1204 Carlson Lake LaneCITY AGA N
3795 f..: Knob Rood
Eagm, MN 55122
Zohing:
Owner;
Address:
Site Address:
Plumber:
Meter No.:
Size:
Reoder No.:
I ogree to eomply with t6e City of Eagon
Ordinanaes.
By
Date of Insp.:
WATER SERVICE PERMIT
PERMiT NO.:
DATE:
? No, of Units:
_ Connection Charge:
_ Account Deposit:
_ Permit Fee:
Surcharge:
Misc. Charges: -
Total:
_ Date Paid:
_ (nsp..
cInr G?F EAGAN SEWER SERVICE PERMIT
3795 ?ilo! Knob Road PERMIT NO.:
Eogar, MN 55122 DATE: •
Zohing: No. of Units:
Owner.
Address: _-
Site Address: - 7
Plumber: - 1 - --- -- - --
I agree to comply with fhe City of Eagan
Ordinanees.
By
Dote of f nsp.:
Insp.:--_
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Dote Paid:
CITY OF EAGAN
, . f 3795 Pilot Knob Reed
, Ea9an, Minnesota 53122
' Phone: 464-8100
. ? . . • ?- - ? ? - PERMIT
Date:
8une 12, 1978
Site Address: 1204 Carlsan I,ake Lan:?
Lot - Block ' Sub/5ec. _ Pk 1
Name 0• Dalhuag Bldxs.
3 Vallev ?tldca:
3 Address
O
Clty Phone:
Name . -?.11 C3_ty heating Ca.
?
? Address
0
V ._ ? %•,y1
City Phone:
This Permit 'issued on the express wndition thot all work shall be
Minnesota tutes and City of Eagan Ordinances.
No.
Receipt No.: '•_ ? 3 9 2
Single
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair. Cost of Instcifation
Permit Fee 2n• f' i -
Surcharge ' -
Tota I done in occordance with all applicable State of
Building Official
• . s
. ? .'
CITY OF EAGAN
3795 Pilot Knob Rood
Eagon, MinnesoM 55122
Phona: 454-8100
? - ? - PERMIT
Dote:
`G C.;w'15Cl1 .. _ .. ..ci.lo
Site Address;
. :'.i^ _ _ . _.. .._
Lot Block Sub/Sec.
? ..
No
Receipt No.:
Single I ;
Residential "
Multi Res., Comm./Ind
Na'^e New/Alter. /Repair
? Addreu Cost of Instollotion
•.3?,;?n -.. -. ..Lr'C . ±.i. _
CitY Phone: Pertnit Fee r
` Nume " - Surcharge
vr.
Address
?
CitY Phone: Totol
This Permit is issued on the express condition thut cll work sholl be done in accordance with oll opplicable State of
? Minne ta Statutes ond Ciry of Eagan Ordinances.
Building Officiol
cirY oF EAc,AN
, 3795 Pilot Kwob Rood Eogon, MN S5122 N2 4769
, PHONE: 454-8100
DING PERMIT
und for
Receipt
n„*e
5ite Address 12011i Carlsen LalrQ 1.n Erect ?Occupancy
Lot Block ? Sec/Sub. Aiter ? Zoning
Parcel # Repair p Fire Zone ?
Enla?9e D TYpe of Const. t?
99 W Nome ?, r?,? ?'•_?i :;?.,?.; Move ? # Stories
Z Address - ' Demolish ? Front ft.
9 Ci Phone . Grode p Depth ft.
lx Approvols Fees
o Name
pU
Address
Assessment_
U
~
Ci
Phone Water & Sew.
Pol ice
?W Nome Fi
re
?? Address Eng.
<W Ci Phone Planner
Council
Permit
Surchcrge
Plon check
SAC ' •
Wuter Conn. 2 5?) • t) `'
Woter Meter 60• 00
I hereby acknowledge that I have read this opplication ond state that gldg. Off. I10 .U'..
the information is correct and ogree to comply with oll applicable APC Total 1 1?B. ?0
State of Minnesota Statutes and City of Eagon Ordinonces.
Signcture of Permittee •
A Building Permit is issued to: on the express condition that
cll work sholl be done in occordance with ull opplicable Stote of Minnesoto Stctutes und City of Eagan Ordinances.
Buildiny Official
PermM # Dsh IRwd hrmIMM
Plumbing //? (r )? ??.,y??? ??
,,ec,,onicai
INSPECTIONS DATE INSP.
Rou9h-In
Final
FoOtings Date Inw. Dote Irup.
Foundotion Plumbing
Frame/ins ?S( Mechaniwl
Finol - j- 7
Remarks:
CITY 4F EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: , ,; ); ; .1 Ot
, -11 lAK1I nNF
? t.i1 1 trt {.N{ {FlI;h
i PERMIT SUBTYPE: ?" ? ?
l?' ?-?C?/'C..,
,li , , I I rNraz.
ill rNEei
APPLICANT:
TYPE OF WORK:
t i:Aat i ra1,
I It1 t+If11,K:5: `•:{ F'AIiAIt i(t t ittlf_Ftf Htk191 I kf,j1?It;FI
R
G
- - - - - - - - - - - - --
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
ti
I J / 0 I ?
Permit Na. Permit Holder Dete Telephone k
SNU
PLUMBfIVG
HVAC
ELECTRIC
ELECTRIC
Inspecdon Date Insp. Comments
Foolings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
l
Rrepiace
Final Htg.
Orsat Test
Fnai Plbg. Plbg. Inspector - Notify Plumber
Consi. Meter
Engr./Plan
Bidg. Final
r
cv
Deck Ftg.
Deck Final
r9
Well
Pr. Disp.
CITV OF EAGAN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 176.05 8.80 20 123.25 A006573 8-28-78
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 13$.(7$ A006573 8-28-7
STORM SEW TRK
?
STORM SEW LAT ?
CURB & GUTTER I
SIDEWALK
STREET LIGHT
WATER CONN. 2$0.00 9820 -2-78
9UILOING PER. #4769
SAC j
PARK ?Pql
. S-Z-7H
?
9 ??
?a?
a
Rea es?{1et ire No. FougO-in Inspection
Repuiretl?
? Reatly Now ill Notiry Inspector
V1h
R
d
?
? No en
ea
y
I; licensed contractor IXO'wner hereby request inspection of above electrical work at
Job Atltlress (Street. Bax or Route No.I
ecsE,
C'q
E: . Clry
CA vA-,1
,
_
Section No. Township Name or No. Range No. Coun[y
y
v
Occupani(PRINT?
? Phone No.
?' ( -1`rCiiW i Ci\ 63V-?{7(
Pow uppier
,q,Cd7214 E6Ec77,0Zlc. AtlOress
ElecVical Cont c[or (C
OmOany Name) GonvactorS License No.
r
?L'OW ") Cr
Mailing AOOres?s^I^Conhactor or Owner Meking Instailationl
?W ?
Authorizatl 9gnaWre IConlranvrrOwner Making Inslailationi
1 Phone Number
?[A V V -....° ?C
MINNE TA 5 E BOAPD OF ELECTRIpTY TNIS MSPECTION R WUEST WILL NOT
Gtlggc-Mi ay BIAg. - Room 5493 6E ACGEPTED BY TME $TATE BOARD
1821 Unlversity Ave.. SL peul. MN 55100 UNLESS PROPER INSPECTION FEE IS
PMne (812) 642-0800 - ENGLOSED.
39878
REQUEST FOR ELECTHICAL INSPECTION
? See in`Imgi%.J., completing this form on back oi yellow copy
"X° Below Work Covered by Thfs Request
?,Fyn?_: ? EB
.?
ew fi{1C ep.- TypeofBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Otheo.(Specity)
Comm./Industrial Furnace
Farm qir Conditioner
O?her?syecityl ConVactor5 Remarks: ? SG?L'SOaJ ? O/'C.
Compute fnspection Fee 6elow:
# Other Fee # ServiceEnirenCeSi2e Fee # Cirwits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector5 use only. 7OTAL3
Irrigation 8ooms
F?- ?
Special Inspeclion v
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISC NECTED IP NOT
Other Fee COMPLETEO WITHIN 18 MONT ?
I, the Electrical Inspector, hereby
tif
th
t th
b
i
i RoUqn-m
cer
y
a
e a
ove
nspect
on has
been made. Final f oate 7
OFFICE USE ONLY ?
Thls requesl voitl 18 monihs trom
g ?? a
This r m?ar :,oid 8 months from G? f??
??` w,p< < ? P 69927
Date of this Request 4-19-78
I, as%Z Licensed Electrical Contractor D Owner, do hereby request inspection of the a6ove electri-
cal wiring installed at:
r-4?20 ? -- c-? L
StreevSAddress or Route No. ?' Wildernosa Park G}rc±t? Cityj??Fan
Section Township
Range County Dalcota
Which is occupied by Grog Dalhaug
(Name of OctuDant)
Is a roughin inspection required on this job? No ? Yes MC Ready Now EK Will Call ?
Power Supplier Dakota Cty. Address Farrainaton
Electrical Contractor O.B. Tho!aAaon Electric Co. Contractor's License NoA33735
(COmpany Name)
MailingAddress 12201 Mtke Blvd„., B'itka 5'?3
Authorized
Phone No. 933•2521
(Electrlcal CaMfactor or Owner Making Thls Installatlon)
?? D???? ???? This inspectian reqPesPwill nPt be accepted 6y the
?? ('{
t?1 ? SWte Board unless ro er ins ection fee is endosed.
- Mmnesota State 8oard ot tlectncity
-14R. ,Jniveisity Ave., St. Paui, Minn. 55104-Phone 645-7703
?3UEST FOR ELECTRICAL INSPECTION
CHI?K. ??OW WORK COVERED BY THIS REQUEST
09 7 Z- y
P 69927
Type of Building New Add. Rep. Check Appliancea W'ved For Check Equipment W¢ed For
Home • ? ? ? Range ? Tempoxary Wiring 30 lbBpA
Duplex ? ? ? Water Heater ? Lighting Pixtures ?
Apt. Bldg.
CommVccial Bldg. ?
? ?
? ?
? Dr
F a Electric Heating
Silo Unloadec ?
?
lndustrial Bldg. ? ? ? A di
? _
" Bulk Milk Tank ?
Fazm
?
?
? .
List y 4..
` List
I
Other
?
?
? p
HeieTS? p F
Here?S1
COMPUTEINSPECTION FEE BELOW Tomporary Service
Secvice Entrance Size: # Fee Fceders&Subfeeders: # Fee Circuits: n Fee
0[0 100 Am s. 0 to 30 Am eres 0 to 3
s
101 to 200 Am s. 31 to 100 Am res 31 to 1es
Above 200_Amps.
1 Above 100 Amps. Above ps.
Transformeis RemoteConVOlCvc. Partiale
g .90
Signs 1 Special lns ection Minimu
Remarks Ellrich TOTACrI
F(E6 (.)0
I,the Electrical Inspector, hereby certify that the abov/e inspection has been ma e. ??
(Rough-in) /12 Date
(Final) ' Date da
This request void 18 months from
- ]V-
Vs request void 18 months from ? d3a e
P 87750
Date `-thisRequest 5-31-1970 -
I, as ?I.icensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at: ? ??
'? ay 6 3 0 F
Street Addcess or Route No. 1204 Carlaon Lake Lane City EaK'EUi
Section Township Range County Dakota
Which is occupied by G. F. Dalhaug
7 (Name oi Occupant)
Is a roughin inspection required on this job? No ? Yes30 Ready Now ? Will Call]U
Power Supplier DakOta Ct,y. Address FaTt:lri,v,$on
ElectricalContractor O.B. Thomaaon Electric Co. Contractor'sLicenseNoA33735
(COmpany Name)
Mailing Address 12201 raftka Blvd OA, ?dtka^ 5?3?3
Authorized
(electrlcal Contractor or Ow
SVAVE BOARD COPY
Phone xo. 933-2521
This inspection request will not heaccepted by the .
State Board unless proper inspection fee is enclosed.
minnesoza acace noara or nectnaty
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
` "REII'LIEST FOR ELECTRICAL INSPECTION
CHBCK'BELOW WOAK COVERED BY TH1S REOUEST
P 87750
Ty + nt BuOding New Add. Rep, Ch"k Appliances Wired For Check Fquipment W'ved For
Hume fEX ? ? Range ? Tempoiazy Wving ?
lluplex ? ? ? Wa[ei Heatet ? Lighdng Fixtures ?
Apt. Bldg.
Commercial Bldg. ?
? ?
? ?
? Dry
Fu
- Electric Heating
Silo Unloader ?
?
lndustrial Bldg. ? ? ? Air
nditi Bulk Milk Tank ?
Fatm ? ? ? List List
?
O[her 0 ? ? Heiers? Rehers?
COMPUTE INSPECTION FEE BELOW
Servic4Entiance Size: s Fee Fcedeis&SubFeedecs: x Fee Circuits: it Fce
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres b
101 to 200 Ampsi U 31 ro 100 Am eres 31 to 100 Am eies
Above 200 Amps. Above 100 Amps. Above lOQ_Amps.
Transformers RemoteConVOICire. Partialorotherfee
Si ns Special Ins ection Minimum fee
Remarks E11T1C11 TOTALF ,C* 40.50
I, the Electncai Inspector, hereby .' y th abOve mspection has been
(Rough-in) ? Date - ? - ;7'Y
(Fina1) ? 1 ?,.? !I ) Date k-/ 6- 71r
This request void 18 months fmm
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMITTYPE: euzLoznG
PermitNumber: 022366
Date Issued: 11 / 91 / 9 3
SITE ADDRESS:
1284 CHRLSON LAKE LANE
LOT: 24 BLOCK: 3
WTLpERNESS PARK
P.I.N.: 16-84250-240-03
DESCRIPTION:
Bru3id g? Permit Type SF pORCM
Building Wrork Type NEW
,-)I3uilding Len4+?'h 16
/' Buildirtg WitltFi'`-Z 13
?.
?-
wasan
51 I
II?? ??3
REMARKS:
SEPARATE ELEC7RICAL PERMIT REQWIRED
FEE SUMMARY:
VALUA7IpN $11,000
Base Fee $126.00
Plan Review $61.90
Surcharge $5,50
Total Fee $213.40
CONTRACTOR:
JOSEPH CONST, J
4380 MALMO CIR
EAGAN MN
(612) 454-5002
- Rppticant - sT. Lzc. OWNER:
14545002 0006020 BUTTERWICK JIM
1204 CARL50N LFlKE LRNE
55123 EAGAN MN
(612)688-2567
I ......._ ._.__ . . .. . .._ . .
? I hereby aoknowledge that S have read this applicatian arid stato-`that the
informatian is correcC ancf-agree to camQly with a11 applicable,State afi Mrr.
5tatutes aad City -of £agan Ordinances.
L
? APPLICANTIPERMITEE SIGNATURE ? ISSUED Y: IGNATU-
L
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B u z Lo i NG
3834 PilOt Knob Road Permit Number: 022366
Eagan, Minnesota 55123 Date Issued: 11 / 01 / 9 3
(612) 681-4675
SITE ADDRESS: Lo T: 24 B L Q C K: 3 APPLICANT:
1204 CARLSON LAKE LANE JOSEPH CONST, J
WILDERNESS PARK (612) 454-5002
PERMIT SUBTYPE:
SF PORCH
TYPE OF WORK:
NEW
? __ _ - - . - -- -?
L _-?
REMARK5: SEPARATE ELEC7RICAL PERMIT REQUIRED
REAC7IYATE CITY OF EAGAN
PEwMIT=st , 1993 BUILDING PERMIT APPLICATION
0 C T 2 2 1993 681-4675
-------- ------- aV 3 -
SIN6LE & MUL71-fAMILY 2 sets of plans, 3 registered sfte surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of
specifications, 1 copy of energy calts.
Penalty applies: 1) when permit 1s typed, but not picked up by last working day of mooth-
in which request is made, 2) address is changed or 3) lot change i.s requested once permit
is issued.
Date LcT Valuation of work Q
,Z
0? Z4
.
Site Address:
SiREET SUITE 0
Tenant Name: (commercial only)
IAT z BLOCK ? SUSD. ?/
D
-
? P.I.D. M
1
/??Q/? f-l
17
10
Destri tion of work: ? .Sc=?a? R? c// C5??
The applicant is: 0 Owner Pillcontractor ? Other co«« «>.
1M Phone
Name TrE ?e
Property
Owner LAST FIRST /
?
-'
'
4,t&
RQCSo?
(
Address 12W
STREET STE Y
City G.q Eh'? State O`?T? Zip
Company 4?? Co?s77 Phone S-?002
Contractor Address S??'? ?LHe ??• License 8 020 Exp.,.?
tity EA G-v-? State ? Zip sr/??
Company Phone
Architect/
Engfneer Name Registration i
Address
City State 2ip
Sewer Q water licensed plumber . Processing time for
sewer fl water permits is two days once area has been approved.
I hereby acknowledge that I have ead this application and state that the information is
correct and agree to comply wi 11 a licable State of Minnesota Statutes and Lity of
Eagan Ordinances.
Signature of Applicant: ?` .
?
v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
05 SF Misc.
WORK TYPE
0 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l.
? 11 Apt./Lodgiog
O 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
_ -?
? 16 Basement Finish
? 17 Swim Pool
E3 18 Coam./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish
O 32 Addition 0 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. tity Water
UBC Occupancy ?-? 2nd fl. sq. ft. PRY Required
Zoning Sq. ft. total Booster Pum P
/ of 5tories
length
? Footprint Sq. ft.
On-site well iire Sprinkl
Census Code er
?
Depth 131 On-site sewage SAC Code
APPROVALS ?
Planning Building Assessments
Engineering Yariance
REQUIRED IN SPECTIONS 3 S-EMom.) ';;:?oPLCH ,A4,5o 10ciz bic-Ck
O Site 0 Footing ? framing ? Insulation
? Wallboard 0 F inal 0 Draintile ? fireplace
Permit Fee 126,00
Surcharge 5, ri3
Plan Review
license
MWCL 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
rilrtim: $ 1/p DOV
oaC
-9 13 __ 71a8 K
DcaA
.?.?-
?ks?
?
f C? D w7
103&0
SAC %
SAC Units
,e.l'1.c,tt„ i ,I,:
;.=>ld C;trl3?:n
>S°i W1.].CjP,L'llf ,;n F+m f?d. • r'fll ? ?` /
; f:aE'rtr., mn. !'i123
i '
' -
DELMAR H. 5CHWANZ
LANpSVRVEVOR '
qeq,sle.ed Uneel Uws of The SIaH of MinnesoU .
2978 -/46TH SiREET W. - BOX M I pOSEMOUNT, MINNESOTA 86088 PHONE 812 423-1789
SURVEYOR'S CERTIFICATE
372. SI N 89° 55' 45"E ?
°o
'i• ?r+a{`e-- ?,tt;y ea;sArhertt o m
6 ? is' .,N ° o+
9 o
LOT 24 0
?.?N? - a• z
o ? N ?
'\Ka? ?. DE.ZIL
•, "? N 7e°oo a1,.E
? IOI 1000 N25o6,
\,r r 33t18
SCALE: 1 Lncti = 60 feet
3a \
T•t,ere.by certi f,y t}int thtn is n tri.ie zmi`.I r,arreet rePte"entatf.on
. of Int 24, P].r.,ek 3, WILi!?'s??lRS4 FAT
RY AI>I11:T'fi}N, nccor(3ing to ttie
rnenrded plat t,herrnnf, , T)akota County, PCl.nnesoY.R.
Dated: April. 1:', I.i?7s4,
?
? l• •?
J?i 1.?'s f
MINNESOTA RE61S7o
?• 3
1
l
CITY OF EAGAN 1r'? / '-?
-
3795 Pilot Kno6 ReadEegan, MN 55722 ')
4769
N?
PHONB: 4548100
BUILDING PERMIT APPLICATION "2V06- Receipt #---.- 9820 -
rQ
y?
a? M
Sf Dwl
2
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Site Address 12.0¢ ca r4sen * -_- Erect ?x Occupancy?
Lot94- BlockSec/Sub. Wildarness Pnrk Adddter ? Zoning
Portel # Repair ? Flre Zorro ?
E
b e of Const
T
1
1
rge ?
n .
_
-
yp
w Nome Move ? # Stories
Z Address 1971 V Al I PVRi IIRP nr Demolish 0 Front 54 ft•
0
Ci EaAan Phone
454-1278 Grade ?
DeDth SZ ft.
Aovrovals
' ' Fe¢s
o Name ilal hugg R1 A p
g (
oU Address Same Assessment 0 \
Permit 13023
u4?
Water & Sew. 00
Surcharge
? Ci pho?e ,
- police Plan check
?w Name Fire 5qC 500.00
~
x?
Address
Eng.
Woter Conn. 250. 00
<W p p?? Planner Water Meter 60.00
Cou„c;l Park Don 120.00
th' application and state that gl?, pff,
I hereby ackrawledge tFwt I have re Road Uni t 75.00
?
the information is correci and a camply with all p?R ble
APC 1158.50
Total
Stcte of Minnesota Statu s n o
? f Eogan i es.
??
Signature of Permittee
A Building Permtt is tssued to:
GreQory F DalhueR CoIIS t.
on the express condition that
all work sholl be done in accordonce with all applieable Stote of Minnesoto Stututes and City of Eogon Ordirwnees.
Building Offklol
DatO:?
BUILDI?G PERMIT APPLICATIUA
LOT ZV BLQCK
PARCEL & SECTION NU21SER IF Ui]PLA2°PED
ADllRESS OF PWL ? Z O???f
zoN zUc?i?-occoPaNcY I vsE?,,?',,,?%S,?"i?Ti,9,?
ssTDsA^,En coss EL -1?ir
-
orTNEZl,G/??'S? mELErxotqE
ADvREss 3LZ j
coimuacTOxGj?/ ? mEuPxorx rao. l?s 5?-/ ,?- 7,,5L
BvDRESS _>-
IdoLe: Include site plan, bu' ing plans, and energy calculations uaith this
application J??e
Signed ?
OFFICE USE
VALUnTSOi? ?Q LS
5AC
c?A^,Ez co:r?sc?ao<t . . A e _ vrb? ?
?
GtATCR IILTER o°LSQ
C7 ?
IIUILDIPIG PEFt[•iIi FEE ? ?..?
Si3RCIiARGE F£f;
PLr1.7 CMCK Fs;E
o?
PARK DEDIC21TI0?1 PL'E J ol0
O'£;:ER ?i`c+eQ C?
TOTF;L*
flPPROVALS
A55ESSf+IE::?T CLERiC./)`BUILDIiJG DEPT. 2'OZICE DEP'P.
*•SAiER & SEF'dER DEP'i. FIIL DEPT. PARK DEPT.
/L
?
Certj i'1.c;.te z' ?: .
arno;.a ,.ur; sun
1255 Wl ldernesa r•:Y `.1 d. .
DELMAR H. SCHWANZ
LAlvD SURVEVOR
Req,sterW UnOer Laws of Tno S1at& of M,nncsota
2876 - 146TH STREET W. - BOX M ROSEMOUNT, ININNESOTA 56088
SURVEYpR'S CERTIFICATE
3 ?
.
„
.
N 89° 35' 45"E
it,`,i E.'33eT1@flt
?
10
30
LOT 24
1
SCALE: I inch = 60 feet
3
Q1
O
0
0
z
I herehy certifp that this is a true and correct representation
of Lot 24, B7.OCk 3, WILDERt3FSS PARK ADDITIc.?N, accorc3ing tf) the
recorded plat thereof, Dakota Cflunty, Miiinesotao
Da,ted: April 12, 1978
1<I i
P
PHpNE 612 423-7769
MINNESOTA REGISTRA'`t'ION N0.8625
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147327
Date Issued:12/28/2017
Permit Category:ePermit
Site Address: 1204 Carlson Lake Lane
Lot:024 Block: 003 Addition: Wilderness Park
PID:10-84250-03-240
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 -
James Tste W Butterwick
1204 Carlson Lake Lane
Eagan MN 55123
The Plumbing Guys
3440 Kilmer Lane N
Plymouth MN 55441
(612) 746-5545
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162206
Date Issued:07/02/2020
Permit Category:ePermit
Site Address: 1204 Carlson Lake Lane
Lot:024 Block: 003 Addition: Wilderness Park
PID:10-84250-03-240
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 -
James Tste W Butterwick
1204 Carlson Lake Lane
Eagan MN 55123
(651) 983-2142
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162206
Date Issued:07/02/2020
Permit Category:ePermit
Site Address: 1204 Carlson Lake Lane
Lot:024 Block: 003 Addition: Wilderness Park
PID:10-84250-03-240
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 -
James Tste W Butterwick
1204 Carlson Lake Lane
Eagan MN 55123
(651) 983-2142
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature