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: