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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 , T,,,;,,11IV• ��, „A;,, "''`�" ' `'` ' i Sophy 9 612-385-1180 , ,,, , ,�,,,,4p,,, ,; ,,,,,, Tim So h Bergemann , ',, ,,v ,, v�`��p Name: Phone; ��;;\',' -1411' 14 4`v' ,H; owne ,f(„ Address City Zip:fl, 2042 Carnelian Lane, Eagan, MN 55122 i�w 1���,iii,,,",, is tN��, �v vvPvv111vp �v,Q�,, (;-(-.D h v�i,d t � ,1, i',,, Applicant is: _�Owner ��Contractor tp,C �'�rw�+�r��y�� 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 ,,i � „ ,d; 'r,,,,,,, Company: Contact: ,,i ``''' v ' ' "`'''�'" v� 14690 Galaxie Ave Address: City: Apple Valley ''" raetor ,` C 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