604 Atlantic Hill DrCITY OF EAGAN Remarks ?? Z7 Y Zaf'I,-
Addition Lakeside Estates Lot 18 R,k 2 Parcel 10 44300 181 02
owner Street 604 Atlantic Hllls Dz'. 5tate Eagan,MN 5T"j123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.J!'61 Imp. 1981 1690.16 84.51 20
STREET RESTOR. ?-
GRADING
SAN SEW TRUNK S(??
*SEWER LATERAL
WATERMAIN
*WATER LATERAL igRi
WATER AREA S(,
STORM SEW TRK Q 1985 711.00 47.40 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
SUILDING PER.
sac . 11299 - -7
PARK
WATER SERVICE PERMIT
CITY OF EAGAN
3795 Pilot Knob Road PERMIT NO.:
Eagart, MN 55122 DATE:
Zoning: No. of Units: -?
Owner: - r - - o-.
Address:
Site Address: r
Plumber.
Meter No.: - Connedion Charge: - ' ' "'
5ize: Account Deposit:
Reader No.: _ Permit Fee:
1 ogree M eomply with the Citr of Eagon Surcharge:
Ordinonees. Misc. Charges: ?' . 1)u uietPt
Totol: i '• . ?! ? hO*^'
By Dote Poid:
Date of Insp.: Insp.:
CITY OF EAGAN
3795 P" Knob Roed
Eaga6, MN 55142
Zoning:
Owner:
Address:
Site Address:
Plumber:
1 ngree M eomplp wilh the CiFy o4 Eagan
Ordinances.
By
Date of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connedion Charge:
Account Deposit: _
Permit Fee:
Surchorge:
Misc. Charges: -
Totul:
Dote Paid:
CASH RECEIPT
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RFCEIVHD
FO[]M ?
19
aMVUNr $ I
' ObLLARS
1 oo
? CASH ? CHECK
lt-,
FUND CODH AMOUNT
Thank You
BY
71
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Receipt PLUMBING PERM17 Permit No. .? !% -7
I{• CITY OF EAGAN Fee Sat>
{ 'S
Fill in numbered spaces S/C L
Type or Print /egibly Tot. ? Sa
1. Date 2. Installation Cost L
//? L.s9?2 L r ' - • ' ?
3. Job Address(? t!r[,akWG. //" Lot/?I,Blk. ? Tract 'aJ.? ?•
4. Owner
Phone
? 5. Contractor FA.'7E L 45 2-?'Sl ?i
? 6. Address ?IcC.Y? K w2it> _f3tC'
7. City ?]l!I/C- % State /LIA,) _ z i p 8. Building Type: Residential `f[7 Commercial ? Institutional ?
9. Work Description: New ? Add 11 Alter)@ Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray ,`
J
? -
Floor Drains L
at?
Drinking Ftn. t ???LZ
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply wi.t?h all or nances and codes governing this type ofi work.
Signed : for
Rough Fina
Inspections: Date Insp. Date -33 Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?.?=----
I yj -?-Z
CITY OF E:SGAN
3795 Pilot Knob Road
Eagan, Plinnesota 55122
PERNIIT NO.: 511
The City of Eagan hereby grants to deff Carlson
ol
4 1560 Willis, So. St. Yaul ?
a PLUMgIMPermit for: (Owner)? deff Carlson
st 604 Atlantic nilla Dr. 7 pursuant to appJ.ication dated _ 10/8/74
Fee Paid: dai:ed this 8th d-ay of Oct. , 19 74 .
.50 s/c
Bu.il.ding Inspector
N;achaiaical Perrnits:
Bid Tota1:
/? - ?--
J9 - ?-
??
CITY OF E.AG9N
3795 Pilot xnob Road
Eagan? Minnesota 55122
FERMIIT NO.: 210
The City of Bagan hereby grants to P7eierke Trenching & Excavating
oi 660 C1iff Road, Psqan 55123
Septic a Drain- Jeffrey Carlson i?
a field Cessyool Permit for: (Owner) Stuart weierke
04 Atl i illa Dr
at4675 Dodd Road ? pursuant to application dated 10 9 74
Fee Paid: $20.00 dai;ed this 9th day of October , 19 74 .
1.00 s/c
Suilding Insgectcr
N.ar_Y;ar_ical Permits:
Eid Tota1:
?
4"e,srclle
Iv 90
CITY OF E:;GAN
3795 Pilot Knob Road
Eagan, P1ir,nesota 55122
?"eA2?ps
-oa
PERNffT N0.• 214
The City of Eagan hereby grants to Ryan 59e11 Co.
o£
Fosemount, MN 5506£3
a YIELL __ Perrnit fcr: (Ocuiier) JefF Carlson
at 604 Atlantic Eflls , pureuant to aprlication dated 10/16/74
Fee Paid: $10.00 dai:ed this 23
.50 s/c
Machanical Permits:
Pid Total:
day of Oct• ? 19 74
Building Inst,ectcr
CITY of EAGAN
BUILDING PERMIT
QW[102 .. /n, ....... `-::......... ....?.... ...................... .../.?/.7f?
Addrese ( ert2. ?.......(..'jr...L::?............??
L
Bvilder ...........?..:.X..!.::? ......................................................
............
Addrass ......
DESCRIPTION
N4 3351
3795 Pilo! Knob Road
Eagaw Minnesoia 55122
454-8100 ?
Data .. . . .... ?/..7.,iC..?•••.
6lories To Be Used For Froa! )epih Haigh! Eet. Coe! PermS! ae Aamarks
76rT87oa' I
/ LOI:A'1'!oN ?a / 57., ?
or
?a i?.??' l7 .. j°, ?1 11
This permit does not auihoriae the use of slreeid;' foa$d, Weys or sidewalke aor does !t glae the owner or hk agea!
the righ!!a ereale anp situation which is a nvisaaca ox which presenfs a hazard !o ffie healfh, aafely, coavenienes aad
general welfare !o anyone in fhe community.
THIS PERMIT MUST 8 E ?j THE EMISE WHILE THE WORK IS IN PR C
This ia !o cer}?p, ihat...':Li..?.9. ..?.-... ...........haspermission !o axect a.._.:]'?.'.?,.?.d£t? ................... _upoa
the above 5lesarihed pr s s bjec! to the provisions of all applicable C?s?'?aa?aes for'3pe Cifp of Eagan. /
Inspeclor
RESIDENTIAL 3 ? S 7 ?
BUILDING PE:iIAIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD • 55122
651•681•4675
H4w ConsWction Reauiremenh RemodeUReoair Reauirements
• 3 registered site survays showirig sq. fl. of lot, sq. ft. of house; arM all roofed areas • 2 copies of plan
(20% ma)imum lot coverage allowed) . 1 set of Energy Cakwlatians (or heated additions
• 2 copies ot qan showing beam 8 window sizes; poured fbund desgn, etc.) • 1 site survey for ezledor additions & decks
• t set of Energy CalcWations . Indicate if home served by septic system tar additions
• 3 copies of Tree Preservatlon Plan if lot platted after 711193
• Rim Joist Detail Opfions selection sheet (bldgs with 3 or less units)
DATE
VALUATION aXk01M'??
JOB $ITE ADDRESS,(rlniq
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER-!" CaXlSon te51•4sa .S 13'S
TYPE OF WORK-?e??C o?y W'?ndc?i? l.Sikrtiu1 ?, nt.n tQ.?@ .tew?FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ??0 14 A•?rl.?tsdr?n") u PHONE# IdS(•at?4•4?'?
ADDRESS 192Lp Carrl.., -4A? "G" L.0.jcSai614C? MN ZIPCODE SSII"?
PAGER # CELL PHONE #
FAX #
NEW RE5IDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet ?
- Energy Envelope Calculations Submitted M77 ? 0 T ?Plumbing Contractor: _
Plumbing System Includes:
Mechanical Conhactor:
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
MAY 3 0 2002 S
14
Fee: $90.00
Fee: $70.00
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 rdinances
Signature of Applic ? ?6lYlL
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softener Lawn Sprinkler
Water Heater No. of R.I. Baths
_ No. of Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
••"• ••4,..a iuv a<.ou rna IOJ 041 '4460 HCPICRAL IS1-AIV1)lS!('J1S1Y
. n..
re al
?.,?. .
aune 7, 2001
City o'f Eagan
3836 PiIot Knob Road
Eft5Ru, MN 55122
To Whom It May Concern;
Elder Jones is authorizcd to Pri11 huildiu8 Permits for Rsnewal by Mdeisen_ Ptease allow
F1der Jones to proyxde this ser'vicc for us in Eagatt. 'l11iR surhariyat;cm is vslid for any
date beyond 616/01; ux?ti,( akenBwat by Andmgn manam wipressly revokes it in avrlting
to the City-
I rcquest tius auttiodzation bc aocepted expedidously, as to not delay in tha processing of
our buildiag pcanita any fuzthcr. Plcasc call mc if thcm arc any questione. I cao be
contacted at 763-502-4706.
Your immqdiatc aitcntion to this maucr 3s appreciated.
Sincgiely,
' ymond R. Rau
nstallazion Manager
Ronowal by Audascn Corporation
C:r.: Ksrrn-F.Tder 7nne¢
S2)?4 MGL a4?
G-7-x?j
OH 0 ,
? a?t?#AMqL
"y?uo?f? m,?
Wluuziue
Received Time Juo. 1. 1:07PH!
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PtLOT KNOB RD, EAGAN MN 55922
651-681-4875
New Consfruction RequiremaMs
• 3 regislered site surveys showiig sq. fl. of lot, sq. ft of house; and alf roafed areas
(20 % maximum lot coverage allowed)
• 2 copies of plan showing 6eam & window sizes; poured fourM design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservatlon Plan if lol platted after 7/1193
• Rim Jaist Detail OpGOre selection sheet (bidgs wAh 3 or less units)
DATE Io ' I r! ' G Z
SITE ADDRESS (n 0'Y
TYPE OF WORK ;?K -
APPLICANT
MULTI•FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ t _ 2
STREETADDRESS ?SJ3S'Eo,&NV.t/c ?Iv4 'S?,TF 13o CITY rDSN??es,4frSTATEMNZIPXr34
TELEPHONE # S3',?-595' -So?3 t' CELL PHONE #
FAX # S'S?l - S7 °/- -51 'Y
PROPERTYOWNER Jc/'FG4RfSo.v TELEPHONE#1-S1' Y47-323.1
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Calegory _ MINNF:SOTA R[II.LS 7670 CATEGOI2Y 1 MINNLSOTA RiJI.1:S 7672
(J submission type) • Residential Ventilation Category i Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanic:il system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Rccovery System
Phone #
-------------------------°--•-----------------°---°---•----°---------°---------°----
I hereby acknowiedge that I have read this application, state that the information is
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Pce: $70.00
and agree
OFFICL USli ONLY
Water Softener _
Water Heater _
No. of Baths
RamodeVRaoair Renuiremenri
. 2 cropies of plan
• 1 set of Eneigy CalcWations (or heated additions
. i site survey (or ezterior additions & decks
. Indicate it home served by se0tic system for addNons
VALUAiION o?? ?0 3 S 3?
_ Phone #
La?m Sprinkler
No. of R.I. Baths
Phone #
? j (4 _ c'S 1?'
Fcc: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? ot Foundation ? 07 OS-plex O 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 Eut. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) 0 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12•plex Plbg_Y or _ N ? 25 Miscellaneous
0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 61dg. ? 42 Demotish (Foundation) ? 45 Fire Repair
? 33 Alteration ,? 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump .
Nbr. of Units Sq. Ft. " PRV
Nbr. of Bldgs Length Fire $prinklered
Type of Gonst Width
. REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
Footings(deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater ? Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ fnsulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply 8 Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Capies
Other
Total
Building Inspector
Cities Dijzital Quality Con
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1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 68 ] -4675
Date:
Descrip[ion of Work:
_ /Construct new fireplace
? Insta112as insert arlv
_ Other
Job address: ?
Lot:
_ Alterations to existing
_ Install Qas line onlv
Block: Z-
Applicant (circle one only): Owner
Subdivision/P.I.D. #:
Contractor ? Permit Fee: $60.50
PROPERTY
OWNER
FIREPLACE
INSTALLER
Name: Oo-v
IS6?
Phone#: ??5?
Last , n First , p
Street Address: 6-4
city ?
Company:__e`u'
Street Address:
City?
GAS LINE
INSTALLER Street
City
State:Y / ! w Zip:
#^ 6-67
State: o Zip:
' - S
State:
Zip:
I hereby acknowledge that I have read this application and state that the information is correct
and agree to comply with all applicable State of Minnesota and City of Eagan
Ordinances. ? /t ? .7
=--
Is
q?
Company: ?ftx)?l Phone#:
?41?
w
:,;id
w_?s, F??O'RD1
vILLP.GE Gr' F';21N
WC11 LOC&?J;.on gecti.ori Lo' Slcck ?
Stai;e Li.cance No, V Permit r,lo, Data ?
?_k/i.?_?e?
Di` 1.,_l,.? Con,par.?r Add:ess 7r
°i_ze o£ L1211_ ? -- -y-??
/? I:,ches : L?a%2r. Lecal?? Pr;et
'v:rell Depth /9Q _ Faet ? Draw Dotan?L?Yi?-? Feet at ,SlJ C'"•T.
Ca;;i?1g Dentil
Feet Capacity Gallons
rilCkYlE3S
Star`,e3 ? F.nded? of ? -
Fi_id oF Formation Color ??rti, D?th Fe_+?mt;t.ion R=marks
- ---------- --
Lxterior SpWen „-ol?-nd Casing Sealed With: /
fi]Cemznt Grout ?- ?'Puddled Clay
C2Other
?:si.x;ie=tsnt Used ) , JG `
Hcur3 Left in Wel7.
/D-rillerPS Si_,gnature
F,E%TLT-Sr THIS RECORD AFT"'R COITLF,TION
MA14TFR f;ARTI
STRUCTURE AND
LAND 115E? AS
/7 tzj-
Permit
BUILDING
No.
J35 / I
Issued Issue
Coniractor
i d 70
Owner
PLUM8ING CESSPOOL - SEPTIG TANK
WELL
ELECTRICAL `
HEATING
GAS INSTALLING
SANITARY SEWER I
OTHER
OTHER I
Items Appraved
(initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
PRAMING
T o-rT
f-DLA7
L
FINAL
ELECTRICAL I
HEATING
?- DEPTH
OF WELL
GA$ INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
- ? -2rs-7 5
Violations Noted
on Back
COMMENTS:
33 5 ?
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175385
Date Issued:03/31/2022
Permit Category:ePermit
Site Address: 604 Atlantic Hill Dr
Lot:181 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-181
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Bathroom(s)
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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 -
John G Tste Carlson
604 Atlantic Hill Dr
Saint Paul MN 55123--200
(651) 263-2306
Jayhawk Mechanical Inc
3307 N 2nd St
Minneapolis MN 55412
(612) 522-3499
Applicant/Permitee: Signature Issued By: Signature