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1948 Carnelian Lane CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CEDAR GROVR AS Lot I I Blk II Paroel. 10 16704 130 13 Owne ~'~~tn `~nMirP. ~R;(Jpva Street 1948 Carnelian Lane State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 2$ WATERMAIN * WATER LATERAL d1971 WATER AREA STORM SEW TRK 70.00 3.50 $0 Paid STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK HOUSE HEATING TEST' RE1§ 1 ~ 1 ,,q~n'/~/ ADDRESS Iq(°f'Q /Jv~-11i9V i-,/J APT.-FLOOR CITY<SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Lk) Q _L9 V Electrical Work By Gas Line By TYPE OF HEAT GA _ FA HW -STEAM SPACE HTR. -UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model Model Serial gy1~~ Maz. BTU Rating INPUT MAKE OF FURNACE Model NTROLS THERMOjjT~,A~T Heat at Plug Vent Size y 44 Valve ~l~/~L C",N 4 KIND OF LINER A LV SIZE NONE Limit y~& Dra Ft Hood ANDyc~r Regularor Limit Setting Filters Size ~GXX / Number Fan Setting 94 Chimney Location Ide Outside Pilot Type ~oT ~✓r'N~'-L' Chimney Con structi.n Pilot Make Pilot Model Smoke Bomb, Wiring Pilot Timing Draft Test Tag L.W. Curot Off Dow Pressure J+ Lighting Inst. lcr~y 7r °Y P r a su Percent CO2 Date Tested ~2- 7'`l Z.- Input CFH 9O Percent 0 9 Company Testing Stack Temp. 14.30 of Percent C02 0 Name of Tester 1 V Form 235 EAGAN TOWNSHIP N° 1616 BUILDING PERMIT r.._.-. G Owner v e.. _ Eagan Township Address (present):. _ ..:.........._..f Town Hall Builder ~ 4 Address Dale ' /__.._.r - DESCRIPTION Slor~es To Be Used For Front Depth _j Height Est. Cos! Permit Fee Remarks LOCATION - Street, Road or other Description of Locafio? 'Lo! ~ Block ' Addition or Tract /p - le /3 -------------fir - 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 KE7 ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, fhal..- ission to erect a-. .has perm c....s1tr::---~~-^^. :-....-.-._.......'1 .-......upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adoptei April 11. 1955. l - Per ....._i`?_.....lt::.... - Chair n of Tnwn Board Building Inspector e e -CIS s o Ck. n0. rls3l 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ! I q / b5 Site Street Address lg4~?~Vnd lOn Li'1 Unit# Property Owner } jbu}'f't t-AL)(-'1- (-Aoych(A I I Telephone# (L-61 ) 452 I3L4L4 Contractor I+P ~ID2Wul'K5 Telephone# (65, )x5)340 Address _oo A~oc t City ~L1~1at1 State M~ Zip f The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). Septic System Abandonment Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 new replacement Lawn Irrigation _RPZ ,_PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total ! $ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved-,p -itt~ the event a plan is required to be reviewed and approved. it L I ri IuI i.AlhCal El 1 IrA2 ' 3 7-005 Applicant's Prin ed Name Applicant's Signa ure L-- 5 5 0 Or) a4r_ -24ili RESIDENTIAL 5 S 7 S3 BUILDING PERMIT APPLICATION 0 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements Remodel/Repair Requirements • 3 registered site surveys showing sq. ft. of'ot sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • i set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • i 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 placed after 7!1193 Rim Joist Detad Options selection sheet (bdgs with 3 or less units) DATE q116 /0-2- VALUATION E02G r oO SITE ADDRESS 114"? Car•rul,ol LYI MULTI-FAMILY BLDG _Y X N TYPE OF WORK RQ_Si j& FIREPLACE(S) -0-1 -2 APPLICANT STREET ADDRESS G(A-7 Aitizo r-wI 4vil .A),CITY Cf'lkw.~y- STATE/vwJ ZIP SrblZ TELEPHONE # (n5F~13`W3Zo CELL PHONE # FAX # (n51-"Z c) - 207 (0 PROPERTYOWNER lba w" TELEPHONE# 651-4Sz-l3w COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ Nn.NNESO"rA RULES 7670 cxrLGORY t _ NIINNESO`CA RULES 7572 (d submission type) • Residential ventilation Category 7 Worksheet Submitted New Enerl] ode Worksheet Submiteb 18 . Energy Envelope Calculations Submitted l l SAP ? J ?L'02 III 9 J IU Plumbing Contractor: Phone # Rv Plumbing system includes: _ Water Softener _ Lawn Sprinkler ee: 59000 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # .MCCIIanica system includes: Air Conditioning Pee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I 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 Applicant - _ -OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4102 s£r7q-q /5. S-0 CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT fEG1NTOA1 ; PRDiT DATE: / gBT;AENTIAh. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM 15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME : /7 ian!4 T fl /mil I SUBTOTAL: $L , SITE ADDRESS: `I?? /ll~n/ELiAs✓ Z✓L.- q+ STATE SURCHARGE: .50 LOT: BLOCK ~d SUED. WI-6- ADDRESS: &OL TOTAL: INSTALLER: _I~LJfN yr//L /9SS J~4ivvYE /C~. SIGNATURE OF PERMITTEE CITY: ff''j///+r✓ ZIP: lJ~S ~~3 f~~jg0 ~7Aej ~VGf' SJ - d (v ~ 1 v'" 0/~ PHONE 7 dOMMERCIA g.lNDUSTRTALi: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN 'IgMN , _ c-dy of eagan MEMO TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 23, 1993 SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5 (208 LOTS) This memo is to inform your department to begin to invoice the energy costs at the single family rate effective August 1, 1993 to the property owners in Cedar Grove No. 5 Addition. Block 1, Lots 1-22 22 Block 2, Lots 1-19 19 Block 3, Lots 1-11 11 Block 4, Lots 1-16 16 Block 5, Lots 1-25 25 Block 6, Lots 1-22 22 Block 7, Lots 1-25 25 Block 8, Lots 1-5 5 Block 9, Lots 1-2 2 Block 10, Lots 1-23 23 Block 11, Lots 1-14 14 Block 12, Lots 1-9 9 Block 13, Lots 1-15 15 208 The City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. Edward J. irsc t Sr. Engineering Technician cc: Mike Foertsch EJKAe CITY of EAGAN N2 -_3429 BUILDING PERMIT Owner 4'i ' ' 3795 Pilot Knob Road Eagan, Minnesota 55122 Address (present) ...L..9..Yr1. 954.8100 Builder --5 . Dale ...7,f/ Address 3..3~. 1ef' DESCRIPTION Stories To Be Used For Front Depth Heigh! Est. Cos! ermit Fee C Remarks 6'X2- e LOCATION 3, xv Street. Road or other Description of Location I Lo! Slock Addition or Tract 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, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT./ONE THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that-.A.:.... K°-.'.~` - ...........................has permission to erect a.... .upon the above described premise subject to the provisions of all applicable Ordinances ~ for the City oan. ...........V... Y: Y1 Per .....!`.x`.......4-11 U - Mayor Building Impactor -le J be k. Tx Lo4 _ -.13 V3 61 • ~erA,~ge5 CoaM7- • w K; ~a • 330 • ~yope►TX 6: • • 04 • so ve ~ 03 y ~'W I • c lF' • • ay1'f ~Claa o! ~ • • • • MASTER CARD LOCATION Il bit ri 190W e"!? OWNER `j~ /r STRUCTURE AND Jf n, X,2 ~~o or LAND USED AS S I Issued To Permit No. Issued Contractor Owner BUILDING h/9IJ Jra.~ .~M PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER i OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING 4041- 7 SEPTIC FOUNDATION ZIX CESSPOOL FRAMING a, 9- ~9' 7✓ TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER ~v~7_ 75 L Violations Noted on Back COMMENTS: R. City of Eagan 3795 Pilot Knob Road Eagan, MN 55122 Date: March 18, 1980 Chicago Title Insurance Co J;EC AL ASSESSMENT SEARCH 4820 West 77 th St RE' Edina, MN 55435 Lot 13, Block 13 Cedar Grove #5 EncloseNO F d herein 3is6the search which you requiaicel~ ffl1 n, y e~5122 property: 11 MO 13 ~~rr~~ Kin o Improvement Runs Beginning Origina Amount Balance Due Sew/Wat Lats 25 Yrs. 1972 $1304.00 $834.56 I further certify that according to the records of said office, the following improvements are contemplated or pending after having been approved, and are now in the process of planning or completion. Kin o Improvement Approximate date o Completion Approximate Cost None WAIVER: Neither the City of Eagan nor its employees guarantees the accuracy of the above information which was requested by the person or persons indicated. Nor does the City of its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form, and for all other consideration of any nature whatsoever, any claim against the City of its employees rising there from is hereby expressly waived. Levied assessments to be paid to the County Auditor at Hastings, Minnesota 55033. Very truly yours, SPECIAL ASSESSMENT DEPARTMENT Chicago Title Insurance Company 4820 West 77th Street Edina, Minnesota • (612) 835-3100 T&AGEW DATE:03/12/80 ADDRESS514S CARNELIAN LANE. S. FILE FROM FILE NAME F 20-53916 P.I.D. NO. DISTRICT KASPEREK JOHN ERLAT PARCEL COUNT&AK01"A PLEASE CHECK TO SEE IF THERE ARE ANY LEVIED/PENDING ASSESSMENTS LEGAL DESCRIPTION 01 13 21 OCK 1:3 CEDAR BROVE u` PLEASE FURNISH THE FOLLOWING LEVIED ASSESSMENT INFORMATION ON THE ABOVE DESCRIBED PROPERTY: Type of Improvement Balance Due Original Amount PLEASE FURNISH THE FOLLOWING PENDING ASSESSMENTS THAT ARE ESTIMATED AT THIS TIME: ALSO REQUESTING ANY ASSESSMENTS CERTIFIED TO THE AUDITORS AT THIS TIME AND INTEREST: Signed: Date: AMOUNT OF UNPAID WATER BILL, IF ANY: $ Use BLUE or BLACK Ink For Office Use j Permit City of Eaflan I Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 RECEIVED I Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 MAY 2 3 2011 Staff- - - - - - - - j - - - - - - J 2011 MECHANICAL PERMIT APPLICATION Date: ~1V Site Address: e~ / / VF Tenant: ~`!i✓~71`" ~~~xf Suite RESIDENT / OWNER Name: 71 rt/~ll Phone: 6_l 7Lit Address / City / Zip: Z 9Y,7 CAA/)(IlA lt/ 2A1 ~A/✓ 11V 6J~4o7 CONTRACTOR Name: ~Ci~ l- AJLITEf l7f~` M_11_ License Address: lore 6,erx >4 LE City: 57%LL W,47- le State: Zip: Phone: c~ ~~3 9- 3<; 3/ Contact: ; l t /IXI-f/4-~' Email: TYPE OF WORK New t/Replacement Additional Alteration Demolition Description of work: ~c f &Zxeer ~,exlwr ~ ~4 , e NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE ~F urnace _ New Construction _ Interior Improvement Y Air Conditioner Install Piping Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE 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.aogherstateonecall.org 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. Applicant's Printed Name plicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Test -In-floor Heat -Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type: Building Permit Number: EA105432 Date Issued: 0711312012 itj of 0n Permit Category: ePermit R Site Address: 1948 Carnelian Lane Lot: 13 Block: 13 Addition: Cedar Grove 5th PID: 10-16704-13-130 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Greenguard Construction Inc Stephanie M Samens 2915 Waters Road, Suite 101 1948 Carnelian Lane Eagan MN 55121 Eagan MN 55122 (651) 289-7000 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116887 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 1948 Carnelian Lane Lot:13 Block: 13 Addition: Cedar Grove 5th PID:10-16704-13-130 Use: Description: Sub Type:Reroof & Siding 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. 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Stephanie M Samens 1948 Carnelian Lane Eagan MN 55122 Walker Roofing Company 2274 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA120239 Date Issued:01/28/2014 Permit Category:ePermit Site Address: 1948 Carnelian Lane Lot:13 Block: 13 Addition: Cedar Grove 5th PID:10-16704-13-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & 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. Josh Mcguire 1424 3rd St N Minneapolis, MN 55411 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Stephanie M Samens 1948 Carnelian Lane Eagan MN 55122 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA137823 Date Issued:07/25/2016 Permit Category:ePermit Site Address: 1948 Carnelian Lane Lot:13 Block: 13 Addition: Cedar Grove 5th PID:10-16704-13-130 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Anna Grannes 1948 Carnelian Lane Eagan MN 55122 (612) 282-9702 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature For Office Use n i.` % ',r, Permit /S/g37 .. se .1I .... Permit Fee: 3830 PILOT KNOB ROAD I EAGAN, MN 55122.1810 RE Date Received: sI?. (651)675.5675 I TOD:(651)454-8535 I FAX:(651)675-5694 Staff: )?uildinsllnsoections( cItvofeaoan.corn SEP 12 2018 L -Sr _, 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date; 09/12/2018 Site Address: 1948 Carnelian Lane Unit#: "'':�.•MII'.,• Name: Anna & Chris Keenan (612)282-9702 ,q!•+' °R• sl"a _.,. Phone: ,.'s' ':lOw or°; Address/City I Zip: 1948 Carnelian Lane Eagan, MN 55122 i::. 'i;;';''''>";:•'!.;•'I ...ii Applicant Is: Owner X Contractor • , ;::.:.•t,,:..: `,,; Bathroom free"''"`' 0, .; : Oescrlptlon of work: Remodel- See site plans ;,v7y ro.:1.y rk ;i :' ;h :::a'ii;;:.;; 5,000.00 X .,'�:: i ....•.a^,,: ,'G,::r;• Construction Cost; Multi-Family Building:(Yes /No X� di i•lihi ii.!1^;,,'w ;;y'' com an Great Lakes Windows and Siding Co AshleyJ ''My',?;.•iw.j,:;!:IYY`.;+;,,+••;;;41 4;fi.0 P 7• Ct)ntaC.t. :i:'y. epFln'::"": ��1,>V�{;dp•� IPhl::f, " .i:�M:a�''' -.: ..,;:.,.•. "'•`�•,.•.,,.. 14690 Galaxie Ave Suite 100 ,..,:.,.,,,,:,).-,Itoc.;' Address: Apple Valley 0:A,101#0.10.00.5: city: ;:.f:. wr i;, MN 55124 "'` ' ,a,``''°';; °;'; „ '`t": state: zip:_ Phone: 9528913400 ashleyj,greatlakes@gmail,corn ).4,.;,.(,.%1i. , ; A,,.., :::,','.::.,'.;;:. NAT-23297-2 ai1,;:" '`?i . License#. Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the lest 12 months,has the City of Eagan issued a permit fore similar plan based on a master plan? _Yes No if yes,date and address of master plan: Licensed Plumber; ,Phone: Mechanical Contractor: Phone: Savior&Water Contractor: Phone: Fire Suppression Contractor: Phone; le ,r ur a o>Snip,docf nenb�lhAryotr„',eueuti!t,.f.;e..on Me f.ts be.R 10,0 tfeb...panrww 000:firlbnh:gon,:+nl!•oe'a hassled tairmis iff :*You*SnifdiespieMarsibati;i iilSisuffi ateiC*1b:dbiTeiidiiiharthaYa.,:listfillir�eriiil .; „,`;,!.,i;::•;,;.;,`,,„::;,'.;a: You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for en email update on the Clty'e website at www.cltvofoaeen,comisubecrlbe. Exterior work authorized by a building permit Issued In accordance with the Mlnneeote Stats Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(091)4510002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.ggoherstateonecali.o% I hereby acknowledge that thio Information is complete and accurate;that the work will be In conformance with the ordinances end codes of the City of Eagan;that I understand this Is not a pernit, but only an application for a permit,end 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 end approval of plans. xAshley Johnson ''4A6r�►41 Applicant's Printed Name Applicant's Sign re 24'd t769SSL9SS9:01 OS2t'T682S6 00SM1S:WOdd 12:01 8102-21-dES all r DO NOT WRITE BELOW THIS LINE /57/ gay SUB TYPES Foundation _ Fireplace — Porch (3-Season) _ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior ?' Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 1/ 2, t7ofl.— Occupancy ,1/2( - ( MCES System Plan Review Code Edition Mn 2c J c. SAC Units (25%_ 100%�4 ) Zoning /2.-/ City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V i3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required . Footings (Addition) Final/No C.O. Required Foundation Foundation Before Backfill X, HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS )G Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: T VYN /4; /c /11 , Building Inspector RESIDENTIAL FEES Base Fee -e Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 .' _ — Permit#: / --):?-A -=-_ - _ --_ _ _ _ = _ Permit Fee: , ('''C._ 0 Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 . Staff: buildinQinsp% ions an�,cifyofeagammo L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date; lb11412_ol P Site Address: 1°14? Carneticri Ln,;...,_ Tenant: Ke_e1r ,.� ,Suite#: rr.�,{t .1rN}I " 1Sr�a�}{1 1e�Iy rl ll :i. .. qJ... I' .. ,.. ... , ... 1'Y4 tI IW'•I fi,if '� l r,/ NNWWIaIY I I �;.yr1l� J}^�� 1 Ill 11 1 Np�YI'tt"1'"f r!',Ni u�'••W1.�4INi.11. 1 LL.." l►� KulNi1 111777 I NIr�y1LN,..t, ary,Ivu�,�r.N.l r. 2%2 c1 nal:,U111 1�. AfX /��''� Phone. �p�2� itt2- ,1..N 7N1fAI�..•�•J�11�In• ,r ti ,I Name: Vle�� [,SII � , �aq r'�� I i1 rgGyi—� „7�$ ' d ph it H.,11 r 1I1.4dC IV NI I i a trQ (1I.�, .f� Ia1 PIWewII1liq l�t.,l�l.utl• MI �.' I ai'1 I •_i�% CSM 1 i t tan L 4Ifa 1 1'NYII 1.11 161.1yI I IM 11111!•�,x 71¢a�•ir: gddreSS I City/Zip• ��'IAIAP'7�7��r 4Wl°INKY r pY�!�p!I�ZN�EInIE:hnln NiW� jy(��71�I(y, f\ I I}jtlgleAYs yll'N'Yllt,% ............. ... T T"3 1lOKIYI„„pp 1a a 1WA 1 f 11��:tl_...i:.a• r, �rIp�t�( 7 Name: 3 App1 itnce inc. License S�fii:,alY;Yr rata I t•�Il' °17a Ytla,Nr.l'ur11'r.YW��}y��yN'�t 7i �'-A�Y 13H � �• rl�Q 1P l�01 hr 111nINn1it..ag'�1:.':^•N:, lyt,t,Nit. i1 v y I I.+N:imin:::anilwl W6>�yryl IIY 1 t �lryw'1 lar w fi {r W ti gill f)`f� it�..ISi 1;N11i lti Mi bin:ogi 1 t 11"I 1p 1 it a 111QQQ999 ff ,N �`` r^' ��,,/� /�.�/'p IieNLI 11, 6 r yi•M''r1N,i f 2.191 11 Ylt' Address:1,4'05 RvTr( . F E City:/ [io nice— it i II:aa7 �tan I 1 YI.:a. r .u�yn'�alYa �i w111�H i iv. i' 1'� G tYIN Irr1N} ,rti y 1 'g lfir'h 11 'i' �• gl gjg�� Jac.1Z Phone: Ql "L�'� ININII II.1:11.1"J.1..'�1{•I�il'JN3J.J."��I I• 7 State.�■ L flip. :110:IYFIIaI:,lrl':111 q I&WWW 000 nl'a•r �j�.'��jii:�lq� 1u wnMlannni;.Ip,t�PyA'/rNaa'NIrNa� R 1 6II.n 1 ilm'3.; 7X1,niW 1,1 ip�e a�(( t r: "::�):,I,I�I(NY 1 ��{NNK11A�a:fl'C{ . I�i iiiNo'rl fir �narNWilo mar,;p I a , '.WIC I.I.. II 1 713 a r�u.Na +1Email: r SOS j t!j. 1• i s 1 �1�'FYIr.,,Y111u111nvuul,N•7rira"iaiait^Ia• �" J];� �L �. fa Ai • rl£�'�:.. �. a� � Contact: 1.1 !� -..:;•.•d,Q.dGtrdl:ll.lralrna'ra., 1,wtfl I: �.- �.��.��. }1,P if Iv�ryg I I l�[!"'•iI�r r 1NiW It 17 vi ((.4��'"...t.l Sa7,j r N"1►►1y1((ii,i�lN1�=''X�.1•• UII'1,.;,?" New .Replacement Repair Rebuild Modify Space Work in R.O.W. l"A{JiO/�1'� xYf. :TM y.+ y,,, :la.;l a!', Iii1��,�, u' y q yjjJ�r'}¢� ,1 1r1 IyJ 1 44 11V0NI 1 1 1 IJI f r�]Qf,N11(j��jI' 711..1, ,r�� ' �"l rI' t'{7l"rllll Ir°"°"'� Description of work- ((1Q1° �kSC .t�l a� 1,YI i.r4,r:7M • _,....'ll�...: r.� p�u. �i�' R �Iq Inat r� i &!!'ill n Ikll;ar,:r.:..erlY I R' 1I}I;,.figa,l�e ,;friffiLLUT 0PI;1r�;l RESIDENTIAL �. . _ _ .._.._ ._ _ 711 o11)1�LC11 ,r�{S ..tr 111 I IY�jyas illI I•)I�fA1�1�ia5i��o�I•i 1 n',1*i r^i'r� �a�Iwt�N,NRi � ��"li•;"I 1 16NSpi 1114,,tE1R eY :Yi:11. IA ,nF.II� ri�1��1��.." nl�l.1 trq 1 1'a1/Ndi�� 1�1��'�~• I 711 1�:�1.:. Hr 91P�A1 c7"IN Lff`, y //((yy.. r ,,701\�.lS%Tie 44. ,•y�g dY?3j• Water Heater r i M'' j „r Water Softener .IIkY 1. 1i•do qp '.7 1�.':?6wl ell 'I�.::I.IIaM del 1 Iln:�'i:!'� G a F�m��ra f/n RirWN rvre.4 4, i•r lf•i•. LI,;�i`1!', Lawn Irrigation(_RPZ/ PVB) �� > iy1"N y. 3 X 1f•,�'Irrg' _Add Plumbing Fixtures(_Main/ Lower Level) Yt1:.N}IYg•I ,,1Lx,,I��t 11111.4,; ,144 91,2'•' Septic System I 1]1 IY1gfII IWi:AgfSl'y� �111///3).7k]lY�ll�t:Fiti 1w4 j`I�Iilj+il d Y.1 { Water Turnaround WNLLVMI W'N h11r1 71t:Y111W I�f� 1( J11�1'„I�1,1PI(I:6t 1..9 [�u W.7. 1l',1716 p U 1.��.;� ,1 ��>,IpAt t 1 New ,„., a,I 11.4., lbinYyyyllllltlfl 7}�� I i1d�' A' r;y a:l 71.7,'Yi,r t 1711 S 1 a �1 IlitiAltrrl niiii m'1 I* 11'4 4 ,`'Il.'till Abandonment .. _. .. RESIDENTIAL FEES: $60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures,Septic System Abandonment,Water Turnaround"(includes State Surcharge) "Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ CALL BEFB>9E YOU DIG. Call Gopher State One Call at(651)454;0002 for protection against underground utility damage. Ca 18 hours before you intend to dig to receive locates of underground utilities. www,00pherstateogecali.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cltvofeaoan.com/subscrlbe. I hereby acknowledge that Ills 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. , x(i c\1MGl( 1r Applies Printed Name Appiican ignature _........... r. y...;f ko4nr''(i b 11 d:a drti 1 I" liilfiidA .11d.rlN;LitiC•�'rrta7 d �fi�� •1J�}.f7 i..6li. rNl,1i it ° tt a k I}tictitr"}m )ri,i r.pi1 y 't . PM �pI t if, i •I1 Y'Cp11um Nilr.tiss a�s••1 :«I:I::u• Jn,/101•NN Nnnl.li r1'R''��illi�. :f!•�..�..I�..)rni 141,I�,':: II�iIY� rl mi I�.:Xj ,*,4 � t,"''+".'r . ".t,L`,t�t•Ait.�lS,..�d l..,:_.,. 11,} /IYY �..„ .. P�.N)01 fp.6.N;f: { .1 NCI a. i� kg IK t •h r 1}', 1 TGGt/'61/1,4101,1 "w Nl4Jla�]�fl!Q11 Spr I I �t 7 I (( 4 ,}1'{(h/f�[ yf��jt, i! I 1 171• ,,{. 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I' X p a •'ai f 1 .,A;,1:1✓7'i b;, ,,•N • t'al'l,,':.}t a;;'f 99�".,y"' 1., ;„4 1.11. 76 },.,.'•A:',.f r'7 ,1,,I , r- 1 y1,,.f I.la'.n:ar r•, I �, rigoim ia.", 11:.�;°,7 I�',R ',a; t�q''i�"�li�l ,,,/3! ::� � -3�,, Y„f�,,,} 1•. � s,,}'. .,: ,,ti;,�, yr�,�' � I y' �, ;',tN qNN,�1,,/,''�aalgilly�Nlrll�',, f..J.u. �jj•I� (r.1. 'ite, /r!,,y L N 'I' i.iYr.{Y't .!� >4�'�{. 771,,i'1 2'/. l 1 d1;,�o,/i: Y S i• ',„ t p V}�Lr'' #a iinl 7d Yy"Pitta yn t IPI N1fYMlli11'IJ...O.i ai1NU:'��1 I'tii`TN1"•P71"R f��f,r,1��I'' ,:111 .;�'Inn14XNa. i ,.1'�. r . 117,.U:,,r,a l'I'i r `R _A1t'I,. �Y {C':1 ��,Y 17..:�' .U.1' 1..�1• � � Y)rl:{Y-'}Ilr�p�tlnl Nt 1I + ,r3, r ggel p ,,,,, ,n N g If. Vtr 1:!� �}( {tr 11i+s ff j} t,,.'r�'1 i+% I .!r 1 Irrzri16""'"ArI� 1,, , r .`Ii1WMn i1 ,0,1. W! `t, L�}.�. ° C �r� 'js'lip' 1,I{C_i; F t: , r - i! ,)i11 1 N1ms ,.,. u 4 viii,,., �.•.. ,azhot-' • . ,�.�';14414-1,-, , , gi.,.MS.t r,,R1 i,i'an,_t. -_t.ti+.4+761' 1 r '• .N V I. - �lt .,_.,.'. - _ '' ._ �u nwlfl NM9n'ANi PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152526 Date Issued:10/18/2018 Permit Category:ePermit Site Address: 1948 Carnelian Lane Lot:13 Block: 13 Addition: Cedar Grove 5th PID:10-16704-13-130 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$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 - Anna Grannes 1948 Carnelian Lane Eagan MN 55122 (612) 282-9702 Cities 1 Plumbing & Heating 787 Hubbard Ave St. Paul MN 55104 (651) 274-6547 Applicant/Permitee: Signature Issued By: Signature