EA182276 - Building - Single Fam - Issued Date 04/21/2023PERMIT
City of Eagan ®®®® Permit Type: Building
3830 Pilot Knob Rd ®®° ®®'m® Permit Number: EA182276
Eagan, MN 55122 EAGAN
(651) 675-5675 1111111111111 IN 1111111111111111111111111111111
www.cityofeagan.com * E A 1 8 2 2 7 6*
Date Issued: 4/21/2023
Site Address: 1221 Carlson Lake Lane
Lot: 015 Block: 001 Addition: Wilderness Park
PID:10-84250-01-150
Use: * 1 0— 8 4 2 S 0— 0 1— 1 S 0
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: Kitchen Remodel
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: R-1
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary: BL - Base Fee $149.70 0801.4085
Valuation: 6,000.00 BL - Plan Review 65% $97.31 0720.4222
Surcharge - Based on Valuation $3.00 9001.2195
Total: $250.01
-Contractor: - Applicant - Owner:
Carlson Trades Company LLC Angelica L Bodnar
7117 Rice Lake Lane 1221 Carlson Lake Ln
Lino Lakes MN 55014 Eagan MN 55123-471
(612) 816-9118
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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.
Applicant/Permitee: Signature "Tsrued B : Signature
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EAGAN
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For Office Use
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Building Permit #:
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I S&W Permit *
1
Permit Fee: ®e ® j
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3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810� � � � � � I Date Received:
(651) 678-56761 FAX: (651) 6755694 I I
buildinol o sn�ar.,� �„an m I Onto Issued: I
-------------------
RESIDENTIAL BU ING PERM( APPi MAT1nN
x:4/17/23 Site Address: 1221 Carlson Lake Lane
Unit#:
Applicant is: ❑ Owner 0 Contractor V V
Name: Angelica Bodnar
Address: 1221 Carlson Lake Lane Eagan
Homeowner
City:
State: MN a : 55123 Phone: (651) 447-31. Email: spartanfani @icloud.com
Description of work: Kitchen remodel
Type of
7500
Construction cost:
Work
Type of building: 0 Single Family ❑ Townhome, of units ❑ Twin Home
Company: Carlson Trades Company Contact: Kara Carlson
Building.
Address: 7117 Rice Lake Lane Cry: Lino Lakes
Contractor.
MN 55014 2183438275 kara@carlsontrades.com
State: Zip: Phone: Email.
License #: BC766126 Expiration Date: 3/31/20251
Sewer &
Company: Contact:
Water
Contractor.
Address: City:
Required for
State: Zip: Phone: Email:
new construction
License # iration Date:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTBs'I itid'supoWng'.dotument6.that'you,submit are considered td be,public Information: Portions of the
tefortnatlon may be cle"Medae nonrpubilc K you provide speciflo isasone that would permit the City to conclude that they
arefiade se' rob.
CALL BEFORE YOU Dili. Contact Gopher State One Call at (651) 464-=2 or www.cocharstateonecall.oro for protection against underground uUlity
damage. Contact Gopher State One Cell 48 hours before you Intend to dig to receive locates of underground utilities.
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
Fagan; that I understand this is nota 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 ap7jo
f piens,
x O'd x
Appiicanfs Printed Name A pllcanYe gnature
SUB TYPES
Foundation
Single Family
— Multi
— 01 of _ Plex
WORK TYPES
_ New
_ Addition
PLAiteration
Replace
FOR OFFICE USE.ONLY
Site Address: 21 caylovi W i< P, La aL
I
a
Permit #• /IS��
Fireplace
_ Porch (3 -Season)
_ Miscellaneous
_ Garage
— Porch (4 -Season)
— Accessory Building
Deck
_ Porch (Screen/Gazebo/Pergola)
— Lower Level
_ Pool
— Repair
_ Siding
_ Retaining Wall
_ Fire Repair
_ Reroof
_ Move Building
— Water Damage
_ Windows
_ Demolish Building*
_ Egress Window
_ Solar
"Demolition of entire building - give PCA handout to
applicant
DESCRIPTION
Calculated Valuation �, b, ®cO
Plan Review
(25%_ 100%-)C)
Census Code
# of Units
# of Buildings
Type of Construction JT3
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing Y-30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
of Insulation
Sheathing
Sheetrock
Fire Walls
Occupancy t(ZG-1.
Code Edition ,r 10C• to Lo
Zoning%
Stories
Square Feet
Length
Width
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
OZ Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Erick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Braced Walls Erosion Control
Shower Pan �Other:
Reviewed By: . Building Inspector
RESIDENTIAL FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Read
1 0l. zv
47. a
3. coo
Other:
Copies:
TOTAL $ 0.00 a �• D I
30D 61