2042 Shale Lane
BUILDING PERMIT
Ta Lm used for C "n r .1 Z? e
CITY OF EAGAN
3795 Pilo Knob Road Eagan, MH 55122 N2 5183
PHONEt 454-6100
j 4, 500. Receipt #
1
79
2042 :hale
Site Address
Erect
? P.3
Occupancy
Lot i. Block Sec/Sub. C4 Alter ? Zoning K1
Parcel # Repair ? Fire Zone 3
Enlarge ? Type of Const. ti
Name g r t) i c, _ i i rn e r Move [3 # Stories
W
z Address '1')44 'i "- Demolish ? Front 24
ft.
1: gan 06- 454-4064 Grade (3 Depth 24 ft.
K
0
Zu
Uu
Name _
Address
Name _
Address
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.
Signature of Permittee
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Permit L
Surcharge _
Plan check _
SAC
Water Conn.
Water Meter
Total 20.50
A Building Permit is issued to: narold Turner 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
40
Perw?k # Date he*" POW""
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rough-in Find
Footings Dote Insp. Date Insp.
Foundation _ Plumbing
Frame/ins. Mechanical
Final -)
Remarks:
CITY OF EAGAN Remarks * Cedar Grove Acquisition
Addition CEDAR ROVE #? Lot 6_- Blk 2 Parcel If) 1670 3 . 060 02
Owner p, r p ( `"• L' - 1,4 Street 2042 Shale Lane State Eagan, MN 55122
L) q- r".
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
-
-
* SEWER LATERAL 1972 1 T04
.OU
r 52.16 25 C[) 08776 -15-8
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Owner L.:.twJ=? 4_0,?¢"c_..-?..j.. :.-: ._ ..(:?....--...-----
?
Address (present) ......------ .`. -
Builder ? •.) :..__c"o`?C ------------ ...
Address --.__.__..._....___..._,_.._._..... _._.....---- ._ ......................
DESCRIPTION
N? 921
Eagan Township
Town Hall
Date ...._ ----------- ....._-------- _..__...,.
tories
i To Be Used For Front. Depth Height Est. Cost Permit Feel ___ Remarks
_
or
LOCATION
or
?4
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST B,,OE0 KEPT OaaN??11??THEPREMISE WHILE THE WORK IS IN PROGRESS. - _
-7214- This is to certify,. that.[_tef.,. .....N..'l_-.... ... --------haspermission to erect a... 0 ........................ . .... Upon
-..r_..._. _. the above described premise subject to the provisions of the Building Ordinance for Eagan Townshp adopted April 11,
1955.
---- Per ................... 5^'?' ...??..? - % Z`..66-<. `............. c...---..
„ Board - - Building Inspector
Chairman of Tmmn
? K
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 7 -.Y - a0O
III.-'?T
RemodellRegair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION
SITE ADDRESS ?)O " 5 hd Le ko.Ue MULTI-FAMILY BLDG _Y "
TYPE OF
APPLICANT
STREET ADDRESS
TELEPHONE 45-1 - 41Y9 - gelf CELL PHONE #
FAX #
PROPERTYOWNER IT1-r_ c TELEPHONE F6'1(f
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor. _
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
aN STATE/0,'r ZIP 1:? !a
Phone #
Phone #
Fee: $90.00
---------------------------------------------------------------------------------------------- ---------------------
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.
i
Signature of Applicant
OFFICE USE ONLY
FIREPLACE(S) !L-6 _ 1 _ 2
Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updated 4/02
OFFICE USE ONLY
? 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 (screened) ? 36 Multi
? 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 ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & W ater _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. - Air Test - Final - Windows (new/replacement)
_ Insulation - Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
***************************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 667
DATE: 09/18/00 TIME: 13:21:15
ID:
NAME: DOTSSON LLP
3210 9001 2042 SHALE IN 97.25
2155 9001 2042 SHALE LN 2.00
Total Receipt Amount: 99.25
CR137359
iTRF.R Tn- ,TAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
Z? 3830 PILOT KNOB RD - 55122
1'f 651-681-4675
New Cgnthuetign Rea6remenh Re /Reoalr Reaulremenh
a 3 registered site surveys showing sq. it. of lot, sq. ft. Of house
dl
and ga rooted areas (20X, maximum lot coverage allows
2 copies of plans (show beam & window sizes; poured fnd. design; etc.)
D 1 set of energy calculations
a 3 copies of tree preservation plan If lot planed after 7/1/93
DATE: `l II t? 10 O
DESCRIPTION OF WORK:
? qq.?5
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions & decks
CONSTRUCTION COST. $> 3? 1) () 0
STREET ADDRESS: d ?? S hU IQ J 0.YL? f( f
LOT: BLOCK: SUBD./P.I.D.#: CeldY Grove H -
Name: r-t k: 6A? 1-W ey Phone #: rl h y ?9 -
PROPERTY Lost First
OWNER L 1
Street Address: ad ShA Nz dbin
city !;? L State: Zip:
Company: n) A,.A 1-Y Phone m 01'5- 7 01 -CT N
(area code)
CONTRACTOR n U
Sheet Address: 'a-CJ?d ?K?1?r[x t.llU?? License# ??0?! Exp. d
City Mgr r UY\ State: Zip: /Sl' 6? L
ARCHITECT/ Name:
ENGINEER Company:
Telephone #: (
Street Address: Registration #:
City
State:
Zip:
Sewertwater licensed plumber (H installing sevvertwater): Phone #: (_,
1 hereby acknowledge that I halve read this application, state that the kdomxftn cog agree to comply with all applicable Shah
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appricant
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 18 Deck ? 23 Porch (screened)
? 19 Lower Level ? 24 Stone Damage
Plbg your_N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building
Engineering
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
? 31 Ext. Aft - Mind
? 33 Ext. Aft - SF
? 36 Mufti
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
Valuation: $
SAC Units
% SAC
i 3795 Pilot M:e bYRead Boogeen,l MN 55122 N? 518 3
PHONE: 4548100-_
BUILDING PERMIT APPLICATION $4t500. Receipt # - - --
I Garage r» n e May r l 9 19 79
Site Address LU44
Lot_6._ Block Sec/Sub.
Parcel #
s Name naruau auiuei
z 2042 Shale
9 Address ,... agars ^?---
S acne
Name
r
Address
Name
Erect [f occupancy R3
Alter ? Zoning Rl
Repair ? Fire Zone 3
Enlarge ? Type of Const. y
Move ? # Stories
Demolish ? Front 24 ft.
Grade ? Depth 24 ft.
Approvals Fees
Assessment _
Water & Sew.
Police
Fire Eng.
Planner _
Council -
Permit L0*1?5o_
Surcharge
Plan check
SAC
Water Conn.
Water Meter
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 20.50
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued P a old Turner on the express condition that
all work shall be done inAccp&land*, witholl plicable State of Minnesota Statutes and City of Eagan Ordinances.
e
Building Official
Telephone
DATE 3 - / _ > 9
BUILDING PERMIT APPLICATION:
Include '_' sets of plans, 1 site plan w/elevations and 1 set of energy cali{cuations.
To be used for C;'?'-t- Valuation
Site Address: 116?1?
Lot Block Sec. !Sub. Parcel \uGber
/, °oZ ?PcPa2 ?ro?c'Y
U.ner H/?IdPd ?? CD, 7ugAI a 12 Telephone
Address ShR1? Ys9N
Contractor " j 09 E Telephone _
Address
Arch/Eng
Address
Erect y
Alter
Repair
Enlarge
Move
.Demolish
Grade
Date of Approval and Initial
Assessment
£1ug. off. -- -- P. C. Occupancy ? -
Water/Sewer
Police
Fire
Engineer
Planner
Council
Zoning
Fire Zone -3
Type of Const. y
N of Stories
Front ay
Depth
OFFICE USE ONLY
Fees
Permit
Surcharge
Plan Check
SAC
Water Connection
Water Meter
poor
TOTAL
Ni; 13
SITE PLAN
REAR PROPERTY LINE
M
m
e+
f°
PROPERTY
LINE
.3G
?q
HOUSE
ELV.
Garage
PROPERTY
LINE
LOTS BLOCK
FRONT PROPERTY LINE
ELV.
-Az
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130747
Date Issued:05/12/2015
Permit Category:ePermit
Site Address: 2042 Shale Lane
Lot:6 Block: 2 Addition: Cedar Grove 4th
PID:10-16703-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Harold L Futhey
2042 Shale Lane
Eagan MN 55122
(651) 545-8818
Roofs R Us
1922 26th Ave
St. Paul MN 55122
(612) 282-8092
Applicant/Permitee: Signature Issued By: Signature