1293 Carlson Lake Lane
INSPECTION RECORD T JCITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS:' APPLICANT:
r
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR.
i s (1i 1 F11t1 'i 1 1 I tli Ill 11'- 1 1.41 1 ld:•I'i. ( 1 1 11 10 1 ;lhl + tjW 1 fii I rd~i
Permit Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
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
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ' ' Is I °i''
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
i
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE • !
ra r L~
Permit No. Permit Holder Date Telephone #
t ELECTRIC
PLIJIMBINCI~
c{
HVAC s 7o1-a33 9
Inspection Date Insp. Comments
FOOTINGS p p
FOUND
FRAMING 1,4//
ROOFING /
ROUGH ~-3- `
PLUMBING G/
i
PLBG r~ /f
AIR TEST
ROUGH
HEATING /g
GAS SVC
/
TEST
INSUL a
GYPBOARD
FIREPLACE &-4r
FIREPLACE [~T
AIR TEST f !J
FINAL PLBG
FINAL HTG l( f(
ORSAT
TEST
BLDG FINAL n
BSMT R.I. V
BSMT FINAL
DECK FTG
DECK FINAL
4
wertif irate of CccupimV
(W4 of (pagan
#?epartratxt of ~xiibixg ~n~{rectiax
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use aassifkarion: S DWG BImg, P"k NM 31989
0__P_r Trpe EGM I 7aning Draia R I Type cons. VN
OwrrrofBWWmg GARY M1RCAN AAkb= T4~~575 GAPRIMRN Cr, FAGM
Building Address 12B3 ~ WE IM L,onliry LG, B5, RUN 4TH
D.:
~odeiog OtBctial
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Remarks
Addition Wilderness Run 4th Addition Lot 2 Blk 5 Parcel 10 84353 020 05
Owner ~L c a r tweet 1293 Carlson Lake Ln. State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
331 SAN SEW TRUNK 1973 163.26 8.16 20
SEWER LATERAL 1975 714.00 71.40 10 ?Rr, (if) A009397 9/5,180
WATERMAIN
WATER LATERAL
WATER AREA
1977 160.00 11736 A009397 9.1 S/ a 0
STORM SEW TRK y~ iggi 34n nn 7267 15 272.02 COOR116 11-2-92
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
AddressA 1203 CLEMN LAIC LANE Zip 5512 3
Lot 2 Blk 5 Sub WaDMESS RUN 41H
THESE ITEMS WE /WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: /O~5 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Q
CARLSON LAKE
V . 200'
Z
NWL = 840.5 HWL = 845.4
351 Z
357
TRAIL EASEMENT 4363
DOC# 464245
i
1299
1293 1287 1281 1277 1273
1265
CARLSON LAKE LANE
U
O
G .hiDits mist STAFFORD ARKING 050603
Existing Trail Easement - Doc # 464245
May 6, 2003
City of Eagan Wilderness Run 4th Add.
a
TrRIL EASL~NT ~ ~ ~Y
N
THIS INDEPITLriE, made and en_ere3 into this ~'day of
1911; py and between Arnold A. Carlson& Anna C. Carlson husban & 47if
Robert S. Tilsen & Joyce Tilsen -husb rids grantor, s and City of Eagan„+
Da:r:ota County, Minnesota, as Grantee wife S
are
{j} WITNESSETH WHEREAS, said Grantors a the owners of the.,. eta of
RIDER fS A.~ rd in the City of Eagan, Dakota County, Minnesota, legally As be R&Y1t1'
PART Oi IHI~ follows;
J, CT 4- I fS
A trail easement over that hart of Lots 1, 2, 3, 4, 5, 6, 10, and 11, all in
Block Five of WILDERNESS RUN 1'OR'I'Ii ADDITION lying between the Park in Wilde-rneru:
Run 4t11 Addition and a .line 5 feet Southerly of the followinrf described line;
Beginning al: a. point on the north line of said Lot 11 distant 56.76
feei_ westerly o`_ Lhe northeast corner thereof; thence South E9 degrees, 35
m.i.nutos, 37 seconds west alon,, the north line of said Lot ll. a distance of
115.24 Beet to the northwe:;t corner of said Lot 11.; thence South 00 degrees
24 '.mutes, 23 seconds L:&;;t a di3tanco of 85.00 fret; thence South B1 dl greos,
53 s:inutes, 31 seconds West along the northerly line of said Block five a
di.s-tarjce of 513.35 feet: to the rror.thwest corner- of said Lot 1; Lhetwo South
57 :icgro.cs, 16 minutes, 52 seconds.Las` a distance o- ;.50.19 feet; thence
'dorth 37 docrrees, 00 minutcs, 37 seconds East a distance of ?35.00 feet;
Chnnr'e North 67 donrnos, 25 mi-nuts:;, 37 second.. I'ast-. a distance of 160.00
f(-L;
"hence .NnrUi 26 dcqree 55 minutes, 37 seconds E:asC a distance of.
1"5.63 fcct to the point of beginning.
and across Whicil the parcel ua
location, 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,
cuch portable snow fences during such months as weather conditions make necess.^.ry.
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
sii.d trail as are deemed necessary and suitable to define the above lands and
locate them for public use.
IN WITNESS W,iE EOF, said Grantors have hereunto set theirEsnd s and
seals the day and year first above written. , n
In Presence Of:
a son
rno C son ~
Robert S. Ti sen
r J /
r
NCW THEREFORE, the said Grantors__, in consideration of One ($1.00) Dollar
and other good and val,iable consideration co 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 right 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, adzinistrators
and assigns, da 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 groan thereon.
The Grantors, for them selves , their heirs, executors, administratc.-za
and assigns dc_ hereby release the said City of Eagan, its Eucc.=_ssors and
assigns, from all claims for any and all damages resulting to the lan•is th=e+a;,'.t
and across which the parcel of land hereby conveyed is located by reasca of the
location, 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 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 Grantee shall have the right to post such signs and posters along
said trail as are deemed necessary and suitable to define the above lands and
locate them for public use.
IN WITNESS WHEREOF, said Grantors have hereunto set their hsnds and
seals the day and year first above written. a
In Presence Of: a son
rno C~ song
Robert S. Ti s n
l
STATE OF M4414N!SC(A
County of Dakota, ) 63~
j Office of Register of Deeds, -
This is to certify shot the within
instrument as filed for record it
this office at t-sei•.ps on the
do ; D. 19
i o'clock M., nd thal
the same was u y to rded it..
D oto Cov y R cot -
It ter of Deeds
e - Deonly
- 1
Transfer Entered This
day 19
County A tor, Dak to o.
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031989
(612) 681-4675 Date Issued: 05/13/98
SITE ADDRESS:
1293 CARLSON LAKE LANE
LOT: 2 BLOCK: 5
WILDERNESS RUN 4TH
P.I.N.: 10-84353-020-05
DESCRIPTION:
Buildin'g~,Permit Type SF DWG
,Building Work Type NEW
UBG Occupancy-,, R-3 U-1
Constructi`on Ti-pe VN
Zoningrv R-1
Building Length 68
Building Width q 46 .
auIld1ng.sptpri~s i
_ 1 die✓
~44elra Feet; 2,872
Ce,o sug.,Cod`e 101 1 - FAM. DETACH
V4 ~i y
it,
t~' _ µ c*5 x**` 4'~r uM'^ _
~ i3~ • ~ )j '
S.,v t~ i }p
n tom, ;1^lt'
2~ w s~ ,Wk x'.:.'e7
REMARKS:
S&W PLUMBER =
PLAN REVIEWED BY MIKE BARCK.
FEE SUMMARY-
VALUATION $173,000
Base Fee $1,252.25 MISC FEES $1.592.50
Plan Review $813.96 Total Fee $4,745.21
Surcharge $86.50
SAC $1,000.00
SAC' % 100
SAC Units 1
Subtotal $3,152.71
CONTRACTOR: - Applicant - ST. LIC.OWNER:
MORGAN CUSTOM HOMES INC 14361617 4713 MORGAN GARY
13233 HUDSON RD S 4575 CAPRICORN CT
AFTON MN 55001 EAGAN MN 55123
(612) 436-1617 (612)454-0939
I hereby acknowledge that I have,' read this application and state- that the
information is correct and agree tq oonply with' all applicable; State of Mn.,
Statutes and City o-f Eagan Ordinaancos;., '
AP (CANT/P R ITEE SIGNATURE ISSUED : SIGNATURE `
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Requirements RemodeVRega11 Requirements
# 3 registered site surveys # 2 copies of plan
# 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 K lot platted after 7/1193
required: _ Yes _ No
DATE: CONSTRUCTION COST;
DESCRIPTION OF WORK: /n Ir,nil
STREET ADDRE 1 7 ~ 4 /,01 ke-- Ldrw¢ l
LOT: 7i BLOCK: _!;7~ SUBD./P.I.D. ~1 /~Q/ land 2v y,aJ ✓i~rw
~A ca// vat- /t }
Name: %iu + Gia s~ Phone ~/Z~yfy ^ 0-75 PROPERTY Last First
OWNER
Street Address: / 5 7.~ ~a/✓f r~ p,.., G 7"
City ~4 g b y State: Zip: ~r I r,3
`1Ca,n Ga.,~ N~lrrs5 a~ Cb~vLti.w~ ~67-5'7Z7 cam
~7q
Company: ►r/,7 C~s4o- ~4 `p r+f Phone#: V (0-
CONTRACTOR
Street Address: 13 z-'~)3 { rI~B 12 S License # y 7 / 3
City _)1 Qom`-t9~ State: bbl NtJ Zip: 5-r G 0
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address chang
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 with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE US ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No ✓ Not Require
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
X'02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck
WORK TYPE
,)'31 New ❑ 33 Alterations ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) VjJ_ Basement sq. ft. (L 9 MC/WS System
(Allowable) Vt4 Main level sq. ft. ! -7 3c. City Water
UBC Occupancy 2-z -I EiAVUk4L sq. ft. 11,15 Fire Sprinklered
Zoning R- i L,, --Sq. ft. 113(, PRV
# of Stories i sq, ft. Booster Pump
Length c g' sq. ft. Census Code.
Depth 4+(.' Footprint sq. ft. zP72- SAC Code or
Census Bldg r
Census Unit r
APPROVALS
Planning Building A41:2~ Engineering Variance
Permit Fee Valuation: $ !73 ooo.-
Surcharge 3A-,C ,,F-NT-
Plan Review a a K sd
License ao )e a s 2~
MC/WS SAC 8 Y + ° zc
City SAC z 9 2 8
Water Conn.
Water Meter + f- 9 41 eD d x s= N z, 3 sv. -
Acct. Deposit 5~, a teas
SIW Permit t b 4~/
S/W Surcharge 17
2 4 tr
Treatment P1.
Park Ded.
Trails Ded. 1-7 3s s = R 3r 7r
Other
3g. z a
o Was 9 ra"x_~
Ital: zyy2-
83~
fy X! g 4g
SAC Z~SZ
rc = Lgt 7L _
AC a Lowr2 13{ to Aj
177, `/Lel.
r
CERTIFICATE OF SURVEY'
For: GARY R. MORGAN 7`\ ' E0
Sul
ADDRESS: -ie87-CARLSON LIKE
Iz43
LANE INSPECTIONS DEPT
PROPERTY DESCRIPTION: Lot 2, Block 5, WILDERNESS RUN
FOURTH ADDITION. Dakota County Minnesota.
We hereby certify that this is a true and correct survey of the above described property and that it
was performed by me or under my direct supervision and that I am a duly Licensed Surveyor
under the laws of the State of Minnesota. That this survey does not purport to show all
improvements, easements or encroachments, to the property except as shown thereon.
Signed this 6th day of May ,199 For: da s R Hill, Inc.,
R a ~ 11 -5~ LLY~~Y Harold C. Peterson, Minnesota L.S. No. 12294
r... .,1~~
Notes:
1. Building dimensions shown are for A Denotes set nail
horizontal & vertical of structure only. O Denotes set iron monument
See architectural plans for building & • Denotes found iron monument
foundation dimensions. x927.6 Denotes existing elevation
(930.00) Denotes proposed elevation
2. No specific soils investigation has been Denotes proposed drainage
completed on this lot by James R. Hill, Inc.
The suitability of soils to support the specific Bench Mark:
house proposed is not the responsibility of 888.01 -TNH-Lots 3 & 4. Block 5
James R. Hill, Inc. or the surveyor.
3. No specific title search for existence or non- Proposed Garage Floor= 885.3
existence of recorded or unrecorded easements Proposed Garage Top Block= 885.7
has been conducted by the surveyor as a part of Proposed House Top Block= 886.4
this survey. Only easements per the recorded plat Proposed Lowest Floor= 876.9
are shown.
4. Proposed grades shown were taken from Bearings are on assumed datum
the grading &/or development plan prepared by Scale: 1"=30'
Page 1 of 2
~D James R. Hill, inc.
o rn
N s
'n LW > ; PLANNERS / ENGINEERS / SURVEYORS
o y m < 2500 w. Cr. RD. 42, Such 120, Buws%LE. NN 55337
612/890-6044 Fix 890-6244
CERTIFICATE OF SURVEY
For. GARY R. MORGAN
_ ADDRESS: ! CARLSON LAKE LANE
R) i
81°53'51"~ -
POND
1 / NWL=840.5
1 HWL=848.0 n
WATER ELEV.=839.5 N
1 ON 5-04-98 _-t
3 I N
M n 1~ TRAIL EASEMENT PER O
N n DOC. NO. 480178 ° Z %
° I
O p00j /
Z O~
C)
~ 4~2g I I
N87-00 37-E I 45.5
4522 \(845.5)
56' 9
EXISTING OOD
EXISTING CONCRETE J 857.9 1 as Y5.1 ova RETAININGWWALL
RETAINING WALLS 8 .5 7
86
863.1 863.1
LOT 2 F_
'Pj4.wola~~It/r
~ n O n o
O rLL111mWLL-..---- ° m Z
O FUTURE DECK
I
P_4~_/54.0 k m O
Z 876.4 , 877_s B.7
8.6 I O
14.0 I
O m m PROPOSED I n p
EXISTING PO HOUSE/ C:) In 00
% OUSE a N I r J/
T W 13.33 I GARAGE / °o
881.6 w ° PORCH o / 6 EXISTING
1
1 881.8 16.0 no 880.0 w ° 13.67 A I co HOUSE
BENCH MARK _ 25.0 c~ mm
TOP OF SPIKE 885.7 m 885.0 °
ELEV=881.83 I y ` Im m 1 BENCH MARK
rn Im m m
l ^ n TOP OF SPIKE
PROPOSED ELEV=883.90
I DRIVEWAY
882, 1 ° l -~--DRAINAGE k U77LITY
SERVICE EASEMENT PER PLAT
.1 884 4
0T .V' 883.4 LE. ' 84.4
85.00 S86020'33',E~= )
h A 1 883.2 883 8
_ I
CARLS N LAKE ANE i
0
Scale: 1 "=30' Page 2 of 2 James R. Hill, Inc.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: Z ~ , r z r e,Lia o i /
DATE OF SURVEY: -S-Z 9~',/
LATEST REVISION:
S g m
DOCUMENT STANDARDS
x
r-b ❑ • Registered Land Surveyor signature and company
❑ • Building Permit Applicant
G✓❑ ❑ • Legal description
M-'❑ ❑ • Address
0~-'❑ ❑ • North arrow and scale
❑ • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
m__- ❑ • Directional drainage arrows with slope/gradient %
t ~i❑ ❑ • Proposed/existing sewer and water services 8 k verteleuatiQn-
❑ • Street name
2~'13 ❑ • Driveway
ELEVATIONS
Existina
❑ 0 ❑ • Sewer service (or Proposed)
0-~❑ ❑ • Property corners
o-`❑ ❑ Top of curb at the driveway
0~ ❑ o • Elevations of any existing adjacent homes
Proposed
Er_'~O ❑ • Garage floor
6-'❑ ❑ First floor
E1~0 ❑ Lowest exposed elevation (walkout/window)
2!/ ❑ • Property corners
[7 ❑ ❑ • Front and rear of home at the foundation
PONDING AREA (if applicable)
El' ❑ ❑ Easement line
[ : ❑ NWL
[Y ❑ ❑ • HWL
Gr~❑ ❑ • Pond # designation
❑ Emergency Overflow Elevation
DIMENSIONS
❑ • Lot lines/Bearings & dimensions
❑'11 ❑ • Right-of-way and street width (to back of curb)
0-' ❑ ❑ • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
0_~' ❑ Show all easements of record and any City utilities within those easements
❑ ❑ ❑ • Setbacks of proposed structure and sideyard setback of adjacent existing structures
❑ ~O • Retaining wall requirements, if any
Reviewed:
me Da
January 1996
CRA10190aeLDGPRMT.FM
MAY-05-98 TUE 07:40 AM SHAW LUMBER CO FAX NO, 4889779 P.02/03
%c .ADDRESS: _ - .
r7r..,Cv_OR::. WL -f ~y.-r J DATES s /ll v -.PNDHE
Y
nEiE::sIHE }IDRY.11:f SQUrni FDD7xG_ OF EACH:.
7DTJtL EXYD3ED VALL AREA. /
SR ft x r,0,r , r !
TDTJL PDOF/.1LiN5 . AE ?A +r S s.4 ft`x •"u" (a;
70?AL EXPOSED VALL AnEA CALCMATHOKS-
Total. exposed wall.. -
area FSave .floor - - ~ ` ~ '
~f •sq ft
a) Total :all wlydaw area: z
glazed... . • _ ~sq ft x rrv„ DL)
glazed. $ft x "Orr
3} Total door.area sq ft x IIP
•
C) Total sllding glass door _
Brea:
972zed...... r~
• •.---~~...sq ft x mryrl r
glazed...... - sq ft x nLj;r
d} 'Total fireplace wall area~sq ft x'"D"' •
e) Total wall frar,ing area / r #
(Averace ID%)......... . 7jliy sq ft x "V.. , Q7.. • l
f) Total net .all Berea above
floor (Insulated).....
S ft X;ru" [Q(f
o) 'Total ;ln Jo1st area...... ` 70sq-• ft x "U" 0( • {J ~S
~ _
Tatel.,fo&C2 10 7
area (Exposed), .
total foundation
wyndow area r-
•s..t........ sq ft x ~'U'r •
t) 7otitl net founelatlon -
area above, grade..,.-_•• j 3G U7 j 3.~p
sq ft x "u"
TOTAL a) thru 1)
If Item 031S t1%c,sa+x as, or Iess than 1'tCA fl, you have met The Intent
of
2.If= =•16008 A aad.D..
MAY-05-98 TUE 07:41 AM SHAW LUMBER CO FAX NO, 4889779 P. 0.3/03
3q !t
~.r.:.. rOOf./Cel11Aq tree: .
Total skyhotis Brea........ "
k) Total roof/eelltnq.framng
(v in I ~J'~sq ft x Ny.. 03
sees. h era a
1) 'T06 1 net Ins,41at;d r •rWfq ft )k dU„• «•eB3~',~"
roof/celltng area....... -
• 7DTA!•'~) thru l)
total-of 0 Is the sarre as$ or less than 12. YOU have net tfe Intent bf
MCI-it 1.16DD8•A =d 0.
ALTEt11ATE SU1LD1111 ENVELD7E 1)Z"" utlIlte the total envelope system raethad. the values es.41.1Ished by the $1A '
P and 92.
f 1tees- 13 and £4 sha11 not be greater than, the sum of 1:V-4;
1 + 2. r
3, + .
N
L E R f!! C 212
1 hereby certify that.1 have ealculaud the "D" fxl:.rs and "A"
Ives herein and that the bulldlnq-berg described s+eets es' xceeds the State
yam. z
•-Nlnnesot; fneuvl Cc seriatlon Act.
_ N~...
, 74 lure):
r S_ ~ i +~2~ ~ •
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: R U I L D I N G
E,agarx; Minnesota 55122-1897 Permit Number: 0 3 4 0 8 6
(651) 681-4675 Date Issued: 11, J 2 0 J g 8
SITE ADDRESS:
12953 LARI-SON LAKE LANE
LOT: 2 BLOCK: 5
WIL.OERNESS RUN 471-1
P-I.N.: 10-84353--020-05
DESCRIPTION:
Building'Rermit Tvpe FIREPLACE
Building W:o•t.-..k Type NEW
,'Census Code 434 ALT. RESIDENTIAL
r
I i
'I Jj S _!il S 1~4~ 3}~L
REMARKS:
CHIMNEY FLUE MuS-l BE INisrGCTF1) H nhl_ C0NCFALINGFEE SUMMARY:
Base Fee $50.00
Surcharge _..'t 5 r)
Total Fee A9:50.[;0
CONTRACTOR: - Applicant - S'T. LIC> OWNER:
FIRESIDE CORNER TNC 16331042 20090911 MORGAN GARY
2700 N FAIRVIEW AVE 1293 CARLSON LAK'E' LANE
ROSEV.I,L.LE MN 55113 E A G A N MN 55123
6121 633-1042 (651)
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 Mn.
Statutes and City at Eagan Ordinances.
L I
APPLICANT/PERMITEE SIGNATURE 0 ISSUED BY. SIGt ATURE
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CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1998 FIREPLACE PERMIT APPLICATION I l lY
681-4675
DATE: PERMIT FEE: $50.50
DESCRIPTION OF WORK: Construct new fireplace Alterations to existing
Install eas insert only Install gas line only
Other
JOB ADDRESS: 3
6-14 nl ~ZP o
LOT: BLOCK: S SUBDIVISION/P.I.D.#: W.-~vv,)D
APPLICANT (circle one only): OWNER t TRACTO
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.
Name: I~66~1 ti Phone
PROPERTY Las( F'
OWNER .
Signature:
Street Address:
City State: Zip:
Company: Low ft ft* Phone
FIREPLACE AO! Fireside COtw
INSTALLER Signature: ♦:OehIt801e Lieense 8211890911
N, mvieu Avti,
Street Address: ReSlYIM1, MN 56113 License #
City State: Zip:
Company: Phone
GAS LINE
INSTALLER Signature:
Street Address:
L 2 BL S CITY USE ONLY RECEIPT#: 915(0 (
o
SUBD. 2r.Piyy~/uC RECEIPT DATE: ~3 I St 6
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, NIN 55122
(612) 681-4675
Please complete for: D single family dwellings
➢ townhomes and condos when permits are required for each unit
➢ backflow preventer for underground sprinkler system
- - - - - - - -
-
FIXTURES EACH # TOTAL
Shower 3.00 x .3 190
Water Closet 3.00 x = 0o
Bath Tub 3.00 x = OV
Lavatory 3.00 x = t l9n
Kitchen Sink 3.00 x ! = 3.~~
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x = 3.9a
Water Heater 3.00 x 103
Floor Drain 3.00 x = 3.00
Gas Piping Outlet ` minimum -1 3.00 x _L = 3.Bo
Rough Openings 1.50 x =
Water Softener `for dwellings under construction 5.00 x
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler "forexisting dwelling 20.00 =
Alterations " to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC Ilc. 75.00 =
(new and refurbished systems)
Private Disposal Systems `Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL
-
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/fight-of-way/easement.
SITE ADDRESS: /4v?/nc3 r ad b i 4k L i t
OWNER NAME: GQrQ
INSTALLER NAME: /~?p/~YJ31 G L~ TELEPHONE M 73 9-ID y?
STREET ADDRESS: / 1 (w ~pi~s/J✓L L f~
CITY: Gv(D /~c~ Lr STATE: ^1 ZIP:
.SGT
SIGNATURE OF PERMI EE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
V CITY USE ONLY
LOT AABL 41 RECEIPT 95 ~y 7 7 °2
SUBD&),(/pCQ41d,ad} RECEIPT DATE: V519
1998 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF BAGAN
8950 PILOT KNOB RD
£AGAN MN 55182
Date: (612) 691-4675
0
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 4.0
Qo F s `~4p ADDITIONAL 50 M BTU 6.00
~ 5-, 5 SGt~ 914 U,2 6(e- L-T Cfohh97w A. ,t E-feti~N~~ 9 OD
• Gas outlets (minimum of one required @ $3.00 ea.) rngh E~nEV/A[61 YiYt`/~
• State Surcharge: 2 .50
• TOTAL: `J3 sC~
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 .50
Total: $ 20.50
SITE ADDRESS: / 3 L"l7KISoJI~ L/~~C ftN~ ?
OWNERNAME: YII pIt(010 /N H-0r"F-S PHONE#: Y JFj~ I bI
INSTALLER NAME: (t f UV D t"e o 0 HT6'f 9~_~ (b7 PHONE -7,D/ - -)5 -,9
STREET ADDRESS: 6 ~s bj&5-rW r-W 0 Ott
CITY: L LT % C F 04W 9 Aq- STATE:. )1 V ZIP: 55 lay
SIGNATURE OF PERMITTEE
1SIF0RMS BLD/MECH PERMIT (RES) - 1998
0
PARK CI 0 EA
CARLSO Reo2 NoVI- ~V®,5
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PARK
Proposed Vacation w
z
Existing Trail Trod GOO&M t g
Doc 464245
351
z
y- - - 4357
4363
1299 1293 1287
1307
1281 1277 1273
1265
• CARLSON LAKE
v v LANE
b o
M a 4
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0
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Proposed Trail Easement Vacation
Lot 2, Blk 5, Wilderness Run 4th~:~, Nov~19''
cdsoo- la~FCail F ~9
Use BLUE or BLACK Ink
r-----------------
I For Office Use II
~
CPermit
lyofEaEd~
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 j Staff: j
Fax: (651) 675-5694 I I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
Name: L"_-1,z co( W oz6i a:: Phone: Ca i Z - _g" 3)
RESIDENT / k ,
a
OWNER Address I City I Zip. ~ 3
Applicant is: -?N - Owner Contractor
Description of work: ~L-
TYPE OF WORK
Construction Cost: 0~-o C) ® Multi-Family Building: (Yes / No
Company: (Ft~ Contact:
CONTRACTOR Address: / -7 city: 61
Stater (1' t Zip: ~5 3 (.J Phone: 7 - 1
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 maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.-gopherstateonecaIl.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 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170024
Date Issued:06/17/2021
Permit Category:ePermit
Site Address: 1293 Carlson Lake Lane
Lot:002 Block: 005 Addition: Wilderness Run 4th
PID:10-84353-05-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Christopher & Jennifer Rasinen
1293 Carlson Lake Ln
Eagan MN 55123
(612) 298-3271
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature