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3634 Kolstad RdCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3634 Kolstad Rd Lot: 1 Block: 13 Addition: Timbershore 3rd PID:10- 76502- 010 -13 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Adam S Maurer 3634 Kolstad Rd Eagan MN 55123 $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA083875 06/27/2008 ePermit Aug 04 09 01:42p Cse 6516464273 p.3 orO(fice Use - - - - - - - - Permit City of Eaall I Permit Fee: 3830 Pilot K ob Road Eagan MN 5922 ` Date Received: Phone: (651 675-5675 t staff: Fax: (651) 675-5694 l _ - 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: kd h (31~3to t Tenant; Suite M RESIDENT 1 OWN R Name! 1'Y} hr '1 e Io 'r h e_ Address/ City/ Zip: 1 Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: ' Mufti-Family Building: (Yes l No CONTRACTOR Name: Yt License M. Address: d'S 1 /1r Z 'h city: FBI y State: Zip: 5 7 J L) Ci `7) Phone: Contact Person: Jeri COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category I Worksheet - • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 month, 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 Con tractor: Phone: NOTE: Plans an supporting documents that you submit are considered to be public information. Portions of the informatio may be classified as non public it you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge t at 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 understa d this is not a permit, but only an application for a permit, and work is not to start ithout a permit: that the work will be in accordance with the ap roved plan in the case of work which requires a review and approval of plans. Applicant's Printed same p a s ignature Page 1 of 3 EAGAN TOWNSHIP ` 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: rlove;aber 16, 1971 Number: /be Billing Name: New Iioriron Hawed Site Address: 3634 Kol.et ,d ,lvc Owner: < ___ Billing Address Plumber: Thompson Plumbing Co. Location of Connection Meter Size Correction Chg. Meter No. Permit Fee ace l '"" "u. 746 Meter Reading _ Meter Dep. o.,C):i 11/l6/71 Meter Sealed: Yes Add'l Chg. NO Total Chg. Inspected by Date Building is a: Remark / Residence Town Hausa -^--- $25.;; 0 < Multiple No Unite ' h;PROPE ?LY Commercial fJl Sri` Industrial Hy: Other Chief Inspector In consideration 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 regulations of Eagan Township, Dakota County, Minnesota. By: Zho.lpaon P4um ins eo, lease notify the above office when ready for inspection and connection. • EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454.5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: November 16, 1971 NUMBER 906 OWNER: New horizon Homes Address 3634 Hoisted Avenue PLUMBER Thompson Plumbini± Co. TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units Town House Location of Connections: Connection Charge 240.00 j4 12/21/71 Permit FstnoteMPaiwit 9 ° 4- ,,,, , ?x 1 4 ono Street Repairs Total Inspected by: Date /5 .I, • 7 l Remarks: By Chief Inspector In consideration 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 regulations of Eagan Township, Dakota County, Minnesota By Thompson Plumbing Co. Please notify when ready for inspection and connection and before any portion of the work is covered. Use BLUE or BLACK Ink - I For Office Use /I,,ff Enn ~ Permit V/h~ I 1 City of Ea I V Permit Fee: y 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:f,--Site Address:~~C Tenant: 4444 7' f © Suite Name: PQrt1t,-S ©I) Phone: ~G- Resident/Owner r _.a_._.. Address City Zip: Name:~~ U r~'~ \ V License* 6~ G Contractor Address: City: &":C ~ Statef~w Zip: Phone: i Contact: C, Email: C New V -Replacement - Repair - Rebuild - Modify Space Work in R.O.W. L Type of Work - - i Description of work: RESIDENTIAL i Water Heater Lawn Irrigation RPZ / - PVB) Water Softener Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround Abandonment ~n. . . RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, _Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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..qopherstateonecall.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, M pro work is not to s art witho _a permit; that the work will be in accordance with the app ~oved plan in the case of work which requires a review and ppro I of plans. Applicant's Printed Nam Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final it s*b City of kap Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION 3b 3 `/ lid/ JLJ Site Address: Tenant: 54-e v -t .i C2Gt ✓d Pt 14w e I Resident/Owner. Suite #: Name: 46;L'""Vv � ct u r v Phone: 65-7--- 6 9s Tse�� Address / City / Zip: 3 30 7 IL Ga t . r. 44,1 {'K'4) SS/ L 2 Contractor Name: License #: Address: City: State: Zip: Phone: Contact: Email: Type of Work New )( Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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 plans. x %C4 AA VV((it ulit✓ Applicant's Printed Name x Applicant's nature FOR OFFICE USE Reviewed Required Inspections: Under Ground . Rough -In Meter Related Items: " Meter Size Radio Read Staff: Date: Air Test Gas Test Final