1290 Carlson Lake LaneCITY OF EAGAN •? ^ -7 . ? ^
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE• 454-8100
BUILDING PERMIT Receipt ?
To be used for Est Value Date JL;Ni
Site Address 1290 C1lRLSON LAKE LN
Lot ' Block Sec/Sub.
Parcel No.
WILj'L.:NE5S RUN 4
c Name '
; Address _
° City Phone
.o Neme
? ? Address ,' l ' , , •, ,.
City Phone -
City
I hereby acknowledge that I have read this application and state
that the information is correct and agree to comply wRh all appliceble
State af Minneaota Statutes and City of Eagan Ordlnances.
Signature of Permittee
OFFICE USE OMLY
On Site 5ewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (ActuaR
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Water/Sewer _ 5urcharge
Police _ Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ WaterConn.
Council _ Water Meter
Bldg. OH. _ Road Unit '
APC _ Treatment P1
Varience _ Parks
TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all app8csble State of Minnesota Statutes and City of Eagan Ordinances.
Buildin9 Official
Permit No. Permit Nolder Data Telephons it
Plumbing
H.V.A.C.
Electric f ' ,?
Softener
Inspectlon Dab Insp. Commsnts
Footing
1 4?21?
Footing
Foun
da
J
Framin
Roofin
Rough 7.2 _ ' -
, .
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. OcC.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
5' u Ii.vA
?
?
/i
CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 9059
PHONE: 454-8100
BUILDING PERMIT Rec eipt # " .
Te b-D ossd fm_ f'vtii . ADD/BASEi?OLTolue $ 2 U, 0 0 U Dat e h?" y I 1 , 19
SiteAddress 1290 CARLSON LAKI? LN Erect ? Occuporxy IR 3
Lot 3dBlock 3 Sec/Sub. WILDERty S1, RUN
AIter
0 1
Zoning ??
Parcel No. 10-84353-300-03 Repoir p Fire Zone N lA
E
l ff v
t Co
st
T
n
aros ype o
n
.
a Name .IOHN HCiL i?i ?Ve 0 # Stories
Address `i ?=1 Demolish p Length
?
City Phone Grode ? Depth Sq. Ft.
?o Name '' iLSEN HOMES
o? Address 6?.7 SO. SNELLING
" `T T'jJ 698-5501
? City • F' -? Phone
Name _
Address
City -
1 hereby ocknowledga thot I have reod this opplication and stare thut
the inlormntion is carrect and ogree to wmply with oll opplicoble
State of Minnewto Stotutes and City of fogart Ordinances.
Sipnoture of Perm
N 8ullding Permit is
oll work sholl be do
8ufldinq Official -
issued to:
Assessment
Water & Sew.
Pol ice
Fire
Enfl.
Plonner
CAUncil
Bldg. Off.
APC
of Minnesota 5tatutes
Permit ? ?T4 . ? (
,
Surchorge I?(
Plan check
SAC
Water Conn.
Woter Meter
Road Unit
Totol $ 220.75
thag
Permit No. Permit Holder Miac. Permit No. Holder
Plum6in9
H.V.A.C.
w.u
Watar
D"?sp.
Sewer
Electric
Inspection Date Insp. ather
Foatings
Foundation
Framinp
Rouph P16g.
Rouph HVAC
Ingulation
Final Plba
Final HVAC
Final
Water Describe Locati n:
?-
Vllell
F ? ""
Sewsr
Pr. Disp.
& Ik-11
1. Date. iay 31 # 1984 2. Iqstallation Cost
Permit No.
Fee ;
s/c
Tot.
3. Job Address 2 0 CarlsOn Lot 30 Blk. ? T a t?
take L&Ae
4. Owner
5. Contractor rialPh • s
Phone 429-1733
6. Address y904 KeBt?dCK Ave.
7. City ;.)tiilwater State tin• Zip 55032-
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add-r-7 Alter O Repair ?
? 10. Describe
1 11.
No.
1 Fixtures
Water Closet No. Fixtures
Cesspool/D rainfield
1 Bath tubs Septic Tank
1 Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes g9veming this type of work.
Signed : , , 1/' . for 11 Rough Final
(nspections: Date frtsp. Date lnsp.
This is your permit when numbered and approved.
Appraved C17Y OF EAGAN 454-8700
CITY OF EAGAN Ramarks
Addition Wilderness Run 4th Addition Lot 30 Blk 3 Parcel 10 84353 300 03
Owner Street -1 2An Carl can TakF+ T.n _ State Eagan, IKN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 $163.26 $8.16 20 PAID
EWERLATERAL 1975 716.60 71.66 10 PAID
!
WATERMAIN r
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. $320.00 934 8=15-75
BUILDING PER. #3 934 8-75
SAC
934
8-15-75
PARK
CITY OF EAGAN
3830 Pilot Kno6 Road, P.O. 8ox 21-799, Eagan, MN 55121
PHONE:4548100
BUILDING PERMIT
N° 9059
Receipt #
Ta M wad for RM• ADD/BASEMBM'$olue $20,000 Dote M AX 11 , 19._B4.
Site Addr s 1290 CARLSON LAKE LN
Erect
?
Otcupancy R3
Lot sl ock 3 Sec/Sub. WILDERNESS RIIN 4qIter ? Zoninq Rl
10-84353-300-03 N/A
rarcel No. Repoir Fire Zone
E
l T
f C V
n
arge ype o
onst
w Name - .TOHN HOLM Move ? # Stories
; Address SAME Demolish p Length_
b
City Phone 6rade ? DepYh Ft
Sq
.
.-
rc TILSEN HOMES Approrala Fees
ZF Name 627 SO. SNELLING
?? CdressST. PAUL phone 698-5501
Name _
Address
City Phone
I hereby acknowledge that I have read ihis opplicotion and stote thaf
the inlormation Is correct and agree to comply with oll applicable
State of Minnewla $totutes and Ciry of Eugan Ordinances.
Signoture of PertniMee _
A Building Permit is issued to:
all work shall be done in atcq
8uilding Officinl
Assessment _
Woter & Sew.
Palite
Fire
Erq.
Planner ____
Countil _
Bidg. Off. _
APC
Permit $ 140_S0
$urchorge In np
Plon check 70 _ 95
SAC
Water Conn.
Water Mefer
Road Unit
Totol +S 220.75
1 144?1 on the expreu conditlon fhn,
04 Minnewfa $tatutes and City of Eagan Ordinonces.
CITY OF EAGAN Include ?_ sets of plans,
1 Gertificate of Survey'&
? BUILDING PERMIT APPLICATION 1 set c£ energy calculations.
To Be Used Fbr Aq?(? f7"41 luation ;llj? "e'D? Date
Site Address /?L`'/ vavlo h(ek, e'_c? pFFICE USE ONLY
Iot ?Ln Block Sec./Sub. Lir jc(2 J?,? t ? OccuPancY LJ-?
Parcel #: Alter Zoning
Repair Fire Zone ,(4
Owner: ,To ?t h /-4,rem Enlarge__?_ Type of Const.
address: /,2 G C..u --/so-?r Ltik.e G?e M°ve Denolish # Fmnt Stories £t.
?
City/Zip Code: ??i??csr S_S 1?3 Grade Depth ft.
Phone #:
Contractor: -rI fS e?' ?o Gt.?1
.
Address: l a 7 So •? wG Mt a-c
City/Zip Coc1e:
Phone #: ; ?id: "-S :Sc9 /
Arch./Ehg..
AdCZYE'SS :
APPROVAL.S FEES
Assessments Pesmit / b
[4ater/Sewer Surcharge /D xnr-
Police Plan Check 76
Fire SAC
Eng.
Planner
Council
Bldg. Off. - ?
AFC
City/Zip Code:
Phone #:
Water Conn.
Water Meter
Road Unit
'IC)TAL Cl C?11 O -
CTI ; SQUEST FOR EL?ECT R?ICALg INSPE form oo0nect of vellow ooov. EB-00001-06
? 7538 7
-2-54 5 "X" Below Work Covered by This Request
N-T Add TR.p TyDe o1 Builtling ApOlinncm Wiretl Equiumant WireA
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt Buildinq Dryer Electrii; Neahn
Commercial Bldy. Fumace Silo Unlonder
InAustrial Bldg. Air Conditioner Bulk Milk Tank
Farm ?h,,, (Sueci v Ollicr Isner.ifyl
t e Suecify Other Othi:r
Cnmpute Inspectian Fee Be/ow
tl Fee Service EntrancaSize b Fee Feeders/Subieede,s N Fee Circuits
U to 200 qm s 0 to 30 qm s 0 tn 30 Am>s
A6ove 200 qm ps. 31 ta 100 Amps 31 to 100 qm s
??17,64 Swimming Pool Above 700-Am s Above 100_Am s
Trensiormers Irrigation Booms Partial,'Other Fee
Special Inspection S
TOT FEE
V_
flauBh-in +} /.}
A
I.IF nCAI
??2 Inspector, hetaby
Final
? ' certify lhat the abova
3 inspection has bean
a neda.
This reQUesl voltl 16 montRa iro.
This repuest void v
18 monthsfrom ? '?l/.J 7
D _ 2 5 4 ? qD Q 3
Lneques[ Ua=e ?i.
7 ? / I#ire No. RouPh-inInspecrion
Reyurtetl?
?qeady Now ? Will Nn?ity Inspec-
f
7
?yes ?No
[ur When Ready
Licensed Electncal C
? Owner onVactor I hereby requast ins pection ol ebove
electrical work instelled ac
Street AdAress, Box or Route N. Csiy
?
a ?
ect?nn o. Townshlo Name or No. panpe No. c
OccuVant (PpINT) one No.
7
Power $uppiier Adtlress
Elec a ontrac IC pany PhitwL?
, Cn Vacto ' s Lircense No. ??
? s
ai 'np tldress ICo
? ctor or Owner ?ne tallationl
s3 3 ?
Auth ipnawre alod ner nkinB stallation) , hone Num
be.r
!
MI NESOTA STATE eOAND OF ELECTqICITY TMIS INSPEC710N flEQUEST WILL NOT
Griees-Mitlway 91de. - Noom N•197 BE ACCEPTED BY THE STATE BOAND
1821 University Ave.. St. Paul, MN 55104 UNLESS PNOPEN INSPECTION FEE IS
Phona(672) 642-0800 ENCLOSED.
YILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: -18 69
Ea9an.T?ilri S'ShI DATE: 10 /21/75
lilll
Z
i of Units: 1
No
on
ng: - .
Ownec Tilse HrnnaQ TnC
Address:
Site Address: _? - T- Jce -
Plumber: Bey-roC
Meter Connection Chazge:39 0.00 pd_
Size: °h AccountDeposit:
Reader No.:4.7 7 G'•+V _ Permit Fee: 19/89 pd
an Surchazge:
l
ith fh
Vill
i Eo
1
ro • 50 pd
ogrea
com
y w
g
a
age o
O
di Chaiges: 60 _
Misc 00 pd
r
naMas. I? ?\ .
Total:
gy ?J U Date Patd:
Date of Insp.: Insp.:
YILLAOE OF EA64N SEWER SERVICE PERMIT
' 3795 Pilof Kno6 Raad PERMIT NO.: 2627
Eogan,-1wN'55122 DATE: _ 10/21/75
Zoning: g111 No. of Units: 1
Owner: Tilcnn Hom 3 Inc
Address:
Sice Addrees: 1290 Carlson Lake Ln. L30B3 WR4
Plumber: BeY-IOc
I aq.ae to ewnply with fhs Villoga of Eogon Connec[ion Charge 425.00 pd
Ordimncn. Account Deposit:
Permit Fee: 10.00 pd
Sumharge: • 50 pd
gy: Misa Charges:
Date of Insp.: Total:
Insp.: Date Paid:
?-
.
CITY OF EAGt;N
3795 Pilot F{nob Road
Eagan, Minnesota 55122
PERIvJP NO.: IlE,p
The City of Eagan here
by gx'8nte I Hent+nq i A/C
? sobn Rask •-
_ a _-m-M-99-m- Perinit forr (OWner)
at 4??,??-?-- atidn1435Lrir411;64eA4iIK'A??v?Y?1
- ,. , . :-;•-?*"'.__.
Fee Paid: Sgp_op dated this _1.$_day of mov. , 19 75
2.00
Buildi:ng Inspectbr
Mechanical Permits:
Bid TotaL•
3
- ' ' iG rf/353 366 02
w,/?. -j?
ciT^r oF FArrAnt
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERNIIT NO.: 636
The City of Eagan hereby grants to L H Peter Co
of 1854 Grand Ave
a PLUMBING Permit for: (Owner) Tilaen Homes Inc.
atcL29Q_Car1son Take Lane , pursuant to application dated 11/20/75
Fee Paid: $40.00 dated this 20 day of pov. ? 19 75 •
1.00 s/c
Buildirig Inspector
Mechanical Permits:
Bid Totals
ihis request void
18 months from ?`? l IJ
A 48912 j- 3 a,6 ? 3 ?j u. 12 w..'f t??t3
Reques[ pate Fire No. Fouph-in Inspecfion
Pequired?
?Ready? uw ill Notitv, Inspec-
6-7-1984 ](EYes ?No <<M1'henqeady
IMicensed Electrical ConVactor I hereby request inspection ot above
? Owner alectrical work installed ac
S[reet Address, Box or Poute No. City
1290 Carlson Lake Lane Eagan
ecvon a. Townshlp Name or No. Range No, County
Dakota
Occupant (PHINT) Phane No.
Tilsen Iiomes
Power $upplier Address
Elecvical Convactor ICOmpanY Namel Cunvactor's License No.
A40602
Mailing qdJress (Cont cmr or Owner Making Instiailation)
y
Auffionzed '
B iy'e Contnctor Ow e r Mekine Installa ion)
'? Phone Number
y 933-252i
MINNESOTp STATE BOAHD OF ELECTPICITY 'G? TNIS INSPECTION NEQUEST WILL NOT
Griggs•Midway Bldg. - Poom N•191 BE ACCEPTED BY THE STATE BOAHD
7821 Universi[y Ave., St. Pnul, MN 56104 UNLE55 PROPEN INSPECTION FEE IS
Phone 16121 297-2111 ENCLOSED.
?3(?-?U?REQUEST FOR ELECTRICAL INSPECTION ,.; Ee-00001-04
R' Sea instructions for comoleling this iorm on beck of Yellow cooY.
A' Q(? FS'"n } 1? "X" Below Work Covered by 7his Request
Hdd Nep. Typa of 9uiltling Appliancea Wirod '- EquiVni¢nt Wired
Home Range Temporary Seroice
Duplex Water Heater Lightiny Fixtures
Apt Bullding Dryer Electric Heatin
Commercial Bldy. Furnace Silo Unluader
Industrial Bldg. Air Conditioner Bulk Milk Tank
FBfT Other peciN n?her (SUaniryl
t rr Succify • O[ er Oxher
fl?
servica Entre nce size
U to 200 Amos tion-$ase
to
I I I Signs ? I ISpecial Inspection ?S
xeme.ks I.3.OO TOT EE
lcic riaiii/,?•,/79
'
I, he ElectrignT
Ins ereby
certify thet the nbove
inspection has been
mede.
request
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4875
New Conetructlon Begulremente
• 3 registered 58a wrveys stwwing sq. fl of bt, sq. M. W house; arM all roofetl areas
(200/, ma)dmum bt cova2ge albwed)
• 2 copies of plan ftwing 6eam & window saes; poured found tlesign, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservatbn Plan tl bt pWtled afler 711l93
. Rim Joist Detail Optbns seledbn sheet (blUgs wM 3 or less units)
DATE U /I 3 /(?, 9,
SITE ADDRESS I o ?0 Oarlsaf1 1CL/(
NPE OF
?c?) is-4 ar
??Vo-;j_
HemodeVHeoair Beaulremente
• 2 capies of plan
• 1setMEnergyCakulationsforheatedaGdilions
• 1 sitesurveyforeoAerioradd'Aions6decks
• IMicate il hane servetl by septic system for addttbns
VALUATION t`l1 93ci r
hIE-1
U ?.?iEd ROOFIHG
APPLICANT 4 141 N I I N N E H A H A A V E
uINHE1POLIS MN
STREET ADDRESS CITY STATE _ ZIP
TELEPHONE #6Q'79FI' My CELL PHONE p FAX #
I?11Z*]] :1_140
MULTI-FAMILY BLDG Y xN
_ FIREPLACE(S) x 0_ 1_ 2
TELEPHONE# yS a- 4"4 70
-------------------------------------------- -------- ----------------------- -°-----------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RUI,ES 7670 CATEGORY 1 MINNFSOTA RULES 7672
(J submisaion type) • Reaidentiel Ventilation Category 1 Worksheet Submittad • New Energy Code Worksheet Submilted
• Energy Envelope Calculations Submitted
Plumbing Confracfor:
Plumbing system includes:
Mechankal Contractor.
Mechanical system includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
Phone #
Fee: $70.00
(1 T P ? H T. ? E
Phon
AUG 1 3 7002
I hereby acknowledge that I have read This appllcation, state that the informatlon is correct, and agree to comply
with all a Iicable State of Minnesota Statutes and Ci of Ea9f? rd ces.
PP tY '4 s =L---T--_- :
Signature of
OFFICE USE ONLY
? Water Softener
_ Water Heater
No. of Baths
_ Phone #
L,awn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
CITYOFEAGAN N° 13742
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100 ? ILy9 , l
BUILDING PERMIT Receipt# ?y N
To be used for SWIM POOL Est. Value $11, 500 Date JUNE 9 ,1987
Site Address 1290 CARLSON LAKE LN
Lot 30 elock 3 Sec/Sub. WILDERNESS RliN 4
Parcel No
a Name JOHN HOLM
= Address SAME
° Clty Phone 452-4670
olName CUSTOM POOLS INC
?< Address 601 E EXCELSIOR AVE
w? City HOPKINS Phone 933-2255
ua
Ww Name_
w
z? Address
aw City_
1 hereby acknowledge that I
that the information is correcy
State of Minnesota StatuteN
and state
Signature of Permittee
A Building Permit is issued to: CUSTOM POOLS INC
all work shall be done in accortlance with all aoolicable-State
read this
oi
of M
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Consf
Ciry Water _ (Actuap
(AllowaCle)
# of Stories
Langth
Depth
S.F. Total
Pootprint S.F.
APPROVALS FEES
$107.50
Assessments
Water/Sewer Permit
_ Surcharge ?•??
Police PlanReviaw 53.75
Fire SAC,City
Engc SAC,MWCC
Planner WaterConn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatmeni P1
Varlance _ Parks
Copies
-- TOTAL $167.25
_ on the express condition that
and City of Eagan Ordinancea
BuildingOfficial
J
-- 37?
1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLZNGS
INCLQDE 2 SETS OF PLANS, 3 CBRTIFICATBS OF SIIR4EY, 1 SST OF ENERGY CALCOLATIOHS
HOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MDST DESIGAASS WHICH ADDRESS
IS DESIRED. NO CHANGBS WILL BE ALLOWED aNCE BIIILDTNG PERMIT IS ISSDED.
M[fLTIPLE DiiELLINGS - RFSIDENTIAL RSNTAL IIAITS FOR SAL6 UHITS
INCLUDE Z SETS OF PLANS, CERTIFICATE OF SIIRVSY - CHECg WITH BL1X'r. DEPT.,
1 SET OF ENERGY CALCULATIONS
CAMMRRCTAi.
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: Date: 1°'S"N
Site Address
Lot -.?WBlock 3 ?
Pareel/Sub (,(J?iyo F-c-? `(-- :-
Owner ?'?L.°? ?'LNS._??.S?-r.ti
Address ?M;p 1x?U)L1?? L11?.S?
City/Zip Code &4,r&Ij ? I A+s _
Phone 4-'S2,-?y?•'?, ?
Contractor a 2C-
?
Address
City/Zip Code
Phone 2LS1E;-
Arch./Engr. Otw,cm
Address
City/Zip Code ? 7K1
Phone Ik
On Site Sewage_ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
6PPROV9LS FSBS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Varianee
Permit J m_?2
Surcharge (o.
Plan Review 53.??
SAC, City
SAC, M47CC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOT6I.
S
rI
.. v
`p.
10.._......_....__, ._ ..?.pi
V'
3„?oM
3 ?`-ou
A r
n r
p??-.?-c
LA'tL5
I/
' CITY of EAGAN
` . BUILDING PERMIT
Ownee ....-.i.?C .............................
Addrecs (Aseeeni) lor3.........i?. ..... ;.;?(l??i 1 i. . q.. v.l..
sutiae: ............. :5VM& ......... ..................... ...................................
Addrau ........................................................................
R 1m
N2 3645
3795 Pila! Knob Road
Eagan, Mianesola 55III2
454-8100
aate .._..5; :.t.?..- ?5' .................
6toriea To Be Used For Fxon! Depih Heigh! £a!. Coat ermi! F?e Remarks
si?. dwe?l anc1 3c .)Y ` ?ii8, o0 I iv' s,d? a?- i
a
orleh. c16l- qar9 2 E ;,?/ c
) ??° ?
s7reE•t C? r-
Sireei, Road or olhar Deacripiion of Loca2ion I Lo! I Btoek I Addition or Traei
e- /sO"J 0-'H .r ?. Ln '1 E- I30 1 3 I W, Ic1FrNFS,; I2J,J -a
This parmit does not aulhozise the use of sireels, roads, alleps or sidemalks nor doas it give the owner ot hSs a9en!
the righlto eseale anp silvalion whieh is a nuisance or whioh yresents a haserd fo !he heallh, safafp, eonvenience and
genesal welfare fo anpone fn the eommuaiip.
THI$ PEAMIT MUST BE REPT ON THE PREMISE WHILE THE WORK IS IN PAOGRESB, i
? ?
This is to eertifp. ffial..L.L..ScJ.-J .._........ -T?:......haapasmiasion !o erect a.Si.t1q.:.._
the above described premise subjeef io the p:ovisions of all applicable Ordinanees for the Citp ot Eagan
-----°°°?.?•:....._...? Per ....._..-.-. ???--•-°---???../..........................
? ayo ? ? Sufldlnq Impaclor
? ?
? r t
3e' .To/
, 2 ?? 30x? 4
? D?yl qar Aa
D SO D 0.9 -
°-a
z b ro
?
/,
? ,?Iks • 3 ?'? ?6 ?
L::?
i
?
?
ti
?
??oP?e rY
Lin??
?
M
lAeoAER TY LwE
?
IJ
,
?o
?
?I
I
-gaa?rY
UNE?
Q
,
12
D
l P 5tC n -g"c .
,;-) yo ?-;" 4.4-
Lor 3 v
GJ 2 J?Z-
13LOC (C [=
rkon?T.._?RaPFQ-TY LI.NE ? I
=i
-PLQT -P L AA
MASTER CARD
OWNER
STRUCTURE AND y,y?
LAND USED AS .7C:D/
Permit
No.
Issued Issued io
Con}rac}or Owner
BUILDING
??
?
PLUMBING
CESSPOOL - SEPTIC TANK ?
WELL
ELECTRICAL
HEATING
GAS INSTAILING
SANITARY SEWER
I
OTHER
OTHER
Items Appro'ed I
(Initial) I
Date
Remarks
Distance From Well
FOOTING J SEPTIC
FOU N DATION (--7 C ESSPOOL
FR_ q_MWG
? y?-?I 2^ 9' ,} TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
Z- - 7 ? DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PIUMBING
WEIL
SANITARY SEWER
Violations Noted
on Batk
COMMENTS:
January 20, 1995
Appraisal for 1290 Carlson Lake Lane, completed in 1994, can be found in Project 660.
Judy
3ou 6 3
?J i L. DL--,±1JrSS 1 ST
CITY USE ONLY ?l 1
L an BL U?) RECEIPT ff:
SUBD. WI-Q LAVl,l Aei," LI v? RECEIPT DATE: C?'? I?" u
PERMIT # ?'', -)X
2000 PLIJM$INH P£iiMiT (RES1DENT'I14L)
crrYoF EtsM
s&so Paor xxos an
f.dkHAN, MA 55122
651-6$1-4678
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES
EACH
#
TOTAI
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tu6 $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in Outlet ' minimum -1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Se tic S stem newrrerurmsned ' requlres MPC lic. 75.00 x = $
Se tiC S stem abandonment 30.00 X = $ ?
RPZ new insWllationlrevaidrebuild 30.00 x = $ ?
Rou h o enin 1.50 x = $
Shawer 3.00 x = $
Under rounds rinkler ifdwellin isunderconswcean 3.00 x = $
Under rounds rinkler ifexi5tlngdweilin 30000 x = $ !
Water closet 3.00 x = $ I
Water heater 3.00 x = $
W ater softener if dwelling under consvudion ' 5.00 x = $
Watersoftener nexisnn dwemn 30.00 x = $
Water tumaround 30.00 x $
State Surchar e .50 -> --> ---> $ .50
Total -> --> ----> --> $ 30 • SD
Reminder. Call for inspections of alterations, i.e. water heaiers, W8t0f SGftdil&rs, ciC.
_.....""""""""' _"""""""""""' _""" _'.....' _""' _""""""""""""_ """"""""_ ""' _ _""""' _""""
I hereby acknowledge that I have read Nis applicaUOn, sWte that the infornatlon is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the ap0?icanPS responsibiliry to notlfy fhe property owner that the City of Ea9an assumes no liabili[y for any damages pused 6y the City during its nortnal
operetional and maintenance.actlYities.to.IhefaciliUes.c4n$trUCt_e_d under Ihis Qermit within Ciry property/right-ot-wayleasement.
SITE ADDRESS:
OWNER NAME: : ?
I
INSTALLER NAME:'-
HOLM,JOHN
1290 CARLSON LAKE LANE
FAGAN, MN 55123
(651) 452-4670
J
STREET ADDRESS:
CITY:
IHuTAI.LEFS
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
STATE: ZIP: y 7f"
ATORE OF PERMITTE -`
SIGN