1273 Carlson Lake LaneCITY OF EAGAN
3Y95 +iI1* Keob Road
Eagen, MN 55122
Zoning;
Owne r:
Address:
Site Address:
Plumber:
SEWER SERVICE PERMIT
PERMIT NO.: 39 7.3.
DATE:
No. of Units:
??on
I ogree to oomply with Hro City of Eagon
Ordinances.
By
Dote of Insp.:
Connedion Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Toto I:
Date Paid:
CITY OF EAGAN
3?95. Ailat Knob Road
Eogan, MN 55122
Zoning:
Owner•
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No, of Units:
.4dtirPCC-
Site Address:
Plumber:
Meter No.:
Sire-
Reader No.:
1 agree to comply wit6 the City of Eagan
Ordinonces.
By
Dote of Insp.:
Connection Charge;
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: _
Totul:
Date Paid:
• CITY OF EAGAN
? • 3795 Pilaf Knob Road Eagan, MN 55122 N2 5639
PHONE: 454-8100
` BUILDING PERMIT Receipt .?
Te be utad fer Est. Volue Dote 19
Site Address Erect ? Octupancy
Lat Blxk $ec/Su ,- Alter ? Zoning
parcel # Repair ? Fire Zone ?
E
l T
t
f C
n
crge Q ype o
ons
.
Nome Move 0 # Stories
W
3 Address Demolish p Front ft.
° r;.., Grode ? Depth ft.
°C Nome _
zF°-
o? Address
u
1-- C'irv
Nome
Address
Assessment
Woter & Sew.
Police
Fire
Eng.
Plonner
Council
? Permit
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
I hereby ocknowledge that I have read this application ond state thot gldg_ pff,
the informotion is correct ond agree to comply with all flpplicable APC Totnl '
State of Minnesata Stotutes and Ciry of Eagon Ordinonces.
Signoture of Permittee
A Building Permlt is issued to: on the express condition that
all wo?k sholl be done in occordonce with all applicable Stote of Minnesoto Statutes ond Ciry of Eagan Ordinances.
Buildfng Officinl
•
??nnk # De% aa MrwIMN
Plumbing
Mechonical
ZLAc> . 52[od ?2. ? i 1o aWx,t?.
INSPECTIONS DATE INSP.
Roupl-,ln
Final
Footings Dote Inap. Dota Insp.
Foundation 3 Plumbing 9;d
Frame/ins. %J Mechnnicol
Finol
Remorks:
e
; a ? .?? -?-•?.`'? ? o s ?-p-?.
c.?
?
- CITY OF EAGAN
3795 Pilot Kweb Roed
No Eogan, Minneaota 55122 INSPECTOR NOTIFICATION
, Ptiew: 45"100 REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Date: Receipt No.:
Site Address: ? Single I
Residentiol
' I
Lot Block Sub/Sec. Multi Res., Comm./Ind.
N
a'ne New/Alter./Repoir
.
A
?
ddress Cost of Instcliction
City Phone: , - Permit Fee '
Nome Surchorge '
`
?
? Address
0
0
V
-
City Phone: Total This Pem,it is issued on the express condition that oll work sholl be done in accordance with cll applicoble Siote of
Minnesota Stotutes and City of Eogon Ordinances.
Building Official
f,to.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
cirY oF EAGaN
3795 Pilot Knob Rood
Eegen, Minnesota 55122
Phone: 454-8100
PERMIT
Dcte:
No 9ed Crec:3t r?e; -', 5
.. - - - - -
Site Address: ` r?"n?"`:'` ''^•`'c' ` ° Residential
X
Lor Block Sub/Sec.
Nome
New/Alter./Repoir. • i6 '.,^',GI1
3 Address Cost of Instollation
O
City Phone: Permit fee
Nome
? Surchorge
? Address
?
CitY Phone: Totnl
This Permit is issued on the express condition thot all work shull be done in acwrdance with all applicable State of
Minnesoto Stotutes and City of Eagan Ordinonces.
Building Officiol
CITY OF EAGAN Remarks
Addition Wilderness Run 4th Addition Lot 6 Bik 5 Parcel 10 84353 060 05
Owner Street 1273 Carlson Lake Ln. state Eagan, NIIJ 55123
?CI (G R[u (a,ltt..
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
a SAN SEW TRUNK 1973 $163.26 $8.16 20
SEWERLATERAL 1975 714.00 $71.40 1 10
WATERMAIN
WATER LATERAL
WATER AREA 17111116707
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 18175 3 80
WATER CONN. 305.00 18175 0
9UILDING PER, 5639 18175 3 13 80
s,ac 525.00 18175 3 13 80
PARK
I
This request void 18 months from ?!F(& 6 5WP -4 / 90 3S 3/?'on V
T
Date of this Request 517 ?0 ?y L o??
I, as ? Licensed Electrical Contractor ' wner, do hereby request inspection of the above electri-
cal wiring instalted at:
Street Address or Route No.
Section Township?
Which is occupied by?
i
Is a roughin inspecti
,gn required on this
Power Supplier XYak` &-' e--
Electrical Contractorjazr=?4-
(comJ
Mailing Address v?
, i«,.,,
Authorized Signature
(Electrlcal Cantratt
?STATE BOARD Ci
Range County
No ? Yes O/ Ready Now ? Will Call ?
Address
Contractor's License No. _
,e)
?
?..? i>? ? ?,,, , S s s,
This inspection request will not he accepted by the
State Board unless proper inspection fee is enelowd.
Minnesota State Board of Electricity
796L University Ave., St. Paul, Minn. 55104-Phone 645-7703
? _iEQWEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/qb3l'
26812
Type of Building New Add. Rep. Check Appliancea Wired Fo: Check Equipmen[ W'ved For
Home ? ? Range 9 Temporazy Wiring ?
Duplex ? ? ? Watet Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Commeccial Bldg. ? ? 0 Fumace ? Silo Unloadei ?
Industrial Bldg. ? ? 0 Au Conditioner ? Bulk Milk Tank ?
Farm L'u[ L
ist
Other
?
?
? Q
Hehers( p
Hehers?
COMPUTE INSPECTION FEE BELOW '
ServiceEn[renceSize: # Fee Peeders&Subfeedeis: # Fce C'vcuits: # Fee
0 to 100 Am s: 0 ro 30 Am res 0 to 30 Am eres /G ' LG
101 ro 200 Am s. ./G. Do 31 to 100 Amperes 31 to 100 Am eces ?J.G(.
A6ove 200 Amps. Above ]00 Amps. Above 100 Amps.
Transformers - ConVOlCirc. Paztialorotherfee
S" ns ci s ection Minimum fe
Remarks '
i _ TOTAL F 3?61 3 • -61
I, the Electrical Inspector, hereby
(Final)
, This request void 18 months from
`
p?e?ctip? has been ma e.
?C'°? Date ? .? ? 'Ell
t?ate ((-i;L-£?
?`r^
s. sa "V?
%Uertifirtttp uf (Orrupttnry
Citp of Cagan
Brpttrtmrnt n# iguilD'ing 3nspertimt
Tbit CMi/icate irturd purzuaru to tix rrqui+emenu o f Sertion 306 0f rhr Uniform Buildrng
Cada tati f yrng that at t!x timr of ieruantt rhit irrurture was in compliancr with the variout
ordiwnta o( tbe City segulnring buifding ronn+urtron or urr. For the fo!lourreg:
U. c,.mw,m SF DWG 9ld, pnmitNu 5639
o-Wwl, rrw A'3 hpcm.wcuea v Finzcn III z?no.? Rl
Svend Jensen Aee. 5736 Upton Ave.S.,Mpls, Mn
._.y _...- 1273 Carlson Lake J,,A,.,_ Wild. Run 4th Add.,Ib,B
? BY:
?`? a,,, 9-23-80
(.0 ? a44
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Plcase complete for: single family dwe(]ings & townhomes/condos when pemiits are requ'ued for each unit
?3 a S?-
Date 'b / /7 / 65-
Site Address /A 7 77 - &c? Unit #
Property Owner ??2[? Telephone # ( ?yS? ) ?p fflo -J
Contractor
Street Address /a City r N
State 91yl. Zip -??? Telephone #(/.s'a ?yb' / a y53
Bond #: R Z Z O-5o, 4134 (a 9' Expires: a/ ?
The AppGcant is _ Owncr ? Conhactor _ Othcr
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional ?Replacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge a SG
? 0
S?
Total $ •
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; thal the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, tltat I undcrstand [his is not a
permit, hut only an applicauon for a peanit, and work is not to s[art without a permit; that the wotk will be in acwrdance with the
approved plan in the case of work which requires a review and approval of plans.
/ l a 6 e rt " Se ??e r G /eD'Cl{?
ApplicanYs Printed Name Applicant's Signature 2nn;
- _I
?
4
K CARLSON LAKE
," - 200'
z
NVVL = 840.5 HWL = 845.4 >
O
? ?
351 Z
?
?-
? 357
TRAIL EASEMENT 4363
DOC# 464245
1 1299
1293 1287 1281 1277 1273
1265
CARLSON LAKE ?
LqNE
?
U
O
:2
? p ?
7
G Exhibits misc STAFFORO PARKI NG 050603
Existing Trail Easement - Doc # 464245
May 6, 2003
Ciry of Eagan Wilderness Run 4th Add.
,
l
. t' iJy
J tV
TSf.IL FASE+,?Tf ? S f M
4
THIS I.`?DEiI?L?'ti., uude an3 eui:ered into thJ.e ? day of rH?K
19by and bezweea _ Arnold A. Carlson& Anna C. Carlson husba & wif
Robert S. Tilsen & Jovice Tilsen?-husband?s Gzantor. s, aad City qf Eagan,;.
Daiota Co?aty, ,?'J.nr.esota, as Grantee, ? wlfe ? 1
---, d
WITDtESSSTH WHERFAS., said Grantors a e the o?.-ners of the: tracts a£ 1'
?
RlOER fS r?.? nd ia ttia City of Eagan, Dakota County, Minnesota, legally d°e?s?be R' ? ? ???
PARt u'r fHl? folloas; '
"RtDER'IS '
+ . . .,
t .
?
A trail cascrucnt ovcr that part- of Lots l, 2, 3, 4, 5, 6, 10, and 11, all in
Bloc:k Pive of WIi.DEjiNIiSS RUN FGR'1'I1 ADDITIU.1 ].ying beCween the Park in WilQernev::
`:un 4th 11d3iCion an3 a line ; feet SouCherly of the followin.f desrribrd .1i.ne;
Beginninq a,_ a, point on L-hc nort}t l.ine of: said Lot ll di.,tant 56.76
feei, o:esterly o`_ the northea.:t cornr_r tttereo°; thence SouCh 89 deyr.c?r ., 35
m.i.nutes, 37 sr_cond? [Jest alor.r; the north ].ine o` said Loi: 11 a distance oF
ieeL' to the northwe;;t corner oi said I,ot 17.; thencc Sout:h 00 degreos
24 ?ir•.utes, 23 secends Eu!;t a distance of 15.00 feet; thence South ftl drqree„
;"nutes, 31 second, l•le>t Zlunq the nor.ther].f Line of said k3lock F•'ive i
di.s(_anre of 51"7.35 ieet t:ot-.nenor.thwost- corner e>f said Lot l.; Lhonca South
57 dcqrees, 16 m;_nutes, 52 second:;I:a^t a disi:ance of '150.19 feet; thence
'dnrv-n 37 decr;-ees, 00 mir±utes, 37 secnnd:; b:a=:t a d;.stance of 235.00 feet;
i-.hr,rice Nozth 67 de?-rr.es. 25 r,ti.nute:;, 37 so.conds P•.ast a di:skance of 160.00
teo,_; Chenre plnrtli 36 dQqree:;, 55 minutes, 37 seconds F:asC a dis?Cance c>f
3::5.63 feet to the noinL of beyi.nninq.
2Td flCrOSS We]1Ci1 tne parceL ul iaua
'_ecation, grading, construction, maintenance, and use of a public trail over
nad upon the preniaes hereby conveyed and from the uaes iaci3ent ts.ereto, and
the said City of Eagan shall have the right tv use and remove all eart!: azd
other msteriala lying within the parcel of land hereby conveyed and the ripht
r.o construct and saintain, upon the lands a.ijoining the parcel hereby conveye.i,
cuch portable snow fences during such mor.ths as weather conditions make necess.:rv.
All stumps and other debris resulting from the clearing ot the right of
way will be disposed of by Grantee by burnit3 or otherwise, accord;.ng to law.
The Grantee ata!1 have the right to post such signs ar.d poatezs alone
sai.d tra:l as a:e deemed necessary and suitable to define the aboce lande and
locate t:iem for public use.
IN WITPIESS 4PiE3EOF, said Grantors ha ve hereiato set their hsu3 s and
eeals t:ie day aad year first above written. ?
Ia Fresence Of:
1 ?L Arnold C lson
Robert S. Ti sen
O - . -r l .-i "i
NCW TFIUMFORE, the said Grantors , in consideration of Qne ($1.00) Dol.ier
t.R3 other good end va.L,isSle consideretion ro th em paid by Gxaa'ee, receipt
whereof is her.eby ac:;uorrledged, hereby conveys, warrants and dedicates to said
Grantee, i.ts l:ezzs and aseigns, for trail purposes, togecher with the un-
:estricted riFh_ to iL?prove the same, free and clear of all incuabrances, tLe
above de;cribed tracts of land for trail purposes.
The Grantors- , for themaelves , their heirs, esecutors, admi:!istrator3
aad assigns, do.- covenant never to cut, damage, destroy or remove any tree or
shrub or other natural groh•th upnn the Hereinbefore described premises for the
coatinuance of this easemeat, and bo hereby grant and convey to the said
City of Eagan all grasses, shrubs, trees and natural growth ncw exiatirg
oa said lands or that may be hereafter plan[ed or groan thereon.
The Grantor s,#or themaelves , their heirs, executors, administratr:za
and a3siras dc hereby release the said City of Eagan, its f.ttCCP9sOI8 a*3
esaigna, ircm ell claims for any and all damages resulting to the lr.r.;,
and across whieh the parcel of land hereby conveyed is located by reasca of the
'_ecation, grading, construction, maintenance, and use of a public trail over
an3 upon the premises hereby conveyed and from the uaea lacident t:.ereto, ttn3
the said ' City' of Eagan ahall have the right to use and remove all earth azd
o:her materials lying within the parcel of land hereby conveyad and the right
to construct aad aaintain, upon the Lands adjoining the parc=l hereby conveyerl,
cuch portable enow fences during such mor.ths as weather conditions make necesa::ry.
All stunrps and other debris resulting from the clearing of the right of
way will be disposed of by Grantee by buruic3 or ot5erwiee, accordixis to law.
The Grantee eha?1 have the right to post su.h signs ard posters alone
said trsil as a.-e deemed neceasary and suitahle to Zefiae the aboce lands and
locate ther for pubZic use.
IN WITPTESS 4PMEOF, said Grantors ha ve hereuato set their hsed s and
/J
seals the day and year first above written. /? /-/7 1-4
Ia Fregence Of:
_ ) I L-4'/..??--Q--
r-,N <_.. -,_ . i rr_ .
?
l l•-?T Tr . ?
STATE OF MHVN25GL1 Govnty of Dakotn, J ss.
Offite of Reg:sier of Deeds, . .
i ? This is fo cerlify that Iha within
? [7 inslrvmeni as filRd for record 1r fhis offit af jic.sti-?s, On fhe d o ; D. 19 o'ciock .M., nd thui th scme w a s o y. re rded in " D ota Cou y k co'd . . . . . .
.
Q $ror of Deeds. ' .
Ue?uly
? 6y
TransYer Sntered Thie ?
r1?
I
?n,0
. w':ll IUW91
v
/! _ J / 1
cirv oF ea"N
., 3795 Ptlot Kno6 Reed Eagan, MN 55722 N! 5639
? PHONB: 4l4-8100 ,FJ
BUILDING PERMIT APPLICATION Rxeipt # Idr,-5-
Siro Address 1274 ('arlson Lake Lane Erect [I Occupnncy R3
Lot 6 Block 5 Sec/Sub. 4th AdditiOn Alter p Zoning RL
Porcel .# IO ?Lt 35 a 0Cp (9 G?Repoir ? Fire Zone ?
E
l of CansF
T
1
1
n
arge ? .
-
ype
W Nome Svend Jensen Move ? # Srories
; Address_ 573 6 Upton Ave South Demolish ? Front §g ft.
°
CI Gmde
Phone ? Depth 4-2, ft.
°
0 Name Cam c ADProvals Fees
E? Address
? r.w.
Nome Pa13l 1-1tti-e
Address
I hereby acknowledge thut I have read this applicotion and state that
the information is correct ond ogree to comply with all upplicable
StaM of Minnesota Smtutes pHd Clty ? Eq?¢n OrAinances.
Assessment A Cr3
Water & Sew.
Police
Fire
Eng.
Planner
Council
gidg, pfp, 3 11 80
APC
1P.brmit 165 aro
$urchorge 33 SQ_
Plon checl62,$Q--
SAC ?-
Water Conn. 305.00
Water Meter 60. 00
Road Unit 185
Totol $1356_(10
518nafure of Permittee ° - - - I
A Buildfng Permit is issued to: on the express condition thot
all work shall be done in ocm wit 1 ap i le State of Minnesota StMUtes and Cty of Eagnn Ordinances.
Building Official j??
To Be Used For IgMI??
Site Pddress Oki,
Lot ? Block ? Sec
Parcel #:
CITY OF EAGAN
BUILDING PERNIIT APPLICATION
il
owner: SV/=411) TFA/,S'F/I,? '
AddreSS: uPm,Y atm
City/Zip Code: N?1
Pnarie #: 92 0 - 0`G?r'/ ?s
P,PPR(7VAIS
Contractor: SVF_/?(? 7?l/.S'Ed? Ol.??'cIP Assessments ll r ermi.t /?3 ?
?4ater/Sewer Surchaxc?e_ 3 ?
Pddress: police Plan Check 8o'L ?-
City/Zip Code: Fire _ SAC
Phone #:
Arch./Eng.: P? u c LIrrrIE
Pcldress:
City/Zip Code:
Phone #:
??
Include 2 se of `Ians3, 15,
1 site plan w/elevations &
1 set of energy calculations.
Date
(1 OFFICE iJSE ONLY .
3
Erect ?T occupancy -
Alter Zoning
Repair Fire Zone .3
gnlarqe _ Type of Const.
Nbve # Stories
Demlish Front 4 $ ft.
Grade Depth Y;'- ft.
EnJ •
Planner
Council
Fldg. Off. ?•p.?n
APC
Wdter CoM. ol? »
Water Meter
Road Unit /11!.4-'
TOR'AL ? ?D •
Certificate for:
Svend Jensen
? 5736 Upton Avenue South
Q,S S Mpls., Mn. 55410
?g?,y3,3iE 7?, DELMAR H. SCHWANZ
LANOSURVEYOR
? Re9isbretl Vnaer Laws of The 5[ata of Minnasota
? ?B7B - 146TH T W - BOX M ROSEMOUNT, MINNESOTA 55068 PIiONE 612 4237788
N? sb,'9 ? G ? SUHVEYOR'SCERTIFICATE
LiNE
fu?v y ? SCALE: 1 inch = 40 feet
?
M
N
3 "
N L 0 T Co 0
? I hereby certify that thia is a true
and correct repreaentation oP:
N
Q Lot 6, Block 5, WILDERNFSS RUN FOURTH
ADDITION, as on file and oP record.
? in the office of the County Recorder,
Dakota County, Minnesota.
Subject to all sasements. Also showing the location of a proposed
house as ahown thereon.
O
?
Q Dated: March 5, 1980
0 C3
? o
? m
\o ?,?oOoSED
- NouSE N
19
h
za ?a
1io
?
P
6 ?9 N
N ?
° - Drainage & utility easement
BS.a? 58?-?-33?'
?
?
L ANC
?
REG15T ?F
MINNESOT ATION NO.8625 X
A
l l..j
-3-zsz1
2006 RESIDENTIAL PLUMBING PeRMir aPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
1
? Date 3_ 1 I (C ! _NO
1 ?
I Site Street Address i'? ?j'Se- LoLn-gJ Unit#
?
i
Property Owner ichac Fe-r (,i5 Telephone #(01l )
N
I
I Contractor r5r rl LmTelephone #(?,`A ).?5'4 3`( L)
-
?
T
II A, ddress "Sk?0 bU[a d Rd City ?uT Ln State J4A? 2ip SSl'21J
The Applicant is: _ Owner _ Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
?
Alterations to existing dwelling
II $ 50.00
?
N Add plumbing fixtures This fee includes installation of a water softener andlor water
heater at the same time. If you are installing oRIV a wafer saftener anoVor water
I
heafer, do not complete this section; move to the next section and check the
?
N appliance(s) you are installing.
I _Septic System Abandonment ,
i _ Water Tumaround (add $130.00 if a 5/8" meter is required)
Other:
?
Water Heater
Water Softener $ 15.00
? ?
new replacement
I
_
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
41State Surcharge $ 50
$ ? a5?
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the intormauon is compiete ana accurace; cnai uie
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes, that I
understand this is not a permit, but only an application for a permit, wor c is not to start without a.perriit and work wi!! be in
accordan e with the approved plan in the event a plan is required to ewewed and approve.d.
?
?/?l?
Applicant's Printed Name Appli anYs ignature
(?o
2006 RESIDENTIAL 1VIECHANICAL PERMIT APPLICATTON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Plcase complete £or: single family dwellings & lownhomes/condos when pemiu are required for each unit
-W 3o (-LDO
Date ,Q / _J / o(a
SiteAddress (JO(/lL Unit#
Property Owner ?
s?
Telephone # ((0
Contractor J c P I 1 h d' /1 /c+ rL? '
Street Addmss ?V p o(7 y /NQ Y M(1, JqJ1 e- City ?)La t6r
State M Zip -5V3*7 Telephone#
Bood#: ZL? Expires:
The Applicant is Owner ? Contractor O[her
Add-on or alteration to existing dwelling unit $ 30.00
_ fumace _Additional -xReplacement _ New
air exchanger
? air conditioner )e4,rµ4d_'TUn- l1Y6£ EC
heat pump
other
State Surcharge $ .50
Tota? $30' J V
I hueby apply for a Residertial Mechanical Permit and acknowledge that the information is eomplete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permi[, and work is not to start without a permit that the work will be in accordance wi[h the
approved plan in the cue of work which requires a review and approval of plans. RAe. r t ? .ci eFe: rf 40?4
Applicant's Printed Name Applicant's Signature Q
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112729
Date Issued:08/22/2013
Permit Category:ePermit
Site Address: 1273 Carlson Lake Lane
Lot:006 Block: 005 Addition: Wilderness Run 4th
PID:10-84353-05-060
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 .
William Krech
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bo Thao
1273 Carlson Lake Lane
Eagan MN 55123--176
(917) 838-8889
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
City of EaQali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: /3Z/9‘ % 2
Permit Fee: (C/C_ 06
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:(P 16 Site Address: 13 /3 C6'115Orl I 16`ft
Tenant:
Suite #:
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®�ntrO,�ne
Name: 0 TI -1 - V r`^/e--DtArv$ UC Phone: C I cn r30 Y� Ccp
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Address / City / Zip: CJ / 3 CG- 36rl Gn Q. ---i ) c'''/1
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Name:�cl�jT�h e�LU��'%-\� t is-ion� �icense#: °/�jbd L'I3 --,M
Address: , 3(° 101 ) n. / " " Ur - City: G.-w‘,s 2 �.
State: ) f\ ' Zip: CS -30 Phone: g / 3,Y� I I ~s--
Contact: 7vs 1--,' 6e-cck Email:
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%C New Replacement Repair Rebuild Modify Space Work in R.O.W.
— _ — — —
Description of work:-lns'`-SGJ --/ C\k en ---i-`6 k �jC.F-h 5-1 OVA �
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RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (— RPZ / PVB)
Add Plumbing Fixtures ( Main / Lower Level)
—
Septic System
Water Turnaround
New
—Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
(includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with th a • . ro -d plan in th - ase of work which requires a review and approval of plans.
City of Evan
3830 Pitot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2016 RESIDENTIAL BUILDING PERMIT APPLICATION`
Date: Site Address: 1273 Carlson Lake Lane, Eagan 55123
Resides
Name: Bo Thao-Urabe & Dennis Urabe
Address / City / Zip: 1273 Carlson Lake Lane, Eagan 55123
Applicant is: Owner X Contractor
Phone: (612) 384-6430:
YP
0
Description of work; Framing , drywall; him; cabinet install
Construction Cost: $12,000
Multi -Family Building: (Yes !'Rla.
Company: Veramarke Construction Services LLC
Address: 6018 June Ave.
State: MN . Zip: 55429
License #: RCCRR3950
Ph
Contact:
City: 'Brooklyn` Center
ne: (763) 772-5529
ail veramarke@grnail.com
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW. BUILDING
In the last 12 months, has the City of.Eagan issued, a permit for a similar plan based ona master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:.
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone
CALL BEFORE YOU DIG. Call Gopher State One Call at (661};454-0002 for protection against underground utii
before you intend to dig to receive locates of underground utilities. www .00pherstateonecall.oro
I hereby acknowledge that this information is complete and accurate;that the work:will be• in conformance with the:rirdinances and odes, of the: City of
Eagan; that I understand this is not a permit, but only an: application for, a: permit, and work is not to start without a:permit, that thet^work will be in
accordance with the approved plan in the case of work which requires a review and approval of Plans:'
Exterior work authorized by a building permit issued in accordance with: the. Minnesota State Buiidirig Code must' be completed within 180
days of permit issuance.
:damage' Call 48 hours
/Vimv
Applicant's Printed Name
App lnt's gnature
t x13
DO NOT WRITE BELOW THIS LINE
---LcODLP
SUB TYPES
Foundation
Single Family
Multi
01 of _ Flex
WORK TYPES
New
Addition
Alteration
— Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% )
Census Code
#of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
_ Move Building
Fire Repair
Repair
Porch (3 -Season) _
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
)( Framing
Fireplace: _Rough In Air Test Final
7( Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entlre building — give PGA handout to applicant
rut
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final /C.O. Required
$ Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: — Footings _ Backfill _ Final
Radon Control
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
k1-1-(-11fw
priitywork/a.)44 (15)-)(090- Pio
i\ (wJ
vo(o /2varn
TOTAL
60x4575 C/7g5,o
pva
/4�J
of Ea
1
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 675-5675
Fax: (651) 675.5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
c
Date Received:
Staff
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 3/2/2016 site Address: 1273 CARLSON LAKE LANE
Tenant: Suite #:
Name: BO THAO
Phone:
Address / City / Zip:
Name: HEATING & COOLING DESIGN INC
Address: 1010118TH AVE
State: MN zip: 55434
Contact: ANGIE
License #: MB003339
City: BLAINE
Phone: 763-291-8519
Email: HEATCOOLSHARK@GMAIL.COM
New Replacement Additional Alteration Demolition
Description of work" KITCHEN VENT; RELOCATE: DRYER VENT, DRYER GAS LINE, OAS LINE TO COOK TOP, SUPPLIES&RETURNS
"
1 �;SiI i 7
RESIDENTIAL
_ Furnace
_ Air Conditioner
Air Exchanger
Heat Pump
Other VENTILATION
rra
COMMERCIAL
New Construction _ Interior Improvement
Install Piping — Processed
Gas _ Exterior HVAC Unit
Under/Above ground Tank L Install / Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
$ 1000
TOTAL FEE
COMMERCIAL FEES
860.00 Permit Fee Minimum
870.00 Underground tank installation/removal
Surcharge = Contract Value x $0,0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $ x .01
= $ Permit Fee
$ Surcharge
$ TOTAL FEE
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x SHARKEVICH
Applicant's Printed Name
x
Applicant's Signet re
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168252
Date Issued:04/14/2021
Permit Category:ePermit
Site Address: 1273 Carlson Lake Lane
Lot:006 Block: 005 Addition: Wilderness Run 4th
PID:10-84353-05-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Bo Thao
1273 Carlson Lake Ln
Eagan MN 55123--176
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177343
Date Issued:06/27/2022
Permit Category:ePermit
Site Address: 1273 Carlson Lake Lane
Lot:006 Block: 005 Addition: Wilderness Run 4th
PID:10-84353-05-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
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 -
Bo Thao
1273 Carlson Lake Ln
Eagan MN 55123--176
Professional Exteriors Inc.
5376 260th St
Wyoming MN 55092
(763) 434-1500
Applicant/Permitee: Signature Issued By: Signature