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1317 Carlson Lake Lane, ? CITY OF EAGAN 19331 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT QNONE: 454-8100 Receipt # '---' To be used for RZ-aOOPING Value $ir8W Site Address 1317 CARI.SOti Lot 6 Block 4 Sec/S Parcel No. n?nv a?nn ? Name 1317 3 Address ? 0 City EAGAN Phone ? a o Name d?-RITE ROOPIHC , ZU Address 16230 N KENWOi3D TR ? City 1AKEVILLE Phone 435-7"8 ' W W Name ? _ X ; Address <W City Phone I hereby acknowiege that I have read this appiication and state that the information is correct and agree to compiy with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Permitee ` A euilding Permit is issued to: DlJN--RITE ft00FING on the express condition that ail work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building piSicial Occupancy Zoning (Actuai) Const (Allowable) S oi Stories Length Depth S.F. To1al S.F. Footprints On Site Sewage On Site Well MWCC System Ciry Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE U5E ONLY FEFS 41.00 1.00 Bldg. Permit Surcharge Plan Review SAC, City SAC,MCWCC Water Conn Water Meter Acct. Depasit S/W Permit SIW Surcharge Treatment PI Road Unil Park Ded. Copies TaTAL 42•00 Permit No. Permit Holder Date Telephone # WATER ? SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Fnal Htg. Final Plbg. Const. Meter Pibg. Inspector - Notify Plumber Engr./Plan 81dg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY Of EAGAN 3795 Pilot Knob Raad Eagan, MN 55122 PHONEs 454-8100 BUILDING PERMIT Receipt .# Fe Site Address Lot Parcel # - sorl Block " Sec/Sub. ' Run 4th ac Name W z Address W. Nome r' )=?-gtr. Co. Inc. N° 5885 Erect ? Occuponty Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Consr. Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Approva Is Fees '' Add Assessment ? ?- Permit . 1• ress Cit Ph Water & Sew. - Surcharge one d 1 Police Plon check h?Lu 1 Name Fire SAC Address Eng. Water Conn. -cz Ci Phone Planner Woter Meter Council Road Unit I hereby acknowledge thot I have reod this application ond state that gldg. Off. ? the informotion is correct and agree to comply with cll opplicoble APC Tot l ` State of Minnesota Statutes and City of Eogon Ordinonces. a Signuture of Permittee A Building Permit is issued ta " on the express condition that all work shall be done in accordonce with oll opplicable Stote of Minnesota Statutes and City of Eagan Ordinances. Buifding OfficiCl Penelf # Date Imed Penalfho Plumbing Mechanical /If INOR? - ?j - Q ZZ) . ? INSPECTIONS DATE INSP. Rough- I n Final Footings Date I Insp. Date Insp. Foundotion Plumbing Frame/ins. Mechanical Finai 6 Remarks: ? No. CITY OF EAGAN 3795 Pilot Knob Roed Eayan, Mlnnesota 55122 Phene: 454-8100 PERMIT Date: Site Address: Lot Block Sub/Sec. Name . Address ?&P?BC4 A - 14 - ' ? : - City Phone: Name . ? ., Addreu ? City ? Phone: . , This Permif is iuued on the express tondifion that oll work sholl be Minnesoto Stotutes ond City of Eugon Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter./Repoir ?^I Cost of Installotion Pe?mit Fee Surcharge Tota I done in occordance with all appliooble Stote of Building Official PERMIT # PLUMBING PERMR RECEIPT # CITY OF EAaAN 3830 PILOT KNOB tiOAD, EAGAN, MN 55121 OATE - Site Address _ Lot m Name _ -51 Address c City - ? Name 3 Address p City Phone FEES COMM/IND FEE - 1%OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NO. FlXTURES TOTAL Water Closet - $3.00 t Bath Tubs - $3.00 Lavatory - $3.00 Shower $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outle4s - $1.50 v Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: FOR: CITY OF EAGAN CITY OF EAGAN Addition?3.ldeZ / Owner .O l.f' * •{-e, Lot 6 Blk state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 $163.26 8.1 122.46 A003573 1-5-77 SEWERLATERAL 1975 $756.00 $75.60 529.20 A003573 1-5-77 WATERMAIN WATER LATERAL WATER AREA 19 7 7 160.00 6 15 1' STORM SEW TRK 236.38 C005373 6/5/80 S70RM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 0 BUILDING PER. y? sac y 00 PARK I This request void 18 months from Lu P, A? v? ?r Date ¢f this Request L?/W? ?/?'f' go S 13 54S I, as O Licensed Electris$l Contractor El Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Section Township_ 1Vhich is occupied by ? Is a roughin inspection requii Power Suppiier ? / Electrical Contractor ? ? Mailing Address Authorized MM - / I ?rvame or uccupanq V on this job? No ? Yes ? Ready Nowx Will Co . _ Phone No`??? ? rf(ictcoF o n r s Installatlon) O??VJ his inspection r¢quest will not be accepted hy tlhe ?f State Boerd unless proper inspeetion fee is enclosed. f Range County minnesota State Board of Electricity 1954JUniversity Ave., St. Paul, Minn. 55104-Phone 645•7703 ' REQiJEST`FOR ELECTRICAL INSPECTION CHE(K BELOW WORK COVERED BY THIS REOUEST ?? 455 iype o[ Building New Add. Rep, Chmk Appliances Wired Foc Check Equipment Wired For Home ? ? ? Range ? Temporary Wiring ? Dup3ex _ ? ? ? Water Heatei ? Lighting Fiactures ? Apt. Bldg. ? ? ? Dryer ? Electcic Heating ? Commercial Bldg. 0 ? 0 Fumace ? Silo Unloader ? Indusirial Bldg. ? ? ? A'v Condi o r `? Milk Tank ? Ferm ? ? ? ist ? O[her ? ? ? p Hereis? eherS? COMPUTE INSPECTION FEE BELOW I Service Entcance Size: # Fee Feeders& ers:. # Fee Citcuits: # Fee 0 to 100 Amps. 0 to 30 s 0 to 30 Am eres 101 to 200 Am s. 31 to 10 c 31 to 100 Am res Above 200_Amps. Above 1 Above 100 Amps. Transformers RemoteContiolCirc. Partialor otherfee Signs S ecial Ins ection Minimum fee SS Remarks TOTALFE pv the Electrical Inspector, hereby (Final) This request void 18 months from t has been mad-e,?3- Ao Date 6 -IDAte 7 This request void aC 6 i??` 4*? 18 months from,;,,. ? 68381 Date ?of _ty? s-Request Pire No. I, as E7Licensed Electrical Contractor OOwner, do heceby request inspection of the above electri- cal wiring installed at: Street Address or Route No. City. ? Section Townshio Range County C4 Which is occupied by_ Is a roughin inspection required on this job? No ? Yes ? Ready Now 0--? Will Call ? Power Supplier Address Electrical Contractor Contractor's License No.?!? n , lCOrpµany Name1 Mailing Address Authorized Signature /?5?2 (Electrl</al? C(o?ntractor ? ? G;1 LI L5 0 DI?? 1J1i 0 I nstal latlon7 Phone No. This inapection request will not he accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Elecdicity ????51 Griggs Midway Bldg. - Room P1791 1821 Universiry Ave., St. Paul, Minn. 55104 - Phone 297•2771 ? ` RFQIl?3T FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST EB-00001-02 68381 7'ype of Building New Add. Rep. Check Appliances Wired For Check Fquipment Wired For Home ? 11 ? Range ? Temporary Wiring ? Duplex ? ? ? Water Ileater ? Ligh[ing Fumres ? Apt. Bld g. ? ? ? Dryex 9 Etectric Heat ? ? Commercia] Bldg. ? ? ? Fum ? A I^I ? Silo Unloader ? Industrial Bidg. ? ? ? Av C' ditio ? I dulk Milk Tank ? Facm ? ? ? Lis[ ) lJ Lis[ ) Othet ? ? ? Others} Heie ) O[hers} Here ? COINPUTE INSPECTION FEE BELOW Secvice Entrance Size: if Fee Fcedeis&Subteedeis: # Fee C'vcuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eies 101 to 200 Amps. 31 to lOD Amperes 31 ro 100 Am res A6ove 200_Amps. Above ]00 Amps. Above 100 Amps. Transformers RemoteCon[rol Circ. Pariizl ot o[her fee Signs Speciai Ins ection Minimum fee S-p Rema:ks TOTALF E ?v I, the Electrical Inspector, hereby certify that the above inspection has been m`adU.' (Final) This request void 18 months from Date DaEe 7 / - This request void 18 months from L'-D't /Gq .i'?'o C4/ y 5 y( ''?- ?"L ? 26820 Date of this Request S I, as JMLicensed Electrical ontractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Section Township Wluch is occupied by Is a roughin inspection required on this job? No Yes ? Ready NoWo Will Call ? Power §upplier TZI?- Address ?? ) ?.C • Contractor's License o. _ ElectrycalContractor D q21'?=iClf) C?" ??f GJ (COm? any Name) Mailing Addressa?? ?0 ' lElactriWl'COntractor or Owner Makl(Y9 Tnls Installatlan) " Authorized (ElBCtrlcal contractor or o% STATE ROARD COPY Phone No. kll19 TnIS InSj21Nti00) This impection requast will not he accepted by the State Board unlen proper inspection fee is enclosed. Range County Minnesota State Board of Electricity 3954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQU~R ELECTRICAL INSPECTION Ci`fECK BELOW WORK COVERED BY THIS REQUEST 5 Type o( Building New Add. Rep. Check Appliances Wired Foi Check Equipment Wired Fm Home LJ ? ? Range ? Temporazy Wiring ? Duplex ? ? ? Water Heatec ? Lighting Fixmies ? Apt. Bldg. ? ? ? Dryer Electr ic Heating ? Commercial Bldg. ? ? ? ID Fum Silo Unloadex ? ]ndustrial Bldg. ? ? ? f Au C 6ulk Milk Tank ? p? Lis[ L ist Other ? ? ? ? p Heie? p Hehersl COMPUTE iNSPECTION FEE BELOW Secvice Entcance Size: it Fce Feeders&Subfeedets: # Fee Circuits: # Fce 0 to 100 Am s. Am eres 0 to 30 Am eres 101 tQ 200 Amps. 0 Amperes 31 to 100 Am eres Above 200 Amps. 00 Amps. 6 Above 100 Amps. Transformers RemoteCo ntrol Circ. Partial or other fe e Sign% ns ection Minimum fee $5. Remazks?L`i_ 1? J TOTALFEE c?? I, the Electrical Inspector, hereby (Final) This request void 18 months from has been ma&? Date EDate ILLAGE OF EAGAN WATER SERVICE PERMIT 79t-Pilot.K4obRoad PERMITNO.: Znfll ,gan, MN 55112 DATE: 11 /17 / 7 6 nning: RI - No. of Uni[s: .1 iwner:-TIra9c_^aN 119P4T36 1A7", ddress: ireAddress: 1317 C ar15on-I,ake Ln E6 B4 WR IV iumber: sey-ROC - - Peter Plbg. Connection Charge: 2 Z 0• 00 pd ? Account Depgs?t ?ader No.: o-? L?? Permit Fee: 1 ? P ?- agree fo co ly with the Villoga of Eagan Surch . arge: .dinonea?/44/7 G. Misc. Chazges: 60.00 pd Total: V Date Paid: ate of Insp.: Insp.: YILLAOE OF EAOAN SEWER SERVICE PERMIT 3795 Pifot K?wb Road ? PERMIT NO.: Eogan, MN SS1I2 DATE: 11 / 1. 7/ 7 6 Zoning: R i - No. of Units: 1 Owner: m=Ic F Di i]A MrS 2 C f Address: SiteAddreas: 1317 Carlson Lake Ln. 7.6 P4 WP. IV Plumber: aPy-ROC -- Peter P11:a. 10/22/76 ;,'-9432 100.00 pd I ogroa ro eompir w1th the Villaye ef Eayan Connection Charg?:5(1. 00 pcl Ordinancn. Account Depoait: Permit Fee: 10.00 nd Sumhazge: .50 n d BY: Miac Chazges: Date of Inap.: Total: Insp.: Date Pald: This rnquest void 18 mnnth5 Irom ? E 27892 O O ??• / ?Reatly No W'll Nolify InsOer.- /??' ?/ ` U/T TJIVes I-lnln rWhenReady Y?LLicensed Elecvical Contractot 1 hereby request inspection ol ebove ? Owner electrical work installed aY S[r eet AdCress, Box or Route 1317 City ecuon o. Township Name or o. Hange No. County v ? Occuumt(PfllNAT) Phone No. !` ? Power $applier AAdress / 4oT ?te, Elecvical Convactor (COmp ny N ? ? W ' amel / ' ?c ?? Convacmr's Licnnse No. 6 r y t .? C t?? Mailing qdJre s(Con[ractor or O ?' ( i3e wne Making In ?a?? su?ilatioN Au[horize ignat?Contr or?0 ner ing Installationl Phon/e N'w7nber ry? Q ? J L I/ V 7 MINNESOTA STATE BOARD'OF ELECTRICITY THIS INSPECTION NEUUEST WILL NOT GrigBS-Midwav eldg. - Room N.191 gE ACCEPTED BY THE STqTE BOARD 1821 Universitv Ava.. St. Vaul. MN 65109 UNLESS PNOPER INSPECTION'FEE IS Pn....e ?a», wav.rmnn ENCLOSED. ,ZREQl1EST FOR ELECTRICAL INSPECTION es(-Jooo'o/i-as , See insvuclions lor completing Lhis torm on beck of vellow co0n E 27 gg 2 "X" Below Work Covered by 7his Request Adtl '16i.. ,ZvPe ol BuilCinp Applioncwa Wired EQUiumem Wired Home Range Tempwrary Service Duplex Water Heater Llqhtiny Fixtures Apt. BuilAing Dryer Electric He2tin Commercial Bldy. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tdnk Farm tner oar,i y othor Isnontyl l.! SUl`t1 y LhCI O1hL'f Compute lnspection Fee Befow . # fee ServiceEntrance5ize p Fee Faeders/Subleeders N Fee Circuits U to 200 qm s 0 to 30 Am s 10 0 tn 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swinxning Pool Above 100-Amps Above 100_Am?b Transiormers Irrigation eooms Partial: Other Fee SignS SpecialinspeCtion TOTA F E flemarks 6.5ro ? flouph-in ( Date ?, the cel In ?ectoq heraby ertify thn" the above Final L", ?e T V/?? inspection hes Ceen made. Thle reduast vo1018 months irom ThiS repuesi void 18 months fmm . C 44333 ?.y 7 S 5rb'' .(.? VI 1,1 `tJac.•cc FleQUest Dale Fire No. ' Roueh-in Inspection Requiretl7 ?Ready NuwWillNotify, Inspec- ?es ?NO or When qeady ? Licensetl Elactrical Contractor 1 hareby request inspaction of aEOve ;gQwner alechicel work installed ac Stree[ Address, Bon or Roure No. 317 C z. si City a.G a,A) ecuon o. Townshio Namu or No. en9e No. County 1 h OccuOant (PPINT) - Ga ?? Phone No. ?g Power Supplier\ Adtlress Eleclrical Convaclor ICompany Nemel Contrar,lor's LiCense No. Mailing AdJress (Conuacmr or Owner Making Instailation) Authorize ie?ature IC hactor/Ow Making I?tallalinn) Phone Number MINNESOiA STATE BOqRD OF ELECTRICITY TNIS INSPECTION pEdUEST WILL NOT Griggs•Midway Bldg. - Poom N•191 ' BE ACCEPTED 8Y THE STqTE 90AND 7821 Univergity Ave., St. Peul, MN 55704 UNLE55 PAOVEfl INSPECTION FEE IS Phone 1612139].2117 ENCLOSEO. REQUEST POR ELECTRICAL INSPECTION kAM Ee-ooooi-on 7 JG// "/A= ' See instructiens for comOleting this form on beck of veliaw copy. irga cry 7? C a(? `? ?? --"X' Below Wurk Covered 6y This Request r "naal neu.] Tvae m a..iaoine I Aoalianroa niraA I Equiumant Wired I Liahtinu F ? ? Commercial Bldg. furnace Silo Unloader ? Industrial BIAa. Air Conditioner Bulk Milk Tenk p Fee SarviceEnhanceSize k Fee faxtlers/5ubieetlers H Fee Circuits U to 200 Am s 0 to 30 qm s ? to 30 Am. s A6ove 200 qmps 31 to 100 Ainps 31 to 100 Amps Swimming Pool _Am s Ab ove 100 AAave Y00_Amps Transiormers Irnion tms gat 3oo PartiaCOther Fee signs ` I I lspeciai inspectio" $ ?A Z2„ITOT -0 ?he E12eV.ice1' I nsaector. nereb Final 1e certiiy that the a Vbove ??? inspectien has been • na mede. Thiarepuestmitl • CITY OF EAGAN (VO ? g331 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 w PHONE: 454-8100 BUILDING PERMIT Receipt # Tobeusedfor 'RE-ROOFING Est.Vawe $1,800 Date SEP 5 ,?g90 Site Address 1317 CARLSON LAKE LN WILDERNESS RUN 4T Lot 6 Block 4 SeGSub. OFFICE USE ONLV P2lCBI NO. Occupancy - FEES Zoning _ w GARY BIRD Name (ACtuap Const Permit Bldg 41. 00 - . ? Address 1317 CARLSON I.AKE LN (Allowable) - 1 00 ° EAGAN Ciry Phone a or stodes - Surcnarge . Plan Reviaw Length _ F Name DIiN-RTTF. ROOFTNC Depth SAQCit i - y 0¢ AddfeSS 16930 N KF.NWOOD TR S.F.Total - SAC,MCWCC ? City i axFVii i F Phone 43 S_74RR S.F. Fa0lprinls - W C On Site Sewage - ater onn ? ?w Name OnSitBWell ?w - Water Meler s? F Address MWCCSystem ? Aoct Deposit i CiSy PhOnB City Water _ . PRV ReQuiretl _ SIVJ Permit I hereby acknowlege that I hava reatl this applicalion and slate ihat ihe Boaster Pump - SNJ Sumharge iniormation is correcl and agre lo compl wilh all applica le Siate of Minnesota Stalutes and Cil o a r n n Treatment PI Signature ot Permitee APPNOVALS Road Unit A Building Permi[ is issued to: D11N-RITE OOFIN(?i Pianner - Park Ded, on iha express contlition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and Ciry ot Eagan Ordinances. Bidg. Olf. Copies f J BuiltlingOfficial N10 o1fA.l m/I Variance _ TOTAL 42.00 ? ? Y 61•2?/? czTY oF rAc=,v 3795 ?'ilot Lnob Road EaF;r?n, M-_nneaota 55122 PEFMT P70. ^ R i i Tne City of Eagan hereby grants to A_ R i., rl a r r c^ ^_ ? GP 191+ r tt,.+i0.- ut ca- na..l 55118 a. HEATING . P2Y'iril'G fOr: (OWAeY') TILSFL7 HAMFS Ti.r _ at 1817 carlson Lake Lr?.Pursuant to application dated I n i?7C Fee Paid: S20.00 dated this ZZ day of nrtnt,or .SO s/c Building Ir,spectoi• Mechanical Permits: Bid Total: .rt ~ ,v 0'4353 a/-a o$< CITY OF EAGAN 3795' Pilot ICnob Road Fagan, Minnesota 55122 PERNIIT N0. • 755 ihe City of Eagan hereby grants to Louis E. Peter Co. op 1854 Grand nve. a PLIIMBINr permit for: (Owner) TTSLSFN HOA1rS IL3C. at 1317 Carison Lale Lang purguant to application dated 11/17/76 Fee Paid: $20 • 00 dxr.ea-this iS day of tlovemher, , 19 76 ` .50 a c Building Inspector Mecha^_ical Permits: Bid Tutul: r ADDRESS: 1317 Carlson Lake Ln APT: FLOOR: ICITY: Eagan DATE:! !/ !C9 OCCUPANT: Pat 0' Keefe I OWNER: Same HEAT LOSS: I HEATING INSTALLED BY: Mars h Heatin & Ai r ELECTRICAL WORK BY: Spark Electric I GAS LINE BY: Marsh Heating & Air Conditioning TYPE OF HEAT: GA FA X ROOFTOP SPACE HTR UNIT HTR OTHER GAS DESIGN MANUFACTURER: Lennox MODEL: 32_ _75-.5 SERIAL: 8d rD %"X INPUT: 75,000 BTU's CONTROLS THERMOSTAT: T8400 VENT SIZE: VALVE IKIND OF LINER: IsRE NoNE_ LIMIT: IDRAFTHOOD: IREGULATOR: LIMIT SETTING: IFILTERS - ISIZEA ` U iNUMBER: FANSETTING: ICHIMNEY- ?INSIDE ;Ol1TSIDE PILOT TYPE: ICHIMNEY CONSTRUCTION: PILOT MAKE: I PILOT MODEL: ',SMOKE BOMB: !WIRING: PILOTTIMING: 'iDRAFT: iTESTTAG: L.W. CUT OFF: I DOOR PRESSURE: LIGHTING INST: PRESSURE: ,?\\ VQJC.I % C02 ';DATETESTED: INPUT CFH: IS % OZ p COMPANY TESTING: h " STACK TEMP: Do '% CO NAME OF TE5TER: ? IS 0 L?, u u- I NOV 1 8 2003 Ie v ? _-- _' g -s9 79 MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date / 4 / 13 / 63 Site Address j 3/ 7 C f} (( ($ od L AXt L^) Unit tl Pro er Owner ?"?T p tY _ J ? P ? 1/ SF.? V?2 e 2 Telephone#( 4s1 ) b$I Contractor MfM$H {IL??T1^?9 .4,0 t4f2 StreetAddress 6Ly$ 141(Gla?f0 A+'e M+ City 6RCOK?/1/ Q?'C State m "I Zip Telephone #( 7 63 ) 5 36 - o b L 7 The Applicant is _ Owner ? Contractor Other Add-on, modification or alteration to existing dwelling unit $ 30.00 ? furnace replacement air exchanger ? air conditioner n j _ other _ ?,¢ 9=2?. Q a VNI?c ?' State Surcharge $ .50 Total '! ? ? ' l?1 OC' 1 3 9Cf'3 ' ( ll L? I hereby apply For a Residential Mechanical Pemut and aclmowledge that t ie'fnfllenatian? accurate; tbat the work will 6e in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemtit, but only an application for a pemut, and work is not to start without a pemvt; that the work will be in accordance with the approved plan in the case of work wtuch requires a review and approval of plans. ICeIl., M*.sN .p )? - Applicant' Printed Name Applicanfi 6 CITY of EAGAN BUILDING PERMIT Oaner .....DAVID...HOFFk1A?l ................................................... Addtees (preseai) ...... Builder ........ TILSEN HOMES, INC. ................................................... Addreas ...... 6.2..Z.... S.Q....... SS1E].1.i715...Flv.Q.........?ak...... R.s?.17.1 55116 DESCRIPTION L--? . ;. ` N2 4118 3795 Pilof Rnob Road Eagan, Minaesofa 55122 454-B100 Date ......]..Q?.7.9/..:I.b .................... Slociea To Se Used For Fron! Deyih Haighf Esl. Cos! Pesml! Fsa Remarks S/F Dwlg. & Gar. 62' 38' 48,000 135.5 24.0 s/c LOCATION This permii does no2 suihorize the use oi sizeets, roads, allepc or afdewalks nor does it glve the ownsr or hG agea! the righ2 to creale aap situafion whieh is a auismee or which presents a hasard fo 26a healfh, satetp, eonveaieace aad general welfare !o aapone in the communiip. THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGAE88. Thia is to cerHfp. 2hal..T S.SEDS...HflME.S....SDI£._ .............has parmiesion !o eseet a..S,l.P...11b!lg.-....&...GdZ.......... ...._upon the above deseri6ed pre " e bjeci !0 3he psovisions of all appliaabl ces fox t Ci of Eagan. ................._ .?1.........° -----°•Y .ci`.?.'.?......°°--.........._.. . . ...L.V..`?----...._--........................... Ma Huildinq Impeclos 41 19? Date : BUILDI'tdG PBRPIYT PS'PLYCA:I'ON LOT BIACKADDI:IOTd !??,_,,,r,??L?i??? ?? . PARCPL & SisCTIOt1 PILTFiSLR IF ITYIPuATTED AnnxFSS eF FI1?.CSL nd.r/feh__ ?at Iri? 7,014ISdG?- I OCCJPAt7C'Y T _ ESTDIAT.ED COST? 44 x X3? .._?'..? OFh1ER )/A I??R I? TrYIA d rA TELEPHONE tUO. A9DP.ESS COPITRACTOlt T?? ? yt ?b ry 0x J?ItELEFHCi,;m PTO. if - - ADDRESS Notes IncleRe site plan,'building plans, and energy calculations with this application ! Signed V/ /1?"'N h fta, 04 OFEICE USE VALUATZOU L?(/O SAC tIITER C017NECTIOc1 P7ATER METER BUILDING PERbY2T FEE SURCHARGE FEE PLAPI CF:ECK FEE PARK DEDICATIOiJ FEE OTfiER TOTAL* APPROVALS: ASSESSMENT CLERK BUII,DING DE'. WAiER & 5M•ITR DEPT. FIRL' DEPT I? le 1 3S ?` 29 •a PQLICE DEPT. PARK DEPT. , f ?---- ? ?n ? I ? I \ ? ? ? ?o/??e rv LlNE DwoAERTY LNE /t/ 0 , j?diI o , NovsE ] \\\ l? ?I ? -Xlae?bcrr L %NE Q , . I I I ? rd4-c.?o LoT ? BLack [ZI ? EVE RGRE?N IJARk-s h ? rRo_NT?R?PFfZ_TYLI.(V E ? IL? T -PL AN MASTER CARD 1317 CARLSON LAKF I,ANE I,6 B4 Wilderness Rnn IV OWNER DAVID HOFFMADI STRUCTURE AND LAND USED AS S/F Dwlg. & Gar. Permit No. Issued Issued To Contracfor Owner BUILDING 4118 10/19/7E Tilsen Eomes Inc. PLUMBING CESSPOOL - SEPTIC TANK VJELL ELECTRICAL HEATING GAS INSTAILING SANIiARY SEWER OiHER OTHER I Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: ? BUILDING PERMIT $ite Address Lot 6 Porcel # CITY OF EAGAN 3795 Pilof Knob Rood Eagon, MN 53122 PHONE: 454-8100 APPLiCATION Biock 4 5ec/Sub. Wild. Run 4th ne IN.m David Ho£fman 3 Addre s8nle o ?agan 452-49 0 o Name W. Conatr. Co. Inc. N? 5885 Receipt # ? ? --IWA Erecr ?j Occupancy R3 Alter ? Zoning Rl Repair ? Fire Zone TTT Enlorge ? Type of Const. Move ? # Stories ?- Demolish ? Front ft. --r?- Grade ? ft. Depth Approvala Fees o? Address 6018 Stillwater Road Assessment Permit 27.00 V? Ci Phone 55119 Water & Sew. - Surcharge 4.00 Police Plan check 13.50 F? E Name Flre SAC Z 43 Address Eng. Water Conn. ' QuZi Ci phom Planner Woter Meter Council Road Unit I hereby acknowledge that I have read ihis application ond state thot gldg. Off. 6/18/80 the informution is wrrect and ugree to comply with all oppppliwble PC Total 114 SD Stote of Minnesota Stotutes and Gt of Eogan Or?di?onc? Signature of Permittee - A Building Permit is issued *o? W, COriStT'. InC on the express condition thot all work shall be done in accordance with oll applica6le Stote Minnesota $ta/t?/My ond City of Eogan Ordinances. Building Officlal /r? zz2t'-9? -• ??? CITY OF EAGAN Include 2 sets of plans, ,• ?? 51 site plan w/elevations & BUILDING PERNIIT APPLICATION 1 set of energy calculations. To Be Used For oL? ?? ? al uat?.on '? (o° Darz site naaress: /3! -7 ?e ?? oFFice u ora,Y Wt slocx e-? sec./sub. OJ ,f '/ Z srect X Parcel #: Owner: Address: / 3/ 7 City/Zip Code: ??7??iyr?vV Alter Repair Enlarge Move Demlish Grade occupancy IlP3 - zoning Fire Zone ? Type of Const. # Stories Front ,3a ft. pepth 7(o ft. Phone # : 4'!?(e O APPROVAIS FEES Contractor: `y') 1.21w,k &Assessments Address• City/Zip Phone #: WaGer/Sewer Police Code: Fire Eng. Planner Arch./Eng•: Council Bldg. Off. Pddress: APC City/Zip Code: Phone #: LI 89 - 9a ° 1 Pezmit Surcharge Plan Checlc SAC water Conn. Water .Meter Road Unit TdPAI, ? ?/5' ::c ^ cco r, • .???.. ?3?s r ne, S? ! . p - ? z?; r r-. • :? e .. ETF- ? • . r.. , ..s . - , . . , a S t C 9 : ? ? ? r ? 3z 3C . ? c\ r ? .. ? ? ;; u} ?d a? d i r . - _ t '. . ti t y jti ? . X E ) ? ! { M . '? n a J QQ d gFi ? ?lS? 1 ? Sb ,{ 1 ? ?h ? ?' W P F 1Y L b• 4- Y_ ' x q 1 ? ? Yf b? ? 5< a a+Y ° v `!A Kf ? $c J t ?? ? , M k /' I+f0 4 n y `? ? ?? .......... y?j ?T+=??4 ') aY T ?iYIF YL '?r oS .. Uu. . .5?. _ . ? i?I?I?lC?GL? ? .'?'+k • t r ? .!.??.... ,. r?., } 14-3-51 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS / ?rob Date: / -S ^ F 4.7 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SE'f OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH AD?RESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMSER. To Be Used For: REP0lJPIN(m Valuation Site Address Lot ? Block ? Parcel/Sub y,?? P, o p7??L L1411 ax) Owner Address City/Zip Code?d. / Phone Contractor Address1-21 ' City/Zip Code T Phone Arch./Engr. Address City/Zip Code OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg, Off. Variance COMMERCIAL FEES B1dg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL Phone # RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN J ? J?/ y1 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reouirements RemodellReoair Reuuirements ??II C? ?'vl I oI • 3 regislered site surveys showing sq. ft. of lot, sq. ft. of house; and all roafed areas • 2 copies of plan (20% mazimum lot coverage allowed) • 1 set of Energy Calculations for heated additions ? • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey fore#erior addilions & decks . 1 set of Energy Calculations • Indicale if home served by septic system for addilions • 3 cropies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options seleclion sheet (61dgs with 3 orless uniLs) DATE 2 -,267-ol VALUATION (EXCLUDING LAND) JOB SITE ADDRESS / ?/7 //C' /r,.ne IF MULTI-FAMILY BUILDING, HOW MANY UNIiS? PROPERTY OWNER pa,f O/lzc f i TYPE OF WORK FIREPLACE(S) _0 _1 _2 _3 APPLICANT PHONE # ADDRESS /I/ZIPCODE??;67L PAGER # CELL PHONE # - 74'1 -3yJn FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ PlumUing System Includcs: Mechanical Contractor: Mectanical Systcm Includes: Sewer/Water Contractor: Air Condiboning _ HeaC Recovery System Phone # Phone # Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all aqplicable State of Minnesota Statutes and City of Eagan Ordinances. Certificates of Survey Received _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitte - Energy Envelope Calcula[ions Submitted DS' (n? _ MINNE50TA RULES 7672 - New Energy Code Worksheet Submitted ?/?? D Phone #: By=' m I Water Softcner Lawn Sprinklcr Fee: Water HcaCer No. of R.L Balkts No. of Baths Signature of Applfcant ? Tree Preservation Pian Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Pibg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ?0 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Cj 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ? Occupancy MC/ES System Census Code ??T Zoning IL? t City Water SAC Units ? Stories Booster Pump Nbr. of Units ? - Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const W idth _ Footings(new bldg) _ Footings (deck) _ Footings (addition) Foundaaon Drain Tile Roof Ice & Water Final ?f Framing Fireplace _ R.I. _ Air Tes[ _ Final ? Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaVNo C.O. _ Plumbing HVAC _ Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By e4e , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total *City of Eatali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Peardt #: 2.!--2,57D 0-5-a Date Received: Permit Fee: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2- // //V Site Address: /3/ 49e, 6.-,7 444_ 41...."-e_ Unit #: Name: 4 s.U'Phone: C/ 2-- e ZS -z-(, Address / City / Zip: /3/ *7 C4,--1.50/ f274,,, 53-7 Applicant - Applicant is: Owner 4" ---Contractor Description of work: /10-0 !if%q-eev84- f'( 06,11415 C_ Construction Cost: Multi-Familyiguilding: (Yes /No Contractor staM/fA/ Phone:, 6/ 2- q 7 ? u• 'License #: ad 6q19'Y'd Company:Ai arVe.4.41 irk* ditto,/ le- 7".9.4.5 Contact:ft/4-e— Ater -s ok-si Address: 4/50 9L 4,9, ert"-c4 City: a"'".:9,4.•••/ Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY fr 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 sttsbotit atepa the Ittrentiatteri may be ciatxsufou as nonpublic if you i)mtfidec°spaciflc reasons fisIdared be *wo-trade 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.gooherstateonecallorg 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. Extorior work authorized. kg Perogtirrirtiort to aorowdottorr oAtk file liartotterito 1140.41,11._ stotO _ _efitOPletedWitkt:O IBA days of permit issuance. /414„,e,/ .41440/ Applicant's Printed Name Ap licant's Signature Page 1 of 3