1218 Carlson Lake Lane
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CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot K.rob Rood PERMIT NO.:
Eagoe, MK.65122 DATE:
Zoning! _ No. of Units:
Owner:
Address:
Site Address:
Plumber: ,
Meter No.: _ Connection Chorge: .
Size: Account Deposit:
Reoder No.: Permit Fee: - ; f:',
I ogree fo Comply with the Citr of Eagan $urcharge:
Ordinanees. Misc. Charges:
Total:
BY - Date Paid:
Dote of Insp.: . Insp.:_
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Phob Road PERMIT NO.:
Eogon, SMN 55122 dATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address:
Piumber:
I agree to comply w1th the City of Eagon
Grdinancea.
Connection Charge:
Account Deposit:
Permit Fee:
Surchorge:
Misc. Chorges:
Toka(:
Oote Poid:
R..
Date of Insp.
Insp.:--
CITY OF EAGAN
? 3795 Pilof Knob Roed Eagas, MN 55122 NQ 5149
? PHONE: 454-8100
BUILDING PERMIT ReceiPt #
Te be used for Est. Value Date 19 _
Site Address Erect ? Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Repair ? Fire Zone
P??e? # Enlarge ? Type of Const.
&I Name Move ? # Stories
z Address Demo{ish ? Front ft.
De th ft.
0 Phone Grode ? R
°t
? Nnme
z Assessment _
o? Address
Water & Sew.
? Ci Phone
Police
?W Name Fire
~
?
Address
Eng.
u
<W Ci Phone Planner
Counci 1
I hereby acknowledge that I have read this opplication ond state that gldy. p{{
the informntion is correct and a9ree to comply with all opplicable APC -
5tate of Minnesota Statutes ond City of Eogan Ordinances.
Permit
Surcfiarge
Plan check
SAC
Water Conn.
Water Meter
Total
Slgnature of Permittee '
A Building Permit is issued to: on the express condition thot
all work shall be done in accordance with all opplicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122 N2 5149
PNONE: 454-81 DO
BUILDING PERMIT
Receipt
To bo we d fw :' ' ??:,?i? • ': • (-:;%?,-, Est. Volue 1 , i]:; Date , 19 .
Site /Rddress , , • ['a "'
- Erect
p
Occuponty
Lot Bixk Sec/Sub. :?' : •,?_, . -y' : ``Alter Q Zoning
parcel # Repoir ? Fire Zone
Enlarge ? Type of Const.
W Nome . ' " ? . Move Q # Stories
z
qddrea
s
Demolish
?
Front k.
r.... i r 554?'7 "N-51 1-1 Grade Cl Depth ft.
? Nome IMPFW VU"
o? Address AssessmenY _
u
?
Water & Sew.
G Phone
FOf
bjuj
Na^? Poi ice
F
F W ire
?? Addross Eng.
Q W Ci Plannec
I hereby acknowledge that I have recd this application and state that
the information is correct and ogree to comply with oll applicable
Stote of Minnesota Statutes and City of Eogan Ordinances. Council
Bldg. Off. _
APC
Signoture of Permittee _
A Building Permit is issued
all work sholl be done in c
Buflding Officiol
Permit _
$urchcrge
Plan theck
SAC
Water Conn.
Woter Meter
Totcl
' • . - . :' ;` : on the express condiLion that
opplicoble 5tate of Minnes--ta Statutes and Ciy of Eagan Ordinonces.
1 ,e
..n.lt # Do% tumd ? ..MM..
Plumbing / Ej s " " 29 ?
_ Mechonical `S'
Q) ? - e?. ^ r1 •
INSPECTIONS OATE INSP.
Rouph-In
Finol
Footings Qote Insp. Data Irrp.
Foundotion ? Plumbing
Frame/ins. - Mechanicol
Final
I I
Remarks:
? r . ' • CITY OF EAGAN
I 3795 Pilot Knob Rood
• Eogon, Minnesoto 55122
P6one: 454-8100
PERMIT No.
? T.r
Dote:
5-?_1-7'9
Site Address:
1218 C:arlsdl Ialae Iane
Lot 1' Blxk 3 Sub/5h-i``?s Pwk Aclcln'
Receipt No.:
5ingle
Residential
x
Nome `'' ? ?timct-icri (-'Euw, New/Alter./Repoir. Nr-W
3 Address 4701 11. 1.10{h St2+0Et-
Cost of Instal(ation
O
554?7 City Phone: Permit Fee
Name
Surchorge
A ? ?^ ;n..._ •
dress
(J '?,?c?r• ?!y ..1!. .?.' ,? : .?-+ ; t ¦ A _ ,.
City Phone: ' Total
This Permit is issued on the express condition that all work sholl be done in occordonce with oll applicoble Stote of
Minnesota Statutes and City of Eagan Ordinonces.
Building Officiol
`'r-2 3-7c,
Date:
5ite Address; 12 IS C`-W1`9Ct3 I'BK?E'' Z'dW
Lot 17 Block ! Sub/Sectjl_demws Pai-k Aclcln'
I Name Te•_'eT`''P.i: (Sx?StmaC"'t1:CY1 00.
4 701 w. U.oth st.
City tVIS 55437 phone:
X.M. ? ?x'--Ryan _
Address , 4745 7,G. Tk-bf,'rt 1-
?- ;?••,rl,mt ?,?fl(-'?
Na
L356
?3936
Receipt No.:
Single
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repoir. Cost of Installotion
32i514? Permit Fee
- 5urchorge
.) " r.I
I City ` - - _ Phone: Totol
This Permit is issued on the express condition that oll work sholl be done in accordance with all applicoble $tate of
Minnesota Statutes and City of Eogon Ordinances.
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phona: 454-8100
PERMIT
c() .() Q
50
Building Official
CITY OF EAGAN Remarks
Addition Wil rnes ark Lot 17 eik 3 Parcel 10 8?250 170 03
Owner treet 1218 Carlson Lake Lane state EaganiMN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK -Q?? 1973 8.80 20
SEWERLATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1977 160.00 .66 15 n 8 -)z
STORM SEW TRK ^
STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
Road Unit 75,00 13800 4-9-79
WATER CONN. 270.00 13800 4-9-79
BUILDING PER. #5149
5aC r
-9500 13800 4-9-79
PARK
This request void 18 months from ?-e;,? p.el
Date of this Request $? 49957
I, as ? Licensed Electrical Contractor 0 Owner, dp hereby requeswspection f the above elecM-
cal wiring installed at: 6
Street Address or Route No. City
Section Township Range County
1Vhich is occupied by
Is a roughin inspection required on this job? No ? Yes)Q Ready Now ? Will CallX
Power Supplierd7*KcS;* Je leC:tL;C ASXC` Address 941 SAD - ?- ?•
Electrical Contractor Ke.x- 4?Ao r?4-50"- G(eC?b..cr, Contr or's License No.,51:?tg2t?
(COmpan Name)
Mailing Address $o/?D /.:L?k-- ?. :5a Z&'i
Authorized Signature
{eioctncai contmcmr or a+
5? ? ?E MARD ISOIl V
Nop'Z
This inspection request will not be accepted 6y the
State Boerd unless praper inspection fea is entJosed.
Minnesota State Board of Electricity
'1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
JHECK BELOW WOAK COVERED BY THIS REQUEST
R 49957
?Type ot Building New Add. Rep. Check Appliances W'ved Foc Check Equipment W'ved Foc
Home ? ? ? Aange ? Tempoiary Wixing 0
Duplex
Apt. Bldg.
? ?
? ?
? Hea ? Lighting Fixtures
Electiic Heat
ing ?
?
Commercial Bldg. ? ? ? ce Silo Unloader ?
Industrial dldg. ? ? ? r Bulk Milk Tank
Fazm ? ? ? pList
e 5?
h
Other
?
?
?
__
e
He
xe
COMPUTE INSPECTION FEE BELOW
Seivice En[rance Size: # Fce FeederS& Subfceders: # Fee Ci[wits: # Fce
0 to 100 Am s. 0 to 30 Am eres 0[0 30 Am eie5
101 to 200 Amps. py 31 to 100 Amp
_eres
31 to 100 Am exes
Above 200_Amps. Above 100 Amps. Above ] 00 Amps.
Transfoimecs Remote Con[ro! Citc Partial or other fee 6
S' ns S ecial (ns eCtion Minimum fee $5.00
?;01?
Remarks
I
iOTAL FEE
I, the Electrical lnspector, hereby y y th ction has been mad . 36 ?
(Rough-in) Date ' ?
(Final) ?• ? Date
This request void 18 months from
(gtrfifirttft uf Mrrupttnry
Citp of Cagan
3Brpttrtmrnf nf 'Nuilding lmprrtimc
Tbir Certi ficOtt iJJNf(1 p7l+auaru to dx nquirementt o f Sertion 306 0f the Unilosm Buildixg
Codr trrtr f ying that at the tinu o f iuuama tbir ururture war ixi rorrs pliance witb the varioru
ordinanrrr of the City rrguloting buildrng mnnrurtiors or urr. For the fo/loudng:
u..ch.eanm SF Dwlg & Garage Bld`.hmo?No. S14J
o.p? TrwR3 nPC=mc? V R.Z. 3 z«mcm.?t R1
a.?orsmvv S. P2t2Ts2ri CbriSt. Aea. M?rLnPapp1_i5p NIN
By Septsnber 20, 1979
0b:
? 1. ? . ru.
•a .c.o?. ?.v..
. . . ?
DATE
BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy caicuations. ?
XO(PC/ O-o0
To be used for ? Valuation
Site Address: ?-tvk Ltk? /a o v
Lot ?-7 Block 3 Sec. /Sub. Parcel Vumber WASO 17d D3
OwnenS PL-727=}e7&"h/ doyS c- Telephone
Address /w / /G ? 5-E-
/Y??G 5 . /-'v
Contractor Telephone
Address 5W-
Arch/Eng.
Address
Telephone
OFFICE USE ONLY
Erect
Alter
Repair
Enlarge
Move
Demolish
Grade
Date of A roval a d Initial Assessment
Water/Sewer
Police
?.. Fire
Engineer _
Planner _
Council _
Bldg. Off.
A.P.C. _
occupancy 43
Zoning
Fire Zone _
Type of Const.
ll oF Stories
Front
Depth
3
bl
Fees
- v
Permit
Surcharge 3 d ?
Plan Check `/7 a6
SAC
Water Connection o"Z ? a
Water Meter ?o O
/AD ?
TOTAL ------
?
? 3i?,
A t:ertificate Por:
Svend Peterson
4?01 West 11 lth Stref,L Bk : 36/87
BI oc:mington, Mn.
.. .
30
30
DELMAR H. SCH WA N Z
L.4ND SURVEYOR
Rpiqarefl Unaer Lawi of Tno State of Allinnesou
29711- 146TH S7REET W. - BOX M ROSEMOUNT, MINNESOTA 560i8
SURVEYOR'S CERTIFICATE
Dralnage & ut:lity easement
I50.23 N 890 50'02 " E
I30 j
IN ?
? I ; co vJ
3
p r`'? PROPQSED dp
0 10 I ( I HOU S F ?
z LOT ?
Q I ioo? / ?o 0
17 z
/
? N 60.R
j .
/
co
co
°rn N ? 13(1, 77
N
11 -
/4?
PHONE 612 123-1769
SCALE: 1 inch - 40 ft.
I hereby certif,y that thig is a true and c%rrect
Lot 17, Bl--)ek 3, WILL,?2iNESS PAFX ADDITIbN, accor
plat thereof, Dak,}Ca Coun:y, Mirinesota.
Also ahowing Lhe location of a proposed hr:use as
Dated: March 9. 1979
atntatia
o Lhe re n uf
corde
a tht,r+! ) r,,.
MINNESOTA REGISTRATION NO 8625 ,
EXTERIOR ENVELOPE AVERAGE "U ' COP9PUTATIOPd
?
OWNER 1,:.V
SITE ADDRESS_??l G}' 0 %? Z- /j ,
CONTRACTOR DATE
_/V c/
Determine oiorking:square footage of each,
1. Total exposed wall area ... 1C sq. ft.. x:17 =.?
2. Total roof/ceiling area .... -5- sq. ft. x.05 =
Total exposed wall area above floor =
a.. Total wall windovr area .e.o............
b. Total door area ........ .., , ... 3
c. Total sliding glass area ....... .......
d. Total fireplace wa1l area ...... . . ? o
e. Total wall framing area (average 10%).../?/c
f. Total net 'wall area above floor ,
.. ..... .
g. Total .rim 3oist area ....... . .-.
Total exposed foundat3on area
h. Total foundation winrlow area ..........
i. Total net foundation area above grade .?
Determine "°U" value of each Hrall segment.
a. X , 5:y-=
b. - ?, g 1,ur, ? ??8?.?
C. y
?- V
A PYUI` .5 J
0 ?. o. . . .
- A
//
D.? X. SVU;e y? ?/
e le,10 X. 9:Uii . ( //,7
.. L(C.--?-
f: `??ZoZr x ;IUr: .0-?/? = ya
F, • 93? X "U" c! 7
h. ? X ?+U9t ._?. = ?_ . . .
i . ?? x S?U ! C)_ 'V 7 = k /J" -5
l
3......a ...... ......... ......... . „ ..Total
If item #3 is the same as, or less than item /ll, you have met L-he
intent of SBC 6006(c)2.
Al#
,.. . ....
Total exposed roof/ceiling area
..
J-,. Total--skyUght area ........ ........
k. Total roof/ceiling framing area (average 10% .3
- -1. i.otal.. net- insulated- rooP/ceillng area. ....., _:..;.•-. -/?,2y'
- - -- 'Determine "i3' value..fQr .each roof/ce3ling segment. ' J. • ?_ x ,qj;z.; ? : ..
k ?%? X "U"'
x
4 . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . .`Total = ".__
r
if total of 04 is.the same as, or less th3n.#2, you.:have met th'e
intent of SBC 6006(c)1: -
Alternate Bui3ding Erivelope'De.s.ign '
To utilize the total envelope system metho'd, the'vaTueS established
by the sum of items #3 and #4 shall not be greater than the sum of
items #1 and M2.
1. + 2. _
3. + 4. _
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r �
For Office Use
n
Permit#: 1 t x/33(
C
Permit Fee: QQ..` C/ J jj `�
Date Received: LJ I a 1 13
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
Owner
Type of Work
Name:
,'1114S / / 4/6 1'
Phone:
Address / City / Zip: /1,77 f [. Q°r /S 7'1 [1 !J e
Applicant is: Owner Contractor
Contractor
Construction Cost: / :).„/ c3
Multi -Family Building: (Yes / No?C )
Company: (7 I' es7- g)(7e1'tvS. Contact: /`X% /r46Y3/
Address:. 2-"(2- /,ee_1e/I/ OCity: /1---20/ /izf -fr'J
Phone: � Y' -‘7S/
State: ,4777 Zip: 5,
License #: fit' CA/6:5 2
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x rzA e- cG //-7
Applicant's Printed Name
-72
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138489
Date Issued:08/30/2016
Permit Category:ePermit
Site Address: 1218 Carlson Lake Lane
Lot:017 Block: 003 Addition: Wilderness Park
PID:10-84250-03-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Richard A Fauver
1218 Carlson Lake Lane
Eagan MN 55123
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature