1871 Carnelian Lane
Use BLUE or BLACK Ink
IFor ')ffi Us
~ce ~ I
I I
1
City of NOR I Permit
I
Permit Fee: I
3830 Pilot Knob Road I l
Eagan MN 55122 [ V F I Date Received:
tz I
I
Phone: (651) 675-5675 i stagy:
Fax: (651) 675-5694 h
INFLOW & INFILTRATION PERMIT APPLICATION
✓ Plumbing I Sewer & Water
Date: 7-/;--Zoil Site Address: 011 C~sl~✓E~rl3~- ~E
Tenant: Suite
-SQL
RESIDENT / OWNER Name: ,&)a -:s E "1 Phone: 6-<1-666
Address / City / Zip: ?t C4 -Ir./ 462n. e,
Name: License
CONTRACTOR Address: City:
TM.,
State: Zip: - Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
.01
Z/ Other: S C'00a*'H C,d~ c- Other:
DESCRIPTION Description of work: Api-n-C.6 K PeWE. ;,y rTY> P01 :t ADD ~`/r~,J
FEES o
$55.00 / Each (includes $5.00 State Surcharge) (Rev. 6-30-10) TOTAL 9M $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit UI 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 (661) 464-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.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.
x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
CITY OF EAGAN
9795 Pilo Knob Road Eagan, MN 5518 N? 7481
" PHONE% 454.5100 •~/G c~
BUILDING PERMIT Receipt # b
To be wed for PORCH Est. Value $3,200 Date September 2 _ 19 82
Site Address 1871 Carnelian Lane Erect Occupancy
Lot 1 Block 1 Sec/Sub.Cedar Grove 7th Alter ❑ Zoning
Porcel # 10 16706 010 Ol Repair ❑ Fire Zone
Enlarge ❑ Type of Const.
W Name Joe Merlo Move ❑ # Stories
Address 1871 Carnelian Iane Demolish ❑ Length 12
C; Eaoan 55122 Phone 454-3317 Grade ❑ Depth 14 Sq. Ft._
o Name Ralph Hanson Approvals Fees
ou Address 14901 Charleston Ave. Assessment Permit 94.50
u1- City Rosemount Phone 423-2009 Water 8 Sew. Surcharge 2.00
F Police Plan check
uW Nome
F W Fire SAC
X3 Address Erg. Water Conn.
< 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 compI with oil applicable APC Total $46.50
State of Minnesota Stotutes f Eag n Ordinances.
Signature of Permittee
A Building Permit is issued to: Ralph Hannon an the express condition then
all work shat] be done in accordance with all ppliwble St f Mi o~St es and City of Eagan Ordinances.
Building Official l1Lk !
stiff Pian QTY OF EAGAN Include 2 sets of plans,
Cow<<'~ II site plan w/elevations &
PER= APPLICATION 1 set of energy calculations.
,c
TO Be Used For Valuation ~jC • Date Au
Site Address OFFICE USE. ONLY
Lot Block ( sec./sub. C G ~h Erect X Occupancy
Parcel l U I (9-10 u 010 01 Auer Zoning
Repair Fire Zone
Owner: Enlarge _ Type of Const.
Address: rnez , p di . Doge # Stories
r Demolish Front ! ft.
City/Zip Code: J ' Grade Depth ft.
Phone 3 FEES
APPROVALS
Contractor: r ti Assessments Permit 4, -,o
7Address: Water/Sewer Surcharge .2 taco
i' 11 Police Plan Check
City/Zip Code: cr Fire SAG
Eng. Water Conn.
Phone Planner Water Meter
Council Road Unit
Arch. / = Bldg. Off.
Address: APC
City/Zip Code:
Phone TOTAL ' `a O
cw
TO-:.N OF EAGAN
3795 Pilot Knob i:oad
Eagan, Minnesota 55121
PERMIT NO. 221
The Board of Supervisors hereby grants to Cedar Grove Construction Co.
of 7343 Concord Blvd. E., South St. Paul 55075
a HEATING Permit for: (Owner) same
Carne L 7az1, 4031 ce Lane ga e, a ian one, 4054 Pum-
ice-Lane,- Jade Lane, "Its35 Jade. Lane, 0 imonii e Lane, U Carne ian Lane,
at )`~^8alite L;~c 1'm5 pursuant to application dated
6/27/72
Pee Paid: $220.00 Dated this 3rd day of ` UY , 1972
5.50 S /c
Building Inspector
~0
is /(v7hw C~%C~ o/
TUN OF EACFN
3795 Pilot Knob :_oad
Eagan, hinne::ota 55121
PERMIT NO. 234
The Board of Supervisors hereby grants to Cedar Grove Construction'Co: :
of 7343 Concord Blvd. E., South St. Paal 55075,
a PLDNIDII Per mit, for: (Owner) same
4031,E c Lan pe e, ne Tan one, i~o54 Pum-
ice ane, .1 ace °.Lane,' 1 335 ' ade Line, 0 a ixnonite Lane, ~L4 Carne Tan Lane,
at 6160 Halite Lan., x. I n~5 Amioa Tana , pursuant to application dated
6/27/72
Fee Paid: $220.00 Dated this 3rd clay of .JA3y;' 1972
5-50 S/ c'
Building Inspector
i U
CITY OF EAGAN ~
3795 PIM Knob Read Eogen, MN 55122
PHONE- 454-8100
BUILDING PERMIT Receipt #
To be wed for Est. Value Date 19
Site Address Erect
❑ Occupancy
Lot Block Sec/Sub. Alter ❑ Zoning
Parcel # Repair ❑ Fire Zone
Enlarge ❑ Type of Const.
ix Name
MOVE ❑ # Stories
W
Address ' Demolish ❑ Length
b city Phone Grade ❑ Depth Sq. Ft.
o Name Approvals Fees
uU Address Assessment Permit
~ City Phone Water & Sew. Surcharge
F Police Plan check
Name
F w Fire SAC
u5 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 APC Total
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Pennittee
A Building Permit Is issued to: 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
Permit No. Permit Holder Misc. Permit No. Holder
mbing
FH.VJLM
well
Water
Disp.
Sever
Electric
Inspection Date Insp. Other
Footings
Foundation
Framing
til>c
Rough Plbg.
Rough HVA
Insulation
Final Plbg.
Final HVAC
Final $ ,
Water Describe Location:
Well
Sewer
Pr. Disp.
Receipt ' 1 MECHANICAL PERMIT Permit No.
CITY OF EAGAN _
Fss `
{J Fill in numbered specee S/C'
Type or Print legibly ToL
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone f
6. Address
7. City Statej% Zip
8. Building Type: Residential ❑ Commercial ❑ Institutional O
9. Work Description: New ❑ Add'4 Alter ❑ Repair ❑
10. Describe Fuel Type
11. No. Equipment BTU - M. Ea. No. Equipment CFM
Forced Air Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond. -,:.l Mfg. - riTe~
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
- for
Rough FInspections: Date Insp. Date This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
r
CITY OF EAGAN Remarks 4VF
Addition CEDAR GROVE 07 Lot Rik 1 Parcel In 1 A706 010 Ol
Owner street 1871 Carnelian lane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 58.18 2.08 28 Paid
* SEWER LATERAL 1971 20
WATERMAIN
* WATER LATERAL 1971 1,615.00 80.75 20 Paid
WATER AREA
* STORM SEW TRK 131 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 300.00 7-3-72
PER.
SAC 260.00 A026 17- 3- 72
PARK
C54 0 RESIDENTIAL 1S
BUILDING PERMIT APPLICATION 1
CITY OF EAGAN d
3830 PILOT KNOB RD, EAGAN NIN 55122
651.681-4675
New Construction Reoutrements RemodelfReoah Reauiremerde
• 3 registered site surveys showing sq. R. of b6 sq. fl. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • l set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicate If home served by septic system for additions
• 3 copies of Tree Preservation Plan r lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE / /OZ VALUATION 14 90v
SITEADDRESS 1 71 /~QevWjia. Lm MULTI-FAMILY BLDG -Y -RRCN
TYPE OF WORK Rev,,at r 5 FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT MlJ S tiojav E C7t✓s-i o S
STREET ADDRES 8Y/S CITY,~~-Qau / STATE,#WZJP S l--11'1
TELEPHONE r~277V-S_ ~Z-CELL PHONE # GRJ Wq-Z~~3 FAX # ks~ ~~Y-Sy9b
PROPERTYOWNER TELEPHONE
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
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
Plumbing Contractor: _ Phone # _
Plumbing system includes: _ Water Softener Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor. "g
Mechanical system includes: _ Air Conditioning D U IS 1 Fee: $70.00
Heat Recovery System 4UG 0 2 2002
Sewer/Water Contractor. Phone #
By
I hereby acknowledge that I have read this application, state that the information is correct apd agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinar~e
Signature of Applicant
-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: NUMBER 1045
~l 1-1-7
OWNER: Address/ S-71 OaAAY1" .
PLUMBER TYPE OF PIPE
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
X
Location of Connections: Connection Charge 260.00 d 7/3/72 .
Permit Fee 10.00 pd 7/3/72
2
.50 pd Street Repairs
Total
Inspected by:
Date
Remarks:
By.
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesot
BvCbkAA
Please notify when ready for inspection and connection and before any portion
of the work is covered.
EAGAN TOWNSHIP
3795 Pilot Knob Road 7-1-7
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 7,-,-), _ Number: 876
I
Billing Name: Site Address:/ 9 -7
Omer: Billing Address Plumber.
Yh n ~-<o7s
Location of Connection Meter Size Connection Chg. Jw,U,u Pd 7/3/72
Meter No. Permit Fee 10.00 pd 7/3/72
2 s/c
.50 pa Meter Reading~_ Meter Dep.
Meter Sealed: Yea Add'l Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence xx
Multiple Ko. Units
Commercial
Industrial By:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnes ta.
By:~
Please notify the above office when ready for inspection and connection.
EAGAN TOWNSHIP
BUILDING PERMIT N° 2768
Owner t:.../.. -'m-- 5...... Eagan Township
Address (present) .....P= Town Hall
Builder A.I.-A c Date o -
Address
DESCRIPTION
Stories To Be Used F-orr-~ Front Depth Height Est. Cos! Permit Fee Remarks
~/d• /c. 30
LOCATION g,$3.o0
Street, Road or other Description of Location I Lo! Block Addition or Tract
C2l ~ .1 Irv ~c>
L
This permit does not authorise 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 PROGRES .
This is to certify, that ...-l..t .~.,2--./.vf•5,r.~.-c-_~ .......has permission to erect a_/./ -upon
the above described premise subject to the provisions of the Building Ordinance for Eagan a&pted April 11,
1955. ................................I Per
. -
Chairman of Tnwn Board - Building Inspector rt3
-8
MASTER CARD
• LOCATION~~^of~-Y ~ ~
OWNER '_~_rCfK
STRUCTURE AND
LAND USED AS e-D 1L Gad
ssued To
Permit No. Issued Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
I
SANITARY SEWER ~O yr• _
OTHER \ ~f ~b
OTHER N/
• Approved
Items (Initial) Date Remarks Distance From Well
FOOTING SEPTIC
FOUNDATION • 1 CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
♦ ? 7~ OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
02
PLUMBING 7~ ~J
WELL SANITARY SEWER
Z1 _
Violations Noted
on Back
COMMENTS:
SEVERSON,SHELDON,
DOUGHERTY & MOLENDA, P.A.
SUITE 600
7300 WEST 147TH STREET
APPLE VALLEY, MNNESOTA 55124.7580
(952) 432-3136
TELEFAX NUMBER (952) 432-3780
E-MAIL baueu@snmonsheldon.com
TO: John -r Assistant City Engineer
FROM: Robert B. Bauer, City Attorney ILY"
DATE: March 16, 2004
RE: Cedar Grove - July Storm
Project 815
Our File No. 206-19117
John,
Enclosed for the City's records in connection with the above-referenced matter, please find the
following original documents:
A. Drainage and Utility Easement between Lawrence Glerum and Patricia
Glerum and the City of Eagan dated June 25, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 1003 as Document
No. 503749 (Easement No. 931); Z/50/ B. Drainage and Utility Easement between Andrew J. Brown and Patricia
Brown and the City of Eagan dated June 20, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503751 (Easement No. 934); qn o 7 p; ,
C. Drainage and Utility Easement between Charles E. Barney and Delva
Barney and the City of Eagan dated June 15, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No.503742(EasementNo.935); yo=,r r"%
D. Drainage and Utility Easement between George L. Hunnel and Debra K.
Hunnel and the City of Eagan dated June 14, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503748 (Easement No. 936); 1~1 Pu r^ LF- tlcl,e'
E. Drainage and Utility Easement between Robert L. Saalbom and Carol
Saalbom and the City of Eagan dated June 13, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503746 (Easement No. 938); c f p lob p n p w 5 f 1 ~
F. Drainage and Utility Easement between Dennis Fischbach and Jacquelin
Fischbach and the City of Eagan dated June 13, 2001 and recorded with
the Dakota County Registrar of Titles Office on June 20, 2003 as
Document No. 503744 (Easement No. 939); LID 5a A+7 e Lc ; s Y ~ a^ L-
G. Drainage and Utility Easement between Gerald Albright, Jr. and Theresa
Albright and the City of Eagan dated June 13, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503747 (Easement No. 940); yp , / Al m~ Fl r
H. Drainage and Utility Easement between Brent A. Bartsch and Kristen K.
Bartsch and the City of Eagan dated June 12, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503745(EasementNo.941); /coo
1. Drainage and Utility Easement between Bob J. Stein and Judy A. Stein
and the City of Eagan dated June 13, 2001 and recorded with the Dakota
County Registrar of Titles Office on June 20, 2003 as Document No.
503743 (Easement No. 942); ~87i re/,'o J. Drainage and Utility Easement between David J. Ryan and Caryl A. Ryan
and the City of Eagan dated June 12, 2001 and recorded with the Dakota
County Registrar of Titles Office on June 20, 2003 as Document No.
503750 (Easement No, 943); and /976 6c(ne1,'A,V 4av`~
K. Drainage and Utility Easement between David Efteland and Brenda
Efteland and the City of Eagan dated June 25, 2001 and recorded with the
Dakota County Registrar of Titles Office on June 20, 2003 as Document
No. 503741 (Easement No. 945). Y D y o Amp +1 ~ s f
~e~.es t7r'~
~~.~uc2
2
i
N 3743
wg I~ $ 5(3
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ow U-) >
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DRAINAGE AND UTILITY EASEMENT 1*r'€ r.~ Cf t o ~g LE
THIS EASEMENT, made t 's 3 ~ay o 2001, between
BOB J. STEIN and JUDY A. STEDY lerema er refeire~ to as "Landowner"), and the CITY OF
EAGAN, a municipal corporation, organized under the laws of the State of Minnesota,
(hereinafter referred to as the "City").
WITNESSETH:
That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good
and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does
hereby grant and convey unto the City, its successors and assigns, a permanent drainage and
utility easement, over, across and under the following described premises, situated within Dakota
County, Minnesota, to-wit:
A permanent drainage and utility easement over the west 10' of
Lot 1, Block 1, Cedar Grove 7.
The grant of the foregoing permanent easement for drainage and utility purposes includes
the right of the City, its contractors, agents and servants to enter upon the premises at all
reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits and mains;
and the further right to remove trees, brush, undergrowth and other obstructions. After
completion of such construction, maintenance, repair or removal, the City shall restore the
premises to the condition in which it was found prior to the commencement of such actions, save
only for the necessary removal of trees, brush, undergrowth and other obstructions.
And the Landowner, its successors and assigns, does covenant with the City, its
successors and assigns, that it is the Landowner of the premises aforesaid and has good right to
grant and convey the easement herein to the City.
REt^EI~rFn
JAN c€03
v,JTA UUt 1, i
TREASUREA-AU 1iTOR
A.
IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as
of the day and year first above written.
BOB J. ST
JUD STEIN
STATE OF MINNESOTA)
)ss.
COUNTY OF)
The foregoing instrument was acknowledged before me this ~3A\A day of
~d 2001, by BOB J. STEIN and JUDY A. STEIN, husband and wife.
-f
Notar Public
ILENOTARY gJgI,iC_MIMIE$pgq
APPROVED AS TO FORM: MvcoMMissioN Ex~aEs
JANUARY 37, 2~5
City Attorney's Office
Dated:/ice ly /
NT:
APPROVED AS TO CONT
i~
ublic Works Department
Dated:
THIS INSTRUMENT WAS DRAFTED BY:
SEVERSON, SHELDON, DOUGHERTY &
MOLENDA, P.A.
7300 West 147th Street, Suite 600
Apple Valley MN 55124
(952) 432-3136
(Easement 14942)
(206 - 19117)
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA099866
Date Issued: 06/29/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 1871 Carnelian Lane
Lot: I Block: I Addition: Cedar Grove 7th
PID: 10-16706-01-010
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions 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 $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Haled Comfort Systems Bob J Stein
122 West 3rd St 1871 Cm-nelian Lurie
Hastings NIN 55033 Eagan NIN 55122
(651) 437-0338
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r
For Office Use 1
I ~j 1
Permit I J~
City of EaWin a~
Permit Fee. l I
3830 Pilot Knob Road 1 I
Eagan MN 55122 Date Received: 1
I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: 1
I I
2014 L1RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: _ CQ~i~el t ~V\ Unit
Name: &Db S~iC t Y1 Phone: j26-1-;Qb-
Resident/
Owner Address/ City /Zip:
a✓'Vl ,•r c~ Z. ril
Applicant is: Owner -R- Contractor
Description of work: ky VroC 4 /S t~ =L i to%.%
Type of Work
Construction Cost: DDU Multi-Family Building: (Yes / No 21
e ,
Company: ~t V\ I ry iK% ~ 0 , ~ontact: G.Y-1
Address: f 13 ~(,o Qf- 6(-G 1~vim-, City: ltd J` k~t
Contractor L `
State: OAO ~ Zip: 5-5- 3_702 Phone:
'9(4
WLicense C(
i~~ t 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?
I
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: `
Phone:
Sewer & Water Contractor: Phone: i
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.oopherstateonecall.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 work authorized by a building permit issued in accordance with the Minnesot State Building Code must be co pleted within 180
days of permit issuance.
c I' 4",4 ~ )
X_ A Applicants Printed Name App icant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA144523
Date Issued:07/31/2017
Permit Category:ePermit
Site Address: 1871 Carnelian Lane
Lot:1 Block: 1 Addition: Cedar Grove 7th
PID:10-16706-01-010
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.
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 -
Bob J Stein
1871 Carnelian Lane
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature