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1262 Carlson Lake Lane CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: .Eagan, MN 55122 _ DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agroa to comply whh the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CITY OF RAGAN SEWER SERVICE PERMIT 3795 slot Knob Road PERMIT NO.: eagon, MN 55122 DATE: Zoning: No. of Units: Owner: - - Address: Site Address: 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: F ~ CITY OF EAGAN 3795 Pilot Knob Rood Eason, MN 55111 PHONE: 454-8100 BUILDING PERMIT Receipt # To be red for Est. Value Date 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. W Name Move ❑ # Stories z Address Demolish ❑ Length Ci Phone Grade p Depth Sq. Ft. o Nome Approvals Fees uU Address Assessment Permit ~ City Phone Water & Sew. Surcharge Police Plan check CW Nome Fire SAC 11 Address Eng. Water Conn. <W city Phone Planner Water Meter Council Road Unit 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 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition than all work shall be done in accordance with all applicable State of Minnesoto Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. w 1 Holder Plumbing ZS'lfl ILS Yl (D H.v.A c. 30 8 n~~ r $Z Well Water Disp. Sewer Electric W 1la 3 01 7j(pki fa -Z T? Inspection Data Insp. Other Footings Foundation Framing 24~~ Rough Pibg. Rough HVA • Z Z' W Insulation Final Plbg. wj 04 Final HVAC + Final Water Describe Location: Well Sewer Pr. Disp. L Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Q' -.-;>Blk. Tract 4. Owner S 5. Contractor Phone 1 f 6. Address 7. City State li' Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank L Lavatory Softner Shower Well -L Kitchen Sink Urinal/Bidet Other l/ Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 A SI~i e~-~ Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN , Fee fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot - Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential CJ Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. < Boilers -rr Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECORD j CITY OF EAGAN PERMIT TYPE: I 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: r PERMIT SUBTYPE: TYPE OF WORK: Misc. INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. ,:i•ilftl• .••t IP11!'.I.1 ~ t IICI; I,Ii ! fl _ I, s I 1 441-. 'H40 VI-.tjl41~t)fP4 1.1 Fl lVIt AI VI'f+MI I AND slt'&kt.I ItIN`; J Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS ~lr` d FOUND v FRAMING 7/p/j>p ROOFING I O Z O ROUGH PLUMBING r PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL 719/q g, GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT - - - - - - - - TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN PERMIT TYPE: Ili 3830 Pilot Knob Road Permit Number: t Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: " APPLICANT: NI ;(IN I ARt I ANr d 11 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. L - - - - - - - - - - - - - - - - - - - - - r Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT - - - TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL - DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition Wilderness Run 4th Addition Lot 25 Blk 3 Parcel 10 84353 250 03 Owner Street ' -State Eagan, MN 55123 2<~S '!'-t u Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING a SAN SEW TRUNK 1973 $163.26 $8.16 20 81.66 A011321 8-6-82 SEWER LATERAL WATERMAIN WATER LATERAL 1975 $714.00 $71.40 10 149-180 A011321 8-6-82 WATER AREA 66 15 96-04 A011321 8-6-99 -1Y1 1977 160.00 STORM SEW TRK hi 1981 19-19 is 236.34 1 &;6-82 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240.00 #30469 6-10-82 WATER CONN. 420-00 n n BUILDING PER. d7332 SAC 525.00 ' PARK (9rrtifirtttr of (Orruvaury l (lCitp of Cagan _ Y F arpaT1mmt Of 61dibing 3 rMan y. This Certificate issued purstutnt to the requirements of Section 306 of tlx Uniform Building Cock certifying that at the time of issuance this struanre was in compliance witb the various x \ 6i ordinances of the city regulating building construction or use. For the f olloudng: Fi. 7332 \ / r: u,.a.mmdm SF DWG/GAR Bld,Fll tN. R3 v Flnzmro HA ZmMDi RI Yf OavporT TYP ryp,Cmswa c~Tilsen Homes, Inc. eaa~627 S. Snelling, St. Paul aaaoy♦ 1262 Carlson Lake eaw,YWt 25,Block 3,Wilderness f, C aanr Run 4th I ~ ° ~A d any Lane By; t p,,; July 26 1982 BuddMOMilid ~ s. n • m..KUw...ca V Ill 771, Ill will 7A I'll I'll This iegaasl void ~a/zz LZSI W t ~~n r 30(03 S aeths tram r 1639 Request Date Fire No. Rouph-in Im Pm:6on R mied) C]RaadV NuwIaWill NotitV, Inspec- 6-18-1982 4VOS ❑ Nu or When RbatlV ..Licensed Elbetrieal Contractor I hereby request inspection of above O Owner electrical work Installed at: Street Address, Box or Route No. City 1262 Carlson Lake KU Lane Ea an acban No. Township Name or No. Runge No. County Dakota Occupant (PRINT) Phone No. Tilsen Homes Power Supplier Address Dakota Cty, Farmington Electrical Contractor (Company Name) Cm,loctor's License No. O.B. Thompson Electric Co. A40602 Mgilin Address IContractor or Owner Makin Installation) 12201 Minnetonka Blvd., Mtka 55343 Authorized Sigrntu,► IContractor Owner Mai If Inst oil n P [(e ~N pftq¢rr MINNESOTA STATE BOARD OF ELECTRICITY' THIS INSPECTION REQUEST WILL NOT Gripes-Midway Bldg. - Room N-101 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 66104 UNLESS PROPER INSPECTION FEE IS Ph... 16121 207-2111 . ENCLOSED. ~p REQUEST FOR ELECTRICAL INSPECTION Wr ES-00001-03 Cll c ,See instructions for completing this form on back of yellow copy. ,f639 -X" Below Work CoverecLby f/1!s Request 30 (0 3 S New Add Rep. Type of Boildine' Appliances Wired Equipment Wired Home Range 00 Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building - Dryer Electric Heating Commercial Bldg. Furnace 2, Silo Unloader Industrial Bldg. Air Conditioner BUlk Milk Taol< Farm p - t e, ape'div) other pocitY Lone, nihor Com ute Inspection Fee Below at Fee Service Entrance Size k Fee Feeders7Subf,mdera N Fee clrcpits 1QOT G 10.0 0 to 100 Am s 0 to 30 Amps • U to 30 Am 101 to 200 Amps 31 to 100 Amps 31 to 100 Am Above 200 Am s Above 100-Am s Above 100_Am s Transformers Remote Control Circ. Partial.'Other Fee Signs Special Inspection Renveks a $ 40,50 TOTAL FEE ,6d Rough-in 1/ Dme 1. the Electrical IW'%1 ..~,19 inspectoq hereby CIO t certify that the ,have f ay ~Yi~ I inspection has been / I e made. Thin l,m,nst Veld 18 wrims hen, 3 0 PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date Site Address ff[A p( Qy Unit # Property Owner C h ;S YOt-, Ct Telephone # Contractor Leon b L)O/I PIL f J~ S ~~G Address O P' 7 J L City State M /J Zip Telephone # The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system Water turnaround 5/8" meter if needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 r / Lawn irrigation system Water softener _ Water heater $ 15.00 replacement _ additional 71 50 State Surcharge $ 11~s~ Total [hereby apply for a Residential Plumbing Permit and acknowledge thatlVApDpIs ete~an a urate; that the wort; will be in conformance with the ordi nances and codes of the City of Eaganlamss; t t I understand this is not a permit, but only an application for a permit, and work is not to start witork l be in accordance with thCapp veplan in the case of work which requires a review and approval oApplicants e e CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, MinAesota 55122-1897 Permit Number: 032175 (612) 681-4675 Date Issued: 06/08/98 SITE ADDRESS: 1262 CARLSON LAKE LANE LOT: 25 BLOCK: 3 WILDERNESS RUN 4TH P.T.N.: 10-84353-250-03 DESCRIPTION: NEW KITCHEN AREA B-aildi;rtg_„ Permit Type -SF MISC 'Building Work Type NEW % Census Code 434 ALT. RESIDENTIAL z, f REMARKS: PLAN REVIEWED BY JOE VOLES CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS SEPRATE PERMIT IS REQUIRED FOR ANY PLUMBING WORK FEE SUMMARY: VALUATION $11,000 Base Fee $174.75 Plan Review $113.59 Surcharge $5.50 Total Fee $293.84 CONTRACTOR: - Applicant - ST. LIC OWNER: PLUMBLINE BLDRS MPLS INC 19338493 0002939 YOUNG CHRIS 7 9TH AVE N 1262 CARLSON LAKE LANE tlPKINS MN 55343 EAGAN MN 55123 612) 933-8493 I hereby acknowledge that I have read this application and state that the. inform atio i correct and agree to,comply with all applicable State of Mn. Statutes and y an Ordinances. A APPLIC T/PERMI EE SIGNATURE ISSUEMY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) VIA Oy RD - CITY OF EAGAN 176 ✓ 3830 PII.OT KNOB B It2D 55122 681-4675 l'1~ New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fid, design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No DATE: CONST~RUUCCTIION" COST; / e9 6°~6 DESCRIPTION OF WORK: K~ 16U It/J C f STREET ADDRESS: /,tzo Z ,Ln Z~ BLOCK: SUBD./P.I.D. V y I I~PVI~) IVVt VI Name: ~p 1 LL~~ eEC j , Phone PROPERTY Lasts Forst OWNER I2 StreetAddress: & Z Cf/ 1 S aA) L (Q'ye Wy City ~dl✓1) State: MA. Zip: Company: ~164,4 1141e Phone CONTRACTOR -t Street Address: / ~c7 License # dQ 7'-'5 / City State: Zip: ARCHITECT/ / "~'JVV~ ENGINEER Company: (p Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address Chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is rrect nd ag comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY IVED Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required ~yfl~ OFFICE USE ONLY g BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 ,_-plex ❑ 15 Deck WORK TYPE Alt, T~G ' G • SP9C £ ~'~L c~sT 777-7',(-I/X ~d2 k_Z&c•u7? ❑ 31 New ❑ 33 Alterations ❑ 36 Move ,,~2 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 3 c Depth Footprint sq. ft. SAC Code 01/ ZCensus Bldg / APPROVALS Census Unit _0 Planning Building Engineering Variance Permit Fee Valuation: $ Ooo Surcharge Plan Review License MC/WS SAC City SAC Water Conn. 3 -X y5"' xe Water Meter Acct. Deposit S/W Permit S/W Surcharge C,29wL Treatment Pl. Park Ded. X Trails Ded.°X/b. Other - Copies r Z f d Total:. % SAC SAC Units I A?cogR., AeooeArY LwE y3 I L7 NoL►c E c: r t a v s i i ~.~1JPEe7-Y SEWER INVERT LINE TILSEN HOMES INC. , S I LOT AND BLOCK -Z / ADDITION j NAME -c ADDRESS I<_',:- CITY =j.~•^ ~On~T_r~ROi~F(~LTY ,LING r PLOT -PLAN PERMIT CITY OF EAGAN 3830 P{lot Knob Road PERMIT TYPE: B U I L D I N G Fagan, Minnesota 55122-1897 Permit Number: 033291 (612) 681-4675 Date Issued: 0 9 / 17 / 9 8 SITE ADDRESS: 1262 CARLSON LAKE LANE LOT: 25 BLOCK: 3 WILDERNESS RUN 4TH P.I.N.: 10-84353--250-03 DESCRIPTION: B,u ldin-gI_Permit Type DECK Building 'Work Type NEW r~`Census Co-d 434 ALT. RESIDENTIAL i e 4 REMARKS: PLAN REVIEWED BY BILL ADAMS. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - YOUNG CHRIS 1262 CARLSON LAKE LANE EAGAN MN 55123 (651)346-2305 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.. N ~APP (CANT/P~ITEE SIGp(i TURE SUED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PU.OT KNOB RD - 55122 dt 332 t 1 681-4675 -a j~~J New Construction Requirements Remodel/Repair Requirements • 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions 8 decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: s- R n , CONSTRUCTION COS , I:?00 DESCRIPTIO OF WORK: DID NE'~ I C ~L~K 1 1~ STREET ADDRESS: ~2~02 G~rLLI La-I1 ►~"7 _ LOT: D'~ BLOCK: SUBD./P.I.D. W UQ ~ ` ~ OU t' ~E Name: Yo y N ~i~l ~~JTO Phone (0 Z PROPERTY Last --First 05 OWNER 12~ 2 r' C t-~ lG Street Address: City i~~-.7A State: t!!l 1.4 Zip: Ll'5J ~-Z~5> Company: Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer $ water licensed plumber (new construction only): Penalty applies when address chanc and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicat State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: t. OFFICE USE ONLY O Z Certificates of Survey Received ZYes No JE ' Tree Preservation Plan Received Yes No Not R OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex 15 Deck WORK TYPE ~I 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code C Census Bldg Census Unit APPROVALS Planning Building -40- Engineering Variance Permit Fee Valuation: $ 2 r. r Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units I[ PFR MIT s 2c~ 1 .P_E/)R.. rOi2oOFi4TY LwE y~_, a I~ ~ 44 f _ - 1 BI I ~ \ LJat~ ! IIIGGG J ,7--j - Q ' Znor-e zrv SEWER INVER LINE MES INC. , A $L~ _ ~ I / j NAME ADDRESS CITY 1 ±~on~T SRO i~F_ f~TY . LINE CITY OF EAGAN Np 7 3 3 2 3795 Pilot Knob Road Eagan, MH 5512 - PHONE: 454-9100 J BUILDING PERMIT Receipt # To be used for _ SP DWG/GAR Est. Value $601000 Date June 10 _ 19 82 Site Address 1262 Carlson Lake Lane Erect Occupancy R-3 Lot 25 Block 3 Sec/Sub. Wilderness Run 4 Alter ❑ Zoning R-1 Parcel # 10 84353 250 03 Repair ❑ Fire Zone FAA Enlarge ❑ Type of Const. V a Name TilBen Homes, Inc. Move u, ❑ # Stories Address 627 S. Snelling, Demolish ❑ Lengths 0 Ci St. Paul 55116 phi 698-5501 Grade ❑ Depth 24 Sg. Ft.- Name Owner Approvals Fees ZO~ Address Assessment Permit 313.00 u~ City Phone Water & Sew. Surcharge 30.00 Police Plan check 156.50 G~„W Nome Fire SAC 525.00 Address Eng. Water Conn. 420-00 wz Ci phone Planner Water Meter 60.00 Council Rood Unit 240.00 I hereby acknowledge that I hove read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total S17d4.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: i Inc, on the express condition that all work shall be done in accordance with all applicable Std of Minn S t and Ci of Eagan Ordinances. Building Official - /J CITY OF EAGAN Include 2 sets of plans, • 1 1 site plan w/elevations & BUIISIING PERNIIT APPLICATION 1 set of energy Calculat~ons• To Be Used For v Qli w Valuation O 0 o Date Site Fddress,< e OFFICE USE ONLY Lot ~ Block IS Sec./Sub.:: Erect ,y occupancy Parcel # ] 0 c6 3S .3 2 S C~ d Alter- Zoning / fi. z Repair Fire Zone, . Owner:. T LSe n~ /a ti e s Enlarge Type of Const:. . Move # Stories Address ° ~T S. S a>G!/in.a De 01 sh Front ft Grade Depth 2 z ft. ~Sl/6 City/ZCode: S7 ?3a,~f~ At Alp) Phor APPROVALS' Assessments Permit Contractcir: 5a.v~ Surcharge 3a=° . water/Sewer Flan Check Y sG Address: Police Fire SAC S^ s'- . City ip Qode: Water Conn. Eng--- _ Phone Planner Water. Meter Council. Road Unit Arch Bldg. Off. ABC Address:; ..City/Zxp bode: EXTERIOR, ENVELOPE SPACE "U7 COMPUTATION s (To be submitted with building permit application)', 2One or two family dwelling Owner 1~1R,~r rt~~` ~ICKO Ail other Site Address ' S Contiactar-t1 Date Lt ~c~j2 Phone 4 w ry M fp~ TN$AI Y ~Ca ,EXFOSED WALL;` +X ft. above grade ,a 3 44 VA la9a T TAL EXPOSED WALL AREA SQ FT c 7Z r X ' OPAaUE WALL'•GONSTRUCTLON "U" Value area;, ' -?-9 'a, r n ,F nUn X sq ft. _ (U)"{A)` F "k° z C.re~tkM:' i1pLL'' U q' ftr ~4Da{i rafexgn e., 7,Un X sq, ft.. om tt,*Ctr,~ "1L " X 2q. ft.O.o~=~ ,;([7} fA).~' s' attai?11ed sheets "U"~ X sq. ft. a{ x' x - U X'sq, ft:~ zFt e uUu Xsq. ft. = ;(U}~'{A)>.' ~tM1~F~©u)a Tiq~ ~R, W['ATHF~f2 , ~~17~?~ r r' E X AREA, ;~WTIT WS LU { a ~ fi @~ Mk ' _ p., n '~T'~^'-r" Y ~.,c „t,• [ARC Jd b sq.~~ 33 yt afire .@yy_ ° ${rM~+ 1a1 7sn a R)r% J~Sq ~.+rl' ZiSC~~' .tr6~iG,h3k.r ~nxi £3 i ` C T%~`X' P R Ld. 1fUte XSq ft ,ri~o7, ~,..---•s~k~Vz±~e, i.. .L, 2 T($` 's Ewr 9fU" _X sq ft !dv[l r"' R {tPA ; -1 T r IQ q _CCA 4A7, j9 Ali X.,& ft.. _ , '0A.'41 o e, nIInX, aq ft' ~z+ r lid ~1~~Av F s>,"e"vZ»x ~-1-b - e razz fl lip "'C bOS U v2lue X area N s a " a a Ye" ~ ,F ~ le J~ W k 'S N' AY : d } F.. & T•~ j",' t 3 ` D..X ~'8 it'll ' X e q t " : i • l V P~~. °.~dv xr~ F; n da ~q ,rt n n 1_~i ~X s ft y ICS., rte' 2 )C(o`~' uUu x sq ft.. _#rA, l U )A AgS i~ 77F {Y~F'^~ C,n~ tl~}71X sq♦ ft• ©Q'...{ ~l$!.. M .4(o TOTALS ~~o.~ s4r ft {U} A Tl7TA (U) (A, VALUES 17 - t a r77LVkED $Y TOTAL WALL AREA/ SPA AVl: lUll x AVERAGE '~Ucr " ' 17 of Iess;'for `1 & 2 family:; draeilings r ~ ~22or lessfoe all other buildings " r ,CON9TRUG XON FRAMING R>Value ,r PF - U Y ) 7i -,2 f ^C ~ 1 - M~ F3 a zr ~a ~N Sl_ r ayi a x 4ra v C~`'s' s Y t _ < 10 3. A?EFi~ ORvOERTY LwE! Ti' .40 JY L./NC Ir i~ rl s- i s TY SEWER INVERT LINE TILSEN HOMES INC. , M LOT AND BLOCK a2 5~ -3 I ~ I ADDITION W «DER N &S S !2U U /T11 l SAM~~ SITI<O V NAME ADDRESS 2 2 C one Lt ka LAN CITY A I rIZoNT_.~Rai~F_f+ZTY ._LI.NE ~PLQT VP L P+N -4- V7 se tkl H,I `gY'~~'.~ ~aJ3 1 I .h #~q' .;gg~Ttrs~ y'~}y.;~ tk PI, r ,,y F; , ~'W yY~#^~f[{~ = O tx Oil- • 7" 1ptr 8, y"$. i w -kCFSrl 1 «3i 4r } i 7~ { Nye 7 l °'r VVV~;<Y 4! #-r:`, .pot `'Y '&ro t ~y z1g„ c ' z' bN o__•~p r~ a~ r i~ Y« W Ht2 Q~' 0 r . C' P' Ir i"r',) {e , "1pY~S F4~ f y~" r It` 1 +1 • 1 ,t P+~v'~e . r 1 " ; s fi yl ~{:It i 1 ti.__f ~ < .A t?}O a !r P P Vi ri ~r N r t } ~0 4 to-' KOO 11>i it , v pp'A r ~ k Oil F j 1!1 lA d 6 F~~ij`1 N~ 1~ t;'i 2 3'' X.~4 i2 ~a Y paply 1 ~e► ' '}k~ N: 7 4t a °'F 9 ii. 'a'~ ~i., II V %i u, pp~Y L F~~'0iG ``I42: N3337 E r{ 41. 74 34 impy6A, f, 74 ~33"EF 4AKE a S 00" ` .5ei2 33ria a N88° 16 37"B `fro I~ u . ~ 30O8.9.00`= > al A r ~1 ~ ~ ~ 0 »w aDo12~39137.Y Ig , C~ N d u r i' ' 72 30 (±100.00 , 85.31 S 88°20'33 E 1A 7- riI 1-0 85.31 1 11 a° 3 " } p~, S. ly 4 fl M r ~Rpc!~ '~s ~l «F TF~~ ~ I~A ~ ID~ ~ .z ~ ~ •S .LLB iQ ; 4 ~ E~:., ti z e# -'F' l N K s ir, N a _4 U z31. 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(t ~tPA~( f RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x _ Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet *minimum-1 3.00 x = Rough Openings 1.50 x = Water Softener *for dwellings under construction 5.00 X = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * r0 oY14r1 resrclence 20.00 - Water Turn Around 20.00 = Private Disposal System * MPC IIc. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL 2-0:.W I --ta------ 1 hereby acknowledge that have read this application, ste that the irifortnation is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed junder this permit within City property/right-of-way/easement. SITE ADDRESS: ~ f1 L~0-j ir~j OWNER NAME: INSTALLER NAME: ~Tt7FJ1J ~~\y✓~t0~~ t~[TIwL. TELEPHONE#: -/~~3933 STREET ADDRESS: 7fi A(-- r1 CITY: C~IW t U STATE: W J" P') ZIP: S- --S Y3 SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 S3a 3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodeflReoair Requirements • CS- * 3 registered site surveys showing sq. ft. of'ot, sq. R, of house' and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions 2 copies of plan showing beam 3 window sizes, poured found design, etc.) . 1 site survey for exterior additions & decks 1 set of Energy Calculations . indicated home served by septic system for additions • 3 copies of Tree Preservation Plan if lot elatted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 7 1 )-d 2- VALUATION (S, 0 U U SITE ADDRESS Ia 62 C f'r'Q' (-K-- LW MULTI-FAMILY BLDG Y _N TYPE OF WORK_ SiAir.fe FIREPLACE(S) -0-1 -2 APPLICANT ! KA4 6,W= /311 STREET ADDRESS )2-6,q- Ca'-130a Lk L j CITY` STATE Art' ZIP X615-'7 TELEPHONE #763-3 Jf9-'2(S f_ CELL PHONE #763-a46-309Y FAX # 3~f-/-ra( PROPERTY OWNER lJ D U Kf TELEPHONE COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ NIINNESO'I'.\RCI.IES 7679 C.1Tt:GORN' I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submittec • Energy Envelope Calculations Submitted Plumbing Contractor: Phone 4 Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Ntechanicid system includes: Air Conditioning 2 "n Heat Recovery System p )C Sewer/Water Contractor: Phone # U Jill I hereby acknowledge that I have read this application, state that the informatio is c ree-to - -ply with all applicable State of Minnesota Statutes and City of Eagan O ces. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 PERMIT City of Eagan Permit Type:Building Permit Number:EA160566 Date Issued:03/19/2020 Permit Category:ePermit Site Address: 1262 Carlson Lake Lane Lot:025 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-250 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 - Azeena Kanhoye 1262 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:Plumbing Permit Number:EA160711 Date Issued:04/06/2020 Permit Category:ePermit Site Address: 1262 Carlson Lake Lane Lot:025 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-250 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 - Azeena Kanhoye 1262 Carlson Lake Lane Eagan MN 55123 (386) 315-9801 Northland Water Conditioning Co 13810 Autumn Wood Ave Rosemount MN 55068 (651) 756-0313 Applicant/Permitee: Signature Issued By: Signature