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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