The URL can be used to link to this page

2036 Shale LaneCity of Eaali 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 I Site Address: O. D 3 6 'V Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 RESIDENT OWNER TYPE OF WORK CONTRACTOR Name: (J 1 i -jj 6 7 ii- Arc —t.✓' Phone: 6.k -4-s 3 1 Address City Zip: Applicant is: Owner X Contractor Description of work: W t N D o w A P frt. t mo w P f; 5' r p Construction Cost: Multi- Family Building: (Yes No Name: tLicense Z p lG, (a Address: 6. (✓vJ�� lw� City: '1.- 1 It? 3 0 Phone: i 2 7 6 9 4-( S S' Contact Person: State: hlAi Zip: S, p c 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: Phone: Sewer Water Contractor: Phone: Mechanical Contractor: NOTE: Plans and supporting documents that you submit are considered to be pudic information. Portions the information may be classified as non- pubile if you provide specific reasons that would permit the Ci conclude that they are trade secrets 0 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.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be Eagan; that I understand this is not a permit, but only an application for a permit, a accordance with the approved plan in the case of work which requires a review and ap Applicant's Printed Name r Use BLUE or BLACK Ink Ettr..Offic tis6 Permit Permit Fee: Date Received: Staff: Suite ith the ordinances and codes of the City of without a permit; that the work will be in CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition gULLMIN Sz- %I": Ulm Lot 5 Rik 2 Parcel lU 16/U.S U?U Ua Owner Street 2036 Shale Lane State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 25 Paid WATERMAIN * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK :tu7 : ;c.c. 4t'*W .:C?::'3;tt S?C.SX:+-N?#.k^.`•?xYt:n7c?* CITY C= CAGAN :AS:,TIER: :S TE.'44PW- NO 777 PATEo 11!09/99 T'.' T': '.?:43x8 r.., DONALD S. ZA.LWC!4 32'n ,9L'01 203E $i4t.E,1.4. . 125.25 8155 'Wc0C!. PM. C. SP4'r LM 3.:70 Tjk-?l Rvk*;eipt A.vc:.we 120:25 CRi'37??a ?'C•4M.'.?w.OM4 A•t?'++d'RNr'rii ?1'{i 1lY '(.M A?% ?5 A?M?: Nw?.? EAGAN TOWNSHIP. BUILDING PERMIT N° 921 Eagan Township Town Hall Date ----- --- --- - nF..RCRiPTION Stories _ To Be Used For Front Depth Height Est. Cosi_ Permit Fee Remarks _ or /o -C 6 lock Addition or Traci FThis.permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. - - THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. .-?., This is to certify, --------------- -------has permission to erect a._:------------------ .. .upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adapted April 11. 1955. Per ....... ........ . / ---.. Chairman of Tnwq R"rd Building Inspector N EAGAN TOWNSHIP BUILDING PERMIT N? 2208 Owner ..................... Eagan Township Address (present) .sr.Z.f1_sk....... r??..?/.+.?.?..-?.._..._. .............. Town Hall Builder ..........:e......_:'!'.`.-.: ................................... Dale -?-_-? 7 ....??......I.....---_- Address ...................................."--°--°-----.._.........•-°.--_---................_. DESCRIPTION Stories To Be Used For - - Front Depth Height Est. Cos! Permit Fee - Remarks LOCATION Street, Road or other Description of Location Lo! Block Addition or Tract This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KE T ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that ...--., '.`°..:a:.`: ....... ...........................has permission to erect a------- ...°... ....... _-_. ......... .....upon the above described premise subject to the provisions of the Building Ordinance for Eagadopted April 11, 1955. qp : -::' : :................. Per ......................_..(?,(? •,Le ....... 06 'f;C`-... ..................... ................ .... ............ . ........... ....................................... f wn Board Budding Inspector ,6 -. ., I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 S I q a 651-681-4675 New Construction Reauhements Remodel/Repair Reautrementsl D 3 registered site surveys showing sq. N. of lot, sq. ft. of house 2 copies of plan and go roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for healed additions D 2 copies of plans (show beam b window sizes; poured fnd. design; etc.) 1 site survey for exterior additions b decks 1 set of energy calculations ? 3 copies of free preservation plan I lotplla'he ed d/after 7/1/93 DATE: 4-11-W ?/ r ( 9r t / CONSTRUCTION COST: DESCRIPTION OF WORK: a v1 11 07a ?v . q q'N 441 P 'V9- STREET ADDRESS: ?? 3 G 5-14 C? ?(?1?1 P ? V U V e LOT: BLOCK: SUED./P.I.D. #: 0 St?C.O-- \( Name: ?G LtDliJ Ml-lq V Phone#: (0 PROPERTY Lost FUaI OWNER // Street Address. _R O ? C?-? ?? 4 Gt -P City ar t QF ,-, State: :!!?-JA) Zip: Phone #: (area code) CONTRACTOR Street License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Registration City State: Zip: Sewer b water licensed plumber (required for new construction only Penalty applies when address change and lot change is requested once permit Is Issued. I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all applicab( State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: I z8' A f OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling . ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handou t to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other. Copies Total: Basement sq. ft. Main level sq. ft. sq. ft, sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 360 Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered - Engineering Variance Valuation: $ SAC Units % SAC 11423 7t ;2?e'z "4sg - 9S.?o LO S NAME WA???? @ ?-t- SIZE 2Z x zy BLOCK ADDRESS VALUE A ?H? ?-a/CCJ'JG AREA ?e /-, 6.i o?E TYPE =tz',aM? -E V M.7s?c ?c +Ll"r ?.t=aST Z7 l8" oa ? K -r? wi je. - X ?caJ O? 1T e ?I I I? ty ?,,.t= /?• S 'k%CJSS i w`ai, t_ t `3' ?J C i d t-7 0.,V Go `' ? ? G w>ec.ac G?? ti/r==? ? Gam: cz?. r- v? t.. ? Please advise the customer before starting the lob of ! the approximate amount of extra fill and ixtra conereb and get the Off to go ahead. When the job is completed, INSTALL lh" BOLTS 18" FROM EACH notify the owner and also She Suesel Co. of the exact CORNER EXCEPT AS NOTED OR amount at extra, used. INDICATED AND 6" OFF CL OF EACH REMAINING WALL. Ali soacest,ext.re shall verify,and to responsible for all locations and conditions shown by these drawings: This office must be notified of any variations orobstaeley r to the proposed work before proceeding with AN10 Installation- MASTER CARD • LOCATION I OWNER STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER • E Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING , ??• Q TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: d h Iwtd. r COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPECTION CERTI FI CATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. 1-1 ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE u PLUMBING (RESIDENTIAL) 500 ?I S Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit - Date 31 3Y/03 - ZAHNOW,DON Site Address 2036 SHALE LANE Unit # EAGAN, MN 55122 (651) 454-6391 Property Owner : elephone # ( ) Contractor NOR13LOM PLUMBING CO. (612) 827-4033 Address 2905 GW LDAV CiTy IE E S. ip State MINNEAM US. MN Telephone # ( ) The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 518" meter if needed - $121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener X Water heater $ 15.00 X replacement _ additional v i ? $ 50 I . State Surcharge PR O ,003 U 15-'so Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the ' rmatton is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 Appl'c s Signature City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (661) 675-5694 ----------------- Jae Permit #: I Permit Fee: I I Date Received: I I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: !5 A ,I a 61t - Tenant: Suite #: RESIDENT/OWNER Name: 400^ ,(4 ??ji• 14, Phone: S -oc Z A I ' I C2? L . Address/City /Zip: d?} ( 5 e Applicant is: _Owner X Contractor TYPE OF WORK ^ /) s n Description of work: / 7 ee.X[Y s(rsrytt} ?9e s 6c1.. Qe Construction Cosy. Multi-Family Building: (Yes _/No T CONTRACTOR Name: License #: Sz 3a- yy?? Address: aji I h? lJl?_ City: 1?& /tG?Pf & a r- Lf?. State: A14\_ Zip: - Phone: _6 y- 7 ! 7- 5( ontact Person: 5615 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J 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 classed as non-public if you provide specific 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. x atyJ 14n9?" x i Applicant's rated Name Appli nt' ignat Page 1 of 3 City of Ea jan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING PERMIT Date: a - h g ' 0 _ Site Address: Tenant: ----------------- I For Office Use////// I j Permit #: _ j I ? //?? W I Permit Fee: _lL Date Received: I I I Staff: I Vu L 1 R 2008 Suite #: RESIDENT / OWNER Name: 1 Yi(\1.1.1d -z h nU cj Phone:? _! _?/J-7 '6 j17) Address/ City / Zip: ;:.o o 5ky le CC lig- L44,1,n 551 a?)- Applirant is: Owner _? Contractor TYPE OF WORK Description of work: 1<6L.-- fqra 4 re-l'- ue- Construction Cost: 50 0c), L XD Multi-Family Building: (Yes _/ No I CONTRACTOR r Name: 2 ('eopr /'T ny*- r La- License #: ID 0 114 1 ill ID Address: h)-14b Lc afi ale A ;;2nl= C ???lrnQ'u? State: MAC Zip: JSyQO City: L7 // Phone: "I Sa' ?? ?yyd Contact Person: a/kf VIA e,' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 - Minnesota Rules 7670 Category 1 _ 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: Ucensed 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 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 fare. x I1Q(I(il ICr?tf'? x Applicant's Printed Applicant's ftiliature Page 1 of 3 d Wei DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Mufti ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/Webo/pergola) ? Mufti Misc. ? 03-Plex ? 10plex ? Lower Level ? Storm Damage ? 04-Plex ? 12plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) -give PGA handout to applicant Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25% 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Footings (deck) Footings (addition) _ Foundation _ Drain Tile _ Root:-Ice & Water -Final _ Framing _ Fireplace:_R.I. _AirTest -Final Insulation Reviewed By: BESMENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock Final/C.O. Final/No C.O. HVAC Other: Pool: _Footngs Air/Gas Tests -Final Siding: -Stucco Lath -Stone Lath -Brick Windows Retaining Wall Building Inspector Page 2 of 3 öëö ð ÿ þýý ðûüÿûü úýýðîúëè ò Ü ìë àñ þýö þýüûúùîý Ý ò ûúùöø ùîý Ý ò Þý ù ô ïý ô ëýü ã ÿþ ù ÿáäß ý ã ôîáõùô ßæêê õú þý ë îèæêäêä ôïóï öòñ ùù ó Ý ò ðëø ë ìêþñàþë ãöñä ãö áäßñ ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý Cily of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 3.2012 Use BLUE or BLACK Ink Date Received: -�- Statf: 11- 2011 RESIDEN IAL PLUMBING PER 1T APPLICATION t Date: I ( —J • ID. site Address•. Tenant: -a Suite S: RESIDENT 1 OWNER 'Name: `D'VJ-Q._ J/.LA`Nfv94 ) Phone: eii)'. 71-12 7' 1 Addroee/City /Zip: i 03 L. ...I : AK >, �.�.4, . 1 r Y CONTRACTOR .. Neale:MILBERT COMPANY INC.dba CULLIGAN WA '2' • • Address: 1801 50Th ST EASTCity. .: INVER GROVE HGI'S State: • MN' zip: 55.077• phone: 65. :45]..-2241 ' Contact BILL.MILBE T j . Email: TYPE OF WORK New Replacement Repair Rebuild _ Modify Space _ Work Iq.R.O.W. _ _ _ Dsscriptlon of worli:, . PERMIT TYPE . . • RESIDENTIAL • . Water Heater ,Water Softener Add Plumbing Fixtures (_ Main / _ Lower Level) •Lawn trrlgatign (_ RPZ /_ PVB) ' • Water Turnaround • System•' ___Septic ' New . : Abandonment .mss �- RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heaters Softener (includes $5.00 State Surcharge) (Inciddes $5.00 State Surcharge) Fixtutes, Septic System Abandonment. Water Turnaround' (Includes $5.00 State,Surcharge) (add $166.001ta 5/8' meter is required) • limit ($10.00 per as built) (Includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (Includes $5.00 State Surcharge) %„ O. �v I TOTAL FEES $ (0 V ' $35.00. Lawn Irrigation $55.00 Add Plumbing 'Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace CALL BEFORE YOU DfG. 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.nooherstateoneceti.org ' I hereby acknowledge that this intimation N 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 rot a permit but only -an application tor a permit, and work le not to start without a permit that the work will be In accordance withe approved pi In the case of work which reqn4res a review and approval :' X kid (kilt_ /deg-. Q'f-:- • . • Applicant's Printed Nam* Appilcan sign t re 09/17/2013 12:01 7637572065 41!/%4 of -2820 Pent Knob Rood Eagan 5S Phone: (6513 STS -E875 Fax .1 ! 675-5584 NW EXTERIORS PAGE 01/01 Use BLUE or B it( L.. For com use P.N.-ogee: A5 ante t Stalit 1 2013 -RESIDENTIAL BUILDINGPERWPF AP A P• 13 sts : ier.ro e 203& Shale Gine �: ]J 1 ? flQ Z a hrlcDw 6S'r -4.54-639 Address "City Zip: Q3Shale Applicant Come; XContraciot . mow. Description. et e Ka 2Q. tz %v4 -let - k I on el- m i s c ,-a- �I cl .cost 00 Q0 M (Ws No► ems:. R W Csi 'i- -ciLl oJt.S C to Q Arkkoss: 3 State: 1'\N : Ss4 L 1J #: 2. `� �� ave , N GI 2_--7qD - 69z-11 Lead Caracas& if: 1L) 0 ti the pled is exempt ;ro tead cartifICatiort, .please exstaiti vt (see Page efor additional information) -COIAPLEVE THIS AREA :Y WO,ISTRUCTING WEIN EAMMING in the last 13, istorithS,, has Me city ot Eagan. -issued -a permithx a -similar.. ptart.hased. on A ilaisie Riau? Yes No if yes. date and address of rha.si r plan: Lim fir: Phone: Mechanical; Contractor:. _ intone. Sewer Water .Contractor: ice: Platie Ands drat.012 sropopopriolofocolariork Pins o€'.. Ihe ikon ito eadidiat'ii>so t(d.0E44t aOtif to. < i ;aro t0u sfe CALL. BEFORE .OU... DIG. -Calceopher,aterane,Call-st4b7):! 1441462,.for•;protection.against,undetgcnuwd,utati4ydamage..£a .d8.ho before you intend to dig to receive locates i underground :dirties. twov.gaotrerstateonecalLorg i hereby acknowledge that this informaton is complete end accurate; that he work wii4 be in coritormartee with the ordkrances and codes of the City of agan; ftt b u-adsrstanci this it ent ra.irrnir. to only en application for a. permit, and work t not to start without a. r'r:ir il34 the we t w i be b accordance with the approved plan in the case of mod: which ;eq as a rstirAv and ep;.rovai of lira. Exterior xro ltteilcCttg .penttstt issued in accordance with the Minnesota State handing Code most be ocn plated within tle x .Page 1615 a City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED J03282016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: [- ?.3.14e Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1/25/2016 site Address: 2036 SHALE LANE Resident/ Owner Type of Work Contractor Name: DIANE ZAHNOW Unit #: Phone: 651-454-6391 Address City zip: 2036 SHALE LANE Applicant is: Owner ✓ Contractor Description of work: KITCHEN REMODEL Construction Cost: 15,000 Multi -Family Building: (Yes / No ✓ ) Company: PLEKKENPOL BUILDERS Address: 401 EAST 78TH STREET State: MN Zip: 55420 Phone: 952 8882225 License #: BCOO 1797 Contact: RENO LINDELL City: BLOOMINGTON Email: reno@plekkenpol.com Lead certificate #: NAT -32955-2 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: 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 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.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. XRENO LINDELL Applicant's Printed Name icant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) ic Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ 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 Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC — Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: I L , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant Copies TOTAL le 6,14-0v 4116 levP of ,,,.>. X10 X20 `/ 9 219 o )Or (7320 091 50-0O 71-0 r Page 2 of 3 City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date!O Tenant: Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: t tp (00,5. Date Received: Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION , 3,91/6 Site Address: Sket. I c y Z COA V1 Suite #: /O Name: D1 kie, Za..„GIADis,._)Phone:6-S76� g6—%' 6,36,3c?/esl ccI_ / t Address / City / Zip: . UVB. �L L CAti-� CF -a- id --t--- SS/' Cairll"Era ®�� a b / G� 1--1-)4 ( LOC- Name: W C'. `["� {� ��/ 1��, rLicense #: Address: 7 rt' i11 -2c /(- City: ray' � ,/ State: Zip: , 77 0-2 / Phone: / / > Contact: �e �"c !-� 1Zt' Y Email: ,��rJe 4 e ��'✓. co( awl e Of WOk / New Replacement Repair Rebuild Modify Space Work in R. .W. — — � Description of work: Z __ 6 e l Y�. 'l (" �l,P-:-N OA'��C , 01 by . RESIDENTIAL Water Heater fvt.¢. Water Softener Lawn Irrigation ( RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) — Septic System % Water Turnaround _New — Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Fixtures, Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) 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 >: rt yvi ou a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva •f plan elPiP► App xSi-e 1 e-ki Applicant's Printed Name