Loading...
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 .^ iI MI I , I? I ? r S ? 41 1?d i ?I I rY uN?? ? ? \(1 ? ?z ? ? e rv LlNE I D l ,cr'?•? °l?z?,c?- ?- . ? I M I ? LoT .?? BLOCk ED L u 5o ?2 ? t'AoNT__ _?i?Fl?LTY LI N G E=l 1LOT -PL AN , _ 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 0 0 f ? ? ? I i ?4 • 00 - -„ is lZ?k ? i 0 0 0 0 z 93w86 ? i i 0 Y?F • ? ? CM 0 98-001 26 97. 8 ? t -1 r , - % 'o(=,, r! 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