2042 Carnelian LanePERMIT
City of Eagan Permit Type:Building
Permit Number:EA148815
Date Issued:04/23/2018
Permit Category:ePermit
Site Address: 2042 Carnelian Lane
Lot:5 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sophy Bergemann
2042 Carnelian Lane
Eagan MN 55122--283
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
I
For Office Use 1
I I
Permit#: I
City of Eapn
1 Permit Fee: ~ I
3830 Pilot Knob Road 1 I
Eagan MN 55122 cu I Date Re eived:
Phone: (651) 675-5675 1 I
I Staff:
Fax: (651) 675-5694 L -7 I
INFLOW & INFILTRATION PERMIT APPLICATI N
Plumbing / Sewer & Water
Date: 5') V;1 k Site Address: O 2 C o r r e, I; a v~ L- a Y% e
Tenant: Suite M
RESIDENT / OWNER Name: T i V-\ P_ 'r 4 e w. o\ v~ nl Phone: (•e I D - 3 S / v
Address / City / Zip: 2 o lY 2 C-n a^ h P, I L, d Y► C .
Name: 14ess;$h ►-,60 sil Serv;Lc T1,L~icense#: Q S9 S/
CONTRACTOR Address: p y '60 x a a 1 `1 City: c ~c +1
State: YI'N^y Zip: SS )a 2 Phone: S I- zz S 2
Contact: ~ ~ Vt-(- c.~ )Z Email: i ITc h e _r i n ✓J 1 r, b + ti .
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: + A c in a g i v~ Other:
Description of work: A s b g X 1 n o Y, e1 je rti p c Z
DESCRIPTION
FEES c
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ J S Oy
*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.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.
x ✓tn- c), - / +Z x :z JL-&
Applicant's Printed Name A plicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
CITY OF EAGAN ~O g~~~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt
To be used for GARs10E ADD Est. Value 2 8 0 J Date JUNE 13 19 84
2042 CARNELIAN LA
13
Site Address Erect Occupancy
I 5 4 ;1. 71W 3 171
Lot Block Sec/Sub. Alter [j Zoning
Parcel No. 10-16702-050-04 Repair ❑ Fire Zane
WALTER S LAUBY J-R Enlarge r] Type of Const.
9 Name Move ❑ # Storie
z Address SAME Demolish ❑ Length
City Phone 452-2697 Grade ❑ Depth Z2 Sq. Ft.
oo Name SAME- Approvals Fees
=u Address Assessment Permit $38.50
u~
I.- City Phone Water & Sew. Surcharge 1 .50
Police Plan check
uW Name
j W Fire SAC
U Address Eng. Water Conn.
W City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable
F? 4 0 70-9-
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee LAUBY
A Building Permit is issued to: on the express condition that
all work shall be done in accordance i h all applicable Sate of Minnesota Statutes and City of Eagan Ordinances.
Building Official - )
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Water Wall
Disp.
Sewer
Electric
Inspection Date Insp. Other
Footings
Foundation
Framing
Rough Plbg.
Rough HVAC
Insulation
Final Plbg.
Final HVAC
Final `
Water Describe Location:
Well
Sewer
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # a
To be used for DECK Est. Value $11100 Date MAY 7 19 _
Site Address 2042 CAWNET, AN TA Erect ❑ Occupancy
Lot 5 Block ; Sec/Sub. CEDAR GROW 3 Remodel ❑ Zoning
i. Repair ❑ Type of Const.
Parcel No.
Addition ❑ No. Stories
T T Move ❑ Length 20
W Name LEA-.~P;°:2 Gi►3Y ,1R Demolish ❑ Depth a(i
Address SAME a Int. Impr. ❑ Sq. Ft.
City Phone 452.-2697 Install ❑
o Name SAM Approvals Fees
Q Address Assessment Permit $19,00
~ City Phone Water & Sew. Surcharge 1-00
Police Plan Review
Z Name Fire SAC
i Address Eng. Water Conn.
a W City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that the Bldg. off. 5 4/86 Tr. PI.
information is correct and agree to comply with all applicable State of
F. Minnesota Statutes and City of Eagan Ordinances. APC Parks
Var. Date Copies
Signature of Permittee ` Total ' 20.00
A Building Permit is issued to. ti':1L'1'.t `2 3 L.!;u 4! 3 on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
I
Permit No. Permit Holder Date Telephone #
IPlumbing
IH.V.A.C.
1EJectrk
Softener
Inspection Data Insp. Comments
Footings 1 S~
Footings 11
Foundation
Framing
Rooting
Rough Plbg.
Rough Hill.
Insul.
Fireplace
Final Htg.
Final Pibg.
Bldg. Final ~j
Cert. Occ.
Deck Fig.
Deck Frmg.
Well
Pr. Disp.
I
CITY OF EAGAN Remarks , Qedar Grove Acquisition
Addition Cedar Grove #3 Lot 5 Blk Pagel 70 1b702 050 Oft
wner~1 L~ i i Street _ 20[12 CcLI"I1e11aT1 L817e State Eag~n_,MN~122
0
Improvement!! Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL
WATERMAIN
3£- WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
/J BUILDING PERMIT N9 1412
Owner ..LG.E ^ 4 p,4............... Eagan Township
Address (present) Town Hall
Builder ma-l-
Date .
Address
DESCRIPTION _
Siories To Be Used For Front Depth Heigh! Est. Cos! Permit Fee Remarks
LOCATION
Street. RoA or other Description of Location Lot Block Addition or Tract
dap ,e2 -U- 7 /V 'YZ
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 KEPT ON THE, PREMISE WHILE THE WORK IS IN PROGRESS., -
This is to certify,' that---- a...1,1:? G-..-----`-----has permission to erect a----hC..4r1 :,✓y'`^... ~~-`:-.7:.,'_ ..............upon
the above described premise subject to the provisions of the Building Ordinance for Eagah/ ownship opted April 11,
1955.
1...- .
=Z. .~..F.u.^.~-J-------......----- Per f4f~t [r li G-(s.z•Q.i
ng Inspector
C- ~
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 //-3.75
651-681-4675
Now Construction Renukamems RemodegReoah Reaukemems
• 3 registered she surveys showing sq. R of lot, sq. ft. of house; and all rooted areas 2 copies of plan
(20% maximum lot coverage allowed) l sat of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 age survey for extedoradditbns & decks
• 1 set of Energy Calculations Indicate h home served by septic system for adtlhion$
• 3 copies of Tree Preservation Plan h lot plaited after 7/1193
• Rrn Joist Detail Options selection sheet (bldgs with 3 or less units) i'
DATE VALUATION
II
SITE ADDRESS,, Caf n d~ 4 lase MULTI-FAMILY BLDG -Y X N
TYPE OFWORK6idi4o FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS ~C IS~~P<7` L2°i C1TY&W~-STATEA~,_O/ZIP
TELEPHONE # = CELL PHONE # FAX # PROPERTYOWNER JUAIIN TELEPHONE# ~SI ~6at' bldg
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
I'
i
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Y
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ fawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
it
Mechanical Contractor: Phone #
Mechanical system includes: - Air Conditioning Fee: $70.00
- Heat Recovery System I.
l
Sewer/Water Contractor: Phone #
------------------------------------------------------------------------1-----------°-------------------------------------
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 1~"^ ru✓~"r" 'P~t
..._._._.__.__.._~r..._~._.__._._._._._ OFFICE USE ONLY,
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 U906
llDING PERMIT PHONE: 454-8100 Receiptft /
BUR
(>!1
To be used for DECK Est Value $1,100 Date MAY 7 t 6
Site Address 2042 CARNELIAN LN Erect ❑ Occupancy
Lot 5 Block ----I-Sec/Sub. CEDAR GROVE 3 Remodel ❑ Zoning
Parcel No. Repair ❑ Type of Const.
Addition ❑ No. Stories
a Name WALTER S LAUBY JR Move 11 Length 20
Address SAME Demolish 11 Depth
3: int er.
o City Phone 452-2697 Install sq. F+
Approvals Fees
o Name SAME
$p Address Assessment Permit $19.00
i- City Phone Water & Sew. Surcharge 1,00
tit Police Plan Review
W W Name
Fire SAC
a Address
v Eng. Water Conn.
<w City Phone Planner Water Meter
Council Road Unit -
I hereby acknowledge that l have read this application and state thatthe Bldg. Off. 5/4/86 Tr. PI.
information is correct d agree to comply with all applicable State of
Minnesota Statutes an iry of Eag n Or finances. APC Parks
Var. Date Copies
Signature of Perm itla Total 6
A Building Permit is issu WALTER S LA B JR on the express condition that
all work shall be done in accordance with all applicab tat Minnesota lute f Eagan Ordinances.
Building Official
l l 90
1986 BUILDING PERlQT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: 4 Valuation: _ Date: -S
Site Address 'aLyG OFFICE USE ONLY
Lot Block 4 Erect Occupancy
Remodel Zoning
Parcel/Sub Repair Type of Const
Addition # of Stories
Owner Move Length
Demolish Depth
Address Int.Impr. Sq Ft
Install _
City/Zip Code i~"Qe"N
Phone APPROVALS FEES
Contractor Assessments Permit
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off Treatment P1
Arch./Engr. APC Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone #
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
r_ r
EAGAN
REVIEWED'
t
it
f F x 1S MOR.E. -r4Jb%N ?ro' ' ~!1
A rou ~ d~'
CITY OF EAGAN ~T
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 l~l ? 9171
% PHONE: 4548100
BUILDING PERMIT Receipt # p
To be osed for GARAGE ADD Est, yolue $2800 Date JUNE 13 19 84
2042 CARNELIAN LN R3
Site Address Erect Occupancy
Lot 5 Block 4 SecISub. CED GRV 3 Alter ❑ Zoning N/A
Parcel No. 10-16702-050-04 Repair ❑ Fire Zone
Enlarge ❑ Type of Con-
ac Name WALTER S LAUBY JR Move ❑ * Stories ~
3 Address SAME 452-2697 Demolish ❑ Lengthy
b City Phone Grade ❑ Depth Sq. Ft.-
z Name SAME Approvals Feet
Address Assessment Permit $38.50
City Phone Water 8 Sew. Surcharge 1.50
F Police Plan check
uw Name
Fw Fire SAC
00 Address Eng. Water Conn.
<W City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable $40.00
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit Is issued to: WALTER S. LAUBY on the express.tondition than
+a work shall be done in arm o e 'th all op icable ate f Minneaato Statutes and City of Eagan Ordinances.
CITY OF FAGAN Include sets of plans,
1 Certificate of Survey
YYY BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For e!g!g ~M. Valuati/onk&t,,~~~ Date J %a 7
Site Address OFFICE USE ONLY
Lot Block Sec. /Sub. j 4 / Erect Occupancy f( R 3
Parcel ~~Z~i~7ooZ U 5 o JAY Alter Zoning R-
Repair Fire Zone I.l A
Owner: kik. Enlarge-= Type of Const. 5L
move # Stories
-Address: d?Q;/2 ~Di i LjgnJ I4a/E
Demolish Front -7 ft.
City/Zip Code: ~i4l~I~rt~ 3s /ate Grade Depth 22 ft.
Phone 7Jv~ ~P;~' APPROVALS FEES
Assessments Permit, 3
Contractor: Water/Sewer Surcharge
Address: Police Plan Check
city/zip code: Fire SAC -
gng. Water Conn.
Phone Planner Water Meter
Council Road Unit
Arch•/g19• : Bldg. Off.
Address: APC 1
City/Zip Code. _
Phone TOTAL O
-LOr_Qe 6IVn -
-43
`
/e2d i
41
- L
J
t
RESIDENTIAL
BUILDING PERMIT APPLICATION
1 CITY OF EAGAN
3830 PILOT KNOB RD, FAGAN MN 55122
651-681.4675 I
1 1. New Construction Requirement RamdefiReaair Requirements 1
• 3 registered site surveys showing sq. ft. of IoL sq. ft of house: and all rooted areas • 2 copes of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions
2 copies of plan showing beam 8 window sizes: poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations ~I • Indicate if lame served by septic system for editions
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Dated Options selection sheet (bldgs with 3 or less units)
DATE VALUATION QUO D or
I
SITE ADDRESS '1O L/,),- C&C112 ~I I 0',I b+ MULTI-FAMILY BLDG _Y _N
TYPE OF WORK /(-e IZnnT IL FIREPLACE(S) _ 0 _ 1 _ 2
h
APPLICANT n h 1.71 w c. Li e, kn Sk r V J c,-cl'-r o le M P /S
STREET ADDRESS Jb SS (51rn° L//4 j 's- A-V-,,_-_CITY-'1h~wI. 'ATE&tLZIP I
TELEPHONE # 61.9 - 21- 3337 CELL PHONE # ~S/-~Y8 3rI S FAX #6 /2 - f.,2 a 6
I
PROPERTYOWNER S O L) A C:1 420 TELEPHONE#
._._-----1=---------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted 11
It
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
b
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning I Fee: $70.00
Heat Recovery System I
Sewer/Water Contractor: Phone #
I';-------------------------------------------------
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
OFFICF. USE ONLY JUN 1 ' 2002
Certificates of Survey Received _ Tree Preservation Plan Received _ equired _
Up aced 4/02
Pv _
SAN-14-2009 02:11P FROM: TO:6516755694 P:2/2
HOUSE HEATING TEST RECORD
ADDRESS q a (fn rQ :a^ i--Ayr._ R Om- cITY susuR8
OCCUPANT OWNER
HEAT LOSS v 1 : r! rc' DATE FrrG. INST. GAS C/O. ME ER BADGE
SOLDBY gfLsr ! ty t;r. INSTALLED BY ~"W-e'4-'C rgx,'
Elecuical Work By Gas Line By
TYPE OF HEAT GA FA k HW_ STEAM-SPACE HTR._ UNIT HTR_ OTHIA-
GAS DESIGN
Make: 101i
Model: !ter v 9sl- vti Cx
Serial:
DOIT /U C
CONTROLS
THERMOSTAT Heat Plug Vent Size a? ~Y~ l t
Valve KIND OF LINER SIZ6-Nt)NE_
Limit Draft Head err- Reg iSDOY
Limit Setting Filters Size/tk7f Number
Fan Settings ; .w Chimney Location Inside I' Outride
Pilot Type A f i cwmney coumwc iuu 6~g
Pilot Malm
ag_7
Pilot Model Smoke Bomb Wiz,
Pilot 7imine Draft Test Tap _ T
Limit Cut OffDoor Pressure Lim Ins.
Pressme 3- _LPercent Coe b. % Date Tested / !b dr
Input CFH Percent 02 7- y Company T 21 c t J r
Stock Temp-Lal Percent Co-:U Name of ToSer 'fie F i to
HOUSE HEATIlVG TEST RECORD
ADDRESS APT._ FLOOR_ CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. GAS CO. METER BADGE
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FAQ HW_,,,_ STEAM-SPACE HTR.--- UNIT FTIR.- OTHER
GAS DESIGN
Make:
Model:
Serial:
INPUT
CONTROLS
THERMOSTAT Heat Plug vent size
Valvc KIND OF LINER SIZE NONE_
Limit Draft Head Regulasar
Limit Setting Filters Size Number
Fan Setting Chimney Location Inside Outside
Pilot 'Iy jie Chimney Construction
Pilot Malec
Pilot Model Smoke Ramb Wiring
pilot Timitrg Draft Test Tag
Limit Cut Off Door Pressure I ighting Inst.
Pressure Percetrt Cot Date Tested
Inpnt CPH Percent 02 Company Testing
Stock Temp Percent CO Name of Tester
CITY USE ONLY
L S BL RECEIPT 1 cDi ay/
" i a l
SUBD. C_eAur LY'01IP RECEIPTDATE: 1.6-00
, PERMIT# X37
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675'
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished • requires MPC Iic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installabon/repair/rebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling Is under construction "3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet '3.00 x = $
Water heater "100 x = $ 30-&z
Water softener if dwelling under construction ,5.00 x = $
Water softener If existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 $ .50
Total $ 0.50
Reminder. Call for Inspections of alterations, i.e. water heaters, water softeners, etc.
Ihereby~ icimowled aihiiihsveiead Nis'--Iication, state that the iMoenetion is coriec[,amd agree to como com--ply--- with all -------applicable City City of Eagan ann orth ordi.-----nances.
g epp .
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintgnanm aciWitom to the facilities der this permit within City property/right-of-way/easement.
DUERSCHMIDT, LOREE
SITE ADDRESS: 2042 CAROELIAN LANE
EAGAN, MN 55122
OWNER NAME:: (651) 686-8142 TELEPHONE
(AREA CODE)
INSTALLER NAME: TELEPHONE #
1i (AREA CODE)
PLUMBING STREET ADDRESS: (612) 827-4033
CITY: (vo9tbNEA QLIS~ 6 408 i ST' ZIP:
SI RE OF PERMITTEE
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA081649
Eagan, MN 55122 . Date Issued: 01/09/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 2042 Carnelian Lane
Lot: 5 Block: 4 Addition: Cedar Grove 3rd
PID 10-16702-050-04
Use
Description:
Sub Type: e - Furnace
Work Type: Replace
Description: Furnace
Comments: Expired Permit - Closed w/o Required Inspections. Letter sent. 12/10/2008 pf
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Practical Systems Sophy Bergemann
4342B Shady Oak Rd 2042 Camehan Lane
Hopkins MN 55343 Eagan MN 55122-2831
(952) 933-1868
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: EA106980
Date Issued: 09/19/2012
of 3 a R Permit Category: ePermit
Site Address: 2042 Carnelian Lane
Lot: 5 Block: 4 Addition: Cedar Grove 3rd
PID: 10-16702-04-050
Use:
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
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:
Window Store Home Improvements Sophy Bergemann
2924 Anthony Lane #115 2042 Carnelian Lane
St Anthony MN 55418 Eagan MN 55122--283
(763) 746-8960
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
T
PJ t Akipl, c,,t,t , Use BLUE or BLACK ink
RECEIVED For Office use G.
1•}} Eatali
Permit#: 1 13 dLD 1
i MAY 2 61017 Perrnlt Fee: ID-. Cal
3830 PI of Knob Road 5
Eagan N 55122 Date Received: .L26-/7
Phone;(651)675.5676
Fax:(• 1)675.6694 Start:
'Ff CC G oi
2017 RESIDENTIAL BUILDING PERMIT APPLICATION G 1
Date:
05/261'017 Slte Addreee: 2042 Carnelian Lane
Unit*: ten
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"''`�" ' `'` ' i Sophy 9 612-385-1180
, ,,, , ,�,,,,4p,,, ,; ,,,,,, Tim So h Bergemann
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,H; owne ,f(„ Address City Zip:fl, 2042 Carnelian Lane, Eagan, MN 55122
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h v�i,d t � ,1, i',,, Applicant is: _�Owner ��Contractor
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v'` ', ', Doscription of work: Bath remod/alt see site plan for details
iv ��' v" ,�Rv,����°,, Construction Cost: 4000X
�"1 1"*:*i� 'i Multi-Family Building; (Yes_/No )
� ' Great Lakes Window & SidingDerek
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``''' v ' ' "`'''�'" v� 14690 Galaxie Ave
Address: City:
Apple Valley
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MN 55124 952-891-3400 derek.glwsco@gmail.com
'' , `, ,,,,,1,',Q,), State: Zip: Phone' Email
' v , ,, �?, ' BC060427 NAT-23297-2
f ,v , , ,;�,,1; ,v1 License#: Lead Certificate#:
If the project is =xempt from lead certification,please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 m nth.,has the City of Eagan Issued a permit for a similar plan based on a master plan?
Yes o If yes,date and address of master plan:
Licensed Plum,er: Phone:
Mechanical Con rector: Phone:
Sewer&Water i ontractor: Phone:
Fire Supprosslo Contractor: Phone;
NOTE•Meiji and supporting documents that you submit areconsidered;to be public .lfifomnetIon Po lfon.S of •'
the informs on may,be classified. as nonpublic if you provide specs is reason.s that'would mann the City.to
00,;;i,,w,�y;,,.,.,, ,;.th .,,..:;, ,�;,..,, .,..,•,:..a,.,,. •concludte:lhat�the�r�8retred41;88 r1864,w `44;.r:t:,,,....• . .,•...... `rt�y k••' ' S 01ii ,I
�p 3yt.,a.� ••,,440,,,:,�d;A�;' �,. �5�"�;cri`�.am;r,�:�t�R'o�� wN
CALL BEFORE YOU DIG. Call Gopher State One Call at(661)454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locales of underground utilitiesyr ww.aooherstateonecaILoro
I hereby acknowted:e 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 underland 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 appruveed plan in the case of work welch requires a review and approval or plane.
Exterior work ouch rized by a building permit issued In accordance with the Minnesota State 8uiiding C at be completed within 180
days of permit lea i e.
X (?(j)' 1.04. otAlI ei' x
Applicant's P ' 'ame Applicant's n tuna
Page 1 of 3
£/Z'd i,69SSL9TS9:01 0S2t7I682S6 00SM19:l4Odd Ltt:OT LT02-92-At L4
- - DO NOT WRITE BELOW THIS LINE I q3D6i'
SUB TYPES 9(1)L1), La r'"`9- ` G,-, [..`"-LQ_
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
4,,' ,,Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
—7' 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 9.40 ,9Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100% ) Zoning 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/No C.O. Required
Foundation Foundation Before Backfill 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
XInsulation 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: 1 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Reviewp
MCES SAC ��4 J`.../
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant tillfi - ` ,
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143511
Date Issued:06/19/2017
Permit Category:ePermit
Site Address: 2042 Carnelian Lane
Lot:5 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-050
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 -
Sophy Bergemann
2042 Carnelian Lane
Eagan MN 55122--283
Kmj Plumbing Inc
16255 Foliage Avenue
Rosemount MN 55068
(651) 442-1245
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157627
Date Issued:08/30/2019
Permit Category:ePermit
Site Address: 2042 Carnelian Lane
Lot:5 Block: 4 Addition: Cedar Grove 3rd
PID:10-16702-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Sophy Bergemann
2042 Carnelian Lane
Eagan MN 55122--283
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature