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4268 Carlson Lake Lane Ncirr oF EaGaN . WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Ebgan, MN 55122 DATE: Zoning: _ No. of Units: Owner, Address: Site Address: " - • Plumber. Meter No.: Connection Charge : Size: Account De posit: Reoder No.: Permit Fee: I ogree to eompFq with the Ciryr of Eogan Surcharge: Ordinonces. Misc. CFwrges: Total: BY Date Paid: Date of Insp.: Inso.: _ CITY OF EAGAN . 3795 -Pilot Knob Road Edgan, MN '55122 Zoning: Owner. _ Address: $ite Address: PI umber: I ogree to comply with the City of Eagon Ordinenees. By Dote of Insp.: I nsp.: - SEWER SERVICE PERMIT PERMIT NO.: DATE: ? • No, of Units: Connection Chorge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Totol: Dote Paid: ? CITIf OF EAGAN ? 3795 Pilot Knob Road Eogon, Minnesoto 55122 Phone: 454-8100 PERMIT Date: . . Site Address: Lot Block No. ?7" Receipt No.: tr Singie I '- . Residential Sub/Sec. Multi Res., Comm./Ind. I Name New/Alter./Repoir . 0 3 Address _ Cost of Installation O j ?t. Paul Ci?.y _ Phone: Permit Fee ` Nome Tri11s f=. Fe-ter I',;, _ Surcharge .50 ? Address 1854 GZ'p. " -o*-- Qe v Cjty r=•? 1- _ PflOn2: TOtOI This Permit is issued on the express condition thot all work shail be done in accordance with all opplicable State of Minnesota Stotutes and City of Eagan Ordinances. Building Officicl CITY OF EAGAN 3795 Pilot Knob Roed Eogan, Minnesoto 55122 Phone: 454-8100 Date: Site Address: Lot Block PERMIT 77 - .'1 i_,;iR.e Lll. - Sub/Sec. Nome - . ; Address ? O Ciry •"u' Phone: Name '' l'.ir:..ler & Snn B Address 0 c7 _ City Phone: This Permit is issued on the express condition that all work sholl be Minnesota Statutes and City of Eagan Ordinances. No. Receipt No.: Single I Residential Multi Res., Comm./lnd. I New/Alter./Repoir. " Cost of Installation Permit Fee - ' 5urcharge ' I Tota I ' done in accordonce with oll appliwble $tate of Building CITY OF EAGAN 3795 Pilot Keob Road Eogan, MN 55122 N2 4 411 PHONE: 454-8100 BUILDING PERMiT Site Address Lot - Parcel # - Of Name W Z Address - 0 w Ncme 11 ! , , r 0 ?? Address F' Cit Phoi rO! yVj W Nome ?-_? Address- I hereby acknowledge that I hove read this applicotion and state that the informotion is correct ond aoree to comply with a!I opplicoble State of Minnesoto Stotutas and City of Eogon Ordinonces. Erect Occupancy ' Alt=r ? Zoning ` Repoir ? Fire Zone Enlorge ? Typ=_ of Const. _ Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Approra Is Fees Assessment Water 8 Sew. Police Fire Eng. Plonner Counci! Bldg. Off. APC Permit ??•??_ Surcharge JO Plan check SAC GU ' Water Conn. •' ??'' Water Meter ' • ?''' Total 915.50 Signature of Permittee A Building Permii is :ssued to: 9?n(-- • on the express condition thot all work shall ba dane in accordance with oll applicable State of Minnesota Statutes and City of Eogon ardinances. Building Official Block Sec / Sub. $45900, Receipt # +-: R 5 th , P.mir # oate yw.e r.wah.. Plumbing g 9 - 7-V' ,izz, Mechonicol 4',ccG' aQ - ?7 .` ? INSPECTIONS DATE INSP. RoupMtn Flnd Footings Oate Inap. Dote Inep. Fourtdotion Plumbing -17 - r V-40•2 Frome/ins. Mechanical - - - 7v - Final Remarks: ? CITY OF EAGAN PERMIT TYPE: 1 1 rr i r4 e; 3830 Pilot Knob Road Permit Number: ?' ''? ?•' + Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ? APPLICANT: ? ,.. ? rlI: t? ?ir! f fll , IP,I N hiIr ? PERMIT SUBTYPE: TYPE OF WORK: , ?., t . , . , . . INSPECTION D• ON TYPE DA ` ? ! q,??`` ? . , r x . ? . .... . : ? . . .. .. . , ._ , ,.,.. . . . J P.?mn No. Fermk Hower Den rN.ph«,e r ELECTRIC PLUMBING HVAC Inspactlon Date Inep. Commants FOOTINGS FOUND FRAMING . ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL CITY QF EAGAN PERMIT TYPE: "I I 1' 1146 3830 Pilot Knob Road Permit Number: ') ,'', { 10 Eagan, Minnesota 55122-1897 . Date Issued: ?4111~196 (612) 681-4675 SITE ADDRESS: APPLICANT: ! fik l 1 A" ) N 1 i} fl11t1{j ( 1) l1 I l lii I+D1i .. f;IIN '• I H ]', "i i;S PERMIT SUBTYPE: TYPE OF WORK: ? Ii I . ! I i i I, i 1i i INSPECTION D. • DA I I ? .: : . .. . . .?M ? ?. . . . .. ? ? ? ? ? .. . .? J P*rmit No. Permit Holder Dats Tilephane # ELECTRIC PLUMBING HVAC InspecUon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST iNSUL GYPBOARO FlREPLACE FIFEPLACE AIR TEST FINAL PlBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT F?NAL DECK FTG DECK FINAL S+ ? ,?Q w Wa cI? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: fEagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: i, 10 [i! Of. K 1Ah F ! ANF N If1 1 ftf ???'a( '?`? f?liiJ t 1( I N :. APPLICANT: , ,• , ???i , . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . .. RF..MA?tK'i: pLAN RFV1f41f?l) BY H(f I Fif2t11:'-.TI F F- L ? ? Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FiNAL PLBG FINAL HTG ORSAT TEST BIDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNDucnvirv TEST HYDROSTATIC TEST BSMT H.I. BSMT FINAL DECK FTG Q DECK FINAL I ? RenewalByAndersen IINC PERMIT APPLICATION 350-73rd Ave. NE CITY OP EAGAN Fridley, MiV 55432 763-502-4777 3830 PILOT KNOB RD - 55122 '?"?' ?`? •? ?- "mNpomm 651-681-4675 C, ? New Construaion Reaulrements RemodeUReoair Requirements • 3 registered site surveys showirg sq. ft o( IoL sq. 8. of house; and all raofed areas . 2 copies of plan (20°h maximum lot coverage allowed) . 1 set of Energy Calalalions tor heated addNons • 2 copies ot plan showirg heam & window sizes; powed found desyn, etcJ . 1 sife survey for exterior additions 8 decks • 1 set ol Energy Calculafions • 3 copies of Tree Preservation Plan if lot platted a%er 711193 . Rim Joist Detail Options selection sheet (Wdgs wifh 3 or less units) DATE VALUATION (EXCLUDING LAND) `1,r'1UC)"?' JOB SITE ADDRESS yZL% Rl C4..(\Sc(l? LO.XaAar\.Si IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER C-jex\a TYPE OF WORK ? VR\g.t.a a?a?i??c?nCS v?cN?r?a?X?S?;rW FIREPLACE(S) _7 _2 _3 APPLICANT G.G'' Ek.O..f - ?.no • (1RR.xY.nS)p.PHONE # ADDRESS ZIP CODE PAGER # RESIDENTIAL CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category t Worksheet Submitted - Energy Envelope Calculatlons Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Conhactor: _ Air Conditioning Heat Recovery System Fee: $90.00 Phone # Fee: $70.00 Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to_comply-with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. ?'11 `'t? Signafure a} Applican _ Water Softener _ Water Heater ? No. of Baths Phone #: Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ NoeRequired Updated 1101 CITY OF EAGAN Remarks addition ' derness Run Sth Addition Lot 10 eik 6 Parcel Owner I,' ' 11 - Wa4w? LkLj&Street 4268 No. Carlson Lake Ln• State Eagan, MN 55123 0 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 13 . . . SEWER LATERAL WATERMAIN WATER LATERAL WATERAREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. HUILDING PER. SAC , 3' g -y PARK "Iiais ?equeQ,ct?v oidlf8 months from <f e 7 ee a i P 22815 Date of this Request f-I9-7'j I, as= Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: StreetAddress qrgoucetvo. 4268 North Carlaon Lake C;iy Eagan '??O Section Township Range County DakOti. Which is occupied by Tilsen Homes (Name ot OccuDant) Is a roughin inspection required on this job? No ? YesXX Ready Now ? Will CallUC PowerSupplier Dakota-Cty, aaaress Farminston ElectricalContractor O.B. ThOnpsOA E1ECtI'10 Contractor'sLicenseNo.3a0. (COmpany Name) MailingAddress 12201 Mtka Blvd., Mtks 55943 (Electrical Conbactor ar OwnYr Making Th{5 Ins[allaHOn) Authorized No. no9 2521 ?- ????E BU?'? Minnesota State Board of Electricity 4'b54 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ' . REQUE3T FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST 74, 6 7? -?' Git, p 22815 Type of Build'ug New Add. Rep. Check Appliances Wited FoI Check uipment W3md Foi Home 7($ ? ? Range ? Temporazy Wving ? Duplex ' ? ? El Watec Heater Lighting Fixmres ?. Apt Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace + ,???q 5, JV Sdo Unloadei ? Industrial Bldg.. ? ? ? A'u Conditioner Li ?/, 7 W Bulk Milk Tank Li t ? Faxm ? ? ? st s Other ? ? ? p Heiersf , OHthezsl COMPUTE INSPECTION FEE BELOW ,t,>.?, Seivice Entrance Size: ;k Fee Feeders ub Fee Circuifa: # Fee 0 to 100 Am s . 0 to 30;1?iiy re"a 0 to 30 Am ces 'Im 101 to 200 Am Gla t . OWA¢?es 31 to 100 Am eres Above 200 Amps. o' 100 Ampx Above 100 Amps. Transtormeis R teControlCim. Pariialorotherfee 5' ns S e` Ins ection Minimum fee $5.00 Remarks ^ ligll ? TOTAL FEE - I, the Electrical Inspector, heceby cef that"`' ve? m?sp?j ?tion has been ma (Rough-in) ? ?' Date (Final) Date This request void 18 months from ? ?...?„s....,, .ia.? se.ov rm ?oJ a!1 448a MT?IY?PI1lL tSpALVUCt(.7251V t 7une 7, 2001 City of Eagan 3836 Pilot Knob Rcrad Eagan, MN 55122 To Whom Ic May Concern: E1der Jones is authorized to pull building permifs for Renewal hy Andezsen_ Please allow Elder Jones to provide this service for us in Eagan. 'I`his authorization is valid for any date beyond 6/6/01; until a Rbnewal by Andersen manager expressly revokes it in writing to the City_ I requcst tfus authorization be accepted expedidously, as to not delay in the prvcassing of our buildi.ng pcxmits any furthcr, plcasc call mc if thcir, az•c any questiuns. I can Ue contacted at 763-502-4706_ Your immcdiate attention to this mattcr is appreciacerl. Sincerely, ymond R. I2au nstallation Mazxager Renewal by A.udersen Corporation C'r.- Kara.F.lde,r.Tnnea (Z?-c4- 2i 2L 0 GHADA ry p?AL Minnesp}e MreommessanEVpirea,yn.7t,pp05 Received Time Jun. 7. 1:07PM yy U1/2! UWL `'G"ITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-84354-100-06 DESCRIPTION: PERMIT PERMIT TYPE Permit Number: Date Issued: 4268 CARL50N LFlKE LANE N Lp7: 10 BLOCK: 6 WILDERME55 RUN 5TH .?.? (SIDINGJWINDOWS) BOl3dan€?'P ermit Type SF (MISC.) pt?'u?,Idin-g l,?Urk Type REPAIR t x =?a. . t v `u a a.E r 4 ? m, ?d yQ E-g gG "iF ,._•.; '??Ci sR 4 % vK a ??/?)???n 026310 08/30/95 `6^aaT.§ ? ? sCl`?+ LxIk .x ?k. Sw ? eTrai? REMARKS: FEE SUMMARY: VALUATION $12,000 Base Fee $187.25 5urcharge L6.0 0 Totel Fee $193.25 CONTRACTOR: - Applicant - s7. GxC. OWNER: MTqWEST WINDOW CO 17215333 0002130 NEL50N GENE 3739 MINNEHAHA 4268 CARLSON LAKE LN N MINNEAPOLTS MN 55406 EA6AN MN 55123 (612) 721-5333 (612)454-2461 CITY OF EAGAN to 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 ? 3 repistered aite surveys ? 2 copies of Plan ? Y COpIBS 0( pIB118 (IIICIUAB D88R1 $ WIMOW 6YZB4; poured fid. design; etc.) ?. 2 atte surveys (exterlor additions & dedcs) ? 7 energy ealculations ? 1 energy calculations for heated addkions ? 9 wpies of hee preservafion plan iF lot pladed aRer 7/1193 repWred: _ Yes _ No ??v'OD pATE: CONSTRUCTION COST: ?/ c? DESCRIPTION OF WORK: .Q?.?-?y'GV'??oalS / J? i ifl _ . • . / _ STREET ADDRESS: "o'(av - [7 ?7niso4J LOT -?-_ BLOCK to_ SUBD./P.I.D. #: PROPERTY Name: ??A)G /L/i4* Zf c) n) PhOne #: OYVNER ?* iust Street Address- 12?16 City: L=? State: IVA", Zip: CONTRACTOR Company: ????wEPT?GC?%,??ocJ Cro Phone #:.???3?? - Street Address: ,3739 ,4,44a /W- So License #: City: ZV/,Z? State: /4W Zip' ff?"?O/-- ARCHITECT! Company: Phone #• ENGINEER Name: Registration #0 Street Address* City: State: Zip: Sewer & water licensed plumber: change are requested once pertnit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this appliqtion and state that the information is correct and agree to comply with all appticable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appliqnt: ?"'?2'? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plen Received _ Yes - No CITY OF EAGAN 3830 Pjlct Kndb Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-84354-190-06 r-. (ROOFTNG) Bu'ilding'.Permit Type SF (MISC.) Building Wo'r,k Type REPASR f .;. , ti .: ... ... . _ PERMIT TYPE: Permit Number: Date Issued: LAKE LANE N 6 q 4Lol? BUILDING 026121 97/27j95 DESCRIPTION: REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee PERMIT 4268 CARLSON LOT: 10 BLOCK: WILDERNESS RUN 5TH VALUATION $87.25 $2.00 $89.25 'Y 't 9 0 0 L CONTRACTOR: - Applicant - ST. I.IC. pWNER: C& J ROOFING 18912122 0009214 NEISON JANET 14109 WHITE ROCK RD 4268 CARLSON LAKE LANE N BURNSVILLE MN 55337 EAGAN MN 55123 (612) 891-2122 (612)454-2461 I heretay aoknowledge thak I ha-be read Chi.s applicatitrn and.stat:s'GMat thp ' information is correct and agree to comply with all applicable State afi Mn. Statutes and City ofi Eagan Ordinances. L .. _, _ . .._.... __ ._ APPLIGANT/PERMITEE SIGNATURE ficmi? P1.17'?i,k ISSUED B SI ATUR I CITY OF EAGAN ,? NI ri, )V2J 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 at675 ? 3 regisUrod site surveys ? 2 wpies oT plan ? 2 copiee of plens (indude beam 8 window skes; poured fid. design; etc.) ? 2 site surveys (e#erior additions 8 dedcs) ? 1 enerpy eelalatlons ? 1 energY caiwlations Tor treated addftions ? 3 oopiea W tree proeervadon plan if lot plaHed after 7/1193 iequired: _ Yea _ No DATE: '7-?2 7- 9`S CONSTRUCTION COST: DESCRIPTION OF WORK: £ff ?2 B? F??? - Pfov/r STREET ADDRESS: LOT Cl+,e L so,v . I n BLOCK 6 SUBD./P.I.D. #: PROPERTY N8171@: /? E L SG ti N/??? £-`7? Phone #: 6/ OWNER Street Address• City: _Z-Of6A N state: Zip: SS /a 3 CoNTRACTOR Company: C? T?F/??G Phone #: Street Address: NfOr GJH r7E to-a« k&icense #: 1na? y City: & c)• State: Zip- Sr?337 ARCHITECTI Company: Phone #- ENGINEER Name: Registration #- Street Address• City: Sewer 8 water licensed plumber: change are requested once permit is issued. State: Zip: Penalty appfies when address change and lot t hereby acknowledge that I have read fhis application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. F/J ? Signature of Appiicant: OFFICE USE ONLY Certlficates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No ; PERMIT `CIN OFEAGAN 3830 Pilot Knob Road PERMITTYPE: auzLozNG Eagan, MinnesOta 55122-1897 Permit Number: 032616 (612) 681-4675 Date Issued: 0 7/ 21 / 9 8 SITE ADDRESS: P.I.N.: 10-84354-100-06 4268 CARLSON LAKE LANE N LOT: 10 BLOCK: 6 WILDERNESS RUN FSFTH DESCRIPTION: &eri]din'g Permit Type ,Building Wrork Type Census Code a? j i lt???f f z ? m. pECK NEW 439 ALT. RESIDENTIAL ry . ? . , J IJ REMARKS: PLAN REVIEWED BY BILL BRUESTLE. FEE SUMMARY: Base Fee $50.00 COPIES $.25 Surcharge $.50 Total Fee $50.75 Subtotal $50.50 CONTRACTOR: - Applicant - ST. Lzc OWNER: J B CONST 12244121 2008288 NELSON GENE 869 S SMITH AVE 4268 CARLSON lAK€ LANE N S1T PAUL MN 55107 EAGAN MN 55123 ?(612) 224-4121 (651)454-2461 f t ? I hereby ack.nowledge that I havQ read this a,pplicativn and state that the ? 3nformation? is aai-rect and agree to-comply with a5.1 applicab7.eStatt csf Mn. Statutes and City of Eagan Ordinances. APPLICANTIPERMITEE SIGNATURE ISSUED BY: SIG ATUR 3 ? ?? ? ?998 BUILDING PERMIT APPLICATION (RE3IDENTIAL) CITY OF EAGAN 3830 PII.OT KN08 RD - 88122 681-4675 New Construdion Rauuirements RemodeUReoair Reauirements ? 3 registered sile surveys ? 4 cppiea of plan ? 2 copies oT Dlans (inGUde beam 8 window s¢es; poured fitl. design; etc.) ? 2 site suneys (exterior addflions 8 decks) ? 1 energy calwlatlons ? t energy calalatlons for heated addkions 0 3 copies of tree preservation plan N bt platted aRer 7/1l93 required: _ Yes _ No DATE: ?? DESC TION OF WORK: S ETADDRESS: ??lo4'f G4,?/?orv 1,i¢i/o ?AVe IV LOT: /f-?) BLOCK: (9 SUBD./P.I.D. Name: eSVaiclP ? ,IdcPhone #: PROPERTY Last F' O WNER Street Address: Ya/QQ CQ,QlSe-c/ ,(J- .G,W City i5fe94,q/ State:Zip: ?-- Company:_ 'j: /O?? P one #: - 7 J CONTRACTOR ? ? ?? 3 31 iQ q ' Street Address: , License # ? Ciry State: //o? Zip: ARCHITECT/ ENGINEER Company: Phone N: Name: Registration #: Street City Sewer & water licensed piumber (new construCdon only): and lot change is requested once pertnit is issued. Zip: Penalty applies when address chang 1 hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. SignaWre of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes _ No ..?? ??i???? _ Not Requ State: CONSTRUCTION COST; -?5?7?/ °C dr BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 &plex ? 04 5F Porch ? 09 12-plex ? 05 SF Misc. ? 10 _ plex WORK TYPE ? 31 New ? 33 Alterations 32 Addition E) 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? 0 15 Deck ? 36 Move 0 37 Demolition 16 Basement Finish 17 Swim Pooi 20 Public Facility 21 Miscellaneous Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building td, MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance ? Permit Fee Surcharge Plan Review License MCNVS SAC City 5AG Water Conn. Water Meter Acct. Deposit S1W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies . ac? Total: OFFICE USE ONLY Valuation: $ % SAC SAC Units 'a , ? ?w? ? ???"?''="???i..v.,?:__......v __.. . . , . . .. ---. ? _ _. _ . ... ? o I D ? yN ryb? "\ 0 I v ?? ?a? V? r ? J UNe'? 0 n , .o ? ? I I Zf ? LcT L] BLOCk [?] U ? 7? ? e ll? ? ??oHT.?aoaErZ.rY .LiNE QI CITY OF EAGAN 3795 Pilot Knob Rood Eogan, MN 55122 ? • PHONE: 4548100 r BUILDING PERMIT APPLICATION $45,000. Receipt .# N° 4411 6759 Ta be ueed for Sin¢ Fam Dvl¢ b Gai¢ Date * ••+ to . . . Site Address 4268 No. Carlson Lake Ln - Erect [j Occupancy i t 10 Block L WR Sth 6 S /S b qiter ? Zoning o ec u . Repair ? Fire Zone - Parcel # Enlorge ? Type of Const. V w Name Eugene R Nelson - Move ? # Stories Z Address Demolish ? Front -_ 76 ft. 9 Cit Phone Grade ? Oepth 26 ft. Tilsen Homes Inc. ADDrmals Feea p Name , ?? Address 627 So. Snelli? Ave_ t- ?:... St. Paul o?___ 454-4784 Name _ Address I hereby ackrwwledge that I have read this opplication and state that the infnrmation is correct and agree tn comply with all applicable State of Minnesoto Statutes and City of Eagon Ordinances. Assessment - Woter & Sew. Police Fire Eng. Plonnet _ Council - Bldg. Off. - APC - PermiT aco.UV_ Surcharge 22•50 Plan check snc 475.00 Water Conn 230.00 WaterMeter 60.00 Totol 915.50 Signature of Permittee -- I A Building Permit is issued ro: Tilsen I{O111E5. ZIIC. on the express condition that oll work shall 6e done in accorda e with alhppplico e State of Mi nesoto $totutes ond Gfy of Eagan Ordinonces. Building Otficiol ? ? ?t- -gL, y j V 4411 Aate: '7`0 -?> ?> BU`dLDI.'?G PERP4Ii P.PPLSCAT20:I / ? L? I v BLOCK (p AJDITIQN PtITtCEL & SECTIOd ':7Ui18ER IF Ui7PI,eSTTEll ADDR85S OF PARCEL f??I-eZ4d,2., Z4e s7 zo;arrc EsxiMa,T-a cosT OT.';L]Eii TELEPHOI9E iVO. AJURE;SS )< a(? COh7TR-'LCiORTELEPHOPIE :d0. A17DRE85 Note?, Tnclude site plan; building plans, and energy calculations viith this application Signed OFFICE USE ? VALU11TI01•t ?/Sd o a sac {aIMOE3 CMa`i'EC^sIO:? T711TSIi _'Y£:ER mUILDIPIG PEP.ElIT FEE SURCHARGB FEF PI,f1;i C'r:ECIt F22 PARS DEDIC:STIOi? FL'E OT:'.EFt TO`i'F Le° ,417S , r3 s} ? ?a8 Sr' aa ? APPROVAT,S. ? 1 ASSESSP+IE'".4T CI,ERK ?J 1' ve1' BUILDIiJG DEPT? _POLICS DEPT. ??---- ?.IATER & SP41Ez2 DFpT. FI?L DrPT. PARIC DEPT. . ? . a? ? I? :,PCAe- AeoPFieTY LwE 0 S AAtoglm? ? I ? I r s ? ??opE,e rY ?I LiNE I ? 0 Q i ? ? . N .o? \ ? ' n ? Lar /rBLoek [?] ? I ? ? ?or.?T._Paai?ErzrY ._ Lf N E Q I '14? -PLOT 1 L AN ? r ??'{ ?•? ?.:. .G?,v v.?,.. .aa<r, ? ?J"?,..+ :'?. ?{ R"HI( Gh'V LOPS :P 1C . "U" Cr6MPU;'ATIC.N ('n be aubmitee. wirh buildin; permit epplicetion) . OnP oc rwn famlly ",ll othec c'wne r Site P.dAress Cuntractor?L?-.?E?_._?f1M?S___L?ILo_ !?ac"- q-_1?-?42__? t•I??,ne , i. IxEAI. .°" . i;F iXPOSE7D WAI.I. 1? ,.t i,tfde= ?.• - x 9fi .at?,v 131.3 sra. vr! I-l'1AL iX.^fItiF.[) ,.,?A :Q. FT. . CIRAQUE W..U Ct7N5 'i'!:IJC It "L." va 1ue T a rva "i'" sc, ?e:.afl reference frnm x s,. i[toched eheet= X ;;,, x 5G. x sa. rt • tUP (U) (dJ) 44.1 (UT (U) ft._ --- --------- (U) :ININ)NSS "U" V!LUF: X ,Bee Wi pWS ; W FA-T NC-f- SHMUw 11. (n sR • ft. 2q.A leq..f+. -:;o. g 87 • f f • • - - sq.fi. ? _ ___e9u,??? ?Sx32;._,' b . ?. s a . e e . sa,fr, (A' ?a; (k' t k, ( A; 1 A'; r, ?.b 1ake & type !?.S.Lt, T? -Sa?Z4R_MS_--?ac5-x .. (U) (t n,4:1 '.' (U) (A' ' AS,-Q aA. •G]rj X sn. fl. (V) (A) n u RSIMSee,? .m,b (U) (A? nal?:: "U" value N area ?OOQS: PEASE- !lske ? ' type , L3-_x s-. ft ._ •'lOi,Q_-- 1 .6e (n) (AJ ° " IQ 'Lx ?? •'L" x - s- . 't, U A ( ) ( ) sq. fc. ? (U) (A) (U) tAJ ' T( "'AI. {U} (p) Vd(,UF.S Is2.V =•J3S 7'OTALS. 1 O sq. ft. ?R2;???(J t'NID0 BY 'IUTAL 41A.1 i. AVF:F.AGF. °U" ,17 or lrs= for 1•`. 2 familv dwe111nqs .:2 or lee,s ror all „t!,e buul!in,s x UF•/CEILTN(: ()ir.t. n;r!:.?: sn, i)e[811 reFerence..A----------? '?' ?jQ41--X from x sr,. etteChed sheete aq. naecriF+e openinAs_ x eq. <n roof sq, :t. I 19e (u) (A) f!, (ll) (A) fc, _ (U) (A) f t , (u) (A) Ec. _(U) (A) IGTAL (U) (A) VA1.U!:S riI ?4_ A TCTAI.5 ft. 51.4 , (p) (p) )IV IDED BY "fY,TAI. Ronr t ? I q b °. ??Y 'bq`? Q[II_INI: AZBA - ?? R,1h3 . . . . . L1C!, "U" lor v,entfaleted roo(c fur all nther con'Liilclion k0 F'/C-'Tllh-': ? - v:,1u•• 1 ' -14"_-- i?S?4??,-t?o?-- . --12_0.0 '• _AN?e?__..__ ._._.4? ?? .i??s?a?_. e.?-- -----.,_?.l_ - ' - -- - ----- - -- - ----'1.3.-z'? ? 3 23 = e p 43 ? ,y!: ',•tH; `Ii h F PYIN. ? v,ln.. --Sl.?i ?.1b?------- -• ----- ---??al . 1. 'LS/3'L_ _S..HS.i?'??1.fk.?(a_ . __ _ _ ZQ{a ' • 3'!i__J?Si+LATI.QnI. _`._l_1, 00 ''• __?y"_ly`CP_'?er.?•M 4r" t ? ?- . --?-------- ?;, iL?c??. -L?.???-- ----- ?-? 9' -7 -? 1b,q? 14? 1 -- :i9" I` eve race ,T" v;•lues as c:ieulet,•d abnv- (it, nu• m.,-: ih,• -" .nwt,v r??,.?.. ,.,;?ir•-m?•n:? ? rhe ^ I?crnr?.? ?:nv,• lnpp 'wyi -u'? n< <?u• 1 lne,' i:i .' 'tii. ',IiC, ( i inr.. be ms • . 'ddl? i, nal ahcots mav he used Io chow caic,l.jji.,,. . 1 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNDB RD, EAGAN MN 55122 651-681-4675 New Canstmdlon Reauiraments • 3 registered site surveys showing sq. ft of lot, sq. R. of house; and all roofed areas (20°k mazimum lot wverage allowed) • 2 copies of plan showiig beam & windax sizes; poured found design, etc.) • isetMEnergyCalculations • 3 copies of Tree P2servation Plan if lol platted after 711193 • Rim Joist Defail Options seledion sheet (bldgs with 3 or less units) 7 f /(3DATE ?- /v , ?-) vO2 RemodellReoair ReuuiremeMs • 2 mpies of plan • 1 set of Energy Calculations for heated additions • 1 sile survey (or euterior additions & decks • Indicate if home served 6y septic system for addNons a? VALUATION A??6)&12v' SITEADDRESS 'Yo2690 ZIl` LW A MULTI-FAMILYBLDG Y N TYPE OF WORK -09 & l4b(} t' FIREPLACE(S) _ 0_ 1_ 2 APPLICANT - / STREET A?p ESS `t J CITY G/?1h7U STATEI ZIPSS? TELEPHONE # TW0D- CELL PHONE #?Ydl J id XAF # n7d7 UD r ?J,?/ PROPERTY OWNER E'N / V G? TELEPHONE # ---------------------------------------------------------°------------------------------°---- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MNNF:SOTA RULES 7670 CA71'EGORY I MINNF,SOTA 12ULFS 7672 (J submission type) . Residentlal Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includcs: Mechanical Contractor: Mechanical system includcs: Sewer/Water Contractor: --------------------°-------------------°---------°-----°°-------- I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagan Signature of Appllcant # Phone # OFFICE USE ONLY Phone # et .?u? 1 2 2Q?2 Water Softener Lawn Spru Water Heater No. of R.I. No. of Baths _ Air Conditioning Heat Recovcry Syslein s Xorct gree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 PHONE 454-8100 ? I CITY OF EAGAN / /1n 3798 PILOT KN06 ROAD ?U -CJ W/L S EAGAN, MINNESOTA i 58122 December 72, 1976 Tilsen Homea 627 So. Snelling Ave, st. Paul, rmt 55116 ite: Oariance Lots 6 thru 11 Block 6 Wilderneae Run 5th Lot 1 Block 3+3lderness Run 6th P.ear SY.rs: IIzclosed for your attention ia a colV af the minutes o£ the Advisory Planning Canmi.ttee and the Eagan City Counail apprrnring a front yard setback variance from 30' to 201 on the above mentioned lots in Wilderness Run 5th and 6th. Very trulq yoursj, ? (Mrs.) Al,yce Bolke Glerk - City af Eagan EuCl. ? AB/cjb Qo: Dale Peterson ? ? 76 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA120735 Date Issued:02/27/2014 Permit Category:ePermit Site Address: 4268 Carlson Lake Lane N Lot:010 Block: 006 Addition: Wilderness Run 5th PID:10-84354-06-100 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. Kris Oien 3670 Dodd Rd Fee Summary:PL - Permit Fee (miscellaneous)$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 - Joel B Nelson 4268 Carlson Lake Lane N Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121885 Date Issued:04/17/2014 Permit Category:ePermit Site Address: 4268 Carlson Lake Lane N Lot:010 Block: 006 Addition: Wilderness Run 5th PID:10-84354-06-100 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 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 - Joel B Nelson 4268 Carlson Lake Lane N Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature _ .,, I Use BLUE or BLACK Ink I �----------------- � For Office Use � , j Permit#: �O" �[ � j o I �"� '� I �� O� ��6�� Permit Fee: �l/� � 3830 Pilot Knob Road � � Eagan MN 55122 j Date Received: j Phone:(651)675-5675 I Staff: I Fax:(651)675-5694 I I 1_.��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � Site Address: V� UhitA�: Name: Phone: Resident/ ! �� OVVner � � Address l city I zip: ! 3 Applicant is: Owner �Contractor - Description of work: � � � V �� Type of Work I Construction Cost: � Multi-Family Building:(Yes /No ) < Company: �h. Contact: ��2�,�,1L�Y t Contractor` Address: �� ri 1«1C,�� Y)'l�/� Ciry: �� w�� State: �� Zip: �'J'r+'� Phone: �i�' �� 1�1(� ` License#: ��V \��! � Lead Certificate#:� � � �V"'/�� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 subm�t are consialeretl to be publ�c�nformat�on Por#�ons of ; the information rnay be c/assifieal as non-public if you prowde specific reasons thaf wou/d perm�t fhe`C�ty fo'; ° � ; ,.� . _ ,s ,. � � � �� . conclutle,thaf,fhe ��are fratle secrets � � �� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goqherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work wili 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 pian 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 Minnesota State Building Code must be completed within 180 days of permit issuance. x 1� iir 1 �1 1�.V v x � �� Applicant's Printed Name Applic Si ure , Page 1 of 3 I I I . Use B�UE or BLACK Ink �� . . . . . r________________� I For Office Use � I �q � � C' � Permit#: ( 6� j lb� Ol ��11 I Permit Fee: l ��,� 1-� 3830 Pilot Knob Road � r-�' � Eagan MN 55122 � r ' � Date Received: `��j I Phone: (651)675-5675 � I I � Fax: 651 675-5694 ��.-s n • ti I Staff: � � I � ) ,�>., F� � �a.t�� I � � I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �� '' 9,��,�� Date: Site Address: Unit#: �� a �'� . . . . .. . �� ` Name: � CcJ�+ ,)�✓ISOJ'1 Phone��lol I�137 ��S�o �� c� .�r � �+��\ C/ /" y J > �� , Address/City/Zip: / (y 0 �.+'�50� C�kt (,a.v�� /�. r�,��'�� . . . . �� `�: Applicant is: Owner '� Contractor � �� ' , �g�� / i � �� Description of work: ��JS�f�+l l � �j�r ss ��li��c�N � ��;�.�S.`�—�� q � . � = Construction Cost: �� Multi-Family Building: (Yes /No� � ?� � � �� a� y, .�' � � ��,ns iw.,h-A-� Contact: � ��n�� a�'l�a�7(o� \ �,�� Company: ru.�, e��u�es wb�C , � � �� ; °��a Address: J`��aI � _ �� '�a 3�- City: /��7/It�PO�lf ��t�t'�GfQ�' �/ �� State: Iy1N Zi J�J�� PhonetG�l� ��'�'�fCo�mail: c�t�(tr r�t� T 1�'�19 1 C. , Cd�/Ll �r�� P' l�T— � �� , ��r � �� ; „ .�� License#: j C �� yCa Lead Certificate#: If the project is exempt from lead certification, please explain why: 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 8�Water Contractor: Phone: Fire Suppression Contractor: Phone: N' � `�'��a�`� X�P��`�I+��u �'� ��t� ��'��or� �e ��+��i��fo �� t'ir��r��'� a�, t�i� Q �rr m�y�e�� 'i+a+pl�,�� `��sp�cr�i"� ��;�rc��t C`�i��p � � ,�� ..�.; � z �� - � � �� ...,. '�.: ' !��". �� .-.� ��.s�� rF�. , . � � . ��. ; .._ ., .= ��. 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. wvuw.qoaherstateonecall.ora 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; thaY 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 Minnesota State Building Code must be completed within 180 days of permit issuance. � x ��{ �e-�/f'1{ X � ApplicanYs Printed Name plicanYs Sig Page 1 of 3 4�-. . � O NOT WRITE BELOW THIS LINE ��. �� SUB TYPES � �Q �`�l�,�"y` �' �` _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) y Single Family Garage Porch(4-Season) E�cterior Alteration(Multi) _ Multi _ 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 _ Alteration Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair Lp Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation � �pa,fl o Occupancy .,.L/Z�" � MCES System Plan Review Code Edition f�l�z��,� SAC Units (25%_100%�) Zoning �_ City Water Census Code Stories Booster Pump j #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction v r- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: ��UY1 /'nJ k ��i.�4- , Building Inspector RESIDENTIAL FEES Base Fee �•n : � `� � Z/ �v v� �� Surcharge Plan Review MCES SAC ' City SAC �� Utility Connection Charge ', S8�W Permit�Surcharge I Treatment Plant _ I Copies � Z S TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144198 Date Issued:07/17/2017 Permit Category:ePermit Site Address: 4268 Carlson Lake Lane N Lot:010 Block: 006 Addition: Wilderness Run 5th PID:10-84354-06-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Scott R Jensen 4268 Carlson Lake Lane N Eagan MN 55123 (612) 978-6619 Peak Heating & Cooling Inc 7801 Park Dr, Suite B Chanhassen MN 55317 (952) 401-1195 Applicant/Permitee: Signature Issued By: Signature For Office Use ••` ; Permit#: /5-7 3 crI!, E AGA N •..• •�.• Permit Fee: /4753 F,te RECE/vEpate Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections@_cityofeagan.com AUG 06 2019 __ 2019 RESIDENTIAL BUILDING PERMIT APPLICATION ,/ O 0.0))(9- f., Date: 08/06/2019 Site Address: 4268 CARLSON LAKE LN N Unit#: g Name: KATIE HECKMAN Phone: 612-978-6619 Resident/ 4268 CARLSON LAKE LN N owner Address/City/Zip: Applicant is: Owner ✓ Contractor Description of work: TypeNEW DECKING AND RAILINGS ON EXISTING DECK of� Work $6,500 ✓ �' Construction Cost: Multi-Family Building:(Yes /No ) Company: RJ CONSTRUCTION, INC Contact: RYAN JOHNSON Contractor Address: 20376 BOONE AVE City: PRIOR LAKE State: MN Zip: 55372 Phone: 612-299-6749 Email: RYAN@BUILDWITHRJC.COM License#: BC651441 Lead'Certificate#: NAT-94481-1 If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: • Phone: NOTE:Plane and supporting documents that you submit are considered to be public ktfannatlon. Portions of the kformation maybe classified as non-public If you provide specific reasons that would permit the City to conclude that they are bade seerets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.QoDherstateonecall.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 ' not to start. ithout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and app • al of .ns. XRYAN JOHNSON Applicant's Printed Name Applic DO NOT WRITE BELOW THIS LINE 1L//' .73Y(_) SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) Z° Single Family Garage Porch(4-Season) Exterior Alteration(Multi) — Multi r Deck Porch(Screen/Gazebo/Pergola) Miscellaneous — 01 of_Plexi Lower Level Pool Accessory Building WORK TYPES New Interior Improvement — Siding _ Demolish Building* Addition Move Building _ Reroof — Demolish Interior p Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wail *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation II 2 ir,ks ^ Occupancy .Q C -1 MCES System Plan Review Code Edition yY1✓1 24)15- SAC Units (25% 100% ) Zoning T-•-( City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V M Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) /e 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 Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan_ Other: Reviewed By: /`D iTY► m• 1(l , Building Inspector RESIDENTIAL FEES r2 I 5f , ttr ( 1 ":°() 59 ."1" Base Fee Surcharge 4O f oe i^-a-) -/?eY,o lM(e rt ' Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3