2091 Shale LaneCity of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
2-271
Permit #:
Permit Fee:
Date Received:
Staff: C\K-Ns-
2010
MECHANICAL PERMIT APPLICATION
Date:
(� 2/-1t0 Site Address: 2.0q 1 St(NtAL cjj\'
Tenant:
Suite #:
J
RESIDENT/OWNER
Name: sPhone: 69- gos-t r
Address / City / Zip: 2-0q t,% U✓tY..
CONTRACTOR
Name: �.�► �s Vr A�I_ i �Vvl�'�L�1 v t Ce -
,� /'+Q .!
Address: `� )5 �,,�� \/ O\c NAO City:>/j�'
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State: I tN Zip: ' j 1 Phone: �'i '" 6
ContactC(N X \(...12_, CV 1
TYPE OF WORK
New )4_ Replacement Additional _Alteration Demolition
Description of work:
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PERMIT TYPE
RESIDENTIAL
Y Furnace
COMMERCIAL
_ New Construction Interior Improvement
Air Conditioner
Install Piping _ Processed
_
Jr Exchanger
Gas Exterior HVAC Unit
Heat Pump
_
_ Under / Above ground Tank ( Install / _ Remove)
_ Other
"When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
t
�
Surcharge)
;043tate �'�('�
$.50 State Surcharge) -- $ t ` w TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
Contract Value $ x 1%
= $ Permit Fee
- If Permit Egg is less than $1,000,
= $ Surcharge
- If Permit Les. is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,00142,000
_ $ TOTAL FEE
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.aopherstateonecall.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 b . accordance
with th9- proved plan in the case of work which requires a rev1 and approval of pla
,(ji(12t,
x
Applicant's Printed Name
App lcant's Signature
CITY OF EAGAN
CEDAR GROVE #4
Olf'tre
Remarks * CEdar Grove Acquisition
Lot 5 Rik 8 Parcel 10 16703 050 08
Straat 2091 Shale Lane Stara 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
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 -- "`.._...
Address (present) -..G-------- ...2«-.?.<. _........... _......._..
Builder ................
Address ..............
LOCATION
Street, Road or other De_scripiion of Location I
-X 3 i5
N° 1277
Eagan Township.
Town Hall
Date ............... ._............. .....
...._._.
_ Aaottlon or Tra
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, that.2L.x-2:..,?.2.:..[..._??t....._.has permission to erect a...7S:L._..... ; 5.:?-,.::.jt.....upon
the above described premise subject to the provisions of the Building Ordinance for Eagadd ownship adopted- April 11,
1955 - ?
.. ...._... Per --....-..
-- ..... Chairman of Tnwn Boar Building Inspector
EAGAN TOWNSHIP
?l BUILDING PERMIT
Owner ---- f ._. ................
Address (present) ??/ ? /?
.................................. :e..... _:....
Builder
Address ------
DESCRIPTION
N° 1460
Eagan Township
Town Hall
Date
............................
Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks
v v LOCATION
Street, Road or other Description of Location -I Lot Block Addition or Tract
s t C `7-`
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does if 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 N THE-PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that:_ .:... .._.,._.._.has permission to erect a ........................... ..... .... . ...upon
the above described premise object to the provisions of the Building Ordinance for E n Town p adopted April 11,
1955. ?ge
............ :-------- 1...... W.'._.- -----........... ... .. ?......... Per .......... ---- ....._..- - --..._.......? .......__ l:i
Chairman of Tnwn Board4 Buildin Ins eelbr
i
e?ff
N
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2091 Shale Lane
Lot: 5 Block: 8 Addition: Cedar Grove 4th
PID:10- 16703 - 050 -08
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
e- Reroof & Siding
Reroof & Siding
Contractor:
Restoration Resources
6850 Shingle Creek Parkway, #C -175
Brooklyn Center MN 55430
(763) 561 -2698
PERMIT
City of Eaan
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
$132.75
$3.00
$135.75
Owner:
Timothy W Desley
2091 Shale Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Permit closed without required inspection(s). Letter sent to applicant on 4/8/09. (pf)
Building
EA086013
09/12/2008
ePermit
Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar.
Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps
0801
9001
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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA111000
Date Issued:06/07/2013
Permit Category:ePermit
Site Address: 2091 Shale Lane
Lot:5 Block: 8 Addition: Cedar Grove 4th
PID:10-16703-08-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Dayna Gardner
505 Randolph Ave
St Paul, MN 55102
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Timothy W Desley
2091 Shale Lane
Eagan MN 55122
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
