2088 Shale LaneCity of Eakan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: C/ 0 D
Co
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5 -. ' / ( Site Address:
o 31)ah
J
Tenant: Suite #:
RESIDENT / OWNER
Name: C u&,'o>-y ALI Phone: 61.57 ' A/5-7 - f7,77
Address / City / Zip: �C%5.5 560.1k 4/y✓ FGvar)) Mi( ,..57.410,Z
Applicant is: Owner X Contractor
TYPE OF WORK
) 1 t i i� /0 E it�i 1
Description of work: / CtetT2/2CA_X-,'?,I ,CQ'�
Construction Cost: / 7 7a > rO Multi -Family Building: (Yes / No J< )
CONTRACTOR
Name: „.L)9YI L_ License #: /7/;)
Address: "77apodo City:� X(� J
State: I )b`Zip: -5-0/4 Phone: tF✓/ 4/5L1 - /p77
Contact: «21 i y' / ' �,42927 Email:
COMPLETE
In the last 12 months, has
Yes _No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
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 the. City to
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.dooherstateonecall.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.
kr-/S 6/22/2A
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 2
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 5842
PHONE. 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date 19-
Site Address ?..?
-
Erect •?
Occupancy
Lot B lock Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const.
z Name Move
El
# Stories
m
z Address r ^,T^
2n r Sh': _.." Demolish ? Front ?- ft.
:'Tie; 77.1 '! <:7<,
Grade El
Depth ft.
city Phone
Approvals Fees
Z
°ug
r
ome _
Address
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 Stotutes'and-City of Eagan Ordinances.
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. " < -
APC
Permit -
Surcharge -
Plan check _
SAC
Water Conn.
Water Meter
Road Unit-
Total
Signature of Permittee I
A Building Permit is issued to: _ 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
Permit # Date laved Permit"
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rough-In Final
Footings Date Inw. Date Insp.
Foundation _ Plumbing
Frame/ins. Mechanical
Final
Remarks:
CITY OF EAGAN Remarks * Cedar Grove Acquisition
Addition CRDAR rROVF. #d Lot 4 Blk 7 Parcel 10 16703 040 07
Owner $treet 2088 Shale Lane State Eagan, MN 58122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
tt SEWER LATERAL 1479 1 -'AnA nn r9-1A 519;
WATERMAIN
• WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
EAGAN 'T'OWNSHIP
BUILDING PERMIT
Owner ...... . ....... --- ........ . ....
Address (present) .. .m. .fl.°t"-. /X1 ---`-- .............
Builder ._..d'??"nr-' ............._X? ...._6........ .. ..
Address ...... ?4?t.1.7...._-21..,...---........_--...r1.../..
DESCRIPTION
N° 1604
Eagan Township
Town Hall
Date .......
Stories To Be Used For Front Depth Height Est. Cos! ' Permit Fee Remarks
_
V LOCATION
Street, Road or other Description of Location Lot Block Addition or Tract
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 BE KEPT O THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that ...... ---- ............................ permission to erect a................- upon
township ..... .. .......
the above described premise subject to he provisions of the Building Ordinance for Eagan township dopled April 11,
1955. 9 ?n ?fj n '
........................... f. ._ .`'1 -?`.?....------.... Per -----.-....----'°_.-----....._ a......./ ..
.. ey U .. _ r.E: .......
Chairman of Tnwn Board., ' Building Inspector
41
?g
BUILDING PERMIT APPLICATION
N2 5842
Receipt
To be used for Patio Deck Est. Value 1,000.00 Date May 28 1980
Site Address 2088 Shale Lane Erect Y] Occupancy R3_
Lot 4 Block 7 Sec/Sub. Cedar Grove 4 Alter ? Zoning RI
Parcel # Repair ? Fire Zone III
Enlarge ? Type of Const. V
a Name Dennis W. Berg Move ? # Stories
z
3
Address
2088 Shale Lane
Demolish
?
Front 14 ft.
o City e.gan' Phone 454-567 7 Grade ? Depth 20 ft.
0
Name
Sane
Approvals
Fees
OU Address
r rw,
Name
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/onchCity of Eagan Ordinayiges.
Signature of Permittee
A Building Permit is issued to: Dennis
all work shall be done in occordonce wok ll c
CITY OF EAGAN
3795 Pilo Knob Road Eagan, MN 55122
PHONE: 454-8100
Assessment
Water 8 Sew.
Police
Fire
Erg.
Planner
Council
Bldg. off. 5/27/80
APC
Permit
Surcharge -
Plan check _
SAC
Water Conn.
Water Meter
Road Unit -
Total 6.50
on the express condition that
of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN Include 2 sets o plans ?? ,
r 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For
Site Address:
r " C c' Valuation
0S L
Lot ? Block 7 Sec./Sub-rAtl
Parcel #:
Owner:
Address: ?U cR e??
City/Zip Code:
Phone #: y S - l ?r 7
Contractor: X:??
Address:
City/Zip Code:
Phone #:
Arch./Eng. -
Address:
City/Zip Code:
Phone #:
Date 7
OFFICE USE ONLY
p
Erect _ Occupancy /I
Alter zoning M/
Repair Fire Zone
Enlarge _ Type of Const.
Move # Stories
Demolish Front ft.
Grade _
Depth it.
APPROVALS FEES
Assessments
Water/Sewer
Police _
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit In
Surcharge r
Plan Check
SAC
Water Conn.
Water meter
Road Unit
TUM dy t1o
EAGAN TOWNSHIP
BUILDING PERMIT
Owner .... .°-----'; ?-------- `{. .".?-./. ?+
Address (present) .
Builder .......... ..... ................. ..............._.. ---- _.....---------'--:...--'--'---
Address ..............
N° 1237
Eagan Township
Town Hall
Date ......./7/.?P. S/-.._-- ................
Stories To Be Used
For Front I
Depth Heigh Est. Cost Permit Fee Remarks
-_
- .
LOCATION
Street. Road or other Dese ption of_ Location I Lot Block ' Addition or Tract
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(XEPT 9)N THJj PREMISE WHILE THE WORK IS IN PROGRESS. ,
This is to certify, ihai._.r....:._............. ...'s`".._........................ has permission to erect a.......... 6- --------- - ..... ..upon
the above described premise subject to the provisions of the Building Ordinance for Eagan Tow ship adop! April 11,
1955.
Per ........ ..._:....... . ,?..
............................ .......
Chairman of Tnwn oerd Q ?. Building Inspector
3 G CITY USE ONLY
• PERMIT #: ?2'9 RECEIPT DATE:
D_' S-6/
IXSIDFJnglAL MUMMCAL MtNH *PPLICATION
CPPYOFEAGJ B
3630 PRAT KNOB RD
£El6AA MN 551 E8
651-6814675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: I I IDPSIrI
SITE ADDRESS: ?L1?1 ?' y le Ln
OWNER NAME: t-)GnICe-, L •bcry TELEPHONE#
INSTALLER NAME: Wohlers Southside Htg. & Air., Inc: !NE #:
6950 W. 146" St., #106
STREET ADDRESS: Apple Valley, MN 55124
(952) 431-7099
CITY: _ ZIP:
Plnro n rhorlr mnrlr nowt Tn fho norm!} wnrlr tuna
18) 7yy- )A Ll 1
(AREA CODE)
(AREA CODE)
New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existing dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: acf + _?Y d ile- t ??
?
g r u m
- ?\ C, aiL Ll rahc,
e
State Surcharge
$ 50
Total $'
Reminder: Cal! for inspections.
(n !r m i n e /, JU &j,,i-
S NATURE OF PERMITTEE
Alp Updated 1/01
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMERCIAL M£CHARICAL AMU APPLICATION
CITY OF FAGm
3830 PI OT KNOB RD
RACIM, MN 551 EE
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE #:
(AREA CODE)
CITY: STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank
- Interior Improvement Remove U.G. Tank
- Processed Piping
Specify Nature of Work
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing (inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/01
?e,-41- /?- o5,1
G?
s1?b
I -/(?
W
va
Deh?is ??^q
2o8g S?/f}L?' Latie_
Lit 41 BL
L BL 7 CITY USE ONLY RECEIPT#: 17a
?SUBD. lJ(iL`AA/t/ lCJ W ??"C T RECEIPTDATE: -
PERMIT # 4
1999 PLUMBING PERMIT (RESIDENTIAL)
CITY OF £AeAN
3830 PILOT KNOB KD
SAGAN, MN 55122
(651) 681-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 A - $
Floor drain 3.00 x = $
Gas i in outlet " minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Minimum fee alterations to existing dwelling 30.00 x = $
Private Disposal System new/refurbished ' requires MPC tic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $'
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x ---- - $
State Surcharge .50 > > -- > $ .50
Total --> > > ----> $
Reminder: Call for inspections of alterations, i.e. vrater he•aters,,water softeners., etc.
I hereby acknowledge that I have read This application, slate that the information is correct, and agree to comply with ell applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: BERG, JACKIE
2088 SHALE LANE
OWNER NAME:: EAGAN, MN 55122 TELEPHONE M
(651) 454-5677 (AREA CODE)
INSTALLER NAME: TELEPHONE M
(AREA CODE)
STREET ADDRESS: NE)ROLOM PLUMBING CO-.'
CITY: (612) 827-4033 STATE: FZIPI:: ,'.
2905 DAVE. SO.
LM4NEAPOLISo MN 55403. L /V
SIGNAT F PERMITTEE •,UO 0 J
MP
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: April 4, 1968
OWNER; Cedar Grove Const. Co.
PLUMBER Steins. Inc.
NUMBER 139
AddressG 4-7 4
TYPE OF PIPE cast iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential
x
Location of Connections:
Multiple Dwelling No. of units
Connection Charge 200.00 Pd. 4/4/68
Permit Fee 7.50 "
Street Repairs
Total 207.50 "
Inspected by:
Date
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toxmship, Dakota County, Minnesota
By. Steins, Inc.
Please notify when ready for inspection and connection and before any portion
of the work is covered.
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-----------------
I Fo_r Otfice„,U5? I
Permit*
I Permit Fee:
I I
Date Received:
I
I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ' ?8SiteAddress: C 2 Ln ,
Tenant: ?2f, 4,1 ??fS SuiteM
RESIDENT / OWNER Name: OCi'171 /S /6 e
Phone:
?
_
J
Address /City /Zip: ?d?S? s?4?2 Gn, //
Applicant is: _ Owner )Contractor
/n_
?'
z?
TYPE OF WORK ?( aC'r
Description of work: -e
0
R )?
Construction Cost: ? S 003. Multi-Family Building: (Yes No
CONTRACTOR F S G 026e-S License M C2C? F46 66
Name: eS a? /O ?l
/ //
Address: ?O 70 S!i<7 S 4P rct4- & / `a/,- a
S SSG 3 d
e-e
A40
. Zip:
City: lJO /(
State:
Phone: 763-d? 01-?7U Contact Person: `
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 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
Me information 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
permit; that the work will be in
sta wi ut a
Eagan; that I understand this is not a permit, but only an application for a permit, and wor ffan:t
accordance with the approved plan in the case of work which requires a review and approva o x X
Applicant's Printed Name A cant's nature
Page 1 of 3
L I
r-----------------
I For Office Use/r~ ry
Permit#:
City of Eaaall
3830 Pilot Knob Road I Permit Fee:
I
Eagan MN 55122 Date Received: ~
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 'J taw I 0'2 Site Address: /sue. s-n
Tenant: Suite
RESIDENT/ OWNER Name: ) `Tt- Phone: EI S ~1 • L 7
Address / City / Zip: LS
CONTRACTOR Name: ' 1 & License rf_J0r +
Address: v 1 -7 a~ T / -1 -
City: State: Zip:
Phone: Contact Person: %
TYPE OF WORK -New -Replacement Repair Rebuild Modify Space . Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / PVB) Main - Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
`Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 s_
x or C x cN> .
Applicant's Printed [Lr;c
me Applicant's Signature
FOR OFFICE USE Reviewed By: Data:
Required Inspections: Under Ground `Rough-In -_Air Test _Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152703
Date Issued:10/26/2018
Permit Category:ePermit
Site Address: 2088 Shale Lane
Lot:4 Block: 7 Addition: Cedar Grove 4th
PID:10-16703-07-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 -
Dennis W Berg
3860 Pleasant Lake North
Eveleth MN 55734
(651) 353-5365
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163511
Date Issued:09/02/2020
Permit Category:ePermit
Site Address: 2088 Shale Lane
Lot:4 Block: 7 Addition: Cedar Grove 4th
PID:10-16703-07-040
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
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 -
Gregory J Berg
2088 Shale Lane
Eagan MN 55122
(651) 353-5364
K Designers
2440 Gold River Rd Ste 100
Gold River CA 95670
(952) 894-3600
Applicant/Permitee: Signature Issued By: Signature