1210 Carlson Lake LaneCITY OF EAGAN WATER SERVICE PERMIT
3795 P'ilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Ztining: No. of Units:
Owner;
Address:
$ite Address:
Plumber:
Meter No.: Connection Chorge:
Size: Acaount De
osit
p
:
Reader No.: Permit Fee:
I ogree to complp with fhe City oF Eagan Surchorge:
Ordinaneea. Misc. Charges:
Toral:
BY Date Paid:
Dote of Insp.: Insp.:
F cirr of EnGAN SEWER SERVICE PERMIT
3795 •Pilot Knob Road PERMIT NO.: _
-
? Eop4n. MN 55122 DATE:
Zoning: No, of Units: '
Owner:
Address:
Site Address: _ • ?1..: ,?1,.?
Plumber:
1 agree to eomply with Nhe City of Eagan Connection Charge: _
Ordinances. Account Deposit:
Permit Fee:
Surchorge:
BY Misc
Char
es:
.
g
Dnte of Insp.: Total:
Insp.: Date Poid: _.? ? - -------- - -
.
cirr oF EAc,AN
3795 Pilot Keob Road Eagen, MN 55122 N2 5240
'- PHONEs 454-8100
BUILDING PERMIT Recetpt #
To 6e aNd for Est. Value Date , 19
Site Address Erect ? Occupancy
Lot Block 5ec/Sub. Alter ? Zoning
parcel # Repair ? Firb Zone
Enlarqe ? Type of Const.
W Name Move p #' Stories
3Z Address Demolish p Front ft.
b ra.,, oL.,,..,. Grade rl Depth ff.
a' Name #+VVruvals -
0
Address
Assessment
Permit
~ Water & Sew. Surcharge
Ci phone Police Plen check
??
WW Nome Fi? SAC
? v? Address Eng. Water Conn.
a W Ci Phone Planner Water Meter
Council
I hereby ocknowledge that I hove read this application and state that gldg. Off.
the information is correct and agree to comply with oll appiicoble APC Total
State of Minnesota Statutes and Ciry of Eogan Ordinances.
Signature of Permittee
A Building Permit is issued to: •on the express condition that
all work slwll be done in accordance with all appticnble State of Minnesoto Stotutes and City of Eagon Ordinonces.
Building Officiol
PermIt # peM hw?d P?iKM
Plumbing /%q E /U Z- I l/ A ti-3
Mechcnicol .517 -13 -79
-?-? R 7 b 8?+? - Z- 79 LkNA
9 -7 - -7 1
INSPECTIONS DATE INSP• Rouph-In Flnd
Footings Date Irap. Dote InsD.
Foundation Plumbing -? - ?
Frome/ins. Mechonical
Final
/- 7- 7 ?
Remarks:
i / -) q
! ?.? ) ? g • ?
A?'",??+?-."??""" •
8
`-.sf??r r•
_ _ L. . . . t
CITY OF EAGAN
3795 Pilot Knob Rocd
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
No. '"."'jn
I "R9
Date: Receipt No.:
- ^1(? ; ,.?. . 1:9':£' •: r,A ?., Single I .
Site Address: Residentiol
T-.-'i ??:.?:•,'..?,???;?7 ?' ?_.:', ?
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Nome ? New/Alter./Repair. ? 3 Address Cost of Installation
_
O ,-
City Phone: Permit Fee
• -., ._.,- - ,'+]3'?. -
Nome ? Surcharge
?
E ? ?-A e, •;ni ,.,,.. ,
? Address ' ?e
o . ?
V - _ City _ Phone: ? Total
This Permit is issued on the express condition thot oil work shail be done in accordance with olf applicoble State of
Minnesoto Stotutes and City of Eagon Ordinances.
Building Official
CITY OF EAGAN
? 3795 Pilof Knob Road :''-" ?'• ?' ? ????' ??.? F' ' ?? ?`'
Eugon, Minnesota 55122
Phone: 454-8106
PERMIT No.
t?.? 13"'?g 1 r '. ,
Date: Receipt No.:
12 I
1.;) rlarl"'•C-z1 11-0.--f? IM`aC'. 5ingle
Residentiai Site Address:
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Dc'1lltL.3i.i7 w7„ C'CI.
Name New/Alter./Repair
r?????? T c.:r?.
3 Address Cost of Installation
City Phone: Permit Fee
.?-
Name Surchorge
p?
P Address
C
U }.' . , .. _',? =? " ' .• -,
City Phone: Total
This Permit is issued on the express condition that all work sholl be done in atcordance with all applicable State of
Minnesoto Statutes ond City of Eagon Ordinances.
Building Official
CITY OF EAGAN Remarks
Addition Wilderness Park Lot 21 eik 3 Parcel 10 814250 210 o3
OwnerRrtaSh? yiwt c Kuwct P. &4 Street 1210 Carlson Lake Lane State Eagan,MN 5 123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET FlESTOR.
GRADING
SAN SEW TRUNK `--? 1273 176.05 8.8o 20 1 5
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 6 9
STORM SEW TRK 328.00 C005
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET L1GHT
Ro i 75.00 14489 5-30-79
WATERCONN, 270.00 14489 5-30-79
SUILDING PER. #
' SAC -525,00 14499 _7
PARK 120.00 14489 5-30-79
? 8•5?--334550 ? ?
T4is rgqu,est void 18 months &om
R 79117
Date of this Request 7-25-1999
I, asO Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at: L--4,t WLLktMtk-&? PJ4.1 ?0-&&, ?
Street Address or Route No. 1210 Carlson Lake Lane City Eagan
Section Township
Range County Dakota
Which is occupied by Greg Dalhaug
(Name o7 Occupanq
Is a roughin inspection required on this joh? No ? Yes &3c Ready Now$ Will Call ?
Power Supglier Dakota Countv Address Farmington
Electncal Contractor O.B. Thompson Electric Co. Contractor's License NoQ36835
(Company Name) -
Mailing Address
Authorized Signature l/. ?_'^",??
?-
SFAVE BO f;'? ?? ???? This inspection request willnot he accepted by ffie
(}? StateBaard uniess proper inspection fee is enclosed.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
'REQUEST FOR ELECTRICAL INSPECTION
CHEeK BELOi;i'.ftk COVERED BY THIS REQUEST
R 79117
Type of Budding New Add. ReP• Check Appliances W'ved For Check Equipment W'ved For
Home ? ? ? Range ? Temporaxy Wiring 30AEfEb
Duylex ? ? ? Water Heate[ ? Ligh[ing F is Wres
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Commereial Bldg. ? ? ? Fumace ? Silo Unloadei ?
Industrial Bldg. ? ? ? A'v Conditioner ? Bulk M0k Tank ?
List List
Other ? ? ? ?theisf
eie Rthers?
e[e
COMPUTE INSPECTION FEE BELOW tPamnnra rv Rc+?vi nc
Service Entrance Size: # Fce Feeders&Subfeedeis: # Fee Circuits: T # Fce
0 to 300 Am s. A s 0 to 30 Am eies
IOI to 200 Amps. 31 ` e 31 to 100 Am eres
Above 200 Amps. A 0 Above 100 Amps.
Transfotmers ReWlotecFMdfittol'VM Partial oc olher fee
&ns Special Ins ection Minimum fee
Remarks
Jeff D.
TOTAL E %r!?
$.rj0
I, the Electrical lnspector, hereby cerGfy that the above inspection has been made.
(Rough-in) ! Date
(Final) Date
This request void 18 months from -°
40.50--133999 p
This request void 18 months from y'?//'/ L-& C3 / _=5- 9 O ?
' '? 69079
Date of this Request 4-18_1979
I, as O Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 1210 Carlson I.ake I,ane Cit}Eag!x?
Sectlon Township Range County Dakota
Which is occupied by Grea Dalhaug
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes 14 Ready Now 0 Will Call Eg'
Power Supplier p ota Cty. Address Farmington
Electrical Contractor-O.B. Thompson Electric Co. Contractor's License No 3635
(COmpany Name)
Mailing Address 12201 bItka Blvd. p &Itka 55343
(Elettr' I?g ntractorT c2 wn ! pffaking InStallation)
Authorized Signature ,?)Phone No. 933•2521
lElectrital Contraclor'arOwner Making Thls InStailaSlon)
$??0 g? AR D 00PVThis inspection request will not be eccepted hy ffie
State Board unless proper inspection fee is enclased.
Minnesota State Board of Electricity
.,. University Ave., St. Paul, Minn. 55104-Phone 645•7703
REQUEST FOR ELEC7`RICAL^ iNSPECTION
CHECK BELOW WOAK COVERED BY THIS REOUEST
R 69079
Type of Bvilding New Add. Rep. Check Appliances Wired Foi Check Equipment Wired For
Home EC ? ? Range fi4. QC) Temporary Wiring ?
Duplex ? ? ? Walex Hexicr ? Lighting Fixtures
Apt. Bldg. ? ? ? Dryet ? Elec[iic Heating ?
Commercial Bldg. ? ? ? Fumace 112.OO Silo Ilnloader ?
Indnstrial Bldg. ? ? ? A'v Condi[ioner ? Bulk MIlk Tank ?
Fazm Lis1
) L
ist
Other
?
?
? p
}
Herers) .
* p
Heher$#
COMPUTE INSPECTION FEE BELOW
Service Entlance Size: # Fee Peedeis@Subfeedrn: M Fee Cvcuits: x Fce
0 to 100 Am s. 30 res 0 to 30 Am eres 1 20
101 to 200 Am ri G 1U.UU1 112 10 31 to 100 Am eres
Above 200 Amps. e Above 10(LAmps.
T[ans(ormers em on - Partialoro[herfee •
S" ns
1
1 Special lns ection
Minimum fee $5.00
Remarks
EZ].T1CY3? '
TOTALF ,OU
[}0.rj0
I, the Electrical Inspector, hereby ce?that,t'(? a? vE insggFtion has been t?1^ad'
(Rough-in) / ,?' L?/`?lr"bv Date ? - ? ! - ^ l'`
(Final) Date
This request void 18 months from ?`
This request void 18 months from ,
s ,
Date of this Request D, t
I;'ds4C1Licensed Electric ontractor ?Owner, do hereby request
cal wiring installed at: L
Street Address or Route No.
Section Township
Which is occupied by
Is a roughin inspectio
PoVr Supplier4L
Electrical Contractor
Mailing Address ,
required on
Authorized Signature
? h fi?1' -tun$e-
(Nam i Occ
.
NoO es
_ Address -A
t B7B ?'C??ir
? LA A.
'R97ss
of the above electri-
'.?-.?
Ready Now ? Will Call ?
No.-
n (Elactrical Contractor or O?w//ner Making This Installatlon)
`??/?VE i?ARD COPqy This inupection repuest will nat be accepted by the
+?'? m State Board unless proper inspection fee is endosed.
Minnesota State Board of Electricity
1954'University Ave., St. Paul, Minn. 55144-Phone 645-7703
,REQIbEST FOR ELECT4ICAL1NSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
76849
Type of BuBdipg New Add. Rep, Ch¢ck Appliances Wved For , Check Equipment Wired For
Home
?
?
?
Range
?
Temporary Wiring 19
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Neating ?
Commercial Bldg. ? ? ? Fumace Cl Silo Unloader ?
industrial Btdg. ? ? ? Au Conditioner 0 Bulk Milk Tank ?
pyren List ) Lis[
Other ? ? ? Rthers}
exe f Others?
Hete 7
COMPUTE INSPECTION FEE BELOW
Service Enhance Size: # Fee F sdS eed Fee C'vcuits: # Fx
0'to 100 Am s. o A&IkesE 0[a 30 Am res
101-to 200 Amps. 3 31 to 100 Am eres
Above 200_Amps. ve 1 Above 100 Amps.
Trtnsfocmers RemoteConvolCirc. Partial or other fee
Si ns Special Ins ction Minimum fee $5.00
Remarks
no %l,l.)
TOTALFEE
I the Electrical [nspector, he?eby certify that the above inspection has been mad?
(Final) -
This request
Date
20e p=o2 7? 2?,
cirr oF E+caN
? -? 9795 Pilet Knob Rood Eagae, MN 55122 N? 5240
PHONE: 4548100
BUILDING PERMIT APPUCATION Receipt --
Te be uied for SF R+'lg & Garage Est. Vaiue 70,000. pme 5-30- , 1q 79_
Site Address 1210 '(arl pn Ta Tana Ered p( Occupancy R3
i.or Zl si«k 3 sec/s.b. Wilderness Park Pdck6r ? zo,,;,,9 Rl
parcel # 10 84250 210 03 Repoir ? Fire Zone 3
c Nnme Da]haug Bldq. Co. Eniar9e ? Type of Const. V
Move # ? 5333 Clintr?n Ave. SO. ? Stories
Address S Demolish ? Front k.
r:... o-,.__ Grade f'I Oepth ft.
a Name ?M Approvala Feea
0
o? Mdrea
V
Assessment
Permit 169.50
3
? Water & Sew. 5.00
Surcharge
CI Phone Polica Plan check 54.75
?
?Z Name Fire SAC 525.00
Address Eng. Wmer Conr,27n . 0 0
aw Ci Phone Plonner Water Meter 60, 00
Countil
I hereby ockrwwledge tFwt 1 have reud is applimtion ond state that g,d9. ?. Pa,-x r? _1?n _ on
the informMfon is Correcf a to comply ' all applicable
APC
Total
State of Minnewta Statute Ciry of Or s
Signature of Permitt
A Building Permit is issue to: Dalha • • on the express eonditlon that
oll work shall be done in ac dnnce' it
h n
lJ/?
a
M` licabl
e
State
of MinnesoM Statutes and City of Eagon Ordirronces.
Building Official ? ?
?
7
??
.'.,t-.6CC `
/
?
?v??
• • ? ?? ??,
. • nnmE
BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
C??
7b be used far Valuation
Site Address;
.CdT-z/
Lot Block Sec. Sub. Parcel Number le Xj/,75-t` -?/p 03
a r 3 LU
owner
Address J/?p?i?/AGl_?O-
y
,?-
contractor S'?y7js?
Address
Arch. /Eng.
Address
Erect ?
Alter
Repair
I?nlarge
Move
nemolish
Grade
OFFZCE USE
Date of Approval s Initial
?/l !-/
Assessment ? ,:.C? ??j9
Te2ephone
Telephone
Telephone sf/l,?l?i
OFFICE USE
Occupancy 7r.3
Zoning
Fire Zone 3
Type of Const.
N of Stories
Front
Depth
Pexmit
FEES
Water/Sewer
police
Fire
Eng.
Planner
Council
Rldg. Off.
A.P.C.
Surcharge
Plan Check
SAC
P?ater Conn.
t7ater Metex
? e_- -
TOTA7, , _„/
!??
. .. .._ ? .._ z'g,.
- - &
,,, F ,r,. . , I .. v? ?_ •' ° ?y/Qyr? 6 0 0 /V
Ma P
' grso/ os'o?
? .•- iE'/z?. ? o
0
;? oR is•ioi 9/'97/ _
.a?{ ooos ? 0 0 ?
?
° h• ` N ? 1?
O n± • „
u? `?` O ? N a CA o 0
' . ? • O ? ?- ° ? ? ° ' ? ?
_ • o ? ° °' - ?-
? ?.. r r N
-? • a? ? ? ,.. ?g'BB? _r ? y'° ?
ap•lf--oa'if ooy9 -?:
N .?"/' y= ao
??61.8'? ? ? o0'ooi=1? ? R181,6o,ooN _
? ?,ti ob b4' `0.15G:2'? 96??-00 00/ ''•
? \ "? yl"'4 g?y6??FCF0IOC'L4, ?•EzS
? (V M ? N Z D 50
^^ o "' Z ? u, Qu?' ?`s,? o n,
a,/ .`ir- ?{ o
? OC? 0?'1?6 b4 ? M
m ?p
o. A O° ?oa c0. .a41'a \r t'x 00 n n 1 .?'e ° ?'
e ey, - ab .g O O? h
C-C
--
41rr V1
t
9S lb
Ayc'9 . q` a ? 4??i ? o ' oe .n6e??,t, g5' qti ?L, p: ? 9?
\ l
a O'bs_°
? ?rs
?AA? -?? - Foey j
? ? l' )l8?i.ylF? ? ?o r? n ,C• Q ?
cn i(
bt1 ' ?? ° . 44
? ° • ?? _ "? ? \' ?, M ? ?i
w
yo oi°
or o yto 71 , ?? \? M" yr ?
?J ",, o x .?, ., ".?\ ?,q5, oa"a \ . ,. Z?b • ,r ,r ' ? z ?„ 1110 d ? p i
7, ? e? ? ,`' s -Oa?a d ?- • ?
rt1 ? °$•
M ?°o ?M,O ,0zoEOP
co?N
6 Ln ?
? :' /Bh?' 0 ?= ?? h N
3.nb,iF,?o?
k. - oc OCt -.. ? ?
? > '• ' \ ? >7vcsa60N '?' ..?? ZOy7/
n . ?
140) O oF ?
?
? fB rcr ... ? ?. ?• zo, ?so6c,? e? ? ;t't ^Y
3„to,c9o6m.
c
QNNER .
SITE ADDRE55
CONTRACTOR?'j,C,Q/?r/G c_C21DATE PHONE
Determine working square footage of each.
1. Total exposed wall area ...... ,33?p sq. ft. x .17 - .? .
?
2. Tota] roof/ceiling area .... hi sq. fi. x .05 =[?
Total exposed watl area above floor =
a. Total wall window area.:.........................
b. Total door area .................................
c. Total sliding gTass door area ....................
d. 7ota1 fireplace wall area........................
e. Total wall framing area (average 10%)...:........
f. Total net wall area above floar .................
g. Total rim joist area ............................
....?....,.-.-.-.....-_..,-..,.....?...?....-.a...
PHILLIPS PL.AN SERVi?CE?
• • 0700 L dale Ava So.
' t?n, MN
EXTERIOR EMVELOPE-NVERAGE "U" COMPUTATION 55420
•? ?206
_ni.A L, w.. w' rln.A .? f
Total exposed foundation area = /1(p
' h. Totat foundation window area..................... 115 .
i. Toal net foundation area above grade ............ T/ .
Determine "U" value of each wall segment.
a. 1?3l0.0 X ?IU41 .505 = - ??q•8
b. _37 0 X „u„ .55 _ ?O•?
C• ioy.le(Q z liu° .55 = 57-56
d. yp X ..u„ .36, _ N.
e._ ,?.N?•39 x "u° ,/3 = .3o2.H1
f- ,2.2NH. o/ x„u„ ?= i5? 08
9• 3i.Z.D XA„u„ IF, 72,
n. 3. 15 X ,.u„ .55 = ?. 7,3
i. i/a.,F5 z ?v, : (07 = 52.9z
---f?
3 ................:... ??0...............Total
?If item #3 is the same as, or less than item 01., you have met the intent
of SBL 6006(c)2.
'? ?'? f.' . ?h _ ' • ,.
• i \ t?? <. 'f~ '-a ., ' - . . . .
i)
;?
?
?
t._t.1? .. .
d[5
--------- ...+.t+.? ?.--..?..+...... +.k?w.?.....-?..«.?......... -+.w.-.-?'..-----
'
Total exposed roof/ceiling area =
p . . -
Total gross roof/ceiling area = I O/{t?
j. Tatal skylight area ........................ -
k. Total roof/ceiling framing area .
1. Total net insuTated roof/ceiling area.......
Determine "U" value for each roof/ceiling segment.
X "U"
k. ?oN.y x „u„
1. 9,394 x 11Vn •D?= 39.H?
4...... .....10z llaO ..........Total
If total uf #4 is the same as, or less than #2, you have met tfie intent of
SBC G006(c)'t,
To uCilized the total envelope system method, the values established hy the
sum of items #3 and #4 shall not be greater thars the sum of itens 91 and #2.
, ].
3
KATERIALS
Szterior Air
Siding Material
Shaatdilns
Ineulation
Sheatrock
Interiox eir
Stu4e
Rim
Conc. Blks.
+ 2,
+ 4:
Therd. Reeietance "R"
L• ,2lS?.
6
?
,
4
/
-k
1997 BUILDING PERMIT .4PPLi O?.`TiON (RESIDENTIAL)
?
I
3830 PILOT KN B RD 55122
681-4675 ? °•7 - ' ?"'Y.?
n
? 3 regiatered site sunreys
• 2 coplas M Dlans (indude beam & window sizea; poured fid.
? 1 energy calalations
? 3 eopiee M hee preaervadan plen H lot platted after 711193
requlred: _ Yes _ No
DATE: (o -,;? 3 - 97
DESCRIPTION OF WORK:
RemodaVReoair ReauhemerHs
? 2 eopies of plan
etc.) ? 2 site surveys (exterior additionc & dedce)
? 1 energy calwlatlons tor heated adtlkions
i .
? .
CONSTRUCTION COST: / 1 J?nnn ? TO ?aUU. Od0 ° 11
_FIJREETADDRESS: IoUU LkIKl.50N LJ9KE
LOT aL BIOCK ? SUBD.lP.I.D. #:
PROPERTY
OWNER
CONTRACTOR
onry):
ARCHRECT! Company:
ENGINEER
Name:
Street.
City: f
Sewer 8 water licensed plumber (new constn
-ind lot change are requested once permit is
I hereby acknowledge that I have read fhis
State of Minnesota Statutes and City of E
M m _ Z;p: 5sIa3 ^
qtion and shate that the infortnation is
Ordinances. ,
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
H
Name: 14ARVe4 Q., R" Phone#: 697-6496
? -/ w7X-629 q d
Street Address:
City: EA
Company: _
Street Address:
City:
Zip:
Phone #: '753 - 600 °1
Registration #:
I
_ Yes _ No
Phone #: SAM c
License #:
Zip: 5530 ?
Penalty applies when address change
and agree to comply with all applicable
Tree Preservation Plan Received - Yes _ No _ Not Required
rJF: ICE JSE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
a 02 SF Dwelling ? 07 4-plex
0 03 SF Addition ? 08 &plex
0 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE
0 31 New p 33 Alterations
)2' 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actuai)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
0 11 Apt./Lodging o
n 12 Mufti RepaidRem. o
,a' 13 Garage/Accessory ?
0 14 Fireplace n
0 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
?"de Spe,d-a- OL4.ooQ
0 36 Move
0 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq.ft.
sq.ft.
Footprint sq. ft.
MC/WS System
City Water
Fire Sprinkiered
PRV
? Booster Pump
Census Code.
- ' SAC Code
Census Bldg
Census Unit
Planning Building Engineering Variance
/
/
/-13<l
?
0
Permit Fee
Surcharge
Plan ReJiew
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
04her
Copies ( >> : IS
TotaE:
Valuation:
Cn-,, Q
gox ???. ?<!
7V a e?-4 it ? I1, ('20. 1
% SAC
SAC Units
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107180
Date Issued:09/28/2012
Permit Category:ePermit
Site Address: 1210 Carlson Lake Lane
Lot:021 Block: 003 Addition: Wilderness Park
PID:10-84250-03-210
Use:
Description:
Sub Type:e-Reroof
Work Type:Replace
Description:House & Garage
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 .
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 -
Diana R Finman
1210 Carlson Lake Lane
Eagan MN 55123
Hause Construction, JG
P O Box 206
Bayport MN 55003
(651) 439-0189
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154013
Date Issued:02/11/2019
Permit Category:ePermit
Site Address: 1210 Carlson Lake Lane
Lot:021 Block: 003 Addition: Wilderness Park
PID:10-84250-03-210
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 -
Diana R Finman
1210 Carlson Lake Lane
Eagan MN 55123
Silver Tree Plumbing & Heating Llc
1335 Mendota Heights Rd
Mendota Heights MN 55120
(651) 319-4200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171316
Date Issued:08/11/2021
Permit Category:ePermit
Site Address: 1210 Carlson Lake Lane
Lot:021 Block: 003 Addition: Wilderness Park
PID:10-84250-03-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Diana R Finman
1210 Carlson Lake Ln
Saint Paul MN 55123--171
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173848
Date Issued:12/08/2021
Permit Category:ePermit
Site Address: 1210 Carlson Lake Lane
Lot:021 Block: 003 Addition: Wilderness Park
PID:10-84250-03-210
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Diana R Finman
1210 Carlson Lake Ln
Saint Paul MN 55123--171
Master Plumbing Services Llc
PO Box 2451
Inver Grove Heights MN 55076
(651) 248-1008
Applicant/Permitee: Signature Issued By: Signature