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1299 Carlson Lake Lane PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA081322 Eagan, MN 55122 . Date Issued: 12/03/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1299 Carlson Lake Lane Lot: 001 Block: 005 Addition: Wilderness Run 4th PID 10-84353-010-05 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Kevin L Erickson 1920 County Road C West 1299 Carlson Lake Lane Roseville MN 55113 Eagan MN 55123 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA091894 Eagan, MN 55122 . Date Issued: 11/04/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1299 Carlson Lake Lane Lot: 1 Block: 5 Addition: Wilderness Run 4th PID 10-84353-010-05 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Angell Aire Kevin L Erickson 12253 Nicollet Ave S 1299 Carlson Lake Lane Burnsville MN 55337 Eagan MN 55123 (952) 746-5200 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. Applicant/Permitee: Signature Issued By: Signature Ctx`F OF EAGAN WATER SERVICE PERMIT . 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: - Zoning: No. of Units: Owner: _ Address: Site Address: Plumber: _ Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAdAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: - Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: BY - Misc. Charges: Dote of Insp.: Total: Insp.: Dote Pold: CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 53122 Phone: 454.8100 PERMIT No. Date. Receipt No.: 1"9 .:arlson Lake La~.e Single I r: Site Address: Residential 4th Lot Block Sub/Sec. Multi Res., Comm./Ind. Name .'iisen New/Alter./Repair. 3 Address ;iL(--- lCost of Installation C City Y aU l Phone: Permit Fee _ ` Name ,lph's Plbg. Surcharge Address Keswick Qe City Phone: TotoI 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 Official CITY OF EA"N 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 i - PERMIT No. 1 J DateJune 12, 19k3 Receipt No.: 12-» CdYi3OT !,a'-.(-. !,anf? Single Residential Site Address: Lot ~ Block 5 Sub/Sec. }Multi Res., Comm./Ind. ~ Nome ^.P°~1 New/Alter./Repair Address Cost of Installation St. L'aul 2~, . 00 City Phone: Permit Fee - A. Binder & Son Tric. .50 Name Surcharge Address City 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. f Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55121 N2 4859 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date , 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. W Name Move ❑ # Stories Address Demolish ❑ Front ft. zft. City Phone Grade ❑ Depth Im Im Name Approvals Fees 0 uu Address Assessment Permit _ City Phone Water & Sew. Surcharge Police Plan check W Name Fire SAC 1z Address Eng. Water Conn. <W CI Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: it 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 Off iclal Penek # Deft lowed ►sittee Plumbing 9 S~ 8- /S C t'f►'~ e~ Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Irup. Date Insp. Foundation Plumbing • 3. 9 Frame/ins. Mechanical •3.7 Final Remarks: Qc~ ~ J Ir CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY On Site Sewage Occupancy Lot I Block Sec/Sub. MWCC System Zoning Parcel No. On Site Well (Actual) Conat a Name City Water (Allowable) W PRV Required # of Stones z Address o City Phone 0- Booster Pump Length Depth p Name S.F. Total z Address Footprint S.F. P City Phone APPROVALS FEES a W Name Engr./Assess. Permit Planner Surcharge _ = z Address U Z City Phone Council Plan Review 6 W Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shal I be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL Building Official___ Permit No. Permit Holder Date Telephone ~k Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I % l tJ Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Oca Temp. LP Deck Ftg. Deck Final Well 13 Q l -,U A4 Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: AYI 111N1 t t Il,l PERMIT SUBTYPE: TYPE OF WORK: 0 l 1,<,ti 1,111 fill,, INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. I Permit No. Permit Holder Date Telephone tt S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing I Roofing Rough Plbg. Rough Htg. Isul. Fireplace 0- - Final Htg. lJ Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Coast. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pc Disp. J CITY OF EAGAN PERMIT TYPE: y 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: t ' r f (612) 681-4675 SITE ADDRESS: lilt 0. H 1 f{ ~r j.' APPLICANT: .0N I AKF l ANF r f t; f f,r1 . 1 , 1'l,' !Ii PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. l- Permit Holder Date Telephone N PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG AV =DECKFINAL CITY OF EAGAN Remarks Addition Wilderness Run 4th Addition Lot 1 Blk 5 Parcel 10 84353 010 05 Owner Cd"", • ` tc'L' I'.t '0 trees 1299 Carlson Lake Lane State Eagan, MN 55121 v Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 $163.26 $8.16 20 106.14 A006965 10-15-78 SEWER LATERAL 1975 714.00 $71.40 10 357-00 A 006965 10-15-78 WATERMAIN WATER LATERAL WATER AREA 128.02 A006965 10-15-78 1477 160-00 10-66 STORM SEW TRK; j40,00 22-67 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 250. 00 1066f) - 6-28-79- 13UILDING PER. 59 SAC 500.00 10666 6-28-78 PARK xit ~ ¢J i s (9rdifiratr of Mrrnpttnr,y Citp of eagan %partmrnt of 19niliting 3naprrtion This Certificate issued pursuant to the requirements of Section 306 of the Uni form Building Code certifying ibat at the time of issuance this structure was.in eompliance with the various ordinances of for City regulating building construction or use.. For the following: A O..Ck.anr rem Single Family nw&nmm.no, 4859 \ 0-.Fmw ypI_rye.Cm.waianV_Wmr 3 ZmigDbWa RI o.m.oswmdw Eldon Johnson Add. 4249 Lodgepole Drive 1299 Carlson Lakeh Wilderness Ron 4th - L I gk3 By: 9/27/78 FWkineom w Date; i This request void /'1/~0~ ~'`~15Co 18 nxmths from / OO ~1 E 13 9 6 3 ! c~ oLc~ f C Request Date Fire No. Rouph-in Inspection Requ tred? ❑Ready Now ❑ Will Notify Inspec ❑Yes ❑NO for When Ready ❑-Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address. Box or Route No. City I ~q`tCarI SaN .LK 15t an ecttnn No. Township Name or No. Range No. County a 7 Pa (moo f-g Occupant (PRINT) f Phone No. U) SDI'~Y,SO#,, Power Supp Iier Address Dcik0c f y,/Rc4vrC #SSAI n 16n {1/ Electrical Contractor (Company Name) Contractor's License No- Mailing Address (ConItractor or Owner Making Installation) Ia9~j C4rlS0Y /,,1 44 n 4 an All/ 5Sl L3 Authori~lJ- zed Signature (Conlrac r/Owner Making Installati Phone Number- B s 4, 3 7 ~F / c~ h S S MINNESOTA STATE a RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg- - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. ~1ia f~~ REQUEST FOR ELECTRICAL INSPECTION qEB-00001-06 _q/ , Sae instructions far completing this form on back of yellow copy 6 J il 0 E 1 3 9 6 3 - - X" Below Work Covered by This Request Add BepType or Building Apptiances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm they Pci v Olhor Ispecifyl t nt ueci fr 1 et w~~<ff 01her ompute Inspection Fee Below p Fee service Entrance size it Foe =100-Amps eders N Fen Circuits 0 to 200 Amos 0to 30 Amos Above 200 gmps s 31 to 100 Amps Swinening Pool Am s Above 100_AmpTransformers s Partial Other Fee ction 4r TOTA Hems rks 6 Rough-in o the Electrical `v Inspector, hereby Final r 0 a ertify that the above inspection has been ~s made. This request void 111 months from i~ ioj;w 70 Am* ~2~0 0" 8399 / c~ Request Date Fire No. Rough-in Inspection I v Required? O No ❑ Ready Now Will Notily Inspector p- O Cj X!1-48 When Ready? I ❑ licensed contractor Dqowner hereby request inspection of above electrical work at: .bb Address (Street, Box or Route No.) City 9q Q ~L"o f3 lr~ ~nJ E Segion No. Township Name or No. Range No. Counry Oocupant(PRINT) Pbooe No. Power Supplier Address Electrkal naow (Com y Name) Comractor§ License No. Mailing Ad✓odreeess/1/~0_ontra~ or Ovmer Making Installation) Aumoria Signature (Con actor/Own r Making Installation) Pbone Number 7 6 s K H - s~ s s- us - 4r613 - 6 a sB MINNESOTA STATE 806D D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlgga-11111," Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (512) 642.0000 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION° Ee-~00001-Oe IM~~/' ( Ill See instructions for completing this form on back of yellow copy. J /o ac!/ P14V ~`Il 38399 - X" Below Work Covered by This Request r Y New Ad(Y Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./Industrial 'Furnace, Farm Ar Conditioner Other (specify) Contractors Remarks'. Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 _ Amps Signs lospectorls Use Only: [ybTAL t-~ Irrigation Booms sV Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN IS M HS. I, the Electrical Inspector, hereby Rough-in eta n C~ certify that the above inspection has r J Final - been t Daie made. OFFICE USE ONLY r This request vole 18 months from This request void 9/ 11yE& .~Gj ,5.r~ Lf 18 nwnths from 'J U(, E 3718 4 Request Oa to 1 Fir¢ No. Rouph-in Ins Uection ~_y q Required? ❑Ready NuwWill Notify Inspec- JVt ❑Yes Na for When Ready Licensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address, Be. or Route No. City ) a l 0-Arl50h L~ rye La-~ Section No. Township Name or No. Rang. No. County ~J Occupant IPRINT) Phone No. Power Sup ier Address q r L~K-C.TY I L~µ-Y Y17 ~ /7 ~ h Electrical C ntracto, ICompan Name) ontrector's License No. ~rn 1L1 S c~fr ~ ~ U ~ I ~ Sou - Mailing Address (Contractor or Owner Making Instailation) 1, E er 0t; . ~~vrnon rQ(/s, M,7. Authorized Si nature IContractr ~ wner Making Installation) Phone Number Sv7 MINNESOTA STATE BOARD OF EL TRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phan. 16121 642.nROO ENCLOSED- Ippu~7~F3 3 REQUEST FOR ELECTRICAL INSPECTION EEBB/000001-0(6 ~r~l + , See instructions for completing this form on back of yellow copy. V t!/ J S 7 X•' Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex - Water Heater Lighting Fixtures Apt. Building Dryer Electric Heabn Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peel v Other ISnrn lvl t nr Spucifv Other Other ompute Inspection Fee Below # Fee Service Entrance Size # Fee Faeders/Subteeders # Fea Circuits 0 to 200 Amps 0 to 30 Am s 0 to 30 Am Above 200 Amps 31 to 100 An!ps 31 to 100 Am Swimming Pool Above 100Amps Above 100_Amps Transformers Irrigation Booms Partial"Other F Signs Special Inspection s Remarks n n -~'_Y I O TOTAL F /O~ 11 J Rough-in Data 1• the Yrov' Inspector. hereby certify that the abpve Final [ Dat% inspection has been made. This request void 18 months from This request void 18 months from / e _=7 >e~ 777 ® Q Date of this Request f S- ~ 7 - 7~ -P 1, as ❑ Licensed Electrical Contractor)ROwner, do hereby ~Jrequest inspection of the above electri- cal wiring installed at: 6 0 A Y '~i Street Address or Route No. 1-194 eetrlsen ~tl~e Pd City n Section A7 Township .2 7 A1/ Range a3 o✓ County Df ka f g Which is occupied by ^/a t 10e c c P j 'e d (Name of Occupant) Is a roughin inspection required on this job? No ❑ YesK Ready Now ❑ Will Call, Power Supplier.Deko-tet ric Af-S4, Address 8t/3e~ ~arni.l~loK9/t4.t 5-5-0 2_y Electrical Contractor D wit ty - Aldo K J a 4 h se n Contractor's License No. (Company Name) Mailing Address Y4tg ~cdgepir e Dr ,Fa pail ,/17.1 ~rS (Electrical Contractor or Owner Making This Installation) Authorized Signature ~.2~r Phone No. YSV- 74165 (Electrical Contra or Owner Making This Installation) ~'j+~ RQARD COP This inspection request will not accepted the (f State Board unless proper inspection fee is enclosed. . mtnnesota orate tsoara or tiectricity y ~ 19*University Ave., St. Paul, Minn. 55104-Phone 645-7703 6 N t.EQUE$T FOR ELECTRICAL INfOEICTION P 777g~ CHETK-BELONG WORK COVERED BY THIS REQUESP Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home IN ❑ ❑ Range ® Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures Apt. Bldg. ❑ ❑ ❑ Dryer ® Electric Heating ❑ Commercial Bldg, ❑ ❑ ❑ Furnace ® Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List pLList Other ❑ ❑ ❑ Her' Herers~ COMPUTE INSPECTION FEE BEL Service Entrance Size: # Fee 11 Feeders& S111firfeeffnij ee Circuits: # Fee 0 to 100 Am s. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. {0 Amperes 31 to t00 Am ere s Above 200 Amps00 Amps. Above 100Amps. Transformers Control Circ. Partial or other fee Signs nspection Minimum fee $5.00 Remarks TOTAL FEE /114~C'Sd I, the Electrical Inspector, hereby ceryil'~~ at tl}e6,6e inspection has been ade, e a (Rough-in) r l Date O (Final) J Date /a- /o- Z This request void 18 months from ~sl ` 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ~J O 3830 Pilot Knob Road, Eagan MN 55122 1 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements Remodel/Repair Requirements lei 4 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Ceb . _:yR d `li { (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions ~,~~(t" dpS 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks t` 1 s. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition -indicate if on-site septic system T2 , ~t 1 set of Energy Calculations:",,,:,..-.-. ;kI 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date Construction Cost ~A(roo ,OD Site Address r0~ / l 6017-1 (A)L& C Unit/Ste # l~yQ ~7DJ~ Y ~~S (yfAf~l/7 n 1S~re Description of Work /n57W1,4-' Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 S7Dt96 Property Owner yrl ~e1eK5~r Telephone #((67)4_,rg g--7 7a,' C-i~i7l~ Contractor ~6 Address City State 14( A)6Sa77t Zip SSYOCP Telephone COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope 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: I e e~ ~ I I rJ ' I'`I Licensed Plumber Telephon6( AP) 0 9 Luuf ~I Mechanical Contractor Telephone ) Sewer/Water 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 MN Statutes; 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 o work which requires a review and approval of plans. Applicant's P inted Name Applicant's Sign ure 2005 RESIDENTIAL BUILDING PERNDT APPLICATION 9,5 53 City Of Eagan C 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ,31 New Construction Requirements RgmodellReoalr Requirements Office Use Only 3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pros Plan Recd _Y _'N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required. Y 1 -ti 1 set of Energy Calculations Addition - indicate ifon-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan If lot platted attar 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) r Date_ Construction Cost,~~/]Jd Site Address /Z9!!l 4=;q2L_,;gW S GAKE L.irah~lzr' Unit/Ste # Description of Work Ram-ari / Gn. ^ o. I FZ.~~ a ~tdeN4 scwr+ Multi-Family Bldg _ Y -A N Fireplace(s) 4~ 0 - 1 - 2 Property Owner i(,S.!,AJ Telephone # (W 1) bSIb' 741Z'2. Contractor -S-PHU ~ rF_ =VMS I~Mst &M ia J Lb' 1P r JAIJ~ City A.F~C & t/fF L~tl( Address 65 ill-2- 1 fit, State t VUj Zip SSa4 Telephone # (q57.) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #1 ) Mechanical Contractor Telephone ) Sewer/Water 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 MN Statutes; 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 d approval of plans. a 1 { MAY 0 5 2055 IUI 9: L - App icant's rinted Name 01VISi e ~,r OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg-Y or_ N ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement •._,q,. 38 %Demmolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement, *Demolition (Entire Bldg) - Give PCA handout to appllcait`- • ®Gr7 Valuation Occupancy' ~Z'3 MCES System Census Code lT34/ Zoning A -I City Water SAC Unit's Stories""' _ Booster'Ptimp # of Units Sq. Ft. 3 77 PRV _ # of Bldgs ' Length b/ File•Sprinklpred. Type of Consf ZL . Width J-7_ . REQUIRED INSPECTIONS Footings (new bldg) _ FinaUC.O. Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation HVAC _ Drain Tile Other Roof ~ Ice & Water Final _ Pool Ftgs =Air/Gas Tests -Final Framing _ Siding =Stucco Stone Brick _ Fireplace _ R.I. - Air Test -Final Windows Insulation _ Retaining Wall Approved By: Building Inspector - - - BaseFee J~~ 3 UN 1-4, i3SM T 37.59W l5- Surcharge I C[~ '3950161 6y131 ~~70 Plan Review ry 1'94Aw iuzAwIJ& c. J OOG MC/ES SAC _ City SACa Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Permit Number REScheck Compliance Certificate Checked By/Date 2000 Minnesota Energy Code RES check Software Version 3.6 Release 1 Data filename: R:\RESCHECK\Rcs check files\REScheck\JB0004b.rck PROJECT TITLE:JB0004 COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family WINDOW / WALL RATIO: 0.12 DATE: 05/24/05 DATE OF PLANS: 5/17/05 PROJECT DESCRIPTION: Erickson - Gullickson Remodel /z 9S oElns /k I't/ DESIGNER/CONTRACTOR- James Barton Design/Build 15112 Galaxie Ave. Suite 201 Apple Valley, Mn 55124 COMPLIANCE: Passes Maximum UA = 520 Your Home UA = 518 0.4% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor 57 Ceiling 1: Raised or Energy Truss 375 54.0 0.0 7 Ceiling 2: Flat Ceiling or Scissor Truss 1715 44.0 0.0 46 Wall 1: Wood Frame, 16" o.c. 440 21.0 0.0 22 Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 16 0350 6 Door 2: Solid 40 0.490 20 Wall 2: Wood Frame, 16" o.c. 440 21.0 0.0 16 Window 2: Above-Grade: Wood Frame:Double Pane with Low-E 58 0.330 19 Window 6: Above-Grade:Wood Frame:Double Pane with Low-E 50 0.300 15 Door 1: Glass 40 0.490 20 Wall 3: Wood Frame, 16" o.c. 1564 19.0 0.0 84 Window 5: Above-Grade:Vinyl Frame:Double Pane with Low-E 126 0.350 44 Door 3: Solid 21 0.350 7 Wall 4: Wood Frame, 16" o.c. 657 11.0 0.0 49 Window 7: Above-Grade:Vinyl Frame:Double Pane with Low-E 95 0.330 31 Basement Wall 1: Solid Concrete or Masonry 601 11.0 0.0 35 Wall height: 8.0' Depth below grade: 7.5' Insulation depth: 8.0' Basement Wall 2: Solid Concrete or Masonry 119 11.0 0.0 9 Wall height: 3.5' Depth below grade: 3.0' Insulation depth: 3.5' Floor 2-outside: All-Wood Joist/Truss:Over Outside Air 10 30.0 0.0 0 Floor 3-walkout foundation:Slab-On-Grade:Unheated 55 5.0 41 Insulation depth: 3.0' Floor 3: Slab-On-Grade:Unheated 62 5.0 47 Insulation depth: 3.0' Furnace 1: Forced Hot Air, 82 AFUE Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.350 0.370 Includes Foundation Windows> 5.6112 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in RES checkVersion 3.6 Release 1 (formerly MECchec/ and to comply with the mandatory requirements listed in ES checklnspection Checklist. Builder/Designer Date j~ vJ~ Q CARLSON LAKE = 200' z NWL = 840.5 HWL = 845.4 0 351 Z 357 TRAIL EASEMENT 4363 DOC# 464245 s 1 1299 1293 1287 1281 1277 1273 1265 CARLSON LAKE LANE 0 0 O G Exhibits mist STAFFORD PARKING 050603 Existing Trail Easement - Doc # 464245 May 6, 2003 City of Eagan Wilderness Run 4th Add. r YYY TRF.IL EPSI 1dT •9 ,y 4 THIS INDENTURE, made and euiered into this day of k C 19L; py and between Arnold A. Carlson& Anna C. Carlson, husband & Robert S. Tilsen & Joyce Tilsen=-husb~ndas Grantor. s , and City of Eagan,;. Dakota County, Minnesota, as Grantee wife ~ 1v WZTNESSEiH WHEREAS, said Grantors age the wners of the-tracta RIDER fS *j rd in the City of Eagan, Dakota County, Minnesota, legally As be RI YHr PART Or LHt~ follows: 'RfDE4 rS CT 1 A trail casement over that part of Lots 1, 2, 3, 4, 5, 6, 10, and 11, all in Block Five of WILDERNESS RUN 1'ORT11 ADDITION lying between the Lark in Wilderne;e: Stun 44111 Addition and a line 5 feet Southerly of the fol.lowinrt described line; Beginning at: a point on the north line of said Lot 11 distant 56.76 feet westerly o` t:ho northeast corner thereof; thence South 89 degroos, 35 minutes, 37 seconds West alonr, the north line of said LoC 11. a distance of 115.94 feet to the northwest corner of said Lot II; thence South 00 degrees 24 1:inutes. 23 seconds East a distanco of 25.00 feet; thence South 01 degrees, 53 stinutes, 31 seconds West along tho northerly line of said Block Five a di.el:ance of 513.35 feet: to the. northwest corner of said Lot 1.; Lhxarce South %7 der;recs, 16 minutes, 52 second.; Liast a distance of 1.50.19 feet; thence Nnr'th 37 decrrees, 00 minutes, 37 second:; East a distance of 235.00 feet; I-_hr;nce North 67 decrees, 25 cti.nutc:;, 37 seconds East: a distance of 160.00 Teri-; thenr_e North 26 degree:;, 55 minutes, 37 seconds East a distance of feet to the point of beginning. and across wn!CA the parcel u1 Lauu tm,. ,j _ '_ecation, grading, construction, maintenance, and use of a public trail over and upon the premises hereby conveyed and from the uses incident t•ereto, and the said City' of Eagan shall have the right to use and remove all earth and other materials lying within the parcel of land hereby conveyed and the right to construct and maintain, upon the lands adjoining the parcel hereby conveyed, such portable snow fences during such months as weather conditions make necessary. All stumps and other debris resulting from the clearing of the right of way will be disposed of by Grantee by burning or otherwise, according to law. The Crantee shall have the right to post such signs and posters along ssi.d trail as are deemed necessary and suitable to define the above land and locate them for public use. IN WITNESS W11MEOF, said Grantors have hereunto set their hand s and seals the day and year first above written.,/ In Presence Of: Xrnol I ACason Gi'rs"~'rw ~~~i/~~T ~ Robert S. Ti sen CT/ fir! nw v~♦.♦m..~~. ♦ r ~r~ i<r ~if ..L~ 1 NOW THMEFORE, the said Grantors. in consideration of One ($1.00) Dollar and other good and valaable consideration to them paid by Grantee, receipt whereof is hereby acknowledged, hereby conveys, warrants and dedicates to said Grantee, its heirs and assigns, for trail purposes, together with the un- restricted rigb= to improve the same, free and clear of all incumbrances, the above described tracts of land for trail purposes. The Grantors-, for themselves , their heirs, executors, administrators and assigns, do, covenant never to cut, damage, destroy or remove any tree or shrub or other natural growth upon the hereinbefore described premises for the continuance of this easement, and do _ hereby grant and convey to the said City of Eagan all grasses, shrubs, trees and natural growth now existing on said lands or that may be hereafter planted or grown thereon. The Grantor s , for themselves , their heirs, executors, administratnzo and assigns dn_ hereby release the said City of Eagan, its successors zrd assigns, from all claims for any and all damages resulting to the lands throe's and across which the parcel of land hereby conveyed is located by reason of the '_ccation, grading, construction, maintenance, and use of a public trail over and upon the premises hereby conveyed and from the uses incident thereto, and the said - Citr' of Eagan shall have the right to use and remove all earth and other materials lying within the parcel of land hereby conveyed and the right to construct and maintain, upon the lands adjoining the parcel hereby conveyed, ouch portable snow fences during such months as weather conditions make necessary. All stumps and other debris resulting from the clearing of the right of way will be disposed of by Grantee by burning or otherwise, according to law. The Crantee shall have the right to post such signs and posters along said trail as are deemed necessary and suitable to defil e the above lands and locate them for public use. IN WITNESS WLIMMOF, said Grantors have hereunto set their hand s and seals the day and year first above writte4rno In Presence Of: a son C son Robert S. Ti s n ().~ti~d_ -_4.,,_ l STATE OF MMHWfSGfA County of Dekotn, 1 ss. Office of Register of Deeds, This is to certify that the within instrument as filod for record ie . this offie of c sii- ns, on the ' o'clock M., nd that th same was v Y. re rded it ' D oto Cou y R car it ster of Deeds. Dewny Transfer Entered This day 1 County A tor, Dak to o. l VARIATTCE CITY Or FAG-A7 3795 PILOT KIOD ROAD EAOAN, MI 11TESOTA 55122 The Council of The City of Eagan hereby grants a variance pursuant to application of Tilsen Homes, Inc. €mqd May 9, 1978 for the following purpose for variance of 10 feet fs-can side ,yard setback at 1299 Carlson Lake Lane (Lot 1, Block 0, Wilderness 1? m 4th) Date approved- June 6, 1973 Fees paid; 50.00 ~ r /0. Cl r CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N9 4859 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # 10666 To be used for 5F Dwg. & Gar.. Est. Value 63,000.00 Date--6/22 i9 78 Site Address 1299 Carlson Lake Lane Erect IN Occupancy I - Lot 1 Block 5 Sec/sub. Wilderness Run 4th Alter ❑ Zoning R1 Parcel # 10 84353 010 05 Repair ❑ Fire Zone 3 V Enlarge ❑ Type of Con st. c Name 51don Johnson Move ❑ # Stories z 4249 Lodgepole Demolish ❑ Front 70 ft. Address Grade ❑ Depth .36 ff. City agan Phone 454-7465 of Name Tilsen Homes Inc. Approvals Feas zt 627 Snelling Ave. Assessment 6121/7 Permit 159.00 o~ Address 31.50 r city St. Paul phone 698-5501 Water & Sew. Surcharge Police Plan check Ww Name Fire SAC 500.00 t 40 Address Eng. Water Conn. 250 - 00 <w City Phone Planner Water Meter 60.00 Council 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total 1000.50 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Tilsen Homes Inc. on the express condition that all work shall be done accordance ith 11 applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official p DATE ~D BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for Valuation Site Address; /a99 daA&„^, Qlm„` ~ S ~^~,edvzlneao ,ec;vn-i Qddi-tc~ Lot Block Sec. Sub. Parcel Number /Q b~5~.353 8~d BS Owner Telephone Address OG<< Lad Contractor U LyO YO ChAoc Telephone to Address _ "1 ;So z Arch./Eng. Telephone Address OFFICE USE Erect Occupancy Alter Zoning / Repair Fire Zone 3 Enlarge Type of Const. Move # of Stories Demolish Front L% Grade Depth OFFICE USE Date nof~fApproval & Initial FEES 1111 ~x~ 3 Assessment x'17 Permit Water/Sewer Surcharge Police Plan Check Fire SAC DD< BA Eng. Water Conn. n e. AA Planner t4ater Meter L na Council Bldg. Off. A.P.C. TOTAL 75r, D•'Z A?E/IR.. A~2DOERTY LwE i-y L-J I I I ~ \ Unit' f 70 \ I ~ I 0 I~ e ry C ~Gi? e`'~ CJ ~b l/1'1.t1~' Yom, .1 LINE 1a~9?cZnX~,cz'a~z~i LOT BLOCK, i PLOT -4 LAN BEA BLOMOUIST .r THOMAS HEDGES CITY ADMINISTRATOR MAYOR •^1.!~;e; THOMAS ANTO CITY CITY OF EAGAN CITY CLERK MARK PARRANTK JAMES A SMITH THEODORE WACHTER . 3705 PILOT KNOB ROAD COUNDa MEMBERS \ TMP EAGAN. MINNESOTA 75122 ,t PHONE 454!100 a r t vy ' A t e!125' t'a siaax. September 26, 1980 p.K1 Mr. Eldon Johnson - 1299 Carlson Lake In. Eagan, 4,fri. 55123 Re: Wilderness Run 4th Addition - Lot 1, Block 5 Dear Mr. Johnson: In response to your letter of September 25, 1980, please be informed that the City of Eagan does intend to restore disturbed area resulting from the installation of the Carlson Lake Lift Station. This restoration will include the construction of a 12-foot wide bituminous path with proper soddingon either side and seeding of all remaining un- landscaped areas. As I indicated to you recently during a phone conversation, we have negotiated a price with the contractor to perform this work. Subsequently, staff from the Engineering and Parks Department have met with the contractor on the site to discuss the limits of construction and other pertinent details. As I indicated to you previously, this work will be accomplished this fall. An exact date cannot be established due to weather con- ditions that have been hampering this progress during this past month. I thought that I had indicated to you in our phone conversations what the City's intent was. I am con- fused by your statement indicating that our conversations have been unsuccessful in in- forming you of the City's intentions. If there is some additional information that you would still like to have clarified, please contact me. Sincerely, Thomas A. Colbert, P.E. Director of Public Works TAC/jac THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan,'Nlinnesota 55122-1897 Permit Number: 032207 (612) 681-4675 Date Issued: 06/11/98 SITE ADDRESS: 1299 CARLSON LAKE LANE LOT: 1 BLOCK: 5 WILDERNESS RUN 4TH P.I.N.: 10-84353-010-05 DESCRIPTION: B zld'ng. Permit Type DECK Building Work Type ADDITION 'Census Code 434 ALT. RESIDENTIAL `-3 J~ / i ' h A nl. \ l II/ k 7 'N T REMARKS: PLAN REVEWED BY MIKE BARCK FEE SUMMARY' Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC.OWNER: SICHWEICH CONST, DAVID 14478808 0003607 ERICKSON KEVIN 1.7160 HAMILTON DR 1299 CARLSON LAKE LANE LAKEVILLE MN 55044 EAGAN MN (1612) 447-8808 (612)688-7422 I hereby acknowledge that I ,have read, this application and state that,t:he information is correct and agree to comply with all applicable State of Mn. Statutes and City oAPPLICANT/P MITEE SIGNATURE SUED BY: SIGNATURE r 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) r V 32 CITY OF RD D - lJ 3830 PII.OT KNOB R 55122 681-4675 New Construction Requirements Remodet/Reoair Requirements A ♦ 3 registered site surveys ♦ 2 copies of plan 1 ♦ 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 7N/93 required: _ Yes _ No DATE: l b l w p CONSTRUCTION COST; 3, o o V DESCRIPTION OF WORK: Cc- STREET ADDRESS: I G (S n K C -C~ l/ __T: T BLOCK: SUBD./P.I.D. Name:/ KSO~ ~r 1/ j Phone y 2- PROPERTY Last First OWNER p q pp ""p _ (I Street Address: / a, ` / (~(qn civo v d ~~o City ~ C&: j. State: i Zip: S Company: 94)J✓ S6A,)e)4d CDW57f Phone /-IKpj_6O CONTRACTOR Street Address: f7/Lb ~d/YjJ LTD2 License# ~L6 City L14 411 State: Zip: 7 y ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chag 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 w' all applicabl State of Minnesota Statutes and City of Eagan Ordinances. n Signature of Applicant: //C c IOFFICE USE ONLY Certificates of Survey Received - Yes No YN Tree Preservation Plan Received - Yes No Not Required 131 I'~ n zvl INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 022568 Eagan, Minnesota 55123 Date Issued: 11/22/93 (612) 681-4675 SITE ADDRESS: LOT: 1 BLOCK: 5 APPLICANT: 1299 CARLSON LAKE LANE FIREPLACE SPECIALIST WILDERNESS RUN 4TH (612) 451-1970 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE ALTERATION DESCRIPTION (GAS LOG) INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. ROUGH-IN FINAL - - - - - - - - - - - - - - - - - - PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 022568 (612) 681-4675 Date Issued: 11/22/93 SITE ADDRESS: 1299 CARLSON LAKE LANE 1 ~A LOT: 1 BLOCK: 5 ~11U 1 P.I.N.: 10-84353-010-05 WILDERNESS RUN 4TH DESCRIPTION: _ (GAS LOG) Buildin`gi_Permit Type FIREPLACE Building 44o,rk Type ALTERATION 1 l j y I tnt' FL U 00 ~t ~ i rte..-~..- ~ r REMARKS: FEE SUMMARY Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: FIREPLACE SPECIALIST 14511970 0003924 JOHNSON ELDON 1200 9TH AVE 1299 CARLSON LAKE LN S ST PAUL MN 55075 EAGAN MN 55123 (612) 451-1970 (612)454-7465 I hereby acknowledge t at I have read this application and state that the information i correc and agree to comply with all applicable State of Mn. Statutes aryl City of a an Ordinances. - r A14 UtA I Mod APPLICANT/PERM j 51GNATURE ISSUED B : SSATUR REACTIVATE - CITY OF EAGAN PERMIT) 1993 BUILDING PERMIT APPLICATION 4)_6'.10 Us (ri 681-4675 SINGLE & 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 energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 'V0 y C' 3 Valuation of work 1400 Site Address: 1 ~0) q C r 1 S QTR L lc Ld STREET SUITE Tenant Name: (commercial only) LOT BLOCK _ SUBD. Description of work: +N +.kI 1 01 C\ S l~ t The applicant is: ❑ Owner :i• Contractor ❑ Other (1)"cribe>. Name ~1~ru56a ~C- /.doN _ Phone 4S4 °74 5 Property LAST FIRST 77 - Owner Address I DIq CG✓)So'`' L k ZrJ STREET STE / City LA. e4 a~ State Mr~ Zip Ski 2 3 Company F r~~ ~p c i`,) r s FS Phone U 51- 19 70 Contractor Address 0© GTE v-4- 0. License # 60o 39 ail Exp. City S. 51 State MO Zip E F 5 Architect/ Company Phone 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 1 applicab S ate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: * CITY OF EAGAN N2 15330 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # I~: / (p To be used for 3-SEASON PORCH Est. Value 000 Date JULY 13 ,19 88 Site Address 1299 CARLSON, LAKE LANE OFFICE USE ONLY Lot 1 Block 5 Sec/Sub. WILDERNESS RUN 4t On Site Sewage Occupancy R-3 Parcel No. MWCC System Zoning On Site Well (Actual) Const e Name VAN LAECKEN CONSTR. City Water (Allowable) z Address 2990 EGAN AVE. PRV Required # of Stories o City EAGAN Phone 454-4148/688-6839 Booster Pump Length Depth Name SAME S.F. Total .o ou Address Footprint S.F. VQ 0~ City Phone APPROVALS FEES a Engr./Assess. Permit $82.00 ow Name i- Address Planner Surcharge 3-50 cZ City Phone Council Plan Review aw Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all appl Q4, ble State of Water Conn. Minnesota Statutes a ` oft Of$mt es. j Water Meter Signature of f Perm itte A Road Unit A Building Permit is issued to: V AF.f KFN CONST _ Treatment P1 on the express condition that all work shall be done in accordance withal I applicable State of Minn to Statut and City of Eagan Ordinances. Parks ggg TOTAL 4,85.50 Building Official 1 L~ • 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN js 33 a SINGLE FAMILY DWELLINGS 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 ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ((~~3 -.SEg3'o17) To Be Used For: f r)2(! 1q Va uation: 7:~ 07071t* Date: Site Address ( 60jS00141 E 0 0 OFFICE USE ONLY Lot Block On site sewage_ Occupancy ~JW ~l MWCC system Zoning Parcel/Sub sI 1/ W-0.o ~.K1 / On site well Actual Const rldLOn)~HH)Z 6 YU City water Allowable Owner o PRV required IF of stories 1 4 q 2 n)L ~E Booster Pump Length Address CQ 4LSo Depth S.F. Total City/Zip, Code ~qC jq-ri) Footprint S.F. Phone y $ 4 -7 '7 (o' APPROVALS FEES Contractor~) fj) L,Q ECIlc?E) //BS • Engr/Assess Permit Z, / ✓1 Planner Surcharge 3.So Address aq'i0 L 6, yd Ad E • Council Plan Review Bldg. Off. `~h r/1Z SAC, city City/Zip Code Esc-`') iq-no , ! r:2~ Variance SAC, MWCC /"(l Ayp -032 Water Conn Phone 7 7 l Water Meter ' Road Unit Arch./Engr. Treatment P1 Parks Address Copies TOTAL S a City/Zip Code Phone # 'RENEWAL BY ANDERS6,f RESIDENTIAL 350-73RD AVE. NE. 31.11ILDING PERMIT APPLICATION FRIDLEY, MN. CITY OF EAGAN 763/502-4777 3830 PILOT KNOB RD - 55122 LICENSE#20130983 G I / 651-681.4675 Now Construction Reaulrements ~t O 1 LJ RemodeUReoalr Reaulrements (O ` \ . 3 registered site surveys showing sq. ft. of lot, sq. fL 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 ff home served by septic system for additions . 3 copkes of Tree Preservation Plan ff lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE (LI St lac •C)( VALUATION j9c5° JOB SITE ADDRESS 12A CIAISCnp_ LeY O ~ A IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER MQ u 404 1LC[tr.1X.of.iu-~Lric~~hr1 TYPE OF WORK bin^,S~;na:eno Imo FIREPLACE(S) _ 0 -1 -2 APPLICANT Aja.N , g et -SOnorJ PHONE# 25a3LIS•(004_+ ADDRESS --AiQb 2 %b"l Sk 2 a~~ • ]6\YAL~ MtV ZIP CODE SSUO PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00 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 # 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 OYinances Signature ofAppliccntmlcj v Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 U0/Ul/ZUUI IAU 1Z:SU rAA rod 011 4400 tcnrvhnaL 07YAM)hKJC1V WJUUZ/UUZ a ✓ re - al EYANDERSEN' June 7, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 To Whom It May Concern: Elder Jones is authorized to pull building permits for Renewal by Andersen- Please allow Elder Jones to provide this service for us in Eagan. This authorization is valid for any date beyond 6/6/01; until a Renewal by Andersen manager expressly revokes it in writing to the City- I request this authorization be accepted expeditiously, as to not delay in the processing of our building permits any further. Plcasc call me if there are any questions. I can be contacted at 763-502-4706. i Your immediate attention to this matter is appreciated. Sincerely, ymond R. Rau nstallation Manager Renewal by Andersen Corporation C'c: KKara-F.l®rier Jones s[~s~eC4 ~e~ers a.p WGHADA M.1 L GAMAL Notary Public '7: Minnesota -S Jan, 37. ZOM Received Time Jun. 7• 1:07PM 51 1 c13 RESIDENTIAL" 4,847Y BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodellReoair Requirement • 3 registered site surveys showing sq. ft. of lot, sq. R. 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 & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate 0 home served by septic system for additions • 3 copies of Tree Preservation Plan ti lot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) I DATE 1'J'~gfV-03 VALUATION a p SITE ADDRESS Ja99 nAC_,m ate 1LkA~ MULTI-FAMILY BLDG _Y _N TYPE OF WORK n1o~ l ritindOL~ tai kiri~r~ n!Y 4li FIREPLACE(S) _ 0 _ 1 _ 2 1 1j APPLICANT RENEWAL BY ANDERSEN STREET ADDRESS 1920 COUNTY ROAD "C WEST STATE _ ZIP ' ROSE MLLE, MN 55113 TELEPHONE # LICENCE #20130983 FAX # PROPERTY OWNER TELEPHONE# COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 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 rdinance Signature of Appilco J I ~ - ILI OFFICE USE ONLY I U11 J'!] 2 1 2003 L I Certificates of Survey Received _ Tree Preservation Plan Received _ Not Rer~uired _ By Updated 41Ox rv ,a auv a.i.uv cnn 194 ail 9400 tttStltSttb:.:, •Ul~'itlYUtiKLtflt . ' ~IUU7 re al State t 2001 MY Of Began 3836 Pilot Snob Road ERM MN 55122 To Whom it may CaWoetn: Eider ]ones is authorized to pta building petts Par Re wAW by Andersen. Please allow Eider ]onc6 to provide this sM!m for us in bigen. 'itch anthorindon is valid for any date beyond 616101. until a R"enowal by Anderson mat= y revolves it in writing to the Oty- Irequest this authorization be our bandin accepted-aupedittously, as to not delay in the processi~fg of g Pormits any further. PImse can me If then; arc any gneuions. • I can be contacted at 763-5024706. , Your immgdiato aumtion to this matter is al pretfawd. Sindetcety, ond'R. Rear ostailation Manager Renewal by Andersen CoMoration kern-ruder Inner C#H ~ ti om~o~~ Received Time Jun. 7. 107PM Use BLUE or BLACK Ink r-----------------+ I For Office Use I f• Permit City of E C6 T- I Fee. I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 12- Phone: (651) 675-5675 1 n~• I Fax: (651) 675-5694 1 Staff: I 1 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: _ i C ~i (✓C~ j Phone: RESIDENT. OWNER Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: C.~ t'r' Construction Cost: 0'e6) 0 Multi-Family Building: (Yes / NQX ) Com an/JVa: Contact: CONTRACTOR Address: ew/ r City: ra l State: , Zip: Phone:4 Z- ; 2-7 License 3, 17() 76 T Lead Certificate 3o 7 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 they 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.gopherstateonecall.org 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 pla s, Exterior work authorized by a building permit issued in accordance with the Minnesot State ilding o must be c fnpleted within 180 days of permit issuance. _ X (a~ch+ Applicant's rinted Name Applicant's Signature `'~P Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA114388 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 1299 Carlson Lake Lane Lot:001 Block: 005 Addition: Wilderness Run 4th PID:10-84353-05-010 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 . Dwight Deisting 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 - Kevin L Erickson 1299 Carlson Lake Lane Eagan MN 55123 (651) 245-7689 All Aspects Enterprises Llc 9318 White Oaks Tr Champlin MN 55316 (763) 670-7663 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r I I For Office Use I ~J I ; Permit I City of Wd~ Permit Fee: U~3830 Pilot Knob Road I n/ ~3 Eagan MN 55122 ;pate Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 L Staff: - - - 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 00/Site Address: f y,7f Car) so, L F we L&) Tenant: a~ G u ( C dcv Suite M Name: aNc,~ G u 1 a ` bo r. Phone: ~SI~ 7ya Resident/Owner _T ~ ''EQ LN Address / City / Zip: I Name: sfirI License QG~ Address: /(00 k) e City: SAywc.~ Contractor State: " Mv' Zip: _ _ n ?s' Phone: 6e 0- 366 :x•73) Contact: +22 r U• Email: Z si I t~ wta f Type of Work New _Replacement -Repair _Rebuild _ Modify pace _ Work in R.O.W. V6 Description of work: r~cS~ 1 RESIDENTIAL Water Heater i s Lawn Irrigation RPZ / PVB) Water Softener Permit Type Septic System Add Plumbing Fixtures L_ Main Lower Level) _ New Water Turnaround _ Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.gopherstateonecall.org 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 pl V jc:~ x 2 rv A ) r-e. x Applicant's Printed Name Applicant's Signat re FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA133359 Date Issued:10/07/2015 Permit Category:ePermit Site Address: 1299 Carlson Lake Lane Lot:001 Block: 005 Addition: Wilderness Run 4th PID:10-84353-05-010 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Kevin L Erickson 1299 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