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2096 Shale LaneCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 2046 SHA1 E CEDAR GROVE 41H INSPECTION RECORD PERMIT TYPE: Permit Number: ?- Date Issued: Control No. ` r' ( -t- t . 1, f-r Bull It INO 0014'18 A9/10/92 LOT s 6 BLOCK > / APPLICANT: LANE AMf: RICAN RE11ODELING INC (fill?) b63--0020 PERMIT SV?TYPE: TYPE OF WORK: ( ??c.. t ALTERAt'10N DESCRIPTION SOFFIT & FASCIA Pa.. It Pfc. Permit Hokter Dab Tahphona R SJW PLUMBING HVAC ELECTRIC ELECTRIC Inspection Do" Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. laul. Fireplace Final Htg. Oreat Test Final Ptbg. Ptbg. Inspector - Notify Plumber Const. Meter EngdPlan Q T' Bldg. Final Dedc Fig. Deck Final Well Pr. Oisp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 SITE ADDRESS: i ! .11111 1 A h PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number; 7 Date Issued: 6 N 101, K : APPLICANT: TYPE OF WORK: . 1. 1 rail Ij ilAVAQ /MI111k0014 INSPECTION DATE INSPTR. INSPECTION DATE INSPTR. RFMARVS'i P1_ AN RfV1 Wf.1) BY 871 1 ADAM-, `;F PARA Tf- Pf RM 1 1 RE IJU I RI 11 1 11!< ANY PIAINH I n ? r is ° + n ?. Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp.. Comments FOOTINGS 9p G ( /?" FOUND FRAMING ?aCJ?19?! K/G? ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL / < GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG c? FINAL HTG ORSAT TEST BLDG FINAL ^? oy // DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CEDAR GROVE #4 Lot 6 Blk 7 Parcel 10 16703 060 07 Owner S/Y1ia0, 141 1 Al Street 2096 Shale Lame State 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 WATERMAI N * WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ?r EAGAN TOWNSHIP BUILDING PERMIT , Owner ....... ° /.&" M1 .-....f!------ . ... . ........... . Address (present) a g ( ---•:'° " .. .. .. ..................... Builder ..............??C.[.e.:fr..... ------------------------------------------------ ------ Address N° 1293 Eagan Township Town Hall Date ............................................... 'Stories To Be Used For Front Depth Heigh! Est. Cost Permit Fee Remarks LOCATION Street, Road or other Description of Location Lot Block I 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 PT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that...... ?.... rte ..........................has permission to erect a........ ... .....-."-. . - .................upon the above described premise subject to the provisions of the Building Ordinance for E n TowAhip adopted April 11, 1955. / ............................ ........-????V---`-?1..' ......-.. Per ........ ............. aZ(7..u......?s ..... ...". _.8?.. Chairman of Tnwn Board /J Building Inspector City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651)675.5694 Date: Tenant: ----------------- I For-QHlcelJSe I j Permit #: 96-3 1? j Permit Fee: Date Received: Suite #: 1 8 2008 RESIDENT / OWNER ti Phone. ` -1 Name: Wk k ? T ? ` J I Address / City / Zip: ?N Applicant is: - Owner Contractor TYPE OF WORK Description of wor : 1'NL -? QQ Construction Cost U 10_? Multi-Family Building: (Yes-/ No ) CONTRACTOR License #: Name: ` Address: J ,, ?& S EA K* fate: Zip: City: - c 5S t t P 1 M ! ? Ph , on ac one: erson: _ 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 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 the information may be classified as non-pWic if you provide specific reasons that wouid 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 work will be in accordance with the approved plan in the case of work which requires a review and appTa(al of plans. x I ) Q,na l x ?I t W ll tL Appl cant's Printed Name Applicant's Signature Page 1 of 3 VA, wivd Amk i?o ?0 aa?? 2008 RESIDENTIAL BUILDING PERMIT APPLIC WO 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone #E 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address C=,Aj95.2 l y ;2 Unit # Property Owner a [,;7 ?_`? ? f7 Telephone#(6SI) Contractor (6?„ /r/eJ?(p J //?! Street Address y City awl4e Va /4= State _h3 ?\ Zip Telephone # ( ,SS) X34 S e3,2?, Bond #: Expires: The Applicant is Owner / Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional Replacement _ air exchanger ? air conditioner -New / Replacement other State Surcharge $ .50 $L Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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 plant, , \ Applicant's Pn ted Name Ap cant's Signature APR 1 12005 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) \ Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State \ ip Telephone # ( ) Bond # F es: The Applicant is Owner Contractor Other Work Type New Construction - Underground Tank Install -Remove "see below Interior Improvement - Install Piping _ Proc sed -Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire M hal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% Permit Fee • If permit fee is $1,000 or less, add $50 $ State Surcharge If ermit fee is over $1,000, add $.50 for every $1,000 yermitfee $ Total Fee r nereoy apply ror a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: Inspector Datc: 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. ?-•? fa- R3 LOT NAME SIZE BLOCK ADDRESS VALUE ADD-N. AREA TYPE 1 rti 1 ,z 1I, /, i\ f=sT cul ?. nl-L. ! . J r_>F i? N7 J ?i,- r44t 7 , - e}"!•,Go N? u E t 14 ,J \.• Iilll f I 1 E t J i-c s CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 2096 SHALE LANE LOT: 6 BLOCK: 7 CEDAR GROVE 4TH BUILDING 001428 09/10/92 DESCRIPTION: i i Li I SOFFIT & FASCIA =Building Permit Type SF (MISC.) Building-Work Type ALTERATION r REMARKS: C 09-0 7Y2- FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $72.00 $2.50 $74.50 $5,000 CONTRACTOR: - Applicant - ST. LI OWNER: AMERICAN REMODELING INC 15530020 000240 SCHMIDT SHARON 3700 ANNAPOLIS LN 2096 SHALE LN PLYMOUTH MN 55447 EAGAN MN 55122 (612) 553-0020 (612)454-7028 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. L_ APPU /PERMITEE SIGNATURE application and state that the with all applicable State of Mn. I. Control No. 1041 D of, 4 p IS U D B : SI AT UR 'k CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 2096 SHALE CEDAR GROVE 4TH INSPECTION RECORD Control " 1041 PERMIT TYPE: BUILDING Permit Number: 001428 Date Issued: 09/10/92 LOT: 6 BLOCK: 7 APPLICANT: LANE AMERICAN REMODELING INC (612) 553-0020 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) ALTERATION DESCRIPTION SOFFIT & FASCIA PERMIT # REACTIVATE' _ iftl CITY OF EAGAN 1992 BUILDING PERMIT 681-4675 APPLICATION .40 MN CONTRACTORS LIC. # 2408 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, l set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chap a is requested once Permit is issued. Date Valuation of work DD Site Address:_ ?091n ?[?t?? oyl STREET SUITE R Tenant Name: (commercial only) LOT l° BLOCK SUBD. / l f l,I kCG F.I.D. M mar/ Description of work: ?DW?? QiJL'?! ClC i7 Q? cam„ , The applicant is: O Ow er tractor Other (Describe) Nam ?/X . Phone '?.?Sl Property Owner LAST fIRST 2091 ?-XlC a -. Address . STREET STE ! .. ?- City State 1'161? Zip Company e d Phone ? C?010 .;?0 Contractor /? Address L°- License # Exp. City ®zrl`C State Z3pr?7 Company / Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply h all applicable State of Minnesota Statutes and City of Eagan Ordinances. Z / Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ? 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 a-flex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations Repair ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory ? 18 Comm./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning 3 of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ? Framing ? Draintile ? 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Insulation ? Fireplace Permit Fee OD Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units velutim: $ STATE OF MINNESOTA DEPARTMENT OF COMMERCE 133 East Seventh St St. Paul, MN 55101 (612) 296-6319 BUILDING CONTRACTOR ID#0002406 REMODELER CORPORATION Issued: 01/13/92 Expires: 03/31/93 BERNARD M LANE STATE OF MN DEPT. OF COMMERCE 133 East Seventh St , ::, p??xr.? St. Paul, MN 55101 ' (612) 296-6319,, BUILDING CDNTRACTOR ;:is.:?;:' ID#0002406 REMODELER CORPORATION Issued: 01/13/92-03/31/93 BERNARD M LANE AMERICAN RMDLG INC AMERICAN RMDLG INC 8585 NORTH STEMMONS 8585 NORTH STEMMONS FREEWAY FREEWAY DALLAS TX 75247-0000 DALLAS TX 75247-0000 CM M5A] CITY OF EAGAN CASHIER- S TERMINAL NO: 889 DATE- 09/25/98 TIME,., 15-16-59 ID- NAME. SUTTER BROTHERS CONSTRUCTION 3210 9001 2096 SHALE LANE 556.75 3422 9001 2096 SHALE LANE 361.89 2155 9001 2096 SHALE LANE 24.00 s Total Receipt Amount: 942.64 CRO97740 USER ID: NANCY PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, „Minneslta 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 033441 Date Issued: 09/24/98 SITE ADDRESS: P.I.N.: 10-16703-060-07 2096 SHALE LANE LOT: 6 BLOCK: 7 CEDAR GROVE 4TH DESCRIPTION: GARAGE/MUDROOM/PORCH Bu f?'ing,Permit Type SF ADDITION Br'ilding "Wo,rk Type NEW 0,ensus 'Code'- 434 ALT. RESIDENTIAL >E ,rl t y U ? 1 A I REM#PN:REVIEWED BY BILL ADAMS. SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK. CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. FEE SUMMARY: Base Fee Plan Review Surcharge Total Fee VALUATION $556.75 $361.89 $24.00 $942.64 $48,000 Sl>"P7E17"'i'pP)R,T) - App1i19873079 5135LiC OSCHMIDT WNER BILL 8280 EAGLE CREST DR 2096 SHALE LANE €AGAN MN 55122 EAGAN MN 55122 (651) 987-3079 (651)454-7028 I hereby acknowledge that I have read this application and state that the information is correct and agree to 'comply,wiCh all applicable State of 'Mn. Statutes and City of Eagan Ordinances. 'L_ APPLICANT/PERMITEE SIGNATURE SUED BY. SIG ATURE PK- 119 8 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PMOT KNOB RD - 55122 ?`3t 1 681-4675 vl ?{ a. I New construction Requirements Remodel/Repair Requirements Qt - a - ` ? 3 registered site surveys • =2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? ?2 site surveys (exterior additions & decks) ? 1 energy calculations ? .1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1193 required: _Yes _ No DATE: ?Af IF? CONSTRUCTION COST; p YX 004• °Q DESCRIPTIO F WORK: AArtf" f ?rg9MA6G LI 701V l?irl? 01jo ky', 4-'e PRa STR TT ADDRESS: 209(Y SHALE 4AA)IE LOT: C9 BLOCK: _ 7 SUBD./P.I.D. #: ?i 0/72Se7 o[se?n --OEOh+cl,Ete?e `f Name: S H_M)DT 6I L f- ?/IhRvN Phone YS-q-70 28 PROPERTY Last First OWNER Street Address: ?(-P Sf fil C GAAX City f A&4,V State: Af Zip: SS/ Company: ?YyF_A BRo7ffEkS (,yt7-RuG77a? Phone #: ?P-T0V 9 CONTRACTOR U `` //?? Street Address: 9. 80 GlG4EC.CEST JCIVC License # S /3 C.4-V State: t/ Zip: City kA- ARCHITECT/ ENGINEER Company:. Street City Sewer 8 water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address than I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicat State of Minnesota Statutes and City of Eagan Ordinances. `/ r n Signature of Applicant: OFFICE USE ONLY fC? I1 Certificates of Survey Received Yes ?NoF _2* Tree Preservation Plan Received Yes No Not Req fired Phone #: Registration #: State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 03 SF Addition ? 08 8-plex X 13 Garage/Accessory ? 20 Public Facility 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE I' 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning 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: Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Building Engineering Variance Valuation: $ O % SAC SAC Units `ERSEN GROUP` "NANCY SWANSON COMMERCIAL COMMERCIAL SALES REPRESENTATIVE TEL.: 612-288-9910 FAx: 612-288-9926 INTERNATIONAL MARKET SQUARE DATE: JOB: W i '? I b ,.Z?'lO. I?EROE0.'i I.(9 - Dcoicr A,)a 16'-pigoe- bwef.E fl/v +XI ?' Lf,NAT&D?? fain ?twr 6vAC,t babe z, c 0 r*, w 5 r, ANDERSENS WINDOWS & PATIO DOORS FOR COMMERCIAL & INSTITUTIONAL USE ?-- ?xY [?Acy? CITY USE ONLY L J BL RECEIPT#: 9913T SUBD. / RECEIPT DATE: IS IF t- Yxoye- 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOH RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system --- -- -- ------------- -------------------- FIXTURES ---------------- EACH ----- --- # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ' to existing residence 20.00 = z l Water Turn Around 20.00 = Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL ---- ------------------------ ----- ------------------------------------------------------------------------------------------ ------------------ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all 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: 2 0 94, ?Nf7zC Z A/?& OWNER NAME: 1n14L 1)9 //&-N J/GN/YI i Z? 7 INSTALLER NAME: A/141 //a N-, S? V rr / nT TELEPHONE #: 41L<Z- 70 .7-)P STREET ADDRESS: O ?S Az A?/F' CITY: 9G? y STATE: r? ZIP: SS/2s SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 0 % CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN CLAIMANT WEN2E1 NEATING & AIR CONDITIONING-_-_-_ ADDRESS_1g55 Si&1LNEE ROAD -_- -EAGAN. MN 55122 Location 2046 SHALE LANE _L6.Z_B7, CEDAR GROVE #4 ?_- Receipt No./Date 14649-02/23/44 Reason for Refund PERMIT NOT RE UIRE----D FOR BASEMENT FINISH DUCTWORK - 4------------- ---- Type of Refund Electrical Permit 3211-4220 $_--- Plumbing Permit 3212-4220 Mechanical Permit 3213-9220 $ 20.00 Surcharge 2155-9220 Water Connection Permit 3713-9220 $ Sever Connection Permit 3743-9220 $ Account Deposit 2252-9220 Utility Account over-payment 2250-9220 Other: ---------- 5---_ S TOTAL $ 20.00 I declare under penalties of law that this account, claim or demand is just and that no part of it has been paid. - =----------- 8124- y ?- c=i GNATURE ^a ?fc' DATE 16 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C 611aGF'??OSK ADD-ON FURNACE FIREPLACE INSERT DATE X/ / 99, FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM I @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL Z o. Sa SITE ADDRESS: .? o9cf J1141;2-5- ?46(102__. OWNER NAME: _%/iil?i TELEPHONE #: `?SY7e9Z8 INSTALLER: !'.!f?_; ey 6 Z ,'1c . ADDRESS: 19.-5- X4 - w.401-r olza. CITY: STATE: ? ZIP CODE: TELEPHONE #:_ _ 4%r2- - -zz 6?fi-t_ N U O ERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1"4 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES I% OF CWPI FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PERIti2IT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INST. ADDRESS: CITY STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR PERMIT City of Eagan Permit Type:Building Permit Number:EA121388 Date Issued:03/28/2014 Permit Category:ePermit Site Address: 2096 Shale Lane Lot:6 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-060 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 . Amy Jilk 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 - William A Schmidt 2096 Shale Lane Eagan MN 55122 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129101 Date Issued:01/08/2015 Permit Category:ePermit Site Address: 2096 Shale Lane Lot:6 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-060 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. Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 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 - William A Schmidt 2096 Shale Lane Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA141198 Date Issued:02/27/2017 Permit Category:ePermit Site Address: 2096 Shale Lane Lot:6 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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 Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - William Tste A Schmidt 2096 Shale Lane Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155258 Date Issued:05/06/2019 Permit Category:ePermit Site Address: 2096 Shale Lane Lot:6 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-060 Use: Description: Sub Type:Fireplace Work Type:Free-standing Stove (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - William Tste A Schmidt 2096 Shale Lane Eagan MN 55122 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159863 Date Issued:01/23/2020 Permit Category:ePermit Site Address: 2096 Shale Lane Lot:6 Block: 7 Addition: Cedar Grove 4th PID:10-16703-07-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - William Tste A Schmidt 2096 Shale Lane Eagan MN 55122 (651) 454-7028 Lofgren Heating & Air 5708 Upper 147th St W Suite 106 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature