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1221 Carlson Lake Lane CITY fiF EAGAN WATER SERVICE PERMIT .1795 Pilot 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. 1 agree to comply with the City of Eagan Surcharge. Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: t EAGAN SEWER SERVICE PERMIT 5 Pilot Knob Road PERMIT NO.: - Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By - Misc. Charges: Dote of Insp.: Total: Insp.:_ Date Paid: - • CITY OF EAGAN _ 3795 Pilot Knob Road f Eagan, Minnesota 55122 Phone: 454-8100 s '3.tdC' PERMIT No. '.i tee , er _ ~3 Date: Receipt No.: Single Site Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Name .;e:: - ~ New/Alter./Repair B 627 Snelling Ave. Address c. Cost of Installation St. Paul City _ Phone: Permit Fee ` Name Louis H. Peter C<. Surcharge Addnss '34 Grand Avenu„ c City _ Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3745 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. Date: 1' - Receipt No.. Single r•.?' i =i' Site Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Name i. t S Ir.. . New/Alter./Repair 3 Address Cost of Installation O Paul 2n.n0 City _ Phone: Permit Fee Q` Nome Surcharge Tr - P dress e city Phone: Total , This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4421 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Date 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. W Name Move ❑ # Stories Z Address - Demolish ❑ Front ft. 0 City Phone Grade ❑ Depth it. W Name Approvals Fees 0 u< Address Assessment Permit °C City Phone Water & Sew. Surcharge ~ Police Pion check Uw Name Fire SAC' ~6 Address Eng. Water Conn. 230.0-0 <W city Phone Planner Water Meter Council 2 • I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with o!I applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total lily Signature of Permittee A Building Permit is issued to: _ on the express condition that all work shall be dona in accordgnce with all applicable State of Minnesota Statutes and City of Eocon Ordinances. Building Official _ r permit # Doh Iss"d Hrwittee Plumbing f / y - 1. 7 -.Y- Mechanical y SL ! 9 --a 0 INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Dote Irop. Foundation _ Plumbing Frame/ins. Mechanical ~O-(-~ Final /(f -/,k) J Remarks: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: III It I Wi 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: :fl I „F { I r1 i'I~ I rll i ' 't PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. ,r F L S/W Permit No. Permit Holder Date Telephone ft PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Comments Footings I Foundation Framing p Roofing 5'?~ p? ~lr LrJ~ Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: w:•as Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I .rf•: t . an>aK PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. i kI"{ f 1 i i 11 j ell ' . !1 J11`1 f f ~t1j • J Permit No. Permit Holder Dab Telephone N ELECTRIC PLUMBING HVAC Inspection Dab Insp. Comments FOOTINGS f , FOUND FRAMING %FA I ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE / AIR TEST FIREPLACE "'d - d,;I, 4V FINAL PLBG FINAL HTG ORSAT TEST y BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL / CITY OF EAGAN Remarks Addition Wilderness Park Lot 15 Blk 1 Parcel 10 84250 150 01 Owner L i ' Street 1221 Carlson Lake Lame State Eazan.MN 5 123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 8.8o 4,004980 10-IR 77 -1-M 176-05 20 13-205 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA / 1977 1 An - ()o 10-66 149.34 A004980 10-18-77 STORM SEW TRK 1981 294-50 19-6 .7) 1 s STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 77 BUILDING PER. SAC _ 5- PARK I wwy 7atis request void 18 months from O `7 Z Ztz D. P 22851 Date of this Request 9-1-77 I, asDO Licensed Electrical Contractor O Owner, do hereby. request inspection of the above electri- cal wiring installed at: Str-eet ~d ss or Route No. 1221 Carlson Lake Lane City Eagan Section Townihip Range County Dakota Which is occupied by Tilsen Homes (Name o1 occupant) Is a roughin inspection required on this job? No ❑ Yes a Ready Now O Will Call OK Power Supplier Dakota Cty. Address Farmington Electrical Contractor O.B. Thompson Electric Co. Contractor's LicenseNoA33735 (company Name) Mailing Address 12201 Mtka Blvd., Mtka 553,43 (Electrical-Pontractor or O.Wner akin This Installation) Authorized Signature Zi Phone No. 933.2521 (Electrical contra~/cttdr-of owner making This installation) SUVE BOARD Minnesota State Board of Electricity 7~ a a 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION 22851 CIIEG ELOW WORK COVERED BY THIS REQUEST Type of Budding New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ ❑ Range Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures EY Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace 71M.00 Sdo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Au Conditioner .0 Bulk Milk Tank ❑ Farm pLList List Other __El ❑ ❑ Heiers O D 7cx Rtch" COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders : Fee Circuits: # Fee 0 to 100 Amps. 11 0 to 30, Amperes, 0 to 30 Amperes S Loo 101 to 200 Am s. 31 to 10 0 A7h ici 31 to 100 Amperes Abov 0 s 1Q,0 Above,l00nps. Above 100 Am s. Transformers 11 e C trot Circ. Partial or other fee Signs 11 S l Inspection Minimum fee $5.00 Remarks Mall TOTAL FEE 0.50 1, the Electrical Inspector, here. ~tify a a~ov pection has be mac] . ,do -0 (Rough-in) y:c, Date P_ jo (Final) Llll~) 61111421- z-t.c')) Date 1- / 7 - 7 This request void 18 months from 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan G { s" 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y _ N _ 1 Soils Report N proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Adddion - indicate if on-site septic system Tree Pries Required _ Y _ N 1 set of Energy Calculations On-site Septic System -Y _ N 3 copies of Tree Preservation Plan it lot platled after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date construction cost Site Address i a a i s l~:L l.Ci-yr Unit/Ste # Description of Work ~a~ `ht,t (7 w t / 1a,C r W_-V-VLf Multi-Family Bldg _ Y N Fireplace(s) - 0 - 1 _ 2 Property Owner K-n (I Telephone # ( ) 4 S q- Contractor r V T UI ` Address City , V ( 'I" r~A.-~ State I v Zip Telephone # (01 L( 5 3 5 CJ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • 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? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone # ( J Mechanical Contractor Telephone # ( J Sewer/Water Contractor Telephone #f ) 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 Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start withouta 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. cvi-ar /1 nl eae 1lan a Ap'plicant's Printed Name App icant's Signature PERMIT _6TY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031820 (612) 681-4675 Date Issued: 04/21/98 SITE ADDRESS: 1221 CARLSON LAKE LANE LOT: 15 BLOCK: 1 WILDERNESS PARK P.I.N.: 10-84250-150-01 DESCRIPTION: (DECK INCLUDED) 8uild'x`ng,Permit Type SF PORCH 'Building Work Type NEW r" Census Code 434 ALT. RESIDENTIAL p I! vi ° e "+t t v~ a- c 9 1P:~ i i r _ . ..t ...7 e 6 REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK PLAN REVIEWED BY MIKE BARCK FEE SUMMARY- VALUATION $10,000 Base Fee $162.25 Surcharge $5.00 Total Fee $167.25 CONTRACTOR: - Applicant - ST. LIC.OWNER: LINSCHEID CONST, MARK 14558532 2003916 LESSARD JON IV59 LIVINGSTON AVE 1221 CARLSON LAKE LN W ST APUL MN 55118 EAGAN IN 55123 (•612) 455-8532 (612)454-6797 I hereby acknowledge that I have read -this appl,ica,tion and state that the information is coOreet and,agi°'ee°to`.cotnpll wf-i tkr alb' dpplzcab'Te State 'tif Pfim." Statutes and City of ,Eag,~n Ord,insncas I RE ~ R~~URT APPUCA /PERMITEE SIGNATURE ISSUED Y: SIGNA 998 BUILDING PERMIT APPLICATION (RESIDENTIAL) (~v ~ CITY OF EAGAN 31610 - 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair 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) ♦ t energy calculations ♦ t energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 7/7/93 required: _Yes _ No DATE: CONSTRUCTION COST; DESCRIPTION OF WORK: S•£ASof-) ~j )Ec/t STREET ADDRESS: _ 122 / C.9>~LSor/ ~/AAZ L nn j 4 LOT: BLOCK: SUBD./P.I.D. _ (J(,t.k'tAl/.1..U CJ, Name: Z1£Sft1'qe-0 Phone 7 S/ ` 7 PROPERTY Last First OWNER / Street Address: / ZZI f ~J L,✓ City L? t4.A/ State: Zip: gr~7123 Company: r(. ~,,,•.Phon yv e # -3Z S CONTRACTOR / { 7 - A / Street Address: s/j,`J!~ `ivy vy~ /c ~/v~ License # 2003.71( City State: lV Zip: STS/y ARCHITECT/ ENGINEER Company: /NSc/ 6/ / zL/ ; Phone Name: /*,-e //1~~ /NSc/l ~r o7 Registration M Street Ad//dress: / z r &W - Z,4/- City is ll' J~ ~i1cLL State: 7)9,,/ 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: Ad j I/- UVV OFFICE USE ONLY Certificates of Survey Received - Yes No Tree Preservation Plan Received Yes No Not rq 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 X04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 _-plex ❑ 15 Deck WORK TYPE 3 Sias ,v Io;a-.vt. A, ❑ 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. < 3 Depth Footprint sq. ft. SAC Code c 1 Census Bldg 1 Census Unit t? APPROVALS Planning Building 113 Engineering Variance Permit Fee Valuation: $ )r,000,- Surcharge Plan Review P~cfr License MCANSSAC '(O ~lU.- City SAC v v , Water Conn. Water Meter 9 vii 0 , Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units KCALIIVA It VII T Vr QM%2^111 PERMIT. # ` s 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work `/302-o° Site Address: /a l lurlS~~t L~ ~~z STREET SUITE # Tenant Name: (commercial only) LOT BLOCK .1_ SUBD.. It T Y.I.D. N Description of work: Da} LU Y(h l The applicant is: ❑ Owner ji~Contractor ❑ Other (Describe) Name ~ r2` l~ Phone YS''-1-~-_72 7 Property LAST FIRST Owner Address (d3t G~•(s Li- 1- STREET STE # City _tl~ State ✓tl'~ Zip Company -4~ Phone -X581 avnS3° -ssf Contractor Address License #no©798G Exp. `r~ City IQ:c I: i cJ State M Zip Company Phone Architect/ „ Engineer Name ~c~ Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Sta a of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicaaf~~ - CITY OF EAGAN ' 3795 Pilot Knob Read Eagan, MN 55122 N2 4421 PHONE: 454-8100 BUILDING PERMIT APPLICATION $561000 Receipt # 6831_ To be used for Sin . Fam Dwl . & Garg. Date jilly 25, _ 19--72 12 1 CarlsonLake Ln Site Address Erect l8 Occupancy Lot 15 Block 1- Sec/Sub. Wilderness Park Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. V W Name Jon Tassard Move ❑ # Stories z Address Demolish ❑ Front 70 ft. 3 o City Phone Grade E] Depth 86 ft. Name Tilsen Hnmes Inc Approvals Fees o Q 4950 Address 627 So. Snelling Assessment-- Permit •282 .00 t' City St. Paul Phone 698-5501 Water & Sew. Surcharge Police Plan check ~w Name Fire SAC 475.00 ~z Address Eng. Water Conn.. 290.00 <w city Phone Planner Water Meter no An Council Park Don 127.M 1 hereby acknowledge that I have read this application and state that Bldg. Off, the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total -106.7 50 Signature of Permittee A Building Permit is issued to: T415en-HomP51 Ime on the express condition that all work shall be done in accord ce with II o ble State of innesoto Statutes and City of Eagan Ordinances. Building Official % ,c,uCf rye PERMIT A CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDIN Eagan, Minnesota 55123 Permit Number: 020997 (612) 681-4675 Date Issued: 05/24/93 SITE ADDRESS: 1221 CARLSON LAKE LANE LOT: 15 BLOCK: 1 WILDERNESS PARK 1ST P.I.N.: 10-84250-150-01 DESCRIPTION: REPLACE ROOFING Rt'ilding_Permit Type SF (MISC.) Building Work Type REPAIR j ~ 03 r, REMARKS: FEE SUMMARY VALUATION $5,000 Base Fee $72.00 Surcharge $2.50 Lic. Search Fee $5.00 Total Fee $79.50 CONTRACTOR: - Applicant - ST. LIC OWNER: DAHL CONST, STEVE 18692581 0007986 LESSARD JOHN 6420 WENTWORTH AVE S 1221 CARLSON LAKE LN RICHFIELD MN 55423 EAGAN MN (612) 869-2581 (612)454-6797 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. A APPLICANT/PERMITEE SIGNATURE` ISSUED Br. SIGNATURE INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 020997 Eagan, Minnesota 55123 Date Issued: 05/24/93 (612) 681-4675 SITE ADDRESS: LOT: 15 BLOCK: 1 APPLICANT: 1221 CARLSON LAKE LANE DAHL CONST, STEVE WILDERNESS PARK 1ST (612) 869-2581 PERMIT SUBTYPE: TYPE OF WORK: SIF t REPAIR DESCRIPTION REPLACE ROOFING INSPECTION TYPE DDATE INSPTR. INSPECTION DATE INSPTR. FINAL PO Dace: - / BUILDING PERMIT APPLICATION LOT BLOCK / ADDITIO23 t'LIb^.r T, & SECTION AMMER IF U17PLATTED °:T'-: ^ OCCUPANCY I USE SZ/~ ~ ~ 7o X s ~ .J['f'.'L'nTELEPHONE L~_>~~•RAr^t}R ' TELEPHONE ITO. zc-- ::i7: ,:ESS ~ S1~~o2 ~H-~---- Ydotea Include site plan, building plans, and energy calculations with ih'.r' application Signed OFFICE USE 7ALUATIOI17 --rm'' W:3i7ECTI0'B _ a$d~OS? '-,R iirTER 60.