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1250 Carlson Lake LaneWATER SERVICE PERMIT 3795 Piiet Knob Road PERMIT NO.: Eajon, MN 55122 DATE: Zoning: No. of Units: Owner: Address: --? Site Address: 1 Plumber: MeYer No.: Connection Chorge: SiZe: Actount Deposit: Reader No.: Permit Fee: 1 egree to eompiy with the City of Engon Surcharge: Ordinances. Misc. Charges: Totnl: BY Dote Paid: Dote of Insp.: Inso.: CITY ftEAGAN SEWER SERVICE PERMIT 3795 Pikt Knob Road PERMIT NO.: Eayan, MN $5122 DATE: Zoning: No. of Units: Owner. Address: _ $ite Address: ' Plumber, 1 agroe to comply with the Ciep of Eagon Qrdinaneea. Connection Charge: Account Deposit: Permit Fee: Surchorge: Misc. Charges: Total: Date Paid: By Dote of Insp.: • ??`? C. CITY OF EAGAN 3795 Pilot Knob Rood Eagon, MN 55122 PHONE: 4548100 BUILDING PERMIT Receipt # To be wsed fer Site Address Lot _iff- Block Sec/Sub. - Porcel # W ? Name 3 Address 0 `e Name Zo ou Addrest ~ Cit u? ?y W Nome ?Z _?? Address N° 5995 ,Erect ? Occupancy Alter 0 Zoning Repair ? Fire Zone Enlorge ? Type of Const. Move ? # Stories Demolish p Front ft. Grade fl Deoth ft. Water & Sew. Police Fire Eng. Plnnner Counti I Permit Surcharge Pfan check SAC Woter Conn. Water lvleter Road Unit 1 hereby ocknowledge that 1 hove reod ihis applicotion 4nd stote that gld9. Q{{, the information is correct ond ngree to comply with qll applicable APC Total State of Minnesota Statutes and City of Eagan Ordinqnces. 5igriature of Permittee A Building Permit is issued to: on the expreu condition thot oll work sholl be done in accordance with all applicable State of Minnesato Stotutes ond City of Eagnn Ordinances. Building Official bu ,Ul)U Permif # DeH Inuad PomMt" Plumbing 2 /D -a2 v 14d Mechanicnl O - - D 74 ?C? ? L x ? ? ,f'C; ri j? •?. -C?i INSPECTIONS DATE INSP. Rough-In Final Footing5 7 Date InsP. Date Insp. Foundation Plumbing Frome/ins. Mechonicol Final ,4-l° -$'2- 1 Remorks: ID'????' ? 2 -.SFs! ?yr?-+? ? .i.-,? .?Y.,c.,.?? ? ?? ? ?? ? t. No. r cirr oF E?G,?N 3745 Pllet Knob Reed Eogen, Minnesota 55122 Phone: 454-8100 PERMIT Date: 10-27-80 Site Address: -190ri Lk. _'-n. Lat Block Sub/Sec, I't'ild. Park INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential - Multi Res., Comm./Ind. I Name tPrs Inc. New/Alter./Repair. . ; Address Cost of Instollation O City . Phone: Permit Fee ? Name ^ Surtharge 'G .. g Address ? City Phone: Totol This Permit is issued on the express condition thot oll work sholl be done in uccordance with all applicable State af Minnesoto Statutes and City of Eogon Ordinances. Building Officiol No. ' cIrY oF EAc,AN 3795 Pilof Knob Roed Eogen, Mienesoco 55122 PMone: 454-8100 PERMIT Date: ' Sita Addrcss: , , - INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS -, . . ? Receipt No.: Single . Residential Lot Block Sub/5et. Mulri 1C Nome ` New/Alter./Repair. ; Address Cost of Installotion O City PFane: Permit Fee ? - - ` Name . ` .. Surclwrge ? , . . ? Address City F. Phone: t TotaI This Permit is issued on the express condition thot oll work shcll be done in acoordance wlfh oll applicoble State of Minnesoto Stotutes and City of Eogan Ordinonces. Building Official cirr oF E?G,?N 3795 PNoR Knob Roed Eagen, MN 55122 PHONEi 454-8100 BUILDING PERMIT Receipt # '". Esr_ vakm n,,.o '`r?(7E??r Q Sits Address Eroct ? Occuponcy Lot Black Sec/Sub. Alter [] Zoninp parcel # Repoir ? Fire Zone ac 2 9 ig Vl H Enlarfls p Typa of Const. Nome Move p # Stories . , Addross Demolish ? Length Nome Addreu 1 hereby acknowledge That I have read this opplication and stote that the inlormotion is correct ond ogree to comply with oli opplicoble State of Minnewtc Statutes and Ciry of Eoqan Ordinonces. Assessment Water 8 Sew. Police Fi n Erq. Plonner Countil Bldg. 4ff. APC Perr»if SurthorpE Plon check SAC Woter Conn. Woter Meter Rood Unit Total Siynotum of Permittee I A Building Pe?mIt is iuued to: on the express condition thoo oll work sholl be done in xcordonce with oll opplicable State of Minnesota Statufes ond City of Eopon Ordinances. Buildlrg Officiol Groda p Depth Sq. Ft. Aporovols Fees Permit No. Permit Holdar Misc. Permit No. Halder Plumbing H.V.A.C. Wwter Wall Disp. Swver Ebctric Inspection Date Insp. Other Footinps Foundation FraminQ Rouyh Plbp. Rouyh HVA Inwlation Final Pibq. / Final HVAC Final sZ Wabr Descri6s Location: VYell Se"r Pr. Ohp. ?? ?.?.?._?......?.,..,_... INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: ?' „' "h ; 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DA • DA F ? L L Permit No. PermR Holder Date Tslephone # SNV PLUMBING HVAC ELECTRIC ELECTRIC Inepsctbn Dete Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orset Test Final Plbg. Plbg. Inspector - NotHy Plumber Const. Meter Engr./Plan 8ldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN Owner Remarks Lot 1 Blk 3 Parcel 10 84250 010 03 Street 1250 Carlson Lake Lane 5tate Eagan,MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. f? 1977 973.00 97.30 10 STREET RESTOR. GRAOING SAN SEW TRUNK ?; 1973 176.o5 8.80 20 96.85 A009904 2 9 81 SEWERLATERAL WATEFiMAIN WATERLATERAL (5 1972 30.29 1 151.$4 A009904 WATER AREA lOb O M STORM SEW TRK 219.50 A009904 2/9181 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC 525.00 20227 1 HO PARK Park cirv oF EacnN -? 9795 Hbt Knob Rood Eagan, MN 55112 N? . 7031 ' PNONE: 454•8100 ? ? ! i - BUILDING PERMIT Receipr # ro y To M utad fer IM1DM BSMT. Est. Value $4,000 Date A-°CeMbeL' $ 19 81 Site Address 1250 Carlson Iake Zane Erect ? Occupancy R/3 Lor 1 ei«k 3 sacisun. Whlclerness Pdrk lstqlter ? zmi„g R-1 Parcel # 10 84250 010 03 Repnlr ? Pire Zone NA CEY'ald BI]ZSis Enlnrge Q Type of Const. NA W Name Move ? # Stories NA . z Addrass 1250 Ca*i son Iake LanP Demolish ? LengthNA_ Ci phoM Grade ? Depth `-$q. Ft.- p Nama M?T'l PI- G??C}?Ofl Approvalt Fees g? Address 860 Rancbl?h Ave. /- r:... Ct Danl SSl !1'd?'_' 9011 -l 1rO Nome _ Address I hereby ocknowledge thof 1 have read this nvDlication and stote tMt fhe informotion is correcT and ogree to comply wifh oll opplicoble Sfote o4 Minnesoto $totutes and City of Eogon Ordirwnces. Slpnmure of Permittee A Building Permit Is issued to: r all work shall be done in atcordance wifh all Building Officlul /I Assessment Permit +>`I4.7u Water 8 Sew. Surthorge 2.00 Polite Plan check Fira SAC Erq. Water Conn. Planner Water Meter Councll Rood Unit Bldg. Off. APC Total $46-SO L0r, on the express WrdiHon ihm wt s oro City of Eayon Ordinances. ? ? - - • ?-? ??:03? QTY OF EAGAN BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. `ib B2 U52C1 F'OI' RF M??! IAIc GlA i,-,?E?V--t-1011 nate Site Address OFFICE USE ONLY 3 Lot? iocx\ sec-/sub• w '1'' l Erect Oc:cupancy ParceI #~ ? O ? a ?DD( o o? --- Alter Zoning - ? Repair Fire Zone Owner: ()( c.P ,4 In A.4 9 N ,! J Enlarge _ TYpe of Const. Ack3Tess: +(?? ? n.c ) G. A K E it J- Gity/Zip Code: E , Phone #: Contractor: mc- A?y_L?n! S?Q ?? Address: R G, n c/I ?i /?.LS _ City/Zip Code: t- Faa ( Phone #: OCQ 4 - ZZ? 9 Arch./Eng.: Address- City/Zip Code: Phone #: Move # Stories Demlish Front ft. Grade Depth ft. ?aater/SEwer Police Fire Ehg. Planner Council Bldg. Off. APC Surcharge .i ? Plan Check?s SAC Water Conn. water Meter Road Unit TOTAL This recyuest void 18 months from h1 O a7 ?,C'? F I , Li, 33 w\ P, i Dai4 of this Request S 12649? I, as O Licensed Electrical Contractor ? Owner, do here6y request inspection of the above electri- cal wiring installed at: ? ---- _. _ _ ?E , ' Street Address or Route No. ????'v4 ?SS X?•? °? l?/u/??y ?? *N Section Township Which is occupied by AlD'OtANfJ Cf)n(Name /.1'?t1 G? o/ Occi Is a roughin inspection required on this job? No ? Yes ? Power Supplier VQ #(f773 Ce t4 EC-?r ' Address _ ElectricalContractor mxls?l-" F/lEcl-tx / ?- . (Campany Name) Range County &qXJ"PrW, 70A) ipant) Ready Now ? Will Call ? IQ,Q•?, ,JrhN fi 3g3/0 - Contractor's License No. _ Mailing Address .Z d .SW`a'9`E 0' Electrica C9 actor or Owner Making This lnztallatlon) ? Authorized Signature ? Phone No. 8 ?G-3 r sr ctr cal Contracto or wn 150A Ing TMs InsSallatlon) ??F1 ?? ;O f?} F?1D This ir?spection reque pwill npt 6e accepted by ffie W ???? 0 ?, ? ?d State Board unless Pra er ins ection fee is enelased. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST i7o -X3 S `12649 Type ot Building New dd. P. Check Appiisnces W'ved For Check FquWment Wired Fm Home ? ? Range ? Temporary Wuing 0 Duplex I'li ? ? Water Heater ? Lighling Fixtmes ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercia?ldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? A'v CondiGoner ? Bulk Milk Tank ? Farm . ._ ' pLis[ }) heis pList ierg? Other ? ? ? l He He COMPUTE INSPECTION FEE BELOW Service Entmnce Size: Fee 1 1 Feeders&Subteedeis: u Fee Crtcuits: x Fee 0 to 100 Am s. ? 0 to 30 Am res 0 to 30 Am res 301 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Am s. Transformeis Remote Control Ciic. ' Pattial oc other fee Signs 1 1 Special lns ection Minimum fee Remazks r ? )11'r S-M-T,aAI L- 70TALF ?j?OC'/ SS I, the Electrical Inspector, hereby certify (Fina1) This request void 18 months from b e e n ma?'d"e.' e e_??i? S ?/?.Z ?3? [e?.?" 121tT. 573 This request void ],8 monthp from Date of this Request Fire No. S 97630 1, as O Licensed Efecirical Contractor DOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. City£??V Section Township Range County Which is occupied by (ZO NJ7, (Name ot OccuDant) Is a roughin inspection iequired on this job? No ? YesW Ready Now ? Will Calk'?6 PowerSupplier ?40dW CU c?f?6-1' Address Electrical Contracior /?1 A0?1 C.ffiC?/ 4 Contractor's ' Licene o. ry 7y? ?? _ Mailing Address Authorized Signature This inspection request will not 6e accepted by the 61 L5 ?.r ?U State Board unleu proper inspectian fee is enclased. mmnesoca awca ooara or necnwiry Griggs Midway Bldg. - Room N191 7821 University Ave., St. Paul. Minn. 55104 - Phone 297-2171 REQUEST FOR ELECTRICAL INSPECTION C?LOW WORK COVERED BY THIS REOUEST EB-00001-02 97630 Type. Building New Add. Rep. Check Appliances Wired or Check Equipment Wired Foi Home Duplex ? Apt: Bldg. Commercial Bldg. Industrial Bldg. Farm O[her ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? Range Water Hea[e[ Dryec Fumace A'v Conditioner pList , ?La`• HerelS? ,??/ ? ? Temporary W'ving Lighling Fixtures Electiic Headng Sdo UNoader Bulk M)dk Tank ist fietrheers} 1 , ? ' ?o ? ? CpMPUTE INSPECTION FEE BELQW Sevice Entrance Size: u Fee Feeders&Subfeedeis: # Fee r-_-^G'vcuits: # Fce 0 to 100 Am s. 0 to 30 Am res--" \ ! 10 to 30 Am eres / ? 0101 to 200 Am s. 31 to 100 Am eresi C .31;to 100 Am etes L fip Above 200 Amps. Above 100 Amps: ' lpryove'!00 Amps. Tcansformers RemoteControlCire? Partial orotherfee rc S' ns Special lns ection Minimum fee S5.00 Remarks TOTAL FEE I, the Electrical Inspector, hereby (Final) This request void 18 months from has been made. Date Date This request voitl h/ o (?? ( S? LQ r 18 nwnlh5 trom T g 3`6 3 2 261 ?Z;'8? Reqyest Ua Fire No. Ruuyh-in Insper.tion e ired? E]Reatly Now Will Noliiv In?p ? Yes ? No ?r When ReatlY licensed Eleccrical Con[raetar ? Owner I hernby requast inspection of above electricnl work installetl nt Street AAdre.ss, Nox or Route No. City /a _ er,uon o. Township Nome or No. Hanye No. County Occup. PRINTI hone No. POwer $upplier AAdress Ele I Con CompanY N anrip-, l Contrar,tor's License No. Mai n0 A Jross ICon[ a nr "?vener M mg Ins 'lationl A horize SiNrrat n ractor/Owner Makin9 In scutiationl Phone Number M'>NfS-OTA STATE BOARD OF ELECTRIGTY . THIS INSPECTION REQUEST WILL NOT Grigqs-Midway Bldg. - Room N-197 gE ACCEPTED BY THE STqTE BOARD 1821 University Ave., St. Paul, MN 65100 UNLESS PflOPEfl INSPECTION FEF Phnno 16121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION „-„ EB-0ooot.oa ' See ins4uctions tor comulecing this form on back of yellow cnpY. TX 8s632 "/ow Work Covered by rhis Request New Ai N¢p. TypA o5 Builtling AOOliances Wired Equipmem Wired Home Ririge Temporary Scrvice Duplex Water Heater Liyhtiny Fixtures Apt. Buiiding Dryer Electric Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Faml Othar Peufv Otnu, (SUecity) ine, s 01 oi ntnt„ k Fe er r ?lc?ie af Fee Fne?ers/SUbfeetlers 8 Fqa Cimuits 0mps 0 to 30 qmps 0 tn 30 Am s ? ?-'-?'Aj 10 to 200 Amps 31 to 100 Amps 31 to 700 qmo? on Final TOTAL /f'y / the Electrical ? Inspector, hereby Uate certlfy thatthe nbova r, inspectiOn has been This request vnitl 18 months hom INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: Lor: 1 BLOCK: 1250 CARLSON LAKE LANE WILDERNESS PARK PERMITTYPE: BuiLorNG Permit Number: 0 2 3 4 6 4 Date Issued: 0 4/ 2 8/ 9 4 3 APPLICANT: NEW VIEW REMODELING (612) 421-6091 PERMIT SUBTYPE: SF (MISC.) TYPE OF WORK: ALTERATION INSPECTION FRAMING .. . ROUGH IN PLBG .A ROUGH IN HTG FINAL REMARKS: SIDING, DOOR, WINDOWS, PATIO DOOR 1- 7 L J CI'TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10--84250-010-03 PERMIT 1250 CARL50N LOT: 1 BLOCKa WZLDERNE55 PARK PERMIT TYPE: Permit Num6er: Date Issued: LAKE LANE 3 v.3t 89 suxLnzNG 623464 04/28/94 DESCRIPTION: 6uii.icfiri`g'_Permit Type Eiuilding LJark Type '??...Z. / 1 ...? i \ ? r'. ? Z? ? SF (MISC.) ALTERATION i . .:, _ REMARKS: SIDING, DOQR WINDOWS, PATIO DOOR FEE SUMMARY: VALUATION $10,000 Bass Fee $117.00 Surcharge $5.00 Total Fee $122.00 CONTRACTOR: - Applicant - sT. Lzc. OWNER: NEW VIEW REMQDELING 14216091 0002838 BURNS LRRRY 16116 ENCHANTED DR N 1250 CARLSON LAKE LN ANDOVER MN 55304 EAGAN MN 55122 (612) 421-6091 (612)452-7163 I herehy acknowiedge that I have Nea-d this applie-at3an and state thot the informaCion is oorrect dnd agreo ta comply with all applicabls State pfi Mn.' Statutes and' Gity nf Eagan Qrdinences. -n ,A R?..;? APPLICANT/PERMITEE SIGNATURE ISSUED BY: IG TU E ti ? c CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 $izz.op SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Yaluation of work `U, goi) ? Site Address:_????r?1??h?y V? /YL' STREET SU1TE k Tenant Name: (commercial only) LOT BIACK SIIBD. n ?r1 ?/J?/??y r J?? ? P.I.D. # J XJ1N 1 ? Descri tion of work: i The applicant is: ? Owner 0"Eontractor ? Other (Describe) Name Phone/-/.Sd- 7/(?3 Property LaST F] T Owner Address I' TO rrj?-: ? Ce /_ ?,? . STREEi . STE A' City ;94il State Zip, 5771.22 Company 14rPi.i (/IaGI 047t?vACjPhone 14:3 I • ?? Contractor Address 16116 -.wl??n?ed Pe tili License 4ZaLAak19 Exp. City "mr- State 4W Zip > S Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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 5tatutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE 11 01 Foundatian ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace E3 05 SF Misc. ? 10 Multi. Add' 1. 0 15 Deck WORK TYPE -- '' y w°tihuA &Ndi dloors ? 31 New 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GEN ERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering RECIUIRED INSPECTIONS O Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint 5q. ft. On-site well On-site sewage Building Variance ? Footing ? Final ? Framing ? Draintile _777 0T_ i 0 0 Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: /a-- 5AC % SAC Units valmc;m: $ ?Q ?dUr O ? ? ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments CITY OF EAGAN 3795 Pllot Kneb Rmd Eogan, MN 55122 N2 5995 PHONE: 4546100 BUILDING PERMIT APPLICATION Receipt # Te 6a med Fer SF DWG/GAR ve v..l,,P 68.000 nmo 7-30 i9 80 Site Address ff'W a ?4/U Udr15vIi L'axe 1,3i1e Erect jj Occuponcy n3 l.or 142_ Biock_3_ Sec/Sub. Wilderness Park Ad4irer .? Zonin9 Rl Porcel # Repoir ? Fire Zone 3 _ l E t T f C V n arge 0 ons . YPe o m Name Creative Shelters. Inc. Move ? # Srories ; Addreu R. R. Demotish ? Front 62 fr. b . Shakopee 553?h 446-7305 Grade ? Depth 42 n. c One o Name Addreu AssessmeJ-q F' Ci Phone Water & Sew. GW Name Jacobsori Surveyors Police - Fire ?? Addrea Eng. <'Z" Ci Phone Planner _ Council _ I here6y ucknowledge thot I have read this aDPlicotion and state that Bidg. Off. _ the information is corred and agree to comply with all applicable SMte of Minnesota Statutes ond City of Eogan Ordinonces. SBIi1e ADOrwals Fees APC Permit iCJa. VV Surcharge 34.50 Plan check 84. 00 5AC 525.00 Woter Conn. 305. 00 Woter Meter 60.00 Road Unit 185.00 .D. 1? ota a-fSOZ --QT Signature of Permittee i A Buflding Permit is issued to: CY'eative Shelt.Prc. Tno _ on tha express condition ffiat all work shall be_dooe?in qccorc,j4ce?rilkVtf??applicable Stme of Minnesota Statutes and Ciry of Eogon Ordinonces. Building Officinl p Gj? CITY OF EFIGAN BUILDING PERMIT APPLTCATIOf1 '? 4/ G::? e o 0 To Be Used For 5??. Valuation 45 $'voL2 Site Pddress: I,CJt _LfZ BlOCk _j ?'u2C./$Ub.l!/! r ?ss []dd?reCt Parcelj #: Alter Repair Raner: 0.eA4w.c tCht1frns Lnc _ Enlarge Move Demolish Grade Pcldress: S/??koetc _ City/zip Cocle: ,5?37 9 Phone #: /??/6 73D5 _ Contractor: .) o vn ?,?l'??l r Pddress: City/Zip Code: Phone #: -, Arch•/IIi9•: ,-r?aco6so,? Pddress: City/Zip Code: Phone #: 4 1la 9` `13 a?9' Include 2 sets of plans, 1 site plan w/elevations & 1 set of ener9Y calculations. Date rf^c?l-$'p OFFICE USE ONLY occuPancY Zoning Fire Zone ? Type of Const. # Stories Front ft. pepth t/,Z ft: APPROVALS F'EES . Assessments Pexmit 0 0 Water/Sewer Surcharge ;y „S-o Polioe Plan Check 8w, a 6 Fire SAC 5-15',ed gnq, Water Conn. -30 s:6o Planner Water ^4eter &0 d0 Council Bldg. Off. gzf_ Road Ut ??S. 6t3 ??r./?• c(??r? a+- APC & k 0 ? . 'TOTA`L , , CERTIFICATE OF SURVEY 1 g LANE 6 CARLSON LAKE . k 9ti C" ?o N 85° 38 13" E - 140.39' .9S 50.14 ---? 6 _ 100.2a_ 9'b 40.11 Y ? o _ ?- _ -0 - e ? ? ? 'L y z6 -m C n V _m _ I 19B J 0 ? I W PROPOSEO LOCATION v pROPOSED 36 ? j ? GAR -- a - ?. I f z---- HOUSE . N ? 1 24 ?? LL ? o Z 3 W I B 38 F '6. 61 : ? N m I ? ?G N 0 x Z O ? N Q° o r I I ' LOT I O J LOT ? o ill 2 J N -? W ? Z W 3 o Z I BLOCK 3 I ? a 96 100.00 W ? 40.00 , b 50_0d 0l1 ?f° N 89° 57' 28" E- 140. 00 q WILDERNESS RUN 9aA` ROAD Llevations sha:m are exioting grndos snd aro assumed datw . I horoby aortify that thia ie a oorroot reprosontatiou of a survoy oSi Lo: 1 and Lot 2, Hlock 3, Wildornesa Park Addition, Dakota County. ?tinnesoto, excepting therefrom the vast 50 faet of aaid Lot 2, acaording to tho plat theroof on fiLo and of taaord. and thet I am a duly registe^cd land surveyor under tho laus ot the 3tata oS Linnesota. Dated thie 15th dny o: July, 1980 Geno L. Jaoobson, LiVn. Re?. IJo. 7734 DR. BY GRJ SCALE - 1"=40' o DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM Frog=.rad for t Creci;7.PJ ?h?lt?ro C/O 71VC I V C"lu? ?755 :Ar7.c :'roo': H1•r.!. 3ns:co*.??, ._,. ,:5378 JACOBSON SURVEYORS LAKEVILLE, MINN. 55044 PHONE 469-4328 4 YHILLIYS FL3h' S?:tVi4;.?: 10700 Lyndaie Ave. Sa „ .` • Bloomington, MN 85420 EXTERIOR ENVELOPE',kYERAGE "U" COMPUTATIdN Suite/I06 OYJNER ?- ct r? e- SITE AUURESS CON7RACTOR CnLaV%v E?ia E t-TE 2S DATE PHONE Determine working square footage of each. 1. Total exposed wal l area ...... Zo 53 • q sq. ft. x .18 ° 3!.o • ? 2. Total roof/ceiling area ..... 13ES0 sq. ft. x -04 Total exposed wall area above floor = 1'19 La,Slo a. Total wall window area ........................... ZO'7,7- b. Total door area .. ........................... 54 c. Total slidinq glass door area .................... 4 4 d. Total fireplace wall area ....... ; ................ 4 P?l e. Total.wall framing area (averagel0%)............. lyy,3 3 f. 7ota1 net wall area above floor ................ 129 9.0 3 g. Total rim joist area ............................ l?l.l`f Total exposed foundation area = I Z 6. 13 , ?•3 h. Total foundation window area..................... i. Toal net foundation area above grade ............ ?Iq•9? Oetermine "U" value'of each wall segment. a. ZU'1.2. X"ull , 5 5 = I 13.9 lr? b. 54 X "U" c. 4?} xltu,. 5 = ZZ a. `i8 X,.u;, . 34 e. 1 y`-4 X????? O gS = I 2, Z? f. 1ZG9:03 X ,lu„ ?OLi = 63.loS g.__131?1y X "Ull ULIIQ = Lo,C3 h. Lo,3 x „u,l .55 = 3.yt.O ;. II9•q8 x „u„ yLoc1 = SLO27 3 . . .. ... . . . . .. . . . . zo.5.?: .9 ??. ... . . . . .Total = Z? If item #3 is the same as, ar less than item #1, you have met the intent of SBC 6006(c)2. BEA BLOMQI115T MAYOR iHOMASEGAN MAPK PAFFANTO JAMES A. $MITH THEOOORE WACIRER COIINCIL MEMBERS LJ '.. EAE '.?,i;•... ; .w•-M:,'.. :'.:,:°.... . r-" ? - . % ? THOMA$ HEOOES CITV ADMINISTRATOR ALYCE BOLKE qiY CLERK July 30, 1980 I /L?, , doing business as Creative 5helte- r located at R. Shakopee, the builder of the dwelling located on Lot 1 and part o£ Lot 2, block 3, Wilderness Park Addition, Eagan, Minnesota do agree to provide a final grade of said lots that will maintain adequate storm water run off for the remainder of Lot 2, Block 3, Wilderness Park Addition. The City of Eagan holds the right to refuse water and sewer privileges until the drainage swale to the City storm water inlet meets the approval (as agreed to 7-29-80) o£ the City of Eagan Building Official. The City shall not be responsible for any damages that might result to said dwelling from storm water run off that results from the un- usual topograpl?y of said lot. signature THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV. PETITION We, the undersigned, living within 350' of the subject parcel, agree to a waiver of hearing and consent to a waiver of plat to allow a lot split for lot 2, Block 3, Wilderness Park Addition. This will allow family dwelling on lot 1 and the west 40 qlof lot 2ru Block of a single Park Addition, prior to a formal hearing by the Advisory Plann nge Coms mission and the City Council of the City of Eagan. NAME ADDRESS ' CITY USE ONLY LOT L BL ? n RECEIPT 7/127 95 / SUBD. RECEIPT DATE: MECHANICAL PERMIT # J lL/ L? ? 1999 M£CHANIClkL PEftMIT (itESIDUT1AL) CITY Of $A6RN 3930 PILOT KNOB $D E46AN MN 55122 Date: b "?-S'9cl (651) 681-4675 onlv if you are installing HVAC in a single family dwelling, townhome or . n'VAC: v-1 -30 iJi 'Z? ADDITIONAL • Gas outlets (minimum of one ? 30.00 6.00 d?NEc? 3-oa hazge .50 Total $ 33 ' 50 -- - - - - ojnp, ete,,,?,?Tis -.?section, onTv if-you are, rempdeling,. adding to, or repairing an existing single family dwelling, ' townhome, or condo. Please indicate if it is a new item, alteration, or repair. J i - - ?? _ New Alteration Repair _ Other CC_ Reminder: Call 681-4675 for inspections. -)-( Furnace _ Airexchanger SITE ADDRESS: 1 Z CARLSn n1 Air conditioning Other re$ 3v.vC State Surchazge .50 Minimum Total D 30.50 OWNERNAME: L??Z(Z? ?c12NS PHONE#: 6 I - LI?2 ??63 (AREA CODE) INSTALLER NAME: PHONE #: I 7 -22i' - l S T? STREET ADDRESS: 1 R( k L) (^?A cODE) S „? A CITY: a'r t-'S Cz (V j:` c) ti? S S ATE: ZIP: ?J J( 6? I SI ATURE PERMITTEE ClTY U5E ONLY r L BL ? RECEIPT SUBD. IL2LJ?? ?? /?? DATE: 7995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 113L (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit Fin Ti.irici - t:ACii NO. TOTAL Shower 3.00 x = Water Cioset 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen 5ink 3.00 x = Laundry Tray 3.00 x = Hot T a 3.00 x = ater Heater 3.00 x = Dr`ain 3.00 x Gas Piping Outlet ` minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota cry, license 20.00 = U.G. Sprinkler * home undar const. 3.00 Alterations " to exiscing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL _J ?• 5n 51TE ADDRESS: l auRNs 1250 CRRLSDN LRKE LRNE ERGRN , 55123 OWNER NAME: ---? H 452-7143 w DOROTHY iNSTALLI STREET cin: PHONE #: ( W 1121 STATE: ZIP: CITY USE ONLY LOT ? BL ? RECEIPT #: ! I gD S SUBD. ?t)WZY,? 6-aj_ RECEIPT DATE: `5/ ?`I9 u 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 ? qq n Date: ??((A <?.,. i l 1 I CS (612) 681-4675 Complete this section onlv if vou are installing HVAC in sinele familv, townhome, or condos that are under conatruction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) • State Surchazge: .50 • TOTAL: Complete this secrion only if you are remodeling addine to or regairine existing single familv dwellings. townhomes, or condos. - 6 ? on air conditiomng - ;?2aAdd-on furnace _ Add-on sir exchanger, i.e. Vanee system, etc. _ Other Mi*i?:?.im fee applies !e zll remodei or add-ons of existng rzsidences $ 20.00 State Surcharge 50 Total: $ 20.50 ? ?? siTE AnnREss: 1250 ?rnL1?ytl l2-KiE 1-14 OWNERNAME: (9C?L?lCI !?J'i?(lZ? PHONE#: INSTALLERNAME:pC@fel'fBd Il@atlflg Ht all' PHONE#: STREETADDRESS: 7643 Logan Avenue South Richfield, MN 55423 CITy: Bus:866-7611 Fax:866-0125 STAT'E: ZIP: i SIGNAtURE O PERMITTEE GTY USE ONLY L BL 3 RECEIPT #: SUBD. ?N??i?O l?I? /? DATE: 9?? 9 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NQ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 ;c = LavateRi 3.3^v ;t = Kitchen Sink 3.00 s = Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 ;c = Water Heater 3.00 :c Floor Drain 3.00 x Gas Piping Outlet * minimum -1 3.00 ;< _ Rough Openings 1.50 ;c = Water Softener 5.00 :c = Private Disposal ' Dakota Cty. license 65.00 = (new and refur6ished systems) U.G. Sprinkier " home under const. 3.00 = Alterations ` to exiseng 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ZD,? SITE ADDR' OWNER NA INSTALLER STREET AC CITY: PHONE #: ( L0"U & 1 lfC?612 W N ?F!(L1L_ STATE: k" ,.? ZIP: 5pA,Uob ?voCi'?l1L' nPi?..@ IfC. 12554VIL0ERNESS RUN RD. EAGAN. MiNN. 55123 STATE OF MINNESOTA COUNTY OF DAKOTA ss ' CITY OF EAGAN . '- PERMIT APPLICATION (Submit in Triplicate) ?s-q-7Bqr- P-7Z FEE DATE PAID RECEIPT NO. PARCEL NO. - I/WE, the undersigned, being first duly sworn, hereby make the following application to the City Council and Planninq Commission of the City of Eagan, Dakota County, Minnesota. 1. Application is hereby made for: (Check appropriate item(s) Trailer under Ordinance No. 2 _ Building Permit under Ordinance No. 3 Kennel Permit under Ordinance No. 5 Rezoning under Ordinance No. 52 Conditional Use Permit under Ordinance No. 52 Excavating-Permit under Ordinance No. 8 Plat Approval under Ordinance No. 10 ?Waiver of Platting Other (describe) 2. Applicants have the responsihili ty of checking all applicable ordinances pertaining to their application and complying with all ordinance requirements. 3. Legal description oP land to be affected by application including acreage or square footage of land involved, a d street address, if any: ? y 6 ' ?'2 44e.X3 4. Proposed name of plat: 5. The present zoning of the above described property is: fPf 6. Zoning classification desired: ?P 7. The name and addr ss of the present owner of the a ove described land: 8. Estimated cost of improvements to be made within one year after issuance of permit applied for, if granted, is $The nature of the ......-..........._a_i.__.-... __.? . - -- _ FIELD DENSITY TEST REPORT INSTANT TESTING COM 4000 BEAU D' RUE DRIVE EAGAN, MINNESOTA 55122 CEDAR AVE. at T.H. 13 POR7ABLE7ESTINOOFMIaNWAYCONSTRUCTIONMATERIALB ' - , G. J. KOPACEK, PROFESSIONAL ENGINEER INPIACE DENS3TY TEST AESULTS _ FOT Mile Lucast (Creative Shelters. Inc.) CALL4S/$S44 DATE August 1, 1980 Location Res;dence #80118 ' Teste Authoriaed By same Job No. ''.Date Tested. Ju,lv 29. 1980 at 8:20 A.M. P.M. • ATea Tested House Site Backfill ", :.Test Number 2 Station .. Or LOCBtiOl1 ' CORNER OF CENTE GF HOUSE `Poettion to,C.L. ' Depth Below 5urface 31 61 ' So1I ClaesiYication FINr Loa sAND 1Ro eture ene ty Curve Numbsr l 1 Standard x mum Densft 113.5 113.5 Dry Density 106.9 100.1 Relativa Density 94 88 verage Re a ve : Density Standard Optimum aMoiature 13.4 13.4 Pet Cent Moieture 8.9 8.4 Relative"kloieture 66 63 RlXa1"kes MOISTURE DENSITY TEST SAMPLED UJITH FIELD TESTS, SEE SHEET -2- EOR ' RESULTS, LAB.NO. P80-11II, CURVE NO. 1/ ???? 2-`#306 + Hrl"' -#?601 , o? ies to: ' Mike Lucast Y ?g nei ,Cit/y?.pf-?gan Mflp ' _ S?? / v ? ' -.? - - G. J. Kopwk Prdaiaml Enpfnw- Repietrnion No. I t66 - nI r? a..,.??..?.c-..:..... - o...:.«..:..., u.. »u - ,S-() -?) (? (? RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN --7 3830 PILQT KNOB RD, EACAN MN 55122 651•681•4675 New Conatructlon Regufremer?bb • 3 replstered sNe suneys shaxing sq. tt. of lat, sq. H. W house; and II roofetl areas (20% maxknum bt coveraqe albwetl) • 2 copies of plan showing beam 8wintlov+sizes; poure0 fomM design, etc.) • lsetofEnergyCalouletbns • 3 copies of Tree Preservatbn Plan 8 bt plattetl altar 7/1793 . Rim ,blst DBtail Optqns &BIBG1i0n SBeBt (61tlg3 wtlh 3 or IeS3 unltS) DATE S r 7' ? ? SITE ADDRESS TYPE OF WORK ??? t° -lyd40?- APPLICANT STREET ADDRESS TELEPHONE # ,-?if7 "Y7 u272 CELL PHONE # MULTI-FAMILYBLDG _Y 1!N FIREPLACE(S) _ 0 _ 1 _ 2 3? -7 FAX # PROPERTYOWNER Z,6,1,L14 41114,6'! S TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RLTLFS 7670 CATEGORY 1 MINNFSOTA RULFS 7672 (4 submission type) . Resitlential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Su6mitted . Energy Envalope Calculations Submitted Plumbing Contractor. ___ Plumbing system includes: Mechanical Contractor. Mechanical system includes: SeweVWater Contracfor: Air Conditioning Heat Recovery System Phone # Phone Fee: $90.00 1?I? ------------------------°-°-°------------------------°°---------------°°------°- ------------------------- I hereby acknowledge that I have read mis application, state ihat the Informatlon i rr _ omply with all applicable State of Minnesota Statutes and City of Eagan Ordinq . s. ' Signature of Applicant ._._...... ..._............ -._...... --............... _... OFFICE USE ONLY ? Water Softener _ _ Water Heater _ _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths NemotleVHeuair Neaulrements . 2 coples of plan . 5 set of Energy Cakulatbns for heated atldaions • 1 snesurveyfore#efioradtlAans6decks • IMicate tt twme served by septic syslem tor atltlitions VALUATION ?? 3 C) Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4/02 City of Eataft 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: (J 109 Permit Fee: `OD Idli 13 Date Received: Staff: L 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I Site Address: k••_ ----5b Lata. Lk Tenant: Resident/Owner Contractor Type of Work Permit Type e'eAC .,l_dt 13-11/1. t t Suite #: Name: fat d- `E LIL r13 Phone: i 0 l Li . I Address / Gib/ / Zip lc� PA J1 E("1 UR_ r)`-1 551 WI* tomveavanasxnmenvamw.afalne...mo.mtunstate,a, Name:T lJ1Cl^f ° /.Li C�f.G�a�(�'rtL License #:LI"i1 1 it)�- Address:7)'4 °L 7 City: `\ State:\ 0\ Zip: Z1 0) Phone V at (0---) Contact. Email: . �. ,F,,.,,.,,rM�,,,1,1,.�. RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ New Replacement _ Repair _ Rebuild — Modify Space _ Work in R.O.W. Description of work: !Ac 7.t RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New Abandonment l Water Softener _Add Plumbing Fixtures ( Main / Water Turnaround Lower Level) CALL BEFORE YOU DIG. Cali 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.gooherstateonecalLorq 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 pia >>,m ,�, (.�z- Applicant's Printed Name Appliant's Signature FOR OFFICE USE Required Inspections: _Under Ground Reviewed By: Rough -in Air Test Gas Test Final *s City of Eapll Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit*I It Permit Fee: io5./a5 Date Received: Staff: 9)c) 2013 RESIDENTIAL BUILDING- PERMIT APPLICATION -14-13 Site Address: / 2S ^+Sova e.. (-44 Unit #: Resident/ Owner Type of Work Name: Ge, -aa .1 Rooms. Address / City / Zip: 1 ZJ 6 &4$n. (Rk f.,fl Applicant is: Owner )< Contractor Description of work: f/d reri U Construction Cost: { yD 00 Multi -Family Building: (Yes / No ) Company: f74 2°'1/10111e�h-t/9e Contact:.E-4-s' 'fry' Contractor Phone: 457—W--7/403 Address: (32.6 f 5? Sflet-9 t City: Otiiitfaiele State: 01/1 Zip: cc337 Phone: 612.- 97 6 Ifo License #: g-03166 67 Lead Certificate #: 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: Phone: Sewer & Water Contractor: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of I 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.gooherstateonecall.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. L App icant's Printed ame Page 1 of 3 Use BLUE or BLACK Ink r--------.--------- I For Office Use Permit ' City of Ea ~a~ I al- 3830 Permit Fee: Pilot Knob Road Eagan MN 55122 Date Received: in ii (or Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 0 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: f -13 Site Address: Z-J U S~ L4" Unit M ` Name: ild &iW Phone: Resident/ 14C Owner ~ Address I City I Zip: !5-Lo 62.1-61-11 Applicant is: Owner Contractor Type of Work Description of work: mow, re y 19-e- Q/! C S/aien- Construction Cost: .'0,5-644 Multi-Family Building: (Yes / No Company: Contact: Contractor Address: (3elps- ~ i r !C~ City: Qv rs~dl~ State: Zip: ~s3 Phone: (Ing- 00 License ok,039V 67 Lead Certificate 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: NOTE. Plans and supporting documents that you submit are considered to be public 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.ora 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. 11 / ~ e / 7►'%lw~ x x- 7 App nt's Printed Name A Signature Page 1 of 3 i~' PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160165 Date Issued:02/20/2020 Permit Category:ePermit Site Address: 1250 Carlson Lake Lane Lot:2 Block: 3 Addition: Wilderness Park PID:10-84250-03-023 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Christopher A Gurley 1250 Carlson Lake Lane Eagan MN 55123 (763) 213-6004 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature