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1270 Carlson Lake LaneCITY OF EAGAN WATER SERVICE PEkMIT 3795 Pilot Knob Road PEfZMIT NO.: F. MN 55122 DATE: ' 2or'"9: No. of Units: 'tlwner. _ Address: Site Address: Plumber: Meter No.: ? Connection Charge: Size: Account DeposiY: Reader iVo.: Permit Fee: 1 ugree to wmply with !he City of Eagan Surchorge: Ordinances. Misc. Charges: Totol: By Date Poid: Date of Insp.: Insp.:- CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilof Knob Rood PERMIT NO.: EagaK' MN 55122 DATE: Zoning: No, of Units: 6wner: Address: Site Address: - - Piumber: 1 agree fo eomply with !he City of Eogan Connedion Charge: Ordinaneea. Account Deposit: Permit Fee: SurCharge: gY - Misc. Charges: Dute of Insp.: Totof: Insp.: Date Paid: CtTY OF EAGAN r ' 3795 Pilot Knob Road ? Eagan, lq/innesota 55122 Phone: 454-8104 r '?'T,T1A4R PERMIT No. Date: , `•r'^'~?r 7.1, 197'i Site Address: T ? Lot Block ? Sub/Sec. ? T•1F "' Name 11122r' rn,:,eS I:',c. ? m 3 Address 627 Sn._-1Zing O City St. Pau Phone: ? Name ; c%uis 1?. Ptt±tex' CSO. ? ? Address 1-854 f7-a d AvenuP 0 V City St• Phone: This P rmit is issued on the express condiYiort ihat o!l work shell be Mi sota Statutes and City of Eagan Ordinantes. Receipt No.: . , Single + Residential I Muiti Res., Comm./Ind. I New/A!ler./Repoir - ' Cost of Installation Permit Fee Surcharge Toto l done in occordance with all applic,able Stnte of Building CITY OF EAGAN 3795 Pilot Knob Road Eagan. Minnesota $5122 , Phene: 454-8100 ?' - PERMIT Date: September 29, 1977 1 Site Address: ';'7() Carlsc?n Ta?-F T; rQ 1. Lot Block Sub/Sec. No. °`i` Receipt No.: ? , -' •? ` Single I Residential Multi Res., Comm.{Ind. I Nam ? --.-n Nnmk- R TNc_ New/Alter./Repair. ' . ; Address 7 !?npi 1 ipg Avp. fic,. Cost of Instollation O , Ciry S} Pa i 7 _ Phone: Permit Fee ` Name 1_ Rir.ripr f Son Inc= Surchurge ' L I dress ' . Rntl ar St . City Phone: Total _ 2.D. 'ilI This Permit is issued on the express condition that oll work shall be done in acrnrdance with all applicable State of Minnesota Statutes ond City of Eagan Ordinonces. Building Officiol cIrr oF EAGAN 3795 Pikf Knob Reea Eegon, MN Sf 122 ..?' ? 7 F7 y PHONE: 4544100 BUILDING PERMIT 12,000, RQC°?? # ?J To bo w.d for Pool S Fence Est. Value Date 3-23- _, iq 83 $ite Acldrcss 1970 f'ar]„3nn gk-ai.n Erett M Otcuponq B3 Lot _26_ Blotk 9_ Ssc/Sub. Alter p Zoniny R 1 Parcel # 16 -84333- 269 93 Repolr p Fire Zone Ne Enlorye p Type of Const, u W Ncr*?e Ran?all Va?RUr?leo Mo„e ? # Stories t z Address 1270 Carlson Lake Ln Denwlish ? Length36_ r;,,, Eagar, o,,,,,,_ 452-4014 Grode ? DepthIA -Sa. Ft. 9 Narre Pecifie Paol b Patin wpproran ?? Addrsss 6922 SS?D St. No. Assessment F Ci Oakdale 770-1313 Water & Sew. Phone ix tW Tfm Lawler Name Poiice F _? ? ?ro? Pacific Pool l?e E ^p• u <W Ci Phone Planner Council I he?eby acknowledge that I haw read this applicotion and stote thuf 81dg. Off. - the informarion is corcect and agree fo comply with all opplicable Srote of Minnesoto Stotutes oDd-eity of Epgon Ordiwonces. ^PC Stqnoture of Pertnitta? ? .6y= l A Building Permit is issued to: PACIFIC POOL d PATIO olt work sholl be done in aocordorxe with oll appliboble State of Jvlir Buildinp Offidol ? `4 ? ? Permit ' c• '^' $urcharge 6•00 Pion check 46.25 SAC Woter Conn. Woter Meter Rood Unit Totol 144.75 on the express condiHon thnt Statutes and City of Eapon Ordinor?css. Permit No. Pwmit Holdor Misc. Permit No. Holder Plumbiny H.V.A.C. w.n W ater r Disp. S?wsr E»ct?ic w z7(j 30 Dw n.?,r ?,74.-& Irs»ction DaLe Insp. Other Footings Foundation Fnminy Rouph Plbp. , • 3. LaK 1?/ e- Rouph HVA Insilstion Final Plbp. Final HVAC Final Weter Deac?i6e Location: MWII Sevrer Pr. Oisp. CITY OF EAGAN 3795 Pifot Knob Aocd Eagen, MN 53122 Ng 4558 PHONE: 454-8100 BUILDING PERMIT ReceiPt # , To be uted for ' Date 19 Site Address - Erect 0 Occupancy Lot Block Sec/Sub. _ Alter ? Zoning Porcel # Repoir ? Fire Zone Enlarge E] Type of Const. W Name ` ` • Move ? # Stories z Address Demolish ? Front ft. ? a Ci Phone `' 479" Grode ? Depth ft. 0 a Name APProvals Fees vq Address Assessment Permit _ a Ci Phone Woter & Sew. Surchorge Police Plan check Fw IVome Fire SAC ?? Address Eng. Water Conn. aW Ci Phone Planner Woter Meter , CounCil I hereby ocknowledge that I have read this application and stote that Bldg. Off. the information is correct and agree to comply with all applicable AQC - Tota1 5tate of NSinnesota Stotutes ond City of Eogon Ordinances. ? Signature of Permittee A Building Permit is issued to: all work shall be done in occordonce with all a Building Official on the express condition that Stotutes and City of EaSan Ordinances. PennM # Dah Inwed PormltFM Plumbing 9•? /1-/? 7,7 ( • ?,?,.?,, ?, . Mechanicol y 9 y, •- •-- ?-?? ?7 ' a• ?- , : _ . INSPECTIONS DATE INSP. R???n Find Footings Date Insp. Ddte Irnp. Foundation' ?r Plumbing Frome/ins. Meehanicaf ?.7 7 Finol Remarks: CITY OF EAGAN Remarks Addition Wilderness Run 4th Addition Lot 26 Rik 3 Parcel 10 84353 260 03 //4- State F'agr7n. MN 55123 Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK 1973 $163.26 $8.16 20 114 . 30 A006141 b 14 78 SEWERLATERAL 1975 $823.20 $82.32 10 493.92 A006141 6 14 78 WATERMAIN WATER LATERAL WATER AREA 1977 160-00 10-66 15 138.68 A006141 6 14 78 STORM SEW TRK ; STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. 230.00 7962 11-1-77 BUILDING PER. 4558 7962 - - sac 475.00 7962 11-1-77 ' PARK This request void ia v,onms +rom ? 27630, ' L?4)? ? 3, CQ?aS zo1 oo Req,st=ate v?? 1 / fire No. Fough-in Insoec[ion Feqmretl? QVOS ?No u - ?pHeatly Nuw ??^1111 Notify InsOec- '? lor When Readv E] Licensed Electrical Convactor I hereby requnst inspection of above Ownar eleclrical work installed ac " Sv et Addross, Bopx or Route No. C ? City ' `rl VA' e- emion m Township Nama or No. RanBe No. ' Count O cu am (PPINT) . ' Phone No. P wer Su olier ?1 ?? ? Address - L S J l a h. ? .?,Ke actor (Company Name) ConVactor's License No. ElecVic I C t?j')?-?- b j lin Address (COn[?rMactor or Owner Makine Installation) 7 ' ? (h ized i r(C t a tor?Owner king I t ation) 'Phon ?. Nvmbor sa - 4o ? WINNESOTA STAAND OF ELECTflICITY THIS INSPECTION FEQUEST IIILL NOT Griees-Midway ElIda.V Room N-797 BE ACCEPTED BV THE STATE BOARD 1821 University ve. St. Feul, MN 66104 UNLESS PPOPEP INSPECTION FEE IS ENCLOSED. 1'p/ REQUEST FOR ELECTRICAL INSPECTION ee-00001.03 ?n?+ 2 7 6 3 0 / See iiaihvctions lor completing this torm on hnck oi yel low capV. ?"X" Be/ow WorcrCovered by Thrs Request 3t0a aS Na Atld R1rP. Type of Buiiding Appliances Wired EquiUment Wired Home Range Temporary Service Duplex - Water Heater Lightin Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader - Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other neu v) nc?r ISpecifyl t or SVecify Othcr Other Comput /nspection Fee Below k Fee ServiceEntrenca5ixe # Fee Feeders/5ubfexden # fea Circuits Oto100qm s Oto30Am s 0to30Am s 107 to 200 Amps 31 to 100 Amps 31 to 100 Am s Above 200 qmps 1 1 Atwve 100_Am s Above 100_Am s Transiormers Remote Control C. Partial%Other Fee Signs Speciallnspection I1? $ TO Remarks rr ?.S? T EE 11- v er• - i e. ? vRovHh-in D .? Alhaf Electrcel c1or, hereby y lhat tha above Final htaCtion has been . This request void 1R ,..????.? a...... 4, fivI uu '¢'his request void 18 months from s- a' iP 36783 Date of this Request 11-7-77 I, as EkLicensed Electrical Contractor ? Owner, do hereby request inspec[ion of the above electri- cal wiring installed at: Street pddress o,r Rou ? 1 ar ?? e City ?gan c?'a S? pc?D Section Township Range County Dakota Which is occupied by Tilsen Homes (Name of Occupant) Is a roughin inspection required on this job? No ? Yesia Ready Now ? Will Call a. Power Supplier n21cnt., nts Address Farmington Electrical Contractor O.B. `1`homneon Electric Contractor's License No.A'?_??5 (COmpany Name) 12201 P:itk_a Blvd., 3litka 55343 Mailing Address Authorized Signature xo. 933•2521 (Elxtrical conHcttfr 6TO*fieFfN8kin9 This Installatlon) ?TME BOARD COPY . Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645•7703 Al;. REQUEST FOR ELECTRICAL INSPECTIONF CHECK BELOW WORK COVERED BY THIS REQUEST ca '? / x3 36783 Type oi Building New Add. Rep. Check Appliances Wired Fm Check Fquipment Wired Fm Home -T] ? ? Range XE] Tempocary W'ving ? Duplex ? ? 0 Watet Heatex ? Lighting Fixtures a Apt. Bldg. 0 ? ? Dryet ? Electric Heating ? Commercial Bidg. ? ? ? Fumace XE] Silo UNoader ? Industrial Bldg. ? El ? Ait Conditioner ? Bulk Milk Tank ? Fazm ? ? [] Lis[ l I.ist Other ? ? ? p } Heiers) - ..i • # f ll RtAecs COMPUTE INSPECTION FEE BELOW Service Enhance Size: it Fee Feeden@Subfeedess: # ` ee rtcuiU: # Fce 0 to 100 Am s. 0 to 30 Am eres 0[0 30 Am res 11 101 to 200 Amps1 13 U 31 to ] 00 Am res 31 to.100 Am res Above 200_Amps. Above 100 Amps. Above 100 Amps. Tcansformeis Remote Control Circ. Partial oi othei fee Signs Special Ins ection Minimum fee Remazks y ?? TOTAL EFf?o.OO 40.50 I, the Electrica] Inspector, hereby ce I hat `??ii?Speoti6n has been ma (Rough-in) ! Date 7 (Final) ??°5 (?€;C?I.2•k.?.? Date „2 -,4 -? This request void 18 months from CITY OF EAGAN Model 3795 Pilot Knob Road Eagan, MN 55122 N? 4558 PHONE: 434-8100 BUILDING PERMIT APPLICATION $44,000. Receipt # 7962 Sing. FAm Dwlg. & Garg. Nov. 1 71y 77 To be uud fw Date 9 1270 Carlson Lake Ln Site Address Erect [k OccuDancy ? Lot26 Block 3 Sec/5u6. WR 4th Alter ? Zonin9 Parcel .fk Repair ? Fire Zone Enlarge ? Type of Const. _ rc Name Tilaen Homesr: Inc. Move ? # Stories Z Address 627 SO. Snelling Ave. Demolish ? Front - ft. o Ci t, au Phone 454-4784 Grade ? Depth ft. ? Name ADPv"als Fees 0 O? Address Assessment Permit 125 50 V? Water & Sew. Surcharge -.70Q Cit Phone Police Plan check O? 4T5 Fw Nume Fire ' SAG ?z Address Eng. Woter Conn. 930-00 <w Cit Phone Plonner Water Meter._6g,_gg.. Council I hereby acknowledge that I have read this apDlication and state thot Bldg. Off. the infortnation is mrrect ond ogree to comply with all applicable 50 912 State of Minnesoto Stotutes ond City of Eogan Ordinances. APC , Total Signature of Permittee A Buildin9 Permit is issued to: CilSE'n OmES IIIC, an the express condition that oll work shall be done in occo ce k qH a piiwble State of innesota $otutes and City of Eagan Ordinonces. Buildirg Official ?? . Date e le - 7-7 BUILDIt?G PERt"?IIT P.PPLICATIUN 2 • /' ?u,z, ? L6T ?o BIACN. 1J 11DDTTIOie PAItCEL & SECTIOid t76218ER IF UTSPL:i1'TEll .ADI]RF.'SS OF PARCBL 7,ONI.JG /- / OCCUPAhiCY ? USE ?+ n y?,Z,(? Aul Y Tl? -?y/A ?^, ESMYATED COS_• 0?7lER / /?u /" TELEPH4NE iVO. ADURESS C -J 0t-tCJ,(1-I j ?,? t.Q _ CO.idT2RC^_'OR k?Q?y'7 TELEPHONE :70. `Y' 7 O '/ _ AllDRESS- Z/?-SC/16- Y•/.t-??YLV.Mi O?'-rLI .' Note•: Include sitz p1an, building plans, ann energy calculations with this application Siened p W OFL'ICE USE ? VALUZITIOId ZN ?i SAC i-aATPE*_i coMNEcTzo?* 1'?ATE1\ MTFia`Z BUILDING P732?1•1IT FEE SURCEiAFtGE FEF PI,4ei CFPCK FEi PAEt?C DEDICATIOi? FEE OT.'.ER 203'F L* 47,5- / .?.?? ?. l} 'y ?`'?? 1?5 ?- z ? APPROV11LLS: ASSESSi<IE'NT CLER*{ ? • BUILDIidG DEPT. POLICE DEPT. WATER & Sa"tIER DEPT. FIRi -DrPT. PARK DEPT ? ?, .. ? ? ? • . ?.IJAW? ? f i ? L--J al 47 a - (Ttl N.? , dNlling }Z`to Ca.r svr? boMr.'?? '?'? s }' f 11u1[ E- lA k -r-.. , 2? _ 3, ? , ?, ? ?"? -Sit? ?ddra? • . CaatNrttor_--tj L S E? 4acea,Fc. ? . ?• t +.._ _ [t.. ?beiri • . ' ' ' ? ?caZOTAt. UPCiM YALL AItFJI? , • _ ?C' COlIS7RUCTI011; . "Un qlu! 7C Va=w ya t . Y 11.i r?dEnrne. ?" „ ? D7 " 4• . tc.?•-- ? rn. ?r oc ttlidMi U= ?n?'= w. oy. - ta. . ft. "". y/ ?hN •. ? 'U - - . z ?q. Et. • z sq. I?. . .?n . i sq.' [t.?? viU.ve X afts W tw? ow.lS 6 PA"t?c' . `t? t? 2 WEATHEft SH?6 D , . `...+,... _ , C?ir'?r ?<?? ? ?.? ??@___- . ??X ?C! '??1•w?????tC• ? ? S. , . . •_? ?_@ ? . ? .. ? ?q.ft, ? , 6,.i.a ? ???e??'l'? = ? ,? ' . > t ', "f4,rfC• , ?. . ? •-! - f?+,? i.:t: ?? t?, . . ,? 27. 41 ?i_, W •+ -'f C ` w . P???'? .W ' . aW'? s'a'i?Q • ????I sv• fti ..+ • ? .. 6?+,r ?.tr ?.?..+??35,.?_•R!" . ??, s rq. ft. .<:. . r: value = area o r "U"?,?? s sq.. ft. ?y?..• =? nV". ?. •`4• ?!Vp q r? .?, . . . w ?>. S??o??.?h `__ ?s?__"p"T: ?y. .?G--?+? ?;? 1?'41f! (A) vAwes 249 roru.s..L .? ,.. P?Sc?_. a ' D? sT mrru. xu.c n? ,uto ..? • . MMUGL "U° :17 or leae for 1 6 Z famlly drelliaga . .22 or lees for aL1 other buildiagi ;'. '.. 101!L??1.Ixc: 4R6A: l??SC? ' sy, ft. .' ' , nEerence ''rU° : aq. ft. . . M Mooca ? T .e>9+A-x sq, '. i=f x: aq4 f 4 ? `._?_?.ZS.t._¦ N WMninp . ?V.. _, s . . Q:,:#t:?=._.....? . . : ?, ....--.-r._,. ?(A) YALtiES AL.PDOF/ 4'S9 ? Am , , .; ?.. ? s ... ? ? ? 4 . .? G !f . 2'.a'.+,? ?. ? ?t.<. n?'.. • .. ? . .`k^ ? ? ?? }` N •l ??V +O= ali' :?; , .? R-; plw ? , _ . •„: ? E?It ? ? . ? • " ' ? ' •, .. ,r. . . ? y ` . .. • ? yd d ^ ?? ? .. . ' . : . . h k,.. • 6. I?Gi AjF 6. t'-x's_ ??• t . ??. x'_ g? _ ixxm l9A?tltiC: - • ' . B- a_Ly?ie y? • ?, '. . ? .. . ° p 1 • ?- _ ?ii??? ,. . S? es\ ?fL ?? , -. .b. _ t??L?c?_ _ ' ? . _ ? ( ?- C If rrerage •'U•' wluss as wlenlaird aboN do eot ?et the ?y Code r*quirw?ot??:: tM "A1ters?at?.6mrslope D601go .a4 ontiln?d !n SeC 6006 .(g) wir br ussd. Addltioarl' iANta ry bo usad to shw ealeulaelon?. , . , . ?. w - - . . . . . , . . . ? . . .? , '.?, r ,?=,.. . . . . ' i e .. ? Y?.f 41 ` a ' ?ibY ? H "?y+0 ? 8•' , ? . . r . ' , ' ' ;Y.a l i .-. ? ? .F } L•. ' ? • ?'?.w ' . . AF A { ' . ^ • ' ?l- 1? . • k M il?• ? • ?. t? ? T " t?.?.o y??t?e_. ? . ? ? i {??,?y' ? ? ? ' • ? ? ? • ? ' ' . r ? a ? ? i ? { .' . ' e: . . . ' ' . . ? ..' . ,?.?.. ° . . . ? . . . . . ? . ?h! ?? i F L . ' . . - ' a . . . . , 4•'?i A '$ `f , ? • ' . ? ? ' . ? . , s ?t,. l' ?? . . . ' ' . . . . , ? . r . ? . ?.. ?. .'.. . . . .? . ' , .. . . , . . . ' ? .• Y e r izf; y. . . . ? ¢ ? .. . .. . .. . . . - ?. r,"; < . . - ,?. , . . . ? - ` 4.?1 ? ?, . . . . y . . - ? •ss ??? # C 3 y Y^[ ? .. . c ' . . • . ? ? ? . . ??? 2. ?f k . • ' r. .' . S`?i :..G) ? ? . . ik Y:.,.C' CITY Of EAGAN • N? ?g?l ?? 9795 Pilot Knob Rwd Eagon, MN 53127 • PHONE: 454-8100 BUILDING PERMIT 12 000 Receipt . , To M wed fer Pool S Fence Est. volue Dare 3'2¢ t9 83 Sire nderess 1270 Carlson LakeLn Erect occuponcy R3 Lot26_ Blxk3..__ $ec/Sub.;•,?4 th Alter ? Zoning Rl pannell # 70_R4453_960_09 Repolr ? FireZone NA V Enlarge ? TYpe ot Const. w Noma Randall Van Burkleo Move ? # Sraries z 1270 Carlson Lake Ln Addroas Demoliah ? length 36 ? c. Eagan Phorle 452-4014 Grode ? Depth 18 Sq. Ft.- o Nom PaCific Pool & Patio ADOrarola Faea zt 6922 SShh St, No. o Address a a e eL--- 0-1 1 Name ?awic. Addrcss Paci ic Pool I hereby acknowledga thot 1 have reod this opvlication and stote thot the information is correct ond agr?.to Comply with oll applicoble Smte of Minneaota Srotures tndTrtv of Edaan Or"nces. Sipnature of PermittLb ? A Building Permit Is issued to: PACIFIC POOL d PATIO all work sholl bc done in accordance with oil opplio?o/ble State Buildinp Official , 11 -I'.? Assessment Pertnit Wafer & Sew. Surchorge ?j Palice Plon check Fire $AC Enp. Woter Conn. Planner Woter Meter Counc{I Rood Unit Off Bldg . . APC s?- rotai 144.75 on the express conditlon thnt Statutes ond City of Eogan Ordfrances. CITY OF EAGAN Include 2 5ets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of erk-rgy calculati.ons. Zb Be Used For d 60 Date 3 ? Site Address: a7Q ,SQ,(? XA?4 Li?• OFFICE USE ONLY Lot 2(O Bloclc ,? sec./sub. ld r l d,?uh ?" Erect ?_ Occupancy Parcei #: /a 'N 353 ?(vo o? Qaner: -atJ??L '?'/1?'J??E ? Address: /,270 ?°?102Sa2 City/Zip Phone # : Alter Zoning Repair Fire Zone Enlarqe _ 7ype of Const. , Move # Stories Demolish Fmnt 3 61 ft. Grade Depth /g ft. APPROVALS FEES Contractc Assessments Address: Water/Sew?er Polioe City/Zip Code: Fire Phone #: 7 79- 1.3 /.3 IIng. Planner Arch./En4•=? /J gi gciOff. Piidress: ?f/Cif=iG ?Z ,? ??0 ? City/Zip Code: ? Phorae #: rndo54 Pc?l 4- FFr???•??? ?qu?? ???s PeYmit FI-°1 v Surcharge A Plan Check SAC Water Conn. water Meter Road Unit TOTAL jq ` 75 '1 (',opy' Office 2,Copy:Crew-,Chief 3 Copy: Municipalfty Pacific Pool & Patio 4 Copy:.Customer A Minnesota Package Products Company 6922 55th St. North 9913 Lyndals Ave. So. 4321 68th Ave. No. North St. Paul, MN 55109 Bloomington, MN 55420 Brooklyn Ctr., MN 55429 770-1313 888-1998 560-6442 CREW CHIEF-? Equipment Needed ? Back hoe ? Bob Cat O Cat ? Truck ? Snow Fence ? Inspections Contract ? Walls O Plumbing ? Footing ? Before Backfill ? Other ACCOUNT NUMBER POOI SIZE uA i t NAME HOMEPMONE cirv Diagram pool site in relation to house, garage, property line, and wires. (Allow 3" variance) ? Mark location of filter an/or heater by (#2). ? Indicate deep end by (X). D Does Customer wish to retain any or all dirt from pool excavation: p Will any obstructions be encountered - such as trees, clothes poles or power/phone lines ? Elevation from location marked "A" in diagram: ? Show type and location of slide if applicable: _ ? Location for disposal of dirt: ? Pacific Pool & Patio recommends that customer install (As soon as possible following pool constructfon): 1. Rain gutters adjacent to pool 2. Retaining wall where diagramed 3. Run off control or drainfield "'" CUSTOMER AZSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING '`' Some damage may be done to the yard andlor driveway entering and leaving the yard during construction: Intial . Customer assumes responsibility for electrical wiring and grounding of the pool (including permit if required): Initial Cusomter assumes responsibility for the gas installation of heater if applicable (including permit if required): Initial . If debris, structures, or substance foreign to normal soil should be encountered while excavating which requires abnormal handling andlor disposing - Customer shall assume responsibility if any extra costs are incurred. Intial . If you wish to change: filter position, slope of land, or anything else stated in this outline, please call our office - 770-1313. Crew chiefs are not authorized to change anything on the job or make any promises for work to be done by them. Any Changes that are not authorized by the office will be charged at a standard rate - no exceptions. Pacific Representative Signature Customer Signature , ? ?.u? ?( - PFPCPOP?Qy: Otficp 2 Copy: Crew Chief a c i f i c P o o I& a t i o 3 Copy: Municipality 4Copy:,cuscomer A Minnesota Package Products Company 6922 55th St. North 9913 Lyndale Ave. So. 4321 68th Ave. No. ? North St. Paul, MN 55109 Bloomington, MN 55420 Brooklyn Ctr., MN 55429 770-1313 888-1998 560-8442 CREW CHIEF Equlpment Needed ? Back hoe C Bob Cat • Cat ? Truck • Snow Fence ? Inspections Contract ? walls ? Plumbing ? Footing ? Before Backfill ? Other , ry4 ? ? -- < ?i1J ?C and wires. (Allow 3" variance) ? ? Mark Iocati4n of filter anlor heater by (ti2). ? Indicate deep end by (X). O Does Customer wish to retain any or all dirt from pool excavation: ? Will any obstructions be encountered - such as trees, clothes poles or powerlphone lines etc.: -7?. 1 . ? . _J ?i t: ? ? I ? _._.? # ? ? Elevation from location marked "A" in diagram: O Show type and location of slide if applicable: _ ? Location for disposal of dirt: ? Pacific Pool & Patio recommends that customer irtstall (As soon as possible following pool construction): 1. Rain gutters adjacent to pool 2. Retaining wall where diagramed 3. Run off control or drainfield CUSTOMER ALSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING Some damage may be done to the yard andlor driveway entering and leaving the yard during construction: Intfal ? Customer assumes responsibility for electrical wiring and grounding of the pool (including permit if required): Initlal . Cusomter assumes responsibility for the.gas installation of heater if applicable (including permit lf required): Initial . If debris, structures, or substance foreign to normal soil should be encountered while excavating which requires abnormal handling andlor disposing - Customer shall assume responsibility if any extra costs are incurred. Intial . If you wish to change: filter position, slope of land, or anything else stated in this outline, please call our office - 770-1313. Crew chiefs are not authorized to change anything on the job or make any promises for work to be done by them. Any Changes that are not authorized by the office will be charged at a standard rate - no exceptions. . ?. ? . .,.._ ...__ - - %- I'IAMt STREET WORK PHONE CITY STATE 21P CODE DIRECTIONS Diagram pool site in relation to house, garage, Pacific Representative Signature Customer Signature 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1 I-} r? o--) 651-881-4875 `t Naw CanahucMOn Reaulremenh - Remodel/Reoalr ReautremeMs g. a q-60 ? 9 reylatered slfe wrveys ttwwiny tq. H. of bt, sq. fl. of house fmd gQ roof6d Or6Uf (20X maxtmum bf COVAraae allowB?b ? 2 coples of pbns (show beam & wlndow sfxes; poured Intl. deaign; efc.) n 1 set of energy calcWatlona > J coples W hee prefervaHon plan 1/ lot plqltetl aHer 7/1/93 DATE: DESCRiP'f10N OF WORK: s ocaies w aa, 1 iB) Of B119f9y CdGUIOMOfii (Of hBCt9d OdC11NM1S t sire wrvey tor exfeAOr addiffona 6 decks CONSTRUCTION COST: STREET ADDRESS: /U C_ LOT: ? BLOCK: ? SUBD./P.I.D. #: Nome: ?? Phone #•??2?? PROPERTY Lan Flrst OWNER Sheef Addresa: cuy ?f?o?i% State: zlp: Company:.2i? ??one #: (area code) CONTRACiOR Sheet Address: LlCense 0-Z&& p. qH State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( Sfreet Address: RegishaHon #: Clly State: Sewer/water iScensed plumber (N Insfallina aewerhvatarl: Phone #: Zlp: I hereby acknowledpe Ihat I have reatl ihis applleaiion, date that the Infomwiion is ect. and agree fo comply wilh a0 applicable State of Minnesotu Statutes and Ciy of Eagan Ordinances. Signature of Applicant OFPICE USE ONLY ° pUG 2 9?00? Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes , No - Not Requlred ?Y'"-------- &ql03 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 -70 °-° New ConsWqbn Reauiremenfs RemodeVReoair Reauiremems Qifi 3 registared sile sutveys showing sq. R of bt, sq. ft o( house; and ?II roofed areas 2 copies of plan G? ?• ?*"? (20% maximum lot coverage allowed) i set of Energy Calculations for healed add'Aions Tree„ , Plap 2 copies of plan slwHing 6eam 8 window sizes; poured found design, efc. 7 stte survey for addNOns & decla TIree i set of Energy Calalatlons 69 „ ;,,, -lndicate i(onsfte sepBc system S?} " ' ! . S? ?,.a, 3 copias of Tree Preservatlon Plan'rf lot platled afler 7M193 Addifion Rim Joisl Detail Options selection sheet (bldgs wtlh 3 w less unRs Date D? l7 lC) Site Address LZ 7D Construction Cost Unit/Ste # Description of Work '' ur'Ereaol - ?l{? ue .?arr-/C eRaf Multi-Family Bldg _ YX N C? V\- b a? -Fr? rv-v?- - ?- Fir p ce(s) _ 0 _ 1 _ 2 Property Owner {(e.rj)rc Tou -e t Telephone # (V51 Contractor selic Address State Zip City Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivlinnesota Rules 7670 Cate?ry 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Wwksheet • New Energy Coda Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee appiies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( ) _ Telephone # Telephone #( I herehy apply for a Residential Building Pernut and acknowledge that the informat n is com?e and acc rate; that the work will be in conformance with the ordinances and codes of the City o MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. eev 'w ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 FoundaGon O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 37 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'DemoliGon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code UIL I Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings(new bldg) FinaVC.O. ? Footings (deck) V ?? FinaUNo C.O. _ Footings (addition) Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs _ AidGas Tests Final _ Framing _ _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final Windows _ Insulation _ _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total UUD jl? v _' / ? II 14- --4 J u ?. . ? I / ? ?... D \ 1 3 E:::i ? E.e rv L%NE _ . i ? /Ul I JZ ? ? ? Lor ? ;- ? JJZ „? ?2er -- I ? BLac k ? I Q ? , ??? q4? ( 2006 RESIDENTIAL BUILDING PERMIT APPLICATION qO `Db City Of Eagan 3830 Pilot Knob Road, Eagaa MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consirudion Reauiremenls Remodellfteoair ReauiremenGS Offce Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. R, of house; and all mofed areas 2 wpies of plan showmg footings, beams, joists CeA of Survey Recd Y. _ N (20%maximum lot coverage allowed) 1 set of Energy Calculations for heated additbns Tree Pres Plan Recd _Y _ N, 2 copies of plan showing 6eam & window sizes; poured found design, etc. 7 site survey for additlons & decks Tree Pres Required Y _ _ N 1 set ot Energy Calculations Add'rtion - indicate if on-sde septic system On-site Septic Syslem _ Y _ N 3 copies of Tree Preservation Plan A lot platted after 711193 Rim Joist Detail Options selecfion sheet (buildings with 3 or less units) Minneoacrn mrrhaniral vc.,t;lor;no fn_ _ r nnM 1 U f-U.- 15 / 2 l Date Construction Cost lJ? J SiteAddress UniUSte # Description of Work j/'"? ?4LZ- (?' ? q 1??, /t\,/5L457 9- /,- Multi-Family Bldg _ Y ?N Fireplace(s) _ 0 !'l _ 2 Property Owner 6 ?'"r ? ??'k-' YL Telephone # 0) / ) '1613 Contractor Fireside Hearth & Home naa?ess ATTN: Danielle Ostgard - 20802 Kensington Blvd city State _ LBkevllle, MN 55044 _ Telephone #( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissioniype) Submitted Submitfed . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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; 1 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. ?? C??-`? ApplicanYs Printed Name Applic t's Signature RESIDENT OWNER Name: '103S Pt,one2_ (.0$ 95_ Address /City /Zip: 12-10 Cour (SU Lct_,(cA CONTRACTOR Name: I SJAS_ c, 7C rt C. License Address: ?i�� s City: kiM Lvl kZ I'\ State: _W N Zip: S54 2 6 Phone: `i52 3 ir 0 6 Contact Person: 3 €.-4q_ 1 0 TYPE OF WORK New Replacement Additional Alteration Demolition r Co �t ti naafi er" ntc a 1 io a -x•°X -aa! E! 1 o d':s. a. ...ds+#a+a"cdgebl✓.. `i 4 M b axa.., ..,skS&..�� r s. a iv, aar- .c'�kvrt' PERMIT TYPE RESIDENTIAL k- Furnace COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under Above ground Tank Install Remove) When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Air Conditioner Air Exchanger Heat Pump Other RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) _L.1 TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation /removal OR Contract Value x 1% State Surcharge) Permit Fee surcharge is $.50. increases by $.50 for each Surcharge $2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE If Permit Fee is less than $1,000, If Permit Fee is $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001 A ll C!tyofaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Date: __jo1 1 /09 Tenant: ASS Site Address: Permit /s_79 Permit Fee: Date Received: Staff: Use BLUE or BLACK Ink 2009 MECHANICAL PERMIT APPLICATION j rl 5sz n Suite 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.uopherstateonecall.oro 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of Applicant's Printed Name PERMIT City of Eagan Permit Type:Building Permit Number:EA129430 Date Issued:02/10/2015 Permit Category:ePermit Site Address: 1270 Carlson Lake Lane Lot:026 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-260 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael R Daum 1270 Carlson Lake Lane Eagan MN 55123--171 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA130196 Date Issued:04/10/2015 Permit Category:ePermit Site Address: 1270 Carlson Lake Lane Lot:026 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-260 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael R Daum 1270 Carlson Lake Lane Eagan MN 55123--171 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174636 Date Issued:02/08/2022 Permit Category:ePermit Site Address: 1270 Carlson Lake Lane Lot:026 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-260 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sandra Rueda-pippin 1270 Carlson Lake Ln Eagan MN 55123 (262) 498-5158 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature