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2107 Shale LaneCITY OF EAGAN • 3795 Pilo Knob Rood Eases, MN 66122 PHOHEs 454-8100 BUILDING PERMIT To be teed for Est. Value Site Address Lot Block Sec/Sub. Parcel # ac Name W Address ,o a: Name uU Addre I- rio- Nome _ Address I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit Is Issued to: all work shall be done in accordance with all applicable State of Mir Building Official Receipt # Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? * Stories Demolish ? Length Grode ? Depth Sq. Ft. Approvals Feet Assessment Permit Water & Sew. Surcharge Police Plan check Fire SAC Eng. Water Conn. Planner Water Meter Council Rood Unit Bldg. Off. APC Total on the express condition that iesata-Statutes and City of Eagan Ordinances. 0 0 = Q CS O, d Z h « o E ro N o X 0 E e o ' 2 E Q ? c e E y a = i Z f//!! W 1.2 8 U. G L g U. Q t= p z C d C {L V C iL C IL 3 y a d` CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 {612} 681-4675 INSPECTION RECORD I Control No. 61,v; PERMIT TYPE: Bu I I to I Permit Number. 000 7 7 7 Date Issued: 06/11/92 SITE ADDRESS: 2107 SHALE CFUAR GRAVE 4TH LOT c 9 BLOCK r e APPLICANT: LANE JOHNSON OEAN (612) 653--1047 PERMIT SUBTYPE: TYPE OF WORK: sNIN POOL NE44 OESiCRiPTION 214 DIANETEN (A.G. ) Permit No. Permit Holder Dots T*Wphone N SIW PLUMBING HVAC ELECTRIC 57$g 0 - aV C, O ELECTRIC kapec lon Deis Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Hlg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Wen Pr. Dfsp. CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CFMAK LUUM : $4 Lot 9 Blk a Parcel 10 11157133 030 nA Owner Street 2107 Shale Lane 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 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 o BUILDING PERMIT N. 1262 Owner p.,F !?..,....4 Qit _:-.- .:..................... - Eagan Township . Address (present) ......,,y,?i!......--...? - --_.....-.-....--.--.--.- Town Hall Builder --------------------------------------------------------- ---- Date ............ Address . DESCRIPTION Storiesi To Be Used For Front Depth Height Est. Cost Permit Fee Remarks or LOCATION or Dwca Aaauion or -Tract This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or Ids 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, ihal..C[..Goer.,.../..f2....... ..:............has permission to erect a.??? ......... ....... ",.?..,?._.?.,.,./?. /----upon the above described premise subject to the provisions of the Building Ordinance for Eagan nsh;p adopfbd April 11, 1955. - ....... ........__....y.-..*c`- rn..<................ Per ------------------ -4 ..r:!`.:?r:.:`..f. ...._! ? Chairman of Tnwn Hoard Building Inspector C I BUILDING PERMIT 000 Site Address LLU/ ormie iam Lot 9 Block 8 Sea/Sub.Cedar 'KO-' 4th Parcel # 10 16703 090 08 W I Name DRan G_ Johnson Z Address 2107 Shale Lane 9 -. cc111)') i.ci._iCC o o Name _ sZOt? Address F r:r.. Name 1 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 Pennittee A Building Permit Is Issued to: Dean all work shall be done in accordance with ol. Building Official CITY OF EAGAN 9795 Pilot Knob Reed Eason, MN 55122 PHONE: 454-6100 N9 7182 Receipt $ Erect ] Occupancy Alter ? Zoning Repair Q Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Length 24 Grade ? Depth 92 Sq. Ft- Approvals Fees Assessment Permit V0. xr Water 8 Sew. - Surcharge 4.00 Police Plan check 34.25 Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. APC Total $106.75 on the express condition thin 3pja..Statutpa and City of Eagan Ordinances. •AZ p CITY OF EAGAN Include 2 sets of plans, ????'IJIV? 1 site plan w/elevations & BUILDING PER= APPLICATI ? 1 set of energy calculations. To Be Used For Site Address: nff5. -'?--aiuation Date &J. Lot _.? Block $ Sec./Sub.,re Q ?.Q,idp Parcel #: lb f ?a7C7 .3 ol?o o Owner: )9" tA-q tq TO h"5om Address: ) 0 7 cb,sLc LAnr,-- City/Zip Code: r4gj j4" S S?/d !2 Phone #: ?45-7?- Contractor: SF A F Address: io SI.?LE JF City/Zip Code: EA? Phone #: 45-`1- /R'y 5l- Arch./Eng.: Address: City/Zip Code: Phone #: flect l" Alter Repair Enlarge Move Demolish _ Grade a OFFICE USE ONLY Occupancy Zoning Fire Zone Type of Const. # Stories Front ft. Depth ft. APPROVALS FEES yv Assessments Permit 62 Water/Sewer Surcharge Police Plan Check 1 S Fire SAC Eng. Planner Council Bldg. Off. APC Water Conn. Water Meter Road Unit TOTAL 1D(D1 7 2a J7890 Request Date G Fire No. Rough-in Inspection w? R `' Reedy Now qp Wd ay? or tA - G Ye o ,n ss I )Qicensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Boe or Route No.) City a -r Section No. Township Name or No. Range No. 1 ?..? Occu (PRINT) h sar`? Phone No 454-1808 Power Supplier Address Electrical Contractor (Company Name) ?d- oCkhern Exec 4r,? nc ont Cractors License No. e?d123`1 Mailmg Address (CMI or Owner ing stallat onl ?-?e l01 ? ?? ? la I Authoriz ractorr er Making Installation) hone Nu bar MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUESTWILL NOT Griggs-Mldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-UN ENCLOSED. 4 1_2 REQUEST FOR ELECTRICAL INSPECTION _ 0, See instructions for compleLng this Room on back of yellow copy. J ?. _8.9.? "X" Below Work Covered by This Request EB-00001-08 ?s /05517 Ne% Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner ^?_ Q Other (speciry) Contractor's Remarks: wim (lbow, Yuw aoo ? Compute Inspection Fee Below. LV 7 # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0.00 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms •0 ?D Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in ?t 4 M _ ?r F;nel f at d to !? OFFICE USE ONLY This request void 18 months from City of Eapu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------- I ? Permit #: I I I I Permit Fee: I Date Received: I I I I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:ql(612? Site Address: Tenant: Suite #: RESIDENT I OWNER Name: IJ?VdOaJ P-*44 1/ Phone: Address / City / Zip: Applicant is: _ Owner - Contractor TYPE OF WORK p Description of work: & P CE 11v :ma c\O?J? a S. y ' N Ci Construction Cost: 17r 00 C-2. Multi-Family Building: (Yes _ / No CONTRACTOR ? ?\ b Name: %kK?S I?a.? vWav i ?of?S?.Q Sisense#: SqSo 23 Address: ,mob S ?ksYlJ+? ?k N W City: NU- \. State: M7J Zip: `Slo 011 Phone:to? l ? b' 4Q?. Contact Person: Uhl' I: 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 the 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 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. 7 51-6 l?rf x1"\?cy \-- fi t=tvtiQV x VyyX ? Applicant's Printed Name Applicant's Signature Page 1 of 3 ------------------ I f•;or Officet?l's_e I j Permit Permit Fee: /? • OD Date Received: j I I I Staff: I I 20[08 RESIDENTIAL BUILDING PERMIT APPLICATION Date:. _ 08 Site Address:.. ? 0 `.- LO- _ Tenant: Suite #: RESIDENT / OWNER Name: 14 ` _ Phone: 6s ?- 45a 3335 Address / City / Zip: ?- 0-1 ._ V??t-\E L;? er Contractor Applicant is: Ow TYPE OF WORK n Description of work (Oi? Construction Cost: ?? Z O oO Multi-Family Building: (Yes _ 1 No CONTRACTOR Name: 6' License #: 0 d' L `t S L O Address: - II? Zip: ,5t A A?v2h (?? ? ` !\< S[ate:( ? , . __ City: ?J 4S?- eCb'+)Y c contact Person: ZL6 1Vvx, a U% { Ph one: 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 (d 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-public if you provide speclfiq reasons that would permit the City to ' ets: coricludethat he areirade,sec 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 star 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 tan' . Applicant's Printed Name Applicant's Signature Page 1 of 3 CITY OF'EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 000777 06/11/92 SITE ADDRESS: 2107 SHALE LANE LOT: 9 BLOCK: 8 CEDAR GROVE 4TH DESCRIPTION: SO DIAMETER -Building Permit Type Building"Wgrk Type (A.G.) SWIM POOL NEW J ?T 1.: REMARKS C GIg337 FEE SUMMARY- VALUATION Base Fee Surcharge Total Fee PERMIT . , $63.00 $2.00 $65.00 $4.000 CONTRACTOR: OWNER: - Applicant - JOHNSON DEAN 2107 SHALE LANE EAGAN MN (612)553-1047 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 Mn. Statutes and City of Eagan Ordinances. L- r - APPLICANT, E TEE SIGNATURE ISSUED BY. bYDNATURE Control No. 0608 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 9 BLOCK: a 2107 SHALE LANE JOHNSON CEDAR GROVE 4TH (612) 553-1047 Control No. 0608 BUILDING: 000777 06/11/92 DEAN PERMIT SUBTYPE: TYPE OF WORK: SWIM POOL NEW DESCRIPTION 24A DIAMETER (A.G.) PERMIT M CITY OF EAGAN REACT VNTE''/72 1992 BUILDING PERMIT APPLICATION 681-4675UFi 0 g o SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 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 guest is made or lot than a is re uested once permit is issued. Date (Z / ? / _ Valuation of work 3 1 0 Q Site Address:/ 0 c' Shv}L,CC LrgMZ?_= STREET SUITE OF Tenant Name: (commercial only) g LOT I BLOCK O SUBD. CEPAP- GRdVE FP I D 0 4/TH A DD' N . Description of work: ut'L_ : ,w 1 o uF d oo The applicant is: Eyl&_ner O Contractor O Other (Describe) Name O60 S n KI P rA p Phone ?fS`f-/Sl Property LAST FIRST Wbnl` 5-3_ /© 55-3 Owner Address a.107 1?4LE MJyL STREET STE K City E*V)grv State M/y Zip Company Phone Contractor Address, License q Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer 6 water licensed plumber Processing time for sewer & water permits is two days once area as been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply 'th all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning N of Stories Length Depth APPROVALS Planning Engineering ay' DiameTgZ REQUIRED INSPECTIONS ? Site ? Wallboard ? 16 Basement Finish P"17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Basement sq. ft. MWCC System 1st F1. sq. ft. City Water 2nd F1. sq. ft. PRV Required Sq. Ft. total Booster Pump Footprin t Sq. ft. Fire Sprinkler On-site well Census Code On-site sewage SAC Code Building Assessments Variance A,5ove G/?o cA vT) A ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee 0,00 vedmtion: S? onn Plan Review x.00 License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Bed. Trails Ded. Copies Other Total: SAC % SAC Units ' . t:( ? ..': J: .. . -_ ... . . ? _ .. . - -.. .. . - .. . iak .f D 6. 4- Iq 3 h ' y l r ( ogtE i `s j h i i 1A$ 1? -1 i h 44 l i ..o r?. YJ -l. i s F 1145 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 676-5694 ----------------- i Q? JJ Q I Permit#: 82.7?a I Permit Fee: I V I ? Date Rece/iv{e/vd:. o ? I L/1 I I Staff: , I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: blg tL -Z-412L-E2 Site Address: 1 U 1 511 4 raino?s t MV-"J j RESIDENT / OWNER Name: I7R AY kO Phone: Address/ City/Zip: ;2,1 0_7 51a4L?. Lnntie ELu'iMa wt- Aolo- f54r? Contractor Applicant is: _ Owner ?6 TYPE OF WORK Description of work: I?EN,Jy f`Ir wrxl( .4 Lu540.0 IAt-;A&e `???ev, Construction Cost: yp0 - de Multi-Family Building: (Yes No -4_1 CONTRACTOR Name: M', kt s 1,kA,-A4 m1W d C? l` Ra CIF t JuJ License #: QOS950a 3 Address: 2ou ?2s- ' S? , t? • W , City: 0 Y?J?hjU? State: M" Zip: 5b 0-71 Phone: tosi aoto - 4oa.2, Contact Person: W)KE. UTX--EE2K0 VL COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category I Worksheet New Energy Code Worksheet Category Submitted Submitted (4 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 a Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information: , Pordons'of . the information may be classified as non-public if you provide specific reasons that would permit the City to :,-concludethaY the' .area trade secrets. <- Tenant: Suite M 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. XtAiChAr-L IC. ?AT}t:N)"AVE Applicant's Printed Name X \vV?-.? lL Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screenlgazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building` ? Addition ? Move Building ? Reroof ? Demolish Interior Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage Demolition (entire building) - give PCA handout to applicant U?nlr ' V l ti rv'Y ?Og O ;AG ? m MCES S t a ua on ccupancy - ys e Plan Review Code Edition OZ1910(, SAC Units (25%_ 100% Zoning Z1 rt,`! City Water Census Code N3k Stories l l Booster Pump # of Units - Square Feet - PRV # of Buildings - Length Fire Sprinklers Type of Const. 73 Width Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile Roof: -Ice & Water -Final Framing Fireplace:-R.I. _AirTest -Final Insulation Reviewed By: _ RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock Final/C.O. Final/No C.O. HVAC Other: Pool: -Footings Air/Gas Tests -Final Siding: -Stucco Lath -Stone Lath -Brick Windows Retaining Wall Building Inspector 0.3 L5" G?"- LJ Page 2 of 3 P1110.7- t- ?A79? 76. I .76a 7 P?- REVIEWED 1 Iz' YE: v ?? r/GI -off BOLDING!' -CTGOWS DIVISION I 30 z15 (J (V / I t Y, 35 5 )0u? °l,0lt 4Ig` 4Tc3"43 H p07 S/Jr9Lr /-/v