1244 Carlson Lake LaneVILLAGE OF EAOAN WATER SERVICE PERMIT
3795 Vih• L(nob Road PERMIT NO.: 1715
Eogon, MN 5512I DATE: 4/17/75
Zoning: Rl No. of Units: 1
Owner:I]en ()7 fxnn L`ppg tXuc,},jpn
Address:
Site Address: _124!LCdll son Iak J' i'
Pluner: Blaylock Plumbing
Met?No.:,,Z-?/ 5-6 '7 ? 15.,nnection Charge: 320.00 pd 3
Size: ?J Account Deposi[:
Aeader No.: ? ? ?'??` ?Permit Fee: 10.00 pd
!ig;".fi14?74 witF the Vill oqa of Eagun Surcharge: •50 pd
By
Date of Insp.:
Misa Charges: 60. 00 pd 3/17/75
To[al:
Paid:
SEWER SERVICE PERMIT
VILLIIOE OF EAOAN
3795-Pilot Knob Road PERMIT NO.: 2476
Eagan. MN 551I4 DATE: 4I17175
Zoning: Rl No. of Units: 1
Owner:
Addrese:
1244 CarlsQn Tak Ane -
Site Address:
B1dYloCk PLumTuing
b
Pl
er:
um
1 ogrw to eomply wkh fM Villega of Eagon Connection Chazge: 4Z5.00 pd 3/17*
prdinam:es, Account Deposit:
Permit Fee: 10.00 pd
Surcharge: Sn pd
B
. Misc. Charges:
y
Date of Insp.: To[al:
Insp.: Date Paid:
CITY OF EAGAN Remarks
Addition w].ldP.Y'YleBS P3Y'k Lot 4 Blk 3 Parcel lo 84250 o4o o3
owner -? streec /12 L Carlson Lake Lane State Eaaan,MN-55123
Gc???.-c-•. •....J
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, jQ]'] $75.70 87.57 lO
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 176.05 B.aQ 20 P2id
SEWER LATERAL
WATERMAIN
WATER LATERAL +$ 1
i 30.29 1 Paid
WATER AREA
ATER ER W
MONNECTION
STORM SEW TRK 1981 95066 1671
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 13005
sAC 425.00 1 3-17-75
PARK
1
CITY OF Ei,GAN
3795 Pilot Fs,ob Road
Eagan, Minnesota 55122
PERMIT NO. : K rlq
i'he City of Ezgan hereby grants to R)Ayio x ni„mh;r,q
Oi 7717 G}} p Go ?ti hfi 1d 55493
a_PT.TiMRTid(C; Permit for: (Owner) n oi son ronstnuntien
at i?da rarlsor, Taka TanP , Puz'suant to app'ication dated 4/11/75
Fee Paida ?no dated this nti, daq of Ap,-i 7 }? 9 '7S •
.5o s/c
Building Inspeetor
P"_acraaiical Permits:
Eid Totals
61-3 lcl -,?. ?. -7-
CzrrTY aF EAGAN
3795 Pilot Knob Road
Eagan, P,'Linnesota 55122
PERNffT IdO.: r,r,7
The City of Eagan hereby grants to gavm_, wPit?r Tiaa};nq rn_
ef 4637 Chicag,g Ave.. Mnis. , 4n7
a xFamrNC: Permit for: (Owner) n_ ojeon x,ilainR
at 1244 caricon iake TasnPj Pursuant to application dated 4/22/75 '
Fee Paid: s20-00 dated this aj_day of Anr;l ,'?9 ?s .
.50 s/c
Building Inspector
Mechanical Permits:
Bid Total:
:a .
J CITY of EAGAN
BUILDING PERMIT
Ownr: _....::?.?'.:`.-?!j=.?-............................ ...L.t ,.((,/(J
....
Addreae (Presenl) ... .. 7sa/--7a ............ . . ..?`. .h..........(./.L...."......
Butlder ..........................'C.L...j,r.t..?.f .-------------------------------------- ....
Addreas ......
?
. ;.
N4 3526
3795 Pilo! Knob Roed
Eagan, Minaesota 55122
454-8100
Dsls ...
Blories To Se Used Far FronS Depih Heigh!
Eei. Cost
I srmi! Fee Aemarks
,
r ?
? /R.
Sd
Sireel, Road or oiher Descsipfion ot Loaalion I Lo! Sloek Addifion or Tzact ?
?P I'Il P 5s Ar
This permif does not avlhorize the use of afreeb, roada, slleys or sidewalke aor doet ft give 1he owaes os hfe agen!
the =Sgh!!o ereate any siluation whieh is a nuisanee or which presenls a heaard !o the heallh, safelp, eoaveniann aad
general welfaze !o anyone in the communifp. . ..
S BE T S16N ?E PREMISE WHILE THE WOAK IS IN PAOGAESS./
THIS PERMIT MUT
Thfs is !o terlifp. lhaY.._?.....C/_/S?.f..? ........................has parmisaion !o ereet a......---.....,l..l.?f...?.•................._..............._upon
the above :.e sc i ed ? mise subjeet fo ihe provisions of all appli 1 'nanoes Eos lh?Ci ga?--...... ...'?l..=? .......................................... Pez .. ...............fGl.. .i?....._?..`...?............................--
? ? Mayor Building Iwpeotos
C
M
?
?
4 ,
0
Must show locahon ot streets, lot antl proposed buildfngs, give lot dfinensfons. (Lot corners and uildin sfte
are to be staked 6efore appraisalis requested.)
IW ?LJe,uets
k- / S?I I L- _- i? U !S h b/ t i 0N
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YSv 6 ? 70
MASTER CARD
E AND
Permit
No.
Issued Issued To
ConTractor I Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK ? 4- r r_ 7J? `G
WELL
EIECTRICAL
HEATING
GAS INSTALLING 1d.b %
- ?C-
SANITARY SEWER i
OTHER I I
O7HER
I
I
Items Approved
(Initial)
Date
Remarks
Disfance From Well
FOOTING
FOUNDATION $EPTIC
CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL I
HE.4TING DEPTH
OF WELL
GAS WSTALLATION
SEPTIC TANK
CESSPOOI
DRAINFIEID
PLUMBWG
WELL
SANI7ARY SEWER qi
?
Violations Noted
on Back
COMMENTS:
OWNER ?4p Ol s 8 An,
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA113217
Date Issued:08/30/2013
Permit Category:ePermit
Site Address: 1244 Carlson Lake Lane
Lot:004 Block: 003 Addition: Wilderness Park
PID:10-84250-03-040
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 -
Gayle H Anderson
1244 Carlson Lake Lane
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature