1274 Carlson Lake LaneCITY OF EAGAN
8795 Pilot Knob Road
Eagan, MinnesoM 55122
Phone: 454-8100
WATER SOFTE_;I::'? _ pERMiT No. ?
Date: 'fuly ::'J, 1:'77 Recelpt No.:
$ingle
Site Address: Residential
Lot a? Block ? Sub/Sec. w' Multi Res., Comm./Ind.
Name Giovanetti New/Alter./Repalr aitt3ration
? Address _.'`74 Catlspn I,adce Lai]r? Cost of Installatlon
Ciry Phone: Permit Fee
? Name ' "beY'r C`'. - ?iliq8n Surcharge
;'l.32' 1 E
Address'
? City Phone: Total ., .
This Permit is issued on the express condition thot all work sholl be done in accordance with all applicable $tate of
Minnesota Stotutes ond City of Engan Ordirwnces.
Building Officiol
CITY OF EAGAN Remarks
addirron Wildernes Run 4th Addition Lar 27 s)k 3 Parce! 10 84353 270 03
Owner •9' street 1274 Carlson Lake Ln. Scace Eagan, MN 55123
improvement Date Amount Annual Years Payment Fteceipt Date
STREET SUR F.
STREET RESTOR.
GRAOING
SAN SEW TF3UNK 1973 $163.26 .16 20 122.46 - -
L?ASEWER 1975 789.60 96
$7 10 • ' -
F
WATERMAIN
WATER LATERAL
WATER AREA P d th W ter nnectiQn 5, 76
STORM SEW TRK
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. $160.00 2853 5-7-76
6UILDING PER. #3932 $129.50 2853 5-7-76
sa,c $450.00 2853 5-7-76
PARK
YILL4GE OF EAGAN WATER SERVICE PERMIT
3745 ^po:.'lnob Road PERMIT NO.: 1992
Eugon,MN 55122 DATE: 6/9/76
Zoning: RI - . No. of Units: 1
owner: Tilaen ttomea Inc.
Address: -
Site Address:
Plumber: P_e;
Meter Na.Z-
74 Carlson Lake Ln. L2 HR
160.00-p8-
Connection Charge: -459.,.9 g_pd_
Account Deposit: -r?b? pd
d? PermihFee: .5a
1 agree fo`fomplr with the Villoge of Eagan Surcharge: ?
OrdiriY Misa Charges:(Q-QQ_Pd
RY lgj-
Date of Insp.:
To[al:
Date Pxid:
Insp.: -
VIlLAOE OF EAaAN SEWER SERVICE fflMIT
3795Wlot KnoB Read PERMIT NO.: __-brg7.l.6---
. Eogan, MN 55144 llATE:
Zoning: @I No. of Units: i
Owner: Ti}gen H6Ri es
Address:
sire Address: 1274 Carlson Lake Ln L27 B3 WR4
Plumbei: Bev-ROC -- Petex Plumbin4
5/7/76 #2853 100.00 pd
I ayree te wmply wiM th* Villaye ef Eopnn Connection Charge: 350.00 pd
O.dinanem. Account Deposit:
Permit Fee: 10. 00 p_d
Surcharge: .50 nd
By: Misa Chazges:
Date of Inep.: Total:
Inep.: Date Paid:
_ :..?
czTY or, Eac_0
3795 Pilot Knob Road
Eaqrn, tiL'.r.nc-.aeta 55122
FZI'tiCT PIO.: ao2
i:he City o° Eagun hereby grants to Louis H. Peter Co.
cf 1854 Grand Ave. St. I
Paul 55105
' PyrpMIr7G _ Perr.:it for: (Owner) '!'ilsen Fiomes
't._434:-S , n Iake Lane r3-°?!?TM? ?„ at pursuant to application d.ated 7/8/76 .
Fee ?'aid: 580.00 datied this 9 ds;;r cf Julv
2.00 s/c
i;echar.ical Perrr,its
B;fl Tc'Lel:
Building Inspeutoe
?.
c,l 7 3
csTY eF Et3caN
=795 Pilot xnob aoaa
Eagan, Minnesota 55122
PE.rsMIT NO.: 641
The City of Eagan hereby gra.nts to A. Binder & Son
of 120 E. Butler Ave. Ba.West St. Paul
a Heating Permit for: (Owner) Tilsen Conat, _
at 1274 Carlson 7ake iane , pursuant to applieation dated 6/2/76
Fee Paid: S20.00 dated this 10 day of June 9 19 76 ,
.50 a c
Building Inspector
Nechanical Permits:
Bid Totaie
CITY of EAGAN
/ BUILDING
own.: -`?/'y.•r.?„?l??,???"y„s?.?:Q-- .. . ........ :............
Addrecs (Presen!) ::C-l.!5.:?.?..... r.L... . .... .. ............
Sullder ......................... .......... .. ....... . . ..
. .. ...
. . ..?.^... /.- -
Addreea ....... . . . ..... . . --. ...°---._5-{....?C. ........--°--'
PERMIT
DESCRfPTION
?
N2 3932
3795 Pilo! Knob Road
Eagan, Minnesola 55123
459•8300
Dals J60 ...1.
rv
Blosiea
- e Use F Fsonf
-- Depfh Heigd! I Esl. Coe! Permi! Fee Aemuks
?
? 27 .37?0 9? --
LOCATION
This pe:mit does aot auShorise the use ot sireeffi, soadt, elleys oz sidewalks nor does it give the ownes or hie aQent
the righ! Yo ereale anp siivafion which is a nuisanee os which presenffi a hazard fo the health, eatefy, eonvenlanca end
general welfare !o anpone in the communily.
THIS PEAMIT MUSTL
,
H£i ?//-?Q, N THE MISE WHILE THE WOAK IS IN PROGAE S.
This is !o ceriifp, lhat, . ?>??%?y?TL..._.yZ??.' .?YF?. .? ...............hae permission !o erec! a---.. . ...--- - . ... .... .. ........... _upoo
the above''fesribed pre?e gubjecY fo the provisions of all applicablexdinencps for !h iYq? Eaggo.
Per
DA'1'L;
BUILD:NG PMKTT AFPrIr,AfTr,P•? CHECK
Lot_A 7
Block 3 Addition?,jC),e""' ?Zff. ?
Parcel and section rnmbar
street Vumbex' ?X/ _._?..?
Owner Address 1'alc'...w
Developer Address
Zone-Ordinance #52
Lot Size yy ' A/,j ), 6-j ? Total area /Z ty 7r?
Te.!_.o
..
Platted ?C ilnplatted ,
Building Siza % v? )/ Total area
Occupancy 5/F
-?
Type of construction 7.),?,.-? ? ? . - • ?i?
Se+backs: Street sides 30 ? Rear
Sides
4
Parldng: Total area Total spaces
ky J
Parking area sethacks: i
6 D /
Street side Rear S?des
Landscape apprw _ Bond required
L?
Special Assesamen s:
S::C charge ? $450,00 = yS0 • ?
,,._
Water area:
Assessed Unassessed ?/Ga•?c,sy !?, r?.?.-U,,?K.?
If assessed: Connection charga
If unassessed: Connection charga a,?0. ?? ez i4• n i/??? to ?- z??-?
Lot division:
Additional assessments needed Not needed v
Laterals:
Assessed Not assessed
Waiver o£ hearing:
Needed ?- ??z'n_???a- ?.o-,??o ? Not needed /t,n .it-
Assessment clk Water & Sewer Dept Av3lding Dept
Police Dept Fire Dept (Cwnn & Ind only) _
Tilsen Homes, Inc.
627 SOUTH SNELLING AVENUE
ST. PAUL, MINNESOTA 55116
PHONE: 698-5501
i
Subject oate o?g 7?0
Message
lL/j'Zl Q/r'C? ?.
61
PLEASE REPLY TO Siqned
Reply
976
?D
1 Z s?Q,,,.n oar _ S ?. ?' ?
t
Form No. QL3 SENO PARTS 1 AND 3 WITM CAFBON INTACT - PART 3 WILL BE RETURNED WITH REPLV
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EXTERIOR ENPELOPE SP/4CE "tl" COMPOTA 01
(To be aubmitted vit6 building pecmit applieatioa)
Orie or two family dMelling_y__ Oacer
All othar
Site Address
Contraccor "r1 L S E1? ?-ioA1?FS \?\C. Date Yhone
LINFAL FT, OF
ERPOSED WALL 2a+ k +, above grade- ?GT
Q?TOTAL ERPOSED WALL AREA SQ. FT.
