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1251 Carlson Lake LaneCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1251 Carlson Lake Lane Lot: 003 Block: 001 Addition: Wildemess Park PID:10- 84250- 030 -01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746 -5200 Quesetions regarding electrical permit 952- 445 -2840 CRAIG ANGELL 12253 NICOLLET AVE. S. ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec Owner: Schuyler C Woodhull III 1251 Carlson Lake Lane Eagan MN 55123- -176 $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA091985 11/12/2009 ePermit cal Inspector, CITY OF EAGAN , WATER SERVICE PERMIT 3795 Pilot Keob Road PERMIT NO.: Eogan, MN 55122 DATE: Lning: No. of Units: Owner. Address: $ite Address: Plumber. Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to oomply with the Citry of Eagan Surchorge: C?dinant,ea. Misc. Charges: Total: BY . Dote Paid: Date of Insp.: - - Insp.: cirr,oF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: ?ugan, MN $5122 DATE: Zoning: _ No. of Units: ? Owner: ? Address: ' Site Address: Plumber: I agree to eompfy with the City of Eaqon Connection Charge: O?dinonces. Account Deposit• By Dote of Insp.: _ I nsp.:- Permit Fee: Surcharge: - Misc. Chorges: Totai: Date Poid: - i CITY OF EAGAN 3795 Pilot Knob Road Eoyen, AAinnesote 55122 Phoea: 454-e100 PERMIT Date: 6/21/76 Site Address: Lot 1251 Carlson Lake Lane Block ? Sub/Sec.' * 1 _ ; dernPSs Nome _ -jory GaIhaua - ` 3223 Vall- ; Address - - ? . • O City Phone: Name . ? %?QI F+1tiC3. ? Address . Ci1Y Phone: This P it is issued on the express condition thot oll work shall be Minneso atutes and City of Eagan Ordinonces. No. ? 1 46 Receipt No.: " Single I Residentia( - Multl Res., Comm./Ind. I New/Alter./Repcir. Cost of Instollation Permit Fee ^J • ? c.. ,.?....,.e _ . , ., Total done in acoordance with ali applicabie State of Building Offlciul CITY OF EAGAN 3795 Pilat Knob Road Eoyon, Mlneesoto 55122 Phone: 454-8100 PERMIT No. - DaTe: Receipt No.: Single I Site Address: Residential ' Lot Block Sub/Sec. _ Multi Res., Comm./Ind. Nome New/111ter. /Repair a ; Address Cost of Installafion City Phone: Permit Fee Lity rleatin; Nnme 5urchorQe . ? ?-.JI..+L i :.? l?i Li. . ,.rf• ... i Address 0 v City Phone: Totol This Permit ' issued on the express oondition that all work sholl be done in accordance with oll opplicable State of Minnesot tatutes and Ciry of Eognn Ordinances. Building Official ? CITY OF EAGAN ? 3795 pitot Knob Road Eagon, MN 33122 N? 4 7 4?J PHONE: 454-8100 BUILDING PERMIT Receipt ?# •`-' `- ? -i Porcel # - W Name _ Z Address 0 Cit _ , p Name _ r ?a Address a ?" Cit _ ? ww Nome _ t115 to < Erect ? Occupancy ? Alter ? Zoning Repoir ? Fire Zone ? Enlnrge ? Type of Const. V Move ? # $tories Demolish Grode ? ? Front Depth ft. ft. Aoaro vals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bid9. Off. APC Permit J. , • Surcharge Pian check SAC Wuter Conn. Woter Meter r'.4Y' ;- 1_20. 0'^ Totat _ 32 ! i 7 , ' -, Signoture of Permittee I A Building Permit is issued to: on the express condition that oll work shall be done in uccordance with oll applicable State of Minnesota Statutes and City of Eogan Ordinances. Building Officiol ' ' Pennit # Date Isfuad PerwiMM Plumbing /1yli ?a?? D_==?! a _Mechanical IA O? fA//7l - ?71.?L[. C?? ??i1(?it. it l&G.? INSPECTIONS DATE INSP. RougMln Find Footings Dota Insp. Dafe Inap. Foundation Plumbing Frame/ins. Mechonital - - t -j? Final i Remarks: ---------------- INSPECTION RECORD - - CITY OF EAGAN PERMIT TYPE: '"' "0' r''', 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 131 SoN t akf i ANi" 14 ?, !?l..kNE `. : f'ARK PERMIT SUBTYPE: TYPE OF WORK: I I :,1 Cwc-I ' I I I;1 tJnI ? ? Pertnit Molder Date Telephone # PLUMBING HVAC Inspectfon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? ?- - CITY OF EAGAN Addition Lot 3 Blk owner 1 street 1251 Cas'lsarl Lake Lane Improvement Date Amount Annual Years Payment Receipt Date STREET 5UR F. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1973 17 -fl5 .80 20 jj • 45 Q 0 51779 - - WATERMAIN WATER LATERAL WATER AREA 1977 160.00 10.66 15 128.02 0 5-17-79 I STORM SEW TFiK STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT WATEFi CONN. 2$0.00 9631 4-13-78 6UILDING PER. SAC PARK p USV--151U15 T' .request void 1B months from ld?7? Date of this Retluest 6-e-197a " 8 7 7 7 2 1, as Tl Licensed Electrical Contractor ? Owner, do hereby request inspection oi the above electri- cal wfring installed at: ? b / (,Jp Street Address or Route No. 1251 Carluon Iake Lane CityEaaan Section Township Which is occupied by Greg Dalhaug Range County Dakota Is a roughin inspection required on this job? No ? Yes:U Ready Now O Will Call tt PowerSupplier Dakota Cty. Address Farming}nn Electrical Contractor O.B. Thoaipaon Electric Co. Contractor's License No.A337 ,5 (COmpany Name) Mailing Address 12201 Mtka BlYd., lRtka 55343 (Electrical Contractor or Offlner MaKing This Installatlon) Authorized (Electrical Contractar oi OwF SVAUE a ?f?QD QOp?' Lf? ,; kAv_ Phone No. 933-2521 kin9 ThIS Installatlon) This inspection request will not be accepted hy the State 8oard unless proper inspection fee is enclosed. MinnesoTa State Hoartl of Electricity 7954 C7c?iversity Ave., St. Paul, Minn. 55104-Phone 645-7703 " '?REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOAK COVERED BY THIS AEQUEST /o A1 7a P 87772 Type of Building New Add. Rep, Check Appliances Wired For Check Equipment Wired Fm Home tt ? ? Range ? Temporary W'ving ? Duplex. ? ? ? Water Heatet ? Lighting Fixlures PC Apt. Bldg. ? ? ? Dxyex Electric Heating ? Commeicial Bldg. ? ? ? Fuma Silo Udoadet ? Industrial Bidg. ? ? ? Av C. ? i?onc Bulk MBk Tank ? Farm List Lis[ Othec ? ? ? p Heiers . Oehers? R ) COMPUTE INSPECTION FEE BELOW Se?vice En[rance Size: # Fce Feeders&Sub[eeders: # Fee Crtcuits: x Fce 0 to 100 Am s. D to 30 Am eres 0 to 30 Am etes 101 to 200 Am s. 31 to 100 Am res 31 [o 100 Am eres Above 200 Amps. Above 100 Amps. Above ]00 Amps. Tcansformets Remote Conirol Cixc. Partial or othei fee Signs Special Inspection Minimum f .0 Remarks El].T1CR TOTALF Q, Op? 40.50 I, the Electrical Inspector, here6y certifyy?eg ffie abgve 'nsFection has been ?? (Rough-in) // r ,,. Date ?""? - (Final) ate -30 This request void 18 months from `` This nyuust void 18 months Prom M ci v -16Gj P 69926 Date of this Request 4-19-78 I, as $7CLicensed Electrical Contractor OOwner, do hereby cequest inspection of the above electri- cal wiring installed at: -'?, s : ? 6? ?.CJ1r.?,-K.? ?iu?i? Street 4ddress or Route No. 1251 Caxlaon Lako Lann CitI,Eagan Section Township Range County Dakota Which` is occupied by Greg Dalha.ug (Name o( OccuDanq Is a roughin inspection reqwred on this job? No ? Yeslg Ready Now ? Will Call Et Power Supplier Dakota Cty. Address Faruington Electrical Contractor O.B. Thonnaon Eleetric Co. Contractor's License No.A33735 (Company Name) Mailing Address 12201 BQtka Blvd., NTtka 55343 (Electrical,Conqactor or CU9ner iffalffni; This Installatlon) Authorized Signature No. 9?-4 •2F?_ 1 (Electrlcal ContractohofOwner Making This Installatlon) S?j ?+&f? ?j E o???? ? ?(Dpy This inspection reqPesPwill npt be accepted 6y ffie State Board unless ro er ins ection fee is enclosed. Minnesota State Board of Electricity %W1 University Ave., St. Paul, Minn. 55104-Phone 645-7703 AEQIIEST FOR ELECTRICAL INSPECTION CHFCK BEJ,OW WORK COVERED BY THIS REOUEST P 69926 Type of Building New Add. Rep. Check Appliances Wired Foi Check Equipment W'ned For Home ? ? ? Range ? Temporary Wixing 5 MIA ?Z Duplex ? ? ? Water Heate[ ? Ligh[ing Fixtu[es ? Ap[. Bldg. 0 ? 0 Dty Electric Hea[ing ? Commetcial Bldg. ? ? ? Fu ? Silo Unloader ? Industrial Bldg. ? ? ? A'v - ? rti Bulk Milk Tank ? Farm ? L ist Lis[ Othei D O ? Qt hers? Flere Others? Hete COMPUTEINSPECTION FEE BELOW Tamporary Sorvicc Seivice Entrance Size: # Fce Fcedexs&Subfeede[s: ii Fee JC Fee 0 to 100 Am s. to 30 Am res eres 101 to 200 Amps. 31 to ]00 Amperes eies Above 200 Amps. Above 100 Amps. Amps. W Transforme[s fee Si ns Special Inspection Remarks Ellrich TOTALF& ,Qd 6.50 I, the Electrical Inspector, hereby certify that the above inspection has been m (Rough•in) Date _ (Final) Date E{- ,2 4- 7 This request void 18 months from mmnesota state noara ot tiectncrty ? Uni'versity Ave., St. Paul, Minn. 55104-Phone 645-7703 .REQl1IEST FOR ELECTRICAL INSPECTION CHFCK BEJ,OW WOKK COVERED BY THIS REQUEST f7?%?q P 69926 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment W'ved For Home ? ? ? Range ? Temporary Wuing A Duplex ? ? ? Wate[ Hexter ? Lighting Firzture s ? Apt. Bldg. ? ? ? Dry Electric Heating ? Commtircial Bldg. ? ? ? Fu Silo Unloader lndustrialBldg. ? ? ? Av ti .? )• k BuIkMilkTank ? Fazm ? ? ? List ) List Othe?rr ? ? ? p } Hetef9l p HeraIg? COMPUTE INSPECTION FEE BELOW Tettporary Soxwi¢c Secvice Entiance Size: # Fce Feeders&Subfeedecs: # Fee Circuib: # Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Am exes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Amps. Tcansformexs 11 RemoleControlCixc. Partialor otheafee . Si ns Special lns ection Minimum tee $ Remarks F11r1Ch TOTAL F?0,pd •,rj0 I, the Electrical Inspector, hereby certify that the above inspection has been ma e. (Rough-in)_ Date (Final) Date f-{ g -f- 7 This request void 18 months from 2007 RE.SIDENTIAI. BUILDINGPERMIT APPLICATIO City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConshuGion ReauiremeoLs 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and ail roofed areas (20°/ maaimum lot coverage albwed) 1 Soils Repod il proposed 6uilding is lo he placetl on disturbed soil 2 copies Mplan showing beam &window sizes; poured found design, etc. 1 set of Energy CakWations 3 copies of Tree Preservation Plan rf lot plaHed after 711f93 RimJaslDetailOpfionsselectionsheet (6uildingswiN3orlessuniLS) Minne9asco mecharHCa1 ventilafion form RemodellRepair Reauiremenls 2 copies of plan showin9 footlngs, beams, joists 1 se[ of Energy Calculations forheated additiore 1 site survey for addiGons & decks Addition - inNCate il on-srfe septlc system %y7.s? rr C 11 ? -7 Office?UseAnH CedofSurveyRecd Y :•_N . SailsRepal ?'_N Y Tree Pres Plan Recd _,Y _ N. FrEePresRequved _Y ?_N On-sdeSePticSlslem" ,_YN ..i ..__ .,.,., .r,*o +ha,t arp r.ade secret and the reason. Plans are consiaerea uouc umor„iauvn u???w- ..u ?.?•? ?.•- - - Date Construction Cost o2,5? Z 2-2 y . Site Address + 4 s? r?I5 d UuidSte # J S { aC- 6 tionofWork /5c.atavt RICIF04=4C F Z'? s? Descri ??? 419 '"`? ?I At p Multi-Family Bldg _ Y_YN Ftireplace(s) 2 '( / / Telephane #(C5'I) / ° o C "5 4 Property Owner .S?( v N ? T Contractor r a . Address -/d / a I.. far,. ? City /S?odnc State ?9if? Zip s.?'Y.Y ! Telephone # ( 95.?' S?7 ! 1 ?v` d ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ven6lation Category 1 Worksheet •} New Energy Code Worksheel (?I su6mission type) Su6mitted - ? Su4mitted culations Submitted . Energy Ernelope Ca - ( In ihe last'12 montjhs, has ihe City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of masier plan: Licensed Plumber Telephone # ( ) Mechanicai Coniractor Telephone #4 ? Sewer/WaterContracfor Telephone#( ? ?I I/ ss ,CY Applicant's Printed Name fo ati is co lete and accur I hereby apply for a Residential Building Permit and acknowledge that the inrmon mpate; 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 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 ofplans. ti V ApplicanYs Signature ,JUL 0 6 2007 ? DO NOT WRITE BELOW THIS LINE Suh TVpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg iLP 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - MuRi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gaze6o/pergola ) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ?. 72: .?12-plex ? 25 Miscellaneous Work 7vnes ? 31 New ?35 Int Improvement ? 38 Demalish Interior ? 44 Siding ? 32 Addition GI 36 Move Building ? 42 Demolish Founda6on ? 45 Pi2 Repair 33 Alteration 37 Demolish Building*, . ? 43 Reroof ? 46 Windows/Doors ? 34 Repfacement , `Demolition (Entire Bidg) - Giva PCA handout to applicant DCSCflptl011: WaterDamage_Ves Valuation ? &Ua ?-= Plan Review 100%or,25% Census Code SAC Units # of Units # of Bldgs ^ Type'of Const Occupancy p- --.%_ Zoning Stories Sq. Ft. Length Width MCES System ?,-__- «.• City Water _ Booster Pump PRV Fire Sprinklered _ Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile , Roof _ Ice & Water _ Final ? Framing _ Fireplace _ R.I. _ Air Tes[ _ Final _ Insulation . ? , Approved Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUII2ED INSPECTIONS _ Sheetrock FinaUC.O. ?Cl Final/No C.O. HVAC O[her Pool Ftgs AidGas Tests Final Siding _ Stucco Lath _ StAne Lath _Brick Y Windows . ? Retaining Wall Inspector ZT g C. Z tD @ [.) ?9? ?- 4'?? 2007 RESIDENTIAL MECHANICAL rExMiT arrt,IcaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permiu are required for each unit ? Date `7 ? ? Site Addr co rr Unit # Property Owner 12,1 0 Telephone #("5/) t^'Ja- 7 C Contractor CONDITIONING StreetAddress 410 WEST LAKE STREET City State 612-824•2656 Zip Telephooe H( ) Bond H: Expires: The Applicant is _ Owner ? Contractot _ Othcr Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or akeratioo to existing dwelling unit $ 50.00 _ furnace _Additional _Replacement _ New air exchanger air conditioner ? heat pump L / ??? _ other ??-StCZ 6'zM Yla 1/ Y1 C J S?-t ! !' L p && ' tx r 1?1 Seco,.??J ?C?,r StateSurcharge $ .SQ Tota1 g ? • ?? I hereby apply for a Residential Mechanical Permit and acFmowledge that the infortnation is comple[e and curate; that the wmk will be in contormance with the ordinances aod codes of the Ci of Eagan and with the Mechanical Co understand this is not a pertn' , ut only an application for ', and work is n t[o start wi?5gM w will b ac rdance with the app v plan in the case of wor ich r uires a review d approval o 5 L€? l? LS lJ U ApplicanYs Printed Name Applicant's S' re - I q9 5 -?3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConstruction ReauiremeMe • 3 regislered sile surveys showing sq. ft. oi lol sq, ft. oF house; and pll roofed areas (20% mazimum lot coverape allowed) • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • 7 set of Energy CalcWations . 3 copies W 7ree PreservaUon Plan if lol platted afler 711193 • Rim Joist Defail Options selection sheet (bldgs with 3 or less units) DATE JOB SITE ADDRESS_???? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER C6- 12 {'1 !g TYPE OF WORK gUS CfA 4 i vP r+ U APPLICANT rQSr-rV c) v/,/y4 Py- ADDRESS _?C?Sr? GU • /7 GU U ?3 PAGER # CELL PHONE # -,ZIP CODE ? FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventila6on Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Piumbing Contractor: Phone #: Plumbing System Includes _ Watcr Softener _ Lawn Sprinkler Watcr Heater No. of R.I. Baths Fee: $90.00 No, of Baths Mechanical Conhactor: _?, ?? S f?C P ( C?/ PVr Phone # Mechanical System Includes: _ Air Conditioning I'ee: $70A0 _ Hcat Recovery Sysccm „ Sewer/Water Contractor: All above information must be submitted prior to processing of application. Phone # I hereby acknowledge that I have read this application, state that the information is with all applicabie State of Minnesota Statutes and City of Eagan Ordiqepces. ? Signature of Applicant RemodellRepair Reauirements • 2 copies af plan • i set of Energy Calculalions tor heated additions • 1 site survey for exlerior additions & decks • Indicate if home served by septic system for addNOns VALUATION -ZP ,240j REPLACE(S) _ 0 vl _ 2 PHONE# Certificates of Survey Received _ Tree Preservation Plan Received _ Rot Required _ Updated 2002 PERMIT CITY OF EAGAN 3830 PllotsKnob Road Eatlan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.:,19-84250-090--01 DESCRIPTION: DECK NEW 434 AL7. RESIOEN7IAL AI , 0?,?',?? "A°?r ea E uti i - ? tl4' BUILDING 032205 06J24J98 REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 PERMIT TYPE: Permit Number: Date Issued: 1251 CARLSQN LAKE LANE LOTa 3 SLOCK: 1 WTLDERNE55 PARK OVOP F BUILDING PERMIT APPLICATION (RESIDENTIAL) L? cixY oF Eaaax 3830 PILOT KNOB RD - 66122 ' 681-4675 kf+ Wl f E,?aNew Construction Reavirements RemodeURSOair Reauirements ? 3 registered site surveys ? 2 copies oi plan ? 2 copies of plans (InGude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (e)terior add'rtions & decks) ? t energy plculations ? 1 energy calalations fir heated additions ? 3 wpies of tree preservation plan 'rf lot plettetl after 7/1/93 required: _ Yes _ No DATE: CONSTRUCTI ON COST; ??!o oe •?' DESCRIPTION OF WORK: A/EW 15 ecK STREETADDRESS: / rL S 0R,2(_ oN "Kt L-an,e BLOCK: SUBD./P.I.D. #: C-- G Name: L4 C<?J ?,"LR%JJ P6one #: L$Sl.Z A8 7 PROPERTY 1-est Fitst OWNER StreetAddress: l2 S/ CRQtSon! L.qAF Ln.e City EA{rq,%.7 State:_Mr,I Zip: S5-1z3 . WNTRACTOR Campany: 'aMART ?dw srn,?cTa>.? Phone #: 43 -7-9/4 S Street Address: '73 (c I vlgP ¢iQ 15-111-' Sy lK/ . License # ao o S97 ?? City jg?,op[e IAtLeJ State: ,dN Zip: Sv?/a?l ARCHIT'ECT/ ENGTNEER Company: Phone #: Registration #: Street Address: City State: Sewer & water licensed plumber (new wnstruction onty): and lot change is requested once permit is issued. Zip: Penally applies when address chang I hereby acknowledge ihat I have read this application and sfate that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: a...? . OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required cirY oF EAcaN 3795 PfleT Knob Road Qagan, MN 45122 N2 4745 PHONH: 4548700 BUILDING PERMIT APPLICATION Receipt # _.. q631__ ra be u.aa fe. Sinyle Familven.vai.e 69 ,000.00 oate 4L13_, iv? sta nadreu- 1251 Garlson • k .n Erect ? occuaancv 1- Lot 3 Block 1 se?is.blilderness Park Alter ? Zoniny Parcel # Repair ? Fire Zone ? E l T f C $? n orge ? ype o onst. w Name GreQOry DH7hgLg Move ? # Srories ; Address 3223 Valley Ridge Dr. oe,„ou5n ? front 42 sr. 0 Ci E a$A.ri Phone 454-127$ Grode ? Depth 2 ft. a N DalhBUg Bu11d3t1iL CO Apwovab Feea ame _ . ?U Address 3a73 ?/Al7 E+b7 RiAga jjd Assessment Permit? ? rS8(C8A1 454-1278 Woter&Sew. Surchorge 34•50 Ci phpm Police Plan check Ww Name w Fire SAC 500.00 ? u? Address Eng. WMer Conn.;) 50 _ nn a z G Phone Planner WaterMeter6 0 ..0.0 Council RnaA 75.0.f) I hereby ocknowled9e that 1 have read this application and stote that gld9 Op. Park 120 _ n n the information is mrrecf and a f M ? o?e to comp ly?iULall opplicable APG C f E? fi i?n?_Sn Total $tate o innesota Statut 9 ity o ?an Y. Or ?? Signature of Permitt=r ? y ? ' A Building Permit is issued to: Dal aug Buil n Co. ? on the express condition that oll work shall be done In acmrdance with all opplicable Stote of Minnesota Statutes and City of Eagan Ordinonces. Buildirg Officiol -e/ r ? • • ??' %'??.?? , M&4t nnmE BUILDSNG PFRMIT APPLICATION Znclude 2 sets of plans, 1 site plan w/elevations and To be used for _5j??? Site Address: ? p p / ? S l ?°.oo2t-Yl //-2//?e ? ?YL - Lot Block Sec. Sub, _3 ? 70/.?'.,7e'w Owner CvL?i?.?7.?' /? [[?L.f?/p'lf?? . Aaaress ?3 F L1C. Contractor J,"/Jz;. 60, Address Arch./Eng• Address 1 set of energy calculations. 10' Valuation ?l,lf',o,e04 -1 Parcel Number Te2ephona "'?, Telephone Telephone OFFZCE USE Erect Alter Fepair Enlarqe, Nbve ner.olish Grade OFF,ICE USE fJate of Approval & Initial Assessment Water/Sewer Police Fire Eng. Planner Council Rldg. Off. A.P.C. Occupancy / Zoning Fire Zone '3 Type of Oonst. // # of Stosies Front ?/n7 Depth FBES Peimit- l5?'je ? Surcharge 3'y ?- Plan Gheck SAC ? On °O V7ater Conn. t7ater Meter TOTAI, I ?- ()- ? 9 Ll EXTERIOR ENVELQPE AVERAGE "U" COA4PUTATIOPd Y 1'1? ? OWNER Ae s2TE aDnREss CONTRACTOFE DATEHONE`? Determine working square footage of each. 1. Total exposed wall area .?7,g- -Z sq. ft. x.17 2. Total roof/cei].ing area...... / 3 Z 7 sq. ft. x.05 , Total exposed wall area above floor a. Total wall window area ............ ..•_ ...?? b. Total door area ..................... ...?,? c. To'tal sliding glass area ............ d. Total fireplace,.wall.area...... .. ... e. Total wall framing area (average 1M ..:? f. Total net wa11 area above fl.oor ..... :? g. Total rim joist area .?. . . ,.... Total exposed foundation area 7/ h. Total foundation w3ndow area .......... - < 3. Tota1 net foundatlon area above grade . l 7/ Deterrnine "U" value of each wall segment. 8. z(/,/, X "U'; „/ b._ x ,vUf, c.? X nU" D. X "U" _ e. z7Y X nU" ?__ 37 LS'1 P. % '°U'r 9 +2-;"_ X ITU'v ,7 h. - X "U" < <- _ - 1. )7! 7C irUit 3 .............................................Tota1 = If 3tem #3 1s the same as, or less than item #1, you h8.ve met the lntent of SBC 6006(c)2. 0 ? Total exposed roof/ceiling area = 13 2,17 J. Total skylight area .. ......., e.. rt-- - k. Tota.l roof/ceiling framing area (average 100 1. Total net insulated roof/ceiling area ...... ,. 5?:' Determine "U" value for each roof/ceizing segment. " J. 4 x'aU".. a = o . - k. /3 L? .. ''up ? "b3GL 3L:/8" 1• 36G S? X „U' ;%2f22 3_ ° is-; 5 4 ...................... ..,.....,.......Total IP totai of #4 is-the same ass or less than 1f2, you have met the intent of SBC 6006(.c)1. Alternate. BuiTding Envelope Des3gn To utilize the total'envelope system.method, the values establisred by the sum of items #3 and #4 sha11 not be greater than.the sun c" items #1 and #2. i. .z173, 29 + z. GG. 3,r ?. . 3. 5311 : z + 4•?5'1, ^ertiPicate for: -- Ailnold Carlson 1255 Wilderness n-..i^ :?.? 3-; • Eag an , N`n. i ? DELMAR N. SCHWANZ LANDSURVEVOR Rpittna0 Untlar Laws of The State of M,nn*sot• 297E- 146TN tTREET W. - BOX M R06EMOUNT, MINNE50TA 56068 SURVEYOR'S CERTIFICATE q14< PHONE 612 423-1769 SCAI,F: 1 ir.ch • 40 :'eet T hereby certify that this is a true and correct representation of Lot 3, Rlock 1, WII.DERNE.SS PARK ADDITION, according to the recorded plat thereof, Dakota County, Minneaota. Da.ted: April 7, 1 >7t3 ainage bc utility easement 'Oi 0 MINNES07A REGISTRATION NO 8625 , CITY USE ONLY L ? BL I p? RECEIPT.#:?/d ??23-e7 SUBD. RECEIPT DATE: ? ?7 . .-- ------ -__ . - -- ? --- PAdv? 942-9 1999 PLOM$uva PERMrr (RMinEWrIAL) _ crrY og EnsAx 3830 PaoT "oa [tn SA6AN, MN 55188 (851) 881-4875 Please wmplete for: ? single famlly dwellfngs ? townhomes and candos when permits are required for each uNt ? backflow preventer for underground sprinkler system FIXTURES EACH . #TOTAL Shower 3.00 x = WaterCloset. 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 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 ' tor dwellings under constructlon 5.00 x = Waler Softener ' for existing dwelling 30.00 x = U.G. Sprinkler ' tor dwelling under consl. 3.00 = U.G. Sprinkier ` tor existlng Awelling 30.00 = Aiterations " to exlstinp resldence 30.00 = Water Turn Around 30.00 = Private Disposal System ' MPC iic. 75.00 = (new andrefurbished systems) Private Disposal SystemS " Abandonment 30.00 = RPZ (new installation/repair) 30.00 = Reminder., Catl 887-4675 for Inspactions ot water healers, STATE SURCHARGE .50 watar softeners, alterationa, etc. TOTA! 30, SD •-••--•-• •-•--•• ...................... 1 hereby acknowfedpe Nat I have read thi It is Ne appllqnYS responsibilily to notify operatlonal and mainlenance acNvitles I SITE ADDRESS: OWNER NAME: ?----•...-•••••-••••••-•••••---••••• ..............ree to ..••••comply with a••-------...l l a...pp..l ipb....le Ciry of Eaga.----...••--....•••----.. i appllwtion, sWte thal the informatlon is oortecl, and agn orOinances. -- Ilablliry for any damages qused by tha Ciry tludnp Its nortnal LACEY, CLAUD/JUDY y property/dghFO/•way/easement. 1251 CARLSON LAKE LANE EAGAN, MN 55123 (651) 688-2287 INSTALLERNAME:_/\(0k&.6/? TELEPHONE#: STREETADORESS: :?>o CITY: L?j STATE: ZIP: S O8 s SIGNAtTCJpt?'OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) • 1999 CFiICAGO TITLE INSURANCE 4820 west 77th Street t-+_TO: -J- EAGEN _ __-- DATE: FROM: DONNA -' FILE NO.: U 20-49268 Edina, MN 55435 Phone: 835-3100 03I13/75' ADDRESS 1251 CARLSDN LN.LK FILE NA,"1E: LACEY CLAUb M.---- DIS: 10 PLAT: 10 84250 030 Ol COUNTY: IiAKO7A PLEASE CEECS TD SEE IF TFIERE ARE ANY LEVIED/PENDING ASSESSMENTS ABST.RACT TORRENS LEGAL DESCRIPTION: LOT 3, BL.OCK i, WTLIIERNE55 pARK ADDITION R***ftrlR*#***iF**Ai#kt**#k**** k*** *k* *ki*#+IA#Ak*f* *k4* trFMkiRM* A#fifA#• PLtiASE FURNISH THE FOLLOWIN, LEVIED ASSESSMENT INFORMATION ON THE ASOVE DESCRIBED PROPERTY: Type of Improvement Balance Due Original Amount Sewer Trunk 114.45 176.05 Water Area 128.02 160.00 PLEASE FURNISH TH£ FOLLOWING PENDING ASSESSMENTS THAT ARE ESTIMATED AT THIS TIME: NONE ALSO REQUESTING ANY ASSESSMENTS CERTIFIED TO THE AUDITORS AT THIS TIME AND INTEREST: >:?t. .?r?. A,.......?,?.,??.?, yi1 a?-.w . ......y.....,..,?.o ..? _..?.: ..?._.. ,?. ,.. .w.:. . Signed: Date: Ma h 20, 1979 ASSESSMENT CLERK AMOUtJT OF UNPAID WATER BILL, IF ANY: $ DFiTE: MFY 3 , 117712 fTIC t+'tl. 49268 i4UNIC:ZPAi..ITY OF:EAGAN RF' : 1251 CfiRt,SCIN LAICE LANE E::FiCiFiN, t'iXNNESQTr; L(yT31.,EtL/?1, WILZS:?r'RNE5;5 Pr?l'ZI( (?I:?I1:C'T':Ct)N (Ji?IUs 101'} VJ0-Vrt1 -- ENcLnser, Pi..EA:sr FxND oiaR r.HF .r.K IN rNE AMoUNT OF $ , o0 F'UR PAYMf_N'T' tlt=' St'L::C;:f.AL A:3SE5`:iME:N1'S CIN 1'HF ANfJ!'E: bE:at;KCHETI I' RQ PF R'T l' , Pf..C'r1SF RFr[R 'i0 Ol1R ('YLC NU. 49268 WI1GN lZETUItNIPQCi I'ZLCETf'7', 'f'i-tANM Yf]t.f C:N7:f:FtE3f} '1'7'T't..F. :CN;3kf(tAPJC:E:: GUhFC'ANY 4820 WFST 77TH S'i'REF7 EDINA, P7IPZNESO'T'A 55435 2, 91 i9J9 r ? RESIDENTIAL I25 3 BUILDING PERMIT APPLICATION cirr oF encaw 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 New Conatructbn Beauiremame • 3 regisleretl sue surveys showing sq. fl. of bt, sq. ft. 01 house; anA II roofed areas (20% maxUnum bt coverage albwed) • 2 coDles of plan showing beam 8 window sixes; poured tound design, etc.) • 1 set of Energy Calculatbns • 3 coples W Tree Preservation Plan N bt plapetl aRer 717/93 • Rim,bisl Detail Optbns selection sheet (bldgs wRh 3 or less units) DATE pemodeVpeoehNeaulrements I -)F , 1,S . 2 copies of plan • lsetotEnergyCalculetbnsMrheetedaOGtlions • 1sBasurveytoreMerioradd'aions&decks • Indicate if home senetl by septic system for addflbns VALUATION ?!?;/? O SRE ADDRESS ??5? ??Gf°k l-??= ( ??? MULTI-FAMILY BLDG _ Y _ N iYPE OF WORK FIREPLACE(S) _ 0_ 1 _ 2 APPLICANT 6?"V42 uh STREET ADDRESS Sle/"7?7C-Z?C`1_ CIN &-' STAT?? ZIP TELEPHONE # 'ff2 CELL PHONE # ?/2 `&l`-s.F" 9 FAX # PROPERTYOWNER ?? 12? TELEPHONE# COMPLETE THIS SECTION FOR ^NEWAF RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI L1??7?2 ' I (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • rNeyU?0' e WorksFiee • Energy Envelape CalCUlations Submitted 0 4 200'Z Plumbing Contracfor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor: Phone # Mechanical system includes: _ Air Conditioning _ Heat Recovery System Sewer/Water Conhactor: Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the infor ion Is correct, and agree to comply wiTh all applicable State of Minnesota Statutes and City of Eagan Ordinag e _ / Sigrwlure of Applicant OFFICE USE ONLY Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 lo(?4 2005 RESIDENTIAL MECHA1vICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & tnwnhomes/condos when pertni[s are required for each uni[ 3) ' 1° Date _V / ; Site Address ??? I P. U LI? Unit # Properry Owner 0 FI_T_?a 'I K Telephone #(6!? ?, qQ? OyQB' Contractor As Street Address 4 State ?UJ Zip City Telephone# (?) ?'3I• 32-- Bood Expires: The Applicant is _ Owner __(_?bntractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 fumace _Additional _Replacement V air exchanger ./ air conditioner _New Aeplacement other State Surcharge .50 Total $ ? I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 acwrdance with the ? 'n/ n apnpro ed plan in e casoF work which requires a review and approval of plans. !/ ?_ l`?_ I1 ? An ICn V o Jn. ApfMnYSPhntedName ' Applicant's Sign*6e - '? , , '? 1j ?6 [? .; r 4101 C!tyofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: /°3,1 1122' Di Date Received: 1( GZ (' ( t Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: RESIDENT / OWNER Name: sKy do codk 11 Address / City / Zip: RS t ("/c 1 r--) LA k€ n Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: /VtW D C,k_. Unit #: U,/ Phone: (Lila -500 -- O 65123 Multi -Family Building: (Yes / No Company: C}ALS4e1 Pt°cac& j -( e_� Contact Nuivi. cost n CONTRACTOR ° Address:1,70 g(Q Utg+t 5 City: ROS ¢.i� (7 t.c.Y1 State: KA Zip: S-(50 8 Phone: ) '" 02(0C{ 6812 License #:��(� Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /';7J' LD 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 t the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Mi esota State Buildi g Code must b days of permit issuance. x vi n f%L-ct 1 M 0 1A -e r1 Se) ill Applicant's Printed Name completed within 180 pplicanfs Signature Page 1 of 3 t SUB TYPES Foundation Single Family Multi 01 ofPlex _ Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%1, ) Census Code # of Units # of Buildings Type of Construction l2> ( C4Yf 1 DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair 1/0 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Insulation Meter Size: Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Pian Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* Demolish Interior Demolish Foundation Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant MCES System 0? SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final/No C.O. Required HVAC Other: Pool: Footings _Air/Gas Tests _Final Siding: __Stucco Lath __Stone Lath _Brick Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control , Building Inspector pL,0-4,14./r2:11,_ Final 2z7," 376 els 4y) Page 2 of 2 A r :1.1. a in4. 4Z:3 DELMAR H. SCHWANZ LAND SURVEYOR Registered Under Laws Of The State of M;ndesota 2978 — 145TH STREET W. — BOX M ROSEMOUNT, MINNESOTA 55068 SURVEYOR'S CERTIFICATE 122.19 EAST 0) cv LOT 3 122.55 N85°38113 HE 0 ,4) R-L-S9N---LA-K-E—bek z 0 cc (15 0 Da t 1-1. I , PHONE 612 423 1769 r y t p,."-.111, 1r' I4.I .1'_.37)7.:E.N 7:7:2 ',;-• z-tg (3, the re r t.) .71 y 0 •.riag -t;11Lt11!, 7 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA120989 Date Issued:03/07/2014 Permit Category:ePermit Site Address: 1251 Carlson Lake Lane Lot:003 Block: 001 Addition: Wilderness Park PID:10-84250-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Deb Larson 8815 209th St Lakeville, MN 55044 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Schuyler C Woodhull Iii 1251 Carlson Lake Lane Eagan MN 55123--176 (612) 360-0168 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159545 Date Issued:12/30/2019 Permit Category:ePermit Site Address: 1251 Carlson Lake Lane Lot:003 Block: 001 Addition: Wilderness Park PID:10-84250-01-030 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Schuyler C Woodhull Iii 1251 Carlson Lake Lane Eagan MN 55123--176 1st Choice Remodeling Llc 540 Greenhaven Rd, Suite 206 Anoka MN 55303 (763) 515-6095 Applicant/Permitee: Signature Issued By: Signature