1287 Carlson Lake LaneINSPECT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: • ;',, , t.!! I ,.I :tir!,
K"f 1{IIPJ i! f 11
I PERMIT SUBTYPE:
N REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICAMT:
i. . f . ?-4 1 ,y1
TYPE OF WORK:
?
INSPECTION .• . ..
f tr- M nft K .? s r. t.?: E>? P r i.imh 1 wi
tira ftrvir,-JIFi+ m•r Mtt?r HnJ<<'k
Pe?mit No. Permit Holder Data Telephone 1t
ELECTRIC
PLUMBING , ?, ? y ? g (p? a9??'
HVAC
Insp?ction Dalglf Insp. Comments ;
FOOTINGS -
FOUND
'
ll
FRAMING ?? n • 'I
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIRTEST
FINAL PLBG _?-
FINAL HTG t( u
ORSAT
TEST
BLDGFINAL
BSMT R.I. I
BSMT FINAL
DECK FTG -?
DECK FINAL I
j
CITY OF EAGAN Remarks
Addition Wilderness Run 4th Addition Lot 3 B
Owner 1 screec 1287 Carlson Lake Ln
! r
17 - ?- f`, . . . Z? 1
10 84353 030 05
State Eagan, MN 55123
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 $163.26 $8.16 20
&WSEWER 1975 $714.00 $71.40 10
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
• , , _
? . ..._ ,... .
= + . WIIDEENS.S R[1N 4IIi ,
-- :,.
qtrdficate of cccupanc?
; ?it? o? ?agan
??a cuc of 13KO* 3860ection
This Certificate issued pursuant to the requiremeats of the Uniform Building Code
ceriifying thar at the time of issuance ihis structune was in compliance with 1he various
orrlinances of rhe City regulating building construction or use. For the fotlowing:
ux cimirwatiow SF M eag. Pemi( Na 31506
Occupancy TYW R-3 U- I ? as?a R" I T Con?. ?
o.= or suiiaing ?R? '? ,?S ART PASS, , M
BuiWing Addtess 1 R] .ARf qYd T.AKf? T.ANE Lodiry Tj?$r2- WIi7?''.Idd???'S RITN ?_
f?A '. t ?: ? ii y V
lkd - OMcW 'OOV
POST IN A CONSPICUOUS PLACE
Addrew 1287 GLw,soN LAKE iarC F.Acatv, M Zip 5512i
I.ot 3 Blk 5
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL. INSPECfION.
Date: Yes No Inspector:
Final grade (6" from siding) ?
Permanent s[eps (garage) ?
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
v
Sod/Seeded grass ?
Trail/curb damage j/
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumhing system and the shuboff of water supply W
the ouuide lawn faucet before freeze potential exists.
ContaM engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink • Contractor Copy ?
Sub WILDEREss ?unv 41H
4 \
K CARLSON LAKE
," - zoo'
Z
z
NWL = 840.5 HWL = 845.4 >
O
? -
-
-
5
i
39 t- Z
?
?-
? 357
TRAIL EASEMENT 4363
OOC# 464245
, 1299 1293 1287 1281 1277
1273
1265
CARLSON LAKE ?
LqNE
?
U
O
?
O
?
G E.hibits misc STAFFORO PARKI NG 050603
Existing Trail Easement - Doc # 464245
May 6, 2003
Wilderness Run 4th Add.
City of Eagan
r
, , ?. _ - ' . .. .
, ?• y J
pe i ?
T?;AIL FASL`!::"TT ? ? 1?
r o
THIS INDEP??'Lct°, auide aad eu?_ere3 into this '?'day of
15 7!?, Py and betweez _grnol A. Carlson& Anna C. Carlson husban & taif Robert_S. Tilsen & Joyce Tilsen hus__bandgsW?fe?_or s, and City qf Eagan,;.
Daco[a Coulty, I?J.nnesota, aa Grantee,?i? ,a
'ar 0
WITNE55E3H WH?FAS., said Grantors ?e the orcners o£ the:trxta s£ 1
RIDER fS q!1 ad ia tha City of Sagan, Dakota County,
Mi.znesota, legally d°es be
PART uF ttil? follova; ? ?
RfDE'4`tS '
s_
?
. ?`a....?A trail easement ovcr that part oi Lots l, 2, 3, 4, 5, 6, 10, and 11, al.l in
B1ocY, Pive os W2S.DERNli55 AUIQ _'pR-rtt Anntmio,d ].ying between the 1'ark in Wilclerne:u:
Sun 4th nddit-ion an3 a line S ieet Soutkterly c>f the followinq desc-ibed .Li.nc;
Beqinninq a(: a point on the north ].ine of said Lot ll di.stnn:: 55.76
feeC c•;e;;terly o`_ t1:e northeaz:t cqrner thereo`; theiice South 89 deyrer,:;, 35
minutes. 37 srcond:; tJest alor.r, the nort
h].i.ne o' said Lot 11. a di_stance or
ieet Ca the northwe:;t corner of ,ai.d Lot 17.; thence Sout:li 00 degrec?s
24 ':ii;utes, 23 secends t;u.;t a distance of 25.00 fcet; thence South fSY deqreos,
53 :,:inutes, 31 second, t•]e5L alunra Yhe nor.thez'].l line of said 131ock F'lve a
rii_s?l:ance of 513.35 feci: t_o l-.nenor.t-hwest corner o+` said I.ot l.; lhenre South
'7 .lc,recs. 16 m*nutes. 52 second:;L:a;C a flistance oE I50.19 fcet; thcncc
•dnrth 37 decrro.es, 00 mi.nute„ 37 secnnd:;
Ea?t Ch?:nce ,do??tL 6"1 de?rees. 'S nu.nute:;. -37 ;cconda Laslaacdieatance. 00 .160t60
Zc'('?.; thcance iJr,rtlt ?F, duarreer;, 55 ,ninutc:s, 31 >econds N:asC a di::tanco of
7:'..j.G3 ,=eet to thc point oLbeginninq. .
and across whicn cne parceL uL La..., .,?.?•,? _.....,,,,.,. .
'_ecation, g=ading, consCruction, maintenance, and use of a public [*a:l over
nnd upon the premises hereby conveyed and from the uaea iacident thereto, and
the said Citq- of Eagan shall have the right to use and remove all eart?: amd
other msteriala lying within the pircel of land hereby conveyad aad the right
r.o construct aad aaintain, upoa the Lands arljoining the parcel hereby coaveye<i,
cucn portable snow fences during such mor.ths as weather conditions make necessarv.
A11 stumps and other debris resulting from the clearing of the right of
way will be disposed of by Grantee by burniag or otherwiee, according to law.
The Grantee sF.all have the right to post such signs ard posters alon;
s.ai.3 tra.l as a.e deemed necessary and suitable to defi3e the aboce land3 and
locate t:zer for puh?ic use.
IN WITNESS LP:E3LOF, said Grantors ha ve herea-ito set their hsn3 s aad
seaJs the day a,d year first above written, n 112/71 iJ
In Fresence Of: ,??`?:`' L??,,
O _. . -. 1 •" "i
NCW T;IE:^irORE, the said Grantors, in consideration of One ($1.00) Bollmr
r.n3 othe: good znd va2-:nule coasideretion co th em psid bq Gr.ea*.ea, receipt
sahereof is her.eby aceacorledged, hereby coaveys, warrants and dedicates to said
Grantee, Lts Feixs and aseigns, for trail purposes, together with the un-
:estricted righ= to improve the same, free snd clear of all incu:abraacps, tL•e
above described tracts of land for trail purposes.
The Grantors_, for themaelves , their heirs, esecutors, administrato:s
aad assigns, do? covenant never to cut, damage, destroy or remove any tree or
shrub or other natural growth upon the hereiabefore described premises for the
ccntinuance of this easemeat, and do, hereby grant and convey to the said
City of Eagan a11 grasses, shrubs, trees and natural growth now existieg
on said lands or that may be hereafter planted or gro*an thereon.
The Grantor s, for them aelves , their heirs, executora, administra:c-a
and aoei,E,ZS dc hereby release the said City of Eagen, its euccesaors zr.d
eseigna, ircm all claima for any and all damages resultin,3 to the lan3, t?cc•:^?t
and across w4iclt the parcel of land hereby conveyed is located by reasca of ti?e
?ecation, grading, construction, maintenance, and use of a public tratl over
nad upon the premises hereby conveyed and from the uaea iccident tceretn, aad
the said ' Citq' of Eagan ahall have the right to use and remove a11 esrth scd
other msterials lying within the parcel of land hereby conveyad and the right
r.o construct an3 saintain, upon the lands adjoiniag the parcel hereby coaveyc3,
cuch portable snow fences during such mor.ths as weather coaditions make necese.ry.
All stumps and other debris resulting from the clearing of the right of
way will 6e disposed of by Grantee by burnic3 or ot4enriee, accorditis to law.
The Grantee ara?1 have the rlght to pos[ such signs ar.d posters along
s?id trs:: as a:e deemed necessary and suitable to define the aboce lands and
lo:ate taem for public use.
IN WITPIESS 47iIE:2LOF, said Grantor s ha ve hereuato eet their hsed s aad
seals the day a,.d year first above writtE
Zn Freaence Of:
i ..?..?..?._? . -„?..?. ? .
SiATE OF MkJI-t?SC:(A
? County of Dakoi:,,
Office of Reg:ster of Deeds,
7 This is fo t^_rtify that fha wi}hin
fi ?[7 insirvmenf as filzd for record ie ? ? .
this offier at o- ssi -?ns, on the . ? •
da ; D. 19 . ?
Q o'cloctdl M„ od fhui
;he same wos re rde d in 0 ofa [d . . . ? . .
R bier o( Oeeds. ? ' .
. ? ey ? . + . ? . . .
Dennty
, ...?._?..?..?..?..?..?.......?..?..?..?..?.. .
1 ?
f
?
TransPer Fbtered TAis
da7 1
Count7 `tt#sdttor, Dakq,ta o. Xl '' ! l ILUL?
PERMIT
-? CITY OF EAGAN
3830 Pilqt Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMITTYPE: BuzLozNG
Permit Number: 031508
Date Issued: 0 3/ 0 3/ 9 8
1287 CARLSON LAKE LANE
LOT: 3 BLOCK: 5
WILDERNESS RUN 4TH
P.I.N.:'10-84353-030-05
DESCRIPTION:
Bu}lding-?spermit Type
FBuilding Wer„Wk Type
A UBC Occupancy11,
Construction Ty'?e
Zoning
s'8uflding ttngth -
Bufldan9.Gkidth z,
Bpuildingr.s#„ories
sgua,r„e Fee?t; ?_rt•`
Cec,su;s-;;6'ode
SF DW6
NEW
R-3 U-1
VN
R-1
58
32`
2
1.636
101 1 - FAM. DETACH
.,.-_ #,3
?
REMARKS:
S & W.
FEE SUMMARY:
RC PIUMBIN6 ALAN REVIEWED BV MIKE BARCK
VALUATION $148,000
Base Fee $1,127.25 MISC FEE $1,592.50
Plan Review $732.71 Total Fee $4,526.46
Surcharge $74.00
SAC $1,000.00
? SAC % 100
SAC Units 1
Subtotal $2,933.96
CONTRACTOR: OWNER:
- Applicant - 57. LTC.
SONS CON3TRUCTION 14524721 0002608 SON5 CONSTRUCTION
12092 SAFARI PASS 12092 SAFARI PASS
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 452-4721 (612)452-4721
I heri?by acknowle-dge that T have read=this application and;state,thatnthe
inYarma'tibrtis correet and agr;ee to cQmpiy, wkth allo app;licable,Sta'teaf Mrr. ?L 5tatutes and Ci.ty of Eag;an Qrflinances._ . r ?
APPLICANTlPERMITEE SIGNATURE - SSUED BY: SIGNATURE
Db 1998 BUILDING PERMIT APPLICATION (RE5IDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 68122
681-4678
New Construdion Reauirements
Name: .sQt..LS Phone #:
I.azt Fust
? 3 iegiaterod ake suneys ? 2 copies of plan
? 2 copies oi plens (Indude beam & wimlow saes; poured fid. design; etc.) ? 2 stte surveys (exterlor addkions & dedcs)
? 7 energy celalations ? 1 energy wkulations tor heated additions
? 3 copies of tree preservation plan H lot platted efter 7/1193
requirod:. _ Ves _ No
? q(40
9
DATE: ?-,2 jn ` c'1 CID. CONSTRUCTION COST;
DESCRIPTION OF WORK: vl?e2J
STREET ADDRESS: G4-266c,U L?G,E L.47tJF
LOT: ? BLOCK: 5 SUBD./P.I.D. #: lc/>L?SS l2clW YV &D
PROPERTY
OWNER
CONTRACTOR
Street
City
RemodeVReoair Reaufremants
State:
Zip:
Company: Phone#: 'YSv2 -Z7t7c;-/
Street Address: /oZ(39,7- License # 1;260 se
8
CitY State: {wvV Zip: .S.s/o2
ARCHITECT/
ENGINEER Company: Phone
Registration #:
Street Address:
City
State:
Zip:
Sewer & water licensed plumber (new construc6on only): Penatty applies when address chang
and lot change is requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the tnfortnation is correct and agree to compy with all applicabi
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature MApplicant
OFFICE USE LY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
L
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
-12:-02 SF Dwelling 0 07 4-plex ? 12 Multi Repair/Rem. O 17 Swim Pool
0 03 SF Addition ? 08 8-plex 0 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = piex O 75 Deck
WORK TYPE
1<'31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) JIJ Basement sq. ft. 10 MC/WS System ?
(Allowable) ad Main level sq. ft. R 4(? City Water ?
UBCOccupancy R-3.L)- f 2KD sq.ft. 1-7,10 FireSprinklered
Zoning Q-I G a, sq. ft. 6yo PRV
# of Stories 4_ sq. ft. Booster Pump
Length s 8' sq. ft. Census Code. L oI
Depth 3 z' Footprint sq. ft. J,(-3ro SAC Code ? i
Census Bldg ?
Census Unit 1
APPROVALS
Planning
Building MS Engineering
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Gopies --.. y
otal: p
°k SAC
SAC Waiis?
Valuation:
?.
zgKZC..3y
?b X 'S
kYIZ
2x?
2v5
i
?•-a a??s
zuz
Z..v
z 8 u Z?-
:x7
N Y1Z
2? Y 2L
8 x +o
ZKZn
30 w.Z V
Variance
$ IqSrooo,?
-7 37.5
v?
iy
c'i G5. 5
,z
v
?zs
14
48
vvo
r 3 ? ? ?D $ Sy =
?l0
G o c? ^
Iu, skz. 5
Sz, 3s a . --
7 o, -7 vo.-
lvLVti??
1,? -7/ i77..S. ir
i
? m
F ?
G? ? O
@? ?
a-lo ?
r,a-'o ?
m% o
t?? ?
l5' o ?
?
G7? ?
? ?
C4- ? ?
? ?
?
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ELEVATIONS
Exdstlna
• Sewer service (or Proposed)
• Property comers
• Top of curb at the driveway
• Elevations of any ebsting adjacent homes
rosed
G}-'o ?
m?'b ?
o/p ?
m-'?o ?
G1' 0 ?
EI' ? ?
cl-?o ?
W-?0 ?
Er, ? ?
? O-- ?
cY ? ?
Z?p ?
? ?
[9" 0 ?
C3' 0 ?
? Oi ?
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legaidescription
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Direcdonal drainage arrows with slope/gradient %
• Proposed/epstlng sewer and water services & invert elevation
• Sheet name
• Driveway
• Garage floor
• First floor
• Lowest exposed elevation (walkouNwindow)
• Property comers
• Front and rear of home at the foundation
PONDING AREA Cf aonlicablel
• -Eesem¢nt linefw
• NWL
• HWL
• Pond # designation
• Emergency Overflaw Elevation
DIMENSIONS
• Lot Iines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions inciuding any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
• Show all easements of record and any City utili6es within those easements
• Setbacks ot proposed structure and sideyard setback of adjacent ebsting structures
• Retaining wall requirements ' /
Re?aW?: ? ? 2 z
m?-' "- / Date
r
January 1986
CRA101 YBBIBLD(3PRMT.FM
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMITAPPLICATION
EXTERIOR ENVELOPE ENERGY CODE COMPUTATION
'Ib Determine CortQliance with the Minnesota Ftiergy Code
(Section 502 of the StaGe Amended 1983 Model Energy Code)
Project Title SojJS L?0+.15TR-VGT?? 1
Site
1. EXPOSED WALL CALCULATIONS
A. Opaque Wall
1. Masonry/Concrete
a.
b.
c.
2. Founda?tirn Wall
? (Abovg Gra )
lG
a. B
i?eu k-?rD Gor
b.
3. 4Vood Frame Wa11
a. Insulated Ar ea
b,. Framing Area (Ave. 158 at 16" oc)
c. Framing Area (Ave. 10$ at 24" oc)
4. Peripheral Floor Fdge/Rim Joist
a. 12'' L,%w, 55wa-D
B.
C.
D.
E.
cia,ing
1. Windqws
a. {-}?o,•f ??,,??r? ??.sa.? E?
b.
2. Doors -? p?LD
Doors -T
1. Woacl
a. Solid
b. With stoLm oor
2. Metal -f'A-f Lo a-
3. werhead
4. other
11RFA "U" VALUE ARFA X ^U"
x =
x =
x =
io4.52- x .06 = ?•z?
x =
?2,77 x, 0 3 = 134,'ll
52.8 x
x =
332,0 x . DZ = ?v•!?-'
x =
2Z .18 X - 27
x -
,.5 x?=?•!7
x =
X =
175. 1 G2 X
x -
x =
°soFM wau, r,IM, sq. ft ..................... 671,,
70mar. of aIM X ^u.................................................... 145
II. ROOF/CEILING CALCULATIONS
A. Roof/Oeiling Insulatec3 Area _11-71.9 x • 02 a 23•43
B. Roof/Ceiling FYaming (Ave. 158 at 16" oc) x ? -
C. Roof/(3eiling F=aming (Ave. 10$ at 24" oc) 130 , 2 x -02- a 2-!?
D. Skylight X ? .
E. TDTAL RODEyCEILING ARFA sq. ft .............. 1'302,
F. zoM CF ARM x ^v^ . .. ............................................ 24• 03
M. BUILDING ENVELOPE RHQUIREMENTS
TOM A,RFA RDQUIItID "LT" ALLOWABLE
(Fran I,D & II.E) (Fran V.) (Ared X "U")
A. Ecposed Wall: 40-16, x • I f = `f`rg• ?o
B. Roof/CeilirxJ: I 302 x , 02l0 = 53•8-5
C. TOML ALLAWABLE BCIILDING F2AELAPE (7bta1 of A& 8 above) ...
IV. ACTUAL BUILDING ENVELOPE
ACTUAL
(Area x "[t")
A. ExPosed Wall (Fran I.E)
B. Roof/Ceiling (Fran II.F)
2?5.7
,a
c. TOrAt ACIvar. sva,niNc ENvELoPE (Total of A & s) ............ ?l°l . 78
*(Meets code requirements if less tMan III.L)
V. REQUIRED "U" VALU$S
POOF'/MTr.nr.
Detachecl ore ard two family dwellings .ll .026
* i+hilti-Family Residential Buildirtgs .238 .033
(3 stories or less in height)
* All Other Cbnstruction Types (3 sbories or less) .238 .06
* All Other Constructian Types (More than 3 staries) .28 .06
? Based on 8007 heating degree days (lpls/St. Paul)
AdJust •U' values accordingly for other lxatians
CERTIFICATION
I hereby certify that i have oapleted the abwe information and that it aatQlies with the
Mimesota State Energy Code.
<
Signature. , Date ?'f?j
meMec? A"I. u_
BCSD 3-89
cc/snl/ssz4
* * *
* P10111E6R
? enginey?
**
uNo suaKroRS •
LnNO PLANNERS. LAN
2422 EnierpriSe OYiVe
Mendoto Hcights, Mh! 56120
(612) 681-1914 FAX:681-9488
Certificate of Survey for:
"RC""EC'S 625 H:ghwoy 10 N.E.
Blaine, MN 55434
(812) 793,1880 FAX:783-1883
soNS coNS-r.
CARL5aN IAKE LANE
EQGM
pV IVL
L .?-
DF1?
t?;;;?DING INSPEC7'IOf?1S ?EPL
nore: PROaoseo canoES sHOwn aER cnnpiHa rLaN eY, PROPOSEQ HOUSE EIEVATION
NOTE: BUILDMG DIMENSIDNS 5110NN ARE FOR NaRIZON7AL AND VERTICAL LOCATON
OF SYRUCRIRES ONIY. SEE ARCNITEC711FL PLANS FOR BVILDIN6 AND LOWEST FLOOR ELEVA710N:
f0UN0Aii0N OIMENSIONS. ``{ rf J i
NUTE: NO SFCCIFIC SOILS INVESTIGATION HAS BEEN COMPLETEO ON TNIS LOT 6Y TME TOP OF fiLOCK ELEVA710N:
SURVEY0.4. THE SVITAaILITY QF 501L5 TO $UPPORi THE SPECIfIC HOUSE GARAGE S?AB El_F.VATV4N:
PROFOSeo is Nor n+E aESaaNS,awtr av rne suRVEVnr?. "
NOfE: iN15 CLRTIFICAtE DDES NOT Pt1RPORT Tp SHpW EASENENTS DrNER 7HAN X 000.00 DENOiE3 fXIS11NG CLEVA710N
*HoSE Snowu Or+ mE RECORDED FLA7. ( 000.00 J Q£NOiES PflOPO5E0 ELEVaiION
NOTp; CONTRACTOR MU57 y[$IFY DRIVCWAY DESfCN. --- OENOTES DRaMAGE AND u7WTr EASEMEYT
OfNOTES DRniNnLE FLOw oiaEr,riaN
NoYf: PCaaINfS sNOWN ARE gnSED ON AN ASSUMEO Dn7UM --?- pENOiES MONVMENi
9 PENOTES OGFSET NUB
v!E FiEftEflr CERTIFY TO SONS CONST_ THA7 THIS IS A TRUE ANp CORRECT REPRESENTATION OF A
SURVEY pF THE BOUNDARIES OF:
LOT 3, BLCICK 5, WILDERNESS RUN FOURTH ADpITION
t7AK07a GOUNTY, MiNNfSO7A
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SNOWN, AS SIJRVEYED 0Y ME 012
UNOER MY 6iRECr SUPERVISION TH1S 17tF DaY OF FE6., 1998. --
SJGNED: /lIONEER EN9IFJEERtP.A.
? l
SCALE : 1 INCH = 30 FEeT John c. Lorso?, ?.5. R^g, N0, 1913219
.?
2422 Enterprisa Drlve
Mendoto Heighls, MN 55120
* PICNEER LaHO SURS£TOBS • 0.NL ENG!I/EER3 (812) 881-1914 FAX:681-9488
* __
?Ag?"`c'mr7ne lhNO ALANNERS• LANDSGAPE ARCHIYECT$ 625 Highway 10 N.E.
?f * Blalne, MN 55434
(B92) 783-1880 FAX:783-1883
Certificate af Survey for: SONS CONST.
1287 CARLSON LAKE LA E
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CARLSQN LAKE LANE
/L d BL -5 CITY USE ONLY RECEIPT#: 996) y
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SUBD. LI2114?Y (-2L? 4? RECEIPT DATE: 7?
1998 PLUMIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQJOB RD
EAGAN, 1N 55122
(612) 681-6675
Pleese complete for: ? single family dwellin s
? ownhomes and condos when permits are required for each unft
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x ? = 3. ?
Water Closet 3.00 x
Bath Tub 3.00 x --
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hat Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x = 3• -
Gas Piping Outlet ' minimum - 1 3.00 x = 3'
Rough Openings 1.50 x '_3_ _ ? •5?
Water Softener ' for dwellings under construction 5.00 X =
Water Softener ` for existing dwelling 20.00 x =
U.G.SpfiflklEr 'fordwellingunderwnst. 3.00 =
U.G. Spfinkler ' tor existing dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems `Abandonment 20.00 =
STATE SURCHARGE 50
TOTAL -'r)W; o-a
-•------------------------------------------------------------------------------------------ • --------------------------------------------
I hereby adc?owledge that I have read this applicetion, state that the information is correct, and ag2e to comply wi[h all applicable City of Eagan ordinances.
It is [he appliceni's responsi6ility to noti"ry the property owner thai fhe City or Eagan assumes no IizblliFy foi any damages .;aused by the City during its
normal operational and maintenance activities to the facilities constructed under this pertnR w8hin Ciry property/rightof-way/easement.
SITE ADDRESS: 1287 Carl son Lake Lane
OWNER NAME: Sons Construction
INSTALLERNAME: R C Plumbing TELEPHONE#: 652-2933
STREETADDRESS: 5970 Chester Avenue
cirv:
Northfield
STATE: MN
^ ? l
SIGNATURE OF PERMITTEE
ZIp: 55057
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998,
?
CITY USE ONLY
CITY OF EAGAN
3830 PIIAT tQNOB RD
EAGAN AN 55122
Date: y?/ (612) 681-4675
1998 MECHANICAL PERMIT (RESIDENTIAL)
LOT -50- BL 5' RECEIPT #: S95,30
SUBD..WA??? RECE[PT DATE: TI ?n1 ?
kl-
Complete this secdon onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24:00
ADDITIONAL 50 M BTU 00
• Gas outlets (minimum of one required @$3.00 ea.) 3.46
• 5tate Surchazge: .50
. TOTAL: a-7• D
Complete this section on[v if you aze remodeling, adding to, or repairing eatisting single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remode( or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITEADDRESS: / 2- Sl?I CAtt 15 6N L A K1 Lt, d
OWNER NAME: S dN S C oNS'Y R ??'? ! 0?" _ PHONE ik: Z) S? 2' L1*1 7' ) _
INSTALLER NAME: l7 IQ IL F S NTS r,?> c I.A) el _ PHONE #: 3 Q 0 k
STREET ADDRESS: 3 Z.? f' ??i ?$ r Zr/ , _
CITY: 9O SQ M O UA/"r STATE: ?' ZIP: ?SD 6
-MGRAVIRE OF P RMITTEE
1S/FORMS BLD/MECH PERMIT (RES) - 1998
1
oe
fS- 1 1-4 ?I
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657-687-4675
NewCanalruelWn HeauhemeMe
• 3 repistered ste surveys showing sq. fl. af bt, sq. tt. of house; entl Al roofetl areas
(20% mazimum lot coverage albwed)
. 2 caples of plan showing beam & win0ow sizes; pourad found deslgn, etc.)
• lsetofEnergyCakulatbns
• 3 coples of 7ree Preservation Plan A lot platle0 aNer 711l93
• Rim,blstDetailOptbnsseledbnsheet(bldgswM3orlessunits)
DATE 62 17 /C7 Q
SITE ADDRESS
TYPE OF
APPLICANT
STREET ADDRESS
TELEPHONE # q5;?-l.170 -apl CELL PHONE li
MULTI-FAMILY BLDG A
_N
FIREPLACE(S) _ 0 _ 1 _ 2
W,g¢j?LSTATE AW_ ZIP 555,31?
Fnx # 45,P-c/70- a.W
PROPERNOWNER e)0,'Q1 -k- eAlt-ii?I TELEPHONE# C05 1'41641- 960 --------------------- --------------------------------------------------- -----------------------
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI ?§?6?y ,I
(?J submission type) . Residential Ventilation Category 1 Worksheet Submitted • Ce orksheet i
• Energy Envelope Calculations Submkted jUN 0 q 2002
Plumbing Conhactor: Phone #
Pluxnbing system includes: _ Water Softener _ L,awn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanlcal Contracfor.
Mechanical system includes:
SewedWater Conhactor.
Phone N
Phone #
Fee: $70.00
1 hereby acknowiedge ihat I have read This application, state ihat ihe information is correct nd agree to comply
wim all applicable State of Minnesota Statutes and City of Eagan Ord!
Signature of Applicant
OFFICE USE ONLY
_ Air Conditioning
_ Heat Recovery System
aoo 7,5
RemoOeVRepaIr m
• 2copiasofplan
• 1 set of Energy Cakulatbns tor heated add'Abns
• i sAe survey lor eMerlor addkbns & decks
. Indicata if home seNed by septk system for a0tl8bns
8
VALUATION 1014 C?J'? I
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115428
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 1287 Carlson Lake Lane
Lot:003 Block: 005 Addition: Wilderness Run 4th
PID:10-84353-05-030
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Brian R Bergh
1287 Carlson Lake Lane
Eagan MN 55123
Bayport Roofing And Siding Llc
10 South 5th St, Suite 700
Minnepolis MN 55402
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature