1222 Carlson Lake Lane
CITY OFD EAGAN SEWER SERVICE PERMIT
3795;Pilat Knob Road PERMIT NO.:
Eoyon, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee: Q >
Surcharge:
By Misc. Charges:
Date of Insp.: _ Total:
Insp.:--- - Date Paid: - - -
r CITY OF EAOAN WATER SERVICE PERMIT
3795 #%t Knob Road PERMIT NO.:
Eagan, MN SS122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: 'k
.
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 EAGAN
• r 3795 Pilot Knob Road
s
Eagan, Minnesota 55122
Phone: 454-8100
- PERMIT No.
Date: -Y 21, 117'77 Receipt No.: tatement )
Single
1. Residential
Site Address:
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Name New/Alter./Repair
Address Cost of Installation
C 2 r~r
City Phone: Permit Fee
` Name -ompson ► lumbing Co. _ Surcharge .50
"
Address -201 Annetonka P,lvd.
c
City Phone: Total 1 ,
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.
^1// Building Official
~-*;r
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT No.
Date: Receipt No..
Single
Site Address: Residential
Lot Block Sub/Sec. - Multi Res., Comm./Ind.
I
Name - New/Alter./Repair
Address Cost of Installation
City _ Phone: Permit Fee
Name _ 7.1 City lleatint
Surcharge
-;005 F3 16tr W(-. *?7.
Addre 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 Rood
Eagan, Minnesota 55122
Phone: 454-8100
i
~F PERMIT No. a
Date: r r r r i5 r 1 7_ Receipt No..
Single I
Residential
Site Address; _
Lot Block Sub/Sec. _ Multi Res., Comm./Ind. I
Name New/Alter. /Repair
Address Cost of Installation
C City Phone: Permit Fee
Name Surcharge
. r
Address
e
0
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 N? 4381
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Date 19
Site Address Erect ❑ Occupancy -
Lot Block Sec/Sub. _ Alter ❑ Zoning _
Parcel # Repair ❑ Fire Zone
Enlarge ❑ Type of Const.
W Name Move E] # Stories
3 Address - ` ct Demolish ❑ Front _ ft.
_ Grade ❑ Depth ft.
city Phone
Name Approvals Fees
0
uU Address Assessment _ Permit
~ Cit Phone Water & Sew. Surcharge
Police Plan check
FW °Name
Fire SAC
U0 Address Eng. Water Conn.
a W Cit 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
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: _ on the express condition that
all work shall be done in•accordonce with all applicable State of MinnesoDto Statutes and City of Eason Ordinances.
Building Official
Pt It # Deft faetd PeredNee
Plumbing 7 "'e ? - 7
Mechanical -7 7
INSPECTIONS DATE INSP.
Rough-In Final
Footings -7 Date Insp. Date Insp.
Foundation _ Plumbing
Frame/ins. Mechanical
Final
Remarks:
CITY OF EAGAN
3795 Piilet Knob Read Eagan, MH 55122 N2 5275
PHONE: 4MO100
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
3 Address Demolish ❑ Front ft.
b city Phone Grade ❑ Depth ft.
Name Approvals Fees
0
uU Address Assessment Permit
City Phone Water & Sew. Surcharge
Police Plan check
rLU Name Fire SAC
1G Address Eng. Water Conn.
<W Ci Phone Planner Water Meter
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
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
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
i
hnnk # Date Islow ►emitt"
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rough-In Final
Footings Date Insp. Date Insp.
Foundation Plumbing
Frame/ins. Mechanical
Final
J
Remarks:
e ~t
CITY OF EAGAN Remarks
Addition Wilderness Park Lot 151 Blk 3 Parcel l n Ra750 150 03
Owner► t-d''I~, C D ~.~tiu~_oo_ Street 1222 Carlson Lake Lane state Eagran, M 55123
improveement V Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 176.0 8.80 20 3-6-78
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 449 1977 10.66 is 138-68 655 3-6-78
STORM SEW TRK I 2' 983 368.96 21.60
-15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 230,00 645 -21-77
BUILDING PER.
SAC 475.00 6453 -21-77
PARK 120.00 6453 6-21-77
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 5275
PHONE: 454-8100 -
BUILDING PERMIT APPLICATION Receipt # /
To be used for Fire Repair Est. Value 12,000. Date 6-21 , 19-7-9-
Site Address 1222 Carlson Lake Lane Erect ❑ Occupancy f 3
Lot 15 Block 3 Sec/Sukilderness Park Alter ❑ Zoning RI
Parcel # Repair QS Fire Zone 3
Enlarge ❑ Type of Const.
m Nome Joe Bri1VdSe Move ❑ # Stories
Address 1222MEYs Carlson Lake Lane Demolish ❑ Front _ ft.
o City Eagan Phone Grade ❑ Depth ft.
W Name Daao Approvals Fees
i' Address 8701 Jefferson Assessment Permit 39.00
city Blaine 55434 Phone 784-3900 Water & Sew. Surcharge 6.00
Police Plan check
uw Name
Fire SAC
Address Eng. Water Conn.
<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 45.00
State of Minnesota Sta//tut n City of agan Ordinances. Signature of Perm itteel
A Building Permit is issued to: W on the express condition that
all work shall be done in acco ce w al a licoble State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ✓n~
CITY OF EAGAN Include 2 sets of plans,
BUILDING PERMIT APPLICATION I site plan v/elevations S
I set of energy calculations.
J
To be used for--J_kAR , CLsti Valuation/~x r' 0 Date - ~S - 7
Site Address / Z Z Q t Qa Lames OFFICE USE ONLY
Lot L- Block Sec. /Sub. Iilnvary~a t~ Erect Occupancy
Parcel 0 Alter Zoning
RepairV _ Fire Zone Z
Owner: Enlarge Type of Const.
/ y Move 0 Stories
Address: / 2 2 Z (U~kac--nala-,q,-9 Demolish _ Front ft.
(L- Grade Depth ft.
Phone s
Approvals Fees
Contractor:
' Assessment ~3 9 Permit
Address:
D L n n rVA Water/Sewer Surcharge/
- r y j Police Plan Check _
Fire SAC 1
?hone 3 Eng. Water Conn. s
Planner Water Meter
A rch/Eng.: Council Road Unit
ldress: Bldg. Off.
APC i
'hone TOTAL
>L:5~--129113 ~ o G i f
This request void 18 months from
-'y O 80842
Date of thl- Request 6-30-77
1, as Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri-
cal wiring installed at:
StreetAdresssoorRoute. NNo. 1222 Carlson Lake Lane City Eagan ce~t Section Township 461
Range County Dakota
Which is occupied by Greg Da&lberg
(Name or Occupant)
Is a roughin inspection required on this job? No ❑ Yes is Ready Now ❑ Will Call Rk
Power Supplier _ Dakota Cty. Address Farmington
Electrical Contractor _0-'R- Thmmn¢nn F1 patri r Co. Contractor's License No. 32593
(Company Name)
Mailing Address 12201 Itltka Blvd., TItka 55343
(Electrical C ntractor or Owner Zking This Installation)
Authorized Signature L l rib Phone No. , 933,2521
(Electrical con 056 r O er Ing This Installation)
Minnesota State Board of Electricity :15r d G 9 9',fj
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
r REQULST FOR ELECTRICAL INSPECTION 0 80842
CHECK BFWW YORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Weed For
Home ❑ ❑ Range la Temporary Wiring 11
Duplex ❑ E] E) Water Heater ❑ Lighting Fixtures 431
Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑
Commercial Bldg. El El El Furnace t3 Silo Unloader ❑
Industrial Bldg. ❑ ❑ ❑ Air Conditioner Bulk Milk Tank ❑
Farm ❑ ❑ ❑ List - List
Other ❑ ❑ ❑ Rereers i i Heiers#
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feedeip ' Sub , ders: # Fee Circuits: # Fee
0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes
101 to 200 Amps.1 OU 31 to 100 Amperes 31 to 100 Amperes
Above 200 Amps. Above 100 Amps. Above 100 Amps. -
Transformers Remote Control Circ. Partial or other fee r,
Signs 11 Special Inspection Minimum fee $5.00
Remarks Ellrich TOTAL FEE ? 0
I, the Electrical Inspector, hereby ce that vE inspection has b 3b av
(Rough-in) Date?
(Final) Date -
This request void 18 months from
This request void 18 months from 1-:5-1 7
qq g "R32479
Date oft->Request 7' d 7
I, as Yd Licensed Electrical Contractor ❑ Owner, do hereby request inspectjgnsf the above electri-
cal wiring installed at: L/S- 3 t CL tt a„~ ~J
t
Street Address or Route No. C)A
Section Township Range County
h r
Which is occupied by O Q IF t. a c ~'r g 6^ TAV s7b r
(Name of Occupant)
Is a roughin inspection required on this job? No O Yes Ready Now ❑ Will Call 4~
Power Supplier Address
Electrical Contractor /
~
4/ ~h ^es "7 P T Contractor's License NF 6~1?
7 ( CO mpany Name)`
Mailing Address (o l / a hef -5 / s-c AIVIV-r'
/j (El r,cal Contf~toy Owner Making This Installation) r y
Authorized Signature Phone No.
(Era rival Contractor or n9r along This Installation) ~G, JET
ll
This inspection request will not accepted by the
State Board unless ess proper inspection fee is enclosed.
Minnesota State Board of Electricity
1154 University Ave., St. Paul, Minn. 55104-Phone 645-7703
R. VEST FOR ELECTRICAL INSPECTION CHECY. BELOW WORK COVERED BY THIS REQUEST 8 32479
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ❑ ❑ 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 List
Other 11 ❑ ❑ Herers} Herers~
COMPUTE INSPECTION FEE BELOW) 11111
Service Entrance Size: # Fee 11 Feeders& Subfeeders: # Fee Circuits:
0 to 100 Amps. 30 r 0 to 30 Am etes
101 to 200 Amps. 0 e i4b 31 to 100 Amperes
Above 200_Amps. ove Above 100 Amps.
Transformers mo ont Partial or other fee
Signs Special Inspection Minimum fee $5.00
Remarks i y e. yQ 4 m s i " - ~G' Pf` TOTAL FEE ~
I, the Electrical Inspector, hereby certi t the o inspection has been made. • oa
(Rough-in) i' Date f ^ 7
(Final) 61cJ.c Ly Q~ Date .g=7 y
This request void 18 months from T
O y7`
~G c xc~ /t
S S cr F ctl
t ~ ♦.cr ~ :Tf';<<,iy . of
This,iequest void 18 months from P5.3 U)QS1//~~Date of this Request 17 - Z P 48192
I, as ❑ Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. «IZZ- QPPIZON L44 L4 Citye~Am
Section Township Range Count}
Which is occupied by e mil? zcy"AE
(Name of Occupant)
Is a rougbin inspectiioon' required on this job? No ❑ Yes ❑ Ready Now ❑ Will Call O
Power Supplier `v S Q Address zo
Electrical Contractor
~-\*F-= . Contractor's license o?®Z1
(Company Name)
Mailing Address ;v
(Elec ri I Contract r r Owner Making This Installation)
y.-,_
Authorized Signature Phone No`T~ L-(s6~
(Electrical Contractor or Owner Making This Installation)
YALE ROAD COPY 9Z7~
Minnesota State Board of Electricity,
a
1954 University Ave., St. Paul, Minn. 55104-Phone 645.7703
REQUEST FOR ELECTRICAL INSPECTION
'CHECK-BELOW WORK COVERED BY THIS REQUEST 48192
Type of Building New Add. Rep. Check, Appliances Wired For Check Equipment Wired For
Home ❑ ❑ ❑ Range ' ❑ Temporary Wiring ❑
Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures 13
Apt. Bldg. ❑ ❑ 13 Dryer Electric Heating ❑
Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑
Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑
poLn ) List
Othe ❑ ❑ ❑ %hers} Rtehers~
COMPUTE INSPECTION F O 11 q" f`t
Sefvice Entrance Size: # F u # Fee Circuits: # Fee
0 to 100 Amps. 0 iff 30 Wperes 0 to 30 Amperes G'm
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Special Inspection Minimum fee 55.00
Remarks
TOTAL FEE
I, the Electrical Inspector, hereby certify that the above inspection has been made.
(Rough4n) Date
(Final) ,Date 16- J---?
This request void 18 months from
cr 0 .UU--S'/yyJ4
Thirrequest void 18 months from p (0 9d
Date ol'this Request P10345
1, as 19 Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street j r r oue Noo. 1222 Carlson Lake Lane City Eagaa
Section Township Range County Dakota
Which is occupied by Greg Dalhaug
(Name of Occupant)
Is a roughin inspection required on this job? No D YeNU Ready NowX3 Will Call ❑
Power Supplier Dakota Ct}r. Address Farmington
Electrical Contractor 0. B. Thompson Electric Co. Contractor's License No. 32503
(Company Name)
Mailing Address 1220' Mtka Blvd. iv?tka 43
(EI ca ontract ~rO
/nef,pAaking This Installation) 9332521
Authorized Signature Phone No.
(Electrical contractor or owner Making This installation)
SME WARD COPY
Minnesota State Board of Electricity S'
-1954'University Ave., St. Paul, Minn. 55104-Phone 645-7703 # G G 9
REQUEST FOR ELECTRICAL INSPECTION 10345
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wired For Check uipment Wired For
Home ❑ ❑ ❑ Range ❑ Temporary Wiring 5
Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑
Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑
Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑
Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑
Farm List ) List
❑ ❑ pp )yy pp
Other ❑ ❑ ❑ Herers) Here:s
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Circuits: # Fee
0 to 100 Amps. 0 to 30 Amperes ~ p to 30 Am eyes
101 to 200 Am s. 31 to 100 Amperes k 11 to 100 Am tea
Above 200 Amps. Above 100 s. I:.i %:~j Above 100 Amps.
Transformers Remote Con "c. Partial or other fee
S ns Special Inspect Minimum fee $5.011
Remarks B] ]rich TOTAL FEE
1, the Electrical Inspector, hereby certify that the above inspection has been made. 6-00
(Rough-in) Date
(Final) )Date -
This request void 18 months from
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55131' NO. 4381
PHONE: 454-6100
BUILDING PERMIT APPLICATION $469000. Receipt # 16454
To be used for Sing. Fam Dwlg. d Att. Ga$g. Date .h_+ne 21 , 19-27--
Site Address ,1722-.Carl -on i ake i.. Erect CIC Occupancy 1
Lot 15 Block-3_- Sec/Sub. Wilderness-Park AMn ❑ Zoning RL
Parcel # Repair ❑ Fire Zone _
Enlarge ❑ Type of Const. V
z Name Dalhang Bld¢. Co. Move ❑ # Stories
z Address 3823 Ballantrae Rd. 44 Demolish ❑ Front 54 ft.
o city Eagan Phone 454-1278 Grode ❑ Depth 52 ft.
0 Address Approvals Fees
o6 ress Same Assessment Permit 130.50
V
F' City Phone Water 8 Sew. Surcharge 23.00
Police Plan check _
~w Name Fire SAC 475.00
46 Address Eng. Water Conn. 230.00
<w City Phone Planner Water Meter 60.00
Council Park Don 120.00
1 hereby acknowledge that I have read is application and state that Bldg. Off.
the information is correct an r o comply with ppl' able 1038.50
State of Minnesota Stat tes ity of Eagan finances. APC Total
Signature of Permitte
A Building Permit is issued t DalhaOg Buil g Co, on the express condition that
all work shall be done i I cc one wi all appli ble State of Minnesota Statutes and City of Eagan Ordinances.
Building Official 6 --6 ~0
Date:
BUILDING PERMIT APPLICATIOIR y
1'G.r / BLOCK nDDrrle2a G~¢~i1/~sS ~i7/il /l/
& SECTION UUMER IF UITPLARTED
If:
.4 OCCUPANCY L USE S ~ 1~ r6 Az
N
silo-
r:nT~;i TELEPHONE NO. a!)nt~',3~.~~
COeRRACT?_'~/o~Y TELEPHONE 110:
Mr'R,ESS
Note: InclL+de site plan, building plans, and energy calculations vith this
application
Sign
OFFICE USE
'7AIATATI00
~
o
-11- ~.IRTMICTTO11
!MTER ! O
I~fiI1dG PM4IT FEE
CIO
MRCHT.RGE FEE 3
XJVI CMCK FEE _
PO
PARK DEDIC.ATIOU FEE
OTHER
,4RSSM CLERK BUILDING DEPT. POLICE DEPT-_
S~ TT'R & SEWER DEPT. FIRE DEPT. PARK DEPT.
rt f .ite For:
~3gan, lr??rness inc .
a, y
e
DELMAR H. SCHWANZ
LANDSURVErOR
Reg,stere0 UnCer Laws of The State of Minnesota
14515 SOUTH ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 5506E PHONE E12 423-1769
SURVEYOR'S CERTIFICATE
7./ 3p Drainage k-
utility i
easement
1ss TT ' t~
10 N ~s 0
28,3s rtW
o
v ID'
a
/o ` j 16~ •
ell
3
/ .
30
m
o+
0
J O o
L
I 0
l7 s~~ 15 z SCI-AL"": 1 1 1cn=4+) feet
Trail
~sao Easement OD
os ~
os
19
i hereby certify tlat this is 3 true and correct represunthtion of
110t 15, Block 3, WILDUNFSS PARK ADDITION, according to the zecorded
plat thereof, Dakota County, Minnesota.
February 10, 1977
MINNESOTA REGISTRATION NO x3625 Y
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
S } 3830 PILOT KNOB RD - 55122
651-681-4675
~2
New Construction ReauiremeMS 6 Remodel/Repair Reaukements
D 3 registered site surveys showing sq. It. of lot, sq. ft. of house 2 copies of plan
and all roofed areas f20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
2 copies of plans (show beam a window sizes; poured fnd. design; etc.) 1 site survey for exterior additions d decks
D 1 set of energy calculations r
D 3 copies of tree preservation plan R lot platted after 7/11/93
DATE: CONSTRUCTION COST:'
DESCRIPTION OF WORK:
STREET ADDRESS: ~Z Z Z Z~. <ee' L/p7(~r~ r 4~ ~J/V
LOT: T S~ BLOCK: 3 SUBD./P.I.D. W--J~ k,V-XA,5 L
Name: ~~5~7 iCD Q/fy149 Phone r~sl ~dS 8 Z~y
PROPERTY Last First
OWNER /~~7~~~ ~ ~r~
Street Address: / ZZ Z- L1~-;-J w f ^*r C~~E
City Stale: Alwr zip: 6773
f.. i
Company: r of!- 417' CONTRACTOR (area code)
Street Address: ~Z0V 7 N/CtO C LL7'~Y SO, Ucense # Z0/403S3 Exp. Z'o00
city '9440 cS V/G E State: rN, zip: S53 3 7
/)((CHITECT/
Comp
Eany Name:
ompany Name:
Telephone area co )
Street Address: Registration
City State: -Ztp
Sewer & water licensed plumber (required for new construction only
Penalty applies when address change and lot change is requested once permit is Issued.
I hereby acknowledge that 1 have read this application, state that the informatio one d ree t comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.c
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
ja sy~5e Asa as
aho /S-f cQ•
NOTICE OF CLAIM
TO: The City of Eagan
The City Council of the City of Eagan
The Major of the City of Eagan
YOU WILL PLEASE TAKE NOTICE that Allstate Insurance Company
and/or Joseph C. Bruzzone and Dorothea Bruzzone wish to put you on notice
that they claim damages from the City of Eagan for or on account of loss,
injury or damage as a result of an incident that occurred on or about
May 27, 1979 at or near 1222 Carlson Lake Lane, Eagan, Minnesota.
Upon information and belief said claimants were advised that the City
of Eagan, its agents, servants and/or employees including the building
inspector, electrical inspector or others charged with the enforcement of
ordinances of the City of Eagan or the requirements of the building
code did negligently and carelessly fail to inspect a home constructed
at said address, did negligently and carelessly fail to inspect, did
negligently and carelessly issue certificates ofoccupancy and did other
acts or failed to act which constituted negligence and carelessness and
unreasonable conduct. As a result of said negligent and careless con-
duct upon the part of the City of Eagan, its agents, servants and/or
employees, said Joseph C. Bruzzone and Dorothea Bruzzone did purchase
a dwelling at 1222 Carlson Lake LaneJconstructed for occupancy as a
single family dwelling, when in truth and in fact that said dwelling was
constructed in a negligent, careless and hazardous manner contrary to the
provisions of the appropriate building and electrical codes which did re-
sult in a fire on said premises causing damage to the property of Joseph C.
and Dorothea Bruzzone. That at all times pertinent here Allstate Insurance
Company was the insurer of said Joseph C. Bruzzone and Dorothea Bruzzone
and was called upon to pay in accordance with the applicable policy of
insurance damages sustained to said parties as a result of fire, smoke and
other damages that occurred on or about May 27, 1979 at said premises.
That following the damage and destruction of said premises at
1222 Carlson Lake Lane, Eagan, Minnesota Allstate Insurance Company was
called upon in accordance with said policy of insurance to pay for damage
to the house, garage, loss of rents profits, damage and depreciation to
said premises, its lawns and shrubbery, extra living expense and all other
damages to a combined amount of $34,327.12 and Joseph C. Bruzzone did pay
the sum of $100.00, the deductible. That Allstate Insurance Company-is
assignee and subrogee of Joseph C. and Dorothea Bruzzone for the extent
of their payment and demand compensation in the sum $34,327.12 plus an
additional $100.00 payable to Joseph C. Bruzzone and Dorothea,Bruzzone
plus interest, costs and attorneys fees not to exceed $50,000.00:,-This
Notice is given pursuant to M.S.A. 466.05.
SCHIEFELBEIN & GREENBERG, LTD.
By:
Robert G. Schiefelbein
Attorney for Allstate InsU)ance Company
1050 Midland Bank Building
Minneapolis, Minnesota 55401
333-7191
t
BEA SLOMOVIST
_ THOMASHEDGES
MAYOR - ^ CITY ADMINISTRAtOR
r J
CITY OF EAIV~H ♦ N EUGENE V BEKE
THOMASELAN T CITY CLERK CLERIC
MARK PARRANTO
JAMES A. SMITH
THEODORE WACHTER 9799 PILOT KNOB ROAD' n
COUNCIL MEMBERS EAGAN. MINNESOTA
55122 .-y- -
PHONE 4546100 '
July 23, 1981
Joe Bruvase
1222 Carlson Lake Lane
Eagan, MN 55123
Re: 1222 Carlson Lake Lane, Lot 15,Block 3, Wilderness Park
Final Inspection Required By Law
State of Minnesota, 2 MCAR Section 1.0101 - 2 MCAR Section 1.18901
City of Eagan, Ordinance 36
Dear Mr. Bruvase:
To complete our files a final inspection is needed on:
Plumbing Heating Structural _x
Final inspections are necessary to provide the greatest possible protection
for the present or future occupants pertaining to life safety and environ-
mental health.
Please contact us immediately for the inspections checked above.
City of Eagan Building Inspectors
THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY.
Use BLUE or BLACK Ink
r
I For Office Use
Permit a
, I
I
City of Ea
Edi~ I,
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: `~2 Z C l it t,, L.a Le- Lei vix., Unit
Name: I ~aV C ~~~(Nl tr~~G,o Phone: j ti- `-2,10
RESIDENT
OWNER Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: rte' V- I(4
Construction Cost: Multi-Family Building: (Yes / No
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
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 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 ~~y 6 ~ x
Applicant's Printed ame App scants Sig ature-
Page 1 of 3