-OO...-_. UITATI•IG PERMIT FEE ~l~IQ 6 v O-U 77RCf7r.RGE FEE :,?LM C :ECX FEE PARK DEDICATION FEE OTi:ER ~ ?s?zevrls: . >?SSAMIT CLERK BUILDING DEP POLICE DErT.-,_ PARK DEPT 7t??.`)'2 6 S7EPIVR DEPT. FIRE DEPT. . - To Tilsen Homes, Inc. 627 SOUTH SNELLING AVENUE ST. PAUL, MINNESOTA 55116 PHONE: 698-5501 Subject Date Message ~l2Q, ea ~"h PLEASE REPLY TO ',&V- 7S Signed Reply 9 r ~ Signed Date Form No-QL-3 SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 NED WITH REPLY 4 a~ z 111 _ ~ _ ~ UUU"' a S LiNt~ N~uSE I \ i i N S /ao2 l~~erY ~~~r~~~~r, rrA Gt V)?/n. 55123 LINE ~ J L 21 1977 ~ O I r L73'j Moe- K Q • f3- rRoe s-r ppn aFr.Lr_Y_ LI N E / 00 PLOT LAN g. - •i; `-t r t •r ,2ta ,YrL„ r '+v _y. - .L yysm raY-~DU•z 3. aF L i -i- .r~v ON VIP 1V;'? kA, Y yy,i~ k q..~l YLyCa k.,~i1- `y~~.!R^si{rL\ ir.' t'MZ,yi"`t~r•y. CAM LAU 3r r iR. ` r u , a.+,i'•„ jLTy ~,,.s.. .r`1f- lx' sV' ~'.F ~y . • b~S/''..r,'r "4.y+'""h,,, F 3 Y 4L t I. -`ly 4.. +ge vr7- Y 4 .-F 3ja aL r~#.hr q ,rB t6 '1 }L i~ i i•~ F r f. i! 1 4 d- 1a'e r ~ ; i, 1 -b Y ~ * ~ is 's'~~.~'. > ~ $~~,,~.;t.Y_`... ciT i •L, r :y +zad "SM~i ll ~r v'F i&r 'i~. s ~ y •K" At.rYa"uo-~~.•av.{ .•~i .cY a "4~i u~+''S~ f YA . t~ 5"i ~±aP~'''~'P R'~R~~+~'..~,`L R u z r ~ Y n E~? i,s ~ r s y. ,Y~ rr ,4~ 1. f ~ a . f 1 T ny1F y ~ , ~+r• ~ ~ CuSTOrEiI` »s t 'rte gS ~ r ..a L b.,..~r... PNQNE',» ~'p _ d .,va.• r 4 r'te' g.-t,~" ' DOM Pon" 03,94, i 064,OR AREA• - ' tENGTN - 010TH -j hcIGNT - r , C.C.H. (NEAT , " - NEAT NEAT NEAT HEAT I HEAT NEAT A NEAT R I - FACTOR FACTOR" AREA LOSS AREA LOSS AREA LOSS AREA LOSS AREA t LOSS I AREA :LOSS AREA LOSS AREA LOSS j itratron 1 zir chon're, hr. - .<8w;eu'' _ Iniiltrat,on 3 4 air chongc 'hr. :36w/cu' I InFiNration 112 air chonge'hr. ! .24w/cu' ~C !n(iltrotion 1'4 air cho"ge/1%, .12w, 1 i r 1 I 1 1 I Liro~s M'aJ (R-14) " - .I. I . - nntlona t I rip !c r sre 10.8w. .'sq. ~ i ndawa i aa:~ JGri)- _ ~ 1_5w_Sq I~1 u ~J.~ ~ I I a _ ~Dcor (ri CICSS_Storm) 8.2w/s ' _ - I ._t Wall LA 141 _ 1.8w'sq , I of Yail'(Above vrode) R-10 I 2 Ovi sq' - - -'1- -11 7---- I 1. { • -t 1}oil (Belo.. Grade) P•10 1.2w/sq ' - T I 11-4 C iI ing 1- I .72•v; sq L k` - - - I 1 c Tl.lsq r`ccr 24) w/ (CraHl =C) r'.acr 24) lUn.r-ated.ii soai 1 -•43w/sq' = ~ _ ~ C3> { ,1 y~os@nart_Tloo. ('slow reds) 6w sq + y 1~ 17 SiY/Im' Slaa en Uh.r:e) r '♦r.S lJOP a ~ ~ ' ♦ a. Ll: yN Y t i 'i t , n `rl'1 r1i♦~l »i p ':r r *•y t ' J.. P'-r'. i y. 1 -'y.,?pY w %T+L A,. OSS w L. 7 2 s i 4`+"Y~ 4 y i f l s♦ Ali- d TA4LEQ i"_ a~ .E-" ,rA~ r: sy , a r ,f{ o•r- ' < ~„;r r,• t 4 ti rei {}L a ~,'t~ ' ~A ~ k ' ~ y b'{ ,s f: Nd 4 ~t P' ?~~y~'~i/ 1~2 ~,'QyY r''y. F S'r ~ 'v z. "i l lr y'~.. •'~1'` .~"y' . - .e r ~ tla .3:yaA,."~,!=..•z~~ 4~'1., } ~...*•r. 9. ? i. 's'lr` .t t F,1s~";S'J° .Y`. - F . - s ~s~..Wi7 •9 .e -e r rr ~ c i'~• (}m.~ 7 ra,~t4 ,N,11u S 'r (,c •O p . Ate( f t e a 1 i" ki N~kS RM {y*a~i aG t y r r i F.: ' r(' f EXJ'OSFt~ t" tlpR (hR) CELL INO ARFA (IN41M'* OLMSIDE DIMENSIONS) ' 6Q^ FT.: A ,.p W41 AREA GG, G+ G6 ' i 3G < 7 f- r t"ft. X H_IG_ h. SQ' FT (Length of all 4 idcs),4,7 7 txxia y-+- t ~ ;Y.-r=.~Y~( A i Y a. SQ F,~ :'Y F+ GROSS.WAGL + e ~!'+r♦,.: ±:.ryf18'Tw. TOTALWIATIOW.AREA Z~OSQ.PT~ a 1 W ARFA ' 12111v T. C > NET WALL AREA t /N LSQ,rFT A SO. FT. COOLING RE t Ra+ CONDITIONS Q i tNST REA` , ` r 950' .100° -'1tl5d BTIJH - In4u18t10)f .rte a` tisulatinn s !t' ` GCE+tl• 2 ' .tJ ~I `fN,Iil t14DRS~~'~'t. a 1+'~;r' 1•S t f4}. ~Y~ x` , 3~! Q Sq tt, i 4 M 8 I "~L~'~e~r+r~'/Fiq tt T /Xl D 4O ' M NY,;f ; •T , .J y a9 h X 56 60'Y sq tr',, X 31 35' ble'. r, ,r J , k a q• fir.' :.„y:t { 'k ~~•i Y ' w } r' :'.F fon sq h X, JO 12 r ft X 4 z.. }~`.':-'J,.i; t V,n fY `,7s, FS . - 1' r.. r... ~ fc tit rdttJaned ~ ace ? Mf,nnY{ Space tYv yk 9`'~Vl/sl~ Area-' R s+? q ft >c I S 2 Z 4t1 t MAJO F: h 1 i 2 r S~, r•Fcitplc &,Appliantes Ih i"P"Y°x'+~l /1~ fDt'y CaolJng Required) : - 9,'~ w_ / 66 F ; Lw. 7,.~,'X1Nrr L rYrr~'(' a M O~ t ( - 4 f.'~y>V)irn ductti ate,nverugcgndinoncd-:p.i~~ A.. - wlhcnA"Tk'fc a'r: m articrwith I m.,y,i inn f + , t1t, 11P. orer m attic with 4 ' ~IW Nr~.,It LVttni Al r q'il ':.y. t L-1 tRF ttIRED " or Refer to NtVA11ACA 6Lnua1." J For other Conpltlop~ ' a ;~Sa,T1w~ p•"1f"n9",r~~•a'~'"I~L~v ,a n4~•~ a ~y-yL~+1.,yrw~~~~~'b~~E'(Ai~'yZ/~syay}t`t4-'y~y~ °-tcFy ~t..,-'"y~3~, t-~r S rY}., yi,~v_a ~~•y ..y..q~,a,-~.'.i w~'~ J~ ! w"L.1~~9'/~'~ .y ~i~ !P~ y.~.,,~f~~~f~Y/~~Y~Y~11r1~ 3rY } ri F~'a~~x~ t;• ~t~t ] s: ~ $ TJ~P v~ t- '~',''l ll~. 1 ~a~ °i'ie ,g ~ 'i ti Y'.tiF>. o'ca i ~iq~3~„ f*~ +?Y'e~r~s-~}~'~'.~ y~'`~ ~"~<F~S.~yW ~d V r~"`.id"ssFv ~j':'~t ,A- -y, ' ..j'K~~.:- 5~ "'a ° a •1` 3 aiwr•se' ~y 1~ ~ t ~ - f y'tYw e• S^ , T'~r. +x~~r''"'.4 fE-,t+r` liY d t~~ ~ ~ -'mY.~~- a3t`+`.a: 4w sr~,' Mw 171Y'3h+A''~`i+.'}'~ CUSTOMER ~ t s<z r .r 's-'/"L,.V' ~ PN~IE - ~v r~ ~ AbDRESS GITY,r STATE" i 1 FORM 0310-t~.,. t ! ~100M OR AREA L-NGTM - 1 4) /d.` %4 it 2p, 1 /V 0. 1 R.C.C.H. HEAT MEAT HEAT - HEAT - HEAT 1 HEAT MEAT HEAT I' (ACTOR - FACTOR AREA LOSS AREA LOSS AREA LOSS- AREA LOSS AREA !LOSS IAREA,LOS$ AREAILOSS AREA LOSS iitrotloi lair change.-hr. -.48w'•cu Ini ltrct;on 3 `4 oir chonga hr. . ` 36w/cu'J t/ + / Y7Q f TB 4aR7i 316 I ~Infittrefion- 1/2 air change /hr, I .24wcu' l - infiltration V4. air chongelhr. 12w.'cu i Groes Y c,l (Q 14) . - /O I zoo i !bi !Gross Sull iq-1G) _ - _ ! ----j---.- I I 1 ~rlneowsl nplc ~xzel 110.8w 5q L ~,adcws c~o,~l.. 'arn)_ 14.5w'sq ?x'10 z4 I 2-0 IJw Dr or `,i , Gless Storm) 8.2w's I, Zi~ ~_e! Wall i.'t--141 -i.8w•sq' / , ;m, I I J91 r, I~~j~~ 'ctrl_ait (Above Grade) t2_10 ( 2.6ra sq' - -T- - I ! ct fail (Bela}: Grade) R-10 2w/sq - l _ --j i C3iling (12-361 (.72~ v/sq !lee 47 v/0 W r _L_ ~ ~ _ I 1 .~cr t4} Growl ' ~pnco) q T I r arr ( :,21) (Unn"ated Bsrt) - I .43w/sy' j~ 1 3csu tort Floc (slow grcda) - ' " .bw sq` 'laor. ;5f a5 cn w~dc)' 14.6w/lin' 14PTAL HEAT 4 .._~4 11. J~ /?.1 IX$ I Z O-1 j -_r Y.M101STALL$6 4~'. t : • ~ 1 c :L. 5 _.T y f s o t A w,.~, R _ t s - ! r r E * ~ n.._ S, •.-t«'. - ;~Y~^-3-.._ -'S4+~~s?*^3-?--.TP.:nmtJ~o- ~.rtc:'rm,.r,.ra. A 4. t a t^r'. C s f r I W;~w.tV, ll, ON : HEAT PU MPJoa a ADDRESS DENTIAL SEASONAL uuZ E w +n Ei PERFORMANCE FACTOR r! L... w date:. ' LOAD: - DESIGN TEMPE RATUR COOLING HEATING jM1? OIFF. EQUIP.: -~_CCFM I ,"Y -If ;0 ~:;i 'N"r •cp -*-HEAT PUMP ALONE ► f• SUPPLEMENTARY HEAT- P'. ''Xiw ra' A~j 9~ . P Jr Ci /.3r Q P ,ui rq 'tcm .C' yP R4 k IF . o 'S~r 4?r` Yr~ m~~r` J~ " W;6" ev g ~vR Vr`h°' ACV a+'Q .rr. - „a uhJ v; „/rrc3' ro (r t x 4Q v K J' P J fi~ 7 P C~ Q a 47 r4 2.Yr5 4? Y v VIA 22 22 r P..„ Pte. 2 W ar. d`CQ Y a 2bh0 m°~a:' T h h`0 /.2 V. A. O~3' o Ch c' yh uWha a4r.! 6 a A- C D. E F G H 1 J K L' M m o r e' Ll1o ?6uoo DZ 3Z6 yy,6 r j3 . 6E6 sao 3, y SZ l 76~, d ti 9 E71 •300 3 . 74( . i"w n ZP' / 99 L 2 oe -a,& 3. 28 ?d Z0 erg 70, 3. p ZZ , Gbr w = 39 9 ao 92 g0c/746 E a 3e/s~1 .3'4~, n 43.' Z 6aa 7-/1 M 48 o ,30 ~tJ ° a /YYYw n fi 53 4706 2.6 7/ 8 S us3 /ko f -jr.6 j.7 9V 'j"066 41 e~ JZ10 Z 4116 u si 6,6d , , , po P~eco Z_7_1 L') A~!( -7. 20 411 14 70tJJ v ~ a~iya z.- e daa, t°" t73 zZ 5',7/ r1to 14 A 3r. 571 ~J3 T}f .it+Ja O/ 7 O~ 6 ~Z 9/ Z~~. u//D a' ciJ m 54 c TB S, 93 " g F~,I~y ~I 2 66~c' 2.0 j(, 3L.. 1 /o,5 168 'm m . r 'f 4C r. f n " t /J1~f3 ~ - TOTALS --Iw 1 Y wiANNUAUREQUIREMENT g M ITOTALI_ p DUCTED RESISTANCE HEAT KWH ; u t r r 3413 ;1 t: REQUIREMENT I ROTALI L ITOTALI • N,, k HFAT3'pMPSYSTEM /ZO S3~ { . Z_ ° ~l7 Kwr+ C ry M~ Z i r x 4~ ?$EgS9NAL PERFQRMANCE. p Z`' O c + f'~ v r r,^ iNT~AL AIR CONDITIONING PRODUCT DEAARTMENT"@ APPLIANCE PARK 0 LOUISVILLE, KE TUCKY 40M r . ~ P`~ r :.GENERAL ELECTRIC 6 YA8 P aOn6 Pug. NO. 2:30&+ NEW •'r ~e.ryw .R,..• r ~,!Y,:1)xmn-~t+s J^V""" iR Or r •ywgx• .S:+'rv.1'..r•. .....T..rIIT '~'rv.-T.~-m.•r..., AR Nl ZIS'1'.1 kJ~~rIC~ RCGEIVEID rIES 1 9 1988 ~,1221_Carlson Lake-Lane - Eagan, Mn. 55123 February 18, 1988 Mr. Thomas Colbert Director of Public Works 3501 Coachman Rd. Eagan, Mn. 55122 Dear Mr. Colbert: We would like to thank you for your assistance in the removal of the tree in front of our house. We appreciate your efforts, as well as those of Mr. Schuster. He kept us well informed as to how things were proceeding, and we appreciate his consideration. The tree was removed carefully, with minimal damage to the yard, and its absence looks wonderful!! Our thanks again, to you both. Sincerely, Ak , 1, zAw Mr. and Mrs. Jon Lessard ~ 8'~ ~5 v isto o~ ~ *dtv of eclc~an THOMAS EGAN Mayor September 4, 1996 PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Council Members JON & BONNIE LESSARD THOMAS HEDGES 1221 CARLSON LAKE LANE City AOminisfrotor EAGAN, MN 55123 E. J. VAN OVERBEKE City Clerk Dear Jon & Bonnie: Thank you for your letter of August 24 concerning the trees on your property designated for removal because of oak wilt. I appreciate your situation and the difficulty that the May 19 wind storm created for many of our residents. In response to your question regarding City assistance on removal and disposal of affected trees, the City makes every effort to permit the property owner to correct the situation themselves first. In the event that the property owner chooses not to or is unable to remove the trees, the City can begin a process to do the removal itself and assess the costs to the owner as part of their property taxes. If you would like to explore that option further, please contact Gregg Hove of our Forestry Division at 681-4300. In the alternative, you may wish to place an ad or ask friends whether they know of anyone interested in removing the trees for firewood. While many people locally stockpiled wood following the storm, it is my sense that there are always people who have fireplaces or wood burning stoves who are interested in hardwoods. Obviously, the user would need to be informed of the presence of the oak wilt disease and mitigation, but that may be a low cost alternative to removing it yourself or having the costs of City removal assessed to the property. I hope that one of these alternatives will make sense for you. If you have any further questions, please contact me. Sincerely, Thomas L. Hedges City Administrator TLH/vmd MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY 3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122.1897 EAGAN, MINNESOTA 55122 PHONE: (612) 681-4600 PHONE: (612) 661.4300 FAX: (612) 681-4612 Equal Opportunity/Affirmative Action Employer FAX: (612) 681.4360 TDD: (612) 454-8535 TDD: (612) 454-8535 Y Y 1221 Carlson Lake Lane Eagan, MN 55123 ~I~ i AUG 3 0 August 24, 1996 Mr. Thomas Hedges City Administrator City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 Dear Mr. Hedges: I appreciate the opportunity to visit with you on August 20, concerning the May storm damage that occurred to our property on Carlson Lake Lane. As per your suggestion I am detailing the extent of the damage. Our home itself sustained minor damage, as a result of two very large trees that fell on the roof. We were able to have those two trees removed and the roof was patched. However, our yard sustained devastating damage, including 20 very large trees that were either totally downed or severely damaged to the extent of needing to be removed. Because the damage to our home itself did not meet the $5000.00 damage requirements, we were not eligible for any disaster assistance. My husband and I, with the help of a friend, took down as many trees that we physically could, and have attempted to begin cleaning up the area. Approximately 2 weeks ago, we were notified by the city of Eagan that two large trees on our property have oak wilt disease and need to have treatment to the root systems, and at least one of the trees needs to be removed. Apparently, as a result of the storm, the trees became vulnerable to the disease. Mr. Hedges, we understand that our request is somewhat unusual, however, we are asking for assistance from the city of Eagan in the removal and appropriate disposal of the affected trees. It is impossible for us both financially and physically, to have the trees removed and disposed of properly. We would appreciate any assistance that you might be able to give us, and thank you in advance for your consideration. Sincerely, Y1-(Y t &LIAVL Jon and Bonnie Lessard ~ y :t , Y f y^ t r:: r,: _ ; . .\~f}: . • r ~ ~ . - i ~ r- . L ~ V !t ~ ~ t ` \ } OW Y .S4 \ .7r OF, N 01-11 a C RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reaulrem ruts RemodegReoalr Reauirements S • 3 registered site surveys stowing sq. ff. of lot, sq. tt, of house; and fiH roofed areas • 2 copies of plan (20% ma)dmum lot coverage allowed) 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for erderlor addition & decks • 1 set of Energy Calculsbors • Indicate g home served by septic system for additions • 3 copies of Tree Preservation Plan r lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) °0 DATE VALUATION 11 ~4 SITE ADDRESS 9;/ 42 /SCM) 1-416 Z'- MULTI-FAMILY BLDG _ Y N TYPE OF WORK TQ~A0 d ZRF QrbC Z%,7QS • FIREPLACE(S) _ 0 _ 1 -2 APPLICANT STREET ADDRESS 122W -7 4i [e~j°l_.S CITY mtlf STATE_1YWZIPSS 7 TELEPHONE #752-70I-6gS9' CELL PHONE # FAX # PROPERTYOWNER JOA i9nnfe G ZA TELEPHONE# S1' COMPLETE THIS SECTION FOR %NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted FrM f Plumbing Contractor: Phone # UL 9 2002 Plumbing system includes: _ Water Softener _ Lawn Sp ' er Fee: $ 0.00 _ Water Heater _ No. of R.I. h No. of Baths Mechanical Contractor: Drone # 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 informaFlon is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant v rir l ry 1 OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 PERMIT City of Eagan Permit Type:Building Permit Number:EA152640 Date Issued:10/24/2018 Permit Category:ePermit Site Address: 1221 Carlson Lake Lane Lot:015 Block: 001 Addition: Wilderness Park PID:10-84250-01-150 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 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 - Angelica L Bodnar 1221 Carlson Lake Lane Eagan MN 55122--171 Elite Exteriors 1513 Southcross Drive West, Suite A Burnsville MN 55306 (651) 688-7808 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA153290 Date Issued:12/07/2018 Permit Category:ePermit Site Address: 1221 Carlson Lake Lane Lot:015 Block: 001 Addition: Wilderness Park PID:10-84250-01-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Angelica L Bodnar 1221 Carlson Lake Lane Eagan MN 55122--171 Elite Exteriors 1513 Southcross Drive West, Suite A Burnsville MN 55306 (651) 688-7808 Applicant/Permitee: Signature Issued By: Signature Elite 14815 Energy Way I Apple Valley MN,55124 I Office:651-688-7808 I Fax 651-688-7817 March 11,2019 RE: Permit#EA152640 1221 Carlson Lake Lane Eagan MN 55123 The inspector requested this letter,signed by the siding crew that completed the work stating that we did cut a continuous vent in the soffit area of the Garage. We did cut a continuous vent in the soffit in the eaves of the Garage at the above address. gaikJ Installer Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155813 Date Issued:06/04/2019 Permit Category:ePermit Site Address: 1221 Carlson Lake Lane Lot:015 Block: 001 Addition: Wilderness Park PID:10-84250-01-150 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Angelica L Bodnar 1221 Carlson Lake Lane Eagan MN 55122--171 Elite Exteriors 14815 Energy Way Apple Valley MN 55124 (651) 688-7808 Applicant/Permitee: Signature Issued By: Signature cf 3 - O,&L 4jAt_ , 3vyaid- a� 4, , s &N s-i c,i1- f e ,,,,,.....Use .. Por-e l /-5.-7z-/ , 4,1\i A 1:,.::: ..,.. .. EA, , DECEIVED E PeortFog _L_____ IrF.--- 9-9-/? 1 SEP 092019 , Doe Ftoceived 34..1.0P".01 KNOB ROAC = . CAGAN. MN6iZ2-ig1C� 1 ,6S1 I 611Y5675 CXi V•1)45.4-M-151 FAX f1 ' /94 • t1° !MapecI •"± .�firnhe�ae ' ;i ' .it1 .'. s 2019 RESIDENTIAL BUILDING PERMIT APPLICATION 09/06/2019 1221 Carlson Lake Lane. Eagan. MN n/e Dew: 34. a _ unit r. Angelica Bodnar 6514543243 Nara R _55.. . _ _ ,—� Owner address 'Derr :Irz 1221 Carlson Lake Lane, Eagan, MN 55123 Reline chimney,nney, replace damaged bricks: rebuild crown Type of Mloek t1os:,�eor �►, __ $5359.01 C.cfns2rL,ceri Cost MOW F am*,autidv g (Yes_r No ✓.) AtrBroom Minnesota rrocs John Hartmann 6975 Was' :ngton Ave SEdina G Contractor A� ess ,til -- 'N 55439 9x2545225 Swo _ Zipe s s Et jhnha +r thn v Q r )rflW1 ucanse t noneh'►ir)neSd1.COWL w Laud t _. I'le Vole<1 s eir`rDt frOrn Isid c*r Mcadon please explain wily COMPLETE THIS AREA ONLY IF CONSTRUCTING A fliffliNliang I In the last 12 months.hos elle City of Eagan Issued a pann4 for a similar plan based on a ablates pen? Yes No l•-,"i,date a rJ sd i s :If*ras•cr plan L caned Maribor _ Photo: V, hanlcal Contractor _____ Sales t Water Contractor: A Phone: rim, Supprsss►on Contractor __ Photo: mom-Rine NMI sy*r*f +o wit�_wrr—Mrali Mrlw,_1 i E ellet1 I .._. _ ____ . _• .. d, . ,._- . _._ _. __ . 7.-" i A n r ...:. c'. may$u�erros to',carve an s+stvor r catson ,. .'seed.at ►at pn a variances by alpnlno w fro.s.aril tyOM.N as Owe ggegt� "seam (Kummer.*a Wilding permit*sued in watt teas_wisaota bade d ip Code most be Wean ISO casijamsfamsea Lai Ciao,.+Mass On•Cao ai real}ab4.,0p43 tier volacror soar*~wows,we,damaga Caa 4$rims mem yaw rte.-4 r.Oq..Y'WV"..odea of velem/e.g.-Arid. "gram wet,a ct-ico og qe t>•a►.Ts ribn,+t.+on S uzerfOglie*4 4 Uw M fiat tYle Wan was to in eenbrueve re optinentas ad stets•ilia Qv se Gnat" 114t I tedleeirarl4 the a 't4 a pa+R+t Do tett an aop$Cm I kb* a pMr'-r<. and eros a foe le '. aCaxdana"o t►too r.t'r cabs d eat. cl%. a%vow viaappy - . ' •Omit!Ht r.1100011 a fil John Hartmann It Pl Aop ante Print:d Wane "�"- , ..,�>.7�/ /717:4;.‘. Li 19 6 Z ,^ r 7qq - PTYPES oundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) — Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multt Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of,Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building _— Reroof Demolish Interior ...4 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 0(P) Occupancy ih,,- .1 MCES System Plan Review ' ` Code Edition ; • ()Lc SAC Units (25% 100% ) Zoning ;A ,,- City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \I 5 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: - Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile ____4„. Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation Windows SheathingtNd Retaining Wall: Footings Backfill Final Sheetrock OVA/v(1P Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: -1-2, ,Building Inspector RESIDENTIAL FEES Base Fee , Surchargeet, Plan Review ; 1) yN ( ' MCES SAC i `'. L ' O �, I CitySAC ,}t I ti iii `j Utility Connection Charge ) lx} 3y �'' S&W Permit&Surcharge k,,,,,J1* f__.„..- Treatment Plant jip t') 0 Radio Meter Read R Copies TOTAL Page 2 of 3 Jeffrey Wheeler Sunday October 13th, 2019 Building Inspector 3830 Pilot Knob Rd | Eagan, MN 55122 Office: 651-675-5680 https://www.cityofeagan.com Hello Mr. Wheeler. This is a description of the way we conducted the project for Ms. Angelica Bodner at 1221 Carlson Lake Lane from September 19th - September 23rd and completed on September 23rd. A quick summary of the project is in order. We originally were asked to estimate some minor masonry repair to Ms.Bodner’s chimney. Originally the project looked like a crown repair and removing/replacing several spalled bricks. Although not requested, as a courtesy we also offered her a free Level 2 video inspection of the internals of her fireplace. Unfortunately due to the severe offset near of the bottom of the flue and it turns our a good deal of damage at the offset the camera we had that day was not able to get a complete scan although it indicated damage so we arranged to come back again to do another Level 2 inspection on August 20th. Internal damage was found and we recommended adding re-lining of the fireplace to the original chimney repair quote. Ms. Bodnar went to the City, paid for and pulled a permit based on our revised estimate. She e-mailed me a filled out permit application and asked me to sign it as she was advised to do that. We agreed but the understanding was she would coordinte with the City any information required and set up the inspection(s). Once she has the permit we started on the project as scheduled September 19th. We were not told anyone had asked for more than a final inspection and after we completed the project on the 23rd Ms. Bodnar set up an inspection that you completed for Friday September 27th. Unfortunately she did not inform us until the afternoon of the 26th and being a small firm there was no way for me to attend the inspection. She contacted me that afternoon and informed that you were looking for photos of the installation in process which we were not asked to do and had not taken. We assumed there was just the one inspection to check the chimney repairs and the liner installation from tiop and bottom as well as the smokechamber repairs. She said you would be “ reaching out to me to discuss”. After a call from Ms. Bodnar the end of the week of September 30th to see if we had connected I agreed to contact you and we connected last Monday October 7th. At the time you asked for two things whicjh I am providing today. First was the Manufacturers Installation instruction. Second was what I am doing here in addition to the brief history which is providing an explaination of the work we did which is summarized below. Step 1 - Removed the chimney crown to gain access to the cavity to revove the 6 clay flue section to be replaced by a one piece continuous Lifetime St ainlless Steel HomeSaver Pro 10" liner. Step 2 - Removed several bricks from the side of the chimney to provide a portal into the interior to allow us to break out and remove the clay flue liver and access the chimney cavity to install the new liner. Step 3 - Wrapped the 10" diameter liner in HomeSaver Brand ½" Foil- face chimney liner insullation and sealed the wrap in foil tape as per usual. As there was lots of room in the cavity ( wasn’t a tight fit as it often can be) and the liner length ( only 12') there was no need to wrap the insulated liner in armour mesh to protect it from possible tears and rips when can happen when installed in a tight cavity. There was also a fairy sever offset of bottom flue section through a masonry areathat allowed us to support the liner and use the bottom termination insulation plug method to terminate and support the liner at the bottom. The liner was terminated/supported at the top between pieces of rebar used to support the new crown and a decorative top flue section installed in the new crown also designed to accomodate a Lifetime St ainless St eel traditional Chimney cap at the top of the flue. The top of the liner came up inside/into the bottom of the clay flue section and then was joint/sealed at that point inside the clay flue section with a special refractory cement material know as Flue Goo. Step 4 - In addition to the insulation plugs used to do the bottom termination the sever turn of the cavity to the smoke chamber provided us a sort of shelf for the bottom couple of feet of liner and we used additional pieces of Flexwrap insulation to fill that cavity around the liner making it tight all the way around in those bottom couple of feet. Step 5 - We corner cut and installed Decorative Limestone sill one the top opening edges of the chimney and joined them across the opening with pieces of rebar. We then used metal lath across the opening on the rebar supports and edges of the limestone sill to support a pored crown with proper drop from center to shed water. The portland cement mixture was poured around expansion joints against the 13 x 13 top flue section to create a new crown with drip edge that would properly shed water from the chimney top. Step 6 - We identified and cut out 20 water damaged bricks and surrounding mortar lines and replaced the crack or spalled bricks with new matching brick and refreshed the mortar lines We used special cleaners to clean the chimney from below the crown to the roofline and a portion below the roofline that had moss and staining as best we could and one clened and dry applied a special vapor permeable water repellant to rpotect the repairs. A New Lifetime Stainless Steel Chimney Cap was installed at the top of the chimney on the clay flue section that was a part of the newly installed crown. Step 7 - We removed the the damper at the top of the firebox to allow us access to the smoke chamber. We used Ahrens Chamber-Tech 200 Insulating refractory mortar material to carefully seal the bottom junction between the top of the smoke chamber and the bottom of the liner at approximately 3-4" thich to complete the bottom termination of the liner. We then utilized the same material to “parge” the walls of the smoke chamber to address gaps and cracks an restore the chamber to proper operating condition. The damper was then re-installed and checked for proper operation. Once completed we returned to the exterior of the chimney and completed the project when we then rest the bricks into the wall of the chimney where we created a portal to seal it back up Step 8 - A final inspection was completed an the project was invoiced to Ms. Bodnar the day of completion. The invoice is attached In addition to this review of the project components and proceedure we have attched the installation section of the HomeSaver Flexible Stainless Steel Chimney Liner recommended installation instructions and some additional information and/or images on the materials used to complete the project to UL standard. Please advise any additional information needed and advise once the permit has been signed off on with a final copy for our files so we can advise the homeowner the permit has been fulfilled. Thank you, John Hartmann Managing Member AirBroom Minnesota Fiurnace and Fireplace LLC 6975 Washington Avenue South ste 220 Edina, Mn 55439 952.545.2254. INSTALLATION AND MAINTENANCE INSTRUCTIONS FOR u T re ► • \ �.�iif�Y�f��\ R11�ikEE�A1RFl ,1�'jI�S�� ` walls and the fireplaces mokechamber before relining the chimney. If not removed, creosote is a fire hazard. It can also cause an unpleasant odor. TEST TO MAKE SURE THE LINER FITS On any installation where minimum or near minimum inside chimney dimen- sions are present, always test yourfit before proceeding. Chimneys are irregular and hard to 'sight' accurately. Take a small scrap section of liner, about 2' in length, then wrap it with the required thickness of FlexWrap (if this is your insulation choice). Be sure this "test section" can be lowered easily, without binding, through the entire length of chimney. Section 5. Doing The Installation The following instructions are intended as a guide to assist a qualified profes- sional installer. Check your local building codes and contact local building or fire officials to obtain any required permits. Inspect the chimney for structural integrity before it is lined. HomeSaver Ultra - Pro and Pro relining pipe can be installed in a masonry chimney with a mini- mum 4" of solid brick as specified in NFPA 211. Lookfor loose or eroded mortar, cracks in the masonry, missing bricks, internal obstructions, abandoned flue holes, and excessive creosote accumulation. Make necessary masonry repairs prior to relining the chimney. In the case of a Factory-bullt chimney, determine if the chimney and factory - built fireplace have been installed correctly and required clearances have been maintained_ Check to make sure no signs of rust, warpage, or other damage exist. The system must be structurally sound. If there is damage to the system, insufficient clearances, or rusting components this situation must be remedied. Do not install a liner if the above conditions don't exist. 2. If you are relining a fireplace, go to point 7, page 13. If the liner is to be connected to an insert, determine if the liner will line up with the flue collar on the insert top- If it does, and the collar is round, use a HomeSaver connectorladapior to make the connection. The connectorladap- tor should be securely attached to the liner. The male end of the adaptor should then fit into the insert flue collar and stainless screws may be used to attach it to the collar Figure S. Connect Adaptor Secures To Insert Fireplac Insert imesaverllkraArc Installation Using Cast -Iron Insert Soot FIGURE 8 - LINER CONNECTION TO FIREPLACE INSERT HomeSaver UltraPro Cast -Iron Insert Boot Adaptor Roundi'lex Cast -Iron Insert Boot If the liner angles towards the insert collar, or has an oval or rectangular open- ing, a HomeSaver Round Flex cast-iron insert boot or an elbow may be used to connect the liner to the insert. If an insert boot is used, an insert boot adaptor is needed to connect the UltraPro to the insert boot. 3, if you are relining a flue venting a woodstove and there is no ex- isting opening for stovepipe, you now need to make one. If there is an opening, It may need to be ex- panded in order to assemble the Minimum take -off to the Flex tee. clearance to T combustibles per NF PA 211 For solid fuel appliances the NFPA Fig. 9.7.5 "minimum clearance to cornbus- tibles" is 18" for single -wall con- FIGURE 9- UL LISTED WALL PENETRATION nectors. Figure 9 shows a typical framing, which would have to be constructed in a combustible wall next to the chimney. This framing requires a minimum of 12" of brick masonry surrounding the thimble on all sides. It must not be located directly behind the appliance, but above it. See NFPA 211 for more details. If a UL Listed wall penetration assembly is used (as an alternative to Figure 9), it must be located above the heating appliance and may not be located directly behind the heating appliance. Clearances from solid fuel -burning appliances to combustible materials must be strictly adhered to. Follow all local codes and manufacturer's instructions. To 17 For Category I LP or natural gas you may make a 40 degree bend when passing through a masonry thimble. You will need to use a mortar sleeve in this appiica- tion. If this liner is installed in Canada, a notice must be posted where the connection is made to the appliance concerning its limitation of use with specific fuels and appliances including a reminder to homeowners to check the rain cap for icing during low ambient temperatures. Such notices sha11 include the date of Instal- Iation, the manufacturer's name, the model number, and class of lining system, 4. To install the tee, first place the tee cover over the outside of the bottom end using four, 1/2"stainless steel pop rivets to secure (Figure 10). In hearth stove applications, 1/2' #8 stainless steel screws may be used to con- nect the tee cover to the tee. The take -off attaches to thetee body with a retractable band connection. The first tee, on left in Figure 8, is called the Short Flex Tee With 10" Long, Re- movable, Uncrimped Take -Off With Band Connection. The UltraPro slides into the top of the tee and is secured by tightening the retractable band connection. There are also four pilot holes where 1/2' stainless steel pop rivets may also be used if desired. The second tee in Figure 10 is a Short Tee Body Only. You must use one of two removeable take -offs to go with it: 1) 10" Rem oveable 51ip Take-Offr which con- nects to a female connector pipe without crimping, or 2) 22" RemoveableTake- Off (uncrimped). Short Flex Tee With Shorl Tee Body 1V Removable 22^ Removable 10' Long, Removabre, Only Slip Take -Off Take -Ott Uncrimped Take-Ofl Only Only With Band Connection (Fernare) Band conneclion Band connection Fletradable Re actable Retractable band band Tee To bc4r 4i 4�t= 14e W long lee Tee cover Hivel takeoff Tee cover Rivet FIGURE 10 -TEES AND TAKE -OFFS These two tees have a retractable band that secures the take -off to the tee body. The band should be opened so that when the HomeSaver Flex and tee are low- ered down the chimney, the tee body can pass through the band. If a crimped take -off or a longer take -off is desired, a crimped take -off and a longer take -off are available as an alternative to the standard tee take -off. These alternative take -offs are designed to be used solely as a replacement tee take- off. 5. Install support rods and bottom plate as shown (Figure 11) so the take -off will line up with the thimble hole. The tee sits on the plate which supports the welghtofthe liner. 6. Attach the UltraPro or Pro liner to the tee with the damp connection- As an alternative, a connector -adaptor with band connection may be used to join the liner to a Heat -Fab rigid tee. Stairfless steel bottom plate Support rods (112 inch minim thickness or diameter) FIGURE;I - LINER SURPORTRODS 7. When using HomeSaver UltraPro or Pro relining pipe to refine a fireplace flue, terminate the liner at the bottom of the chimney flue just above the smoke chamber. Several terminations are illustrated on page 14, Figure 12. Support rods are also illustrated in Fiqure 11. As an alternative method of support, a HomeSaver Bottom Plate Leg Support System can be used instead of support rods (see Figure 12, page 14, alternative "A ") Install the four support brackets by baiting to the liner in a position that allows them to rest on the bottom plate, and so no more than 2" of liner is below the plate. Or, a bottom plate with 2" collar may be used. A connector -adaptor will be needed to join the liner to the collar. Atinotherchoice is the Home -Saver Insulation Plug (see Figure 12, alternative"B," page 14). HomeSaver Foil -Face AexWrap must be layered with refractory ce- ment and tightly packed at the base of the liner to a depth of 6" to form a seal. Make sure there is adequate support at the top of the chimney. If the liner, in- cluding insulation, weighs more than 150 pounds, double up on the top plates and tap/bottom support brackets. 8. Each of these liner components (tee and connector -adaptor) comes equipped with band connection, The tee cover requires pop rivets or screws. Note: If you are using a connector/adaptor with band connection or a tee with band connection, pop rivets are optional. 4. Insulating the liner with HomeSaver Foil -Face FlexWrap: A. Wrap lengthwise, creating one long vertical seam down the length of the liner. The fail side should face away from the pipe. 72 13 HameSavW UltraPro" or Pro with Fail -Face FlexWrap and ArmorMesh Alternative UL Lisled Tap Termination Gelco KID Multi -Flue Grim ney Top with 12" mesh or Chimney Protector with TO" or Taller mesh Collarplate Nape: Leave al least 5" of Space between tha top of Foil -Face FlexWrap and the Top Piale.. HameSaver Flex Liner covered with Foi I -Face FlexWrap Insulation and ArmorMesh Bottom Termination Alternative A: Bottom Plate Leg Support Support Rods FIGURE 12 - ALTFRNAINE TOP AND BOTTOM INSTALLATIONS B. Begin by rolling out a length of FlexWrap equal to 9" less than the length of the liner to be used in the installation. Do this on a clean, dry surface. If relin- ing a woodstove insert installed in a masonry fireplace, 1' to 2' may be left uninsulated immediately above the insert. (For factory -built chimneys, see (sages 18-19.) C. Trim the FlexWrap lengthwise with a sharp utility knifeso that when wrapped around the liner, a tight joint, the length of the liner, is achieved. Accuracy in cutting is important. D, Apply 3M Spray Adhesive or Rutland Water Glass to the liner. Then carefully wrap the FlexWrap around the liner. E. Thoroughly tape the insulation seam and the ends with foil tape. F. If two wraps of the 1/4" Foil -Face FlexWrap insulation are being used, repeat the steps above forthe second wrap. G. Measure,cut, and install a length of HomeSaver ArmorMesh Insulation Cover over your FlexWrap insulation.This can be accomplished by tolling the mesh like a stacking, then unrolling over the insulated pipe. Clamp the bottom end of the ArmorMesh, just before it enters the tee. H. Grasp the unclamped end ofthe ArmorMesh, unroll the ArmorMesh over the liner and insulation and pull, working ittightfrom one end to the other.This will draw the ArmorMesh snug around the FlexWrap. I. Trim any excess FlexWrap and ArmorMesh from the top of your installation back to within 6" of where the liner will stick through the top plate, collar - plate, or factory -built liner adaptor, then clamp it in place. Leave no more than 3" of liner protruding above the flex top plate. If using a CollarPlate, cut the liner flush with the top of the collar. 10. Insulating UltraPro or UltraPro with HomeSaver InsulationMix orTherMix Insula- tion: HomeSaver Insulation Mix and TherMix are specially formulated, dirt -like consis- tency chimney fill insulations and are intended for Use when relining masonry chimneys only. Since 1" of HomeSaver lnsulationMix orTherMix needs to sur- round the liner on all sides, the inside flue dimension needs to be a minimum of 2" largerthan the outer diameter ofthe liner (which is 3/8" larger than I.D.).This means a 6" diameter liner would require a flue opening of 83/a"x 83/8" 14 1 7s Cta4 Sir �c�U 1n�t� 2 IIIi) r / F,,, ( f-.L0, F,-,c wr-P pits E'Orl ��ncS wr'ra-11� �f� �J( so s„S��wk»n Plv S Mom ry_ b u 14 V3,k�s cc 5 In � �� PERMIT City of Eagan Permit Type:Building Permit Number:EA167896 Date Issued:04/01/2021 Permit Category:ePermit Site Address: 1221 Carlson Lake Lane Lot:015 Block: 001 Addition: Wilderness Park PID:10-84250-01-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Angelica L Bodnar 1221 Carlson Lake Ln Eagan MN 55123--171 (651) 447-3194 Builders & Remodelers Inc 5301 East River Road Suite 110 Fridley MN 55421 (612) 827-5481 Applicant/Permitee: Signature Issued By: Signature