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1246 Carlson Lake Lane INSPECTION RECORD li I t 1E NEB CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: + r, 1 W t+ ! i H (612) 681-4675 SITE ADDRESS: APPLICANT: ;!ll l i J PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone & ELECTRIC PLUMBING HVAC II Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL S' INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 'ill I t I W'' r 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 57 ~i i. << it I SITE ADDRESS: 1111 -.1 APPLICANT: I I I 1M 1 0 r 1 ANI I i11 ~l1 'AIN', IN, tiI IA11 1•III . . rn10 PERMIT SUBTYPE: TYPE OF WORK: i I 1; I~ f G r f i•{~ I ( rr ~ 1 INSPECTION INSPECTION TYPE DATE INSPTR. I ICI I i Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST - BLDG FINAL BSMT R.L - _ i BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks 5o r /l Addition I WILDERNESS PARK ADDN. Lot Pt. 2 Blk 3 Parcel 10 84250 022 03 Over G `i1r Street ,ZiYo State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 437.85 43 - 78 1 262.73 A008935 3/10/80 STREET RESTOR. GRADING SAN SEW TRUNK 1973 88.03 4.40 20 52:83 A008935 3/10/80 SEWER LATERAL WATERMAIN WATER LATERAL 1972 227.17 15,14 15 90,91 A008935 3/10/80 WATER AREA 1977 80.00 5.33 15 58.68 A008935 3/10/80 STORM SEW TRK / 1981 128 40 B-56 ]5 129-40 COOS433 6.11 0-IRO STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Additio Wilderness Park Lot 3 elk 3 Parcel 10 84250 030 03 Owner ` k1,NjC,jjk ( )L- ! Street 12 .6 Carlson Lake Lane state Eagan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1977 875.70 87.57 10 525.42 A008936 3110/80 STREET RESTOR. GRADING SAN SEW TRUNK ~W 1973 1 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA P ID ER WATER CONNECTION -?/"6 STORM SEW TRK 1981 234.26 15.62 15 234.26 0005433 6/1 /80 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 320.00 230 2-19-76 PER. sAC 1150.00 2306 2- PARK VILLAOEOF EACAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 1937 Eagan, MN 55122 DATE: 3/29176 'honing: RI No. of Units: 1 Owner: n+II-tjj90D_00ngtrQCt_10n Address: 1246 Site Address: 12411-Cxslnon_take in. B3 WR PK Plumber: -Blaylock-ltpebin4_Co. Meter No.: y `5 l7 -7 Od ~ Connection Charge: 320. 00 Size: Account Deposit: Reader No.: 3 Permit Fee: 10.00 Pd. 1 agree to collyl ~ith the Village of Eagan Surcharge: • 50 Pd Ordiiwn yr / Misc. Charges: SQL00-d BY Total: Date Paid: Date of Insp.: Insp.: VILLAGE of EAGAN SEWER SERVICE PERMIT 3795 hl;t Knob Read PERMIT NO.: 2694 Eagan, MN 55122 DATE: 3/29/76 Zomng: RI No. of Units: l Owner: non Olson Dons *++n♦isyl Address: Site Address: 1246 Arlgon ak Lgne 1,3 B3 1M PR Plumber: _ Blayl•OCk Plumbing CO 1 agree to comply with the Village of Eagan Connection Charge: 450.00 pd Ordinoncm. Account Deposit: Permit Fee: 10-M) nd Surcharge: • 50 pd By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CIiI.CF EAG!N la Mwo O3U D 3195 Pilot P'nc o Hcad Ll1d~i~ 5, "~122 P ",TL 1VJee~ The City of Ewan hereby grants to Blaylock Plumbing co. of 7731 - 4th Ave. so., Richfield 55423 a PLUMBIM Pcn-ldt for: (owner) Don Olson Construction at _ 1246 Carlson babh Lane , pursuant to application dated 3/25/76 Fee Paid: $20.00 dated this 29thday of !'larch jq 76 .50 s/c Luilding Inspector P''•.echsric..aj_ Permits: Bid Total: o 03 l0 ~44.~5'6 WP.- / CITY OF EAGAN 37:5 Pilot Knob Road Eagr-n, Minnesota 55122 PERMIT NO.: 63 The City of Eagan hereby grants to Commers soft Watei ro- of 3801 California St r' F. a Water Softener Permit for:' (Owner) Larry Pmstut at 1246 Cadson Take Lane pursuant to application dated R/I112C. Fee Paid: $5.00 dated this 1G day of August , 19 7t. .50 s/C Building Inspector Mechanical Permits: Bid Total: 5 `fo47 SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 (952) 881-9000 TEST RECORD ADDRESS ~°~y'rO CArGSO.~ G,~+ke L.gNe~ CITY r A OCCUPANT To b E tj rry IFu L L e- J OWNER SOLD BY INSTALLED BY d~11~.~1L1.. i I, r3 E R it '~J MAKE LENUD2X ~2J TJ MODEL Q,QCr60LIi/~f}J-~'13.G3- O91t'3' r~ III ~AN ~~ZJ~4 I~~ SERIAL NO. 51?<), INPUT -~1 +,Ivf II~1 G f ~ ~uu THERMOSTAT o 00 VENT SIZE P In.' TYPE OF LINER VALVE _~A~~~~ LIMIT/h~ LINER SIZE ~n t LIMIT SETTING V FILTERS: SIZ~E h ^O 0 ~__,p~/~NUUMMBER r FAN SETTING Tl/YYI~y-~ WIRING tillt0 ~A, `-""-I PILOT TYPE TEST TAG IGNITION MODEL LIGHTING INST PILOTTIMING C 2- "O3 2 )J / A W. 'q PERCENT C02 O`b DATE TESTED PRESSUREa' INPUTCFH ~!y.2 PERCENT 02 ~a b COMPANY TESTING STACK TEMP. PERCENTCO NAME OF TESTER FORM 2M (REV. 11/89) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPYCITY RESIDENTIAL MECHANICAL _t30 Permit Application b-a City Of Eagan W-5 ~q Z 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit Date 11 Site Address_ A) I/ Unit # Property Owner Telephone # ( ) Contractor -•^nb P AM ?r,e Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is Owner Contractor Other Add-on, modification or alteration to existing dwelling unit $ 30.00 v" furnace replacement _ air exchanger air conditioner _ New be***' Replacement C'i'tL oL lL~ other b~ State Surcharge D r~ (T1111 $ .50 IS ll I~1 C ~ ,uu, Total $ B I hereby apply for a Residential Mechanical Permit and acknowledge 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 the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN JJJ 3830 PILOT KNOB RD, EAGAN MN 55122 S 651-681-4675 New construction Requirements RemodeflRegair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan It lot platted after 711193 `tQ Ci Lp • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) i ~ Da K b . 3a T DATE VALUATION SITE ADDRESS Z Y~ (G(f~~ S w! /~P [Q /y e MULTI-FAMILY BLDG _Y _ N TYPE OF WORK ~--f -,oe ~Igf FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT- U2°/~~ PlLL+~ STREET ADDRESS CITY STATFA6 ZIP-('T37 7 TELEPHONE # CELL PHONE #6/2 FAX # PROPERTY OWNER TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 _ MINNES A.RIJLII-I~.SS-17~~~2(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted N r~gyol~ N~prlis~ne~itted • Energy Envelope Calculations Submitted I_ °J SEP 1 9 2002 IV' Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler By- _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # 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 Ordina Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 ~ ?g eo 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 651-675-5675 FAX # 651-675-5694 6 ~~~{{Q~I ~~,~~e~~pppp flew Corstrucfion Requirements RemodeVReoair Requirements DECD 3 registered site surveys showing sq. ff. of lob sq. fL of house; and all mofed areas 2 copies of'plan showing footings, beams, joists Cart of Survey Recd _ Y_-- N (20%, maximum lot coverage allowed) t set of Energy Calculations for heated additions Tree Pres Plan Recd, - Y - N. 2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree P,res Required -Y - N S set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System:- Y ; -N 3 copies of Tree Preservation Plan if lot platted after 7/1193 - - Pint Jost Detail Options selection sheet (buildings with 3 or less units) - Pdinnegasco mechanical ventilation form - Dateb /o 3 / pbd Construction Cost 0sj, Site Address l4i~,~-4,~,}y„ Q) Unit/Ste # Description of Work 66-ea- Multi-Family Bldg _ Y ~1V Fireplace(s) _ 0 _ 1 - 2 Property Owner 446A e, a Telephone # a 3fl I (Z Contractor vy~ Address -Kyk City State r- Zip .Ssf3 ? Telephone # ( a) - ~ 20 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 (-J submission type) • Residential Ventilation Category I Worksheet New Energy Code Worksheet Submitted Submitted • Energy Envelooe Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Nlecl-anical Contractor Telephone # ( ) Sewer/Wafer Contractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge 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 the State of NIN Statutes; 1 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 approv plans./ Applicant's Printed Name Applicant's Signature TT PERMIT ' VTY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031979 (612) 681-4675 Date Issued: 05/08/98 SITE ADDRESS: 1246 CARLSON LAKE LANE LOT: 31 BLOCK: 3 WILDERNESS PARK P.I.N.: 10-84250-031-03 DESCRIPTION: Bidl.~!d~t.~ermit Type DECK _ ui'}inc Y~k Type NEW Census Gcdr 434 ALT. RESIDENTIAL ~ r ev' ~ r c y _e tr * x p m h t tr aa~n~%t IV C-3 1E C'=' 4: REMARKS: PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 1 CONTRACTOR: - Applicant - ST. LIC OWNER: DEMART CONSTRUCTION 14329148 2008972 SCHLICHTING KARL 7361 UPPER 157TH 5T W 1246 CARLSON LAKE LN APPLE VALLEY MN 55124 EAGAN MN 55123 (612) 432-9148 (612)454-5221 „ w ~ si , ve ni 5e s cc Y s§'.m ^.aBU. sige erg aa.3t' ,.rt snak xtu~r xi t- .3 n _ s s x rq"atir r.~a ut. F gtri # e~~ in~zlgit~on `is cttrreeCn4rCeemleth~rspa1$j e e t n is xL s c t ire t s e e!'~.1't$$n d'r+y- Q°^BC.i°-A`fin{n,4 $s^i i ''sx" as=n r i' a e~ a :u" °""''ems [tart x x`3 "re rl. 1 fi v_ ; E S ^ t G L$ 1 NF FL &.,.v a N F UAYC `''fi'g' 'tF k ? .4 .i ttlAfl eN.Y*t. _F „i ~<A W!- L. a3v fl l r. •dua~Mr. ~(~IL _...i Le v rnd mar R,;~ 11-49 APPLI ANT/PERMIT E SIGNATURE ISSUED Y: NAT R 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PELOT KNOB RD - 55122 9 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: ~ S-`~8 CONSTRUCTION COST; x Oo DESCRIPTION OF WORK: AlevJ DeCg STREETADDRESS: %~46J ~~I2G5ni✓ L.eZSSi° Lcr.~~ LOT: BLOCK: SUED./P.I.D. ^ruI 16,41a1L pfhk Name: JCL] GiC6fr~N(/ KAieL. Phone M 4.s4 - PROPERTY Last First OWNER / Street Address: / Q(z /.t/ ed?.Vt5e w LAXe a v*W City _ l,~is✓ State: Zip: 537,0.3 43Z-g~15(- Company: eJ vvigQT Caw Smote~cY~o+~ Phone t CONTRACTOR 3~$II9Q G.ICQ/ Street Address: 73(l 6C,441©C/L / 5'7 rj! Sr w. License `s 0700 $~7,2 Z City ~Dt~ State: &I Zip: .5 l ? l ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ° - OFFICE USE ONLY D Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Requ I ld¢G W. C.4R,~se,v L..slse L,9~ve. I C•s~uC,IbG . ~e dSe'i, ~ Z eZ.o , Q S- ~ I 3s, A/• CA&"d "we 4*we, r PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 028109 (612) 681-4675 Date Issued: 06/28/96 SITE ADDRESS: 1246 CARLSON LAKE LANE LOT: 31 BLOCK: 3 WILDERNESS PARK P.I.N.: 10-84250-031-03 DESCRIPTION: (ROOFING) ,Building.-,.Permit Type STORM DAMAGE ;'Building Work Type REPAIR Census Code 434 ALT. RESIDENTIAL f" } REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - ST. LIC.OWNER: TABOR & SONS INC 17891902 2001424 SCHLICHTING KARL 3716 ST FRANCIS BLVD 1246 CARLSON LAKE LN ANOKA MN 55303 EAGAN MN 55123 (612) 789-1902 (612)454-5221 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 Min. Statutes and City of Eagan Ordinances. L_ ~(1B ~`P~'1 Ih APPLICANT/PERMITEE SIGNATURE ISSUED B SIGNATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 iol 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ t energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: - Yes _ No . DATE: - C2 - qG CONSTRUCTION COST: DESCRIPTION OF WORK: BEET ADDRESS: LOT o3I BLOCK SUBD./P.I.D. PROPERTY Name: Phone.#:VS V SZ 2 OWNER Street Address:-,j I/ e-' Of h 2 _ ' ^'L City: State: ::j&'4 Zip: 2 T6' hor- CONTRACTOR Company: 6Z4 v~.~-e' Phone 31x1 /97 Street Address: ~`~/C u e=-~.-ULicense ~do~ y L? City: G~ State: Zip: ARCHITECT/ Company: Phone M ENGINEER Name: Registration Street Address City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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. Signature of Appiicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No v CITY of EAGAN N2 _3838 BUILDING PERMIT 3795 Pilot Knob Road Owner 1J,0..1 .........0....1..5.P.1iC................. Eagan, Eagan, Minnesota 55122 Address (present) ..:7...:3_ld.....Ci..X.'1./~!:...... /.."S..Gf. _ 454.8100 Builder .........i..52..{.~9.:.1' Address DESCRIPTION Stories To Be Used For Front Depth 'Height l Est. Cost Permit Fee Remarks b1ctP~.f RCr{ tPa S~ I y6 9L4;6 g 5 LOCATION Slreel, Roed or other Description of Location i Lot I Block I Addition or Tract /9-v4 4 Ccz2D ~A.~o~ 'i 3 3 ~JI(F,r7ruP5s guA/lik This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN, PROGRESS. r This is to certify, that... 00.dll.... :..........................has permission to erect a.... !A..y~...:T..i?/ .......1 Qes........... _Upon the above described premise subject to the provisions of all applicable Ordinances for the Cif}. of Eagan. .........IT:....G'-../. rv......_.... Per Mayor Building Inspector 3 gpB-4p L._TL: BUILD NIG P 'I.IT JUO i,IC3.T-C17 CHECK Lot_,,S-_ Block _ Addition PSS AIa~ Parcel and section ruriber Street Gt ~s02 /,q Nti rber _ Owner f Address Developer 124~- r~Ad u 2ss 370 4 A n Telp--_.. Zone-Ordinance 52 Lot Size fe Y._ /47 Total area Platted- I/ e S Unplatted 7✓D~~u c ~d A a~ yar i Building Size IgV4 % Sys Toi;al area Occupancy 17c J q CSC Type of construction `s r e'r-a jo oO Setbacks: Street sides 92 7fl Rear Sides 4' Parking: Total area l Total spaces - Parking area setbacks. Street side Rear Sides Landscape approval Bond required- Special Assessments: SAC charge ~ C $450.00 Water area: Assessed Unassessed If assessed: Connection charge If waassessed: Connection ch=ge 3~D a~ Lot division- re y S/ Additional assessments needed Not needed Laterals: Assessed Not assessed Waiver of hearing: Needed Not needed Assessment elk Water & Sewer Dept Building Dept- Police Dept Fire Dept (Comm • Ind only) 3 g • 3 9c~. alp - ~a 26~ Yv j s4 I r ~ r'1 r4-4 Lo-r 3 Mock 3- WILdervess RS)J- PARK-- ' JJJ MASTER CARD LOCATION 3 W /1 OWNER )Dd5 /O /.SON (~dQI/ I^ STRUCTURE AND LAND USED AS Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING O I /ti GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING • TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING _ OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING 3~6-7L-~L WELL SANITARY SEWER Violations Noted on Back COMMENTS: l 42 of 90 Use BLUE or BLACK Ink Ir Fnr Office Use I -I I ' l I 77 I Permit C --~--4 v I City of Eajan I Permit Fee: 9o. C) o , I 3830 Pilot Knob Road RECEIVED I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 NOY 2 9 2010 Staff: Fax: (651) 675-5694 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _ l Id - Site Address: CCU C- Iso L am La- ► Tenant: Suite RESIDENT I OWNER Name: V h. ~h Phone: I ~ y Address / City l Zip: 1 2 -l 6~ C-101 C-' `J ©rl Cl'L SL L .O Y~ Q_ Applicant is: Owner ~Xl Contractor ° o e1C i TYPE OF WORK Description of work: -eq*r doors Cost: C Multi-Family Building: (Yes /No co o e CONTRACTOR Name: U~<yN.aca"n License#: ac) LA 9 / Address: 990 Lin r1 e. Qcxy Cd f~' Y city: lea 0, + Zip' I I Phone: 1/0 State: Contact: lv'~{ o Email. 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 tf yes, date and address of master plan: - Licensed Plumber: Phone: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. :.all 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. wwrvu Qooherstateonecall.org permit, ll be in c conformancstart a itwth ordinances perm t; ahat codeworks of thve1City of I' hereby acknowledge that this information is complete and accurate; that the Eagan, that I understand this is not a permit, o only a application accordance with the approved plan in the case of work which requires a review and approva of plans. C S mies~ X~ X rat Applicant's Printed' ame Applicant's ' a ure Pa of 2 Use BLUE or BLACK Ink ~ For Office Use 1 Q I j Permit City L US~ I of Eap I a I Permit Fee: I 3830 Pilot Knob Road I Eagan MN 55122 i Date Received: Phone: (651) 675-5675 j Fax: (651) 675-5694 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: r 5 Phone: Resident/ ~c Owner Address / City / Zip: /.;2 LA445el ZA** Applicant is: Owner Contractor Type of Work Description of work: ;a ~~J' Construction Cost: W zoo Multi-Family Building: (Yes / No ) Company: 2KD ~2toeS /o~G Contact: LAlC~r Contractor Address "'i& city: State: Zip: Phone: 7a License Lead Certificate SO If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 oopherstateonecall.ora 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 Building Code must be completed within 180 days of permit issuance. x h RnICC X02-ew,4 s-- Applicant's Printed Name plica , ' i ature Page 1 of 3 Use BLUE or BLACK Ink �----------------- � For Office Use � • I I RECEI`JEf� j Permit#: �� /��� I �Ity of���a� � ��. �� � � Permit Fee: � 3830 Pilot Knob Road ���„ �2 a�}1� I I Eagan MN 55122 � Date Received: � ��� � Phone:(651)675-5675 I ,/]l.Z i Fax:(651)675-5694 I Staff: i7` i i �---------------- 2014 RESIDENTIAL BUILDING PERMIT APPLICATION " � -I� . �J I ' L—�r � f�" � I Date. y � rlTV IS�Address: �� t V � �-S�L �1"- 4'� Unit#: Name: �S2('/'� I.,� C� � I (,/✓� Phone: ��Z� ! I� �Z.3 Res�dentf ¥ ' Owner,` ' Address/City/Zip: I_2� � �- r"� SG�.2 �� ��. Applicant is: �Owner Contractor � Description of work: �� l�/ ��_(�� Type of Work , � Construction Cost: � V �� Multi-Family Building: (Yes /No X ) Company: -Q_ � � �'� Contact: � c�� COFItP�GtOC v Address: (�l Q G l'� �S`f- �ity: /-l't�� VG�i�.� � ��_ � � �' State:�ip: S.� f Phone: `� Z� !�Email: � �..: ., License#: � Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) s ' 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: Sewer&Water Contractor: Phone: � ��� � �� � � � � � NQ�`E Rfans and�sup,�o�rfenc�a(octf,rne��afsef�►a���u s ��Ertif are�orrsraler��c�t;a��b�p�ribl►e►r�.�orm�`�`irr���`�rtrca Qf �� ;:the mformaf�ar�'ma �e cfassifieaa��`�'s%nv� ub/���� � �,� � '� � � !� P Y��l�rovrtle spe�rfrc reasc��sg#�hat�c��t� ����e�i�y��� '�., � '� ��, � _��o-= �',�.�'a'% 2; '' [ .� r`. 3:ai`��'s�' ���. ;�'a�,'�'°��,�`'L���t� �R {}� 3,��,�� ��� ��i::� � ,....., ��...;�. ..;�..._�, �;,�.. ,.�:�� c�an�l�d'e���ra.t,ftr� ar���aal'��e���#s . ,�������:��...,...... � .: m ,�;�... 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.poqherstateonecall.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,,Buildi od must completed within 180 days of permit issuance. X ��r � � l � �-- X Applicant's Printe Name ApplicanYs Sign ure Page 1 of 3 . , i a �� ��-�� ��- �--� �� ���� DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration(Multi) _ Multi �Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* �Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation �'� Occupancy � MCES System Plan Review Code Edition SAC Units (25°/o_ 100%�) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls o,� Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review �,,,,, MCES SAC ' l� � City SAC Utility Connection Charge S8�W Permit 8�Surcharge � � � �,, Treatment Plant ��� � �� -' � � ��,�, Copies � TOTAL Page2of3 , � ' �� . � � . .�. r � ' �» � / � �� ' �' • Ili ��,) �� � C_ � �A � � � � � � � :� � � < � � � . � c- _ � � � � � �� �� -..� `� ,, , � � � - � ,�rew z�� � , � �.aG.4�r�' _,_,_. � � �s � � �� � o _ . �. . � 4�� � - -- -- - - --.... _._ ._._.. .. , . . , . PERMIT City of Eagan Permit Type:Building Permit Number:EA127662 Date Issued:10/09/2014 Permit Category:ePermit Site Address: 1246 Carlson Lake Lane Lot:000 Block: 003 Addition: Wilderness Park PID:10-84250-03-031 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description:wood burning insert - not a gas insert Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Robert D Bullen 1246 Carlson Lake Lane Eagan MN 55123 Twin City Fireplace 6916 Washburn Ave S Richfield MN 55423 (612) 282-2684 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132025 Date Issued:07/21/2015 Permit Category:ePermit Site Address: 1246 Carlson Lake Lane Lot:000 Block: 003 Addition: Wilderness Park PID:10-84250-03-031 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 - Robert D Bullen 1246 Carlson Lake Lane Eagan MN 55123 (952) 994-6216 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature