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2092 Shale LaneBUILDING PERMIT To be used for Receipt # Est. Value Date ,19 Site Address Lot Block Sec/Sub. Parcel No. a Name W 3 Address o City Phone o Name Address P City Phone Name Address City 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 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ONE: 454-8100 OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well _ Type of Const City Water (Actual) (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC, City Engr. SAC, MWCC Planner Water Conn. Council Water Meter Bldg. Off. Road Unit APC Treatment Pt Variance Parks Copies TOTAL 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 No. Permit Holder Date Telephone it Plumbing HN.A.C. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing I,. ?- Roofing Rough P{bg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To be used for Est. Value i Date ,19 Site Address Lot Block Sec/Sub. Parcel No. W 2 3 0 Name AAA.--- City Phone . ' On Site Sewage MWCC System On Site Well City Water .0 Name 00 Address APPROVALS P City Phone Assessments I.- X Water/Sewer m WW F Name Police za Address Fire Engr. W City Phone Planner Council I hereby acknowledge that I have read this application and state Bldg. Off. thatthe Information iscorrectand agree to comply with allapplicable APC State of Minnesota Statutes and City of Eagan Ordinances. Variance Signature of Permittee OFFICE USE ONLY Occupancy Zoning Type of Conet (Actual) (Allowable) * of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC. City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Copies TOTAL 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. Permit No. Permit Holder Date Telephone a Plu)nbing H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I uJ!f Footings II Foundation Framing Rooting Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final d Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. CITY OF EAGAN 454-8100 DEPT, OF BUILDING INSPECTIONS ?t Correction Notice Located at 2(2? f jam'' I have this day inspected this structure and these premises and have found the following violations of city codes governing same,;, When corrections have been made, please call 454-8100 for inspection. Date ,r,- ,, 77 2 Inspector City of Eagan DO NOT REMOVE THIS TAG CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CEDAR GROV #4 Lot 5 Blk 7 Parcel 10 16703 050 07 Owner y C? .? Street 2092 Shale Lane State Eagan, MN 55122 Improvement Oat Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 25 Paid WATERMAI N * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK i f! 74 IZ 10 I 76 )j--4z- ./S' 16 1? ofY-? 00 7i r7 ° N- W" 7 CITY OF EAGAN N0 13 4 6 9 c, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 -] 'a jQa BUILDING PERMIT Receipt# '19- To be used for GARAGE Est. Value $3,000 Date APRIL 14 87 Site Address 2092 SHALE LANE Lot 5 Block 7 Sec/Sub. CEDAR GROVE 4TH Parcel No. ;IName STEVE & GAIL JUMBECK z Address SAME o City Phone 454-4658 =¢IName SAME 221-9361 (W) uo Address P City Phone Wm Name_ Address W City 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 A Building Permit is Issued to: STEVE GAIL JUMBECK all work shall be done in accordance with all a=lligpble State of I OFFICE USE ONLY On Site Sewage Occupancy MWCC System _ Zoning On Site Well - Type of Const City Water (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit 44.50 Water/Sewer Surcharge I.. ]U Police Plan Review Fire SAC, City Engr, SAC, MWCC Planner Water Conn. Council Water Meter Bldg. Off. Road Unit APC Treatment PI Variance Parks Copies TOTAL +L • ?!? _ on the express condition that and City of Eagan Ordinances. Building Official CITY OF EAGAN N2 13 6 3 5 i4 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 35 Receipt # To be used for DECK & PORCH Est. Value $1,500 Date MAY 15 19 87 Site Address 2092 SHALE LANE OFFICE USE ONLY Lot 5 Block 7 Sec/Sub. CEDAR GROVE 4TH On Site Sewage _ Occupancy MWCC System _ Zoning Parcel No. On Sae Well _ Type of Const Cit W t l a er y (Actua l a Name STEVE & GAIL JUMBECK (Allowable) = Address SAME # of Stories 39 C City Phone 454-4658 Length Depth S F T t l c Name SAME 221-9361 (W) . . o a Footprint S.F. u< Address APPROVALS FEES City Phone Assessments _ Permit $29.00 Water/Sewer Surcharge 1.00 'w W Name Police Plan Review Address Fire SAC, City o= a City Phone Engr. SAC, MWCC w Planner Water Conn. Council Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. - Road Unit that the information is correct an gree to comply with all applicable APC _ Treatment Pl State of Minnesota Statutes it gan Ordinances Variance _ Parks Copies Signature of Permittee L./,riC/? r07AL 0.00 A Building Permit is issued to: STEVE & Rail jumbeck on the express condition that all work shall be done in accordance with all applicab"tats of Min"sota Statutes and City of Eagan Ordinances Building Official LXx hr? i_r_s 4 Sep 03 2008 4:29PM BerkshireConstruction 7634329854 p.2 40D blij 116.1 no 98W Pilot Knob Road Eagan MN 55122 Phone: (651) 6766673 Fax: (651)875.5694 I 1 permit 0: 5 7g.3 Permit t=ee: _ 40 ?o j Date ReasNed: ( j Staff: ?7z - J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7 / 7 sibs Address: RESIDENT! OWNER I Name: Address/CV/Zip: Phone: Applicant Is: Owner - ?Contractar TYPE OP WORK Description of work: Construction Cost 10 CONTRACTOR I Name: License #: Address/::4 `? i `Y N City: ! ?kb S?iTAW AZ Zip: Phone: A& Q) 0 2 -3! 9 Contact Parson: I' ?" A:27 _ \ D ok COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW _ BUILDING _ Minnesota Rules 7970 C"orv 1 Mlnngoota Rules 7672 Energy Code r Residential Ventilation Category 1 Workahest ' New Energy cods woduha9t Category submitted submitted N submission type) 9 Energy Envelope Calculations "r"Itted In the last 12 months, has the City of Eagan Issued a permit for a almlli r plan based on a master plan? --Yes -No It yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Phone: Phone: Sewer 8 Water Contractor: Phone: I hereby acknowledge that this Information Is complete and atxurals; that the wodt wfs be In conformance with the ord".nppe and codes of the My of Seger; that I understand this le not a pennlR 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 piers. x IoaM &axz a P x Naga" Appl nt's elgnatun Pegs 1 Of 3 III: Mub-Famity Building: (Yas, I No ? I ------------- CITY OF EAGAN CASHIER: JS TERMINAL NO: 012 DATE: 04/14/00 TIME: 10:05:59 ID: NAME: MICHAEL & TRACY ODEN 3210 9001 2092 SHALE LANE 321.25 3430 9001 2092 SHALE LANE 0.50 3422 9001 2092 SHALE LANE 208.81 2155 9001 2092 SHALE LANE 10.00 Total Receipt Amount: CR126370 USER ID: JAN 540.56 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 45122 l U 651-681-4675 S S A y r New Construction Reauifemenh Remodef/Reogir Roguirerneoft 3 registered site surveys stowing sq. & of lot. sq. fl. of house and SSt roofed areas (20% maximum lot coverage allowed) > 2 copies of plans (show beam 6 window sizes; poured Ind. design; etc.) > 1 set of energy calculations > 3 copiers ?of a pres rvation plan if lot platted after 7/1/93 DATE: I ? 00 DESCRIPTION OF WORKr STREET ADDRESS: _a - "(_ LOT: _ G BLOCK: Name: OtVF/? 1' `Tr-- We- L Last First D,.,N To -A.,- &,;,-k- sWe ttwg SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER ?1- IC.S/- Phone #: LS/ toI L- 4ZL S{??r G??? Sheet Address: CD 9, Gi? n f ,/??? City State/ ?u'" Zip: s? 1 Company: ?Z r Phone #: (area code) Sheet Address: License # Exp. City State: Company: S i7 t- Name: Telephone #: ( ) Street Address: Registration #: City State: Sewerlwater licensed plumber (if installing sewertwater): Phone #: Zip: ZIP: I hereby acknowledge that I have read this application, state that the infomation is correct, and agree to comply with an applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes No -5 Tree Preservation Plan Received Yes No IX Not Required 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions ft decks COST. kla 00j Xl?I BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE Ar 31 New ? 32 Addition ? 33 Alteration ? 34 Repair OFFICE USE ONLY ? 13 16-plex ? 1 ? 17 Garage 2 ? 18 Deck ? 23 ? 19 Lower Level ? 24 Plbg _Y or_ N ? 25 ? 20 Pool ? 30 Porch (3-sea.) Porch/Addn. (4-sea.) Porch (screened) Storm Damage Miscellaneous Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)' ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning 0) # of Stories v Length Width Basement sq. ft. Main level sq. ft. sq. ft. al_ sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building ?, G sq. ft. yo sq. ft. 16 Footprint sq. ft. Census Code -3 U MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance ? 31 Fxd. Aft - Mufti ? 33 Ext. Aft - SF ? 36 Mufti v5N Permit Fee Surcharge Plan Review C) C7 ( License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies .5U Total:{ 0 . 5 Valuation: $ 2G4 aw SAC Units % SAC A-2 FAMILY RESIDENTIAL BUILDINGS PACKET SUMMARY OF BASIC REQUIREMENTS ROOF/ WALLR, FLOORS- Either meet "Cookbook" criteria as outlined in Residential "Cookbook" Worksheet OR meet U-Value criteria as outlined in Exterior Envelope U-Values Worksheet. OTHER ENVELOPE CRITERIA: • Slab on grade floors must have continuous perimeter insulation of R-10 to depth of frostline. • Foundation walls must be insulated with R-10 minimum from top of wall. • Loose fill insulation installed must provide the required performance at winter design conditions. EFFECTIVENESS OF EFO TIRED THERMAL INSULATION: • Building design must meet Category 2 requirements for vapor retarder, air leakage and wind wash barriers, and ventilation. DUCT INSULATION AND SEALIN• Insulation for ducts encased in cement or within ground must be R-5. Insulation must be installed on bottom and side of plenums. • Ducts installed in attics, garages, exterior walls or unheated crawlspaces must be R-8, minimum. • Return air ducts conducting air into a furnace through the same space as the furnace must be sealed continuously airtight. • For ducts running outside the vapor retarder or of greater than 0.25 inches water gauge pressure, all transverse joints must be sealed. Insulation Thickness, Inches Pipes 1" and Pipes System Runouts• Less to 2" Heating %: Wi 1-'% Cooling (Suction) %: 3/, 'Applies to tunouts not exceeding 12 feet in length to individual terminal units. SERVICE WATER ATIN : • Either the first eight feet of both inlet and outlet pipe must be insulated with %: inch thick pipe insulation or heat traps must be installed. • Energy requirements for swimming pools and spas are in Part 7670.0710, Subpart 5, page 55 of the code. MATERIALS AND INSULATION INFORMATION: • Materials and equipment must be identified so that compliance can be determined. Completed insulation receipt attic card must be supplied near access opening. _ • Manufacturer manuals for all installed equipment requiring preventative maintenance for efficient operation must be provided. • Insulation R-Values, window and door U-Values, and heating and cooling equipment efficiency must be clearly marked on plans. This is a summary only. Other requirements may apply. See the Minnesota Energy Code 2/5/96 Questions? Call Department of Public Service Information Center at 6121296-5175 or 1-800/657-3710. Al! Buildings SUMMARY OF BASIC CATEGORY 1 AND CATEGORY 2 BUILDING REQUIREMENTS FOR INSULATION PROTECTION, AIR TIGHTNESS, AND VENTILATION 1 1vu11411VIUM: All buildings must meet the following minimum code requirements: VENTILATION: A Category 2 building is one where infiltration and passive ventilation (operable windows) are relied on to provide necessary year-round ventilation. If one or more of the Category 1 measures below is incorporated into the residential design, however, a residential mechanical ventilation system as specified below must be installed. VAPOR RFTARDFR• A vapor retarder, also known as a moisture barrier or vapor barrier, must be installed on the warts side of insulated ceilings, walls and floors. Polyethylene vapor retarders must be 4-mills or thicker. The code requires a vapor retarder to be installed only on rim joists that are susceptible to condensation from moisture diffusion. AIR BARRIER: A barrier against air leakage must be installed to prevent leakage of moisture-laden air from the conditioned space into exterior ceilings, walls and floors. • Plumbing and heating penetrations must be air sealed. An air barrier must be provided behind any tub or shower that is located on an exterior wall. • Air sealing must be done at all dropped ceiling areas, chimney flues, ventilation ducts, and other fire stops that penetrate the vapor retarder. • Holes in the building envelope for electrical and telecommunications equipment must be air sealed, including the service entrance, wires, conduit, cables, panels, recessed light fixtures, and fans (where vapor retarder is penetrated). • Joints in the building envelope must be sealed, including around window and door frames, between wall cavities and window or door frames. • Tested air infiltration rates must not exceed 0.34 cfm/square foot of operable sash crack for windows, 0.5 efm/square foot for residential doors and 1.25 cfm/square foot for commercial doors. WIND WA H RARRTFR• An air-impermeable barrier must be installed at the attic edge (baffles must be rigid material resistant to wind driven moisture); and overhangs, such as cantilevered floors and bay windows. I ..._ _ trategory t Isurlaings meet all requirements as listed above plus the followin¢: RESIDENTIAL MECHANICAL NTI ATION SVST m FOR RESIDENTIAL B I DINS A system that, by mechanical means, is capable of introducing and distributing outdoor air to all habitable rooms and removing indoor air at a rate of not less than 0.35 air changes per hour or 15 efm per bedroom plus another 15 cirri, whichever is greater. AIR LFAIKAGVRARRIER: A barrier against air leakage must be installed to prevent leakage of moisture-laden air from the conditioned space into the building envelope: • Electrical boxes and fan housings must also be sealed. • All rim joists, band joists, and where floor joists or trusses meet outer walls must be sealed. • The top of interior partition walls that join insulated ceilings must be sealed. • Joints must be sealed between wall assemblies and their rim joists, sill plates, foundations, between wall and roof/ceilings, and between separate wall panels. All exterior joints in the building envelope that may be sources of air leaks must sealed. This is a summary only. Other requirements may apply, See the Minnesota Energy Code. Questions? Call 2/3/96 Department of Public Service Information Center at 6122963173 or 1-800/637-3710. P MINNISCEA I-2 Family Residential Building RESIDENTIAL "COOKBOOK" WORKSHEET MIIr:a Namq ` Q D? n? \ Phone D/ Date /D Statement of Compliance: Building Official Use Appplita ]Address The proposed building design represented In these documents Is consistent with the building plans, specifications, and other calculations submitted Building Address: with the permit application. The proposed building has been designed to meet the V•1- require rpenp off the Minnesota Parergy code. p W A pppliii an t/Engineer MINIMUM REQUIREMENTS for "Cookbook" Option: Entry Doors 1-3/4" solid wood w/ storm Ceiling with energy truss R-38°° Rim joist R-19 door or equivalent (Min. 7'/2" top plate to sheathing) Foundation Windows* Insulated Glass w/1/2" gap in Ceiling with low heel truss R-44e° Floor over R-24 wood or vinyl frame unconditioned space *Include square footage in calculation of Window/Door Area Ceiling-no attic R-38 w/ R-5 sheathing to determine above grade Window U-Value. Window and Door Area As % of Exposed Wall Area too x + Above Grade 1ndcw snd IrminclationWinclow/Door Area insulation rerrormance at winter Design Conditions a9l Gross Wall Area tal,_% Window/Door Area WINL?O_ ALOE : ' J T Sonree NFRC ?[ or ASHRAE 1993 Handbook MAXIMUM WININOW IT_VA11I1174 CAeek': Wall Type Used WALL TYPE MAXIMUM WINDOW AND DOOR AREA .% OF EXPOSED WALL AREA 12% 14°h 16%: 18% 120% 22%• 24% 26% 28% '30% 32°h 34% TYPE A 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.47 0.4 3 0.30 0.27 0.25 0.23 0.22 0.20 0.19 TYPE B 2x4 framing, R-15 insulation, sheathing R-5 or greater. 0.52 0.45 0.3 1 0.28 0.26 0.24 0.22 0.21 0.20 0.18 TYPE C 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0.41 0.3 0.26 0.24 0.22 0.21 0.19 0.18 0.17 TYPE D TYPE E 2x6 framing, R-19 insulation, sheathing R-5 or greater. 2x6 framing, R-21 insulation, sheathing less than R-5. 0.56 0.51 0.48 0.43 0.4 0.3 4 0.31 0.28 A 028 0.25 .26 0.23 0.24 0.22 0.22 0.20 0.21 0.19 0.20 0. I8 TYPE F 2x6 framing, R-21 insulation, sheathing R-5 or greater 0.58 0.50 0.4 5 0.32 0.29 0.27 0.25 0.23 0.22 0.21 This ta ble ontains ithe values in the E nsof nergy Code Part 7670 0475 S ubp 2 This is a summary only. Other requirements may apply. See the Minnesota Energy Code. 2/5196 Questions? Call Department of Public Service Information Center at 612/296-5175 or 1-800/657-3710. 00 on PERMIT# 1455uA RECEIPT DATE: - I -.0 1 U.SWENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 5930 PILOT KNOB RD KTAGAN, MN 5512E 651-6$1-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: Place a check mark next to the hermit work tvne TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) STATE: ZIP: New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system S l p • new installation/repair/rebuild of RPZ ;? i' ( • lawn irrigation system ; JUN 0 1 2001 i • water turnaround Jn?, ^^ J ? ? Nature of work: H(ld-0Yl n(U?'1 l /-f9 CSy? r Pv _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ 50 ,5d Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is correct, and ag a to complywith all applicable City of Eagan ordinances- It is the applicant's responsibility to notify the property owner that the City of Eagan assu s no li ility for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this per withi Cit property/right-of;p0ea§f4negt. SIGNATU$E OF PERMITTEE Updated 1/01 y 13 1987 BOILDING PERMIT 16N - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: =??P ey 6af. Valuation: ;000 Oo Date: Site Address oZOga '%q` l,pne- OFFICE USE ONLY Lot S Block On Site Sewage_ //?? ?? MWCC System Parcel/Sub Ce On Site Well City Water Owner .pile SurAeck 4--G?-'l-5w 6ec Address Qoq? S P ulz lA4e_ City/Zip Code ?H ?Ylul Sstzz w o? Phone As 1,S$ Contractor S?I? 7 Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # APPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Occupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Permit 4-4 So Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL i i O. rig Y? q li ? 111 Y7 t ? \?' `mil y \1J t„ <J C v . to ? V 7 n, 0 1f-/ /36 SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS r 0MKRRCrAr. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 15a0. To Be Used For: +c r Screen Rrr,? Valuation: Date: ??f 1 ?k7 Site Address affil mate rn? S' Lot Block 7 Parcel/Sub c r+ L ° Q L Owner 6?fot d ?a( un??ec?L Address 105-. Sl 1e LF? e City/Zip Code F,p.g"ya, y mycD ? Phone q $ti(- q(' 6-g ( a a f - q3& l) r44 Contractor Address ?{a vi c c.s 0- c City/Zip Code Phone Arch./Engr. S eA- Address 9 ? r- C+ S6 City/Zip Code Phone # On Site Sewage Occupancy MWCC System Zoning On Site Well Type of Const City Water (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS 'FEES Assessments Permit Water/Sewer Surcharge Z Police Plan Review Fire SAC, City Engr SAC, MWCC Planner Water Conn Council Water Meter Bldg Off Road Unit APC Treatment P1 Variance Parks Copies TOTAL a ??? ? L 5 BL 7 CITY USE ONLY RECEIPT CgnJ I S //y} JS#: /O1J'7 SUBD. dLei DATE: r ?- yS 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-1675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction / Add-on furnace - RTI )46A- M-t. I Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: z11 b 144- FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge .50 TOTAL x0.260 SITE ADDRESS: 2 091 s/14 le 1-N OWNER NAME: ^A( f, PHONE#: INSTALLER D i;7/ S STREET ADDRESS: 3 a S S 1315 j L? CITY: AOS-<.IDU'T STATE: J#JN ZIP: K?_06 9 PHONE#: (6/Z) m6"60F "FFAfi CITY USE ONLY L BL SUBD. RECEIPT M DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: all commercial/industrial buildings. ? multi-family buildings when separate permits are W required for each dwelling unit. DATE: WORK TYPE: NEW CONSTRUCTION CONTRACT PRICE: DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: ? $25.00 minimum fee gL 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of Qgrmd fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:- CITY: PHONE #: SIGNATURE: TELEPHONE #: STATE: ZIP:. SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY PERMIT #: 6O rY RECEIPT DATE: 7J ?(? -O RXSIDENTIAL MECK&MCALPERMIT APPLICAMN crrY oP Emm 3830 MOT KNOB RD EAGM MN 55122 651-681-4675 Please complete for. ? single family dwellings townhomes and condos when permits are required for each unit Date: M. 9I 0I SITE ADDRESS: OWNER NAME: ?t 1t2 dc?eR TELEPHONE M (AREA CODE) INSTALLER NAME: TELEPHONE M , (AREA CODE) 9928 Bluebird St. N.W. STREET ADDRESS: GeeR Rapids MN 66438 CITY: 163•754-2199 STATE: ZIP: Plarn_ a rhark mark naYt to the nai mit wnrk tuna 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 exchan er • air conditioner • other Nature of work: L pyX l A kmzA )N\G `AAJ-t?- r-';,"O.vt} 55 6 A ti+ a a y State Surcharge $ .50 Total i $ Reminder: Call for inspections. SIGNATURE OF PERMITTE Updated i/01 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMM£I;CIALL MECEAMICAL PEIiMIT AfTLICATION CITY OF EAGALN 3$30 PILOT KNOB IUD EAHl,MN 55128 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: SITE ADDRESS: OWNER NAME: PHONE M (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: New construction Interior Improvement Processed Piping PHONE#: - (AREA CODE) STATE: ZIP: Install U.G. Tank Remove U.G. Tank Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Rnspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x l% = $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 PERMIT City of Eagan Permit Type:Building Permit Number:EA118346 Date Issued:10/31/2013 Permit Category:ePermit Site Address: 2092 Shale Lane Lot:5 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Lisa Nyberg 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 - Mary J Schwartz 2092 Shale Lane Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature For Office Use ,' ,Qt ,Ivy ► ; � 1X}�l ► , E AG N � Permit#: �/ X/ Permit Fee: � . 79 i 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E C E I V E Date Received. (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-56 Staff: buildinginspections(a citvofeauan.com FEB 08 2019 I_ 2019 RESIDENTIAL BUIL ' - ' ' IT APPLICATION Date: L-JQ �1 Site Address: 2012 S1 La �- Unit#: Name: 11ll(.h C( ( QC,SQU N\ Phone: Resident/ O 2 \ikde.. LG tOwner Address/City/Zip: 2_ , Applicant is: Owner X Contractor ig—Irrtyc �O���E �� z/ -)Type of Work Description of work: I 11\,S I /`�� e V,3W �(g t1 ) �" lacin‘ N (��D n6-(� R�`4 � c Kis Construction Cost: © Multi- Building:(Yes_ANo X ) �i�Cfg Company: CL C p K,C. (kfl ho oc\ Contact: In Address: (A riv L City: A Contractor State: (1\N Zip: $5.II3 Phone: (iI'L ) kic)(Email: eM�f4I( Sff kAi(L2(\MI-1 .80\MW ,(,dry License#: LJ C ( b Lead Certificate#: / )I / —F113619—A. If the project is exempt from lead certification, please explain why: M)//-7" /,r) G, 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: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression 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. 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.citvofeaoan.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. 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.gooherstateonecall.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. n ZakIA Applicant's Printed Name Applica ' Signatur DO NOT WRITE BELOW THIS LINE7 C 9,2_ i '6 L " • /_:_'-; V SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration (Multi) Multi _ Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building Reroof _ Demolish Interior _ Alteration _ Fire Repair Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation -- -4121.1- _ u� Occupancy .2'ih. -/ MCES System -, Plan Review Code Edition ,,/a/5" SAC Units — (25% 100% Zoning 7? -/ City Water — Census Code G11 3 C. Stories Booster Pump -- #of Units I Square Feet PRV -' #of Buildings I Length -- Fire Suppression Required _- Type of Construction 1}3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final /C.O. Required Footings (Addition) _* Final / No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final 1. d Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: i Reviewed By: I , Building Inspector RESIDENTIAL FEES if Base Fee 73 -- Surcharge Plan Review Lj 7 7›— MCES MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA163108 Date Issued:08/17/2020 Permit Category:ePermit Site Address: 2092 Shale Lane Lot:5 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-050 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: 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 - Michael Barsoum Rev Living Trust 2407 Hamilton Ave E Eau Claire WI 54701 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA163287 Date Issued:08/26/2020 Permit Category:ePermit Site Address: 2092 Shale Lane Lot:5 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 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 - Michael Barsoum Rev Living Trust 2407 Hamilton Ave E Eau Claire WI 54701 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature