1231 Carlson Lake LaneCIT.f 'OF EAfiAH
r3795 Pilot Knob Rood
Eagon, MN 55122
Zoning:
Owner:
Address:
Site Address: 7f1!
Plumber:
Meter No.:
Size: -
Reader No.:
I agroe to comply with the Citr of Eagan
O?dinances.
BY -
Dote of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
_ Connection Charge:
_ Account Deposit:
_ Permit Fee:
Surcharge:
Misc. Charges: '
Total:
_ Date Paid' _--
_ Insp.:
:ITY "Of EAGAN SEVI/ER SERVICE PERMIT
' p795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning; No, of Units:
Owner:
Address:
Site Address:
Plumber:
1`"..•?: r
I agree to wmpir with the City oF Eagan Connection Charge:
J •
Ordinancas. Account Deposit:
By
Date of Insp.:
I nsp.: _ -__
Permit Fee: ' •? ?? '
Surthorge:
Misc. CFwrges: -
Totai:
Date Poid:
, ' • CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesato 55122
Phone: 454-8700
?'?T PERMIT
Date:
ne 17, 1977
Site Address: .::-.ne
Lot Block Sub/Sec. -`?`
No.
Recei pt No.:
Single I
Residential
Multl Res., Comm./Ind. I
Name Vend PeteZ'sc;i _ New/Alter./Repair. ?
? Address '?- t'?est l.i^"_i-? Cost of Installation
'..?•>tnington % '-r'?
City Phone: Permit Fee
•?n?-Ryan Plurnt?ir.q •4 '-ica??i.r.-i Inc.
? Nome Surchorge
? Address `"s 5 So. iZDbert Trai 1
V - ?-pmryi].']'F
City ?? ? _ Phone: Totul
This Permit is issued on the express condition that all work shall be done in accordonce with all opplicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3795 Pilof Knob Roed
6ogan, Minnewta 55122
Phone: 454-5100
PLU?1BI1,;'. _ PERMIT No., ?
1'i1v 13, 197'i Receipt No.: " •??
Date:
$ingle I
Site Address: 123I Carlsar T,t1.)CE I,ane Residential
Lot Block ' Sub/Sec. ?jMulti Res., Comm./Ind. I
Nume New/Alter./Repair. '
.
0
; Address Cost of Installation
O
City ;aPls. phone; Permit Fee '
? Name Genz--RY'7n P1lmibing SurcFarge ?
,? Ad ss 14745 So. Rnl,ert Tra :'
? " -
City s r?: ._:•: to,", ; Phone: I Total •-
This Permit is issued on the express condition that all work shall be done in accordance with nll applicable State of
Minnesota Statutes and City of Eagan Ordinonces.
Building Official
? ? .
CITY OF EAGAN
3796 Pilo! Knob Roed
Eugow, Mlnnesota 55122
Plwne: 464-8100
.TES: SQFTI1,7:.,_ PERMIT
Date: "? )?'llal'V 27, 197
Site Addreu:
Lot -Z ---5' Block / Sub/Sec. « `? 4-
No. -.S
Receipt No.: _
Singie I
Residentioi • ?
Multi Res., Comm./Ind. I
Name 'iomas ?•Sann
New/Alter. / Repoir
.
3 llddress L7 L z' 1 2'%r -
Cost of Instollation
O
City ?-;;t 3n Phone: Permit Fee
Name SurcFwrye ,
¦
9
? Address _
City - Phone: Total
This Permit is issued on the express wndiYion thct oll work shall be done in accordance with all opplicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Offtciol
? CITY OF EAGAN
` 3795 Pilot Knob Road Eagan, MN 55122 N! 4350
PHONE: 4548100
BUILDING PERMIT Receipt #
Te 6e umed fer Gar; I7nre a"19
Site Address •n Erect p
rness PArk
? Addq?
Lot Biock
Sec/5ub. _ ?r El
Porcel #k Repair ?
Enlarge ?
IY
w Name r ?.;.. t:?rts C. Move
?
3 Address , .?_;?;??? i,.?_s Demolish ?
?
r.,,
51 L &
Grode
?
p Nome _
r
?? Address
r ?:...
Nome _
Address
I hereby acknowledge that I have reo
the information is correct and agre4
$tate of Minnesota Statutes ond Ci1
Signature of Permittee -
A Building Permit is issued to:
ali work shall be done in occordance
Building Official
and
oll
f
Occupar.cy
Zoni ng
Fire Zone .
Type of Const.
# Stories
Front ft.
Depth ft,
Fee•
Assessment
Woter & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
Total ` 062.50
Permit _
$urcharge
Plan check -,
SAC
Woter Conn. • :
WaYer Meter
i
_ Y
?- = on the express condition that
piicable State of Minnesata Statutes and City of Ea,on Ordinanc=s.
PwaIF # Date Iqwd FuwMfM
Plumbing f%, / ,
_ Mechanicol g ? ? G - i ? - > 7 ?? • x '
INSPEGTIONS DATE INSP. Rqugh-In Find
Footings Date Insp. Dats Irup.
Foundation Plumbing
Frome/ins. ? Mechonioal ' ' • - ?_
Finnl
t
Remurks:
CITY OF EAGAN Remarks
Addition Wilderness Park Lot 13 eik 1 Parcel 10 84250 130 01
ownel!!t'))i'?L-i.f_ u,.;, street 1231 Carlson Lake Lane stete Eaean,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? f 1973 176.05 $ a0- 20 123.25 A005681 3-10-78
SEWER LATERAL
WATERMAIN
WATER LATERAI
WATER AREA 160-00 10.66 15 138.68 A005681 3-10-78
STORM SEW TRK
' STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
13UILDING PER. ?
sac y 4- G A - 77
PARK
Thiskequest uoid 18 months from
O 47972
, Date of this Request
I, as 01 Licensed Electrical Contractor ? Owner, do hereby request inspecuon of the above electri-
cal wiring installed at:
Street A ress or Rou?1o.
Sectlon? ?3owship
Which is occupied by
Is a roughin inspection required on this
Power Supplier k?A
Electrical Contractor
Mailing Address 5po
Authorized Siznature
Range m County
Contractor's License
No. PS?-?Y ZO
Minnesota State Board of Electricity
'1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECfRICAL INSPECTION
ICHECK BELOW WORK COVERED BY THIS REOUEST
7!PL o!0 7A -'k
O 47972
Type of Bui(ding New Add. Rep. Check Appliances W&ed Foc Check Fquipment Wired For
Home ' ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Watei Heatet ? Lighting Fixtu[es ?
Apt. Bldg. ? ? ? Dryec ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
lndus[rial Bldg. ? ? ? A'v Condit'oget ? Bulk Milk 7ank ?
Fa[m ? ? ? List ?v List
Other ? ? ? Rehers# ?
d4ktt ? ?thersI
.,
COMPUTE INSPECTION FEE BELOW `
Service Entrance Size: # Fee 1 1 Feeders&Subfeed ' uits: # Fce
0 to 100 Am s. 0 to 30 Am eres 'i ?s o .Am eres
]Ol to 200 Amps. 31 to 100 Am eres . ''31" -00 Am eres
Above 200 Amps. Above 100 Amps Above 100 Amps.
Transfotmexs - Remote Control Ciic. PazHal or other fee
Signs 1 1 S ecial Ins ction Minimum fee $5.00
Remazks
TOTAL FEE
4
I, the Electrical Inspector, hereby y th?f?fy bdve ?s ection has been ?ie. I
(RouBh•?) Date ' ? 7'
(Final) ` Date "a r
This request void 18 months from
cirr oF eac,AN
3795 PiIM Kno6 Rood Eogan, MN 55122
PHONE: 4548100
BUILDING PERMIT APPLICATION $56,000. Receipt #-
'ro be a.ed ior Sing. Fam Dwlg, d Garg. pate .Tvne
SiM Address 1LJ
Lot 13 Block 1
Parcel #
w
Z
O
e
0
Zu
u?
r
Sec/Sub
Wilderness
?
N? 4350
6263
7. „ 77
Erect Octupancy 1
Park AdcA}Rr ? zonin9 RL
Repoir ? Fire Zone _
Enlurge ? Type of Const. - V
Name Svenn Petersen Const, Move ? # Stories
Address 470.1. y1- 1-1-oytiy„-st? Demolish ? Front 72 ft.
Nome _
Address
City -
Name _
Address
I hereby ocknowledge that I have read
the information is correct and agree
State of Minnesoto Statutes ond Cty
Assessment _
Woter & Sew.
Police -
Fire
Eng.
Planner _
couocil -
Bldg. Off. -
Permit 149. DV _
Surchorge 28-00
Plan check4
SAC
Water Conn. 230,00
Water Meter 60.00
Park Don 120.00
Toral 1062.50
$ignoture of Permitt - ? ?°'?? • ?%'??=' \ I
A Building Permit is ? s"ed ro: __ Svenn Petersen COi1St, on ihe express condition that
oll work shall be done ' occordpnce w' A II applicable S ate f Minnesoto Statutes and City of Eagan Ordinonces.
Building Official + -
oXL Phone RR4-5144 Grade ? Depth 42 fr.
BRIe AvDrovals Fees
' • Datee ?C
BUILDI[3G PERMIT APPLIGATIO?I
LOTBIACK ? 2LDDTTI0:1 j(_'/// /?E--W1!/t"s`S ?As?'?' /?n??
Pe"1RCEL & SECTIOi] IaIIf48ER IF UiIE'LATTED
ADllRESS OE PARCEL /4?5&
ZOi3I1TG /1 OCCUPARTCY ? USE
ESTIb1ATED COS_ • h ?C.?Z%
O?•711E;2? JLIF/-) %E_ /z:71e TELEPHONE NO.
a?DREssy 70 / `e% /l() 7z? /Vi.v n-
COIaTR£CTOR '•--`F6LEPHOPIE YdO.
Tdote: Include site plan, building plans, and energy calculati ns-oaith this
application
pFFICE USE
VcV C,'O
VAI,U211IULI
S'e1C LIO
L•?AlE'_t COX:EC^IQ'ti
WATEFi ifETER ? D IIUILDITIG PERt3Ii PEE
SURCHARGr, FEY:
PLe1Pi C"r;FCK FES
c>''
PARK DEDIC21TI014 FEE ? U
dP;M- R
TOTAL*
APPROVALS.
ASSESSIDIEI9T CLERK BUILDING DEPT. POZICE DEPT.
S'JA'PER & SEFdBR DEPT. FIA?i DEPT. PARK DEPT.
?ertiPicate Por:
,Swend Petereon
.
s
DEIMAR H. SCHWANZ
l.ANO SURVEVOR
Rayistwttl Untler Laws of The State ot Minnesota
' 11616 30UTH ROSERT TRAII P.O. oOX M R08EMOUNT, MINNESOTA 560d8
LOr
I
1.-0 T
?
Drasnage & /
util].ty ?
eamlt
/ ?.
/ 'o
30
w
SCALE: 1 inch - 40 ft.
I hereby certify that this 14 a true and corrset representation of
Lot 13, Bloek 1, wILDLRriSS3 P11RlC ADDITION, aaeording to the recorded
p2at thereof, Dakota County, Rinnesota.
Also ahoring the loaation of a propossd houee dtaked ttereon.
As aurveyed Dy se thie 20th day of May, 1977.
i
lot
? ???,j ' 1 r •, I ; ., -r?./
MINNESOTA REGISTRJ6ON NO 8625 ?
Bk : 2 3/9 4
PHONE e12 423-1769
SURVEYOR'S CERTIFICATE •
/
? i t 14
o??l' .'?ir°
? oa? ti
LO T
13 a
'
, I-0?+ '
/o
/ L^
?? 7 Z 7 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION $ 3? S o
City OFEagan
3830 Pilot Knob Road, Eagan MN 55122
Te?ephone # 651-675-5675
Please complete for: singie family dwellings & townhomes/condos when permits are required for each unit
Date 1 Z / / (!>?j_
SiteAddress 1a3? C'R2L-SON LP,?E LA?+E Unit#
Property Owner Y L.q ? Cc. Telephone #( 65 I)-7 7 Z'
Contractor
street nadress RFSID ENTIdll. liEATiNQ & IiR
MM c'ty
,
State 1815 East 41st Street, SU'?? p Telephone #( )
1 ,
sona #: (612) 724-1899 Expires:
The Applicant is _ Owner -V?-Contractor _ Other
Add-on or alteration to existing dwelling unit D 12 ('r? ?? n
LS lU7 I1 30.00
M/11?furnace Additional placement DEC
- _ 2 7 C 04
_ air exchanger jJ
_ airconditioner _New _Replacement gy ?
other '
ZCP4ACE. ?y61MrOR0 q '-l°70
State Surcharge $ 50
Total G
$ ?-
I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with e Mechanical Code ht at I understand this is not a
permit, but only an application for a permit, and work is not to start without a e nut; that theworill be in accordance with the
approved plan in the case of work which requires a review and approval of plans., A?
._.. (-- - )Lo t- rv C
ApplicanYs Printed Name
r----------------I For Office Use
Il~G
Permit#: C! I
City ofEa a I Permit Fee.
3830 Pilot Knob Road I f
Eagan MN 55122 Date Received: 62
Phone: (651) 675-5675 I C~
Fax: (651) 675-5694 I Staff:
L----------------
2009 MECHANICAL PERMIT APPLICATION
Date: v Site Address: I CC'.c 1 5C ,-1-
Tenant: Suite
RESIDENT / OWNER Name: A n L& n C- t- e- Phone: Sf 77Z- ' 1 3 j-
Address / City / Zip: r 23) C-cr L C~ ice Lc, -C
CONTRACTOR Name: Residential Heating & License
•
Address: Air C.®nd.ition ng, C.
1815 East 41 s
City: Mi W is, MN 55407 State: Zip:
(612) 724-1899
Phone: Contact Person:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: I4 'cc-c A - ~C -KO 2)C 3 ro'1
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank ( Install / Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ SO TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in confo nce with the din noes a odes 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 with permit; that a rk will e i accordance with the approved
plan in the case of work which requires a review and approval of plans.
x 1_'C-o.N Lo tr1d c x
Applicant's Printed Name A lic is Sig #ture
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground Rough In _Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118609
Date Issued:11/05/2013
Permit Category:ePermit
Site Address: 1231 Carlson Lake Lane
Lot:013 Block: 001 Addition: Wilderness Park
PID:10-84250-01-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Christine Deutsch
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 -
Andrew C Lancette
1231 Carlson Lake Lane
Eagan MN 55123
Kaufman Sheet Metal Roofing
2521 24th Ave S
Minneapolis MN 55406
(612) 722-0965
Applicant/Permitee: Signature Issued By: Signature