2108 Shale LaneCITY OF EAGAN ?!
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 W - / 12524
PHONE: 454-8100
BUILDING PERMIT Receipt # (? / J Jr
To be used for FAIL ILY RM Est. Value $6,000 Date AUGUST 27 '19 86
Site Address 2108 SHALE LN Erect ? Occupancy R3
Lot 9 Block 7 Sec/Sub. CEDAR GROVE 4THemodel ? Zoning R
Parcel No. Repair ? Type of Const. V
Addition No. Stories
W Name DAVID E 14YSS Move
Demolish ?
? Length 20
Depth 16
z Address SA:11E Int Impr C3 Sq. FL
° City. Phone 454-524 Install ?
z o Name SME
0 ¢ Address
~ City Phone
F w Name
X a Address
i W City Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee ?-
DAVID r WV---Q
Assessment
Water & Sew.
Police
Fire
Planner
Bldg. Off. Tr. PI.
APC Parks
Var. Date Copies
Total , -?
Permit -'v . -0 v
Surcharge 3.00
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
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. Pennnit Holder Date TNephone e
Plurnwng
H.V.A.C. C Y " 0
Electric L N S ` /O CV . O G
Softener
Inspection Date Irap. Comments
Footings 1 `
d b
Footings 11
Foundation X12
Framing C f &,L QY
Roofing
Rough Plbg.
Rough Htg.
Insul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Deck Fig.
Deck Fang.
Well
Pr. Dbp.
PERMIT # 7?? 9
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
'
3830 PILO T KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE: PHONE: 454-8100
Site Address TYPE WORK DESCRIPTION
BLDG
.
Lot Block Sec/Sub
R
N
Name ea
ew
M
Add
Zr, -on
ult
Address Comm
Re
air
c city : Phone .
p
O
ther
Name FEES
c Address RES. HVAC 0-100 M BTU - $24.00
p City = Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other f
FEE
SIGNATURE OF PERMITTEE
S/C•
TOTAL
FOR: CITY OF EAGAN
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 1
I.'t= 11A1t tilik)Vf 4 11+
PERMIT SUBTYPE:
1t1 APPLICANT:
TYPE OF WORK:
f,f1 i I It I NG
LlA! In tale.
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
trf MAW I W. I AI I A If ON .+1 1- 11 W. MI N I [INI)F V VAM I I Y 00(1'"
A '•FPAkAff 1't't: Mli 'C: kffa111kft) t ok ANY 11,111MF31N ii ON E1+( It(ItAt 14014
c
F
L
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS ZS ,, {!)
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks * Cedar Grove AacMuiaitinn
Addition. CEDAR GROVE #4 Lot 9 Blk 7 Parcel 10 16703 non 07
Owner Street 2108 Shale Lame State F-a3An• MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1. 04.00 57 1 A 7.;
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) .--..-??.cT.....- .-
Builder .....-..-
-
Address ....... '....... '------------ -------- ----
DESCRIPTION
N° 1596
Eagan Township
Town Hall
Date ...^"-c
Stories To Be Used For Front Depth Heighi _Est. Cost Permit Fee Remarks
*- 6 ,.G+4"9 (v X'-'iLOCATION
or
or
111 -7 I & 61 a174
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, safely, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT THE PREMISE WHILE THE WORK IS IN PROGRE S.
This is to certify, that....... --.-.... ----........has permission to erect a...... . :... .............. . ....:Upon
the above described prey subject 1 the ovisions of the Huilding Ordinance for Eagan To .,hip ad led April 11,
1955. (/?/? 1® ,n r
. ..............................y?-`-":" _---- Per ..--..._--1wIi.!.'C/ C.f. ?L?t?-/
hairman Tnwn Board Building Inspector
EAGAN TOWNSHIP
BUILDING PERMIT
?. . .
Owner ..................._.....D.. .................... _...........
Address (present) ......?f.-a....... .:.... ff a7 'e--'-' ... ..
Builder _ .............??-acra'*O'L_'.........:... _............__...._.::_.. _.
Address .... ........ .................... ................_.........._.--........_-'..._.._.__.
DESCRIPTION
N° 1361
Eagan Township
Town Hall
Date ZV_-...`.?...-.GS'
J[.F L{./W?(J?"i r
LOCATION
-
Street. Road or other Description of Location _ W _1 Block J Addition or Tract
J
This permit does not authorize the use of streets, roads,' alleys or sidewalks nor does f! 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.
- ;1 . . . . . . ..
This is to certify, rcr.°.......Lf----------------------- has permission to erect a.... '.... `- ........ .............upon
the above described premise subject to the provisions of the Building Ordinance for Eagan 'F6wnship adopted April 11,
1955.
...............................
_....._.--'--- ........... -------- Per .......__.......e:G-----Il -c...- r ?-............._......
Chairman of Tnwn Board? Building Inspector
0 .
EAGAN TOWNSHIP
A - y ,pBUILDING PERMIT
Owner ---.--`-....__./_
Address (present) ?}._.......:.jjGrsS.Cy..-.t. .•
Builder ...-........
Address ------- ------ ------------------ .......------- ------------ ------ ---- ---------- _._.....
DESCRIPTION
N° 1204
Eagan Township
Town Hall
Date .. :,r<CA-V..........___.... .
Sloriesi To Be Used For Front I Depth Height Est. Cost p rmft Feel Remarks
LOCATION
Sheet, Road or other Description of Location Lot Black 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.
THISYhelsabove PERMIT describedMUST ha BE KEPT ON HE PREMISE WHILE THE WORK IS IN PROGRESS. '
Th is to y, --. .... has permission to erect a.A0..............:... .. ................. ...upon
premise subject to the provisions of the Building Ordinance for Eaga Township adople April 11,
1955. /J /? ?? '?1??
......------------ .. ...xl------.R:?Q•rlS.a.1--- ------- Per ----._--......f?_ .5.----V?°b''."';LT---------- "'r' .... ......................
Chairman of Tnwn Board Buflding Inspector
4--R5
CITY OF EAGAN t?,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N-O 12524
PHONE: 454-8100 BUILDING PERMIT Receipts{ /,
To be used for FAMILY RM Est. Value $6,000 Date AUGUST 27 1986
Site Address 2108 SHALE LN Erect ? Occupancy R3 Lot -9 Block 7 Sec/Sub. CEDAR GROVE 4THtemodel ? Zoning RI
Parcel No. Repair ? Type of Const. V
Addition 13 No. Stories
Name DAVID E WYSS Move El Length 20
w SAME Demolish El Depth S
o Address Int Impr. ? Sq. Ft
City Phone 454-5243 Install ?
o Name SAME
z
u a Address
City Phone
M?
Mw
Name
u 0 Address
d` W City Phone
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 C' of Eagan Ordinances.
Signature of Permittee?
A Building Permit is issued to: DAVID E WYSS
all work shall be done in accordance with all applicable S1atA of Minnesot4
Assessment Permit +??b.oU
Water & Sew. Surcharge 3.00
Police Plan Review
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off. 0/41/00 Tr. PI.
APC Parks
Var. Date Copies
Total ?
on the express condition that
Ste -AV and City of Eagan Ordinances.
Building
This request void 7L-Q'
18 manths from
C 44335,,-q,--A 7, Cf;J,r C:-,,f,e Yd", 4a0-00
equest Date
R
J?
o
Fire No.
Rough-in Inspection
Requ
tl
Rez Oy Now ill Notify Inspec-
for Wh
R
d
C/ ?Yes ?No en
ea
y
? Licensed Electrical Contractor I hereby request inspection of above
9-owner electrical work installed at:
Street Addrye`ss?s, Boa/for®prolule No. q f ?.•
V ? ? c' City
Section slit. Township Name or No. Range NO. Cs'
VA-k0r04
Occ (PRINT)
Zt'W ?f ss Phone No. - ?a
y y Y
Power Supplier 5'?e!:9 Address
Electrical Contractor (Company Name) /
0 Contra.lo,'s License No.
Mailin ddress IC ntracto n king ustailation)
Authorized
atu re (Contracto /DWner Making Installation)
?Plih
'x J?
Phone Numb
THIS INSPECTION REQUEST WILL NOT
MINNESOTA STATE BOARD OF F ELECTRICITY BE ACCEPTED BY THE STATE BOARD
1821 University Ave., Blde•oom N•19t
1821 , St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
PM... 16121 297_2111 ENCLOSED.
/??? ????E?UEST FOR ELECTRICAL INSPECTION a ea
J'
See instructions for completirp this form on beak of yellow copy. '/c L- -7 Q ' A A '2 Z "X' Below Work Covered by This Request ? f
Add Rep. Type of Building Appliances Wired ' Equipment Wired I
Mi
a. ur
p uyu o
Fee yc
Service Entre nce Size
it
Fee
Feeders?Subteeders
p
Fee
Circuits
U to 200 Am s 0 to 30 Am s 0 to 30 Amos
Above 200 Amps 31 to 10U Amps 31 to 100 Amps
Swimming Pool
Transformers Above 100_Am s
Irrigation Booms Above 100-Amps
Partial. "Other Fee
Signs apecial inspecuon 5 ?v TOTAL F
Remarks .co)
1. the Ela ice
1'nspector, hereby
certify that the above
inspection has been
made.
This
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
cuqW
B U L
?1?od`?
ING
025358
04/10/95
SITE ADDRESS:
P.I.N.: 10-16703-090-07
2108 SHALE LANE
LOT: 9 BLOCK: 7
CEDAR GROVE 4TH
DESCRIPTION:
Building'-Permit Type
Building Work,,Type
.? L
i
SF (MISC.)
ADDITION
REMARKS
INSTALLATION OF BASEMENT UNDER FAMILY ROOM
A SEPARATE PERMIT !S REQUIRED FeR ANY PEUMBfN6 eR ELECTRIeAE WORK
FEE SUMMARY-
VALUATION $5,000
Base Fee $72.00 COPIES 2.00
Surcharge $2.50 Total Fee $76.50
Subtotal $74.50
CONTRACTOR: OWNER: - Applicant -
WYSS DAVID
2108 SHALE LN
EAGAN MN 55122
(612)454-5243
I hereby acknowledge that I have read this
information is correct and agree to comply
of Eagan Ordinances.
L S tes and 4RMEE
04
APPLICAN PESIGNAT
URE
application and state that the
with all applicable State of Mn.
fl-kpa bill( d
ISSUED : SI ATUREJ- k
MY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612)
SITE ADDRESS:
LOT:
2108 SHALE LANE
CEDAR GROVE 4TH
PERMIT SUBTYPE:
SF (MISC.)
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
7 Date Issued:
APPLICANT:
9 BLOCK: 7
WYSS
(612) 454-5243
TYPE OF WORK:
BUILDING
025358
04/10/95
DAVID
ADDITION
INSPECTION TYPE
FRAMING DDATE INSPTR. INSPECTION TYPE
ROUGH IN PLBG DATE INSPTR.
ROUGH IN HTG FINAL
REMARKS: INSTALLATION OF BASEMENT UNDER FAMILY ROOM
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
L
CITY OF EAGAN '! L,!). C,
3830 PILOT KNOB RD - 65122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681.4675
? 3 registered she surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 she surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan it lot platted after 711!93
required: _ Yens _ No
DATE: (!"?/I 1- M/q CONSTRUCTION COST;
DESCRIPTION OF WORK:
STREET ADDRESS: ' a l ? a ? X1167 LAW y
Y. b
LOT Q BLOCK SUBD./P.I.D. #: ?JojC JMY, !/
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
Name: C?tc.? Phone #: ?a 3
?. _ F..
Street
State:
City: c? State: 01 Av Zip:
Company: Phone #: s-;?, c13
Street Address: ,->// License #: f
jl?a State: Zip: -Iaz
City:
Company: I Phone #:
Name:
Registration M
Street Address,
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
Zip:
Penalty applies when address change and lot
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 Applicant:
OFFICE USE ONLY R E CE Q `UJ E D
Certificates of Survey Received _ Yes _ No APR 0 4 1995
Tree Preservation Plan Received Yes No ---------------
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 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 ? 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
? 31 New ? 33 Alterations ? 36 Move
C*l:?32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 11?7141
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit o
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.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Building
7.00 Engineering Variance
Y
Valuation: $ SUoo r
lG Xy? = 32o Xis =/,SQo
% SAC
SAC Units
19$6 BUILDING PERMIT APPLICATI - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RESIDENTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
RENTAL UNITS FOR SALE UNITS
OF SURVEY - CHECK WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
& STRUCTURAL PLANS,
SET OF
m
To Be Used For: / e _ Valuation: Date: b , I? - e6
Site Address o2/O s-? Sit Alt I /}N E
Lot 6 Block ?
n-
Parcel/Sub L a L
Owner TE:)e ; J I;- /. wT S
Address / O fd 5AnjC
SAN ?
City/Zip Code ?F140,) {1d S lr2z
Phone ?/ s y- s a y3
Contractor
Address !_- j C
City/Zip Code ?R7i1
Phone $9-",re-
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Erect Occupancy P'3
_
Remodel Zoning R•1
Repair
' Type of Const
Addition 7 # of Stories
Move Length ZO
Demolish Depth I(n
Int.Impr. Sq Ft
Install _
APPROVALS FEES
Assessments Permit G •g'
Water/Sewer Surcharge 3.
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Counci
Road Unit
l
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
?' bZs?.Z.2233 ?? r
L 22335 ?
12-S 131 ?? 1? f ' 3 /
?,?x Zo 4 3
- -;
SH pIL E' L .v i1/Z--
s ? so '
? I
w
4¢. G
G t
IAQ i
/ a. 30
I I
X87 S
i ?
i
Lot :?, filocl_ 7, Cc6v.r ^rove 4
i
Es?sr. oi.ns`La- , '21-ote, County,
This survev is for the 1 ur. one o ' ot?t=;.nir.~ a °.x3 a:,: is not.
to be us c.d for other ,>t.rr•oe.c. .t is el^o to c icy f
T_ =,;.,propert" corn.::, or monwncrt.: 6.av,- uc•cn sct.,
41? City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (661) 675-5694
2008 RESIDENTIAL
4
Date: -L ? Site Address:
Tenant:
Suite #:
RESIDENT/ OWNER Name: Phone:Qdn'Mc/3
Address / City / Zip:
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work:
Constructi o Multi-Family Building: (Yes No
CONTRACTOR Name: License :
Address:
J ,
City: Zip:
Phone: ontact 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
(4 Submission type) • Energy Envelope Calculations Submitted
?
a master plan?
In the last 12 months, has the City of Eagan issued a permit for a similar plan a
_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 ff 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
aycccrd ce with the approved plan in the case of work which requires a review and approval o ans.
x
Applicants Printed ame Applicant's ignature
Page 1 of 3
------------------
For Office Use
I
I Permit
I I
ae Fee: I
j Date Received:
D j
I I
I Staff: I
1
-----------------
LDING PERMIT APPLICATION