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4228 Carlson Lake Lane NCITY OF EAGAN . 1. 6 4 "1 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for ???-?' • Est. Value $i s 0W Receipt # 1989 Site Address 4IL 111-1 P` I.AICE L11 Lot `- Block b Sec"Sub. WALDERNIISS RtfN Parcel No. ? W Name •?0?f?] EKFkS 3 Address 4225 LAKi; Lt+, 0 City OAC" Phone 1J41-'r300 ,o Name S? z? ?Q Address ? City Phone Name _ Address Phone I hereby acknowlege that I have read this application and state that the intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee A euilding Permit is issued to: ?dit?? F?'•x? on the express condition that all work shall be done in accofdance with all applicable State of Minnesota Statules and City of Eagan Ordinances. Building Official Occupancy Zoning (Actual) Const (Albwabie) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Slte Well r,+wCC Systern City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. 4ariance OFFICE USE ONLY lkftb 1242 FEES Btdg. Permit Surcharge Plan Review SAC. City SAC, MCWCC Water Conn Water Meter Acct. Deposit S!W Permit S W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 26XD .50 26.50 Permit No. Permit Holder Date Telephone # WATEfl SEWEF PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Fnal Htg. Finel Plbg. Const. Meter Plbg. Inspector - Notily Plumber Engr.lPlen Bldg. Final Deck Ftg. Deck Final weli Pr. Disp. ? TION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITEADDRESS: ! t? 1: ?, Ei1_ u(. h: A1? 1•,11N t AF. i i ANt N i?rl ??t f.Wl •. , tc??Pl ??fll ? PERMIT SUBTYPE: i 101 I I 1. 1 1 ,}F I p1l; ?I I {;1 PIRbr'.'.. {.'iMI I t.li, ? CCORD PERMIT TYPE: Permit Number: " •' ' ?' 6 Date Issued: "`• ' •' ?' APPLICANT: ;Ij,t I !. . I'fi I 1'!1l I I fli, i n ! .' ; ?i .' % 11 3 j TYPE OF WORK: i,; [I'i i ? f [IN ht r•A tf? ';1 Otl?M Cil1MlAfii N!O !°Uf ' ? ? Permit No. Permft Holder Date Telephone k ELECTRIC PLUMBING HVAC Inapectlon Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING L ' ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST • BLDG FINAL BSMT R.I, BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition Wilderness Run 5th Addition Lot 5 Rlk 6 Parcel 10 84354 050 06 Owner 5treet 4228 No. Carlson Lake Ln. scate Eactan. MN 55123 improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 1973 $132.60 $6.63 20 PAID SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA connecti( n 1/75 STORM SEW TRK d ?y ?3- STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $320.00 747 7-22-75 BUILDING PER. *3719 747 7-75 sAC $425.00 747 7-22:.-75 PARK _ YILLAGE OF EAORN 3795 Pilot Knob Road Eogon, MN 55122 'Loning: Rl WATER SERVICE PERMIT PERMIT NO.: 1829L DATE: No. of Units: 1 OWnei: ' 7 Hn C TIH' sen Ada[ESS: Site Addre 472o . r 1 aon 7?k@ Ln L586 47R5 'I- 4 Plumber: Reader No.: G'' --?' c 1 ogrea to comply wifh the Village ef Ea9on O.a I )ate of Insp.: Connection Charge: 320.00 pd Account Deposit: Permit Fee: 10.00 Pd Surcharge: .50 pd Misa Charges: 60.00 pd Total: Date Paid: Insp.: - PERMIT C SEWER SERV Y4!l,A3EAFEAOAN SB Z 3795 Pilof Knob Rood PERMIT NO.: 9?16/75 Eagan, MN 55122 DATE: Zoningtj _ No. of Units: I Owner: Addresa: ?,,, r Sn?waS Site Addm6s: Plumber:RPY-ROr I oq.as fo comply wifh Me Vlllago of Eaqae Connection Charge:425 00 Pd Ordinances. Aceaunt Deposit. 10.00 P?- Permit Fee: P Surchazge: Hy. Misc. Chazges: Date of lnsp.: Total: Inep.: Dace Paid: 7 RESIDEPITIAL BUILDING PERMIT APPLICATION cirr oF eacnri 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4675 New Conetruction Beauiremenh . 9 replstered sMe surveys showing sq. it. ol bt, sq, il. ot Muse; enU all roofed areas (20% maximum bt coverege allowed) . 2 copies of plan showing Gesm & window saes; poured fouM tlesign, etc.) • 1 set of Energy Calculatbns • 3 wDles M Tree Praservetlon Plan'rf bt platled fltter 7l1/93 • Rim Joist Detail Optbns seleclbn sheet (bltlgs with 3 or less unBS) DATE ?E /? U Z_'- ZIP ='?'Z 51TE ADDRESS MULTI-FAMILY BLDG _Y _ N NPE OF WORK FIREPLACE(S) _ 0_ 1 _ 2 APPLICANT STREET ADDRESS 1?701/ ?//U?U7?Ll/L JIO CITY? TELEPHONE # CELL PHONE # 5?401? FAX # /l 3- 7 5 PROPERNOWNER /"'!5%24? iELEPHONE# ------------------------------------------------- -------- ------------ --------- --------------- COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ D (4 submission ty{>e) . Residential Ventilation Category 1 Worksheet Submitted • • Energy Envelope Calculations Submitted Mumbing Conhactor: ___ Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Wcter Contractor: Air Conditioning Heat Recovery System Phone # Fee: $70.00 I hereby acknowledge that I have read This application, state That the informatio is correct, gcil agree to comply with all applicable STate of Minnesota Stcrtutes and City of Eagan Ordin7% Signature of Applicant OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths VALUATION T ??6(Z? RemotleNieoair Reaulremente • 2copiesoFplen • 1 setWEnergyCabulationsbrheate4atlGAbns / . lsilesurveyforexlerioradtlNions&decks ',S /t _ • Indlcate il home serveA by septic system for additbns G4s,.,??, _ Phone # Iawn Spiinkler No. of R.I. Baths Phone # *S%7Z s 11D2t Fee: $90.00 Certiflcates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4102 PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BuzLozNG E2g8n, Minnesota 55122-1897 PermitNumber: 027666 (612) 681-4675 Date Issued: 0 5/ 2 3/ 9 6 SITE ADDRESS: 4228 CARLSON LAK.E LANE N LOT: 5 BLOCK: 6 WILDERNESS RUN 5TH P.I.N.: 19-84354-050-06 DESCRIPTION: STORM DAMAGE-NQ FEE S ermit Type 9?{i?hE? q,rk Type REPAIR 434 ALT. RE5IDENTIAL lp ?a idt?C ?,? Nl?" at? w t''v, is a'°?`s aa 'rs ? ,si zs 4L< Tf ? t mm y ?a& v?a^. ?d ts? bi at -w? i? REMARKS: ROOFING FEE SUMMARY: CONTRACTOR: - Applicant - sT. Lzc.OWNER: QUALT7Y CONTRACTING 14277733 0007035 EKERS JOHN 11412 W RIVER RD 4228 CARLStlN LAKE LIY N CHAMPLIN MN 55316 EA6AN MN (612) 427-7733 (612)688-7554 ?'• _ „: f(gla ISBL BY: IG TUR? RESIDENTIAL BUILDING Pertnit Application City Of Eagan 3830 Pilot I{nob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewCOnsWClionReauiremenls RemodellReoairReauirements OKce UseOnlv 3 registered site surveys showirg sq. ft oi l04 sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot average albwed) 1 set of Energy Calculadons for heated addNOns Tree Pres Plan Recd 2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 1 site survey for additions & decks Trce Pres Not Reqd 1 set of Energy Calculatbns Add'rtion - indicafe i/ on-site septk system _ On-site Septlc System 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Delail Options salection sheet (bldgs with 3 or less units Date 9 /I I + / ?U 1 Construction Cost / r/ ? e Site Address ? L C O CA h' LS dN UniUSte # LaQ. LI I, a, Description of Work Multi-Famil Bld YSri 2 Fi l 0 1 y g _ ace(s) _ _ _ rep Property Owner NOELQ h d R _ _ _ L{ _!\ C( V! 71 Telephone #( IDS I)`? ? J- I rE C T ? Contractor &n -a1 t (,Q ?'?'f j y?rJOl?/ -?, Sldlll(A . _ Address 105 n 0 L? 1Q d City (, UT k State G Zip ??_ Telephone #(q 5 2) O? ?? COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Categorv 1 • Residential Ventilafion Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Licensed Plumber _? ?t, ?? Mechanical Contractor I!?t? ?L" _,.-. SewedWater Contractor A NEW BUILDING Minneso[a Rules 7672 • New Energy Code Worksheet Submitled Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an applicarion 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. ,,IhE )?tAr?N? - ApplicanYs Printed Name ,P , CA -?- Applicant's Si ature BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 N° 16498 Receipt # C --'2 C) -11 Date MAY 19 , 19 _$2_ To be used for DECK Est. Value $1, 000 Site Address 4228 N CARLSON LAKE LN Lot 5 Block 6 SeGSub. WILDERNESS R rN Parcel No. STH w Name .70HN EKERS o Address 4228 N CARLSON LAKE LN City EAGAN Phone 941-3300 Name 5AME Address City Phone ww Name ? ; Address aw City Phone I hereby acknowlege that I have reatl this application and state that the infortnation is correct and agree to comply Ii[h all applicable Sta[e of Minnesota StaNtes and Ciry? f agan Or i?rillies . Signature of Pertnite A 8uilding Permit is iss d.TOHN EKERS on the express condition tfiat all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Olficial -?.?d?? ? OFFICE USE ONLV Occupancy - PEES Zoninq - (ACNap Const - Bldg. Permil 26•01 (Allowabie) - Surcharge •50 # of Stories - Length ]-42C,].6 Plan Review Depth 1242 SAC, Cily S.F.TOtaI - SAC,MCWCC S.F. Fooryrints - On Site Sewage _ Water Conn On Site Well - Water Metar MWCC System - Accl. Deposit Ciry Water - PRV Required - S/W Permit Booster Pump - g/W Surcharge Treatmenl PI APPROVALS Road Unit Planner - park Ded. Council - BIdg.OfE _ Copies 26.50 Variance - TOTAL . ; 1989 BIIILDIAG PERHTT IPPLICATION CTTY OF EAGAN 14qqj SINGLE F9MILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED 3ITB SDRYEYS 1 3ET OF ENEAGY CALCS. MOLTIPLE Di1ELLINGS 2 3Sf3 OF PLAN3 6EGISTfiAED 3ITE SIIRYET3 - (CHECE IiITH BLDG DIV.) 1 SEf OF F19ERGY CALCS. C0I8MERCIAL 2 SETS OF ARCHITECTURAL 8 ST60CTQRAL PLANS 1 SET OF 3PECIFICATIONS 1 SET OF ENEAGY CALCS. MULTIPLE DHEL.LINGS RENTAL DNITS FOR SgLE DHITS 1 OF UNIT3 HOTEt ADDAES3ES F08 CORNEH LOTS - C0I9TR9CTOA/HOMEO1dRER MOST DF.32GN4TE WflICS 1DDRESS IS DESIRED. AO CHANGFS NII.L HE ALLOIiED 0NCE HOILDING PERMIT 13 I3SQED.. 3EWER 6 A9T£R PERMIT fEES AND ACCOUNT DfiPOSIT FSFS WILL BS INCLODED itlTH THE HOILDINt3 PERMIT FEE. PAOCFSSIIdG TIME FOA SEWER ARD li9TEA PEIUlI75 IS TiiO DAYS ONCE A PfiAMIT HAS BEEN COMPLETED INDICATIAG • LICEN3ED PLOlIDER. PENALTY 9PPLIFS FIFIEN: PERMIT IS NOT P9ID FOR IN SAME MONTH IT IS REQUESTED. LOT CQANGE IS REQUESTED ONCE PERMIT IS ISSIIED. 7 1989 `1 To Be Used For: PE GK Yaluation: Date: 14Ny l7 , /f8 Site Address 112 2$?Carlsorr LakE Ln Nb Lot 6 Bloek ? Parcel/Sub Owner Jo t+ /) /bao- Occupaney 2oning Actual Const Alloxable E of stories Length /y X 16' DEpth 12,X IZ' S.F. Total Footprint S.F. Address yZZ 9' Curlson Zx k P Lh NL City/Zip Code ?aq a.n ? SS I Z 3 wor k ? ?/-/o/?? 688-7SSY Phone 9y1-3300 Exr 267 Contraetor Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # On aite sewage On aite well _ MWCC System _ City water _ PRV required _ Booster Pump _ iPPAOVALS Planner _ Couneil Bldg. Off. nariance wm Bldg. Permit .?b.oa Surcharge • So Plan Aeview SAC, City SACO MWCC Nater Conn Water Meter Acet. Deposit S/A Permit S/fl 3urcharge Treatment P1. Road Unit Park Ded. Copies 56- 3DBTOT6L Penalty i0T6L 426.s'b , . ? , I ' ; I M 1 I I -? Z X ? ?.Z- k-?I v , ? E=? LINE r =i ! 1 .PEARL AP.oOERTY LwE ? I L LJNE? ' ?. \ I I ? \ a / M ??-, \ ? y ( M ?\\\\ \I D / i 'tj. ? ? I eGe6? Lor ? BLack M ?On1T,._?Rai?E1?TY ,.LINE OI ./ y'o . va ?PLOT `P L 44 JL CITY OF EAGAN IL 3830 PILOT KNOB RD - 55122 Lt 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conslruclion Reauirements RemodeVReoair Reauirements ? 3 registered sHe surveys ? 2 eopies of plan ? 2 wpies of plans (include beam & wfrMow sizes; poured fnd. design; ete.) ? 2 site surveys (ezterior additions & decks) ? 1 energy calculations , ? t energy catculations for heated additions ? 3 wpies ot hee preservatfon plan N lot platted efter 7/1/93 required: _ Yes Na DATE: S? f Ic ?i CONSTRUCTION COST: ,,,? 7 7?/ DESCRIPTION OF WORK: STREETADDRESS: LOT ? BLOCK ? SUBD./P.I.D. #: PROPERTY Name: ?lli'p S 79 ?.%-??_ Phone #: & 79' 75? OWNER """ Street Address- Ca r ?S o'?- /,a ler- Z- w ? City: State: 2!:?c°-- Zip: CONTRACTOR Company:lo%cc a/.¢?( vacA,r-? Phone#: -?7-12 7-77 Street Address: (.?l`riJrKyLicense #: ?03Sr City: /1 ' State: 2L --,- Zip: S -L3( ?v ARCHITECTf Company: Phone #: ENGINEER Name: Registration #- Street Address, City: State: Zip: Sewer 8, water Iicensed plumber: change are requested once permit is issued. Penalty appiies when address change and lot I hereby acknowledge that I have read this application and state that the infortnation is correct an agree to compl with all applicable State of Minnesota Statutes and City af Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Ves 17? No Tree Preservation Plan Received Yes No . CITY of EAGAN BUILDING PERMIT .2_.... Oaaos ..............??51 .?........?C>!.r.S4:.................................... Address (Pre4en!) .......G?::Z......?:....tiSr.1.J Sutlder Addreu .; i. N2 3719 3795 PiloY Rnob Aoad Eagan, Minnesola 55122 459-8100 Dale ..•----.... 7: ?.?..?...?.?.?.5........ 6toziea To Ba Ueed For Fron! Deplh Heighf Eet. Coct ermi! Fea Rsmests s{,,?9i? dweil?a? E A#. dbub.? a?? $is ? io' sd? /at - s?de or ,Axzs, /j• C/w;/sa,') [?rxF 'L'q"-4 I S I (, I w,?dEeN?ss 'C-ua -Dt" This permit does noi aulhozise the use oi streeia, roads, alleys or sidewalka nor doee it give the ownes or hfs sgen! the rf9h! !o creale anp siluation whieh is a nuisance or whieh prasenls a ha:ard !o the heallh, sefelp, ooaveaianea and ganeral welfere !o anyona in the eommunifp. THIS PERMIT MUST SE KEPT ON THE PREMISE WAILE THE WORK IS IN PAOGAESS. Thla is !o eerlifp, ...... C.......... -.............. aepermSssioa !o areei .. L.4.IL(.'..a1..9Cl.e.upea the above described premise subjec3 !o the provisions of all applicable Ordinances fox the Cifp of Eagan. ................. ?._..... ._.....: 1?.?.LllJ1.?!.? ................................ ---°°-°---------°°--....--°---- Per .................°.._. °°---.. . ? Mayor Suildlny Impeetor 16 19 Ct3 CfS . ,, , yo . S? li/Ni??D ./ ?7/? ? f ,t?Em.. AkoAERTY LwE i ? N ? ? / IJNE? : f ? ? I M ? ? I \ 1 ? M U ? ? ? i ? r? ? ?'0p?er L%NE 961A I 36 I 7 Lor s BLack I ; ? r-r--A ? ? oNT._?ROi?Ff?LTY ._LI.NE ? J . ILQT -P L A`+N MASTER CARD OWNER STRUCTURE AND IAND USED AS Permit No. Issued Issued To Coniractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER I Items Approved (Initial) Date Remarks Distance From Well FOOTING V-V6 SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING I 7 r DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL ? O SANITARY SEWER Violations Noted on Back COMMENTS: 095(p RESIDENTIAL BUILDING Perroit Application ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction ReauiremenGs 3 ragistered site surveys showirg sq. R ot lot sq. ft. of house; and all roofed areas (20 % maximum lot coverage allaxed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calcul2tions 3 oopies of Tree Preservation Plan'rf lot platted after 711193 Rim Joist Dehil Optlons selecGOn sheet (bklgs witli 3 or less units RemodeVReoair Reauirements 2 copies of plan 7 set o( Energy Calculations for healed addi6ons 7 site survey for additions & decks Add'rtion - indicate d on,sife septlc system J, ?-? ? Office Use Onlv Cert of Survey Recd Tree Pres Plan Reoi Tree Pms Not Reqd _ On-site Septic System Date $_ / 15 / 0` ? SiteAddress __ 228 rpRiSOY? L f? U a Construction Cost 4k-e LQ1')P /\4 UniUSte# Description of Work T1e, n I VVUC. ? 4 W 11,3 D0-? + ? QP?n U Multi-Family Sldg _ Y x N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner 1`???I n"'d Nanc.)! A2Vrojq Telephone#((oS!) yO5 Contractor GRectf- LaKec U1d (A) ?; IcfIY1G1 l.n Address M0.5o (311-e State MI {?1 i7-f'sh t-Gl k, City / Zip 55 2 Telephone #('?S2) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ven6lation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculatlons Submitted Licensed Plumber T.e!ephone #( j Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Tele,pD q?e"(- ?} ? II ?? IK n ?- If jjn AUG 1 9 2003 i?? ? I hereby apply for a Residential Building Permit and acknowledge that e information is compl'te and accurate; that the work will be in conformance with the ordinances and codes of ffie-City-ofzEagan:-anccL-Ithe State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accardance with the approved plan in the case of work which requires a review and approval of plans. Jb! L I 11?7 PLi r-,tJ 4, / N/Li v` ? ? Applicant's Printed Name Applicans Si? ature