4244 Carlson Lake Lane NcIrir oF EAGAN WATER SERVICE PERMIT
3795 „Pirot Knob Road
B69an, MN 55122
Zoning:
Owner.
Address:
Site Address: 1244 Plumber
Meter No.:
Size: _
Reader No.:
1 agree M eomply wiN+ tfie City of Eagoe
Ordinonees.
By
Date of Insp.:
PERMIT NO.: ?7 2, ?
DATE: - ' ! ?4 /7c,
- No. of Units:
- Connection Chorge:
_ Account Deposit:
_ Permit Fee: • ( ?'? ?t'
Surchorge: 5C ?':i
Misc. Chorges• 1• 00 pd mie
Totol:
_ Date Paid:
I nso.:-
CITY OF FAGAN SEWER SERVICE PERMIT
3745 Pilot Knob Road PERMIT NO,:
.
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: --
Address:
Site Address ?
Plumber:
I agree to eompty with the City of Eagan Connection Chorge: -?
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
InsD.: Date Poid:
. cirir oF Er?"N
.-.; -`_ • 8795 Pibt Knob Road Eagea, MN 55122 N2 5213
• . PHONE: 454-6100
BUILDING PERMIT Receipt #
To be und for Est. Vvlue Date , 19
Site Address Erect ? Octuponq
Lot Block Sec/Sub. Alter ? Zoning
Parcel # RepQir ? Fire Zorre
Enlarge ? Type of Const.
W Nome Move ? # Stories
z Address . Demolish ? Front ft.
, -.
0 r;... -• cZU! Grode rl DePtfi ft.
0? Nome
0
?< Addre:
? r..,,
Name _
Address
1 hereby ocknowledge chnt I hove reod this opplication ond state that
the information is rnrrect and agree to comply with oll opplicoble
State of Minnesota Statutes ond City of Eagan Ordinances.
Assessment
Water & Sew.
Police
Fi ro
Eng.
Plonner
Counci I
Bldg. Off.
APC
Fees
Permit
Surchurge
Plan check
SAC
Water Conn.
Woter Meter
Totol
Signafure of Permittee ?
A Building Permit is issued to: ` on the express wndition tFwt
cll work sholl be done in accordonce with all applicable Stote of Minnesoto Statutes and City of Eagan Ordinances.
Building Official
PonnM # pate Isw?d hewlHet
Plumbing -
Mechonicol 05-6 / .-/ 7- o
INSPECTIONS DATE INSP. Rouph-In Finol
Footings oate Irup. Dote Insp.
Foundation Plumbing
Frame / ins. Mechonito l
Final ?
Remarks:
kLA,a-,?- c4-tD- -7g DIZ-
CITY OF EAGAN
3795 Pilot Knob Road
Eogon, Minnesoto 55122
Phone: 454-6100
IYUM1W, PERMIT
Date: ? 25-79
Site Address; 424 4 N. ?Lcxm IW?"' I'?''
F ', :.;,.?T1E'f38 ?3a1 S?l
Lot Block Sub/Sec. _
Name Tii`9m Hcies' Z7CIC'
? Address '-?7 90. Sr?E fivF'..
3
O
City S'•-• Paul 5511F Phone: bnS-•:.`501
Na e "3l1'8 PZtEnt1.121[7
.
? yM0 k'est-ri:-JIt AVe. Zlk..
ddress
e
0
V " v ? . ..? . - - ? .. ..? 7? .
City Phone:
This Permit is iuued on the express condition that oll work shall be
Minnesoto 5tatutes and City of Eogan Ordinances.
No. 1367
Receipt No.: 14448
Single I
Residentiol x
Multi Res., Comm./Ind. I
New/Alter./Repair. Cost of Installation
Permit Fee 20.00
SurcFarge
TOYOI
done in accordonce with ull npplicoble State of
Building Officiol
CITY OF EAGAN
, 3795 Pilot Knob Reed
No. . Eegan, Minnosota 55I22
Phene: 454-8100
PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Dote: y 17"?,' ' Receipt No.:
Single
Site Addreu: Residential
Lot Block Sub/Sec. ?ild. Rt1I1 5?h
Nome Msen I:OTleB II1C. New/Alter./Repoir
3 Address ?• SW111'i I;;' Ave,
Cost of Installation
O
,-.n-;
City ? - - Phone; ' - Permit Fee
? Name Surcharge
? Address i12I' A,•
0
V ,
Ciry .. Phone: Totol
This Permit is issued on the express condition that oll work shall be done in attordcnce with oll appliccble State of
Minnesota Sfotutes ond City of Eagon Ordinonces.
x
Building Officiol
CITY OF EAGAN Remarks
Addition Wilderness Run Sth Addition Lot 7 sik 6 Parce110 84354 070 06
Owner ? -A-"i •?L?i?.?..? Street 4244 No. Carlson Lake Ln. State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? a f 1973 $132 . 60 $6.63 20 2 g
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK f'^ 1981 363.00 24-20 338.80 A049724 12 1 80
STORM SEW LA7
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00 14177 5-11-79
WATER CONN. 270.00 14177 $-11-79
BUILDING PER.
s,ac 525.00 5-11-79
PARK
I
56.7o__13424e
This request void 18 months from
.. .
'R 78921
Date of this Request 5-30-1979
I, as PI.icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: L '7 ?? ? R_?.n sth
Street Address or Route No. 4244 North Carlson Lake Laxte Ciiy Ea an
Section Township
Range County Dakota
Which is occupied by Tilsen Homes
(Name of OccuOant)
Is a roughin inspection require8 on this job? No ? Yes kM Ready Now ? Will Call Pgc
Power Supplier D»kota Cty Address Farmington
Electrical Contracior O.B. `j'homnson Electric Co. Contractor's License NoA36835
(COmpany Name)
MailingAddress 12201 R4tks $lvd? Pr1tkE.i i55343 __-_-
Authorized
Phone No. 933•2521
(Electrital Contractor or Owner Making Thls Installatlon)
$ME BOQ RD COpY This impection request will not be accepted by the
State Board unless proper inspxtion fee is enclosed.
Minnesota State Board of Electricity /
54 University Ave., St. Paul, Minn. 55104-Phone 645-7703
+ REQLIEST FOR ELECTRICAL INSPECTION R 78921
CHECK BELOW WORK COVERED BY THIS REOUEST
Type ot BuOding New Add. ReP• Check Appliances W'ved For Check Equipment Wired Foi
Home ? ? LJ Rangc • Temporazy Wiring ?
Duplex ? ? ? Wa[er Heatet ? Ligh[ing Fixtu[es fiX
Apt. Bldg. ? 0 ? Dryec ? Electric Heating ?
CommercialBldg. ? ? ? Fumace 3q9C2•00 SiloUnloader ?
Industrial Hldg. ? El ? Av Conditioner ? 4-00 Bulk Milk Tank ?
List ) Lis[ )
O her ? 0 0 Rthets}
ere ) O[hers}
Here f
COMPUTE INSPECTION FEE BELOW
Secvice Enhance Size: it Fce Feedeis@Subfeeders: x Fee C'vcuits: # Fce
0[0 100 Am s. A es 0 to 30 m eres
101 to 200 Amps. • 31 e 31 to 100 Am eres
Above 200_Amps. A e 10 A
Pialorotherfee
Signs Special Ins tion Minimum fee $ 0
Remazks
$$],1 ?
TOTAL F E,3(o
36.50
I, the Electrical Inspector, hereby t1?fl/ ? 66? ve in?pection has been made.
(RouBh-in) Date a,7--2 ?
(Final) Date 4 ? ?O
. ?-
This request void 18 months from ?
CITY OF EAGAN
3795 PiIM Kno6 Road Eagan, MN 55122 N2 5 213
PHONE: 4548700
S
BUILDING PERMIT APPUCATION Receipt # fY177 -_-
To be uted For SF II.vlg & Garage Est
Val.e 51,000. pme 5-11 79 79
. ,
5ite pddmn 4244 N. CdY1SOri Lalt2 LHIl@ Erect g] Occupancy R3
Lot 7 Block X 6 Sec/Sub. W11d22TiPS5 RIIIl 5t11Alter ? Zoning Rl
10 84354 070 06 Re
oir ? Fire Zone 3
parcel # p
E
l e of C
t
T V
n
nrge ? .
yp
ons
rc Name Tilsen HcCpS TriC. Move ? # Stories
Z Address 627 SO. Srielllrig AVEE. Demolish ? Front 66 ft.
St. Paul 551,1
698-5501 Grade ? oepth 26 ft.
one
Cit
A?.........1? Cene
p Nome Same
?
Address
ru.. M...,..
Name _
Address
I hereby acknowledge thot I have read this appiicotion ond stute thot
the informotion is mrrect and agree to comply with oll opplicable
State of Minnewta Statutes ond City of Eagan Ordinancea
Sigrwture of PertniHee -
A Bullding Permit is issued to:
all work sholl 6e done in aecAa
Bullding Official
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off.
APC
Permit •vv
Surchorge 25•$0
Plun theck 71•00
snc 525.00
Wmer Conn. 270.00
Water MMer 60.00
Poad Unit 75.00
Toml 1168.50
iPSl Hcmps) IriC. an the express condition that
with a0fimble State of Min a Statutes and City of Eagon Ordinances.
%t
r
?
/??J
m7E -//- //--79
BUIyt]ING PF•RMIT APPLZCATION
znciude 2 seta o£ plans, 1 site plan wlelenations and 1 set of energy calculations.
Tb be used for Valuation
y/ r
Site luldress:???5?//!'•
7 (o Lat Block See. Sub. Pe.rcel Number
Telephone
ohmer
Address
r_ontractorJL?6?
Telephone & 9F-5 5 0 /
Telephone
OFFICE USE
Occupancy
Zo»3ng R {
Fire Zone -3
Type of Const.
# of Stories
Front
DePth
Address CLO-e
Arch. /FYcg.
Address
Erect
Alter
r,epair
Enlarqe
Move
nemalish
Grade
FEES
--
Permit
ofi
1°Ya
Surcharge
P3an Check
SAC
Ftater Conn. .?-
r
F]ate Mete ?
,l
? 4-Eqz c.•?`
?
TOTAI. ..•-
'tl
/1?
?
,--•.
r
OFF2CE USE
Date of AAproval & Initial
Assessment
water/sewer T
Police
Fire .
Eng.
Planner
Gnuncil
Bldg. Off.
A.P.C.
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<?.;
- PHONE 45448100 .I
CITY OF EAGAN 7 - 6 I-)A 3
379E PILOT KNOB ROAD
EAGAN, MINNESOTA
54122
Uecember 12, 1976
Tilaen Hames '
627 So. Snelling Ave.
st. Paul, NIN 55116
Res Variance Lots 6 thru 71 Block 6 Wilderneas Run 5th
Lot 7 Block 31?`ilderness hlin 6th
Dear Sirs:
Ehclosed for your attention is a copy of the minutes of the Advisory
Planning Cwmnittee and the Eagan City Counail approving a front yard
aetback variance from 30' to 20' on the above mentioned lots in
l+hlderness Run 5th and 6th.
Oery truly ypurs,
? !.
(Alrs. ) A7,yce Bo1ke
Clark - City af Eagan
Euca.
AB/cjb ?
q@p, Dale Peteraon
7 (o
?
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
? 651-6814675
New Constructbn Heauirements
• 3 regalered sGe surveys showing sq. ft. M bt, sq. tt. ot house; and II rooted areas
(20%maximum bt coverege albwed)
. 2 coples of plan showing beam 8 window slzes; poured found design, etc.)
• lsetofEnergyCatuletbns
• 3 coples W Tree Presenation Plan M bt platted aRer 7/1193
• Rim Joist Detail Optbns seleciion sheet (bklgs wfth 3 or less untts)
DATE /,, /S/v Z
pemaleVpeoair BeaulremeMs
. 2 mpies of plen
• lsetofEnergyCakulalionsiorheatedadditbns
• tsitesurveyforax1erioraddmons8decks
. Indicate it home served by septlc syslem for addttions
VALUATION 55-/
SITE ADDRESS 7 Z?qC4gISa'I `4&L-)-J 'v MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK 7Z?/--L FIREPLACE(S) _ 0_ i_ 2
APPLICANT
STREETADDRESS /ZCNQ l2/S{/6_ S CITYtgU ii/IPSTATEM?21P5S337
TELEPHONE q S?S %2lSCELL PHONE #6?Z USOS3v FAX #?S`'Z 8 5 _5-52 7°
PROPERTYOWNER ?"Giqllq A2ALf+ TELEPHONE#
----°----------------------------------------------------------------------------------°°---
COMPLETE THIS SECTION FOR -NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(d submission type) • Residential Ventilation Catagory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelopa Celculations Submitted
Wumbing Contractor:
Plumbing system includes:
Mechanical Conhactor.
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Condirioning
_ Heat Recovery System
I hereby acknowledge that I have read this applicaTion, state tha
with all applicable State of Minnesota StatuTes and City of Eagan
Signalure of
OFFICE USE ONLY
?1L
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
1 d'_ ?. ?-?-
Fee: $90.00
Fee: $70.00
comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Q 2-L4 PLUMBING (RESIDENTIAL)
?O2 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for. Single Family Dwellings
Townhomes and Condos when permits are requ'ued for each unit
Date
Site Address Unit #
Property Owner 1606 u Telephone # ( ) ?/, ?y - ? 7? 3
Contractor
Add C S
`"
ress ity 7
State Zip ? cJ37eC1'elephone# ( ) 7`??'0? ??!o
The Applicant is _ Owner ? Contractor _ Other
Septic System New Refurbished Su6mit 2 sets of plans and MPC Iicense $ 100.00
Includes Counly fee. Addidonal consuttant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions , excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5!8" meter if needed -$121.00)
Other:
_ RPZ _ new installaGon _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener xWater heater
_
_ replacement _ additional
I I ? JAN v 5 2004
Ll U ? $ 15.00
igy
State Surcharge
--' $ .50
T
t
l $
o
a
I hereby apply for a Residential Plumbing Pemut and aclmowledge that the informatioa is complete and accurate; that the work will
be in conformance with the ordinances and codes of t6e City of Eagan and with the Plumbing Codes; that I understand tlus is not a
permit, but only an application for a permit, and work is not to start without a permih, at the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. • ? /?v
k ls- clI ;d r+- :?,
ApplicanYs Pr?nted Name Applicant's Signature
� � �� i����
�- .
� �/( I � ]n �i �/� O � � ___Use BLUE or BLACK Ink
V� (/� J V UCJ
� For Office Use �
��� � j Perrnit#: �l �. / j �
��� �����"-� ��� � Permit Fee: d � �� �
3830 Pilot Knob Road � I
Eagan MN 55122 I j Date Received: j
Phone:(651)675-5675 ' I I
Fax:(651)675-5694 ', I Staff: 1
I I
��. . 6..����������������J
2015 RE$IDENTIAL BUILDING PERMIT APPLICATION
Date: ►'J _ Site Address: ��"{" 1 W����� l�� ti'(%��► �[/ Unit#:
� � .� � � '� Name:� Y 6 Phone: � �
� RO nert'� ; Address/Ci I'' ---..._�__
, , �,�,..,,
ty i z�p:
G�VI ��123
Applicant is: Owner �Contractor
Description of work: V t�
Type of Work
Construction Cost: � Multi-Family Building:(Yes /No )
Company: Contact: �.I, �i i�
Contractor Address: � t V City:sT•���/�,1 .� f`V�YI�,
� � � � '- --___ _ __ - _ ___ ___
State:�Zip:V���� Phone: . - .
License#: VI`�-����� Lead Certificate#: �� !�:.-�'J11����
If the project is exempt from lead certi�cation, piease explain why: (see Page 3 for additional information)
Y_1/O� WI �C W
� 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 tlocumenfs that you sudm►t are considereal to be pu6/�c►nformatron Portions df`.
` the information may be class�fied as non-publ�c',�f you provide specific reasons that woultl perm�#the4;Crty to
� .. , „ �;
: ,
� � � � � ��� � ,�,; �.���;�concluale,thatfheyare trajale,:secrets � "��� � � ' �
CALL BEFORE YOU DIG. Call Gppher State One Cail 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.qopherstateonecall.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 plans.
er�or - ori w i - - - _ _______- —_.
days of permit issuance.
x � I/�/IlY/t/F/Y 1 ��v x
ApplicanYs Printed Name App'c ' n ure
' Page 1 of 3
i ,
Use BLUE or BLACK Ink
�-----------------,
� For Office Us I
� /\�j I
j Permit#: u ` �
Clty Of E���� � G� ,
3830 Pilot Knob Road ,�,E�'����d � Permit Fee: i
Eagan MN 55122 1
Phone: (651)675-5675 v '� '�'�� i Date Received: �
Fax:(651)675-5694 N� � I
� Staff: �
�����__������____J
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: ���I�I�r Site Address: ��`'�� �V+N�� �.►ce ��•
Tenant: . ��' Suite#:
' Resid�n#!C?�nrner Name:�aa c.y f�1�r���i�/ Phone: Cn 1�I- y,-a- $u 9�3
' Address/City/Zip: � .� � � �r. v�. l' �-+ /�-��•�/ S/�7
Name: �;r��c1. ���c o�.9 �����'ti� License#:
C�ntrac�or
AddreSS:_/ "`�IC7 (�i�� e.rMG �Ut .f��'�e. .�Cx� Clt�/: Jeu� S�. Q.,�
State: /�� Zip: ���s� Phone: ���� 3`�v- .�%1^�
Contact: o�� 4��� Email: cco.�-•�� �k� ..,��- w.�. w.
New �Replacement Additional Alteration Demolition
' Typ�o�Vf��'1� ° Description of work: � ���� c` , � �� e
��??'i'E:Rcof r�oun�ed ar�cl.ground�u�t#ed�han�cai�p��prn�+�n�t�.re�u��i�#��t�►�t�G��_
God�. #��e co��ct the�han[�af Ir��ar'ft�r:i��n�l��rr�•�rt�1�����r�t�g� . .��
RESIDENTIAL COMMERCIAL
,�Furnace New Construction Interior Improvement
����#��� _Air Conditioner Install Piping Processed
_Air Exchanger Gas Exterior HVAC Unit
_Heat Pump UndedAbove ground Tank �Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ �� TOTA�FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
_$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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.
r---
X d J� /�•�C�,I� X .
Applicant's Printed Name Applicant's Signature
�OR#.?F��'El��
Required.lnspec�r�r ' �vi���d By�. �,
Uneiergrourtd �,,,_Ftc�g�t ln ` P�ic Test G���erv�ce:Te�t �n�#loot°hC�at �i��;�,,,:�1������t�t�
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153041
Date Issued:11/15/2018
Permit Category:ePermit
Site Address: 4244 Carlson Lake Lane N
Lot:007 Block: 006 Addition: Wilderness Run 5th
PID:10-84354-06-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Teresa Murphy
4244 Carlson Lake Lane N
Eagan MN 55123
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature