1247 Carlson Lake LaneYILIAGE Oi EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1556
Eogan,MN 55122 UATE: $/8/74
Zoning: Rl No. of Uni[s: 1
owner: James Carlson
Address: 1730 W. Larpenter
Site Address: L5 Bl Carlson Lake Lane
Plumber: same -
Meter No.: Connection Charge: 340. 00 pd
Size: Account Ueposia 15.00 pd
Reader No.: permit Fee: 10.00 pd
1 ag.es to eomplr with the Village of Eogan Surcharge: • 50 pd
Ordin ncas. Misc. Charges: 10.65 E?d
Total:
By Date Paid:
Date of Insp.: Insp.:
viu.ace.As eaoaN SEWER SERVICE PERMIT
3795PilotKnobRood PERMITN0.; 2316
Eogan, MN 55122 DATE: 8/BZ74
Zoning: xl No. af Units: 1
Owner: James Carlson
Address: 1730 l9. Larnenter
Si?e Ade?e?.al Carlson Iake_Zsne
Plumber: same
I agree to comply with fhe Villags of Eagon Connection Chazge: 400.00 pd
Ordinonces. Accounl Deposi[: 15.00 pd
Permit Fee: 10.00 pd
• 50 pd
Surcharge:
Charges:
: Misc
R
.
y
: Total:
Date of lns
-
p.
: Uu[e Paid:
Ins
p.
CITY UF EAGAN Remarks
Addition Wildsrness Park Lot 5 RIk 1 Parcel 10 811250 050 01
Owner?] nu h4Ar, :? Streec 1247 f:arl_scm T,ake T,a_ne State Eaoan.MN_5.5123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 176.o5 8.80 20
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA PAID NDER WATE CONNECTION 8/7
STORM SEW TRK 1981 328-00 21-97
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 280.00 11353 8-8-711
PER.
sac 4 00 11
-
8-1
374
PARK
RESIDENTIAL
• ' ` BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
659-689-4675
I
NewCanstruction ReaulremeMs
• 3 registered site surveys showing sq. R of bt, sq. fL of house; an?ll roofed areas
(20% mazimum bt covarage albwed)
• 2 copies af plan shaxing beam & window sizes; poured found design, ek.)
• 7 set of Energy Calculations
• 3 copies of Tree Preservetion P4an if bt platted after 7l1193
• Rim Joist Detail Options selecdbn sheet (bklgs wflh 3 or less units)
DATE ?o?.-? ??, o?ao j
JOB SITE ADDRESS /a `{ 7 eA2 z-s o.?
C)D
RemodellRevairReauirements
• 2 copies of plan ?
• t selof Energy Calculations for heated addi6ons
• 1 site suney for exterior addidons & dedcs
• Indipte if home served by septlc system for additions
?
VALUIYION ??Nec.?oFa /N CcA4D*710
LAfel e L.09 .vF
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?
PROPERTYOWNER 'j" m e-92/_ sn.?
TYPE OF WORK
7J? cK .?'a.e ,vEkl PE?tmi7-
AO?iTia.?EAOS?7io/
FIREPLACE(5)
_ 0_ 1_ 2
APPLICANT ei92z-sr? PHONE# (O5/-'15-6Z4S
ADDRESS / a I/7
PAGER #
ZIPCODE 5s/03
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULF.S 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RUI.ES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical CoMractor.
Mechanical System Includes:
Sewer/Water Conhactor:
-- Air Conditioning
_ Heat Recovery System
All a6ove information must be su6mitted prior to processing of applicatlon.
_ ? (r I p "j
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SlgnatureofApplicant ??Ld ?ee-?
e,s.el_so.? .LA•Aee L.a.VE
CELL PHONE #
? Water Softener
_ Water Heater
_ No. of Baths
Phone #:
I.awn Sprinkler
No. of R.I. Baths
I'ee: $90.00
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.)
? 04 02-plex ? 10 OS-plex X 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
?.,
? 30 Accessory Bldg
? 31 Ext. Nt - Mutti
? 33 Ext. Alt - SF
? 36 Multi
,6 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
x 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45
? 33 AlteraGOn ? 37 Demolish (Bldg)' ? 43 Reroof ? 46
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handaut to applicant
Valuation ?bl Z?a a? Occupancy MClES System
Census Code 13 Y Zoning City Water
SAC Units ? Stories ? Booster Pump
Nbr. of Units --? sq. Ft. 22Y D£cGC PRV
Nbr. of Bidgs -
- Length Fire Sprinklered
Type of Const v Width /6 r
?
Siding
Fire Repair
W indows/Doors
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (newheplacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
REQUIRED INSPECTIONS
Fooflngs(new bldg)
Footings (deck) FinaUNo C.O.
Footings (addirion) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
pE GK
FinaUC.O.
?
HVAC
Building Inspector
?
`?' GG o
(,llqZ U /?v ri,.A)
P?ivGEmENT pF /4*",o?/SE ON iC.OT
• ' ` ?ooi 3- SEASON Po.e« Ao.o?Tio.v
E.va r 94. 7Z .
? - Bc.o G K O E,
? N
¢ a --5 "
0: (V
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. . ??,R?SC.? ?A?'E?ANE ?
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RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
u?? lO) 3830 PILOT KNOB RD -55122 03
.?? 651-681-4675
New Construction ReauiremeMs RemodelfRaoair ReauiremaMs
• 3 registered site surveys showing sq. ft. of bl, sq. ft of house; aiM all roofed areas • 2 mpies ol plan
(20% mazimum lot coverage allowed) • 1 set of Energy Calculafions tor heated addftions
. 2 copies of plan showing Deam 6 window s¢es: poured tound design, elc.) • 1 sife survey for exterior addifiora S decks
• 7 sel of Energy Calculatrons • lidicale H home served by septk syslem for add'Nons
. 3 copies of Tree Preservation Plan H IW platted aRer 711193
• Rim Joist DeWd Op6ons seledion sheet (Wdgs wiN 3 w less uniLS)
DATE ? sy?z d o/ VALUATION
JOB SITE ADDRESS /ad{7 C424.So.J L-AKE ,CANE
IF MULTI-fAMILY BUILDING, HOW MANY UNITS? '- /
PROPERTYOWNER A GA2LSon?/
TYPE OF WORK ? S6'A5OAv Pd2eh1A?r?2aoac FIREPLACE(S) ?_ 1_ 2
eoSr- gS4 - G295
APPLICANT -,,Io9rr2es A 692 cs oV /0?4k,'nlE.e ? PHONE# c?,si - 733 - 98'ii 9
ADDRESS
PAGER # I CELL PHONE # '-'
FAX #
CODE SS%?3
4o5,X - 7310-4,F11.3
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULFS 7670 CATEGORY
(check one) - Residential Ventilation Category t Worksheet Sr_?- Energy Envelope Calculations Submitted MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contwctor: Phone #: -------
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: _
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee:
$70.00
All above Information must be submitted prior to processing of application.
I hereby acknowledge that i have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of ApplleaM Q42?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. Updated 1101
OFFICE USE ONLY `
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace p 21 Porch (3-sea.) ? 31 Ext. Alt - Mum
? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding
? 32 Addition - ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration •? , O 37 Demolish (Bldg)` I? 43 Reroof'" - ? 46 WindowslDoors
? 34 Replacement Demolition (EnGre Bldg only) - Give PCA handout to appli eant
Valuation
Census Code ?
SAC Units ti
?: s :? - `,•???
"`Tlbrrodinifs - ,- ?
Nbr. of Bldgs ?
s`\?4UFype,qf Const
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
F'veplace ?R.I. ?ir Test ?'inal
Insulation
MC/ES System
Ciry Water
Booster Pump
PRV ,
Fire Sprinklered
_ Other
_ Pool Ftgs Air/Gas Tests _ Fina]
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By GClC) , Buiiding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search ?
Copies
Other
Total
Occupancy A-3
? Z'onin9"
Stories
Sq. Ft. y
Length
W idth
REQUIRED IN5PECTIONS
FinallC.O.
,o?) FinaUNo C.O.
_ Plumbing
HVAC
vvl?.a_0??t-I 2?. ?tlU ? l 9'j ?'d_0°O
\
PLAGEmE?t/7' OF /?+?adSE ?N oC OT
at do / 3-.S'ens4w Po2 c:,? Ao,oiTioN
Eivsr 94. 72
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410 W. LAKE ST.
MINNEAPOLIS, MN 55408-2998 lob
6 7 2/824-2656 ?iEATING AND AIR CONDITIONIN6 CO
'Servin( 73e TLin Cifin Siue7930'
ORSAT TEST RECORD
ADDRESS
OCCUPANT
DATE
GAS LINE BY
TYPE OF HEAT: GA FA)1,!jHW STEAM . SPACE
6A5 DESIGN
MAKE MAKE OF BURNER,
MODEL,'??,???.2 90 oo d5kOQ MODEL
SERIAL MAX. BTU RATING
INPUT MAKE OF FU
CONUERSION
CONTROLS '"""'`
THERMOSTAT 2264 1 HEAT PLUG VENT SIZE
VALVE lfj tl KIND OF LINER SIZE - NONE --
LIMIT ? DRAFT HOOD --- REf,ULATOR-
LIMIT SETTIN6 ?yC CHIMNEY CONS,T¢R,U?CTION 40l/'G
FAN SETTING ?
DRAFG?2r? -TEST TACyM,?
PILOT 7VPE LIGHTIN6 tNST. ?-?-
PILOT MAKE
PILOT MODEL
PILOT TIMING
PRESSURE PERCENT CO2 DATE TESTED /v ?./
INPUT CFH-e3?W PERCENT 0dw/Z I -
STACK TEMP. ?!cPERCENT CO 41 NAME OF TESTER
1072 PAYNE AVE.
ST. PAUL, MN 551013892
612/772•2449
HTR. UNIT HTR._OTHER
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
" EAGAN MN 55122 PERMIT #
PAONE (612) 454 8100 RECEIPT # O O
M?GI?AYN?CAY. T DATE : / / v $
PLEASE COMPLETE UPPER PORTION ONLY FOR SINCLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON ?
REPAIR
OWNER NAME: ?,vndn. ?: ,dntp/ C'nn,ltl-lovl
SITE ADDRESS: iZ41 C?..Lrw9 ?rkL tm
LV1: r 3LOc'.K L_ SiinLLI)?1L2}J?lk
INSTALLER:
410 WEST LAKE SIREET
ADDRESS: nr,iNa'=carni. neni 55404.2998
PHGNE 82¢2G53
CITY: ZIP:
PHONE #
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
$15.00
24.00
6.00
3.00
$45
.50
TCT.A:.: vL5• Sv
SIGNATURE OF PERMITTEE
?
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SI3E HLDF.GSS:
LOT: BLACK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
Is "/
CITY OF E:iGAPS
3795 Pilot Knob Road
Eagan, Minnesota 55122
PEWIT NO.:
`ihe City of Eagan hereby grants to
James Carlson
•?-?P- 1
(i)
n9q
oi 1730 W. Larpenter
a PLUMBING Permit for: (Ownexoame
at -LSg1 Carlson La!ce Lane , gu:suant to application dated 8/8/74
Fee Paid: $20•00 dated this Bth day cf August ? 19 74 ,
.50 s/c
i3u.ildino Inspector
N;achanical Permits:
Bid Totalc
CITY OF Et?GAPS
3795 Pilot Knob Road
Eagan, Iviinnesota 55122
FERPQIT NO.: 558
The City of Eagan hereby grants to James Carlson
o; 1730 W. Larpenter, St. Paul 55113
a HEATSNG Permit for: (Owner) same
?t/ •? ?. .?
at LSB7_ Carlson Lake Lane ? pursuant i;o application dated 8/8/74 _
Fee Paid: $20,00 dated this 8th
v .50 s c
D,achanical Permits:
day of August ? 19 74
Buildin; Inspector
Bid T.)tal:
w,j•
CITY of EAGAN N° 3363
BUILDING PERMIT
?? 3795 Pilo! Kaob Road
Owaas .......... ......................................... .......?--.................._........ Eagan. MinnesoYa 55122
..... ............................. ......................
Addzesc (P=esen!) 1.73U ?• ......... 954-8100
Hullder .........?Y .................................................................... Data .....?....... ..................s6
.
Address .............................................. :....... ........................................
SSOries To He Used For Fron! Depih
3s ' Heigh! Es2. Coe! Pesmi! Fae
?s 9`?° ? Remarks
?1? ?O
" LOCATION /o ?.3t S6
Streef, Aoad or olhar
I/ -/. i °/4 Deaeripfion oi Localion
' - A' -- 41. -/- I Lo! Block Addttion or ?Tsaa! '
(f'?.C./
This permi! does no! 4uShorize the use of sfree2s, roads, alleys or sidewalks aor does it give the ownes os h[s agen!
the righi 2o creale any situafion whiah is a avisanca or which psesenls a hazard !o !6e healih, safelq, eoaveniencs ead
general walfare fo anpone in the eommuniip.
THIS PERMIT MUST BE j?EPT N TQ HE PREMISE WHILE THE WORK IS SN PAOG ESS.
Th[s is !o certifp. 2ha!_---..?(]?.'. ...... C¢!??...°..'?J--•.-.-•--._......has permkaion !o erect e.-- - ----.- ............. f:.......__? _upon
the above described premif? subjeci So the pxovisions of all applicable Ordinances fos ihe City f Eagam
r ?Q?-Q?-+-?
? ?. Q?c".? :................._"-....---'.... Pez ................. '.".Qe ................. ?..._...."""'._......"".........................
.................... ..... ....---Mayor Building Iaepac2ot
? 0
.? P<. AcE fr, ?-?f r oF- .?ous ? O N .G o?- •??LJ'
?itsr 9¢. 72
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_¢
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S?.acE'.• ?.._zs.
MASTER CARD
`S- / N/i ?d t rn ts1 ?k
OWNER \I4m oar Itav.I. ~
STRUCTURE AND
LAND USED AS
x
Permit
BUILDING
PLUMBING
No.
33Ls
494
Issued
? ? ? Issued To
Coniractor Owner
,?.krurw_l?res ?
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALIING
.. ? ?i
SANITARY SEWER
OTHER
OTHER i I
IfemS Approved
(Initial)
Date
Remarks
Distance From Well
FOOTW G
FOUNDATION
Z SEPTIC
CESSPOOL
FRAMING ? TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
?
DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WEIL ?
(
SANITARY SEWER
_ -ys -
Violations Noted
on Back
COMMENTS:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114612
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 1247 Carlson Lake Lane
Lot:Block: Addition: Wilderness Park
PID:10-84250-01-051
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 .
Jeff Greenlun
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 -
James A Carlson
1247 Carlson Lake Lane
Eagan MN 55123
Perfect Exteriors Of Mn Inc
321 1/2 Walnut St, POB 297
Monticello MN 55362
(763) 271-8700
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143505
Date Issued:06/19/2017
Permit Category:ePermit
Site Address: 1247 Carlson Lake Lane
Lot:Block: Addition: Wilderness Park
PID:10-84250-01-051
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 -
James A Carlson
1247 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:Building
Permit Number:EA173805
Date Issued:12/06/2021
Permit Category:ePermit
Site Address: 1247 Carlson Lake Lane
Lot:Block: Addition: Wilderness Park
PID:10-84250-01-051
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 -
James A & Gayle Carlson
1247 Carlson Lake Ln
Eagan MN 55123--176
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175077
Date Issued:03/10/2022
Permit Category:ePermit
Site Address: 1247 Carlson Lake Lane
Lot:Block: Addition: Wilderness Park
PID:10-84250-01-051
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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 -
James A & Gayle Carlson
1247 Carlson Lake Ln
Eagan MN 55123--176
(651) 261-5597
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature