2054 Shale LaneCITY OF EAGAN Remarks * Cedar Grove 9# -quisition
Addition CEDAR GIVE #4 Lot 8 Blk 2 Parcel 10 16703 080 02
Owner, %"66sv1r Street 2054 Shale Lane State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1,304.00 52.16 25 Paid
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP. No szi
?.. ((?BUILDING PERMIT
Owner _.La.?.N'f?^X""- - " - - ," - -` - Eagan Township
Address (present)Q. -"-'-----Town Hall
Builder ? ..?!.,...:...? !....... A Z- .
Date ---- _.........._.......-....__. ........
Address .... .. ---.._.._._....... ..... ....... -............... ---. .........
DESCRIPTION
Stories r
To Be _Used Fo Front I Depth Height Est. Cos!_ Permif Fee _ Remarks
'
Street, Road or other Description of Location Lot 13lock aoauaon or iracx
This permit does not authorize the use of streets, - roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a' hazard to the health. safety, convenience and
general welfare to anyone. in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. .-y
This is to certify, that.&,-_ c%... =.-& -.------haspermission to erect a...?Z.. A'`- ..1-- .- upon
the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11,
1955. ?Li '
(iC.....-.... Per ._.._............ _. q'..c....... 1/. ?.':......._...1_.
Chairman of Tnwn, Board 'Building Inspector
EAGAN TOWNSHIP
BUILDING PERMIT
Owner .-... ..'. -.. ....._- /...?, ...../'.\?..•.-- - --'------ -..
Address (present)
Builder .....-..
Address ......
DESCRIPTION
N° j-028
Eagan Township
Town Hall
Date ...................
Stories To Be Used For
fy- Front
/
C Depth
y L Height Est. Cost
?,?! I"'r"i7 P rmit Feel
? a7! Remarks
S?
q?,???? ? 7
O r ir LOCATION
Street, Road or other Description of Location Loot Block Addition or Tract
n
This permit does not authorize 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 BKEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, lhat... ............................has permission to erect a....... -: ............ .. ..........-.-........upon
the above described pr raise subject to the provisions of the Building Ordinance for gan wnshfp adopted April 11.
1955. _ f ?....
.............. .. ..-."7 W.......................... Per .....-.... Gi ....---&14: '
- C. --------.-. T-` ...........................
Chairrdan of Tnwn Board Building Inspector
&.e
EAGAN TOWNSHIP
BUILDING PERMIT
Owner .... .....'------... . l_?L! `y° .... .................... ......
Address (present) --------
Builder ........ -..-........
Address ....................................
DESCRIPTION
N° 1433
Eagan Township
Town Hall
Date 2-- L-L 9V4--c ........................
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
_
LOCATION
Street, Road or other Description of Location Lot Block Addition or Tract
t ,,.... _ /. J I - - eIV -zr- -/
This permit does not au°{horize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE EPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify , that...... ..?..F?". ?'i?..._._.-._......has permission to erect a .... ... ........... .. 1.....-upon
the above described pre se subject to the provisions of the Building Ordinance for agan Tows hfp adopted April 11,
1955. // f
_......._ ..................?!(NL".^.N.A-.`.'?......?
_ ........................................------
........------. Per ....... .- - -----'??
--- .
Chairman of Tnwn Board Building Inspector
q ° ?
I
danusry 17. 1973
Dakota County Auditor
Hastings, MS 55033
Attentions Phyllis
Dear Phyllis:
This letter is to confirm that the assessment on
been paid at this office and should not therefore, be posted
to air tax statement.
The assessment on Lot 4 has not been paid and
should then€fwel have been posted to the 1972 tax statement. In checking
with the owner Mr. Gene Abramson it was his advice that you now post both
the 1972 and the 1973 Payment to the 1973 tax statement.
If you need additional information please call me.
SPECIAL ASSESMSVP DEPARTMENT
Ann Goers
Assessment Clerk
i
L BL
SUBD.
APPROVED BY:
1
INSPECTOR MECHANICAL PERMIT#:
1999 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3630 PILOT KNOB RD
EAGAN, MN 55182
(651) 6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE:
NEW CONSTRUCTION - INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
PHONE #:
(AREA CODE)
STATE: ZIP:
CITY USE ONLY
RECEIPT #:
RECEIPT DATE:
($.50 per $1,000 of permit fee due on all permits.)
PHONE #:
(AREA CODE)
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT 9 BL
SUBD
RECEIPT #: 11,2- ? & 0
RECEIPT DATE:
MECHANICAL PERMIT # hI / (106) I
1999 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 551 EE
Date: 7 _ ?_ p L (651) 681-4675
1 1
Complete this section only if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-100 ivi is T u
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @ $3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration _ Repair X Other ?? EP L f!?j CC
Reminder: Call 681-4675 for inspections.
- Furnace Air conditioning
- Air exchanger Other
d 3v.v0
State Surcharge
Minimum Total Due $ 0.50
SITE ADDRESS: `-&15 1 )_ ,j N E
OWNER NAME: --R A 1" l K f\ M i 5 \A PHONE #: 6 `J I 6 g b
- 11
1 10 5
(AREA CODE)
INSTALLER NAME; C7E NZ . P\ \CZ PHONE #: & 1Z - -7 Z tI
(AREA
STREET ADDRESS: CODE)
CITY: " k ri N C (1 C-- L C STATE: MN ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY la ya?
nQ , RECEIPT #: g c?o2
LOT BL
SUBD. l Cam/56"v? #/z RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
A/ /I /??Qrl
Date: (612) 681-4675
Complete this section only if you are installing HVAC in single family, townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling adding to, or repairing existing single family
dwellings, townhomes, or condos.
? Add-on furnace Add on air conditioning
Add-on air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge 0
Total: 20.50
SITE ADDRESS: aeq_6- '/ ?Tla/e Zan y / /
17 t?ll? ONZ??D/? PHONE#: 'TWO
OWNERNAME: ( a
INSTALLER NAME:
STREET ADDRESS:
CITY:
7_23-731
V"_'4,
PHONE#: A(29 7'e
_STA : l?//7J ZIP:
I ATURE OF PERMITTEE
L BL
SUBD.
CITY USE ONLY
RECEIPT #:
RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for:
DATE:
CONTPACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ? $25.00 minimum fee or 1% of contract price, whichever is greater.
? Processed piping - $25.00
State surcharge of $.50 per $1,000 of ermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY:
PHONE*
all commerciallindustrial buildings.
? mufti-family buildings when separate permits are not required for each dwelling
unit.
STATE:
ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
1355
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
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 sizes; poured found design, etc.
I set of Energy Calculations
3 copies of Tree Preservation Plan Blot platted after 71V93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Remodel/Repair Requirements
2 copies of plan showing footings, beams, joists
I set of Energy Calculations for heated additions
I site survey for additions & decks
Addition - indicate A on-site septic system
office use only
Ced of Survey Recd _Y _N
Tree Pres Plan Recd Y _ N
Tree Pres Required Y _ N
On-site Septic System-- _Y _N
Date al / S / Cj Construction Cost
Site Address ajDS? ?1 kzt.C.¢- tiytR ? Unit/Ste #
Description of Work
Multi-Family Bldg - Y
l Fireplace(s) - 0 - 1 - 2
Property Owner ¢
_1? Telephone # ( h 4f ?-
Contractor
Address sJ :
C+
W- r I t1 City
State /v
) l? 8?a5f
Zip .525i.2 Telephone # (G-fl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
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 #(
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 Applicants Signature
DO N,6T WRITE BELOW THIS LINE
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-plax ? 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-p1=_x ? 12 12-plex ? 25 Miscellaneous
Wort( 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
Description: Water Damage_ Yes
Valuation Occupancy MCES System
Plan Review _ 100% or _ 25%
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) - Sheetrock
- Footings (deck) _ Final/C.O.
_ Footings (addition) - Final/No C.O.
Foundation _ HVAC
_
Drain Tile Other
_
Roof
Ice & Water _ Final _ Pool _ Ftgs _ Air/G as Tests -Final
_
_ Framing _ Siding -Stucco Lath _ Stone Lath -Brick
Fireplace
R.I.
Air Test _ Final _ Windows
_
-
-
Insulation 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
DH-Double-Hung, PW-Picture Window, 2LS 2 Lite Slider, 31-Sh 3 Lite Slider, 1/3, 1/3, 1/3, 3LS04 3 Lite Slid t/a,
, 1/2, 1/4,
CIR One Lite Casement Right Hinged, CIL One Lite Casement Left Hinged, C-2 Two Lite Casement, 3C03 Three L sem
ent 1/3, 1/3,
1/3, 3CO4 3 Lite Casement 1/4, IY291/47 ANAN, Awning, HOP Hopper. PAT Patio Door, BAYDH Bay w/Double Hung Flankers, Bay CAS
Bay w/Casement Flankers, BOW 3 3 Lite Bow, BOW 4 4 Lite Bow, BOW5 5 Lite Bow.
WINDOW CONCEPTS OF MINNESOTA, INC.
DATE I" / - / -
CUSTOMER-'
ADDRESS ) O'
CITY L<c Gi
HOME PHONE
WORK PHONE (i
FINANCE X
STATE Ems": ZIP
7211 S(y 1 6f ell
C.O.D.
SPECIAL INSTRUCTIONS
PROJECTION, CONFIGURATION, ETC.
y ?tU?l S b
# OPENINGS WINDOW COLOR WINDOW SERIES WINDOW SERIES
OUTSIDF.. I.A'SIDE: r,{
CONCEPTI
?
'7?
V,
HIT fa
--
? WH WHITE ? CONCEPT II
AL ALMOND ? CONCEPT III
CO COCOA AL ALMOND
\PPING COLOR STAY CLEAN
CO COCOA
CASEMENT HARDWARE
tt ? pL'f LT
OAKS YES
? Fold Down ,
^?'=•----""
9NO
? Standard DK DK. OAK )
4.
' Window
=umber
Style Color
Inside Color
Outside Opening Size
Width X Heigh[
Location OBS Glass
Top Bott
Tempered
Screens
Width X Height WR
AC
Comments
i ?? LSD Lt ?? 1 / ??t J i,I: r `/ SO
?s 2-t
TO OUR CUSTOMERS: PLEASE READ THIS WORK ORDER CAREFULLY. BY SIGNING THIS WORK ORDER. CUSTOMER ACKNOWLEDGES THAT THE INSTALLATION PROCFDURE RAS
BEEN OUTLINEDTO THEM AND APPROVES INSTALLATION AS DETAILED ABOVE. ALL WINDOWS INSTALLED IN CUSTOMER'S EXISTNG BUCK FRAMES. ROTTENWOODRGPLnCMEVT
AS NEEDED INCLUDES: BUCK FRAME, OUTSIDE AND INSIDE. CASING, N AND OUT STOPS ONLY AS NEEDED. ROTTEN WOOD REPLACEMENT IS NOT INCLUDED ON ANY CONCEPT III
WINDOW UNLESS SPECIFICALLY LISTED ABOVE. GIVEN 'I'In, PROPERTY TO BE IMPROVED MAIN HAVE HIDDEN DEFECTS "HOMEOWNER(S)" AND "WINDOW CONCEPTS OF MN[ INC:"
AGREE "WINDOW CONCEPTS OF MN INC.' WILL PROPERLY NOTIFY HOMEOWNER(S) OF SUCH CONDITIONS AND HOMEDwNER(S) ACKNOW LEDGF. "WIN W W CONCEPTS OF MN
INC. ' MAY REQUEST ADD[ 'I'IONAL AND REASONABLE COMPENSATION AND ADFRUATELY RESPOND TO SUCII CONDITIONS. WINDOW CONCEPTS OF MN INC. DOES NOT PAINT OR
STAIN ANY WOOD THAT MAYBE USED IN THE INSTALLATION. IF YOU DO NOT FULLY UNDERSTAND THIS WORK URDER. PL'VASE ASK FOR CLARIFICATION BEFORE SIGNING.
X 1)
C Rn USTOMER'S SIGNATURE MR„t,...a?.?`!f' ^tt MRS REPRESENTATI
izcd 10,04
N
4,?
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2054 Shale Lane
Lot: 8 Block: 2
PID:10- 16703 - 080 -02
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Addition: Cedar Grove 4th
PERMIT
City of Eaan
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Owner:
Donald C Southward Jr
2054 Shale Lane
Eagan MN 55122 -2027
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA081439
12/12/2007
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2054 Shale Lane
Lot: 8 Block: 2 Addition: Cedar Grove 4th
PID:10- 16703 - 080 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Dun Rite Roofing
4086 Miller View Road
Elko MN 55020
(952) 461 -5155
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$90.00
Owner:
Donald C Southward Jr
2054 Shale Lane
Eagan MN 55122 -2027
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA085706
09/02/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
EAGAN
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651) 675-5675 TDD: (651) 454-8535 i FAX: (651) 675-5694
build inoi nspections(a%citvofeagan.com
ECEIVE
JUN 2 3 2010
r
%/m0
For Office Use -�
Permit#:./6?-/ -
Permit Fee: /2' ' & / : C-
Date Received: 6- c -Z)
Staff:fit..2/4--- 1
2019 RESIDENTIAL BUILDING P APPLICATION
Date: 6/23/2020 Site Address: 2054 SHALE LANE
Name: KRISTI RAZINK
Address / City / zip: SAME AS SITE
Applicant is: Owner Contractor
Unit #:
Phone: 612-722-8156
� l Cpb-re Geni/6
Description of work: REPLACE EXISTING WINDOW 32"Wx16"H WITH EGRESS CASEMENT 28"Wx42"H. NO HEADER CHANGE.
Construction Cost: 1800
Multi -Family Building: (Yes / No )
Company: THE EGRESS WINDOW COMPANY AKA REVAMP REMODELING & DESIGN Contact:
Address: 4707 HWY 61 N #146 City WHITE BEAR LAKE
State: MN Zip: 55110 Phone: 612-231-0010 Email: revampdesign@comcast.net
License #: BC634654 Lead Certificate #: F 114840-2
MARY M. DEVENS
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber. Phone:
Phone:
Phone:
Fire Suppression Contractor: Phone:
Mechanical Contractor:
Sewer & Water Contractor.
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be
classNIed as non-public If you proy!de specific reasons that wcttid permit the el ty to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeanan.com/subscribe.
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.
CALL BEFORE YOU DIG. Cali 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.000herstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
xMARY M. DEVENS - "Iv\ (.? -,---
Applicant's Printed Name
Applicant's Signature
Addition
Alteration
— Replace
Retaining Wall
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
— Single Family
Multi
01 of Plex
WORK TYPES
New — Interior Improvement
— Move Building
— Fire Repair
— Fireplace
— Garage
Deck
Lower Level
c2OSh41E Ln. /loa/S�j
— Porch (3-Season) — Exterior Alteration (Single Family)
— Porch (4-Season) — Exterior Alteration (Multi)
— Porch (Screen/Gazebo/Pergola) — Miscellaneous
Pool Accessory Building
— Repair
DESCRIPTION
Valuation L
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction 6
REQUIRED INSPECTIONS
_ Footings (New Building)
_ Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Siding
Reroof
Windows
,r Egress Window
— Demolish Building*
_ Demolish Interior
Demolish Foundation
— Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy k - % MCES System
Code Edition ht C 20 D SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Suppression Required
Width
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169144
Date Issued:05/17/2021
Permit Category:ePermit
Site Address: 2054 Shale Lane
Lot:8 Block: 2 Addition: Cedar Grove 4th
PID:10-16703-02-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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:
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 -
Amanda Rose Salak
2054 Shale Ln
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature