3658 Kolstad Rd
Nov 15 10 05:10p Gates General Contractors (763) 498-7710 p.4
Use BLUE or BLACK Ink
-
For OfficeUse~j---_-_--
My of Ea~~ I Permit I
I dc) I
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I Staff I
Fax: (651) 675-5694 I t
2010 RESIDENTIAL BUILDING P RMiT APPLiCATIaN M
Date: ! f Site Address: 4;rr64,t a ~/~hG'r✓lXsj e6e,
~ri (r(~ ~
Tenant: / Suite ii:
RESIDENVOWNER Name: i ~Gt-r7~c- e~j Phone: 677'
Address I City I Zip: !
Applicant is: _ Owner ontractor
TYPE OF WORK Description of work: :t r
Construction Cost: L • ti-Family Building: (Yes_ I No_)
CONTRACTOR Name: Yo* ZtW-6 • License 47 l3
Address: ~d V/zk~ri S ' , City: ~l yooz~
State: Zip: T Phone: V l Z 70 -4..3
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
_Yes -No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public Information. Portions of
the information may be classified as non public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for rotection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www_gopherrstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in nuance with the ordinances and codes of the City of
Eaga understand this is not a permit. but only an application for a permit, a is t to start without a rmit; that the work will be In
a ordan with the approved plan' he case of work which requires a review and roval of pl ns.
X G-~ x
Applicant's Printed Name- A ' nt's Signature
Page t of 2
P -
- CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHUNE: 454-8100
BUILDING PERMIT Receipt
Site Address
Lot Block Sec/Sub.
Parcel No.
W Name
; Address
Name
I hereby acknowledge that I hnvc reod this opplication ond stote thot
rhe information is correct ond agree to comply with oll opplicable
Stote of Minnesptc Stotutes ond City of Eagan Ordinances.
Sipnnture of Permittee
A Building Permit is issued to:
ofl work shall be done in occordonce wifh ull applicable Stote of Mir
Bulldirp pfflciol
EreCt 0
Remodel ?
Repair ?
Addition ?
Move ?
Demolish ?
Int Impr. ?
1127$
Occupancy _
Zoning
Type of Const.
No. Stories
Length
Depth
Sq. Ft.
Assessment Permit
Water 8 Sew. Surcharge
Police Plan Review
Fire SAC
Eny. Water Conn.
Plonner Water Meter
Council Road Unit
Bldg. Off. - • ''' Tr. PI.
APC parkg
Var. Date Copies
Total
on the expross toridition iha+
sotn Stotutes and City of Eopan Ordinonces.
? - - - - - - - ---- J
I Irqpsction Data I I^sp• 11 Other I
II
Htg.
Well
Pr. Dtap.
CITY OF EAGAN Remarks Aaaitian . Timbershore 1 Lot 2 elx g parcel 10 76$00 020 OS
Owner ?"'' L ?I I_E .. i;. ? street 3658 Kolstad Roa - c"! 6, state EAgBA,ARd 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1 7 ? ? 20 5 PSld
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL Ill 1 ?. ?. 4 1 Paict
WATERMAIN
?E WATER LATERAL 15
WATER AREA
STORM SEW TRK
S70RM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 6038 7-6-72
13UILDING PER.
SAC 240.00 6030 7- ?- 72
PARK
CITY OF EAGAN
Addition Tj.IIlb@1"SY101`@ 1 Lot 3 Bik 8 Parcel 10 76500 030 08
Owner .?' ! rI Street 3660 KOZSt,8d Rd. State- 1•''&g8rii]MN 55123
?-
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 17 321.03 64, 20 5 P d
STREET RESTOR.
GRADING
SAN SEW TRUNK
-Ac SEWEFi LATEFiAL 1C? 624.68 .vs? 15 1]S?.d
WATERMAIN
?E WATER LATERAL 1
WATER AREA ? I
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 320 6038 7-(]-72
BUILDING PER.
sAC 240.00 6D 8 7-6r72
PAR K
CITY OF EAGAN Remarks J?
Addition • Timbershore l. Lot 4 Rlk 8 Parcel 10 76500 040 08
Owner • Street 3662 ?olstad Rd• State Ee$811sMN 55123
Improvement Date Amount Annual Years Payment Receipt date
STREETSURF. 197 321.03 64.20 5 p8ia
STREET RESTOR.
GRADING
3AN 5EW TRUNK
,4t SEWER LATERAL 624.68 .
WATERMAIN
? WATER LATERAL 1973
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB 8i GUTTER
SIOEWALK
STREET LIGHT
WATER CONiV. 110.00 603$ 7-6-72
BUILOING PER.
sAC 240.00 6038 7- 72
PARK
CITY OF EAGAN
Street
8
Improvement Date Amount Annual Years Payment Reeeipt Date
STREET SURF. 1C?7 221.0 .,ZO 5 P&id
STREET RESTOR. .
GRADING
SAN SEW TRUNK
? SEWER LATERAL 7 1CM ,'Zf*. 41.64 1 Paid
WATERMAIN
*WATER LATERAL 1973
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 6038 7-&72
BUILDING PER.
SAC 240.001 GO S 7-6Y72
PARK
TOi•7N OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55121
PERMIT No. 207
The Board of Supervisora hereby grants to Tt?aaPeaa? PlWIbinB Co.
df 12201 Mtnnetooka Blvd.j, Minnetonka 55143
e FLi1MIDIN(3 . Pe:mit for: (Owmer) New Horizon Hwneo
8t 30&,58464 Kolstad , purauant Co application dated
5/15/72 ,
Fee Paid: $80.00 Dated thie 15thaaq of MeY , 197 ?.
2:W-
Building Iaepector
3
TOWN OF EAGAPI
3795 Pilot ;Znob Road
Eagaa, tlinnesota 55121
PERMIT N0. 207
The Board of Supervisors hereby grants to (3eo. SedeWiek Iieat3ne &
Air C a?ditioniiw Co.of 1001 Senia, Minneapolis 55416
e HEATING PermiC for: (Owner) New Aorizon Hcmes
at 365$,-36 `_,°` ,"?664-$oletad , pursuaat to application dated
5/31/72
Fee Paid: 80.00 Dated thia 31Stday of Ma4 , 197 ?
2.00 s c
Building Inspector
3
CITY OF EAGAN N0- 1127$
3830 Pilot Knob Road P O B 21 199 E MN
. ox • , agan, 55121 '/
PHONE:4548100
BUILDING PERMIT 2eceipt
Te M wed ier INIPROVEMENTS Est. Value $3,000 pate NOVEMBER 12 19 85
SlteAddreas 3664 KOLSTAD RD Erect Ex Occupanoy
Lot 1 Block 8 sec/Sub.TIMBERSHORE Remodel ? Zoning
Percel nlo.
Repflir ?
ADDITION
Type of Const.
Addition ? No. Stories
•
Name CARL H. ANDERSON MOVe ? Lenstn
W
SAME Demolish ? Depth
? Address I
t I
?
n
mPr. Sq Ft.
City Phone 454-6761
Install ?
? Name SAME Approralf Fees
8u
?c Addreas
F Cirv -
Nama _
Address
Phone
City Phone
Azseument -
Water 8 Sew.
Police _
Fira
Erq.
Plonncr -
CAUncil
I hereby otknowledge 1Fwf I have read this opplicotion ond sfote that Bldg. Off. 11/12/$ !
fhe inlormotion is correct ond ogree fo comply with all applicoble APC
Stote of Minnewto Stotutes and Ciry of Eogon Ordinonces.
Sipnaturo of Permittee - ? ?-Q ?p/??? n 4Q1a Var. Date
A Buliding Permif Is Issued to:
oli work sFwll be done in otco
Permit Sja • iv
Surcharge 1.50
Plan Review
SAC
Weter Conn
Water Meter
Road Unit
Tr. PL
Parks
Gopias
' Total 4 0 .
on fhe expren eondition 1hot
Statutes ond Ciry of Eoqan Ordinonces.
Buildirq Officlol /,-,
S?)
EAMAN TOWNSHIP
BuiLDlNG PEFtMBT N° 2666
Ownei ---- ..- JL? Eagan Towaship
i'--.... .
?
Address (present) `-?'.J, Town Hall
Buildex .. .. ...................... ....................._......................-_-..............
Addreas Dale .....°.?/:? Z?-
..... ........................................................................................ ?
DESCRIPTION
5to:iesl To Ba Uae or . Fron! Dopih Heigh!I Eef. Cos! Permid Fee Remazke
_ /
?
? 03 ?/
?
s
LOCATION ) 78- °'V
Siceef. Haad or oihec Descripiion ot Localion I Lo! Block Addition os Tracl
?-?- Uv`-'?-?'--`-?-<-?' ??/,??S?GtC? ?CGF? / ? Ytr3Yi,'??ltlt`c ?
This permit daes noi aulhorize the use of streelc, roads, alleys or sidewalks nor doee it give the ownar os hts egeat
the :ighi io creaie any siluaiion which is a nuisanee or which presenfs a haaasd fo the healih, sufely, conveatence and
general welfaze So anyone in the Communify.
THIS. PERMIT MUST B£ KEPT ON THE PREMISE WHILE THE WORK IS IN PROGAESS.
This is fo certify, fhat....d:l?:t.nT... ..'..... ....... .li..>.:r.::-..:Y...hes permission !o exect a_. ?.?_`.:? ?"?*:':?..?¢'`r-n?•-???(?ppn
............. "' "....'__..._
the above described premisa subjacf io he provisions of the Suilding Ocdiaence for Eagan Township adopfed April 11.
1955. LJ? ?
...... .................`...?1.^::.........`?..-`...../-?`<`.-......... Per .....__.......---....?"?...?!?.-°."T?:?........---....---...........
Chairmen af Tnwn Boerd Su[Idiny Inepector j?
3c.
- 3z-.s-c
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date
Site Address
Unit #
Property Owner Telephone # 4 ' 536
Contractor
Address 3670 DODD ROAD City
EAGAN,
S[ate (651) 3651340 Zip
Telephone# ( )
The Applicant is _ Owner X Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Eaisting Dwelling Unit, Including
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
?
_ RPZ _ new installation _ repair _ rebuild
_ Lawn irrigation system
D O?C ??? ?"?03 $ 30.00
_ Water softener x- Water heater $ 15.00
x replacement _ additional
50
$
State Surc6arge
Total $ ?
I hereby apply for a Residential Plumbing Pernut and acknowledge that the information is complete ana accurate; tnac me worx vnu
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an application fox a permit, and work is not to start without a permit that the work will.be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
lr R 41'f?rt ci. L? ?-?
ApplicanYs Printed Name Applicant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
GITY OF EAGAN
3830 PiLOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction ReCUirements
. 3 registerea sile surveys showing sq ft. of'ot. sq 5 of house, and a0 mofed areas
f20°o maximum lot coverage ailowed}
• 2 rocies of plan showing 6eam 3 wmdcw;rzes, poured found desgn, etc )
• 1 set of "cneyy Calculanons
• J copies of Tree PreservaLon Plan if lot platted aRer 711193
. Rim Joist DeWtl Op6ans selecUOn sheet (61tlgs with 3 ar less umfs)
DAiE
Z-
S?TE ADDRESS ?{P/r?`?? f?C? C?Ie) MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK ?I Re.jI C'P/.,EnT ??nm?acv,J` FIREPLACE(S) _ 0_ 1_ 2
APPLICANT RAa; sr9,, CP E.rTEri or1'
STREET ADDRESS N-v-1 /0 CITY ftun,&f IliPa/ STAiE /hA! ZIP
TELEPHONE #??s?` J?^? CELL PHONE # FAX # 7d?'- 2jPo -?co3
PROPERTYOWNER 3- eq+'' ClYtCh TELEPHONE#
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUIIDINGS ONLY
Energy Code Category _ \IlNNF:tiO"f.\ I2[;I.ES 7670 C.\"I F:GOIt1" I MI\NI:SO"1'.\ R[ "LLS 7672
(v submission rype) • Residential Ventilation Calegory t Worksheet Submttted • New Energy Code Worksheet Submitted
• Ener9y Envelope CalculaUOns Submitted
Plumbing Contractor: ___
PlumUing sysrem includes:
Mechanical Contractor:
Mcch,mic.il systcm includes:
Sewer/Water Conhactor:
_ Phone #
-----------------•-----..._...............-------..........--------------------.._ _..
I hereby acknowledge that I have read this application, state that the informaticn is
with all opplicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf
OFFICE USE OvLY
_ Water Softener
Warer Heater
v o. oF Baths
RemodeVRacair Reauirements
. 2 wpies of plan
. 1 set c( _nergy CaiculaUOns for heateC adtlihons
• 1 srte survey `or eztenor acCitions 8 decks
• Indica[e :f home servee by septic system for addihons
Phonc #
L,awi Sprinkler
No. oC R.I. Baths
Phone #
- Air Conclitionin;
Hcal RccoccryScstcm
VALUATION
Pee: $90.00
<;N---I I
Pcc: 870.00
` nii 112007
- - - - - - - - - - - - - - - - - - - -
ct, and agree to
re
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updated 4102
OFFICE USE ONLY
? 07 Foundation ? 07 OS-plex ? 73 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex p 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex p 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entlre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED IN SPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) FinaVNo C.O.
_ Foonngs (addition) _ plumbing
_ Foundation HVpC
_ Drain Tite Other
Roof _ Ice & Water F inal Poo! Ft" Air,Gas Tests Final
_ Framing Siding Stucco Stone
_ Eireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ [nsulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
CUMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
T-
Foundation Onl New Construction Interior Im rovement
• Structurel Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Code Analysis (1) "
• Certificate of Survey (1) . Civil Plans (2) • Project Specs (1)
• Code Analysis (t) ° • Landscaping Plans (2) • KeyPlan (i)
• ProjectSpecs (1) . CodeAnatysis (1)" • Master Exit Plan (1)
• Spec. Insp & TesOng Schedule " . Certificaie of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power 8 Lighting Form (1) not aiways"
• Meter size must be established . Meter size must be established • Meter size must be established - if applicable
• Projecl5pecs (1)
1 . EnergyCalculations (1) •` 1
1 • Electric Pawer & Lighting Form (1) " 1
1 . MaslerExitPlan i1J 1
1 . Fire Protection Plan (1) " 1
d • Soils Report (7) L
• MC/ES SAC determination letter . MClES SAC determination latter • MC/ES SAC determination letter
call 651-602-1000 call 651-602-7000 rall 651-602-1000
Contact Building Inspections for sample
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
DATE: oZ ? WORKTYPE: _ NEW _ REMODEL CONSTRUCTION COST:#
SITEADDRESS: r'J3 3b?pa <:'?Ti?G? ?•
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
SUITE #:
DESCRIPTION OF W ORK ?_ '?l tS ) A.1 W? V Mh.C °?- I D 1V1() CJZ V VALL--
Name:?? ?P)5)L(z,*T((A?- ?+b? Phone#:(
PROPERTY Last First
OWNER a, l b? l
StreetAddress: ?
City: ? Sbte: tA ? Zip: ??I z-l
•? ne #: 0 -! J? O?
Company: r-?a.o? v?1? ?` w1 t?l 0 3w -? S' DIFtbA
CONTRACTOR ? ? ? ? ? ? ? R- I n
Sheet Address: l Yrvl?l? dJl7i
City: V JIA6qr Sta[e: ? 1 V Zip: L
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
City:
Licensed plumber installing new sewerlwater
Phone #:
Registrarion #:
Phone
I hereby acknowledge that I have read this application, state that the information is corre , agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. ??
Signature of Applicant:
Updated 1102
State:
OFFiCE USE ONLY
SUBTYPE
? 01 Foundarion
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations
? 34 Replacement
0 26 Public Faciliry
? 27 CommerciaUIndustrial
? 28 Greenhouse
? 29 Antennae
? 30 Accessory Bldg.
0 32 Ext Alt - Apts.
? 34 Ext Alt - Comm.
? 35 Ext Alt - PF
? 37 Nail Salon
? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 37 Demolish (Bldg) ? 44 Siding 0 48 Authorization
? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code
SAC Code
No. of Units
No. of Bldgs.
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. fr.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Building
? Insulation
Engmeering
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Spiinklered
?] Plumbing ? Stucco/Stone
Variance
Permit Fee
Surcharge
Ptan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
SIW Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION $
% SAC
SAC Units
Meter Size
Total
TLM$ERSHORE 1ST
76500
PERMIT
DATE &
TYPE LOT BL ADDRESS
3172-- -a-riEx O10 08 3664/ KOLSTAD RD
020 08 3658/
030 08 3660/
040 08 3662
1
3n2 a-PtEx O10 09 36561 KOL
020 09 3650/
030 09 3652/
040 09 3654
3/72 4-PLEX Olo 10 3648/ KOI.STAD RD
020 10 3642!
030 10 3644/
040 10 3646
3
PAGE 2 OF 2
f ?M ?TER C?RD
LOCATION ? ?br ?
- 4CI
1.642
• ? ? .?' y? N1
OWNER
STRUCTURE AND / 12
LAND USED AS
r1
L_J
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER J0 0 L/
OTHER
O7HER '
? Items Approved
(Initiap
Date
Remarks
Distance From Well
f-OOTWG ?j y?l• SEPTIC
FOUNDATION N 031 CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HE.4TING DEPT
OF L ?
GAS INSTALLATION
06
SEPTIC TANK 640
CESSPOOL
DRAINFIELD •.,y
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
X
PERMIT NO.
?
COMPLIANCE INSPECTION REPOftTS
TO BE USED ONIY IN EVENT OF 065ERVED VIOLATIONS
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. P
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DEIAYED BY CONDITIONS BEYOND
CONTROL.
DESGRIBED AS FOLLOWS:
? REINSPECTION REQl11RED
REINSPECTION
DATE OF REINSPECTION
?
CE RTI F,ICATION -1 certify that I hwe carefully inspected the above in which I have no interes[ present or prospectlve, and that I have reported herein
all significant conditions oGservad to be at variance with ordinances of the Town of Eagan, approvad plans and specifications, and any specific requira-
ments tor off-site imprwements retating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILOI
a.
L-X/ BL cf CITY USE ONLY RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
E:XTU4ES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot TublSpa
Water Heater
Floor Drain
Gas Piping Outlet * minimum -1
Rough Openings
Water Softener
Private Disposal * Dakota Cty. license
U.G. 5prinkler * home under const.
Alterations "` to existing
Water Turn Around
EACH !tMD.
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
x
x
x
x
x
x
x
x
x
x
x
x
STATE SURCHARGE
TOTAL
TQTAL
_ -?
.50
zo-.-5-;0
SITE ADDRES:
OWNER NAME
INSTALLI
STREET ADDR
CITY:
KRMENT3KY
3662 KOLSTRO RORO
Eh1GRtl , 55123
H 454-5069 W
PHONE #: ( ) (?? /D /'j S/
MRRT I hl
STATE: ZIP:
OFFICE USE ONIY
L _ BL _ RECEIPT #:
SUBD.
DATE:
7995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. . all commerciaVindustrial buildings.
P muRi-family buildings when separate permits are pgs required for each dwelling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. 5PRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: _
ciTr:
PHONE #:
,.11
ZIP:
APPUCANT
OFFICE USE ONLY
STE. #
METER SIZE: " DATE: INSPECTOR:
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN
COl41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURA[, INCLUDE 2 SETS OE PLANS
& STRUCT'URAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS'
$2,000 LANDSCAPE BOND
.TM)OR0 YFMEb'7/
To Be Used For: A p1]'1'oN Valuation:`?^ -= Date: ??avElyl?-E? 7//9Yc5--
SINGLE FA?fILY DWELLINGS
Site Address 366 IV Ko LST/+D Rnn,d
Lot _L_ Block __L_
Parcel/Sub
Owner C? RRL 14. d n/ p,E RSa n/
Address 3664 )?oL.Sr/+D F?oAD
City/2ip Code Ef} C-f3N, M N SS/?3
Phone VS4 - L 76 /
Erect X
Remodel A
Repair
Addition ?
Move ,
Demolish ?
Int.Impr. ?
Install ?
APPROVALS
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
Contractor C /.}EL- ?J AA(D F-RSaA?
Address 3 E4 :Z? L3-7-/9 DEaq D
City/Zip Code ?RGi4N.Mr/ ?5/13
Phone 44?r# - 46 7'1!!U
Arch./Engr.
Address
City/Zip Code
FEES
Assessments Permit
Water/Sewer ^
? Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
Phone !!
?
EAGAN TOWNSHIP 3? ?Q
?'?
3795 Pilot Knob Road r? St. Paul, Minnesota 55111 ?
Telephone 454•5242
PERMIT FOR SEFJER SERVICE CONNECTION
DATE: May 15, 1972 NUtiBER 1004
24
OWNER:New Horizon Homes pddress 36605 58 , 62, 64 Kolstad ?
PLUMBER Thampson Pltiunbing Co. TypE OF PIPE Heavy Cast Iron
AESCRIPTION OF BUILAING
Iaduatriall Commerciall Residential I Multiple Dwelling I No. of uaits
I I I X 1 4
Location of Connections:
Connection Charge960•00 pd 7/6/72
Permit Fee 10.00 dp 5/15/72
Street Repairs
Total
Inspected by:
DaCe
Remarks:
By
Chief Inspector
In consideration of the issue avd delivery to me of the above pexmie, I
hereby agree to do the proposed work in accordance with the rules and
regulatioas of Eagan Toc•mship, Dakota County, Mianeaota
$Y
1"homn4rm Pl imh'ne CO.
Please notify when ready for.inapecCion and connection and before any portion
of the work is covered.
?
EAGAN TOWNSHIP
3795 Pilot Knob Road
St, Paul, Miaaeaota 55111 ?
Telephone 454-5242
PER4UT FOR WATER SERVICE CONNECTION
Date: MaY 15, 1972 Number: 837
Billing Name: New Horizon Homes Site Address: 3660 8 62 6 Kolstad
219 , 415, 416, 417
Owner: S?e Billing Address
33632
Plumber; Thompson Plumbing C.
Building is a:
Residence
Multiple X Ko. Units 4
Commercial
Industrial
Other
Ass'n.Reader: 336324
Meter Size Coanection Chg. 0.00 d 7/6/72
Meter No. Permit Fee 10.00 Pa 5/15/72
.50 iZ 5/13/72
Meter Reading Meter Dep.
5 meters at 66:60 ea.
Meter Sealed: Yes Add'1 Chg. 300.00
NO Total Chg.
Mtr.aa 11 8p ?' 1%
Inspected by
Date
Remarks:
,-
:?l?.l?J I.._... . ._ ._.. _.. I'vC?
7 ICLL?D E iEfcS.
By:
Chief Inspector
In consideration of the isaue and delivery to me of the abave permit, I
hereby agree to do ttm proposed work in accordance with the rules and
regulations of Eagan lbwnship, Dakota County, Minnesota.
By:
Thompson Plumbing Co.
Please notifq the above office when ready for inspection and connection.
?
fi
r' 1
For Office Use
: ; -1
`t
:::e:
v1
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ` t
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 MqYStaff:
c
buildinginspections citvofeagan.com "?418
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ZZ Unit#:
Name: 7/. .S A O ' 72 ri.4 A iPt 111-4e:
Resident!
�I ner Address/City/Zip: ,:y ( 5 /Cc / S f
Applicant is: Owner , Contractor C Nc,s s 7tns'/7
Description of work: Fp,d h f'
Construction Cost: II 246/0 0 Multi-Family Building:(Yes)( I No )
Coy: C Or mpan1-0 Gti H (r/�
Gq CrG71e..- Contact: & VC, /"/C-,/fr.'
903 C /Iy oOc et /cJ/0Om:�� fa
tont
ractot� Address:�9 [�7 ,�j
• State/(� Zip: 4,S/J Phone: 95 23 9 tVa0 a" 6g/4e/', ST po f, C.49-70-%
License#: Lead Certificate#: AA)
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Plans end s pporting documents Iftar you submit are:considered tobe public nfor iafio P rtio is of h e nfo do riay ,
classifiedsas bon ublrc/f a • =Wileo ;fic reaso rs that would lt1 e'1r to nclu a flat h ^o! ade se as. t •
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved planlain the case of work which requires a review and approval of pl s.
x �/ Q /9 -e-
Applicant's
e Applicant's Prinb&Name J Applicant' gnature
-31 ? W s ( P ;qM LID&
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
xy 01 of A Plex _ Lower Level —
Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding — Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
`z' Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 17, ems. — Occupancy ig'L -3 MCES System
Plan Review Code Edition 14 K ZD/S- SAC Units
(25%_&100%_) Zoning Fp City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 11 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings44c).5z; Final I C.O. Required
Footings(Addition) AD Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
t�� n / 'Reviewed By: i isl,i , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
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