1304 Kolstad Lane' CITY OF EAGAN Remarks
Addition TIMBERSHORE 2nd Lot 1 Blk 1 Parcel 10 76501 ?10 Ol
Owner'L( Screet 1304 IColsteld L?AFL State Eag?, MN '55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ? 1974 321.03 64.20 5 Paid
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL f 1973 970.37 64.69 1$ Pald
WATERMAIN
* WATER LATERAL 15
* WATER AREA 15
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K ::::::A
CITY OF EAGAN Remarks
Addition TIMBEFtSHORE 2nd Lot .2 _ Rlk
Owner ?)rTs'- J ,i[ I ICL 1' r. Street 1306 Kolstad LcxvtL
1 Parcel 10 76501 020 Ol
state Eckg?, MN 5512i
Improvement Date Amount Annual Ysars Payment Receipt Date
STREETSURF. + 321.03 64.20 5 Paid
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1973 970.37 64.69 15 Paid
WATERMAIN
? WATERLATERAL 1973 ZS
* WATER AREA 1973 15
STORM 5EW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
?
WATER CONN. 110 00 6180 9-7-713
BUILDING PER.
SAC
PARK '
CITY OF EAGAN Remarks
Addit"? TIMBERSHORE 2AC1 Lot 3 Blk 1 Parcel 10 76501 030 Ql
Owner 11Gt-l2- C?Ma+ r1 Street 1308 Kolstetd (_iA. 0%- t State Ea9an, MN 55121
improvement Date Amount Annual Years Payment Receipt Dete
STREET SURF. 1974 $21.03 2
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1973 970.37 64.69 5 Paid
WATERMAIN
* WATER LATERAL 1973 S
# WATERAREA 1973 15
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 6380
PARK
CITY OF EAGAN Remarks
Addition Lot 4 Blk 1 Parcel lA 76501 040 O7
Owner ` Street 1310 ICalstsd Lz,,?'l-k- State Edg3A, MN 5512'b
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF. 7j 1974 321.03 64.20 5 PAiCl
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1973 970.37 64.69 15 Paid
WATERMAIN
* WATER LATERAL 1973 15
* WATER AREA 1973 15 I
STORM SEW TRK i
STORM SEW LAT
CURB & GUTTER ?
SIOEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '
? PHONE: 454-8100
BUILDING PERMIT
7o be used for DgCY, Est. Value $1,000
Site Address 1304 KC:.S'FAI? LN
Lot 1 Block I Sec/Sub:T1tTURSI}ORE 2NL'
Parcel No.
W Name TA!? G13T7..riA?7'?
? Address 1304 iC01.8'TAU i.Ai
° City EAGAN Phone 451-5668
, o Name S?E
?Q Address
cc
City Phone
?Q
? W Name
wW
?
? ; Address
a W City Phone
I hereby acknowlege that I have read this appiication and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
.?_..._ ----
SignaNre of Permitee
A Building Permit is issued to: TiH GUTZ"4ANN
on the express condition that all work shall be done in accordance with all
appiicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official ,
Receipt # :-'' , ,'`
Date JUN"" 13 , 1g89
4FFICE U SE ONLY
Occupancy FEES
Zoning -
(Actual) Const - Bidg. Permit 20• 00
(Allowabie) - Surcharge • 50
N of Stones
Length IWO Plan Review
Depth IdO SAC, City
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well - Water Meter
Mv+,cc system -
Acct. Deposit
CAy Water _
PRV Required _ SNJ Permit
Booster Pump - S;W Surcharge
Treatment PI
APPROVALS Road Unit
Planrier Park Ded.
Council -- .50
&dg ? Copies
27.00
Variance TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
EIECTRIC
Inspedion Dats Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Ptbg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Final Plbg.
Const. Meter Plbg. Inspector- Notily Plumber
Engr.IPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
? CITY OF EQGAIV
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
i PERMJT SUBTYPE:
I
I 1[ 1!.r 14 I 1.4
CTION RECORD
PERMIT TYPE:
Pennit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
lit ';I. h' 11- f 1 ufd
i I[j rtl
1-, 1? "
?
_??
Permit No. Permit Holder Date Telephone t
S/Vlf
PLlSM81uG
HVAC
ELECTRIC
ELECTRIC
tnspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Aough Hig.
Isul.
Fireplace 3 -?
Ftnal Htg.
Orsat Test
Final Plbg. Ping. lnspector - Notify Piumbet
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
INSPECTI4N RECORD
? C1TY OF EAGAN PERMIT TYPE: ""' ? i?' ??` ;
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: , ,,, r? , APPLICANT:
? ,; E rIII?, ? r? s? 1. /? Nl ! ... ? 1 I(1 i EJ
! f t .INGI , .. ? . . - 7926 {
PERMIT SUBTYPE: TYPE OF WORK:
., i PA1 li
t?i .,• ?i i i" i< 01\111jIN6 1.lAtl
II _?
l ?- _ _
Permlt No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspeetlon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
UECK Ff^v
DECK FINAL
1;
IN
ON RECORD
' CITY OF EAGAN PERMIT TYPE: "' +'" raC3
3830 Pilot Knob Road Permit Number: `41i3 ?
! Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675
SITE ADDRESS: APPLICANT:
, IIt ?->rA!) I 61141. 4'l
?...6@13 .
PERMIT SUBTYPE:
f Il t) T I!?1 ?;
TYPE OF WORK:
F 1NA1
?
Permit No. PertnR Holder Date Telephone #
ELECTRIC
PLUMBiNG
HVAC
Inspectlon Deta Inap. Commenta
F0071NG5
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLB(3
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG S?
3d/
DECK FINAL ! ?f
fo
/6 7e?5G ? U?? v/
TOiNN Oi EAGAN
3795 Pilot Knob P.oad
Eagan, Plinnesota 55121
PERM.iT N0. 247-21+8-21+9-250
The Board of Supervieors hereby grants to Thwnpeali plmbitlg CO.
of 12201 rtittuieto¢ilca lilvd, M_lnnetozika 55343
a pIM'MIl'G Permit for: (Owner) New HOit'izari HamBs
?1 _9 - - Denmar};p 1292-94Kols= azsnar , -90 SalsEad
at i,a.? 13U -xi-08-1 q KO1sbAd T,ene , pursuant to applicaCion dated
7/31/72
Fee Paid: $320.00 Dated this 7th day oi "gut
8.00 378
19 72 .
BuI-lding Inspec*or
0.5
.
/G 7G"? o i Gr/G c/
xowm or Eacarr
3795 Pilot Knob P.oad
Eagan, Minnesota 55121
PERDiIT IdO. ?3i
The Board of Supervisors hereby grants to (ieo. 30dgwick Heatind_
& Air Cond. Co. of 1001 %aZia Ave. So., Mpla. 55416 _
a HEATItdG Permit for: (Owner) PIeTi: Horizon Havnea
at 1304-9646-YtJ Kolstad L.ane , pursuant to application dated
??8.OC79
Fee Paid: $80_p,) Dated this Yn+.h day of .,.&,,,+. , 19-7z.
2'.CA s/o
Bu;.lding Inspector
3
CITY OF EAGAN
, 3$30 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
' PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for DECK Est Value $1: 000 Date JlJN1
Site Address 1304 KOLSTAD I.N
lat 1 Block 1 Sec/Sub TIMBERSHORE 2ND
Parcel No.
W IName TIM GUTZMANN
? Address 1304 KDLSTAD LN
? Ciry EAGAN Phone 451-5668
IiFIName 5AME I
gp Address
? City Phone
Ww Name
?z Address
City Phone
I hereby acknowlege [hat I have read this apphcation and state thai the
infortnatwn is correct and agree to comply with all apphcable State of
Mmnesota StaWtes and City o Ordma es.
Signature of Permi'?
A emlding Permit is issued to. TIM GIJTLMANN
on the ezpress condrtion that all work shall be done m accordance wrth all
apphca6le State of Mmnesota Staiures and City of Eagan Ordinances.
BuAdirg OHICial
Occupancy
Zoning
(Actual) Consl
(Nlowable)
# afSlories
Lengih
Depih
S F Total
S F Foatpnnts
On Ste Sewage
On Site Well
MWCC System
ciry waler
PqV Requrtetl
BOOSter Pump
APPROVALS
Planner
Council
BIdg.Off.
Varianca
N? 16618
(Z-
OFFICE USE ONLY
_ FEES
wo
290
61dg Permit
Surcharge
Plan Review
SAQ Cny
SAC,MCWCC
Water Conn
WBter Meter
Acct Deposit
SPN Permit
5!W Surcharge
7realment PI
Roatl Unrt
Park Ded
capies
TOTAL
26.00
.50
.50
?? nn
EAGAN TOWNSHIP
BUILDiNG PERMIT
Ownex .....l?c?:ti.?......?51?''".':<"?r.-:-J/?'.-":'.":`.?.:..---- ---._..
....... ---.f. ?.-._._...J-?
Address (preceni) .
Builder ..................44'4f ...
Address ...................................
N° 2769
Eagan Township
Town Hall
Date _2"- 7 Z
.. .....................
Stories To Be Used For Froni DepYh Heigh! Est. Cosf Permif Fee Remarks
i J.
-?-
6 ?''?
3.?.so
' LOCATION / 911. J"o
Sireel, Aaad or oiher Descripiion oi LocaS3on I Lo! Slock Addifioa or TTae!
Th? permi! does ?no! aufhorue the 1sel of s2reels, roads, alleys or sidewalks aor does it give the owner ox hia agea!
the righ2 to creale anp aituation whiah is a nuisanee or whieh presenfs a haaard !o the healffi, salely, convealeaee and
ganeral welfare !o anpona ia the eommunitp.
THIS PERMIT MUST BE KEPT ON TPE PAEMISE WHILE THE WORK IS IN PAOGRESS. ,
This is to eerfify, thaf......... has Permission !o ereet a.... #??._.`...°':"..'.:...?.".-.."`.`."'-. . .. . upoa
the above described psemise subjee! !o the pravisions of the Bullding Ordinanee for Eagan Towaship adopted April 11,
1955.
...................._:a'....!:`.::!?"`..................................................... Per ...... ............. .---~..-.`.`:.`...^......5!_...... .........................................
Chairman of Tnwn Board Suilding Ieupeclqs
? ?CS
a ?
(o O,
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
S-
Foundation Onl New Construction Interior Im rovement
• SVUCWmI Plans (2) sets • Architectural Plans (2) sets • Architecturel Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Code Analysis (1) "
• Certificate of Survey (1) • Civil Plans (2) • Projecl Specs (1)
• CodeMalysis (7)" • LandscapingPlans (2) • KeyPlan (1)
• ProjectSpecs (1) . CodeAnalysis (1) " • Master Exit Plan (7)
• Spec. Insp. & Testing Schedule • Certifcate of Survey (1) . Energy CalculaEons (1) not always'"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be established - if applica6le
• ProjectSpea (1)
J • EnergyCalculations (1)
1 • Eiectric Power & Lighting Form (t)
1 • Master Exit Plan (1) 1
b • Fire Protection Plan (t)" 1
1 • SoilsRepoA (t) d
• MC/ES SAC delermination letter . MGES SAC detertnination letler • MGES SAC detertninaGOn letter
call 651-602-1000 call 651-602-1000 call 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: ! 2 D Z--- WORK TYPE: NEW REMODEL CONSTRUCTION COST: ? I O I I f?
SITE ADDRESS: L-V-?
TENANT NAME: SUITE #:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK ?,S?A( D W 1 V I 1'V?l?
Name: 4)m Phone 1 1`i" -93`?
PROPERTI' Last First
OWNER ?`p ,
Street Address:
. I
City: ? agA"Y' State: cv-1 1J Zip: {7? ? 2 l
s)o? ?
Company:? l /i?-g NJ.rJO?1Y?1`?' Pho #: c9?a -1? -3?
corrrRAcrox
?,?.{ r.?.o G I.ET ?/y1'r Da-.
StreetAddress: ,y /
City: &/2? State: Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City: State: 4:•0 12002
Licensed plumber installing new sewer/water
Phone #:
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances. ^ p ? Pz_ _
Signature of ApplicanY. ? ?t=
lJpdated 1/02
OFFICE USE ONLY
SUBTYPE . ?
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
0 14 Apartments ? 27 Commercial/Industri al ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorizarion
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMAT ION
Census Code Zoning sq. ft.
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Bldgs. Width sq. ft.
Const. (Actual) Basement sq. ft. MC/ES System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test 0 Heating
APPROVALS
Planning
Building
? Insularion
Engineering
0 Plumbing ? Stucco/Stone
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION $
°/a SAC
SAC Units
Meter Size
Total
TIMBERSHORE 2ND 76501
PERMIT
DATE &
TYPE
LOT BL ADDRESS
7/72 4-PLEX OLO Ol
020 01
030 01
040 01
1304/ KOLSTAD LN
1306/
1308/
1310
7/72 4-PLEX OIO OZ
020 02
030 02
040 02
7/72 4-PLEX 010 03
020 03
030 03
040 03
7/72 4-PLEX 010 04
020 04
030 04
040 04
1296/ KOLSTAD LN
1298/
1300/
1302
3687 DENMARK AVE
1292/ KOLSTAD LN
1294
3689 DENMARK AVE
3695/ DENMARK AVE
3693/
3691/
3697
4
ga H l
?"/g ed
2007RESIDENTIAL BUILDING rIIavuarrr x'Qnav
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruction Reauiremenls
3 regislered sile surveys showing sq. ft of bl, sq. fl of house; and all mofed areas
(20% macimum bt coverage allowed)
1 Soils RepoR if proposed building is W be placed on dislurhed soil
2 copies of plan shou(ing beam 8 window sizes; poured found design, etc.
1 set of Energy Cakulations
3 copies o(Tree Preservation Pian i( lot platted after 717193
Rim Joist Detail Options selection sheet (buildirgs with 3 or less units)
Mmnegasco mechanical ventllation fortn
RemodeVReoair Reauirements Office Use Onlv
2 copies of plan showing footings, beams, joists CeR of Survey Recd _ Y_ N
1 set of Energy Calculations for heated addNons Soils RepoR -- -_Y _ N
1 site survey for additions & decks Tree Pres Plan Recd _ Y_ N.
Add'dPon - indicate ilon-sfte sepfic system Tree Rres Required' _ Y_ N
On-siteSepticSystem- _Y _N
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date 1 O / t l 49 7 Constr ctionCast 1?(12 ?
Site Address
130
1306 UnitlSte #
13p3 J3?o ?-rv
Description of Work .
Multi-Family Bidg P Y_ N Fire ace(s) 2
Property Owner lino?w7w 4%*rG•M/Nns &vC- Telephone # ( )
Coutractor ?-tra r C
'
Address 3sn
State ol /V o (Y' (3 u ?rJ 57? Yo --35 ? City
Zip 47 Telephone # (&/? -7 Z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residentlal Ventilatlon Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• 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?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
apply for a Residential Building Permit and acknowledge that
is complete and accurat
e;
that the work will be in conformance with the ordinances and codes of the Clty ot Eagan ana tne 6tate oi iviN
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 lqh requires a review and
approval of plans.
ApplicanYs Printed Name Applicant's Signature
? 16fasNapkr r 2'
•
'? ?. l Z, I
LOCATION ?i? L ST rno I.s n y _ J.MI
MASTER CARD
OWNER /UCyI) ?ri nh r/ D ???
STRUCTURE AND
LAND USED A$
Issued To
Permit No. Issued Contrattor Owner
BUILDING 2 79
PLUMBING
w-. r` yryf?-
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSiALLING ?
SANITARY SEWER ? O f
A
I
A'
OTHER -? } r
-
-
OTHER
I
•
?
Items Approved
(Initial)
Date
Remarks
Disiance From Well
FOOTING ?9 s7 SEPTIC
FOUNDATION g' -s CESSPOOL
FRAMING - TILE FIELD fT.
FINAL
EIECTRICAL
HEATING
GAS INSTALLATION DEPTH
OF WELL
SEPTIC TANK
CESSPOOL
DRAINFIEID
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
•
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
DATE OF INSPECTION
ACCEPTABLE SU&STITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED DATE OF REINSPECTION •
REINSPECTION REVEALED
CERTI FICATION -1 certify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that 1 have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any apecific require-
ments for off-site imprwements relating to the property inspected.
? AlL IMPROVEMENTS ACCEPTABIY COMPLETED
BUILDING INSPECTOR DATE
' 1989 BDILDING PESMIT APPLICATION - CITY OF EAGAN
I /`- ( ? (?
SINGLfi F9MILY DWELLIlPG3 ??I y Q
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY9 1 SET OF ENERGY CALCULATIONS
AOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOIiNSA MOST DFSIGNATE WfiICH ADDRESS
IS DESIRED. NO CfiANGES WILL BE ALLOWED ONCE BOILDING PEAMIT IS I350ED.
MQLTIPLS DWELLINGS RENTAL ONITS FOR SALfi ONITS +1 OF QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COMPlE RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ?U H D T f98'J
To Be Used For: Valuation: ? Date: &/ ???
Site Address /3o4 KiS" Lo, F?p4ap
Lot I Block 1_
Parcel/Sub qAmnQulo?o, lItd,
Owner ? ?
Address
City/Zip Code SS?a3
Phone ?5 ? J S? b O?w?
Contractor _
Address
City/Zip Code
Phone
Arcn./Engr. 'Tk roU G. Gktem-o-w,?j} P.e.
A-EC - EnNJ,NOe.-s
Address &i/ i/*A ArG So
CitylZip Code /l741s /l7n1 Ss-'m?-
/ U [7 c)
Oecupancy ?
Zoning
Aetual Const
Allowable
U of stories
Length luX Iv
Depth S X 10
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV required _
Booster Pump `
FEE3
Bldg. Permit 2-6,vo
Sureharge ,-?
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies .Sn
TOT9L =,>- , 7 • ?
6PPR01/ALS
Planner _
Couneil
Bldg. Off.
VarlanCe
Council
Phone 6 3302 ' LWDS
NOTE: Sewer & Water Permit Yees and account deposit fees xill be included in the building
permit fee. Processing time For seti+er and rrater permits ia txo days once a liceased
plumber has applied for a permit at City 8a11.
RTI L/N4F5 ???..
I ?.
r
0 I
DK'< ,6rL?Lf;iOK ? ?
i ? ,°n m
?
+ i -
r I $ ? ?
M
i ?
,
?
i ! r
N aj KULST,4D L1Y• ?
?
S 1 TE FLA/V
,
CITY flf L-:.AGflN
('.ASHTEf;: JS Tf_FMINAI N0: 65
DATU 05/22/97 TIM1=, 15:03:57
IIl:,
NAME: VLCt:Y (;ZAF'L_EWSKI
3210 9001 13lQ KCII_.STAU LN 50.00
2155 900i. 1310 F.OLSTAD l_N 0.50
?
Tot,al Fiecript, Amauntr 50.50
cR07n2o.i
IJSER CDe .IAN
? CITY OF EAGAN PERMIT
'
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE:
BuzLosNG
Permit Number: 030017
Date Issued: 0 5/ 2 2/ 9 7
SITE ADDRESS:
1370 KOISTAD IANC
LOT: A BLOCI<: 1
TIhiGERSMORE 2ND
P.S.N.e 10-76501-040-01
DESCRIPTION:
E#uil,dine}-.Permit Type
?8u,ildirig W$_?-? Type
.ensr?z Cad?
?
. .. ?
?.?.... '1 . t
J"'»
DECK
NEW
434 FlLT. RESIDENTIAL
L'.t
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
COfdTRACTOR:
OWNER: - Applicant
CZAPLEWSKI VTCKY
1310 KOLSTAD LN
EAGAN MN
(612)452-6033
55123
I hsreby ar,knaWledqe? th??,,j have rsad t'h,i„s
infiQrmetian 1.a ?arrett and agr-ee td ccrmp3y
Statutes and City of Eagan Ordinances.
? _. .
1
Ar i?
APPLI MIT SIGNATURE
aPR,lzcatlon wsd state t4at the
with all appllt?eblt State o'f `Mn.
`
ISSUE Y: SIG E
-j
' 997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?? CIIY OF EAGAN
11 5830 PILOT KNOB RD • 55122
681-4675
New ConstruGion Renuirements
? 3 registered site surveys ? pcopb$ o{ plan
• 2 capiea of plens (include beam & window sfzes; poured fid. dasipn; etc.) ? 2 site surveys (extedor edtlitions & decks)
? 7 energy calalations ? 1 energy ealculations for heated aadkions
? 3 eopies of tree preservatfon plan H lot platted aRei 7l1 /93 •
required: _Yea _ No '
DATE: S' ?? 9 7 CONSTRUCTION COST:
DESCRIPTION OF WORK: g x?? D c, e-
STREET ADDRESS: 1310 Ko t5 fnD?•
LOT ? BLOCK SUBD./P.I.D.#: JimbliAm¢. Ind.
PROPERTY Name: G Z qPkFFA,5 kt vi'eki' Phone #: 115-a -?33
owNeR StreetAddress: I310 Ko(s??r0 L,9We-
City: E 1?3 6P 9h.> State: n' 211 Zp: 5-5223 ^
coNrw4c'roR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECTI Company: Phone
ENGINEER
- Name: Registration #:
CEI Street Address:
. City: State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
I acknowledge that 1 have read fhis application and state that the information is correct and agree to comply with all applicable
ED Ind City of Eagan Ordinances.
5ignature of Applicant: ?/?•
iViAY 1 3 1997 ???'
USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
n 01 Foundation o 06 Duplex
0 02 SF Dwelling ? 07 4-plex
? 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
0 05 SF Misc. 0 10 _-plex
WORK TYPE
)3r'31 New o 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
0 11 Apt./Lodging o
0 12 Multi RepaidRem. ?
n 13 Garage/Accessory o
? 14 Fireplace n
X'? 15 Deck
? 36 Move
0 37 Demolition
'*T Y'' • k""?
s
?
?
? ??
? £
*
, e.^
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy gq, ft.
Zoning sq. ft.
# of Stories sq. ft.
Length Sq, ft,
Depth Footprint sq. ft.
APPROVALS
Planning Building ? F?
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
MC/WS System ?
City Water /
Fire Sprinklered
PRV
Booster Pump
• Census Code. 4 314
SAC Code 01
Census Bldg _L
Census Unit o
Engineering Variance
Valuation: $
% SAC
SAC Units
i
. ?.-? . .
-t ?
?, -- - -- -
?
1/ cz ?pl? ? sK;
I kn
_ _ _ J ? ?
t ?• .
Timbershore HomeowneL'6 ASSOCI<11=1Ct7
Eagan, MN 55123
City of Eagan
Eayan, MN 55123
RE: Buildiny Permit ior 1310 Kolstad Lane, Eagan
To Whom It May Concern:
we understand that a siyned letter must be submitted to the City
from the AssociaCion in order to obtain a building per¢iiC. We
reviewed the plans to build a new deck at 1310 Kolstad Lane at
our March 12, 1997 monChly meeting. Since the deck conforms to
our standards, the 'Pi.mbershore Homeowner's Association has
approved the deck to be coustructed for vicky Czaplewski. 7'he
signaL-ures of the board members are loczCed on the plans as well.
If there are auy problems or additional questions, please call
[tienL' Mueller, catio is in charye of arclii.teccural changes, at
456-6542.
Sin_ely,
Gerald 'Scholi ?
President
czrv oF EA,FlN
CASH.T.FR: 5 7EkMINAI. N0: 35
?FlTE„ 05/20/97 TIHE: 14:32:53
IU:
NAME: NORl...F B1_DG CO
3210 9001 1310 F:OI..57ALi LN 21.00
2VJ5 9001 1.310 F;OLS7ALi LN 0.50
3430 9001 13i.0 Y•f11..8TAL L.N `i.Op
Toi;a1 Rereipt qmoun+,: 26.50
CRt]i 4129
USER ID: NANCY
PERMIT
? CITX OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
1310 KOLSTAD LANE
IOT: 4 RIOCK: 1
TIMBER5HORE 'lND
P.I.N.: 10-76501-040-01
BUILDING
029976
@5/20/97
DESCRIPTION:
? f?----v? (pECK qIVIDING WALL) .
[Ku 3adi.n 6- '- Permit Type SF (MISC.)
'13uilding Wiqr_k Type REPAIR
Cp9'tsuq` Cqd6 434 FlLT. ftESIDEN"1'IRL
?? i?T/?. a?
?§E . . ,... ?.,?.-_j f,?-'-t ,,..-..i •. -`7
REMARKS:
FEE SUMMARY:
VFlLUATI(7N
Base Fee
Sui- chh a rge
Lic. 5earch
Total Fee
$21.00
$.50
Fee $5.00
$26.50
$smm
CONTRACTOR: - qppli-cant - sT. I.zC OWNER:
h?OBIE BUIIDING CO 14327926 2001814 TIMBERSHORE HOMEOWNER flSSN
6605 166TH ST W TIMBER5HORE LIV
ROSEMOUM1lT MN 55065 EAGAN MN 55123
(612) 432-7926 , (612)452-2209
I hereby aeknawledge that I haue read tha.s
information is ebr ecC and agre?e to comply
Statutes` of Eagan Ah°d3r(mnces: L
APPLICANT/PERMITEE SIGNATURE
appl5cdtissn atas} state that the
with ail ap¢licable BtaCe o# Mn_
a4IS ?
ED BY. ATUR
997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
8830 PILOT KNOB RD - 65122 r ?
687-4675
Naw Construc[ion ReaufremeMs RamodeVRaoair Reauiremente
? 3 regiatered ske surveys ? 2 copKy of plan
• 2 copies ot plans (inGude beam 8 window saes; poured fid. design; etc.) ? 2 site surveys (exterior addkions & dedcs)
• t energy calculaUons ? 1 energy oalwletiona for heated additions
? 3 copies oTtree preaerva6on plan if lot plettetl after 7n/93
required: _Yes _ No DATE: 17' 9- S 7 CONSTRUCTION COST:
DESCRIPTION OF WORK: -?• ? 4 ?? n.. 417 /e <? ee- t
STREET ADDRESS: ?3 ? v ?o ? ?eadi JQ?.P
LoT ? BLOCK sueo./P.i.D.#: ?(mlbndn, loll-
PROPERTY Name: 7'14-?&?--s 40tie Ha c? c owu CISphone #: q5 a-9Z 01
OWNER co.c{-a,-?_ '^^ rewi- M-ef(er n.s.
Street Address:- 'r?-4 4?6 Z-4",--e
City: Csa,K State: fl ti Zip:
CONTRACTOR Company: /vo? eo Phone #: 0-2 '232 -2 y 2 ?
Street Address: License #: a f'o /F/ `/S
City: leo c-e ??4 t f State: r-I a Zip: s`52o,? F
ARCHITECTI Company: 10,9K R PhOne #:
ENGINEER
Name: Registration #:
FRECEIVED
treet Address:
ity: State: Zip:
Sewer 8 w,$fir licensed plumber (new consVuction only): . Penalty applies when address change
and lot ch5nge are requested once permit ia issued.
I hereby acknowledge that I have read fhis application and state ttiat the infortna6on is co ct an a e to comply with all applicabfe
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required
BUILDING PERMIT TYPE
OFFICE USE ONLY
?•? .??, ??. .
?
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-ptex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Firepiace p-' 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE 2y,lace ,,la.%f w tak
x( 31 New o 33 Alterations o 36 Move
? 32 Addftion o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ?
(Allowahle) Main tevel sq. ft. City Water i
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ti 3,q
Depth Footprint sq. ft. SAC Code o i
Census Bidg ?
Census Unit ?
APPROVl1LS
Planning Building IU Engineering
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Variance
Valuation: $ KA 101rallw. ---
% SAC
SAC Units
***?********?**************?**?********
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 765
DATE: 08/14/00 TIME: 10:16:50
ID: •
NAME: ALICE M HENRY
3213 9001 1304 KOLSTAD LN 30.00
2155 9001 1304 KOLSTAD LN 0.50
Total Receipt Amount: 30.50
CR135716
USER ID: JAN
CITY USE ONLY
LOT I BL PERM[Ttl:
sveD. PEcEIrr a:
RECEIPT DqTE:
?-'•? ?.2-S
2000 MECHANICAL PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3630 PILOT FQN0B RD
EAGAN tII7 55122
I 651-681-4675
Date:
Complete this section on[v if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surchazge .50
Total $
Complete this section onlv if you are remodelina, addin¢ to, or reoairine an eacisting single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New
_ Furnace
_ Air exchanger
Reminder: Ca?1 jor inspections
SITE
Other
Air conditioning
Other
Fee $ 30.00
State Surchazge .50
Totai $ 30.50
,75
d \- I _ I/
OWNER NAME: C?l?..??` PHONE #: ?_- Y L(n "Z-(a
( A CODE)
INSTALLER NAME: ? ?-? y ?CC?L1`"-' \ PHONE
? . r ? _ ? L ... . ( n cone)
STREET ADDRESS:
CITY:
x Alteration _ Repair
?
ZIP: m
L BL
SUBD.
CITY USE ONLY
APPROVED BY:
INSPECTOR
PERMIT# _
RECEIPT#:
RECEIPT DATE:
2000 MECAANICAL PERMIT (COlMRCIAL)
CITY OF EAGAN
3830 PILOT FQN08 RD
EAGAN, bIlR 55122
651-681-4675
Please complete for: all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dweliing unit
DATE:
WORK T'YPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When insta[lixg/rernoving underground tank, call 651-681-9675 for inspection by fre marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%= S (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME:
INSTALLER:
ADDRESS:
CITY:
STATE: ZIP:
PHONE #: -
(AREA CODE)
SIGNATURE OF PERMITT'EE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
LOT: 1 BLOCK:
1304 KOLSTAD LANE
TIMBERSHORE 2ND
?
?
1 APPLICANT:
DANIEL50N CLAIR
(612) 456-9528
BUILDIN6
023122
63/18/94
7
I
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
DESCRIPTION (GAS)
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-76501-010-01
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1304 KOLSTAD LANE
LOT: 1 BLOCK: 1
TIMBERSHORE 2ND
(6AS)
Building'Permit Type
Building Wq,rk Type
? ? --?
?- r
?<"?C• ( ? . '
\? L ,?/ •,, ??
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$25.00
$25.50
FIREPLACE
NEW
vo 7
BU3o
023122
@3/1S/94
eO C??ICs?j ?}n
CONTRACTOR:
OWNER: - Applicent -
ANIELSON CLAIR
304 KOLSTAD LANE
AGAN MN 65123
612)456-952$
I hereby aeknowledge that I have read this applicaCion and state that the
information is correct and agree to comply with all applicabie State of Mn.
Statutes and C9,ty of Eagan 6rdinances.
L
APPLICANTlPERMITEE SIGNATUflE rh'd
I ED E[Y. S GNA FE
CITY OF EAGAN
, ?' ? 1994 BUILDING PERMIT APPLICATION
2`? 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, i copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date .3•A-f,L / / Valuation of work
Site Address: r36? ?nGrSf"'? l,aN4-
STREET St1ITE M
Tenant Name: (commercial only)
IAT I SLOCK / SUBD. n. 0 P.Z.D. #
Descri tion of work: 4YSZWb
The applicant is: Owner ? Contractor ? Other (Describe)
Name ` Phone ?Nzyl
Property ?ST FIRST
Owner Address /30tl/ 'J'4CO'LSpSo?/? Lxt,Uf-
STREET STE #
City ".tl State Zip
Company S{ ?? Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
_ OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 foundation ? 06 Duplex p 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? S; te
? Wa116oard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Foattng
? Final
? Framing
0 Draintile
? Insulation
? Fireplace
Perm9t Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Traits Ded.
Copies
Other
Total:
vawectm:
...-??...,?. ?" ._. ',^••^"? 16 Basement Finish
0 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water -
PRV Required
Booster PumP
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
EAGljN TOWNSHIP ?lp
3795 Pilot Knob Road
St. Paul, Minnesota 55111 1
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: August 7., 1972 NUMER 1089
?Z,.?
J
OWNER• Ne"' Horizon Homes Address 130446=08-10 Kolstad Lane
PLUMBER ThaaPson Plumbing Co. TypE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUIIDING
Industriall Commerciall Residential f Multiple Dwelling I No. of units
xx
Location of Connections:
Connection Charge$960.00 pd 9/7/72
Permit Fee 10,00 pd 847/72
.50 Pd /7/72
Street Repairs
Total
Inspected by:
DaCe
Remarks•
By
Chief Inspector
In consideratioa of the issue aad delivery to me of the above permit, I
heraby agree to do the proposed work in accordance with the rules aad
regulations of Sagan lbemahip, Dakota-County, Mianesota
BY
Thomnson Plumbine Co.
Please notify when ready for inspection and connection and before any portion
of the work is covered.
EAGAN TOWNSHIP
3795 Pilot Knob Road ti
St. Paul, Minnesota 55111
Telephone 454-5242
PER4aT FOR WATER SIIRVICE CONNECTION
Date: August 7. 7972 Number• 927
Billing Name: New Horizon Homes Site Address: 304?06-08-10 Kolstad Lane
2222 ,b0,- ,?
Owaer: Same Billing Fddress
53739 , 15, , 10
Plummber: Thonps°n P7-umbing Co.
Ass'n 22220763
tion
Meter
9/7/72
Meter No. Permit Fee 10.00 Pd?22
Meter Reading` Meter Dep.
5 meters
Meter Sealed: Yea Add'1 Chg. 300.00 pd 8/7/72
NO iTotal Chg.
Building is a:
Residence
iiultiple X' tio. Units4
Commercial
Industrial
Other
Inspected by
Date
Remarks:
$2?.?0 ?=-ii;;'r;?T!i'i'! FEE FOR
IMPRUPtRLY I;VSTALLED Py9ETERS.
By:
Chief Inspector
In consideration of the isaue astd delivery to me of the above permit, I
herehy agree to do tlv proposed work ia accordance with the rules and
regulations of Eagan Township, Dakota County, Mianesota.
s5,: ---
Thcanpson Plumbing Co.
Please notify the above office when reedq for inspection and connection.
?
?5
?TOq MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Famity Dwellings
Townhomes and Condos when permits are required for each uni[
$ 3b.SD
Date a / -7 / D2L
Site Address ??? 0 14)d S1Fz1d L-h ' Unit #
Property Owner V 1 LY-Ya Telephone #((,p I a) ?
Contractor
Wohlers Southside Htg. & Air, Inc.
Street Address 6950 W. 146'h St., 9106 ity
Apple Valley, MN 55124
State (952) 431-7099 )ne # ( )
The Applicant is _ Owner '?Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
? furnace replacement
air exchanger
air conditioner
otner
FEB 1 8 7.Of''.
State Surcharge
Total
I hereby apply for a Residential Mechanical Pernut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pernut, but only an application For a pemilt, and work is not to start without a pernvt; that the work will be in accordance with tLe
approved plan in the case of work which requires a ceview and approval of plans.
l_)?u(lIP 1 --P. . lL)pNeFS C6tP"1f :_0 %Z. u 1ki-Y'
Applicant's Printed Name Applicant's Signature
MECHANICAL (COMMERCIAL)
Permit Apptication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
Please complete for: commercial/indus[rial buildings
multi-family buildings when separa[e permits are no[ required for each dwelling unit
Date
Si[e Address Unit q
Tenaut Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Contractor Other
Work Type
_ Newconstruction UndergroundTank _Install _Remove
_ Interior Improvement Cafl for inspection during installation/removal of tank
Processed Piping
?
Nature of Work:
Yermit Fee $SOSD Minimum Fee (includes State Surc harge)
Contract Value $ x .Ol°/a = $ Permit Fee
• If perntit fee is $1,000 or less, add $.50 ? $ State Surcharge
Ifpermit fee is over $1,000, add $.50 per
$ 1,000 Perntit Fee
$ Total Fee
I hereby apply for a Commercial Mechawcal Pemtit and aclmowledge that the informarion is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pernut, but only an application for a permit, and work is not to start cvithout a permit; that the work will be in acwrdance with
the approved plan in the case of work w}uch requires a review and approval of plans.
ApplicanYs Printed Name
Applicant's Signature
Approved By: , Inspector Date:
V
T:'l?
PLiJMBING (RESIDENTIAL)
Permit Applica ion-
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Fanvly Dwellings
Townhomes and Condos when pemuts aze required For each unit
1-ts .lo:sb
Date 2- / 10 ! o 3
Site Address 1-?)ID Ko +c--.,,ta,j L"L Unit #
Praperty Owner Icl`'V ca mmc?16 Telephone # (?1z) ?OZ. ?
Contracror G1Qi waj-l C-:> Pl.l.N VL.v01 _
Address ' ?? ???t b-k!= Str.U t* i01 City
State IUI0' I K-.Cl&?) Zip VDI?3 I v Telephone #(q9) ?C)? ZV
The Applicant is _ Owner ].- Contractor _ Other
Septic System New Refurbished Submit 2 seLS of plans and MPC Ilcense
IncAUdes Counry fee. Additional consultant fees may apply. $ 100.00
Alterations To Existing Dwelling Unit, Including f-?' ? ?
Adding fxtures to lower levels or room additions, excluding er-?sufte?gr ghdlwatenhg ter $ 50.00
Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00) F EB 1 2 2?03 ?
?
Other:
- -?_
BY -'
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lavcn irrigation system
_ Water sottener )? Water heater
? replacement _ additional $ 15.00
State Surcharge $ 50
Total $ ' `" • ?D
I hereby apply for a Residential Plumbing Pemut and acknowledge that the uuormahon is compiete ana accurace; mat ?ue wurx wuL
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand tlus is not a
permit, but only an applicaHon for a pernvt, and work is not to start without a permit; that the work will be in accordance with the
a proved plan in the case of work wluch requires a review and approval of pl
?j c?.?.? ???
Applic t's Printed Name Applicant's Signature
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
5 4S .S7()
Datet4 /I /?i? ?,p t
Site Street Address l A L? Unit#
PropertyOwner Telephone#
Contractoa- VQ.Uf?uI :'F_il .Ul.OC)Q? Telephone #M5
Address !t= L?TI?? -t"ll !A ???CLMCity 4udQ? State_wL Zip Dl
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
? Water Softener _ Water Heater
N replacement additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total $ I ` ?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved. A
17==-
ApplicanYs Printed Name lic,
?
11 m 9 ? 0 dT
? APR 14 2004
..?,
`, e? ? aty Of Eai8It
3830 Pilot Knob Road
Eegan MN 55122
Phone: (651) 6755675
Fex: (651) 6755W4
swromce use ?
Pemlit#: 63`?e?
?
Permrt Fee: ?? • 1
I
Date Received: to - g-D I
I
O? f
Smff: ? U I
----------------
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
oate: (fl - 1?-o 8' sire aaa.em: 13 a(? LAo i s+? ? L a h?
Tensnt• ?ite
RESIDENT / OWNER Name: T1 Y, S 4 r V Phone:
Address / City / Z'ip:
(;OpiTRACTOR Name: I-G e c S i c ? n) r? L;A .1 e Y? i ucr Ir'is.c License #: U S S S>.S` /??'t
address:P o t'S o x a a i? a
City: ?- °? n•'? State: ? Zip: S S/ a?
Phone: Cr S ?- 6 Contact Person:
7YPE OF WORK _ New _L-?aplacemerrt _ Repair _ RebuiW _ AAOdify Space _ Work in R.O.W.
Desai on of work•
PERMIT TYPE RE?SI/DENTIA!
vWater Heater _ Wa[er Sotiener
Lawn Irtigafion Add Plumbing Fixtures
I RPZ /_ PVB) (_ AAain _ Lower Level)
Septic System _ Water Tumaround
New
Abarxionmerrt
qES7Min L FEES:
g5p.um Water Heater, Water Softener, or Water Hw,dter and Softener (includes $.50 State SurchargeJ
$30.50 I.awn Irrigation (ncludes $30 Smte Surcharge)
$50.90 Add Plumbing Foctures, Septic Sysbem AbandonmeWater Tumaround' (includes $.50 State Surcharge)
"Water Tumaround (ad1$136•00'rf a 5/8' meter is required)
$10050 Septic System New ($10.00 per as buiR) (indudes Courrty fee arnd $-50 State Surcharge)
;90.50 Fre Repair (replace bumed out appliances, ductworlc, etc.) (indudes $.50 Sffite Surcharge)
FEES $,S Q- SU
I herebyY advoMedge tliat Uiis irdartnation is oomplebe ard accurate; tlhat the mrk tm'6 he in eontormance with the ordinances anW todes of the Ciry of
Eagsn; tlut 1 undarslard this is not a permit, drt only an appiicadon ta a pertnit, ard vorc is no[ to sta`t wiUmul a pertnit; that Ure work wiil 6e in
xcoidance wfth the approved Wan in the tase of woNc which reQNres a review and appro+al of ptens? `
ApplWant's Printed Nmne Icarrt's Signature
FOR OFRCE USE Reviewed Sy: Dabe:
i Requ9red hmpeclJons: UtKler Gmund Rough-tn R'v Test Gas ?esi Fna(
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117660
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 1304 Kolstad Lane
Lot:1 Block: 01 Addition: Timbershore 2nd
PID:10-76501-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Clair N Danielson
1304 Kolstad Lane
Eagan MN 55123
(651) 688-6694
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121671
Date Issued:04/11/2014
Permit Category:ePermit
Site Address: 1304 Kolstad Lane
Lot:1 Block: 01 Addition: Timbershore 2nd
PID:10-76501-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Mary Lou Peterson
1304 Kolstad Lane
Eagan MN 55122
(651) 688-6694
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature