1323 Carlson Lake LaneBUILDING PERMIT
l?? 7 9('?2 i
Receipt #
To be wad Eer PQRC T1 Est. Volue $ 3. 0 Q 0 Dote 4-1 8 , 14.Fii_..
Site Address _ 1221 farl. 0n T.ake T,an P Erect ? Qccupancy
Lot 4 Block 4 Sec/Sub. ? i.T; id Ri+n 4th Alter ? Zoning
Parcel # 30 $4352 ps+p Q/4 Repoir ? Fire Zone
Enlarge ? Type of Const.
W IVcme ?--1':Y'L'.LX nalf e Move O # Stories
z
Address 1323 Carlson Lake Ln oet„Qii:?, ? Length
Ci Eagan 55123phone 454-8394 Grode ? Depth Sq. Ft.
? ??--- Tli nn TA'?r?rncar. APP?OVaI! Faes
2t
°u?
r
CITY OF EAGAN
3745 Plbf Knor Raod Ee4an, MN 55122
PHONEs 454-8100
Aderess 4400 Nybro Cir
I here6y acknowladge that 1 have reod this applicotion and state tlwt
the informotion is correct ond agree fo comply with all applicoble
Stote of Minnesoto Statutes cnd City of Eagan Ordinan.ces.
5ipnoturc of Permittee
Assessment
Woter & Sew.
Police
Fire
Eng.
Planner
Councii
eidg. off4 4 16- 8 3
APC
Permit -? ? - -11n
Surchcrge ? - C;?
Plen check
Water Conn.
Water Meter
Road Unit
Totol Ll n f1 n
A Bullding Permif is issued to: on the exprcss cor+dition Ihm
pll work sholl be done in occordonce with oll nppliooble Stnte of Minnesoto Stotutes ond City of Eagan Ordinonces.
f---
?
Buildirp Dfficial
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Well
Weter
Oisp.
Sewer
Electric
Inspeetion Date Insp. Other
Faotings
Foundation
Framing
Rough Plby.
Rough HVAC
Inwlation
Finsl Pibg.
Final HVAC
Final
Water Describe Location:
VYell
Sewe?
Pr. Disp.
CITY OF EAGAN Remarks
addicion Wilderness Run 4th Addition Lot 4 aik 4 Parcel 10 84353 040 04
Owner ? street 1323 Carlson Lake Lane State Eagan, MI3 55123
?F
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN 5EW TRUNK 2 4, y $_
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA Paid h W r connection 6
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $320.00 2695 4-15-76
BUILDING PER. $123.50 2695 4-15-76
SAC 4-15-76
PARK
i1L140f?OF EAGAN
q95 Pilof Knob Roud
WATER SERVICE PERMIT
PERMIT NO.: 1964 _
agan,MN 55122 llATE: _ 4/27/76
'oning: RII No. of Units: 1
?wner: Tileen HomeB InC.
kddress:
9ice Address: 1323 Cdrlson Lake Lane B
' u ber: _HQy- Pet
3ize:
2eader No.:
. ag??t? p y?ith The Village aF Eoqon
)? ?L S?
Ry t -'L-
`At46f Insp -:
Connection Charge: 160.00 P?d
Accuunt Deposi[:
Permi[ Fee: 10.00
Sumharge: • 50
Misc. Charges: 60.00 pd
Total:
Date Paid:
Insp.: -
YILLAOOF EAOAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: _2721
Eagan, MN 55172 DATE: 4/27/76
RII No. of Units: 1
Zoning:
Owner: Ti 7s:an Homes INC Address:
Sicenddress: i'+ z ca lson Lake 7ane, L4H4 WR4
Plumber: @py rOC D f ar Plhn
4/15/76 N2695 100.00 pd
I agroa ro eemply with eha Villaga of Eagon Connection Chazge:350.00 pd
Ordinoncas. Account Deposit
Permit Fee: 10.00
By:
Date oF [nsp.:
Insp.:
Sorchazge: _
Misc. Chargea:
Total:
Date Paid:
SEDGWICK HEATING & AIR CONDITIONING CO. resTaecoRO JOBNO.?
6910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000
ADDRESSQ)'20 C- G'JI'IUVI VNNG ?G
OCCUPANT SOLD 8Y-_7? V` nN' ?l
MAKE 6 c VL yLU X
SERIALNO. T/O ED&2-319Z
CITV
`
OWNER ?? 6t l 't`C
?
INSTALLED BY ? ?r W ??-
MODEL G 1 f nPV-3b6-a-7l
INPUT!?ll aL1S1
?
THERMOSTAT
VALVE
LIMIT
LIMIT SE771NG `
FAN SETTING
PILOT TVPE IGNITIONMODEL `A-7,,
k
PILOTTIMWG N-?A-L?
PRESSURE ?CpERCENTCOz - ? %_
INPUT CFH ? pERCENT Oz
r
STACK TEMP. ?26 PERCENT CO
P7?
FORM 235 (RE¢ 1 VE9)
VENTSIZE
TVPE OF LINER
LINER SI2E ,
FILTERS: SIZE NUMBER Fi on
WIRING v ? a
TESTTAG
LIGHTING INST.
DA7E TESTED ? -7v - C9
COMPANYTESTING
NAME OF TESTER V`a--t7f--)M +
FORMOISTqIBUTION; WiiITECOPY - JOBFILE VELLOWCOPY - qTY
,
BUILDING PERMIT
N° 7927
Receipt
To ba wad 1or PORCH Est. Value $3, 000 Dare 4-18 1983
_
sira nedress 1323 Carlson La?ke. Lane Erect ? o«uaancY
Lot 4 Blotk 4 See/Sub. 1^yl Wi1d.Run 4th Alter ER Zoning
Porcel # 10 84353 040 04 Repoir ? Fire Zone
W Name GrP? Pal fe
= Address 1323 CdYlSOri Lake Lri
?
Ci Eagan 55123ph
454-8394
o.
o Name Dion Madsen
o? Address 4400 Nybro Clr
u
? r:n. FarTan ow.,... dSd_7S2')ti
Nume _
Address
I hereby ocknowledge that I hove read this epplication ond stote that
the inlormofion is correct end ogree to comply with all opplicable
Stote of Minnewto Stafutes iry of E,o(g?/O?r?pa n s.
Siqnoture o4 Pertnittee {C" U! /
A Butlding Permit Is issued to:
all work sholl be done in accord,c?p1[e with all ?g?prplim le Stote of Mii
Bufldinq Offltial ? CV .?.L??
CITY OF EAGAN
3795 Pilat Knob Rwd Eegen, MN 55122
PlIONE: 434-8100
Enlarge ? Type of Consf.
Move ? # Stories
Demolish ? Length_
Gmde ? Depth Sq. Ft.-
Approrals Fees
Asseument
Woter 8 Sew.
Police
Fire
Enp.
Planner
Council
eids. at4-18-83
APC
Permit 525.7U
Surcharge 1.5?
Plon check
SAC
Wafer Conn.
Water Meter
Road Unit
Totol 40 . 0 ?
on the exprezs condition Ihnt
Starutes and City of Eagon Ordinances.
?`Z-7 aTy pg EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDIIQG PERMiT APPLICATION 1 set of energy calculaticns.
To se used For P O? L H valuation ? 3.0ao eie)_ Date ?"\$ "S 3
site Adclress 132'j CARLSON L.AuE i.ANE OFFrcF,? USE CNLY
rAt 4 slocx ? sec./svb. RaExect ?
raroPa #: 10 ? 3s3 6Av o_ Alter
RePair
aarer: G R E G PA L FR Enlarge -
Address: I39_1 CARLSON C.AKE LANE ?nlish
city/ziP coae: EK A N 5512 3 Crade
Phone #: 454-F?394
contractor: D ION M A D SEN
AddreCS: 44oo NYgRo CiRCtE
city/zip oode: FA G A N
Pnone #: 454-7 S 2(0
Arcii./EYig. .
Pddiess:
Occupancy
Zomng -
Fire Zone
Type of Const.
# Stories
Front ft,
DePth ft,
APPIdOVALS FEES
Assessaients PernLit
Tdater/Sewer Surcharge ? ?---
Polioe Plan Cl?ck
Fire SAC
Enj, Water Conn.
Plaruier Water Meter
Council Roal unit
Sldg. Off.
APC
City/Zip Code:
Phcne #:
GJ,e 54-
?- ?L
CITY OF Ei'1GAN
3795 Pilot KncS Foad
Eagan? n'.innesota 55122
PE.RPIT NO.: 54 ?
Tne City of Eagan hereby grants to. Lindav Water oonditi=ine?oo:
of 4275 edar Ave 6o Faqn}I 55122
g ht Per?i tg ?. Aa
3 wnter sngre..er Permit for: (Owner) Ree 2.4e ng awlev jrP-
at pirsuant to application dated _7/Z],/76
i 3a3 ar lso6
Fee Paid: sdp_nn dated this 26 day of anty P.19,Mz.
4.00 s/c
Euilding Inspector
;
Diecharical Permits:
Bid Total: OVER ? ; 7
. "_
/? S's? ?5.3 o?a osI
CITY OF EAG +id
3795 Pi'_ot ISnob Road
Eagsn, ii°r.ne3ota 5;122
FE147I;.' PSO.: 856 --T
The City of Eagan herehy F-ralits to Neil 6 Huhbard Heating & A/C,-
6f 99 N. Snellinq Ave. St. Paul
a fEATING 6 A/C pir•mit for: (Owner) Tilsen Homea
0323="CITr so aYTe -Ln., 1392 Amaryllis Ln., & 4344 Dunrovin Ln, 4395 Svenak Ln.,
3- 6 3020 Pineri8qe Dr. , pursuant to application dated 5/24/76
Fee Faid: $120.00 dated this 9 daj o? July ? 1g_76_
----17 W$/c
Building Ir,specttii•
Mechanical Permits:
Bic Total:
?
_.?
J - ? }
GL?? 7?---
CITY OF EAG.A;J
3705 Pilot ICnob Road
Ea;wz, i4'.r..nc:,cta 5j122
P?c`'a^rST 570.:?g? _?
The City of Eag--n hereb
ygrants to Louis A. Peter Co.
_ ef 1654 Grand Ave. St. Paul 55105
z p7,rMStIG Perr:it for: (Owner) Tilsen Aor.ies ?
-43697 -I274'CarYsors-T'?-?.o,,, 4352
3t , pursuant to application dated 7/8/76 .
' ee '- a-d: 580. ()0 dal;ed this __q_da f cf Julv r 1 g1?-
2.00 s/c
Building Inspe-tor
N;eehanical Permits:
Bid Tct-1:
0 3
-?^
CITY of EAGAIV
BUIL ING PERMIT
owa.= !?'?;?1.?••er?-?11.7'9..r77x.2.?.-... .... [..'...? ?y? ........
Addrece (PsesexS) .....f.7....!Z...l.....,.??.d....??..!.K??? ! .
Suilder ................ ......... ... .. ........ .. . . .
? . . . ...... ....... .r... ... ..........
Addreas .. .........--.????/...............
? ....
DESCAIPTIOIQ ?
?:.
N4 3891
3795 Pilot Knob Road
Eagan, Minnesoia 55122
454-8100
Dale . .?......?..'...?...??.??•71-
8forias To Be Used For Fson! Daplh Heigh! Esl. Cos1 Parmi! F Aemsrka
G' 2 S? ? ??r?°a
LOCATION
u
ci.
1
4 I-?
This permit does ao2 aulhorize 2he use of sfreels, soads, alleys or aidewalka nos does it give !ha owner os his agep!
!he right to ereate any sifuation which is a nuisance or which presenls a hazard !0 36e heallh, safefp, convenienea and
,general welfare to anpone in the aommunify. f
THIS PERMIT MUST ON THE MISE ILE THE WORK IS 2N P T
--.... ..?permission !o erea! .... ... ....................._npon
This ia So cerfify, iha!$i
ihe above d cribed p is suhjeck !o ! e provisions of all applicable Ordin-a-n-cps fos oe? .. .?•?.----.---...................
:.........:.......................
?gyo= Suilding Impecloe
? 51,3
Z:?
I
Mo?? ? V6v
I DGG?C? WAC
I
.
-. k?E,9i2 OROAFJ47-Y /JivE
Al
1a ?
5
z?----?.,
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I
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uN?-?
Q '
,
I
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, o
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i
I-IoUS E ?'
\ I
,
4 K
;
?oP?k rY
LINE
--1
n
T'r Ls£l) 40Mrms L)c -
13z3 C.AW- Lsoa
?146PcJ - I
LoT ? BLQCIC
W/L?AOSS
i
raoNr_?gaaErzrY___ I?iNE
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---??- -
1-?LQ 1 . iLAN
?
1MEMITN '?y? 978.6002
R?VRi ?R )00 HAMEL ROAD • HAMEL, MINNESOTA 55390
? ?wff t??? ? 61&d2el
"ALL TYPES OF EXTF.R70R PRODUCTS"
46 24
One• or
All other
Site Addresa 13 13 CAp15c,ri Lt?'hJ
Contractor 'Ti1SEr1 I-?OmPS Zr? Date ,j-,?I.-'7(v Phone
LINEAL .°T, OF
F.XPOSED WAI.I. 1/lg+1[?+?t +_ +_+_ + x?ft, above grade- 175a. .,0 0. ?p?--;.
48 x8 = 324 . IS69 TOTAL EXPOSED WALL AREA SQ. T.
??PAQI'E WALL CO!JST :UC'!'ION• "U". value R
area ?
+.76 Gy '
"U" x sq. ft. ' (p)
(i
ft.
q
• (?
becail reference ?„Sfe . R qr11f uJA ll "U"
. x e
f
t,
o? a• 14• 8',.3 - !aq- (U)
from "U" z sq. ft. ` (d)
••rached eheeta ?hCP,rT_F Rlo?'k "U" • .y? x eq, ft. 9?i';p (?? ? (A
?vl, x sq. ft. ' (11) U
„u,l z sq. ft. ' (p) (A
I ?LNDOWS: "1J" VAt.UE x aree WiN.pc?E.t,?s ,E
E1.0
? ?RT;o.?>(2.5:. \(?7?FFTI{E?2SF11
? . /
.
.? @ 1o x o2.
' O
?
4 a..B' sq.ft.S1
1515 sq.ft.
? aq.ft,
1 ia a a x?a sq. f t,
eq.ft.
sq.ft,
sq.ft,
rdte & [ype L ?I-?•. _ 1n1 ? S?1'O2 Yv?? '•U. ?g z sq.
fo ? • ? `
E[. +
(11) (
•.n A?r.i ,. 1 1. S?o nfi "U" . 55{ x sq. ft.?- ? U) ??
(U) (A
„U,l . x eq. ft. (U) (A
OOORS: "LT" value x area App12.5 .' Pe /?5?
IYk• 6 type x sq.
1 ? 3°-- X C? ? "L?" " a y z eq.
• sq.
«
?,
sq.
TOTAL (U) (A) VALUF.S
O1yID6D BY TOTAL WAI.L A?EA 1-? .S 2 ,??•??
I ARRACE "U" ,17 or less for 1 6 2 Family dvellin?;s
? .22 or less tor all o[her buildings
IWOF/CEILING:
TOTAI. AREA: \ ? Cj ? sq. f t,
Mtail raference
from x
x Fq,
aq,
' at[aChed thee[e
I DesC
1D
i 'l'?? . e4'??x
I
?? sq.
r
e open
ngs q?
x eq
I 10 [OOf
- -X
F9.
ft. ' (11) ..(A
fc. N)(A
ft. ?) (A
ft. 41O.o dfQ.4- (U) (e
TOTALS I 15:? sq, ft, ..1o(U)(
ft, (i1) (A
ft, . (p) (A
rc. 115.? ' 4r 3.5 N) (A
tt, (p) (A.
` L• N) (e
I 1C1TAL (U) (A) VAI I'e5 ;OTAI.S 5?-. sq. ft. 49.5 <v) (?.
nrvmeD BY sorni. R?,or?/ I I 5a. - ?? O 4 3_
a=nnvc ?uaa
, -
Wa1Kou;
-?TBRIOR ENVELOpE SPACS '0!' C02?VfA2'ZC111
(To be suboittsd with building persit applieatior)
two family dvelliag-z_ pwt1e!
r •
r •`'.. ,
,
AVEHAGE "U" .OS for venttalgted roofs
.10 for all other conatruction
ROOF/CEILING: R- value
2 q?,)
3 147 L: r.J?:?
4. t i lt,,. T,s:; ?. hT7,->
5,
6,
"ONSTRUCTION FRAMI
l,
2,
3,
4,
5.
6,
NOTE:
j
0
--
?-? _ 0
lt average "U" values as calculated abwe do no[ meet tha Energy Code requirements,
r.he "A1[ernate Envelope Design" as outlined in SBC 6006 (g) may be uaed. Additional
eheets may be used to shov calculationa.
MASTER CARD
IOCATION
y?
y
STRUCTl1R: AND
LAND USED AS
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PIUMBING
_G 97
- .?6
{
??
CESSPOOL - SEPTIC TANK ?
-?
WELL
ELECTRICAL
?
HEATING 86`` ;Pv. r 6
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER I
Items Approved
(Inifial)
Date
Remarks
Distance From Well
FOOTI NG SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL I
DRAINFIELD
.
PWMBING J-?
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
11'?20[16 RESIDENTIAIJ BLJILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 652-675-5694
New Construction Reuuiran¢Ms RertwdeUReoair Requuemenls
3 re9ptered sde swreps showing sq ft of l04 Sq. R. of houm; antl aN roWed areas 2 mpies d plan shovnng footings, beams, joists
(2095 maximum lot coverage albwed) 1 set ol Energy CatuWtims for heafetl aaNtbns
2 copies of pFan showing bam & Wrdowszes; poised found design, etc 1 s0e surrey fa addAnns 8 decks
1 set o! Energy Cakulations qAdqbn - indreate ii omsde septic syslem
3 copies of Trce Reservatun Plan d bt piRtted after 7l1FSt
Rvn Joist Detail Options sekdan sneel (buikGng, with 3 or less units)
Minne^_axo mech;mical cenlilaliou foml ? c°
4_1'o ;
qGca Use Onlv
CertdSmveyRecd _Y _N
TreePresPlanRecd _Y _N
TreePresRequied _Y _N
On4te5epficSysfem _V _N
HJ
Date /4 7_ ? 0 !p ?t?? J jJ? Construction Cost
Site Address ?? Z• ? LGSr"l sc%y l LA K 2. L,0.r, e-, UnitlSte #
Dcscription of Work Rq-p CA.C:G. A?k l s,t(s.? p+2 L k( &h D0.a 14 pf Z-
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner C•r1'2 t_TO.?v 4 C:OIi'CS
? Telep6one#( )
Contractor m- K 9 2mo d2ltxc d 7 74' ?ta6?• ? 1.?1. c. •
neamss ciey ?&bb rn sJa.( e--
State /11 ?1r Zip 2'Y Telephone !i 7(,3) Ll g - ? $? ?+ O
?asw'r?? l
dtrx-fY?zr,jo?' 20S"eio? 5,5 (106
frab -(r-• ? Jns+d?
COMPLETE THIS AREA QNLY IF COFiSTRUCTlNG A NEW BUILDING
Energy Coda Category - Mmiesota Rules 7670 Catcaorv 1 _ Mimiesota Rules 7672
(J submission type) • Residential Venfilation Category t Nbrksheet • New Energy Code Nbrksheet
Submitted Submitted
• Energy Envelope Cakulations Submitted
In ihe last 12 months, has the Ciry of Eagan issued a permit for a similor plan based cn a moster plan?
_ Y _ N If yes, dafe and address of master pian:
Licensed Plumber
Mechanical Conhactor
Sewer/Water ContracTor
Telephone # (
7elephone #(
Telephone # (
t hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance wilh lhe ordinances and codes of the Cily of Eagan and the Stale of MN
Statutes; I understand this is not a permit, but only an application for a pemvt, and work is not to start without a
permit; lhat the work will be in accordance with Iha approved plan in the case of work which requires a review and
approval of plans.
M-K RQ.radzGacj
Applicant's Printed Nam
t/,4 L? G 1 X/ZLR1?-t+-r
ApplicanYs Sienature
t
?
DO IYOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-p1ex
? 06 04-plex
? 13 16-plex
? 16 Fireplace
? 17 Garage
/?1 16 Deck
O 19 LowerLevel
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Poxh (screen/gazebo)
O 24 Stortn Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ezt Alt- Muki
? 33 6ct Ak - SF ,
? 36 Mutti Misc. Work Tvpes
? 31 New
?c32 Addition
/
? 33 Alteration
? 34 Replacement
? 35 Int Improvemant O 36 Demolish IMerior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demotish Buiiding• ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg) -Give PCA handout to appiicant
DBSCfIDtI0I1: WaterDamage_Ves
Valuation _L UZ3 Q Occupancy MCES System
Plan Revlew 100% or_ 25%
Census Code Zoning City Water
SAC Unds Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const VA_ Width
Footings (tu?w bldg)
u?
? Footings(deck)
_ Foolings (addition)
Foundation
Dram Tile
Roof ice & Water Final
_ Frwning -
_ Pireplace _ R.L _ AirTest _ Final
_ Insularion
REQUIRED INSPECTIONS
_ Sheetrock
FinaVC.O.
Y FvwUNo C.O.
7 HVAC
- aner
_ Yool Ftgs A'vlGas'Pests Final
_ Siding _ Stucco Lath _ Stone La[h _Brick
Wiudows
_ Rehining Wall
Approved By: 17, . Building Inspedor
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
OFher
Total
? 07 05-p1ex
? 08 O6-plex
O 09 D7plex
? 10 OB-plex
? 11 10-plex
? 12 12-plex
?67ti1G Z( O (J t7
Y, 70
.. _.. R
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1323 Carlson Lake Lane
Lot: 4 Block: 4 Addition: Wildemess Run 4th
PID:10- 84353- 040 -04
Use:
Description:
Sub Type: e - Fumace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
PERMIT
City of Eaan
Permit expired without required inspections. 4/9/2009 CE
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
Owner:
Gregory A Palfe
1323 Carlson Lake Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
$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
EA085357
08/18/2008
ePermit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113169
Date Issued:08/30/2013
Permit Category:ePermit
Site Address: 1323 Carlson Lake Lane
Lot:004 Block: 004 Addition: Wilderness Run 4th
PID:10-84353-04-040
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 -
Gregory A Palfe
1323 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:EA130033
Date Issued:03/31/2015
Permit Category:ePermit
Site Address: 1323 Carlson Lake Lane
Lot:004 Block: 004 Addition: Wilderness Run 4th
PID:10-84353-04-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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 by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Kristin Tste R Palfe
1323 Carlson Lake Lane
Eagan MN 55123
(651) 454-8394
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149330
Date Issued:05/17/2018
Permit Category:ePermit
Site Address: 1323 Carlson Lake Lane
Lot:004 Block: 004 Addition: Wilderness Run 4th
PID:10-84353-04-040
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: 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 -
Kristin Tste R Palfe
1323 Carlson Lake Lane
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature