2078 Carnelian LaneCITY 4F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
_?.-.--?...,...
JSPECTION RECORD
PERMIT TYPE:
- Permit Number:
Date Issued:
111 f N r.i
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SITE ADDRESS' ' . ' ?, . ' 9 w, , h? , : Y, n
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PERMIT SUBTYPE:
. rf-j! ,? i
W i.) E l t° 7 114 I,
APPLICANT:
?, ?. # .• ) ?ar:.,?' ?,??!!.,
TYPE OF WORK:
,;i ?. t! a :ri#I
IiI at?il
Hi E'Arrr
( }r(1(1( l
Permit No. Pertnit Holder Data Telephone ?k
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AfR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
B5MT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN Remarks Cedar Grove Aequisitian
Addition Cedar Grove #3 Lot $ Bik 5
Owne r DfIY l(,-43P- [ujt.f' w-?Fp y?1 Street 2078 G' arI1211 aI1 I,2.1'J.@ State-
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRAbING
SAA1 SEW TRUNK
SEWER LATERAL 1972 130-00 2.1 ? Pa1d
WATERMAIN
WATER LATERAL 972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex ?--- " ---_i....?.:
Address (Presen!) ..:.,4<a...... '..E?...K"'We _"""'---""--"""""-'
Builder __....
Address .....
DESCRIPTION
N° 1262
Eagan Township
Towa Hall
Da3e
......... .....................
Sioziesi ' To Be Used Fo= Froni Depih Heigh! Esl. Cos! Permi! Fee Aama[!u
I I • S ? ? O ? I
LOCATIOIQ
_ b:ree:, xoaa o: oiner i7escripiion of Locafion I Lo! Bloek Additioa or Tsaci -
-r, • ? ? r ? ? 7 _ ; _ s. I ? J` ?c..t-.?,. .?. 3
This permit does not aufhorise the use of sireefs, roads, alleps or sidewalks aoz does it give the owaer or Lis ageni
the right fo create anp siiuation whieh is a nuiaance ox which presenla a haaard !o the healt6, safelp, eonvenieaae and
general meliare !o anpone in the CommuniSy. '
THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESB. ?
This is fo ceriifp. fhaf..C4.C............ bas permissioa !o erect a??: ..upon
- ....... ........."-' ---....
the above dcseribed premise suLjeet fo the provSsions of the Building Ordinance for Eagan nship adop d April 11.
1955
..----- ...............y.•••?=-`?^...... ........ .. .'- ................ Par .................. - -- • .4.4 - ---_?.a---_
' '-"'..."'_
Chairman o Tnwn Soard ? Buildirig Inspeelor
?- ?B.
CITibF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
?
BUILDING
026695
08/27J96
SITE ADDRESS:
2078 CARNELIAN LHNE
LOT: 8 BLOCK: &
CEDAR GRqVE #3
p.I.N.: 10-16702-080-05
DESCRIPTION:
(aooFarea)
Permit Type SF (MISC.)
?prk Type REPAIR
Cfitl-- 434 ALT. RESIDENTTAL
EI!C°
il?w?? :`Ni i?la!C Yg? ¶3
?I9I° :IR! ???ain Bleiet'•
I3.?iti?i+ m _ni
AN 1,-I?
vlAHia. e??. •
m? ?.
REMARKS:
,
? ,-
FEE SUMMARY:
VALUATION $1,400 6ase Fee $45.75
Surcharge .70
Total Fee $46.45
CONTRACTOR:
APPLICANT/PERMITEE SIGNATURE
OWNER: - Applicant -
RUCKMAN DARLENE
2078 CARNELIAN LN
EAGAN MN 55122
(612)452^3205
VED IG TURE r?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
996 BUILDING PEi2MIT APPLiCATION (RESIDENTIAL)
681-46T5
New Conslrudion Reauirements RemodellReoair Reauiremenl s
? 3 regislered site surveys ? 2 copies oi plan
? 2 copies of plans (include beam & window sizes; poured ind. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy ealculationa ? 1 energy wlculations foi heated addilions
? 3 eoDiea of tree preservation plan H lot plaHed after 7I1193
required: Yes
?? ? I No
CONSTRUCTION COST
e
DATE: p :
DESCRiPTION OF WORK:
STREET ADDRESS: a 07 <9 LVn??? "Yu-
? B
K /P
I
D
#
`-''""
J'r SUBD
LOC
LOT .
.
.
:
.
PROPERTY
RQcKmA?) -DIAVZI-4.tOL
Name:
Phone#:
OVIINER ' u.1 nnST
Street Address, a-D? $ C OlY IJ EL 1AN
L. kl N E.
City: State: N Zip: 55 11 Z?
coNTRACroR Company: Phone #:C..a?
Street Address: License #:
City: State: Zip:
ARCHITECTf Company: 'N IA Phone #:
ENGINEER
Name: Registration #:
Street Address:
City:
Sewer 8 water licensed plumber:
change are requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wifh aN
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
State:
Penalty applies when address change and lot
Zip:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes
Na
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
??.:? ?`*' •.? 40,a?.
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscelianeous
? 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq, ft.
sq, ft.
sq. ft.
Footprint sq. R.
Building
Engineering
MC/WS System
City Water
Fire 5prinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
, MAKE CHECK PAYABLE TO: Home Energy Center
ADDRESS: 15200 25th Avenue North #128
? Plymout6, MN 55447
LOCATION: 2078 Carnelian Lane P.I.D./LEGAL: Lt 8 BI S Cedar Grove #3
RECEIPT #lDATE: 122438/1-19-2000 VALUATION:
REASON FOR REFUND: Homeowner Cancelled PERMIT #: 39356
TYPE OF REFiJND: Electrica] Pemiit 3211-9001
Plumbing Pemiit 3212-9001
Mechanical Pemrit 3213-9001
Building Pemvt Fee 3210-9001
Plan Review Fee 3422-9001
SAC (MC/WS) 2275-9220
SAC (City) 3866-9379
SAC (Admin) 3446-9001
Water Connection 3865-9220
Sewer Pemiit 3743-9220
W ater Pemiit 3713-9220
Account Deposit 2252-9220
W ater Meter 3716-9220
Water Treahnent 3868-9220
Surcharge 2155-9001
Utility Acet Ove:payment 2250-9220
Curb Box Deposit Refund 2253-9220
Construction Meter Dep Refund 2254-9220
Water Usage Charge 3711-9220
Other
$ 30.00
$
$
$
$ .50
$
TOTAL $ 30.50
I declare under the penalties of law that this account, claim, or demand is just and that no pan of it has been paid.
? MA a4?.L.,
?. -
SIGNATURE O0
7anuary 25, 2000
DATE
HOME ENERGY CENTER
HEArnvc & ,vR cownmormvs
J'epoh?y, 6, 000 (9(Vl
15200 25th AVEIVUE NO., SUITE 128 • PLYMOU7'H, MN 55447 •(612) 476-1990 • FAX 476-1143
January 20, 2000
City of Eagan
3830 Pilot Knob Road
Eagan MiV 55122
To Whom It May Concern:
Enclosed is a pernvt that was taken out. The customer cancelled their order with us. Could you
please issue a refund? Thank you
Diane Moyer
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
-)S
OV
NewConsWctionReauirements , RemodeUReoairReauirements Offce UseOnlv
3 registared site surveys showing sq. ft of lot sq. %. of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd
(20% macimum bt coverage allaved) 7 set of Eneqy CakuWtlons for heated addNons Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 7 site survey for additbns 8 decks _ Tree Pres Not Reqd
1 set of Energy Calculations Addfion - iiMkate Nonstte sepGb sysfem _ Onaite Septic System
3 copies of Tree Presenation Plan if lol platted aRer 711193
Rim Joist Detail Optlons selection sheet (bklgs wilh 3 or less unils
Date 'l d
Site Address ,2 02g L!?? /? ?.?l.n
'll ?-/
0 d
Construction Cost
9--- UniUSte #
Description of Work
/R-
Property Owner Telephone #(oT7 Wi?G--;! S`
<
Contractor
Address /771 s- /? Z-z /?U? /?
State Zip City ? at 1 ti
Telephone #
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
pr.
- Minnesota Rules 7670 CateeorvM innesota Rules 7672
Energy Code Category,l . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(4 submisslontype) Submiked ?,_? ?r•,? c Submitted
. Energy Envelope Calculations Submitted" " Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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
appro s.
?
:77
licant's Printed Name
App
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
16-OL11?_
?-----------------
i _pr oTTi? use i
j Permi[N: I 1 ? j
? cio I
? Permit Fee:
? Date Received: j
? I
1 Staff: I
i
---------------- J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S-l' -0?r Site Address: 00 77 8? C (l /y_??e 1 tio,v1 O?) 49 _
Tenant: E:r,4/" 1'PY1 a _ T? i .CrJ! VYl L] v:1 Suite #:
RESIDENT / OWNER Name: Phone:
Address / Ciry / Zip:
Applicant is: _ Owner 7r V Contractor
TYPE OF WORK Description of work: F>
Construction Cost: Multi-Family Building: (Yes _/ No _)
CONTRACTOR Name: 7 7"=? License #:? oZLpaP li
Address: ? qt al a
City. ? jDi, (1 ye _ StatehZ r, Zip: q
J
Pho _ -2Contact Person`\?_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
C8t@gOry Submitted Submitted
(4 submissiOn type) • Energy Envelope Calculations Submitted
In the last 12 months, hes the City of Eagan Issued a pertnit ior 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 consldered,to,;be pubJic in/ormation. Portions of
the information riiay be GassfNed as non-putilic if you provide specitic reasons that would permit the City to i
i? conclude that the are frade secrets. ?':^
I hare6y acknowledge that this informffiion is complete and accurate; that the work will be in conformance with the ordinances and codes of the Gty ot
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; ihat the work will be in
accordance with the approved plan in the case of vrork which requires a review and approval of plans.
A c Ys ame Applicant's Si?atu e
Page 1 of 3
CITY USE ONLY
LOT ? BL S? PERMIT #:
SUBD. _-s.ZSL_Q1. 1rCJ " -CRECEIPT #:
RECEIPT DATE:
1aau
2000 MECHANICAL PERMIT (RESIDENTIAL)
cxxr, os sarnrr
V? 3830 PIIAT PINOH RD
EAGAN 2Mt 55122
1 _ /D ? ?? 651-681-4675
Dste• [
Complete this secdon on if you are installing HVAC in a single family dwelling, townhome or condo under
constrvction and not ownedoccunied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30:00
6.00
.50
$
Complete this section onlv if you are remodelin¢, addine to, or repairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration _ Repair Other
Fumace
_ Au exchanger
Reminder: Call for inspections
sITE ADDRESS: '3 o -1 R (-G v0 e 1'
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
PHONE #: (O S I -q S Z- 3 2-0S
REA CODE)
PHONE #:(A [O l Z C?
(AREA CODE) ,
STATE:
? Air wnditioning
Other
Fee $ 30:00
State Surcharge .50
Total $ 30.50
66N7
SIGNATURE OF PERMITTEE
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116919
Date Issued:10/14/2013
Permit Category:ePermit
Site Address: 2078 Carnelian Lane
Lot:8 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-080
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 .
Audrey Flattum
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 -
Darlene Ruckman
2078 Carnelian Lane
Eagan MN 55122
(651) 452-3205
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143699
Date Issued:06/23/2017
Permit Category:ePermit
Site Address: 2078 Carnelian Lane
Lot:8 Block: 5 Addition: Cedar Grove 3rd
PID:10-16702-05-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Darlene Ruckman
2078 Carnelian Lane
Eagan MN 55122
(651) 452-3205
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature