1296 Kolstad Lane
Use BLUE or BLACK Ink
r I
I For Office Use
I !g
41b~ I
City Ea nn Permit#: of I~3830 Pilot Knob Road i Permit Fee:
Eagan MN 55122 I Date Received: lQ j
Phone: (651) 675-5675 I
Fax: (651) 675-5694 ( Staff:
L-----------------I
2010 MECHANICAL PERMIT APPLICATION
Date: Z 0 PO Site Address:/ ( % (a l® Its 144x 4--`)
Tenant: /f / / Suite
l oR U r /f4ePhone: 5/-r
/ a 3- /02-/
e--
RESIDENT/OWNER Name: 91 e' k "t- AM A-1°+~D A- u
Address / City / Zip: 02 0
Name: Qf feR Lake 2.LL-7c A g ~0~icense M
' CONTRACTOR J / /
Address: l Iy-6r- X PL°L J e IS rDd I~ , city: P r'D& Lcx P,
State: kv ` q i Zip: ~ 3 7 Phone: NZ - /T 7-V /0
Contact: ®eA-N AreJ+, Email:
TYPE OF WORK New _L Replacement Additional Alteration Demolition
Description of work: r"e-^J q 4- A-,R
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace New Construction Interior Improvement
VAir Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
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.gopherstateonecall.org
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 plan in the case of work which requires a review and approval of plan
x th V e/o f fQy~~ x Cam. JiL,~
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In _Air Test -Gas Service Test -In-floor Heat Final
Exterior HVAC Screening Inspection
t-
- - - - - - - - - - - - - - - - - -
E
For Uf e UsP I
j Permit
City of Eapn
I Permit Fee: ` t.-! I
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Receiv `0 j
Phone: (651) 675-5675 I I Jul-
Fax: (651) 675-5694 1 Staff: -nn
J
2009 RESIDENTIAL BUILDING P RMIT APPLICATION Cf4o-
Date: ` i n- _ Site Address: I s
Tenant: Suite
RESIDENT / OWNER Name: C. O &hone: G5 ,5 3' jc~-?J
Address /City /Zip: L Cll
Applicant is: Owner Contractor
TYPE OF WORK Description of work: V 1 U...
L
J (a,
Construction Cost: 1,0 Multi-Family Building: (Yes / No
)
CONTRACTOR Name: S U V t (i✓14icense
Address: tra 1< , r/'d Lr-- n
City: rAl State:
J/ ll 76P p: 4- D ~1
/ ~
Phone: 9`~ 3-jC~~7 ~ Contact Person: l' ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the or Pances and codes of the City f
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start with a ermit; t the work will in
accordance with the approv plan in the case of work which requires a review and approval o ans.
U~ X
Applicant's Printed Name A licant's Signature
Page 1 of 3
Z,
S~ ~f-7 6
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi )d Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building"
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ 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 Occupancy MCES System
Plan Review Code Edition olil 2ae>'7 SAC Units
(25%_ 100%--~ Zoning D City Water
Census Code q Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) V Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: -Ah , 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
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CITY OF EAGAN Remarks
Addition TIMBERSHnFtE?nd Lot 1 Blk 2 Parcel 11A 765(17 Al o Q7
Qakd Street 1296 ICol9tad LcL+'Lv-- State Eagtltli MN 55122
Own -t V
O ? e, /')
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 321.03 64.20 5 P i
STREET RESTOR.
GRADING
SAN SEW TRUNK
f SEWER LATERAL 1973 37 64.69 P id
WATERMAIN
• WATER LATERAL 1973 5
ir WATER AREA 1973 15
STORM 5EW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 6380 9-7-72
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition TIMSERSHORE 2nd Lot 2 Rik 2 Parcel 10 76501 020 OZ
Owner?a??f ! R _ Street 1298 liolstdd L1Y1L State Eaqdn, A'N 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1974 333.07 66.61 5 Paid
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER IATERAL 1973 970.37 64. fi9 15 PSid
WATERMAIN
* WATERLATERAL 1973 15
* WATER AREA 1973 15
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 6380 -7-72
BUILDING PER.
SAC 740-00 9-7
PAR K
I
CITY OF EAGAN Remarks
Addition TIMBERSHORE 2nd Lot 3 Rlk Z Parcel 10 76501 030 02
Owner L1 I;: i; 7, !,` L "IUrKt_ Street 1300 IW18tad LAeL State Eag? , MN 5512$
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1974 321.03 64.20 5 Paid
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEINER LATERAL 1973 970.37 64.69 L5 Paid
WATERMAIN
* WATER LATERAL 1973 15
* WATER AREA ' 1973 15
STORM 5EW TRK
STaRM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 110.00 6380 9-7-72
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition TII+BERSHORE 211d Lot 4 Blk 2 Parcel 10 76501 040 02
Owner ? ••'Jhj.! ?. -' ? "' ' 1 Street 1302 1GOlst8d C-u?? State Eagan, MN 5512$
??,,, ?l :? ku ke.
Improvement ' Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL
WATERMAIN
• WATER LATERAL 1971
• WATER AREA 1971
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sac 240.00 6380 - 9-7-72
PARK
?
RESIDENTIAL
IbA BUILDING PERMITAPPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
851-681-4675
New Construction Reauiremenh
• 3 mgistered sde surveys showing sq, ft. of b4 sq. fl. of house; anb II roo(ed a2as
(20%maximum lot wverage allowed)
. 2 copies of plan showing beam & window saes; poured fomM design, elc.)
. 1 set of Energy CalculaGOre
• 3 copies ot Tree Presenatbn Plan'rf lot platted after 711193
• Rim Joist Defail Options seleclion sheel (bfdgs with 3 orless unils)
oare 7- a? -6r
JOB SITE ADDRESS l 3 0<2? GCv (
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?.
PROPERTYOWNER T/?S,n?c-?C,o?e
TYPE OF WORK F)p ., Ct l?CeOelc-
APPLICANT /`va
ADDRESS x
PAGER # CELL PHONE #
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONE# 02 -967 32J _7-'
N ZIP CODE ?S S? 2 y
_ FAX # 5S .2 -
72,76
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residentlal Ventilatlon Category 1 Worksheet Submitted
- Energy Envelope Calculations Submittetl
_ MINNESOTA RULFS 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor. _
il4echanical System Includes:
Sewer/Water Contractor.
Water Softener _
_ Water Heater _
No, of Baths
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
r., t !e)
Phone
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _
170. o0
RemodeVRewir Reouirements 717•+0'
• 2 coDies of plan ?
• 1 set of Energy Calculadom for heated additions
• isAesurveyforextedoraddilions&decks
. Indicate if home served by septic system for additions
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
Fee: $70.00
and agree to comply
Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundatlon
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
?p 31 New
? 32 AddiGon
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
O 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 6ct. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/DOOrs
'Demolition (Entire Bldg only) - Give PCA handout ta applicant
Valuation 0C?Da ?a
Census Code /-
SAC Units ?
Nbr. of Units (
Nbr. of Bldgs ?
Type of Const Jr/v
?
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows(new/replacement)
Approved By LC?# , Building Inspector
Occupancy MC/ES System
Zoning ??- City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
Foo[ings (new bldg)
Footings (deck)
Foodngs (addition)
Foundation
Drain Tile
Roof Ice & Water Fina!
Framing
Fueplace _ R.I. _ Air Test _ Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plum6ing Permit
Mechanical Permit
License Search
Copies
Other
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex k 18 Deck
? 17 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Total
RESIDEFJTIAL
BUILDING PERMIT APPLICATION
• ' CITY OF EAGAN
4 I I 14W 3830 PILOT KNOB RD - 55122
? 6 N 651-681-4675
New Construetlon Reauirements
• 3 registered sife surveys showirg sq. ft. of lot, sq. fl. of house; and all roofed areas
(20% meitimum lot coverege allowed)
• 2 mples of plan showng 6eam & window saes, poured found design, etc.)
• 1 set of Energy Calalatrom
• 3 copies af 7ree Preservation Plan'rf Iot platted after 7J7193
. R'vn Joist Defail Options selectlon sheef (bldgs with 3 w less uNGs)
DATE _ _l ` ?k_ /'
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWN
TYPE OF WORK_
APPLICANT ?
ADDRESS ?
PAGER #
CELL PHONE #
?7Q, vo
CODE I Z?J
-NE11' RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heal Recovery System
All above informaGOn must be submitted prior to processing of application.
Phone #
P'ee: $90.00
ree: $ ?
I hereby acknowledge that I have read this application, state that the information i cs orrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Applitant .
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
_ Water Softener
_ Water Heater
_ No. of I3aths
RemodeVRecairReauiremeMS 7-31-(
. 2 copies o( plan ?
• 1 set of Energy Calculatians forheated adddians
. 1 site survey for exterior additbns & decks
• Indicate rf home sarved by seplic system for additio
U
J
VALUATION ? l Q
Phone
Lawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex y 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Stortn Damage
? 25 Miscellaneous
? 30 Accessory Bldg
0 31 Ext. Alt - Multi
? 33 6ct. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to applicant
a U ?1
Valuation aQDO Occupancy MC/ES System
Census Code ? Zoning ? City Water
SAC Units Stories Booster Pump
Nbr. of Units 1 Sq. Ft. PRV ,
Nbr. of Bldgs _L Length Fire Sprinklered
Type of Const W idth
7k
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By 4 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) FinaUNo C.O.
Footings (addition) Plumbing
Foundarion
Drain Tile
Roof Ice & Water Final
Framing
Fueplace _ R.I. _ Air Test _ Final
Insularion
FinaUC.O.
?
HVAC
2 4 2 5 4
Raquest Date Flre No. Rough-in Inspection
R¢qunC?
Reatly Now ? wll NoHy Inspector
V
? Ves No Jhen ReadyY
I f?icensed contractor ? owner hereby request inspection of above electrical work at
.bb Atltlress (Streat, Box ar Roule No.)
/.2, 1' iCo 4- sT,,4- D LAxi F_ Qty
E,,4 6-A liiL)
Sed'an No Townahi0 Name or No pange No Coumy
A ICO-r"f
Occupaqt (PRINT) j? ?1 y
+ 7?.! ?/L? ?l 'T 11 Phone No.
Power Supplia/r/ ^T p ?
O? I?--[1 1? K? ??Cl/( qdar¢.
+-? V o 1
Eleancal Conirador (Company Neme)
ftlL_ r rE Concrac[or5 License No
Lt 0?45-
Mvling Address (COnVaqor or Owrier Mabng Instellatwn)
l Y. 5-3 S fj' 4 4r `F lofE
Author¢e g wre;COntracror er a' Inet wn) _ Plw?n/e Number
"ri-2
MINNESOTA STATE BOAPD OF ELECTHICITY v THIS INSPECTION qEQUEST WILL NOT
Griggs-Mitlway Bldg. - Raom S173 BE ACCEPTED BVTHE 5T.4TE BOARD
1821 UnhrersNy Ava., 51 Paul, NN 55104 UNLESS PROPER INSPECTION FEE I$
Poone (812) 662-0800 ENCLOSED
9/5/ff c1 REQUEST FOR ELECTRICAL INSPECTION
/ 1" See insVUCLOns trn compleling this brm on back ol yellow copy.
P .2 42 5 4 XBelow Work Covered by This Request
? E&00001-07
y 9 -, V sC?, ;?-
e Add Rap TypeofBUildmg AppliancesWiretl EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Elecinc Hea6ng
, Apt. Building Dryer Other (Specify)
Comm./Indusvial Fumace
Farm Air Conddioner
Other (specdy) ConVacior5 RemaBS'
?S r?} LL ??? ?? l ?/?
Compute Mspection Fee Below: 1
# Other Fee # ServiceEntranceSize Fee # Circuns/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps [i 11
Trans(ormers A6ove 200 _ Amps Above 100 _ Amps
SignS Inspecror5 Use Only: TOTqL
InigationBOOms ? C? 15??}
Special InspeC[ion ???? ?Q
j
AlarmlCommunication
Other Fee , S Q
I, the Electrical Inspector, hereby Rough-in D.I.
certdy that the above inspection has
been made. F„ai
( oa?e
OFFlCE USE ONLY
This requeet voitl 18 months from
io 76---52)1 0ia e-I
.. . . T'?n,?P p IZ
TO'. IN OF EAGA:d
3795 Pilot &iob i:oad
Eagan, Minnesoea 55171
PERMIT N0. 293
The Board of Supervisors hereby g:ants to Geo. SedfiviCk HeBtEps 6
Air Conditionins of 1001 %enle Ave. Sjo., MinneBpolie 55416
a AEATING Permit for: (Owner) Neer 8osizon Homee
at 1$96ofA-S-k309.92 Ko18[ed IBae , pursuant to application dated
anona
I'ee Paid: $80,00 Dated this 16th day of Auguet , 19 72.
2.00 8/a
Building Inspector
3
TOItiN 0F EAGADT
3795 Pilot ;Znob Poad
Eagan, Diinnesota 55121
? O 7?.50 / ?io a ?-
T,???bcrS`i?rN ?-Ihcr'lv
PEUI7T N0. 247-248-219-250
The Board oE Supervisors hereby granta to Thompacal PYwqbd'rig CO.
of 12201 13itu?etarilsa 131vd. Miruietonka 55343
al PIUI'01-1G Pezmit for: (Owner) New HOrizGn HC1II88 ? g??
91-93-9 - Uevaar1:, 1292-94 Ko].s . eavaar,
at 13o4-O6-W-10 KoletAd 7,sng , pursuant to application dated
'1/31/72
r"ee Paid: $320.00 Dated thi, 7th day of AUgust
1972 Bcilding Inspec*_or
! ?,
?-- ?-
cTTx o., Fnc;N i?T
3795 Pilot Kneb F,oad
?3,g3n, Niinnesota 55122
PEP,= NO.: 13
The City of Eagan hereby grunts to r.;ndsav Water Conditioninc
_ of 411 9; rdar avP_ so.. Faaan. MN 55122 ____
D. Renken, 1341 Easter Ianel Bill Curley
a WATER SOFTED7F,R Pp-omi't for: (Ocrr.er) 2950 Faan• W( Marker, 1171 Timt,prahose Ln.,
R. Bockert, 298 Moletad and
at R. 4tortnn, pursuant to app:.ication da ted 2/15 ny 2r/ ??a/76
Fce Pu_Cc_; $25.00 de.ted t,his Sth clay of March , 19,._7_6---
2.50 s/c
Buiiuin? Inspeotor
Mechar.ical Permite:
Bid Total:
f
EAGAN TOWNSHIP
BUILDING PERMIT ?0 2770
Ownex ........._??- Eagan Township
Address (preseni) ,1..?t.36 -----Jtc?L? ----f-C ----------------------- Town Halt
Suilder ................ .o??.....................---.....................................
nete ._.?.-.!! 7 -2--
---...------_ ..............
Address --- ----- ...................... -....................------
5fories To Be Used For Fxon! Depih Heigh! Esi. Cosi Permi! Fee Remarlcs
? ?-" /B.x•.?'o
i yV. sa
Sfreei. Road or oiher UescnpTion oi Locaiion I Lo! I glock I Atldirion oa Tsac!
0- 96,i-?-91 S',
4- /3V -:1-
This permi2 does not aulhorise the use of sfreefs, roads, alleys or sidewalks nor does it give the ownes or his agent
the xight to creale anp siluafion which is a nuisanca or which presents a haaard !o the health, safely, coavenience and
general welfare !o anpone in the eommuniiy.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGgES
This is !o ceriifp, the!_?Itnl.c -- -------- F-- °"^":-------- 6as permission !o ereci ............................. .'.................. ..__upoa
the a6ove described premise aubjact fo? the provisions of the Building Ordinance for Eagan Townahip adopled April 11,
1955. Q ??,r- ?p ?...........° ............-J..... ?..?........oe".._4...?.........
.............................. Per .--------------------ti'.`..`."-?----??..-°-.---............
Chairmen oE Tnwn S2yd Building Iaspecfor ,,o5
,
N usc rEAT;NG T"c5T RECOR?
ADORESS AAT._FLOOR_CITY SUBURH
CCCIIPANT a..? OWNE2 Sn . -
HEAT LOSS AT HT . INST.
SCID 9Y IN57ALLED B`Y
El.ctricol W k By ? , Gaa Lin. 8 J -
Y
'YPE OF HEwT cq _ _ FA )(-Hw _57EAM _SPaCE M7R. _l1NIT HTR. _OTHER
?I.. A GAS DESIGN . G7NVERSION
M'''KE
?? ?'««? MAKE OF BURNER
N?., c[0 K [97F?du?&? wa.i
s.,;e, ?sso 3a? ?r?.zca?sr Maa. BTU Rotinq
INPUT MAKE OF FURNAC°
Mae.l
?? CONTROLS 311
?}lE.RYGSi.ii }MatPl?p Yeot:J"
YGlw ):=
L'sit ??a cc C- i.lYfi HOYd RpidOf
L:alt .`rttina ?? ? F =Skrs Sia? 'lY?r
.'aa .`.nmY //O ° ? t ..."•1w
?:tat T7De V5L Glaoq GrWYCIas l2SS (e I
?:bt S{ofr
Pflat Ladd
Pllut :Sdaa raEi :ay
"7. GO Cilt ` yoaf
:apui o Prcaot• C..?? ?mqCUy :?a2WQ C.
:mc'? ??mi-P?rner ?? :lam? ai t? 5
'Ya ?
71sD9
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan N1N 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsimcGon Reamrements
3 registered site surveys showing sq ft of iot, sq. R. of house, and alI roofed areas
(20 % maamum lot coverage allowed)
1 Soils Report if proposed 6uilding is W be placed on disWrbed soil
2 copies oF plan Showing beam & window srzes, poured found design, etc.
1 set of Energy Calcula6ons
3 copies of Tree Preservation Plan rf lot platted after 711193
Rim Joist DeWil ppbons selec6on sheet (6uildingswith 3 or less units)
Minnegasco mechanical ventlla6on form
d,a oo
RemodellReDair ReouiremenLS OKce Use OnN
2 copies of plan showmg foo6ngs, beams, joists Cert of Survey Recd Y N
i setof Energy Calculations for heated addNons Soils Repod _Y _ N
1 srte surveyfor additions 8 dedcs Tree Pres Plan ReW _Y _ N
Addifion - indreateAoo-sifesepticsystem TreePresRequired _Y _N
On-site5ep6c5ystem _Y _N
Plans are considered public information uniess ou state the are trade secret and the reason.
Date Construction Cost
i -
Site Address ?-?^rl c-- UniUSte #
Q 13 o? o-Z
Description of Work T? l?f
Multi-Family Bldg ?? N Firep ce(s) 2
Property Owner -!;Se d- Telephone #
Contractor Qtrfp,
Address
K-'S ?/
V CJT`L 'G??-J?> / City 17LL1
/
State ?'?? N Zip Telephone #(?(, 7? ? "O D?? i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateqorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submisslon type) Submitfed Submitted
• Energy Errvelope Calcula[ions Submitted
In ihe lasi 12 months, has the City of Eogon issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Te{ephone #(
Telephone #(
Telephone #(
apply for a Residential Building Permit and acknowledge that the information is complete and accural
e;
that the work will be in conformance with the ordinances and codes of the City oi Eagan and the mate ot 1v1N
Statutes; 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 plan case of work whi requires a review and
appr plans.
? I-v c z
Appli nYs Printed Name A, c ' 1 nature
DO NOT WRITE BELOW THIS LINE
Sub TVpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 1D-plex ? 19 LowerLevel ? 24 StormDamage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
L] 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WndowslDoors
? 34 Replacement *Demolition (Entire Bldg) • Give PCA handoutto applicant
D85C1'IpYlOfl: Water Damage ___ _ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type ot Const Width
REQUII2ED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings (deck) Final/C.O.
_ Footings (addition) Final/No C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Fina] Pool Ftgs Air/Gas Tests Final
_ Framing _
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.L _ Ai r Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approvetl By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Tota I
•D sb?c
/?? ? ? . ?s.e• ?. A~ ...... ? ? ? . .
?
- , ?
ta'1 , 4- ?-
_ "'
d
??*' `4??.?,*• ••!, ' - - I -- ! -- -- --
??.JkY??
46- t 45-
a 04 A
,y • ,.`, ? Q ? ?
a ?
+?a • • 4 . ,?' .'. . ? ?? ? 2 3
I i
r?,
?y • .,?; - ? ? i '
-- I ?
'TIMBERSHaRE _S_ _;_ 41
p , • ?Z e ?P L?-
C
LL ?I
w--? ,ti _ z • . ? _
U U u ; -
? 3 01 3lf93
? D+ ?A :
iQRES r'> 4
?. r?
)DN. 3A? 3.$s :
• ' : FE-3
..` ? . . . f . . , . , . . :'..?,_ ,_?_.'.' . . . . . . .
. . • ?? ?_.,
?i , 4-
? i
__?__----'--
? ,
3F ?
?? ? r....?.. • . :-!?!.+ ., .?....-.. U....«'.is..*
E
0
Timbershore Homeowners Association
Eagan, MN 55123
City of Eagan
Eagan, MN 55123
To whom i[ may concern:
We understand that a signed letter must be submitted to the City from the Association in
order to obtain) a uii ng ermit. We r iewed the plans to build a new deck at:
ia ?
q ? ?? ?`? ?.aJ- k ?-`-??J- ?c ?_ ?.
Since the deck conforms to out"standards, the Timbershore Homeowner's Association has
approved the deck to be constructed.
If there are any problems or additions questions, please call.
Sincere]
Ph #
1-
??c l.A?j ,
.J
0
bqLH I
2005 RESIDENTIAL BUILDING PERNIIT APPLICA'ITON
"U?s ? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
L?+ ??7 6./ ?q q?- ?• Telephone # 651-675-5675 FAX # 651-675-5644
New Construdion Reauirements
3 registered site surveys showing sq. R of lol, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies oF Tree Preservation Plan if lot platted aHer 711/93
Rim Joist Defail Optians seledion sheet (6uildiiys wNh 3 or less units)
RemodeVReoair Reouirements
2 copies of plan
1 set of Eneqy Calwlations for heated additbns
1 site survey for addiUons & decks
Add'rtion - indicate if onsife septic sysfem
d?ELtu.x?n .9..x?+a5
?-?
?
?
? ?a _ ?j
OR I
CeRofSurv Recd _Y _N
TreeP IanRecd _Y N.
TreeP Required _Y _N
On , e Septic System _ Y_ N
Date (,.O /-7 /06?_
SiteAddress 1 OlGo't5i, Construction Cost
K) UniUSte #
Description of Work
Multi-Family Bldg (Cl Y_ N Fireplace(s) ? 0 ?1 _ 2
PropertyOwner k???1n,y Telephone#(tei2) gc?U,-,,`iAt?-
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA
Energy Code Category . Res'identia
(4 submission type) Submitted
• Energy Er
Have you previously constructed a
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a.Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will e in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 plan in the case' of work which reguires a review and
approval of plans. i-s ?
, ??
_ ; ?
Jeskun iE 5
pplicanYs Printed Name Applicant's Signature ,4 I 1
IF CONSTRUCTING A NEW BUILDING
2ateeorv 1 _ Minnesota Rules 7672
Category 1 Worksfieet • New Energy Code Worlcsheet
Submitted
Calwlations Submitted
in Eagan with a similar plan? _ Y ` N If so, 25% plan review
?
?
S2- lo (o ?
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
3l l?-??
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets . ArchitecWral Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Code Analysis (1) •'
• Certificate of Survey (1) . Civil Plans (2) • Praject Specs (i)
• CodeAnatysis (1)" . LandsrapingPlans (2) • KeyPlan (1)
• Project Specs (1) . Code Analysis (1) " • Mastar Ezit Plan (1)
• Spec. lnsp. & Testing Schedule " . Certificate of Survey (1) • Energy Calculations (7) not always"
• Soiis Report (1) . Spec. Insp. & TesUng Schedule (1) " • Elec. Power & Lighting Fortn (1) not always'"
• Meter size must 6e established . Meter size must be estabiished • Meter size must be esfablished - if applicable
• Project Specs (1)
l . EnefgyCalculations (1)
1 • Electric Power & Ligh6ng Form (1)
l • Master Exit Plan (1) 1
1 • Fire Protection Plan (1)" y
1 • SoilsReport (1) 1
• MC/ES SAC determination letter . MC/ES SAC determination letter • MC/ES SAC determination letter
call 651-602-1000 call 651-602-1000 call 657-602-1000
" Contact 8uilding lnspections for sample
Food & beverage or lodging facilities - submit plan to MN DepaAment of Heakh. Call 651-215-0700 for details.
DATE: ? 2 0 7,, WORK TYPE: NEW REMODEL CONSTRUCTION COST:? ( D? ? q}
SITE ADDRESS: I Z9' 1p , 13+ D, I,3 v 2 K V ISI-An I,IV
TENANT NAME: SUITE #:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK V 1 r?.?n X Name: ::7 f M 6E)1 Phone #1 r?0( S j 1 9q ? -' ?13 5?
PROPERTY Last First
OWNER
StreetAddress: ? 0 • 6ox 0- I /0(p (
City: F?&Zr-/w State: ^4 tJ Zip: S-CT/ Z!
Company: 69-0 ? N'1%9--, W ! /JD (W 4'J I D " Ane #: ( 9,59, ) 511 - ,34OC7
CONTRACTOR (?
StreetAddress: 1?6D n [?e"?? /,1Z '
City: AT p _l,Q \/ State: M /'J Zip:
ARCHITECTI
ENGINEER Company:
Name:
Street Address:
City:
State:
Phone #:
Registration #:
Licensed plumber installing new sewar/water service: Phone #:
I hereby acknowledge that I have read this application, state that the informa6on is correc and agree tot-comply witH' aR app aci ble State of
Minnesota Statutes and City of Eagan Ordinances.
Signature ot Applicani:
LI) Updated 1/02
OFFfCE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Aparhnents ? 27 CommerciaUIndustri al ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Camm
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Irnpr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 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. 8.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test EJ Heating
APPROVALS
Planning
Building
? Insularion
Engineering
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
11 Plumbing ? Stucco/Stone
Variance
a
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W 5urcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION $
% SAC
SAC Units
Meter Size
Total
, ..
TIMBERSHORE 2ND
PERMIT
DATE &
TYPE
LOT BL ADDRESS
76501
7/72 4-PLEX OlO Ol
020 01
030 01
040 01
7/72 4-PLEX OlO 02
020 OZ
030 02
? 040 02
1304/ KOLSTAD LN
1306/
1308/
1310
1296/ KOLSTAD LN
1298/
1300/
1302
7/72 4-PLEX 010 03
020 03
030 03
040 03
7/72 4-PLEX 010 04
020 04
030 04
040 04
3687 DENMARK AVE
1292/ KOLSTAD LN
1294
3689 DENMARK AVE
3695/ DENMARK AVE
3693/
3691/
3697
4
CITY USE ONLY
PERMIT #: S-V J V? RECEIPT DATE:
8008 ftESIDEPTIAL blECHANICAL PBgM1T APPLICATION
crrY oF EAsk?v
3830 P1LOT KAOB RD
$ABAA 6llY 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: c9-'
SITE ADDRESS:
OWNER NAME: Q011,(i WJ.2n,a? TELEPHONE #: 7-5--9?
INSTALLER NAME: 506C.- //LSi d P?G r4 lE J+^-c_ TELEPHONE #:
STREET ADDRESS: u--
CITY: STATE: ZIP: S' 7 3-7
Place a check mark next to the permit work type
Add-on, modification or alteration to existina dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: 2z:::12&- 9?_(_?P?tG+TrX fT w
?
State Surchar e I $ 50
7otal MAY 2 9 ZUU1 $ 30 ?S_D
By
J 44lt4 /? ?
SIGNATURE OF PERMI EE
tioz
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
EOOE COMMERCIi4I.MEGHMICl4I. PEiM1T lFPPLICATION
CITY oF EAHlklv
S$SO PILOT KAOB iiD
EAsM, Huv 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CTI'Y:
TELEPHONE #:
STATE: ZIP:
WORK 11'PE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Specify Nature of W ork
R'hen instal[ing/removing underground tank, call 651-681-4675 fnr inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Undergound tank removaUinstallation = minim„m fee
Contractprice: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATCJRE OF PERMITTEE
Updated 1/02
?
,l
_! N'"
"
MASTER CARD
I a 2,-? ,.v ?.7/
cTo ?-
,
OWNER /(/ x w Ib I?T?S2AYAPAOIJE-r
v . p
SiRUCTURE AND 1?jA&
LAND USED AS
Permit I
No.
Issued Issued Ta
Coniractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK 772 ArL F
i
WELL
ELECTRICAL
HEATING
°
`-
GAS INSTALLING '^--
-7
SANITARY SEWER
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING A SEPTIC
FOUNDATION Ir CESSPOOL
FRAMING
FINAL
ELECTRICAL y TILE FIELD FT.
HEATING
• ?tv
~ DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPOftTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON•COMPLIANCE
OBSERVED.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS fOLLOWS:
11 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPIY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
?
/
CE RTI FICATI ON - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all signiticant conditions observed to be 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 inspected.
? ALL IMPROVEMENTS ACCEPTABLY
u
DATE
omp?. z.
?Y'-)
CITY USE ONLY
L 3 L BL ItL ? 'e RECEIPT #:
SUBD. /J/ v?nYJe?l?hxs? o( DATE: (0// 0'5
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditionin Add-on air exchanger, i.e. Vanee system, etc.
Date:
? Minimum Fee: Add-on/Remodel (existing residence only $ .00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
7995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
.50
0
?
SITE
OWNER
PHONE #:
INSTALLER NAME: Z-0z2_VZ??-
STREET ADDRESS:
CITY: STATE:
PHONE #: /
ZIP:
-7,a Pr- 9s &
CITY USE ONLY
L . BL
SUBD.
RECEIPT #:
DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? all commerciaVindustrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE:
WORK NPE:
CONTRACT PRICE:
_ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minimum fee Q 1°h of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of Rerm'( fee due on all permits.
rONTRAGT PRICE x_ i %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
crrY:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
TELEPHONE #:
STATE: ZIP:
CITY INSPECTOR
?. ?
EAGl3N TOWNSHIP
3795 Pilot Knob Road a'
St. Paul, Minne3ota 55I11
Telephone 454-5242
PERM'LT FOR SEW$R SSRVICE CONNECTION
DATE: AugLiSt 7., 1972 Nt1MgER 1088
?
OWNER•New Horizon Hames Address 1$02-00-1298-96 Kolstad Lane
PLUMBER Thompson Plumbing Co, Typg OF PIPE Heavy Cast Iron
DESCRIPTION OF BUIIDING
Industriall Commerciail Reaidential I Multiple Dwalling l No, of units
xx
Location of Connectiona:
?
Connection Charge $960.00 pd 9/7 /72
Permit Fee 10.00 d 8/7 72
. 0 pd 7 72 -
Street Repairs
Total
Inspected by:
Date
Remarks:
By
Chief Inspector
Ia consideration of the issue and delivery to me of the above pexmi.t, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Tocroship, Dakota CounCy, Minaeaota
By
Thompson Plumbing Co,
Pleaee notify when ready for inspection and connection and before any portion
of the work is covered.
7
EAGFN TOWNSHIP
3795 Pilot Knob Road
St. Yaul, Minnesota 55I11
Telephone 454-5242
0
PERMIT FOR WATER SERVICE CONNECTION
Date: August 7, 1972
Billing Name• New Horizon Homes
Owner: sa4Le
Meter Size Connectioa Chg. C',Uu PcL 9/7/72
Meter No. Permit Fee 10,00 Ad 8 72
Meter Reading MeYer Dep. •50 pd 8 7/72
Meter Sealed: Yea Add'1 Chg. 300p0 pd 8/7/72
Plumber: Thcmpson Plwnbing Co.
ConnecCion
NO ITotal Chg.
Building is a:
Residence
tiultiple ax Ho, Units
Commercial
Industrial
Other
Inspected by
Date
Remarka:
a-'q-R
Number' . 926 -A
?------
Site Addres ;1302? 00-1298-96 Kolstad I,ane
aa a -7:?-7
Billi g?dies3??a??? 54?ft $
$25.00 R[?tPdSP£CTI6?! F?E f'OR
IMpRppERLY iNSTALLC-D PaIETERS.
By:
Chief Iaspector
In consideratioa of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regu2ations of Eagan Towaship, Dakota County, Minnesota.
By :
Thompson Plumbing Co,
Pleaae notify the above office when ready for inspecCion and connectioa.
4)
ppril 3,
Bernie I, Landis Jr,
1300 iColstad Lane
Eagan, Mir.nesota 55123
New Horizon Hornes Inc.
3131 Fernbrc,ok Lane North
Suite 104
Plymouth, hSinr:esota 5$441
To whom it may concern:
During the past few years, we have been having increasina.
proble:ns with our townhouse at 1300 Kolstad Lane in Eagan, •
I suspect so*ne sort of structural problem, as each year the problems
grnw worse. First of all during the winter our front door is nearly
impossible to op=n. The door into the garage from the living area will
not close and latch during cold weather. I had to adjust my door opener
because of a floor heave in the garaae.
Ebccessive wall,cracks continue to appear. Some of these cracks
were repaired during the past but continue to re-open, Flirthermore?
adc?itional cracking is appearing in the same general area.
I am therefore requesting that New Horizon Homes inspect those
premises and take the necessary steps: to correet these problecr,s.
Thank You,
Bernie I. Landis Jr,
ec epartment of Housing and Urban Development
/city of Eagan, i3uilding Inspector
First National Bank of St, Paul
Timhershore Homeowners Association
vek
Design #:44320
MENARDS
esn 4/18/2009
9-7540
* * * Take this sheet to the
You selected a 1 level deck with:
Pressure Treated Framing Material
4 x 4 Framing Posts %/ ( C
5/4" x 6" Pressure Treated Deck Boards
Poured Footings 12" Tube 4' deep
Stainless Steel Screws
Stainless Steel Framing Fasteners
NIT
Building Materials desk to purchase your materials. * *
Below is a section of the railing style and
options you have selected for your deck.
Handrail selections:
36" Vertical Handrail with Sweep Railing
2"x2"x36" Pressure Treated Sq. End Spindles
4"x4"x48" Pressure Treated Utop Notched Railing Posts
2'°x6" Pressure Treated Hand Rail
009
You may buy all the materials or any part at low cash and carry prices. Because of the wide variable in codes,
Menards cannot guarantee that materials listed will meet your code requirements. Check with your local municipality
for plan compliance and building permit. These p ans are suggested designs and material lists only. Some items may vary
from those pictured. We do not guarantee the leteness or prices of these structures. Tax, labor and delivery not induced.
fir
!HL
Spindle placement is approx. 4" apart depending on style
,?%'1 k'o131Q !x,
airs o
graspable
measured vertic
r or more piers shall have a
Andrail between 34" & 38"
ron7 the nose of the tread.
\>sj
WALKING SURFACES GREATER THEN 30'
ABOVE AREA BELOW REQUIRE GUARDRAJ
MINIMUM 36" HEIGHTAND DESIGNED
I SUCH THAT 4" SPHERE WILL NOT PASS THRC
Illustration intended = how general deck size and shape.
Some options selected may not be shown for picture clarity.
Today's cost for materials estimated in this design with options:$1,364.01
*The base price includes: 40 PSF deck live load, AC2 treated - horizontal 2x6 *(BASE rice): $958.85
If purchased today, you save: 240.70
Monthly MG Card Payment would be:38.31***
deck boards, 4x4 posts, 2x8 joists and beams, galvanized framing fasteners,p *�
AC2 treated 36" Vertical handrail to joist without posts, and premium screws. "Mo
Design #:44320 M EIVARDS 4/18/2009
* * gg757
*
Take this sheet to the Building Materials desk to purchase your materials. * * *
trtrT
Level 1: 12' x 20'
5' off the ground
Vertical Decking
2" x 8" Joists
2 ft cantilever on joists
2" x 8" Beams
2 ft cantilever on beams
40 PSF Deck Live Load
Today's cost for materials estimated in this design with options:$1364.01
*The base price includes: 40 PSF deck live load, AC2 treated - horizontal 2x6 *(BASE price): $958.86
deck boards, 4x4 posts, 2x8 joists and beams, galvanized framing fasteners, **'If purchased today, you save: $240.70
AC2 treated 36" Vertical handrail to joist without posts, and premium screws. ***Monthly BIG Card Payment would be: 38.31***
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Post and Beam Dimension Sheet
Design# 44320
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Beam Layout for Your Deck
The Scale is 114":1'
Design# 44320
Mark Length Description
C 4' 2-2x8 Micropro Treated
E 16' 2-2x8 Micropro Treated
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Joist Layout for Your Deck
The Scale is 1/4":1'
Design# 44320
B
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Mark Length Description Usage
A 11'9" 2-2x8 Micropro Treated Joist
B 7'9" 12-2x8 Micropro Treated Joist
C 7'10-1/2" 1-2x8 Micropro Treated Rim joist
D 19'9" - 1-2x8 Micropro Treated Ledger
E 11'10-1/2" 1-2x8 Micropro Treated Rim joist
F 4' 1-2x8 Micropro Treated Rim joist
G 3'10-1/2" 1-2x8 Micropro Treated Rim joist
H 16'1-1/2" 1-2x8 Micropro Treated Rim joist
Joists to be on 16" centers.
Joists to be hung from the ledger with joist hangers.
Joists to be toe -nailed to beams with 3-1/2" (16d) galvanized nails.
Rim joists to be face -nailed to joists & ledgers with 3-1/2" (16d) galvanized nails.
Y bracing is estimated, but not shown. Blocking and bridging may be required by your local code.
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Post and Beam Dimension Sheet
Design# 22796
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140403
Date Issued:12/16/2016
Permit Category:ePermit
Site Address: 1296 Kolstad Lane
Lot:1 Block: 02 Addition: Timbershore 2nd
PID:10-76501-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Amanda F Doering
1296 Kolstad Lane
Eagan MN 55123
(651) 353-9080
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141186
Date Issued:02/27/2017
Permit Category:ePermit
Site Address: 1296 Kolstad Lane
Lot:1 Block: 02 Addition: Timbershore 2nd
PID:10-76501-02-010
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Amanda F Doering
1296 Kolstad Lane
Eagan MN 55123
(651) 353-9080
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
1
For Office Use
�
t ' P a Permit#: 5- '17-/ ..:.-".7
%.‘, k.,,, .0 ,,,,I E AGAN
"� K0 Permit Fee: q.*
'O 7
." Date Received: / -11
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsCc�cityofeagan.com L
2018 RESIDENTIAL BUILDING_ PERMIT APPLICATION
Date: Site Address: / 6) A 2/sed L 11 Unit#:
i I Name: Phone: u�
Resident/ i
Owner Address/City/Zip:
t Applicant is: Owner Contractor 4-/ ,rte 6/e-(
Description of work: Flr6 r� 1 Co h G v-t?ie S o f c�
1/1-et- «/7
Type of Work I
i
I Construction Cost: 2 / 6 Q o —" Multi-Family Building: (Yes K. /No )
Coman G V(.) 57 �v iic t �4Yjcotatact ,n x �ei
l
Pyle /1,
tAddress: ^ ✓t i 90.3 6 H / ( a / i /5/0 0I h- /d
Contractor � ty:
1i!
State:mN Zip:,° 5/37 Phone: 9,5-d '2.3 5'`E`'eae32- Geo i 6 7/,5 G I, -- -._
)
License#: Lead Certificate#: •
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:
i Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
(
Fire Suppression Contractor: Phone: ,
f OTE:Plans and supporting documents that you submit are considered to be public information. Portions of the informati
Non maybe
` classified as non- ublic if ou rowde specific reasons that would ermit the Ci to conclude that tliey are trade secrets.
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.gopherstateonecall.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{edplan in the case of work which requires a review and approval of lans.
x Vve / /c iJ x ?--< ;::7--
Applicant' rinted Name App icant's nature
/,- 96; gti. 4-6.(1 /47) ic_--;;_-_,- --:- -L-')
DO NOT WRITE BELOW THIS LINE
4.
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
?c 01 of 'i Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building Reroof Demolish Interior
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 $01iOflO , Occupancy 7.2 (' 3 MCES System
Plan Review Code Edition Y)W120/ c SAC Units
(25%?< 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \,(5 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
X; Footings Addition.) S7-00 l�a ?q Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
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:
•
Reviewed By: 1 0 01 Pi; /16-114- , 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
C x'`
r For Office Use
4, ++ , Permit#: /.57g
EAGAN
Permit Fee:
.. .. EGEIVE `i-
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675.5675 I TDD: (651)454-8535 FAX: (651)6 Date Received:
6PR 0 9 2019 Staff:
buildirtainsoections@cilyofeagan.com
2019 RESIDENTIAL 'l� MIT APPLICATION
Date: -,t
" A, Site Address: `1JtID lititEtriA IN2ite 12831ki x A 55« Unit#:
Name: �- Phone: (61'355'lb8t
Resident/ `A.t
Owner Address/City/Zip: 11,411_ + .t i 'RUU 5511
�r
Applicant is: Owner Contractor 10c-
Description of work: 912(r a,1- (Q4t 41141n
Type of Work
Construction Cost 5 A��1�W Multi-Family Building:(Yes /No
Company: Contact:
{ Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
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:
j
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
cla ralfied s nfati-public ityau provide specific reasons that tiwouldpermtt the-C111to conclude that they are trade secrets
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.citvofearran.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.cooherstateonecall.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 with t a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and app al of plans.
Applicant's Printed Na . Applicant's Signature
17 DO NOT WRITE BELOW THIS LINE / Q O I s -r7 dt . / �6-7e6'
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
— Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi r Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
_ New — Interior Improvement. _ Siding _ Demolish Building*
Addition — Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION y (
Valuation L'�A WO Occupancy 72--C MCES System
Plan Review Code Edition i/I24 28( SAC Units
(25%_100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction T1 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
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 �} /
/ '2
Other:
Reviewed By: ,9 `�f Z7 t 7", , Building Inspector
RESIDENTIAL FEES /fic( i.9 v di le.
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3