1220 Carlson Lake LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1220 Carlson Lake Lane
Lot: 16 Block: 3 Addition: Wildemess Park
PID:10- 84250- 160 -03
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
PERMIT
City of Eaan
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Pemiitee: Signature
- Applicant -
Construction Type:
Owner:
Mark G Parupsky
1220 Carlson Lake Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA086254
09/22/2008
ePermit
CITY OF EAGAN
3795 Pilot Knob Road
41
Eogon, MN 55122
7nninn•
Owner:
Address:
Site Address: Plumber:
Meter No.: _
Si 'i+•
Reader No.:
1 agree to compiy wiN+ the City of Fagon
Ordinances.
R.,
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE
No. of Units:
Connection Charge:
ACCOUflf DePOSIt: -----
Permit Fee:
Surchcr9e:
Misc. Chorges:
Totol:
Date Paid:
I nsp..
CITY OF EAGAN
?795 Pilot Knob Roed
?
Eogan, MN 55122
Zoning:
Owner.
4ddress;
'te Address _ imber:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
rl ann T.&ka f.arus T.1 Fi A3 UJ7
ree to wmply with the City of Eagon
lonees.
I nsp.:
Connection Charge: Account Deposit:
Permit Fee;
Surchorge:
Misc. Chorges:
Total:
Date Poid:
,
'"BUILDING PERMIT
Te 6& ?d Fee - '-?.;? r t, : ss]',?it:l":
Site /lddress ' uarl.
Lot Biock
Porcel # ,
m
W
z
?
?
0
?u
u?
?
Ncme
50,000.
N4 5148
Receipt # ?
,n?)
- Ered ? Occupancy P3
'17\Iter ? Zoning p
Repoir ? Fire Zone
? Enlarge ? Type of Const.
- Move Q # Stories
A.Mress ?s?•110 th `'i . Demolish p Front ft.
Name
Address
I hereby acknowledge thot I hove read this applicotion ond state that
the information is correct and agree to comply with oll opplicable
State of Minnesota Statutes and Ciry of Eogon Ordinonces.
Assessment _
Woter & Sew.
Police
Fire
Eng.
Planner
Countil
Bldg. Off• -
APC
Permit lDi}•:>V
5urchcrge 30-00
Plan check 77. ?5
SAC -r7? . 11) n
?? ?
Wnter Conn. 2?'-• •
Water Meter "(" • ,)n
Totol I = ? '7 C;
r_
Signoture of Permittee I
A Building Permit is issued to: on the express condition thot
oll work shall be done in acwrdcnce with all opplicable 5tate of Minnesota Stotutes and City of Eogon Ordinances.
Building Official
cirY oF EA"N
8795 Pilo! Kneb Rood Eagan, MN 55122
PHONEs 45I-8100
Gmde ? Depth ft.
?
Aeorovalt Faes
• t,
Peneit ;j Daft laued POMNFt?w
Plumbing f`?_
Mechanical /
_EJU__L R (F -?`i 6
INSPECTIONS DATE INSP. Rough-In Finat
Footings Dcta Inap. Dote Irup.
Foundation Plumbing -
Frome/ins. Mechanical
Finol
ry
Remarks:
„ • ' CITY OF EAGAN
3795 Pilot Knob Road °-'.sll'?..-f`7="? ?TP WT,
Eagan, Minnesota 55122
Phone: 454-8100
MIT=
PERMIT
5-ZI-79
Dote:
Site Address: 1220 cbrlgan ?,ake r.ane
p
Lot . Block Sub/Sec. ? a?
S . Feberom owatrwtim Op.
Name
?`l. 11.0 L-h
e Address
a
No. 1452
14070
Receipt No.:
Single I
Residential x
7?AuYti Res., Comm./Ind.
'? I
iliew
New/Alter./Repoir
Cost of Installotion
Permit Fee
Surchorge
. 5{1
3A745 So. -Tbbert Ts-ail.
g Addreu
0
r
(? ir•¢;F+lRr.*•-•-?f- ?^nr? .t_)-y ?-. . ? -:?„'.1
icity Phone: Total
This Permit is issued on the express condition that all work shall be done in atcordance with oll opplicoble State of
Minnesoto Statutes ond City of Eagan Ordinonces.
Building Officiol
Ciry -'e
?Ls 55437
(,M2-F2ym
:F4-Sld4
Phone:
?0.00
CITY OF EAGAN
, 3795 Pilot Keob Road
, Eogan, Minnesota 55122
• Pbone: 454-8100
_ PERMIT
No. 1.351
Date: 5-23-79 Receipt No.:
Singl
?.?'??' C;c?'i?Y?"! TBkE ?f? Resideentiol
_ '
Site Address; ?
lt; 3 .;1Z3eYTIE'SS !'a1'k 11"In. I
Lot Block Sub/Sec. _ Multi Res., Comm./Ind.
!;Nome .
I
New/Alter. /Repair
3 Address 470I W. ?.flt.?l ?. Cost of Installation
? .?s:, r, ? ? ^Ilt
: Ip1s 55437 2y
City _ Phone: Permit Fee
Na Surchorge
.
g 1_474; So. "±-,?ii
ddress
e
City Phone: .?4. Totol This Permit is issued on the express condition thot oll work sholl be done in accordance with all applicable Stote of
Minnesoto Stotutes and City of Eagan Ordinonces.
Building Official
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Mineesota $5122
Pbone: 454-8100
Water SOFteAer pERMIT
Dote: 12 /20/79
Site Address:
1220 ?',aTl$l? Lak@ L2
Lot 6? Block J Sub/Sec.
Name Brian MaCD6IlSld
g Address Sa? Qs abOVB
?
City Phone: 454-7180
Nar„e _ Lindsay Water Candt.
.
? Address =147 River9rood r1rive
0
? CitY Phone: .:/+,
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
No.
Receipt No.: 1 `193
Single
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Installotion
Permit Fee g • Y)
Surcharge • 51
Total 'l
done in occordartce with oll appliwble State of
Building Offitial
-,
CITY OF EAGAN PERMIT TYPE: i ti 1;11, I
,
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 I
. . _ I
SITE ADDRESS: APPUCANT: i
? .,; ??r ? ???, ? . .??•?? , ? ,i; . :i ? ? ; ?+; i
PGtrL: ?ts I
, I
PERMIT SUBTYPE: TYPE OF WORK: ,.r i,A T 17
INSPECTION D . DATE INSPTR.
F
L ?
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Camments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
NEATING
GAS SVC
TEST
INSUL
GYP80ARD
FIREPLACE
FIREPLACE AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FIUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition _ Lot 16 Blk 3 Parael 10 81.250 160 03
Owner l treet 1220 Carlson Lake T,az18 State Eagan,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 176.o5 8.88 20
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 160.00 10.66 15 °
STORM 5EW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 13799 4-9-79
WATER CONN. 270.00 13799 4-9-79
BUILDING PER. SI H
sAC 525.00 13799 4-9-79
PARK
(Itr#ifirate vf Orrupttnry
?itp of eagan
Eepttrimrnt nf Building lnsprrticm
Tbir Cnti ficate irraed purrwant to tbe nqniremrrut of Sertion 306 0( the Unifmm BNilding
Cade cMifying thar at the timc of ittaana tbil ttrutturt waJ in comQliantt with 1!x vatiart
ordlwxnt of lht Citr regn/ating baiWirsg ranrtrrutioa a utr. For t!x (o!lowing:
UwCLalfv6m SE Dwlg & Garage Bldyhmul NO. SZYS
Oooo? Tvw R3 TYc.coo?am V Fo., 3 zooaw?t Rl
p.,ewemasog S. Peters?n Cc+St. em? Minri2dW11S. MN
d.,,,--•..? 1220 Carl.son Ik. Ln._.,__ Eauan. M
By. Septanber 2, 1979
Wh:
pi IM . CONMICUW. AAC.
This request void 18 months from
R 49961
Date of this Request 5-
I, as k Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed aY.
Street Address or Route No. ) a o"t 0`'?h.r ?SQ `t ho-Re ?-h • City. oE?qo-#,?
Section Township Range County CD
Which is occupied by !E;,v e.o-J ?2J-eV-Sa rL o rl ST1-u-e?evl,
Is a roughin inspection required on this job? No ? Yes tA Ready Now ? Will Call
Power Supplier aU<ota. c ASSKlddress 82 ! 3" . ST.
i A- A[I 6Te " R;V.
sso2?/
Electrical Contractor?en .?re.t?Sc?K FZl e-Cr`t"t-tc, Contractor's License NA3?y?3
(COmpany Name)
. I . - _ - . e . ,
Mailing Address b'o
(ElectHCal tr r Owner Makin9 Thls0stallatlon)
Authorized Signature Lf:5?12 O-d77 Phone No.BS `-?411O
(eiectrlcal contractor or wner akin nis Installatlon)
S 1? /? ?? ?:p O??pj? ? `,, p???? This inspection request will nat 6e accepted by the
t!l??1 t? Stete Board unless proper inspectian fee is endosed.
Minnesota State Board of Electricity
1.964 University Ave., St. Paul, Minn. 55104-Phone 645•7703
+ REQUEST FOR ELECTRICAL INSPECTION
C ECK BELOW WOAK COVERED BY THIS REQUEST
;R49969.
Type of Building New Add. Rep. Check Appliances Wired For Check Fquipment Wired Foi
Home ? ? Rxnge ? 'Cemporary Wiring ?
Duplex ? ? WaterHeater ? LightingFixtures ?
Apt. Bidg. ? ? ? Dryei ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditionec ? Bulk Milk Tank 0
Farm ? ? ? List 0 ;SltuSn.5lle.p- List
Othet
?
?
0 _ pthcrs
Here_ ? ? ( sQa sc
.??- - - -- pthers
Rete
?OMPUTEINSPECTION FEF.BELOW
$ervice Entrance Size: # Fee Feedets&Subfeeders: # Fee Ci[cults: # Fce
0 to 300 Am s. jFqLAqfi&Ts G,eo 0 to 30 Am etes
Ul [0 200 Amps. i ,po _
3 0 31 to 100 Am eres
bove 200_Amps. - A e 1 15 Abave 100 Amps.
ransformeis Remote ntro Partial or other fee
" ns - Special lns ection Minimum Cee $5.00
Re arks
(t,p'4?p
IPtiil kc? [,a-1. e 1,c)?r'c VtJ G
TOTALFEE
,Ro Electrical Inspector, hereby cer ghat ty?aJ?veSnspe ion has been made. 3G -mv
( gh-in) Date ? iD- 2'!?'
(Fin ) ) Date ? -/j - 2Z
This request void 18 months from
CITY OF EAGAN
3830 PiISt Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-84250-160-03
FERMIT
PERMITTYPE: BuzLorwG
PermitNumber: 032949
Date Issued: e S/1$ /9 g
1220 CARL50N LflKE LANE
LOT: 16 BLOCK: 3
WILDERNESS ?FltPd?
DESCRIPTION: T.O. & REROOF/STORM
6u.??.cJ,Permit Type STQRM DAMAGE
8di3d3rtg!?Uq?7-k 7ype REPAIR
1'e.n, 9.u-t..?ad-e??434 ALT. RESIDENTTAL
pH* E Y9
?g 9 rsi
s" ? -A;atsiu
?i
i?
Gfit 9 snw
?
q5 b.i ?i_p u?
?
ub? ?S ?5t4F { i
REMARKS:
bi$tt3
c.m v9 ???' i?g 6 fi V 1nUy9 I&L' ?M 3+.@? ?:JS &19
FEE SUMMARY:
?±? Tp??7? - nNNilUaflW - JI. LL4. ^I???p:
B:1'OqKS'fh'ANTiRCOMPANIES INC 14525598 0008676 i+i?ANy?uNri1 p BRIAN
4116 DIAMONp DR 1220 CARLSON LflKE LANE
EAGAN MN 55122 EAGAN MN 55123
(612) 452-5598 (651)454-7180
? I h&reby ackn'
-irtfe??$tatu'
ge.tha.t ? have?,readr.tapP,?icati£ar?,.and:stat?,kM.z??G ?s"•
reat and,-'agroa ''compky with ae $t a te?"of '-ldn,
a'?gantOr.rJfr???res5.?.?
,. ?
APPLICANUPERMITEE SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 PII.OT KNOB RD 65122
681-4675 U
New Construdion Reauirertrents
? 3 registered site surveys
? 2 copies of plans (inciuCe beam & window sizes; poured fnd. design; etc.)
? 7 energy wlculaNons
? 3 copies of trae preservetion plan H lot platted after 711/93
required: _ Yes _ No
DATE: ?
DESCRI ION OF WORK:
STREET ADDRESS:
RemodeVReoair ReauiremenGs
? 2 copies of plan
? 2 site surveys (exterior additions 8 dedcs)
? 1 energy calculations Mr heated add'Rions
CONSTRUCTION COST; ?, 7 ? ??
J-11"
? p J
LOT: (P BLOCK: ? SUBO./P.I.D.
PROPERTY
OWNER
Street
First
Phone N: 71,fQ
a
City ?aAl State: Zip:
Company:T?Q'//Q C!//None#:
CONTRACTOR / /
Street Address: License # ?(P/ 7.1
City State: Zip:
ARCHITECT/
ENGINEER
Name:
Street
City
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and sfate that the information is cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature af Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
Phone #:
Regis7ation
State: Zip:
cinr oF encaN
N2 5148
• 3795 Pilot Knob Rmd Eagan, MN $3152
t - PHONE: 4548100
Recei
t
BUILDING PERMIT APPLICATION P
To be uaed fe SF DWlg & Garage Est. Value 60,000. oate 1979 =-
Sita Address 1220 Cdr150T1 I.3k2 Ta'le Erect gg Occupancy R3
Rl
?,p} 16 BIOCIC I SECISUb. Wl I(IPTTIPCS P ark pI?C3Alter p Zoning
1
0 Repair ? Fira Zo^e V
po?? # 10 94950
6 Enlorge ? Type of Const.
Name S. Petersen COT]5t. 711C. Move ? # Stories
z
Z Address 4701 W.110 t11 St. Demolish [] Front ft.
?
5144
R84
Grode ?
Depth - - fr•
-
Ci MP2 S 55437 Phone
" Avvromb . Fee.
o Name _
??r-
Address
r r...
Name _
Address
I hereby ocknowledge thai I have reod this application and state that
the information is correct and agree to comply with all upplicable
Smte of Minnewta Statutes and Ciry of Eagan Ordinances.
Sigrwture of Permittee _
A Building Permit is issued to:
ell work shall be dona in acco
Building Official ?
AssesSment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APG
Pemit 154.50
$urcharge
Plan theck 77.25
SAC
Water Conn. --270_.a0
Woter Meter _.6-Q-RO
Totai 1 F 1711 . 1
C1C. on the express condition thot
MinnesoM Stotutes ond Gity of Eagan Ordinances.
' ' . . . DATE
BL'ILDI`vG PER'?IT APPLICATIO\
Include 2 sets of plans, 1 site plan w/elevations and 1 set o?f ene?gv caicuations.
To be used for - Valuation
J
Site Address: „'?D r? ?
/ ? CDiC Ve2?vL ?5 ?rIRK M_?-
Lot /? Block 3 Sec. /Sub. Parcel Vumber 'Aj? /b O 43
S - % 6-72'R) « Telephone 'P'y
Ovnez
Address-,?/;20/ l.// ll0 77-'<?rt-
/yiv ?.? ? Y '' 7
Con[ractor
Address
Arch/Eng.
Address
Telephone
Telephone
OFFICE [JSE ONLY
Erect
Alter
Repair
Enlarge
Morre
Demolish
Grade
Occupancy
i ?
joning ?
Fire Zone 3
Type of Const. ?
li of Stories
Front
Depth
Date of A roval and Initia Fees
Assessment
Permit n
Water/Sewer Surcharge
Police Plan Check 77 a5
Fire SAC
.
Engineer
Water Connection
? ?
G
7
Planner Water Meter
Council
Bldg. Off.
A.P.C. TOTAL 9 ?
rertificate for:
: verid Peter$an
a 7'71 west l l??th
bl Domi rigton , Mn. 4 3 7 ,
. . ? :
DELMAR H. SCHWANZ
LANOSURVEVOR
RpisterW UntlN l.aws oi Tne Stato of Minneiota
2M - 146TN STREET W. - BOX M ROSEMOUNT, MINNESOTA 65068
SURVEYOR'S CERTIFICATE
30 151.20 N 860 51 1 0541YV
? 322' ?5„
? 0 ?4 J. 2 'Y -1
M ? c
C;'Qij
N N I
^
v a I
„ l p"0poSe
? N L 0 T
4t
° o
? 1s
- l,z 27 ? 2G p I
iti 1
DTainage Sc ut.i 1 i ty
easement
SCAL!?: 1 inch = 40 feet
PHONE 812 423-1789
?
GO
O
o,
0
Z
N
?
I hereby certify that this iB a true and c?)rrect rapresentKtion •.?-f
Lot 16, Plock 3, W?LDERNESS PARlC ADDITION, accorning to the recorded
plat thereof, Dalati County, Minneaota.
Also ahowing the location of a proposed hause as staked thereon.
Dated: March 9, 1979
, //; ? j \ , • `.i ?
MINNESOTA REGISTRATION NO. 86 ?
i
kb": 0
I
CITY USE ONLY
LOT 16 BL ? PERMIT #:
SUBD. wdo'1'Rlt??'. fQ A RECEIPT #:
Y//93
7
RECEIPTDATE: v - /-'Ci(_j
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: ?? 3c) !cx\
Complete this section onlv if you aze instalfing HVAC in a singfe family dwelling, townhome or condo under
construcrion and not owr.er/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surchazge .50
Total $
Complete this section onlv if you aze remodelina, addine to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
re J4c`e
_ New _ Alteration x Rt?air _ Other
Furnace
_ Air exchanger
? Air conditioning
Other
Fee $
State Suichazge
Total $
Reminder: Call for inspections
SITEADDRESS: /a?qO P o L(.I E- Ld-YlE?'
30.00
.so
30.50
OWNER NAME: 2 l o Ck PHONE #: LOS I - ' y `?J ??' /l (?D
(AREA CODE)
INSTALLER NAME: ?(? ?(-i .? (/;?Yl )S 1 PHONE #: 7& 3 -3 ? 3- S3 0-i
(AREA CODE)
STREET ADDRESS:
CITY: •
CITY OF EAGAN
3830 PILOT tINOB RD
EAGAN r47 55122
651-681-4675
STATE: MN_ ZIP:
SIGNATCTRE OF PERMII E
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114501
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 1220 Carlson Lake Lane
Lot:016 Block: 003 Addition: Wilderness Park
PID:10-84250-03-160
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Robert Antonsen
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 -
Mark G Parupsky
1220 Carlson Lake Lane
Eagan MN 55123
Antonsen Construction Inc
411 marie Ave Ste B
South St Paul MN 55075
(651) 340-1791
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152263
Date Issued:10/05/2018
Permit Category:ePermit
Site Address: 1220 Carlson Lake Lane
Lot:016 Block: 003 Addition: Wilderness Park
PID:10-84250-03-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Mark G Parupsky
1220 Carlson Lake Lane
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154555
Date Issued:04/01/2019
Permit Category:ePermit
Site Address: 1220 Carlson Lake Lane
Lot:016 Block: 003 Addition: Wilderness Park
PID:10-84250-03-160
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Mark G Parupsky
1220 Carlson Lake Lane
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178244
Date Issued:08/08/2022
Permit Category:ePermit
Site Address: 1220 Carlson Lake Lane
Lot:016 Block: 003 Addition: Wilderness Park
PID:10-84250-03-160
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Mark G & Barbara A Parupsky
1220 Carlson Lake Ln
Eagan MN 55123--171
(651) 724-3124
Perfect Exteriors Of Mn Inc
516 Pine St
PO Box 297
Monticello MN 55362
(763) 271-8700
Applicant/Permitee: Signature Issued By: Signature