2021 Carnelian Lane?lJRu-?
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: >?;?3+=t; 1
Eagan, Minnesota 55122-1897 Date Issued: /:t 4/,.)H
(612) 681-4675
SITE ADDRESS:' '
Nt'. I.i A t?! 1. ?#1141
Cr:i'aAli t?6asa.'w 9 a
APPLICANT:
I('i ta ':"; tJ t111 1' C N 0
r,l aJ 0 N
PERMIT SUBTYPE:
TYPE OF WORK:
1?#` ??;a:!s 1I• 1 C.+;N kl:"?'fi1il
Permit Holder Uate Tetephone #
PLUMBING
H VAC
Inspection Date Insp. Comments
FOOTINGS
FOUNO
FRAMING
RODFING ?
ROUGH
PLUMBING
PLBG
AIR TEST
RdUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DaMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNDucrivirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
QECK FINAL
CITY OF EAGAN Remarks c2dar Grove ACC1li1S1
Addition Cedar Grove #3 Lot 15 ?-BIk
Owner i17. ?;j ? . ` f+b)L( ( "?? ?r Street 2021 Ca.Y'riel].c1t1 Lc3,T1L'
' LF i ) v i ??YPi
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STFiEET RESTOR.
GRADI NG
5AN SEW TRUNK
# SEWER LATERAL (aE 1972 1504.00 2.16 2 Pa7.-
WATERMAIN
*WATER LATERAL 1972
WATER AREA
S74RM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
5AC .
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Owner -.--". ...... 4-.t?------ dr,)?..............
Address (Present) ...?-...---.:---(/ ...............--....
Builder
Address
N° 1447
Eagan Township
Town Hall
Date / 5' L G
/ ...._.__.... _ ?..._..._...........
D£SCRIPTION
Siories
- - To Be Used For
? Fron1 Depih Heighf
- -i -- Esi. Cost
?
- Permif Fee
-- Remarks
- -- ---
9 ?
? ? ?
l0-iY- /L- i7
! / iv f/ ? ?
LOCATION
>cation I- ?L,
? 1t-`-
C..?'19' I .2
or ira
This permii does hoi auiharise the use of slreels, roads, alleys os sidewalks nor does if give the owner or his agent
the xighilo create any sifuafion whieh is a nuisance ar whieh presenfs a hazard 'fo the heallh, safely, eonvenience and
genexal welfare So, anyone in the communily.
THIS PERMIT MLYST BE KEPT ON THE PF£MISE WHILE THE WORK IS IN PROGRE55.
This 's So cezlifp. !hal ---- C ..:.. . .--- -- -t"`..°...' CZ' .................. hasPermission !o erect a---- ,/ p.'. . ...
.
?. C'----'- --...... .... . . '`^^`_.
..up
..---'_.. on
the ebove descxibed premise subjeef !a the provisions of the Building Ordinance for Eagan Cilownship edopieril 11,
1955. 'q? cr
" /
.................... .
.__. rer ............ ...----- -- J--- -------"i - ------------`-`----- - ..--...... -
Chairman of Tnwn Board Building Inspecfor
G ,Q.
CITY Of EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
FERMIT '
PERMIT TYPE:
Permit Number:
Date Issued:
BUILbING
033661
10/14(98
SITE ADDRESS:
2021 CARNELIAN LANE
LQT: 15 BLOCKc 6
CEpAR GRQVE #3
P.S.N.: 10-16702-150-86
DESCRIPTION:
? ?,§ RERnoF
B ?oermLt T y p e S70RM DAMAGE
L??§?a?;g" .. k Type REPAIR
„??', •?,,?,"? 434 ALT. RESIDENTSAL
Ir ????' < ?.
16 v? gC??ia?'R?? mR ??? ? _
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Appli,cant - S7. I.IC. OWNER: ,
IN EX qESIGN5 ROOFING 18884400 20136587 SHAFFER THERESE
7809 SOU7MTOWN CTR #587 2021 CARNELIflN LANE
BLOOMINGTON MN 55431 EAGAN MN 55122
(612) 888-4400 (651)905-4983
.,i
APPLICANT/PERMITEE SIGNATIJRE
SUED BY SIGNATURE
'4E
?-=?- 'n-o0 6
? RESIDENTIAL
~I6-3 te BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Canstruction Reouinmenq
• 3 registereA sde surveys showing sq fl. ol iot, sq A. ol house, and all roofed areas
(20% rnazimum lol coverage allowetl)
• 2 copies of plan showing 6eam & wmdaw s¢es, poured founG tlesign, etc.)
• 1 set of Energy Calcalations
• J co0ies of Tree Preservapon Plan d lol platted after 7l1193
. Rim Jomt Oetad Optwns setection sheet (61dgs with 3 or 1e55 units)
DATE ? I?Cr /DCO
RemodeUReoair Reauiramend
. 2 copies of plan
• 1 set ot Eneryy Calculatrors; for heated adAitians
• 1 site survey far extenor addihons 8 Cecks
• InOicate d home served by septic system `or addi6ons
VALUATION
51TEADDRESS ?9 -1 Carneiiie4.,n Ill MULTI-fAMILYBIDG _Y
TYPE Of WORKTe.a.r O-PF k W-eRmi FIREPLACE(S) _ 0_
APPLICANT
STREETADDRESS ?z'iloW /i"/C//7ari.Z1 17Y, /V,
TELEPHONE # ?/•?i?3R-?/3?d CELL PHONE #
STATE
FAX # iW
PROPERTYOWNER L/ndc., dQnSe.il TELEPHONE#
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ \tI-NVl'SO"C.1 ROLr:S 7670 C:1"1'F.GURI' ! MIV\`ESO'C.1 RI:(.1•:S
(d submission type) . Residenbal Venhia6on Calegory 1 Worksheet Su6mitted • New Energy Code W orl
• Enerqy Envelope Calculafions Suhmitted
Plumbing Conhactor: __
Plumbing system includcs:
Mechanical Contractor:
Mccli.uiiral systcm includcs:
Sewer/Water Contractor:
Air Condiuoning
-- I-Ical Rccovcrq Sy-slcm
Phone #
Phone #
Fee:
ree:
I hereby acknowledge ihat I have read this application, state that ihe information is correct, and
with all applicable State of Minnesota Statutes and Cify of Eagan Ordinances.
. .?._.. _.
Signafure of Applicanf '.
OFFICE USE ONLY
_ Water Solteoer
_ Water Hea[er
No, of Bat}u
Phonc #
L.aavn Sprinklcr
No. of R.I. Baths
70, Zb
_N
_ 2
Submitted
to comply
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
, I Updated 4/02
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL
CITY OF EAGAN
OB RD - 55122 ?j
3830 PII.OT KN ?'
New Conatruction Reauirements RemodeUReoair Reouirements
? 3 registere0 site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window saes; poured (nd. tlesign; etc.) ? 2 sHe surveys (exterior additions 3 dedcs)
? 7 energy calculations ? t energy plculations tor heated additions
? 3 copies of tree preservation plan if IM platted after 717l93
required: _Yes _ No
DATE: z a-l? - 1?'X
DESCRIPTION OF WORK: Xf7
STREET ADDRESS: ?J 2- I ?CAi4.l+
LOT: ) ?;_ BLOCK: SUBD./P.I.D. #:
CONSTRUCTION COST;
'7> Ckt? ?w
t
J -e _J?
Name: Phone #: -! PROPERTY First
OWNER
Street Address: T
City ?iG?Q•fM.. State: Zip: 57
,?/?'y? i C' ,I
Company: ?/?/'/?/k? ^-'1 Phone#: gr? ` ?t
CONTRACTOR Jl'_? r'/.?-
Street Address: 7w ?IWIM ?d?l I I License # ;1-0
3
Ciry c.Ot51MA? State: VkIV Zip: 22
ARCFIITECT/
ENGINEER
StreM
CiTy
Staze:
hone #:
:egisuation #:
Sewer 8 water licensed plumber (new constructlon ony):
and lot change is requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the infortnation is
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Appliqnt: ?
OFFICE USE ONLY
Zip:
-9 ?S-
3
1-21
Penalty applies when address chang
and agree to
with alt applicabl
OCT ! 3
Certificates af Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2021 Carnelian Lane
Lot: 15 Block: 6 Addition: Cedar Grove 3rd
PID:10- 16702 - 150 -06
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Total: $90.00
Owner:
Linda L Hansen
2021 Carnelian Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
$88.50 0801.4085
$1.50 9001.2195
Building
EA088280
02/23/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119351
Date Issued:11/25/2013
Permit Category:ePermit
Site Address: 2021 Carnelian Lane
Lot:15 Block: 6 Addition: Cedar Grove 3rd
PID:10-16702-06-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Robert Antonsen
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 -
Linda L Hansen
2021 Carnelian Lane
Eagan MN 55122
Antonsen Construction Inc
411 marie Ave Ste B
South St Paul MN 55075
(651) 340-1791
Applicant/Permitee: Signature Issued By: Signature