OPAQUE NALL CONSTRUCTION: 'b".value R area
"U" a aq, ft, m (l) (A
CRAM WA L. "U" • 07 x sq. ft. (U) (A
Detall reference 'b" a eq, ft. ? (U) (A
from rv v "U" .4?7 z eq, ft. l_Ci 1 ' 'y !. O (U) (A
aCtached aheeta "l1" a eq, ft. -.(U) (A
- 'Rl" x sq, ft, ? (U) (A
^Un = sq. ft, ? (U) (A
tiIlIDOWS: "U" 7ALUE X iftea I NooklS ? PArt1o" ?: WEAT1•1E12 SH?ELD
cSHT (s 1) ? @ 14?x =ib sq.ft,
IN?4?. 2 @ 2..Xi L, ° 12.4- sq. ft•
zit"A O ` 4Q, fI) eq.ft.
2 @ '25OLO ? 1 A .ri eq. ft.
i @ ').Ux It,, ' 4,4 sq.ft.
aWU i @_2-9? x22 ' [?.2 sq.ft,
I @ 2-2 x ?„4 84.ft•
Make & type Lcr1T ? 27 r-
. I..1 4 ScteR.cvc.
sq. 1 •9
ft. 121"1 1-1 (u)
?
11 1. fl.". sq. ft. F'i'.t.l (U) <A
n 1. ..A
WTI ?? • 5s E
41 ? G?Fn2MS "R7 8q• ft• (e. 2 - 2, Q. (U) (A
?j
11 rl 17Ge0.fT .
?! STQ?MS ^ ?u" •?.? X 8Q• t lt• (•fu) (A
DWRS: "U" value E area DOqRS b ?EJ?,S?
Ilake 6 type "On z sq. ft, A. ?- (U) (A
r 1 @ 2a ?G 1oF' lbrr . '?b z sq. ft. 1 -1 ? 4..b (U) (A
n n ^Un I sq. ft. ? (U) (A
n ?L1?1 ty?n (o.L4SS "U" . L z sq. ft. A.n ? '1 2 (U) (A
TOTAL (U) (A) VALUBS 2,49 ? TOTALS /48(c) sq. ft, 2-4q (U) (
DIYIDSD SY TOTAL WAI.L ARF A /
A'WBRAGE 'b" .17 or lesa for L 6 2 family dvellings
,22 or leae for all other buildinge
imOF/CEILING:
TOTAL ARFA: aq, ft;
Detall referenee x sq.
fram =?x sq.
attached eheets 'RJ" x sq.
Describe opaninsa "U" x sq.
in ronf "ll" x sq.
1C)TAL (U) (A) VALUES
DIVIDP.D BY TOTAL ROOF/
OBILING ARSA
ft, ? (0) (A
ft. ? 50 ' . ?. / (U) (A
f c, - (U) (A
f t , (U) (A
f[, ? (U) (A
M?}?, ? TAI.S 1 260 sq. ft. 66s) (U) (A
.b4-3
? 3bc)
.
SF.?,? 5o`z.?
.. .
AlffitAGe'RI" ,05 for ventialfted roofe
' .10 for all other conetruction
ROOF/CEILING: R- value
1. ?c-??.
2. ;_(2?NFGT ?nrY A-C,
3, ??
4.
5 ,043
' 23? 23=
6,
-TT, :ONSTRi1CTI0N FRAMING: R- value
1• Os?25??? /a?2 •?7
Z• I. lf?
3, 11?1CUi
4'
5.
_ b' ?4-.9? _
IOTE: If average "9I" valuee as calculated above do not seet the Energy Code requirements,
the "Alternata Envelope Design" as outlined in SBC 6006 (g) may be used. Additiooel
sheeta may be used to ahov calculations.
•City of Eagan
3795 Pilot Knob Road
Eagan, MN 55122 1
!
Tilsen Homes, inc.
627 SOUTH SNELLING AVENUE
ST. PAUL, MINNESOTA 55116
PHONE: 698-5501
Su6j8Ct Date 5 5 76
MeSS2ge Enclosed are our checks in a ment of the followin buildin ermits:
. 0 for 3020 Pine Rid e Lot 18 Block 2 Oslund Timberline Addition and
f rlson ake Lan ot 27 Block 3 Wilderness Run Fourth.
PLEASE REPIY TO
\ {? /I ?? / J
Reply
O,
'. _
?.
SivnnA \?ta
t
Form No. QL-3 SEND PARTS 1 AND 3 WITH CARBON INTACT - PAR7 3 WILI BE RETURNED WITH REPLV E
MASTER CARD
LocArioN iR r /Jpdo g/ot #4 ? ':oa . 4?7? ,Z,2 --y
?---- r
OWNER
LAND USED AS ?Ia*
Permii
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING ? T 7 ? .7G
CESSPOOL - SEPTIC TANK
WELL ?
ELECTRICAL
HEATING
GAS INSTAILING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDAiION ,Z ] CESSPOOL
FRAMING
? _ TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PWMBING
WELL
SANITARY SEWER
Yiolations Noted
on Back
COMMENTS:
BEA BIOMOV I ST
MRYOP
TMOMASEGAN
JAMESA.SMITH
JERRV TMOMqS
THEOOORE W4CNTER
COUNCII MEMflENS
March 19, 1982
CITY OF EAGAN
. ;i4715 PILOT KNOB R04D "
' .i?P.O.BOXZIIH
EAGAN,MINNESOTA s5122
PHONE 454-8100 --?.:?..._ .
? ,?•? _.
Dakota County Government Center
% Auditors Office -..-.. .e_
Hastings, hW 55033
Attention: Peg
Dear Peg:
THOMqSMEDGES
CIiY ADMINISfqATaP
EUGENE VAN OVERBEKE
CI7Y CLEPR
This letter is to inform you of the corrections that need to be made
regarding assessm ent payr.ients. The following is a listing of these corrections: ,
Parcel
? 10 11900 030 01, Paid Oct. 2, 1981 Coo7289
needs to e deleted from 1982 tax statement and amount paid
on the 1981 tax statement needs to be refunded.
Parcel 10 22750 230 O1, Paid Sept. 4, 193 1 Coo7220
needs to be deleted from the 1982 tax statement
. Parcel 10 48050 095 01, Paid June 9, 198 0 Coo5399
needs to be deleted from the 1982 tax statement $ amo?t paid
on the 1981 tax statement needs to be refunded.
Parcel 10 84353 270 03; Paid Oct.6, 1980 Coo5541
needs to be deleted from the 1982 tax statement and amount.paid
on the 1981 tax statement needs to be refunded.
Parcel 10 48050 094 01, Paid Oct. 3, 1950 Coo5553
Needs to be deleted from the 1982 tax statement and amount paid
on the 1981 tax statement needs to be refunded.
Parcel 10 75950 180 07, Paid Jan. 11, 1952 A010855
ASSESShtENT was paid at the County Uut 1952 installment still
needs to be posted
Parcel 10 16701 470 01 DP#166
We have no record of payment and should be posted on tax
statement. Check to see why assessments has been deleted.
If you need any additional information please contact me.
Sincerely,
Ann Goers
Assessment Clerk
TNE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTM IN OUR COMMUNITY.
CITY USE ONLY
PERMIT Aq 777 RECEIPT DATE
3 L;z7 O 1
RESIDENTIlEL bIECH4NICAi. PEftM1T lEPPLICATIOR
crrY of EAsM
3830 euLOr xaos Rn
EAswx xiv ssiPx
651-681-4675
Please wmplete for ? single family dwellings townhomes and condos when permiks are required for each unit
Date:
SITEADDRESS: 1274 CARLSON LAKE LANE
OWNER NAME: JOANNE ARENSON TELEPHONE #: 651 683-1083
(AREA CODE)
INSTALLERNAME: RON'S MECHANICAL, INC. TELEPHONE#: 952 445-8585
(AREA CODE)
STREETADDRESS: 12010 OLD BRICK YARD RD
CITY: SHAKOPEE STATE: MN ZIP: 55379
Place a check mark next to the oermit work tvoe
New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: t`a .I Wwm?
State Surchar e $ 50
Tota I ,?----------.?_ $ a6b
11 u 11111
Reminder: Call for inspections. IIIH R 2 1 2001
? -
iBy
?IGNATURE O PERMITTEE
Updated VOl
PERMIT # y51 )l / RECEIPT DATE: S ' O I
RESIDEPTUL PLUM$Iftf PMIT Af'PLICATION
crrYoF EAsAN
SSSO PILOT KNOB RD
£tt6RA, MN 55122
651-681-4675
Please complete for:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: 14-k'Q?
OWNER NAME: : ?U TELEPHONE #:
(AREA CODE)
INSTALLER NAME: ?_? • ?/Ji />/?US TELEPHONE #: '?S__/
STREETADDRESS: (AREA CODE) CITY: STATE: /?/ti ZIP-rS%Cl 3
Place a check mark next to the ermit work t e
_ New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: W&W T"lt(i
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ 50
Total $'50
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state thal the informalion is cortect, and agree to comply with all applica6le Ciryof Eagan ordinances. Il
is the applicant's responsibility to notify the property owner that the City of Eagan assumes liability for any damages raused by the City dunng its normal
operational and maintenance ac[ivities to the facilities constructed under this permit wi ?ty propertylright-of-wa / aemen `
J
SIGNAT OF PERMITTEE
Updaled 1/07
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construdion Reauirements
3 registered sile surveys showing sq. K. of lot sq. tt. of house; and all roofed areas
(20%macimum lot coverage allowed)
2 copies of plan showing beam & vrindow sizes; poured found design, etc.
1 setof Energy Calculations .
3 copies of Tree Preservatlon Plan ii IW plattetl aker 711193
Rim Joist Dettil Opfions selection sheet (buildings with 3 orless units)
Minnegasco mechanical venGlation form
RemodeVReoair Reauirementr
2 copies of plan shovnng footings, beams, joists
i set of Energy Cakulations for heated addi6ons
i si[e survey tor additions 8 decks
Addifion - iirdicate if on-srfe sepfic sysfem
.?_?-o.oo
Ca?w 9/& . -A4
Office Use Oniv
CertMSurveyRecd Y =._N
TieePresPlanRecd _YN.
Tree Pres Reqmred Y`._ N
On-siteSepLcSystem . _Y,>-"-N
Q
?d / ?
?cJ l
Date CJ l- Constructio n Cost
Site Address / 2 74/ c?lf e? Unit/Ste #
Descriptian of Work ret la?e 'Cfrr
Multi-Family Bldg _ Y X1V Fireplace(s) _ 0 1 _ 2
Property Owner cl CJ r M., /n"rH ft?K Telephone #( 6J7 )6f'3 /0 P, Z
g
'r ?fe o
,?
Contractor
i
Address )c Z City L Qr^ S c? ? .-
. State ? Zip. _?r/ tl6 Telephone # (al`l) Z41f0 /O`/V -
Gic. # zezv,4rz7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel
(dsubmissiontype) Sutimitted Submitted
• Energy Emelope Calculations SuGmilled
In The last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan: -
Licensed Plumber Telephone #(
Mechanical Contractor ? I I Telephone fl
` v !
Sewer/Water Contractor AUG ? ?n lR 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 i the ase of work which requires a review and
approval of plans. ?-
??
Applicant's Printed Name Applicant's ignature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
0 03 01 af _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
X 32 AddiGon
? 33 Alteretion
? 34 Replacement
DBSCI'IptiOD: Water Damage _ Yes
V
l
ti
2 ?
a
ua
on Occupancy MCES System
Plan Review 1?1/1? 100% or _ 25%
Census Code )1341 Zoning City water -
SAC Units Stories ^ Booster Pump
# of Units - Sq. Ft. PRV ?
# of Bldgs - Length Fire Sprinklered '-
Type of Const F? W dth 6Z?6)_
REQUIRED INSPECTIONS
Foo[ings (new bldg) Sheetrock
? Footings (deck) Pinal/C.O.
_ Footings (addition) ? Final/No C.O.
Foundation HVAC
Drain Tile Other
? Roof _ Ice & Water _
Framing Final - Pool Ftgs AidGas Tests Final
Siding _ Stucco Lath Stone Lath Brick
_ Fireplace _ R.I. _ Air Test Final Windows
_ Insulation _ Retaining Wall
Approved By:
----------- ---- -- ----- ---- ------- , Building Inspector
- -
Base Fee ------- -------- -------- -- ---------- --------- ------------ --------- ------------------ ------- --°--------°---
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
? 07 D5-plex
? 08 06-plex
? 09 07-plex
? 10 OS-plex
? 11 10-plex
? 12 12-plex
I.
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Eut. Alt - SF
? 36 Multi Misc.
? 35 Int Impmvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
'Demoiitian (Entlre Bldg) - Give PCA handout to applicant
? 13 16-plex
? 16 Firepiace
? 17 Garege
18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3sea.)
? 22 Poroh/Addn. (4-sea.)
? 23 Porch (screen/gazebo)-
? 24 Storm Damage
? 25 Miscellaneous
G i)4-Lso? ? nrr ? ?v
+ 13 5
• ? U ?
85.21
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98-001
26
97. 8 ?
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Use BLUE or BLACK Ink
I For Office` Use
Permit ~j I
AI 1A0 I
City of Ea aI I
I Permit Fee: )05,05
I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: /3
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2(013 RESIDENTIAL BUILD~~ING PERMIT APPLICATION
Date: 1 Site Address: ) / ~ 7u / k, L tie, Unit
Name: If t ~z (Lk-- Z? Phone: q1)
Resident/ / r
Owner Address / City / Zip: / 2 74 1r gc;, L6,_
Applicant is: Owner Contractor
Type of Work Description of work: ~ .-f- Oo
Construction Cost: CD Multi-Family Building: (Yes /No
)
Company: "t., t i" s "k UCContact:
Lc Contractor Address: w~ City: C r e, 'c Ir`I~
_ 7 -
State: -Zip: Phone: 3.-2C`I - 1~ ` z
License ~L Lead Certificate ( 427n_
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 submit are considered to be public information. Portions of
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. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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; 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 Minnesota tate ilding Code must b mpleted ithin 180
days of permit issuance.
X_ I~ J6 .1 1 rr ...j x
Applicant's Printed Name Applicant's Si a ure
Page 1 of 3
'*''
City of Eaoan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
DEC 182015
Permit #:
(7,1.3y,56c..1
Use BLUE or BLACK Ink
For Office Use
Permit Fee
Date Received:P /� w
r.�
%
Staff:
r
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /2 - /1/-/5 Site Address: /274 CarJsoo, /Ake., tares jo„� { 11) $SI23 Unit #: 4ot
j f J 1
Name: Ads -;c �Qr1".P�(
Address / City / Zip: /02 7 4 (xt r'l $Dl'1 La kg- &lil ti
Owner'
Phone: (,5/ ,V/V OZ 7S
Applicant is: X Owner Contractor
1
Description of work:
Construction Cost:
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: 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 & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be publi '_' fo
the information may be classified as non-public if you provide specific reasons th
conclude that they are trade secrets.
Portions of
fhe City. to
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.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 Minnesota State Building Code must be completed within 180
days of permit issuance.
x Ad r art 12 Ha r4".eJ
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
{� 69-4 /s4'/2 L/9 //4 DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
\jSingle Family
JJ'"' Multi
01 of Plex
Fireplace
Garage
Deck
Lower Level
WORK TYPES
New Interior Improvement
Addition Move Building
/ Alteration
// Replace
Retaining Wall
DESCRIPTION
Valuation�` f_t_ Occupancy
Plan Review Code Edition
(25%_ 100%) Zoning
Census Code Stories
# of Units Square Feet
# of Buildings Length
Type of Construction raj Width
Fire Repair
Repair
Porch (3 -Season) Exterior Alteration (Single Family)
Porch (4 -Season) Exterior Alteration (Multi)
Porch (Screen/Gazebo/Pergola) Miscellaneous
Pool Accessory Building
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
Siding
Reroof
Windows
Egress Window
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
_X Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
o
9
'11
(-9`-q7
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153582
Date Issued:01/03/2019
Permit Category:ePermit
Site Address: 1274 Carlson Lake Lane
Lot:027 Block: 003 Addition: Wilderness Run 4th
PID:10-84353-03-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Irene Marenya
1274 Carlson Lake Lane
Eagan MN 55123
(612) 232-2522
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154325
Date Issued:03/13/2019
Permit Category:ePermit
Site Address: 1274 Carlson Lake Lane
Lot:027 Block: 003 Addition: Wilderness Run 4th
PID:10-84353-03-270
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Irene Marenya
1274 Carlson Lake Lane
Eagan MN 55123
(612) 232-2522
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature