2116 Carnelian Lane
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CITY OF EAGAN , +??
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MM 55121 201?,J i
PHONE: 681-4675 -- `
BUILDING PERMIT
R Receipt # '
ESIDEAITIAL
To be used for AL'TERATION Est. Value : S• SM
Date FEa 21
Site Address 2116 CAR1iELIAN Lr1
CEDAR f:RGVE 3RD
S Bl
k 2 S
/S
b
OFFICE US
E ONLY
.
Lot
oc
ec
u FEES
P3fCel NQ. Occupancy -
8
Zonin 1.00
Bldg. Pemtt
NBme DItL.ANDO tiAVLICEIC g
(,4ctuapconst -
Sudharge 3.00
W ?d? 2116 CARRBLIAN LN (Albwable) _ Plan Review ?
? ??H ?
C?y ZP ? of 5lories -
Len
lh ?m 5.00
p
phone 452-82 S7 g
-
oePm -
snc, cay
cc N2171e TVIN CITY STORH SASH S.F. TWaI - SAC, MCWCC •?
0
?r? 10825 CREEiiSHIEIi RD S.F. Footprints
on s??e Sewa
e
water Conn
'
C4 MYNlqE1bli1CA MIi Zjp 55345 _
g
pn Site Weil Water Meter `
? P?ne 546-8140 =
MwCC system qcct. peposit
p
V
V? # 4W30% City Water -
PRV Required _
SMf Permil
I hereby acknowiege tha! I have read this application and state that the Booster Pump - SAN Surcharge
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and City ol Eagan Ordinanoes. Treatment PI
Signature of Permitee _ APPROVALS Road Unit
A Building Permit is issued to: TWIN CjTY STORM SASH Planner - Park Ded.
on the express oondition that all work shall be done in accordance with all Council
applicable State of Minnesota Slatutes and City ot Eagan Ordinances. Bldg. Off. _ CoPies
Buildirg OHiCial Variance - TpTAL 89.00
ve.mn No. P«,eit Hokler oale Telspnom #
S/1N
PWMBING
FiVAC
ELECTRIC
ELECTRIC
Inspection oste lnsp. comments
Footings I
Foundation
Framing
Rooling
Rough Plbg.
Rough Hlg.
Isul.
Firepiaoe
Final Htg.
Orsat Test
Final Pibg. Pibg. Inspector - Notiiy Plum6er
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Dedc Fnat
weu
Pr. Disp.
CITY OF EAGAN ?? r i •
3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E. 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value Date AYF LL 27
19
Site Address I ` ` . ". I I
Lot Block ' Sec/Sub. --:iA3 GRUVE 3R?i
Parcel No.
x Name 3 Address
? City Phone
°C
,o
z
Name
0
` Address
Iff City Phone
U¢
?W Name
'x Address
n
? W City Phone
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.
Signature of Permittee
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWGC System _ Zoning
On Site Weli _ Type of Const
City Water _ (Actuaq
(Allowable)
* of Storles
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Water/Sewer _ Surcharge
Police Plan Review
Fire _ SAC, City
Engr. _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Variance Parks
COpies T_
TOTAL
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 Ordinancea
Building Official
Psrmit No. Parmit Holder Oate Tslephons it
Plumbing
H.V.A.C.
E lect ric
Softener
Inspection Dstt insp. Comments
Footings I 5- ?
Footings il
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Frmy. '
.2419 -
7
Well
Pr. Disp.
EAGAN TOWNSHIP
BUILDING PERMIT
Ownen -?--/?rt
p /?/ ---------_.....----
Address (Preseni) ...6r0._?..IC.Gs,<--!...?..?.-_ - - ...... - -... ...
BuildOx _ _.... _..?./_.--------- ....... _ _..
Address
--...--
DESCRIPTION
b
LOCATION
N° 1082
Eagan Township
Town Hall
Dafe
SxreeL_ noaa or oxner Uescnpnon oi Locanon 1.01 nlotlt AHCiiion or Tracf
___-
3?pv? ?? j-?
_ °''°C' / f` /jpS - ?, .?e iet! ?_? - 8 ? i / - ?.?. - a. __ ? ?-?-'?a-? /? . '? . j'
This p^rmii dces no2 aulhoriae ihe use o£ sireeis, roads, alleps or sidewalks aor does if give the owner or his agenS
the righf to creaie any sifua2ion which is a nuisanea or whieh presenis a hazard 3a the heallh, safety, convenience and
general ave:fare fo anyone in ihe aommuniSy. `
THIS PERMIT MUST BE KEPT ONQ,THE PREMISE WHILE THE WORK IS IN PAOGpRESS.
This is fo ceriify, _.. ??..d........._.has permission fo erect a...Q...?...i....-.../-J? __._.._..........-.,? ......upon
the aUove described premise subjeci to the provisions of the Suilding Ordinance for Eaqan" Townshi a?Ted April 11,
1955. ? e l
?..(?_...--....._.------ Per -4 ..---?G.?S?
Chairman of Tnwn Board ? IIuilAing Inspecior
4,6"
CITY OF EAGAN Remarks Cedar Grave Acquisition
Additiopn?y4Cedar Grove #3 ?vt 5 Bik 2 Pe ?i 10 1 702 050 02
Owner11A"? iIy, ? 2116 Carnelian I,ane Eagan,MN 55122
, Street State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
3(-SEWERLATERAL ?f 1972 ?3? ,?? 2.1 2 Py1d
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
83
l
K No 2013 7
3
0 Pi
ot
nob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:681 -4675
BUILDING PERMIT Receipt #
Tobeusedfor ALTERATION RESIDENTIAL Est Value $5,500 Date FEB 21 , 1992
SItBAddfB55 2116 CARNF.I.7AN LN
L0t 5 BIOCk Z SeC/Sub. CEDAR GROVE 3RD OFFICE USE ONLY
FEES
PafCel No. Occupancy -
Z Bldg. Pertnit Rl _O(1
oning _
N2ITIe ORLANDO HAVLICEK (qcwal)Const _ SuicNqe 3.00
w qddreSS 2116 CARNELIAN LN (Allowable) _ Plan Review
tones
? (`,fty EAGAN MN ZIP =
lh
Len ?m 5.00
g
Phone 452-8257 Depth - SAC, Ciry
? Nazlle TWIN CITY STORM SASH S,F.7otal - SAC. MCWCC
?
?drp,c? 10825 GREENBRIER RD S F. Foolprints
te Sewa
On S
a
WaterConn
_
g
i
Cj(Y MINNETONKA MN ZP 55345 On Srte Well Water Mater
? Ptwne 546-8160 =
MWCC System
Deposn
Acct
?
Vcef1.S8 # 0003090 Pry water
PRV Required - .
S/W Permit
I hereby acknowlege that I have read Mis application antl scate that the Boosier Pumo - SNJ Surcnarge
inlormation is conect and agree to comply wnh all applicable State of
MinnesoW SlaWtes and City of Eagan an s. Trealment PI
Signalure of Permrtee APPROVALS Road Umt
TWIN CITY STORM SASH
A Bwlding Permit is issued lo:
Planner -
parkDed.
on Ihe express condition that all work shall ba done m accortlance with all Counai -
apphcable State ot Minnesota Sta
Wles and City of Eagan Ordmances. Bldg. ON _ Copies
p
Buildinq Oflicial n 1N1q I\ Ol! 1 7?O Variance - TOTAL . 89 • 00
1992 BUILDING PERMIT APPLICATION 5 5178
CITY OF EAGAN
REQUIREMENTS: ?? 1,31
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MUL7IPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET aF
SPECIFICATIONS, 1 SEf OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE OR LOT CHANGE 15 REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LO'TS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIHEU. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For: Valuation: Date: a
4_?? /? S' ?
Site Address o? L-G= ?
OFFI E USE ONLY
Lot ? Block Z FEES
Occupancy Bidg Permit
Parcel/Sub Zoning Surcharge
Actual Const Plan Review
Owner p Allowable License Fee
# of stories SAC, Ciry
Address c? ,'4?a Length SAC, MWCC
Depth Water Conn.
City/Zip S.F. Total Water Meter
Footprint S.F. ACCt. Deposit
Phone S/W Permit
On-site sewage S/W Surcharge
Contractor i Sa On-site well Treatment PI.
MWCC System
!I Road Unit
Address c5- - r rr '?
,z6 (S City water Park Ded.
Dei.
City/Zip ;,, e Booster Pump Copies
5UB70TAL
Phone ,h yCo --?ic? o License APPROVALS Penalty
Planner Lot Change
Council TOTAL , o0
Arch./Engr. Bldg. Off.
Variance
gg 6 a
Addtess
City/Zip Code
?- (??„
?n, ? 30 4 a
Phone # _
Sewer/Water Licensed Contr. . Processingtime
for sewer/water permits is two ays once area as een approve .
' 6? agrees that all work shall be done in accordance with
ignature o ermittee
alf applicable State of Minnesota Statutes and City of Eagan Ordinances.
,- CITY OF EAGAN N° 13 517
" 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt 7?Z-
Tobeusedfor DECK Est.Value $600 Date APRIL 27 1987
SiteAddress 2116 CARNELIAN LN
Lot 5 Block Z SeGSub. CEDAR GROVE 3RD
Parcel No.
x Name ORLANDO HAVLICEK I
z Address SAME
° City Phone 452-8257
,p Name SAME
0Q Address
0
P City Phone
w ¢W Name
f
_,
Address
z
? City Phone
aW
I hereby acknowledge that I hava read this apptication and state
that the information is correct and agree to comply with all applicable
SfateofMinnesotaStatutesan City Eagan rdinances.
SlgnatureofPermittee ''
A Building Permit is issued to: ORLANDO HAVLICEK
all work shall be done in accordance with all applicable Stgte of I
Builtling ON'icial
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System _ Zoning
On Site Well _ Type of Cons[
City Water _ (ACtuaq
(Allowahle)
n of Stories
Length
DePth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit $13.70
Water/Sewer _ Surcharge .50
Police Plan Review
Fre _ SAG City
Engr. SAC, MWCC
Planner _ WaterConn.
Council _ WaterMeter
Bldg. Otf. Road Unit
APC _ Treatment Pt
Vafiance _ Parks
CopieS
?
TOTAL $ 1_4. zo
on the express condition that
nne;ota Statutes and City of Eagan Ordinances.
11
3SI?
1987 BIIILDING PERMTf APPLICAYION - CITY OF SAG9Ai
SINGLE FAMILY DWELLINGS
I9CLODE 2 SETS OF PLANS, 3 CEATIFICATES OF SQRVEYp 1 3BT OF IIJERGY C9LCULATIONS
HOTE: ADDRESSES FOR COENEH LOTS - COAYRACTOR/HOMSOiiNEH MQST DESIGHATS AHICH ADDBESS
IS D&SIRED. NO CH9RGBS HILL BE ALLOWED ONCE BQILDZNG PBRMIT IS ISSUED.
HOLTIPLE D{iELLINGS - RFSIDENTIAL RSNTAL INITS FOR SALfi OBISS INCLUDE 2 SETS OF PLANS, CSRTIFIC6TE OF SQ6YEY - CHSCB iiITH BLDG. DEPT.o
1 SET OF ENERGY CALCULATIONS -
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
(nc>J .
To Be Used For: D t'G IL Valuation: Date:
Site Address !,( J16 ( u.r )'J P/,' A wL OFF:
?
Lot Block On Site Sewage
_
MWCC System _
Parcel/Sub r On Site Well
D
ner City Water
w
Address ni N?;ai? La
City/Zip Code k- ,{}-9- Alk-l ,S ? V 2_ 2
Phone y9 2- 9.2- 5 7 APPROYALS
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone U
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Occupaney
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit 1-7?. ?'
Surcharge so
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL 7q--7-,6
L, S,43.z
.
&k /?w- 3
oF eaga
3830 PILOT KNOB ROAD. PO BOX 27199
EAGAN. MINNESOTA 55121
PHONE (672) 454-8700
June 6, 1986
MR & MRS ORLANDO AAVLICEK
2116 CARNELIAN LN
EAGAN, NIId 55122
RE: FENCE
Dear Mr. & Mrs. Havlicek:
BEA BLOM9UIST
Moyor
THOMASEGAN
AMAESA.SMfM
VIC ELLISON
THEODORE WACH7ER
CouncllMembers
nionlns r+eoees
QN Atlminisnal«
EUGENE VAN OVERBEKE
CM C?M
The fence that you have installed around your home at 2116 Carnelian Lane is
installed too close to the curb. There is a minimum requirement of 13' from
the baekside of the curb to your fence or 30'from the center of the street.
That 13' is a part of the street right-of-way which is reserved for snow
storage, future sidewalks and underground utilities. If in the aet of
snowplowing or street repair the fence is damaged, the City would not be
liable.
If you have any questions, please contact me or the Street Department.
Sineerely,
Wo
Dale Peterson
Chief Building Official
DP/,js
CC: Arnie Erhart - Street Superintendent
THE LONE OAK iREE... THE SYMBOL OF STRENGiH AND GROWTH IN OUR COMMUNIN
?
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 P[LOT KNOB ROAD - 55122
651 681-4675
Date: 1'r u ri •? I?? l q
Description of Work: Construct new fireplace _Gas _Masonry
X Install gas insert onx
Other
Alterations to existing
_ Install ras line onlv
Job address: III & 0 U'y^ Ln 01 )?61 h Aa h Q-
Lot: Block: S^- Subdivision/P.I.D. #: ct A.a,- G?\6!,?3
Applicant (circle one only): Own Contractor Pern:it Fee: $60.50
Name: `I` ?v I ? L' o a ) ? Pho #I ^ 4?5-d ' l°l czs,??
PROPERTY Last First
OWNER fa
Street Address: L ? ? ? ra ry[Pl i n rn
City State: /yl /V . Zip: ?...?J? A
Company: -rito-sd ?rhe ? e ?Phone?i: ?
-7' (azea code)?
FIREPLACE W ? W U IJ
INSTALLER S?eet Address: C? ?
city Y? Jtr mv ??.? E state:Zip: s"'33
Company: Phone #:
(area code)
GAS LINE
INSTALLER Street Address:
City State: Zip:
. 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 Statut d Ci?y of E an Or? i ces. f
/
? - -
?
i-
L?. i
? Signa re
---
?? ?1 ? I AIS,n ? ?
..
CITIr of EAGAN
?e B/UILDING PERMIT
Ownes ....... ....................°..,..
/
Addrese (Presea!) .......?i?..?l?......_.4-..A!..Y..l.'L. ..(.l.g? ................
. ....... . .........
Euilaer ..... .?.?.e .: ....?f-.. .v.............?....
Addreae /? ...................................
DESCRIPTION '
?
. ,.
N2 3857
3795 PiloY Knob Road
Eagan, Mixinesola 55122
454-BI00
a8:. ?fi.?.r...l.q./.?..f...?.......
8toxies - --?_
To Be Uced For ?
d
9'c?u" ?j. - n!?? oa r
Fron!
2?(
Depih
297
Haighi
Eel. Cos!
/09ov'
Permi! F e
s
Ramarki
LOCATION
Slreal, Aoad or olher Desesiption of Loeelion I Lo! 83oek I Apaifioa or Traet
I S ? ? ? ?Gt/ ?rn v'o 3
This permit does xot aulhorize the use of cireais, roads, alleyc or sidewalks nor does it give the owner or bis aqeat
the iigh! io create anp situazion which is a nuisanea or which.presenlc a haserd !o the health, safelp, coavanienee aad
ganeral welfaxe !a anyoae in the community.
THIS PERMIT MUST BE EY OTHE PAEMISE WHILE THE WORK IS IN PROGAESS.
,, ?/'?
This is !o cerSfy, .._..........haspermission 3o erect eh._=-.....G.l:?.x^ ......... ............ ._.._upoa
the above described remise subject io the provisions of all applicable Ordinances for !he Ci cf Eagan
, .""_""-'.....
..----..?....... ..?. ?..__ ............................ Per ....d??G...?l..... .... ?.---'----°'-'-
Mayor Huilding Impaelos
?
MASTER CARD
LOCATION ?/ IA
OWNER ?
-?
STRUCTURE AND
LAND USED AS
Permii
No.
Issued Issued To
Coniractor Owner
BUILDMG
PLUMBING 3? 3? 3? f9 ?/ I
CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING * SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALIATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
f u?
-
Zo-
?
9p Violations Noted
on Back
COMMENTS:
PERMIT# V q531b RECEIPTDATE: .S-IS-O 1
WKSIDEPTIAL f'LUM$INfi PEi14I1T APP11ClFTION
crrY oF E,e?sLAv
3830 Paor xxos Rn
f.Ff6RA, MN 561E2
651-6$1-4675
Please complete for:
SITE ADDRESS
? singte family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
21 ?
' MAY ? 5 '
E L`____j
OWNER NAME: : `='l U?SO TELEPHONE #:
(AREA CODE)
INSTALLER NAME: Vsp TELEPHONE #: ?/ h I `?60" ? YZ'L
STREET ADDRESS: ?qOS W(?'?ll. S? (AREA CODE)
CITY: Fq!`,,,.(,r, jo,.. STATE: A--- ZIP: 'rj502 Sl
Place a check mark next to the aermit work tvae
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system n
. new installation/repair/rebuiid of
RPZ, p ?
t
• lawn irrigation system
?
• water tumaround UX 1?
Nature of work: ?'t8•?i T a„ ? Zlc?d Zbo; m.,/ '2-dr?,S
Septic System, newlrefurbished - $ 225.00
• includes County & Consuiting Inspector fees
• requires MPC license
State Surcharge $ 50
Total $_
Reminder. Be sure to schedule inspections of alteretions, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have reatl this appliration, sta[e that the informabon is correct, and agree W complywith all applica6le Ciryof Eagan ordinances. It
is the applicanPs responsibility ro notify ihe property owner that the City of Eagan assumes no liability for any dages caused by the Gty during its normal
operaUOnal and maintenance achvities to the faGhfies consWCted under this permit vti(hin City property/n9ht-o ay/easement.
TURE OF
Updated 1101
RSSIDENTIAL
BUILDING PERMIT APPLICATION ,? ?6 zr
CITY OF EACAN 7
3830 PILOT KNOB RD - 55122
651-681-4675 Q
Vew Construction Renuirements RemodellReuair Repuirements
• 3 registered site surveys showing sq. tt of lot, sq. ft. of house, and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculalions for heated additions
• 2 copies of plan showing beam & window s¢es, paured found design, etc J . 1 site survey for exterwr addifions & deck5
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if bt platled after 711193
. Rim Joist Dptail OpGons selechon sheet (61dgs wiN 3 or less uniGS)
?
,/L! f
DATE VALUATION (EXCLUDING LAND) / r K U
JOB SITE ADDRESS IF MULTI-FAMILY BUIL/DIN^G, HOW MAN/Y UNITS? _
PR?R J?RUIiCc
i ?6_ F WORK 11L11R6d "tTREPLACE(S)
APPLICANT T ? q?1e`(_6? PHONE#
ADDRESS3_SZ7-?/!!'?-N" LU? ZIPCODE SS36
PAGER #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Su6mitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing 5ystem Includes:
Mechanical Contractor:
Vlechmnc.il 5ystcm Includes:
: Sewer/Water Contractor:
i
Air Conditionina
_ Hcat Recovery System
Phone #
Phone #
Fee: S90.00
Pee: $%0.00
All above information must be submitted prior to processing of application.
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 ? ?2W
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
CELL PHONE # FAX #
Water Sotlener _
Water Healer
No. of 13aths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SFDwelling
? 03 01 af _ plex
? 04 02-pfex
? OS 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? OS 06•plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ?19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4•sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessary Bitlg
? 31 Ext. AIt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation a00c) @_i Occupancy MC/ES System
Census Code q3q Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const Irli Width
_ Footings (new bldg)
_ Foonngs(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace R.I. Air Test Final
?G Insula[ion
REQUIRED INSPECTIONS
FInaUC.O.
?i FinaUNo C.O.
_ Plumbing
HVAC
_ Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/reptacement)
Approved Byt44 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
`2?
41'
City of Eap,au �
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
Use BLUE or BLACK Ink
For Office Use
Permit #:
OS '16)
Permit Fee: ) GI 7
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
// 2) Site Address: 2.7/6 £ 4 iV `=r 4-4✓`
J
Unit #:
Resident/
Owner
Name: 6,41Z- /- 4IVLlei--- K Phone: ,'- ??6- (c (C6
Address / City / Zip: 2i/ & e' jc'ii J#4ice it'd
Applicant is: Owner Contractor
Type of Work
Description of work: i./ 77! ,1% j fr—;, el&i-2-
Construction Cost: :: Lac C, . vt- Multi -Family Building: (Yes / No )
Contractor
Company: Id// - , -/L V //V (/ Contact: t/Vf ij i'/C Zfr• r ii
Address: ) 5 lr/ ru-- 5e IV -City: IC _ Q sr/UA' r
State: /4/ it/ Zip: `?0 tt, c -j Phone: b5/—.983 - 4/76'4/
License #: ZO G i CIL (1 Lead Certificate #: 12' I -30358-1C _ C, I 2-15
If the project is exempt
n./ i i/A-'' :` "i
from lead certification, please explain why: (see Page 3 for additional information) g 1_5
v,%it-t /-4:),-;--tai; ice.. -, . r n e' 11-, SO l%'I cfz'- st1Cr'2-'e t.:7);:- 1-W2'ik.; -4) 5f}fzI�''di? L'
In the last 12 months,
Yes If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name
x
Applicant's Signa
Page 1 of 3
01 L'
C
DO NOT WRITE BELOW THIS LINE
101S?cel
SUB TYPES
Foundation
1(, Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
SAlteration
_ Replace
_ Retaining Wall
_ Fireplace
_ Garage
Deck
Lower Level
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ?()
Census Code
#of Units
# of Buildings
Type of Construction
ITL(/11-
Interior Improvement
Move Building
_ Fire Repair
_ Repair
)4,bi 0 °
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
r Framing
Fireplace: Rough In Air Test _Final
Porch (3 -Season) _
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola) _
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
`it Insulation
Sheathing
Sheetrock
Reviewed By:
_ Siding
Reroof
Windows
— Egress Window
vEl
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
_ Final / C.O. Required
Final / No C.O. Required
_ HVAC _ Gas Service Test Gas Line Air Test
Other:
_ Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill
_ Radon Control
Erosion Control
( , Building Inspector
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
)20
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108802
Date Issued:01/11/2013
Permit Category:ePermit
Site Address: 2116 Carnelian Lane
Lot:5 Block: 2 Addition: Cedar Grove 3rd
PID:10-16702-02-050
Use:
Description:
Sub Type:e - Fixtures
Work Type:Replace
Description:Main Floor
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Eric Bruckmueller
3992 Pennsylvania Avenue
Eagan, MN 55123
651-686-6696
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Gail M Havlicek
2116 Carnelian Lane
Eagan MN 55122
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
1°Ib
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit#: 1 161 (Wgg
Permit Fee: 1 05-))5
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMITS /APPLICATION
Date: /2 1d - 13 Site Address: g l 1h C& I'I.€. 6tC�.(!) -n Unit#:
Resident/
Owner
Type of Work
Contractor
Name: 01,1
Address / City / Zip:
Applicant is: Owner D( Contractor
H av ) i'6,e,/<*
' U Liv"
Phone:
Description of work: 1t9.ai Q R-1--�
Construction Cost: �� l9e� °
Multi -Family Building: (Yes / No )
Company: � OX\ `240 61(154 TV1C Contact: N
Address: 1453;_. �City: ii O C G^� 4 "t✓
State: Zip: 553 7) Phone: 6/ -;24;i .46/ 77
License #: 5 I ! Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
7 (,C1,14- o,- 1 -W
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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Phone:
Phone:
Sewer & Water Contractor: Phone:
NOTE:=Plansand supporting documents that
the informat ont may be classified as non nti
conc.
are consic_eret
rovide-specific
are
#r
6c information. Portions of
•at,would pe'rmi`t the City to
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
6C'
Applicant's Printed Name
x
Applic:l't's S'7 ature
Page 1 of 3
Use BLUE or BLACK Ink
r________________�
I For Office Use �
� R��^��t�ED j Permit#: IDS� I
Clty of ����� �- � ��� �
� � �n14 � Permit Fee: I
3830 Pilot Knob Road S�P I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: �
I 1
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name:�>7"0��/' �i��� Phone:��
Residentl
Owner ' Address/City I Zip: ��J � ��/`Y�,�����
Applicant is: Owner Contractor
Type of Work ' Description of work: �
Construction Cost: � Multi-Family Building: (Yes /No_)
Company. C./Gr Contact: �.�
Contractor : Address: s � City: T��
State:_��Z�Lip:� Phone: — ��rhaiL
' License#: � 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?
_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 considered to be public information. Portions of
the information may be classified`as non-public if you provide specific reasons th"at wou/d permit#he City to ',
conclude that the 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 I
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 1 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 autho ' ed y b 'Iding permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit i a
x x
Applic Ys Printed Na e Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158533
Date Issued:10/18/2019
Permit Category:ePermit
Site Address: 2116 Carnelian Lane
Lot:5 Block: 2 Addition: Cedar Grove 3rd
PID:10-16702-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Gail M Havlicek
2116 Carnelian Lane
Eagan MN 55122
(651) 398-6568
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176142
Date Issued:05/03/2022
Permit Category:ePermit
Site Address: 2116 Carnelian Lane
Lot:5 Block: 2 Addition: Cedar Grove 3rd
PID:10-16702-02-050
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Gail M Havlicek
2116 Carnlian Ln
Saint Paul MN 55122--282
(651) 398-6568
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature