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4236 Carlson Lake Lane N
Use BLUE or BLACK Ink r----------------- n I For Office Use \\Vt I ~ I > ~1 I 'pis p Permit City of Eaoa~ X00 I w d b I I Permit Fee: 3830 Pilot Knob Road (~V~ 1 I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I I Staff: I Fax: (651) 675-5694 I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Cam" L~ Site Address: GT(K L>54~ I Tenant. Suite M RESIDENT / OWNER Name: _5 ' P:7~6 :9 40 Phone: G~~' Address / City / Zip: *2 L,5 CA/ K F-- I-A Applicant is: Owner Contractor TYPE OF WORK Description of work: Lt/ A/-b e IN JN. 77~L.L-.47-(o/V Construction Cost. 00en Multi-Family Building: (Yes / No ) CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: 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 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.clol)herstateonecall.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. x S 7_F_' VJ9N V Applicant's Printed Name Applicant's Signatur Page 1 of 3 Use BLUE or BLACK Ink ~i For Office Use I Permit#: o'~ 9 C) I I City ~1 Eapfl I Permit Fee: I 3830 Pilot Knob Road ` v I I 4- Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 Site Address. ~ ~r so,n Tenant: Suite RESIDENT / OWNER Name: S-I eve>. J F tOO4 Phone: `f sy ° 7 3 Address/ City/ Zip: 4Z-3 (e C11 is Applicant is: X Owner Contractor TYPE OF WORK i Qn b~c~C slae o C,0_ Description of work: S 1. e„ 3 1_1 Construction Cost. ft 61 S"U . © O Multi-Family Building: (Yes N ~C ! o ) CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email 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 '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. Applicant's Printed Name Applicant's Signature Page 1 of 2 CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS Correction Notice Located at I have this day inspected this structure and these premises and have found the following violations of city codes governing same: J :l i fry, t . When corrections have been made, please call 45* for inspection. Date Inspector City of Eagan DO NOT REMOVE THIS TAG INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: I (612) 681-4675 SITE ADDRESS: APPLICANT: ' I t ! ~ !lJ1 1 ilht i 11 + I 1 A '~..~41 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DDATE INSPTR. INSPECTION DATE INSPTR. Permit No. Permit Holder Date Telephone M ELECTRIC _I PLUMBING HVAC Inspection Dote Imp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH /n PLUMBING PLBG, AIR TEST ROUGH HEATING GAS SVC TEST A7 e0 C7Z e' INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG A,14 J FINAL HTG /t ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL / DECK FTG DECK FINAL L INSPECTION RECORD ` CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ' Eagan, Minnesota 55122-1897 Date Issued: (612)6 81-4675 SITE ADDRESS: APPLICANT: ,ci :ctrl I i{ 1 :iN1 N I I< PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. i Permit No. Permit Holder Date Telephone N ELECTRIC k 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 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 95- u Is 14+~"{iI P n~i[3 ~l C? -AD _C16 dat h^~i - INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: f '•i+tJ t +if ! 1 r.r+I ri ~i1 f ffrd ?0 PERMIT SUBTYPE: TYPE OF WORK: I off- , An f N., INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR, PERMIT PAN PER HOMEOWNERS REQUEST-HE IS RESIDING THE HOUSE HIMSELF - 10/20/95 ,NOT Re ~u i ~ -7771 r i I Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING i ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: A" I I I" r4" 3830 Pilot Knob Road > t Permit Number: Eagan, Minnesota 55122-1897 Date Issued: F+ ! (612) 681-4675 SITE ADDRESS: APPLICANT: F t1F. t .i~i~► -'~~h i .tip . :1, I r _~i s I t I ~~1 ~E~ !'1tp.t ~ i it r r 1. ~3' ~1 . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. f Permit No. Permit Holder Date Telephone k I ELECTRIC 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 l TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition Wilderness Run 5th Addition Lot 6 Blk 6 Parcel 10 84354 060 06 Owner~~!" Street 4236 No. Carlson Lake Ln. State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 $132.60 $6.63 20 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 160-00 10-66 15 /,T- 003 STORM SEW TRK 1991 24-20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT -Z2'0-. 00 4747 WATER CONN. 12-7-76 BUILDING PER. 74-1 .1)!) 474 7 - SAC 00 4747 - PARK T 0 a4 ~5 9 63 Repu t Date Fire N opgh-In e~sp-lion Re fired Inspection Other all ugh-In (Vou all inspector when ready) ❑ Ready Now VIII Notiry Inspector Yes ❑ No Date Reatl I licensed contractor Downer hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City c i,150,1 L Section No. awns ip Name or No. Range No. unty Occupant (PRINT Phone No. Power Supplier A ress Electrical Contractor (Company Contractors Licens Mailing Address (Contractor or Owner Insle11 on) / Authorized Si nature (C ractod a ng I stalla n Phone Number ~p -3-7 ~Q MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., Bt. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 11111111111 If ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION , a"'"'sto EE-00001 -09 ~~.1111ir See Instructions for cgmplehng this farm on back of yellow copy. q X' Belowyrork Covered by This Request Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner i Other (specify) Contractor's Remarks: Jy v~O[Y Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 T p, 0 to 100 Amps Transformers Above 200-Amps Above 100 -Amps Signs Inspector's Use Only TOTAL w Irrigation Booms f U 1 Special Inspection ir- Alarm/Communication THIS INSTALLATION MAY BE E CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Roug - ✓ Dale certify that the above inspection has Final cal been made. OFFICE USE ONLY This request void 18 months from --------i I F,o ~Ofice;Usii I I City of Eap j Permit# I I I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: z 3 150 ^ d V • ~a grcn 5S (Z 3 Tenant:, I r~ff Suite M RESIDENT I OWNER Name: C V~ L K~~ rlo o d Phone: 7 k' 3 9 - Crtigen SS123 Address/City/Zip: ~fz3~ Q A,)n LL. L. Applicant is: X Owner _ Contractor TYPE OF WORK Description of work: j'6 4 L / z uj j~.J~ } Sri is 5+~~ e sc Construction Cost: Multi-Family Building: (Yes _ / NO CONTRACTOR Name: Sd~ License Address: City: State: 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 (4 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 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 the are trade secrets. 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 ease of work which requires a review and approval of plans. t Applicant's Printed Name u Applicant's Signature Page 1 of 3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellReoair Requirements Office Use Ord 3 registered site surveys showing sq. ft. of lot, sq. fL of house; and all roofed areas 2 copies of plan Can of Survey Recd _Y _N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree Pros. Plan Recd _Y _N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pies Required _Y _N l set of Energy Calculations Addition - indicate i/on-site septic system On-ste Septic System _Y _N 3 copies of Tree Preservation Plan If lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date-/ / ~(p C 9 ~ ~cc.Al ructionCost Unit/Ste # Site Address Lq, CL Description of Work Multi-Family Bldg - Y N \ Fireplace(s) - 0 - 1 - 2 Property Owner Telephone # (6SI) 4S 4 g S9 Contractor 1 Qw. c-xha~~~Q S ~p~ Address Al1 K4~ LU ls_~ City State ~.hvJ Zip 1 l Telephone # (6S (69 S 3(08 U COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building 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 Eagatr_and-the-State-of M r) FF, start [wit}tOQt a Statutes; I understand this is not a permit, but only an application for a permit, and work is Griot ton 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. Uf2~Oy I Applicant's Printed Name Applicant's Signature `p 6 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodegReoair Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions . 2 copies of pan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate If home served by septic system for additions . 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATES VALUATION G3~i 1 SITE ADDRESS el MULTI-FAMILY BLDG _ Y / N TYPE OF WORK 12 r r7e) t~ FIREPLACE(S) _ 0 ✓I - 2 APPLICANT G u- s-5-. \4_-~ k e> e) F S STREET ADDRESS 1 7,-P>9-Z~ STATE her-ilP 9S ? 3 TELEPHONE #1-,ft '37r1-b"D CELL PHONE # FAX # PROPERTY OWNER kv a TELEPHONE # 6 S 1- t{ f Y' -7 COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 N submission type) . Residential Ventilation category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted n Plumbing Contractor: Phone # r r n I - Plumbing system includes: _ Water Softener _ Lawn Sprinkler h Fee: Water Heater _ No. of R.I. Baths f, AUG 9 U No. of Baths Mechanical Contractor: Phone # 13,v _ Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # hereby acknowledge that I have read this application, state that the informatio is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina ces. Signature of Applicant - - - - - - - - - - - - - - - - - - - - - - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: BUILDING 030566 (612) 681-4675 Date Issued: 08/01/97 SITE ADDRESS: 4236 CARLSON LAKE LANE LOT: 6 BLOCK: 6 WILDERNESS RUN 5TH DESCRIPTION: REROOF Building=Permit Type SF (MISC.) Building Wi,rk,,Type ALTERATION Census,Co:de y 434 ALT. RESIDENTIAL r -e 4 t ti..J ..3 1v ~.sL.,ll l- REMARKS: FEE SUMMARY' VALUATION $2,000 Base Fee $62.25 Surcharge $1.00 Total Fee $63.25 CONTRACTOR: OWNER: _ Applicant - FLOOD STEVE 4236 CARLSON LAKE LANE EAGAN MN 55123 (612)454-7839 I hereby acknowledge that" I =have `read `this`ap'pli:ca"t-ior and scat the,t .the information is correct and agree.,to complyw ;th all applicable State of Mn. Statutes and City of Eagan Ordinances. ' . APPLICAN PERMITEE SIGNATURE AA U ISSUED URE :e- ! 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ` a 305561 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ♦ 3 registered site surveys e 2 copies of plan • 2 copies of plans (include beam & window saes; poured fid. design; etc.) e 2 site surveys (exterior additions 8 docks) ♦ 1 energy calculations e 1 energy calculations for heated additions e 3 copies of tree preservation plan n lot platted after 7/1/93 required: _Yes _ No DD© DATE: Sl~l/y~ 2 CO. r CONSTRUCTION COST: DESCRIPTION OF WORK: _ T P. ro o T '~SMEETADDRESS: 1+2-3(. 1+2-3(. C-4R LSBN LA-KI /--A NF LOT 6 BLOCK (SSUBD./P.I.D.#: LU/t_bFRNESS ~~N sT 7fDp ITICPj PROPERTY Name: FLooD STEV a= Phone 45L-ii--7f37 OWNER , f R ~S o N c l9 k~ L/J Street Address: '42-36 City: O A G t4 A) State: Ju N Zip: 5-S"12-3 CONTRACTOR Company: - Phone Street Address: License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water Iicerned plumber (new construction only): Penalty applies when address change and lot change are 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY 1 N ~ BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 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 ga( 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ❑ 31 New C2Z33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee 69 a o? 5 Valuation: $ (~96©60 Surcharge /,00 Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: o?S % SAC SAC Units INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 5 9 9 9 Eagan, Minnesota 55122-1897 Date Issued: 07/10/95 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-84354-060-06 APPLICANT: LOT: 6 BLOCK: 6 4236 CARLSON LAKE LANE N LUNDGREN BROS CONST INC WILDERNESS RUN 5TH (612) 473-9640 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION TYPE DDATE INSPTR. INSPECTION DATE INSPTR. FRAMING INSULATION ROUGH IN PLBG FINAL PERMIT w l~5a 5 1~- CITY OF EArA4AN 71111PS 3830 Pilot KnobRoaR PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 9 9 9 (612) 681-4675 Date Issued: 07/10/95 SITE ADDRESS: 4236 CARLSON LAKE LANE N LOT: 6 BLOCK: 6 WILDERNESS RUN 5TH P.I.N.: 10-84354-060-06 DESCRIPTION: 4-'611;din4,1.,Permit Type BASEMENT FINISH Building lrk Type ALTERATION a. . x < ~ ru 4~d / Si € a# Sa M., 'w' REMARKS: FEE SUMMARY- Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: LUNDGREN BROS CONST INC 14739640 0001413 FLOOD STEVE 800 E WAYZATA BLVD 4236 CARLSON LAKE LANE N WAYZATA MN 55391 EAGAN MN (612) 473-9640 (612)454-7839 i hereby, ackhbwtedge'that.I Piave read 1=h~~'apJPlicat a❑ artd stale: that.Y'tktes in Formation 4s correct and agree'ta calriy u`th ,al'1appitcebt,e,aCa"of ,M1' to uC s and, City, of Eagan `0rdirfanoAs. _ _u. &-APPLICINTIPERMITEE SIGNATURE I55 D BY: IG URE CITY OF EAGAN~~ 3830 PILOT KNOB RD - 55122 1.69991995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reeuiraments RemodeVReoair Reouirements ♦ 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 if lot platted after 7/1193 required: _ Yes _ No DATE: lag5 CONSTRUCTION COST: DESCRIPTION OF WORK: i~E MAN n1 STREET ADDRESS: ~Z3(p Crvru-•LOr-'-,~~QQ LOT BLOCK SUED./P.I.D. 6 ~ 46,11 9111, Ay , 451 PROPERTY Name: k Phone OWNER Street Address'~~ CIIM21<o~1~~ I City:UtBJ State: N• Zip: CONTRACTOR Company: L"N'L)f'-2eV'j 12)QoS ~eJNI~ I~ 7~ Street Address: 8~5 Wa-r A-rk License 1415 City: Lh8:4r-&T14 State: YV\N. zip- ARCHITECT/ Company: Phone # ENGINEER Name: 7 Registration Street Address, City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ll~~ p~ OFFICE USE ONLY RtLCE V Certificates of Survey Received Yes No J U L a 5 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 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) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCMS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 026149 Eagan, Minnesota 55122-1897 Date Issued: 07/31/95 (612) 681-4675 SITE ADDRESS: P'I'N'' 10-84354-060-06 APPLICANT: LOT: 6 BLOCK: 6 4236 CARLSON LAKE LANE N PANELCRAFT OF MN INC WILDERNESS RUN 5TH (612) 721-6628 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) ALTERATION DESCRIPTION (SIDING) INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. FINAL CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 026149 (612) 681-4675 Date Issued: 0 7 / 31 / 9 5 SITE ADDRESS: 4236 CARLSON LAKE LANE N LOT: 6 BLOCK: 6 WILDERNESS RUN 5TH P.I.N.: 10-84354-060-06 DESCRIPTION: (SIDING) B ld#n}l~permit Type SF (MISC.) 8uildin4 Wq?Lk Type ALTERATION 'x v.,sa a rr ~e n , z e TT y g & s¢ L vi REMARKS: FEE SUMMARY: VALUATION $6,000 Base Fee $112.25 Surcharge $3.00 Total Fee $115.25 CONTRACTOR: - Applicant - ST. LIC. OWNER: PANELCRAFT OF MN INC 17216628 0002179 FLOOD STEVE 3118 SNELLING AVE S 4236 CARLSON LAKE LANE N MINNEAPOLIS MN 55406 EAGAN MN 55123 (612) 721-6628 (612)454-7839 heteby acknowledge that,,-,,I'have,re4d this,applicatzon and„stat$''--hat 'the- information %s' correct and ,agree to- comply,' i:,h "al 'aPPllc~isla Pf Mn Statutes and City of Eagan tlydinan5es._._~ lin APPLICANT/PERMITEE SIGNATURE I ~ED 1i SI AT R r I z Iq 30 PILI T KNOB RDN 55122 *40, 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construeion Reouirements Remodel/Repair Reouirements ♦ 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 ♦ 1 tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: 95 CONSTRUCTION COST: d -/9 C~~l DESCRIPTION OF WORK: IC/ STREET ADDRESS: LOT _ il, BLOCK SUBD./P.I.D. PROPERTY Name:,, ct X(f 411 i ! r/(Yr/ Phone OWNER IAST AT ""r' Street Address: >>6) /l! City: / State: MV2 Zip: CONTRACTOR CompanY P A pFE C R A F ' n nt I m r' r r n' a Phone -T.,~31~18 g-NE-I.rL4ING rt TV AVE r~- Street Address: License Mills, NN 59igg ltc 721-6628 City; Do 7179 ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address* City: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the information is correct and agree co I all applicable State of Minnesota Statutes and City of Eagan Ordinances. I( Signature of Applicant: l~ OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY s~ BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi (Misc.) ❑ 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 Multi (additional) ❑ 15 Deck WORK TYPE ❑ 31 New W/33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ rL Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: 1`7 % SAC SAC Units INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 6 5 9 2 Eagan, Minnesota 55122-1897 Date Issued: 10120195 (612) 681-4675 SITE ADDRESS: P'I'N.: 10-84354-060-06 APPLICANT: LOT: 6 BLOCK: 6 4236 CARLSON LAKE LANE N FLOOD STEVEN WILDERNESS RUN 5TH (612) 454-7839 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) ALTERATION DESCRIPTION (SIDING) INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. FINAL PERMIT " CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 5 9 2 (612) 681-4675 Date Issued: 10/20/95 SITE ADDRESS: 4236 CARLSON LAKE LANE N LOT: 6 BLOCK: 6 WILDERNESS RUN 5TH P.I.N.. 10-84354-060-06 DESCRIPTION: (SIDING) ...Permit Type SF (MISC.) B,u.~.kdIr t 11 #1ui141nq 04rk Type ALTERATION f Via. s 'Y r r. 4E.s z c ~ a zF i n s t`3 ri3~a a4 ..i IS "m` p^ 'a' rl mar.. vjwa a .;r a 4~ x.; t' sau -y` REMARKS: FEE SUMMARY: VALUATION $2,000 Base Fee $62.25 Surcharge Total Fee $53.25 CONTRACTOR: OWNER: - Applicant - FLOOD STEVEN 4236 CARLSON LAKE LANE N EAGAN MN 55123 (612)454-7839 I hereby acknowledge that :Z' have read,th1 app ii attar arid'; sta.tei '„'thy-,' . )ice i,a n'Farm ti on as carr of Andi'a.gree: to camp, y,4r tls,`al ;aPP ieab~e y tatt? ) 1{t1 $tatut,aj and City ~Q~ 3Ltan Ordij!-W-f AP ANT/PERMITEE SIGNATURE 'ISSUED B SI TUR . CITY OF EAGAN 1 Jo 3830 PILOT KNOB RD - 55122 l 1995 BUILDING NG PERMIT APPLICATION (RESIDENTIAL) IL691 D 681-4675 New Construction Ree_uirements Remodel/Repair Reauiremerds ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions d decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of Use preservation plan it lot platted after 711/93 required: _Yes _ No DATE: 101201j S CONSTRUCTION COST: 02006.00 DESCRIPTION OF WORK: AeLu Sit d" 2A STREET ADDRESS: Z3(, CL, LL. Ln . LOT BLOCK SUBD./P.I.D.#: PROPERTY Name: 54elim J . Po o Phone OWNER u T rwn Street Address- cal M LL. L, City: a • State: Zip' SSIZ3 CONTRACTOR Company: SePhone Street Address: License City: State: Zip- ARCHITECT/ Company: Phone ENGINEER Name: Registration M Street Address, City: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that 1 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. Signature of Applicant: OFFICE USE ONLY Certificaies of Survey Received Yes No Tree Preservation Plan Received Yes No CITY USE ONLY 5 L tv BL C RECEIPT 5 5/ SUBD. DATE: 7 g ~S 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = 3 Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x _ Kitchen Sink ..G, 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL a~ sfl SITE ADDRESS: `23 (d+~r l~~t Z/f OWNER NAME: 1 ( LUe- ///dy s fc INSTALLER NAME: D&/o21(/-f "r'Lt STREET ADDRESS:. .ZT1G S¢ l/~✓ v CITY: a ze- STATE: ZIP: PHONE (6/~)_ 7 7 3 S17 YO CITY USE ONLY L BL RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-1675 lease compl to for: ► all commercial/industrial buildings. multi-family buildings when separate permits are not required for each dwelling unit. DA CONTRACT PRICE: - 74 WORK TYPE: NE 4ONSTRUCTI0 ADD ON REPAIR r DESCRIPTION O WORK: l rS FEE: $25.00 minimu r1% o contract price, hichever is greate S Is surcharge of $.50 per $1,000 of permit fee due on a ermits. \ ~o CONTRACT PRICE x 1% S-V STATE SURCHARGE t TOTAL Ste. 5 v SITE ADDRESS: TENANT NAME: ut~Leao STE. # OWNER NAME: INSTALLER: ADDRESS: ZCr~T✓ CITY: YI~CdI.~ STATE: ZIP: ~L ~1~e ' PHONE ~ ~ .S 7Yc) SIGNATU ` APP C NT CITY OF EAGAN PHONE 454.8100 CITY OF SAGAN G_ 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 December 12, 1976 Tilsen Homes 627 So. Snelling Ave. St. Paul, MN 55116 Re: Variance Lots 6 thru 11 Block 6 Wilderness Run 5th Lot 1 Block 3 Mderness Run 6th Dear Sirs: Enclosed for your attention is a copr of the minutes of the Advisory Planning Committee and the Eagan City Council approving a frcnt yard setback variance from 301 to 201 on the above mentioned lots in Wilderness Run 5th and 6th. Very truly yours, Z~-6, (Mrs.) Alyce Bolke Berk - City of Eagan Encl. AB/cjb Dale Peterson MIIi]UTES OF A Rv-CM&R 1=711%G o7 T" PAt_0-TA C0777Y, 111_7-k hSOTA T' n^i of er 19, 1.76 A ralular meeting Cf the Lapa:a Ci~y (:%r.cij war, held on Ocaober. 13, 1976 r.t 6:30 P,M- at i:he City Fall. Ai1 remoers were present. Also present verr-: Lo1Ya., Po^'-,,!, Hedges and m=~; e. Y,IN?iTES. Uron motion by Rahn, seconded Wachter, all mnr-bcrc, vea: g in fa^c' , it vrts Fs:-'101YED that the > lades of the October 5, 1976 regular meeting be ni:f-xmvcd as Upon fuV%si motion by Smith, seconded Wachtcr, all memtere vc Jrg i.;: r e..'3 tTta;_ t'r^ minutes of the October lit% meetir= be sn ,I75311 HJ"L?S. The Borrd of Appeals was co..vt.red pith thn f-i.te 1Covncii merbera pr Scent. They discussed a 20 foot set back a opposaa to 10 foot set becks req+tir?rieut for Lots 6 tlirruvh 11, Block 6, ]+Illder.,inse Run 5th A.Yi*_ior. ant Lot 1, Bl,3ck 3, 47i.1de.-nees Run 6th Addition at the rc:;uest. cf T:tls=a Hares. After renew and upon recenre~rdation of the Planning Committee, rnd npcn mat: o P_yhn,seconhed Polzin, all m_Mbers voting yes, it was RESOLVED to reccnai;°.nd that *i,•, yp-ication be approved. PARY. COP L'MU. Barbara Schmidt appeared. 1. Park D.:!Iicat_or. Policv for P.D. The Council reviewed a recemmendotiaa of the Paris Committee, providing for specific procedures for dedication of land and cash to fulfill park requirements in planning developments. Upon motion by Wachter, seconded Rydrych, all msinbers voting yes, it was RESOLVED that the recormeadot,'.oa be approved and oreered adopted. 2. Krhn _ Uoure - Patrick Eavan Park. Barbara Schmidt indicated that Jameo McGuffae, a park dcpartmant employee, had requested that he be permitted to rerit the Kehno hora~ in Patrick Eagan Park for the sum of $225. per month and with ::i'a understanding that he will accomplish substantial maintenance on the home. Up; motion by Wacl;ter, seconded Rahn, all members voting in favor, it wao RESC TI) that the Council authorize the City Clerk to prepare a lease to be entered into with Mr. McGu.ff::e, and. that a notice be sent; to the present lessees to vacate acraxc3.n? Y . 1 CITY of EAGAN N° .4155 BUILDING PERMIT Steven Flood 3795 Pilot Knob Road Owner Eagan, Minnesota 55122 Address (present) 454.9100 Builder ........Tilsen Honest Inc........................................... Date Aecemhex..br..131.6...... Address .........6.~~..SG......,S.h.Sit.~~ng...R~e..r...S.t.....PauLa.. Minn DESCRIPTION Stories To Be Used Fos _Front Depth Height Est. Cos! Permit Foe Remarks 115bO Sing. Fam Mg. S Garg. 62' 28; 40,000. 20.00 LOCATION / S Street, Road or other Description of Location I Lot Block Addition or Tract 4236 Nn_ Carlson lake i.n 6 6 Wilderness Run 5th 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, safety, 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....... has permission to erect a....Sing. Fam.Dwl&, d Garg. upon the above described pr ise su lac - o t e provisions of all applicab r - cos foA--iufl of Eagan . ^..~*.-.51 Pe .......+~U . M or ding Inspector 2,6 Dat.. - a ~ T 6 - - BUT_T']IiiG PMMIT 2.PPLICATIOT_d i+riT_-- PLOCY ADDITIOid PF:P:L & SECTIC0 P:LTHB'a% lA Ui.TP^.9~/n~~..TTEDn CY USE S Cos 6 x TEupliH/0]o STOO. D lYil / /ZG~.( ADDiCF;3S 1T.J%_s Iuclt,d,~ 5Ei*e plan, building plans, and energy calculat:-o: s vith this avplicwcion Signed OFFICE USE VALUATIOTi Qd SAC - 00 MATER !'If11PER 0' - EU:i u7iIZ FEr,?.l'D' F`:% PAP.K MWMATIGT FEE 07 '.FIR T0TA',k APP^O'JALS ASSESSi`4s' CLERK BUILDMG DEPT. POLICE DEPT. T..7;1TER & oLmR DEPT. FIRE DRPT. PARK DEPT. ~ S e~ n.a i F (--I k?EF1~2 OklvOERTY LNE 1--I 1-1 I I Liao w ! Q i !mom' "Ma 1~DA TY l:.&2 & 0-72, Ok CT[4n t- LiN: VYGri. 55/x3 I! a2 v Llo?-Yc e o , jnlx L oT BLOC K ! rRoNT__?ROaFr rY__,LiNE -PLOT -PL IAN MASTER CARD wR~ LOCATION 4236 No. Carlson Lake Ln. ~p-(p OWNER Steven Flood STRUCTURE AND LAND USED AS Sing. Fam Wig. d Garage. ssued To Permit No. Issued Contractor Owner BUILDING 4155 12/6/76 Tilsen H mes Inc. PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: RESIDENTIAL ` BUILDING PERMIT APPLICATION CITY OF EAGAN _ ~k -ski. 3830 PILOT KNOB RD - 55122 U ' a~ T 651-681-4675 1 I New Cons WCtion Reouirementa Remodel/Reoair ReauiremeMs • 3 registered site surveys showing sq. ft. of lot, sq, ft, of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate 9 home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION V ' JOB SITE ADDRESS L L /z IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER V e~ TYPE OF WORK FIREPLACE(S) _ 0 _ 1 _ 2 6 ~Z SZ~ APPLICANT n - } PHONE# 0 2`6 ADDRESS Fd-A,\~OCI rj ~ ZIPCODE S~ 2 `P PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category I Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System D n T T E Sewer/Water Contractor Phon All above information must be submitted prior to processing of application. Y 1 hereby acknowledge that I have read this application, state that nform 'on is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan rd1 nces. Signature of Appleton Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY y. ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccfsckotyZIdg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex P 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or _ N ❑ 25 Miscellaneous 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration 0 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation !~iU Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. ~ Footings (deck) % Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Roof Ice & Water _ Final _ Other _ Frig _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 4mw ~ ~ A~~A~ N~i200ERTY LWE 1'-f I ~ Al 5 err N ~ LINE W 4il I I I r LINE ~acv». ~AYIi~ . 55ia 3 I ~a a jj&j ~1o-~n Q.o, v ex N I L oT E=j BLaCk] i 1 r'RorsT._?ROi~F_ (Z.TI~ LINE O -PLOT -4 LAN VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 F;lot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the Village of Eagan Surcharge: Ordinances. n Misc. Charges: Total: By - 7, / Date Paid: Date of Insp.: Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By: Misc. Charges: Date of Insp.: Total: Insp.: _ Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA129218 Date Issued:01/21/2015 Permit Category:ePermit Site Address: 4236 Carlson Lake Lane N Lot:006 Block: 006 Addition: Wilderness Run 5th PID:10-84354-06-060 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Steven J Flood 4236 Carlson Lake Lane N Eagan MN 55123 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA138228 Date Issued:08/16/2016 Permit Category:ePermit Site Address: 4236 Carlson Lake Lane N Lot:006 Block: 006 Addition: Wilderness Run 5th PID:10-84354-06-060 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Steven J Flood 4236 Carlson Lake Lane N Eagan MN 55123 Haley Comfort Systems 122 3rd St W Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature