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1249 Carlson Lake LaneCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1249 Carlson Lake Lane Lot: 4 Block: 1 Addition: Wildemess Park PID:10- 84250- 040 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746 -5200 CRAIG ANGELL ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: David H Rosseau 1249 Carlson Lake Lane Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA078594 06/28/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State ìü íù þýýüÿûúûúø ÷üüýýøú ýôêô ÷ ëíî þý ÿþýüû÷õ ß ø ÿýüû ÷ýüû÷õ ß öõßûó ûáÿ ø ÿ øäåÿûü Ú òÿú óûçó ññóòÿ ó þó é æ õõû ææó ý ûéøææ ûæ é øþóè òÿþüõ æóüñó é úêäàêëëéîëéëî ó÷ ÿñ Üÿêäàêéîéíî Üÿäé òñ ðï ûû øõí çá ÿ íîðññçíø ðû ðöîî ðöîîíä ïíìíãë ñþüõ ñ ñçñ ûû ññæó óûüõñûûþ æð ÿ øüæ å é ûûßó ÿ ÿü ÿ CITY j AGAN 3795 Knob Rood Eagan, MN 55122 Zoning: Owner. Address: Site Address: PI umber: Meter No.: Size: - ' Reader No.: 1 agree !o eomply with the City of Eogon Ordinances. By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: _ No, of Units: • .t_ - Connection Charge: _ Account Deposit: _ Permit Fee: Surchorge: Misc. Chorges: Totol: _ Date Paid: ? - Insp.. CITY t?' EAGAN 3795 ?ot Knob Road Eagqn, MN 55122 Zoning: Owner: Address: Site Address; ' Plumber. T1 agree to comply with the City of Eagan Ordinanees. By Dote of I nsp. I nsp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Chorge: Account Deposit: Permit Fee: Surcharge: _-_ . Misc. Charges: Totol: , Dote Paid: CITY OF EAGAN 3795 Pilot Kiwb Road r Eogan, Minnesoto 55124 Pbone: 454-8100 PLLIMBING _ PERMIT J;=?LP_Lilti7Qr ? r' ' DOLE: Site Address• 3249 Carlson Z,a.ke I,ane Lot BI«k - Sub/Sec. _ Receipt No.: Single aneirlenrinl No. -? ?I2 11638 X Nome /Re New/Alter oir p . .. ; Address t of Instollation Co s O City cOn Phone: P it F erm ee ? Name - .50 Surchorfle ? P Address 0 0 V GtY Phone: , Totol ? l? `--T'his Permit is issued on the express condition thot ail work shail be done in accordance with oll opplicabie Stote of Minnesota Statutes ond City of Eagan Ordinonces. Building Officiol CITY OF EAGAN ? - ` 3795 Pilot Knob RoaA ? Eagaa, lNineesota 55122 Phone: 454-8100 PERMIT Dote: • arPm}u?r 13, 1976 Site Address: I2'- Carlson Tr??e Lot Block ?Sub/Sec. _ i N- id E?cer:;ert 101 W. 110th St. tsioomingtan Phone: van Pluznf;incs 1 Robert 7ra: ; '?S1 No. ?.;". Receipt No.: Single I Residential Multf Res., Comm./Ind. I New/Alter./Repoir Cost of installation Permlt Fee Surchorge 2 0. 00 50 ? City '- Phone: I Total This Permit is issued on the express condition that all work sholl be done in accordante with all opplicoble State of Minnesota Statutes and City of Eagan Ordinonces. Building Official CITY OF EAGAN L" 3795 Pilet Kneb Raad Eegaa, Mli SS 132 N! 4906 2, PHONE: 454-8100 I/07/ BUILDING PERMIT Receipt # - - - Te be wod f a Est. Value Date , 19 Site Address Ered ? Occuponcy Lot ? Block Sec/5ub. Alter ? Zoning - Repair ? Fire Zone Parcel #' Enfarge ? Type of Const. c o Ncme Move Q # Stories W ? Address Demolish ? Front Ci phone Grade ? Depth ft. ? Ncme Approrals Fees ??F Addreas ? .-,-_ Name _ llddross I hercby acknowiedge Lhat I have rcad this opplicotion and stote that the informetion is corred cnd ogree to comply with oll opplicable 5tute of Minnesota Statutes and City of Eagan Ordinances. Signaturc of Pertnittee Assessment Permit Woter & Sew. Surctwrge Police Plon check Fim SAC Eng. Woter Conn. Planner Woter Meter Council , .., ' - Bldq Off . . APC Total A Building Permit is issued to: on the express condition that oll work shall be done in occordance with all appliwble Stcft of Minnesoto Statutes and City of Eogon Ordinances. Bufldinp Officlal BUILDING PERMIT To be uad fer ` Stte Address Lot Block Porcel 10 ?42:?v t cirr oF EAGAN 8793 Pilot Knob Road Eogao, MN 55122 PHONE: 454-8100 oe Nome . .,.. . .. ... „?., .. _ <: ? ?. Address Ci Phone ? Name 0 8I u Address - 1-- r.., Nome Addreu Erect Alter ? Repoir ? Enlarge ? Move ? Demolish ? N2 4906 Occuponcy ? Zoning Fire Zone 3 Type of Const. ? # Stories Front ft. Deoth it. Assessment Permit ? T y Water & Sew. Surcharge Police Plon check Fire SAC Eng. Water Conn. Pl t r M t W onner o e e er ' Council I hereby ocknowledge that I have reod this application ond stote that gld9 Off. <-.'•?.= :.; ?J(ut lu•lJu the informotion is corred ond ogree to tomply with oll applicoble APC Total 73' ? Stote of Minrresota Statutes and Ciry of Eogan Ordinances. Siflnoture of Permittee - A Building Permit is issued to: on tht express condition that ail work sholl be done in acrnrdance with all opplicable Stcte of Minnesoto Stututes ond City of Eagan Ordinances. Building Officiol Receipt .# M07 l PenMM # DoN lawed hndtfN Plumbing ;- FY Mechanicol r?i.c Cluc_ --1 ? ? ?`I r? •?.? tNSPECTIONS DATE ? INSP. Rouyh-In Find Footings 7+?' Dote Inap. Date Insp. Foundotion Plumbing y7- Frome/Ins. Finol Mechonicol I I Remarks: CITY OF EAGAN Remarks Lot IL Blk 1 Parcel 10 84270 040 01 screet _ 1249 Carlson Lake Lane state Eaggan,MA1 55123 Improvement Date Rmount Annual Years Payment Receipt Oate STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ?124 1973 176.o5 8.8o 20 114.45 007051 11-7-78 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA sq) 1 977 160 00 1066 2 12 701' 11-7-78 STOFM SEW TRK ^ 328.00 005485 7-7-80 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250.00 11071 7-27-78 BUILDING PER. SAC PARK ? gl Y , . DATE BUILDING PERMIT APPLICATION include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. 67- ,?/OOd 2b be used for ??SS Valuation - Site Addresc: /?ZY? ?ZU,?. xs?n,t 6'?L /'Z' f"?-? xVU/%/d N l'Ui?D?J2A/? SS P?•?'K Lot Block ? See. Sub. Parcel Number /D S?/Lsv 6?'/a 4(( a,me= ?9, i: ? T? ? s?%? C?D/!/S?' //VZ.Telephone SE- Address 417o1 /y /°? S , ? 5Y.' 3 7 Contractor 56-=- Address Selephone Arch./Eng. Addxess Telephone OFFICG USE Erect v Alter Repair Enlarqe Nbve Tlemolish Grade OFPICE USE Date of A roval & Initial Assessment G water/Sewer Police Fire Eng. Planner Council Bldg. Off. A.P.C. . Occupancy ? Zon ing ? f Fire Zone ? Type of Const. # of Stories Front ? 6 Depth `/g FEES 0 / Permit e Surcharg rlan Check SAC ?DO F]ater 4bnn. 4]ater Meter TOTAL 4104 • . 1 _ DELNIAR H. SCHWANZ LANOSURVEVOQ q"ifter optl Un tliet LibwS Of Tn! Stlte Ol Monn*sot a 2078 - 145TH STREET W. - BOX M ROSEMOUNI, MINNESOTA 560id 114ONE 612 423-1769 !z SURVEYOR'S CERTIFICATE SCALE: 1 2r.ch -40 feet Elevations are existing 4.) a? ? ? m Cd 4, a ? .-? r-! .-? 4-> ? .u w 00 a? ? as ? A BBNC'iMAAK: Top of hjtdrant N.W. quadrant L-iu-Lrovin Placa and Wilderness Nun Road Elevstbn - 911.04 feet. Propo3ed garag( M V! 0] I hereby cer•tiPy that tkis is a tnac Rnd carrect representation oi' Lc)t 4, Bleck 1, WILDt'FtNES:; !'ARK ADL•tTiUN, according to tn recorded plat thereoP, Dakota eour:ty, Minn4sota. Also showinp, the location oP a pror tloUS@ as ataked thereon. , -?-- Dated: June 13, 1978 `1-- --?------ _-' CUR-9 O M m ?bbS {u o`? ? :i. :? l.?I,1? : c A !r f?• r!i'. .'?? ` x f- LO T 4 0 lz MiNNESOTA REGISTRATION N0.8625 Q ?_ -! ? -- -- This request void 18 months from 4_1 117,01 - -1 010K R 21105 Date of this Request September 15, 1q7£3 I, as 10 Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 1249 Carlson Lake L'n, ?ity Ea an Section Township Range County Dakota Which is occupied by' Svend peterson Conatrnr i on (Name of Otcupan[) ls a roughin inspection required on this job? No ? Yes M Ready Now ? WID Call 0 Power Supplier Dakota ZLectric Assn. Address 821 3rd ut. 0 Pa? Electrical Contractor Ken Sorenson E7ectric Contractor's License No36533 (COmpany rvame) MailingAddress 8070 12th Ave So Bloominaton. NZI 551,20 Authorized Signature: iciacincai a.onzranor or uu WARD 0M tvo854-4470 This inspectian request will not he accepted hy the State Bnard unless propar inspection fee is enclosed. Minnesota State Board of Electricity 7HECK 954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REClIlEST FOR ELECTRICAL INSPECTION SELOW WORK COVERED BY THIS REQUHST //70 / R 21105 Type of Building New Add. Rep. Check Appliances Wved For Check Equipment Wired Foi Home [y] ? ? Range ? Tempo[ary Wi[ing ? Duplex ? ? ? Watei Heacei ? Lighting Fumres 0 ApL 81dg. ? ? ? Dryc[ ? Electric Heating ? Commercial Bldg: ? ? ? F e Silo Unloader ? Industrial Bldg. ? ? ? AdiY Bulk Milk Tank ? Faim ? ? ? L List O[her ? ? ? ets p He?ers ? COMPUTE INSPECTION FEE BELOW Secvice Entrance Size: # Fee Fcedeis@Subfeeders: # Fee Circuits: # Fce 0 to 100 Am s. 1 1 0 to 30 Am eres 0 to 30 Am etes 101 ro 200 Amps. 1 31 to 100 Am res 31 ro 100 Am exes Above 200_Amps. Above ]00 Amps. Above 100 Amps. Transformers Remote Control Circ. Paz[ial oc other fee Signs Special lns ection Minimum fee $. Remarks Complete House Wiri.ng T'OTALFE ,6AJ 40.50 I, the E?ectrical lnspector, herebY tha e oYC ins ection has been ad? (Rough-in) p) Date ? (Final) Date This request void 18 months from 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?o C) 10 3830 PILOT KNOB RD - 55122 ?(11 L 3 ad -0C7 dew coruhucna, aeauiren,ema 651-881-4675 ger ? S ropklamd tlla Wneys ahowlnp tq IL d bt. W. fl. ol house 4 coWet ot PIt1n Gntl Qo roOf6d OteC! (2D'6 RLCfISlmum bf cov9taaB albwetl) 1 i91018nBfQy CdCUIGMOnf tOI h6G19tl OdtllHOni D 2 copiea ol plans (show beam A wlnAOw sixea; poured Ind. deWpn; eic.) 1 sife wrveY for exledor addiMOnt R tlecka a I set a enerfly caaananona ? a 3 copks hee preservaHOn plan H lof platNd eNler 7/1 /93 DATE: 3A, 1 V3 . _ , CONSiRUCTION C05f: DESCRIPTION OF WORK: SiREET ADDRESS: I A LOT: ZL BLOCK: SUBD./P.I.D. ffi: 1')--\/hK(?. -hone #: PROPERiY OWNER Sheet Address: I FlisT ? Qr?? ?? CH, Stafe:zlo?SSias . ComPany. f?CA\?L?? ti?fh? YCC??+?1?L-_ PhoneA: ?Z ?? (area coe) ? P 00 GOMRACTOR Sheei Address: lJcense •T3VA F?W. chr s?are:'h'\l ziP: ?34 ARCHRECT/ ENGINEER Telephone 0: Sfreet CNy I , Sewer/water Iicensed plumber (if installina sewerlwaterl: Phone #. Lp: 5-5,`v3- I hereby acknowledpe ihat 1 have read ihis aPPlkatbn. state thaF fhe k cortecf. a agree to Comply wNh atl aPP6cable Sfate of MQnnesota Stalutea and Ciy of Eayan Ordlnances. ? Siynalure of Applicanh OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required MAR 6 2LM 9 Qry?w1E. LL)5kS6-j OFFICE USE ONLY BUILDING PERMIT SUBTYPES 27 Porch (3-sea.) p 01 Foundation ? 07 05-piex l ? 0 13 17 16-piex Garage O ? 22 Poroh/Addn. (4-sea.) O O 02 03 SF Dwelling plex Ot of ? ? 08 09 ex 06-p 07-plex O 78 Deck ? 23 Porch (scree^ed) ? 04 _ 02-plex O 10 OB-piex O 19 lower Level ? j 24 '25 Stortn Damage Misceilaneous O OS 03-plex ? 11 10-plex Pibg Yor_N r O 30 Accessory Bld9. ? pC 04-Plex O 12 12-plex O 20 Pool O 31 ExL Alt - Muki O 33 Ext. Alt - SF O 36 MulU WORK TYPE O 31 New ? 36 Move Bldg. ? 43 Reroof O 32 Addition ? - 37 Demolish (Bldg)' ? 44 Siding ? 45 Fire Repair 33 Alteration ? ,,A1, ? 34 Repair ? 38 Demolish (Interior) 42 Demolish (Foundation) ? 46 Windows/Doors " Glve PCA handout to applicant for demolition permit GENERAL INFORMATION Sq ? SAC Code ,?_ # of Stories Sq ? No. of Units o Length i Wid? F?tprint sq. ft. No. of Buildings (Accual) Const Basement sq. ft. Census Code y3? . (Allowable) Main level sq. ft. MC/ES System UBC Occupancy ?. ft' ft C? Water go?oster Pump Zoning ?' ' PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building .) ? Engineering Variance Permit Fee J?S •? O Valuation: $ -IS4-?-a ? Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) 3830 PILIOT KN B RD - 55122 ? 1? I??? 651-681-4675 NeW Co,,,„„c,b,,,ecu,,ame?n q'k,.134 $ a & Remotlel/ReoairReaulremenh a 9 reybtered Yte wneys atwwing aq. f1. of bf, aq. fl. of house 2 copies of plan and gLI roofed areaa (20'6 maxlmum lot coveraae dUowedl 7' ?1-0 b 1 set of energy cdculatlons br lieated atldlMOns > 2 coples of plans (show beam & wlndow alzes; poured Intl. deslgn: etcJ 1 site aurvey fa axteAa addiMOns d decks > 1 set of energy cdculalioni > 3 copies of hee preaervaHan plan H IW platted aHer 7/1/93 DATE: ?I'jn- nV CONSTRUCTION COST: OrE'U , CC_ DESCRIPTION OF WORK: STREET N RESS: LOT: BLOCK: _? - SUBD./P.I.D. q: ?? L 1? r Name: I' I \ih re ?? c? Phone #: PRppERTy at Flrst OWNER / SheetAddress: flrP L-OJ01019 CBy State: k1 Zip: ComPanr:PCdJr??1LU11CY1e .Phonen: t1/03 ;LI/? (area code) CONTRACTOR Sheet Address:? l1Z?aJJ.Q I/1 c Llcense #?LpJ?ExP• =f=+ City 6? 1A 1/,!1 STafe: m.? Zip: ARCHITECT/ Name: ENGINEER Company: Telephone p: ( Sheet Address: RegistraHon #: CHy State: Zlp: Sewer/water licensed plumber (if Installina sewerNvater): Phone #: I hereby acknowledge thaf I have read lhis applica8on, sfate fhaf 1he infortnation is cortect, and agree to compy wNh a0 appikable S1atE of Minnesota Sfafutes and Cify of Eagan Ordinances. Signafure of Applieant OFFICE USE Y Certificates of Survey Received _ Tree Preservation Plan Recelved _ Yes _ No Yes No - Not Required Jli'L 21 OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-ptex ? 21 Porch(3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 5tortn Damage ? OS 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex 0 20 Pool ? 30 Aa:essory Bldg. WORK TYPE ? 31 New ? 36 Move Bidg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding 0 33 Aiteration ? 38 Demoiish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to appl icant for demolition permit GENERAL INFORMATION SAC Code # of Stories - S9• ft• No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES 5ystem UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance ? 31 Fxt. Ak - Multi ? 33 Ext. Alt - SF ? 36 Muki Permit Fee Surcharge Plan Review Liaense MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $? 5AC Units % SAC • '`' RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN J 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Hew Cona7uctlon Reaulramants • 3 replstered sile surveys shaxing sq. it. of lot, sq, n. of Muse; and II roofed areas (20% ma)imum bt coverage albwea) . 2 copies of plan showing beam & window sizes; poureA fountl design, etc.) • 1 sat of Energy Calculatlons . 3 copies of Tree Preservatbn Plan H bt platteU eAer 711/93 • Run Jolst Detall Optbns selaclion sheet (blUg,a wNh 3 or less units) " DATE (' - ? - 2??a_ SITE ADDRESS NPE OF WORK EJ? c? 2 APPUCANT /LS InwS d /?. ?I.S STREET ADDRESS 11I S 6? o??t Jie cJ TELEPHONE q 6S ?S - `/?CELL PHONE # ? LkTATE M/O21P ScS???? F,vc # /G5 `-Z?S,3 -006Y PROPERN OWNER V\c.: i?? ?v ? re? TELEPHONE #? ?, 5 ? ? `03/ --° -- °----------------------°-----------------------------------------------------°---°--- COMPLETE THIS SECTION FOR %NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 p??T?Ty7" (4 submission type) • Residential Ventiladon Category t Worksheet Submitted ? y eod?? It Submitted • EnergyEnvelopeCalculationsSubmitted p JUN O 62 002 Plumbing ConhaCtor: Plwnbing system includes: Mechanical Conhactor. Mechanical system includes: SeweVWaFer Contractor: Phone # _ Air Conditioning _ Heat Recovery System MULTI-FAMILY BLDG _ Y _ N FIREPLACE(S) _ 0 _ 1 _ 2 Phone # Phone p $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that me Information is with all applicable State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths IiamodeUHeoatrReauiremeMe • 2iwplesofplan • 1set0fEnergyCaloulationsforheateeadtlnbn5 • isitesurvey(arexterbraddttions&decks . Indkate H twme served by septic system for additbns VALUATION _ Lawn Sprinkl&r _ No. of R.I. Baths to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY -'• . ? 01 Foundation ? 07 05-plex ? 13 18-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Poroh (&sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Poroh/Addn. (4sea.) ? 33 Ext. Ali - SF ? 04 02-plex ? 10 08-plex p,? 18 Deck ? 23 Porch (screened) ? 36 Multi ? ? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous A 31 New 0 35 Int Improvement ? 38 Demolish (interior) O 44 Siding q? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repeir O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors ? 34 ReplacemeM 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy -ffli MGES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of BMgs ? Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldp) FinaUC.O. Y Footings (deck) ? FinaVNa C.O. ?t Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall ?--- Approved By ? . Building Inspector -------------- --------- ------------ ----------- --------- ----------- ----------- ---- - ----------_?? Base Fee Surcharge Plan Review MGES SAC ( U ???1 City SAC Water Supply & Storege SRW Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies r d ? Other Total ?r1fICA*e Por: - .?? ??nd PgterB:?A " a ? J1 Weat ],1?)t:1 3t. bk: 31,I72 at? :cL?o,r,ir,t'to*t, 55437., ,,,. . . , DELMAR H. SCHWANZ . IANOSUNHEYDR RpiatwW VoOV Law$ of The State of Minn"ota 7976 - 14BT14 $TREET W. - BpX M qpCEMOVNT, MIlONHSOTA B606B SURVEVOfl'S CERTIFICATE 72 q . VMONE 877173-1788 S, :,A L'L: ?:} ; 'ee•`, Y^.LPV?f'.iCnz 'i(: 2rt3-':1:.f'r BEMC'iHA?u: Tou of hgdr? -:* `I,"ri qu;i,3ras:t Nis;rov? r. -,).aca ?,:^.d LO T 4 0 Z c v ? CD I - {p q -• Ip " 240 .3 0 _ ry o, . 260 u l / ? ? 160 / '?HOl15E _'?%?ra ? ; i /.roo o/Zao /9oe NjGPI?' '?? F1 I N ? _ ?? y[ gn? T 9 O I F wilderness `;oac: i1:-; iY.bn - 0 912.04 feet. Z ?? 6W, ?? M a oi ? i:c r:? b, , Cf").'vi.''J tI:iet vjal? ig . Uj-.i!1 ^:?rrect r,.n^??:sar:-;<?F i:)ri of?I.?:_ - 1: _.: ., aA 1)7:_ recorded plat t;e: e)f, i-`.Irmesot;t. Als? showinF the loc,f.iar, nP a pni?pcse-d house as stakeU Lhex•eion. Da*ed: .7•,:.na 12, 1c.76 cuae o K ?' M a ??bg oyd oQ /. f ? . ? '. MINNESOTA REGISTRATlON N0.8625 PERMIT City of Eagan Permit Type:Building Permit Number:EA122426 Date Issued:05/07/2014 Permit Category:ePermit Site Address: 1249 Carlson Lake Lane Lot:004 Block: 001 Addition: Wilderness Park PID:10-84250-01-040 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - David H Rosseau 1249 Carlson Lake Lane Eagan MN 55123 (651) 688-0413 Purpose Driven Restoration Llc 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA145172 Date Issued:08/28/2017 Permit Category:ePermit Site Address: 1249 Carlson Lake Lane Lot:004 Block: 001 Addition: Wilderness Park PID:10-84250-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - David H Rosseau 1249 Carlson Lake Lane Eagan MN 55123 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154837 Date Issued:04/15/2019 Permit Category:ePermit Site Address: 1249 Carlson Lake Lane Lot:004 Block: 001 Addition: Wilderness Park PID:10-84250-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - David H Rosseau 1249 Carlson Lake Lane Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156958 Date Issued:07/26/2019 Permit Category:ePermit Site Address: 1249 Carlson Lake Lane Lot:004 Block: 001 Addition: Wilderness Park PID:10-84250-01-040 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 - David H Rosseau 1249 Carlson Lake Lane Eagan MN 55123 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162566 Date Issued:07/20/2020 Permit Category:ePermit Site Address: 1249 Carlson Lake Lane Lot:004 Block: 001 Addition: Wilderness Park PID:10-84250-01-040 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - David H Rosseau 1249 Carlson Lake Lane Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162739 Date Issued:07/27/2020 Permit Category:ePermit Site Address: 1249 Carlson Lake Lane Lot:004 Block: 001 Addition: Wilderness Park PID:10-84250-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - David H Rosseau 1249 Carlson Lake Lane Eagan MN 55123 (612) 369-9287 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature