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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 Page 2 of 3