Loading...
4276 Carlson Lake Lane N# -_. , ' BUILDING PERMIT APPLICATION CITY OF EAGAN 03 3830 PILOT KNOB RD - 55122 651-681-4675 CQ lla,? 5'31 lo l w I New Constructlon Reauiremants RemadallReoair Reauiremenb • 3 registered site surveys shovring sq, ft. of lol, aq. ft. of house; and all roofed areas • 2 copies of plan ? (20%maximum lotcoverage all(ywed) . 1 set of Eneryy Cakulations for heated addi6ons • 2 copies of plan ahowing beam & w(indow sizes; poured found design, etc.) • 1 site survey for ezterior addNOns & decks • 1 set ot Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservatlan %an N lat platted after 711N3 • Rim Jaist DeWd Oplians seleclion sheet (bWgs wilh 3 or less untts) DATE S-aIZJ-UJ VALUATION !?aCXb. ? JOBSITEADDRESS L/o?7? ?,??-ISOr? IG?10n4, IF MULTI-FAMILY BUILDING. HOW MANY UNITS? 19114 PROPERI TYPE OF APPLICANT J/4 ADDRESS _ q 7__ PHONE# CIS?-y?3?-/1c70 CODE 55'/?Ll PAGER # CELL PHONE #?'.So7- N3l-1676 /? FE?x # ci?`v2-4%31-15- NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Eneryy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet 5ubmitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet 5ubmitted Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: Air Conditioning _ Heat Recovery System All above information must be submitted prior to processing of application. Fee: $70.00 Phone _ I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply with all appiicable State of Minnesota Statutes ond City of Eagan Ordinances SlgnafureofApplicant ? RESIDENTIAL _ Water Softener _ Water Heater _ No. oF Baths Phone #: I,awn Sprinkler Fee: $90.00 No. of R.I. Baths Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1l01 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 OS-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck p 17 10-plex ? 19 Lower Level ? 12 12-plex Plbg Y or _ N ? 20 Pool ? 21 Porch (3-sea.) 1?10 22 Porch/Addn. (4-sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Miscellaneous • . ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi p 31 New O 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bidg only) - Give PCA handout to applicant Valuation v 0-D/)/J aa? Occupancy )Ie- 3 MClES System Census Code ? Zoning ? ? City Water SAC Units Stories Booster Pump Nbr, of Units ? Sq. Ft. jpO PRV Nbr. of Bldgs Length as Fire Sprinklered Type of Const .J ` W idth REQUIRED INSPEC710NS Footings (new bldg) T FinaUC.O. Footings (deck) FinaVNo C.O. ? Footings (addition) Plumbing Foundarion HVAC Drain Tile Roof _?o Ice & Water W Final Other ? Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final F'ueplace _ R.I. Air Test Final Siding Stucco Stone ? Insulation ? Windows (new/replacement) Approved By GG6 , Building Inspector Base Pee 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 ?3 .OD E m a G d ?O ? gf p GO ?r / CITY OF EAGAN WATER SERVICE PERMIT 3795• 9ilot ICnob Road PERMIT NO.: Eagan, MN 55122 DATE: Zonin9: No. of Units: Owner: Address: Site Address: - I Plumber: Meter No.: Connection Charge: - •. '?n • Size: - Account Deposit; I Render No.: Permit Fee: -- ? ? = { ngree to eomply wiH+ the City of Eagan Surcharge: Ordinances. Misc. Charges: Totol: ! BY _ Date Poid: Date of Insp.: Insp.: SEWER SERVICE PERMIT CITY OF EAGAN 3795'Pilot Knob Road PERMIT NO.: an MN 55122' Ea DATE: , g Zoning: No. of Units: Owner: Address: - Site Address: Plumber: --_-- 1 ogree M eomply with the City of Eagan Connection Charge: • Ordinantes. Account Deposit: R.. Date ot Insp. I nsp.: Permit Fee: SurCharge: . • ?,? . Misc. Chorges: Total: Date Paid: CITY Of EAGAN ` 3795 Pilot Knob Road Eogan, Minnesota 55122 Phone: 454-8100 ' - PERMIT Date: t-)pi? 25, 1977 No £3 ?}7 . Receipt No.: Singfe ? Residentiol ? Site Address: 1276 I-arlsun L'ake Tane Lot Block rSub/Sec WR 5th Multi Res., Comm./Ind. I Nome Ti3 sen ?tor.:es, Inc. New/Alter./Repair. ? } Address Cost of Installation O . P3u1 -?,• _ ?.,, City Phone: Permit Pee -•?.zis '.'. PQter Co. • `? % ` Name ` Surcharge ? Address 1854 Grand Ave. e ? C?? ='r . P3u1 55105 Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building flfficial CITY OF EAGAN - `3795 Pilot Knob Road Eugon, Minnesotc 55122 Phone: 454-8100 t?'EATING Date: 7+pril 25, 1977 PERMIT Site Address: ?M Carlson I.ake Laite Lot Block _ Sub/Sec WR Sth Name q r27 :=ne] linc? Ave. 3 Address O v City St. Pdul Phone: Name A. 3incier & Sor. .. ? Address 0 But1 F r _-,t. ? 0 v :•est St. Pau1 City Phone: This Permit is issued on the express condition that oll work shall be Minnesoto Statutes and City of Eagan Ordinances. No 8713 ,'?3 Receipt No.: $ingle Residential Multi Res., Comm./Ind. I New/Alter./Repair Cost of Instollntion 2n.00 Permit Fee .511 Surcharge . ^.5n Tota I done in occordance with all applicnble Siote of Building Official CITY OP EAGAN . 3795 Pilor Knob Road Eagan, MN 55122 N2 4262 PHONE: 464-8100 Receipt # BUILDING PERMIT 14 $itC Lot i. '- Block ? Sec/Sub. t4l 5th Parcel # a? Nome •••°?•• ??aru.ea aua.. 3 Address 627 So. Snel 1 ing Ava. O . T__.• 0? Ncme Ti lsFrt iIrnnF•& Tnr. 0 ?a Address ~ - ? F tt?.. DF..,.,o Erect [3y.; Occupancy Alter ? Zening Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Approvals Fees Assessment _ Woter 8 Sew. PoliCe " Name ? w Fire Address Eng. Q W Ci Phone Planner Council I hereby acknowledge that I hove read this opplication ond state that gldg. Off. the informotion is correct ond agree to comply with all upplicoble APC State of Minnesota $tatutes and City of Eogan Ordinonces. Signature of Permittee -Tu A Building Permit is issuad to: oll work sholl be done in occordance Building Official Permit Surcharge }?• ?t? Plan check SAC _ ? t)!) Water Conn. Water Meter Totol i' gI • on the express condition that e State of Minneseto Statutes and City of Eacan Ordinonces. ?w # DaM Iwued hewlllw Plumbing 1:'7 ??,.5/y ' , ?,,? dw _Mechonical ? y 9 /.;2.-S'7 . INSPECTIONS DATE INSP. Rouph-In Find Footings ? Oote lnsp. Date Imp. Foundation plumbinp -b?5" 7) Frome/ins. _p5__2 7 Methoniool Finol a't 0' 7 ') Remorks: CITY OF EAGAN Addition W11d2I Remarks on Lot 11 BIk 6 Parcel 10 84354 110 06 4276 No. Carlson Lake Ln. ?*,*o Eaganr MN 55123 Improvement Date Amount Annual Years r Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 $132.60 $6.63 20 99.45 7-18-77 SEWER LATERAL WATERMAIN WATER LATERAL ' WATER AREA 1 149.34 C003435 7-18-77 STaRM SEW TRK 1 98 1 998 1 7 1988 1 198.82 A015574 (j- -8 STORM SEW LAT - - -1 - ' CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 #05615 4-11-77 BUILDING PER, SAC 475.00 # PARK } crrr oF EncaN 3795 Pilot Knob Road Eagan, MN 55722 N2 4262 PHONE: 454-8100 BUILDING PERMIT APPLICATION $37,000 Receipt # 5615 To be use8 for Sitlg. Fam W. GBTg, Dote igTi 1 11 , 1 9 77 ._ Site Address 4276 No, CarlSOn Lklce Lri. _ Erect ?g Occuponcy I Lot1.l- Block_6L Sec/Sub.WR 5th Alter ? Zoning Rl ParLel # Repair ? Fire Zone _ Enlorge ? Type of Const. V w Name Tilsen Homes IriC. Move ? # Stories 3 Address 697 SpSnallin__ oa_.AVe, Demolish ? Front ft. ? Cit St, Paul, Phone Grode ? Depth ft. ? N Ti 7 ecn H c Tnr APProvals Fees p ame NM Z? n u? Address ? Citv Phone Name _ Address I hereby acknowledge that I have read this application and state that the ininrmotion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagon Ordinances. Assessment _ Water & Sew. Police - Fire Eng. Pbnner _ Council _ Bldg. Off. - APC - Permit """" Surcharge 18.50 Plon check snc 475.00 Water Conn.?30.00 Water Meter _.60...B0 Torol $91.50 Signature of Permittee - -- I n Hpmes Inc, A Building Permit is iss?to: on the ezpress condition that all work shall be done r ccord nce with o K ble Sta f Minnesota Statutes ond City of Eagan Ordinonces. Building Official ?N- ?(;- . jP'4;L(vy Date: BUII,DZi7G PERMIT P..£PLICATIO_d LOT l? HLOCK C/ ADDITIOiJ (i1/.fi/l °AiirEL & SL•'CTION P]CiHRFR 2F iTiTP7.ATTF.iI ISDUR,F,$ 7.OS3I_'G SZ'LMF,.iED CO? .• y_ B r ??'T=i''? U?Z -jZl- grv? TELEPHONE N.0 k1.DIJ&ESS ApS'1P-PSS TELEPHONE :TO. 'tdote: Include si.te plan, building plans, and enerqy calculations mith t!ii.s anplication Signed A-r- C:PTCE USE V_x1Li7?1.t70i? LY (/a ? ? 5AC S'L'liE:2 C0;:7itEC^20"tl 11ATEIt h9LTER BUILDSNG PERl3IT F?iF,' uIIRCHAItGL^` FEE FLt1Y7 CF:P.CK FSE PAFtIC DEDICATIOid PEE ? v ?- _ /37 7 OTF:ER TOTFiL* FSPPP.OVIILS: ASSESS+lE`i!T CLEPSC BUILDIidG DL`PT. POLZCE DEPT. !^]A1'ER & STiF)ER DrPT. FI'2h' DrPT. P11RK DEPT FOR TYPEWRITER OR HAND USE m WILL FIT WINDOW ENVELOPES FLFF ORDIR h;wl M?, OUICiC-LETTERSGETAN5WER5FASi USETHEMFORPkOMPTREPlIE51 ...o.,.r-o:..«........o.......o..,.w. Tilsen Homes, Inc. 627 SOUTH SNELLING AVENUE ST. PAUL, MINNESOTA 55116 PHONE: 698-5501 1 SU6jeCt Date oi 1912 Message oL& ? (?(a???C,D'yZ,Q Q'i'Yl? J G?ea ?m . 4'jc 76 ?Z QA&aL7U i .? ? PLEASE REPLY TO signed Repty Signed Date Form No. QL3 SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNED WITH REPLV _ OETAC01 HIS P-Y -RET9h%l-FU"NSWER 552; S05 G t?L U r:c rA? f S1. P:%1.'L, Mi??"i?c!07S•?116 , T?J fTL?r? ?_i . . .-r , l•. . : i 1.1? „ .-( ?' r-:.s:= _: 5ubject ? ' -- ' Date Mes.Sage ,y ! f ? `? ? l S ,1 ' t ? : `,? , r , r , ! .?• 1r' ? (y' •?ti y / r , / . /1 vU-1 PLEASE REP4Y TO ? Lol_'7 Cf - CL 2 y&l SiQnod .??,A P , , Reply Signed Date Form No. QL-3 SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNEO WITH REPIY PMz!?N ApL1f'?7-71 ` - RETURN THAS COPY TCl SEMIlER ? ti a z' ? ?i d S 2 ci' ? .Aa?rr uNE Q f ' .eTY L/NE ? ? ? ? ? L ? SS?? 3 ? LoT ? ?Wdbl-/Wtall B ck [T] I ?.c..c?,i rK:oNT'_P2ai!Fr9ZTY ,.LI.NE Q 4- LOT -P L A'N ? C4TY OF EAGAN 3793 PILOT KNOB ROAD EAGAN, MINNESOTA 58722 Uecember 12, 1976 PHONE 454$100 ?i Tilsen Homes 627 So, Snelling Ave. St. Panl, MN 55116 3es Variance Lota 6 thY-u 17 Block b Wildarneae Ruxi 5th Lot 1 Block 3+,Ilderness Run 6th Dear Sirs: E.hclosed for your attention is a copy af the minutes of the Advisory Ylanning Cwmnittee and the Eagan City Council approving a frcnt yard setback variance from 30' to 201 on the above mentioned lots in Wilderness Run 5th and 6th. Very truly yours., (rTrs.) Alyce Bolke C2wk - City of Eagan Encl. AB/cjb at, Dale Peterson ?i a /o - / 9 - 76 PERMIT City of Eagan Permit Type:Building Permit Number:EA115337 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 4276 Carlson Lake Lane N Lot:011 Block: 006 Addition: Wilderness Run 5th PID:10-84354-06-110 Use: Description: Sub Type:Reroof & Siding 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Christopher J Parker 4276 Carlson Lake Lane N Eagan MN 55123 Exteriors Of Excellence 4580 Scott Tr Suite 204 Eagan MN 55122 (952) 239-0560 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154833 Date Issued:04/15/2019 Permit Category:ePermit Site Address: 4276 Carlson Lake Lane N Lot:011 Block: 006 Addition: Wilderness Run 5th PID:10-84354-06-110 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 - Christopher J Parker 4276 Carlson Lake Lane N Eagan MN 55123 (507) 317-0520 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature