Loading...
1280 Carlson Lake LanePERMIT City of Eagan Permit Type:Building Permit Number:EA148756 Date Issued:04/18/2018 Permit Category:ePermit Site Address: 1280 Carlson Lake Lane Lot:028 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-280 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: 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 - Roxane Dangelo 1280 Carlson Lake Lane Eagan MN 55123 (651) 707-5229 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilonob Road $ PERMIT NO • Eagan, MN 55122 DATE: Zoning: _________ No. of Units: — Owner: - tfC. Address: Site Address: Plumber: Meter No.: Connection Charge: Size• Account Deposit: Reader No • Permit Fee: 1 agree to comply with the City of Eagan Surcharge. Ordinances. Misc. Charges. Total By - Dote Paid: Dote of Insp.: _—_ Insp.:— 5 1.Or; meter pd CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pik Anob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _ No. of Units: Owner: Address: Site Address: r31T Srr7 Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp..--- Date Paid: l • CITY OF EA"N 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-9100 PERMIT No. Date: J Receipt No.: Single Site Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Name ^ 11 t' ° ^t: ' 'tt~ New/Alter./Repair Address Cost of Installation City St. Paul _ phone: Permit Fee 2()• nn Name Binder & Son Inc Surcharge Address 120 Butler Avenue n c, City "r.t Tau-` _ Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. i Building' Official • . CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 - r. Inn PERMIT No. Date: T-,pril 11, 1977 Receipt No.: 05617 Single r-"1 7a Site Address H? r te. Residential X Lot Block Sub/Sec. Multi Res., Comm./Ind. ,.~F~: Homes Tnc. r,e~~ Name New/Alter./Repair. 3 Address ` 27 So. Zellin.c C Cost of Installation St. Paul 20.00 City _ Phone: Permit Fee Name T,o$i8 H. Peter co. Surcharge 50 1-854 Grand Ave. g Address C O v Wit. Paul 551.05 2'7 City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~Building Official CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N2 4234 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for ` t Date 19 Site Address Erect [T Occupancy Lot _ Block Sec/Sub. Alter ❑ Zoning Parcel Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. V W Name Move ❑ # Stories Z Address Demolish ❑ Front ft. 3 Grade ❑ Depth ft. Ci Phone Approvals Fees 0 Nome ob Address Assessment Permit _ ~ city Phone Water & Sew. Surcharge Police Plan check uuj Name ` r Fire SAC io Address - Eng. Water Conn. t1Ct aW city Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $9~•~i' State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: i 1 ~t to trrta ? nC. on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~ r hrnit # Date lssmw Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation _ Plumbing ?7 Frame/ins./'~ Mechanical Final Cp - r Remarks: I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: r ' 3830 Pilot Knob Road Permit Number: t ` t3 Eagan, Minnesota 55123 Date issued: (612) 681-4675 SITE ADDRESS: APPLICANT: • i~r I i il'I! I ,•}i I lJ.t I• lit1~ iJti I!. :li I i ,•i -iii,/H PERMIT SUBTYPE: TYPE OF WORK: j INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting a. LA &A-* Z7- 4j2n1F-: 101- ,&S Rough Plbg. 3 Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN Remarks Addition Wilderness Run 4th Addition Lot 28 Blk 3 Parcel 10 84353 280 03 Owner N(1VXik AL)," C?- IL(l t r ( (r; Street 1280 Carlson Lake Ln. State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 $163.26 $8.16 20 02 77 EWER LATERAL 1975 $716.60 $71.66 10 6/. d# - 11 77 r WATERMAIN WATER LATERAL WATER AREA 1977 O.00 0. 66 -r5-- -6-4,777 STORM SEW TRK 1991 222-78 14 - R-q 163.38 0008754 3-30-84 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. - - BUILDING PER. - SAC 4 5.00 5434 - - PARK 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for:, sin~gllee family dwellings & townhomes/condos when permits are required for each unit - Date ll r~/~ OX l7 Site Address /Osgo 4. el5ex, I e,& C'r".np Unit # Property Owner n,yt Apl&AV%,a.. Telephone # Contractor ^~A / 'wa~ / r IQA Street Address Po &k= Dj)- a City State Zip Telleephone# (6§( )`1,SS'to1~I' Bond k c42 3197 Expires: i/ • YI D The Applicant is Owner Ar-Co-ntractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit ~ $ 50.00 furnace -Additional ~YReplacement _ New air exchanger air conditioner heat pump other State Surcharge $ .50 Total $ ~1 Sv I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and acckll~ D be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I s is not a permit, but only an application for a permit, and work is not to start without a permit; th the work will be eV701 VZO approved plan in the case of work which requires a review and approval of plans. aruvjr,~n AA) Applicant's Printed Name Applicant's Signature INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021710 Eagan, Minnesota 55123 Date Issued: 08/12/93 (612) 681-4675 SITE ADDRESS: LOT: 28 BLOCK: 3 APPLICANT: 1280 CARLSON LAKE LANE RIGHT WAY ROOFING WILDERNESS RUN 4TH (612) 557-8678 PERMIT UMPE: TYPE OF WORK: REPAIR DESCRIPTION REROOF INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FINAL L PERMIT CITY OF EAGAN 3830 MIN Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 021710 (612) 681-4675 Date Issued: 08/12/93 SITE ADDRESS: 1280 CARLSON LAKE LANE LOT: 28 BLOCK: 3 WILDERNESS RUN 4TH P.I.N.: 10-84353-280-03 DESCRIPTION: REROOF Bu-ild3ifg, Permit Type SF (MISC. ) Building Work Type REPAIR i J ~J /I ( ~IJ~ VIJ L.{ U REMARKS: FEE SUMMARY- VALUATION $3,000 Base Fee $54.00 Surcharge $1.50 Lic. Search Fee $5.00 Total Fee $60.50 l2I&H7 WAfOkdOFING - App 15578678 0003999 GqISECRMAN BOB 11304 RED FOX DR 1280 CARLSON LAKE LANE MAPLE GROVE MN 55369 EAGAN MN (612) 557-8678 (612)452-6510 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 Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED BY. SI TURE REACTIVATE _ CITY OF EAGAN PERMIT ii 1993 BUILDING PERMIT APPLICATION 681-0675 /7/0 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications. I copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. 0a _J(D r7 Date / / f Valuation of w rk J Site Address: r,. P STREET SUITE r Tenant 2Name: (commercial only) d~ LOT v\0 BLOCK Z SUBD./ , Q elLA P.I.D. N Description of work: £ a v The applicant is: ❑ Owner Contractor ❑ Other WescrlW) Name (ice Pi C~~ Y)l a Phone Property LAST ~r FIRSTS Owner Address b6 ~CcJI ~~Uh is ° l San o city w STREET ~ STE r State Zip Company ` Phone 3 3~ Contractor Address ( `f Licensed 49I Exp. - L State City - Company Phone Architect/ Zip Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved.. I hereby acknowledge that I have r ad this a lication nd state that the information is correct and agree to com with 1fappl.ic a State Minnesota Statutes and City of Eagan Ordinances. Z Signature of Applicant: OFFICE U5E ONLY BUILDING PERMIT TYPE . . ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement`Fnish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ OB B-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 31 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) Ist Fl. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump i of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace d~ Permit Fee _rwl valuation: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: Jai SAC % SAC Units v CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N°_ 4234 PHONE: 454-8100 BUILDIN& PERMIT APPLICATION $40,900. Receipt # 5434 To be used for Sing. Fam Dw1g. &Att. Garg. Date Mar. 10 I9 77 Site Address 1280 Carlson Lake Ln Erect [3c occupancy - Lot 28 Block 3 Sec/Sub. WR 4th_ Alter ❑ Zoning Repair # 1!1 A4"153 280 03 ❑ Fire Zone Enlarge ❑ Type of Const. V W Name Tilsen Homes Move ❑ # Stories 3 Address 627 So. Snelling Ave. Demolish ❑ Front - ft. o City St. Paul Phone Grade ❑ Depth ft. Same as above Approvals Fees 0 Name o~ Address Assessment--- Permit 118.00 _ 20.50 F city Phone Water & Sew. Surcharge Police Plan check ~w Name Fire SAC 475.00 t=z 220.00 u~ Address Eng. Water Conn. aw Cit Phone Planner Water Meter 60.00 Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable 893.50 State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: cr Inc on the express condition that all work shall be done in acco once "th al6 licable State o Minne ota Statutes and City of Eagan Ordinances. Building Official P,TJIT0ITG P.3RAIT 2;PPLICATIO?d ?LOCK - ADDITIOrT~ J e si✓v ess~i LCI~ I? ~L. PRRCEL F, SECTIOi'7 :3U BE'? IF Ur:,.U',-ATTBD ADDCOiSS Or' F:OIr'i:TC- cicM, PUCY USE 17 TELEPrOtr i0.,__..___.- TELEPHOM PTO. tdof.ra Inc .ei:ir: clan; rai'il.dinn plans, and energy calculat_.ons witk: this application S' fined OFFICE USE VALUATIOPi SAC -71✓~--'1~/~- - a WATER- MITER BUILDING PER[dIT FEE / L~-_----- SUP.C-IMPGE 90 PIAU CP PCK rr~i'. n :7 - ' PARR DEDICAM(,`,* FEE OTHER APPROVALS: ASSESSmm ::T CLEPSC_j2. AUILDIIQG DEPT. POLICE DEPT. _ 77ATT'R E S m'R DEPT. FIRD DEPT. PARK DEPT. r I I ~ A~~/~~2_. l~koAERTY LNE ~nU Ty UNt~ i 5Z P i ~~opE.erY la d 67T/2-3 o M LOT Lae k fy - - 1~ ~9 r 1=ROnfT'_~Roi~EfLTY__,_ LiP1E i~ PLC I -4 LAN 40 r _ PERMIT# RECEIPT DATE: iZ 'J (~~~yto ~S(F MIDENTIAL PLUMING PERMIT APPLICATION crrYoF EAsm 3930 PILOT KNOB fftD EAGM, MR 55122 651-6$1-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for irrigation system SITE ADDRESS: ka'O cw,\' jON LoaCe ~gpiq OWNER NAME:: (AREA CODE) INSTALLER NAME: TELEPHONE q5a_ 43t-9to7 cp STREET ADDRESS: 605 12th Avenue South (AREA CODE) op ns, NIN 55343 CITY: STATE: ZIP: Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: P e plncQ t K~n4ec hc'ci~c _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ e.5-00 Total $~~1 v- Reminder., Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicant's responsibility to notify the propertyowner that the Cityof Eagan assumes no liability for any damages caused by the-City`.during itss norrial_, operational and maintenance activities to the facilities constructed under this permit within City prop rty/right-of-way/easement. ii I' I ! : 1 APR 0 3 2001 SIGNA tJ E OF P MITTEE ~~I I U 13y Updated 11.01__ PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA073958 Eagan, MN 55122 . Date Issued: 06/21/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1280 Carlson Lake Lane Lot: 28 Block: 3 Addition: Wilderness Run 4th PID 10-84353-280-03 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 11201 80th Street Suite 211 Bloomington, MN 55420 952-345-6047 sarah@elderjone s.com Fee Summary: BL - Base Fee $2K $69.00 0801.4085 Surcharge - Based on Valuation $2K $1.00 9001.2195 Valuation: 2,000.00 Total: $70.00 Contractor: -Applicant - Owner: Pella Windows & Doors Turnkey Sales Roxane Dangelo 15300 25th Ave N #100 1280 Carlson Lake Lane Plymouth MN 55447 Eagan MN 55123 (763) 745-1400 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 Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA099908 Date Issued: 06/30/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 1280 Carlson Lake Lane Lot: 028 Block: 003 Addition: Wilderness Run 4th PID: 10-84353-03-280 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Ed Pelto 1099 Pelto Path Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Ed's Heating and Air Rolane Dangelo 1099 Pelto Path 1280 Carlson Lake Lurie Woodbury NIN 55129 Eagan NIN 55123 (651) 775-7490 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Nov 20 2012 10:15PM BRUCKMUELLER PLUMBING INC 6516882160 r CityofEagll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 page 2 Use BLUE or BLACK Ink For Office Use /� j Permit* l/ V L Permit Fee:©Uf Date Received: l ('11' ( Z Staff: INFLOW & INFILTRATION PERMIT APPLICATION V Plumbing / Sewer & Water Date: I /-/44 a Site Address: /a 80 cori$On Zetke Lane., y e. Tenant: Suite 1: �i�w r4 Name: /'� Okan!'! e- n pliq� ( iy5 /D Phone: - --_e25..35 Address / City / Zip: /28O caf' SOr) take_ Lam , 2 agar) nix) 4t. ;I, E 5 i .�.: a e':'"1,T �"s � .kJ •i;1�, r( a xt Name: ert,l-r tellA e.//& Pel Arm b' r1 cg, .4nc... License fk: Ll 6/ %`j /- pro I ��' Address: gqq PerV iS�l1 �rir a ithialt,l G- City:tva r'"1 r_ J State: /� Zip: 557;13 Phone: 6' j - c' to - co c q co Contact grYC, Dr liti e., Email: h/'1 1 ite fllumbIV—ei.Lel 11 � r Vi tb• $$� • t 5 Y: Ik Ik4 , ,1: , a e� ! ti't� r '. PLUMBING (Within the building envelope) l/`Sump Pump Repair SEWER & WATER (Outside the building envelope) Repair Other: Other: -�i �h 0 t . tLri, r .; kaA' I4 Y r ., r)5 Description of work: I%I`ic r JLdI t/J purr pip e � Lip k [T.r?r',1,�'.. J / l ....JJ FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ tom+ C1 • U tJ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.CoM/Inflow, or City Hall at 3830 Pilot Knob Rd. 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.gopherstateonecall.orq 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 Eagan; that I 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. x ffu 1 i e- 13rudemitke-//er Applicant's Printed Name di A ,' licant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114696 Date Issued:09/18/2013 Permit Category:ePermit Site Address: 1280 Carlson Lake Lane Lot:028 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-280 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 . Ryan Davis 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 - Roxane Dangelo 1280 Carlson Lake Lane Eagan MN 55123 R Davis Construction Inc 710 N 4th St #306 Minneapolis MN 55401 (612) 259-5363 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office Use I j Permit City of Evan 1 '79 I Permit Fee: I 3830 Pilot Knob Road 1 Eagan MN 55122 j Date Received: < < j Phone: (651) 675-5675 I ;1 I Fax: (651) 675-5694 1 Staff: ~45 - I j 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /,7 Site Address: f ovrel G ~i/!SG/? GGr'~tf ~JT~ Unit ~ I Name: a/' Phone: / - 745~7- Residentl h Ip Owner y Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work:, lop, Construction Cost: Multi-Family Building: (Yes / No r-- Company: Contractor Address: 1 ' f) xAooo~/ City: C~GG•rl State: Al r! Zip: Phone: (00 /-2 " 7 7-3` ~~G d i License Lead Certificate 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: 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. J 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.aopherstateonecall.ora 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 Eagan; that I 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 ilding a must be c plet within 180 days of pe it issuance. x Applicant's Printed N We A ican s Signa Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA150863 Date Issued:07/26/2018 Permit Category:ePermit Site Address: 1280 Carlson Lake Lane Lot:028 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-280 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Roxane Dangelo 1280 Carlson Lake Lane Eagan MN 55123 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154507 Date Issued:03/27/2019 Permit Category:ePermit Site Address: 1280 Carlson Lake Lane Lot:028 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 - Roxane Dangelo 1280 Carlson Lake Lane Eagan MN 55123 (651) 707-5229 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature