1908 Carnelian LaneCITY OF EAGAN
3795 Pilot Knab Road Eagon, MN 55122
PHCNE: 4548100
BUILDING PERMIT Receipt #
Gtfiyv.r7` Fet Vnh.e -1r00
Site Address ' , "'? ! 'ane
Lot Block Sec/Sub. Cedar GI`OVe 5
Parcel #
w Ncme :, t charri T._ Johnann
W
z
Address y^ l^M .rarnP7 ian anP
_ )sn
o Name O''i'r
ZV
o? Address
F- r:.., oC,.__
I hereby acknowledge that I have read this oppiicotion und state that
the information is correct and agree to comply with all opplicoble
State of Minnesoto Statutes ond City of Eagan Ordinances.
N° 6679
Erect (3 Occupancy
Alter ? Zoning -
Repeir ? Fire Zone
Enlorge ? Type of Const. '
Move ? # 5tories
Demolish ? Front ft.
Grode ? DEpth ft.
Approrals Fees
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
PCfRlif -
Surcharge
Plon check
SAC -
Water Conn.
Water Meter
Rood Unit
Total 21 `' '
Signature of Permittee ?
A Building Permit is issued to: - ' 0`' I. on the express condition thot
all work shall be done in accordance with cll applicoble Stote of Minnesota Stotutes and City of Eagan Ordinonces.
Building Officiol
?MwR # Date IsMd Mewktes
Plumbing
Mechonical
INSPECTIONS DATE INSP.
Rouph-In
Find
Footings Date IniP. Date Inap.
Foundation ? Plumbing
Frome/ins. Mechanical
Finol
Remorks:
CITY OF EAGAN Remarks *redar Cmve ACcpiisitinn
Addition CEDAR GF2(JVE #5 Lot 3 Blk 13 Parcel 10 16704 030 13
Owner ?, --i . `. 5treet 1908 CS111e1i3ri 7.at1e State Eagan? MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1967 100.00 5.00 20 Paid
SEWERLATERAL 19611 515.00 25.70 20 Paid
WATERMAIN
* WATER LATERAL (p 1972 607.00 24.28 25 P81d
WATER AREA
STdRM 5EW TRK (( 1971. 70.00 3.50 20 Paid
STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 200.00 452 10-25-67
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
?
own¢: ,e ..?z. ?...-•--c C'-a-,...? r • /-? -
_..`. _.
.------ --?---..._...._ ..-- - ?-----....._... . .:
_---
Address (Present) ...... ._-_.
Builder ......................................................... .._.............................
Addaess .... _................................ ............'_.._............_....................
N° 1656
Eegan Township
Town Hall
Stoxies To Be Used For Froni Depfh Heighf Esi. Cos! ? Pezmit Fee Remarks
?
, - .-- _
_--_-. .
•
7 a? ' ,?t <<t <«?
,s-?-.? ? _
.---
--
? -- ---- --------
/?
LOCATION
Sireef, Road or oiher DesczipSion of Localion Lo! Biock ' Addifion or Traci ?.`p?-? -----
.A.? 60 -h' I?v ? ia ? C.-e2. i
This pexmii does ao2 aufharize the use of slreels, roads, alleys or sidewalks nor does iS give the owner or his agenf
the righito cseate any siiuafion whieh is a nuisance or which presenls a hazard lo the healih, safefy, convenienca and
geaeral welfare to anyone in the communiiy.
THIS PERMIT MUST BE KEPT ON THE PHEMISE WHILE THE WOAK IS IN PAOGRESS. ?
This ia fo eerlify. Shai._C£?:T'._-Cs' .:.................haspermission fo erecf a---- `f....P..:c_,/.,`L_?._lLi,-alc.::' upon
the above described premise subjeef fo the provisions of the Building Ordinance for Eagan?l'Ownship adop2e?.?.. ??' April 11,
1955.
_ '_..-- _._............. .. ' .... Q....i
...................... .7;-°?f5r.t-:--.-.-------°--- Per <:<--... .??.t
Chair n of Tnwn Bo sd 71 Buildin InsPecfor
k • ?.
RECORD OF COMPLAINT
Date: 7/12/00
Type of Building: X Residential _ Apartment _ Other,
Name: Pamela Madson
Address: 1908 Carnelian Lane
Phone number: 651-454-3214 (Deaf-h) 763-421-2697 (Sister)
Complaint: Whole basement had 2 feet or more of water damage. Please inspect water
heater, fumace, etc.
Comment:
Action Taken By: Mandy Boudreau
7-1 a
RECORD OF COl?PLAIIVT
Date
Complaint taken by
Type of bu?7ding r?
Name -4/9n'1 !39 P-ja ? ?) IV)
Address 1¢ v'?? -L44- 06Llh-412 L. rU
Legal description
Phone number
7
Complaint 6 /311-pitl-) /-/-?I enA k FAL0-x, e5,TQe4.;
O/C S
Action taken ?01-0 d+x r) ni?/lr a& vn o vKK9 ? Commenu FI/-?- 5?WIC2, are,6
_
? Signature
? -
rn s 1 S `? -Q (P
0?-
1411 1/ ? w 51/VkL'/J
?"?? yv ?c•z .z? l?r?.?a-N??. -
?-? siI d
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?n/19?r5t6ogaK2, 40 t-l,
)-?-?mlq .T-
?l?drvK-
l? /c.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3? a?3 3830 PILOT KNOB RD - 55122
651-681-4675 I ? n
New Conshucfion Reautremenfs Remodel/Renolr Reaokements
A 3 registered sNe surveys showing sq. ft. of lot sq. R. of house 2 copiea ot pian
and ail roofed areas (20% maximum loi eoveraae allowed) 1 set ot energy calculations for heafed addMions
D 2 copies oi plans (show beam 3 wfndow slzea; poured fnd. design; etc.) 1 sNe survey 1or exterior addNfons S decW
? 7 set ot energy calculaflons
? 9 coples of hee preservaiton plan tl lof platfed affer 7/7/93
DATE: `""/V' -/ / CONSTRUCTION COST:
DESCRIPTlON OF WORK:
-??
STREET ADDRESS sC ) a -
1 ?
LOT: ? BLOCK: ? SUBD./P,I.D. #: ? G 4 0 J-e ?=
ze'0 -5'4-`/- 3.?Kty ? Hor??
Name: R rv c g r / v Ita.j S m ri Phone #: ?-Lbc= - /- ?ea-G 2'1- 3a3-Tl-
PROPERTY -?n Firrt W+ w- 2e 1p y-
OWNER /
Street Address: ?.n r rv o. ?? ?,.. ! io-w e_
city 4L iza oo -- state: Yl'l /-le np: SJ 1 zz.
Company: (?q n ? 1& jCyP ?1 Phone #: G S-I - ?I d? ?' $ 9z?
(orea code)
CONTRACTOR ?j ?
Street Address:`- YTn? /d H„-- - STe y q License # 11 ?a S Exp. 3`31--41eo
City agL State: A4 ti Zip: 7
ARCHITECT/
ENGINEER
Telephone #: area code (
Name:.
Streefi Address: Registration #:
City State: Zip:
Sewer S water Ucensed plumber (reauired for new consfrucHon ontv):
Penally applles when address change and lot change Is requested once permff Is Issued.
, I hereby acknowledge thaf 1 have read this application, atate }hat ihe informaflon Is cortect, and agree to
_ State of Minnesota Statutes and City of Eagan Ordinances. I-,-)
Signature of
wkh all applicabl
OFFICE USE
Certificates of Survey Received _ Yes _ No j!;'i J
1d?L__
Tree Preservation Plan Received _ Yes _ No _ Not Require
'i.-_ -- - - --
l _
SUBD.
8L .. . -??
Z ?_ ?T ? ,r,?l a r y'pt
RECEIPT#: ?351J&
RECEIPT DATE: SP" a--0 o
PERMIT# US
2000 PI,UMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT I@TOB RD
EAGPN, t4N 55122
651-681-4675
Please complete for: D single famity dwellings
? townhomes and condos when pertnits are required for each unit
D backflow preventer for underground sprinkler system
FIXTIIRES
ceru a
TAT. •
Alterations to exisGng dwelling - minimum fee
Describe: ?V?AL
$ 30.00
Bath tub
Floor drain
uUet ' minimum - t $ 3.00
3.00
3:00 x
x
x =
=
=
$
$
$
tub/spa 3.00 x $
3.00 x g
R 3.00 x g
new/refur6ishad requires MPC lie. 3.00
75.00 x
x $
g
m abandonment 30.00 x = $
RPZ new installatioNrepaidrebuild 30.00 X = $
Rough opening . 1.50 x = $
Shower 3.00 x =
$
Unde round s rinkler if dwening is under eonswaion 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = g
Water heater 3.00 x = $
Water softener if dwening under eanswctlon 5.00 x = $
Water softener if existlng dwelling 30.00 x = $
Water turnaround 30.00 x - = g
State Surcharge gp $ 50
Total _, $
Reminder: Call for inspections of alterations, i.e, water heaters, water softeners, etc.
-----------------------•---------------------•------------------•--•--••----•-------------- •- - -•-----_. ---------------°----•----------
1 hereby adcnowledge that I have read this appficatlon, state that the infortnation is corted, and agree to compy with all applicable Ciry of Eagan ordinances.
It is lhe applicanPS responsibiliry to notiry tha property owner thet the City oi Eagan assumes no Ilabllity for any damages caused by the City during iLs
nortnal operational and maintenance activities W the facil@ies consWGed under this pertnd within Ciry property/right-af-wayleasement.
SITEADDRESS: lco? rarl Ie,IIQn LNV C-aQan I T ln 175-nI L"
OWNER NAME: : F/nrYr_In MC Y 1'tn_ TELEPHONE #: I D hl ?{'? ? f4
. . (AREA CODE)
INSTALLER NAME: h6r-TELEPHONE- 7517? ? C)?bl?
' [_..ou ) ?C]YYICZlJ?O ? ?i ?'1 ?'" coo?? ,?
STREET ADDRESS: !-}( ?
CITY: _- R}r.rY).l STATE: rn11 ZIP: n?L
SIG A URE OF PER I EE
CITY OF EAGAN
? 3795 Pilm Knob Road Eogon, MN 55722 N? 6 6 ? 9
PHONE: 454-8100 •/
BUILDING PERMIT APPLICATION Receipt # -??-
To 6e uted for CrARACE Est. Value 5POOO Date Mag 28 Site Address 1908 Carnelian I.ane Ered (2 Occupanry R3
Lot3 Bixk_13_ 5ec/Sub. CBdSP GI'OVe S Alter ? Zoning Rl
parcel # 10 16704 030 13 Repair ? Fire Zone NA
Enlorge ? Type of Const. V
z Name Rickiard L Johnsnn Move ? # Stories
Z Address 196$ !'.nTnolipn Tanc+ ' Demolish ? Front ZZ ft.
0
city_ r Q',g1 Phone 452-4523 Gmde ? Depth 24 ft.
p Name QmttET Approvals Fees
t-
Addreu
Nome _
Address
I hereby acknowledge that I have read this application ond state that
the information is correct and agree to wmply with oil applicabfe
Stote of Minnesota Stotutes and City of Eagan Ordinonces.
Assessment _
Woter & Sew
Police ,
Fire Eng.
Planner _
Council _
BId9. Off. -
APC _
Permit 18.(H)
Surchorge 2 5n
Plan check q_M
SAC
Water Conn.
Water Meter
Road Unit
ToMI $29 .rL0
Signature ofPertnittee I
A Building Permit Is issued ta: R1Ch8rd L. .T021II80II on the express condition thut
all work shall be done in accordance with oll applicable State af Minnesota Statutes and Ciry of Eogan Ordinances.
Building Official
4
CITY QF EAGAN
Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMI'I' APPLICATION 1 set of energy calculations.
Zb Be Used For d;,ri r , Valuation 07?,y d? Date
Site Pddress : ? '70 , a3" Y1 'i' l/ GI )s ?.» 4 >1' -E OFFICE USE ONLY
r,ot 030 slock -3 sec./s,.,t. C 6-?S Erect -X_ OccupancY 3
Parcel .??r Zoning
/D J 6`/ O,?/f gepair Fire Zone
Qaner:
Pddres:
City/Zj
Phone I
Contractor: S •,C /'f
Aaaress: WM-? ° 348-- 75:5Q
City/Zip Code:
Phone #:
Arch./Eng.
Pcldress:
City/Zip Code:
Phore #=
Enlaxge _ 7.ype of Const.
Nbve # Stories
,peirolish Front ft.
Grade Depth ¢ ft.
P,PPRDUALS FEES
Assessments ' ot
Pexinit
Water/Sewer Surchange
Police Plan Check?9 p'
Fire SAC
glq, Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
P.PC
TOTAL
,
? :Y i,s- ?i7r q ? c ?i?. e
U
?y'
'fi' ?prQ??
?
. ? ,-
F-_ a o'
rfrra.
'o ct
ht ?
Y
ctrr'r ox .
j q`'°
G"?6
1'3f
C7- arc?o?e.i .
t/
S C ar17 ef,??
,?Rq4?r? /'I!!?I1. .
t?
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Y:
41?
MEMO
_ city of eagan
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNlCIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS)
This memo is to inform your departmerit 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
81ock 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
61ock 12, Lots 1-9 9
Block 13, Lots 1-15 ?1,
208
The Ciry is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
``?% vzz o'
Edward J. irsctit ,
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
EAGAAI TOWN^uHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEGTSR SERVICE CONNECTION
DAxE: Sept. 28, 1967
OFINER• _ Jandric Ho.mea
PLUMBER 3teine, Inc.
NUMBER
Address Lot 3 Block 13 -lZ?' ?+K *'S
TYPS OF PIPE Cast Iron _
DESCRIPTION OF BUIIAING
Industriall Commerciall Residential I Multiple Dweliing I No, of uniCs
Location of Connections:
Connection Charge
Permit Fee
Street Repairs
Total $7.50
IaspecCed by:
Date
Remarks:
By
Chief Inspector
In conaidezation of the issue and delivery Yo me of the sbove pemit, I
hereby agree Yo do the propased work in accordan.^.e with the rules and
reoulations of Eagan Township, Dakota County, Minuesota
BY Steins, Inc.
P1ezse noY.3,fy when ready for inepection and connec-lien aa3 before any por:i.oa
of the wc?rk is ccvered.
??M_
- - - - - - - - - - - - - -
I Foe?ffce Us`e 7
? Pertnit#:
? Pertnit Fee:
? Date Received: ? ? " ?
I C ? ?
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l CJ ? Site Address: 1496V?grr?c i,Se-a/ G-?? 1-6t- ,9gl!&? ?>-
Tenant: st/ Suite #:
RESIDENT/OWNER Name: PaMe/A /%Qo?S?i? Phone: 65-1-3(f'--;d>?'
Address/CitylZip: Iqdq- ?i9q.9v
Applicantis: =0wner Contractor
TYPE OF WORK Description of work: _529 x%di'
Construction Cost: Multi-Family Building: (Yes No ?
CONTRACTOR Name:
Address: 9,9610
City: ??v/'A?S1frL//C' ; State:1-1?/ Zip: ?5?? ?7
Phone: f5 709?? ?.? Contact Person: 1Nq0G'1 c`L? It p P-QV
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Enefgy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
Category Submitted Submifled
(4 su6mission 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 Contrector: Phone:
Sewer & Water Contractor: Phone:
;NOTE: Plarisantl supParfing doceim`ents thaf you}submit`are'considere d`to'bepublic'iriformation' Poctions of
the infoimation may-be dassified,as,non pu6lic if you provide specific reasons'that would permit the City fo
concludethat ihe ,are;frade secr`ets. . 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 permR; 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 bi Aa1ti. S(A1,([ ¢)??r x b?0?Lc-- kc?
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
City ofEakall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: fi
Date Received: / 13
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident
Phone: (012— 42,q-4-13
Address / City / Zip: V I%'
Applicant is: Owner ontractor
Description of work:
a�
ri
Construction Cost: I 1 3 g
Craftmasters Remodeling
Company 2495 Maplewood Dr. N. _ Contact:
STE 314
Address: Maplewood, MN 55109
Multi -Family Building: (Yes /
State:
License #: CP2-72 L --/s Lead Certificate #: A194- ,52q7-2- 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Iq 08
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:
Mechanical Contractor:
Sewer & Water Contractor:
NOTE` Plank aids pporting document., hat y r
the lrrformattan mayi�b c asaified as ran P ft
conc
Phone:
Phone:
Phone:
tt ar ?Jnsrdered to t1'+ li t#rc fnforj
p�ovrde slac�ft hat ould p
he 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
1
Applicant's Print#d Name
Dec 1913 02:41 p Craftmasters 6517574106 p.2
Verm\ 4V milli
Viol Ca.(ntl;ar Ln
12/19/2013
To Whom It May Concern,
The window provided to the customer at 1908 Carnelian Lane, Eagan, MN is a tempered window. The
window was installed by the homeowner, not Craftmasters Remodeling, Inc.
Please see attached invoice from the manufacturer that indicates the window is tempered.
Please contact me with any further questions.
Terry Seaton
General Manager
Craftmasters Remodeling, Inc.
BC627243
651.757.4100
Siding - Windows D Kitchens 0 Insulation Roofing Decks Baths ® Flooring
2495 Maplewood Drive #314. Maplewood, MN 55109 = Phone: 651-7574100 Fax: 651-757.4106 www.cmrhome.com
Dec 19 13 02:41p
Craftmasters
Pr
�' 0d CarIVON1.-rn
■ "SUNRISE
%WINDOWS.
The Difference is Clearl..
SOLD TO:
Craftmasters Remodeling, Inc.
2495 Maplewood Dr.
Ste. 314
Maplewood, MN 55109
PH: 651-757-4100
FX: 9,1-651-757-4106
Sunrise Windows
200 Enterprise Drive /
Temperance, MI 48182
PH: 734-847-8778
FX: 734-847-7758
TARGET DELIVERY DATE: 9/4/2013
fafir
594447
7/ ;
:
57/
6517574106
ORDER ACKNOWLEDGEMENT
p.3
ORDER: 594447
ORDER DATE: 8/20/2013
SHIP TO:
Craftmasters Remodeling, Inc.
2495 Maplewood Dnve North
Unit 314
Mapewood, MN 55109
PH: 651-757-4100
FX: 9,1-651-757-4106
SHIP VIA: MINN
1 Sunrise 2 -Lite Slider
Sizing{BRKMLD-ACT. WINDOW SIZE IS W-3"
X H-2 3/4"}.
Color{BRAZILIAN PECAN / WHITE}
Glass Type{ULTRA-U+PLUS 12)
Keeper Sash Glass{OBSCURE}
Keeper. Sash GIass{TEMPERED SUN SAF
Lock Sash Glass{OBSCURE}
Lock. Sash Glass{TEMPERED SUN SAFE}
2" EXTERIOR BRICKMOLD
FraineOptions/NO HEAD EXPANDER)
WHITE -BM
STANDARD HARDWARE
STANDARD HALF SCREEN
FIBERGLASS SCREENING
1 37 1/4W X41=H=
Sunrise 2 -Lite Slider - 1 49 W X 49 H
Sizing{BRKMLD ACT. WINDOW SIZE IS W-3"
X H-2 3/41
Color{BRAZILIAN- PECAN/ WHITE}
Glass Type{ULTRA-U+PLUS 12}
2" EXTERIOR BRICKMOLD
Frame Options{NO HEAD EXPANDER)
WHITE -BM
STANDARD HARDWARE
STANDARD HALF SCREEN
FIBERGLASS SCREENING
Rr91l9M 'A '1.9 -G PM 1 of
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:6 121
MAY 171014 Use BLUE or BLACK Ink
For Office Use
Permit #: EA iar136
Permit Fee: /45: a
Date Received: ' 7
Staff: I`I
n
2014 RESIDENTIAL BUILDING���PERMIT APPLICATION
11'4 Site Address: t V % C_Aa 'd lel Unit #:
J
Description of work: t Di (1(3(10--)!D TT `fit 1 '� l
Construction Cost: 2- 054. 9
Multi -Family Building: (Yes / No x )
Company: 1ACSU K+c Q Q.QL
Address? ►Jp
Contact:
,(�,� City: 1 ' (�'
Statek f a Zip:' Phonebt -4i email: �a4l`�Y KOtt 4 -`ti\nnL t31
License #: (60-- 2-712- 3 Lead Certificate #: V`tT—
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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: aPl t s and upportmg documents that ®u submit are c ! did to ® ; lac f for` �: ,1®� . til
F In f4 rmation may be c 1 tt Q Ovide speer re sons that l Pm t t ; Citlr t
.,...., co»c t at ...te trade secretsM
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 aopheistateonecail.orc7
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
Applicant s Printed Name
x
Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA138000
Date Issued: 08/03/2016
Permit Category: ePermit
Site Address: 1908 Carnelian Lane
Lot: 3 Block: 13 Addition: Cedar Grove 5th
PID: 10-16704-13-030
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
- Applicant -
Owner:
Pamela M Madsen
1908 Carnelian Lane
Eagan MN 55122
(952) 686-8628
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
4,1/ C!ty of Ea�afl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: Y
r
Use BLUE or BLACK Ink
For Office Use
Permit #: / - q
-7(9
Permit Fee: % 6-- ""6
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Unit #:
a e ner
rK
Name: Pj9-✓Mlr 1/ ' 149q4A-- 4/ Phone:�
W '� 7 4
Address / City / Zip: /70/5" (, ya) i% ) /rL, / % �; c' .,/ ,4
1. /'j
..1Th 45.7.;
Applicant is: tT Owner Contractor
'ype: orlc
p
Description of work: ?'e ''-
Construction Cost: Multi -Family Building: (Yes
/ No
)
C actor ;
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes fr, No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: ns and orti ®ocume 1 bu submit ar fdered to be t u la• c. 4 �trm f
' ' ormation may assn f ed , on pub ; prod ®ecific reaso
norm.. nclu :iffy are trade. secrets
ions of
i.
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.
xV eli CS rApplicant'sc,4\
rinted Name
x VJC ni��A�t I ,t a
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160894
Date Issued:04/22/2020
Permit Category:ePermit
Site Address: 1908 Carnelian Lane
Lot:3 Block: 13 Addition: Cedar Grove 5th
PID:10-16704-13-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Pamela M Madsen
1908 Carnelian Lane
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature