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1968 Shale Lane �i►eioiN° WATER *teak le,ted PERMIT No.. . " ii s 51 DATE: ' ' /is No. of Units- c1. • i F C: . f e. Y Vie' Address: ,g P Meter No .• Connection Charge: 303 00 pd Size: Account Deposit: Render No.: Permit Fee 10 • on pd ,. t epee toot.* with the City of logos Surcharge :' _ SO ,p i Ordhisdims, tMisc. Ctwrges: 60.. 00 re n t ►!i.r r Total: By, , 4"..' 'a tote Paid: Date of Ind.: /2 —.? a Ina.: SEWER SERVICE RER�IAIT 375 P st Knob Reed t PERMIT, N©.: „ s aBei6 MN 55122 bALr : Zoning: ' 1 i No. of Units: ' Owner ar.. "on..9t tic' t 'ock Address: C? t , \ 7 f , ' !s site Address: tor- .. , A; 1 r _xtdo7, c Fi. ‘ \ Plumber: 1:71 X 2 ^ 4 ;\ 1: 1 eves to comply with the Cdr of Estee \ Connection Charge: ' : ? 5 ` hey Oydisences, v Account Deposit: `Permit Fee: I::' 00 T.,:;'' Surcharge: B �_ 4 // Chorgest Totot � n Al Total: insp.: !.Z. -i — ' - --rd Date Paid: For Office Use -Y t, ,. „ ��, Permit#: 7+va an,., ,..a.4,0E AGA N C' Permit Permit Fee: 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: buildinginsoectionsacityofeacian.corn L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9-// —/U Site Address: i 7 ' Unit#: I Name:6r" r(, KO(lf' 1 ifQe- 6,2((04, Phone: Resident/ `� Owner Address/City/Zip: 17 71-540-K L N /96, ' 5` �-'/V Applicant is: Owner t /Contractor I Type of Work t Description of work: r! 1'z ` � ,P ( 002-0 Construction Cost: Multi-Family Building: (Yes 4-No ) Company: /'r Ar f AK ,Contact: (0,11,'e ,,,,"'t .—tt i Contractor I Address: /9115-(i -EE,' urc./'' City: /1(-62... .-"ti‘ State./ lZip555t)33 Phone: /--981 ?9''7Email: 1.6 Al cr' G l ("/1r-i •CO40 License#: __ Lead Certificate#: If the project�is exempt from lead certification, please explain why:_� �� � �� 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: t Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: f r NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-•ublic if ou •rovide s•ecific reasons that would permit the Cit to conclude that the are trade secrets. 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.citvofeagan.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 Slate 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 ofplans.ii, )iii ", x V-4 lit4"Ct-41 1.7/4 e(;,--ta Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159708 Date Issued:01/10/2020 Permit Category:ePermit Site Address: 1968 Shale Lane Lot:041 Block: 04 Addition: Meadowlands 1st PID:10-48050-04-041 Use: Description: Sub Type:Residential Work Type:Alteration Description:Dryer Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Geri L Katte 1968 Shale Lane Eagan MN 55121 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169730 Date Issued:06/08/2021 Permit Category:ePermit Site Address: 1968 Shale Lane Lot:041 Block: 04 Addition: Meadowlands 1st PID:10-48050-04-041 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Geri L Katte 1968 Shale Ln Eagan MN 55122 (952) 237-9089 Mad City Home Improvement 5020 Voges Road Madison WI 53718 (651) 500-0514 Applicant/Permitee: Signature Issued By: Signature