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2084 Shale Lane1N SFEU ION KEUOK1) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: IIAN tikkivi 14 s 1, orK : APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: I.ilii I?IMt? ffri 1 i R /c, 7 I Permit Holder Date Telephone M PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 6 ? ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 8 r 6r1 ?' 5795 Pilot Knob Rood Eagan, MH 5'5122 PHONE: 454-8100 BUILDING PERMIT PE-ROOF HOUSE Receipt s To be wed for & ADD r,=GE Est. Value ',6,000 Date Octorer 11 19 S3 Site Address Shale ne Erect ? Occupancy R-3 7 Lot Block Sec/Sub. Cedar Grove 4th Alter Zoning 1-3-16703-030-07 l P Repair ? Fire Zone _, # arce Enlarge ? Type of Const. of Kirk Fox Name Move ? # Storie i 2034 Shale Lane Address Demolish ? ` Length 14 - - r++. L:aPan 55122 pk y 454--_ 5926 Grade ? Depth Sq. Ft. g .vso ?cau ?. a?ua?. Name ?U. i? 5353 Wayzata Blvd. oU Address "j r;#- Mpls. 5511 346-3335 ok- Name _ Address I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee t -- A Building Permit is issued to, all work shall be done in accordance with all applicable State,yof Mic Building Official Assessment _ Water & Sew. Police Fire Erg. Planner Council Bldg. Off. _ APC Fees Permit " - J. U0 Surcharge Plan check SAC Water Conn. Water Meter Road Unit $59 . 50 Total on the express condition thoi and City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder mc? Plumbing H.V.A.C. Well Water Disp. Sewer Electric Inspection Date Insp. Other Footings Foundation Framing Rough Pibg. Rough HVA Insulation Final Plbg. Final HVAC Final Water Describe Location: Well ' Sewer Pr. Disp. CITY OF EAGAN 97" Pilot Knob Rood Leven, MN 66122 N4 5958 PHOHLs 464-6100 BUILDING PERMIT Receipt # ?J r Tw L. -A 9. I--rr ,-`;,-?? Fet V. h . 3-/ r?n• Dnte 1 i-? 19 4 Site A?dress ?',- S11`' i3@ r`? r Erect R r [] T Occupancy Lot Block Sec/Sub. { Alter ??? ? Zoning Parcel # Repair ? Fire Zone ?? Enlarge ? Type of Const. ce r Name 1 .? r Move ? # Stories Z 3 Address Demolish ? Front ft. "?, Vin 5 D . ' ' Grade fl Death ft. 't- . ;-Is?rnr Approvals Name p 01 Address Assessment - uF r lir f "'r. Water & Sew. city Phone W Police Name Fi 12uj re x? Address Eng. Cez <11 City Phone Planner 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 State of Minnesota Statutes and City of Eagan C?-+ ^^^-?? APC - Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all-oppl Building Official Permit Surcharge Plan check SAC Water Conn. Water Meter I Total on the express condition that hate of Minnesota Statutes and City of Eagan Ordinances. Permit # Deft Issued Permittee Plumbing Mechanical INSPECTIONS DATE INSP. Rough -in Final Footings Z _ Date Insp. Date Insp. Foundotion Plumbing Frame/ins. Mechanical Final Remarks: UITY OF EAGAN Remarks-* Cedar Grove Acanisition Addition CE IDAR MOVE!! 114- Lot 3 Rik 7 Parcel 10 16703 030 07 Owner i` I L,L ' Street 2084 Shale Lane state_F+agan, 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 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 _--d4-11??it.-":.,5 '-.--L?!r.-.... .............`- Address (present) ...0.:......!6..:...;7...w^L_____.___.._...... Builder ...._ ..----------------------------- .... ..._.......... .__.------------ ........ _..... Address ---'_.--d---------------------------- ------------------------- -------------- - DESCRIPTION ,(.L LLB-t._•c.CE'c-, /S, ?s-r LOCATION N° 127'7 Eagan Township Town Hall Date Street, Road or other Description of L Lot Block Addition or Tract .3 6C,-' 7 Cc?.. -L -- 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. This is to certify, .fhaf..mss- ........ has permission to erect a...7 et9- ..... ..`S._..`..s :.`?. ??..._.y.._:._upon the above described premise subject to the provisions of the Building Ordinance for Eagad 'Township adopted'April 11. 1955. - lLrf ems': c'f'...1.. LZt ._.. . ?CE < ..... Per ?Y--_.._.._.......__......_... Chairman of Town Board. Building Inspec.tor. 4 CITY OF EAGAN Np 856rr 3795 Pilot Knob Road Eagan, MN $5122 PHONEt 454.8100 BUILDING PERMIT RE R F Receipt # j ? - OO HOUSE To be need far & ADD GARAGE Est. Value $6,000 Date October 11 1983_ Site Address 2084 Shale Lane Erect g$ Occupancy R-3 Lot 3 Block 7 Sec/Sub. Cedar Grove 4th Alter XX Zoning R-1 Parcel # 10-16703-030-07 Repair ? Fire Zone NA l E T f C V n arge ? ype o onst. W w Name Kirk Fox Move ? # Stories z Address 2084 Shale Lane Demolish ? Length 24 C; Eagan 55122 Phone 454-5926 Grade ? Depth-2-2-Sq. Ft. 0 Name WBstern Const. Co. Approvals Fees :jr Address 5353 Wayzata Blvd. "i- r i,- Mpls. 55116 p4 nnn 546-3385 Name _ Address I hereby acknowledge that 1 hove 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. Building Official Assessment _ Signature of Permittee western ons ruc ion A Building Permit Is issued to: all work shall be done in accordance with all appli e 5 to f Water & Sew. Police Fire Eng. Planner - Council _ Bldg. Off. _ APC Permit 7v.Du Surcharge 3.00 Plan check SAC Water Conn. Water Meter Road Unit Total 59.50 _ on the express condition that and City of Eagan Ordinances. CITY OF EAGAN Include 2 sets of plans, r 1 site plan w/elevations & `???oV ??OOJS BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For G Q ?a n valuation d ! Date Site Address OFFICE USE ONLY Lot 3 Block -7 Sec. /Sub. CEda(`Qinn?F Erect ?C Occupancy Parcel #: Q) - (LO-103 - 030 -0-1 Alter ? Zoning Repair Fire Zone Owner: ?CiJIL ? d? Enlarge _ Type of Const. Move # Stories Address: ` ` /6 La k C Demolish _ Front 2'( ft. City/Zip Code: q g q Grade Depth 2 Z ft. Phone #: 41.5 y/- Sgt (- Contractor: W P S P? ?d l Address: .r.3 ?? (.?q L 4 ? ?? City/Zip Code: r1l Phone #: 1 ?i G- 3 3 S Arch./Eng.: Address: City/Zip Code: Phone #: 4-AO; ? APPROVALS FEES Assessments Permit 5&, la o ?9ater/Sewer Surcharge 2 •e-) p Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC TOTAL i 5q ' 57b CITY OF EAGAN ` - 3795 Pilot Knob Read Fagan, MN 55112 N2 5958 r PHONE: 454-8100 ZP? BUILDING PERMIT APPLICATION Receipt # Tu be used for Fireplace Est. Value 1, 550. Date 117? U_ Site Address 2084 Shale Lane Erect ® Occupancy I Lot 3 Block 7 Sec/Sub. Cedar Gro ve 4 Alter ? Zoning Rl Parcel # Repair ? Fire Zone Enlarge ? Type of Const. V w Name Kirk & Paula FOX More ? # Stories z 2084 Shale Lane Address Demolish [3 Front ft. O Fagan 454-5926 Grade ? D epth it. Phone city .._-L_Y... ee.,......,..-, Aeeroreh Pees o Nome OU Addre Nome 1 hereby acknowledge that I the information is correct a State of Minnesota Statutes Signature of Permittee -1 A Building permit is issued tr all work shall be done in a Building Official this application and state that to comply with vii applicable of/Eogan Orcirrronres, of Assessment _ Water & Sew. Police Fire Eng. Planner - Council Bldg. Off. APG Permit ?"•"" _ Surcharge 1.00 Plan check SAC Water Conn. Water Meter Total 11.00 on the express condition that Statutes and City of Eagan Ordinances. ------------------ ForOffice Usep ?? ?Jp j permit #: o?3 0 j /?S 7S Permit Fee: c ? Date Received: j 1 I I Staff: I I 2008 Date: VIVOK Tenant: RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: 3OQ V Gl L7/Y7G? LCt N P Suite #: RESIDENT / OWNER Name: VkS f Phone: 7 7f Address / City / Zip: 54 1L An e ?40 55> a t` Applicant is: _?(_Owner Contractor TYPE OF WORK Description of wo srdr G d re - / ?? Construction Cos I 1 120 Multi-Family Building: (Yes No CONTRACTOR Name: -cm C ?0? 5 f ?y? 11 girl License °?flL}(/ 8? y t7 Address: 7la`! pl,c,070,ld 67 C9d+" e city: &L fin(/) State: 1 O/v Zip: Phone: l?y Contact Person: CND/ L' ?'f'Yll?l? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the Iasi 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.infarrnation may be classified as. non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 wo will be in accordance with the approved plan in the case of work which requires a review and approval of pla x ?I an e( gumme ? x Applicant's Printed Name Applicant's Signature Page 1 of 3 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-16703-030-07 PERMIT 2084 SHALE LANE LOT: 3 BLOCK: 7 CEDAR GROVE #4 PERMIT TYPE: BUILDING Permit Number: 0 3 2 9 5 3 Date Issued: 08/18/98 DESCRIPTION: RERDDF PORCH/STORM Bu ld ng?PerIn it Type STORM DAMAGE Building Work Type REPAIR C=ensus Code434 ALT. RESIDENTIAL f j' t t I ,t-REMARKS FEE SUMMARY: ITE'NNSS'"52 WR*S CARPENTRY 18905074 20072521 OWNER: KIRK 14709 BURNSVILLE PKWY W 2084 SHALE LANE BURNSVILLE MN 55306 EAGAN MN 55122 (612) 890-5074 (651)454-5926 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE I SUED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?/ 681-4675 s- R _ 9 sS New Construction Requirements Remodel/Repair Requirements # 3 registered site surveys # 2 copies of plans (include beam & window saes; poured fnd. design; etc.) # 1 energy calculations # 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No DATE: '9 - 18 - '? $ # 2 copies of plan # 2 site surveys (exterior additions & decks) # 1 energy calculations for heated additions CONSTRUCTION COST; 9-I 0 0 0 DESCRIPTION OF WORK: re-ro e1_T or ck c1 2 m apti 'M s-L-o r car STREET ADDRESS: 2 0 Cr 1-1 S k (c L" nn1 LOT: 3 BLOCK: SUBD./P.I.D. #: 4 1, `?Q\?_ s?{ ' S I Z 6 Name: -q ox ?-: y k Phone #: L4 PROPERTY Last First OWNER ff Street Address: -2- 0 g y S 11 7 f e L N City E State: /9 /L Zip: S$ 1 2 2 Company: of n n: S S .'v e r s C a ra e ti_ +T Phone pp#:g D- S D 7 Y CONTRACTOR L?"? J 3 t StreetAddrress: 11470 4 LV. I?e ?1?w? SS License # 'Z 0 0 7 2 5' 2 I City 1J u r s,'/ 1 State: /4,4- Zip: S-S 3 0 6 ARCHITECT/ ENGINEER Company: Phone #: Registration #: Street City State: Sewer 8 water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the infortnatior is correct and re to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes - No - Not Required v' BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MC/WS 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 SAC Units Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. I 5353 Wayazata Boulevard Minneapolis, Minnesota 55416 546.3365 jcM m tT CITY ?- " ADDRESS 1/ ?• -? NAME C c y TELEPHONE / . L'' WORK DA GARAGE SIZE ?' X X -APRON DRIVEWAY SIZE WIRE MESH '/2"=RODS_CONDUITPIPE OVERHEAD DOOR SIZE L / OFFSET PERMIT OBTAINED BY SERVICE DOOR LOCATION ' SALESMAN BLOCK SIZE & LOCATION CEMENT MAN OLD GARAGE REMOVED B OLD CEMENT REMOVED BY. WATERPROOF BACKFILL EXCAVATION BY GRADE FLAT- I DROP OFF ' , I 1 ---! - T I _ . i L 17 7 I - ` I-? ! -- i_. '- 1. ? •' - I ?i I ! r r r I -T T I I I I I ! T_- L ! ice. i ?? IL A_T -I 1 7 41 - t 1 j I 1 1 1 I - ? -F _ ? ? ? _? I ?--? ? .}. . • - ? i _ I t I - ._ ?T i f i I - I I ' I ? ? ? ? - ; I r I I f _ - -E- +? I 1 1 1 { { JJ 1 I I, ! i l I I I? ? I 11 I L - 1 - { i--•. (i rI ? r1- I- jI-i I } I I ; t I , i I ? ' t-- a r- j-- ? .1_I_, . __. I I _. , I •., ! , ?- - ._ I I Z i DATE 1 Z-al ')k BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calcuations. To be used for )I'- LFTC? Valuation Site Address: Lot Block 7 Sec./Sub. Parcel Number Owner t?f L (?L ?OX Telephone T 2 ?j Address Contractor Telephone Address Arch/Eng. Telephone Address OFFICE USE ONLY Erect Occupancy Alter Zoning Repair Fire Zone Enlarge Type a Move Demolish Grade Date of Approval and Initial Assessment Water/Sewer Police Fire Engineer Planner Council Bldg. Of Q A.P.C. # of S Front Depth Fees tom- Permit /U Surcharge Plan Check SAC Water Connection Water Meter TOTAL Citi of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Tenant: r Use BLUE or BLACK Ink For Office Use p� Permit #: I I 107 Permit Fee: Date Received: Staff: L 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: nyvL ' 1. Resident/Owner Contractor Type of Work Suite #: Name: \ Phone: [6 51 `t l DiTh Address /City /Zip: � � __.._. le. YUMA Name, �./16'� V\1 S-�---�DA-X-C17 License #: Llc'1 e Address: __J`C `-t0 City: l.'C t IUi State: \ Zip:5\-1 PhoneTA Contact: Email: New >c Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New AbandonmentVAIOMM, Water Softener _Add Plumbing Fixtures ( Main / Water Turnaround Lower Level) RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) � w TOTAL FEES $ l: D CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. x \;r- 7)01cvb\a/ -. Applicant's Printed Name Aicant's Signature FOR OFFICE USE Required Inspections: Under Ground __Rough -In ,_Air Test Gas Test _Final Reviewed By: Date: