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4227 Carlson Lake Lane NCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: i:ll 1 1.11 1 Nt Permit Number: Date Issued: SITE ADDRESS: N I " -14 `I 1 0 `' 1 1 1 1 I 1; I O f p. ni I ',11P•! I At I I A01 N lit VIN( WIIN `.I11 PERMIT SUBTYPE: APPLICANT: 1)11+t1 1 1 Y 1 11N I I•. (i1 1 I Hsi TYPE OF WORK: 1,1 1'A I ft lil' 11%1(•I I(IN 4Ic1114I IN1t) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. L ........... Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING c Ir , 29 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition ilderness Run 5th Addition Lot 12 Rik 3 Parcel 10 84354 120 03 Owner ° ?.* treet 4227 No. Carlson LakeLN. State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 6101.` 1973 $132.60 $6.63 20 SEWER LATERAL WATER MA IN WATER LATERAL WATER AREA Paid with water connection 76 STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $320.00 2696 4-lb-7b BUILDING PER. -Aggo 26 4- -76 SAC $450.00 - - PARK VILLAGE OF EAGAN WATER SERVICE PERMIT 3793; Piiof fitrob Rood PERMIT NO.: -19.66 Eagan, MN 55122 DATE: 4/27/76 Zoning: RTT No. of Units: 1 Owner: 1141-gn - $1C Address: Site Address: -4227 No-Carl a, Plumber: BeY-rOC - Peter Plb4. Meter No_o?'?? D38F?/ 160-00-Pd - Connection Charge: -160-00 _pill Account Deposit: _ Reader No.: Permit Fee: 10.00 I agree ?to/?om ly with the Village of Eagan Surcharge: .50 Ordinancrle! Misc. Charges: 60.00 od Total: By Date Paid: Date of Insp.: Insp.: VILLAGE OF EAGAN 3795 Alot Knob Road Eagan, MN 55122 Zoning: RII Owner SEWER SERVICE PERMIT PERMIT NO.: 2723 DATE: 4/27/76 No. of Units: 1 Address: Site Address: 4227 lgq. Carlson-IA$e Ln. L12B3 WR5 Plumber: Bey-roc - Peter P1bg. 4/15/76 #2696 100.00 Pd I agree to comply with the Village of Eagan Connection Charge350.00 Ordinances. Account Deposit: By: Date of Insp.: Insp.: Permit Fee: 10.00 Surcharge: .50 Misc. Charges: Total: Date Paid: - / LY CITY OF EAG N 3795 Pilot iiob Road Eagan, N_lnnesota 55122 PERMIT NO.: 674 The City of Eagan hereby grants to :. Louis H. Peter Co. of 1854 Grand Ave. - __...?_ a PLUMING Permit for: (Owner) Tilsen Homes Inc. ?7?Carlson take Ln. F at 4358 Dunroain lane , pursuant to application dated - 4/26 Foe Paid: $40.00 dated this 6 day of -April 1.00 s/c Building Inspeo for Mechanical Fermits: Bid Totai: CITY OF EAGAN 379 Pilot Knob Road Eagan, Minnesota 55122 PEENIT NO.: 818 The City of Eagan hereby grants to A. Binder ,& Son Inc. of 120 E. Butler _ _- a HEATING Permit for: (Owner) Tilsen Homes 4227 Carlson Lake lane, pursuant to appl.icati.on dated Fee Paid: $20.00 dated this 21st day of Aipril .50 s/c Building Inspct3r Eiechinical Permits: Bid Total: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 025558 05/10/95 SITE ADDRESS:P.I.N.: 10-84354-120-03 LOT: 12 BLOCK: 4227 CARLSON LAKE LANE N WILDERNESS RUN 5TH PERMIT SUBTYPE: SF (MISC.) APPLICANT: 3 QUALITY CONTRACTING (612) 427-7733 TYPE OF WORK: REPAIR DESCRIPTION (ROOFING) INSPECTION TYPE FRAMING DDATE INSPTR. INSPECTION ROUGH IN PLBG DATE INSPTR. ROUGH IN HTG FINAL L CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-84354-120-03 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4227 CARLSON LOT: 12 BLOCK: WILDERNESS RUN 5TH (ROOFING) Building Permit Type Building Work., Type LAKE LANE N 3 SF (MISC.) REPAIR BUILDING 025558 05/10/95 REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $63.00 $2.00 $65.00 $4,000 CONTRACTOR: - Applicant - ST. LIC. OWNER: QUALITY CONTRACTING 14277733 0007035 ANDREWS ART .11600 LOUISIANA AVE N 4227 CARLSON LAKE LN N CHAMPLIN MN 55316 EAGAN MN (612) 427-7733 (612)454-1315 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. /4LA/FERMITEE SIGNATURE application and state that the with all applicable State of Mn. ' CITY OF EAGAN 4 00 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & docks) ? I energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1193 required: Yes _ No DATE: CONSTRUCTION COST: 3 Q o DESCRIPTION OF WORK: / r l f'' © } `t' /CC /0 c P STREET ADDRESS: ' ? 4 C - z 7 / , v /a kt' /a ",e f LOT ,,,/,?"_ BLOCK A SUBD./P.I.D. #: J ""B t(In y? l9V PROPERTY Name: L7 kAjVe W S ?ff Phone #: gSq / iS OWNER Street Address- `22-7 Cap/so.t /-a Er t(4Kc l(( City: C-_ a a w State: n Zip: C S CONTRACTOR Company: D IX- r?' ?y I ter Phone #: 2-"77 Street Ad ress: !/fodo you %s?e< inn ??,?!! License # d City: _ ?toc ?r State:__C?- Zip. ARCHITECT/ Company: Phone # ENGINEER Name: Registration Street Address, City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the informatio correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ;el Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received No Yes Tree Preservation Plan Received Yes No CITY of EAGAN /?/?•?'- ?(?//' BUILDING PERMIT Owner ..T.l:L.-....l.-f.?l. +r f? Address (present) .. .!-..+ a- - ............... Builder ....... ../...?...$ ............ .......................... -.... ...... ... Address .,,,,2,?1-..-jki...... ......cl.....t/ ................ DESCRIPTION wic V-?' N2 3890 3795 Pilot Knob Road Eagan, Minnesota 55122 454-8100 /q Date t?Al Stories To Be Used For Fro t Depth Height Est. Cos! Permit Fee Remarks I I I i S This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST .ON T,, /gi/g• PREMISE/;/y ?HILE THE WORK IS IN OG S. This is to certify, that. ...94) l4 .... ..5•e..C.".haspermission to erect a.... ....... .............•---.........._upon y of the above described premise subject to the provisions of all applicable Or _dhuaACes for the CitEa ..... ........................ Per ........ ....... .... ........... .. Building Inspector a BUILDING PFENNNIT' APPLICATTON CHECK Lot l Block` Addition Parcel and section number Street Number Owner I-t Address Az 7 d;A- ?_--- Developer Address TG:'s Zone-Ordinance #52 Lot Size x Total area Platted 1?5 Unplatted Building Size Occupan % x Total area Type of construction rQC{I'J P Setbacks: Street sides Rear ` Sides Parking: Total area Parking area setbacks: Street side Rear Landscape approval ffJJ /,, Special Assessments: -mot SAC charge Water area: Assessed If assessed: Connection charge If unassessed: Connection charge Lot division: Additional assessments needed Laterals: Assessed Waiver of hearing: Needed Assessment clk/7 ? Water & Sewer Dept Total spaces Sides Bond required 95? @ $1450.00 = -YJ U 3?c Unassessed Not needed Not assessed ? Not needed Building Dept Police Dept Fire Dept (Comm & Ind only) l I i £_&9t Oko.0& TI LINE 3 ri Jjl IJ LINE In II I ._JY LINE II Ia II 1 ? 15?-N a7 UuY't? (a?Ik? tob'e- LoT !2- 'Moe, K I J I W MoDbG S?; wry ft rt?fi A-Ad t ROnfS _ROi?F_(LT_Y_.. LI.P1E ii -PLOT -P L A /.2O ` _-/ uN?- II IWI II Q n '0'00 T'y LINE 14 I A?E/)k I4QoPEATY LwE T, dse" i 's INS 4L2'7 1Vor avIs.,, Cakc €w6?rJ i Lor EM ?Loo?'it Aaobt ri o s wI douhle- rl?or.?T_._?ROPFrZTY._.LiNE I (PLOT 4P L k N MASTER CARD LOCATION STRUCTURE AND LAND USED AS 4- Permit No. Issued ssued To I Contractor Owner BUILDING PLUMBING Ti 1j/A.- CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING sit /f,Q?-No 4 /Z:.c&i., 4#w 4.ee SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING 6- TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING C-30 - 7 WELL SANITARY SEWER Violations Noted on Back COMMENTS: AbAL- City of Eapl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ I ForflNIii°tlse I Permit#: PermitFee: Date Received: / I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /lam- 27 B ite Address: Tenant: Suite #: RESIDENT / OWNER Name: _S4 Phone ?vr -v2 // Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK // Description of work: Construction Cost: Multi-Family Building: (Yes No CONTRACTOR Namg t4,- /t sec i vcQ /p. License #: Address: 4_ G'. -r City: State:..11?Z-' Zip: Phone:4'7 '2P7-Y's47 Contact Person: ?ffr/?- fiQJ tCe'- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information.:Portions of, the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conform 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 t t ithout a perm at the work will be in accordance with the approved plan in the c of work which requires a review and approval Ian A plicant's Printed Name Applicant's Signature Page 1 of 3 ' EXTERIOR ENVELOPE SPACE "U" COMPUTON (To be submitted with building permit application) One or two family dwelling ? Owner All other Site Address Contractor PD?iaC* (L tI Date'- Phone LINEAL FT. OF EXPOSED WALL - - x?ft. above grade- %S 4 S.0 • - "` TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTION: "U" value X area ' x sq. ft. (U) (A' "u" x sq. ft. (U) (A' Fetail reference if x?A,tif° , twt,?, z "U" p x sq. ft. (2 _ . , edcc, a (U) (A; from "U" z sq, ft. - (U) (A' ,ttached sheets (t?41Lt2. fF+. kz _ 7L !-16 t_ ,"U"? z sq. ft.? AllA 4 g. =A (U) (A; "U" z eq, ft. - (U) (A: ' "U" x sq. ft. M (U) (A; WINDOWS: "U" VALUE X flee W! r.!!>z 4S A? 7, Ia!. .w..' ° = !`•).c S @ ic'?L7 r?.?C sq.ft. @ 4'?a.4. eq.ft. sq. f t. @ a„ tl. sq.ft. @ sq.ft. @ C-t_ ! (0x 11.1 sq.ft. ! @ A.'w 2.t,I.2.2. - Ga. sq.ft. Ake & type ?, bd. t.4 0 ?s pf ns "U" a 3 x sq. ft. q9, 0 . +? (U) U" x sq. ft. (U) (A' cxb+, Li) to sa "U" .. ?,ra x sq. ft. 2.1 (U) . .'U" .,,? r. x sq. ft. 1-,. (A, 'OORS: "U" value I area?>ZD06,s lake & typ e ? . ? "U" A, x sq. ft. (U (A; i Cj, "U" is x sq. ft. { 9 ; `? d e fs3 (A? x sq, ft. (A: nf u?? "D" n z sq ft 0 ? -D t1 (A . . . . .. . "OTAL (U) (A) VALUES TOTALS sq, ft. S - . t) LVIDED BY TOTAL WALL AREA t . "U" !'ERAGE "U" .17 or less for 1 & 2 family dwellings .22 or less for all other buildings ,OF/CEILING: 1TAL AREA: 1f7ak,0 sq. ft. etail reference "U" x sq. from "U" n.tX. sq. tached sheets "l:" x sq. -scribe openings "U" x sq. a roof full x sq. ft. (A ft. i (A ft. !A Et. o - 'A t 'A ?TAL (U) (A) VALUES 1?.A . $ kE;., VIDED BY TOTAL ROOF/ __ 'T'.INO ARTS ? r . ; 's. Ist AVERAGE "U" .05 for vential$ted roofs .10 for all other construction ROOF/CEILING: R- value 2. rrs 3. d0 u St???3!.1?.?+Lt 7 ?5 4. Iki? + lei 5. 6. CONSTRUCTION FRAMI 1. 6. okS 2, 3. 4. 5. 0-7 I.s NOTE: If average "U" values as calculated above do not seat the Energy Code requirements, the "Alternate Envelope Design" as outlined in SBC 6006 (g) may be used. Additional sheets may be used to show calculations. 0 City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r ----------------- For Office Use I Permit #: (2-40 I Permit Fee: Date Received: ? Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: b 014 Site Address: C 4SLW ` v AJ - ::/z2 Tenant: Suite #: RESIDENT / OWNER Phone: q5 a - (0 -3 ( 3 Name: `` t( Address / City / Zip: \ SUA 1-Ch 0 LA Applicant is: Owner Contractor TYPE OF WORK Description of work: '4Ce d yy\,- . d( Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. . A X o 5? 1 X ??L ) Applicant's Printed Name Applic n s Signature Page 1 of 3 City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ For Office Use} Permit #: I D ! ( Permit Fee: 0 _3 Date Received: Staff: ----------------- ION r\2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 C Site Address: c-cASuv\ L2 L InL Tenant: Suite #: RESIDENT / OWNER Name: ?C S ? Phone: ' 5 - u j Address / City /Zip: CCU ` C yr , Applicant is: _? Owner Contractor TYPE OF WORK Description of work: co Construction Cost: Multi-Family Building: (Yes _/ No----) CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with t e ordinan 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 wit out a pe i ; that the work will be in accordance with the approved plan in the case of work which requires a review and approv plans. x x Applicant's Printed Name- Applicants Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122216 Date Issued:04/29/2014 Permit Category:ePermit Site Address: 4227 Carlson Lake Lane N Lot:012 Block: 003 Addition: Wilderness Run 5th PID:10-84354-03-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Melanie J Petkovsek 4227 Carlson Lake Lane N Eagan MN 55123 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173775 Date Issued:12/02/2021 Permit Category:ePermit Site Address: 4227 Carlson Lake Lane N Lot:012 Block: 003 Addition: Wilderness Run 5th PID:10-84354-03-120 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 - Melanie J Petkovsek 4227 Carlson Lake Ln N Eagan MN 55123 (952) 210-3313 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature