2021 Emerald LaneCITY OF EAGAN Remarks * Cedar Grove Acctuisiti.on
Addition , CEDAR GROVE #1 Lot gik 9 parml, l4 16704 1IO f3q
Owner??:.?`? Street 2021 Eaterald Lane State ?g?? ? 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. SSS , 1985 1266,95 84.46
STREET RESTOR. .
GRADING
SAN SEW TRUNK
SEWER LATERAL 1972 304.0 52.16 25 P
WATERMAIN
* WATERLATERAL 1972
WATER AREA
STQRM SEW TRK I
STORM SEW I.AT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WA7ER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
? ?? s. i; ?, ? ?, ? :? W ?
PERMIT SUBTYPE:
I I 1 N I,
F
L
oN REcoRn
PERMIT TYPE:
Permit Number:
Date Issued:
13 Bt. ur. M . APPUCANT:
( ht.l ) 94,"- J914
i
TYPE OF WORK:
i,: i I:• i 1 ! itI11
ANI)i4 i+
N! 1'AJi7
ir[ kQtlF /1;7fpirM (iAMAtit
?_?
Permit Holder Date Telephone M
PLUMBING
HVAC
Inspection Dete Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
lC
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCnvirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
' DAKOTA COUNTY ABSTRACT CO.
121 East Second Street
HASTINGS, MINNESOTA 55033
437-5600
#4z62
'tlith the erclosed check please pay the assessments on Lot 13, Block
9, Cedar Grove ff'1, After the assessments have been paid, please
return the receipt to this o£?'ice.
Thank You.
, r
//GG..GJ"L-` ?? ?-G'!LG-E..C.'? ?d?L?Gt>G?r?. "'ly' ?`F_?-9L.
EAGAN TOWNSHIP
BiJILDING PERfvAIT
owne: Ep-re ,? ??(?
Address n.?._..- ---" `a'2c+S.'/?
Suilder ----------- -------------- -?.------------- --`-----"---`----'--
Address .------. .....-------
DESCRIPTION
N° 563
Eagan Township
Town Hall
7-?? 6a
Date ._.._------ ....................
.
5laries To Be Used For Froni Depih Heigh! Esl. Cos! Permi! Fee Remazks
° ? '''>,''m-`1
This pexmit does not auYhoxise the use of sireeis, roads, alleys or sidewalks nor does it give the owner or his agenk
the righ! !o create any sifuafion which is a nuisance or which presenis a hasard !o the healih, safeSy, convenience and
general welfare io anyone in fhe eommuniip.
THIS PERMIT MUST Byg'KE T O THEP MI E WHILE THE WOYiTC IS IN PROGRESS. .•
This is Yo cerYify, ihaf.1C-!t,,. ./dQ??--.. __. .. .^ _has permission !o ereci a....... -v ._..........__._......__._.._...upon
the above descxi r ise su ' o e ovisions of the Building Ox ' nae for E ship adopted April 11.
1955- / /
_ ___..._._._....
.__.._.. ...__?__._. ...._... ...'.. ._L'?? -_____-_..__Per- ._---- _.' ------- ...............__......
Chairman f Town Board lding Inspecior
Clty of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
? Fur?ificeUse --------- -
? Pertnit#:
I Percnit Fee: ?. (J v I
I ?
? Date Received: ?
I I
? StaR: I
I
2008 RESIDENTIAL BUILDING PEJRMIT APPLICATION
Date: KJ : '-0 Site Address: ? a ` a /_?Pc__
renant: ?A Ml cr ?04 /% /7r Suite #:
RESIDENT / OWNER Name: Phone: ?
Address / City / Zip:
Applicant is: _ Owner ? Contrador
TYPE OF WORK Description ofwork: ?C 2b?1f''
Construction Cost: Multi-Family Building: (Yes No ?
CONTRACTOR Name: License #:
Address:zj p % 4?i??-
au,?
?
` 1
City: ? Zip:
State:
? V
/'?
Phone:"?GJ/J ?]J?ContactPerson: CS?XIE
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Su6mitted Submitted
(4 submission type) • Energy Envelope Calculations 5ubmitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer 8 Water Contrector: Phone:
NOTE: Plans and supportin'g docuinents that you submifare 'considered to be public rn„formation. Portions of
the information may be,;cfassified as non-public if you provide specificreasons that would permit the City to
condude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a pertnit, 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 l" 1 C C KO2 D"-? X
Applic nfs Printed Name App'licants Signature
Page 1 of 3
. PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 0 3 6
(612) 681-4675 , Date Issued: 0 S/ 2 7/ 9 8
SITE ADDRESS:
P,S.N.: 10-16760-130-09
2021 EMERALp LANE
LOT: 13 BLOCK: 9
CEDflR GRQVE #1
DESCRIPTION:
_ REROOF/STORM pAMAGE
BUk1dlTRY,Permit Type STORM DAMAGE
Bpild i
..r?,g ?Wbr,rk Type REPAIR
-Ere nsu's Ctitie_"?a 434 ALT. RESIDEN7IAL
o j,
?
. ?.
¢ + i. .?YI_9t'
z
?µee-
i ?
-i sa p ? j!
REMARKS:
i?
s' a
JG g?. c
C.. 7a. `"u M'° f i A
FEE SUMMARY:
CONTRACTOR:
X. J'1 E •C E',t3y 4,C k rit:7?U le d:lq e
in,i'?rr?'at?or? is cq,rre
' StO:,a.tes 064 City 6f
- ? ,
OWNER: - flppli.cant -
SMITH SANDRA
2021 EMERflLD LANE
EACaAN MN 55122
(651)452-1914
at Z heveread th"i5 aPpi2caCiorl anci: staxq -+haz. tho
ar?°d:.agree, `?a ,camply wsall., :appliaa
n ;bl? '?:tate `eafhkn. '
r?at??Qr€fEane'ss_ '? ' •
° P , ,. . . . . .. .
APPLICANTlPERMITEE SIGNATURE
I D BV: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122 4- -a--, _9 (%
U 681-4675 o
New Construcdon Reauirements RemodeVReoair Reauirements
? 3 regiatered sHe surveys
• 2 eopies of plans (inGUde beam & window sizes; poured fid. design; etc.)
? 1 energy calculations '
• 3 copies M Vee preservation plan if lot plaHed after 711193
required: _Yas ?No
DATE:
WORK:
• 2 copies oi plan
• 2 sde surveys (exterior addRians 6 decks)
? 1 energy calculetions tor heatetl addRions
CONSTRUCTION?OST; '-1560 V \J
f
STRE DDRESS: JD?I Cm PYa I d ICC he-
LOT: 12)? BLOCK: n SUBDJP.I.D.#: Q C??O l) ?- ? I
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: Sr71 d-h Sw nd ra P6one y 52. - 19 / L-/
Last First
Street Address: ) C d I E tfn a ru I d iG N P
City L 0.qan State: M I nln1 Zip: 55- laa
Company: Phone #:
Street Address:
City State:
Company:
Name:
StreM
City State:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to compty with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant OVA, a
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Pian Received _ Yes _ No _ Not Required
License k
Zip:
Phone #:
Registration 1€: _
Zip:
PLEASE COMPLETE FOR 3INGLE FAMILY DWELLINGS. AISO, FOR TOW1vHOMES AND
COND03 WHEN PERMTI'S ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
X AD17-ON rLTRNHi;E Replace furnace
FIREPLACE INSERT
DATE 9-22-94
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH?
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATE SURCHARGE
TOTAL
.50
SITE ADDRESS: 2021 gnerald Lane
01VNER NAME: sandra smith TELEPHONE #: 452-1914
INSTALI.ER: FREDRICKSON HEATING & AIR 00NDITIONING, INC.
ADDRFSS: 3650 Kennebec Dr., #1
CITY: Eagan STATE: MN ZIP CODE: 55122-1003
TELEPHONE #: 452-2775
SIGNAT E OF PERMITTEE
_Z
7?r
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
?2--? Sa
2006 RESIDENTIAL PWMBING PeRnniT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
J I
Date
z
_
- l I
Site Street Address eC),?l ?
i?- ?
?s? ?' CA 1U i?U?Z J7 C=
Unit#
Property Owner TeVephone # ( )
Contractor Telephone # ( )
Address Z11R1 X?nrti1. ?? ,?[G City State L Zip?
The Applicant is: _ Owner ?<Contractor _Other
Refurbished Submit 2 sets of plans and MPC license nclud es Gounty fee
n= f $ 100.00
7 Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. Th is fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installi ng.
Septic System Abandonment
_ I'-
"
?
_Water Turnaround (add $130. 00 if a 5/8
meter is required) ? i?l F 7 ;?' q j
Other: r i
??
_ ,
/
Water Softener <(Nater Heater $ 15.00
_ new -?4= replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ , S 0
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of y of Eagan and the plumhing codes; that I
underst this is not a perrpit, but only an application for a per wor not to start it?lout a permit and work will be in
acc anc with the appr 6ed plan in the event a plan is requ' ed to reviewed an (oved.
Appiicant's Printed ame Applicant's Signature
I For Office Use I
I
City 0 Eapn j Permit e rtrJ f
Permit Fee:
3830 Pilot Knob Road' r
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax. (651) 675-5694 I Staff: I
I I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10AUL 09 Site Address: ~Qa j iti~t<'vc c~ /_/V
Tenant: S A ti'fj f~/A 5M C -r N Suite
RESIDENT I OWNER Name: Slaftll (>PA ? 1`rp Phone:
Address / City / Zip: J F ~r,r r~x ~c1 ' i4 6A/t..' 41ii/ SS I
Applicant is: Owner _ Contractor
TYPE OF WORK Description of work: V I N w <-;I b !/U 6. r tVC~ Ca uJ 5
Construction Cost: ~r 5 Multi-Family Building: (Yes / No x )
CONTRACTOR Name: i [~l T7 N License #:.~Q759
Address: 4/00 VA 6A)30/v,_1'-_) A.11 Al
City: 0 L'~'-)H State: INA-) Zip: S --~4z4-t('
Phone: a&c 2_7 0 1 Contact Person: / 1~ S7-~ T G
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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 a~ non-public if you provide speciafic reasons that would permit the City to
conclude that the are trade secrets.
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.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112596
Date Issued:08/20/2013
Permit Category:ePermit
Site Address: 2021 Emerald Lane
Lot:13 Block: 9 Addition: Cedar Grove 1st
PID:10-16700-09-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Kathleen Myrman
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 -
Sandra I Smith
2021 Emerald Lane
Eagan MN 55122
(952) 891-1919
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117740
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 2021 Emerald Lane
Lot:13 Block: 9 Addition: Cedar Grove 1st
PID:10-16700-09-130
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 .
Terry Severson
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 -
Sandra I Smith
2021 Emerald Lane
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175742
Date Issued:04/13/2022
Permit Category:ePermit
Site Address: 2021 Emerald Lane
Lot:13 Block: 9 Addition: Cedar Grove 1st
PID:10-16700-09-130
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Sandra I Smith
2021 Emerald Ln
Saint Paul MN 55122--284
Centraire Heating & Air Conditioning Inc
6811 Washington Ave S
Minneapolis MN 55439
(952) 941-1044
Applicant/Permitee: Signature Issued By: Signature