1308 Kolstad Lane
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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.
?
� Use BLUE or BLACK Ink
�-----------------
� For Office Use �
• j Permit#: � Y' `��" j
Cl�� of �a��� ; c�.� �
� Permit Fee: �
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: j
Phone:(651)675-5675 I , I
Fax:(651j675-5694 I Staff: I
� I
�������������___�J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
:�
Date: � l�" Site Address: f��� ��5`�� �-t�� C ' '� �� ����--� Unit#:
Name: ����1 d�"l I�L �Ct,,e��Z le i ln Phone.:.. 6 S�' �3�f�� �7�
�Resident/ s��� � �� � �� ����� � ��
� „Owner Add�ess�c�ty�z�p: f<3��i � S ��12�
" Applicant is: Owner X Contractor
�� ``� Descriptionofwork: l=C���lv'1� �' '' �l2" rnS�a�IGZ?Ipia Cv�yG��CI ql�iG IhS��I�'��t .
Type of Work � L
k,. .
Construction Cost: ���•G``' Multi-Family Building:(Yes /No )
;, Company: Contact:
�` ` ' � � Address: City:
� `��Contractor�_����
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification,please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? '
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:P/ans and supparting alocumentSNthaf you subm�f ar`e consrde�etl to be publ�c information Port�ons;of;.
the information may be classifietl as non pudlic if yoir pro�iafe specr�c reasonsthat would permrt the C�fy`to
conclude that the'_,are:traale,secrets.,. „
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.aopherstateonecall.orct
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building C de must be compieted within 180
days o�permit issuance. � j�
�" / A
�/ I �
x
I� ����'I'►')�12 ���'���1� x �
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
� ��g I��s�� �� ,.� .
DO NOT WRITE BELOW THIS LINE � ��P(a��
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 �
� 01 of�Plex _ Lower Level _ Pool _ Accessory Building I
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 2�G-3 MCES System .—
Plan Review Code Edition OO SAC Units —
(25%_100%� Zoning � City Water —"
Census Code /�/3�{ Stories '� Booster Pump �"
#of Units / Square Feet '^ PRV �
#of Buildings �_ Length � Fire Sprinklers '-'
Type of Construction � Width �
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill Final
� Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee y�
Surcharge
Plan Review ��
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3