2111 Shale LaneCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD Control No. C;
PERMIT TYPE: ti O
Permit Number: 001823
Date Issued: .07/10/92
SITE ADDRESS: LOT t 10
.1111 SHALE LANE
EFDAR GROVE AITH
PERT7,§UBTYPE:
BLOCK, O APPLICANT:
OR17TAIN KENT
(612) 688--1613
TYPE OF WORK: NEW
1
SMUT / C 01"33
Permit No. Permit Hokkr Deis TMsphone #
S/W
PLUMBING
HVAC
ELECTRIC ' CFO
ELECTRIC
Inspection Dst+s Imp. Comments
Footingsl
Fo rMation
Framing
Roofing
Rough Pibg.
Rough Htg.
Iaul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. P114 Inspector - Notify Plumber
Conot. Mater
EngrJPlan
Bldg. Fnal
Dade
SL
Deck Final
well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
•06906
#6/23/9?
SITE ADDRESS: LOT: 16 BtOCK I e
111 516ALt CANE
CEDAR QROVE 4TH
APPLICANT:
BRITTAIN KENT
(612) 452-0666
Control No.
PERMIT SUBTYPE: TYPE OF WORK:
sI (NI.SC.) ALTERATION
DESCRIPTION PATIO 0000
Permit No. Permit Holder Dab Telaplrone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
kapeeUon Dow Inap. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Hig.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. inspector - Notify Plumber
ConaL Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Flnei
Well
Pr. Dlsp.
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 Date_
Site Address
Lot Block Sec/Sub.
Parcel No.
a Name
z Address
City Phone
o Name
C Address
I- City Phone
c* a
?W Name
W
jE Address
g 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 City of Eaaan Ordinances.
Da
,19
O FFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System Zoning
On Site Well - Type of Const
City Water (Actual)
(Allowable)
* of Stories
Length
th
D
ep
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 P1
Variance Parks
Copies
Signature of Permittee 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
Plumbing
H.VAC.
Electric
Softener
Inspection Date Insp. Comments
Footings 1
S
Footings II
Foundat
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final (r (' ?/ /J
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
.,,?,,.? •,.-?.?...-,tic••rrr..!-,..•--,,?,?•:•?-.x?..•,.r,. .? .T•?? ,-•-..?..?.<-?-•..?...rr?xr.-.?•?,?..,.,?,.,P-.?,,,--•-..r.?..?,,,o.?i;,rJ
CITY OF EAGAN *?p "??s
3830 Pilot Knob•Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
INTERIOR
To be used for IMPROVEMENT Est. Value $1,500 Date JAN 26 19_2Q__
Site Address 2111 SHALE Lti
Lot 10 Block 8 Sec/Sub. CEDAR GROVE 4TH OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
W Name KENT BRITTAIN (Actual) Const Bldg. Permit 35.00
o 2111 SHALE LN
Address (Allowable)
1.00
S
urcharge
City EAGAN Phone 452-1460 r of Stories
Plan Review
Length
p Name SAME Depth City
SAC
=
oQ
Address
S.F. Total ,
SAC. MCWCC
City Phone S.F. Footprints
Water Conn
On Site Sewage
Fw Name On Site Well Water Meter
Address MWCC System
<W City Phone City Water Acct. Deposit
i
S/W P
PRV Required erm
t
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee f APPROVALS Road Unit
A Building Permit is issued to: ICENT SRITTAIN Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council --
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
36.00
Building Official Variance TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC / /y
G? t e
'$-4?G
Inspection Date Insp. Comments
Footings l
Foundation
Framing 2- 7- ?O Q S
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg. y
Const. Meter Plbg. Inspector - Notify Plumber
Engr.lPlan
Bldg. Final ?'
Deck Fig.
Deck Final
Well
Pr. Disp.
PRICE
Site AddrE
Lot
Nam(
Addrf
" City _
Nami
1
Addr(
City _
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE 454.8100
Pr
Phone
FEES
COMMAND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.INDJFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD*50 SIC PER EACH $1,000 OF PERMIT FEE)
For Office Use O
PERMIT #
RECEIPT # 591'7
DATE:
BLDG. TVP?' WORK DESCRIPTION
Res. ?_ New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3-00
Shower - $3.00
Kitchen Sink - $3.00
UrinaIJBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. -$10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE:
STATES S/C: -5;
???`?` GRAND TOTAL: s a
CITY OF EAGAN Remarks * Cedar Grove Acauisitio
Addition UIUAR UIWVE 44 Lot_ in Blk A Parcel 10 16703 100 08
Owner o,^"La `J Street 2111 Shale Lane state Eagan, MN 55122
Improvement ate Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1972 1,304.00 52.16 25 Paid
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
}.? ,pBUILDING PERMIT
Owner ....([sC./._/S+'e'-rS....Z'<!-.....!_ ------
Address (present) Jj._._.!Q'/.-f6i s4!"y_ ..,rj?,?ary:v.•
Builder ............_ ----------- ..._...... ---.................. ..__._.............
-----....---
Address ----- ...__.................... ..__._------------..._..._...---...---_........ ..
z
Street, Road or
DESCRIPTION
of Depth Height _Est. Cost P rmit
LOCATION
N° 1204
Eagan Township
Town Hall
Date ...j" ........:....
or
of ly - s Y - 44 y 45X / x 1 93X a, j ? • 4W W a
This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that.....-&4,M-4 ... t.?aw..4 __has permission to erect a.I? ........... ..... .... ................. ...upon
the above described premise subject to the provisions of the Building Ordinance for Eag wnship adopla April 11.
1955. /J
.......................
. . .. ... .----10 :--- Q-- .a. -------- -.... Per .-------?;e #.-£-----.V-F '-`- `-ct.f-----.....-.:"°'--..........._...
Chairman of Tnwn Board Building Inspector
4'?
CITY OF EAG AN No 14 0 0 8
r 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121
PHONE: 454-81 00
p 1 `
? `` tt
`-
BUILDING PERMIT Receipt J
-• i
To be used for GARAGE Est. Value $4,400 Date AUGUST 4 19 87
Site Address 2111 SHALE LN OFFICE USE ONLY
Lot 10 Block 8 Sec/Sub. CEDAR GROVE 4 On Site Sewage _ Occupancy
MWCC System Zoning
Parcel No. On Site Well _ Type of Const
City Water _ (Actual)
a Name KENT BRITTAIN (Allowable)
w
T
Address SAME * of Stories
Length
c City Phone 452-0655 Depth
S.F. Total
p Name DON HARRIS CONSTRUCTION Footprint S.F.
0s. Address 6632 15TH AVE SO APPROVALS FEES
City RICHFIELD Phone 869-0701 Assessments Permit $5
0
8T5
f
Water/Sewer
Surcharge '
?
?
w w Name Police Plan Review
tz
_-
Address Fire
E SAC,City
SA
MW
r?z ngr. C,
CC
?w City Phone 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 and agree to comply with allapplicable APC Treatment P1
State of Minnesota Statutes nd City of Eagan Ordinances. Variance Parks
Signature of Permittee•'L?p•?'w Copies
TOTAL
1.00
A Building Permit Is issued to: DON HARRIS CONSTRUCTION on the express condition that
all work shall be done in accordance with all appIi ble State of MI esot Statutes and City of Eagan Ordinances.
Building Official
IT?
CITY OF EAGAN NQ 17466
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 555{{112111?
BUILDING PERMIT PHONE: 454-8100 Receipt # li J??
To be used for TMPRR NT Est. Value $1 1,500 Date JAN 26 1990
Site Address 2111 SHALE LN
Lot 10 Block 8 Sec/Sub. CEDAR GROVE 4TH OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
w Name KENT BRITTAIN (Actual) Const Bldg. Permit 35.00
o Address 2111 SHALE LN (Allowable) 1
00
City EAGAN Phone 452-1460 # of Stories .
Surcharge
Plan Review
Length
o Name SAME Depth City
SAC
i
Ou Address S.F. Total ,
SAC, MCWCC
City Phone S F. Footprints
water Conn
On Site Sewage
Fw Name On Site Well W
ter Meter
i? Address MWCC System a
Acct. Deposit
a W City Phone City Water
W P
it
PRV Required erm
S/
I hereby acknowlege that 1 have read this application and state that the Booster Pump SNd Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and C f Ea Or ances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: KENT BRITTAIN Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official n'NJ4 yin-{
. Variance TOTAL 36.00
66412 ?.
Request Date
//1 /./(' O
``C Fire No. Rough-in Inspaclion
fired?
? Ready NowWill Notify Inspector
??
( / Yes ? No When Ready?
I ? licensed contractor owner hereby request inspection of above electrical work at:
.rob Address (Street, Box or Rohe No.) l
Zi k 5 /? ?Je LhnQ.- City
?Cr5'i N
Section No. Township Name or No. Range No. County
Occupant (PRINT) ?nn1KK ?y.,??
et'Ir W ?. IT?t N Phone No. ?r)'/,?
?-/L W't
Power Supplier Atltlress
Electrical Contractor (Compaity Name) ContraetorB License No.
dtvN£R
Mailing Address (Contractor or Owner Making Installaton)
Au .1 nature( cto ar Making Installation) Phone Number
All I y5Z_ 1460 (-awc
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GriggYMlCway SMg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 Unlreraity Ara., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 862-0800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION
? See instructions for completing this form on bade of yellow copy.
'j F'.1 2 ' X" Below Work Covered by This Request
E"M01.07
42 /
Ne% Add Rep. Typeof 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
Other (specify) Cnmractorts Remarks:
Kt lErv
Compute Inspection Fee Below.,
# Other Fee # Service Entrance Size Fee # Circuits/Feeders as
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs inspectors use only: TOLL., $ -
Irrigation Booms 0 d7dv1
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-in Data
certify that the above inspection has
been made. Rnal Date (]
OFFICE USE ONLY
This request mid 18 months from
coc;zo
0 215 4 3 ?- -_.
Request Date Flre No. Rough.in Inspection
Required?
Ready Now ? Will Notify Inspector
Wh
n Read
?
d -Yes NNo y
e
licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street Box or Route
S_
/ Qty
S
2. / l / _
¢
'-i Q-
Section No. Township Name or No. Rangy No. County
O¢updm RINTI
?
1 Phone No
?J 2
r
12 i t
tef+c 0 S-
Power Supplier Address
Elecln I Contractor (Company Name) Gdnlracmr's License No.
12 _71
Mail g Address IComractor or Owner Making In tallationnl)
Authonzetl atur IGOntractorrO 'ner M Installatiom PhonXe^N mbar
V
MINN SOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room Si BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(612)6A2-0600 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
ill Sac irsiructiort for completng Vus form on back of yellow copy,
00i
1 ?1 5 A ?'l "X" Below Work Covered by This Request
7;? E/8-00001-08
-? S
ew Add Rep. Typeof Building Appliances Wired EquipmentiNired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer O[her (Specify)
Comm./Industrial Furnace
E
m Farm Air Conditioner
- - - Other (specify) Contractors Remarks'.
//W0Ji'L t?o1 d?jzv"?
Compute Inspection Fee Below.: hy? yJ i+n c 4e'& L? I.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 11to 200 Amps 0 to 100 Amps
Transformers Above ,00 Amps Above 100 -Amps
Signs Inspectors Use Only: TOTAL `S't!
Irrigation Booms /• /S
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough in Date
certify that the above inspection has
been made. Final Dare
OFFICE USE ONLY
This request void 18 months from
PERMIT
v CITY OF EAGAN
?l 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
001023
07/10/92
SITE ADDRESS:
2111 SHALE LANE
LOT: 10 BLOCK: 8
CEDAR GROVE 4TH
DESCRIPTION:
,-Build'i'ng Permit Type
Z` Building-Mork Type
UBC Occupancy
Building Length
Building Width',,-
.
DECK
NEW
R-3
16
11
r
REMARKS
RECEIPT # C 019853
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$25.00
$25.50
CONTRACTOR:
OWNER: - RPP
BRITTAIN
2111 SHALE
EAGAN
(612)688-1613
Control No. 0787
licant -
KENT
LN
NN 55122
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 Nn.
Statutes and City of Eagan Ordinances.
I
oNAtT A X
APPLICANT/PERMITEE SIGNATURE ISSUED BY. S GS G-I NATCTRE
FV INSPECTION RECORD Control No. 0787
CITY OF EAGAN PERMIT TYPE: BUILDING ..
3830 Pilot Knob Road Permit Number: 001023
Eagan, Minnesota 55123 Date Issued: 07/10/92
(612) 681-4675
SITE ADDRESS: LOT: 10 BLOCK: 8 APPLICANT:
2111 SHALE LANE BRITTAIN KENT
CEDAR GROVE 4TH (612) 688-1613
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
RECEIPT # C 019853
PERMIT #
REACTIVATE;_
CITY OF EAGAN r a S• SO
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans,-3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which request is made or lot change is re guested once ermit is issued.
Date -7 Valuation of work '5 (500
Site Address: 9
STREET SUITE !
Tenant Name: (commercial only)
LOT BIACK 8 SUBD. e2 ar Ur-wjL 44s? P.I.D.
Description of work: 0 S K
The applicant is: ®.Owner ? Contractor ? Other (Deserlbe)
Name { •'1*,"? Ke 't Phone =1613 t.,/
Property LAST
FIRST uis2 -o655 N
Owner r( CC
Address 2((I
STREET STE N
City State ??-nvla-?Ch zip SS t 2 2
Company 5-1, Phone
Contractor Address License # Exp.
City State Zip
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 with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
y3
Signature of Applicant: ' X
BUILDING PERMIT TYPE
? 01 Foundation
9•
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
P2Addition
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
? 08 8=Plex
? 09 12-Plex
? 10 Multi. Add'l
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
O 4% A: -
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
??Vte lace
a 15 Deck
? 35 Tenant Finish
? 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) 1st F1. sq. ft..
UBC Occupancy9 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length On-site well
Depth It On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Site Footing O Framing ? Insulation
? Wallboard Final ? Draintile ? Fireplace
Permit Fee 93,00 v81U t;a,_ g
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'
RAJ'
1
V
?s
in
C?
r
1? Pl, per's L At
v?
r
a
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
2111 SHALE LANE
LOT: 10 BLOCK: 8
CEDAR GROVE 4TH
BUILDING
000906
06/23/92
DESCRIPTION:
?.1 ti7? i \ ?! t, 1.,'I
PATIO DOOR
;-Build?fng Permit Type SF (MISC.)
Building,Work Type ALTERATION
r?
s ,
!
s ,
}ri
REMARKS:
C~ ?a 1 Ci 5 5 '?
FEE SUMMARY-
VALUATION $2,000
Base Fee $45.00
Surcharge $1.00
Total Fee $46.00
CONTRACTOR:
OWNER: -
BRITTAIN
2111 SH
EAGAN
(612)452-0655
Control No. 0689
Applicant -
KENT
LE LN
MN 55122
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
? PLICANTlPB MITEE SIGNATURE
Nfo pid i'
I SUED BY: IGNAT RE
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: 10 BLOCK: B
2111 SHALE LANE BRITTAIN
CEDAR GROVE 4TH (612) 452-0655
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.)
DESCRIPTION
Control No. 0689
BUILDING
000906
06/23/92
KENT
ALTERATION
PATIO DOOR
PERMIT # ? q0t CITY OF EAGAN
REACTIVATE _ 1992 BUILDING PERMIT APPLICATION
681-4675
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 Quest is made r lot change is re uested once permit is issued.
' Date 6 / ?3 / 9_? Valuation of work 2000)
Site Address: 2'H1 S?14 bx-lF
STREET - SUITE N
Tenant Name: (commercial only)
LOT ?Q_ BLOCR ?_ SUBD. P.I.D. N
k?(?C
Descri tion of work: PJ, 6AS5 l?`
?dw A
/?OPL?
,
,
The applicant is: Owner ? Contractor ? Other Mescribe)
Name 1%0B f -l'-;:bJ P'f Phone qSa--06S5
Property LAST FIRST
Owner 1 l C ??t
f
?
Address
d
R? e
P
STREET STE K
City ?FS?n State Zip SS/ZG?
Company Phone
Contractor Address License # Exp.
City State Zip
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 with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant: r
'
7
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
A42 ?ai ,, Aor
WORK TYPE
? 31 New Q 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
REQUIRED INSPECTIONS
Basement sq. ft.
1st F1. sq. ft.
2nd Fl. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Site ? Footing
? Wallboard ? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee yS Valuation:
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:
$ 2 DCVO
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN
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
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
I SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation:
Site Address LAI
Lot -?-u Block p On Site Sewage_
A _ n MWCC System _
Parcel/Sub C?IY On Site Well
City Water _
Owner I(1.'/1/ 7-- 912 / r7W-1N
qV4a_ Date: L
Address S11A1
City/Zip Code
Phone q f 2 OG r y- I APPROVALS
Contractor Assessments
Water/Sewer
Address 64 3.Z-1-4^=?y (a Police
Fire
,t,
City/Zip Code 41444444 rr?z_a Engr
, Planner
Phone ?l 0 ^zo/ Council
Bldg Off
Arch./Engr. APC
Variance
Address
City/Zip Code
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit 55. f
Surcharge Z . `=`
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
Phone #
/ 0447- 6 9d
3?OJ7yY,LNV,7 Sib'a'y?'f/ /???
sl?dd??'9 aivNdX9
f?'7 0 2...ss
37yh'S /1I2'
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1 11 city of aagan
PATRICIA E. AWADA
Mayor
October 5, 1999
A.F.S. Contractor Inc.
1103 E. Cliff Road
Burnsville, MN 55337
RE: Building Permit
2111 Shale Lane
Lot 10 Block 8 Cedar Grove #4
Dear Krista,
PAUL BAKKEN
BEA BLOMQUIST
PEGGY A. CARLSON
SANDRA A. MASIN
Council Members
THOMAS HEDGES
City Administrator
E. J. VAN OVERBEKE
Cry Clerk
As we discussed on October 5, 1999, I am returning this permit application along with your
check in the amount of $244.25, since the roof was completed prior to us receiving the
application.
If you have any questions, you can contact me at 651-681-4699.
Sincerely,
Dale Schoeppner
Assistant Building Official
DS/ld
Enclosures
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122-1897
PHONE'. (651) 681-4600
FAX: (651) 681-4612
TDD: (651) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equal Opportunity Employer
MAINTENANCE FACILITY
3501 COACHMAN POINT
EAGAN. MINNESOTA 55122
PHONE: (651) 681-4300
FAX: (651) 681-4360
TDD: (651) 454-8535
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reautrements
D 3 registered site surveys showing sq. ft. of lot, sq. ft. of house
and gp roofed areas (20% maximum lot coverage allowed)
2 copies of plans (show beam i window sixes; poured fnd. design; etc.)
1 set of energy calculations
? 3 copies of free preservation plan R lot platted after 7/1/43
DATE:
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions 6 decks
CONSTRUCTION COST: 137 (1 1,
STREET ADDRESS
? OBI Q 1 _ ??1
?/
LOT: BLOCK: O Sus[./Kw. #: % c Q ? - ?I
G YU\,I`C,.
Name: &641 Phone #: ? y?n7? _
PROPERTY Last Fiat
OWNER
Street Address:
Z/// /??cle
ZAt
City ?QLj Gr%YL
?ZZ
Stale: Zip:
4 f
F'? C ?
?" 6ht?-3(/70
?G
#
Company: Y6YC
D/I >
? :
Phone
(area code)
CONTRACTOR
IV-3 C?/ f Y
License # l ? NP
Street Address: .
&M Ile 53;3-3-7--
te: Zip:
St
City . a
-
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration #:
City
Sewer a water licensed plumber (required for new construction anlvl:
State:
Penalty applies when address change and lot change is requested once permit Is Issued.
I hereby-qqc ovjrert9e1hgl1 have r"
State ofM'n eaoloStatutes,ahd_CNyb1
._ ._- ill II
I
SEP_ 16 i999 i I
Certificates of Survey-Receiyed__
this application, state that the InformaBon is correct, and
lagan Ordinances. (^ )
Yes
OFFICE USE ONLY
No
Tree Preservation Plan Received - Yes - No - Not Required
Zip:
all applcabl
t a 144. as
City of Eagan
10/04/1999
Bill #M1066
10/4/1999
5240
244.25
Norwest Bank Minnesota Permit/Issam Reda M1066 24425
Poo S24ohs •';:0910000i91:1.0003866i81'
r
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ? itfCLe., Rfw.ocjll.) Valuation: ? Date
Site Address 2(11 54,le Lqle.
Lot fn Block
Parcel/Snub ?f1ftY,lklxk, IUL
Address Lkne.
City/Zip Code //ZSCtCi SSt2 2
Phone ?tCJ -bs J,-?1
pfo{??
Contractor ZP? HhRArS m ?
Address 66
City/Zip Code UT 2jGQ ?S L123
Phone / 9`I `070
Arch./Engr.??'}}ikbod .d.-jaS -7hC
Address (oC k7 PIG&ke'c' Tt?' I
City/Zip Code 94e, p5, p 653Y-7
Phone 4 '? Llq- ??0Q
1( 2 flgo
!5a'G
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE ONLY
On site sewage
On site well _
MWCC System
city water _
PRV _
Booster Pump
APPROVALS
Planner
Council
Bldg. Off. tr`L S
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
PERMIT p RECEIPT DATE:
6P Iii U)MI*L'PLUM$IN6 MMU LICATION
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 5512E
651-681-4675
Please complete for: D single family dwellings
n townhomes and condos when permits are required for each unit
D backflow preventer for Irrigation system
SITE ADDRESS: 9Z ?}\ J?^rQ??+?'2 LY?
OWNER NAME:: TELEPHONE #: (aS\ L1?-A -ntNo
. (AREA CODE)
INSTALLER NAME: TELEPHONE #:? g3? -gtr,1 <<,
(AREA CODE)
STREET ADDRESS: 605 12th Avenue South
CITY:
STATE:
ZIP:
Place a check mark next to the oermit work Wile
New residential dwelling unit under construction and not owner/occupied $ 90.00
i
Add-on, modification or alteration to existing dwelling unit, including:
$ 50.00
• abandonment of septic systern
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: Q, owc-e lwnifJc ?"q^ /
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
v
State Surcharge
$ .50
l
T
t S'C7
$
o
a
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 agree to complywith all applicable Cityof Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan a umes no liability damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit in City pr pertylrjght- -way/easement.
i 6_
OF
Updated 1/01
f
& Iii
Use BLUE or BLACK Ink
y For Office Usp
I
City of EaRan I Permit I
'
Permit Fee: U j
3830 Pilot Knob Road I l
Eagan MN 55122 1 Date Received: I
Phone: (651) 675-5675 1 I
I Staff:
Fax: (651).675-5694 1
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 4-7,
Tenant: _ Suite
N\ A x-,A-t
Phone:
L5~-Url' -131;)~
ResidentlOwner Vame:
Address + City /Zip: M/V
Milbert Compa nc A -a Cullign Water WC643176
Name: License
Address: 180150th Street East City: Inver Grove Hgts.
Contractor
State; ; M; M N zip: 55077 Phone: 651-451-2241
contact: William R.Milbert Email:
Type of Work New replacement -Repair _Rebuild - Modify Space - Work in R.O.W.
_ Description of work:
RESIDENTIAL
Water Heater
Water Softener-
Lawn Irrigation RPZ PVB)
Permit Type Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL. FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn, Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00. Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.-gopherstateonecall.org
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 ithout a permit; that the work will be In
accordance with the apps ed plan in the case of work which requires a review and approval of lans. }
x x
Applicant's' Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
i Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Staff:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA124457
Date Issued:07/02/2014
Permit Category:ePermit
Site Address: 2111 Shale Lane
Lot:10 Block: 8 Addition: Cedar Grove 4th
PID:10-16703-08-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Dane Reese
8640 5th Ave S
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Issam M Reda
2111 Shale Lane
Eagan MN 55122--206
Ddr Mechanical Llc
8640 5th Ave S
Bloomington MN 55420
(612) 965-3764
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156921
Date Issued:07/25/2019
Permit Category:ePermit
Site Address: 2111 Shale Lane
Lot:10 Block: 8 Addition: Cedar Grove 4th
PID:10-16703-08-100
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 -
Ronald Sobkowiak
2111 Shale Lane
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature