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1966 Shale LaneSERVICE PERMIT CITY OF EAGAN PERMIT NO.: 3795 pilot Knob Road DATE: Eagan, MN 55122 No. of Units: Zoning: Owner: Address: Site Address: Plume Connection Charge- 1 agree to comply with the city of Eagan Account Deposit: _--- Ordinances. Permit Fee: Surcharge: Misc. Charges: s BY Total: Dote of Insp.: Insp.: Dote Paid: .,iTY O: EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: ,Address: Site Address: Pi umber'. 10c),00 Pa L-) C nn nd Connection Charge: agree to Comply wee the city of Eagan Account Deposit: I j Ordinances. Permit Fee: Surcharge: Misc. Charges: By Total: Date of Insp.: Date Paid: Insp.: CITY OF CAGAN 3795 Pilot Knob Rood Eagan, MN 55122 Zoning: Owner: Address: Site Address: n4 2 WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Size: Reader No.: 1 agree to compile with the City of Eagan Ordinances. By Date of I nsp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: . Total: Date Paid: Insp.: E PERMIT WATER SERVIC .,eTY G. EAGAN PERMIT NO.: 3795 Pilot Knob Road Eagan, MN 55122 DATE: No. of Units: Zoning: Owner: `Address: .Site Address: Plumber: Connection Charge: Meter No.: Account Deposit: Size: Permit Fee: Reader No.: With the City of Eagan ree to comply 1 a Surcharge: g i Misc. Charges: Ordinances. Total: Date Paid: BY Insp.: Date of Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: ' • CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N2 6436 PHONE: 454-8100 BUILDING PERMIT Receipt # - - To be and for Est. Value Dote 19 Site Address Erect ? Occupancy Lof Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. Name Move ? # Stories W Address Demolish ? Front ft. b City Phone Grade ? Depth ft. ? o Name Approvals Fees u0 Address Assessment Permit Water & Sew. Surcharge Phone Ci Police Plan check t- F W Name Fire SAC ? Address Eng Water Conn. ? Ph <W . Planner Water Meter one City Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee 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 Ordinances Building Official Penh * Deft Fwwd Pemm" Plumbing /if /-/ ? - p/ Mechanical _ 3 fi P 2 -1-IL I I INSPECTIONS I DATE INSP. Rough-In Final Footings fig Date Insp. Date Insp. Foundation Fra /ins. _ Plumbin Mechanical , I* ina , Remarks: A7 AOOf No. CITY OF EAGAN 3795 Pilot Knob Read Eagan, Minnesota 55122 Phone: 454-0100 PERMIT Date: Site Address: Lot Block Sub/Sec. >33C-'rR"'_M INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. -L4j3'C! Nome New/Alter./Repair Address Cost of Installation City Phone: Permit Fee ` Name Surcharge Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building CITY OF U"N 3795 Pilot Knob Read Eagan, Minnesota 55122 No. Phone: 454-8100 PERMIT Date: ' Site Address: Llc Lot Block Sub/Sec. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. I Name ^';tS ccros n"ClLr-" New/Alter./Repair Address Cost of Installation City Phone: Permit Fee Nome "Surcharge Add ress I City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building (9rrtifiratt of (Orrupaury Citp of (Eagan OP,pvhnm of'Nuildimg Ampprtion Thin Corti f icate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance unth the various ordinances of the City regulating building construction or use. For the follouvng: _ J5 DUPLEX a_. 6436 o-p-, Type -R3 Omar Of Building ware ?au ?•r?Addren BWkU y Ad&= 1966 Sha3,P T n [.Maly T.d M *eadc. 3.andot By: Date: 5-14-81 gw1d1ag--OrnQW--? 17 •M ' CITY OF EAGAN g 3795 Pike Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To he aced for Est. Value Date N2 6435 r-n Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. 00: Name Move ? # Stories 3 Address Demolish ? Front ft. ,.:.., DU--- Grade ? Depth ft. j0p Name ` Cons truc tj.QT: vu Address f r•:.. n. Name _ Address 881-0000 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. Water & Sew. Police Fire Eng. Planner Counci I Bldg. Off. _ APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total Signature of Permittee 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 Ordinances Building Official Pwmlt # Daft taxed PemIlItee Plumbing ;71 /- 1 = .f/ Mechanical 0234 9 ?? °? / INSPECTIONS DATE INSP. I Rough-In Final Footings Foundot' Plumbing y Date Insp. Date , I Insp. ?- rome/ins. - - / _ Mechanical -? Final AV, W-W 2M Remarks: 1 -3 No. 309- CITY OF EAGAN 3795 Pilot Knob Read Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Date: 1-29-81 Site Address: INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Lot Block Sub/Sec. I Multi Name New/Alter./Repair. Address Cost of Installation City Phone: Permit Fee Name Surcharge Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official No. CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Date: Site Address: Lot Block Sub/Sec. t INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. Nome i'8 op1-L5tj7 -U(:1 New/Alter./Repair Address " Cost of Installation City Phone: - Permit Fee Name Z 1 Surcharge Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official (9rdtftraft of (Orrupanry ttCitp of (Eagan 19pparimmt of Builbing 3noppr#ion This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the f ollouing: vee Chuffic.tim h IXJPIX Bldg. Permit No. 6435 O-PROCT Type R3 Type Cowuuctioo V Fire Zane 3 nn..?7?.,.,?Zonrin?g D",:t RI O-ofmd Add- 4370 Rahn Rd,,Eagan By: 4-14-81 I. A CO~MUOYS R C. •0, INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: tut: ?I..• t;tui?;. qf.,r. '.IJA1 1 I ANI MI l11114•11 AN11'. I51 PERMIT SUBTYPE: r Iyl tlh', 21 I1llM1 I M1,P1..,H (t; l") "!? .i w®.Ar, TYPE OF WORK: vi r,A I v w W 'iVe IP'110N K! I'1.Ar'f MI NI 11114WILP Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspection Date [nap. Comments FOOTINGS FOUND FRAMING ROOFING 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 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Owner on Lot Pt- Of 4 Rik 4 Parcel 10-48050-W-04 Street 1966 Shale Lang State improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. Im .qg) 1981 Paid unde parcel 10- 050 0-0 GRADING SAN SEW TRUNK t1q 1970 Paid under parcel 10 050- 00 • SEWER LATERAL qq? 1961 Paid undC parcel 10 050 0-0 WATERMAIN • WATER LATERAL 1981 Paid unde arcell 10 050 Q-0 WATER AREA 7L) i9 3 Paid uade parcel 10-A 8050- P40-04 STORM SEW TRK [0 1971 Paid and parcel 10- 050 0-0 • STORM SEW LAT 19 1 Paid unde parcel 10-1 8050- P40-04 • Services 1981 Paid under parcel 10 050- 0140-04 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Addition Owner 11I , ' o tj - tl'l l ` n Va'•- Street Lot Pt• of 4 Rik 4 Parcel 10-48050-041-04 Shale Lane Crara Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. Ja .4$I 1981 Paid undo Cel 10- 0 0 40-04 GRADING SAN SEW TRUNK 1970 Paid undo Parcel l0-A 8050- )4q-o4 e SEWER LATERAL 3 1981 Paid undo Parcel 10-1 8050- )40-04 WATERMAIN • WATER LATERAL 1981 Paid undo vareel 10-1 8050-. )40-04 WATER AREA 'b{11 1 Paid uncle Parcel 10 0 0 40-04 STORM SEW TRK 1971 Paid undC Parcel 10-J 8050- )40-04 e STORM SEW LAT 1981 Paid i ndE Parcel 10- 8050 40-04 e Services 1 81 Paid undo parcel 10-J 8050- )4o-o4 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks Addition 11t%nAaW and lat Addition Lot 4 Blk 4 Parcel 10 48050 -048 04 z/ Owner Street 1968 Shale Lane State Sagan, NN 55122 ova-o y Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET STOR. mp. 1559.99 1!)8. 99 1431.00 A010121 4-24-81 GRADING SAN SEW TRUNK 1970 77.95 3.12 25 A n A,; A01 ni 21 4-24-81 * SEWER LATERAL 417 _SR 417-65, 10 3758 a-?, A01 01 -211 4-24-81 WATERMAIN * WATER LATERAL WATER AREA G/ 973 5.27 6.35 27 15 38.12 A010121 4-24-81- STORM SEW TRK 1971 282.92 .1 20 127_38 4-24-81 * STORM SEW LAT 0 iggi CURB & GUTTER SIDEWALK Q STREET LIGHT o 49 L1 - Ya Road Unit 370.00 22 12/8/80 WATER CONN. 610.00 22247 12/8/80 BUILDING P #6435-2 6 22247 12/8/80 SAC 1050.00 22247 0 P r - CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION DUPLEX 000 Site Address 1968 Shale Lane Lot 4 Block 4 sec/sub. Meadowlands Parcel-* 10 48050 040 04 Name Pat Hoffman Address 10429 5th Ave. Cir. o B1mtn, Mn I___ g Name Son's Construction Co. uu Address Z 370 Rahn Rd _ r:.., Eagan, Mn. 551Q2,.. 454-7022 Name George Mansfeldt Address 980 35W Frontage 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 - A Building Permit is issued to: all work shall be done in coca Building Official N2 6435 Receipt # ?A,?__ Erect EJ Occupancy n3 Alter ? Zoning Rl Repair ? Fire Zone 3 _ Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 24 ft. Grode ? Depth 40 ft. Approvals Fees AssessmWM 14^4-Ou Permit 11U. Ju Water & Sew. Surcharge 19.00 Police Plan check 55.25 Fire SAC 525.00 Eng. Water Conn. -395 --00 Planner Water Meter 60.00 Council Road Unit 185.00 Bldg Off . . APC 5 Total 1,259.7 Son's Construction Co. on the express condition that with all opplip 4lg State of Minnesota Statutes and City of Eagan Ordinances. ?To Be U .wl l .?OLI?- CITY OF EAGAN V C BUILDING PERMIT APPLICATION Used Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. For t)L41C `- J1 Valuation 3 O o o Date ddress Site A Z-,4 la e- /' / G A- - syA L e OFFICE USE ONLY ./ 11 Lot ` Block Sec. /Sub -//J/P40 Erect Occupancy 3 Parcel #: & Ito L 61f:a- " Alter Zoning _ - Repair Fire Zone 4 Owner: 47 ?1aFFi?//l/Y Enlarge _ Type of Const. j/ 1 Address: /'0 - / ;5 Y Move Demolish # nt ft. Fro City/Zip Code: ??bGil,aa H Grade Depth y 0 ft. Phone #: Contractor: APPROVALS FEES C:a, Assessments ermit 114. So char e Address: ?i37o %? ?dater/Sewer police ur g /9, 6 0 Plan Check .51, 2- S' City/zip code: Efl a 02' "--S-i 5 Fire SAC f2.S, 0 0 Eng. Water Conn. 7a S, a, u Phone #: Y 7? Planner Water Meter 40.00 ; 4 Council Road Unit / 'TS, 'o 0 Arch./Eng.: 9 11919-5 f e 1 ! Bldg. Off. Address: `"7'0 / 3 S- !v frt?? fv y ?° APC City/Zip Code: f??cyniiK y:c d l TOTAL 2 ! /cr . 73' Phone #: C 8/ 4 yt 5 6N'S C"U.LSTkkdrIc,%v • CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6436 454-8100 BUILDING PERMIT APPLICATION PHONE: Receipt # _ O( 7 To kn ..a Co. 1 DUPLEX Fct Valise 38,000 Dnrn 12-8 19 80 Site Address 1700 onxLa IAN. Lot / Block _ / Sec/Sub. 1EADOWLANDS Parcel # Name Pat Hoffman Address 10429 5th Ave. Cir. ° r,,,,B1mgton, Mn. p,.,...e 881-2761 p Name Son's Construction Co. ou Address 4370 Rahn Rd. ? r;ti,Eagaxn, Mn. pti.,.,e 454-7022 Gw I Name George Mansfeldt Address 9801 35W Frontage 1 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. Erect M Occupancy R3 Alter ? Zoning Rl Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 24 ft. Grade ? Depth 40 ft. Approvals Fees Water & Sew. Police Fire Eng. Planner - Council - Bldg. Off. - APC Permit 11v. ?)v Surcharge 19.00 Plan check 55.25 SAC 5?-5 no Water Conn. .00 Water Meter 6000_ Road Unit 185.00 Total 1,259.75 Signature of Permittee I A Building Permit Is issued to: Sort's Construction Co. on the express condition that all work shall be done in accordance wi all applica St to of Minnesota Statutes and City of Eagan Ordinances. Building Official ?" CITY OF EAGAN Include 2 sets of plans, 3 • 1 site plan w/elevations & ?! h L / BUILDING PERMIT APPLICATION 1 set of energy calculations. /1X PL e -5 $, coo - Z - / - U /'2--/- / To Be Used For- valuation _ Date Site Address / ?? G ° 09' SAYA' L L,4 la e OFFICE USE ONLY Lot q Block __?_ Sec. /Suh.M&-A-b ow 41'AbErect Occupancy A73 Parcel #: Owner: PAT IlL i PILY-4 ^) Address: Jo L/ % 4; re- Orit -e- City/Zip Code: J,GU G h, i i? G r U Phone #: Y P ` 2 7 Contractor/: Sa N S C 6 /v Sr?2 ?. E. -r?%J Address: L/370 City/Zip Code: 6A U S Z - 2-Phone #: S y 7 O z: ?ea;,ce MN??s ??<</r Arch./Eng.: Address: 9 ?G % - 3 S W /?h 6A, 14 6E G City/Zip Code: g Phone #: P i/- / a 0 0 Alter Zoning R Repair Fire Zone Enlarge - Type of Const. ? Move # Stories Demolish Front 2'y ft. _ Grade Depth yp ft. APPROVALS FEES Assessments Peru / / U ..S"d ?4ater/Sewer Surcharge / O . n a Police Plan Check Fire SAC 52S'. a o Eng. Water Conn. .any, a e Planner Water Meter Jo. 06 Council Road Unit /RS, a0 Bldg. Off. AFC TOTAL ?? ?/ p /q OFFICE USE ONLY This request void 18 months from validation / h dare printed in thi;_x. l / / 0170C Q Dy/ L' III?IIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIII IIII1 ? , CPO 0 4 4 0 5 7 5 111 PLEASE PRINT OR TYPE Reouest Dote RougMn inspection required4 ? Yes ? No InspecBm Other Than RougMn_ ? Ready Now Will Call . 0. (Vou mull mll the inspector when ready) Dab Ready: I, icensed contractor ? owner hereby request inspection of the above electrical work at: Job Address, )Street, Box, or Roue Net City Zip Code l 0I`0 1? olzlpl 2- l ?. Section No. Township Name or No. Range No. Fire No. aunty c Occupant L --Ti Phone No. Power Supplier Address Electd I Canrcacro (Company met C.ano r Ucense N. Mosrer tic. No. )Pont Elect. Only) ?( cx/ O 9 s M iling Address (Conn r Owrer Petormiig 1 110 y 1(-1640 A A? A 'zed SigrwNra IConrcanar or Owner Perorming Insrollafion Ph.. No. ?J B/96 STATE BOARD COP*-SEE INSTRUCTIONS ON BACK OF YELLOW COPY Tj???47 REQUEST FOR ELECTRICAL INSPECTION 4,60-575 Minnesota State Board of Electricity 1821 University Ave., Rm. 5128, St. Paul, MN 55104 Phone (612) 642-0800 Home Du lex Apt. Bldg. New Add' 'Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Hlr. Load mt. Other: Dryer Range Elec. Heat Temp. Service "X" above the wort: covered by this request. Enter remarks in this space and on the back of the while copy only. A \C? t.k? Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee It Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./rraffic Sig. Above 200_Am s rn 0Amps Transformer/Generator INSPECTOR'S USE ONLY J7 iY TOTAL Sign/Outline Ltg. Xfmr, / Alarm/Remote Control Swimming Pool / I hereby cen' r I in el iwolhrion de,eribed herein on the dares scored Irrigation Boom RaugM / Dale S ial Inspection Investigative Fee Fin D THIS INSTALLATION MAY 8E ORDERED DISCONNE D IF N OMPLETED WITHIN 19 MONTHS- m?nnesoca arare ooam or uecmciry Griggs Midway Bldg. - Room N191 EB-00001-02 lop _ 1 21 University Ave., St. Paul. Minn. 55104 - Phone 297.2111 /f REQUEST FOR ELECTRICAL INSPECTION 'L T 11547 CHECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Weed or Check Equipment Wired For I{ome Du l 111???0 ? JQ ? ? ? Range W H ? Temporary Wiring Fi L h i 0 p ex ater eater t ng xtures ig Apt. Bldg. ? ? Dryer Electric Heating ? Commercial Bldg. ? ? ? Fumace Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List 1g;1 LList Other ? ? ? } Mers! l.lr?Cd p Heiers COMPUTE INSPECTION FEE BELOW Service Entrance Size: # ee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. 0 to 30 Amperes 0 to 30 Amperes g0 101 to 200 Amps. 31 to 100 Amperes 31 [0 100 Amperes Above 200 Amps. Above 100 Amps. Above 10Q_Amps. Transformers Remote Control Circ. Partial or other fee O Signs Special Ins ection Minimum fee Remarks ?' ® P TOTAL FE 7J sV 1, the c sp by certify th6f? abo?e a t een made- Rou v `` - Date if P (Finalf k to -> 7- } /Y 1 This request void _ '18 months from MWest void ?.? /..?'I ?? /• 18 months from Date of this Request 7- LF/ Fire No. t11547 I, as ? Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cahwiring installed at: Street Address or Route No. ?ha - to P 9%"x- ,l aN1e- City fo0A-? Section Township Range County C04(64741 Which is occupied by -n N5' C4,JS7& 4a7 4 /`-" (Name of occupa nt) Is a roughin inspection required on this job?? No ? Yesg Ready Now ? Will Call' Power Supplier J)4q / 4 aU;r Address AgmI r No Electrical Contractor M t4t U !! ? C Contractor's License . Mailing Address (Company Name) 13d OX*V. /Q yLe ?•11 ' _ (Electrical jVontractor or Owner Makln9 This Inatalla bn? Authorized Sp" Phone No.? This inspection request will not he accepted by the State Board unless proper inspection fee is endosed. 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas (2Q% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed sot 2 copies of plan showing beam & window sizes; porrred found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot plafted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form B` 7/e e&. 00 Remodel/Repair Requirements Office Use Only 2 copies of plan showing footings, beams, joists Cad of Survey Reod -Y _ N l set of Energy Calculations for hued additions Sots Report _Y _N I site survey for additions & decks Tree Pres Plan Reod _Y _N- Addition -irdroate if on-site septic system Tree Pros Required _Y _N on-site Septic System _Y _N Plans are considered nuhlic information unless volt state thev are trade secret and the reason. Date 6 Construction Cost I Q Site Address (> to {? a -e- -61 (l P ra g n r\unit/Ste J `M? ) Description of Work Mutti-Family Bldg _ Y _o Fireplace(s) _ 0 - 1 - 2 Property Owner 'E: r I` C r c t? Telephone # ((p Contractor PI ^ L -A -e r h X Art va rr 1 Address tl G tt V? i i city LE' X i n State caw Zip ? S d Telephone # (-1(03) 7-{ ? - l (oL COMPLETE THIS AREA ONLY IF Minnesota Rules 7670 Category I Energy Code Category . Residential Ventilation Category 1 Worksheet (d submission type) Submitted . Energy Envelope Calculations Submitted A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plant - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor apply for a Residential Building Permit and Telephone #( Telephone #( Telephone #( that the information is complete and accurat e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. dk-t Applicant's Printed Name Applicant's Signature -ff 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed any (2y% maximum lot coverage allowed) I Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Planf lot platted after 7/1193 Rim Joist Detat Options selecton sheet (buildings with 3 or less units) Mlnnegasoo mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beans, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-sde septic system ?? 7/?- -3 /_ 75?.7C office use 0 Cad of Survey Reed _ Y _ N Soils Report _Y _N Tree Pres Plan Recd _Y _N- Tree Pres.Required _Y _N On-site Septic System _Y _N Plans are considered public information unless you state they are trade secret and the reason. Date ??/ 02 D l Construction Cost Lf 9 3 0, 60 Site Address L Art of unitiSte # Description of Work K -2.yY? nv P A r\-d r9 1 LI , v-6&47 r\n?l Of N S?d o9 .,(,'anti 5v{- Multi-Family Bldg _ Y Fireplace(s) _ 0 - 1_ 2 Pas C i ?- Property Owner t 4 L-_ g to nn ?-? ll k rS c, K Telephone # ((y ?) L-f Contractor r t f V Y\ . k o n `?? r ]Z- P ?' T r c a Address o el 'l !5 - City 1_ ?a n 5 +-a-k ? state (`rte N Zip j 5 6 l ?J Telephone# (?!®ry - 5s 3 - ! l? I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category I Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • 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? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( r r } I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 Certificate for: Dunn & Curry .JDNS Co0ST. CO. C70a o?saN 43?0 t?Al}N GOAD F-pAk) , M 11,3 V) 55122 2978 - 145T DELMAR, H. SCHWANZ LAND SURVEYOR Registered Under Laws of The Slats Of Minnesota i STREET W. - BOX M ROSEMOUNT, MINNESOTA 55065 SURVEYOR'S CERTIFICATE 10.5 ? _ (9) C? ? i?-S H P? L E U f?\ t,1(= 1.7 j S 64.00 ,?. CO 40.4 i a f? n 7 U? s89°44 3teE >39tZ ?SEMEWT 9, PHONE 912 4231799 2 SCALE: 1 inch - 30 feet ? 1?1•Z DEn10'rE5 PRpPOSEQ i ? Flits H>=.o Gw+oe: Q?01F - P p,2oacu>?p Gar?A4R voce Q ??Jp-TsD1J = t392.00 ?T B ,re7 8 I 92A p ?0 128,00 N 69°a4'at"W 99.0 I hereby certify that this is a true and correct representation of Lot 4, Block 4, MEADOWLAND FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Dated: June 13, 1980 Approved for Dunn & Curry Real Estate Management, Inc. by: 1ZEJt5? t? To spo v T':?PGSW-b I i6?- G ? S#ALE GA/? Nt1UEM6ER Z8, I? MINNESOTA REGI TRATION NO 8625, &6u53 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 15-50 Date __-I '3'?I Site Street Address 1' A ?9??t?N VL Unit # Property Owner (Telephone # w a) 05_LL ? h # CIS4 one ( Contractor Telep Address` StateY/)-?j Zip-5S604 The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: ^? x Water Softener ?_ 9Nater Heater $ 15.00 -replacement _ additional new _ repair ,rebuild Lawn Irrigation System RPZ $ 30.00 5 State Surcharge 5V $ .50 .? T t l i 15SrJ $ a o sy 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 the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with th pprov plan in the event a plan is required to be reviewed and a roved. Applicant's Printe Name Applicant's Sign re OW 'ER: SITE ADDRESS: CONTRACTOR: SG .U 'i 0 LE T /z ?r a Tic DATE : PHONE: DETERMINE WORKING SQUARE FOOTAGE OF EACH: I. TOTAL EXPOSED HALL AREA,, 2 Q i L aq ft x "U" . nL 2. TOTAL ROOF/CEILING AREA... . .. . . sq ft x "U" ? I 3• TOTAL EXPOSED WALL AREA CALCULATIONS: .oo Total exposed wall area above floor„ r a c.,•<i sq ft a) Total wall window area: glazed..... . " " sq ftx U r,j • IDS glazed -- ...... sq ft x "U" b) Total door area ,,,,,,,,. , sq ft x "U" 7_r, a 22. D e) Total sliding glass door area: I QOc7BL.!?- glazed...... f " " sq t x U SS a 4(P,? glazed...... sq ft x "U" d) Total fireplace wall area sq ft x "U" Z e) Total wall framing area (Average 10%) .......... .. Z? sq ft x ..U.s l Z f) Total net wall area above floor (Insulated)...... (v 4 ' " " sq ft x U g) Total rim Joist area....,. 1 7 6 - sq ft x "U" - Total foundation area (Exposed)......... 3 J ;? sq ft h) Total foundation window area ............. -- sq ft x "U$$ () Total net foundation area above grade........ sq ft x "U" _ ?D • 3 9+Z.-n TOTAL a) thru 1) 40 ,) 3. If Item #3 Is the same as, or less than Item p1, you have met the intent of S.B.C. Section 6006 (c) 2. CITY OF EAGAN CASHIER: S 'TERMINAL NC?;; 74 DATE m 09/09/96 TIME i027:45 ID'. NAME, AMRE 38:L0 9001 066 SHALE LANE 74.75 205 900:!. 066 SHALE LANE :1.,,50 Total Receipt. AmounC:: 76.25 CRO64 076 USER IDw NANCY CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 1966 SHALE LANE LOT: 42 BLOCK: 4 MEADOWLANDS 1ST P.I.N.: 10-48050-042-04 DESCRIPTION: PERMIT L a i /73 3 i Ll - a BUILDING 028787 09/09/96 REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee f, y. PERMIT TYPE: Permit Number: Date Issued: p"...__. REPLACEMENT WINDOWS t`3uilding,Permit Type SF (MISC. ) Building Wq_r,k Type REPAIR Census Cade 434 ALT. RESIDENTIAL $74.75 $1.50 $76.25 $3,000 CONTRACTOR: - Applicant - ST. LIC.OWNER: CENTURY 21 HOME IMPROVE 15530025 0002406 NORTH MELISSA 3700 ANNAPOLIS LANE 1966 SHALE LN PLYMOUTH MN 55447 EAGAN MN 55122 (612) 553-0025 (612)688-7803 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L APPLICANT/PERMITEE SIGNATURE Nia ISSUED B SIG TU E CITY OF EAGAN 3830 PILOT KNOB RD - 55122 10 q§ 1 ,996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681.4675 New Construction Reaulrements • 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured (rid. design; etc.) ? 2 site surveys (exterior additions 6 decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan H lot platted after 711/93 required: _ Yes _ No DATE: cT _3-?1 CONSTRUCTION COST: 7'?S DESCRIPTION OF WORK: STREET ADDRESS: LOT n?J BLOCK PROPERTY OWNER CONTRACTOR rh ) 2w, v ?5hJ p Layl.,Q SUBD./P.I.D. #: Name: / clo? yy?2 I "-- Phone #: 699 7$'0 ?a_ WT ..IT Street Address) S?kel2 Kccf\-Q City: L State: Y Zip: S S-12,92 r l Company: ! vt Phone i License M 00c1-;*46-6 State: L?m_ Zip,14V ARCHITECT/ ENGINEER Company: Name: State: 5treat Address' City: Sewer & water licensed plumber: change are requested once permit is issued. Phone #- Registration #' Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that th7iontion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No BUILDING PERMIT TYPE OFFICE USE ONLY 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. ? 10 _ plex ? 15 Deck WORK TYPE 0 31 New o 33 Alterations ? 36 Move ? 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Permit Fee Surcharge Plan Review License MC/WS SAC Ciho S`Ar` Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: ?+!.2.5 MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Valuation: $ % SAC SAC Units 00289 : Council Minutes November 18, 1980 Page Nine i YEAC-':'LAND IS- ADDITIOS fr'ATVFR OF PLS.' -- SO"'S C0.':ST.TUTTIO': COMP1?1 The application of Son's Constru._cion Company for waiver of plat to subdivide five duplex lots for single o,.aar?hip in Meadowlands 1st A'd' ion was next considered. The APC race.-.ender approval sub;,?ct to certain conditions. There was no arnearance for Elie app_i.ant. Blomquist moved, Parrante seconder: the motion to approve the application subject to the following provisions: 1. That the party wall provisions applicable to all other duplex projects be required. 2. Individual services shall be provided to each unit of the duplex. 3. Each lot shall conform to all other ordinance requirements regarding setbacks and lot coverage. All voted in favor. R 80-93 BOYEER TRUCK AND FOUL PIENT C0%1J1ANY CONDITIOYAL USE PFR}IIT The application of Boyer Truck and Equipment for conditional use permit for outside storage at Sibley Terminal Industrial Park was next considered. No one appeared for the applicant and Wachter moved, Egan seconded the motion to continue the application until the December 2 Council meeting. All voted yes. PATRICIA "4LF3 CONDITIO'Al. USE PERMIT The application of Patricia miler for a conditional use permit for carryout food in the James Refrigeration Shopping Center in Hilltop Estates was next con- sidered. The Planning Commission on October 28 recommended approval. Mrs. Miler was present and there were no objections. Egan moved, Parranto seconded the notion to approve the application subject to compliance with applicable ordinances. All voted yes. D 80-96 AD`IINISTP,ATICE TRA`:SFFR Egan moved, Wachter seconded the motion to continue consideration of the Administrative Transfer increase to the December 2, 1980, Council meeting. All voted ves. E.L. MURPHY TRUCKING COJTAvY IR BOSDS After discussion, Smith moved, Wachter seconded the motion to advertise for a public hearing for industrial revenue bonds for E.L. Murphy Trucking Company for the Decem er 16, 1980 City Council meeting. All voted yes. L 041 BL ? CITY USE ONLY RECEIPT #: 7/W/ SUB RECEIPT DATE: r 9 7 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit _ New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: L? FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge .50 ?,? 9cG TOTAL ad .. 24 ! SITE ADDRESS: OWNER NAME: INSTALLER NAN STREET ADDRE CITY: JOR STATE: IU -Ssyo CITY USE ONLY L BL SUBD. RECEIPTM RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814*76 Please complete for. • all commerciaUndustrial buildings. • multi-family buildings when separate permits are= required for each dwelling unit DATE: CONTwnCT. PRICE: -- WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: . $25.00 minimum fee Q 1% of contract price, whichever is greater. Processed piping - $25.00 • State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x I% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE * TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: PHONE M ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR LOT: P'57 9 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements ? 3 registered site surveys showing sq. ft. of lot, sq. R. of house and all roofed areas (20% maximum lot coverage allowed ? 2 copies of plans (show beam L window sizes; poured fnd. design; etc.) ? 1 set of energy calculations 3 copies of tree preservation plan R lot platted after 7/1 /93 D Rim Joist Detail Options selection sheet (buildings with 3 or less unitsl DATE: Q (2?'3 O, a 16do.6 CONSTRUCTION COST: DESCRIPTION OF WORK:-Z6_ e Z - Aa5??WF If multi-family bldg., how many units?? STREETADDRESS: 6,;21?L7 PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: Hv ?M Phone #: Last First Street Address: / 566pvnVW Sh4c-C City Z?P? State: M N Zip: Company: c7o'jr eke QeS Gti Phone#: 9SD--Y_31-33F3 (area code) Street Address: SY S /ya N_? S? GUST Ucense# JX>70&/ Exp. City drrL2 Va q{, State: M A/ Zip: <-Y/2 Y Telephone #: ( street city Remodel/Repair Requirements 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions & decks Name: Registration State: Zip: Sewer/water licensed plumber (if Installing sewertwater): Phone #: 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 OFFICE USE ONLY Certificates of Survey Received Yes No 2000 Tree Preservation Plan Received Yes No Not Required L'CT J BLOCK: - SUBD./P.I.D #: meadoydc )6 [&t 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of_ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement VALUATION Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous MC/ES System City Water Booster Pump PRV Fire Sprinklered ? 35 Int Improvement ? 42 Demolish (Foundation) ? ? 36 Move Bldg. ? 43 Reroof ? ? 37 Demolish (Bldgr ? 44 Siding ? 38 Demolish (Interior) Demolition (Entire Bldg only) permit - Give PCA handout to applicant Occupancy Zoning Stories Sq. Ft. Length Width INSPECTIONS REQUIRED - Footings: New Bldg _ Insulation - Footings: Deck _ Finat/C.O. - Footings: Addition _ Final/No C.O. - Foundation Fireplace: _ r.i. _ air test _ final Framing Pool: _ ftgs _ air/gas tests _ final APPROVALS Planning Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other Total: ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or - N Building Engineering ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi 45 Fire Repair 46 Windows/Doors Windows - new/replacement Siding Stucco/Stone Roof: _ ice & water _ final Variance LOT: I BLOCK: `I SUED./P.I.D #: MPQdO land k L r 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN Il 35I Q 3830 PILOT KNOB RD - 55122 f J V 651-681-4675 New Construction Requirements 3 registered site surveys showing sq. H. of lot, sq. H. of house and all roofed areas (20% maximum lot coverage allowed) ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) ? 1 set of energy calculations ? 3 copies of tree preservation plan if lot platted after 7/l/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) DATE: I U ' 271 -o U DESCRIPTION OF WORK: Remodel/Repair Requirements 2-copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions L decks CONSTRUCTION COST: /w, O? bldg., how many units? STREET ADDRESS: MK V1 K Steal t l " Name: f l l)7? Phone #: PROPERTY L ffM OWNER Street Address: City State: Zip: Co n T ' ` l,' Phone #: Company: (area code) CONTRACTOR r t` Street Address: r'??n ppo?, ?_S I t License # Exp. ' / City r11 V ?^^ State; Zip: d- 7 ARCHITECT/ ENGINEER Telephone k ( Name: Street Address: Registration C city State: Sewer/water licensed plumber (if installing sewer/water): Phone M Zip: 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 Ea an Ordces. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement VALUATION Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) * Demolition (Entire Bldg only) permit - Give PCA handout to applicant Occupancy Zoning Stories Sq. Ft. Length Width INSPECTIONS REQUIRED - Footings: New Bldg Footings: Deck - Footings: Addition _ Foundation Framing Insulation Final/C.O. Final/No C.O. Fireplace: _ r.i. Pool: _ figs Building air test _ fmal air/gas tests _ fmal MC/ES System City Water Booster Pump PRV Fire Sprinklered Windows - new/replacement Siding Stucco/Stone Roof: _ ice & water _ final APPROVALS Planning Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other Total: Engineering Variance ?(p 2 ?y q CITY USE ONLY PERMIT #: ( b J d 1 RECEIPT DATE: RESIDENTIAL MECRAMCAL PERMIT APPLICATION crrYor EAem 3830 PILOT KNOB RD EA(L NMN551EE 651-681-9695 Please complete for: D single family dwellings townhomes and condos when permits are required for each unit Date: 1,?--7-01 SITE ADDRESS: ?9CP Co ??Q C/Q ?t/l-e OWNER NAME: fZC_5 ?J3 L2 1 /Z f?P? TELEPHONE #: 67 5-1 CAB& -Co" (AREA CODE) INSTALLER NAME: ?rlr, o/ lp s&)eCT F /jG TELEPHONE #: vro2- 4 (AREA CODE) STREET ADDRESS: S CITY: \(] r?QGI? STATE: M12 ZIP: _5jo5 Place a check mark next to the permit work Woe New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: // 2f1OL'/? OL r p 94&1G State Surcharge $ .50 Total $ Sd Reminder: Call for inspections. SIGN RE OF PERMITTEE Updated 1/01 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMERCIAL MECRAMCAL PERMIT APPLICATION CITY OF EAHAN 3830 PILOT KNOB RD FAGM, MN 55188 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE#: (AREA CODE) STATE: ZIP: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing (inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x I%=$ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 7-] Telephone 4 651-675-5675 FAX # 651-675-5694 aTl0.0? New Construction Requirements Remodel/Repair Requirements k7ffiil e ' 3 registered site surveys showing sq. ft. of lot, sq. ff. of house; and all roofed areas 2 copies of plan `ly??fye { iCdti i ? (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions S PWn Rectl } xl' 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks I`te f+le 3a g,a>,)' 1 set of Energy calculations Addition -indicatefon-site septic system 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Z t3 OL( #2,7c' l Date l 4 Construction Cost Site Address (Cl (o b y:5(-{ Nu l L Aj Unit/Ste # C>tb A&_? Description of Work P"J 5T//L(, (A 5 1' EQ /it 444( Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 2 ? ? D l.v i? uv. Property Owner yJ l^\ b G L7 5(? Telephone # ((P)) WI-7036 P AeNk v Ca.?o--R fi Contractor t? nn\ r l iG v5 i I ,? Z (? a/aLl? Address 56-SD cw.i., [*j-1 t3 vLLIGr City State [ Zip :55".0 Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # FEB Zuu4 Telephone # elephone #( N If so, 25% plan review )(L- ?y I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 a case of rk which requires a review and approval of plans. j 0- 0 Applicant's Printed Name Applican 's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final - Pool _ Ftgs _ Air/Gas T ests _ Final - Framing Siding _ Stucco - Stone _ Brick - Fireplace _ R.I. -Air Test - -Final _ Windows - Insulation - Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector PERMIT Permit Type: Building City of Eagan Permit Number: EA105071 Date Issued: 06/25/2012 Permit Category: ePermit Site Address: 1966 Shale Lane Lot: 042 Block: 04 Addition: Meadowlands 1st PID: 10-48050-04-042 Use: Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Comments: Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $3K $88.50 0801.4085 Fee Summary: Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: Owner: - Applicant - Glowing Hearth and Home LLC Jeremy M Rider 100 Eldorado Dr. 1966 Shale Lane Jordan MN 55352 Eagan MN 55122--220 (952) 492-9276 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA136566 Date Issued:05/20/2016 Permit Category:ePermit Site Address: 1966 Shale Lane Lot:042 Block: 04 Addition: Meadowlands 1st PID:10-48050-04-042 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Jeremy M Rider 3634 Windtree Dr Eagan MN 55123 (651) 777-5555 Airtech Heating & Cooling 490 Villaume Ave, Suite 300 South St Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature