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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 i • .? . • • ....... i . i e i o - I "3 Y ? ? 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,¢ ?Z-RSGN 3ENOlNG )NIG1ptEL iP•O'80E1Q RE: GaNSaPt.wTloa oF Q?? - MESSAGE?: Aflnue &s • 3452 0 Mr*Q -? -•. -? }?p??,sp.??t}?S I?f?6aGl?tftew'] 7D Gou87?tlGT A _ 7*0 OsW SWLL W I?ler?41: vG Tft l.OcAL. loDES • 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? , = _?,;. ,. ; ?•: ;, tz;• ri { ?? ? I' .:a , ? Ihi?X ; + , TOTFIL P.01 .r ./_ ! Il??+ /'11t71' K`f?5?011{7 ~ A?JO ?Fi+ /1'1 FS . . • ..- . .. . ?<.. .._a?\.Y ?.la .. .. , ... , ......'... .t........... .`..?........w..i.w.....'J"w?}•?7:::? . \ O L D 0 L . ` 1 1 1 _ - -- EX - -- ? . Q)?-QT KNt3R ISF. A:. ..i'i ? ??-?-- - ? ----? - ----? ? CRESTRIDGE LANE ........................................... ....::'? .................. .............. ....._........ ?, MOOEL A W m p b n A 0 0 0?' 2? I . ? I• a " o c_ ,Yo? ,, a :? •ti=•r.. '-?"?r u? y,. ??. .: p 1 . . • ? . E•7.? ' YS . . ? ' I . I KVA , uo-7 uG-T F : ? _ 3614 Si42 PN ? Pta DS?IS D81?5 T c </0 UD > . •MOTE ? IQ4?' I a o s?e? SEE DE7All A2-I5C 3046 as4e ?o, 649 364Y I ?1 r.r+. •? ?---.._?i::i 71MBERSHORE ADOri. .??q? ?;4 ???,? •..?' r?_ ------ ?- --? ., . -- • - r7fli Vp I .. . ?, ' . „-Ase?ss a?s o? q s eI? asqs : Q, . ... A I ' ' acse ? asss• ssc? n 7 -c .t,44 o ?te 62 b6 ? Y;?q ie65 3663 ? P. N ? \ •i iscaa aasa ' Vo I F ?, ovs? Qs' 3 ? . V) A' 0 IiT.S C q? , ..r.9; J R 7 ' S 9 KfU :- Q ? l4r7 .. ?? ). s ' P.N. ttp 8 . , ... ?ii t • -` : I ? - ....... , . ` ?.?,J? i r tA ?? .,y 0 It ? . Z ?.. .. ;.? •? ?j ? • / i:: ` Q '' ............................ .................. ? ?, t ? ?,,, , ?;s. ? ., ,.-r• •s. s.as . . . . . ,?1: '?a7`'• . ?ff3.?' .,? . ' 7 ...:.^.3:r'T'sc:wu+r:s:t: . . `? .... •r,t ............... ..................... ... . .' ;'? , 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