1-23
GCnL CITYtg
E # dQal-&$ I -Y?0 41 FAX # 60S1- 69I
PROPERTY OWNERGi4C.L'P??P? ? . ! , ?,?' ?p l /L-S TELEPHONE # CPS I-'7 SZ 'SI93
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ JIIVNE501':1 RI LES 7670 G\T1:G0RY 1 N[I\\LSO"l-:\ NI "I.L•5 7672
(J suGmissron type) • Residential Ventila[ion Category 1 Worksheet Submittetl • New Enerqy Code Worksheet Submittetl
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contractor:
Mcch.uiical svstcrn includcs:
Sewer/Water Conhaetor:
---------------^ Phone #
_ Water SoCtener Lawn Sprinkler
Water Heater No. of R.I. Baths
? No. of Baths
Phone #
Air Condiuonin; ,
Heu Rccoccn Svstcm
Phone #
Pee: $90.00
Pcr. 570.00
2 IU
----.._...-°----°-------------------------°----------------------..._..----...-------------•- °---- ----- o-? ----°--
I hereby acknowledge that I have read ihis application, stafe that the information is corre ??rKiegtg?ta?
with ali applicable State of Minnesota Statutes and City of Eagan Ordinances.
SlgnatureofAppllcanf
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Uptlated 4102
OFFICE USE ONLY
. . ,
? 01 Foundation ? 07 OS-plex ? 13 16-ptex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 Ofi-plex ? 16 Fveplace ? 21 Porch (3-sea.) ? 31 Ext. AI[ - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext Alt - SF
? 04 02-plex ? 10 08-plex ?K 18 Deck ? 23 Parch(screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 37 New ? 35 Int Impravement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
x- 34 Replacement 'Demolitian (Entire Bldg only) - Give PCA handout to applicant
Valuation
Occupancy
MC1ES 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 ` ?j Width
REQUIRED IN SPECTIONS
Footinos (new bldg) Fina6IC.0.
Footmgs (deck) ?. FinallNo C.O.
' Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Warer _ F inal _ Pool
F[gs
Air.%Gas Trsts Final
_ Framing _ _
_
Siding Stucco S[one
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ [nsulahon _ Rztaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
license Search
Copies
Other
Total
? -
Approved By
-----------------------------------------
ll'' "_ "' ?, 62
Building Inspector
. ? ? ----
??
? , -
•-r , ... ...:.:?. ?.(? ?'?..'..?":1?? ?? y?o??w?.{?:? ?"?4?\ti???'JYy?l?y)?;.
tE` :............. ......0 .L .:D .................. ........ ..O L
X --
I • .?i' P!i-rdT W408 ISG•
I
. I
' •NOTE
I SEE DETAtL A7-15C
TIMBERSHORE ADDN.
? • \ ?'
?
a
O
?
..... L A N E......
......... ................ ...........
.. .. ...... ...
. ..
o
eL Ca u• a 27n
oA i?? ? N
m . ,.
O C N a fQ• n
/?..? ? ? N _ • ?
10 c' _10 Cd
• ` ?Y?•: ? • u ?_iiJ.
U;i -• ., }.•, ?- :
' D73 ? =S
KV• ? IcYA
? LO-7 UG-7
354= PN ? ?M (314 ! 8E45
c ?,b Vo ?a e xwc 9640 uoi ssoY J ? I r. u. l _
.1.• I
? I . ' ' ?/ . • A
1 I ' • 1
.- b 7
?
?
. I ' ' • . Q +
6
? ~ 7
lA p
I
.Y.trCLO
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. • • .......
i .
i
e
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?
?
i r.
, •
. .......
......... ,
...
c3?
i
?
i .
t•
S?
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements
. 3:egisrered sde surveys showing sq. ft. of 06 sq R of hoose: ana all rwfed areas
(20°'a maximum lot coverage allcwed)
. 2 eooies of plan showing 6eam 3Nindew srzes, pouretl found desgn. ttc )
• t ;zt o1 Eneryy Calculanons
. 1 copies of Tree Preservation Plan A lol;latted after 711193
. Rim Joist Oetail Opfions selection sneet (blogs wdh 3 or less umts)
RemodeVReoair Reauirements ? '
• 2 copies of olan
• 1 set of Energy :aiculations for heated addiM1ons
• 1 sde survzy `cr ex:erior additrons 3 decks
* Indicate 4 nome szrveA hy septic system Por aaditions
DATE 7-/1'0)--
7da- °=
VALUATION
SITE ADDRESS ??'ry Kd '?GP"o Q ctQ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT R2hq1.fr6yheP Ex'TBriar_!`
STREET ADDRESS Ale--y /0 CITYPt'Pe9ATE??ZIP
?acc 3
TELEPHONE # 763'7,P,9-,?-40CCELL PHONE # PAX # '764 5' - 7-,t"4
PROPERTYOWNER PaelleTT'P rf jl°l0d-r TELEPHONE#
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINN[:SO'!-.A RCLES 7670 C.ATHG012Y 1 MIVNGSO'l'.A 12I'LliS 7672
submission type) • Residential Venhlation Calegory 1 Worksheet Submitted • New Energy CoCe Worksheee Submittec
• Energy Envelope Calculatlons Submitted
Plumbing Contractor. Phone # ___
Plumbing system includes: _ Water Softener Iawn Sprinkler Fce: $90.00
Water Hea[er No. of R.I. Ba[hs
-- No. oF Baths --
Mechanical Contractor: Phone # -?
Mcch.uiic.il sy'.?tcm indudes: Air Concliuoning i:(
-- Heat Rccovcr}' Systciri
.i??? 112002
Sewer/Water Contractor: Phone #
"-'-""----"----'----°-'--"--"'--"--°°-"---°-------"--'--'-'-"'----•---'------' ----'---- . ...
I hereby acknowiedge that i have read this appiication. 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 wd? A
--------------------- ---------- "---------- ----------------------------------- ----------------- ----------------------------- --------------------------- -?w
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
OFFICE USE ONLY
? 01 Foundation p 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AI[ • Multi
? 03 01 of _ plez, ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. 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_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndatfon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof p 46 Windows/Doors
? 34 Replacement 'Oemolition (EnHre 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 W idth
REQUIRED IN SPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footmgs (deck) FinaU'No C.O.
_ Footings (addition) _ Pfumbing
_ Foundadon HVAC
_ Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool Ftgs AiuGas Tests Final
_ Framing Siding Stucca
Srone
_ Fireplace _ R.I. _ Air Test _ _
Final _ _
Windows (new:/replacement)
_ Insularion _ Rztaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
e -
1?2 `i
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
?
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architectural Plens (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structurel Plans (2) • CodeAnalysis (7) "
. CertificateofSurvey (1) • CivilPlans (2) • ProjectSpecs (1)
. Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1)
• ProjectSpecs (1) • CodeAnalysis (1)" • MasterExilPlan (1)
• Spec. Insp. & Testing Schedule . Certificate of Survey (1) • Energy Calculadons (t) not always"'
• Soils Report (1) • Spec. Insp. & Testing SChedule (1) " • Elec. Power & Lighting Form (1) not always"
. Meter size must be esfablished • Meter size must be esta6lished • Meter size must be established - if applirable
. ProjedSpecs (7)
1 • EnergyCalculations (1)" 1
1 • Electric Power 8 Lighting Form (1)
1 • Master Exit Plan (1) 1
1 • Fire Protection Plan (1)
1 • SoilsReport (1) 1
• MC/ES SAC determinalion letter • MGES SAC determination letter • MC/ES SAC delerminatlon letter
call 651-602-1000 call 651-602-7000 rall 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: WORK TYPE: NEW REMODEL CONSTRUCTION COST! + u!' ! 1
SITEADDRESS:}3b5?i i-?.u--Tp?3lo (iv o IS+V1A ?'o •
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
SUITE #:
Name: I I??I I??? StT? `! ?G T, vik Phone #: ((vs 1 1 13 J'7
PROPERT'Y Last First
OWNER ? ? • V ? ? ? ?? 1
Street Address:
Ciry: ep? cl^ /v State: tj Zip: ca
Company:? Vi?1-G5 WIn1C)-S'yJ'j'J1?,?ne#: ?5 a ) Jq) -3q170
CONTRACTOR
Street Address: Lx-(>-? ? •
City: tn//1?? V().?t?/ State: MIJ Zip:
-I--?-.`
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
City:
State:
Phone #:
Registration #:
Licensed plumber installing new sewer/water service: Phone
1111 0 3 2002
I hereby acknowledge that I have read this application, state that the infortnation is correc nd agr?! le State of
Minnesota Statutes and City of Eagan Ordinances. 1
Signature of Applicant: /\
LI) Updated 1l02
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) ? 44 Siding ? 48 Authorizarion
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning s ft.
q
SAC Code # of Stories sq. fr.
No. of Units Length sQ• ft.
No. of Bldgs. Width sq. ft.
Const. (Actual) Basement sq. ft. MC/ES System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? H eating ? 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
TIMBERSHORE 1ST 76500 PAGE 2 OF 2
PERMIT
DATE &
TYPE LOT BL ADDRESS
3/72 4-PLEX 010 08
020 ag
030 08
040 08
3/72 4-PLEX 010 09
020 09
030 09
? 040 09
3664/ KOLSTAD RD
3658/
3660/
3662
3656/ KOLSTAD RD
3650!
3652/
3654
3/72 4-PLEX 010 10
020 10
030 10
040 10
3648/ KOLSTAD RD
3642/
3644/
3646
3
?
? ?TER CARD
LOCATI ON
•
OWNER
q' ?
STRUCTURE AND
LAND USED AS ( ?//JA17 ? ( r??I I7.
Permif
No.
Issued Issued To
Coniracfor Owner
BUILDING AkY?
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
??
?'-
GAS INSTAILING -
SANITARY SEWER
OTHER
OTHER
0 e p
I
/
?
\I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING oo' $EPTIC
FOUNDATION y. CESSPOOL
FRAMING TIIE FIELD FT.
FINAL
ELECTFICAL
HEATING
? - DEPTH
OF WELI
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WEII
SANITARY SEWER
.
_
r ?+ /?
. Violatians Noted
on Back
COMMENTS:
sF ;w
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS
1-1 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REIN'SPECTION REQUIRED
REINSPECTION
DATE OF REINSPECTION *
CERTI FICATION - I certify that I have carefully inspected the a6ove in which I have no interest present or praspective, and that I have reported herein
all significant conditions observed to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property insDected.
r-I ALL IMPROVEMENTS ACCEPTABLY COMPLETED
eUILDING INSPECTOR
COMMENTS:
DATE
'q? 2?
h,
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cmr oF E?cnri
3830 PILOT KNOB RD - 55122 ?(o 0?
657-681-4675
New ConaM1UCNon Reaulremanla f 7J 503$ RemodeUReoalr Reaulrements
? 3 registered site wrveYS showing sq. R. of lot, sq. k. of house 2 copies ot plan
and gl roofed areaa (20X maximum lof covemae atlowed) 1 set of eneryy calcWatbns for heafed addlHons
;r 2 coples of plans (stww 6eam & w(ndow sizes; poured fnd. tleslgn; eic.) 1 slte survey la exledor addHlons & tlecks
? 1 set of energy calculallons
? 3 coplea of Iree presenation plan it lot plaMed a(ter 7/1/93
DATE: ?' aS ? ZOCJC?' CONSTRUCTION COST: I- 5 DO
DESCRIPTION OF WORK: te(f V? If muHl-famiy bldg., how many unlfsl
STREET ADDRESS: VA 7) f.11-1 7 (.iU1
LOT: '3 BLOCK: _9 SUBD./P.I.D. q:
PROPERiY
OWNER
CONTRACTOR
ARCHfiECT/
ENGINEER
M
Name: ?JICkOh C,/aI?UP?- ?ra,uc?ScC) phone?: 6S? 4/ 7 'S??
Last Flnt
Street Address: SOI mC
citY
Sfate:
Zip:
Company: Phone #: Sa m ?
(area code)
Sheet Address: SQ rn(?? <-X0- Ucense i Exp.
Clty
State:
Company. Name:
Telephone q: ( )
Sheet Address: Regishaflon #:
CNy
State:
Sewer/water licensed plumber (ff insWllirro sewerMratarl: Phone #:
Zip:
ZIP:
I hereby acknowledge thaf I have read thb applkaNOn, state that 1he infortnation is corcect, and agree b compty wiTh tl applicable Stafe
of Minnesota Stalufes and City of Eagan Ordinances. r
Signalure of Applicant ? O CY1 11"
Certificates of Survey Recetved _ Yes
Tree Preservation Plan Received - Yes
OFFICE USE ONLY
r,o ,DUL 25
_ No _ Not Required /m
OFFICE USE ONLY
SUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
0 04 02-piex ? 10 OS-plex
? 05 03-plex ? 11 70.plex
? 06 04-plex ? 12 '12-plex
WORK TYPE
V 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.)
p 17 Garage ? 22 Poroh/Addn. (4-sea.)
.Ip1 18 Deck ? 23 Poroh (screened)
O 19 Lower Level ? 24 Storm Damage
Plbg _Y or_ N ? 25 Misceilaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bidg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
0 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual) 5-7
(Allowable) ?
UBC Occupancy ?
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
ToWi:
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building G1 Engineering Variance
Valuation: $
? 31 Ext Att - Mutti
? 33 Ext. Aft - SF
? 36 MuRi
SAC Units
% SAC
612 786 0474
JUL-27-2000 10:22 612 786 0474 P.01
FAX TRAN5M1177AL StiEET
-C_ DATeS?T? 7"27-o0
(',qMPRNYSc?.ITTG C/`rYQF FA4/4N _-
A? ? N7 1 arv BlllLDl?i DEAtRTNJ,EwL
FAx No. ?G31-G81- 4494
FRcM: "17'INBmSrF'w NaMtEDwmERS AewevN
AUkr'WcRtrrL GoMmnW
pAIGNrtEL ;z• ,peRfelJ 61Z - 4/g -3Z2,¢
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RE: GaNSaPt.wTloa oF Q?? -
MESSAGE?: Aflnue &s • 3452 0 Mr*Q
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NUMBE.Z CF n4Gc5 iNCLUDING -IS r ANSW ? aL. due
ORIGWAL C:JPY 7a 0E 5ENT VIA MAIL
(NOTc: if yau did not recsrve all eooies sent. ;.lesse noclfy senaer? ,
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,
EAGAN TOWNSHZP G mA- b
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: April 11, 1972 NUMBER 972
C11 LE
OWNER•New Horizon Homes Address 6? 3652, 3654, 3656 Kolstad
PLUMBER Thompson Plumbing Co. TypE OF pIPE Heavy C ast Iron
DESCRIPTION OF B[JILDING
Industrialt Commercial
Reaidential I Multiple Dwelling I No, of units
x
Location of Connections:
Connection Charge G e,-*-' -?
Permit Fee 10. d 11 2
.50 pd /11 72
Street Repairs
Total
Inspected by:
Date
Remarks•
By. Chief InspecCOr
In consideratioa of the iasue atnd delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Fagan Tormship, Dakota County, Mianeaota
BY
Thompson Plumbing Co.
Pleaee notify whea ready for inspection and coaneetion and before any porCion
of the work is covered.
3
EAGAN DDWN3HIP
3795 Pilot Knob Road ?
St. Paul, Minnesota 55111 ?
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
gio
Date: April 11, 1972 Number• --93:w
Billing Name: New Horizon Homes Site Address: 650 6 2 6?4. & 656 Kolstad
.Z9.3
pi,me1; same Billing F.ddre !}. Kostad S 6 ? 7
Meter No, Permit Fee 10. 11/72
. 0 !? pd 11/72
Meter Reading Meter Dep.
5 meters atiU:dQ ea. -'
Meter Sealed: Yes lAdd'l Chg. 300.00 pd 4/11/72
NO iTotal Chg.
Plumber: Thompson Plumbing Co.
???7oa3!
Location of Connection Meter Size_ Connecti
Buildiag is a:
Residence
14ultipie x Ho. Units
ra meter
Commerc?ia lS
Industrial
Other
Inspected by
Date
Remarks:
...,i.
Hy:
Chief Inspector
In consideration of the isaue and delivery to me of the abwe permit, I
hereby agree to do ttm proposed work in accordance with the rules and
regulations of Eagan Towaship, Dakota County, Minnesota.
BY:, f v f ?? . -
Thompson Plumbing Co.
Pleaae aotify the above office when ready for inspection and connection.
j
?
Jul 28 2014 09:46AM HP FaxGates G.C. 7634987710 page 1
�
C/" f/ !� ---Use BLUE or BLACK ink
� � For Office Use �
�• � /� . ,� � �a���� �
It of Ea�a� ,�/� V � I Pertnkit: �� �
� � � �� �
� Pertnit Fee: �
3830 Pilot nob Road
Eagan MN 5122 � `i� � Date Received: � �
Phone:(65 )675-5675
I I
Fax:(651) 5•5894 � I Staff: I
I I
�����������������J
014 RESIDENTIAL BUILDING PERMIT APPLICATION�}
Date: � Z � Site Address: 3�O�, 3G�'Z,3(,, `►i �✓�' ���T� eUrn�
�_._......,F _ Name: ��tM���� ,.C� __.' ..._._,. .._.._. Phone: �t�I"���'M���
� ResidenU
� Owner '' address�c�ty�z�p: �� �-�v�-
' Applicant is� Owner V Contractor
Type of Work ', Description of work: ��h�r
� _ Construction Cost_ �g LL r (p�- y_ Multi-Family Building:(Yes '!I No_�w�YV_
� Company�11"r'GS G� St/��•�x;�,}� Contact: �Pr-0'CG�
Contractor Address: ��O �Z�13��.ij �ir(^/ �;�y� ��y ;.yL��
Stat�N Z����/ Phone�/Z 7Z��( Email:�r�,.�J1T�S�lST�r-�GfITiD,�/.
� �
License!k: '7L(�'t��v 7�� Lead Certificate#: !�/�t'T�7'L 3�� �
If the project is ex pt from lead certification, please explain why: (see Page 3 for additional information) !
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ��y
In the last 12 mont ,has the City of Eagan issued a permit for a similar plan based on a master planT
_Yes _No I yes, date and address of master plan:
Licensed Plumber: Phon�•
' Mechanical CoMra or: Phone:
Sewer&Water Co actor: Phone:
NOTE:P/ans an supporfing docume»ts that you submit are considered to be pub/ic infurmativn. Poriions of
the JnformaUo� y be classified as non public if you provide specific reasons that would permit the City to
_�,.. _.^�� conclude that the a�de secrefs. M w�T�N�w
CAL�BEFORE Y U IG. Call Gopher Stabe Oae Call at�651)454-0002 for protection against underground ulility damage. Call 48 hours
befo2 you intend to dig o receive locates of underground utilities. www.aonherstateonecall.ora
I hereby acknowledge t this information is complete and accurate;that the work will be in oonformance with the ordinances and codes of the Ciry of
Eagan; that I understa this is no4 a permil, but only an application for a permit, and work is not to stert without a pertnit;that the work will be in
accordance wilh the app ved plan in the case of work which requires a revlew and approval of plans.
Exterior wor thoriz d by a bu'ding pertnit issued in accordance wilh Ihe Minnesota Bullding Code st be completed withln 180
days rtni suanc .
�
x X
Applic ' m Ap Ys Signature
Page 7 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161232
Date Issued:05/13/2020
Permit Category:ePermit
Site Address: 3650 Kolstad Rd
Lot:2 Block: 09 Addition: Timbershore
PID:10-76500-09-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Victoria Johnson
3650 Kolstad Rd
Eagan MN 55123--101
(612) 239-9001
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature