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1242 Carlson Lake LaneCITY OF EAGAN ." 030 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt# ? To be used for Est Value Date ,19 Site Lot Block Sec/Sub. 1 On Site Sewage _ MWCC System _ Parcel No. On Site well _ Ciry Water _ a Name 3 Address ? City Phone ¢ Name 0 ? ? Address ? City Phone a W W Z l7 z w Name City I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all eppliCable State of Minnesota Statutes and City of Eagan OrdinanCes. APPROVALS Assessments WatedSewer Police Flf@ Engr. Planner Council Bidg. Off. aPc Variance Occupancy Zoning Type of Const (Actuaq (Allowable) # of Storles Length Depth S.F. Total Footprint SF. FEES Permit ' Surcharfle Plan Review SAC, Clty sAC, Mwcc Water Conn. Water Meter Road Unit Treatmenf P1 • a.vNiea Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Psrmit No. Permit Holder Date TNephone ? Plumbing H.V.AC. EleCtriC Softener Inapection date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Pibg. Bldg. Final Cert. OCC. Temp. LP Deck Ftg. DeckFrm9• y-,zY.B Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) sai -4s75 SITE ADDRESS: PERMIT SUBTYPE: .'iro 01.0 49 i +, fi1 1 I11V! PERMIT TYPE: Permit Number: Date Issued: Itl? i i tr ! W?, '?'?111a • APPLICANT: i r, 1. I is?iy t•247N TYPE OF WORK: fit F"Ar F? t Vu(lf t Ni, > Ill •,E ll; f 11 r 1 VIN -71 - i Perml! No. Pertnft Holder Date Telephone # ELECTRIC PLUMBINQ HVAC Inspectlon Dete Insp. Comments FOOTINGS FOUND FRAMING FOOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST ? INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDR FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition ? Wilderness Park Lot 5 eik .? Parcel 10 84250 050 03 Owner `'c • ?? . Street 1242 Carlson Lake Lane State Eagan,MN 55123 Improvement D'ate Amount Annual Years Payment Receipt Date STREETSURF. 3 1977 875.70 87.57 10 STREET RESTOR. GRADING SAN SEW TRUNK 1973 176.o5 8.80 20 SEWER LATERAL WATERMAIN WRTER LATERAL (e 1 2 30.29 15 12-14-76 WATEF AREA P D DER WATER ONNECTIQN 51751 STORM SEW TRK 198 267.07 17-80 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 2 BUILDING PER, Q 12 5AC 425.00 1 PARK nuace oF eacaM WATER SERVICE PERMIT 3795 Filoe Kno6 Rood PERMIT NO.: -I7$4 . Eagan, MN 55123 DATE? 7f 25LZS . Zoning: -Rl No. oF Units: 1 . Owner: _mn Olson Bulldex Addcess: site Address: 1242 Cdrlson Lake 7ane Plumber: -Blavlock ing Me[er No., Connection Charge: 32D.OD pS1___-.. Size: 04? Account Deposit: Reader No : 7 ? 3? 3 Permi[ Fee: 10.00 pd . 1 agrea to tomplr wkh tha Villoge of Eogan Surchazge: .50 p4 7 . ncs'? Misa Chazges: 60.00 Pd ?f TotaL Sy 4 61 Date Paid: llare of Insp.: Insp.: Y1LLME.',4F EAOAN SEWER SERVICE PERMIT 3795 Rbt Knob Road PERMIT NO.: _2544 Eagan, MN 55121 DATE: 7/25/75 Zoning: Rl No. of Units: z Owner. nn rn ,•_ B..: lq Address: Site Address: 1249 Carl mn iakp Tanp Plumbet: .Bla}[Lnrk vt umbing . I 09rm rocomOlY with IM Vfllage of Eogan Connec[ion Chazge:42S=00 pd Ordinonces. Account Deposit: Permit Fee: 10.00 pd Surchazge: • 50 pd BY: Date of Inep.: lnep.: - Misa Chazgea: Total: Date Paid: - PERMIT #: J ? E N CITY USE ONLY RECEIPT DATE: 2002 RESIIF.?l1'lAL MECHAb1ICA1, PEftM1'C ??PLIICATl4N CITY Of ERHAN S$SO PILOT KA06 iiD F-ASAN MN 55122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: da SITE ADDRESS: OWNERNAME:n, l_.Mn'n,(Lf DSL-I9,4fL1?,4A) INSTALLER NAME: I\ kM ?y IV[.? ?vv /? ?C,(?G, r-r?--r- STREET ADDRESS: TELEPHONE#: ????• SS?7 TELEPHONE #: yI • A - ;aFS CITY: M -04 1 STATE: ?? ZIP: 5-15W7 Place a check mark next to the permit work type Add-on, modification or alteration to existin dwelling unit $ 30.00 fumace replacement • air exc anger • air conditioner ?-~ • other Nature ofwork:??K?? ?I? ,??Wfe?a ? . ???'1??,?.?•??? - , ? (1 ?'? , ? 7 `; ??D '' ? ? I , , , State Surchar e $ .50 TOtal $ Z?b .?? SIGNATURE OF PERMII"I' 1io2 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knqb Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS;P.i.N.: 1e-8425e-e50-03 APPLICANT: LQ7: 5 BLDCK: 3 1242 CARL50N LAKE LANE HORIZON ROOFING WILDERNES6 PARK iS7 (612) 890-9960 auzLozNG 026745 11/21/95 . _ ? ? • ? . .. _ . . .. . . .'.. a . i ?. ° * n- +_y ? PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) REPAIR pESCRIPTION (RpOFZNG) ?- ? Y CIY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permi[ Number: Date Issued: deo 5o/a 0 BUILDINB 026745 11/21/95 1242 CARLSON LAKE LANE LO7: 5 BLDCK: 3 WILDERNES5 PARK 1ST P.I.N.: 10-84250-050-03 DESCRIPTION: B (RDOFTNG) ??ermit Type SF (MI3C.) ildo-r,,ts_ Type REPAIR ? :_P. ?LL z?- 4v R"TM REMARKS: FEE SUMMARY: & ?£ • R { h P a ?t ?? gY ,e ? VALWATION Base Fee Suroherge Total Fee $99.75 ?2.50 $102.25 ^k q p ?v? § y.^ i y j &i J YW}tl'. '?N IXQ sR?a}? ?51sa3 '? ? $5,000 CONTRACTOR: - Applicant - ST. 1.IC. OWNER: HORIZON RDOFING 18903900 20012795 GOSHGERSAN CHARLES 1333 LARC INpUSTRIAL BIVD 1242 CARL50N LAKE LN BURNSVILLE MN 55337 EAGAN MN (612) 890-3900 (612)452-5537 T hereby acknawledge thaC:;I`ha've read this'applicati.ort'and state:that tfie ' ' irrfo`rmation is evrrect arrd agree. ta cstmp.?y,with. al1.;aPP2ieable,°,St?iCe. A? 81t7_ Statwtes. and City of Eagan. Eirtlinance's. APPLICANT/PEFMITEE SIGNATUFE : IG URE ISSUED BY CITY OF EAGAN 3830 PILOT KNOB RD - 55122 jV14f 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 repiaMroA site surveys ? 2 copies M plan ? 2 eopias of plana (indude beam 8 window sizes; poured fid. tlesign; etcJ ? 2 sfte surveys (eMerbr eddttions 8 decke) ? 7 energy ca6culationa ? 1 energy calwletlons tor heeted additions ? 3 mpies of hee Wesenation plan if bt Platted after 7!1/93 requlred: _ Yes _ No DATE: f/ ,/ 7,Z, 2! CONSTRUCTION COST: DESCRIPTION OF WORK: pooi STREET ADDRESS: (?&)JS°'v kaiu -,kgnkJ' LOT r„/,?_ BLOCK 1? SUBD./P.I.D. # PROPERTY QcEh onevt? Name: Phone #: 452-5537 OWNER ' CaAt?°u) Street Address City: State: Zip: CONTRACTOR Company: Phone#: y90-3qOo Street AddresV33 Larc Industrial Blvd. License #: ?j°?79 ? 8urnsvi e, Ciry: State: Zip• ARCHITECTI Company: Phone #• ENGINEER Name: Registration #• Sireet rruuress• City: State: Zip: Sewer 8 water licensed plumber: change are requested once pertnit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the infortnatlon is wrrect and agree to comply with all applipble State of Minnesota Statutes and City of Eagan Ordinances. 5ignature of Applicant: -Ll! ?? C9'?"" OFFICE USE ONLY Certlficates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No CITY OF EAGAN N0- 14 0 3 0 ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 ` PHON E:454-8100 ? ?4 D-0 BUILDING PERMIT Receipt# Tobeusedfor PORCH Est.Value $12,000 Date AUGUST 7 19 87 SiteAddress 1242 CARLSON LAKE LN OFFICE USE ONLY LOt 5 Block 3 SeC/Sub.WILDERNESS PARK 1 OnSiteSewage _ Occupancy MWCC System _ Zoning PefcBl NO. On Site Wall _ 7ype of Const Ciry Water (Actual) _ : Name CHUCK GOSHGARIAN (Allowa6le) w 3 Address SAME # of Stories Length 0 City Phone 452-5537 oepth Total F S . . ,o Name PORCH LIVING FootprintSF. ?a Address 1903 HIGHLAND VIEW AVE pppROVALS FEES ? City B'VILLE Phone 894-7762 qssessments _ Permit $107.50 f? Water/Sewer _ Surcharge 6_M W W Name Police _ Pian Review 53 _ 7 S ?= x-• Address Fire SAC,City - ui s City Phone Engr. _ SAC,MWCC W Planner _ WaterCOnn. Gouncil _ Water Meter 1 hereby acknowled9e that I have read this epplication and state BIdg.Off. _ Road Unit thattheinformationiscorrectandagreetocomplywithallepplicable APC _ TreetmentPt State of Minnesota Statute nd City, of Eag Ordinances. Variance _ Parks Copies Signature of Permittee ? TO7AL A Building Permit is issued to• RCH LIVING on the express condition that all work shall be done in accordance with all applicable te of Minneso St@tute?s and City of Eagan Ordinancea Building Official L 7987 BIIILDING PERMIT gPPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SEfS OF PLANS, 3 CSRTIFIC6TSS OF SURVEY, 1 SST OF ENERGY CALCULATIOHS NOTE: 9DDRESSES FOR CORNEE LOTS - CONTRACTOR/HOMfiOWHSR MDST DESIGAATE AHICH ADDRESS IS DFSIRED. NO CHANGfiS WILL BE 6LLOWED ONCE BQILDING PERMIT IS ISSOED. MUI.TIPLE DWELLINGS - RSSIDENTIAL RENT9L BHITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECg WITH BLDG. DfiPT., 1 SET OF ENERGY CALCULATIONS COiRMERCI6L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 12p--o, To Be Used For: Valuat ion: Date: Site Address ia?a CflJ?LSo ?' ?h K£ Ctfai?c OFFICE USB ONLY ? ? Lot Block On Site Sewage Oecupancy / ? f??.?,aJ? " /'J, ? Q ` MWCC System Zoning Pareel/Sub(,(J , / On Site Well Type of Const Owner ( 40C(c 6A'0 SrFbediKi Hti _ City Water (Actual) (Allowable) # of Stories Address/a4oZ Cf4,2[5ok) Ldil,?E Ldrv£ Length ? Depth e6f4w' City/Zip Code S.F. Total "?53- SS 3 - Footprint S.F. Phone 7 9PPROVALS FEFS Contractor o ec N bui 4I(s Assessments Sb Permit "? ' E Il A- Water/Sewer Sureharge C?• k+ Address fyU3 1-ti6dNFIlND /c • V Police Plan Review 53.?5 k City/Zip Code U!/iKMSv%?Lf ,?'Lf iro.U »33 Fire Engr SAC, City SAC, MWCC Planner Water Conn Phone ??e(-77(,2 Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies TOTAL ? City/Zip Code Phone 11 -- _ -- - . _ . ._ - ----- ?- - , -- . ?._ _.... --- - - -- ? --? - - - -- -- -?-- .- ' .--,-- - ? -- ? _ ? -'- _- ^._•- -+- ?-- r- - - « -,- --? ?-- -? -- ? , t i ?--r -? ' -i-- ---?--- ---F ---r- ? 'LH, -- - -----?? e?p ' ?--j _._l ? + ----'- ! -, ' ----I ? ? - - -?-Y T i ? - ?-- ? N ??- t i ? ?. ?7 ?_7-Y? I_ I I- . .?r f- t Y . . .:. . . ?? .. . ' ? . ? ? , . . I ? ? i . ? • y- , , I ? - - -{--?- !- rt--?-'i ?,.,?--`I?I -?-j J? ?. . . _? .' I '_ _ ' f? ? ' ?? , --?-+--?-- _. ' . . -, ? . . 17T- i ? -- i ' i ? - i - ? --?? -?-_-?-I- ????? ? - ?layd?-?C?1iC45oW; Liav?!? rSSa7 ' i , ?-- -t- iJ ? ? - fl!Jf'-?-- ? ? t ?- , - i - ? ?- ?- ; - `- CITY of EAGAN BUILDING PERMIT owne: C???l'?""--,-J ....._............? ..........,...?.r----......../..?.....---...----............. .. Addreca (Precan!) ...T.:3?.?....!!..`.:/ ..:...................... Heildes .............. '-----'----......--------'---' ................ Address ...... DESCRIPTION Z/ wijo N° 3570 3795 Pilof Knob Road Eagam Minnesola 55122 454-8100 Dala 7S ................................................ Sioriea Ta Be Uced For Fron! Dapih Heigh! Esl. Cost Permll Fee Ramarks or c5-1 .? 4'--°°,-- T6is permii does not authorize the use of sirae2s, zoads, alleys or sidewalks nos does it give the owner os his agent the righ! !o create anp s3luation which ic a nuisanee or which presenls a hasard !0 the heallh, sately, eonven3eace aad general melfare fo anpoae in the communifp. THIS PERMIT MUST SE g3EPT O_N TH)E PAEMISE WHILE TRE WOAK IS IN PROGA S. .. This is !o cerlifY. !hal...,Z?-?^?::?._.G.?:?.,,?.._.._ ............. has parmiasion !o erec! a..... - _--_ ? ?^?? •_ . ----_--.._......_upoa the above described premise subjeci fo the provisions of all applicable Ordinances for the Cify ?f Eag [??.:_ ?f z,-(?R . _-°'-'--°'-----•------ °. ....--°" .......... ...... . ?....................... Mayor s ,Q Per ----------- ............ ............................................................................ Suildiny Imp"lor )(? %/ MASTER CAftD dt OWNER D0r., D I f d)I\ STRUCTURE AND LAND USED AS 1XI1.e ? Permit I No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOI - SEPTIC TANK xG?_ 64, WELL ELECTRICAL HEATING GAS INSTALLING i I SANITARY SEWER I OTHER OTHER . Items Approved (Initial) Date Remarks Distance From Well FOOTING ? SEPTIC FOUNDATION CESSPOOL FRAMING ? ?? Q/ "f 1? COI??• TILE FIELD FT. FINAL ELECTRICAL HEATING _ GAS INSTALLATION .? DEPTH OF WELL SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL ? .•' SANITARY SEWER Violations Noted on Back COMMENTS: fir t Y{, . • • ? • • • 70. O CJ .3 N ? o T- I3LOCk 3 WILderwesS ?wn? ?hR?t ? ? J ? ? u Use BLUE or BLACK Ink r I For Office Use ~j 2 I Permit < City of EaRd I a~ ILA I Permit Fee: (j 7 I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: (0-1 I Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _ 3 Site Address: Z ! Z / ~~i]'f S mac. Unit I Name: 6o S Phone: _C_1 CW A Resident/ Owner Address / City / Zip: Z l p,VY (O t/!1 (n cdYLc_ i ~ Applicant is: Owner Contractor Type of Work Description of work:" G i Construction Cost: l Sl oa'y Multi-Family Building: (Yes / No ) i I Company: t,~, Co)~sjjfd,~t Ulkl LZlt Contact: O 1 -7-F 1A Address: T3 3 ~y City: A tie Contractor i -c- ? State: Zip: y S 3 Q 2- Phone: 6~?(I' 3216- License (0 3~ 3 Lead Certificate b If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: pp-__._ g t_.n_ -t-y- - _._p NOTE: Plans and sup' ort~n documents that ou submit are considered to be ublic information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.gopherstateonecall.org 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x P9 i 1,Fe ~ -Z - Applic nt's Printed Name App icant's S at re Page 1 of 3 410/°' City of Basan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 SEP 15 20•$ r Use BLUE or BLACK Ink For Office Use 0/11WIL Permit #: ` 3 Sc Permit Fee: —73:9"Z "l Date Received: % S - l Y, Staff: -61 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: lk Site Address: 12-4f 1- Com. r Is c-✓ �. L-. �— Unit #: wider Owner 6C 1 6Y- 7(1/6 Name: C�c� �/_ �C3.��r� r.`_ Phone: Address / City / Zip: 'a -`f G .- (3 c,..) .- ism Applicant is: Owner tractor hype of #/ork Description of work: (�-cdt. L. (J._ Sv-n `' r c S IS I� Construction Cost: lb° Multi -Family Building: (Yes / No /f Contractor A. Company: S`i-tA—P k.; �� 1 u t ,- C. + Contact: a_., 1 `` 41 Address: L t I leA..A_ D,- City: C.-)- S - t. C'__ _ r 0.- State: "k"` -I Zip: ''';'.-1 i Y Phone: C 57 �0�'Z3/ !Email: S.4a4. 056et CO 6....1, Cc -- License #: CI( C S3 r3 ( Lead Certificate #: If the project is exempt from lead certification, please explain why: f --A In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTA Flans and Supportil► : docu dais that ou submit are .considere to ',format► ort► .v . the information ma, a classified= • n -p ►f y s •f a tie specific re s ® would pe the Cit t to e that ire fra ec 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.gopherstateonecall.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 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 Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name x Applicant's Signature Page 1 of 3 Othekofi &)66 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%' Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Pool Accessory Building Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy _i - Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water Final Framing 30 Minutes Fireplace: Rough In Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: WFC 1 Hour Air Test Final MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required X. Final / No C.O. Required HVAC Gas Service Test Pool: _Footings Drain Tile Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Gas Line Air Test Air/Gas Tests Final , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Sep/19/2018 8:20:21 AM best buy 0000000000 1/4 • ,,•• 1 all .. Foe Office Use I `•°° � a ' 04' Pink* /9-"::2035- • ct D, -)C t. (..___( 4 �� Permit Fee: q(I50 Data Received; 04 3830 PILOT KNOB ROAD I EAGAN,MN 551;22=1,81'0 - (651)675-5875 I TDD:(65.1).454-85.35 I FAX:(851)87.5-5894 Staff:. IOW buildinJInspectIons@citvofeadan.cbm .L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SeQA 19 I 2-'71rSite Address: \7- 2-• Cairk5o►. . Lat. L^etrwv.t,_ Unit'.#; Name: 41a.pi f JoeeJjs /4acki Phone: W(ZI Pill'Oa Resident/ N Owner. Address I City/Zip:'/)/i C&,YISDn Dake Laritiarei 4• AM 5.57.0 3 -w M — Applicant is: X Owner Contractor QQsWMvnrwwMY+w__vn L- Remo )o)p('F7•Description of work: uGl €)4 to (',Type of Work Co •truction Cost:Af . 25 s+. Multi-Family BtiIldIng: (Yes /No )( ) 'Company:. - � a,Jy L1-• i5 'l '3-t�. Contact:AM, . .4'ctzi .... Contractor Address: t 2_ 2., 4. \S• --ail...4— ity: Ea cz• . Stater . zip:. 55 12_ ._Eliotltr l -1-1593 ' mail .. ._., ._ C - ." L u• ' •r _ Lic.ens Lead Certificate#i . N .] If the project its exempt from lead'certification, please explain why: v r L.7-` t;Li 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similarplan based on a,master plan? ,, I._Yes No If yes,date and address ofmaster plan: , .Licensed Plumber: Phone: Mechanical Contractor: Phone: 1 Sewer•&•Water Contractor: Phone: bl, Fire Suppression Contractor:, Phone;' _ ' .1'.�wvvC...,.............�..�...�.�,..M-.�...a._v...._«w..www.i..w-...w�.�.�.«..-...w_.....__.1.�-. a:w�w�i .,;,�..�., .. ,....+..........,......—�..a..a:..wd.....� i .NOTE:Plana and supponldg documents that you submit are considered to be public Information. Portions of the�nformatlon may be ' `classified as noJtEEMEILatevIde sre ecJflc asons that,woui It theaLto conclude thatle are•trade scamp. _______I You may subscribe to receive an electronic notification from the City of proposed ordinances by signing,u0 for en email update on the City's •webaite,at www.clivefeagetcom/subsCribe: Exterior work authorized by a buildlrtg permit issued in accordance with the Minnesota State Building Code must be completed•within 180 days of permit Issuance.. CALL BEFORE YOU DIG. Call Gopher State One Call'at(651,)464-0002 for protection,against underground utility damage. Call.48•hours before you Intend to dig'to receive locates,or'underground utilities. wwtiy.aveheratate'onecalt,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 wit ut a par ; that the work.will be In accordance,With the; pp'•ved _la, 'In the case of work which requires a review and approval,or'plans. ► \I , t>ta 1 a n IMIZ a►.... A)k V \<rtkt✓ tally,..., A••tic.nt's Prints, Name • A is is Signature DO NOT WRITE BELOW THIS LINE jay C L 4 ebc ! 03 SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex O Lower Level Pool Accessory Building WORK TYPES New Interior Improvement _ Siding Demolish Building* Addition Move Building Reroof Demolish Interior 2o, Alteration Fire Repair _ Windows ^ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 4Y 45, c°t) . Occupancy .. ( C l MCES System Plan Review Code Edition 4717 2,045— SAC Units (25%_ 100%C=) Zoning jZ-t City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) ' Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood Roof: Ice &Water _Final Pool: Footings _Air/Gas Tests _Final 2= Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test Final Siding:-Stucco Lath _Stone Lath Brick EFIS )) Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES �'iJ 'fjt� d-6-ofrge '' — 7,S 4 ., . Base Fee Surcharge l� Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 r For Office Use Permit#: 6 i e c , 2,, . PermitFee: ECEIVEF, Date Received: i0--"/F /r 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 7 (651)675-5675 I TDD: (651)454-8535 I FAX:( Staff:651)675-5694 11 OCT 18 2018 , hi iikiinginspedinmi(itInityeteacfan,corn , 2018 RESIDENTIAL PLUMBIlli -- - r ii .t • • LICATION Date: 10182018 Site Address: 1242 Carlson Lake Lane Tenant: Jocelyn Kracke Suite#: I i Resident/Owner Name: Jocelyn Kracke Phone:, Address/City/Zip; 1242 Carlson Lake Lane 4444,444444.44 0,4444..4 tg4 Pr . 4444.4%. . 1 Name: Pauls Plumbing & Heaating License#: PM058989 1 • Address: PO Box 839 City: Northfield Contractor i 1 State: MN Zip: 55057 Phone: 507-645-7105 1 , I contact, Lisa Email: lisa.paulsplumbing@gmail.com 1 Replacement Repair Rebuild Modify Space Work in R.O.W. Type of Work i —New i I 1 Description of work: Add Bar Sink RESIDENTIAL Water Heater i Water Softener Lawn Irrigation( RPZ/ PVB) Permit Type 1 I I 4 Add Plumbing Fixtures( Main] Lower Level) Septic System New ,; _Water Turnaround F -- ' i t Abandonment , ------,-- -1--- -----r•----- , —, — --------, RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) i $60.00 Lawn Irrigation(includes State Surcharge) l $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 1 CALL BEFORE You Did. eaGopher State One Call at(651)454-0002 for protection again-st underground utility dama—ge.. Call 48 hours before you intend to dig to receive locates of underground utilities. wwW9.11.D.hofstat'Pr1Qcati-0"0 You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityoftlann.corairAtbscrihe. 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 plan-. / x Lisa Coy hate: Applicant's Printed Name Applicani's ignature e•-" FOR OFFICE USE Reviewed By: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: • PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA167638 Date Issued:03/24/2021 Permit Category:ePermit Site Address: 1242 Carlson Lake Lane Lot:005 Block: 003 Addition: Wilderness Park PID:10-84250-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Adam M & Jocelyn R Kracke 1242 Carlson Lake Ln Eagan MN 55123--171 Apollo Heating & Air 6510 Hwy 36 Blvd N Oakdale MN 55128 (651) 770-0603 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA170913 Date Issued:07/22/2021 Permit Category:ePermit Site Address: 1242 Carlson Lake Lane Lot:005 Block: 003 Addition: Wilderness Park PID:10-84250-03-050 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 - Adam M & Jocelyn R Kracke 1242 Carlson Lake Ln Eagan MN 55123--171 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171677 Date Issued:08/26/2021 Permit Category:ePermit Site Address: 1242 Carlson Lake Lane Lot:005 Block: 003 Addition: Wilderness Park PID:10-84250-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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 - Adam M & Jocelyn R Kracke 1242 Carlson Lake Ln Eagan MN 55123--171 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature