1294 Kolstad LaneNov 15 10 05:10p Gates General Contractors (763) 498-7710 113
4,11' CityofEaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use ,r�
Permit it; ( '70.? Vh
Permit Fee: 531-7e 0
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION L 7- 6 —SIE
Date: it r) (// Site Address: 36g7 e-fiint /A-%fr'r' C.�rtvclL IKg)4-LSO cp,
IZcfr �f2.ygko s Lam/
Tenant: Suite ll:
RESIDENT /OWNER
Name: - 7yr3Cir-,5g" Phone: r#(2..---175":://9 2_
Address / City / Zip: LL:N ,± /t
y- '
Applicant is: Owner Contractor
_
TYPE OF WORK
Description of work: G4.1-, L_
op �'
Construction Cost: / d/ V �'-c , 'S Multi -Family Building: (Yes 1.---71.1c: )
CONTRACTOR
Name: CQ/1� 4trj c , �'Licennsse #: 6 793
Address: Sr% ii -z/4,(07 �0Q•'yr/ City: D/ �r/ !,- h
y�L2
State: /✓ Zip: /`� % Phone: j/ 7 Z - 7 2-3-- (� 3 VI
Contact: ! (...-f----- Email: ,-----
''"—rCOMPLETE
COMPLETE
In the last 12 months, has
Yes No 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?
dale 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 wvouid 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.
CaII 48 hours before you intend to dig to receive locates of underground utilities. Iwww.gopherstateonecall.orq j
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the o ances and codes of the City of
Eagan; - . understand this is no permit, but only an application for a permit, and w. ' • t to start withou a permit; that the work will be in
eec. •an - ith the approved pl i the case of work which requires a review and ap I of • : ns.
(m-5
Applicant's Printed Name
x
Applic nt's Signature
Page 1 of 2
Aug 18 11 01:46p Gates General Contractors
411/1 City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
7634387710 p.2
Use BLUE or BLACK InkC C
For Office Use
J^ e-7-2 `%
Permit* / 606 7 } '
Permit Fee: /6°` "2-5
Date Received:
Staff
2011 RESIDENTIAL BUILDING PERMIT PPLICATION�
I 3(1717 /4689 cDcws1� ii /4" )t4? 1741 Unit #:
......ro.� ,_..
Date: Site Address: �
Name:171-7'31 1-7'31 i3tA-511 R -c— Es= 0 . 4
RESIDENT
OWNER Address t City / Zip:
Phone:
Applicant is: Owner Contractor
Description of work: Ti 1rA--
Construction Cost: ?I) 0 Multi -Family Building: (Yes 1,"'.;;710 )
t^�r ( 3-1360y dez-
TYPE OF WORK
f
Company: (s�/t'lz34T1frha�.-Contact: L
CONTRACTOR Address: 4970 Vi2)6CfiU:u� 1-1oo 357 City: Mierlt-c.1-441State: !/r')!Zip: rli� Phone: 6 (z 7 3—% rj '
License #: V ? ' i Lead Certificate #: e'"" --
erre-_5.
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:
• Mechanical Contractor.
Phone:
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 thff 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. wwv.copherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work wi . 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, a Id wo not to start without: permit; that the work will be in
ac n with the approved plan i e case of work which requires a review and appro I o - ans.
x c fzf%CL- G� x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Date:
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Au4;4at 7, 1972
Billing Name: 14'a LoLizua .kid
Owner: asyiu
Plumber:r2"41.5w2 P1ut+Li::1; Go
Number: 92`5
Site Address: 1
92-94 Y. _
36674i5,489
Jo.r a.
Billing Address
Location of Connection
Meter Size
Meter No.
Meter Reading
Meter Sealed: Yea_
NO
Connection Chglal:T CJ pd 07/72
Permit Fee ""L CL :4 6/7/12
1
Meter Dep.
Add r1 Chg.
Total Chg.
r- -;;172
Building is a:
Residence
Multiplex No. Unita 4
Commercial
Industrial
Other
Inspected by
Date B -a. -7s-.
Remarks:
By:
$25.00 RE -INSPECTION FEE FON
IMPROPERLY INSTALLED METERS.
Chief Inspector
Inconsideration 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:
Tiacuta c :E7ILt bit:g Co.
Please notify the above office when ready for inspection and connection.
DATE:
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
August 7, 1972 NUMBER
OWNER: iiuw Hori2ou iiou ea
Address 1292-94 Xelt'ixi L ub''-d9 lieitizat ave.
PLUMBE'R'PbA papa Pluntiing Go. TYPE OF PIPE Gest
DESCRIPTION OF BUILDING
Industrial
Commercial
Residential
Multiple Dwelling
No. of units
Location of Connections:
Connection Charge20 ,r 3%7%72
Permit Pee iU.Cj pU ,)/1/72
/.2
U pit J'7/ (.
Street Repairs
Total
Inspected by:
Date 5- -7y
Remarks:
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
Gu,
Please notify when ready for inspection and connection and before any portion
of the work is covered.
Use BLUE or BLACK Ink
r
For Office Use r1
::::
� ��411,11 Clly of Eaan { l 3
3830 Pilot Knob Road
Eagan MN 55122 „+ Date Received: �)�r
Phone: (651) 675-5675:`.
Fax: (651) 675-5694 Staff: J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION CUA
13 L
Date: Site Address: 129 T ICCA-S: �i� N, Unit #:
Name:
O'(C L" iOeSr Phone:
Re Kell
' ner Address / City / Zip:
\12-94 kc A. \V L- J
Applicant is: Owner Contractor ��
Description of work: �C� I\ O1) '1 CW
Construction Cost: ` 2/ Multi -Family Building: (Yes / No )
Company: 13C-YPb.t\ L C Contact: uric f�G GiNriRlZa
• t1 1C a Address: _737 s- I 6I'l SA V v. City: I \% Z �/ LLL
State: Zip: t-} Phone: `t
Pk) l— �� 2
License #: ? (C3 �,G�, Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
4v i; } a 60,c, U�cvt Lit.. 2G1''� �ee p``i►•�r SV S
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:
NOT /1 a • poo n o 0 0 e h OU Submit are • /de ed o o ll / f a#/ • l • O,
RfO /ORma' •e I-, 51leo o .R� i! o o' o o C !'®",s o o e
Cres
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.orq
1 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 1 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 Code must be completed within 180
days EFof permit issuance.
x R1�IE RvV--I t-
Applicant's Printed Name Applicant's Signature
Page 1 of 3
)2J ((C-.61.s���
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Piex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% v )J
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
_ Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
a, sem'
yers
V,,
REQUIRED INSPECTIONS
Footings (New Building)
of Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In _Air Test
Insulation
Sheathing
Sheetrock
Reviewed By: /14 L
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
o ci;;1
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
c.1007 . 5
Meter Size:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Final / C.O. Required
✓Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _
Siding: Stucco Lath Stone Lath _
Windows
Retaining Wall: Footings Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/!,7} 1S = 5-v5
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161826
Date Issued:06/15/2020
Permit Category:ePermit
Site Address: 1294 Kolstad Lane
Lot:3 Block: 03 Addition: Timbershore 2nd
PID:10-76501-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Joyce M Forst
1294 Kolstad Lane
Eagan MN 55122
Apollo Heating & Air
6510 Hwy 36 Blvd N
Oakdale MN 55128
(651) 770-0603
Applicant/Permitee: Signature Issued By: Signature