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1327 Carlson Lake Lane Use BLUE or BLACK Ink For Office Use Ed~ I Permit City of Ea I I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 2011 I I Staff: I Fax: (651) 675-5694 2011 RESIDENTIAL BUILDING PERMIT APPLICATION ~Cs~E Date: Site Address: Unit Name: e, ll ~ one: 4;',f2 -.J Dl~ i RESIDENT / OWNER Address / City I Zip: i Applicant is: Owner Contractor Description of work: e 64e,, l ee rf- Z9cs ~r TYPE OF WORK Construction Cost: Multi-Family Building: (Yes / No ) t Company: D~ l ~i,cG.G Contact:, CONTRACTOR Address: /yB( ~c e¢z S Cit : ts~-p State: 107A' Zip: Phone: del( Grp - I s 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: _ . _ . __r . j. 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p s. Applicant's Printed Name App !cant's nat Page 1 of 3 Cqj21-<-&t1 Z-6e~DO NOT WRITE BELOW THIS LINE 166q,35 SUB TYPES Foundation - Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex T Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement _ Siding _ Demolish Building* Addition Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation ` Occupancy MCES System Plan Review Code Edition &,4, 1 A j SAC Units (25% 100%",Q Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction E Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Y Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: I F -7 , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge r S&W Permit & Surcharge t1 Treatment Plant Copies TOTAL Page 2 of 3 09 916 fifl'S8 91 ~ w dik W OD CQ 0 V+ PN~,e m e a Y w ~A r 0 m";la,I rL oOO N ~~ry Uu~' I i LiwE7 Lar "Mock , C ~v..nsT :?~RC~ias=r~TY Link . "'L71 r~T i')1 r~r41 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA087252 Eagan, MN 55122 . Date Issued: 11/03/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1327 Carlson Lake Lane Lot: 2 Block: 4 Addition: Wilderness Run 4th PH) 10-84353-020-04 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Insert Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. 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. Andrew Hoffman Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Fireside Hearth & Home John R Steffen 20802 Kensington Blvd 1327 Carlson Lake Lane Lakeville MN 55044 Eagan MN 55123 (952) 985-6675 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N? 4273 PHONE: 454-8100 BUILDING PERMIT Receipt # F,?{' To be used for ratio be c k Date 19 Site Address i ''y? >r' CA X4 Erect ❑ Occupancy Lot Block 4 Sec/Sub. 4t^ Alter ❑ Zoning Parcel Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. Name ".p i ;}yya„ Move [-I #i, Stories W z Address 13 7 i:_ J stir L;i' e Ln Demolish ❑ Front ft. 0 city Phone 452-3415 Grade E] Depth ft. Name t Approvals Fees 0 vU Address Assessment Permit J_ ~ City Phone Water & Sew. Surcharge Police Pion check _ uW Name ~w Fire SAC Address Eng. Water Conn. aW City Phone Planner Water Meter Council hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total 5. 5r: State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: ! ' -1--'n on the express condition that oi$ work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official _ i Permit # pate Issued 1•OMMOS, _Plumbing Mechanical I INSPECTIONS DATE INSP. Rough-In Find Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. Mechanical Final Remarks: i CITY OF EAGAN Remarks Addition Wilderness Run 4th Addition Lot 2 Blk 4 Parcel 10 84353 020 04 Owner < treet 1327 Carlson Lake Ln. State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 2 SAN SEW TRUNK 1973 $163.26 $8.16 20 PAID g~nSEWER LATERAL 1975 $714.00 $714.00 10 PAID WATERMAIN WATER LATERAL WATER AREA Paid wl water cmnection STORM SEW TRK y : 232.58 0005440 6/10/80 1551 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $320.00 749 7-21-75 BUILDING PER. #3 749 - SAC 749 7-21-75 PARK VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Kiioo' Road PERMIT NO.: 1826 Eagan, MN 55122 DATE: 9/16/75 Zoning: R1 No. of Units: I Owner: Mil-RAY11 Homes xng Address: Site Address- 1327 rAr1 con Take Tn- Plumber: Meter No:~~ a 7 Connection Charge: 370-00 pd Size: Account Deposit: Reader No.: --F - ' Permit Fee: 10 00 pd I og to comply with the Village of Eagan Surcharge: 50 Pd Ordf.~ Misc. Charges: 60.00 pd Total: By Date Paid: Date of Insp.: Insp.: VILLAOE.OF EAOAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2585 Eagan, MH SS122 DATE: 9/W75 Zoning: RI No. of Units: _ I Owner: T11Sen Home, Inr Address: Site Address: 1327 Carlaon Lake Ln I2A4WR4 Plumber: Rav-ROC I agree to comply with the Village of Eagan Connection Charge: 42500 pd Ordinances. Account Deposit: Permit Fee: 10.00 pd Surcharge: .50 pd By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: /1, CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.:72i The City of Eagan hereby grants to Nil n Fubba a Hea ina A A/r rn_ of 99 Tic. Sneitina Ave., . Paul 59104 a HTA:'I~iG Permit for: (Owner) TILSEN HOMES INr. 1364 Amaryllis, 1327 Carlson Lake Ln., 4353 6 4359 Svensk In. and at 1269 Wilderness n Tzi pursuant to application dated 9/4/75 Fee Paid: 385.00 + $15.00 CdMsd this 11_ day of fiApj j,99 7c. 2.50 a/c Building Inspector Mechanical Permits: Bid Total: 4' L) ~/I~k~~'~53 oac o~ CITY OF EA.- N W~ 3795 Pilot Knob Road Eagan, '!innesota 55122 PER,/jT NO. 596 The City of Eagan hereby grants to Louis H. Peter Co. of 7854 Gran Ave.. St. Paul 55105 a -PziMPTmr Permit for: (Owner) Titsen Homes Inc. 1327 Carlson lake Lane and at 4444 Tmar}lli La_e , pursuant to application dated 0/25/75 & 0/2.7/75 Fee Paid: $40 0 dated this _2j _day of August _75 1.00 s/C Building Inspector Mechanical Permits: Bid Total: ForANiceuse p :4ZUU6 R City of Ea~aR our i Permit # I Permit Fee: Pilot Knob Road 13 Eagan MN 55122 By j Date Received: Phone: (651) 675-5675 Y Fax: (651) 675-5694 1 Staff: T_ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION C>Zdcd Date: OG, IIJQ _Og Site Address:/ -0 ~ 6- iV f SC^j ~ A!l Tenant: 9tY/-1 n`ji S/ elf{-P--~~ ~,~s Suite: RESIDENT /OWNER Name: V~sna~) Phone: C~S~''~~ - S3`3g Address / City / Zip: 7CAR~15iV\ 601& i~JIJ Applicant is: -Owner Ck~ontractor TYPE OF WORK Description of work: Fawu2Z-' &4-, 0 FFV_~ ev Construction Cost: ::z.ef,0 Multi-Family Building: (Yes / No CONTRACTOR Name: ? 1~ 1 ~ CC C +y ~ CV G-) license 1 (Ct % D Z/ D Address: 3 7 q City: )+AS77%-r,i 5 Sta Zip: Phone: Contact Person: 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 (J submission type) • 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? _Yes _No It yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in c orman 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 wor is not to art without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv of plans. xK~ 1JPi:]i4-S x ~x- Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool ❑ Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. All. - Multi ❑ 01 of _ Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex ❑ Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex ❑ 10-plex Lower Level ❑ Storm Damage ❑ 04-Plex ❑ 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building' CI Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation ❑ Replacement ❑ Egress Window ❑ Water Damage Demolition (entire building) - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System IT- Plan Review Code Edition SAC Units (25%_ 100°%~ Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. _ Foundation HVAC Drain Tile Other: Roof: -lee & Water -Final Pool:-Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:-R.I. _AirTest -Final Windows 4-17 Insulation _ _ Retaining Wall Reviewed By: I Building Inspector RESIDENTIAL FEES: Base Fee Q Surcharge Plan Review/ MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 CITY OF EAGAN + 3793 Pilot Knob Road Eagan, MN 55122 N~ 4 2 3 PHONE: 454.8100 BUILDING PERMIT APPLICATION $500. Receipt # 5676 To be used for Patio Deck Date 418 19 77 Site Address 1327 - nrl genl aka ta.. n Erect ® Occupancy Lot 2 Block 4 Sec/Sub. WR 4th Alter ❑ Zoning Parcel # Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. c Name Richard Clausen Move ❑ # Stories 3 Address 1327 Carl con i ake I m Demolish ❑ Front --ft. city Eagan Phone 452-3415 Grade ❑ Depth ft. Name Sam Approvals Fees 0 ou Address Assessment Permit 5.00 _ u~ City Phone Water 8 Sew. Surcharge .50 Police Plan check w Name Fire SAC ~Z Address Eng. Water Conn. WEPlanner 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 5.50 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 Bill en all work shall be done i. cordance wit I applicable State of innesoto Statutes and City of Eagan Ordinances. Building Official _ ~ (,--7 3 Dater BUILDING PERMIT P.PPLICATIOU LOT BLOCK _-f ADDITIOS 6 PARCEL & SECTIOU NUMBER IF UOPLATTED ADDRESS OF PARCEL"/ .2 Z A,, 7, NI-OG OCCUPANCY USE <oYa e Ti,'STLIATED ST 0'T ,F f ` c✓~,C ~Q luc~ZR_1J TELEPHOc1E IQO. ADDRESS CO!:,MMCTOR TELEPHOT'E no. ~ .3 `YI.~ ADDRESS Noter. Include site plan, building plans, and energy calculations with this application Signed OFFICE USE VALUi1^a IOE '6~D C~ _ SAC T' ATER CMPNECTIOit I^SATER !:MTER G~ BUILDING PERIdiT Fir. SURCHARGE FEE PLAIT CKrCK I E PARK DEDICATIOII FEE OT'.ER TOTAL* APPROVALS: ASSES%Wi'•IT CLERIC BUILDING DEPT. POLICE DEPT., _ MTER & SZ-MR DEPT. FIRE DEPT. PARK DEPT. / CITY USE ONLY LOT BL T RECEIPT i1A SUBD. 7 RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN NON 55122 5- -7 - 9g (glE) 881-4895 Date: Complete this section o~ly if you are installing HVAC in single family, townhomes or condos under construction and not owner /occupied' • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air conditioning Install air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge Total: $ 20.50 SITE ADDRESS: j3i2 CCIrlsOh LCtki•f, Lr7. OWNER NAME: WK-P- u r -F-h PHONE !0 8I - ~l 80 INSTALLER NAME: Wok l el-s COLL-I'I' Si j-b 4±,@ d, ftICG PHONE 43 1 -1 09!! STREETADDRESS: ITV--73a Pcyinod< +d) CITY:. "PI-c _yo l e V STATE: M- ZIP: 551x4 SIGNATURE OF PERMITTEE ]S/FORMS BLD/MECH PERMIT (RES) - 1998 CITY of EAGAN Ni~° 3722 BUILDING PERMIT 3795 Pilot Knob Road Owner ....1.1.11..1............................................ Eagan, Minnesota 55122 Address (present) _.7.....sSG1:...~..F.J~!Q4,_.51.._U.~.. - 654.8100 Builder Data ..........7.:1 Address DESCRIPTION Stories To Be Used For Front Depth Heigh! Est. Cost Perini! Fee Remarks 5iitg/:=. dwV/' ~35-2x)ao dirt- glodbl~- 5,arco9E 15 - 5b ' sides. LOCATION / Street, Road or other Description of Location Lo! Stock Addition or Tract CAP /sad Lfl ~t_. 1,~3,v~ a c,~/dsezs r2o ~t This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that ......'L~ ..rr.......C.Q.O. has permission to erect the above described premise subject to the provisions of all applicable Ordinances for the City of Eagan le~ Per ..4:.......rS..a............................ Y Me Building Inspector " .d I fps 10~- ,eonz AeoooeArY LwE uN~~ ~J r n XNN 4 ! na I I i i LINE I LOT BLoe k k//z U 'E55 u.cJ i rrowrpkopFroury LINE: -PLOT P L INN MASTER CARD LOCATION L_D~✓ /S6 ✓I bG / / ✓ / Z 7 N/ T OWNER STRUCTURE AND LAND USED AS Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING 'a r GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTINGS SEPTIC FOUNDATION CESSPOOL FRAMING d TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING JD OF WELL GAS INSTALLATION ' SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: '~~152 -/S-s0 Ck 4 . z oq5 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 41' / / / Site Street Address /q ~ 7 '4110° Unit # (~vSi3~ Property Owner Ue')lz/(/ zs_'r--eA Telephone # Contractor 4 ,11^12122Z'/i) Telephone# W_A-Yf-is 7g~D Address 1A&Z pl& age) City. a elIZI State Zip 5.5 9 The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: r 2n Water Softener _ Water Heater $ 15.00 - new replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ )00 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. (ui 1/1 7 t - - O- z 1 ZZz4 A p icant's Printed Name App c nt's Signa ure PERMIT City of Eagan Permit Type:Building Permit Number:EA110843 Date Issued:05/30/2013 Permit Category:ePermit Site Address: 1327 Carlson Lake Lane Lot:002 Block: 004 Addition: Wilderness Run 4th PID:10-84353-04-020 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, call for framing inspection. Call for final inspection after installation. Window or Door:REPLACE FRONT PRE HUNG DOOR STEVE KIFFE 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 - Justin A Mushel 1327 Carlson Lake Lane Eagan MN 55123--171 (612) 388-1019 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118578 Date Issued:11/04/2013 Permit Category:ePermit Site Address: 1327 Carlson Lake Lane Lot:002 Block: 004 Addition: Wilderness Run 4th PID:10-84353-04-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Michael Bischel 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 - Justin A Mushel 1327 Carlson Lake Lane Eagan MN 55123--171 (612) 990-6225 Bischel Building Contractor Services Llc 100 8th Street Farmington MN 55024 (651) 463-8762 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA142306 Date Issued:04/25/2017 Permit Category:ePermit Site Address: 1327 Carlson Lake Lane Lot:002 Block: 004 Addition: Wilderness Run 4th PID:10-84353-04-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Justin A Mushel 1327 Carlson Lake Lane Eagan MN 55123--171 (612) 990-6225 Airtech Heating & Cooling 490 Villaume Ave, Suite 300 South St Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature