1325 Carlson Lake Lane
CITY QF EAGAN WATER SERVICE PERMIT
370 Pilot Knob Road PERMIT NO.:
Cagan, MN 55122 DATE:
Zoning: - No. of Units:
Owner:
Address:
Site Address:
Plumber: 1
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges: r
Total:
By Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
!V5 Pilot Knob Road PERMIT NO.: _
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber: -
1 agree to comply with the City of Eagan Connection Charge: =,r)
Ordinonce9. Account Deposit:
Permit Fee: f
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
CITY OF EA"N
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
- PERMIT No.
Date: n`ay 0, 1977 Receipt No.: 0
Single
_
Site Address: Residential
Lot ? Block Sub/Sec. Multi Res., Comm./Ind.
7T"'
New/Alter./Repair
Address _ Cost of Installation -
City Paul _ Phone: Permit Fee
'
Name nder & Sari Surcharge
%u E. Butler Ave.
Address
City a u a_ 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 Rood
Eagan, Minnesota 55122
Phone: 454-8100
I `P",i3I id G PERMIT No.
June E1, :977
Date: Receipt No.:
Single
Site Address: Residential
Lot ~ 3 Block - Sub/Sec. _ Multi Res., Comm./Ind.
Name New/Alter./Repair. ACost of Installation
ity - Phone: Permit Fee
` Name Touis H. Peter !-Q. Surcharge
Address -'.54 Grand Avenue
17t. "aul
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
r 3795 Pilot Knob Road Eagan, MN 55122 N2 4293
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Date 19
Site Address ~'i "rI Son Lake Erect ❑ Occupancy
Lot < Block Sec/Sub.Alter ❑ Zoning --y
Parcel Repair ❑ Fire Zone
Enlarge ❑ Type of Const.
W Name r c i~ f' r an Move ❑ i'# Stories
3 Address Demolish ❑ Front ft.
Grade ❑ Depth ft.
City Phone
p Nome "+-l1 Qom., a^r^cs In Approvals Fees
ou Address t27 '0, Assessment Permit
~F
City Phone Water & Sew. Surcharge
Police Plan check
u~ Nome Fire SAC i05.00 '
ua Address Eng. Water Conn. 2 3,0.00
aW Ci Phone Planner Water Meter
Council _
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable ,t
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee -
A Building Permit is issued to: L.ser: t:omt ss in C. 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 _
Permit # Dete Iweed
Plumbing -7 7
Mechanical
INSPECTIONS DATE INSP.
Rough-In Final
Footings Date Imp. Date Imp.
Foundation _ Plumbing X272)
Frame/ ins. Mechanical
Final
Remarks:
CITY OF EAGAN
5795 Pilot Knob Rood Eagan, MH 55122 N2 5901
PHONES 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date 19 =
Site Address Erect ❑ Occupancy
r
Lot Block Sec/Sub. Alter ❑ Zoning
Parcel # Repair ❑ Fire Zone
r~,~~ Enlarge ❑ Type of Const.
cee Name 7 Move ❑ # Stories
z Address Demolish ❑ Front ft.
Ci Phone 4 51, - 0 3 T! Grade ❑ Depth ft.
<,J a Approvals Fees
O Name
Zou Address Assessment Permit
v
~ G Phone Water & Sew. Surcharge
Police Plan check
Z Nome Fire SAC
Address Eng. Water Conn.
<W city Phone Planner Water Meter _
Council
I hereby acknowledge that I have read this application and state that Bldg Off.
,
the information is correct and agree to comply with all applicable APC Total
State of Minnesota Statutes and City of Eagan Ordinances. I
Signature of Permittee
A Building Permit sis issued to: 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 ` L
permit # Date Issued renektee
Plumbing
Mechanical
INSPECTIONS DATE INSP.
Rough-In Final
Footings Date Insp. Dare Insp.
Foundation Plumbing
Frame/ ins. Mechanical
Final
I
Remarks:
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: cy t j r,
(612) 681-4675
SITE ADDRESS: ( I r l t+ 1101 t
APPLICANT:
I~ (,1 1 ',rrN I r+i ~ I rtir4l ~ rtl,; I Pvr,
I r i I'i r III till MI 10 t 100
l
I
PERMIT, SlUBTYPE: TYPE OF WORK:
~,UBTYPE: TYPE OF WORK:
RI"P 1Ik
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
rtrrt t fJr~ i
I
I
I ~
'I
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
ESMT R.I.
BSMT FINAL
j
DECK FTG
{
DECK FINAL
CITY OF EAGAN Remarks
Additi~n Wilderness Run 4th Addition Lot 3 Rlk 4 Parcel 10 84353 030 04
owner - Street 1325 Carlson Lake Ln. State Eagan, MN 55123
U
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 $163.26 $8.16 20 122.46 A004518 8-15-77
SEWER LATERAL 1975 966.00 $96.60 10 676.20 A004518 5-88
WATERMAIN
WATER LATERAL
WATER AREA Aql 1977 160.00 10-66 is 149.34 A004518 8-15-77
STORM SEW TRK -/jj 1981 219-44 14-56 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. ;,K ags
SAC 00 _ 77
PARK
PERMIT
CITY OF EAGAN BUILDING
3830 Pilot Knob Road PERMIT TYPE:
Permit Number: 0 2 8 6 8 8
Eagan, Minnesota 55122-1897 08/27/96
(612) 681-4675 Date Issued:
SITE ADDRESS:
1325 CARLSON LAKE LANE
LOT: 3 BLOCK: 4
WILDERNESS RUN 4TH
P.I.N.: 10-84353-030-04
DESCRIPTION:
REROOF
dik6krl9 Permit Type STORM DAMAGE
rBui.lding`,Work Type REPAIR
,'Census Co"-" 434 ALT. RESIDENTIAL
l~
t
t'
s
k0
' ~ X gsi { F~~~l~"`1 f° ctl l~C tia~ ler-'ls
f .y~`£ t tea l f-o--.i i - i l.0 v r~a LD
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LIC. O FFRR
HORIZON ROOFING 18903900 20012795 NN&NUEZ RAMONA
1333 LARC INDUSTRIAL BLVD 1325 CARLSON LAKE LANE
BURNSVILLE MN 55337 EAGAN MN
(612) 890-3900 (612)681-0283
I hereby acknowledge that I have read this application and.state that the
information is correct and agree to comply with all`appl ;cable'State of Mn
Statutes and City of, Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE 1r ISSU Y: SIGNATURE
CITY OF EAGAN
0 3830 PILOT KNOB RD - 55122 7-6 C L
D 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) I)C44
681-4675
New Construction Reauirements Remodel/Repair Reouirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ i energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan If lot platted after 7/1/93
required: _Yes _ No
DATE: 0, -2~ - 47 !o CONSTRUCTION COST: 3930. 00
DESCRIPTION OF WORK: i~r- T2
STREET ADDRESS: 137 S C',Q ~~So~J G/JK~ L/U
LOT 3 BLOCK SUBD./P.I.D.
PROPERTY Name: ~OD2/Gr~EZ IL77A/TIOAI/f Phone 6e1-0Z 83
OWNER `M"
Street Address, /32S QVLLS°N 140~T &A-)
City: State: Ark Zip:
CONTRACTOR. Company: 14 01eIGC~v/ 400FIA26 Phone 8 90 - 39oa
Street Address: 1'333 UP-C- AP S1,0 License 20°~z79s~
City: BUOQ (IIZ- - State: !V/0 Zip-
ARCHITECT! Company: Phone
ENGINEER
Name: Registration M
Street Address-
City: State: Zip:
Sewer & water licensed plumber. Penalty applies when address change and lot
change are requested once permit is Issued.
1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
ertificates of Survey Received Yes No
ree Preservation Plan Received Yes No
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 4293
PHONE: 454-8100
BUILDING PERMIT APPLICATION $42,000• Receipt # 5786
To be used for Sing. FAm Dwlg. & Garg. Date April 29, 19 77
Site Address 1325 Carlson Lake Ln Erect I Occupancy 1
Lot 3 Block_ 4 Sec/Sub. *„•%_iTr<_~__ Alter ❑ Zoning Nl
Parcel # Repair ❑ Fire Zone
Enlarge ❑ Type of Const. V
M Name Fredrich Frans Move ❑ # Stories
Address- Demolish ❑ Front 68 ft.
City Phone Grade ❑ Depth 26 ft.
p Name T11-sen. emes-, ine. Approvals Fees
o Address 627 So Snelling Avp Assessment Permit 120.50_
V~ City c4--u--4- Phone Water & Sew. Surcharge 21.00
Police Plan check
rw Nome Fire SAC 475.00
ur, Address Eng. Water Conn. 230.00
aW city Phone Planner Water Meter 60.00
Council
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC Total 906.50
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: Tilsen Homes Lnu. on the express condition that
all work shall be done in ccord cer with 1 applicable St/ate of Minnesota Statutes and City of Eagan Ordinances.
Building Official . 6 t /
Date: BUILDING PERMIT APPLICATIO'_T
LOTBLOCK AJDITIOa7
PARCEL & SECTION NUMBER IF UOPLATTE7
ADDRESS OF PARCEL /a~ ~ 1-7'"6
0e7111G le- OCCUPANCY USE ~S /~/~C 1{ C1dZ~
ESTL ATIED COST
0?'ML2 TELEPHONE NO.
ADDRESS
COOTP.ACTOR TELEPHONE 170.
ADDRESS
Note: Include site plan, building plans, and energy calculations with this
application
Signed
11~;- ^ OP:"ICE USE
VALU?1TIOT?
SAC
VIAT R COXECTIO T
En,TER ".ETER ~j -
-v
.
BUILDING PERIAIT FE"r;
SURCHARGE FEE
PLAN CEECK FEE
PARK DEDICATION FEE
OTHER
TOTAL*
APPROVALS:
ASSESSIHE'IT CLERK BUILDING DEPT. POLICE llEPT.,_-_
FTATER & SwiER. DEPT. FInn DEPT. PARK DEPT.
Te - Tilsen Homes, Inc.
26"; ~ J 627 SOUTH SNELLING AVENUE
ST. PAUL, MINNESOTA 55116
~C/ar PHONE: 698-5501
! Subject Date
Message al7?611,
ok/~u ry^ ~f
PLEASE REPLY TO Signed &t l
I L/
Reply
1
Signed Date
Form No. QL-3 SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNED WITH REPLY
f 1 .EAoe- AepAeAre L-*%w
uA/E!:,
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LOT Block
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t'- LC]T P L NN
CITY OF EAGAN
,r 5795 Pilot Knob Road Eagan, MN 55122 N2 5981
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt # ~G }
To be used for Fireplace Est. Value 1,000. Date 12-11 19-18--
Site 1325 Carlson Lake Lane
Address Erect ❑ Occupancy
Lot 3 Block 4 Sec/Sub. WR 4 Alter ❑ Zoning
Parcel # 10 84353 030 04 Repair ❑ Fire Zone
Enlarge ❑ Type of Const.
w Name Frederick S. Frana Move ❑ # Stories
z Addre 1325 Carlson Lake Lane Demolish ❑ Front ft.
City gan Phone 454-3032 Grade ❑ Depth ft.
- war Approvis Fees
p Name
u~ Address Assessment - Permit
city Phone Water & Sew. Surcharge
Police Plan check
I&- Nome Fire SAC
Address Eng. Water Conn.
Ci Phone Planner Water Meter
Council
hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct end agree to comply with II appl ica 7ble APC Tota- I~
State of Minnesota Statutes 9)ty of JagQip f rd' noes.
Signature of Permittee Y/ •X711 itan',~cYi/
A Building Permit is issued to: FrederiCk S. Fran on the express condition that
all work shall be done"T~ ~1acmrdonce wrt all_&icable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official (C + 11 a 6 n
DATE a 7
BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calcuations.
To be used for Valuation
Site Address:
Lot Block Sec./Sub. Parcel Number T~ C'2 ~3
Owner 4r-bF-Q.LC•!~ S, pp Telephone 3
Address C /San, Z-&K 4eIt ~)I-V C /.VfZ(L S7j - ~S^G
Contractor S m P Telephone
Address
Arch/Eng. Telephone
.Address it
OFFICE USE ONLY
i
Erect Occupancy
Alter Zoning
Repair Fire Zone
Enlarge Type of Const.
Move # of Stories
Demolish Front
Grade Depth
Date of Approval and Initial Fees
Assessment Permit
Water/Sewer Surcharge
Police Plan Check
Fire SAC
Engineer Water Connection
Planner Water Meter
Council
Bldg. Off.
A.P.C. TOTAL
~I I 2005 RESIDENTIAL BUILDING PERMIT APPLICATION r O/ g
City Of Eagan Co ~~l r Z ~J
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. fL of house; and all roofed areas 2 copies of copies of plan Cart of Survey Reod _Y _N
,
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated aDditions -,Tree Pres Plan Reed _Y _N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres,Raquired -Y -4
1 set of Energy Calculations Addition- indicate donsile septic system do-site Septic System _Y _N
3 copies of Tree Preservation Plan If lot platted after 7/1193
Rim Joist Oetall options selection sheet (buildings with 3 or less units)
Date 7 Construction Cost
Site Address 13D5 C.-,V)So~ (,o.,1=e 2 Unit/Ste #
Description of Work se, tL, YZ50 L~ w4 /S r a-6 Qzck
Multi-Family Bidg - Y _kN Fireplace(s) - 0 - 2
Property Owner 305c a,,J (~vnn w p -LZ Telephone # (C SI) U a~ ~j
Contractor C-At %kQ Vii tS # aM33t)731
Address 74/ I ~ r-7 } t^ 5~ W City
State M jQ Zip ( ' ~ Telephone # - 33a:5-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of 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 of plans.
C~,A9 01,E
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 EM. Alt - Multi
❑ 03 01 of- plex ❑ 09 07-plex ❑ 17 Garage -0 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch(screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_y or_ N ❑ 25 Miscellaneous
Work Types 17 nL4~, Dej DL°cK L- Ce-zeplyCe
P 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building` ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire B7llddg) - Give PCA handout to applicant
Valuation a 3, Doo•- Occupancy MCES System
Census Code H3q Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. 38Y, PRV
# of Bldgs Length `f ` Fire Sprinklered
Type of Const a Width /(0,
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
Footings (deck) Final/No C.O.
Footings (addition)P057-FO 0TrrC1S _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof ~O Ice & Water X:1 Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone - Brick
,W Fireplace R.I. x Air Test 10 Final _ Windows
~o Insulation _ Retaining Wall
Approved By7 Building Inspector
-
Base Fee
Surcharge D e c A )9 ~(a o' F 14T Fee Q, oeo.
Plan Review HDD;t an a4` X1b'nsy.a~ = z~,~3~
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Jul 19 05 09:13a p.2
Permit Number
RFScheck Compliance Certificate Checked By/Daw
2000 Minnesota Fnergy Code
REScheck Software Version 3.6 Release 2
Data filename: Untitled.rck
PROJECT TITLE: rodriguezrndriguez
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
WINDOW / WALL, RATIO: 0.13
DATE: 07/19/05
DATE OF PLANS: 7/19/05
PROJECT DESCRIPTION:
1325 Carlson lake lane
DESIGNER/CONTRACTOR:
cutting edge builders
COMPLIANCE: Passes
Maximum UA = 317
Your Home I JA = 289
8.8% Better Than Codc (UA)
Gross Glazing
Area or Cavity Cont. or Door
Perimet - ale R Value U-Factor AA
Ceiling l: Raised or Energy Truss 1750 38.0 0.0 44
Wall l: Wood Frame, 16" o.c. 1815 11.0 0.0 133
Window 1: Above-Grade:Wood Frame:Double Pane 150 0.100 15
Windoaw2:Above-Gtrade:VinylFramc:Double Pane with Low-E 150 0.330 50
Door 1: Solid 2 0.100 0
Door 2: Glass t 0.300 0
Wall 2: Wood Frame, 16" o.c. 550 19.0 0.0 32
Floor 1: All-Wood Joist/Tmss:Over Outside Air 400 25.0 0.0 IS
Proposed and Maximum U-Factor Averages
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.215 0.370
Includes Foundation Windows> 5.61f2
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EXHIBIT A
CITY OF EAGAN
CONDITIONAL USE PERMIT
WHEREAS, CARLSON LAKE LANE has complied with all the requirements of the
City of Eagan necessary for obtaining a Conditional Use Permit.
NOW THEREFORE, By order of the City Council of the City of Eagan, Dakota County,
Minnesota, and subject to the terms and conditions hereof, a Conditional Use Permit is
authorized as follows:
1. Permitting a Conditional Use Permit to exceed the 25% maximum impervious
surface allowed for shoreland overlay of Carlson Lake to allow a 4 season porch
on a single family home.
2. Said Conditional Use Permit shall apply to the following described property:
Lot 3, Block 4, Wilderness Run 4`h Addition
3. Said Conditional Use Permit shall run with the land as long as all conditional use
standards are met.
4. Said Conditional Use Permit shall be subject to conformance with the Eagan City
Code and with the conditions set forth herein to include, but not limited to:
5. The Conditional Use Permit shall be recorded at Dakota County within 60 days of
approval and proof provided to the City.
The CUP shall be continually subject to the following conditions:
I. This Conditional Use Permit shall be recorded at Dakota County within 60
days of approval by the City Council.
2. The impervious surface can not exceed 29%.
3. A landscape management plan and landscape plan shall be developed and
implemented in consultation with the Soil and Water Conservation District and
the City of Eagan prior to issuance of a building permit.
IN WITNESS WHEREOF, I have hereunto set my hand this 6`" day of October 2005.
CITY OF EAGAN
A Minnesota Municipal Corporation
By:
Sheila Cartney
Planner
STATE OF MINNESOTA)
:ss
COUNTY OF DAKOTA)
On this 6th day of October 2005, before me a Notary Public within and for said County,
personally appeared Sheila Cartney to me personally known, who being by me duly sworn, did
say that he is the City Planner of the City of Eagan, the municipality named in the foregoing
instrument, and said Planner acknowledged said instrument to be the free act and deed of said
municipality.
Notary Public:
Julie A. Strid
I hereby verify that the above said Conditional Use Permit was recorded at the County
Recorder's Office on
BY:
ITS:
Use BLUE or BLACK Ink
r------------------
For 0 -Tice Use I
1 Permit :1~
City of Eagan l t i
I Pemnit Fee: 0 - I
3630 Pilot Knob Road I I
Eagan MN 55122 Er t-°t _,~y 1 Date Received: 1
Phone: (651) 675-5675 t, I I
Fax: (651) 675-5694 JUL 1 5.2012 1 staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1325 C.."t-ec'~Seq-t-) Zgxc / zFA- 60 /z~lw/z _S-5lon
n
Tenant: /C OH0,11,19 Suite
RESIDENT/ OWNER Name: iC0/'?D~fR®Ct%iGl~ Phone: 63-3
i
Address /City /Zip: l3a S C~lyf G~r,1 ESN 57.Slc~3
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: vV l4,l,(,~`i~ j. 44 ,
Construction Cost: 7-73 / Multi-Family Building: (Yes / No
CONTRACTOR Name icense
p22 A: U7 C5 0,
L ~JZ6 y?~~ 9
Address.39-?e- A&%nageft~ z6 City:.ST C~yGS
State:~y Zip: i " 6 Phone:
Contact: ~ PCI; Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:,
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would perr it the Cf y to
conclude t1wt the are trade secrets.
7
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or
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 unde nd 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 e a roved plan in the case of work which requires a review and approval of plans.
x
"pplican ' rinted Name
App/licants Signature
Page I of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115749
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 1325 Carlson Lake Lane
Lot:003 Block: 004 Addition: Wilderness Run 4th
PID:10-84353-04-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
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 -
Jose R Rodriguez
1325 Carlson Lake Lane
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131746
Date Issued:07/06/2015
Permit Category:ePermit
Site Address: 1325 Carlson Lake Lane
Lot:003 Block: 004 Addition: Wilderness Run 4th
PID:10-84353-04-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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 -
Jose R Rodriguez
1325 Carlson Lake Lane
Eagan MN 55123
(651) 681-0283
Twin Cities Siding Professionals
664 Transfer Road, Suite 22A
St. Paul MN 55114
(651) 255-2844
Applicant/Permitee: Signature Issued By: Signature