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3664 Kolstad RdNov 15 10 05:10p Gates General Contractors (763) 498-7710 p.4 411011° City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use / Permit : / 702 ( Permit Fee: 3 - / �y/C 0 Date Received: Staff-. 2010 RESIDENTIAL BUILDING P RMIT APPLICATION 1-6-44[)i ‘s'//e6- rJ, /elk/e Date: ! f f C/ 0 Site Address: ; &5"-y- t( � 644 e6. BGG v 4 - Tenant: Suite #: RESIDENT/OWNER Name:/ I-"'vt47ieCa---5--00.c._ el-/--IPhone: 6/ Z ~17S 1/9 Address / City 1 Zip: 4-1/.V4' /i// Applicant is: Owner /Contractor _ TYPE OF WORK Description of work:�',L-- r Construction Cost: L • ti -Family Building: (Yes ) CONTRACTOR Name: 6176(961/eArti(044,ear-Sff��` NG - License #: 4 7 Address:1,10V41 574-Y "� City: 7(yjyZ4` / "r / State: /)J Zip: T Phone: V 1 2-- 723 r-4...3 vr' Contact: J Lrr +- .-- Email: COMPLETE in the last 12 months, has If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes �No 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 they are trade 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_gopherstateonecaJl.orq I hereby acknowledge that this information is complete and accurate; that the work will be in • i .mianoe with the ordinances and codes of the City of Eaga understand this is not a permitbut only an application for a permit, a , is •t to start without a phrmit; that the work will be in a orclan with the approved planthe case of work which requires a review and Applicant's Printed Name nt's Signature Page 1 of 2 ÿ þýýüûûúùúùû øüüýýëùéýüü íìüóý àïíì þý ÿþýüûúùþ ÷üûúöõ úùþ ôþ úóòþóþý ÿ ú ý ðïííïìí ðð êïéìéíìì óø ÿþ ùèêïéðéðï òööñ ðô úú Úâ Ý óû ðð ãààÝ ë ÷ýþû öïïð öïïã ñàïîïíð ýû õ ç úú æó óúûõ úú ýÿ æ ÿ þ ûæ å é úú á þûÿ þ ? EAGAN TOWNSHIP 3? ?Q ?'? 3795 Pilot Knob Road r? St. Paul, Minnesota 55111 ? Telephone 454•5242 PERMIT FOR SEFJER SERVICE CONNECTION DATE: May 15, 1972 NUtiBER 1004 24 OWNER:New Horizon Homes pddress 36605 58 , 62, 64 Kolstad ? PLUMBER Thampson Pltiunbing Co. TypE OF PIPE Heavy Cast Iron AESCRIPTION OF BUILAING Iaduatriall Commerciall Residential I Multiple Dwelling I No. of uaits I I I X 1 4 Location of Connections: Connection Charge960•00 pd 7/6/72 Permit Fee 10.00 dp 5/15/72 Street Repairs Total Inspected by: DaCe Remarks: By Chief Inspector In consideration of the issue avd delivery to me of the above pexmie, I hereby agree to do the proposed work in accordance with the rules and regulatioas of Eagan Toc•mship, Dakota County, Mianeaota $Y 1"homn4rm Pl imh'ne CO. Please notify when ready for.inapecCion and connection and before any portion of the work is covered. ? EAGAN TOWNSHIP 3795 Pilot Knob Road St, Paul, Miaaeaota 55111 ? Telephone 454-5242 PER4UT FOR WATER SERVICE CONNECTION Date: MaY 15, 1972 Number: 837 Billing Name: New Horizon Homes Site Address: 3660 8 62 6 Kolstad 219 , 415, 416, 417 Owner: S?e Billing Address 33632 Plumber; Thompson Plumbing C. Building is a: Residence Multiple X Ko. Units 4 Commercial Industrial Other Ass'n.Reader: 336324 Meter Size Coanection Chg. 0.00 d 7/6/72 Meter No. Permit Fee 10.00 Pa 5/15/72 .50 iZ 5/13/72 Meter Reading Meter Dep. 5 meters at 66:60 ea. Meter Sealed: Yes Add'1 Chg. 300.00 NO Total Chg. Mtr.aa 11 8p ?' 1% Inspected by Date Remarks: ,- :?l?.l?J I.._... . ._ ._.. _.. I'vC? 7 ICLL?D E iEfcS. By: Chief Inspector In consideration of the isaue and delivery to me of the abave permit, I hereby agree to do ttm proposed work in accordance with the rules and regulations of Eagan lbwnship, Dakota County, Minnesota. By: Thompson Plumbing Co. Please notifq the above office when ready for inspection and connection. ? PERMIT City of Eagan Permit Type:Building Permit Number:EA109520 Date Issued:03/15/2013 Permit Category:ePermit Site Address: 3664 Kolstad Rd Lot:1 Block: 08 Addition: Timbershore PID:10-76500-08-010 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, 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 - Laura Gonzalez 3664 Kolstad Rd Eagan MN 55123 (651) 558-6502 Home Depot At Home Services 656 Mendelssohn Ave. N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA109520 Date Issued:03/15/2013 Permit Category:ePermit Site Address: 3664 Kolstad Rd Lot:1 Block: 08 Addition: Timbershore PID:10-76500-08-010 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, 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 - Laura Gonzalez 3664 Kolstad Rd Eagan MN 55123 (651) 558-6502 Home Depot At Home Services 656 Mendelssohn Ave. N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121679 Date Issued:04/11/2014 Permit Category:ePermit Site Address: 3664 Kolstad Rd Lot:1 Block: 08 Addition: Timbershore PID:10-76500-08-010 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Laura Gonzalez 3664 Kolstad Rd Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature