1986 Shale Lane
PERMIT
Permit Type: Plumbing
City of Eagan
Permit Number: EA104994
Date Issued: 06/19/2012
Permit Category: ePermit
Site Address: 1986 Shale Lane
Lot: 022 Block: 04 Addition: Meadowlands 1st
PID: 10-48050-04-022
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Kris Oien
Comments:
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
PL - Permit Fee (WS &/or WH) $55.00 0801.4087
Fee Summary:
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: Owner:
- Applicant -
Champion Plumbing Scott D Cotterman
3670 Dodd Rd., #100 1986 Shale Lane
Eagan MN 55123 Eagan MN 55122--220
(651) 365-1340
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.
Applicant/Permitee: Signature Issued By: Signature
f c ' 4S ICE PERMIT
►N
CITY PF 4t, ,.,t:
, $5 . ilot Knob Rood , " T 1V0.:
Eagan MN 55122r! ` 'Tr -'
Zoning: ;?I`' , •
No. of Units:
oning:
Owne r : Si, a : r.... - .
<r"
Site Address: 19 ° `r• Sh a l�aAe ... t
d IL v _'. Sout t
Meter No.: ------113'..... Connects n rge • Q - pri
Account Deposit:
Size: If?. 00. Pc
Reader No.:
`Perm t Fee
. S� nd
1 agree to comply wi) y of Eagan Surcharge- 6a t�0 nd_.3riet_er
Ordinances. Misc. ,Gharges:
Total::
By / l / Date paid:
Date of Insp.: ; Insp.:
CITl$O EAGAN '',4, • VICE PERMIT
379541 Knob Road 5275
PERM {T NO.
Eagan, MN 55122 DATE: 9/24/82
Zoni RIV , ;s No. of Un 1 duplex
Owner: Sons Co st
Address: t'1\ — — —
Site Address: 1986 Shale Lana, 1,2 B4 peadowland I
Plumber: old' •p Vida (Sout )
9/13/82 �g ,
1 agree to comply with the City of Eagan `' on Action Charge: 425.00 pd
„Ordinances. I Account Depohit:
1 Permit Fee: 10.00 pd
Surci .5C d
P
By / ./*' __. Misc. Charges:
Date of sp.: `.4i Tota '
Insp.: ' Dot
dr r P•, d: `
r For Office Use
„, i i f cEINTI `I :::t:: " '
E AG A
.• .•
7-1
Date Received: •-)
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: /7�7
buildinginspectionst cityofeagan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
s-1,9,/// Site Address: / Q gfo S.W A LE 114, t Ab1 alt MM- '5-5 4701nit#:
Name: S t<O•f-t" 6.-67'f-eft itiAN Phone:64 200--6516
Resident/ /;�i
Owner, ' Address/City/Zip: /9 0 GO ,tL E t N E R&01 of r %.
Applicant is: Owner I( Contractor
�TYPe of Work
.
Description of work: D�L,k. (.
Construction Cost: 1/c21-44/4' Multi-Family Building: (Yes /No V)
Company: STP C d t a i R 0 T ld/`i Contact: 6 04 A
Address: I V( �� aS'i - City: J.-Volt-it/4 fr7'O,.)
Contractor. '/ '/ /, j
State: Zip: 5("7? Phone: 4.fa7`id�I/9'',�Email: STttN6 RN/ 4N &MA/ ( -464
License#: 1 L 5 S e)(,c 3 Lead Certificate#: lzR f 7 1-1 6016,1
If the project is exempt from lead certification, please explain why:
05T / 91 tie
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:
Fire Suppression 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,that would permit the City to conclude that they are trade secretts,
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeauan.com/subscribe.
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.
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.000herstateonecall.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 approvalofplans.
X g/tIA ST/INE'ic x /..�
Applicant's Printed Name Applicant's Signature
pp 9
DO NOT WRITE BELOW THIS LINE lip 51-7c k 114 n-e-- / -.-3-?"
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
Multi (‘4 Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex — Lower Level _ Pool _ Accessory Building
WORK TYPES
(} — — —
� New Interior Improvement Siding Demolish Building*
_ Addition _ Move Building _ Reroof Demolish Interior
_
_ Alteration Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ,. 3960. Occupancy IZG -I MCES System
Plan Review Code Edition Mil 2x5
1SAC Units
(25%_100% ?") Zoning f 2) City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length 17- Fire Suppression Required
Type of Construction 'Ni Width ,Z 2
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
[t ftt
Reviewed By: 09; (,///- , Building Inspector
RESIDENTIAL FEES li i J p L Gi-ji,-�;,7 y-- 57-A`g_
Base Fee
Surcharge
,
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162565
Date Issued:07/20/2020
Permit Category:ePermit
Site Address: 1986 Shale Lane
Lot:022 Block: 04 Addition: Meadowlands 1st
PID:10-48050-04-022
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Scott D Cotterman
1986 Shale Lane
Eagan MN 55122--220
(651) 235-6984
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166124
Date Issued:12/14/2020
Permit Category:ePermit
Site Address: 1986 Shale Lane
Lot:022 Block: 04 Addition: Meadowlands 1st
PID:10-48050-04-022
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Scott D Cotterman
1986 Shale Ln
Eagan MN 55122--220
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature