1265 Carlson Lake LaneYILLAGE OF EAGAN
3795- Piio* Knob Road
Eogan,MN 55171
Zoning: Rl
WATER SERVICE PERMIT
PERMIT NO.: -ZE58
DA7'E: 12Z13/74
No. af Units:
Owner: Rgh?t Buehler (Carl AndPrcpn?pnst )
Address:
Site Address: 12Sz??ailson Lke 7ane
Plumber: Bey-
Meter tNo/.: ?
n ?
Size: ?
Reader No.: -!!;;
1 agrae to p1) wifh tha Villoge of Eogan
Ordiofsnp?C'Pm 7 I ,
$y f
Uate of Insp.:
Connection Charge:2$0-00 pd
Account Deposit
Permit Fee: 10.00 pd
Surcharge: • 50 pd
Misc. Charges: 60,00 d
Total: /O•l J?J?G
Date Paid:
Insp.: -
YILLAOf Oi gAOAN SEWER SERVICE PERMIT
3795 Pilot Knob Road ' PERMIT NO.: 2418
Eoqon, MN 55I22 DATE: 12/13/74
Zoning: R1 No. of Units: I
OWnei:_ Rohnrt Riiahlar ((`arl AnAarsn (`nncY )
Addrees:
SiteAddLees: 126S farlaon TakP 7ane 17R5 WRd
p]urnbeI; Ray-Rnp Fxnavating
1 agrN b eoinyly viM tM VNMge of Eapen Connection Chazge: 400. 00 lpd_
Ordinaneis. Accaunt Deposit:
Permit Fee: 10.00 nd
Surcharge: .50 Pd
By: Misa Chazgea:
Date of Inep.: Total:
Insp.: Date Paid:
CITY OF EAGAN Remarks
Addition Wilderness Run 4th Addition Lot 7 aik 5 Parcel 10 84353 070 OS
Ownerw- wyr'- t. -?-??t Street 1265 Carlson Lake Ln. State Eagan, MN 55123 _
Improvement pate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK aaki 1973 $163.26 $8.16 20 PAID
SEWER 4ATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK ? ?pQ.qZ L? 007 Z,g IT ' ZS-$I
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $280. 00 12036 10-31-74
BUILDING PER.
Sa,c $400.00 12035 - -
PARK
.
.-
r.z2y or r:Ac:;lv
3795 Pilot Iu:ob P.o:a
Eagaa2, Dlinnesota 55122
-PEFN`IT NO.: r18
The City of Eagan hereby g^ants to cybjyZbAn "va+;.,q ro_
- °f 2969 whi-ke gaar nvam- G? oa?,t 557 nA
d RRaTrHr. Permit for: (Owner) Carl Anderson
at rariQn„ ratia ran , pursuant to application dated 1--/-1/7" _
Fee Pairi: azn_no_ dated this llthday of Dec• ? 19 7,?
.50 s/c
Building Inspector
Meehanical Permits:
Bid Total:
?, .
,
r,zzY oF r.aa;;N
3; 95 riiot K.ob P.oad
Eagsn, Minnesota 55122
PERNST NO.: V?40
The City of Eagan hereby g^ants to reYy„'?s r*_ PAttlr C.o
nf 7254 ('rand Aee St Pe++l 551'5
a_p=XJtt nrTZ Permit for: (O-,,mer)_s r Pr Btehler C Anderaon Au?lder
at 10F.r, r-„-i G,,,, rAt;n Tanc. , pursuant to application dated 12/13/7=
Fee Paid: q??n_nn dated this j,g_day of Dec. ? 19 1q ,
.SO S/C
Building Inspector
PQechsnical Permits:
Bid Totala
CS11' CF EIaGAN
370,5 Pilot Knob E^ad
Eagan, b?innesota 55122
PERNIIT NO.: 72
The City of Bagan hereby grants to Commers Soft Water Co
of 3E301 California St. N.S.
a Water Softener permit for: (Owner) Steven Morris
at 1265 Carlson Lake , lydrsuant to application dated _9/27/76
Fee Paid: $5.00 dated this 29 day of Sept. ? 19 76?.
.50 s c
Buiiding Inapector
hiechanical Permits:
Bid Total:
2005 RESIDENTIAL MECHANICAL PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please camplete for: single femily dwellings & townhomes/condos when pertnits aze requin:d for each unil
UJ
Q
?
Date q / aa / _?5
Site Address l___Q r" I?6an La I)F_? L,c, Y?_ Unit #
Property Owner /\,AP 150,'1 Telephone #( 05 I) L4 5a • 83 $°i
) I
'
4
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e
1
7 1 ?
Contractor
10n
StreetAddress 8 1I -10 Le_?on17oe "rJU,?E H City ?704-M
Statc ?I rne%50 ? a Zip 550a? Te{ephone# (to51 ) '??(fl0 -100a3
Bond Eapires:
The AppGcant is _ Owner X Conhactor _ Other
Add-on or alteration to eaisting dwelling unit $ 30.00
X furnace _Additional _Replacement
air exchanger
airconditioner _New ?Replacement
other
State Surchuge $ 50
Total $ 30 .5C)
I hereby apply for a Residenual Mechanical Pemut and aclmowledge that the information is complete and accurate; tha[ the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, 6ut only an application for a permit, and wock is not to start without a pernut; that the work will be in accorciance with the
approved plan in the case of wark which requires a review and approval of plans.
C Lrn? rnA .IQm
Applicant's tedName Applicant's i nature
.F' 3 0 )ffti
*dtV oF eagan
PATRICIA E. AWADA
Mayor
PAULBAKKEN
PEGGY CARISON
CYNDEE FIELDS
MEG TILLEY
Council Members
THOMAS HEDGES
CiryAdminisva[or
Municipal Cxncec:
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
Fax: 651.681.4612
TDD: 651.454.8535
Mainrenance Faciliry:
3501 Coachman Poinc
Eagan, MN 55122
Phone: 651.681.4300
Fax: 651.681.4360
TDD: 651.454.8535
www.cityofeagan.com
THELONEOAKTREE
'Ilie symbol of nrengch
and growrh in uw
communiry
lst Notice Letter
SEPTEMBER 30, 2002
RMA BUILDERS
1652055 TH STREET
OAK PARK, MN 55068
RE: PERMIT #:53030
ISSUED FOR: REROOF
SITE ADDRESS: 1265 Carlson Lake Ln, Eagan, MN
Deaz Sirs:
Our records indicate that required inspections have not been completed on the permit listed
above. Inspections are necessary to ensure that the work for which the permit was issued
meets all life safety requirements of state and local codes.
Please call 651-681-4675 within 30 days of this notice to schedule an inspection. Be sure
to provide the permit number at the time of scheduling. If, for some reason, your records
indicate that inspections have been completed and approved, please supply us the date of
the inspection, as well as the initials of the inspector who approved the inspection.
We want to thank you in advance for your anticipated cooperation in this matter. Please do
not hesitate to call if you have any questions or concerns.
Sincerely,
Inspections Department
cc: Property Owner: Claudette Nelson; 1265 Carlson Lake Ln, Eagan, MN 55121
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY DF EACAN
3830 PILOT KNOB RD - 55122
851-6874675
New Construcfion Reaulremenls Remodel/Reoalr ReaulremeMa
? 3 reg6tered sMe surveys showing sq. H. of lot, sq. fl. of house 2 copies of plan
and all rooted areas (20% maztmum lot coveraae allowed) 1 sei of energy calculatlons tor heafed addBlona
? 2 copies of plans (show 6eam 6 wlndow sizes; poured tnd.design: etc.) 1 sHe survey tor exterior addRloro 8 decin
? 1 sef of energy calculations .
? 3 copies of free preservoNOn plan M lof plalted alfer 7/1/93
DATE: II /??/ ?9 CONSTRUCTION COST: S 5
DESCRIPTION OF WORK: Tar 6-?'7"' 4hl
STREET ADDRESS:
LOT: ?
/Z6s C,.,,!.
BLOCK: ? SUBD./P.I.D. #:'?,r
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name:dLel5orn C /A _ Phone#: ys-2 -73 89
Last . Flnf
Street Address: /2/(?- Ks dson / k e Lr
City F¢ State: Zip: 5-5-1 7 3
Company: IAIYt;V em v ?/n Phone #: ?/2 - -? ??-
(area code)
Sheet Address: 1? 70 S 115'le? ?,t4' ;7,: v s l'e License # 20 / 62 36 SExp,
O?Dorr??n
r
Cit ?'or? State: Mit/ Ztp: 5-SyZZ7
?
y
Company: Name:
Telephone #: area code ( )
Stree'f Address: RegisiraNon #:
Cffy State:
' Sewer & water 1lcensed plumber (reauired for new consiruction onlvl:
' Penalty applies when address change and lot change is requested once permH Is Issued.
Zip:
I hereby acknowledge that 1 have read this appllcaflon, state that the IntormaHon Is correct, and agree to comply wMh all applicabl
State of Minnesota Stetutes and City of Eagan Ordinances. A
Signature of Applicant
OFFICE USE ONLY
r
Certificates of Survey Received _ Yes _ No
Tree PreservaNon Plan Received _ Yes _ No , Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windaws/Daors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC :
City SAC
Water Conn.
Water Meter
Acct. Deposit
SMI Permit
5/W Surcharge
Treatment PI:
Park Ded.
Traiis Ded.
Other
Copies
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
133- S<-?
Engineering
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
rotal
Valuation:
?
SAC Units
°h SAC
CITY of EAGAN
BUILDING PERMIT
owno: .................................. ?`Z.Cc.?
. .`.........................._...........--"-'-°•
Address (Preseni) ...........?"..".
Suilder ...... ?..._......7- .......... ........... .?
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Aaa:a.. ......
...1-g ?-??--`?`'"- .... ....................... .....?:
..,
N4 3448
3795 Pilof 8aob Road
Eagatt, Minnesola 55122
454-8100
a.t. .. .......................... L^ ?- 3r - 7 .................
6tosisc To Be Ueed Fos Fsont Dsplh Heigh! Esl. Cos! Psrmt! Fsa Remarka
zi ,).,po
V
0!
J.;I-6c- r,e4 7?'o . I 7 I S I4- f
This permit does not aulhorize the use of s2reets, roads, elleys or sidewalks nos doee it give the ownes oc hb ageat
the righ!!o ereale anp siluafion which is a nuisance or whieh presenL a hazard fo the heallh, safelp, coavealeaee and
genezal welfare !o anpoae in the eommunity.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS IN PROG SS. .
?''-'
-"?`.'...
.............°°-°°...... ...._....... --?°.......hea Permicsioa !o ereet a.. .----- -- --
This !s !o cer3lfy. Sha!_? r . :... - ....... c ...._upoo
the above desaribed premise subjee! !o the provisions of all applicahle Ordinances for the Ci of Eagan
.............. .......................... .................................
?.. ... . .................---'--......... Per ?
..'.... ..MaYor ... Buildinp Impeclos
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PHONE 454-8106
VILLAGE OF EAGAN
9798 PILOi KNOB ROAO
EA6AN. MINNESOTA U??R
55122
i 91 -7
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OVn Ypu ir7 ?' 9i1 e-
MASTER CARD
Permii
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING O?q 4 Q' ,
Y
? /e • J? •
Z,? -,Z4
e"Ce r1 ?/? 0 ? OOI ?/ l
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
?
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Initial)
Dare Remarks
Distance From Well
FOOTING ? SEPTIC
FOUNDATION CESSPOOL
FFiAMING ?_
lL J((
? ? TIIE PIELD FT.
FINAL
ELECTRICAL _
-
HE.qTING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING /Z-/ _,7
WELL
SANITARY SEWER /
Violations Noted
on Back
COMMENTS:
I'C
STRUC7URE AND
?? A.79 O?a f I _^ e-
LAND USED AS ?/
5-3 030 RESIDENTIAL
BUILDING PERMIT APPLICATION
GTY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
vew Canstructian Reauirements
• :?9isrerea site surveys showing sq. fl. ot:ol, sq. N. of house: and all roofed areas
!ZG o maximum lot coverage allcwed)
•?.:ocies of olan shcwing beam 3xmdcw ;izes; poure0 found desgn, etc.)
• ! sat of Energy Calculalions
. 7 copies of Tree Preservation ?Ian if lot clatted aRer 711193
.:4im Joisi Detail Options seleaion snee! (61Cgs wkh 3 orless units)
DATE ?- f ( - o P,
RamodellRaoairReouirements
• 2 ccpies of plan
• 1 Sel of Enertjy CaINIaGCns `cr heated additions
• 1 srte survey `ar ex:enor a0adions 3 decks
. Indicate if hcme served cy septic system For additions
VALUATION
SITE ADDRE55 _ I?L J?r ? MULTI-FAMILY BLDG _Y _N
TYPE OF WORK 1?0 Of:-' FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT 12-ri`A-
STREET ADDRESS lla S.XD S l "' S' f CITY oau P,y.IL STATE M ZIP 5_b3 s"?
TFLEPHONE #7e7-389? ?? J?J" CELL PHONE # 7b3-?p??3oa'? FAX # 384- I r-' (
PROPERTY OWNER _AlJ S0N TELEPHONE #G. Sl'`{l°2 - 9_341S
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIN\1:5O'I'.A RIiI.LS 7670 C.1'1'r:GORY l NIIVAtSOTA RCLFS 7672
(. submission .rype) . Residential Ventilation Category 1 Worksheet Submi[ted • New Energy Code Worksheet SuCmittetl
. Ener9y Envelope Calculations Submitted
Plumbing Contractor: ___
P1umUina systcm includes:
Mechanical Contractor:
'%[cchanic;il s?stcm includcs
Sewer/Water Contractor:
Air Condiuoiiiiig
Hcal Rccoecn' Sys[ctn
Fee: $90A0
Phone #
Fcc: -
O?rlL7 F? l nlu M mr
Phone # Il 1 00 I U
---------------•---------------...----°----..._....------------------°--•-------°-°°-°--- --- ---°---------...._
I nereby acknowledge that i have read this application, sTate ihat the information is corr ?-
with alt applicable State of Minnesota Statutes and City of Eagan Or i ces.
Slgnature of Applicant
OFFICE USE ONLY
_ Water SoF[cncr
Water Hcater
vo. oF Baths
Phone r
Iawn Spnnkler
No, of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115427
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 1265 Carlson Lake Lane
Lot:007 Block: 005 Addition: Wilderness Run 4th
PID:10-84353-05-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jayme Meyers
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 -
Claudette Nelson
1265 Carlson Lake Lane
Eagan MN 55123
Bayport Roofing And Siding Llc
10 South 5th St, Suite 700
Minnepolis MN 55402
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature