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1936 Carnelian Lane Use BLUE or BLACK Ink For Office Use C y n ERO Permit#: U Q 1111 I ' Permit Fee: ":;7. 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 j I Staff: Fax: (651) 675-5694 INFLOW NFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Name: License CONTRACTOR Address: City: o: Stater Zip: Phone: Contact`s t 5~1~C-cY~ Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: \ 5~11 £A r\, I 1 t71`~ sv_~ , Description of work: DESCRIPTION ~m C~~C~=~~~.`?U FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.aoi)herstateonecall.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 pe it, and work is not to start without a permit hapt the work will be in accordance with the approved plan in the case of work w ' eview and approval of plans. x x Applicant's Printed Name Applica s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CEDAR GROVE 5 Lot 1 Blk 13 Parcel 0-16704 100 7,3 Owner. & n l Pi(A 4' br hit ho-U Street 1936 Carnelian Lane State Eagan, MN 55122 on4- Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL (p 1972 1-304.00 52.16 25 WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK 1971 70.00 3.50 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK EAGAN TOWNSHIP N° 1616 BUILDING PERMIT Owner Eagan Township Address (Present) -.14. Town Hall Builder `-Y Date y ~Y67 Address f...._...r._..._...._..... DESCRIPTION Sioriesl To Be Used For - ~ Front Depth Heigh} Est. Cos} Permit Fee Remarks LOCATION -Street,-Road or other Description of Location Lot Block Addition or Tract This permit does not authorize the use of streets, roads, alleys or sidewalks nor does if 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 KEP ON THE PREMISE WHILE THE WORK IS IN PROGRESS. "e'r'-•`-r° This is to has permission to erect a._..-~ certify, fhaf.._C._........_'-'-----............_---''-'--'-.... 4f--..Gt.'.-_::r...... . . .........`?i"r" --..upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. cte.w { l:. X°:cr : Per .v~ Chair n of Tnwn Board Building Inspector e e PERMIT# U"f Ig 1 RECEIPT DATE: nS1 unAL PLumma PERmrr AP'PLICmiw CITY OP £AHAN S$SO PILOT KNOB RD EAGM, MN 551 EE 651-681-4675 Please complete for: ➢ single family dwellings )o townhomes and condos when permits are required for each unit > backflow preventer for irrigation system SITE ADDRESS: (3 Ao c aAme 1 LU/1 I L2 t~1 P OWNER NAME:: ~S~ , S~~tnlel/ TELEPHONE#: C(o5 ~15~1 -3bOZ (AREA CODE) INSTALLER NAME: _ ~O (b1 UYY1~L l1/bY1~lf~o1 TELEPHONE ~ b' Z 7 - *33 STREET ~AD~DRESS: 2_'76 5 6&4-142~~ l rt So. (AREA CODE) CITY: / ! r I/O1S STATE: I It~l ZIP: SSgO'? Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround`` ' ` u Nature of work: f1_llct,C4, L Cp t1 e_a~Ge~r _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge JAN 82001 Dl~ $ .50 y Total $ 50.5--0 Reminder. Be sure to schedule inspections of alterations, Le. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the Cityof Eagan assumes no liability for any damages caused by the Cityduring its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement. 5 AT~OF~ EE Updated 1/01 - city 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. 1"z , Edward J. rsc t Sr. Engineering Technician cc: Mike Foertsch EJKAe Use BLUE or BLACK Ink J ~ I For Office Use Permit City of EaEd I a ; Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: ; Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: I ~ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 06-t- - , 2 o )3 Site Address: 193(4, ee Unit M Name: StA Phone:((412 ) -7 a2- do-739 Resident/ ww 11 Owner Address / City / Zip: 3 (Q ~irn, e +9 ia~1 Applicant is: Owner Contractor Type of Work Description of work: P-4-1 190E Construction Cost: 11600 Multi-Family Building: (Yes /No A) Company: ~C ^r1a~STvhe o2arn a Qey,or~~'fa~+ Contact: f&4tt flab Contractor Address: _At.S33) ~zp Tti S+• City: State: LA21r_ Zip: 1;"q'732 Phone:) ->,07-7 License rid 5S9 730 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) `y 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 x. weF conclude that they are trade secrets. pt l NW 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.gopherstateonecail.ora 1 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 ~JV,°~,~ i~w~at~ ~r~ayr.bes►^~ x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142923 Date Issued:05/24/2017 Permit Category:ePermit Site Address: 1936 Carnelian Lane Lot:10 Block: 13 Addition: Cedar Grove 5th PID:10-16704-13-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 - Stanley H Ost 1936 Carnelian Lane Eagan MN 55122 (612) 702-6739 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147758 Date Issued:02/02/2018 Permit Category:ePermit Site Address: 1936 Carnelian Lane Lot:10 Block: 13 Addition: Cedar Grove 5th PID:10-16704-13-100 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Stanley H Ost 1936 Carnelian Lane Eagan MN 55122 Mnp Mechanical Llc 452 8th Ave SW Lonsdale MN 55046 (952) 292-9238 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink C 1 For Office Use City of Eaau RUG 2 4 2018 Permit#: Permit Fee: /? td 3830 Pilot Knob Road �` (i Eagan MN 55122 Date Received: Phone:(651)675-5675 �/yj Fax: (651)675-5694 Staff: P"�-1 IJ 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8/20/18 Site Address: 1936 Carnelian Lane Unit#: Name: Stanley Ost Phone: 612-636-0062 Residents 1936 Carnelian Lane Eagan 55122 owner - Address/City/zip: g Applicant is: Owner X Contractor of Work description of work: Type replace tub surround, valve, toilet, vanity top, faucet Construction Cost: 3035 Multi-Family Building:(Yes /No X ) Company: US Patio Systems Contact: Wendy Contr_actor; Address: 218 N River Ridge Circle City. Burnsville state: MN Zip: 55337 Phone: 952-314-9885 Emelt: wrache@uspatiasystems.com License#: BC661813 Lead Certificate#: F119453-1 If the project is exempt from lead certification,please explain why: \ J 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: Fire Suppression Contractor: Phone: NOTE:Plans;=and supporting documents-that-y_ousubmit are.considered to be public information Portions_of=_ the information maybe classified as non public if you provide specific reasons thatwould 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. wvww.uouherstateonecali.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 Wendy Rache x ( s )/1� c CO 0)2(2_ Applicant's Printed Name Applican Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE / , SUB TYPES /q29 CS A'E I pt L_vi _ Foundation _ Fireplace v Porch(3-Season) __ Exterior Alteration(Single Family) XSingle Family Garage Porch(4-Season) — Exterior Alteration(Multi) Multi Deck Porch(Screen!GazebolPergola) Miscellaneous 01 of�.Plex ____. Lower Level Pool Accessory Building WORK TYPES — New Interior improvement _ Siding Demolish Building* _ Addition Move Building _. Reroof Demolish Interior S.— 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 9(Do 4 Occupancy MCES System Plan Review Code Edition L.fr,,/)011- SAC Units (25% 100% y) Zoning `I , City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction (//() Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) › Final I No C.O. Required Foundation Foundation Before Backfill x HVAC—Gas Service Test Gas Lime Air Test Roof: Ice&Water _FinalT 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 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: �)--- , Building Inspector RESIDENTIAL FEES Base Fee ,,,- Surcharge 1 if Plan Review /(�({ ��J(��1 M 0 Y Y MCES SAC YY City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant j7,ri Copies (� TOTAL f t(L.s Page 2of3 • Use ='LUE or BLACK Ink City` of apiaR. G V - AUG 2 0 2018 For Office Us: �/ Permit#: / 13 ` e Permit Fee: 4 ) 3830 Pilot Knob Road Eagan MN 55122 Date Receives: Phone: (651) 675-5675 staff: Fax: (651)675-5694 2017 RESIDENTIAL PLUMBING PERMIT APPLICATI•N Date: 8/20/2018site Address: 1936 Carnelian Lane Tenant: Suite#: Resident/Owner. Name: Stanley Ost Phone: 612-636 0062 Address/City/zip: 1936 Carnelian Lane Eagan 55122 Name: US Patio SystemsLloense#: PC708 06 Contractor Address: 218 N River Ridge Circle City: Burnsville State: MN zip: 55337 Phone: 952-314-9885 Contact: Wendy Rhe Email: wrache@uspatiosystems.c4Im —New ✓ Replacement .Repair Rebuild —Modify Space Work in R.O.W. Type of Work Description of work: replace bathtub surround, valve, toilet, vanity trip, faucet RESIDENTIAL Water Heater Water Softener Lawn Irrigation( RPZ/—PVB) Permit Type ✓ Add Plumbing Fixtures(V Main Lower Septic System New Water Turnaround 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 Surcha . *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 •I SO CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against undergro nd utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecail.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances:nd 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 approv I of plans. X � X /A, ,c , I C_00hQ Applicant's nnetdj?CiMeame Applicant's Sig att.re FOR OFFICE USE Reviewed By Date: ` Required Inspections Under-Ground Rough In Air Test • Gas Test Final Meter Related Items: Meter;Size Radio Read Manometer Staff: