1329 Carlson Lake Lane
CITY OF EAGAN 17155
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
P H O N E: 454-81 00 ?
BUILDING PERMIT
Receipt #
-
To be used for FIREpLACE Est. Value =1 ,000 Oate OCT 10
Site Address 1329 C?lsop I.?1? LX
Lot I
Bl
k 4 S
??BtIR
8 OFFICE USE ONLY
_
oc
ec/Sub.
8
g?
Parcel No. ? Occupancy - FEES
cc
W
Name WI1•LIM ! qlQDT 2oning
(Actual) Const
- BIdg.Permit
26,00
? Addl'eSS 1329 CAR?.SOl1 1.A1CE LN (Allowable) - Surchar e
9 .?
City L4G" Phone 452-9647 # of Stories -
Plan Review
length
0 Name 5?
Depth
SAC
Cit
t -
.
y
c.) 0. Address S.F. Total -
Clty PhOn@
S.F. Footprints SAC, MCWCC
-
?
W W
Name On Site Sewage
On Sile Well _ Water Cann
?.w - WaterMeter
?? Addf@SS MWCC System _
a W City Phone Cdy Water _ Acct. Deposit
PRV Required - SMl Permit
I hereby acknowlege that I have read this appiication and state that the
i Booster Pump - SIW Surcharge
nformation is correct and agree to compl all applicable State ot
Minnesota Statutes and Ciry ot 6agan Ordi ce?
? Trealment PI
Signature of Permitee APPROVAIS Road Unit
A Building Permit is i5sued to: Planner - park Ded.
on the express condition thai all work shall be done in accordance with all Council
applicable State of Mie
s
o
ta
S
1
a
tut
es an?
of Eagan Ordinances. gld9, pff. _ Copies
k
l
.
L
?
1
I
T
l 26 ?
?
Building Official variance - TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PlUM81NG . o.
H.V.A.C. ?
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
ROOfing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Fnal Plbg. G N
Const. Meter ? Plbg. Inspector- Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Welt
Pr. Disp.
w+R?. _ _
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ???: ?
PHON E: 454-8100 ;?
BUILDING PERMIT Receipt ? };? 4 ?t,
?, 9??'' ;?4 C1:li: Rl1Gt3t? 3I 88
To be used for _ Est. Value + Date ,19
Site Address ? ??? ?`?L??-`? ?`? ?
Lot 1 Block 4 Sec/Sub.?????E?? ??? ??
Parcel No.
? I Name
= Addre
o r?+„
? Nan
.o
z?
? ` Add
? City
Name
Address _ __ ___ _ _
City _ _ _ _ __ Phone _ _
I hereby acknowledge that I have read tMs application and state that the
Signatureof Perm?tfee _ _ _- _ -__ _- ?.,,?_.
I'1?.?:F? }i?'ii
information is correct and agree to comply with all applicaWe State of
Minnesota Statutes and City of Eagan Ordinances.
l,.
A Building Permit is issued to._ -_ __ __ _
on the express condition that ail work shall be do?e in accordance with al I
applicable State of Minnesota 5tatutes and City of Eagan Ordinances.
Building Official __ _ _ ______ _ _ ____ _ _ _
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zo?ing
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of 5tories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
gtl•?
EngrJAssess. __ _ _ Permit ???
Planner _ Surcharge
Council _ Plan Review
Bldg. Off. _ SAC, City
Variance _. _ SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL ?
?? ??
Parmit No. Permit Holder Dats Telephone i?
Ptymbing
H.V.AC.
E lectric
Softener
Inspectfon Date Inap. Comments
Footings I
Footings II
Foundation
Framing
Roofing ri4 14?2
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks --'-
Addition Wilderness Run 4th Addition Lot 1 Blk 4 Parcel ZO 84353 010 04
Owner?•L Street 1329''arl son TakP T.n - State Eagan. NIld 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STAEET RESTOR.
GRADING
} SAN SEW TRUNK 1973 $163.26 $8.16 20
SEWER LATERAL 1975 $714.00 $71.40 10 . a0
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1991 223-98 1493 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $320.00 2418 - '
BUILDING PER.
sac $450.00 2418 - '
PARK
--7 - - ----- ------- -? --
INSPECTIUN RECoRD TControl No. 0339
CITY OF EAGAN PERMIT TYPE: 81.111,p1°1114
3830 Pilot Knob Road Permit Number: 880301
Eagan, Minnesota 55123 Date Issued: A 4!2 y/ a`'
(612) 681-4675
SITE ADDRESS: L OT: i fti oC K: 4 APPLICANT:
1329 C AR L SAN L AIEE I.AME QMUD7 Wl L L 1 AM
W7L1?CRNESS RUN ArH (617) 452-9647
PEP
,MIT SUBTYPE:
I Vf N A k r. "a t R F t: F! Pt*
19
IL
TYPE OF WORK:
MEu
. .J
Permn No. Permn Holdw Deb TNaphorro 11
srw
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspeetlon Dets Insp. Commertls
Footinge l
Foundatlon
Framing
Roofing
Rough Plb9-
Rough Htg.
lsul.
Frepiace
Final Htg.
Orsat Teet
Flnsl Pibg. Plbg. irqpedor- Notiy Plumber
Con9t. Meter
Engc/Plen
Bldg. Final
oe& Fcg. L Z f
Dedc Final
!
VYeN
Pr. Disp.
YILLAOE OF EIIOAM WATER SERV?C?F63PERMIT
3795 Pilo'?{Cnob Roed PERMIT NO.:
Eagan,MN 55122 DATE: 4/27/76 .
Zoning: RI= No. of Units: 1
Owner. T118BO fa]IDen $C
Address:
Site Address: _1329._C8r180M_-I8ke?.. H4 NR 4
Plumber: BeY-IOC - P6tBT PI
Meter No.: 16 y G? 9 ?cCo n'e}8on Chag6:320.00 _p11-3,19-
Size: S ?z-*! / --cJi - Account Deposit: -
Reader No.: Permit Fee: 10.00
I o9ree }o omplJ witr fhe Villoge o4 Eagon Surcharge: •50
Ordino? '?d/ 7 4 Misc. Chazges
/ Total:
BY ?,¢-? Date Paid:
Dace of insp.: ? ?? .:
Insp
YILLlIGE,OF EAaAN
3795 iilot 4o6 Road
fogon, MN 55122
"l.on5ng: RII
SEWER SERVICE PERMIT
PERMIT NO.: 2720
DATE; 4/27/76
No. of Units:
Owner. Tilsen H ae inc
4ddress:
Sire Address: 1329 arlSOn Lke L L$4 I9R4
Plumber: Bey-rac - Peter Plbg.
rec. 2418 3/9/76
1 ngroa to wmplr wiM iha Villaga of Eoyan Connection Chazge: 450.00 pd 3/9
Ordinances.
By: _
Date of
Inep.: -
Account Deposit:
Permit Fee: 10.00
Surehazge: _
Misc. Chazges:
Total:
Date Paid: -
GIi1' OF ?. G .N
? ?7q5 P7l.ot ?,noo
Nii p.,oad
122
nncao„a
Eagan, 55 ?
FEP-MST NO,:_-66fa
The Cit;r oi Ea.gan hereby grants to pot,?_Qg
of 7a94 r -and Nve - -----
a Permit fer: (Ommer)_ mii u Ene ---------
1329 carlson Laka Lane a?
_ie?+ion dated
- __ dztia r,»„r?,o??_7 Pur°uunt to app3
?. _ -?---.?_.
Pee Pe;ide _- $An no dE,ted this _gty_ day of APN;Ll_?., 19___?be
1.00 s/c
S;i?yector----
Aie.^.-mica1 Fermi_ts:
Bid Tot&le
v
CI;"• 0,= P4U,N
ijS:i T_'llot Knob F:o:zd
Eagan, Niinncso ta 5522
{.5,53 cia 6'?4
?.?'- ?
PE£a'"IIT IdO.: 821
Tl,e Ci 'y oi Eaga7 herety grants to Neil & Hubbard tTeating & A/C
of
St. Paul
a_HF.ATZLdG permit for: (Owner)_ Tilsen fIOmes Iac. _
1329 Carlson i.ake Iane, ?
pu?-suaat to app?.ication dated
Fee Ps:ic;:
1.50 s/c
dE,ted this 26 clay of 19__.7g=
BUiiding Tnsper:Go.
S-iec:!.oanir,al Ferri. ts:
Bid Toi„?Ic
_i.
iv 8?j5? o/o ael-
c;,.%/'?
C =7T OF EAG-,iN
31S5 '-'i-).pt Yvnob Poad
EW.apn, Nlinr;c3ota 55 i 22
PEFu7IT NO.: 42
mlie Citzr oi Fa.gan hereby grants to
Zorn's Water Cond.
o£ Jordan, PQI -?----
? WAter Softener Permit for: (Owner) Bruce Scott
_1329 Carlson Iake In. ? pursuant to app.lication daced __ 5 27 76 __Y
Fee Pa:.O,: _- $5.00 de.ted thiu 27
.50 s/c ?
day of ?--p. i9?i6?
Fiu:iiding In.;peator
[tzc:n.ar_ic .1 Permi.ts:
Did 1ot;.i.
CITY USE ONLY
' I PERN4IT #: _'jM71 RECEIPT DATE:
MIMMIAL MEC,RAMC,A. P"MU 1??PIIC,iQtTION
CffYOF EAk6m
3$30 PD OT KNOB RD
EA6AR diN 551 ES
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: / - IQ ' Q /
SITEADDRESS: 15oe)/ r- G/'sOh-) 1,14 Z n-, •
OWNERNAME: iGli FI'QIIL°/"!A/?7c?1 TELEPHONE#: (AREnCOOe)6Q?-Oa7?
INSTALLERNAME: ?fY' TELEPHONE#: CoS?/ ??oL
(AREA CODE)
STREET ADDRESS: ea/o,?/n _4Q-f ,,j A,t l'e
CITY: G4,-J STATE: 1-;2J , ZIP: ?.?o??
Place a check mark next to the ermit work t e
New residential dwelling unit under constructionand not owner/occupied $ 70.00
v Add-on, modification or alteration to existin dwelling unit
• furnace re laceme -$ •-, -50.00 _
• air exchanger
-? air condition?er?
• other S2°
Nature of work: ' - ?-
State Surchar e $ 50
Total
Reminder: Call for inspections.
'SIGNATURE F PERMITTEE
?
?
J
?
Updared l/01
INSPECTION RECORD I C°" °"° 0339
CITYOFEAGAN PERMITTYPE: suiLoibG
3830 Pilot Knob Road Permit Number: 000387
Eagan, M innesota 55123 Date Issued: 0 4 I Z 9/ 9 2
(612) 681-4675
SITEADDRESS: Lor: i BLOCK: 4 APPLICANT:
1329 CARLSON LAKE LANE OMODT WILLIAM
WILDERNESS RUN 4TH (612) 452-9647
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
REMARKS: RECEIPT M
1-
?
? _ ? . J
11 PERMIT C°" °"°. 0339
CITY OFEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT TYPE:
Permit Number:
Date Issued:
1329 CARLSON LAKE LANE
LOT: 1 BLOCK: 4
WILDERNESS RUN 4TH
Buildieg_Permit Type DECK
Building.Wark Type NEW
- v ,
? ; . ?r
f V .
,. ?
r .?
euxLoinG
@00387
04/29/92
REMARKS:
RECEIPT N Ctll p:5 3 I
FEE SUMMARY:
Base Fee $25.00
Surcharge i.50
Total Fee $25.50
CONTRACTOR:
OWNER: - ppPtscanz -
OMODT WILLIAPI
1329 CARL50N LAKE LANE
EAGAN MN
(612)452-9647
I hereby acknowledge that I have read this appl3cation and state that the
intormation is correct and agree to comply with all applicable State af Mrt.
Statutes and City of Eagan Ordinances.
? J
APPLICANT/PERMITEE SIGNATURE
ISSUED : SI NATURE
-1
PERMIT # -
:5& ?
4
cmr oF enc,AN
1992 BUILDING PERMIT APPLICATION
681-4675
APe z e R? b I?yy?
SIN6LE 6 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, 1 copy of erlergy calcs.
Penalty applies when typing of permit is requested, but nat picked up by last working day
of month in which re uest is made o lot chan e is re uested once ermit is issued.
Date Valuation of work
Site Address: - loss .Lif° L,C1
STREEt STE /
T ant Name: ox`144r,t
LOT BLOCK ,,_ SUBp. I.D. /
?
Descri tion of work:
The applicant is: q Owner ? Contractor O Other coescrsx>
Name nmo? k (-t?: l ?z Phone
Property LAST F[RST
Owner qddress 4T. ) y C'v?fson L?.
STREET 8tE /
City State /%7•c. Zip ? a3
Company o M&P Phone y?-2-PV97
Confractor Address License # Exp.
City State Zip
Company Phone
Architect/
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 read this application and state that the information is
correct and agree to comply with all applicable ate of Minnesota Statutes and City of ,4
Eagan Ordinances. 57
Signature of Applicant:
` CITY OF EAGAN N2 17155
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 /D-?/S3
BUILDING PERMIT Receipt # ??
Tobeusedfor FIREPLACE Est.Value $1,000 oate OCT 10 ,19-89-
Site Address 1329 CARLSON I AKF T N
LOf 1 810Ck _4_ S2GSUb. WIT.?F.RNFSS R[IN OFFICE USE ONLY
P2fC81 N0. 4TH Occupancy _ FEES
Zoning -
w Name WILLIAM P OMODT (ACluaq Const Bidg
Permit 26.00
o Address 1329 CARLSON LAKE LN (Allowable) .
-
- 50
Surchar e
9 .
City EAGAN Phone 452-9647 s or srories _
Plan Review
Length _
F Name SAME Depih SAGCit
i
8¢
Address
S.F.TOtal -
y
-
"
CIty Phone
S.F. FoOtprinlS SAQMCWCC
-
W
C
? On Sle Sewage ater
onn
-
ww Name OnSiteWell W
ti
x?
Address
MWCCSystem -
ater Meter
-
u
a W City PhOf10 City Wa1er _ Acct. Deposit
PRV Required _ SAN Permit
I hereby acknowlege (hal I have read this application and state that the Booster Pump - SiW Surcharge
information is correct and agree to comply all applicable State of
Minnesofa StaWtes antl City ol agan Oldi e.
J Treaimenf PI
Siqnature ot Permitee 7 APPpOVALS Road Unil
A Builtling Permit is issued to: ?[wAbLt, ? ? II.LI _ Planner - park Ded.
on lhe express condition that all work shdll be dona in acbordance with all Council
applicable State of Minnesota Statutes and Cily of Eagan Ortlinances. eldg. Oft _ Copies
Building Ofiicial WILLIAM P OMODT variance - TOTAL 26.50
? v
3INGLE FAMILY DWELLINGS
2 3ETS OF PLAN3
3 BEGISTERED SITE SURVEYS
1 SET OF ENEAGY CALCS.
1989 H[TILDIHG PERMIT APPLICATION
CITY OF EAG9N
NIDLTIPLE DWELLINGS COt9MERCIAL
2 3ET3 OF PLAN3
REGISTEHED 32TE 30RVEY3 -
(CHECg iTITH HLDG DIY.)
1 3ET OF E9SRGY CALCS.
2 3ETS OF ARCHISECfIIRAL
6 STHOCTIIRAL PLANS
1 SET OF SPECIFICATIONS
1 3ET OF F.NEHGY C9LCS.
M[II.TIPLE DWELLINGS AEDiT9L DNIT3 FOR SALE DNITS t OF II8IT5
HOTEs lDDRESSS.4 FOH CORNER LOTS - CONTRACT08/SOMEOWNER MOST DESIGNATE i1HICH ADDRFSS
IS DFSIAED, NO CHANGES iIILL BE ALLOiiED ONCE BUILDING PERMIT I3 I53t1ED..
SEWER 8 WATER PERMIT FEES AND ACCOUNT DEP0.SIT FSFS iiII.L BE INCLODED iflT$ THE BUII.DIN6
PERMIT FEE. PROCE3SING TIME FOA SEWER AND WATEA PERMITS IS TWO DAYS ONCE A PERMIT 80
BEEB COMPLETED INDICATSNG A LSCENSED PLi7KBER.
PENALTY APPLIFS i1HEN: PEBMIT IS NOT PAID FOR IN SAME MONTH IT IS REQOE.STED.
LOT CA9NGE IS REQQESTED ONCE PERMIT IS ISSOED.
To Be Used For: F;cP Valuation:
Site Address Carlso.A l.k '1'f.1
Lot _(_ Block L.
Parcel/Sub ?11i111ameA,L ?-um 4tt,
OW[ler l l l ij (,i AtM f, l?)6ICMlT
Address I ?9 Carl56;,L J, k 1,n,
City/Zip Code ,Is??li „2 6?? l a 3
Phone S!S2 - 56 v 7
Contraetor h? v5e_
Address l3 2q ?ar\Sm,n ?, ? ?.v?.
City/Zip Code S 5 /a ?
Phone ?1,5 d - ?/4/ '7
Areh./Engr. -W,`.4 ,ri Lkm"
Address 64r&n .Ck .4,V
City/Zip Code ?aq2v`
Phone # ??j %/'/
Date: /D-16-8?
Occupaney ??
Zoning
9etual Const
Bldg. Permit ;
?
Allowable Surcharge .??
li of stories Plan fleview
Length SAC, City
Depth SAC, MWCC
S.F. Total water Conn
Footprint S.F. Water Meter
Acet. Deposit
On site sewage S/W Permit
On site well S/W Surcharge
MWCC Syatem _ Treatment P1.
City water _ Road Unit
PRV required _ Park Ded.
Booster Pump _ Copies
SIIBTOT9L
9PPROVALS Penalty
Planner _ TOTAL 11 77
Couneil
Hldg. Off.
Variance
CITY OF EAGAN
;: 1 3830 Pllot Knob Road, P.O. Box 21•199, Eagan, MN 55121 N? 15546
PHONE:454-8100
BUILDING PERMIT Receipt
STRUCTURAL
Tobeusedfor ggpAIRS Est.Value $4,000 Date AUGUST 31 ,1988
Site Address 1329 CARLSON I,AKE LN OFFICE USE ONLY
lot 1_Block 4 SeGSub.WILDERNESS RIJN 4T On Sitesewage _ Occupancy
MWCCSyslem _ Zoning
ParcelNo. OnSiteWell _ IACtuaryConst
a Name TILSEN HOMES Ciry Water _ (Allowable)
W PRV Required # of Stories
z Address 627 S SNELLING AVE ---
3 Booster Pump Length
° City ST PAUL Phone 698-5501 -
Depth
,0 Name SAME S.P.TOtal
?a AddfeSS Foo[printS.F.
0? City Phone pPPROVALS FEES
? u Engr./ASSess. Permit _58.00
x
Name 2.00
? Planner Surcharge -_ _
_- Address_
Cit Phone Council Plan Review
a w Y -
BIdg.Off. _______ SAC,City
I hareby acknowletlge ihat I have reatl this application and st te thal the Variance SAC, MWCC
information is correct and agree ply with all applica 8 State of Water Conn. _
Minnesota StaWtes and City ag " dinanc . Water Me[er
Signature of Permittee -- Road Unit
A Building Permit is issued to-___ TIL$EI`]__1IQME$__I ireatment P1 _
on the express condition that all work shall be tlone in acwrdance with all
applicable State of Minnesota Statutes and Giry of Eagan Ordinances. Parks
TOTAL 60.00
BuildingO?ficial?LIH1Il_??7?1??? -
-_
?
1988 BUILDING PERMIT APPLICATION - CITY OF E6GAN
SINGLE FAMILY DWELLINGS 156/ CP
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULaTIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSU°D
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE QNITS
0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONQMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 ScT OF ENERGY CALCOLATIONS
To Be Used For: 4CV'-S _ Valuation: ?0 (n C--)
Site Address (_-3 a 9 (faytSoK ?Q (e 0
Lot ? Block
t
Parcel/Sub
4UJv74
owner %(lCP t4
Address µ??-? _
i
City/Zip Code q}- - Pu.v( SS(fa
PhOne _ l "r'I 8 Sr,S'-O ?
, //
Contractor '?1?3QG Hnwo_S
Address ,SOc siW-(?f?S //?v-e-,
City/Zip Code CL Pavf A4NJZS/(),
Phone ?p98- ?Ma /
Arch./Engr.
Addr.ess
City/Zip Code
Phone li
Date: 3( a'?-
UNClI;I? UJI: UtiLY
On site sewage_
-MWCC system _
-0n site well _
City water
PRV required _
Hooster Pump _
APPROVALS
Oecuoancy
Zoning
Actual Const
A1lowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
58, o0
Z,?
Ln.r7n
f Li5{ed or r4.v4ese S',JE'
? ? * •
?
S-to,?S ¢ wak
?-e r a?cz ?tads4 c?a ?( ?-?"euc cfcwas? d(?u.iew<-u-?
,
yal,alA -???e(a?-(? 0?
? r????e L? (?, c.?t,?c?ow w;`?'1ti to0w wr0-
C
` CITY of EAGAN
BiJILDING PERMIT
?
.....
Ownu ...........................................
Address (Dresen!) "' ...........................................................................
Buildes . (. ." ...........................................
Addreea .......................................
? DESCAIPTIOIQ
?
sio
N2 3843
3795 PiloY Knob Road
Eagan, Minnesoia 55122
454-8100
Dels ?.?. O_,................................
6forias To He Used For FronS Deplh Heigh! Eef. Coe!
ae Aeraasks
M" F
?
i?= .? ?
? !0
.
W.
Q
/ LOCATION ?
ar
/ I 'V I 'Y
This permit does not aufhorise the use of slceels, roads, alleys ox sidewalka nor doea if give the owaer o= h[s agea!
the xigh2 !o creafe any sifuation which is a nuisance os w6ieh presenls a hasard !o the health, eafely, eonvealeace and
ganezal welfare !a anyone in the community.
TIiIS PERMIT MUST B PT ONTHE P EMISE WHILE TH£ WORK IS IN PAOGAE . , .... .
This is !o cerfifq, ihal.:??:rt-..1..KC7........_ .............. has permission !o eseot a.?.[C??":?.?..? .'...._upoa
??--
the above desaribed premise subjecf io the pxovisions of all applicable Ordinances for fhe Cify of Eagan.
P!`." ......................................................... Per I2.......-'---.....--`
Mayor Building Inspeclos
?
?
?
?
LATL: v'2 -'J.6 - ?/v
BUILDItJG ?c,IU°IiT F.Y: T IC9.i,T.ri' CHECK
Lot_-_ Block -? Additic:i
Parcel and section r.vnbar
Stre°t ivh?.TM.aer?
Owner Ad3ress Z'??-?'•
Develaper Adczrsss
Zone-ordinance #52
Lot Size 9,5- Y. Total area iL90
D, ?? .?..
Platted Unp].atted
3a ' ?
Sui].cl;ng S3ze (QvX I`/' ,Total area
oocLyax!.oV r s r ,c1..? ?azY..e?2.
Type of ccnstriict•ion
i
Setbacks: Street s3des .30 ? Rear
I ' Sides
/U .Sn.
I
Parkir_g: Tota7. axaa
Parki;,g area setbacks:
Street side :tear
La-idscapa approval
Special Assee:,:ncats:
JhC eharge_
Water areaa
Assessed
Tota1 spaces
Sides
Bond required
@ $4?50. 00 = 65'D 11-11?1
Unassessed
If assesseds Connection charga
If uiiassessedc Connection chnrge ??,o.
Lot di7,-ision:
Additional assessments needed
Laterals:
Assessed
Not assessed
14aiver o£ hearing:
Needed Not needed e?
--------------------------
Assessm:nt clk? S+7ater & Sewer DepE13uilding Dept
Police Dept Fire Dept RA Ind only)
Not needed i/
,
.
?
.4 FT?7
I?
I
,
?
?
?
?I
,
?
?
?
40 '
C? I
i
?rr
uNt?
?
?
z
?
?
p?oP?e rv
LiN?
I
=i
.
Q ?
?
a
?
?
-" J ° I
e-- W
7'i (se-.a
.? ? s0,
LoT ?
?qe 4a - 3Lac k ?
WI 4CtH<45
Ny?v 4cv-
(
?On1T_,?R?i?F14_TY _LI.NE
-PLOT -P L W4
?, ? ; • ,-. ... i a ' tBTERIOR ElNELOPE SPACE "U° COMPVfATI`Oll
(To be eubmitted with building pecmit applieation)
Ona oi tvo family dvelling ?c OWOer
All o[her
Site Address !°1i'%:.? i '.L t+, I
Contractor r'__nt Date ??.?.??••'? b Phone
LINEAL FT, OF
EXPOSED WALL
.?.? .+?+ + + ;?(...+ + ?aft. sbwe gzade-
?5a. ,-t TOTAL EXPOSED WALL AREA SQ. FT,
OPAQUE WALL CONSTRUCTION: "U" value R area --
iluit z sq.
ateil reference = eq,
from "U" z sq.
ttached aheete "U" x sq.
'lull Z sq.
"U" z sq.
ft. ?- (U)
ft. 1 (11)
ft, ? (U)
f[, ? (I»
ft. o.n- (I)
ft, ? (II)
ft. ' (U)
MINDOWS: "U° VALUE X b1tea >.:±.< iv?':,•? ? ^» z::? ;, s ?.a} i
?i @ sq.f[.
,? - @ sq.ft,
1 @ eq.ft.
@ ? sq,ft,
9 @ i? sq.ft.
@ ? sq.ft.
@ o4.ft.
(A)
(A)
(A)
(A)
(A)
(A)
(A)
rke & type •-t . "Un
? sq. tt. =.:.. _, 5,•; ? '?.rx,. (U) (A
.. ?. pu,l z sq. ft. ' <U) (A)
.? ?? ,.'U
?'?s"? ?.' '•.?S ? ?p, t ??
? w,.: '-, z sq. ft, `1 (ll) (A)
•
p 11 .
^Ull
` '1')`.t
1
?
sq.
t.
A)
DOORS: "U" value E area
llake & type ?r-
z sa.
N 11 '. 1 .? . r,l • .I . r 1
'U11 z?-r 5 z sq.
p 11 iM1uti _ .q,
? ?? . .
IuN i..9. -? j sq.
rnrat. (YJ) (n) vniuss
D1YIDED BY TOTAL WAI.L AREA AVG. "U"
ALIFBRAGE "U" ,17 or less for 1 6 2 family dvellings
.22 or less for all other buildinge
fc. r-s; -y ' (U) (A)
ft. <tn?. e? ? . (U) (A)
f t . ? (In (A)
ft. '??.. `-K?-(11) (A)
TOTALS sq. ft. ?4':=e.?.??(U)(A
ROOF/CEILIIiG: •
TOTAL ARFA: sq. f[.
DeCail raference z aq, ft. ? (t7) (A)
fro? ?U" , O:a.'" x sq. f[. i'.?S (U) (A)
ottachod sheete "U" x sq, ft. ? (II) (A)
Deser1De openinea "U" x sq, ft, (tT) (A)
ln roof x sq. ft. ? (U) (A)
TIDTAL (11) (A) VAI.UES `-?. ---MTAI.S sq. f[. (II) (A)
? DA? TAL RAOF/
DEII.Il7
.
,r
AV'EI"E "U" .OS for ventialated raofa
.10 for ell other construction
ROOF/CEILING: R- value
1
l?L, 'v"?:>'. F=,f?: ,Q?• ! ?. 4' r
2• , ?
g.
4.
s. --
6,
CONSTRUCTION FRAMING: R- value
2
3.
Li e 4..L ?
?-T
?
4
5
6.
NnTE: If average "U" values as calculated above do no[ meet the F.nergy Code requicements,
the "Alterna[e Envelope Design" as ou[lined in SBC 6006 (g) may be uaed. Addltional
eheets may be used to shou calculatione.
\
? ?t '
MASTER CARD
LOCATION 13
OWNER
STRUCTURE AND
LAND USED AS
Permit I
No.
Issued Issued To
Coniractor Owner
BUILDING
PIUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING -
GAS INSTALLING sai
V
SANITARY SEWER
OTHER
OiHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FO UN DATI ON CESSPOOL
FRAMING
BNId TILE fIELD FT.
FINAL
ELECTRICAL _
HEATWG
74 DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING Sy-?
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
twin cittir Cestinq
arw ermmrmarwq ON30rnewy. inc.
. 662 Cl10MWELL AVENUE
ggd'W0OjO4, S7. PAUL, MN 55114
g ? PHONE 6I2/815-3801
a REPORT oF: TEST OF HARDENED MORTAR
?^..
RESIDENCE
PROJecr: 1329 CARLSON LAKE ROAD DATE: APY'1l 14, 1976
REPORTE TO: Cit,y of Eagan LJ FURNISHED BY:
3795 P11ot Knob Road
Eagan, MN 55122 COPIEB To:
Attn: Mr,Peterson,
TORY No. 6-15378
GENERAL:
On April 2, 1976, several pieces of concrete block foundation wall mortar were picked up at
the clty hall and returned to the laboratory for examination and testinge It was reported
that the samples were taken from the walls of the above project.
As requested, the samples were examined for evidence of early freezing and tested for com-
pressive strengthe
CONCLUSIONS:
Although there was slight evidence of freezing, it took place after the initial set of the
mortar and did not prevent satisfactory compressive strength development. However, this in-
dication of below freezing temperature exposure would retard the set and strength gain which
would reduce the bond development with the 61ock. This would be particularly true if the
block were near or below freezing when la9d.
TEST DATA AND RESULTS:
Examination by low power magnification of all pieces submitted revealed approximately one-
third of the samples to be in each of the following groups:
GrOUp
Examination
1 No evidence of freezing
2 Possible indication of freezing on tooled surface only
3 Slight appearance of freezing on tooled and interior
surfaces
Test specimens were cut from each group and tested to determine the present compressive
strength of the mortaro The strength results are as follows:
GroUp Specimen
1 A
B
Average
A9 A MUTUAL PNOTECTION TO CLIlNTS. TM! PUBLIC AHO OURlfLVES, /.L RT6 AN!
IIATION FOR PUBLICATION OF BTATEMENT8. CONCLUEIONB ON L%TRACTE RE<
Compressive Strength (psi)
2140
2270
2205
! iN2 CONPIDCNTIAL PROV[RTY Or CLICNTB. AND AYTXOP•
REPOIiTB I! REBlHVCO PENDING OYR WRITTEH APPROVAI.
// ? .
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-681-4675
NewConatruclbnHeauiremenls BemotleVReoairBequiremanta ? zg, ?5
• 3 regisleretl Sife surveys showing sq. fl. af bt, sq. tt. of houSe; and AI roofed areas • 2 copies of plan
(20%maxlmumioteoverageelbwed) • lsetofEnergyCalculatbnsforheatedaddilbns
• 2 copies ot plan showing 6eam & window sizes; poured tound design, etc.) • 1 sfle survey for exferior atlditions 8 decla
• 1 set ol Energy Cakulations • Indirate il hane served by sepllc system tor adtlHbns
• 3 copies of Tree Preserwatlon Plan M bt plelled atter 7!1/93
• Rhn,bist DeMail Optbns selection sheet (bltlgs wRh 3 or lass uniLS)
C.7
DATE ?- 30? 0 _?-- VALUATION ss'aa
SITE ADDRESS I3n CAv'iSO h L.R-K-e- L_ n- MULTI-FAMILY BLDG _ Y _ N
NPE OF WORK 1? e Ywo ?? ?' ,4??1rt c? j?oo^? FIREPLACE(S) _ 0_ 1_ 2
APPUCANT C'O h SfYY?e ?7 sYI S? 3-2
STREET ADDRESS /U alhcf? -t'?`' CITY.,Wirr r STATE?ZIP S.l4e/ /
TELEPHONE # h/-) - S2*I-o332 CELL PHONE # 6S/ 2Y?' •.?-5?-?' FAX # 61'2-
PROPERNOWNER A?7/41/?C'r a" TELEPHONE# 69I- O2?
COMPLETE THIS SECTION FOR -NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted
Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor: _
Mechanical system includes:
Sewsr/Water Conhacfor:
_ Water Sofrener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Submitted
Fee: $70.00
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
wlth all applicable State of Minnesota Statutes and CiTy of Eagan Ordinances.
SignatureofApplicanf ?L%!;a 260/1z?
OFPICE USE ONLY
Phone # By,
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
ïý
ÿ
þ
ý
ÿþþý üûúü úûü
ùýýþþ ü ûþíçí
ì
çüì ð
ëì ì
ÿþ
üûúùø
ö
ü úùø
ô ß
õ ôßç ø
ò
ø Þ
þ
ö ü ö ì ìâüø
ù
Ý þ
ñü
òø
ä ò ð ð ò
ñü
ò
û
ò èã
þô ô ø þ ý
ã
ã
òþ
þ
ø èö
ã
ã
ø
ã
è
ö
û ò å
ñü
ûù
ô þ ã
òùð ò è
æ Üæëëèëèìë
õù
ü
ð
þ
ê
ü
æ Üæèè
ê
ü
ýè
ôò
ñð
øø
Þ
þ
ö òø
ùç ûà
ä
éö ü ùç
ì
ö
ü
ä ïõ ÿ
þ
ïõ
îíëéë
ð
ûù
ô þ ð
ð
ä
ð
øø
ð
ð ã
ò
þ
òøùô ð
øø
û
ãï
ü
ö ù ãÿ
þ
â
è
øø
ß
ò þ
ü
ü ù þ
ü
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113030
Date Issued:08/28/2013
Permit Category:ePermit
Site Address: 1329 Carlson Lake Lane
Lot:001 Block: 004 Addition: Wilderness Run 4th
PID:10-84353-04-010
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 .
Michael Bischel
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 -
Robin A Haverland
1329 Carlson Lake Lane
Eagan MN 55123
(651) 270-0445
Bischel Building Contractor Services Llc
100 8th Street
Farmington MN 55024
(651) 463-8762
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121221
Date Issued:03/20/2014
Permit Category:ePermit
Site Address: 1329 Carlson Lake Lane
Lot:001 Block: 004 Addition: Wilderness Run 4th
PID:10-84353-04-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Robin A Haverland
1329 Carlson Lake Lane
Eagan MN 55123
(651) 681-0275
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:EA129308
Date Issued:01/29/2015
Permit Category:ePermit
Site Address: 1329 Carlson Lake Lane
Lot:001 Block: 004 Addition: Wilderness Run 4th
PID:10-84353-04-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:
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.
Fixtures:add washer hookup and replace water heater
Applicant: Mike Schiltz
P.o. Box 22172
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Michael D Gilman
1329 Carlson Lake Lane
Eagan MN 55123
(612) 840-1520
Hessian Plumbing Services
Box 22172
Eagan MN 55122
(651) 681-8252
Applicant/Permitee: Signature Issued By: Signature
+ I
,„. Us+�BLUE or BLACK In ,�,"�"
--------
� For Office Use � � �,+�
i Permit#: I � � ��� �J'
���� �� ����� � Permit Fee: .9� . � I
i i
3830 Pilot Knob Road I _ I
Eagan MN 55122 ...� I Date Received: � � � � I
Phone:(651)675-5675 �'�"-�s� � .Y � �\�, �
Fax:(651)675•5694 � Staff:.`-�� �
�����`,� �' � fi�i� �-----------------�
�--
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ��nc�r ���SSiteAddress; 13�9 Ca-r I San �Q� � Unit#: ^
` Name: ���h 4 e L G� �W10�✓'1 Phone: �o�•Z-��� -1 S ac�
Resident!
Owner Address/City/Zip: 3 a. C.a-r'�Son La l�e. L.c..Nc- Gc� d►.n �1/l J� $$!�3
` Applic.ant is: X Qwner Contracter
T�/pe Of W01'k Description of work: ���d a dee k a,,�, S�'ati'c,�
Construction Cost���Od • Multi-Family Building:(Yes /No � )
Gompany: �Je�� Gontact;
Contractor ; Address: C�ry:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 morrths,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:
Fire Suppression Contractor: Phone: I!i
NaTE:P/ans and suppor#ing doce�ments that you submit are cons�dered to be public informatfon, Partions af I
#he inforrnafion may be classifr�cl as non public if you prov�de speci€ic reason�#hat would�rmif the Cfty to ,
�oncirtde that#he ae�ttad�secce#s. >
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.gooherstateonecall.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 applicadon 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.
Euterior areHc autherized by a kwilding pemiit issued in accordanee with the MEnsrresota State Bu[Iding Gode mus�k�e completed within 18D
days of permit issuance. �
X �l���t�el G`���H X ��,�'
ApplicanYs Printed Name Applicant's Signature
Page 1 cfi 3
r,.
� �� �� �A� I�Sf1�l �`" D NOT�WRITE BELOW TMlS LtNE � � � � �-�
� �I , �z
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Famity)
_ Single Family Garage Porch(4�Season) Exterior Aiteration(Multi)
_ Multi � Deck _ Porch(ScreenlGazebo/Pergolaj _ Miscellaneous
_ 01 of_Plex _ Lower Levei _ Pool _ Accessory Buiiding
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
� Addition _ Move Building _ Reroof _ Demolish Interior
_ Alterat��n _ Fire Repair _ Windows _ Demolish Foundation
� Replace _ Repair , Egress Window _ Water Damage
Retaining Wall *�emolition of entire building—give PCA handout to appiicant
DESCRIPTION
��
Valuation ��IAJ ' Occupancy ,��G-� MCES System —"
Plan Review Code Edition -��i/�— SAC Units '�
(25°/a_100%� Zoning /C'� City Water ""
Census Code �713� Stories — Bovster Pump ''
#of Units 1 Square Feet �h�4 PRV '"
#of Buildin�s � Length � Fire Suppression Required �''�
7ype of Construction � Width ��t'
R�QUIRED INSPECTIONS
Footings(New Building) AAeter Si2e:
� Footings(Deck) Final/C.O. Required
FOOt�f1g5�A►ti��tlfltt� � Fin�l!Na C.O.Reqtiired
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _�inal
� Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:�Stucco Lath _Stone Lath �Brick
lnsulation Windows
Sheathing Retaining Wall:____Footings_Backfill�Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
��___-____._.--- Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES ��G /�j�/1�,,y � ��"'�-"��fr �jrt 9D
'7' T
Base Fee /d 3 �.
Sdreh�rge
Plan Review �t?
MCES SAC
City SAC
Utility Connection Charge
S+&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
/ "���, ��1��� �� �" ` ;a�- ���' � `� l ��� �
. ,.
,a �,v ,�� ���tv��
� �,L� ; � ,..--
� � g���� ` �� _
. __.. _
_ .. _ .
. _.
�__. ... ,.
._..._ � ;, t � � ZOi�
. �e.-.,.... .L....1:. ..... —_ -i �� �v �� ^� � ..�� �� �`� �•
(
— P�4t�t.� ' -- E
V-- �,�� ! � i
. _ �� � � �
� - � �`
�
� �ro d�c�. ` t �
i
, ��� �d' E d-,
��� ;,� r� - ___ �p' �
�""�sr. `'�� r� a/7«v1� w.��4f i
<� i �'�
. � �
� � � �(_• N � '
, % � i
' �t � ..�
� .a�_�. . _....._._.__._._.�_. � � .�
�� `
t�— �
,
, ! �
, __ - ? �t ,r , � �
� _..� .__.. La u��- �u.-'�'i a :
�... ! -„9�
� � _-. � ...c.�j g.Jj_..-.�� j
t t j m.
; ..._....___... ...___ .�...� ; ~ F •
} (,��^{�,�.r:� "+�Pz k','ti"v' ��;�� �.�—� � $C! � � �
; � � s r
� � e
) ..._......._.,........� ..�.^-�.-"^� .�,-.—"""'' .�e n r"""4:...?_ . i . 1
/ 1
_r !
� . � � t . ... � �r� ~ ' .� � ...
� � 1 \ � i ��3N . �
, �
� , „. ._., .._2_.. �._,_. ..�_...., ... �.Tk. _. �.�.�.�._...._.. ._-�
Q Y ��*�..c-= . C� '
.�� �� , , � � �
; ����,,�� � �
� q � �}� ` I
�.4:�'
� Y
' 'f a ` f � 1
't':,..�. � . .
e: \� k
f � ��� .X7� � 3 ... �
E � � f �` �^ + �
� . .�� , , ;
; - - � � i
. R�- <� ' � j
`- �� � �~��
't, -����,,�'
� te # � ��
� ���3 .o��!�� g +�}� �I
1 _�. , �� .; �
f ' � �; �
� J.�..C`t �� ; v�; i
, ��' : �
� � ,
!
� � �: �
� �ry �
,
� � yl
1 '�-,
� -� !�,�€� -- ` !Z. �.� .5'3� 3� �
} ._._.�_..�_a_._. ._r_. ___.__. . _. _
_ _. _.�.. �. _ .. ._.__
_ ,
; .. S' E���s��t-�-
,�, .. . .___ .. _ .__ _ _ _. __ __.._ _._ .__._.___ _ ._ ..,�..___.....�_ , ,
,
r--T ��`�t�� --- ' '
�k � � �S�.�
rnF���.� � � K�-E���� �.��.�.�r - �l� �� _
� �,� �,��,,_ ' ;� � I G�lock = '� -����"
'� � r- ��:.a�°; ss.wt c.� �.,,�.,�'��.,
�=� � ,.. _ Srr����''f'�AP o.✓ oy�d�v si� ��/�"�
� � . ' �
� � _ .
. �
� �.
" � �
� �
� �
�. ,,
,
i w�
>..._.;...._.... ..: . ��...:. . , n�
�„ . ... . . . ... ..
��
� � �� �� �
� ,, �
� �� ' � � �
� � �'� � ��* ��
. � �� �'
�
� �
� -
� � �
� � � �
� � � � �
� � �
w
. �,
� - ' � t � �: �
� � � �� �r � � � �
�
� � � � � � � �
� � .�
� � � � a
� �
�� � �
�
��
� �
� ���� � -- � �� •�� � � ���
��' �� � ,� �
� �� � � ��� � � ��� � � �� � � � �
i� i �M 1 '� -ll„
� � ; � �� • � � 1 � + �
� i E� ■ i i yl�.
�r}
� � �
} �
� . . a� 1 .t�4 � �r.�+r ��+ 1 �+'�t �
Date:
City of Eaaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
OCT 1 8 2+J16
r
Use BLUE or BLACK Ink
For Office Use
Permit #: Z " b
Permit Fee: / '67
7
Date Received: t (VI
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Name:
Site Address
Address / City / Zip:
Applicant is:
Owner
Contractor
Description of work: 11,
Construction Cost:
Company:
Address:
State:
Phone:
License #:
If the project is exempt from lead certification, please explain why:
tMulti -=amity Building: (Yes / ..,.,,.......,....»,.,„„,�...,,,,,.e.�...,...�,e,. Gontact.,
City:
P_rtt (Email:
Lead Certificate #:
/ No )
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:
Phone:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered: to be puiblic rtformatron. ,`Portions of x
the.information,maybe classified as non public if you provide specific reasons that would permiitthe City to
conclude that the are- trade secrets •
CALL BEFORE YOU DIG. Cali 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.eopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Bui
days of permit issuance.
Applicant's Printed Name
Code must Ie. pmpleted within 180
Applicant's Signature
Page 1 of 3
/ 2-4D0 N/C1r1 WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Fireplace
Garage
Deck
Lower Level
WORK TYPES
New Interior Improvement
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water Final
�y Framing 30 Minutes 1 Hour
Fireplace: /_ Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
/17 -
Siding
Reroof
Windows
Egress Window
1: 9'
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
-X_ Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings T Backfill Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
EFTS
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140298
Date Issued:12/07/2016
Permit Category:ePermit
Site Address: 1329 Carlson Lake Lane
Lot:001 Block: 004 Addition: Wilderness Run 4th
PID:10-84353-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & 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 -
Michael D Gilman
1329 Carlson Lake Lane
Eagan MN 55123
(612) 840-1520
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178991
Date Issued:09/13/2022
Permit Category:ePermit
Site Address: 1329 Carlson Lake Lane
Lot:001 Block: 004 Addition: Wilderness Run 4th
PID:10-84353-04-010
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Thomas Simota
1329 Carlson Lake Ln
Eagan MN 55123
(612) 816-1849
Podany Plumbing Inc
1218 Sugar Ln
Chaska MN 55318
(952) 448-2709
Applicant/Permitee: Signature Issued By: Signature