2089 Carnelian LaneINSPECTI4N RECORD
CITY OF EAGAN ' PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 0'_'
Eagan, Minnesota 55122-1897 Date Issued: 00 `rf
(612) 6$1-4675 -
SITE ADDRESS: APPLICANT:
t,;;•i`+' I; rk P# I. t1Ml F'IJF N
PERMIT SUBTVPE: TYPE 4F WORK:
INSPECTION
I .. . .ATE INSPTR.
,: ir!!!r); F.1-t
t"?t'M fif:A`.tI'A FfiAfi V, F ii#q7f I''s 110 011 lt.t'li ifiit ltPl'r I'tttmEiltVo 1)R r{.l1.:1R1v111, 1401aV?
d`n,
Permit No. Permit Holder Date Teiephone #
C
R
C
ELE
T
I
1#'?95 • g 9
PLUMBING
? P
, 9r4 ? sa- ?
Date
Inspectio nsp. Comments
FdOTINGS
FOUND
FRAMING
r ??]
ROOFING
PLOUMBING
•'/
PLBG
AtRTEST
-
')/
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL • /}???
Crf/
BSMT R.I.
P f?l?Jl?Y
BSMT FINAL 47V 1L« ryy? j,?n,...,r. / ?
'//?l?VV
DECK FfG /(?t? 1?y?1JGL??1 S
DFCK FINAL
.
IVQYE ?
JT?/`?' A?!'i3;Bir? TD
70,6D
2006 RESIDENTIAL MECHANICAL rEiuvuT ArrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone #1651-675-5675
Please complete foc single family dwellings & rownhomes/condos when permiu are required for each unit
* -ns C-o (:;?
Date 46 / aPl
SiteAddress Unit#
Property Owner Telephone N ( Ip5 I ) Co ?6 ? - ?S I b I
Coatractor
Street Address City
State Zip Telephone #(6?) a-
Bond Expires:
The Applicant is _ Owner X, Contractor _ Other
Add-on or alteration to existiqg dwelling uuit $ 30.00
_ furnace _Additional _?Replacement _ New
air exchanger
? air conditioner
heat pump
- , "- -
r-
? -,
other
? I
1
S[ate Surcharge +
?
1
s .50
Total $ ?p , 50
I hereby apply for a Residential Mechanical Permit and aclaiowleAge that the informarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and woik is not to start without a pe it; th ie work will be in accoidarice with the
in the ca
se work which requires a review and approval of pl s. ?
a=CU-
I
ApplicanYs nted Name Applican 's S' n ture
RESIDENTIAL u
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB R0, EAGAN MN 55122
651•651-4675 11
New ConsUUCtion Reauiremenb ?? ? RemodeURaoair Reamrements
• 1 regutered sRe surveys showmg sq. fl. of l04 sq. fl. of house: and all ioofed areas • 2 copies of plan
(20°k rtwximum lol coverage alloweE) . 1 set of Energy CalculaUOns for heated addifions
• 2 coDies of plan shawing beam 8 window vzes; paured found desgn, etc.) • 1 site survey for extenoraddiUOns & decks
• 1 sel of Energy Calculanons • IMicate d home served 6y septic system for additlons
• 3 capies of Tree PreservaGon Plan d lot platted atler 711f93
• Rim Joist Oetail OpUOns selectbn sheet (hldgs wilh 3 w less umts)
DATE
SITE ADDRESS
TYPE OF WORI
APPUCANT "?
iULTI-FAMiLYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS (?(A-w'Ip pa- CITY'? ?va?t, STATC'?J ZIP s?yC
TELEPHONE 4!SI7nI "0(O CELL PHONE # ?- FAX # `2S'? ??-SI'G9! ?
?
PROPERTYOWNER t?? ?l.?i?? L.t,C???I?Gt? _TELEPHONE#
---------------- ----------- ---------------------------------°--------------°-----------------
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NfINN E:S01'.1 RliLES 7670 C.CfEGORY il MIVNESO"1':\ RI "LLS 7672
(,1 su6mission type) • Residential VenGladon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Coniractor. Phone # ' Allf' 2
,I ? 1 4,:
Plumbing system includes: _ VVater Softencr Lawn Spriiilcler i,.,j Fee:
Water Heater No. of R.I. Bathsi
No. of Baths °Ry____ _.. _?
Mechanical Conhactor. Phone #
V[cchiuiical syslcm indudcs: Air CondiUoning ?
HcaL Rccovcrt• Systcm
Sewer/Water Coniractor: Phone #
f cc: 370.00
-------------------------------------------------°--._.........----------------------------------------....---------°---
I hereby acknowledge that I have read this application, state that the information is correct, ar?d agree to comply
with all applicable State of Minnesota Statutes and City agan'Ordinance . ?
Signature of
OFFICE USE ONLY
VALUATION ? ?? ??I ` ?CDQ
Certificates of Survey Received - Tree Preservation Plan Receivedl _ Not Required _
UpAated 4/02
3 4 4- 6 8 5[31 OFFlCE U9E ONLY Thie requml void IB momhs irom voWafian dala primed in Ihiz ?
G?
/? ?
t
PLEASE PRINT OR 7YPE Lpc 8
Requ Dole Rough.in uupecnon reqmnd2 Yes ? No Ready Now Will Call
Inspecnon Other Than Rough-In
??- (You mual mll Ihe inspeaor n nedy) Date Ready
I, licensed confracior ? awner hereby request inspecfion of the above eledncal work at:
Jo6 P
mss Shae?, or RoWe No.).
A
d Gry Zp Code
/
j
Q
(iV e / ?
Seclion lilp. ship Nam<or No. Rarge No. Fro No. Co?pp
?
e ?
N P!1 N%
Power Suppliar Pddress
EI I C. r l ony ame? . Con tlor Laroe No- Masbr U. No. (Plan, Eler,t. Only)
Maiing dnv Conkodor or er Padoeming Insmll '
• ? ??
riz SigmNre?Co aaror0 Perb nglnslallali n) PhoneNa
EB-OOOOlA-10 6/95 STpTEBOMOCOPV-3 EIN37NUCTIONSONBACKOFYELLOWCOPY
l'?1?1?? INSPECTION
M E A
I IIIIIIIIIIIII I? IIIIIIII IIIIII ?II I I I? 821Q U es iry Ave- v
* 0 3 4 4 6 8 5 3 * Phone (612) e42-osoo 9 B St Paul, MN 55104
y/5;?G a?
ome Duplex Apt. Bldg. Othei: N Addn
Commercial Industriol Form emod Re air
Air Cond. Hfg. Equip. Water Fhr. Load Mgmt Other:
D er Run e Elec. Heot Tem . Service
'k' above tfie work crnered by fhis request. Enfer remarks in this space and on the bock of Ihe whife topy only.
Calculate Inspection Fee - This Inspection Request wJl not be a<cepMd wifhauf fhe <ortecl fee:
Olfier Fee #f Service EMronce Sae Fee # Circuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 4 0 to 100 Amps ?
Streef Lfg./TroHic Sig. Above 200 Amps Abov 100 Amps
Transformer/Generaior INSVECTOP'SUSEON TOT
_
$ign/Outline Lig. Xfmr. . L5
0
Alarm/Remote Conhol
$Wimmin9Pool
Ihembmni thatl IimmlbNOndesnbedherelnonMedams ted
Irrigo}ion Boom Rough-In
S
eciol Ins
etlion
p
p
Investigafive fee Final Do1e
/
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 78 M NTHS.
CITY OF EAGAN Remarks Cedar GTOV2 ACqU1S1ti'OY!
Addition Cedar Grove #3 Lot 27 aik 8 Parcel 10 16702 270 08
Owner -?•O?L Street 2089 C1Y71el10T1 1'2lle State- F''3'g3Y1?MN 5JC122
?
Improvement Date Amount Annual Years Payment Rereipt Date
STREET SURF.
STFtEET RESTOR.
GRADING
SAN SEW TRUNK '
SEWERLATERAL ? 192 1 .QD 2,16 2 Pa3.d
WATERMAIN
WATER LATERAL 1 2
WATER AREA
STORM SEW TRK
STORM SEW LAT .
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. '
BUILDING PER.
SAC
PAR
\
`
EAGAN TOWNSHIP
BUILDING PERMIT
e
Ownex ..'-S° «5....4-C--r
p- ? - ----.. _,. ......
.. ...----------
Addresc
. . _ _ _ ......---- ? --...
Builder .._...................... .................. ........... ...._.
Addres9 .._............. ......... .......... ..._.._-.-....... ._--- .........
DESCRIPTION
M 1180
Eagan Township
Town Hall
Dafe ..//7/Lv
......... ---...
Siories To-Be Used For Fronf Depth Heighf Esi. CosS Permi! Fee Remarks
__ LOCATION
- Slreei, Aoad or other D¢seripiion- of -Localion
/'7- a..???. a 7.i? ??i- 2 - r8 ?io-? Lo!
(i?c,
-- Block
'?
? Addit' Traci
?!P -C•??r.3
?
0-19
- -----?-'X .? / _ ?? c 7
_
?
This pezmii daes noi aufhorize the use of sireeis, roads, alleys or sidewalks nor does if give the awner or his agenf
the righ7lo create any situation which is a nuisanee or which presenis a hazard fo the health, safefy, convenience and
general welfare fo anyone in the eommuniiy.
THIS PERMIT MUST BE KEPT ON ,Ty?F?IEPR?E?+MISEWHILE THE WORK IS IN PROGRESS.
This is fo cerfify. 2haf_.?. !`C.`-?-.....°4J..._has permission !o ereci a..._??..._.. ... ? on
P
the above described premise subjeci So the provisiorts of the Building Ordinance for Eagan T nship adopfed eil 11,
1955.
-........... ?-?-l?.,?
'--._ .4 Per . ..._..... ......- 9 P
Chairman of Tnwn Board t+, : Suildin Ins ecto
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Date issued:
.? ? q 13???
BUILDING
028722
09/03/96
SITE ADDRESS:
2989 CARNELIAN LANE
LOT: 27 BLOCK: 8
CEDRR GROVE #3
p.I.N.: 10-16702-270-08
DESCRIPTION:
Permit 1'ype
V_tork 7ype
$237.25
$118.63
$8.00
$363.88
jjN;}-? a{xr.?E Nm.
V1?siRm ri ra ? . ms?e ?-°" .m' i?c
wns aw y sg ?aFF9 6?re ?g?{ ??Yg
?•° ? ZP:m, ?aepV 4fii{?m-?? B??G?i 2?icetLlPl"e?i311 MF h`M
m .R.MY
REMARKS:
A SEPARATE PERMIT IS REQUTREO FOR ANY PLUMBING tlR ELECTRICAL WORK
FEE SUMMARY:
VALUA7IQN
BaSe Fee
Plan Review
Surcharge
Total Fee
SF (MISC.)
ALTERATSQN
434 AL7. RESIDENTIAL
$16,000
CONTRACTOR:
OWNER: - Applicant -
WALLICK STEPHEN
2089 CARNELIAN LN
EAGAN MN 55122
(612)830-1555
OoaSIGNATURE r?' ??
rEE?TURE ? --?ssu Byi
isql CITY OF EAGAN 21996 3830 PILOT KNOB RD - 55122 BUILDING PERMIT APPUCATION (RESIDENTIAL)
6814675 s?t?t D
New Construdion Reauirements RemodellReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copiea ot plana (include beam & window sizes; poured fnd. design; etc ) ? 2 site surveys (exterior addRions & deckls)
? 1 energy ealculations ? 1 energy caleulations tor heated additions
? 3 copks of tree preservation plan if tot plaHed afler 7/1193
required: _ Yea _ No DATE: CONSTRUCTION COST: 8? 000,
DESCRIPTION OF WORI(: ?D Ykn?TO MFcI???L-?- ?Sou=,?fl-(N aFLL ?
STREET ADDRESS:
Z2
PROPERTY Name: STFpWE? M U.!?LLlG? Phone#: (01` (001^ 6W[
OWNER `"" """
treet Address: 2OL) GAS_J•1VL 1Pct4 l,N I
City: EINCA A<f`I State: hlfl Zip: 55 IzZ
ON7RACTOR Company: Phone #:
Street Address: ? License #:?
City: ??- State: ?_ Zip:?
ARCHITECT! Company:
ENGINEER
Name:
Phone
Registration
Street Address•
City:
State:
IZip:
Sewer & water licensed plumber. W 64A'Z1,l.. Penalty applies when address change and lot
change are requested once permit is issued. •
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ap
applicable State of Minnesota Statutes and City of Eagan Ordinances. ,. r n F "Z I /IAi //
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes No
Tree Preservation Plan Received Yes No
I-Iuu 2 7 1996
--------------I
LOT ` ? BLOCK _? SUBD./P.I.D. #: o ??Y 29- *?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? ?.
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
o`?02 SF Dwelling ? 07 4-ptex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplac:e ? 21 Miscellaneous
? 05 5F Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
? 31 New 0 S3 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition ,I
GENERAL INFOR MATION
Const. (Actual) Basement,sq. ft. MC/WS System I?
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV i
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. y3J _
Depth Footprint sq. ft. SAC Code i o r
Census Bldg
Census Unit .?_
APPROVALS
Planning Building Engineering Variance,
I
Permit Fee Valuation: $ 1L_
Surcharge
Plan Review
License I
MCNVS SAC
City SAC
Water Conn. f
Water Meter
Acct. Deposit
SNN Pertnit I
S/W Surcharge
Treatment PI.
Road Unit
Park Ded. J
Trails Ded.
Other
Copies ,
Total:
% SAC I
SAC Units
k
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KAIOB RD - 55122
(651) 681-4675
Is (" o.s?
? r
Date: A(,??TI
duoo
eplace _ Alterations to existing
Description of Work: X Construct r:ew firQ
Ciry ECt,Ga, State: Zip: ?C?
\Ij
_ Install gas insert oielv
_ Other
Job address:
Install eas line onlv
Lot: Block: ? Subdivision/P.I.D. #: Q C_Qk? t"443
Applicant (circle one only): Owner Contracto Perneit Fee: $60.50
PROPERTY
O W NER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Name: e? Phon? ??ot
Las[ Fixst
Sueet Address: ((?? ? -I earh ? ? L)n-4ah 'p-
Company: te s(\? ?0Y????d ?'hon(p e#(:a
StreetAddress: 38?5 C,? ?wJ •?f?. 13
' ?J S'S33
c,ry r. r n?( scate: m? . ziP: ?
, . ?
Company: Phone #:
Street Address:
City "I N State: Zip
[ 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. ? .
Sign re
=BY:
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAM ?
35.?1 J 3830 PILOT KNOB RD - 55122
(651) 681-4675
New Construdion Reauirements
• 3 registered site surveys
? 2 copies of plans (indude beam 8 window sizes; poured fnd. design; etc.)
? t energy calculations
? 3 copies of tree preservation plan if iot platted aRer 711193
required: _Yes No
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS: C-5?C
Remodel/Reoair Reauirements L 1 I('- q?
? 2 copies of plan
? 7 sRe surveye (erterior add'Rions S dedcs)
? 7 energy calculationa (or heated additions
CONSTRUCTION COST: ? T?&S. ?
LOT: ?7-A BLOCK: e SUBD./P.I.D. #: C-J? L Y 0 J f' ? 3
Name:1.Q&6C/k, VkVC/Ouol.. Phone #: CLUI' /GP ' L1!
PROPERTY Cazt First
OWNER ?,?Q? /??-;
Street Addressr?CUU'? l,.(?(,
City
State: ntYu
Zip: 19wA'2?
Company: VK ? Phone #: WOF?'
CONTRACTOR Street Address: h)V f1 •2n ;,fGA _ ( (? License# ?p?'J Exp. IU
??`
City Ws State: Zip: qRL-_
ARCHITECT/
ENGINEER Company: Phone #:
Name: Regisuation #:
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new constructian only): . Penalty applies when address
' change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the infortnation is corcect, and agree to compty with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
? CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO : STEPHEN WALLICK
ADDRESS : 2081) CABNELIAN LANE
EAGAN MN 55122
LOCATION 127. B8, CEDAR GHOVE li3 1
2089 CARNELIAN LANE
RECEIPT#/DATE 9/3/96 - 63810
REASON FOR REFUND HOMEOWNEK HIRED CONTRACTORS TO DO THE WORK
TYPE OF REFUND ELECTRICAL PERMITIt273-295 6 3211-9001 $ 40.00
PLUMBING PEAMIT 3212-9001 $ 20.00
MECHANICAL PERMIT 3213-9001 $
SURCHARGE 2155-9001 $
WATER CONNECTION PEAMIT 3713-9220 $
SEWER CONNECTION PERMIT 3743-9220 $
ACCOUNT DEPOSiT 2252-9220 $
UTIIITYACCT OVER-PAYMENT 2250-9220 $
CURB BOX DEPOSiT REFUND 2253-9220 $
CONSTRUCTION METER DEP REFUND 2254-9220 $
WATER USAGE CHARGE 3711-9220 $
OTHER:
$
$
$
. TOTAL $ 60.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
OCTOBER 1, IQ96
Sig tur Date
?
2
3- 2 9 5? OFFICE USE ONLY This reqoest vaid 18 momhe hom validobon doh pnnkd in ihis box.
1 9, a g,
LA 3 g/ 0 9 I
PLEASE PRINT OR TYPE
Requesl Dok ^ 2 a/
j ??? Rauph.in inspMion reqoired8 Yes
t
ll M
t
h
Y
d [3 Na Inspection Other Than Raugh-Im Q Rmdy Now Will Call
O
t
0.
d
m
e inspec
ur w
?
oe mos
e
d a
e
ca
y
I, [3 licensed confradorXowner hereby request inspedion of ihe obove eledrical work at:
bb Pddrass fSlreet, Bov, or RaNO NoJ
2080) CA?EL1-p4.i L1,1 Ciry
4Pd?t , Mhl Zrp Code
5'S IZZ
Sedion No Townshi0 Name or No Ronge Fi Coonp
Oavpanf
s?E E c+1??1 hone N.
K (drAlz 8181
PowerSupplmr Pdd i
8
IPtt4 L9.
ElMnml CoMra CompanY m r L nse No. Masler lic N. (Planl EIM. OnM
Maihng Addross (C atlor Owner P o ng Iminllofion)
t-N
ON4
208
N 5'Sl77_
!w nxed ?gnalun ( had wner P o in9 lal?on Phor?a N.
?
G1 Z(OSI-818
EB10195 STATE60AHDCOPY-SEEINStNUCiIONSONBAGKOFYELIOWCOPY
1111111111111111111111 I??II111111111111111111 827QUo enilyOAvearELECTRICAL Rm?'aPIO??U S
* 0 2 7 3 2 9.? 6Phone (812) 642-0800
Home Duplez Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Wafer Hir. Load Mgmf. Other:
D er Ran e Elec. Heat Tem . Service
"k' obove the work cwered 6y this request. Enter remaAu in this space ond on the back of the white cvpy only.
Calcula}e Inspedion Fee - This Inspethon Requesf will not be accepled wifhout fhe cartecf iee.
Olher Fee # $ervice Enhance $ize Fee 3F Circvils/Feeders Fee
Mobile Home Park Stoll 0 to 200 Amps 0 b 100 Amps
Sfreet Ltg./fraific Sig. Above 200 Amps Above 700 Amps
Transformer/Ganerafor INSpECioq•SUSeoNLV TOT
$ign/Outlina Ltg. %fmr.
Alarm/Remofe Control
$wimming Pool I hereb cem thoi i ina ected ihe denrical msmllanon dee<nbed herein on ihe daroa amred
Irrigation Boom Rough.ln Deb
ecial Ins
edion
$
p
p
Investigafive Fee F?nai
THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
IIII I II III IIII II IWI I II?II I?I IIIIII IIIII BP1 OUotversKY A earqm'SR?BCSt. 'Pau Pl, M CN 55704 ?;
* 0 2 7 3 2 9#-°6 *• ? Pnone (e12) 642-08oo 9 ?3 y G lo 3?' v ,?.
Home Duplex ApT. Bldg. Other: ' New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Water Hfr. Load Mgmt. Other: '
D er Ran e Elec. Heat Tem . Service
'k' a6ove the work covered by this requesi. Enfer remarks in this spoce and on the back of the white mpy only.
Calculate Inspection Fee - This Inspeclion Request wi71 not be accepted withouf the mrrecl fee:
Olher ? Fee 8 Service Ghnnce Sae ? Fee # Ciraih/Feeders Fee
Mobile Home Park Sjall 0 to 200 Amps I i 0 fo 700 Amps
Skeet Ltg./Traffic Sig. Above 200 Amps 1 'j! 1 Above 100 Amps
Transfortnef/Gene?O}or INSPECTOR'S USE ONLY ? TOTAI+L ry?`1
$ign/Outline 11g. Wmr. -
Alarm/Reriaota Control -
$wimming Pool ? I M1em mih Ihai 1 ins the eleanml matullalion descnbed hemin on Me daros 9okd
Irrigation Boom\ ? xouah-in ?k
eciion ?
$
i
l I
nsp
pec
a
Investigafive Fee Final Dax
THIS INSTALLATION MAY BE ORDERED UISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
2 .+ ,y m??? n OFFlCE USE ONLY This request voud 18 monlhs from validanon dare pnnbd m Ihis 6ox
?
PLEASE PHINT OR TYPE U
Reqeesl Dore ? 2?
7 kough-in inspetlian requned2
mual mll the impeda Yes ?
dy sp 'on OlhxThan Rooph?in- [] 2eady Now ill Call
dy
I, 0 licensed contr r ner e b r st ins n f} e above e ical work a}:
Job Addreee (Sheei, Box, ar R No )
208? G? oi h
??:??•?. M R Zip Cade ?
5 1512
Seaion No.
I
Township Name or o
Range N'
Fre No
C+o?unty
OccvPanf
STF-MEA ? t ( LLIG Phane No
{Z " Pr 81
PowerSupplier ' Aildress d(? /''?,p?{?dS A??
Z?G? % ?-"1 ?F^I???`if ?IF ? r
Eleanwl CoMmdor (Compaq Nome) Comroclor licenm N. Maskr bc. N. (Piant Eiee Only)
Moiling PAdrtss lConhamr or Owner ParforminfB Insmllanon)
ra f 95 Z7-
0 '! C 1
dxedSi9mNre I nM1a Owner P ormng Ilano ?
jletA A ' Plwna No.
C?SZ6b 1-AIP>
EB-W00)A-10/,r/95 STATEBOAPOCOPY-SEEIHSTRUCiIONSONBACKOFYELLOWCOPV
L 47 BL CITY USE ONLY RECEIPT #:Z0 0 ?.r
2f
SUBD. &Mx?#? DATE: 911 41y'Cr
7996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PiLOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pennits are required for each unit
FIXTURES EASH tL4. I419L
5hower 3.00 x 1 =
Water Closet 3.00 x I_ _
Bath Tub 3.00 x =
lavatory 3.00 x 1 =
Kitchen Sink 3.00 :c t =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 :c =
Ffoor Drain 3.00 x I. _
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 ;c 3 =
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. Ilcense 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' nome under const. 3.00 =
Alterations ` to exisung 20.00 = ao "°'°
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
t
SITE ADDRESS: ?• ? ? cl L A v` )J 'e- 1 t ? 0 ? r\,J
OWNER NAME: 5 LE UL- wA << t'?- L./,
INSTALLI
STREET
CI7Y: ? r?G- rq.J STATE: i?,tJ ZIP:
PHONE #: ( ln ? L ) `{ S ?)- ` 1 \ 6,1- &
FEF?TTEE
a-? J?
CITY USE ONLY
L BL
SUBD. 'W'-3
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAM
3830 PILOT KNOB RD
EAGAN, MN 55122
(692) 681-4675
RECEIPT #: (O 3 8J O
DATE: 0/ 3 / 6
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ?Q TOTAL
Shower 3.00 x =
W
lelA et 3.00 x =
B .00 =
La 3.00
k
Kik
Laay 3.00 ;c
Ha 3.00
W er 3.00 :c =
Floor Drain ?0 :c =
Gas Piping Outlet' minimum -1 00 ;c =
Rough Openings 1.50 :< _
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. 5prinklef " home under const. 3.00 =
Alterations " to existing 20.00 = 2 c?, 00
Water Tum Around 20.00
STATE SURCHARGE
TOTAL
.50
20, 50
SITE ADDRESS: *ZC8 9 CNFNt?L IAfl L.f,?.
OWNER NAME: STEP}}?N ?c C{?( L, W?LL?G?
INSTALLER NAME: -FLLlmi3[Iyat ?Cf ,
STREETADDRESS: 20 g'c) r-- LI W LKI
CITY: _r--P41 Ng STATE: M k ZIP: rDFD Z-2
PHONE#:(?IZ ) ??I^'QlI oI ? \ •
?
Use BLUE or BLACK Ink
r
For Office Use
Permit ✓ j
City of Eapn I Permit Fee: 1
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 'a Q Site Address: prN C~ Unit
Name: Phone:
~p
Resident/
Owner j Address / City I Zip: ?Z_-~m
i
Applicant is: Owner Contractor
Type of Work Description of work:F~ Fin 1 v~ l~'lJ_
1
Construction Cost: , Multi-Family Building: (Yes / No
Company: _/X t~~ } G «SSrC~ Contact:
Contractor Address: ej :Y: 160/-- ydj~~ cit :
s
t State: - Zip: ~i Phone:
License Lead Certificate
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: 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
conclude that they 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.goopherstateonecall.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.
Exterior wo authorized by a building permit issued in accordance with the Minnesota ate Building Code must be completed within 180
days of pe it issuance.
x x
Ap nt's Printed Nam A c nt's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129389
Date Issued:02/05/2015
Permit Category:ePermit
Site Address: 2089 Carnelian Lane
Lot:27 Block: 8 Addition: Cedar Grove 3rd
PID:10-16702-08-270
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.
Applicant: Troy Good
3670 Dodd Rd
Eagan, MN 55123
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 -
Nathan J Miller
2089 Carnelian Lane
Eagan MN 55122
(612) 839-1542
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
ll
For Office Use
0 I
fly Q�yWA ? �a' E
i Ar n
A s I flECEJVEfl
I 'I SAN O Dale Received:
t,l
t;, ,i 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 3 2020
ij' , (651)675-56751 TDD: (651)454-8535 1 FAX: (651)675-56 Staff:
rrit
buildinginspeclions(ilcityofeagan.com
1'' I 1 .
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /a//91/9 Site Address: a $C �-, 062-(Cit./i L-
�
Tenant:
��/L /o/, ,.�(5 Sulte f1:
1 . Name: Phone: '
R'esldelitUOwner,
I 1as+
1 ' i `rd
r' Address/City/Zip:
SII' .... ..
Name: MILBERT COMPANY dba CULLIGAN WATER
License tl: WC641376
(•j I
rI ; Address: 1801 50TH STREET EAST City; INVER GROVE HEIGHTS
;II, Contractor Y .
i� • State: _Iva .Zip: •__55077 Phone: 651-451-2241
V,I Contact: BILL MILBERT Email: glona.abas@culligan4water.com
1;1'?f • New Replacement Repair Rebuild Modify Space M Work in R,O,W.
Type;of.Wokk .
I or
•
. _Doscriptli_o..n. of work:
_ __..._._..._ _.. ...._. —:.__.._..._
, j
r ;i'i Water Heater
it •
Lawn Irrigation.( RPZ/ PVB)
iilf x Water Softener
I t1 Add Plumbing Fixtures (_Main/_Lower Level).
Doscrljptlon _^Septic System •
Description:
_New
I' ;,'
Abandonment Connection to City Water from Well
RESIDENTIAL FEES
il' $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
I. ', $60.00 Lawn Irrigation (includes State Surcharge)
i $60.00 New fixtures, adding or removing piping (includes State Surcharge)
i' $60.00 Septic System Abandonment
1= $100.00 New Residential (fee collected with Building Permit)
6'ii'
ii $115.00 New Septic System (includes County fee and State Surcharge)
ill' $60.00 Connecting to City Water from Well + $290 for Meter and $190 for Radio Read $540
iiiAi `ewer&Water Permit also required for connection charges
,: i
TOTAL FEES $ 60.00
r CALL QFFORE YOU DIG. Call Gopher Stale Ono Call al(G51)454.0002 for protection against underground utility damage. Call 48 hours bre you
1';r, ,niend to dig to receive locales of underground utilities. www.gopherslateonecall.orq
,i You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City'e
I wobsito at www.cilyo(oagen.com/subscribe.
r it I hereby acknowledge that this information is complete and accurate; that the work will be in conformance Wilh the ordinances and codes of the City of
r, Ili Lagan: Thal I understand this Is not a perm ii, but only an application for a permit, and work is not to,start without a permit; hat the work will be in
`
;i, a-corda ce ii the approved pi n the c of work v rich requires<t.review and approval of pians.
i
N Applicant's>licant's Printed Name
�,;;,i` I I Ap cant's Signature
t,�;is
Page 1 Of-.2
1, ;',
3.
fi:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166249
Date Issued:12/22/2020
Permit Category:ePermit
Site Address: 2089 Carnelian Lane
Lot:27 Block: 8 Addition: Cedar Grove 3rd
PID:10-16702-08-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Ashley Holmes
2089 Carnelian Ln
Eagan MN 55122
(612) 226-1119
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA168069
Date Issued:04/08/2021
Permit Category:ePermit
Site Address: 2089 Carnelian Lane
Lot:27 Block: 8 Addition: Cedar Grove 3rd
PID:10-16702-08-270
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Ashley Holmes
2089 Carnelian Ln
Eagan MN 55122
(612) 226-1119
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature