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1207 Carlson Lake Lane CITY OF EAGAN 3798 Pilot Knob Road Eagan, MN 55122 N! 5997 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect Q Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. W Name Move ❑ # Stories 3 Address Demolish ❑ Front ft. 10: City Phone Grade ❑ Depth ft. s Name Approvals Fees 0 0' Address Assessment Permit ~ city Phone ~n Water & Sew. Surcharge Police Plan check W Nome Fire SAC U19 Address Eng. Water Conn. <W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg Off the information is correct and agree to comply with all applicable APC Total - State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official knelt ~j Deb Imed ►enelttee Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. , Mechanical Final Remarks: CITY OF EAGAN,, i 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 4 1 i c..v PHONE: 681-4675 BUILDING PERMIT Receipt # To be used for DECK Est. Value Date NUV 27 1991 Site Address 1207 CARLSON LAKE LN 11 4 {WILDERNESS PARK OFFICE USE ONLY Lot Block SeC/SUb. FEES Parcel No. MT- Occupancy - 2 5.00 Zoning Bldg. Permit Nam liICHAEL STINSON (Actual) Cons[ Sumharge .50 AbdresS 1207 CARLSON LAKE LN (Allowable) W Plan Review Z EAGAN MN Zip 55123 # of Stories 161 P e 456-6818 Length 2a' SLicense AC, City I DE NURSERY S.F. Total SAC. MCWCC 0 less 7701 PILSBURY AVE S S.F. Footprints Water Conn City RICHFIELD PAN Zp 55423 On Site Sewage On Site Well Water Meter 866-3739 MWCC System Phone City Water Acct. Deposit Licerm # PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S!W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagap•Ordiryances.. Treatment PI APPROVALS Signature of Permitee Road Unit A Building Permit is issued to: CREEKSI DE NURSERY Planner Park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL ~5' i, Permit No. Permit Holder Date Telephone # S/W PLUMBING WAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Rooting Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Fig. Y Z Deck Final S~ f3 Well Pr. Disp. L r CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 53122 N4 4508 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Date 19 Site Address z Erect ❑ Occupancy - Lot Block Sec/Sub. ? Alter ❑ Zoning Parcel # Repair ❑ Fire Zone _ Enlarge ❑ Type of Const. W Name Move C] # Stories z Address Demolish ❑ Front - ft. a City Phone _ Grade ❑ Depth ft. Name Approvals Fees O oou Address Assessment Permit _ Ucc F' city Phone Water & Sew. - Surcharge r Police Plan check Fw Name Fire SAC v~ Address Eng. Water Conn. <W City Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total 02f). ~f ! Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official i Pon It # cal. hwN hnNllaa Plumbing 0 7 a -a Mechanical / o I INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date 1 Foundation _ Plumbing -,2 Frame/ins. 5f A . Mechanical Final Remarks: ^dL I I I CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value Date ,19 Site Address 1 OFFICE USE ONLY Lot ` I Block Sec/Sub. • ' i On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well Type of Const City Water (Actuaq s Name (Allowable) uu , . * of Stories 3 Address Length City Phone 1 Depth S.F. Total Name Footprint S.F. O 0 i Address APPROVALS FEES City Phone Assessments Permit Water/Sewer Surcharge W Name Police Plan Revlew c Fire SAC, City ii E Address Engr. SAC, MWCC 5z city Phone Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit that the information is correct and agree to comply with all applicable APC Treatment Pt State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing , A. Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final 9t zg E. Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. c-~X y , 9 Well Pr. Disp. CITY OF EAGAN 1 0 7 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 j PHONE: 454-8100 BUILDING PERMIT Receipt ~qt To be New far Est. Value Date 19 Site Address Erect ❑ Occupancy Lot 1 Block-Sec/Sub, Remodel ❑ Zoning Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories Move ❑ Length W Name Demolish ❑ Depth Address Int Impr. ❑ Sq. Ft. City Phone Install ❑ Approvals Fees Name Au Address Assessment Permit City Phone Water b Sew. Surcharge Police Plan Review a n Name Fin SAC u1 Address Eng. Water Conn. <W City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. Tr. Pl. the information is correct and agree to comply with all applicable APC Parka State of Minnesota Statutes and City of Eagan Ordinances. Signature of Pern+ittee Var. Date Copies Total A Building Permit is issued to: an the express cwWitlan that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Deb Telephone #l Plumbing H.VA.C. Electric Softener Inspection Date Insp. Other Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Mtg. Insul. I' cx, 1AM/I 74,1 Fireplace S y Final Htg. VnM Oeseribe location: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: q: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ; APPLICANT: F1 I i; 1 !1i 1 Iit11 1;! I1; i1r?1} t I f t. 1 1 I;t4 i M t f I I f 1 1"t P t't t rl ! t , c. l t I •9 + PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. f ~I Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING AA9 ROOFING 7 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT l TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG _tQ-q-7 DECK FINAL io 41 ^INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: / a (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: 7'INSPECTION TYPE DATE INSPTR. INSPECTION TYPE F PermR No. Permit Holder Date Telephone • 5NV PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Hig. Orsat Test Final Pibg. Pibg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ! (612) 681-4675 SITE ADDRESS: APPLICANT: itFl I i FftIII i PI ;(tr~ i t l I i i~t t i ~ F. PERMIT SUBTYPE: TYPE OF WORK: i ri i1 1 . INSPECTION rnI r,t= f'i ili~IF3)tJl~, o't trMt i t ~►ttit~t i ' ~il!,•.t t !.,rf Fiit•`; If r~S i li'1~ f i t n' YID i t i !-Fi1 t -ij Permit No. Permit Holder Date Telephone st ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG lQ • 5•q- FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN WATER SERVICE PERMIT y 3743 Pilot Knob Road PERMIT NO.. kagan, MN 55122 DATE: Zoning: _ No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: I By Date Paid: Date of Insp.: Insp.: CITY Of EAGAN SEWER SERVICE PERMIT 3795' Pilot Knob Road PERMIT NO.: - Eagan, MN 55122 DATE: Zoning: _ No. of Units: Owner: Address: _ Site Address: So Y" T nk„ Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: - BY Misc. Charges: Dote of Insp.: Total: Insp.: Date Paid: - CITY OF EAGAN 9923 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N01 PHONE: 681-4675 . -1 BUILDING PERMIT Receipt # To be used for DECK Est. Value Date NOV 27 1991_ Site Address 1207 CARLSON LAKE LN OFFICE USE ONLY Lot 11 Block 4 Sec/Sub. WILDERNESS PARK FEES Parcel No. IST Occupancy - Bldg 25.00 Zoning' Permit Name MICHAEL STINSON (Actual) Const Surcharge .50 w Address 1207 CARLSON LAKE LN Allowable) Plan Review # of Stories O City EAGAN MN ZIP 55123 Length 16'_ License Phone 454-6818 Depth 9n, SAC, City Name CREEKSIDE NURSERY S.F. Total SAC. MCWCC S.F. Footprints - AddreSS 7701 PILSBURY AVE S water Conn On Site Sewage G4 RICHFIELD MN Zip 55423 On Site Well Water Meter Phone 866-3739 MWCC System Acct. Deposit O City Water _ C~ License # PRV Required S/W Permit I hereby acknowlege I have r s application and state that the Booster Pump SiW Surcharge information is Corr a re ply with all applicable State of Minnesota Statut an iTy dinances. Treatment PI Signature of P mitee~~_ APPROVALS Road Unit CREEKSIDE NURSERY Planner Park Ded. A Building Pe i issued to: on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 25.50 ~r~~n R•n"~. _ CITY OF EAGAN ' 3795 Pilot Knob Read Eagan, MN S5122 N4 59t), PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # z V To be used for DECK Est. Value 1,950.00 Date 7-30 19_80- Site Address 1207 Carlson Lake Ln. Erect Occupancy Lot 11 Block 4 Sec/Sub. W.P. 1St Alter ❑ Zoning - -Parcel # Repair ❑ Fire Zone Enlarge- ❑ Type of Const. W Name Thomas Dooley Move ❑ # Stories Address 1207 Carlson Lake Lri. Demolish ❑ Front ft. b Eagan, Mn. Grade ❑ Depth ft. City Phone W Name Kim R mm:mmpn Approvals Pees - vo U Address 3503 Boardman St. Assessment Permit 19.00 .00 City Mpsl, Mn 55WAe 727-12$6 Water & Sew. _ Surcharge Police Plan check Fw Name Fire SAC Address Eng. Water Conn. <W city Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable 10.00 State of Minnesota Stotut C' f Eagan Ordinances. APC Total Signature of Pennittee AA,I~' v A Building Permit is issued to: Kim Rammi mmpr on the express condition that ail work shall be done m a ordance with a a li bie State of innesota Statutes and City of Eagan Ordinances. Building Official p .V • I/ ✓ L~ CITY OF EAGAN Include 2 sets of plans, n - 1 site plan w/elevations & III) BUILDING PERMIT APPLICATION 1 set of energy calculations. D6 To Be Used For Valuation Date Site Address /X7 r1 h1(a !A OFFICE USE ONLY Lot Block _ sec./Sub. ~u Erect Occupancy Parcel Alter Zoning Repair Fire Zone Owner: e Enlarge _ Type of Const. Address: n Move # Stories - Demolish _ Front ft. City/Zip Code: Grade Depth ft. Phone APPROVALS FEES Contractor: Assessments Permit Water/Sewer Surcharge Address: a Police Plan Check City/Zip Code: L Fire SAC / Eng. Water Conn. Phone p6 Planner Water Meter Council Road Unit ~g = Bldg. Off. Address: APC City/Zip Code: Phone TOTAL CITY OF EAGAN Remarks Additiorttt Wilderness P k Lot 1 1 Blk 4 Parcel 10 84250 110 0!4 Owner ✓ vt , 6 `rl Street 1207 State Fa.gan.MN 55123 Improvement ]Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 05 A004631 9-2-77 SAN SEW TRUNK 176.o5 8.8o - po 132. SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA :~Yj 1977 160-00 10-66 15 149.34 A004631 9-2-77 STORM SEW TRK 1981 241 - 9A 16-27 is 7/ 7/ V 10-2 O/R2 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 7638 10_6-77 BUILDING PER. SAC 2-00 7618 10-6-77 PARK l rn MECHANICAL (RESIDENTIAL) 3p lY V Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Tow homes and Condos when permits are required for each unit Date / Y0 /0,3 / Site Address Vl jlr~ Unit # Property Owner d✓ Pir1 Telephone # ) / ~U1 1 Contractor b'A ~v, l bi vl~) ~ 0-104 *1 r I J / 5 S StreetAddFess 19 rl V r r ~ C~~,j7~~, City State Zip E'✓D33 Telephone# (W The Applicant is Owner Contractor Other -on, modification or alteration to existing dwelling unit n $ 30.00 furnace replacement ~I G 3a//J(~ air exchanger l air conditioner other State Surcharge $ .50 Total rnT f is I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 wll be in accordance with the approved plan. the case of work which requires a review and approval of plans. nIdNSKyG~wz~ . Applicant's Printed Name Applicant's Signature -CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 030669 (612) 681-4675 Date Issued: 0 8 / 21 / 9 7 SITE ADDRESS: 1207 CARLSON LAKE LANE LOT: 11 BLOCK: 4 WILDERNESS PARK P.I.N.: 10-84250-110--04 DESCRIPTION: REMODEL 2 BATHROOMS fwildinguPermit Type SF (MISC.) 3ui1#in SJEr~ Type REPAIR Oen3~i QSd,i 434 ALT. RESIDENTIAL s a mnm' ~iu n ~~4ianax ~L gfl 'Amp- ~ A me i ffi aut N IL RRl'E AtP rY "8,'. S~Sw ?R s a,. k' zSs @v W N,..-vA !A v,3^*G' s ~~ereR ~rs -dss s REMARKS: SEPARATE PLUMBING PERMIT REQUIRED CONTACT STATE BOARD OF ELECTRICITY AT 496-9615 REGARDING ELECTRICAL PERMIT FEE SUMMARY- VALUATION $8,500 Base Fee $149.75 Surcharge $4.25 Total Fee $154.00 y CONTRACTOR: - Applicant - ST. LIC OWNER: ROSSBACH CONST INC 17790218 0001355 STINSON MIKE 2578 7TH AVE E 1207 CARLSON LAKE LANE N ST PAUL MN 55109 EAGAN MN (612) 779-0218 (612)452-6818 ik 3 p S f~~ I 9 g ^~31~4(RC.?! fl L2 2 4sY ~qF dt if NF$d$ IS 3S~ 2k e ~ ar i ~ § m say xe a s u i uP.$c v ~ a r r S herb aekra~wletget~a rIras'a Ibis ~'~icdLtttrFtstr~tts z>E furrtKai~?tRty~3s yc~rfX:eol an a~p~yEu6irY~i m11~t~3r~#ipg4~,_ L ~ aM4 0i `ULr iW~ 4E a 'I f l_Y AI 46W £b ~ 2M MS$5 l4 0, &P G g3§S 4 L a e'2 . %r eon e.c3u bt£v t APPLICANT/PER ITEE GNATURE ISSUED B1: SIGNATURE S- q, 30 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~Z I 681-4675 New Construction Requirements RemodeVRepair Requirements ♦ 3 registered she surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window saes; poured find. design; etc.) ♦ 2 she surveys (exterior additions 8 decks) ♦ 1 energy calculations ♦ 1 energy calculations for heated additions • 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes No DATE: 9~ Ay, /?7 CONSTRUCTION COST: g~mv DESCRIPTION OF WORK: Z - PSI Ihn6~[ ~t 5 STREET ADDRESS: Z,eL o LOT BLOCK SUBD./P.I.D. PROPERTY Name: Mlles ~h1sPrJ Phone#: 452--Lae, OWNER Street Address: l2m? GLs,~ City: ^ ` State: M~ Zip: ~s~ 1Z3 CONTRACTOR Company: >sSSAA Phone Street Address: 257x- 7PAuC > License #:s~~l 3s5 City:__ t o . s;r State: Md'~ Zip: ~l o ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water liceraed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY RECEIVED AUG 18 1997 Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required BY. x CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: Permit Number: BUILDING Eagan, Minnesota 55122-1897 030587 (612) 681-4675 Date Issued: 08/15/97 SITE ADDRESS: 1207 CARLSON LAKE LANE LOT: 11 BLOCK: 4 WILDERNESS PARK P.I.N.: 10-84250-110-04 DESCRIPTION: (REPLACEMENT) B°raildi!? °ermit Type DECK uald-,ng WpT0t Type REPAIR Census Caad$ P, 434 ALT. RESIDENTIAL Arl, r I lz, T ffin=n~a~~'n J~ 11 ff pis E 'C go. ? Po- v¢,., xe~ jyrc s;e,n~ `e i !t ; rr A, i~ ".N, 50 REMARKS: FEE SUMMARY: Base Fee $50.00 COPY $.25 Surcharge $.50 Total Fee $50.75 Subtotal $50.50 CONTRACTOR: - Applicant - ST. LIC OWNER: BRNGGEMAN CONSTRUCTION J M 14835144 0005359 STINSON MICHAEL 3600 LABORE RD 1207 CARLSON LAKE LN VADNAIS HEIGHTS MN 55110 EAGAN MN (612) 483-5144 'r .2`i£3? P:M Lt fi" P,~,,,g i. Po 'C g~ !l. i~,~uM }`°±A BtiM y. _n kL Sd o- I gF 1136YBI?7ay dac naOWl£~K#Q bMAP;t¥flf~W ~ "fix E~ Q i g 2n qrm##,. nn ,Is correc't'; afFS et 5~grbt"B`r .$3 pbnrpl 9 M M4 60 =d~~ 1 f i i~ I- 1 Y' ~ i i iry i, PI 83 Y ^n A APPLICANTlPE ITEE SIGNATURE - ISSUED B IGNAT 97 BUILDING PERMIT APPLICATION (RESIDENTIAL)g 10ft 3 6 CITY OF EAGAN 3830 PILOT KNOB B RD RD - 55722 6817aiL~ New Constr uction Reouirements eoair Recuirements # 3 registered site surveys ♦ 2 mpies of plan # 2 copies of plans (include beam 6 window sizes; poured fnd. design; etc.) edoY" r addkions & decks) # 1 energy calculations # 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan H lot pia after 7/1/93 required: _Yes DATE: NI ! 7 CONSTRUCTION COST: 7z ego DESCRIPTION OF WORK: /L BN1O~~P~ //DL~LIL ~AtvLE SIB STREET ADDRESS: low / C*eLSoA) ZAx & Lqy6- LOT BLOCK SUBD./P.I.D.#: PROPERTY Name: /"l /CALL SP fdJ 01J / Phone OWNER Street Address: /mod 7 CA,~S°d (hikes ~g~Jg City: i~M-G State: M^l Zip: CONTRACTOR Company: j A4. 6AkC-6 ,&44A/ Co Phone Street Address: AX / ' F- Q>_ License City: A-Vio i s Offs. State: M Zip: J`)IQ ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licer-ted plumber (new construction only): Penalty applies when address change and lot change are equested once permit is issued. I hereby acknowledge that I have read this application and state that the infbr natio ' rrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Ci Signature of Applicant: OFFICE USE ONLY =E1 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex a 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace 13 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 -plex er 15 Deck WORK TYPE ,d 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System i (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq, ft. Census Code. Hay Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building 44~ Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SM Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC units } s • ~ w~ 'rT ~ • vEC~c ~ s, s.,, PERMIT ~a~a Y CITY OF EAGAN ~~N 3830 Pilot Knob Road PERMIT TYPE: B U L D Eagan, Minnesota 55123 Permit Number: 0 2 314 6 (612) 681-4675 Date Issued: 03/23/94 SITE ADDRESS: 1207 CARLSON LAKE LANE LOT: 11 BLOCK: 4 WILDERNESS PARK P.I.N.: 10-84250-110-04 DESCRIPTION: (GAS STOVE) Building~-Permit Type FIREPLACE Building Work Type NEW 0C~] REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: FIRESIDE CORNER INC 16331042 0001068 TINSON MIKE 2700 N FAIRVIEW 1207 CARLSON LAKE LN ROSEVILLE MN 55113 AGAN MN 55123 (612) 633-1042 (612)452-6818 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 Mn. Statutes and City of Eagan Ordinances, L- `f grin R.v>d.l ~ APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURE CITY OF EAGAN 4C 131 1994 BUILDING PERMIT APPLICATION 1 2Z._~o 681-4675 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. [Pen alty applies: 1) when permit is typed, but not picked up by last working day of month which request is made, 2) address is changed or 3) lot change is requested once permit issued. Date --21 / e Valuation of work 73 Site Address: I A0I C Ae ISoT> L L K Lo,_nle, STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. P.I.D. # (aJ~va,~-;~ P1e e- ed 1'-Description of work: se n 11 The applicant is: ❑ Owner E& Contractor ❑ Other (Describe) skpO Name ~ } i v. g nn~ m 1 N, Phone '15c~ - 7 Property LAST FIRST Owner Address 100-1 a.r-I so K) 1_0.k,~_ Lo-rxe- STREET STE # City _c~ o a r~ State M til . Zip S,_ l a_~ Company al lle,,a F:re-'jdo 4bn Gees Ak C.Ar„aePhone WAI ~6/ Yay~ Contractor Addressrllho N. FR~Rv~e4~ O.~ License # I mA Exp. - City Rose_v, ller State W0 Zip K5112. Architect/ Company Phone 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 Statutes and City of Eagan Ordinances. Signature of Applicant: CITY OF EAGAN N°_ 13 7 6 2 ` 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 5~/5~121 BUILDING PERMIT PHONE: 454.8100 Receipt # / 3 7 [ ~ To be used for 3-SEASON PORCH Est. Value $21,000 Date JUNE 10 tg87 Site Address 1207 CARLSON LAKE LN OFFICE USE ONLY Lot II Block 4 Sec/Sub. WILDERNESS PARK on site sewage _ Occupancy MWCC System Zoning Parcel No. On Site Well Type of Const City Water _ (Actual) w Name MIKE STINSON (Allowable) w # of Stories z Address SAME Length City Phone 452-6818 Depth S.F. Total ,a Name PORCH LIVING Footprint S.F. oQ Address 1903 HIGHLAND VIEW AVE APPROVALS FEES uF City BrVILLE Phone 894-7762 Assessments Permit $170.50 F Water/Sewer Surcharge 10 5n W w Name Police Plan Review ~z Address Fire SAC, City _a Engr. SAC, MWCC x z Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit thatthe information is correct and agree to comply with all applicable APC Treatment PI State of Minnesota Statutes a d City of.Eagan rdinances. Variance Parks Copies Signature of Permittee XG ! TOTAL $266.25 A Building Permit is issued to: ORCH LIVING on the express condition that all work shall be done in accordance with all appfica~ S ate of Minnes a Statutes and City of Eagan Ordinances. Building Official y 1987 BUILDING PERMIT APPLICATION - CITY OF KAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, o $2,000 LANDSCAPE BOND To Be Used For: , e rG(~ Valuation: o o o Date: le'~'-~7 Site Address 1a07 Cds-/5e„ &.1-e OFFICE USE ONLY Lot _U Block On Site Sewage_ Occupancy I , I `n MWCC System Zoning Parcel/Sub UU L~Cb~ \ On Site Well Type of Const City Water (Actual) Owner /yl,ke Baku_ smA (Allowable) 0 of Stories Address /a07 Car15ew Cage, Length Depth City/Zip Code go,c S.F. Total Footprint S.F. Phone -/52- 4,8/ 8 APPROVALS FEES Contractor i ~cr Assessments Permit I~D - Water/Sewer Surcharge 10 2a Address 1903 //~V Police Plan Review g5. - Gi/c~c0 c (L~4 Enre SAC, City City/Zip Code /J y, 5S X37 gr SAC, M Planner Water Con Conn Phone yqz/- 77 (a Council Water Meter Bldg Off Road Unit Arch./Engr. C1A / 4G> dc{vr APC Treatment Pl Variance Parks Address Copies TOTAL. City/Zip Code _ Phone # iql a6~ CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4508 PHONE: 454-8100 BUILDING PERMIT APPLICATION $41,000. Receipt # 763$-_ To be used for Sing. Fm Dw1g. d Garg. Date October 6, 19 77 Site Address 1707 _ CArl enn Take In Erect C& Occupancy I Lot 11 Black 4 Sec/Sub. Wilderness Park Adduter ❑ Zoning Rl Parcel # Repair ❑ Fire Zone 3 _ Enlarge ❑ Type of Const. V X Name Paul Grosz A Ken Lehmann Move ❑ # Stories Address- _ Demolish ❑ Front _..§a ft. b City Phone Grade ❑ Depth 32 ft. Grosz S Lehmann Approvals Fees o Name ou Address Assessment Permit 170,_5() 452 3929 Water & Sew. Surcharge 21-017) 454-2815 Police Plan check ~ City Phone rW Name Fire SAC 475-00 Address Eng. Water Conn. 740.00 <Z" City Phone Planner Water Meter 60-00 Council Park Don 120-00 1 hereby acknowledge that l h read thi application and state that Bldg. Off. _ the information is correct d agree to omply with a applicable APC Total 1026-50 State of Minnesota Statu s and Ci f o an 0rdi S. Signature of Perm! A Building Permit is issued to: Grosz S. Lehmann on the express condition that all work shall be done in a Erdonce with /a lcable a of Minnesota Statutes and City of Eagan Ordinances. ~`-ec~-. J - Building Official DATE BUILDING PERMIT APPLICATION Include a sets of plans, 1 site plan w/elevations and 1 set Of energy calculations. To be used for Valuation Site Address I90 7 C-0 f AftA 'C*. Lot Block Sec. Sub. Parcel Number OwnerN Telephone Address 7 ~/2 M2VI 4 GA Contractor _Sw, Telephone Address Arch./Eng. r7A/~/~ Telephone Address OFFICE USE Erect Occupani==i2 Alter Zoning Repair Fire Zone Enlarge Type of Canst. Move # of Stories Demolish Front Grade Depth 3 OFFICE USE Date of Approval y& Initial FEES A-a Assessment L/'. 6~. /~61J7 Permit I ~O Water/Sewer Surcharge _ / - Police Plan Check Fire SAC y75, nn Eng. Water Conn. 23n• nn Planner Water Meter GO- D(J Council Pn Bldg. Off. G A.P.C. TOTAL / iU i CITY OF EAGAN N° 10 78 3 3830 Pilot Knob Road, P.O.Box 21.199, Eagan, MN 55121 ` PHONE: 4548100 BUILDING PER WITALL Receipt $ To be ased far WTNDOW Est. value $2,500 Date AUGUST 12 1985 Site Address 1207 CARLSON LAKE LN Erect ❑ Occupancy Lot 11 Block 4 Sec/Sub. WILD PK 1ST Remodel ❑ Zoning Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories e Name GUY STINSON DeMove El molish ❑ Dephh Address SAME Int. Impr. ❑ Sq. Ft. O City Phone 452-6818 Install g Name SAME Approvals seas Address Assessment Permit City Phone Water 6 Sew. Surcharge 1 • 50 Police Plan Review Z. Name Fire SAC ~u) Address Erg. Water Conn. "'w City Phone Planner Water Meter Council Road Unit 1 hereby acknowledge that 1 hove read this application and state that Bldg. Off. 7r. PI. the iniormotion is correct ancj, agree to comp) with all opplicable APC Parks State of Minnesota Statute ty o Eag us. Signature of Permu Var. Date Copies tes "V3.r A Building Permit Is issued to: G. MICHAEL STINSON Total on the express condition that all work shall be done in accordance with oll licoble St of innesota Statutes and City o5 Eagan Ordinances, Building Official ~S - - , , ~ Y i ~ 1. - ~ ~ c _ _ _ _ _ _ _W- ° YT xi" _ _ ~ - Oy i ~ ~ . F ~ ~ ~ ~ ' ' ~ y pL ' ' _ ~ ~ ~ ~ ~ - ~ ~ ~ v ~ , r 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: ,^Val./ua~~tii~on •Date: Site Address: ~a~? ~a~L ►t d~`` O4i OFFICE USE ONLY Lot: 1( Block Sect/Sub 60 AA Erect T Occupancy P -t Remodel Zoning Parcel ll Repair Type of Const Addition N of Stories Owner ix Move i Length ~o A I Demolish Depth Address 0 Wwo Int.Impr. Sq Ft SS(~ 2 Install City/Zip Code eeom, 1Gyv` Phone APPROVALS FEES Contrac`tor sessments Permit G= Water/Sewer Surcharge Addres Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off .g{G Treatment P1 Arch./Engr. APC Parks Variance Copies ~ Address TOTAL r~ (Q• City/Zip Code Phone p "'(7 tA( Aev 1 1991 BUILDING IT APPLICATION CITY OF KAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 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 SET 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 ADDRESS IS DESIRED. NO CHANCES 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 PLUMBER, ff To Be Used For: UECV-- ?C-tLW%CrValuation: Date: Site Address `2.61 CKzL:bNA Ly- LN OFFICE USE ONLY Lot Block FEES Occupancy Bldg. Permit .C S~ tl0 I g n Zoning Surcharge Parcel/Sub ILIA QCA;1411'L BYO bf Actual Const Plan Review Allowable SAC, City Owner MIcµw.ct_ otlmsoi'4 # of stories SAC, MWCC Length Water Conn. Address 'V-Z-6-7 Cwy) ab, t-+ tv- t-M Depth Q p' Water Meter S.F. Total Acct. Deposit City/Zip Code e),v nN 6S Q -z3 Footprint S.F. S/w Permit S/W Surcharge Phone +54- 68(ae On site sewage- Treatment P1. On site well Road Unit Contractor _LQ GIGS(DV oLipsi77L'( MWCC System Park Ded. City water _ Trail Ded. Address 1b( 1~~LS(jJS Y AA S. PRV Copies Booster Pump City/Zip Code.ctr iu"tp J54Zj~ SUBTOTAL APPROVALS Penalty Phone Q66 3-1 3q Planner Lot Change Council TOTAL ~~1SL Arch./Engr. NA Bldg. Off.//'z -9/ S Variance Address City/Zip Code Phone # Sewer/Water icensed Contr. agrees that all work shall be done in accordance with (Sig ure of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. "i DEC iC tt% - j WL PERMIT # ! q 0 ( 3 RECEIPT DATE: 8002 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF £AGM 3630 PILOT KNOB RD RAGM, MN 551 ES 651-661-4675 Please complete for. single family dwellings, townhomes and condos when permits are required for each unit, back0ow preventer for irrigation system SITE ADDRESS: 1I ~%1 V~ ~ ~Irf' 'Y L, n ILI I l / a l✓ / ~r r~s I 105 0 I J OWNER NAME:: C~'Y~ II.III~I{~W TELEPHONE (AREA CODE) INSTALLER NAME: ✓ TELEPHONE VJ "D (r~ STREET ADDRESS: n n CU ytLti'~ ~I~, (AREA CODE) -Ad a CITY: STATE: n4l zip: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 - Abandonment of septic system. - Water turnaround - existing dwelling unit 5/8" meter if needed - $118) Other: - RPZ: new installation/repair/rebuild $ 30.00 - lawn irrigation system Replacement/additional: ji water softener _ water heater nn $ 15.00 ~TLIT State Surcharge FEB 21 2002 $ .50 Total BY _ $ f✓S e to comply ith al applicable City of Eagan ordinances. It I hereby acknowledge that I have read this application, state that the information is correct, and agre p is the applicant's responsibility to notify the property owner that the City of Eagan assumes no.lid, il for an/~ dmag caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within i roperty/rii -01-w ement. SIGNATURE OF PE I E 1/02 SEA BLOMOUIST THOMAS HEWES MAYOR CITY ADMINISTRATOR THOMAS EGAN CITY OF EAGAN A CITY KE MARK PARRANTO CITY CLEq LERK JAMES A.SMITH _ THEODORE WACHTER 3705 PILOT KNOB ROAO COUNCIL MEMBERS EAGAN. MINNESOTA salsa PHONE 45"100 .l ~w.tl June 16, 1980 Mr. Fred Fredrickson c/o Fredrickson Excavating Inc 8777 215th St. West Lakeville, MN 55044 RE: DRAINAGE CORRECTION - EAST CARLSON LAKE LANE AND EAST BALSAM TRAIL Dear Fred; I have had numerous conversations with you regarding the drainage and subsequent damage to private property of the Dooley residence at 1207 Carlson Lake Lane you have responded in the past by constructing two (2) catch basins on East Carlson Lane halfway up the hill to intercept the water. Due to the recent rains we have had during the first week of. June, it is apparent that these catch basins are not adequate to inter-. cept the flow of water that is creating the damage to the Dooley proper- ty. Consequently, you are hereby requested to construct a berm eighteen (18) inches to twentyfour (24) inches in height in the boulevard area in .the northwest corner of East Balsam Trail and East Carlson Lake Lane to insure that the water is contained in the street area. This berm must be sodded and blended into the existing yards of a quality similar to to the existing landscaping. This work must be performed before any other solution is attempted. Please respond indicating your ability to complete this work prior to July 7, 1980, so that we can decide whether to hire an outside firm to perform this work and forward the bill to your attention. If you have any questions regarding this item, please contact me. Sincerely, 1 7 Thomas A. Colbert, P.E. Director of Public Works TAC/jlr THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. JX ` Use BLUE or BLACK Ink J~C F I or Office Usn ~ j J I n ~ I I I ~l l I Permit on ju City of Ean~d C ~ Permit Fee: `lJ 3830 Pilot Knob Road I Eagan MN 5512 1 Date Received: I Phone: (651) 675-5675 RECEIVED I Staff: j Fax: (651) 675-5694 JAN 2 3 2012 2010 RESIDENTIIALPLUM ING PERMIT 4PPLICATION Date: L Site Address. " Vt Ll~I rK, C Tenant: IAWHH~-el Suite RESIDENT / OWNER Name: ZN~t 1A h,? r M 404- L Address / Ciity / Zip: CI vu~ f r! T 'ia n zn i s e11 in, 13 ' n i; 'L~ I r ~~,FLivense 4: vviv i ivyi: i vt ivEn"ne: rlAu 11 kJf I r2 CA I~ C~'11'I16 Address: l q ()q r_ /mj i Qicity: State: Zip: 65033 Phone: (05t - +-i 7- 4 Contactl eo nn ti Email: mthourcurcom TYPE OF WORK _ New 7t Replacement _Repair -Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE _ RESIDENTIAL Water Heater Water Softener . Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $ Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) ~~f~.~C IPw!? Irrir~at?!Z(jnClirlnc ~ cn C:a+a Crr.ti4a.y°) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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. o herstateonecall.or 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 accor ith the prov plan in the case of work which requires a review and approv of tans. Pi r x a x / App ica66 Prince Name Appli s Signat e FOR OFFICE USE Reviewed By: _ Date: Required Inspections: ----Under Ground -Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174981 Date Issued:03/04/2022 Permit Category:ePermit Site Address: 1207 Carlson Lake Lane Lot:011 Block: 004 Addition: Wilderness Park PID:10-84250-04-110 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kylie Foss 1207 Carlson Lake Ln Eagan MN 55123 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature