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1976 Shale Lane CITY OF EAGAN WATER SERVICE PERMIT 3795 Pik7 Knob Road PERMIT NO.: Eagari, MN 55122 DATE: Zoning: No. of Units: Owner rOa~.f PTO': Address: 'il Site .,ddress: Plumber: _ . ~ A:. ter No.: Connection Charge: Size: Actount Deposit: Reader No.: Permit Fee: 1 agree to wmply with the City of Eagan Surcharge: Ord7nances. Misc. Chorges: ~Total: gY Dote Poid: Date of Insp.: I ^SP•: . . . c ~ 41 , . . . ,~Y`~ - , ' . . . . cInr oF E?GaH SEWER SERVICE PERMIT 3795 Filot Knob Rood PERMIT NO.: _ Eagmn, MN 55122 DATE: 1' " Zon- i^g: ~7 7 No. of Units: u: " - . Qwner: Addresr. ` • r Site Address: Plumber: I ogrea to aoroyly w{!h !he City of Eogon Connection Cho rge: Ordinanees. Accourrt Deposit: ; Permit Fee: ' ~ Surchnrge: BY Misc. Charges: ' Dote of Insp.: TotaL• ~ Insp.: Date Paid: ; CM OF EAGAN WATER SERVICE PERMIT 3745 PA* Kno6 Rood E°9Qn. MiV 55122 PERMIT NQ.: Zoning: "T T DATE: . - Owner: No. of Unirs: '~r I Address: Site Address: I ^ 7 ` Plumber: Meter No.: Size: Connection Chorge: Reuder No.: Account Deposit: 1 a9ree bconPl1 wtth the City of Pe?mit Fee: - ~i~n~ ~8on Surcharge: Misc. Chorges: BY TotaL• r,- Dote of Insp.: Date Paid: Insp.: CITI' OF EqGAN 3795 P1:ot F° Kno6 goad ~FR SERVECF PERMIT ~N ~ zohi„g: 53122 - PERMIT rvo.: . ~ Owner: DATE' Address: - - ~ y ^ No. of Units; Sita Addre ss: n c., cs,. Plumber. . - ~a9roa to oumplY with Ordiaan tbe I Ci~ ~ ~ - ees, gan Connectio ' ' • ' ~ ^ Chcrge: ACCOUnr Depo;r: ~ gy Pe?mit Fee; Surchorge: Dote of fnsp.: i Insp.: Misc. Totof: Chprees; Dote Pald: ' a - cinr oF FA"N ~ 3795 ?ilo Kno? Raed Eayew, MN 55123 ?3 7 7 ` PHONE: 45I4100 ' BUILDING PERMIT Receipt # Te be oad ior Est. Volue Date , 19 51te llddreu Erect p Occupancy Lot Block SecJSub. ` Alter ? Zoninp Porcel # Repoi? ? Fire Zone Enlorpe ? Type of Canst, W Nome Move ? # Stories ; Addreas Demolish p Length b Ci phone Grode ? Depth Sq. Ft. ~ o Nome Approvols Fees u~ /lddress Assessment Permit ~ Cft phone Woter & Sew. Surchnrge ~ Poliu Plan check Fi N°^iQ Firo 5AC W Address . Enp. Water Conn. i W G Phone Planr~er Woter Meter Council Road Unit I hereby ocknowledge thot I hove read this opplitation ond stare that Bldy. Off. the information is correct ond ogree to comply with oll opplicuble A~ T~a~ - State of Minnesoto Stotutes ond City of Eagan Ordinonces. Sipnoturc of pertnittee A Building Pertnit is issued to: ' on tfis axpress condition thnv oll work sholl be done in accordonce with oll applicobls 5tate of Minnesota Stotutes ond City of Eapon Ordinances. Buildinq Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing Z?5 9r-0-"tI I(f 7=3cr- H.V.A.C. 313 Fr€olc? cKso., Fs-l3-? Well Water Disp. Sewer Electric (J Z$ ?Z r ?` L 5-23 ?L Inspection Deft Insp. Other Footings p f Foundation Framing Rough Plbg. ?= Z (? Rough HVA insulation Final Plbg. d- ?- 2 ??. , W Describe Location: D ` _~'R!%^~: Lt~'r+'r T~~~i" ~ . - J: l r~c~i~z.k~S~~?'~-~,_ ~ ,/:c•~s ,`~;,c~re ~ (g.rrttfira#t of COrrupttnry Ctp of Olagan lop}i81'ttlPttt Df %tdbirig .]11BwPttiiltt ~ Y" Tbir Certifrcatc isruad pxrruraMt to t{x roqtrirmunt.r of Saaion 306 of tbc Uni foras Baildixg Code cmr/~aixg tfiRt ot tJx tiurc 01 isst~a~a ehi.r atrrrctwrr ~ in complea~rcr witb ebr vsriwt r ' I ~ 6o.dimmer o f rim car rig,rliana bI mw+uctkx o?mu. For the /ouownxg: 4 , , 4~y u,.cumubsadm 1f2 DUPI,EX & GAR w~.r~rra 7372 i~ Y 11\ ~ '•:`I Oewr~o,, ~'w R3 ?yP ca..dr.tl,. V Pb, zo.. NA za.l~ p¦,w R2 0,.,f.,r.Cliff Reoad Propert.A,a,,, 4940 Vikiag Dr., Minneapolz ~ q~ I.ot 3, Block 4. Meadowland ls; ~ l 1978 Sha1Q Lan~_~y ~ by: ~ ;1 = '-`bdwftotkw DW: October 28, 1982 ~ i Auilder : Son's Const. .a„ . ~ 4-~~.~z?~~~i.a~~f~~R3~- -1~~~ zZ60~4i • `---i~\-_ Oowe •ei ur»o~. ~.s... . I Receipt PLUMBING PERMIT Permit No: . CITY OF EAGAN . Fee ' Fill rn numbered spaces S/C Type or Print legibly Tot ' 1. Date 7 J L' ~ 2. Installation Cost 3. Job Address , Blk. Tract r, ~ 4. Owner i L 5. Contractor.~'~ fi;~r Phone . ! 6. Address l_~ ' T ~ ! G 7. City, ~ ~ i`/ r Atate Zip - ~ 8. Building Type: Residential Commercial ? Institutional ? • 9. Work Description: New ~ Add ? Alter ? Repair ~ 10. Describe 11. No. Fixtures No. Fixtures / Water Closet Cesspool/Drainfield ~ Bath tubs 5eptic Tank ~ Lavatory Softner Shower Well Kitchen Sink -7- Urinal/Bidet Other / Laundry Tray T Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. . CITY OF EAGAN , Fee . Fill in numbered spaces S/C Type or Print legib/y • , Tot 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City 5tate 2ip 8. Building Type: Residential I7 Commercial O Institutional O 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No, Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN 4 37lS Pilet KAOb Road Eayan, MN 55122 7,`z 7 1 PHONts 454-0100 BUILDING PERMIT Receipt # Te be awd for Est. Value Date - 19 $ite Addreu Erect Q OctupancY Lot 81xk $ec/Sub. Alter ? Zoning Parcel # Repoir ? Fim Zone Enlorpe p Type of Const. W Name ' Move ? ~t Stories ; Address Demolish p Length b Ca ph~ Grode p Depth Sq. Ft. ~ Nome ~ Approvab Fees Z~ Assessment Permit u~ Addreu ~ Ci Phone T Water 8 Sew. Surchorpe Police Plon check ~ F~ W NO"1° Firo S/~C ~rc~ , Enp. Woter Conn. iW Ci phone Planner Water Meter Council Rood Unit I hereby acknowledge that I have read this opplication and state tiat Bldy. Off. the information Is correct and egree to comply with oll opplicable ApC Totol Stote of Minnesota Stotutes and City of Eaqon Ordinonces. Sipnoture of Permittea /1 Bullding Pertriit Is issued ta on the exprcss condiNon lhnt all work sholl be done in acwrdonce with oll npplieoble State of Minnesota Statutes ond City of Eayon O?dinonces. Buildinq Officiol Parmit No. Permit Holdar Misc. Permit No. Holder Plumbing Zq'~j ~ H.V.A.C. 31 ~-p -T Fredrttfc56n 8~~13,~'Z Well Water Disp. Sswer ENctric W Z$"g'Z3 ~ric.K. In"etion Data In~p. Other Footinps •Z j-f ~ C~ Foundation Freming Rouqh Plbq. . ~ Z Rouqh HVAC Inwlation - ~S !1} Finel Plb¢ Final HVAC • • Final ~ Wsar Dewibe Location: Well ~ Sowor Pr. D'ap. } ~k~- 1~ ~T R _ - - - ~ ` " s.~~trftf ira#t of bE~ ~ ~ M ~itp of ~agatt 'k ~X Tbrr Ctrti ficate i.rsued pursuant to tbc requirrments of Seaian 306 of the Uniform Buildi»g C o de cati fying t hat at t l x tinze of usuana tbit nrxcture was in complianu with tlx varioru ordinaxct.r o tlx City rr8ulatrnbuildin con.rtrxction or un. For the followin , f 8 8 8: ~ II um c~~ 1/2 D~lex a r a t~ e B l dg. P s m it N o. 7371 ~ D_3 `f oxaa.ar 1Yw +~Yv~ ca..w~nm~L- Fim zond NA z«ws n;.uict ~fBad,,Cliff FOad Prop• Addcm 4940 V;ki M Dr.tIPls 55435 5on's (bnstruct-i~ 4370 Ralui Rd, Eagan 55122 g -7t ~ 9-24-82 euiwine n.c~: . ?OiT M A CCMWIGUONf ~Ll6 ~ ~ ~ i w1iY. g " .~k. /A#. ' A x'~°' A . '~~"*@~" A a&Ba ~ ~ .a.~, ~ . . . ~ - . . . . . . r- k _.F. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN . , Fee Frll rn numbered spaces S/C Type ai Print legibly Tot. 1. Date " ' 2. Installation Cost 3. Job Address Blk. ~r Tract _ 4. Owner 5. Contractorf> > ~ r r•~'.///i . / ,l~ j , Phone • ~f - , 6. Address • .1 ) ~ i 7. City' i ; ; State Zip ~ 8. Building Type: Residential,tg Commercial ? Institutional O 9. Work Description: New,10 Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield I Bath tubs Septic Tank ~ Lavatory Softner Shower Wel I Kitchen Sink ~ Urinal/Bidet Other • Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoeipt MECHANICAL PERMIT Permit No, • CITY OF EAGAN _ , Fea ' fill in numbered spaces S/C Type or Prini /egib/y ~,o~ 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address ' 7. City State 2ip ~ 8. Building Type: Residential ? Commercial O Institutional O 9. Work Description: New C3 Add 13 Alter O Repair ? 10. Describe Fuel Type 11. No. Eauipment BTU - M. Ea. No. Equiament CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signea : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 cirY oF EAGAN 37" Pllot Knob Reed Eegen, MN 53122 5; 0 ' iHONE: 454-8100 l BUIL[PING PERMIT Receipt Te be wW ier DECK Est. Volue $ 6 0 0. 00 Dote C;- 7 R , 19R3_ Slte Addreu 1c3 7 ti Sh a 1 P T„an_ Erect ja Occupancy Lotei_ BlockA.,_ Sec/SubME'ar3nw1 anda Alter ? Zoninfl '.2-? parcel #1cj l! Q, Q S p Qzi ['~u_ Repoir p Fire Zone Enlcrga ? Type of Const. 17r+ W Nome Richard J. 1{SBLlter Move 0 # Stories ; Address saltle Demolish ? Length b Ci phone Grode p Depth Sq. Ft. p Name camp Approrals Feea OU Addreu Assessment Pe?mit 1 1_5!1 ~ Ctt phone Water 8 Sew. Surcherye .50 Police Plon check ~Z NOfT° Fire SAC Address Enp. Water Conn. ~c W Ci phone Plonner Water Meter CAUncil Road Unit I hereby acknowledge that I hove read this application ond state that Bidfl. Off. the intormation is correct ond agree to comply with oll opplicable APC Total 12 (1(i State of Minnesota Stotutes-•,ond Cjty of Eo9on Ordinences. Slflnature of Permittee A 8uilding Permit 1s issued to: on tha exprcas condiHon thai all work sholl be done in acoordonce wlth all oppliwble Stote of Minnesoto Statutes end City of Eapan Ordinonces. Buildinq Officiol ? : 32 0 2 C Z ~ r r Q E d ~ o ~ J 'a B E ~ ~ ° d a G O Z r E : ~ a G ~ e ti ; ~ n o ° ~ > `o $ > ip 'C E ; ' ~ C C C ~ m ~ ~ IL LL U. ~ ~O C IL IL {L ~i 3 ~ d CASH RECEIPT ~ CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 Rscetvso FROM AMOUNT $ I & DOLLARS IOo ? CASN ? CHECK FOR FUNO CODE AMOUNT Thank You ~ • B Y White-Payers Copy Yellow-Posting Copy Pink-File Copy r u1= EAGAN Remarks Addition MEADOWLAND FiTSt ADDN. Lot Pt 3 Blk 4 Parcel 10 48050 031 04 k4 1976 Shale Lane Eagan, MN 55122 Owner` .-r ~i±!?-4Ju~Street State i Improvement Date Amount Annual Years Payment Feceipi Date STREET SURF. STREET RESTQR. ~ 1981 Paid unde OTl inal 1 GRADING SAN SEW TRUNK 1970 Paid unde OI'1 inal 1 SEWERLATERAL 1981 gld nd WATERMAIN * WATERLATERAL 1981 WATER AREA 1973 a].Cl und STORM SEW TFiK * STORM SEW LAT 1981 * services 1981 CURB & GUTTER SIDEWALK STREET LIGHT 6-25-82 WATER CONN. 420. 0Q 30730 6-25-82 BUILDING PER. 7371 SAC PARK ITY OF EAGAN Remarks # J g Ad ' n_Headasclaacl ln* KAAi*fein Lot 3 Qik d Parcel 10 48050 030 4 Owner Street 976 S 1 I.sn State MN 55122 1978 Shale Lane - Improvement Date Amount Annual Years Payment Re " t Date STREET SURF. STREET RESTOR, IIIP, , 158.99 10 02 0 6 2 1-16-82 GRADING SAN SEW TRUNK q 197 9 3.12 25 4.41 - 2 * SEWER LATERAL 417.6 $ lO --1981 417 WATERMAIN ,r WATER LATERAL lO WATER AREA STORM SEW TRK .lO A0116 2 11-16-82 * STORM SEW LAT 1981 lO * 10 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 480.00 #307 6-25-82 WATER CONN. 840. OO SUILDIN R. 7371- 2 sa,c 1050.00 RK CITY OF EAGAN Remarks Addition Lot-pt 3 Blk 4 Parcel 10 48050 032 04 Owner' Street 1978 Shale Lane State Eagan, MN 55122 , Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 id und i i al lo * SEWER LATERAL WATERMAIN * WATER LATERAL 1981 WATER AREA 9,01 STORM SEW TRK 40 5 1971 aid unde ori inal 1 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road unit 240.00 30730 6-25-82 WATER CONN. 420.00 30730 6-25-82 BUILDING PER. sac 525,00 30730 6-25-82 PARK . CITY OF EACaAN ~T - 3795 Pilet Knob Rmd Eegan, MN 63122 lr ? 8050 ` iF10NEs 454•8100 BUILDING PERMIT Rece+pr # Te ba usad fer DECK Est. Volue $600.00 Date 5-18 19$3_ sue n<wreu 1976 Shale Lane Erecr M ac„p,,,cy Lor0 31 BI«t 4 Sec/Sub.MeadowlIa'nds Alter ? zonin9 R-2 Parcel # ' a gso~Q 8~t B`( Repair ? Fire Zone Enlaroe ? Type of Consf. Vn awc Nome Richdrd J_ KYdLt2r Move ? # Stories z Address same Demolish ? Length- Ci 55122 phorb 452-6903 Grode ? Depth Sq. Ft.- g Name Shcil2 ADVrovals Fees Ou Address Asussment Permit 1 1_ 50 V§ Cif Phone Water & Sew. Surchorge .50 iz Police Plcn check Name Fire SAC Address Eop. Water Conn. Ci phom Plnnner WaterMeter Councll Rood Unit I hereby ackrwwledge that I have read rhis appliwtion ond stare that Bldg. Oft. the intormotion Is correet ond ogree ro comply 1N oll opplicoble A~ Tma~ 12 _ 00 Srota of Minnesota Stat s n of Ea~m Or i nces $ipnatura of Pertnift A Bullding Pertnit Is issued to: on the express condition thni all work shall be done in accordonte with II oppliCObJe~StaM of Minnesotn Statutes ond Ciry of Eagan Ordirwntea. Buildinp Officiol ~de~ CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & ~J gt7TT.nING pggMlT FIPPLICATION 1 set of energy calculations. Zb Be Used For64ae/< Valuation Date ~311 site Paaress SOt.eL~ t'-.~ o~ic.E usE oru~Y Lot 3 Block ~ Sec./Sub.' Esect Occupancy Parcei (mewtbm? 444) -7o57A0o, ° Alter Zoning REpair Fire Zone _ ow,zer: RiCl,A10 ~ l~A~i9tAi`e/L Enlarne _lype of const. t 9 ~ Nbve # Stories Address: Dgmlish Front ft. city/zip code: 5;e~9.4N SS /2 a Grade - Depth ft. Paone W Sa- 6 90.3 APPROVAIS FEES / ~ntractor: ~Q Assessments Pexmit f I _ Taater/SEwer Surcharge ~ Pddress: Police Plan Check City/Zip Code• Fire SAC gzq, Water Conn. Phorr~e Planner Water Meter Council Road Unit Arch•/En9• : Bldg. Off. Adclress: APC City/Zip Code: Phone -~-0'" ~~/P~ i~! ~ ~ 1~ l - I -r, _ ~ , _ _ ~ ~ ( ~ ~ _ ' I , J ; - ~ ~ l~ 21 ~~a . 1~ 0 2 . ~ ~-s~o~l • ~ CITY OF EAGAN . 3793 PAef Knob Raed Eegan, MN 55122 N~ 7371 PNONEs 454•0I00 - BUILDING PERMIT Rewipt # 3" ~ Te ba wad hr 719 DUPLEX & GAR Est. Value $34.000 Dote Jilne 25 1 q-n- Site Address 1976 Sh81e I.9ne (PArCel "B") Erect Occupancy R-3 Lot 3 Bixk 4 Sec/Sub. MebdoNl8lldS. 18t Alter ? Zoning R-2 porcel # 10 48050 030 04 Repoir ? Fire Zom NA Enlarga ? Type of Const. V rc Name Cliff Road Ptoaertiea Move ? # Stories z Address 4940 Vikina Drive, Suite #608, oemolish ? Length40_ c; Mnls. 55435 pho,,, Gmde ? Depth 28 Sq. Ft.- p Nome Son's Constrnction Co. Avv.ovola Fee+ Z o~ Addrea 4370 , RBhn RDSd Assessment Permit 2I1.00 Cit Eagen 55122 phaM 452-4721 Worer 8 Sew. Surclwr9e 17.00 •s `MRtk Al1oI1 Police Plon check 105.50 FW Nome. Fire SAC 525.00 U~ ~fe~ 7668 150th St. W., Enp. Water Conn420.00 <W Ci Apple Vd11By phone 432-7150 planner Water Meter 60.00 . Councll Rood Unit 240.00 I hereby acknowledge that I have read this applicarion ond state that gldg. Off. the inlormntion is correct and cgree to comply with oll opplicoble APC Total $1576.50 $tote of Minmwfa Statutes and City of Eagan Ordinonces. Sipnature of PertniRee A BuRding Pertnif is issued to: SOn'S COABLTUCtiO on the expreu conditlon thal oll wtirk shall be done in accordance with all apD ~ W-S ol i ewta Statutes d City of Eapan Ordinances. > Building Officfol F~~ ~ CITY OF EAGAN Include 2 sets of plans, ~ 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. GCLC- Tb se vsea ror valnation a O Date ~-~3- 8~- Site Pddress: 1724 SAALLt LA N~ OFFICE USE ONLY i( rot 3 sl«.x ~ sec./sub." pd Q e e I I?~ srect ~4, ocojpancy Parcel m eQ Gc,i z irC/S / 5-T •4 bb /7ia.Alter Zoning Jv `!$OSb 63o qLi RePair Fire Zone ,fi A owner: 6 Li p F ~2r 42 i cj Erilarge -Type of Const. 1L" Nbve # Stories Address: L/yL/a fJ/le/A/G flr Demolish Front y ft. City/Zip Code: )?,Ij~J' Grade Depth Rj~ ft. Phone APPROVALS F'EES Contractor: SoN C~.vs-rh//~ri~,? i' Ass2ssments Pesntit Address: ~37 o t2./4/f.~ (Lcr water/sewer surcharge /7 ~ Police Plan Check City/Zip Cocle: t~-AGA.tJ 147A) SS~I a~. Fire sAc ~g. Water Conn. y,2o g' Phone planner Water Meter 6d " Arcn./Eng.: M,4 ,2k ,4 LL bJ councii Roaa unit av~- r p' ST ~g. Off. -25-~ Address: City/Zip Code: D~z U/.V/~c~v - Phone -7 ToTAL ~ ~ ~ -o j~Q~ O O . ~ CITY OF EAGAN 9795 Pllef Knob Rood Eoyan, MN SSS2 N? 7372 PHONFs 434-8700 - BUILDING PERMIT Receipt # 2~'-7 1(J Te 6s umd for 1/2 DUPLEX & GAREst. Volue $34.000 pate June 25 Iq 82 Site Addreu 1976 Shsle Isne (PSTCel "A") Erecr Xg Occuponcy R-3 Lot 3 Blxk 4 Sec/Sub. MB8dCM1811d8 18t Alror ? Zoning R-2 parcel # 10 48050 030 04 Repuir ? Fire Zone MA Enlorge ? Tvpe of Const. V W Name Cliff RoBd I3'opert108 µove ? # Srories ~ Addrex 4940 Vikina DT.. Sttlte #608 Demolish ? Length 40 p MpB. 55435 phoM Gmde ? Depth 28 Sq. Ft.- p Name Sonl8 COtl9truct10II CO. ADVrovals Fees ZU Address 4370 RBhn ROad Assessment Permir 211.00 ~ Cit Phone 452-4721 Woter & Sew. Surchurge 17.00 Police Plon check 105.50 FW Name Mark Allen Fire SAC 525.00 1, ZO Address 7668 150th 3t. W., Enfl• WoterConn.420.00 iW Ci APA18 V8118Y phom 432-7150 Plcnner WaterMerer 60.00 Council Rood Unit 290.00 I hereby ocknowledge thaf 1 hove reod this applicotion and stole fhaf gldg. Off. the information is mrrect and agree to wmply with all applicable APC Totol $1578.50 $fate of Minnesota $totutea ond Cify of Eagan Ordinonces. SiBnoture of PertniMeo A Building Permif Is istued to: SOn'8 COnStXuC 00• on fha express cordition thnt oll wark sholl be done in occordance with all lica 5 of Minnesoto Sta es ond City of EuOan Ordinonces. Buildirq Official 173 -7r? CITy pg EAGAN Include 2 sets oE plans•, 1 site plan w/elevations & BUILDING PERMCT APPLICATION 1 set of energy calculations. Tb Be Used FbrL valuation Date site raaress / 97 ? 50,4G~ )-A,ve oFFzcs usE orLY Lot 3 Elock L/ Sec./Suli."PA hO ~L ~ Erect occul?ancy Parcel #:P9 C'4 O S r~ c Alter Zoning R e2. 1o c(gv o 0,30 o Repair Fire Zone ~ osmer: C LI FE 11i~ .Q ~r16 beL)'-i er En1ar9e _lyAe of Const. _ Address: ~ycjb UI )ci a[_ Q 1~ / r'1O~ # Stories ~`y DEnolish Front it- City/Zip Code: A?&Y %ai.U 1- Grade DePth ~ ft. Phone P,PPROVALS FEES Contractor: Sah S ~ G h rT ~c.c r i o~? ~r! Assessrents Permi.t a/,/ - n ?aater/Sewex' Surcharge Acldre55: ~j7 d 'G /-F/~N ~ PoliCe Plan Check /OS =r City/Zip Code: CAG,¢ 1;-7iv SS-) Z a. Fire SAC hng Phorie ~ 52 - 72 / ' Water Conn. 2p ~ Planner Water Meter fs~ Arch. 1~7,4/a c~'LLe,u counoil Roaa vni.t at/6 ~ /~g~• ~ Bldg. Off. ~s.~~ Address: S'T et_) APC city/zip code: Pa~ a: ~f3a -T 7/ fa ' ~ 5~ 8~ , sc~ REQUEST FOR ELECTRICAL INSPECTION rk q. ' See instructiom br coTPl8tin9 thiS iorm on bnck of vellnw copY. ""X'~ Below Work Covered by This Request 3 ~ SZ ~ N qdd Nep. Type af Buil0in9 AoPliances WireC EquiUmen[ WireA Home Range Temporary Service Duplez Water Heater ightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. urnace Silo Unloader Industrial BIAg. Air Conditioner Bidk Milk Tank Fdfm Other Peci V therl5uer,ity) t er poci y t or Oiher Compu[eInspectian fee Below U Fee ServiceEntrenca5ize q Fee Feaders/Subfeedars 4 Fea Circuits p -QO 0 to 100 qm s 0 to 30 Am s ZZ ~SC 0 m 30 Am 101 to 200 Amps 37 to 700 Amps S.oo 31 to 100 Am , Above 200 Am Above 100_Am s Above 100_Am3s Trensformers RemoteControl Cira ,>ro Partiai%Ot Signs Special Inspection S,3yl.~ Z5 ror Remarks ftough-in f ° Date t1l'thely Elachical ector, heraby thet e xbove Final ecion s been . This reauesc void " ° • . ~ - 78 rtianth5 from This request vaid g"/ Z3 ~ 18 nwikhs from "J~, 04/ `QA-L ~j t S~ ~ Ut 28823 37.so Requ Uate fire No. Rouph-in?Inspeciion ~ ~ ~ flequ redReatly Now ill Nn(ity.lnspec- 9' POes Ej NO Lm When Reatly G&PMoansed ElecVical ConVac[or I hereby request inspection of abova ? Owner alechical work installed at: ' Stree[ Adtlres R. or Ra te C ity ~ N ection o. 7oy,rn Narne or No. ange No. Couiity ^ Occapan[(PqINTI Phone o. ~ o 0 N s ~t.c. t-t n N Pow¢r Suppli r Address . . T ~ KAIDW Elecvicel C ~'Y amel C-11 T~ ~LLvE , Cory~ c License No. a a ing Ij~st91%a - MailinB /lddress~pptrc{or~7oyOWn L:. ~~j' r a 2-5036 Auihorizetl Sig tr a ing Installation) ' Phone Numb¢r "dT MINNESOTA STATE BOABO OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT Origgs•Midwey Bldo. - Room N•181 BE ACCEPTED eV THE STATE BOARD UNlESS PHOPER INSPECTION FEE IS 1821 University Ave., St. Peul, MN 56104 e-_ 1a1er 147 inl ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ,r•„ Ee-ooooi_oa Seetnshuctions (or comolelin9 this form on beck of ~yellow cOPy. /"X'"4 low Work Covered by Thrs Request 3~ sZ.~p N d Nep. Type ot 9uiltling Apuliancea Wired Equipmnnt Wirod Home Range T porary Service Duplex Water Heater iyhtiny Pixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther peci y ther (SVedty) - 1 ~er Ueufy Ot er Oth¢r Compute Inspection fee Below tt Fea ServfceEnhenceSixe N Fee Feeders/Subteedars # Fee Circuits QiO~ 0 to lU0 qm s 0 to 30 Am s ZZ• 0 to 30 Am s 107 to 200 qmps 37 [0 700 Amps ! .,od 31 to 100 qm Above 200 qm s Above 100-Am s Above 100-Am s Transformers Remote Control Cira <.5'p Partiaf/Other Fee Signs Special Inspection $ T L FEE Remarks ~ Rovgh-in ( Date . ? g'~~ pectoq hereby certify that the above Final spection hes bean [i This repuest wid . 18 months from Thisrertiestvoid~~3 /f, A4 (0.~l (4.AA-. ~ ~r2 4 97,S0 1 Ra 4 Dace n ~ Fire No. RouBh-in Inspection " Re4mre ? E]Reatly Now TV-11INotify, InsPec- es ?No tor When Ready icansed ElecRical Contractor I harebV request inspection of above ? Ownea eleclrical work instelled at Stre f` dre ~ox or R i No. Ciry ecuon o. Township Name or No. RanBe No. County ~ O t (PflINT) Powe Supp ier Adtlress . E RI Electrical Convactor JCom "`NNof~ !"iTT F' 1,~ aYpy Contract s License No. 1 L.f3 T r • Mailing AdJress IContrac or o ne lhhp' yl IV J GARY KENI7RICK 432-5 2 Authorized Signamre (ContractodOwner Makine Instellation) Phone Number MINNESOTA S7ATE BOARD Of ELECTflICITY TMI5 INSPECTION HEaUEST WILL NOT BE ACCEPTE~ BY THE STATE BOAPD .rio9s•Midwey Btd9. - poom N•181 - 4ve., St. Peul, MN 56104 UNLESS PHOPEH INSPECTION FEE IS ENCIOSED. - Certiftcate for: . - . ' Dunn & Curry 1.,u o~soa ~ _ 437a DELMAR H. SCHWANZ lANDSURVEVOR . . R<y.aurea Untlar l,-wi 01 Tqe Suta of MInnHOU 2878 - 146TH STREET W. - BOX M qOSEMOUNT, MINNES4ITA 56068 PHONE 612 4311789 . . , - SUHVEYOR'SCERTIPICATE - L D 58 4u'3/6E i--- E"hseMen~T i ~ bRh.i ~G. o.. SCAGE: I fnc), = 3, ~eet . ~ a ~ r~ OENUTE.S I'~JESS SFr 3~d~_ ~ ~ ~ [~EstOTE ~ZJPosEu i-iNibN£< ~ g.1 ?U I i ~ ~ Gi2.aOF_ F,.ooz. I I ~ El.e'JRT'tON ~aT:DJ . ~ y ~ ; " tR`l& ~ -4~ S;. N Sr~ yy`31w i hereb,y certify that this is a true and correct.representation of [,ot 3, 31ock 4, NHADOWL.A`TD FIRST ADDITTL)^!, according to the recorc:ed plat thereof, Dakota Coiulty, %i?innesota. Dated: Sune 13, 198.3 Approved F,-)r Dunn 'c Curry :teal F:state Management, Inc. by: ~~V~SirO ~b SNJ..J S~r (-'og5 ~ 1~'c~PUS~(] I ~ MINNESOTA REGi57RATION N0.8625 ~ FJCTERIOR EI]VELC?E AVERAGE "U r COf1PUTATI0i1 O{dNER S oAS d v a)s7A Gt-q r/ u~-- SITE ADDRESS % y74 M,4Z e, I-).d N-e pAne E L 13 CONTRACTOR DAT^ ~ HQfJE Determine working square footage oP each. 1. Total exposed wall area BBy~ sq. ft. x.19 u 2. Total rooP/ceiling area %GPB•D sq. ft. x.04 = Tota2 exposed WaZl area above floo'r = BB .o a. Total wall windo^i area V.G . b. Total door 2rea y/•y c. Total sliding glass area 33,6 d. Total firep2ace vra7.i area O e. Total wall fra.ming area (averagelOx)... f. Total net wall area above floor ,SD• g. Total rim joist are2 14s.3 Total exposed foundation area = y6•ff' h. Total foundstion r:indow area . o i. Total aet foundation area above grade . yd,y • Determine "'U' value of each wall sepnent. a. 7,•G x "U'° •.s's = 39•9 b. .y/ 7 % uUr• .e"/ C.551 4&_ X U. D. p X U . ' o ~ o E. 41A•y R ~.U" .09G ' G•7 f.(=3b•9 X :ruV: "oy7 F,- 4s•3 7C uU" .DG h. b X''U' D ~ D i.X r.U„ 3 ..Total = fJ7./ If item #3 is tne same as, or less than item 11, you ha.ve met the intent of 5BC 6006(c)2. wcuEU uE~ S~G ~OoOG 2 ~ - Total exposed roof/ceiZing area = S~g•B J. Total akyli5ht area . O k. Tota2 roof/ceiling framing area {average 10S~B 1. iotal net insulated raof/ceilinE area y7S.1 Determine "U' value for each roof/ceiling segment. J. D X„U,l o ~ a 1c• ';U" -O'S/ 1.y7,5•~- X 4:U1, .095 = q 4 '...............................Total ! 094~ AV /y / L ~l.a«. ~2 / c~. 4 OK usRt. SdC~ oioG(c) f , If tota2 af k4 is the same as, or less than 92, you have met the intent of SBC 6006(c)l. Alternate Buiiding Envelope Desit,n To utiliza the total envelope syster method, the values established by the surs of items /!3 and #4 shall aot be greater than the sucs.of items #1 an3 n2. ~ 1• 147 P f 2. w2A b ~J~ GM4~ GOdL! • 3. 117.1 4. /y,/ _ 131.2- ~ ~L[~a.~¢.a.:~ •~7 oru.L~.~'~,. O ~,(~"'Q"Z"'~' 117 G. • a- /3•D ' .~8 Z..~~,.,~ • `B 39•y ~,~...P~.~+ ia.o .~..P~~.~.`_ • a - _ , o~ d 8 ;z = ~ /Z~/~ •6 49 142: oy7 4=%2- ,py /~-49 y, ~,,,,a~ y.8e G.o ~ `/'8B I "'"~lG9 vs X.a•~ . ~ • pL. .~8. 2=~5•3 °T2:.a.? 4= ~a=•os' u- 0. o7V 44'4,i. ri ~ ~ y"4"`.•' ,~ts~LI~NK- • EkTERIOR E27VrLCPE AVERAGE "U' COfi?UTATI0:1 01-NER SG,UJ'' ,I7/aGcr-riu,v SITE ADDRESS /%7~' 2-,4,U-2 YA'Ro- cL- A CONTRACTOR~~ DAT^ /i HQf1E Determine vrork3ng square footage of each. 1. Total exposed mall ares BBy o sq. Yt. x.19 m 7. 2. Tot31 roof/ceiling area .....~,8•O sq. ft. a.04 - ov-/_ Total exposed wall area above Ploo'r = B •o a. Total wall winzo:•r area ;P•G , b. Total door 2rea .......................y .L_ c. Total sliding glass area 33,G d. 'Total fireplace vra21 area o e. Total wall fra.ming area (average10;6)... 6491Y f. Total net wall area above floor ........G.SD• g. Total rim joist area d,s•3 Total exposed foundation area = j~L•f~ h. Total foundstion e:indow area O i. Total aet foundation area above grade .y,~.1! Determine "U" value of each wall seement. a. 7,•6 x"U" • S = 39•9 b. y/•7 X nUt_ 3'8 C. 3'3, b nU:' ~St ° ~B• y D. d X`!U' o ~ o e. ~g•q X 'U" o7G ° G•7 f LSy•7 X„U': oy7 = 30.G q. 4s•3 X "U', .OG ° '•8 h. a R"U' o ~ O 1. yG tW ~:u„ . ~ . 3 ............................................Tota1 IF iten .N3 is the same as, or less than item B1, you have met the intent of SBC 6006(c)2. • ~t~.., ~s i~~i ~~»~i i~~ 9 a,a...~u ce.E~, ~'ao~, e~P s.t3c ~oooG C~ a • • e'. Total exposed roof/ceiling area = ,5~8•D J. Tatal skylight area O k. Total roof/ceiling framing g.rea(average 10• SSB 1. iotal net insLL2ated roof/ceiling area y7S 'A. Determine "U' value for each roof/ceiling segcient. ' J. 99. X„U,F o ~ o k• .0;0•09 X '`U" •O'Y = 1.'Y~S•~- X ,:U~.095 . q 4 ..................................Total 094", ~y ~y ~ < ~y C~!lOKcw~u. Sdtbu06(e)f , Zf tota2 0.° #4 is the same as, or less than F2, you have met the intent of.SBC 6006(c)l. Alternate Huiiding Envelope DesiF,n To utilize the total envelope syster method, the values established by the sum of items #3 and #4 shall aot be greater than the sum,of items #1 an3.i:2. 1. /G 7. 9 + 2. .2/• / _/B Q• ~ D.QC ew~r,~,, ae,e(~.r • 3. 117.1 t. 4. /y./ _ /3/. s , ck?•_~J o~clo.~i~~m •~9 owr....&~4,47a" ~,Pia,;;,~ 117 • 8B '9~ ~ /3•O ~~,e,~, . ~ 8 Z F.~9 2= 39•y ~e..P..~.~. ia.o ~2 = ~/.9 2~/6•d wa.CP~tclw/~~~ ~.sc.las~tcw~ '/7 ~tl,~tQ/ai. / 7 " 0 (J y. y.eB G.o ~p S2 y..5 Sy.Lig . „i a.; "r (~q .4v .,~s~.Pr p~. ,GB 2=>S•3 4=%2=,ay , • CertifiGate for: Dunn 3c Curry . , C1,D.~5 DELMAR H. SCNWANZ ~C~sHA} ~ n''+'Vr}t3i'~~A LANDSUavEVOR Rap~tvoG 4nESr Uws ol Th<SUte af M,nnnOti2978 - 1467M STREET W. - BOK M PpSEMOUNT, MINNF507A 55068 PHONE 872 423-1789 - SURVEVOR'SCERTIFICATE . ')tf} _ ')1r~ c" Z. <i lr c 0 >8Y° 4 u'.~l'E J - y ~ fc'J0 0 o (o o p ~ b2A1,l,~r>r a.. E.ksFH£N'r i i ` . . SCAI.-77: I tnch, = 3',) f'eet a~ ~ry 6 ~ 13 I, f] D~NOT-t5 NJ6S S~-T' ~ (~noP.os~gp . r3id'~ 1 _ l 1 ~C.AtnTE ~~J1~DSFLI ~'lIJ1~O~E~ \J 31 gs ~ ;o ~ G,2,aOF h,- ~~i~~c~ p,~n ~ e~ _ C3 :e t - , ~ I~ao ~ oseu GaRA4~ . ~ ~ i S! ~3.~~ ,z ~ySO - -is , . _ r S . _ Q O L hereb,y certify that this ls a true ,and correct.representatior, of " I,ot 3, 31ock 4, h.HADOWi.A?`D FE;?S?' ADDITIO"1, accurding to the recorded ' pl it thereoP, Dakota County, A?:ir.nesota. D3ted: 7une 13, 193C Approved for Lwnn ~s Curz^3 fieal ."state i4anagement, Inc. by: . ~EJtSCrO ~ SNJuI Sr~T ~~JflS ~ ~POSffC~ ~ . MINNESOTA REGISTRATiON N0.8825 ± 00289 C Cocnctil Minutcs Yovcmber 18, 1980 Pagr Yinc p ~p 1- S 13 i ?!EAD;;?..V:D 15° ,DDITIO:: :JAICER OF PL?- Sn'.'S CQ.`:STnCCTIC': cn>ie~~n• The application oE Soa's ConSt:u._:icn Cem7any for c:ai•:er o.° p1ac ta su~div?dr five du?los lots for singla ownor~nip ia >:eadowlanJs ls: A.i.':tiun was next cor.s;d,~rad. Tha .1PC race.-er.de"~ approva: sub;act co certai? conditions. Thera was no ar?e:ira.^.ca for tlie a,p_::an[. Blor..quist mucad, Parrar.to seconde~ the mo[ion [o ap;reve the appLic3[icn subjecc ta the fulloc.ing pruvisions: 1. Tha: tha partc wa:: provisions applicable to.all other du;.les pro;ects ba i0quir2d. - 2. Individual services shail be providad [o each unit of [he duplas. 3. Each lot shall confurra tu all othar ordinance requiremencs regar3?ng se[bachs and loc cocerage. All voted in favor. R 80-93 8OF'c5 T3CCK .aSD FOUT PlEST fft)+P.1\'Y CQ\D[TIOVAL l'SE PEti}IIT, The app:icatiun OE BJY2C Truck and Equipment for conditional use per-tit for ou[aide storage at Sibley Terainal Industrial Pack was nzxt consi,'a:'ed, %o one appeared for the ap?Lican[ and '.Jachter noved, Egan seconded the mocion.to contir.uz the applicatiun until the December 2 Council meeting. All voted ves. PATRICI3 *IIL=3 C0:"DITIOaL CS2 PER`tIY The applicatiun of Pa[ricia Miler for a conditional use per.nit for carrvout food in the James Rzfrigecation Shopping Cen[er in Hilltop Estates a•as next con- sidered. Tha Planning Cummission on Octobar 28 recemmended approval. Mrs. `?ilzr was present and there were no objections. Fgan moved, Parran[o seconded the netion to approve the applica[ion subjec[ to compli3nce with applicable ordinnnces. A11 votz3 yes. D 80-96 ADMI`:iSTF.1TiU TR,1`;Sp!'Q Ega1 noved, Wach[er seconded the motien [o continue consideration of the Adninist:ative Transfzr incraase to the December 2, 1980, Council meeting. all voted ves. - E.L. M'tiBPHY TRL'CKIVG CO"°:\CY iR BONDS Af[er discussion, Smith moved, Wachter seconded the motion to adver[ise for a pu5lic hearing for industrial revenue bonds for E.L. !`!ucphy Trucking Comp.:ny for tna Dece.^.._<c 16, 1980,Ci[y Council meating. All voted yes. ~ . ° gaB a 3 RESIDENTIAL BUILDING . Permit Application ~ City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ~-a.-~ ?N~-``°y~ NewConsWCtionReauirements RemodeVReoairReauirements OfficeUseOnN 3 registered site surveys showirg sq. k. of lot, sq. R. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20%maximumbtcoverageallowed) isatofEnergyCalaiYations(orheatedadditlons TreePresPlanReW 2 copies of plan showing beam & window sizes; pourad found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd 1 set of Energy Calculalions Addifion - indicate Ifon-site sepNc system _ On-stte Septic System 3 wpies of Tree Preservation Plan'rf lot platted aRer 717/93 Rim Joist Defail Optlons selection sheet"{bidgs with 3 or less uniGs Date y l al l 63 ConstructionCost Site Address / Y 7 8- 6~Rle 44 r~ Unit/Ste # Description oF Work 69 -A k'~S 0,1 g .17 c +7 Multi-Family Bldg ZY _ N Fireplace(s) ?0 _ 1 _ 2 PropertyOwner `Sfeve vn fJ Ptie fpS Telephone#(~37) a7Y- 9579 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VentilaUOn Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . • Energy Envelope Calculations Submitted Licensed Plumber Telephone # ( ) Mechanical Contractor ~ i 9C(1! `Il Telephone ~ 11 ~a ~ a Sewer/Water Contractor Telephone J I hereby apply for a Residential Building Permit and aclmowledge 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 pernut; that the work will be in accordance with the approved plan in the case of wark which requires a review and approval of plans. S~`«e~+ 6~he f,ps \PU~ ApplicanYs Printed Name ApplicanYs Signature OFFICE USE ONLY ~ Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex /K 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 Pibg_v or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ~ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation o e t7 Occupancy MC/ESSystem Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) FinaVC.O. _X Footings (deck) ~ FinaUNo C.O. _ Footings (addifion) _ Plumbing Foundarion HVAC _ Drain Tile Othez Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ RL Air Test _ Final _ Windows (newheplacement) _ Insularion _ Retaining Wall Approved By Building Inspector 72 - Base Fee Surcharge /~~~G • {_!(~j~"t~ Plan Review MC/ES SAC City SAC ~y Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~ CertifiC3te for • ~`~r ` DuLin 8e Curry' : . 147Q'. S~It. ==aNS sT Ce. . ' G ,.V O~SO.J ~ _ 551a~-~ 43-?0 ~nhN l2oNn DELMAR H. SCHWANZ I}~'1}&1:1 5'j<Q . LANDSURVEYOR . . . ' . 1; 5 12Z • pw.+taw une., lawf o1 TM SUl1 0/ WnnNOU 2878- 146TH STREET W. - BOX M ROSEMOUNT, MINNESQiA 56068 PHONE 812423-1789 SUqVEVOR'S CERTIFICATE , SA/ia L~ L A fr G. ~ 0 589''4u'31 `E y ~y.o0 _ ` bRl+~aJAbS EhsBh£NT 1 i ~ 0 . -7 ~ 4'5.8'L 1'?~ro~ 71- tn q 5CA[.E: 1 incq ~ 3~ feet ` i"'', b EUO? E PZJPoSEU E-il.lt6qF ~ 1~2o Posea F~ooz. ao0 4~g i4~ca ,/,3 . s~o ~ ~ ~ S ~s.o : . 12g.oa 9 _ N 8`la 49~31'` W ` L hereby certify that this is a true and correct.represent3tion of I.ot 3, B1ock 4, M.3ADC~W?.A`ID FIRST ADDITIUN, iccording to the recorded plat thereof, Dakota County, ATSnnesota. Dated; June 13, 1480 Approved for Dunn Curry Real Estate Management, Znc. by: ~EJ~Si,O ie SNO.,J Ss.r 0o6S ~ PvoPoS~(~ ` 'ex.CX1. b¢r- ol, 1980 r/ MINNESOTA REGISTRATION N0.86Z5 ~ J 0 ~ RESIDENTIAL BUI]LDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consfruction Reauirements RemodeVFieoair Reauirements ONice Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert af Survey Recd (20°k maximum lot coverage allowed) ; 1 set of Eneryy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam 8 wifdow sizes; poured found design, etc. t site survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculations • Add'diar - indicete rfoo-site septk system _ On-site Septic System 3 copies of Tree Preservatlon Plan if lot plaried ailer 7/1193 Rim Joisl Detail Options selection sheet (61dgs wilh 3 or less units nate u''' /03 Construcdon Cosf SiteAddress /97& _SAaje1 /a~-) e ' UniUSte # ~ce 1~/I V~.~ .j ~ Description of Work c~Q `t ki V G V~v"~ _~`C`a~ ) v Vr~ Multi-Family Bidg _V"Y _ N Fireplace(s) y"'O _ 1 _ 2 Property Owner 'Oa v C ~St nq e ~ Telephone #(65 r) 3 6 7 Con[rac[or Q, ~C ~ S (r~!} g~svc ~j~ - q~~/ FS ~ Address g"6.,5 ~ City {j~oo~~~fd:~'1 State 1/)'1 /l/ Zip 5S5~25 Telephone #("a) S'Sy- Y,273 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy CAde Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (Jsu6missiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone r~1n J,- that ~ rnAN,, 1 3 20L I hereby apply for a Residential Building Permit and acknowledge that the informati n is complete anthe work will be in conformance with the ordinances and codes of the City of _ -and-t1~.e~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 th c se of work which requires a review and approval of plans. ApplicanYs Printed Iame Applican s Signature OFFICE USE ONLY Suh Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 61dg ? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt ; SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 MuPti 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Altaration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "OemOlitiOn (EOtire Bldg) - Give PCA handout ta applicant Valuation _ Occupancy MC/ES System Census Code _ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. af Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL BUILDING ~ ` ' Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Tetephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtlon Reauirements RemodeVReoair Reauirements Oifice Use Oniv 3 registered sile surveys shawing sq. R ot lot sq. ft o( house; and aU raofed areas 2 copies of plan Cert of Survey Recd (20% mazimum lot mverage allowed) 1 set af Eneigy Calculations for heated addifions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sfte survey (or addNOns 8 decks Tree P2s Not Reqd 1 set of Energy Calculatmns Addifion - indicafe ilon-site septic sysfam _ Oo-site Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs wBh 3 or less units Date Jr l~v / 03 Construction Cost e57_ Site Address / 97 $ ~S ~ aa ( F " n e UpiUSte # C a u?1 t1/1 ~'v ..T7 JT Description of Work 19" J t 1~ I '"L c r C7 ,-i 4~C4 J 11 Multi-Family Bldg Y _ N Fireplace(s) ? 0 _ 1 _ 2 Property Owner 51-eo e ?i ~Q O22. (e~:S Telephone # ( ) a7y- q5 9 Contractor 5 QO ~`d~'3"a Address g~o 13 8 City ~~oow••-.~a~ v~ State Zip Telephone # (95A )$s v- y a 7 3 ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOrv 1 Minnesota Ruies 7672 Energy Code Category . Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calcula4ons Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # o r lL) I~~ MAY 13 2003 I IJ' I hereby apply for a Residential Building Permit and acknowledge that the inform tion is complete and ar~curate; that the work will be in conformance with the ordinances and codes of the City ~a 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. _5~ e~, e?1 Vke [PS ApplicanYs Printed Name Applicant's Signature ' OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 ot _ 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 Bldg. 42 Demolish (Foundadon) 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Damolfdon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MClES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final . _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total C,~~ ~ 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 (o ~49 on1 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 6O l AO I ~ Site Address tU IAJ Unit # Property Owner REAECL44 PG~ V_-~ 5 Telephone # ( ~5~ ) 7s Contractor Aq- a 1,!!4g/L. Street Address Ll 833 w f 2 vr 1;6- 5T City JP-VP&-C: State Y 1' Iv Zip ?J3_~ 8 Telephone #(~S~ Bond#: ()"`-1q51(0 Expires: 11()5 The Applicant is _ Owner ~ Contractor _ Other Add-on or alteration to exis[ing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger ~ airconditioner _New ~Replacement other Sta[e Surcharge $ .50 Total $ -s~-`-' I hereby apply for a Residenrial Mechanical Pernut and aclmowledge that the infnrmation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pemut, hut only an applicarion for a pemut, and work is not to staR 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 plan ~j~t-U-1 0 DQi~ ApplicanYs P ted Name App canh Ys ignature 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: rommerciaUindustrial buildings multi-family buildings when separa[e pertnits aze noi required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applica6le) Previous Tenant Name Property Owner Telephone # ( } Contractor Street Address City State Zip Telep6one # ( ) Bond Espires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "When installing/removing underground tank, caff for inspecSon by Fire Marshal and Plumbing lnspector Pe[miI F¢¢S: $7050 Undergound tank installation/removal $SOSD Murimwn (includes Sta[e Surchazge) or ConhactValue $ x 1% PerautFee • Ifgermit fee is $1,000 or less, add $.50 $ State Surcharge If nemut fee is over $1,000, add $.50 for every $1,000 nemut fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclmowledge that the infocmation is complete and accutate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is not a permit, but only an application for a pemtit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requues a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: ~ ForOffice Use ~ City of EaRan j Permit7k: 5;~n, 3 I 41~ ~ Permit Fee: v 3830 Pilot Knob Road Eagan MN 55122 I Date Received: ~ J I P.hone: (651) 675-5675 Fax: (657) 675-5694 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Dater Site Atldress: ~7 S/!~l~G G/~ L~?.~~ - Tenant: Suite ri• RESInENT1OWNER Name / / G[.h Phone: Address / City / Zip'Z.$7~~ Applicant is: _ Owner -7~ Contractor TYPE OF WORK Description of work: 77;4Q Construction Cost:~/ • OO6 Multi-Family Building: (Yes _ I No ~ CONTRACTOR Name: license M:,9c/5 Address:09700' Z37;5;- iQ V07/1 State:WOO/ Zip: - ~ Phone:~~.~ III" Contact Person: /L z~ COMPLETE THIS AREA ONLY IF GONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 Submission type) • Energy Envelope Calculations'Submitted . . In the last-72 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: Mechanfcal Contractor. Phone: Sewer & Water Contractor. Phone: NOTE: Plans:and supporting tlocuments that you.submit are considered to be putilic information. PorHons of the information m2y be classified as non-public'if you provide specific~reasons that woufd permit.the City to ~concludethat`tNe are-tradesecrets.' I here6y 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 applicalion for a permit, and work is not to start without a permit; that Ihe work will be in accordance with the approved plan in the case of work which requires a review and approval ot plans. x~s~ ~Eftreo~G,~GY.[Csr~Y-a •~~i~/~~~1"r~~ 'ApplicanYs Printed Name Appl igne Page 1 of 3 I F.orOffice.U`se ~ I City of Eap j Permit# 40~ I Pertnit Fee; ~ i 3830 Pilot Knob Road Eagan MN 55122 - i Date Received: _ Phone: (651) 675-5675 1 Fax: (651) 675-5694 . > I..Staff:._.... _._,i.... 2008 RESIDENTIAL BUILDING PERMIT. APPLICATION Date:0-0~ SiteAddress: IFXgGlfl Tenant: Suite RESIDENT / OWNER Name:,~/~ V G ,l~/~ eI ~S Phone: GS~~'Z/ ~9•l Address / City / Zip f9 7'iT Applicant is: _ Owner ~ Contractor TYPE OF WORK Description of work: z .OOP~PZ ConstmctionCost: ;?/2`/•~ Multi-FamilyBuilding:(Yes_/No CONTRACTOR Name:lon_/,FS;1449 PdoF/~V.~-'eS/,/L/Yl'License#:1'm/.SS oll,( Address-;97 /3 '4 (/E /fl c;cy://y,41d,2T'y State: /4164'~Zip: Phone:769' 3 Contact Person: 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 C2tCyOfy Submitted Submitted (4 Submission type) - • Energy Envelope CalculationsSubmitted - In the last 12 months, has the City ofEagan 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 supporiing document§Yhat you submit are considergd to be pu6lfc informatTon. Portfons of the information magbe cfassified as non-p'ubOc_if you provlde specif/c.reasons that would permit the CRy to conclude that the , are trade.secrets. I hereby acknowledge that this information is complete and accurate; that the work will 6e in conformance with ihe ordinances and codes of the City of Eagan; ihat 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. .5~ Applicant's Printed Name Applicant's Signature Page 1 of 3 4110 CityofEaail Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2012 RESIDENTIAL BUILDING PERMIT APPLICATION�� / `7� Use BLUE or BLACK Ink For Office Use Permit*: /N19.&6?'. N19. ' 6tS Permit Fee: / l l r 1 Date Received: Staff: CC_ Site Address: /i 7( S l Citi'''- Unit #: RESIDENT / OWNER Name: ''TSk.�. I t;"1, v' 5 Address / City / Zip: l q 4k j C„ Phone: 6 /2-327-19`io 1 f) �S 12--2- Applicant Z Applicant is: Owner Contractor TYPE OF WORK Description of work: P6,"=.161,;: c\ r'14A.,1 CC, Construction Cost:_6> Multi -Family Building: (Yes / No e/ ) Company: Contact: Address: State: Zip: Phone: License #: Lead Certificate #: City: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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 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.aooherstateonecall.org 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. xl °019)161sks :" 1,��1�iG�vL..j Applicant's Printed Name fcant's Signature Page 1 of 3 N-74, . 6 /& DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Garage Deck Lower Level Single Family Multi 01 of _ Flex T Accessory Building WORK TYPES New Addition Alteration _ Replace _ Retaining Wail _ Porch (3 -Season) _ Storm Damage _ Porch (4 -Season) _ Exterior Alteration (Single Family) _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) Pool _ Miscellaneous — Interior Improvement _ Move Building Fire Repair Repair DESCRIPTION Valuation 340'1 Plan Review (25% 100%4Z. Census Code # of Units # of Buildings Type of Construction <l,�y 1 113 REQUIRED INSPECTIONS Footings (New Building) ,41 Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: _ Siding Reroof Windows Egress Window Demolish Building* _ Demolish Interior _ Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy /AC - 2_ Code Edition 2_GG7 Zoning %P i) Stories Square Feet Length Width /G Final MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings ` Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /coOS X5'/4 Page 2 of 3 • " Dunn & Curry 0.0 ILI•r'&T Cto. 4 0 i:;:"!.*IM e.4 5512.z, DELMAR H. SCHWANZ 76, t'f16- Zr) • LAND Su A vEYOR RerpstareCI Under LAWS of The State of MaLnesota 2978— 145TH STREET W. — BOX M ROSEMOUNT, MINNESQTA 55068 5/1 L SURVEYOR'S CERTIFICATE EAGAN REVIEW. rj-1:1) Z. AN PHONE 612 423-1769 BY: 0 ;s1DATE: I.-- 3 BUILDING INS:,'ECTION 123 00 k.cLic)A__ 0 0 • -N" DRA y E-A4.'s1.41J-r 1 to ci • -0 PAMisi. A- 0 7— Fri 1 LI h 3 • • 41.-5-0 • — ••••••• ?' z/11 3/ W t hereby certify that this is a true and correct .representation of Lot 3, Block 4, MHADOW LAND FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Dated : June 13, 1980 50".r5 .4 •.? %fp SCALE: I. Inc), 3• feet Demorcr-s 4.015s, Dat-tOT PilaPosu TiokSoit 11) G.Nkr.,<Ac ec7PRA.) 4-. ELEJN-T-A ov,a 011.cf< Approved for Dunn •_?c Curry Real Estate Managements Inc . by: AS117h,%re-T sZta 17..) 0), /441 B 4..LIPC.Se.0 r • - ..x .1,7) f - MINNESOTA REGISTRATION NO. 8625 ) PERMIT City of Eagan Permit Type:Building Permit Number:EA173699 Date Issued:11/29/2021 Permit Category:ePermit Site Address: 1976 Shale Lane Lot:031 Block: 04 Addition: Meadowlands 1st PID:10-48050-04-031 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 - Jason E & Theresa M Jurisch 33370 Highway 56 Blvd Dennison MN 55018 M And J Services Llc 204 1st St Farmington MN 55024 (952) 457-4582 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176013 Date Issued:04/27/2022 Permit Category:ePermit Site Address: 1976 Shale Lane Lot:031 Block: 04 Addition: Meadowlands 1st PID:10-48050-04-031 Use: Description: Sub Type:Fixtures Work Type:Replace Description:Bathroom(s) Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Jason E & Theresa M Jurisch 33370 Highway 56 Blvd Dennison MN 55018 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA179024 Date Issued:09/14/2022 Permit Category:ePermit Site Address: 1976 Shale Lane Lot:031 Block: 04 Addition: Meadowlands 1st PID:10-48050-04-031 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Jason E & Theresa M Jurisch 33370 Highway 56 Blvd Dennison MN 55018 Snap Construction 8200 Humboldt Ave S, Suite 120 Bloomington MN 55431 (612) 333-7627 Applicant/Permitee: Signature Issued By: Signature