1255 Carlson Lake Lane I
CITY EA"N WATER SERVICE PERMIT
3795 ilot Knob Road PERMIT NO.:
tagan, 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 ,;;~3 EAGAN SEWER SERVICE PERMIT
3195 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zonlflg: 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:
Date of Insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minnesota 55122
Phone: 4544100
1T.EATING _ PERMIT No. l
March 16, 1978
Date: Receipt No.:
Single
C 3 ? : ^ 7,.=r r Residential
Site Address: "
l T.' lll.
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Name New/Alter./Repair. Address Cost of Installation
City Phone: Permit Fee
Nome nZ-" y I: P1 11''1` Surcharge
Address ' : 745 SO . POD: r -
e
0
V
City Phone: Total
This Permit is issued on the express condition that all work sholl be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3795 Pilot Knob Read
• Eagan, Minnesota 55122
f Phone: 454-8100 -
III / _ PERMIT No.
Date: C r -L I v
Receipt No.:
Single
Site Address:' Residential
- "
Lot Block Sub/Sec. _ Multi Res., Comm./Ind.
Name New/Alter. /Repair
Address Cost of Installation
C Gty Phone: Permit Fee
Name `--ZZ-Ryan P lu'. ! n; .
- Surcharge
Address
C
O
V ,
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.
Building Official
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 4661
PHONE: 454-8100
BUILDING PERMIT ' Receipt # 9V
To be used for r Ow1g• & Garg'Est. Value Date r 19_-
Site Address 1255 Carl -~;.,,it Erect Q Occupancy
Lot Block f S$u ''After ❑ Zoning
Parcel es~[
~ 5 . I5 Repair ❑ Fire Zone
Enlarge ❑ Type of Const.
$,-a terser
of Name Move ❑ # Stories
3
Address Demolish [I Front ft.
4 " 14.
Grade ❑ Depth ft.
City Phone
Name Approvals Fees
O
uU Address Assessment Permit
~ city Phone Water & Sew. Surcharge
Police Plan check
uW Name
F z Fire SAC
u3 Address Eng. Water Conn.
<6 City Phone Planner Water Meter
Council
hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: . J on the express condition that
oft work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit # Dot* Isseed Permitter
Plumbing o- -
Mechanical 6 7
INSPECTIONS DATE INSP. Rough-In Final
Footings Date Insp. Date Insp.
Foundation _ Plumbing ,e .
Frame/ins. _;,g Mechanical
Final
Remarks:
CITY OF EAGAN
3793 Pilot Knob Read Eagan, MN 55132 N2 5284
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
Z Address Demolish ❑ Front ff.
0
city Phone Grade ❑ Depth ft.
Name Approvals Fees
,o
u Address Assessment Permit
City Phone "Water & Sew. Surcharge
Police Plan check
WW Name Fire SAC
r
uo Address Eng. Water Conn.
a W City 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 Perrnittee
A Building Permit is issued to: 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
Paean # Daft laud reraittaa
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rough4n Final
Footings Date Inap. Dote Insp.
Foundation _ Plumbing
Frame/ ins. Mechanical
Final
Remarks: 07
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot.
1. Date 2. Installation Cost
I
r
3. Job Address 1 L, Af-
Lit ®k Tract
4. Owner z,4
5. Contractor 1 i Phone
6. Address
7. City State Zip
8. Building Type: Residential Q Commercial ❑ Institutional ❑
9. Work Description: New Add ❑ Alter ❑ Repair ❑
10. Describe Fuel Type
11. No, Equipment BTU - M. Ea. No. Equipment CFM
Forced Air Air Handling:
Mfg,
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final ~q(
Inspections: Date Insp. Date jD~J ~ p-
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
_ J
CITY OF EAGAN Remarks
Addition Wilderness Park Lot 1 Blk 1 Parcel 10 84250 010 01
Owner_ J' 11 Ii Steet 1255 Carlson Take Tane State RaganoHN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK' 1 176.0 8.80 20 123.25 A006125 6/9/78
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA ^a/
I n. 66 1 Is 138,68 A006125 6/9/78
16n. nn
STORM SEW TRK 98 328.00 21.87 is 328-00 C00544S 6/9/80
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 9086 2-15-78
BUILDING PER. 4661
SAC 500.00 9086 2-15-78
PARK
L
CITY OF EAGAN
y 3795 Pilot Knob Road Bogen, MN 55122 N@ 5284
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt
To be used for Fence Est. Value 400. Date 6-26 , 19792-
Sit, Address 1255 Carlson Lake Lane Erect gK Occupancy R3
Lot 1 Block 1 Sec/Sub. LAP #1 Alter ❑ Zoning Rl
Parcel # Repair ❑ Fire Zone 3
Enlarge ❑ Type of Const.
w Name Lester M. 141-id Move ❑ # Stories
Address 1255 Carlson Lake Txane Demolish ❑ Front ft.
b city Eagan Phone 452-4982 Grode ❑ Depth ft.
R Name Same Approvals Fees
uu Address Assessment Permit :50 _
CI Phone Water & Sew. Surcharge
Police Plan check
w Name Fire SAC
uC, Address Eng. Water Conn.
aw city Phone Planner Water Meter
Council
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct 9 me to comply with of pplicable APC Total 3.50
State of Minnesota atutes a City of E/a/gfc~Xd es.
Signature of Permi te'
A Building Permit is issue to: LeSter M' on the express condition that
oil work shall be done in occcordance with all op ble State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
a
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.`
Date Z.
To be used for Valuation Z
Site Address OFFICE USE ONLY
Lot Block Sec./Sub. 2,Erect Occupancy 3
Alter Zoning
Parcel # Repair Fire Zone
Enlarge Type of Const.
Owner: - Move N Stories
.Address: 1Z a S ~ ~ Demolish _ Front ft.
p Grade Depth ft.
Phone ~z 7 D z Approvals. Fees
t
Contractor: 7 G Assessment Permit 5
Address: %C ~~_~a~// ~IJY~ Water/Sewer Surcharge
Police Plan Check
Fire SAC
Phone Eng. Water Conn.
Planner water meter I
Arch/Eng.: Council Road Unit j
Bldg. Off. I.
Address: APC
r
Phone 0: TOTAL
CITY OF EAGAN
3795 Pilaf Knob Road Eagan, MN 55122 N2 4661
PHONE: 454-8100
BUILDING PERMIT APPLICATION $45,000. Receipt 9
Feb, 15' - 086 78
To be used for SF Dwlg• d Gar$•Est. Value Date 19-
Site Address 1255 Carlson Lake Ln Erect n Occupancy 1
Lot 1 Block-- 1 Se /5uWilderness Park AdCklter ❑ Zoning Rl
Parcel # 10 4296-0-0 01 Repair ❑ Fire Zone 3
Enlarge ❑ Type of Const. V
W Nome Svenn Petersen Move ❑ # Stories
3 Address 4701 W. 110th St. Demolish ❑ Front 70 ft. Mpls city Phone Grade ❑ Depth 28 ft.
Name Approvals Fees
0
u~ Address- Assessment Permit 12-x_
~ City Phone Water & Sew. Surchtftge
G~ Police Plan check 50@..x_
~u„w, Name Fire SAC
ur, Address Eng. Water Conn. 230.00
<W city Phone Planner Water Meter 60.00
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 940.50
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
Svenn Petersen on the express condition that
A Building Permit is issued to:
all work shall be done in accorda "with II appli ble late of Minnesota St es and City of Eagan Ordinances.
Building Official
DATE
BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 elite plan w/elevations and 1 set of energy calculations.
To be used for z)z74/jm/ L Valuation -
Site Address. z D / - .G o .+-C:~ I /,~/iL /J=1r~✓E•; ~~Q ~s
Lot Block Sec. Sub. Parcel Number u/ySC~ D%D D/
U) Pk
Owner Y S fi✓ /~~C_ Telephone
Address -/7/7,o/ 6/
Contractor Telephone O'i %i
Address
Arch./Eng. Telephone
Address
OFFICE USE
Erect G/ Occupancy
Alter Zoning
Repair Fire Zone 3
Enlarge Type of Const. I/
Move fl of Stories
Demolish Front 70
Grade Depth Al
OFFICE USE
Date of Approval & Initial FEES
Assessment Permit
Water/Sewer Surcharge
Police Plan Check
Fire SAC _5nn
Eng. Water Conn. A
Planner Water Meter oe
Council + e
Bldg. Off. 7 • /f Xr ` 77,~
A.P.C. TOTAL n
Certificate for:
Svend Petereon
47`11 West 110th "treat)
Bloomington, Mn. :)-)437
- Lk:i4I
i
DELMAR H. SCH WAN Z
LANDSURVEYOR
Registered Unoer Laws of The State of Minnesota
14516 SOUTH ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 55060 PHONE 612 423-1769
SURVEYOR'S CERTIFICATE
100.00 EAST
1
L1
1 .i :ICh 4~ feet
3
so
a
in =
N ~
O 0
G LOT 1 °2
t
I hereby certify that this is a true and
N correct representation of Lot 1, Block
1, WILDERNESS PARK ADDITIIN, according
to the recorded plat thereof, Dakota
N County, Minnesota.
24.0 ROP EO ° tV
oA Dose N a Also showing the location of a proposed
N Q/ 27.0 /d.9 house as staked thereon.
l
` 24 0
- - - - i Dated: Dec. 1977
~.3 Drainage ~
utility
l easement ,
T a=16°38 42" R=304.23 ~.9. 09
38'13r,E
• t~ N830
Rt-S w .
r
MINNESOTA REGISTRATION NO. 8625 % ,
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER ;c+ i'F:d°SS%i: C3f15 rU iicf: Co.
a e re
SITE ADDRESS Minrlaa Its Minn. 554,37. ~✓r~
CONTRACTOR_ -DATE WFHONE
Determine working square footage of each.
1. Total exposed wall area sq. ft. x .17 = ' G 3.0
2. Total roof/ceiling area /,~Y- 3'S sq. ft. x .05 = el,
Total exposed wall area•above floor
a. Total wall window area 0 5..0
b. Total door area 37 y
c. Total sliding glass area . fl
d. Total fireplace wall area O. O
e. Total wall framing area (average l0$).. s
f. Total net wall area above floor
g. Total rim joist.area•.............. //o,0 t
Total exposed foundation area =
h. Total foundation window area 0
i. Total net foundation area above grade 3 7
Determine "U" value of each wall segment.
a. o,- x ❑Ue. 0-55- = _S7, 7S
5
b. ~ X "UT' 0„5 5 = 9 o. 3
C. ~JO X "U:' 0.5'3- = Yy, a0
D. /G X 11U" O B I2.GO
e. S3~ X "U" 0,//
9 = / yS
= SS.G L
f. X 61Uf1 0,01/9
g- //O X "U+, 0.ny _ 5,17
h. 0 X Oul;
i. 3 7 X "U" O. y7 /2 39
3 ............................................Total = O 7 3
If item #3 is the same as, or less than item #1, you have met the
intent of SBC 6006(c)2.
Total exposed roof/ceiling area = A
J. Total skylight area
k. Total roof/ceiling.framing area (average 10
...1: Total net insulated roof/ceiling area .........//40
Determine "U" value for each roof/ceiling.segment.
J. X "Um _
k. /24 X `U ~.0e/ = 1.~7
1. MO X 'vi 41/Z = / `f5
4 ..Total
If total of #4 is the same as, or less than #2; you have met the
intent of SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values establi.s!~ed
by the sum of items #3 and #4 shall not be greater than the sur, c"
items #1 and 112'.
1. t4,' 3 + 2. 7- `fo = ~a7 5/0
3 • 4 7 3 + 4. i
TbU.req'est void 18 months from a~
68029
Date of this Request 3 ~~~o'-Z 8
_ I, as IX Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri-
c4 wiring installed at: R--Ilk y
Street Address or Route No. 1.T ~k 1 Lt)t 1tQsra.(c 1 City'-r- -
Section Township Range County
Which is occupied by s l h ¢.la ~~e ~c ~t*zc~a~•
(Name or occupant)
Is a roughin inspection required on this job? No 11 Yes 6( Ready Now ❑ Will CaUX
Power Supplier C4 //~~d,Address d?at &4. sw
• TCVi arca .ea CBa~
~p1
Electrical Contractor ox.. oa ontractor's License No.''S
(company Name)
< n
Mailing Address, 0 'L 'L&
H>)t=- coo f o,rv~ «4 p7
(Electrical 1 tractor r o(vner Making This Inst tlon)
Authorized Signature~~ Phone No. 5/170 .
(Electrical contractor or Owner Making This installation)
S (1 G=d fJ E BOARD Cop"I State on request will not accepted the
~f State Board oard unless proper inspection fee is enclosed.
minnesota State tsoarci of tlectricity
lDn University Ave., St. Paul, Minn. 55104-Phone 645-7703 It"
REQUEST FOR ELECTRICAL INSPECTION P 6829
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ❑ ❑ Range ❑ Temporary Wving ❑
Duplex ❑ ❑ Eater Lighting FixturC]
Apt. Bldg. ❑ El El (~V'~j Electric Heating ❑
(nmmercial Bldg. El I Cl Silo Unloader ❑
Industrial Bldg. ❑ ❑ ❑ ' ` net ' LLL Bulk Milk Tank El
Farm ❑ E] C] El ❑ ❑ $List
ers~ 2ther4
Other ere r b ere
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders& Subfeeders: # Fee Circuits: # Fee
0 to 100 Amps, 0 to 30 Amperes 0 to 30 Amperes
101 to 200 Am s. 31 to 100 Amperes 31 to 100 Amperes
Above 200 Amps. Above 100 Amps. Above 100 Am s.
Transformers Remote Control Cuc. Partial or other fee
Signs 11 Special Inspection Minimum fee
Remarks(2 0rPL-P .le. I.oL.1-S~ Irty TOTAL F E(0,Qh 0
I, the Electrical Inspector, hereby cer ' at ti)~ 1~ISpec ' n has been a e.
(Rough-in) = Or' Date (Final) Date -19L,
- ?
This request void 18 months from
This r;quest void 18 months from c~p1-3 4L
Date of this Request February 22, 1c, /8 P 14823
I, as ® Licensed Electrical Contractor 0 Owner, do hereby request in ection of the electri-
cal wiring installed at:~~~1-il
Street Address or Route NoLt I Bl l 'di l dernea Park 7 t Add' 1City_L ~
Section Township Range County Dakota
trnri i nn
Which is occupied by Svend Peterson Cons
(Name of Occupant)
4 a roughin inspection required on this job? No 0 Yes 0 Ready Now 0 Will Call 0
iII3
Power Supplier Dakota Electric AssociatiUdress 821 3rd St, Farmington,
55024
Electrical ContractorKen Sorenson Electric Contractor's License No 3438
5
(Company Name)
Mailing Address 8070 12th Ave So., Blocmineton, VM 55420
(Electra Contrac r or Owner Making This Installation)
Authorized Signature ~7 ~G orr ofl Phone No854-4470
(Electrical Contractor or Owner Making This installation)
STUE BOARD COPY
Minnesota State Board of Electricity ~q
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
'REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST 14823
Type of Building New Add. Rep. Check Appliances Wired For Check uipment Wired For
dome ❑ ❑ ❑ Range ❑ Temporary Wiring IR
Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ i
Apt. Bldg. ❑ ❑ ❑ Dryar ❑ Electric Heating ❑
Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑
Industrial Bldg. ❑ ❑ ❑ Av Co nor Bulk Milk Tank ❑
Farm ❑ ❑ 11 Lppist pLList
Other ❑ ❑ Hehers Herers~
COMPUTE INSPECTION FEE BELOW
S ice Entrance Size: # Fee Feeders&Subfeedars: # Fee Circuits: # Fee
0 to 100 Amps. 1 00 0 to 30 Amperes 0 to 30 Amperes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
bove 200 Amps. Above 100 Amps. Above 10Q_Am s.
Transformers Remote Control Circ. Partial or other fee
Signs Special Ins coon Minimum fee
Remarks Install Temporary Service TOTAL FE G •Od 6,50
1, the Electrical Inspector, hereby certify that the abovf inspection has been ma e.
(Rough-in) / f Date
(Final) Date -.7a'2''2This request void 18 months from
PA
~
For. pffice Use 1
I
I Permit
city of Eap ; gyp.
I Permit Fes: r
3830 Pilot Knob Road
Pate Received: /
Eagan MN 55122
Phone: (651) 675-5675 i
Fax: (651) 675-5694 1 Stott: _ ^T 1
~.----------------J
2oo8 RESIDENTIAL BUILDING PERMIT APPLICATION
Cate: 2 Q Site Address: Z4ie-
Tenan#: 5;fG A146h-"fG Suite
RESIDENT I OWNER Name: / „r;iLe= wk~~611fr- Phone: j~>✓ajd ~b~d
Address ; City/ Zip:
Applicant is: Owner-X_ Contractor
TYPE OF WORK Description of work: _1"62r OA-e ;e
Construction Cost: 470` Multi-Family Building: (Yes ! No-----)
CONTRACTOR Name: fY~~ l./ s"'~1►~? 62inn&'s 0 &-f- License
Address: 0-p-L .119219 City: L.~✓~~l +C State:7 - Zip:
Phon< j NO Contact Person: ~ie1G ~bf.~~ Ae 6- i~ y -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
04 submission type) • Energy Envelope Calculations Submitled
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:. Pians.and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as:non-pubfic if you provide specific reasons that would permit the Cfty to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in con.ormance with the ordinances and codes of the City of
Eagan; that t understand this is ro-, a permit, but only an application for a permit, and worn is nol to start without a permit; that the work will be in
accordance vA`thh the approved plan in the case of work which requires a review and approval of plans.
x/~ltifJ'7 x
Applicant's Printed Name App ants Signature page 1 of 3
j