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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