3662 Kolstad RdRESIDENT /OWNER
Name: / I 47iC.a-5 r70..c -.- A/Li Phone: 6 / Z -87 1/9
/
Address / City 1 Zip: �i1t/.V4' /i/
Applicant is: Owner /Contractor
_
TYPE OF WORK
Description of work: ,yxr, /„A .11
p I /
Construction Cost: /A L- • I0 *ti- Family Building: (Yes )
CONTRACTOR
Name: ♦, 6sj ._ .' I ' ri .ii/ _ +r • License #: 47?-5 7
_
Address :1 o (/a L S lee ' 351 City: 7( yjyZv` / "r
State: A Zip: T Phone: V 1 2-- 72- 3 ''a`i ..3 VS"
Contact: J Lrr +-^'� Email:
COMPLETE
in the last 12 months, has
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?
date and address of master plan:
_Yes
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.
Nov 15 10 05:10p Gates General Contractors
4 City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
(763) 498 - 7710 p.4
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 1-644 [ )i ‘ s'f ?6-
r ��° l Pik /�
Date: ! f J / �J Site Address: 5"�� (Sr 61.64,4 e6 d, EGG7 746
Tenant: Suite #:
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
Eaga understand this is not a permit but only an application for a permit, a
a orclan with the approved planthe case of work which requires a review and
Applicant's Printed Name
is
royal of pl ns.
wt's Signature
nuance with the ordinances and codes of the City of
t to start without a • • rmit; that the work will be in
Page 1 of 2
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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.
?