2021 Bluestone Lane
Parcel Files Cover Sheet
Unique ID: 1882
2021 Bluestone Lane
101670243008
tlrtl''ktl CITY r 9
4*II to o min ~tl
I ~ OUOIN4 P Reeelpt
bo - DF Val $500. 0 zky 5 19
10 Date a g Site ' Erect om w
After p Zonir
30 q
,0$
Pr Repair p Fire iGrute-~
J' trtet +v.°T. a ii .MMM.~RMh' - 1 ,wtr -
1 Enlarge ❑ Two of Corwt.
%110M mow
❑ Stories
Dernollsh p Length ShAr' ?1 1,30
4 5 -10 ~ Grade p Depth - ~R Sq. Ft L
Appmm; hes
Assessment Permit Y)
` Water & Sew.
Surcharge
r Police Plan check
E s w. Fire SAC
Address' Eng. Water Corm.
°C Planner Water Meter
I{ Courxil Road Unit
q 1
~1 hsreb~ kl tts;+,t; l ~qp~e read this application and stole that Bldg. Off.
tta info Srrt Or
d to romp1Y with all applicable
Stole Of Mir" Stm"10 of Eagan Ordinances. APC 't'otal
Euitdi'rtg ryce r .)JJ OM
PenWt is jumklja~ an the express condition that
all ~rOrk dtpi Op done in awitFl; all applicable State Of Mm *ft Statutes euid°CitY of Ordirxttt
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CITY OF 1EAGAN Remarks Coaar Cif-oy A-ba eldon
Additign Cedar r $
Lot ~ Blk Parcel ' In T 2 Q QR
Ovine Street 21029 BlUeStane ZqUe state rAw=.& 55i 22
Improvement Date Am44nt Annual Y,e is Payment Receipt Date
ST EET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 1'9 2 ~ O.00 2.1 C
WATERMAIN WATER LATERAL 1,972
2
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAG
PARK
EAGAN TOWNSHIP
N. 1330
BUILDING PEIRMIT
Owner n-.°-".-----.`".'.•------------- Eagan Township
Address (present) t.--- e-~- Town Hall
Builder
Date
DESCRIPTION'
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
~ LOCATION -
Street, Road or other Description of Location I Lot Block ' Addition or Tract
64 S_j 17,
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 BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that-!4%4r_-.. x.....40 ..........has permission to erect a-" L upon
the above described premise subject to the provisions of the Building Ordinance for Eagan ownship adoptedu,pril 11,
.1955. A211
. Per u.._ ! 1
Chairman of Town Board Bu_~i ding Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, N MN 55122
651
`l
New Construction Requirements Remodel/Repair Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan g-
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations . Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detail options selection sheet (bldgs with 3 or less units)
DATE 8- /S/~oZ VALUATION
SITE ADDRESS ZOZ I BtruES-oN E Z-, J; MULTI-FAMILY BLDG -Y N
TYPE OF WORK l ON 5 R.u,c.-r io^) G AAA16i FIREPLACE(S) 0 _ 1 - 2
APPLICANT Owc✓ i2
Q_
STREET ADDRESS Zozf t3_uEs- atv ' Al' CITY 4.46s7A✓ STATEek ZIP J'S
-12
TELEPHONE # 65'1 q6 -q IygL CELL PHONE* 1M Z,5-3 41gg Z- FAX #
Cpc.~ F~/is-r a
PROPERTY OWNER TELEPHONE# 5,4eg
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy G Worksheet Submitted
Energy Envelope Calculations Submitted
~n~0 01
Plumbing Contractor: 'Ph
Plumbing system includes: _ Water Softener Lawn S 413 Fee: 90.00
Water Heater No. of R. aths~
No. of Baths
Mechanical Contractor: Phone
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone
1 hereby acknowledge that l have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applica
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received Not Required _
' -Updated 4/02
OFFICE USE ONLY
❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 Al of _ piex ❑ 09 07-plex X 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt SF
❑ 04 02-piex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi
❑ 05 03-piex ❑ 11 10-piex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-piex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous
31 New 35 int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding
13 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors
1 34 Replace - *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuatio BfSa Occupancy V ` MC/ES System
Census Code Zoning City Water
SAC Units 0 / Stories Booster Pump
Nbr. of Units p Sq. Ft. PRV
Nbr. of Bldgs_ Length + d tr Fire Sprinklered`
Type of Const V, Width Z~r C~.r
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
_ Footings (deck) _X Final/No C.O.
Footings (addition) Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water Final _ Pool Ftgs _ Air/Gas Tests Final
Framing _ Siding Stucco _ Stone
Fireplace R.I. -Air Test Final _ Windows (new/replacement)
Insulation - Retaining Wall
Approved By efwM( g!S , Building Inspector
- - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
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CU4 -DA-SAC) ~
APPQOX b1P.Ecr1oA-1 or "ol?TH
' i ~ S3 FT
NOTE: PnorE2 rY ~.iNfs AzE r~PfRok /rrATE. / /
A/oRTN pND WEST 4 /NES A&C /-'2ow•- / / ,
CYC6..OAVE >=EAle-IM 1ZcJNN1N5 1940M; EACW.
AvO~rioNS; l EA. lS'xxa' DECK
I EA. Iz'x lz' STop-Arc gHEp / : zx XN+ + rloc~ S E loFT.
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CITY OF EAGAN N° 7 2 2 5
u~► 9795 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt # a11~./~
To be wed for SWRAGE SM & DES, Value $500.00 Date MaY 5 19 $2
Site Address 2021 Bluestone Lme
Erect ~ Occupancy R-3
Lot 43 Block 8 Sec/Sub. Cedar Grove 3 Alter ❑ Zoning R-1
Parcel # 10 16702 430 08 Repair ❑ Fire Zone NA
Enlarge ❑ Type of Const. V
W Name- R=e BDllom Move ❑ # Stories
Address 2021--Blue-gtizie Tana Demolish ❑ Length ed. 20 Deck
b city 2 Phone 452-3039 Grade ❑ Depth -18--Sq. RIB-
cc Name Qmer Approvals Fees
0
ou Address Assessment Permit 17.50
~ City Phone Water & Sew. Surcharge .50
t- Police Plan check
W Name
W W Fire SAC
ua Address Eng. Water Conn.
<W City Phone Planner Water Meter
Council Road Unit
1 hereby acknowledge that I hove read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC Total QO
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee ~v~
A Building Permit is issued to: Bryce B0110M on the express condition that
all work shall be done in accordance with all ap ble State of innesoto Statutes and City of Eagan Ordinances.
Building Official AZdZ'--' ~ ~
° -zz -5 CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For "Y0" `It valuation Date
Site Address OFFICE USE. ONLY
Lot Block Sec. /Sub. ro-Vc Erect Occupancy
Parcel 0 f (010 ? q-'30 0'6 Alter Zoning
Repair Fire Zone ~C1
13 '-A3 Owner: (t /Cc.~T2 Enlarge Type of Const.
Address: ' Move # stories
1l«SZt~ ~''1 " Demolish Front, ft.
City/Zip Code: L c, n 5S r Grade Depth f~ ft.
Phone
r APPROVALS FEES
Contractor: "7- Assessments Permit
Water/Sewer Surcharge
Address: Ap-
Police Plan Check
City/Zip Code: Fire SAC
Eng. Water Conn.
Phone planner Water Meter
Council Road Unit
Arch./Eng.: Bldg. Off.
Address: APC
City/Zip Code:
Phone TOTAL '0 .
30
3
I
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Sr2EET
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APRROX • blAfc.r/oM or woRrH
/
/l./OTE: P/2o~Er2,Ty ~iNt s ARC r~PPRoX /n~ATE', / /
i
ti/ORT/I AND WE ST 1, IVES 1912.E /=2oa* 1
CYC i-OAI C FE^161Nr, 1X aA.>/U 1/V j A60M; EACW, /
A~•1>ITioA~S: l EA. lS'xzo' DFGK G,AR/166 •
I R. Iz'x tz' SroRAGE sHEO N~`G x 2.K zyf __J, /ao c r S E OFT
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Z 3v FT
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 776
DATE: 09/13/00 TIME: 13:48:04
ID:
NAME: DAN WOHLERS SOUTHSIDE
c
3213 9001 1668 HIKORY HL 30.00
2155 9001 1668 HIKORY HL 0.50
3213 9001 2021 BLUSTN LN 30.00
2155 9001 2021 BLUSTN LN 0.50
3213 9001 4363 METCLF DR 30.00
2155 9001 4363 METCLF DR 0.50
Total Receipt Amount: 91.50
CR137274
USER ID: JAN
CITY USE ONLY
LOT BL PERMIT " d 7;y j
SUBD. 6e,. ar GY O V ~ RECEIPT .
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN LAY 55122
Date: 0 651-681-4675
0
Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
State Surcharge .50
Total
Complete this section only if you are remodeling, adding to, or repairing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration - Repair Other
Furnace Air conditioning
Air exchanger Other
Fee $ 30.00
State Surcharge .50
Total 30.
Reminder: Call for inspections
SITE ADDRESS: a6
P✓S7 (1~
OWNER NAME: MI K J PHONE gf2q-
. ~D 7 / l Ll'P~ PHONE (5~ - 1/3/ "7D
INSTALLER NAME: C
Y V / ! / S
STREET ADDRESS: ~D~D<AREA CoDE~
CITY: STATE: zip: RECEIVD
SIG ATURE OF PERMITTEE
€eP 1.:
BY:
CITY USE ONLY
L BL PERMIT*
SUBD. RECEIPT#:
APPROVED BY: INSPECTOR RECEIPT DATE:.
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removallinstallation - minimum fee
Contract pricer $ x 1%0 = $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
t,INSTALLER:
ADDRESS: PHONE
(AREA CODE)
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 9, ~5
I ~
d ` 'C
651-681-4675
Now t onstruc0on Reaulmments Remodel Reoair Require wb C
• 3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
1 set of Energy Calculations • Indicate if hone served by septic system for additions
• 3 copies of Tree Preservation Plan if lot plaited after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE VALUATI~ .
JOB SITE ADDRESS 1 G~- SfTo I. n
v
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER -77A&An&
TYPE OF WORK- D FIREPLACE(S) - 0 - ~1 2
.z. PHONE#T,
APPLICANT i~j
ADDRESS 71 IIPCODE4
PAGER # CELL PHONE ~5'FAX #
NIEV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone
Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor Phone #
Mechanical System Includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor. Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is corn nd agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina es.
Signature of Ap--cant
Certificates of Survey Received _ Tree Preservation an Receiv of Required _
Updated 1101
OFFICE USE ONLY
❑ 01 Foundation O 07 05-piex O 13 161plex O 20 Pool' ❑ 30 Accessory Bldg
❑ 02 SF Dwelling O 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. AS - Multi
O 03 01 of_ piex ❑ 09 07-piex O 17 Garage ❑ 22 PorchlAddn. (4-sea.) 0 33 Fact. Alt SF
O 04 02-piex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Muff
❑ 05 03-piex 0 11 10-plex O 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-piex ❑ 12 12 piex Pt KL Y or„N ❑ 25 Miscellaneous
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding
O 32 Addition ❑ 36 Move Bldg. O 42 Demolish (Foundation) ❑ 45 Fire Repair
❑ 33 Alteration 0 37 Demolish (Bidgp 0 43 Reroof O 46 Windows/Doon;
❑ 34 Replacement *penwlitlon (Et r Bldg' only) - GW* PCA handout to apptlcant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq,. Ft. PRV'
W. of Bldgs length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
Footings (deck) Final/No C.O.
Footings (addition) Plumbing
Foundation HVAC
Drain Tile
Roof _ Ice & Water Final Other
Framing - i Pool _ Ftgs Air/Gas Tests Final
_ Fireplace R.I. -Air Test i Final Siding Stucco _ Stone
Insulation _ Windows (newheplacament)
I
Approved By , Building Inspector
Base Fee
Surcharge a C)
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search k
Copies
Other
Total 9 9,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118257
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 2021 Bluestone Lane
Lot:43 Block: 8 Addition: Cedar Grove 3rd
PID:10-16702-08-430
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Ray Carroll
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 -
Theresa Skahen
2021 Bluestone Lane
Eagan MN 55122
(612) 867-3185
Carrolls Exterior Remodeling Inc
16402 Harvard Dr
Lakeville MN 55044
(952) 356-3131
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160034
Date Issued:02/07/2020
Permit Category:ePermit
Site Address: 2021 Bluestone Lane
Lot:43 Block: 8 Addition: Cedar Grove 3rd
PID:10-16702-08-430
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Theresa Skahen
2021 Bluestone Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature